Hospital Pittsfield, MA

North Adams Regional Hospital

North Adams Regional Hospital in North Adams, MA publishes cash prices for 404 common procedures listed here, from its own machine-readable price file updated Oct 9, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Massachusetts median for 212 of 389 procedures and below it for 136. By typical cash price it ranks #20 of 33 Massachusetts hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

71 Hospital Ave, North Adams, MA 01247 Collected Oct 16, 2026 Source price file Check a bill from this hospital (413) 664-5000

Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 221304 · CMS hospital register NPI 1437839669

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Massachusetts	Off list
Abdominal CT scan without and with contrast CPT 74170 CT Abd wo/w Cntrst	$1,802.37	$1,897.23	$429.38–$1,802.37	at median	5%
Abdominal CT scan without and with contrast CPT 74170 CT Abd wo/w Cntrst - Emergency Room	$2,637.56	$2,776.38	$628.35–$2,637.56	46% above	5%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT Abd wo/w Cntrst	$2,637.56	$2,776.38	$1,463.15–$2,637.56	—	5%
Abdominal X-ray, 2 views CPT 74019 XR ABD 2 vws	$476.19	$501.25	$113.45–$476.19	28% above	5%
Abdominal X-ray, 2 views CPT 74019 XR ABD 2 vws - Emergency Room	$566.89	$596.73	$135.05–$566.89	52% above	5%
Abdominal X-ray, 2 views inpatient CPT 74019 XR ABD 2 vws	$566.89	$596.73	$314.48–$566.89	—	5%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle >/3 vws Rt	$112.10	$118.00	$9.38–$112.10	56% below	5%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle >/3 vws Lt	$334.36	$351.96	$79.65–$334.36	30% above	5%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle >/3 vws Lt - Emergency Room	$384.94	$405.20	$91.71–$384.94	49% above	5%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle >/3 vws Rt - Emergency Room	$384.94	$405.20	$91.71–$384.94	49% above	5%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle >/3 vws Rt	$112.10	$118.00	$62.19–$112.10	—	5%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle >/3 vws Lt	$384.94	$405.20	$213.54–$384.94	—	5%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Non-Invsve Physiolgic Stdy Bil	$323.73	$340.77	$77.13–$323.73	11% below	5%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Non-Invsve Physiolgic Stdy Bil	$323.73	$340.77	$179.59–$323.73	—	5%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT Upper Extr w/o Cntrst	$1,046.67	$1,101.76	$249.35–$1,046.67	at median	5%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT Upper Extr w/o Cntrst - Emergency Room	$1,531.68	$1,612.29	$364.90–$1,531.68	46% above	5%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT Upper Extr w/o Cntrst	$1,531.68	$1,612.29	$849.68–$1,531.68	—	5%
Barium swallow (esophagus X-ray with contrast) CPT 74220 XR Esophagus	$400.85	$421.95	$95.50–$400.85	25% below	5%
Barium swallow (esophagus X-ray with contrast) CPT 74220 XR Esophagus - Emergency Room	$477.20	$502.32	$113.68–$477.20	11% below	5%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR Esophagus	$477.20	$502.32	$264.72–$477.20	—	5%
Bone scan, whole body (nuclear medicine) CPT 78306 NM Bone Image Whole Body	$2,002.36	$2,107.75	$477.02–$2,002.36	52% above	5%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM Bone Image Whole Body	$2,002.36	$2,107.75	$1,110.78–$2,002.36	—	5%
Breast ultrasound, complete, one breast one side CPT 76641 US Breast Comp Rt - Emergency Room	$437.48	$460.51	$104.23–$437.48	5% above	5%
Breast ultrasound, complete, one breast one side CPT 76641 US Breast Comp Lt - Emergency Room	$437.48	$460.51	$104.23–$437.48	5% above	5%
Breast ultrasound, complete, one breast one side CPT 76641 US Breast Comp Lt	$444.25	$467.63	$105.83–$444.25	7% above	5%
Breast ultrasound, complete, one breast one side CPT 76641 US Breast Comp Rt	$444.25	$467.63	$105.83–$444.25	7% above	5%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Breast Comp Lt	$437.48	$460.51	$242.69–$437.48	—	5%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Breast Comp Rt	$437.48	$460.51	$242.69–$437.48	—	5%
Breast ultrasound, limited (one breast or one area) CPT 76642 US Breast Lmtd	$444.25	$467.63	$105.83–$444.25	2% above	5%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Lmtd Lt - Emergency Room	$437.48	$460.51	$104.23–$437.48	at median	5%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Lmtd Rt - Emergency Room	$437.48	$460.51	$104.23–$437.48	at median	5%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Lmtd Rt	$444.25	$467.63	$105.83–$444.25	2% above	5%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Lmtd Lt	$444.25	$467.63	$105.83–$444.25	2% above	5%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 US Breast Lmtd	$444.25	$467.63	$246.44–$444.25	—	5%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Lmtd Rt	$437.48	$460.51	$242.69–$437.48	—	5%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Lmtd Lt	$437.48	$460.51	$242.69–$437.48	—	5%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA Abd Pelvis w/wo Cntrst	$2,978.86	$3,135.64	$709.66–$2,978.86	30% above	5%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA Abd Pelvis w/wo Cntrst - Emergency Room	$4,358.78	$4,588.19	$1,038.40–$4,358.78	90% above	5%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA Abd Pelvis w/wo Cntrst	$4,358.78	$4,588.19	$2,417.98–$4,358.78	—	5%
CT angiography (CTA) of the head CPT 70496 CT Angiogrphy Head w/wo Cntrst	$1,785.53	$1,879.51	$425.37–$1,785.53	4% above	5%
CT angiography (CTA) of the head CPT 70496 CT Angiogrphy Head w/wo Cntrst - Emergency Room	$2,574.19	$2,709.67	$613.25–$2,574.19	50% above	5%
CT angiography (CTA) of the head inpatient CPT 70496 CT Angiogrphy Head w/wo Cntrst	$2,574.19	$2,709.67	$1,428.00–$2,574.19	—	5%
CT angiography (CTA) of the neck CPT 70498 CT Angiogrphy Neck w/wo Cntrst	$2,064.27	$2,172.92	$491.77–$2,064.27	57% above	5%
CT angiography (CTA) of the neck CPT 70498 CT Angiogrphy Neck w/wo Cntrst - Emergency Room	$3,020.81	$3,179.80	$719.65–$3,020.81	130% above	5%
CT angiography (CTA) of the neck inpatient CPT 70498 CT Angiogrphy Neck w/wo Cntrst	$3,020.81	$3,179.80	$1,675.75–$3,020.81	—	5%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA Chest w/wo Cntrst	$1,574.96	$1,657.85	$375.21–$1,574.96	at median	5%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA Chest w/wo Cntrst - Emergency Room	$2,270.59	$2,390.09	$540.92–$2,270.59	44% above	5%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA Chest w/wo Cntrst	$2,270.59	$2,390.09	$1,259.58–$2,270.59	—	5%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CTA Hrt w/3D Image w/Cntrst	$636.69	$670.20	$151.68–$670.20	14% below	5%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CTA Hrt w/3D Image w/Cntrst - Emergency Room	$931.70	$980.74	$221.96–$980.74	25% above	5%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CTA Hrt w/3D Image w/Cntrst	$931.70	$980.74	$516.85–$931.70	—	5%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT Hrt w/o Cntrst Quant Crnry	$176.46	$185.75	$42.04–$185.75	11% below	5%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT Hrt w/o Cntrst Quant Crnry - Emergency Room	$234.60	$246.95	$55.89–$246.95	18% above	5%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT Hrt w/o Cntrst Quant Crnry	$234.60	$246.95	$130.14–$234.60	—	5%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abd Pelvis w/o Cntrst	$2,405.51	$2,532.12	$573.07–$2,405.51	62% above	5%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abd Pelvis w/o Cntrst - Emergency Room	$3,353.98	$3,530.50	$799.03–$3,353.98	126% above	5%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Abd Pelvis w/o Cntrst	$3,353.98	$3,530.50	$1,860.57–$3,353.98	—	5%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abd/Pel w/Cntrst	$3,169.78	$3,336.61	$755.14–$3,169.78	30% above	5%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abd/Pel w/Cntrst - Emergency Room	$5,160.90	$5,432.53	$1,229.49–$5,160.90	112% above	5%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abd/Pel w/Cntrst	$5,160.90	$5,432.53	$2,862.94–$5,160.90	—	5%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abd/Pel w/wo Contrst	$3,492.48	$3,676.29	$832.02–$3,492.48	33% above	5%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abd/Pel w/wo Contrst - Emergency Room	$5,035.07	$5,300.07	$1,199.52–$5,035.07	91% above	5%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abd/Pel w/wo Contrst	$5,035.07	$5,300.07	$2,793.14–$5,035.07	—	5%
CT scan of the abdomen with contrast CPT 74160 CT Abd w/Cntrst	$1,544.19	$1,625.46	$367.88–$1,544.19	at median	5%
CT scan of the abdomen with contrast CPT 74160 CT Abd w/Cntrst - Emergency Room	$2,259.75	$2,378.68	$538.35–$2,259.75	46% above	5%
CT scan of the abdomen with contrast inpatient CPT 74160 CT Abd w/Cntrst	$2,259.75	$2,378.68	$1,253.56–$2,259.75	—	5%
CT scan of the abdomen without contrast CPT 74150 CT Abd w/o Cntrst	$1,279.74	$1,347.09	$304.87–$1,279.74	32% above	5%
CT scan of the abdomen without contrast CPT 74150 CT Abd w/o Cntrst - Emergency Room	$1,872.74	$1,971.31	$446.15–$1,872.74	94% above	5%
CT scan of the abdomen without contrast inpatient CPT 74150 CT Abd w/o Cntrst	$1,872.74	$1,971.31	$1,038.88–$1,872.74	—	5%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT Maxillofacial w/o Cntrst	$1,020.05	$1,073.74	$243.01–$1,020.05	at median	5%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT Maxillofacial w/o Cntrst - Emergency Room	$1,515.21	$1,594.96	$360.97–$1,515.21	49% above	5%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Maxillofacial w/o Cntrst	$1,515.21	$1,594.96	$840.54–$1,515.21	—	5%
CT scan of the head or brain, no contrast dye CPT 70450 CT Head Brain w/o Contrst	$1,020.14	$1,073.83	$243.03–$1,020.14	2% below	5%
CT scan of the head or brain, no contrast dye CPT 70450 CT Head Brain w/o Contrst - Emergency Room	$1,515.29	$1,595.04	$360.99–$1,515.29	45% above	5%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head Brain w/o Contrst	$1,515.29	$1,595.04	$840.59–$1,515.29	—	5%
CT scan of the head with contrast CPT 70460 CT Head w/Contrast	$1,358.15	$1,429.63	$323.55–$1,358.15	13% above	5%
CT scan of the head with contrast CPT 70460 CT Head w/Contrast - Emergency Room	$2,017.38	$2,123.56	$480.61–$2,017.38	67% above	5%
CT scan of the head with contrast inpatient CPT 70460 CT Head w/Contrast	$2,017.38	$2,123.56	$1,119.12–$2,017.38	—	5%
CT scan of the head without and with contrast CPT 70470 CT Head Brain w/wo Cntrst	$1,726.84	$1,817.73	$411.39–$1,726.84	16% above	5%
CT scan of the head without and with contrast CPT 70470 CT Head Brain w/wo Cntrst - Emergency Room	$2,271.87	$2,391.44	$541.23–$2,271.87	52% above	5%
CT scan of the head without and with contrast inpatient CPT 70470 CT Head Brain w/wo Cntrst	$2,271.87	$2,391.44	$1,260.29–$2,271.87	—	5%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT Lmbr Spine w/o Cntrst	$1,352.14	$1,423.30	$322.12–$1,352.14	40% above	5%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT Lmbr Spine w/o Cntrst - Emergency Room	$1,978.67	$2,082.81	$471.39–$1,978.67	105% above	5%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT Lmbr Spine w/o Cntrst	$1,978.67	$2,082.81	$1,097.64–$1,978.67	—	5%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT Cervical Spine w/o Cntrst	$1,377.96	$1,450.48	$328.27–$1,377.96	at median	5%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT Cervical Spine w/o Cntrst - Emergency Room	$1,979.30	$2,083.47	$471.53–$1,979.30	44% above	5%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT Cervical Spine w/o Cntrst	$1,979.30	$2,083.47	$1,097.99–$1,979.30	—	5%
CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis w/Cntrst	$1,655.92	$1,743.07	$394.50–$1,655.92	at median	5%
CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis w/Cntrst - Emergency Room	$2,343.55	$2,466.89	$558.30–$2,343.55	42% above	5%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis w/Cntrst	$2,343.55	$2,466.89	$1,300.05–$2,343.55	—	5%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 CV Extrcranial Study Biltrl	$1,439.68	$1,515.45	$342.97–$1,439.68	56% above	5%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US Extrcranial Study Biltrl	$1,511.66	$1,591.22	$360.12–$1,511.66	64% above	5%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US Extrcranial Study Biltrl - Emergency Room	$1,798.73	$1,893.40	$428.51–$1,798.73	95% above	5%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 CV Extrcranial Study Biltrl	$1,439.68	$1,515.45	$798.64–$1,439.68	—	5%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 US Extrcranial Study Biltrl	$1,798.73	$1,893.40	$997.82–$1,798.73	—	5%
Chest CT scan without and with contrast CPT 71270 CT Thorax Dgnstic w/wo Cntrst	$1,852.88	$1,950.40	$441.41–$1,852.88	at median	5%
Chest CT scan without and with contrast CPT 71270 CT Thorax Dgnstic w/wo Cntrst - Emergency Room	$2,711.48	$2,854.19	$645.96–$2,711.48	46% above	5%
Chest CT scan without and with contrast inpatient CPT 71270 CT Thorax Dgnstic w/wo Cntrst	$2,711.48	$2,854.19	$1,504.16–$2,711.48	—	5%
Chest X-ray, 2 views CPT 71046 XR Chest 2 Vws	$249.95	$263.11	$59.55–$249.95	1% below	5%
Chest X-ray, 2 views CPT 71046 XR Chest 2 Vws - Emergency Room	$307.68	$323.87	$73.30–$307.68	22% above	5%
Chest X-ray, 2 views inpatient CPT 71046 XR Chest 2 Vws	$307.68	$323.87	$170.68–$307.68	—	5%
Chest X-ray, single view CPT 71045 XR Chest 1 Vw	$249.95	$263.11	$59.55–$249.95	7% below	5%
Chest X-ray, single view CPT 71045 XR Chest 1 Vw - Emergency Room	$307.68	$323.87	$73.30–$307.68	14% above	5%
Chest X-ray, single view inpatient CPT 71045 XR Chest 1 Vw	$307.68	$323.87	$170.68–$307.68	—	5%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR Clavicle Complete Rt	$101.65	$107.00	$9.01–$101.65	61% below	5%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR Clavicle Complete Lt	$491.51	$517.38	$117.10–$491.51	86% above	5%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR Clavicle Complete Rt - Emergency Room	$565.88	$595.66	$134.81–$565.88	114% above	5%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR Clavicle Complete Lt - Emergency Room	$565.88	$595.66	$134.81–$565.88	114% above	5%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR Clavicle Complete Rt	$101.65	$107.00	$56.39–$101.65	—	5%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR Clavicle Complete Lt	$565.88	$595.66	$313.91–$565.88	—	5%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Retrptnl R-T CMPLT	$815.16	$858.06	$194.19–$815.16	29% above	5%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Retrptnl R-T CMPLT - Emergency Room	$970.43	$1,021.51	$231.19–$970.43	53% above	5%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US Retrptnl R-T CMPLT	$970.43	$1,021.51	$538.34–$970.43	—	5%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 Dxa Bone Density Axial	$727.09	$765.36	$173.21–$727.09	47% above	5%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 Dxa Bone Density Axial - Emergency Room	$824.37	$867.76	$196.39–$824.37	66% above	5%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Dxa Bone Density Axial	$824.37	$867.76	$457.31–$824.37	—	5%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA Bone Density/Periphrl	$538.55	$566.89	$128.29–$538.55	119% above	5%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DXA Bone Density/Periphrl	$538.55	$566.89	$298.75–$538.55	—	5%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Thorax Dgnstic w/o Cntrst	$1,352.55	$1,423.74	$322.22–$1,352.55	13% above	5%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Thorax Dgnstic w/o Cntrst - Emergency Room	$1,559.99	$1,642.09	$371.64–$1,559.99	30% above	5%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Thorax Dgnstic w/o Cntrst	$1,559.99	$1,642.09	$865.38–$1,559.99	—	5%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Thorax Dgnstic w/Cntrst	$1,544.19	$1,625.46	$367.88–$1,544.19	at median	5%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Thorax Dgnstic w/Cntrst - Emergency Room	$2,259.75	$2,378.68	$538.35–$2,259.75	46% above	5%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Thorax Dgnstic w/Cntrst	$2,259.75	$2,378.68	$1,253.56–$2,259.75	—	5%
Diagnostic mammogram, both breasts CPT 77066 MM Mammo Post Plcmnt Bltrl	$385.17	$405.44	$91.76–$385.17	at median	5%
Diagnostic mammogram, both breasts CPT 77066 Dx Mammo Incl Cad Bilatrl	$597.65	$629.11	$142.38–$597.65	55% above	5%
Diagnostic mammogram, both breasts inpatient CPT 77066 MM Mammo Post Plcmnt Bltrl	$385.17	$405.44	$213.67–$385.17	—	5%
Diagnostic mammogram, both breasts inpatient CPT 77066 Dx Mammo Incl Cad Bilatrl	$597.65	$629.11	$331.54–$597.65	—	5%
Diagnostic mammogram, one breast CPT 77065 Dx Mammo Incl Cad Uniltrl	$534.84	$562.99	$127.42–$534.84	35% above	5%
Diagnostic mammogram, one breast one side CPT 77065 MM Mammo Post Plcmnt Lt	$303.87	$319.86	$72.39–$303.87	23% below	5%
Diagnostic mammogram, one breast one side CPT 77065 MM Mammo Post Plcmnt Rt	$303.87	$319.86	$72.39–$303.87	23% below	5%
Diagnostic mammogram, one breast inpatient CPT 77065 Dx Mammo Incl Cad Uniltrl	$534.84	$562.99	$296.70–$534.84	—	5%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MM Mammo Post Plcmnt Lt	$303.87	$319.86	$168.57–$303.87	—	5%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MM Mammo Post Plcmnt Rt	$303.87	$319.86	$168.57–$303.87	—	5%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Art Dop Lwr Extr Bilat	$1,079.77	$1,136.60	$257.24–$1,079.77	—	5%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 Art Dop Lwr Extr Bilat	$1,079.77	$1,136.60	$598.99–$1,079.77	—	5%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 CV Duplex Upr Ext Veins Bilat	$796.74	$838.67	$189.80–$796.74	—	5%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US Duplex Upr Ext Veins Bilat	$809.06	$851.64	$192.75–$809.06	—	5%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 CV Duplex Lwr Ext Veins Bilat - Emergency Room	$825.75	$869.21	$196.72–$825.75	—	5%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 CV Duplex Lwr Ext Veins Bilat	$836.57	$880.60	$199.30–$836.57	—	5%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US Duplex Upr Ext Veins Bilat - Emergency Room	$963.15	$1,013.84	$229.45–$963.15	—	5%
Duplex ultrasound of the leg veins, both legs CPT 93970 US Duplex Lwr Ext Veins Biltrl	$836.57	$880.60	$199.30–$836.57	10% below	5%
Duplex ultrasound of the leg veins, both legs CPT 93970 US Duplex Lwr Ext Veins Biltrl - Emergency Room	$995.89	$1,048.31	$237.25–$995.89	7% above	5%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 CV Duplex Upr Ext Veins Bilat	$796.74	$838.67	$441.98–$796.74	—	5%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 CV Duplex Lwr Ext Veins Bilat	$825.75	$869.21	$458.07–$825.75	—	5%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US Duplex Upr Ext Veins Bilat	$963.15	$1,013.84	$534.29–$963.15	—	5%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US Duplex Lwr Ext Veins Biltrl	$995.89	$1,048.31	$552.46–$995.89	—	5%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Limited Echo w/Contrast	$1,778.40	$1,872.00	$423.67–$1,778.40	1% above	5%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echocardiography	$2,092.83	$2,202.98	$498.58–$2,092.83	18% above	5%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Stress Echo w/Contrast	$2,470.00	$2,600.00	$588.43–$2,470.00	40% above	5%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Complete Echo w/Contrast	$2,470.00	$2,600.00	$588.43–$2,470.00	40% above	5%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Limited Echo w/Contrast	$1,778.40	$1,872.00	$986.54–$1,778.40	—	5%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Echocardiography	$2,092.83	$2,202.98	$1,160.97–$2,092.83	—	5%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Complete Echo w/Contrast	$2,470.00	$2,600.00	$1,370.20–$2,470.00	—	5%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Stress Echo w/Contrast	$2,470.00	$2,600.00	$1,370.20–$2,470.00	—	5%
Elbow X-ray, 2 views one side CPT 73070 XR Elbow 2 Vws Rt	$89.30	$94.00	$9.01–$89.30	63% below	5%
Elbow X-ray, 2 views one side CPT 73070 XR Elbow 2 Vws Lt	$276.37	$290.92	$65.84–$276.37	16% above	5%
Elbow X-ray, 2 views one side CPT 73070 XR Elbow 2 Vws Lt - Emergency Room	$332.24	$349.73	$79.15–$332.24	39% above	5%
Elbow X-ray, 2 views one side CPT 73070 XR Elbow 2 Vws Rt - Emergency Room	$332.24	$349.73	$79.15–$332.24	39% above	5%
Elbow X-ray, 2 views inpatient one side CPT 73070 XR Elbow 2 Vws Rt	$89.30	$94.00	$49.54–$89.30	—	5%
Elbow X-ray, 2 views inpatient one side CPT 73070 XR Elbow 2 Vws Lt	$332.24	$349.73	$184.31–$332.24	—	5%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR Elbow >/3 Vws Rt	$100.70	$106.00	$9.38–$100.70	64% below	5%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR Elbow >/3 Vws Lt	$323.36	$340.38	$77.04–$323.36	15% above	5%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR Elbow >/3 Vws Rt - Emergency Room	$401.94	$423.09	$95.75–$401.94	42% above	5%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR Elbow >/3 Vws Lt - Emergency Room	$401.94	$423.09	$95.75–$401.94	42% above	5%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR Elbow >/3 Vws Rt	$100.70	$106.00	$55.86–$100.70	—	5%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR Elbow >/3 Vws Lt	$401.94	$423.09	$222.97–$401.94	—	5%
Eye socket (orbit) CT scan without contrast CPT 70480 CT Orb/Ear/Fossa w/o Cntrst	$963.64	$1,014.36	$229.57–$963.64	at median	5%
Eye socket (orbit) CT scan without contrast CPT 70480 CT Orb/Ear/Fossa w/o Cntrst - Emergency Room	$1,410.16	$1,484.38	$335.95–$1,410.16	46% above	5%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT Orb/Ear/Fossa w/o Cntrst	$1,410.16	$1,484.38	$782.27–$1,410.16	—	5%
Facial bones X-ray, complete, 3 or more views CPT 70150 XR Facial Bones Cmplte >/3 Vws	$382.67	$402.81	$91.17–$382.67	3% below	5%
Facial bones X-ray, complete, 3 or more views CPT 70150 XR Facial Bones Cmplte >/3 Vws - Emergency Room	$455.56	$479.54	$108.53–$455.56	15% above	5%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 XR Facial Bones Cmplte >/3 Vws	$455.56	$479.54	$252.72–$455.56	—	5%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR Forearm 2 Vws Rt	$88.35	$93.00	$8.62–$88.35	68% below	5%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR Forearm 2 Vws Lt	$316.95	$333.63	$75.50–$316.95	14% above	5%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR Forearm 2 Vws Lt - Emergency Room	$364.93	$384.14	$86.94–$364.93	31% above	5%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR Forearm 2 Vws Rt - Emergency Room	$364.93	$384.14	$86.94–$364.93	31% above	5%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR Forearm 2 Vws Rt	$88.35	$93.00	$49.01–$88.35	—	5%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR Forearm 2 Vws Lt	$364.93	$384.14	$202.44–$364.93	—	5%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM Hepatobilry Sys Image	$2,422.72	$2,550.23	$577.17–$2,422.72	85% above	5%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM Hepatobilry Sys Image	$2,422.72	$2,550.23	$1,343.97–$2,422.72	—	5%
Hand X-ray, 2 views one side CPT 73120 XR Hand 2 Vws Rt	$95.00	$100.00	$9.01–$95.00	66% below	5%
Hand X-ray, 2 views one side CPT 73120 XR Hand 2 Vws Lt	$256.05	$269.53	$61.00–$256.05	8% below	5%
Hand X-ray, 2 views one side CPT 73120 XR Hand 2 Vws Lt - Emergency Room	$301.86	$317.75	$71.91–$301.86	9% above	5%
Hand X-ray, 2 views one side CPT 73120 XR Hand 2 Vws Rt - Emergency Room	$301.86	$317.75	$71.91–$301.86	9% above	5%
Hand X-ray, 2 views inpatient one side CPT 73120 XR Hand 2 Vws Rt	$95.00	$100.00	$52.70–$95.00	—	5%
Hand X-ray, 2 views inpatient one side CPT 73120 XR Hand 2 Vws Lt	$301.86	$317.75	$167.45–$301.86	—	5%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR Heel >/2 vws Rt	$86.45	$91.00	$8.62–$86.45	67% below	5%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR Heel >/2 vws Lt	$349.55	$367.95	$83.28–$349.55	33% above	5%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR Heel >/2 vws Lt - Emergency Room	$402.46	$423.64	$95.88–$402.46	53% above	5%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR Heel >/2 vws Rt - Emergency Room	$402.46	$423.64	$95.88–$402.46	53% above	5%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR Heel >/2 vws Rt	$86.45	$91.00	$47.96–$86.45	—	5%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR Heel >/2 vws Lt	$402.46	$423.64	$223.26–$402.46	—	5%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Polysomnography w/CPAP	$7,109.29	$7,483.46	$1,693.66–$7,109.29	90% above	5%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Polysomnography w/CPAP	$7,109.29	$7,483.46	$3,943.78–$7,109.29	—	5%
Knee X-ray, 3 views one side CPT 73562 XR Knee 3 vws Rt	$378.94	$398.88	$90.27–$378.94	19% above	5%
Knee X-ray, 3 views one side CPT 73562 XR Knee 3 vws Lt	$378.94	$398.88	$90.27–$378.94	19% above	5%
Knee X-ray, 3 views one side CPT 73562 XR Knee 3 vws Lt - Emergency Room	$436.30	$459.26	$103.94–$436.30	38% above	5%
Knee X-ray, 3 views one side CPT 73562 XR Knee 3 vws Rt - Emergency Room	$436.30	$459.26	$103.94–$436.30	38% above	5%
Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 vws Rt	$436.30	$459.26	$242.03–$436.30	—	5%
Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 vws Lt	$436.30	$459.26	$242.03–$436.30	—	5%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee >/4 vws Rt	$149.15	$157.00	$12.43–$149.15	57% below	5%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee >/4 vws Lt	$403.19	$424.41	$96.05–$403.19	15% above	5%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee >/4 vws Rt - Emergency Room	$464.20	$488.63	$110.58–$464.20	33% above	5%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee >/4 vws Lt - Emergency Room	$464.20	$488.63	$110.58–$464.20	33% above	5%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR Knee >/4 vws Rt	$149.15	$157.00	$82.74–$149.15	—	5%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR Knee >/4 vws Lt	$464.20	$488.63	$257.51–$464.20	—	5%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT Lwr Ext w/o Cntrst	$1,046.67	$1,101.76	$249.35–$1,046.67	at median	5%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT Lwr Ext w/o Cntrst - Emergency Room	$1,531.68	$1,612.29	$364.90–$1,531.68	46% above	5%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT Lwr Ext w/o Cntrst	$1,531.68	$1,612.29	$849.68–$1,531.68	—	5%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABD R-T w/Img Doc Ltd	$685.24	$721.30	$163.25–$685.24	27% above	5%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 IR US ABD R-T w/Img Doc Ltd	$744.23	$783.40	$177.30–$744.23	38% above	5%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 IR US ABD R-T w/Img Doc Ltd - Emergency Room	$885.99	$932.62	$211.07–$885.99	64% above	5%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABD R-T w/Img Doc Ltd - Emergency Room	$885.99	$932.62	$211.07–$885.99	64% above	5%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABD R-T w/Img Doc Ltd	$685.24	$721.30	$380.13–$685.24	—	5%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 IR US ABD R-T w/Img Doc Ltd	$885.99	$932.62	$491.49–$885.99	—	5%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US Lmtd Jt NonVasc w/Dcmtn	$288.18	$303.35	$68.65–$288.18	15% below	5%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Lmtd Jt NonVasc w/Dcmtn Rt	$296.78	$312.40	$70.70–$296.78	13% below	5%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Lmtd Jt NonVasc w/Dcmtn Lt	$299.63	$315.40	$71.38–$299.63	12% below	5%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Lmtd Jt NonVasc w/Dcmtn Rt - Emergency Room	$353.41	$372.01	$84.19–$353.41	4% above	5%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Lmtd Jt NonVasc w/Dcmtn Lt - Emergency Room	$353.41	$372.01	$84.19–$353.41	4% above	5%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US Lmtd Jt NonVasc w/Dcmtn	$288.18	$303.35	$159.87–$288.18	—	5%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Lmtd Jt NonVasc w/Dcmtn Lt	$353.41	$372.01	$196.05–$353.41	—	5%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Lmtd Jt NonVasc w/Dcmtn Rt	$353.41	$372.01	$196.05–$353.41	—	5%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT Lung Screen w/o Contrst	$298.17	$313.86	$71.03–$298.17	37% below	5%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT Lung Screen w/o Contrst - Emergency Room	$367.03	$386.35	$87.44–$367.03	22% below	5%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT Lung Screen w/o Contrst	$367.03	$386.35	$203.61–$367.03	—	5%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tibia/Fibula 2vws Rt	$95.00	$100.00	$8.62–$95.00	65% below	5%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tibia/Fibula 2vws Lt	$316.95	$333.63	$75.50–$316.95	17% above	5%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tibia/Fibula 2vws Lt - Emergency Room	$364.93	$384.14	$86.94–$364.93	35% above	5%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tibia/Fibula 2vws Rt - Emergency Room	$364.93	$384.14	$86.94–$364.93	35% above	5%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR Tibia/Fibula 2vws Rt	$95.00	$100.00	$52.70–$95.00	—	5%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR Tibia/Fibula 2vws Lt	$364.93	$384.14	$202.44–$364.93	—	5%
MR angiography (MRA) of the head without contrast CPT 70544 MRA Head w/o Cntrst	$2,391.07	$2,516.92	$569.63–$2,391.07	33% above	5%
MR angiography (MRA) of the head without contrast CPT 70544 MRA Head w/o Cntrst - Emergency Room	$3,384.00	$3,562.11	$806.18–$3,384.00	89% above	5%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA Head w/o Cntrst	$3,384.00	$3,562.11	$1,877.23–$3,384.00	—	5%
MRI of both breasts, without and then with contrast dye CPT 77049 MRI Breast w/wo Con CAD Bltr	$3,138.78	$3,303.98	$747.76–$3,138.78	28% above	5%
MRI of both breasts, without and then with contrast dye inpatient CPT 77049 MRI Breast w/wo Con CAD Bltr	$3,138.78	$3,303.98	$1,741.20–$3,138.78	—	5%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Lwr Ext Jt w/o Cntrst Rt	$2,391.07	$2,516.92	$569.63–$2,391.07	30% above	5%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Lwr Ext Jt w/o Cntrst Lt	$2,391.07	$2,516.92	$569.63–$2,391.07	30% above	5%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Lwr Ext Jt w/o Cntrst Rt - Emergency Room	$3,384.00	$3,562.11	$806.18–$3,384.00	84% above	5%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Lwr Ext Jt w/o Cntrst Lt - Emergency Room	$3,384.00	$3,562.11	$806.18–$3,384.00	84% above	5%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Lwr Ext Jt w/o Cntrst Lt	$3,384.00	$3,562.11	$1,877.23–$3,384.00	—	5%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Lwr Ext Jt w/o Cntrst Rt	$3,384.00	$3,562.11	$1,877.23–$3,384.00	—	5%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Lwr Ext Jt w/wo Cntrst Lt	$3,265.63	$3,437.51	$777.98–$3,265.63	10% above	5%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Lwr Ext Jt w/wo Cntrst Rt	$3,265.63	$3,437.51	$777.98–$3,265.63	10% above	5%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Lwr Ext Jt w/wo Cntrst Rt - Emergency Room	$4,621.73	$4,864.98	$1,101.05–$4,621.73	55% above	5%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Lwr Ext Jt w/wo Cntrst Lt - Emergency Room	$4,621.73	$4,864.98	$1,101.05–$4,621.73	55% above	5%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Lwr Ext Jt w/wo Cntrst Rt	$4,621.73	$4,864.98	$2,563.84–$4,621.73	—	5%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Lwr Ext Jt w/wo Cntrst Lt	$4,621.73	$4,864.98	$2,563.84–$4,621.73	—	5%
MRI of the abdomen without contrast CPT 74181 MRI ABD w/o Contrast	$2,312.66	$2,434.38	$550.95–$2,312.66	51% above	5%
MRI of the abdomen without contrast CPT 74181 MRI ABD w/o Contrast - Emergency Room	$3,384.29	$3,562.41	$806.24–$3,384.29	120% above	5%
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABD w/o Contrast	$3,384.29	$3,562.41	$1,877.39–$3,384.29	—	5%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABD Pre/Post Cntrst	$3,615.65	$3,805.95	$861.36–$3,615.65	29% above	5%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABD Pre/Post Cntrst - Emergency Room	$4,621.73	$4,864.98	$1,101.05–$4,621.73	65% above	5%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABD Pre/Post Cntrst	$4,621.73	$4,864.98	$2,563.84–$4,621.73	—	5%
MRI of the brain, no contrast dye CPT 70551 MRI Brain Stem w/o Cntrst	$2,312.47	$2,434.18	$550.90–$2,312.47	12% above	5%
MRI of the brain, no contrast dye CPT 70551 MRI Brain Stem w/o Cntrst - Emergency Room	$3,384.00	$3,562.11	$806.18–$3,384.00	64% above	5%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain Stem w/o Cntrst	$3,384.00	$3,562.11	$1,877.23–$3,384.00	—	5%
MRI of the brain, with and without contrast dye CPT 70553 MRA Brain Stem W w/o Cntrst	$3,158.25	$3,324.47	$752.40–$3,158.25	4% above	5%
MRI of the brain, with and without contrast dye CPT 70553 MRA Brain Stem W w/o Cntrst - Emergency Room	$4,621.73	$4,864.98	$1,101.05–$4,621.73	53% above	5%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRA Brain Stem W w/o Cntrst	$4,621.73	$4,864.98	$2,563.84–$4,621.73	—	5%
MRI of the lower back, no contrast dye CPT 72148 MRI L Spine w/o Cntrst	$2,312.47	$2,434.18	$550.90–$2,312.47	28% above	5%
MRI of the lower back, no contrast dye CPT 72148 MRI L Spine w/o Cntrst - Emergency Room	$3,384.00	$3,562.11	$806.18–$3,384.00	87% above	5%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI L Spine w/o Cntrst	$3,384.00	$3,562.11	$1,877.23–$3,384.00	—	5%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI L Spine w/wo Cntrst	$3,158.25	$3,324.47	$752.40–$3,158.25	14% above	5%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI L Spine w/wo Cntrst - Emergency Room	$4,621.73	$4,864.98	$1,101.05–$4,621.73	67% above	5%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI L Spine w/wo Cntrst	$4,621.73	$4,864.98	$2,563.84–$4,621.73	—	5%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T Spine w/o Cntrst	$2,312.47	$2,434.18	$550.90–$2,312.47	26% above	5%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T Spine w/o Cntrst - Emergency Room	$3,384.00	$3,562.11	$806.18–$3,384.00	85% above	5%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI T Spine w/o Cntrst	$3,384.00	$3,562.11	$1,877.23–$3,384.00	—	5%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C Spine w/wo Cntrst	$3,265.63	$3,437.51	$777.98–$3,265.63	12% above	5%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C Spine w/wo Cntrst - Emergency Room	$4,621.73	$4,864.98	$1,101.05–$4,621.73	59% above	5%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI C Spine w/wo Cntrst	$4,621.73	$4,864.98	$2,563.84–$4,621.73	—	5%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C Spine w/o Cntrst	$3,090.42	$3,253.07	$736.24–$3,090.42	69% above	5%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C Spine w/o Cntrst - Emergency Room	$4,229.92	$4,452.55	$1,007.70–$4,229.92	131% above	5%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI C Spine w/o Cntrst	$4,229.92	$4,452.55	$2,346.49–$4,229.92	—	5%
MRI of the pelvis without and with contrast CPT 72197 MRI Pelvis wo/w Cntrst	$2,890.51	$3,042.64	$688.61–$2,890.51	2% above	5%
MRI of the pelvis without and with contrast CPT 72197 MRI Pelvis wo/w Cntrst - Emergency Room	$3,253.77	$3,425.02	$775.15–$3,253.77	15% above	5%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI Pelvis wo/w Cntrst	$3,253.77	$3,425.02	$1,804.99–$3,253.77	—	5%
MRI of the pelvis, no contrast dye CPT 72195 MRI Pelvis w/o Cntrst	$2,391.07	$2,516.92	$569.63–$2,391.07	32% above	5%
MRI of the pelvis, no contrast dye CPT 72195 MRI Pelvis w/o Cntrst - Emergency Room	$3,384.01	$3,562.12	$806.18–$3,384.01	87% above	5%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI Pelvis w/o Cntrst	$3,384.01	$3,562.12	$1,877.24–$3,384.01	—	5%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Uppr Ext Jt w/o Cntrst Lt	$2,312.47	$2,434.18	$550.90–$2,312.47	29% above	5%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Uppr Ext Jt w/o Cntrst Rt	$2,312.47	$2,434.18	$550.90–$2,312.47	29% above	5%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Uppr Ext Jt w/o Cntrst Lt - Emergency Room	$3,384.00	$3,562.11	$806.18–$3,384.00	89% above	5%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Uppr Ext Jt w/o Cntrst Rt - Emergency Room	$3,384.00	$3,562.11	$806.18–$3,384.00	89% above	5%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Uppr Ext Jt w/o Cntrst Rt	$3,384.00	$3,562.11	$1,877.23–$3,384.00	—	5%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Uppr Ext Jt w/o Cntrst Lt	$3,384.00	$3,562.11	$1,877.23–$3,384.00	—	5%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR Crvcl Spine 4/5 vws	$454.67	$478.60	$108.32–$454.67	1% above	5%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR Crvcl Spine 4/5 vws - Emergency Room	$541.29	$569.78	$128.95–$541.29	20% above	5%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 XR Crvcl Spine 4/5 vws	$541.29	$569.78	$300.27–$541.29	—	5%
Neck soft tissue CT scan with contrast CPT 70491 CT Sft Tissue Neck w/Cntrst	$1,757.76	$1,850.27	$418.75–$1,757.76	19% above	5%
Neck soft tissue CT scan with contrast CPT 70491 CT Sft Tissue Neck w/Cntrst - Emergency Room	$2,610.97	$2,748.39	$622.02–$2,610.97	77% above	5%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT Sft Tissue Neck w/Cntrst	$2,610.97	$2,748.39	$1,448.40–$2,610.97	—	5%
Neck soft tissue CT scan without contrast CPT 70490 CT Sft Tissue Neck w/o Cntrst	$1,567.79	$1,650.31	$373.50–$1,567.79	31% above	5%
Neck soft tissue CT scan without contrast CPT 70490 CT Sft Tissue Neck w/o Cntrst - Emergency Room	$2,328.77	$2,451.34	$554.79–$2,328.77	94% above	5%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT Sft Tissue Neck w/o Cntrst	$2,328.77	$2,451.34	$1,291.86–$2,328.77	—	5%
Neck soft tissue X-ray CPT 70360 XR Neck Soft Tissue	$410.22	$431.81	$97.73–$410.22	41% above	5%
Neck soft tissue X-ray CPT 70360 XR Neck Soft Tissue - Emergency Room	$509.88	$536.72	$121.47–$509.88	76% above	5%
Neck soft tissue X-ray inpatient CPT 70360 XR Neck Soft Tissue	$509.88	$536.72	$282.85–$509.88	—	5%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HT Muscle Image Spect Multple	$4,954.99	$5,215.78	$1,180.44–$5,215.78	19% above	5%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 CV HT Muscle Img Spect Multple	$4,954.99	$5,215.78	$1,180.44–$5,215.78	19% above	5%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 CV HT Muscle Img Spect Multple	$4,954.99	$5,215.78	$2,748.72–$4,954.99	—	5%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HT Muscle Image Spect Multple	$4,954.99	$5,215.78	$2,748.72–$4,954.99	—	5%
Pelvic CT scan without contrast CPT 72192 CT Pelvis w/o Cntrst	$1,046.67	$1,101.76	$249.35–$1,046.67	at median	5%
Pelvic CT scan without contrast CPT 72192 CT Pelvis w/o Cntrst - Emergency Room	$1,531.68	$1,612.29	$364.90–$1,531.68	46% above	5%
Pelvic CT scan without contrast inpatient CPT 72192 CT Pelvis w/o Cntrst	$1,531.68	$1,612.29	$849.68–$1,531.68	—	5%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Pelvis Non-OBS Lmtd	$567.81	$597.69	$135.27–$567.81	56% above	5%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Pelvis Non-OBS Lmtd - Emergency Room	$741.10	$780.11	$176.56–$741.10	104% above	5%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Pelvis Non-OBS Lmtd	$567.81	$597.69	$314.98–$567.81	—	5%
Pelvic ultrasound through the belly, complete (not pregnancy) one side CPT 76856 US Pelv NonOB RT Img Comp	$780.32	$821.39	$185.90–$780.32	22% above	5%
Pelvic ultrasound through the belly, complete (not pregnancy) one side CPT 76856 US Pelv NonOB RT Img Comp - Emergency Room	$938.05	$987.42	$223.48–$938.05	47% above	5%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient one side CPT 76856 US Pelv NonOB RT Img Comp	$938.05	$987.42	$520.37–$938.05	—	5%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB >/14 Wks Single Fetus	$845.79	$890.31	$201.49–$890.31	46% above	5%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB >/14 Wks Single Fetus - Emergency Room	$1,045.20	$1,100.21	$249.00–$1,100.21	80% above	5%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB >/14 Wks Single Fetus	$1,045.20	$1,100.21	$579.81–$1,045.20	—	5%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US Pg Uter Img F Mat 14Wk 1St - Professional Charg	$171.95	$181.00	$40.96–$181.00	65% below	5%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US Pg Uter Img F Mat 14Wk 1St	$244.70	$257.58	$58.29–$257.58	50% below	5%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US Pg Uter Img F Mat 14Wk 1St - Emergency Room	$1,081.09	$1,137.99	$257.55–$1,137.99	122% above	5%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US Pg Uter Img F Mat 14Wk 1St	$1,081.09	$1,137.99	$599.72–$1,081.09	—	5%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB R/T w/Doc Lmtd >/1 Fetus - Professional Char	$115.90	$122.00	$27.61–$122.00	72% below	5%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB R/T w/Doc Lmtd >/1 Fetus	$537.24	$565.52	$127.99–$565.52	32% above	5%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB R/T w/Doc Lmtd >/1 Fetus	$537.24	$565.52	$298.03–$537.24	—	5%
Rib X-ray, one side, 2 views one side CPT 71100 XR Ribs 2vws Unltrl Lt	$378.94	$398.88	$90.27–$378.94	25% above	5%
Rib X-ray, one side, 2 views one side CPT 71100 XR Ribs 2vws Unltrl Rt	$378.94	$398.88	$90.27–$378.94	25% above	5%
Rib X-ray, one side, 2 views one side CPT 71100 XR Ribs 2vws Unltrl Rt - Emergency Room	$436.30	$459.26	$103.94–$436.30	44% above	5%
Rib X-ray, one side, 2 views one side CPT 71100 XR Ribs 2vws Unltrl Lt - Emergency Room	$436.30	$459.26	$103.94–$436.30	44% above	5%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR Ribs 2vws Unltrl Lt	$436.30	$459.26	$242.03–$436.30	—	5%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR Ribs 2vws Unltrl Rt	$436.30	$459.26	$242.03–$436.30	—	5%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR PA Chest and Ribs Rt	$104.82	$110.34	$24.97–$104.82	72% below	5%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR PA Chest and Ribs Lt	$104.82	$110.34	$24.97–$104.82	72% below	5%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR PA Chest and Ribs Rt - Emergency Room	$120.72	$127.07	$28.76–$120.72	68% below	5%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR PA Chest and Ribs Lt - Emergency Room	$120.72	$127.07	$28.76–$120.72	68% below	5%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR PA Chest and Ribs Rt	$120.72	$127.07	$66.97–$120.72	—	5%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR PA Chest and Ribs Lt	$120.72	$127.07	$66.97–$120.72	—	5%
Screening mammogram, both breasts CPT 77067 Screen Mammo Inc CAD Bltrl	$363.76	$382.91	$88.07–$363.76	at median	5%
Screening mammogram, both breasts inpatient CPT 77067 Screen Mammo Inc CAD Bltrl	$363.76	$382.91	$201.79–$363.76	—	5%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder >/2 Vws LT	$758.01	$797.90	$180.58–$758.00	165% above	5%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder >/2 Vws RT	$758.01	$797.90	$180.58–$758.00	165% above	5%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder >/2 Vws RT - Emergency Room	$911.24	$959.20	$217.09–$911.24	219% above	5%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder >/2 Vws LT - Emergency Room	$911.24	$959.20	$217.09–$911.24	219% above	5%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder >/2 Vws LT	$911.24	$959.20	$505.50–$911.24	—	5%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder >/2 Vws RT	$911.24	$959.20	$505.50–$911.24	—	5%
Sinus X-ray, complete, 3 or more views CPT 70220 XR Sinuses Paranasal >/3 vws	$366.48	$385.77	$87.31–$366.48	at median	5%
Sinus X-ray, complete, 3 or more views CPT 70220 XR Sinuses Paranasal >/3 vws - Emergency Room	$455.56	$479.54	$108.53–$455.56	24% above	5%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 XR Sinuses Paranasal >/3 vws	$455.56	$479.54	$252.72–$455.56	—	5%
Skull X-ray, fewer than 4 views CPT 70250 XR Skull </4 vws	$280.32	$295.07	$66.78–$280.32	10% below	5%
Skull X-ray, fewer than 4 views CPT 70250 XR Skull </4 vws - Emergency Room	$333.69	$351.25	$79.50–$333.69	7% above	5%
Skull X-ray, fewer than 4 views inpatient CPT 70250 XR Skull </4 vws	$333.69	$351.25	$185.11–$333.69	—	5%
Sleep study in a lab (polysomnography) CPT 95810 Polysm Sleep Stag 4/>Addl	$5,221.06	$5,495.85	$1,243.83–$5,221.06	50% above	5%
Sleep study in a lab (polysomnography) inpatient CPT 95810 Polysm Sleep Stag 4/>Addl	$5,221.06	$5,495.85	$2,896.31–$5,221.06	—	5%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Stress TTE Complete	$2,122.52	$2,234.23	$505.65–$2,122.52	24% above	5%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 Stress TTE Complete	$2,122.52	$2,234.23	$1,177.44–$2,122.52	—	5%
Swallow study (modified barium swallow, video X-ray) CPT 74230 Swallowing Eval Video	$664.34	$699.30	$158.27–$664.34	20% above	5%
Swallow study (modified barium swallow, video X-ray) CPT 74230 Swallowing Eval Video - Emergency Room	$790.86	$832.48	$188.41–$790.86	42% above	5%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Swallowing Eval Video	$790.86	$832.48	$438.72–$790.86	—	5%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR Femur >/2 Rt	$108.30	$114.00	$9.76–$108.30	53% below	5%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR Femur >/2 Lt	$277.78	$292.40	$66.17–$277.78	20% above	5%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR Femur >/2 Rt - Emergency Room	$319.85	$336.68	$76.20–$319.85	38% above	5%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR Femur >/2 Lt - Emergency Room	$319.85	$336.68	$76.20–$319.85	38% above	5%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR Femur >/2 Rt	$108.30	$114.00	$60.08–$108.30	—	5%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR Femur >/2 Lt	$319.85	$336.68	$177.43–$319.85	—	5%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT Thoracic Spine w/o Cntrst	$1,352.14	$1,423.30	$322.12–$1,352.14	8% above	5%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT Thoracic Spine w/o Cntrst - Emergency Room	$1,978.67	$2,082.81	$471.39–$1,978.67	58% above	5%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT Thoracic Spine w/o Cntrst	$1,978.67	$2,082.81	$1,097.64–$1,978.67	—	5%
Toe X-ray, 2 or more views one side CPT 73660 XR Toe(s) spcfy >/2ws Rt	$87.40	$92.00	$7.11–$87.40	63% below	5%
Toe X-ray, 2 or more views one side CPT 73660 XR Toe(s) spcfy >/2ws Lt	$352.94	$371.52	$84.08–$352.94	50% above	5%
Toe X-ray, 2 or more views one side CPT 73660 XR Toe(s) spcfy >/2ws Rt - Emergency Room	$420.19	$442.31	$100.10–$420.19	78% above	5%
Toe X-ray, 2 or more views one side CPT 73660 XR Toe(s) spcfy >/2ws Lt - Emergency Room	$420.19	$442.31	$100.10–$420.19	78% above	5%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toe(s) spcfy >/2ws Rt	$87.40	$92.00	$48.48–$87.40	—	5%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toe(s) spcfy >/2ws Lt	$420.19	$442.31	$233.10–$420.19	—	5%
Transvaginal pelvic ultrasound CPT 76830 US Transvaginal Non OB	$607.57	$639.55	$144.75–$607.57	19% above	5%
Transvaginal pelvic ultrasound CPT 76830 US Transvaginal Non OB - Emergency Room	$730.36	$768.80	$173.99–$730.36	42% above	5%
Transvaginal pelvic ultrasound inpatient CPT 76830 US Transvaginal Non OB	$730.36	$768.80	$405.16–$730.36	—	5%
Transvaginal ultrasound during pregnancy CPT 76817 US Pg Uter R-T Img Trvg	$636.01	$669.48	$151.52–$669.48	7% above	5%
Transvaginal ultrasound during pregnancy CPT 76817 US Pg Uter R-T Img Trvg - Emergency Room	$790.82	$832.44	$188.40–$832.44	33% above	5%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US Pg Uter R-T Img Trvg	$790.82	$832.44	$438.70–$790.82	—	5%
Ultrasound of the abdomen, complete CPT 76700 US Abdomen w/Img Docmention	$687.80	$724.00	$163.86–$687.80	at median	5%
Ultrasound of the abdomen, complete CPT 76700 US Abdomen w/Img Docmention - Emergency Room	$826.85	$870.37	$196.99–$826.85	20% above	5%
Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdomen w/Img Docmention	$826.85	$870.37	$458.68–$826.85	—	5%
Ultrasound of the scrotum and testicles CPT 76870 US Scrotum Contents - Emergency Room	$576.78	$607.14	$137.41–$576.78	at median	5%
Ultrasound of the scrotum and testicles CPT 76870 US Scrotum Contents	$668.30	$703.47	$159.21–$668.30	16% above	5%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US Scrotum Contents	$668.30	$703.47	$370.73–$668.30	—	5%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Soft Tissue Head/Neck w/Doc	$318.77	$335.55	$75.95–$318.77	34% below	5%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Soft Tissue Head/Neck w/Doc - Emergency Room	$398.42	$419.39	$94.92–$398.42	17% below	5%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Soft Tissue Head/Neck w/Doc	$318.77	$335.55	$176.83–$318.77	—	5%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR GI Series	$1,114.70	$1,173.37	$265.56–$1,114.70	80% above	5%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR GI Series - Emergency Room	$1,327.00	$1,396.84	$316.13–$1,327.00	114% above	5%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR GI Series	$1,327.00	$1,396.84	$736.13–$1,327.00	—	5%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR Humerus >/2 Vws Rt	$97.85	$103.00	$9.01–$97.85	61% below	5%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR Humerus >/2 Vws Lt	$383.18	$403.35	$91.29–$383.18	51% above	5%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR Humerus >/2 Vws Lt - Emergency Room	$476.29	$501.36	$113.46–$476.29	88% above	5%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR Humerus >/2 Vws Rt - Emergency Room	$476.29	$501.36	$113.46–$476.29	88% above	5%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR Humerus >/2 Vws Rt	$97.85	$103.00	$54.28–$97.85	—	5%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR Humerus >/2 Vws Lt	$476.29	$501.36	$264.22–$476.29	—	5%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US Dplx Scan Extrem Uni/Lmtd	$981.60	$1,033.26	$233.85–$981.60	68% above	5%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 CV Venous Duplex UE RT	$785.28	$826.61	$187.08–$785.28	34% above	5%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 CV Venous Insufficiency LT	$785.28	$826.61	$187.08–$785.28	34% above	5%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 CV Venous Duplex LE RT	$785.28	$826.61	$187.08–$785.28	34% above	5%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Venous Duplex LE RT	$785.28	$826.61	$187.08–$785.28	34% above	5%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 CV Venous Duplex UE LT	$785.28	$826.61	$187.08–$785.28	34% above	5%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Venous Duplex UE LT	$785.28	$826.61	$187.08–$785.28	34% above	5%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Venous Duplex UE RT	$785.28	$826.61	$187.08–$785.28	34% above	5%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Venous Duplex LE LT	$785.28	$826.61	$187.08–$785.28	34% above	5%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 CV Venous Duplex LE LT	$785.28	$826.61	$187.08–$785.28	34% above	5%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Duplex Ext Veins Uniltrl Rt	$824.54	$867.94	$196.44–$824.54	41% above	5%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Duplex Ext Veins Uniltrl Lt	$824.54	$867.94	$196.44–$824.54	41% above	5%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Duplex Ext Veins Uniltrl Lt - Emergency Room	$981.60	$1,033.26	$233.85–$981.60	68% above	5%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Duplex Ext Veins Uniltrl Rt - Emergency Room	$981.60	$1,033.26	$233.85–$981.60	68% above	5%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US Dplx Scan Extrem Uni/Lmtd	$981.60	$1,033.26	$544.53–$981.60	—	5%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Venous Duplex UE LT	$785.28	$826.61	$435.62–$785.28	—	5%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 CV Venous Duplex UE LT	$785.28	$826.61	$435.62–$785.28	—	5%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 CV Venous Duplex UE RT	$785.28	$826.61	$435.62–$785.28	—	5%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Venous Duplex UE RT	$785.28	$826.61	$435.62–$785.28	—	5%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 CV Venous Duplex LE RT	$785.28	$826.61	$435.62–$785.28	—	5%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 CV Venous Insufficiency LT	$785.28	$826.61	$435.62–$785.28	—	5%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Venous Duplex LE LT	$785.28	$826.61	$435.62–$785.28	—	5%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 CV Venous Duplex LE LT	$785.28	$826.61	$435.62–$785.28	—	5%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Venous Duplex LE RT	$785.28	$826.61	$435.62–$785.28	—	5%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Duplex Ext Veins Uniltrl Rt	$981.60	$1,033.26	$544.53–$981.60	—	5%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Duplex Ext Veins Uniltrl Lt	$981.60	$1,033.26	$544.53–$981.60	—	5%
Wrist X-ray, 2 views one side CPT 73100 XR Wrist 2 Vws Rt	$337.63	$355.40	$80.43–$337.63	29% above	5%
Wrist X-ray, 2 views one side CPT 73100 XR Wrist 2 Vws Lt	$337.63	$355.40	$80.43–$337.63	29% above	5%
Wrist X-ray, 2 views one side CPT 73100 XR Wrist 2 Vws Lt - Emergency Room	$384.94	$405.20	$91.71–$384.94	47% above	5%
Wrist X-ray, 2 views one side CPT 73100 XR Wrist 2 Vws Rt - Emergency Room	$384.94	$405.20	$91.71–$384.94	47% above	5%
Wrist X-ray, 2 views inpatient one side CPT 73100 XR Wrist 2 Vws Lt	$384.94	$405.20	$213.54–$384.94	—	5%
Wrist X-ray, 2 views inpatient one side CPT 73100 XR Wrist 2 Vws Rt	$384.94	$405.20	$213.54–$384.94	—	5%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist >/3 vws Rt	$129.20	$136.00	$9.77–$129.20	54% below	5%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist >/3 vws Lt	$601.90	$633.58	$143.39–$601.90	116% above	5%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist >/3 vws Lt - Emergency Room	$716.52	$754.23	$170.69–$716.52	157% above	5%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist >/3 vws Rt - Emergency Room	$716.52	$754.23	$170.69–$716.52	157% above	5%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist >/3 vws Rt	$129.20	$136.00	$71.67–$129.20	—	5%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist >/3 vws Lt	$716.52	$754.23	$397.48–$716.52	—	5%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip/Pelvis 2/3 Vws Rt	$277.78	$292.40	$66.17–$277.78	3% above	5%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip/Pelvis 2/3 Vws Lt	$277.78	$292.40	$66.17–$277.78	3% above	5%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip/Pelvis 2/3 Vws Rt - Emergency Room	$330.70	$348.11	$78.79–$330.70	22% above	5%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip/Pelvis 2/3 Vws Lt - Emergency Room	$330.70	$348.11	$78.79–$330.70	22% above	5%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip/Pelvis 2/3 Vws Lt	$330.70	$348.11	$183.45–$330.70	—	5%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip/Pelvis 2/3 Vws Rt	$330.70	$348.11	$183.45–$330.70	—	5%
X-ray of the abdomen, 1 view CPT 74018 XR Abdomen 1 Vw	$258.45	$272.05	$61.57–$258.45	9% below	5%
X-ray of the abdomen, 1 view CPT 74018 XR Abdomen 1 Vw - Emergency Room	$585.68	$616.50	$139.53–$585.68	107% above	5%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR Abdomen 1 Vw	$585.68	$616.50	$324.90–$585.68	—	5%
X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 vws Rt	$98.80	$104.00	$9.01–$98.80	60% below	5%
X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 vws Lt	$253.00	$266.32	$60.27–$253.00	2% above	5%
X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 vws Rt - Emergency Room	$291.31	$306.64	$69.40–$291.31	17% above	5%
X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 vws Lt - Emergency Room	$291.31	$306.64	$69.40–$291.31	17% above	5%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 vws Rt	$98.80	$104.00	$54.81–$98.80	—	5%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 vws Lt	$291.31	$306.64	$161.60–$291.31	—	5%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger-Spcfy >/2vws Rt	$119.70	$126.00	$7.49–$119.70	49% below	5%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger-Spcfy >/2vws Lt	$349.55	$367.95	$83.28–$349.55	48% above	5%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger-Spcfy >/2vws Rt - Emergency Room	$402.46	$423.64	$95.88–$402.46	71% above	5%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger-Spcfy >/2vws Lt - Emergency Room	$402.46	$423.64	$95.88–$402.46	71% above	5%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger-Spcfy >/2vws Rt	$119.70	$126.00	$66.40–$119.70	—	5%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger-Spcfy >/2vws Lt	$402.46	$423.64	$223.26–$402.46	—	5%
X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 vws Rt	$87.40	$92.00	$8.62–$87.40	64% below	5%
X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 vws Lt	$253.56	$266.91	$60.41–$253.56	6% above	5%
X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 vws Lt - Emergency Room	$291.94	$307.31	$69.55–$291.94	22% above	5%
X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 vws Rt - Emergency Room	$291.94	$307.31	$69.55–$291.94	22% above	5%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 vws Rt	$87.40	$92.00	$48.48–$87.40	—	5%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 vws Lt	$291.94	$307.31	$161.95–$291.94	—	5%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Compl >/3 vws Rt	$103.55	$109.00	$9.00–$103.55	61% below	5%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Compl >/3 vws Lt	$334.36	$351.96	$79.65–$334.36	27% above	5%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Compl >/3 vws Lt - Emergency Room	$384.94	$405.20	$91.71–$384.94	46% above	5%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Compl >/3 vws Rt - Emergency Room	$384.94	$405.20	$91.71–$384.94	46% above	5%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Compl >/3 vws Rt	$103.55	$109.00	$57.44–$103.55	—	5%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Compl >/3 vws Lt	$384.94	$405.20	$213.54–$384.94	—	5%
X-ray of the hand, 3 or more views one side CPT 73130 XR Hand >/3 Vws Lt	$334.36	$351.96	$79.65–$334.36	11% above	5%
X-ray of the hand, 3 or more views one side CPT 73130 XR Hand >/3 Vws Rt	$334.36	$351.96	$79.65–$334.36	11% above	5%
X-ray of the hand, 3 or more views one side CPT 73130 XR Hand >/3 Vws Lt - Emergency Room	$384.94	$405.20	$91.71–$384.94	28% above	5%
X-ray of the hand, 3 or more views one side CPT 73130 XR Hand >/3 Vws Rt - Emergency Room	$384.94	$405.20	$91.71–$384.94	28% above	5%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand >/3 Vws Lt	$384.94	$405.20	$213.54–$384.94	—	5%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand >/3 Vws Rt	$384.94	$405.20	$213.54–$384.94	—	5%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1/2 Vws Lt	$334.36	$351.96	$79.65–$334.36	10% above	5%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1/2 Vws Rt	$334.36	$351.96	$79.65–$334.36	10% above	5%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1/2 Vws Rt - Emergency Room	$384.94	$405.20	$91.71–$384.94	26% above	5%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1/2 Vws Lt - Emergency Room	$384.94	$405.20	$91.71–$384.94	26% above	5%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1/2 Vws Rt	$384.94	$405.20	$213.54–$384.94	—	5%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1/2 Vws Lt	$384.94	$405.20	$213.54–$384.94	—	5%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR Lmbr Spine 2/3 vws	$450.19	$473.88	$107.25–$450.19	22% above	5%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR Lmbr Spine 2/3 vws - Emergency Room	$535.91	$564.12	$127.67–$535.91	45% above	5%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR Lmbr Spine 2/3 vws	$535.91	$564.12	$297.29–$535.91	—	5%
X-ray of the lower back, 4 or more views CPT 72110 XR Lmbr Spine 4 vws	$562.81	$592.43	$134.08–$562.81	13% above	5%
X-ray of the lower back, 4 or more views CPT 72110 XR Lmbr Spine 4 vws - Emergency Room	$670.03	$705.29	$159.62–$670.03	34% above	5%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR Lmbr Spine 4 vws	$670.03	$705.29	$371.69–$670.03	—	5%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR Thoracic Spine 2 vws	$360.97	$379.97	$85.99–$360.97	at median	5%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR Thoracic Spine 2 vws - Emergency Room	$451.23	$474.98	$107.50–$451.23	25% above	5%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR Thoracic Spine 2 vws	$451.23	$474.98	$250.31–$451.23	—	5%
X-ray of the nasal bones, 3 or more views CPT 70160 XR Nasal Bones >/3 vws	$320.05	$336.89	$76.24–$320.05	2% above	5%
X-ray of the nasal bones, 3 or more views CPT 70160 XR Nasal Bones >/3 vws - Emergency Room	$381.03	$401.08	$90.77–$381.03	21% above	5%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR Nasal Bones >/3 vws	$381.03	$401.08	$211.37–$381.03	—	5%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR Crvcl Spine 2/3 vws	$427.66	$450.17	$101.88–$427.66	39% above	5%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR Crvcl Spine 2/3 vws - Emergency Room	$509.17	$535.97	$121.30–$509.17	66% above	5%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR Crvcl Spine 2/3 vws	$509.17	$535.97	$282.46–$509.17	—	5%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR Pelvis 1/2 vws	$270.17	$284.39	$64.36–$270.17	8% below	5%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR Pelvis 1/2 vws - Emergency Room	$321.60	$338.53	$76.61–$321.60	10% above	5%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR Pelvis 1/2 vws	$321.60	$338.53	$178.41–$321.60	—	5%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR Sacrum/Coccyx >/2 vws	$396.21	$417.06	$94.39–$396.21	34% above	5%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR Sacrum/Coccyx >/2 vws - Emergency Room	$476.29	$501.36	$113.46–$476.29	61% above	5%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR Sacrum/Coccyx >/2 vws	$476.29	$501.36	$264.22–$476.29	—	5%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Massachusetts	Off list
ACTH blood test CPT 82024 ACTH Serum	$184.17	$193.86	$43.70–$184.17	at median	5%
ACTH blood test inpatient CPT 82024 ACTH Serum	$184.17	$193.86	$102.16–$184.17	—	5%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT Serum	$45.88	$48.29	$10.89–$45.88	9% above	5%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HCV Fibro SGPT	$45.88	$48.29	$10.89–$45.88	9% above	5%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HCV Fibro SGPT	$45.88	$48.29	$25.45–$45.88	—	5%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT Serum	$45.88	$48.29	$25.45–$45.88	—	5%
AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT Serum	$44.68	$47.03	$10.60–$44.68	28% above	5%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT Serum	$44.68	$47.03	$24.78–$44.68	—	5%
Albumin blood test CPT 82040 Albumin Serum	$42.95	$45.21	$10.19–$42.95	59% above	5%
Albumin blood test inpatient CPT 82040 Albumin Serum	$42.95	$45.21	$23.83–$42.95	—	5%
Aldosterone blood test CPT 82088 Aldosterone Serum	$159.29	$167.67	$37.79–$159.29	at median	5%
Aldosterone blood test CPT 82088 Aldosterone Urine (24H)	$236.03	$248.45	$56.00–$236.03	48% above	5%
Aldosterone blood test inpatient CPT 82088 Aldosterone Serum	$159.29	$167.67	$88.36–$159.29	—	5%
Aldosterone blood test inpatient CPT 82088 Aldosterone Urine (24H)	$236.03	$248.45	$130.93–$236.03	—	5%
Alkaline phosphatase (ALP) blood test CPT 84075 Alk Phosphatase Serum	$44.77	$47.13	$10.62–$44.77	24% above	5%
Alkaline phosphatase (ALP) blood test CPT 84075 Bone Specific Alk Phos	$114.80	$120.84	$27.23–$114.80	219% above	5%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Alk Phosphatase Serum	$44.77	$47.13	$24.84–$44.77	—	5%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Bone Specific Alk Phos	$114.80	$120.84	$63.68–$114.80	—	5%
Allergy blood test, specific IgE, per allergen CPT 86003 Rast Serum	$47.87	$50.39	$11.36–$47.87	23% above	5%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rast Serum	$47.87	$50.39	$26.56–$47.87	—	5%
Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha Fetprotein Non-Maternal	$153.68	$161.77	$36.47–$153.68	89% above	5%
Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha Fetprotein Maternal	$153.82	$161.92	$36.50–$153.82	90% above	5%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Alpha Fetprotein Non-Maternal	$153.68	$161.77	$85.25–$153.68	—	5%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Alpha Fetprotein Maternal	$153.82	$161.92	$85.33–$153.82	—	5%
Ammonia blood test CPT 82140 Ammonia Blood	$126.13	$132.77	$29.93–$126.13	37% above	5%
Ammonia blood test inpatient CPT 82140 Ammonia Blood	$126.13	$132.77	$69.97–$126.13	—	5%
Amylase blood test CPT 82150 Amylase Serum	$56.11	$59.06	$13.31–$56.11	25% above	5%
Amylase blood test CPT 82150 Amylase Fluid	$56.11	$59.06	$13.31–$56.11	25% above	5%
Amylase blood test inpatient CPT 82150 Amylase Serum	$56.11	$59.06	$31.12–$56.11	—	5%
Amylase blood test inpatient CPT 82150 Amylase Fluid	$56.11	$59.06	$31.12–$56.11	—	5%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic Citrullintd Peptide IgG	$50.38	$53.03	$11.96–$50.38	at median	5%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic Citrullinated Peptide	$237.47	$249.97	$56.34–$237.47	371% above	5%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Cyclic Citrullintd Peptide IgG	$50.38	$53.03	$27.95–$50.38	—	5%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Cyclic Citrullinated Peptide	$237.47	$249.97	$131.73–$237.47	—	5%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Antibody Screen	$38.35	$40.37	$9.10–$38.35	23% below	5%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA Serum	$104.58	$110.08	$24.81–$104.58	109% above	5%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Antinuclear Antibody Screen	$38.35	$40.37	$21.27–$38.35	—	5%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA Serum	$104.58	$110.08	$58.01–$104.58	—	5%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B Atrial Natriuretic Pept	$208.24	$219.20	$49.41–$208.24	27% above	5%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NT-ProBNP	$241.49	$254.20	$57.30–$241.49	47% above	5%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B Atrial Natriuretic Pept	$208.24	$219.20	$115.52–$208.24	—	5%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NT-ProBNP	$241.49	$254.20	$133.96–$241.49	—	5%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CSF Culture s/o	$27.03	$28.45	$6.41–$27.03	32% below	5%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Medical Device Culture	$42.91	$45.17	$10.18–$42.91	7% above	5%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Throat Culture	$81.73	$86.03	$19.39–$81.73	104% above	5%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Nose Culture	$81.73	$86.03	$19.39–$81.73	104% above	5%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Skin Culture	$87.75	$92.37	$20.82–$87.75	119% above	5%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bronchial Brush Culture	$87.75	$92.37	$20.82–$87.75	119% above	5%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Fluoroquinolone Resistant Scrn	$87.75	$92.37	$20.82–$87.75	119% above	5%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 MRSA Screen	$87.75	$92.37	$20.82–$87.75	119% above	5%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 VRE Screen	$87.75	$92.37	$20.82–$87.75	119% above	5%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Abscess Culture Superficial	$87.75	$92.37	$20.82–$87.75	119% above	5%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Wound Culture	$87.75	$92.37	$20.82–$87.75	119% above	5%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bone Marrow Culture	$87.75	$92.37	$20.82–$87.75	119% above	5%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bronchial Wash Culture	$87.75	$92.37	$20.82–$87.75	119% above	5%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CSF Culture	$87.75	$92.37	$20.82–$87.75	119% above	5%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CAPD Dialysis Fluid Culture	$87.75	$92.37	$20.82–$87.75	119% above	5%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Tracheal Aspirate	$87.75	$92.37	$20.82–$87.75	119% above	5%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Ear Culture	$87.75	$92.37	$20.82–$87.75	119% above	5%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Eye Culture	$87.75	$92.37	$20.82–$87.75	119% above	5%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bone/Tissue Culture	$87.75	$92.37	$20.82–$87.75	119% above	5%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Fluid Culture	$87.75	$92.37	$20.82–$87.75	119% above	5%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Genital Culture	$87.75	$92.37	$20.82–$87.75	119% above	5%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Nasopharyngeal Culture	$87.75	$92.37	$20.82–$87.75	119% above	5%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Sinus Culture	$87.75	$92.37	$20.82–$87.75	119% above	5%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Sputum Culture	$87.75	$92.37	$20.82–$87.75	119% above	5%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CSF Culture s/o	$27.03	$28.45	$14.99–$27.03	—	5%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Medical Device Culture	$42.91	$45.17	$23.80–$42.91	—	5%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Throat Culture	$81.73	$86.03	$45.34–$81.73	—	5%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Nose Culture	$81.73	$86.03	$45.34–$81.73	—	5%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Wound Culture	$87.75	$92.37	$48.68–$87.75	—	5%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Sinus Culture	$87.75	$92.37	$48.68–$87.75	—	5%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Fluoroquinolone Resistant Scrn	$87.75	$92.37	$48.68–$87.75	—	5%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Ear Culture	$87.75	$92.37	$48.68–$87.75	—	5%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Sputum Culture	$87.75	$92.37	$48.68–$87.75	—	5%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Eye Culture	$87.75	$92.37	$48.68–$87.75	—	5%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Skin Culture	$87.75	$92.37	$48.68–$87.75	—	5%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Bronchial Brush Culture	$87.75	$92.37	$48.68–$87.75	—	5%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CSF Culture	$87.75	$92.37	$48.68–$87.75	—	5%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Nasopharyngeal Culture	$87.75	$92.37	$48.68–$87.75	—	5%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CAPD Dialysis Fluid Culture	$87.75	$92.37	$48.68–$87.75	—	5%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Tracheal Aspirate	$87.75	$92.37	$48.68–$87.75	—	5%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Bone/Tissue Culture	$87.75	$92.37	$48.68–$87.75	—	5%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Fluid Culture	$87.75	$92.37	$48.68–$87.75	—	5%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 MRSA Screen	$87.75	$92.37	$48.68–$87.75	—	5%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 VRE Screen	$87.75	$92.37	$48.68–$87.75	—	5%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Genital Culture	$87.75	$92.37	$48.68–$87.75	—	5%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Abscess Culture Superficial	$87.75	$92.37	$48.68–$87.75	—	5%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Bone Marrow Culture	$87.75	$92.37	$48.68–$87.75	—	5%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Bronchial Wash Culture	$87.75	$92.37	$48.68–$87.75	—	5%
Basic metabolic panel (blood test) CPT 80048 Chem Basic Metabolic Scrn	$77.58	$81.66	$18.40–$77.58	at median	5%
Basic metabolic panel (blood test) inpatient CPT 80048 Chem Basic Metabolic Scrn	$77.58	$81.66	$43.03–$77.58	—	5%
Bilirubin blood test, total CPT 82247 Bilirubin Total Serum	$43.42	$45.71	$10.30–$43.42	40% above	5%
Bilirubin blood test, total inpatient CPT 82247 Bilirubin Total Serum	$43.42	$45.71	$24.09–$43.42	—	5%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Skin Tissue Exam Lvl IV Fac	$113.51	$119.48	$27.04–$113.51	34% below	5%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Cell Block	$450.43	$474.14	$107.31–$450.43	163% above	5%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Pathology IV Tech Comp	$450.43	$474.14	$107.31–$450.43	163% above	5%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Skin Tissue Exam Lvl IV Fac	$113.51	$119.48	$62.97–$113.51	—	5%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Cell Block	$450.43	$474.14	$249.87–$450.43	—	5%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Pathology IV Tech Comp	$450.43	$474.14	$249.87–$450.43	—	5%
Blood culture for bacteria CPT 87040 Blood Culture	$89.36	$94.06	$21.20–$89.36	13% above	5%
Blood culture for bacteria inpatient CPT 87040 Blood Culture	$89.36	$94.06	$49.57–$89.36	—	5%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Vnipnctre Specimen Collection	$9.08	$9.56	$2.16–$9.08	39% below	5%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Vnipnctre Specimen Collection	$9.08	$9.56	$5.04–$9.08	—	5%
Blood glucose (sugar) test CPT 82947 Gluc Quan Bld	$33.92	$35.71	$8.05–$33.92	9% above	5%
Blood glucose (sugar) test inpatient CPT 82947 Gluc Quan Bld	$33.92	$35.71	$18.82–$33.92	—	5%
Blood lead test CPT 83655 Lead Capillary s/o	$35.84	$37.73	$8.51–$35.84	51% below	5%
Blood lead test CPT 83655 Lead Urine	$40.33	$42.45	$9.56–$40.33	45% below	5%
Blood lead test CPT 83655 Lead Venous Ref	$43.90	$46.21	$10.42–$43.90	40% below	5%
Blood lead test CPT 83655 Lead Testing Venous	$46.26	$48.69	$10.98–$46.26	37% below	5%
Blood lead test CPT 83655 Lead	$104.71	$110.22	$24.84–$104.71	43% above	5%
Blood lead test inpatient CPT 83655 Lead Capillary s/o	$35.84	$37.73	$19.88–$35.84	—	5%
Blood lead test inpatient CPT 83655 Lead Urine	$40.33	$42.45	$22.37–$40.33	—	5%
Blood lead test inpatient CPT 83655 Lead Venous Ref	$43.90	$46.21	$24.35–$43.90	—	5%
Blood lead test inpatient CPT 83655 Lead Testing Venous	$46.26	$48.69	$25.66–$46.26	—	5%
Blood lead test inpatient CPT 83655 Lead	$104.71	$110.22	$58.09–$104.71	—	5%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Hcg Qual Serum	$65.01	$68.43	$15.43–$65.01	43% above	5%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG Qualitative Urine	$65.01	$68.43	$15.43–$65.01	43% above	5%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Hcg Qual Serum	$65.01	$68.43	$36.06–$65.01	—	5%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG Qualitative Urine	$65.01	$68.43	$36.06–$65.01	—	5%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO Type	$34.88	$36.72	$8.28–$34.88	82% below	5%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO Type	$34.88	$36.72	$19.35–$34.88	—	5%
Blood urea nitrogen (BUN) test CPT 84520 Bun Serum	$34.13	$35.93	$8.09–$34.13	26% above	5%
Blood urea nitrogen (BUN) test CPT 84520 Fluid Urea Nitrogen	$34.13	$35.93	$8.09–$34.13	26% above	5%
Blood urea nitrogen (BUN) test inpatient CPT 84520 Bun Serum	$34.13	$35.93	$18.94–$34.13	—	5%
Blood urea nitrogen (BUN) test inpatient CPT 84520 Fluid Urea Nitrogen	$34.13	$35.93	$18.94–$34.13	—	5%
C-peptide blood test CPT 84681 C-Peptide	$117.34	$123.52	$27.84–$117.34	at median	5%
C-peptide blood test inpatient CPT 84681 C-Peptide	$117.34	$123.52	$65.10–$117.34	—	5%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C Reactive Protein Serum	$60.59	$63.78	$14.38–$60.59	55% above	5%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C Reactive Protein Serum	$60.59	$63.78	$33.61–$60.59	—	5%
C. difficile toxin gene test (stool PCR) CPT 87493 C Difficile-Pcr	$219.55	$231.11	$52.10–$219.55	29% above	5%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C Difficile-Pcr	$219.55	$231.11	$121.79–$219.55	—	5%
CA 19-9 blood test (tumor marker) CPT 86301 Ca 19-9 Serum	$106.86	$112.48	$25.35–$106.86	15% above	5%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 Ca 19-9 Serum	$106.86	$112.48	$59.28–$106.86	—	5%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 Antigen	$114.50	$120.53	$27.17–$114.50	at median	5%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125 Antigen	$114.50	$120.53	$63.52–$114.50	—	5%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Xpress SARS-COV2	$168.06	$176.90	$39.88–$168.06	2% above	5%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Corona Virus -19	$168.06	$176.90	$39.88–$168.06	2% above	5%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Covid 19 Abbott ID Now	$168.06	$176.90	$39.88–$168.06	2% above	5%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Corona Virus -19	$168.06	$176.90	$93.23–$168.06	—	5%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Covid 19 Abbott ID Now	$168.06	$176.90	$93.23–$168.06	—	5%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Xpress SARS-COV2	$168.06	$176.90	$93.23–$168.06	—	5%
Calcium blood test, total CPT 82310 Calcium Serum	$44.60	$46.95	$10.58–$44.60	31% above	5%
Calcium blood test, total inpatient CPT 82310 Calcium Serum	$44.60	$46.95	$24.74–$44.60	—	5%
Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic Ant Ser.	$164.15	$172.79	$38.95–$164.15	73% above	5%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Carcinoembryonic Ant Ser.	$164.15	$172.79	$91.06–$164.15	—	5%
Chickenpox (varicella) immunity blood test CPT 86787 Varicella AB IgG	$107.56	$113.22	$25.52–$107.56	73% above	5%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella AB IgG	$107.56	$113.22	$59.67–$107.56	—	5%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia Trachomatis Rna	$225.36	$237.22	$53.47–$225.36	33% above	5%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia Trachomatis Rna	$225.36	$237.22	$125.01–$225.36	—	5%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel	$115.91	$122.01	$27.50–$115.91	14% above	5%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel	$115.91	$122.01	$64.30–$115.91	—	5%
Complete blood count (CBC) with differential CPT 85025 CBC (Auto Diff)	$71.18	$74.93	$16.89–$71.18	34% above	5%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC (Auto Diff)	$71.18	$74.93	$39.49–$71.18	—	5%
Complete blood count (CBC), no differential CPT 85027 CBC (Manual Diff)	$81.37	$85.65	$19.31–$81.37	89% above	5%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC (Manual Diff)	$81.37	$85.65	$45.14–$81.37	—	5%
Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Met Screen	$96.90	$102.00	$22.99–$96.90	5% below	5%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive Met Screen	$96.90	$102.00	$53.75–$96.90	—	5%
Cortisol blood test, total CPT 82533 Cortisol Total	$141.11	$148.54	$33.48–$141.11	79% above	5%
Cortisol blood test, total CPT 82533 Cortisol Salivary	$282.91	$297.80	$67.12–$282.91	259% above	5%
Cortisol blood test, total inpatient CPT 82533 Cortisol Total	$141.11	$148.54	$78.28–$141.11	—	5%
Cortisol blood test, total inpatient CPT 82533 Cortisol Salivary	$282.91	$297.80	$156.94–$282.91	—	5%
Creatine kinase (CK) blood test, total CPT 82550 CK Serum	$56.46	$59.43	$13.40–$56.46	32% above	5%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CK Serum	$56.46	$59.43	$31.32–$56.46	—	5%
Creatinine blood test CPT 82565 Creatinine Serum	$44.27	$46.60	$10.51–$44.27	44% above	5%
Creatinine blood test inpatient CPT 82565 Creatinine Serum	$44.27	$46.60	$24.56–$44.27	—	5%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV IgG Avidity	$34.18	$35.98	$8.11–$34.18	51% below	5%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV Igg AB	$103.20	$108.63	$24.48–$103.20	48% above	5%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV IgG Avidity	$34.18	$35.98	$18.96–$34.18	—	5%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV Igg AB	$103.20	$108.63	$57.25–$103.20	—	5%
D-dimer blood test (blood clot marker) CPT 85379 D-Dimer Quant	$107.28	$112.93	$25.45–$107.28	82% above	5%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-Dimer Quant	$107.28	$112.93	$59.51–$107.28	—	5%
DHEA sulfate (DHEA-S) blood test CPT 82627 Dhea S	$133.86	$140.90	$31.76–$133.86	12% above	5%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dhea S	$133.86	$140.90	$74.25–$133.86	—	5%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Monitr Mitragynine Screen	$95.04	$100.04	$22.55–$95.04	42% below	5%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Urine Tricyclic Screen	$126.18	$132.82	$29.94–$126.18	24% below	5%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Amphetamines Meconium	$153.48	$161.56	$36.42–$153.48	7% below	5%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Cocaine Meconium	$153.48	$161.56	$36.42–$153.48	7% below	5%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Opiate Screen Urine	$153.48	$161.56	$36.42–$153.48	7% below	5%
Drug screen by lab instrument (any number of drug classes) CPT 80307 THC Meconium	$153.48	$161.56	$36.42–$153.48	7% below	5%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Opiates Meconium	$153.48	$161.56	$36.42–$153.48	7% below	5%
Drug screen by lab instrument (any number of drug classes) CPT 80307 PCP Meconium	$153.48	$161.56	$36.42–$153.48	7% below	5%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Cannabinoids Urine	$153.48	$161.56	$36.42–$153.48	7% below	5%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Carbon Monoxide Pro	$268.23	$282.35	$63.64–$268.23	62% above	5%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Urine Drug Screen	$343.24	$361.31	$81.44–$343.24	108% above	5%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Monitr Mitragynine Screen	$95.04	$100.04	$52.72–$95.04	—	5%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Urine Tricyclic Screen	$126.18	$132.82	$70.00–$126.18	—	5%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 THC Meconium	$153.48	$161.56	$85.14–$153.48	—	5%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Opiate Screen Urine	$153.48	$161.56	$85.14–$153.48	—	5%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Cannabinoids Urine	$153.48	$161.56	$85.14–$153.48	—	5%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 PCP Meconium	$153.48	$161.56	$85.14–$153.48	—	5%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Amphetamines Meconium	$153.48	$161.56	$85.14–$153.48	—	5%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Cocaine Meconium	$153.48	$161.56	$85.14–$153.48	—	5%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Opiates Meconium	$153.48	$161.56	$85.14–$153.48	—	5%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Carbon Monoxide Pro	$268.23	$282.35	$148.80–$268.23	—	5%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Urine Drug Screen	$343.24	$361.31	$190.41–$343.24	—	5%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolytes	$66.01	$69.48	$15.66–$66.01	32% above	5%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Electrolytes	$66.01	$69.48	$36.62–$66.01	—	5%
Epstein-Barr virus (EBV) antibody test CPT 86665 Ebv Viral Capsid Ag IgG	$213.49	$224.73	$50.66–$213.49	140% above	5%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV Viral Capsid AG-IGM	$213.49	$224.73	$50.66–$213.49	140% above	5%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV Viral Capsid AG-IGM	$213.49	$224.73	$118.43–$213.49	—	5%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Ebv Viral Capsid Ag IgG	$213.49	$224.73	$118.43–$213.49	—	5%
Estradiol blood test CPT 82670 Estradiol Serum	$327.21	$344.43	$77.64–$327.21	87% above	5%
Estradiol blood test inpatient CPT 82670 Estradiol Serum	$327.21	$344.43	$181.51–$327.21	—	5%
FSH (follicle-stimulating hormone) test CPT 83001 Follicular Stimul. Horm S	$217.61	$229.06	$51.63–$217.61	80% above	5%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Follicular Stimul. Horm S	$217.61	$229.06	$120.71–$217.61	—	5%
Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin Fecal	$200.65	$211.21	$47.61–$200.65	59% above	5%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Calprotectin Fecal	$200.65	$211.21	$111.31–$200.65	—	5%
Ferritin blood test (iron stores) CPT 82728 Ferritin Serum	$117.89	$124.09	$27.97–$117.89	44% above	5%
Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin Serum	$117.89	$124.09	$65.40–$117.89	—	5%
Fibrinogen blood test CPT 85384 Fibrinogen Serum	$99.43	$104.66	$23.59–$99.43	91% above	5%
Fibrinogen blood test inpatient CPT 85384 Fibrinogen Serum	$99.43	$104.66	$55.16–$99.43	—	5%
Folate (folic acid) blood test CPT 82746 Folic Acid Serum	$127.25	$133.95	$30.19–$127.25	79% above	5%
Folate (folic acid) blood test inpatient CPT 82746 Folic Acid Serum	$127.25	$133.95	$70.59–$127.25	—	5%
Free T3 thyroid hormone test CPT 84481 T3 Serum Free	$151.60	$159.58	$35.97–$151.60	49% above	5%
Free T3 thyroid hormone test inpatient CPT 84481 T3 Serum Free	$151.60	$159.58	$84.10–$151.60	—	5%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxin Free (T4) Serum	$94.19	$99.15	$22.34–$94.19	43% above	5%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Thyroxin Free (T4) Serum	$94.19	$99.15	$52.25–$94.19	—	5%
Free testosterone test CPT 84402 Testosterone Free	$163.07	$171.65	$38.69–$163.07	32% above	5%
Free testosterone test inpatient CPT 84402 Testosterone Free	$163.07	$171.65	$90.46–$163.07	—	5%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 Gamma Glutamyltranspeptid	$84.29	$88.73	$20.00–$84.29	72% above	5%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Gamma Glutamyltranspeptid	$84.29	$88.73	$46.76–$84.29	—	5%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Gestational Diabetes Sc	$41.08	$43.24	$9.75–$41.08	71% above	5%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Gestational Diabetes Sc	$41.08	$43.24	$22.79–$41.08	—	5%
Glucose tolerance test, 3 samples CPT 82951 Lactose Tolerance test	$46.26	$48.69	$10.98–$46.26	14% below	5%
Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance 3 Hr	$118.03	$124.24	$28.01–$118.03	119% above	5%
Glucose tolerance test, 3 samples inpatient CPT 82951 Lactose Tolerance test	$46.26	$48.69	$25.66–$46.26	—	5%
Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose Tolerance 3 Hr	$118.03	$124.24	$65.47–$118.03	—	5%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.Gonorrhea Rna	$225.36	$237.22	$53.47–$225.36	33% above	5%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.Gonorrhea Rna	$225.36	$237.22	$125.01–$225.36	—	5%
H. pylori stool antigen test CPT 87338 H Pylori Ag Stool	$103.75	$109.21	$24.62–$103.75	at median	5%
H. pylori stool antigen test inpatient CPT 87338 H Pylori Ag Stool	$103.75	$109.21	$57.55–$103.75	—	5%
HIV viral load test (HIV-1 RNA, quantitative) one side CPT 87536 HIV-1 RNA Quantitative RT-PC	$384.44	$404.67	$91.21–$384.44	2% above	5%
HIV viral load test (HIV-1 RNA, quantitative) inpatient one side CPT 87536 HIV-1 RNA Quantitative RT-PC	$384.44	$404.67	$213.26–$384.44	—	5%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1 2	$113.13	$119.08	$26.84–$113.13	1% above	5%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1 2	$113.13	$119.08	$62.76–$113.13	—	5%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV Tissue Hi Risk Type	$128.71	$135.48	$30.66–$135.48	6% below	5%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV Hi Risk	$147.85	$155.63	$35.07–$155.63	8% above	5%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV DNA Hi Risk	$160.04	$168.46	$37.97–$168.46	17% above	5%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV Tissue Hi Risk Type	$128.71	$135.48	$71.40–$128.71	—	5%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV Hi Risk	$147.85	$155.63	$82.02–$147.85	—	5%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV DNA Hi Risk	$160.04	$168.46	$88.78–$160.04	—	5%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Glycohemoglobin S/O	$84.08	$88.51	$19.95–$84.08	65% above	5%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Glycosylated Hemoglobin Test	$86.95	$91.53	$20.63–$86.95	70% above	5%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Glycohemoglobin S/O	$84.08	$88.51	$46.64–$84.08	—	5%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Glycosylated Hemoglobin Test	$86.95	$91.53	$48.24–$86.95	—	5%
Hemoglobin blood test CPT 85018 Bld HGB	$24.15	$25.42	$5.73–$24.15	46% above	5%
Hemoglobin blood test inpatient CPT 85018 Bld HGB	$24.15	$25.42	$13.40–$24.15	—	5%
Hepatitis B core antibody test (total) CPT 86704 Hepatitis B Core Antibody	$104.30	$109.79	$24.74–$104.30	34% above	5%
Hepatitis B core antibody test (total) inpatient CPT 86704 Hepatitis B Core Antibody	$104.30	$109.79	$57.86–$104.30	—	5%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Antib	$90.48	$95.24	$21.47–$90.48	33% above	5%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis B Surface Antib	$90.48	$95.24	$50.19–$90.48	—	5%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hep B Surface Antigen	$92.58	$97.45	$21.96–$92.58	at median	5%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hep B Surface Antigen	$92.58	$97.45	$51.36–$92.58	—	5%
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Antibdy Serum	$127.97	$134.71	$30.36–$127.97	12% above	5%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C Antibdy Serum	$127.97	$134.71	$70.99–$127.97	—	5%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA QUANT(Hep C Virus)	$111.11	$116.96	$26.36–$111.11	44% below	5%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hepatitis C RNA-PCR Qt	$500.92	$527.28	$118.84–$500.92	153% above	5%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA QUANT(Hep C Virus)	$111.11	$116.96	$61.64–$111.11	—	5%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hepatitis C RNA-PCR Qt	$500.92	$527.28	$277.88–$500.92	—	5%
Herpes blood test, HSV-1 antibody CPT 86695 Hsv I Igg	$61.66	$64.91	$14.63–$61.66	6% above	5%
Herpes blood test, HSV-1 antibody CPT 86695 Hsv I IgM	$70.28	$73.98	$16.68–$70.28	20% above	5%
Herpes blood test, HSV-1 antibody CPT 86695 CSF HSV1 IgG s/o	$79.26	$83.43	$18.81–$79.26	36% above	5%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Hsv I Igg	$61.66	$64.91	$34.21–$61.66	—	5%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Hsv I IgM	$70.28	$73.98	$38.99–$70.28	—	5%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 CSF HSV1 IgG s/o	$79.26	$83.43	$43.97–$79.26	—	5%
Herpes blood test, HSV-2 antibody CPT 86696 Hsv II IgM	$62.22	$65.49	$14.76–$62.22	4% below	5%
Herpes blood test, HSV-2 antibody CPT 86696 Hsv II IgG	$65.20	$68.63	$15.46–$65.20	at median	5%
Herpes blood test, HSV-2 antibody CPT 86696 CSF HSV2 IgG s/o	$93.89	$98.83	$22.28–$93.89	44% above	5%
Herpes blood test, HSV-2 antibody CPT 86696 HSV II IgG Inhibition	$247.73	$260.77	$58.78–$247.73	281% above	5%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Hsv II IgM	$62.22	$65.49	$34.51–$62.22	—	5%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Hsv II IgG	$65.20	$68.63	$36.17–$65.20	—	5%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 CSF HSV2 IgG s/o	$93.89	$98.83	$52.08–$93.89	—	5%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV II IgG Inhibition	$247.73	$260.77	$137.43–$247.73	—	5%
High-sensitivity CRP (hs-CRP) test CPT 86141 High Snstvty C Reac Prot Serum	$60.59	$63.78	$14.38–$60.59	at median	5%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 High Snstvty C Reac Prot Serum	$60.59	$63.78	$33.61–$60.59	—	5%
Homocysteine blood test CPT 83090 Homocystine Serum	$135.46	$142.59	$32.14–$135.46	17% above	5%
Homocysteine blood test inpatient CPT 83090 Homocystine Serum	$135.46	$142.59	$75.14–$135.46	—	5%
Insulin blood test CPT 83525 Insulin Serum	$115.71	$121.80	$27.45–$115.71	93% above	5%
Insulin blood test inpatient CPT 83525 Insulin Serum	$115.71	$121.80	$64.19–$115.71	—	5%
Iron blood test (serum iron) CPT 83540 Assay of Iron (Quest)	$21.49	$22.62	$5.10–$21.49	31% below	5%
Iron blood test (serum iron) CPT 83540 Iron Serum	$56.08	$59.03	$13.31–$56.08	79% above	5%
Iron blood test (serum iron) inpatient CPT 83540 Assay of Iron (Quest)	$21.49	$22.62	$11.92–$21.49	—	5%
Iron blood test (serum iron) inpatient CPT 83540 Iron Serum	$56.08	$59.03	$31.11–$56.08	—	5%
Iron-binding capacity (TIBC) test CPT 83550 Iron Binding Test (Quest)	$30.44	$32.04	$7.22–$30.44	19% below	5%
Iron-binding capacity (TIBC) test inpatient CPT 83550 Iron Binding Test (Quest)	$30.44	$32.04	$16.89–$30.44	—	5%
Kidney function blood test panel CPT 80069 Renal Function Panel	$77.59	$81.67	$18.40–$77.59	at median	5%
Kidney function blood test panel inpatient CPT 80069 Renal Function Panel	$77.59	$81.67	$43.04–$77.59	—	5%
LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone Serum	$216.83	$228.24	$51.45–$216.83	113% above	5%
LH (luteinizing hormone) test inpatient CPT 83002 Luteinizing Hormone Serum	$216.83	$228.24	$120.28–$216.83	—	5%
Lactate (lactic acid) blood test CPT 83605 Lactate CSF	$92.38	$97.24	$21.92–$92.38	30% above	5%
Lactate (lactic acid) blood test CPT 83605 Venous Blood Lactate	$98.59	$103.78	$23.39–$98.59	39% above	5%
Lactate (lactic acid) blood test inpatient CPT 83605 Lactate CSF	$92.38	$97.24	$51.25–$92.38	—	5%
Lactate (lactic acid) blood test inpatient CPT 83605 Venous Blood Lactate	$98.59	$103.78	$54.69–$98.59	—	5%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH Body Fluid	$52.29	$55.04	$12.41–$52.29	45% above	5%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH Serum	$52.29	$55.04	$12.41–$52.29	45% above	5%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH Serum	$52.29	$55.04	$29.01–$52.29	—	5%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH Body Fluid	$52.29	$55.04	$29.01–$52.29	—	5%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase Serum	$59.56	$62.69	$14.13–$59.56	39% above	5%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase Serum	$59.56	$62.69	$33.04–$59.56	—	5%
Liver function blood test panel CPT 80076 Hepatic Function	$95.67	$100.71	$22.70–$95.67	at median	5%
Liver function blood test panel inpatient CPT 80076 Hepatic Function	$95.67	$100.71	$53.07–$95.67	—	5%
Lyme disease antibody test CPT 86618 Lyme AB w/REFL Blot	$50.43	$53.08	$11.97–$50.43	38% below	5%
Lyme disease antibody test CPT 86618 Lyme Disease AB	$170.25	$179.21	$40.40–$170.25	110% above	5%
Lyme disease antibody test inpatient CPT 86618 Lyme AB w/REFL Blot	$50.43	$53.08	$27.97–$50.43	—	5%
Lyme disease antibody test inpatient CPT 86618 Lyme Disease AB	$170.25	$179.21	$94.44–$170.25	—	5%
Magnesium blood test CPT 83735 Magnesium Urine	$58.00	$61.05	$13.76–$58.00	53% above	5%
Magnesium blood test CPT 83735 Magnesium Serum	$58.00	$61.05	$13.76–$58.00	53% above	5%
Magnesium blood test CPT 83735 Magnesium RBC	$109.35	$115.10	$25.94–$109.34	188% above	5%
Magnesium blood test inpatient CPT 83735 Magnesium Urine	$58.00	$61.05	$32.17–$58.00	—	5%
Magnesium blood test inpatient CPT 83735 Magnesium Serum	$58.00	$61.05	$32.17–$58.00	—	5%
Magnesium blood test inpatient CPT 83735 Magnesium RBC	$109.35	$115.10	$60.66–$109.34	—	5%
Measles (rubeola) antibody test CPT 86765 Rubeola Ab Single Serum	$161.04	$169.52	$38.21–$161.04	108% above	5%
Measles (rubeola) antibody test inpatient CPT 86765 Rubeola Ab Single Serum	$161.04	$169.52	$89.34–$161.04	—	5%
Mono test (heterophile antibody, Monospot) CPT 86308 Htrophl Antibodies Scr	$60.59	$63.78	$14.38–$60.59	35% above	5%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Htrophl Antibodies Scr	$60.59	$63.78	$33.61–$60.59	—	5%
Mumps immunity blood test CPT 86735 CSF Mumps IgM s/o	$78.93	$83.08	$18.73–$78.93	16% above	5%
Mumps immunity blood test CPT 86735 CSF Mumps IgG s/o	$78.93	$83.08	$18.73–$78.93	16% above	5%
Mumps immunity blood test CPT 86735 Mumps Virus Ab Igg	$95.35	$100.37	$22.63–$95.35	40% above	5%
Mumps immunity blood test inpatient CPT 86735 CSF Mumps IgM s/o	$78.93	$83.08	$43.78–$78.93	—	5%
Mumps immunity blood test inpatient CPT 86735 CSF Mumps IgG s/o	$78.93	$83.08	$43.78–$78.93	—	5%
Mumps immunity blood test inpatient CPT 86735 Mumps Virus Ab Igg	$95.35	$100.37	$52.89–$95.35	—	5%
PSA (prostate-specific antigen) blood test, free CPT 84154 Free Psa	$143.04	$150.57	$33.94–$143.04	46% above	5%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Free Psa	$143.04	$150.57	$79.35–$143.04	—	5%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Screening	$159.13	$167.50	$37.76–$159.13	82% above	5%
PSA (prostate-specific antigen) blood test, total CPT 84153 Prostatic Spec Ant	$159.13	$167.50	$37.76–$159.13	82% above	5%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostatic Spec Ant	$159.13	$167.50	$88.27–$159.13	—	5%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA Screening	$159.13	$167.50	$88.27–$159.13	—	5%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Screening Pap ThinPrep	$108.93	$114.66	$25.95–$108.93	18% above	5%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Diag Pap Test ThinPrep	$108.93	$114.66	$25.95–$108.93	18% above	5%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Diag Pap Test ThinPrep	$108.93	$114.66	$60.43–$108.93	—	5%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Screening Pap ThinPrep	$108.93	$114.66	$60.43–$108.93	—	5%
Parathyroid hormone (PTH) blood test CPT 83970 Pth Intact (Irma)	$357.15	$375.95	$84.74–$357.15	97% above	5%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Pth Intact (Irma)	$357.15	$375.95	$198.13–$357.15	—	5%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT-LA (Lupus Sensitive)	$18.91	$19.91	$4.49–$18.91	36% below	5%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT-LA Mixing Study s/o	$20.93	$22.03	$4.97–$20.93	29% below	5%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT Plasma Fraction Ea	$51.97	$54.71	$12.33–$51.97	76% above	5%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT-LA (Lupus Sensitive)	$18.91	$19.91	$10.49–$18.91	—	5%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT-LA Mixing Study s/o	$20.93	$22.03	$11.61–$20.93	—	5%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT Plasma Fraction Ea	$51.97	$54.71	$28.83–$51.97	—	5%
Phosphorus (phosphate) blood test CPT 84100 Phosphorous Serum	$41.08	$43.24	$9.75–$41.08	58% above	5%
Phosphorus (phosphate) blood test inpatient CPT 84100 Phosphorous Serum	$41.08	$43.24	$22.79–$41.08	—	5%
Potassium blood test CPT 84132 Potassium Serum Plas/Whl Blood	$39.79	$41.88	$9.44–$39.79	28% above	5%
Potassium blood test inpatient CPT 84132 Potassium Serum Plas/Whl Blood	$39.79	$41.88	$22.07–$39.79	—	5%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 Fetal Chrmonl Aneuploidy	$1,552.44	$1,634.15	$369.84–$1,634.15	40% below	5%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 Fetal Chrmonl Aneuploidy	$1,552.44	$1,634.15	$861.20–$1,552.44	—	5%
Progesterone blood test CPT 84144 Progesterone Serum	$244.31	$257.17	$57.97–$244.31	78% above	5%
Progesterone blood test inpatient CPT 84144 Progesterone Serum	$244.31	$257.17	$135.53–$244.31	—	5%
Prolactin blood test CPT 84146 Prolactin Monomeric	$50.00	$52.63	$11.86–$50.00	47% below	5%
Prolactin blood test CPT 84146 Prolactin Total	$138.31	$145.59	$32.82–$138.31	48% above	5%
Prolactin blood test CPT 84146 Free Prolactin	$171.85	$180.89	$40.77–$171.85	83% above	5%
Prolactin blood test inpatient CPT 84146 Prolactin Monomeric	$50.00	$52.63	$27.74–$50.00	—	5%
Prolactin blood test inpatient CPT 84146 Prolactin Total	$138.31	$145.59	$76.73–$138.31	—	5%
Prolactin blood test inpatient CPT 84146 Free Prolactin	$171.85	$180.89	$95.33–$171.85	—	5%
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time Mix Study s/o	$16.67	$17.55	$3.96–$16.67	12% below	5%
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time	$34.01	$35.80	$8.07–$34.01	79% above	5%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time Mix Study s/o	$16.67	$17.55	$9.25–$16.67	—	5%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time	$34.01	$35.80	$18.87–$34.01	—	5%
Rapid flu test (influenza antigen) CPT 87804 Influenza Assay w/Optic	$45.41	$47.80	$10.77–$45.41	6% below	5%
Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza Assay w/Optic	$45.41	$47.80	$25.19–$45.41	—	5%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep A Assay w/Optic	$64.37	$67.76	$15.27–$64.37	at median	5%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Strep A Assay w/Optic	$64.37	$67.76	$35.71–$64.37	—	5%
Renin blood test CPT 84244 Renin(Angiotensin) Plasma	$108.93	$114.66	$25.84–$108.93	at median	5%
Renin blood test inpatient CPT 84244 Renin(Angiotensin) Plasma	$108.93	$114.66	$60.43–$108.93	—	5%
Rh blood typing CPT 86901 Blood Typing Rh (D)	$47.22	$49.71	$11.20–$47.22	48% below	5%
Rh blood typing inpatient CPT 86901 Blood Typing Rh (D)	$47.22	$49.71	$26.20–$47.22	—	5%
Rubella antibody test (immunity check) CPT 86762 Rubella IgG	$127.63	$134.35	$30.28–$127.63	62% above	5%
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella IgG	$127.63	$134.35	$70.80–$127.63	—	5%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 ESR Automated	$32.60	$34.32	$7.73–$32.60	150% above	5%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 ESR Automated	$32.60	$34.32	$18.09–$32.60	—	5%
Sodium blood test CPT 84295 Sodium Serum	$41.63	$43.82	$9.88–$41.63	50% above	5%
Sodium blood test inpatient CPT 84295 Sodium Serum	$41.63	$43.82	$23.09–$41.63	—	5%
Stool ova and parasites exam CPT 87177 Ova and Parasite Concentration	$30.97	$32.60	$7.35–$30.97	27% below	5%
Stool ova and parasites exam CPT 87177 Ova And Parasites	$87.37	$91.97	$20.73–$87.37	107% above	5%
Stool ova and parasites exam inpatient CPT 87177 Ova and Parasite Concentration	$30.97	$32.60	$17.18–$30.97	—	5%
Stool ova and parasites exam inpatient CPT 87177 Ova And Parasites	$87.37	$91.97	$48.47–$87.37	—	5%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Bld Feces Screen	$29.65	$31.21	$7.04–$29.65	48% above	5%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Occult Bld Feces Screen	$29.65	$31.21	$16.45–$29.65	—	5%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Assay Test Blood Fecal Scrn	$69.14	$72.78	$16.41–$69.14	3% above	5%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Assay Test Blood Fecal Scrn	$69.14	$72.78	$38.36–$69.14	—	5%
Syphilis antibody test (Treponema pallidum) CPT 86780 RPR T.Pallidum AB	$36.91	$38.85	$8.76–$36.91	40% below	5%
Syphilis antibody test (Treponema pallidum) CPT 86780 T.Pallidum AB Part Agglutn	$36.91	$38.85	$8.76–$36.91	40% below	5%
Syphilis antibody test (Treponema pallidum) CPT 86780 Anti Treponemal Aby	$81.83	$86.14	$19.41–$81.83	33% above	5%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 T.Pallidum AB Part Agglutn	$36.91	$38.85	$20.47–$36.91	—	5%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 RPR T.Pallidum AB	$36.91	$38.85	$20.47–$36.91	—	5%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Anti Treponemal Aby	$81.83	$86.14	$45.40–$81.83	—	5%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR Screen w/Rflx Titer	$23.93	$25.19	$5.67–$23.93	2% below	5%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR Serum	$35.32	$37.18	$8.38–$35.32	44% above	5%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 CSF Vdrl	$59.14	$62.25	$14.03–$59.14	141% above	5%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR Screen w/Rflx Titer	$23.93	$25.19	$13.28–$23.93	—	5%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR Serum	$35.32	$37.18	$19.59–$35.32	—	5%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 CSF Vdrl	$59.14	$62.25	$32.81–$59.14	—	5%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tuberculosis IGRA	$193.87	$204.07	$46.00–$193.87	7% below	5%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Tuberculosis IGRA	$193.87	$204.07	$107.54–$193.87	—	5%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Serum	$223.43	$235.19	$53.01–$223.43	63% above	5%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone Serum	$223.43	$235.19	$123.95–$223.43	—	5%
Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase AB (TPO)	$52.50	$55.26	$12.46–$52.50	27% below	5%
Thyroid peroxidase (TPO) antibody test CPT 86376 Antithyroid Peroxidase	$94.59	$99.57	$22.44–$94.59	31% above	5%
Thyroid peroxidase (TPO) antibody test CPT 86376 Anti-LKM	$207.40	$218.32	$49.21–$207.40	188% above	5%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroid Peroxidase AB (TPO)	$52.50	$55.26	$29.12–$52.50	—	5%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Antithyroid Peroxidase	$94.59	$99.57	$52.47–$94.59	—	5%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Anti-LKM	$207.40	$218.32	$115.05–$207.40	—	5%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH HAMA Treatment	$52.73	$55.50	$12.51–$52.72	28% below	5%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH Untreated s/o	$52.73	$55.50	$12.51–$52.72	28% below	5%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH	$55.97	$58.92	$13.28–$55.97	23% below	5%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stim Hormone	$145.39	$153.04	$34.50–$145.39	99% above	5%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH HAMA Treatment	$52.73	$55.50	$29.25–$52.72	—	5%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH Untreated s/o	$52.73	$55.50	$29.25–$52.72	—	5%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH	$55.97	$58.92	$31.05–$55.97	—	5%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stim Hormone	$145.39	$153.04	$80.65–$145.39	—	5%
Total cholesterol blood test CPT 82465 Cholesterol Serum	$37.70	$39.68	$8.95–$37.70	30% above	5%
Total cholesterol blood test inpatient CPT 82465 Cholesterol Serum	$37.70	$39.68	$20.91–$37.70	—	5%
Total thyroxine (T4) blood test CPT 84436 T4 (Thyroxine) Total	$26.84	$28.25	$6.37–$26.84	19% below	5%
Total thyroxine (T4) blood test inpatient CPT 84436 T4 (Thyroxine) Total	$26.84	$28.25	$14.89–$26.84	—	5%
Total triiodothyronine (T3) blood test CPT 84480 T3 Total	$42.14	$44.36	$10.00–$42.14	51% below	5%
Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 Total	$42.14	$44.36	$23.38–$42.14	—	5%
Transferrin blood test CPT 84466 Transferrin Serum	$110.51	$116.33	$26.22–$110.51	79% above	5%
Transferrin blood test inpatient CPT 84466 Transferrin Serum	$110.51	$116.33	$61.31–$110.51	—	5%
Trichomonas test (NAAT) CPT 87661 Trich Vaginalis Detect Amp Pro	$98.30	$103.47	$23.32–$98.30	6% below	5%
Trichomonas test (NAAT) CPT 87661 Trichomonas PCR	$98.30	$103.47	$23.32–$98.30	6% below	5%
Trichomonas test (NAAT) CPT 87661 Trichomonas Pcr Urine	$123.43	$129.93	$29.28–$123.43	18% above	5%
Trichomonas test (NAAT) inpatient CPT 87661 Trich Vaginalis Detect Amp Pro	$98.30	$103.47	$54.53–$98.30	—	5%
Trichomonas test (NAAT) inpatient CPT 87661 Trichomonas PCR	$98.30	$103.47	$54.53–$98.30	—	5%
Trichomonas test (NAAT) inpatient CPT 87661 Trichomonas Pcr Urine	$123.43	$129.93	$68.47–$123.43	—	5%
Triglycerides blood test CPT 84478 Triglycerides	$49.82	$52.44	$11.82–$49.82	79% above	5%
Triglycerides blood test inpatient CPT 84478 Triglycerides	$49.82	$52.44	$27.64–$49.82	—	5%
Troponin test, quantitative CPT 84484 HS Troponin I	$151.60	$159.58	$35.97–$151.60	111% above	5%
Troponin test, quantitative inpatient CPT 84484 HS Troponin I	$151.60	$159.58	$84.10–$151.60	—	5%
Uric acid blood test CPT 84550 Uric Acid Serum	$39.11	$41.17	$9.28–$39.11	30% above	5%
Uric acid blood test inpatient CPT 84550 Uric Acid Serum	$39.11	$41.17	$21.70–$39.11	—	5%
Urinalysis with microscope exam, automated CPT 81001 Urnlysis Auto w/Micrscpy	$87.38	$91.98	$20.74–$87.38	157% above	5%
Urinalysis with microscope exam, automated inpatient CPT 81001 Urnlysis Auto w/Micrscpy	$87.38	$91.98	$48.47–$87.38	—	5%
Urinalysis with microscope exam, manual CPT 81000 Microscopic Urinalysis	$29.31	$30.85	$6.96–$29.31	102% above	5%
Urinalysis with microscope exam, manual inpatient CPT 81000 Microscopic Urinalysis	$29.31	$30.85	$16.26–$29.31	—	5%
Urinalysis without microscope exam, automated CPT 81003 Routine Urinalysis POC	$43.90	$46.21	$10.46–$43.90	109% above	5%
Urinalysis without microscope exam, automated CPT 81003 Routine Urinalysis	$43.90	$46.21	$10.42–$43.90	109% above	5%
Urinalysis without microscope exam, automated inpatient CPT 81003 Routine Urinalysis POC	$43.90	$46.21	$24.35–$43.90	—	5%
Urinalysis without microscope exam, automated inpatient CPT 81003 Routine Urinalysis	$43.90	$46.21	$24.35–$43.90	—	5%
Urinalysis without microscope exam, manual CPT 81002 Urinalysis w/o Scope	$23.52	$24.76	$5.58–$23.52	2% above	5%
Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis w/o Scope	$23.52	$24.76	$13.05–$23.52	—	5%
Urine microalbumin (albumin) test CPT 82043 Microalbumin Urine Qu	$87.73	$92.35	$20.82–$87.73	109% above	5%
Urine microalbumin (albumin) test inpatient CPT 82043 Microalbumin Urine Qu	$87.73	$92.35	$48.67–$87.73	—	5%
Urine pregnancy test, read by color change CPT 81025 BFS Urine Pregncy Test Visual - Professional Charg	$31.35	$33.00	$7.44–$31.35	12% above	5%
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 Serum	$129.49	$136.30	$30.72–$129.49	70% above	5%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B12 Serum	$129.49	$136.30	$71.83–$129.49	—	5%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25 Hydroxy Ser	$164.46	$173.12	$39.02–$164.46	11% above	5%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25 Hydroxy Ser	$164.46	$173.12	$91.23–$164.46	—	5%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 Vitamin D 1 25Dihydroxy S	$180.09	$189.57	$42.73–$180.09	at median	5%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 Vitamin D 1 25Dihydroxy S	$180.09	$189.57	$99.90–$180.09	—	5%
Zinc blood test CPT 84630 Zinc Serum	$104.40	$109.89	$24.76–$104.40	39% above	5%
Zinc blood test CPT 84630 RBC-Zinc	$140.07	$147.44	$33.23–$140.07	87% above	5%
Zinc blood test inpatient CPT 84630 Zinc Serum	$104.40	$109.89	$57.91–$104.40	—	5%
Zinc blood test inpatient CPT 84630 RBC-Zinc	$140.07	$147.44	$77.70–$140.07	—	5%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG Quant Serum	$130.24	$137.09	$30.90–$130.24	29% above	5%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG Quant Serum	$130.24	$137.09	$72.25–$130.24	—	5%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Massachusetts	Off list
Botox injections for chronic migraine inpatient CPT 64615 Chemodenerv Musc Migraine	$149.15	$157.00	$82.74–$149.15	—	5%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Bx Breast 1st Les Strtctc	$3,454.06	$3,635.85	$822.87–$3,454.06	47% above	5%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 Bx Breast 1st Les Strtctc	$3,454.06	$3,635.85	$1,916.09–$3,454.06	—	5%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Cltx Dstl Fib Fx w/o Manip	$748.70	$788.11	$178.37–$748.70	23% below	5%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 Cltx Dstl Fib Fx w/o Manip	$748.70	$788.11	$415.33–$748.70	—	5%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Cltx Metrsl Fx w/o Manip	$703.64	$740.67	$167.62–$703.64	at median	5%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 Cltx Metrsl Fx w/o Manip	$703.64	$740.67	$390.33–$703.64	—	5%
Bunion correction with a bone cut near the head of the first metatarsal inpatient CPT 28296 Cor hlx vlgs dstl mtar osteo	$911.05	$959.00	$505.39–$911.05	—	5%
Cardiac catheterization with coronary angiogram one side CPT 93458 Cath Plce Angio w/Lt Hrt Cth	$11,973.11	$12,603.27	$2,852.37–$11,973.11	47% above	5%
Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 Cath Plce Angio w/Lt Hrt Cth	$11,973.11	$12,603.27	$6,641.92–$11,973.11	—	5%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardiovrsion Elec Arrhyt Xtrnl	$1,135.72	$1,195.49	$270.56–$1,135.72	11% below	5%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardiovrsion Elec Arrhyt Xtrnl	$1,135.72	$1,195.49	$630.02–$1,135.72	—	5%
Carpal tunnel release, open surgery inpatient CPT 64721 Neurp /Trpos Median Nrv Carpl	$485.45	$511.00	$269.30–$485.45	—	5%
Cervical biopsy inpatient CPT 57500 Bx Cervix	$116.85	$123.00	$64.82–$116.85	—	5%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circmcsn w/Clmp/Oth Dev w/Blck - Professional Char	$81.70	$86.00	$19.46–$81.70	96% below	5%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circmcsn w/Clmp/Oth Dev w/Blck	$503.19	$529.67	$119.87–$503.19	74% below	5%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 Circmcsn w/Clmp/Oth Dev w/Blck	$503.19	$529.67	$279.14–$503.19	—	5%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Cltx Dstl Rad Fx w/o Manip	$356.32	$375.07	$84.89–$356.32	42% below	5%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 Cltx Dstl Rad Fx w/o Manip	$356.32	$375.07	$197.66–$356.32	—	5%
Colonoscopy with endoscopic ultrasound CPT 45391 Colonoscopy Endo US Exam R/S/C	$3,309.67	$3,483.86	$788.47–$3,309.67	25% above	5%
Colonoscopy with endoscopic ultrasound inpatient CPT 45391 Colonoscopy Endo US Exam R/S/C	$3,309.67	$3,483.86	$1,835.99–$3,309.67	—	5%
Colonoscopy with polyp removal CPT 45385 Colonoscopy Rem T/P/L Snare	$3,309.67	$3,483.86	$788.47–$3,309.67	17% above	5%
Colonoscopy with polyp removal inpatient CPT 45385 Colonoscopy Rem T/P/L Snare	$3,309.67	$3,483.86	$1,835.99–$3,309.67	—	5%
Colonoscopy with tissue sample CPT 45380 Colonoscopy Bx Sing/Mult	$3,309.67	$3,483.86	$788.47–$3,309.67	42% above	5%
Colonoscopy with tissue sample inpatient CPT 45380 Colonoscopy Bx Sing/Mult	$3,309.67	$3,483.86	$1,835.99–$3,309.67	—	5%
Colonoscopy, diagnostic CPT 45378 Colonoscopy High Risk	$2,539.90	$2,673.58	$605.08–$2,539.90	12% above	5%
Colonoscopy, diagnostic CPT 45378 Colonoscopy Dx Brush/Wash	$2,539.90	$2,673.58	$605.08–$2,539.90	12% above	5%
Colonoscopy, diagnostic CPT 45378 Colonoscopy Not High Risk	$2,539.90	$2,673.58	$605.08–$2,539.90	12% above	5%
Colonoscopy, diagnostic inpatient CPT 45378 Colonoscopy Not High Risk	$2,539.90	$2,673.58	$1,408.98–$2,539.90	—	5%
Colonoscopy, diagnostic inpatient CPT 45378 Colonoscopy High Risk	$2,539.90	$2,673.58	$1,408.98–$2,539.90	—	5%
Colonoscopy, diagnostic inpatient CPT 45378 Colonoscopy Dx Brush/Wash	$2,539.90	$2,673.58	$1,408.98–$2,539.90	—	5%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 Bx Cervix w/Scope LEEP	$307.80	$324.00	$73.33–$307.80	90% below	5%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 Colpscpy Cervx Bx Endocrv Curt	$130.15	$137.00	$72.20–$130.15	—	5%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Scope Bladder/Urethra Diagnstc	$1,690.75	$1,779.74	$402.79–$1,690.75	15% below	5%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 Scope Bladder/Urethra Diagnstc	$1,690.75	$1,779.74	$937.92–$1,690.75	—	5%
D&C (dilation and curettage), not related to pregnancy CPT 58120 D C Dx /Thrpy (Non-OB)	$324.90	$342.00	$77.40–$324.90	91% below	5%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destrct Premalgnt Les 1st	$76.00	$80.00	$18.11–$76.00	72% below	5%
Earwax removal by irrigation (rinsing), one ear CPT 69209 Remve Impct Ear Wx Uni	$243.43	$256.24	$58.00–$243.43	17% above	5%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 Remve Impct Ear Wx Uni	$243.43	$256.24	$135.04–$243.43	—	5%
Earwax removal with instruments, one ear CPT 69210 Remve Ear Wx w/Instmnt Uni MCR	$249.61	$262.75	$59.46–$249.61	9% below	5%
Earwax removal with instruments, one ear inpatient CPT 69210 Remve Ear Wx w/Instmnt Uni	$59.85	$63.00	$33.20–$59.85	—	5%
Earwax removal with instruments, one ear inpatient CPT 69210 Remve Ear Wx w/Instmnt Uni MCR	$249.61	$262.75	$138.47–$249.61	—	5%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 Endmtrl Bx Endcrv Bx w/o Dilat	$94.05	$99.00	$52.17–$94.05	—	5%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Sigmoidoscopy Dx Brush/Wash	$2,539.90	$2,673.58	$605.08–$2,539.90	37% above	5%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 Diagnostic Sigmoidoscopy	$158.65	$167.00	$88.01–$158.65	—	5%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 Sigmoidoscopy Dx Brush/Wash	$2,539.90	$2,673.58	$1,408.98–$2,539.90	—	5%
Hemorrhoid banding (rubber band ligation) CPT 46221 Ligation of Hemorrhoid(s)	$2,587.05	$2,723.21	$616.32–$2,587.05	34% above	5%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 Ligation of Hemorrhoid(s)	$2,587.05	$2,723.21	$1,435.13–$2,587.05	—	5%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Cathj Intro Saline Nfs Shg/Hsg	$156.88	$165.14	$37.37–$156.88	61% below	5%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 Cathj Intro Saline Nfs Shg/Hsg	$156.88	$165.14	$87.03–$156.88	—	5%
Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 Hysteroscopy Biopsy	$709.65	$747.00	$393.67–$709.65	—	5%
IUD insertion (the device itself billed separately) inpatient CPT 58300 Insrtn Intrauterine Dev	$99.75	$105.00	$55.34–$99.75	—	5%
Incision and drainage of a simple or single skin abscess CPT 10060 I D Abscess Simple/Single	$299.43	$315.19	$71.33–$299.43	40% below	5%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I D Abscess Simple/Single	$299.43	$315.19	$166.11–$299.43	—	5%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj Sngle Tndon Shth/Lgmnt	$72.20	$76.00	$17.20–$72.20	84% below	5%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Drn/Inj Mjr Jt/Brsa w/o US	$587.91	$618.85	$140.06–$587.91	4% above	5%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 Drn/Inj Mjr Jt/Brsa w/o US Rt - Professional Charg	$86.45	$91.00	$20.60–$86.45	85% below	5%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 Drn/Inj Mjr Jt/Brsa w/o US Lt - Professional Charg	$86.45	$91.00	$20.60–$86.45	85% below	5%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 Drn/Inj Mjr Jt/Brsa w/o US RT - Emergency Room	$611.42	$643.60	$145.66–$611.42	8% above	5%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 Drn/Inj Mjr Jt/Brsa w/o US LT - Emergency Room	$611.42	$643.60	$145.66–$611.42	8% above	5%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 Drn/Inj Mjr Jt/Brsa w/o US LT	$617.30	$649.79	$147.06–$617.30	9% above	5%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 Drn/Inj Mjr Jt/Brsa w/o US RT	$617.43	$649.93	$147.09–$617.43	9% above	5%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Drn/Inj Mjr Jt/Brsa w/o US	$587.91	$618.85	$326.13–$587.91	—	5%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 Drn/Inj Mjr Jt/Brsa w/o US LT	$611.42	$643.60	$339.18–$611.42	—	5%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 Drn/Inj Mjr Jt/Brsa w/o US RT	$611.42	$643.60	$339.18–$611.42	—	5%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 Insrt NonBiodgrd Dlvy Impl	$151.05	$159.00	$83.79–$151.05	—	5%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Drn/Inj Intm Jt/Bur w/o US	$434.53	$457.40	$103.52–$434.53	20% below	5%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Drn/Inj Intm Jt/Bur w/o US - Emergency Room	$1,121.83	$1,180.87	$267.25–$1,121.83	107% above	5%
Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 Drn/Inj Intm Jt/Bur w/o US Lt - Professional Charg	$71.25	$75.00	$16.97–$71.25	87% below	5%
Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 Drn/Inj Intm Jt/Bur w/o US Rt - Professional Charg	$71.25	$75.00	$16.97–$71.25	87% below	5%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Drn/Inj Intm Jt/Bur w/o US	$434.53	$457.40	$241.05–$434.53	—	5%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Drain/Inj Sm Jt/Bur w/o US	$527.14	$554.88	$125.58–$527.14	3% below	5%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 IR Drain/Inj Sm Jt/Bur w/o US	$838.38	$882.50	$199.73–$838.38	55% above	5%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Drain/Inj Sm Jt/Bur w/o US	$527.14	$554.88	$292.42–$527.14	—	5%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 IR Drain/Inj Sm Jt/Bur w/o US	$838.38	$882.50	$465.08–$838.38	—	5%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Rpr Intrm S/A/T/E </2.5cm	$434.82	$457.71	$103.59–$434.82	45% below	5%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Rpr Intrm S/A/T/E </2.5cm	$434.82	$457.71	$241.21–$434.82	—	5%
Left heart catheterization, diagnostic CPT 93452 Lt Hrt Cath w/Ventriculo S I	$8,844.62	$9,310.13	$2,107.07–$8,844.62	at median	5%
Left heart catheterization, diagnostic inpatient CPT 93452 Lt Hrt Cath w/Ventriculo S I	$8,844.62	$9,310.13	$4,906.44–$8,844.62	—	5%
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 Tx Missed AB Surg 1st Trimstr	$401.85	$423.00	$222.92–$401.85	—	5%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc Tr-Ext B9 Marg </0.5cm	$861.52	$906.86	$205.24–$861.52	8% below	5%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Exc Tr-Ext B9 Marg </0.5cm	$861.52	$906.86	$477.92–$861.52	—	5%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Exc B9 F/E/E/N/L/M </0.5cm	$159.60	$168.00	$38.02–$159.60	82% below	5%
Nail removal (partial or complete), one nail CPT 11730 Avul Nail Part l/Cmp Smp 1	$219.68	$231.24	$52.34–$219.68	44% below	5%
Nail removal (partial or complete), one nail inpatient CPT 11730 Avul Nail Part l/Cmp Smp 1	$219.68	$231.24	$121.86–$219.68	—	5%
Occipital nerve block (injection for headaches) CPT 64405 Njx Anes Grter Occipital Nrv	$717.94	$755.73	$171.04–$717.94	20% below	5%
Occipital nerve block (injection for headaches) inpatient CPT 64405 Njx Anes Grter Occipital Nrv	$717.94	$755.73	$398.27–$717.94	—	5%
Paracentesis with imaging guidance CPT 49083 ABD Paracentesis w/Img	$2,938.49	$3,093.15	$700.04–$2,938.49	67% above	5%
Paracentesis with imaging guidance inpatient CPT 49083 ABD Paracentesis w/Img	$2,938.49	$3,093.15	$1,630.09–$2,938.49	—	5%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Exc Nail Matrix Perm Rmvl	$874.66	$920.69	$208.37–$874.66	13% below	5%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Exc Nail Matrix Perm Rmvl	$874.66	$920.69	$485.20–$874.66	—	5%
Removal of a breast lump, open surgery inpatient CPT 19120 Rmve Breast Lesion >/1	$428.45	$451.00	$237.68–$428.45	—	5%
Removal of a foreign object under the skin, simple CPT 10120 I R FB Subq Simple	$423.21	$445.48	$100.82–$423.21	23% below	5%
Removal of a foreign object under the skin, simple inpatient CPT 10120 I R FB Subq Simple	$423.21	$445.48	$234.77–$423.21	—	5%
Short arm cast (elbow to hand) CPT 29075 Apply Short Arm Cast	$458.78	$482.93	$109.29–$458.78	29% below	5%
Short arm cast (elbow to hand) inpatient CPT 29075 Apply Short Arm Cast	$458.78	$482.93	$254.50–$458.78	—	5%
Short arm splint (forearm and hand) CPT 29125 Apply Forearm Splint Static	$422.35	$444.58	$100.61–$422.35	27% above	5%
Short arm splint (forearm and hand) inpatient CPT 29125 Apply Forearm Splint Static	$422.35	$444.58	$234.29–$422.35	—	5%
Short leg cast (below the knee) CPT 29405 Apply Cast Below Knee	$620.70	$653.37	$147.88–$620.70	at median	5%
Short leg cast (below the knee) inpatient CPT 29405 Apply Cast Below Knee	$620.70	$653.37	$344.33–$620.70	—	5%
Short leg splint (calf to foot) CPT 29515 Apply Short Leg Splint	$261.07	$274.81	$62.20–$261.07	24% below	5%
Short leg splint (calf to foot) inpatient CPT 29515 Apply Short Leg Splint	$261.07	$274.81	$144.82–$261.07	—	5%
Short leg splint (calf to foot) inpatient CPT 29515 I d shoulder deep absc/hmtma	$487.35	$513.00	$270.35–$487.35	—	5%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Rpr S/N/AX/Gen/Trk </2.5cm	$340.29	$358.20	$81.07–$340.29	27% below	5%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Rpr S/N/AX/Gen/Trk </2.5cm	$340.29	$358.20	$188.77–$340.29	—	5%
Skin biopsy, punch, one lesion CPT 11104 Punch Bx Skin Single Les	$715.61	$753.27	$170.48–$715.61	31% above	5%
Skin biopsy, punch, one lesion inpatient CPT 11104 Punch Bx Skin Single Les	$715.61	$753.27	$396.97–$715.61	—	5%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Exc Mal Les T A L 0.6-1cm	$191.90	$202.00	$45.72–$191.90	81% below	5%
Skin tag removal, up to 15 tags CPT 11200 Rmve Skin Tags </15	$167.73	$176.56	$39.96–$176.56	56% below	5%
Skin tag removal, up to 15 tags inpatient CPT 11200 Rmve Skin Tags </15	$167.73	$176.56	$93.05–$167.73	—	5%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Spinal Puncture Lmbr DX	$2,303.29	$2,424.52	$548.72–$2,303.29	57% above	5%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Spinal Puncture Lmbr DX	$2,303.29	$2,424.52	$1,277.72–$2,303.29	—	5%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Simple Repair 2.6-7.5cm	$326.10	$343.26	$77.69–$326.10	32% below	5%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Simple Repair 2.6-7.5cm	$326.10	$343.26	$180.90–$326.10	—	5%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Smp Rep F/E/N/L/M </2.5cm	$434.82	$457.71	$103.59–$434.82	50% below	5%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Smp Rep F/E/N/L/M </2.5cm	$434.82	$457.71	$241.21–$434.82	—	5%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangntl Bx Skin Single Les	$112.10	$118.00	$26.71–$112.10	74% below	5%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Tangntl Bx Skin Single Les	$640.60	$674.32	$355.37–$640.60	—	5%
Thoracentesis with imaging guidance CPT 32555 IR Aspirate Pleura w/Img	$3,004.75	$3,162.89	$715.82–$3,004.75	68% above	5%
Thoracentesis with imaging guidance CPT 32555 Aspirate Pleura w/Img	$3,004.75	$3,162.89	$715.82–$3,004.75	68% above	5%
Thoracentesis with imaging guidance one side CPT 32555 Aspirate Pleura w/Img LT	$3,004.75	$3,162.89	$715.82–$3,004.75	68% above	5%
Thoracentesis with imaging guidance one side CPT 32555 Aspirate Pleura w/Img RT	$3,004.75	$3,162.89	$715.82–$3,004.75	68% above	5%
Thoracentesis with imaging guidance inpatient CPT 32555 Aspirate Pleura w/Img	$3,004.75	$3,162.89	$1,666.84–$3,004.75	—	5%
Thoracentesis with imaging guidance inpatient CPT 32555 IR Aspirate Pleura w/Img	$3,004.75	$3,162.89	$1,666.84–$3,004.75	—	5%
Thoracentesis with imaging guidance inpatient one side CPT 32555 Aspirate Pleura w/Img RT	$3,004.75	$3,162.89	$1,666.84–$3,004.75	—	5%
Thoracentesis with imaging guidance inpatient one side CPT 32555 Aspirate Pleura w/Img LT	$3,004.75	$3,162.89	$1,666.84–$3,004.75	—	5%
Trigger finger release surgery inpatient CPT 26055 Tendon Sheath Incision	$652.65	$687.00	$362.05–$652.65	—	5%
Trigger point injections, 1 or 2 muscles CPT 20552 Trigger Point Inj 1-2 Musc	$527.14	$554.88	$125.58–$554.88	at median	5%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Trigger Point Inj 1-2 Musc	$527.14	$554.88	$292.42–$527.14	—	5%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Bx Breast 1st Lesion US	$3,454.06	$3,635.85	$822.87–$3,454.06	59% above	5%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Bx Breast 1st Lesion US - Emergency Room	$4,111.98	$4,328.40	$979.60–$4,111.98	90% above	5%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Bx Breast 1st Lesion US	$4,111.98	$4,328.40	$2,281.07–$4,111.98	—	5%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 EGD w/Baln Dil Esoph <30mm	$5,322.80	$5,602.95	$1,268.06–$5,322.80	79% above	5%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 EGD w/Baln Dil Esoph <30mm	$5,322.80	$5,602.95	$2,952.75–$5,322.80	—	5%
Upper endoscopy (EGD) with biopsy CPT 43239 Upper Gi Endoscopy W/Biopsy	$1,819.21	$1,914.96	$433.39–$1,819.21	3% below	5%
Upper endoscopy (EGD) with biopsy CPT 43239 EGD w/Bx Single/Multiple	$2,522.99	$2,655.78	$601.06–$2,522.99	34% above	5%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Upper Gi Endoscopy W/Biopsy	$1,819.21	$1,914.96	$1,009.18–$1,819.21	—	5%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD w/Bx Single/Multiple	$2,522.99	$2,655.78	$1,399.60–$2,522.99	—	5%
Upper endoscopy (EGD) with injection into the lining CPT 43236 EGD w/Direct Submucsl Inj	$2,522.99	$2,655.78	$601.06–$2,522.99	at median	5%
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 EGD w/Direct Submucsl Inj	$2,522.99	$2,655.78	$1,399.60–$2,522.99	—	5%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD w/Rem Tumor/Plyp/Les Snare	$5,322.80	$5,602.95	$1,268.06–$5,322.80	16% above	5%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 EGD w/Rem Tumor/Plyp/Les Snare	$5,322.80	$5,602.95	$2,952.75–$5,322.80	—	5%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 EGD w/Ins Gdewr Dil Thru Esoph	$2,522.99	$2,655.78	$601.06–$2,522.99	14% below	5%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 EGD w/Ins Gdewr Dil Thru Esoph	$2,522.99	$2,655.78	$1,399.60–$2,522.99	—	5%
Upper endoscopy (EGD), diagnostic CPT 43235 Egd Diagnostic Brush Wash	$1,819.21	$1,914.96	$433.39–$1,819.21	1% above	5%
Upper endoscopy (EGD), diagnostic CPT 43235 EGD w/Brush/Wash Dx	$2,522.99	$2,655.78	$601.06–$2,522.99	40% above	5%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Egd Diagnostic Brush Wash	$1,819.21	$1,914.96	$1,009.18–$1,819.21	—	5%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 EGD w/Brush/Wash Dx	$2,522.99	$2,655.78	$1,399.60–$2,522.99	—	5%
Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 EGD w/Drng Psdcyst Cath/Stent	$16,017.12	$16,860.13	$3,815.78–$16,017.12	at median	5%
Upper endoscopy with drainage of a pseudocyst through the stomach wall inpatient CPT 43240 EGD w/Drng Psdcyst Cath/Stent	$16,017.12	$16,860.13	$8,885.29–$16,017.12	—	5%
Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 Vasect Uni/Bi Spx W/Po Semn Xm	$264.10	$278.00	$62.92–$264.10	—	5%
Vein ablation, radiofrequency, first vein CPT 36475 Endovenous RF 1st Vein	$1,698.60	$1,788.00	$297.86–$1,788.00	67% below	5%
Wart removal, up to 14 warts CPT 17110 Destrct B9 Les </14	$179.79	$189.25	$42.83–$179.79	49% below	5%
Wart removal, up to 14 warts inpatient CPT 17110 Destrct B9 Les </14	$179.79	$189.25	$99.73–$179.79	—	5%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Dbrd Subq Tis </20 sq cm	$650.43	$684.66	$154.95–$650.43	30% below	5%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Dbrd Subq Tis </20 sq cm	$650.43	$684.66	$360.82–$650.43	—	5%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Massachusetts	Off list
Blood transfusion (giving blood or blood components) CPT 36430 Blood Admin Transf Chrg	$895.45	$942.58	$213.32–$895.45	3% below	5%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Admin Transf Chrg	$895.45	$942.58	$496.74–$895.45	—	5%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Airway Inhalation Tx	$777.03	$817.93	$185.11–$777.03	166% above	5%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Airway Inhalation Tx	$777.03	$817.93	$431.05–$777.03	—	5%
Chemotherapy IV infusion, first hour CPT 96413 Chemotx Admn IV NFS </1 Hr	$661.87	$696.70	$157.68–$661.87	25% below	5%
Chemotherapy IV infusion, first hour inpatient CPT 96413 Chemotx Admn IV NFS </1 Hr	$661.87	$696.70	$367.16–$661.87	—	5%
Critical care, first 30 to 74 minutes CPT 99291 CC E/M Inj/Ill 1st 30-74m	$3,656.75	$3,849.21	$871.15–$3,656.75	37% above	5%
Critical care, first 30 to 74 minutes inpatient CPT 99291 CC E/M Inj/Ill 1st 30-74m	$3,656.75	$3,849.21	$2,028.53–$3,656.75	—	5%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG Awake And Drowsy	$494.69	$520.73	$117.85–$494.69	43% below	5%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG Awake And Drowsy	$494.69	$520.73	$274.42–$494.69	—	5%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG 12 Lead	$211.35	$222.47	$50.35–$211.35	17% above	5%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG 12 Lead	$211.35	$222.47	$117.24–$211.35	—	5%
Electroconvulsive therapy (ECT), one session CPT 90870 Electroconvulsive Therapy	$889.59	$936.41	$211.92–$1,535.00	13% below	5%
Electroconvulsive therapy (ECT), one session inpatient CPT 90870 Electroconvulsive Therapy	$889.59	$936.41	$493.49–$889.59	—	5%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emer Dept Srvc Lvl 1	$209.05	$220.05	$49.80–$209.05	50% below	5%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Emer Dept Srvc Lvl 1	$209.05	$220.05	$115.97–$209.05	—	5%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emer Dept Srvc Lvl 2	$307.36	$323.54	$73.22–$307.36	44% below	5%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Emer Dept Srvc Lvl 2	$307.36	$323.54	$170.51–$307.36	—	5%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emer Dept Srvc Lvl 3	$709.25	$746.58	$168.96–$709.25	14% below	5%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Emer Dept Srvc Lvl 3	$709.25	$746.58	$393.45–$709.25	—	5%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emer Dept Srvc Lvl 4	$1,650.30	$1,737.16	$393.16–$1,650.30	30% above	5%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Emer Dept Srvc Lvl 4	$1,650.30	$1,737.16	$915.48–$1,650.30	—	5%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emer Dept Srvc Lvl 5	$2,552.65	$2,687.00	$608.12–$2,552.65	52% above	5%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Emer Dept Srvc Lvl 5	$2,552.65	$2,687.00	$1,416.05–$2,552.65	—	5%
Exercise stress test, tracing only, the hospital charge CPT 93017 CV Stress w/Exercise Nuc	$1,067.06	$1,123.22	$254.21–$1,067.06	17% above	5%
Exercise stress test, tracing only, the hospital charge CPT 93017 Cardiac Stress	$1,067.06	$1,123.22	$254.21–$1,067.06	17% above	5%
Exercise stress test, tracing only, the hospital charge CPT 93017 CV Stress w/Vasodilator Nuc	$1,067.06	$1,123.22	$254.21–$1,067.06	17% above	5%
Exercise stress test, tracing only, the hospital charge CPT 93017 CV Stress Exercise w/o Image	$1,067.06	$1,123.22	$254.21–$1,067.06	17% above	5%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CV Stress w/Exercise Nuc	$1,067.06	$1,123.22	$591.94–$1,067.06	—	5%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CV Stress w/Vasodilator Nuc	$1,067.06	$1,123.22	$591.94–$1,067.06	—	5%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Cardiac Stress	$1,067.06	$1,123.22	$591.94–$1,067.06	—	5%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CV Stress Exercise w/o Image	$1,067.06	$1,123.22	$591.94–$1,067.06	—	5%
Group psychotherapy session CPT 90853 Psy Thrpy Group	$87.89	$92.52	$21.28–$87.89	37% below	5%
Group psychotherapy session inpatient CPT 90853 Psy Thrpy Group	$87.89	$92.52	$48.76–$87.89	—	5%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV Inf Hydr Init l 31m-1hr	$490.35	$516.16	$116.82–$490.35	4% below	5%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV Inf Hydr Init l 31m-1hr	$490.35	$516.16	$272.02–$490.35	—	5%
IV infusion of a medicine, first hour CPT 96365 IV Thrpy Init l </1st Hr	$661.87	$696.70	$157.68–$661.87	15% above	5%
IV infusion of a medicine, first hour inpatient CPT 96365 IV Thrpy Init l </1st Hr	$661.87	$696.70	$367.16–$661.87	—	5%
IV push of a medicine, first drug CPT 96374 Admin IV Push Init l	$210.23	$221.29	$50.09–$210.23	42% below	5%
IV push of a medicine, first drug inpatient CPT 96374 Admin IV Push Init l	$210.23	$221.29	$116.62–$210.23	—	5%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Admin Inj Subq or IM	$180.51	$190.01	$43.00–$180.51	at median	5%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Admin Inj Subq or IM	$180.51	$190.01	$100.14–$180.51	—	5%
Neuromuscular re-education, 15 minutes CPT 97112 OT Neurmusc ReEd Ea 15M Lymph	$87.64	$92.25	$20.88–$87.64	27% below	5%
Neuromuscular re-education, 15 minutes CPT 97112 PT Neurmusc ReEd Ea 15M Lymph	$90.62	$95.39	$21.59–$90.62	25% below	5%
Neuromuscular re-education, 15 minutes CPT 97112 OT Neurmusc ReEd ea 15m	$90.62	$95.39	$21.59–$90.62	25% below	5%
Neuromuscular re-education, 15 minutes CPT 97112 PT Neurmusc ReEd ea 15m	$90.62	$95.39	$21.59–$90.62	25% below	5%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT Neurmusc ReEd Ea 15M Lymph	$87.64	$92.25	$48.62–$87.64	—	5%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT Neurmusc ReEd ea 15m	$90.62	$95.39	$50.27–$90.62	—	5%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT Neurmusc ReEd Ea 15M Lymph	$90.62	$95.39	$50.27–$90.62	—	5%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT Neurmusc ReEd ea 15m	$90.62	$95.39	$50.27–$90.62	—	5%
New patient office visit, about 30 minutes CPT 99203 Outpt New Lvl 3	$79.80	$84.00	$19.01–$85.66	63% below	5%
New patient office visit, about 30 minutes CPT 99203 Outpt New Lvl 3 Wound	$521.57	$549.02	$124.25–$521.57	141% above	5%
New patient office visit, about 30 minutes inpatient CPT 99203 Outpt New Lvl 3 Wound	$521.57	$549.02	$289.33–$521.57	—	5%
New patient office visit, about 45 minutes CPT 99204 Eval New Level 4 (45m) Wound	$724.88	$763.03	$172.69–$724.88	106% above	5%
New patient office visit, about 45 minutes inpatient CPT 99204 Outpt New Lvl 4	$114.95	$121.00	$63.77–$114.95	—	5%
New patient office visit, about 45 minutes inpatient CPT 99204 Eval New Level 4 (45m) Wound	$724.88	$763.03	$402.12–$724.88	—	5%
New patient office visit, about 60 minutes CPT 99205 Outpt New Lvl 5	$150.10	$158.00	$35.76–$192.14	61% below	5%
New patient office visit, about 60 minutes CPT 99205 New Wound Visit Complex	$1,129.53	$1,188.98	$269.09–$1,129.53	192% above	5%
New patient office visit, about 60 minutes inpatient CPT 99205 New Wound Visit Complex	$1,129.53	$1,188.98	$626.59–$1,129.53	—	5%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Outpt New Lvl 2	$53.20	$56.00	$12.67–$53.20	68% below	5%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Outpt New Lvl 2 Wound	$302.54	$318.46	$72.08–$302.54	83% above	5%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Outpt New Lvl 2 Wound	$302.54	$318.46	$167.83–$302.54	—	5%
Occupational therapy evaluation, low complexity CPT 97165 OT Eval Low Cmplxty-30m Lymph	$389.06	$409.54	$92.68–$389.06	16% above	5%
Occupational therapy evaluation, low complexity CPT 97165 OT Eval Low Cmplxty - 30 Min	$389.06	$409.54	$92.68–$389.06	16% above	5%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT Eval Low Cmplxty - 30 Min	$389.06	$409.54	$215.83–$389.06	—	5%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT Eval Low Cmplxty-30m Lymph	$389.06	$409.54	$215.83–$389.06	—	5%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT Eval High Cmplxty 45m Lymph	$429.35	$451.95	$102.29–$429.35	18% above	5%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT Eval High Cmplxty - 45 Min	$429.35	$451.95	$102.29–$429.35	18% above	5%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT Eval High Cmplxty - 45 Min	$429.35	$451.95	$238.18–$429.35	—	5%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT Eval High Cmplxty 45m Lymph	$429.35	$451.95	$238.18–$429.35	—	5%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT Eval Low Cmplxty-20m Lymph	$429.35	$451.95	$102.29–$429.35	23% above	5%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT Eval Low Cmplxty-20m	$429.35	$451.95	$102.29–$429.35	23% above	5%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT Eval Low Cmplxty-20m	$429.35	$451.95	$238.18–$429.35	—	5%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT Eval Low Cmplxty-20m Lymph	$429.35	$451.95	$238.18–$429.35	—	5%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT Eval Mod Cmplxty - 30 Min	$429.35	$451.95	$102.29–$429.35	21% above	5%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT Eval Mod Cmplxty-30m Lymph	$429.35	$451.95	$102.29–$429.35	21% above	5%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT Eval Mod Cmplxty-30m Lymph	$429.35	$451.95	$238.18–$429.35	—	5%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT Eval Mod Cmplxty - 30 Min	$429.35	$451.95	$238.18–$429.35	—	5%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT Manual Therapy Tech	$113.94	$119.94	$27.15–$113.94	5% below	5%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT Manual Therapy Tech	$113.94	$119.94	$27.15–$113.94	5% below	5%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT Manual Therapy Tech Lymph	$113.94	$119.94	$27.15–$113.94	5% below	5%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT Manual Therapy Tech Lymph	$113.94	$119.94	$27.15–$113.94	5% below	5%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT Manual Therapy Tech Lymph	$113.94	$119.94	$63.21–$113.94	—	5%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT Manual Therapy Tech	$113.94	$119.94	$63.21–$113.94	—	5%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT Manual Therapy Tech Lymph	$113.94	$119.94	$63.21–$113.94	—	5%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT Manual Therapy Tech	$113.94	$119.94	$63.21–$113.94	—	5%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Therapeutic Ex ea 15m	$97.17	$102.28	$23.14–$97.17	13% below	5%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Ex ea 15m	$97.17	$102.28	$23.14–$97.17	13% below	5%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Ex ea 15m Lymph	$97.17	$102.28	$23.14–$97.17	13% below	5%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Therapeutic Ex ea 15m Lymph	$97.17	$102.28	$23.14–$97.17	13% below	5%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Ex ea 15m	$97.17	$102.28	$53.90–$97.17	—	5%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT Therapeutic Ex ea 15m	$97.17	$102.28	$53.90–$97.17	—	5%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT Therapeutic Ex ea 15m Lymph	$97.17	$102.28	$53.90–$97.17	—	5%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Ex ea 15m Lymph	$97.17	$102.28	$53.90–$97.17	—	5%
Preventive checkup, new patient aged 18–39 CPT 99385 Prvntve Visit New 18-39y	$121.60	$128.00	$28.97–$121.60	33% below	5%
Preventive checkup, new patient aged 40–64 CPT 99386 Prev Visit New 40-64 yrs	$121.60	$128.00	$28.97–$121.60	33% below	5%
Preventive checkup, new patient aged 65 or older CPT 99387 Init PM E/M New Pt 65 yrs	$153.90	$162.00	$36.66–$153.90	18% below	5%
Preventive checkup, returning patient aged 18–39 CPT 99395 Prev Visit Est 18-39yrs	$98.80	$104.00	$23.54–$98.80	at median	5%
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 Prev Visit Est 40-64yrs	$109.25	$115.00	$60.61–$109.25	—	5%
Preventive checkup, returning patient aged 65 or older CPT 99397 Prev Visit Est >/65yrs	$119.70	$126.00	$28.52–$119.70	at median	5%
Psychotherapy session, 30 minutes CPT 90832 Psy Thrpy 30m w Pt IOP	$150.48	$158.40	$35.85–$150.48	40% below	5%
Psychotherapy session, 30 minutes inpatient CPT 90832 Psy Thrpy 30m w Pt IOP	$150.48	$158.40	$83.48–$150.48	—	5%
Psychotherapy session, 45 minutes CPT 90834 Psy Thrpy 45m w Pt IOP	$192.62	$202.76	$45.88–$192.62	23% below	5%
Psychotherapy session, 45 minutes inpatient CPT 90834 Psy Thrpy 45m w Pt IOP	$192.62	$202.76	$106.85–$192.62	—	5%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Smoke Cess Couns 3-10m	$118.02	$124.23	$28.11–$124.23	3% above	5%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Smoke Cess Couns 3-10m	$118.02	$124.23	$65.47–$118.02	—	5%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Eval Est Pt Lvl 5 40m Wound	$781.46	$822.59	$186.17–$781.46	161% above	5%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Outpt Est Lvl 5	$128.25	$135.00	$71.15–$128.25	—	5%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Eval Est Pt Lvl 5 40m Wound	$781.46	$822.59	$433.50–$781.46	—	5%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Eval Est Pt Lvl 3 Wound	$397.77	$418.71	$94.76–$397.77	112% above	5%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Outpt Est Lvl 3	$65.55	$69.00	$36.36–$65.55	—	5%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Eval Est Pt Lvl 3 Wound	$397.77	$418.71	$220.66–$397.77	—	5%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Outpt Est Lvl 4 Wound	$636.45	$669.95	$151.62–$636.45	185% above	5%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Outpt Est Lvl 4	$92.15	$97.00	$51.12–$92.15	—	5%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Outpt Est Lvl 4 Wound	$636.45	$669.95	$353.06–$636.45	—	5%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Complex Medication Management	$123.50	$130.00	$29.42–$123.50	4% below	5%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Outpt Est Lvl 2 Wound	$281.97	$296.81	$67.18–$281.97	118% above	5%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Outpt Est Lvl 2	$40.85	$43.00	$22.66–$40.85	—	5%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Outpt Est Lvl 2 Wound	$281.97	$296.81	$156.42–$281.97	—	5%
Specialist consultation, low complexity or 30+ minutes CPT 99243 Office Cslt 45 Min Lvl 3	$100.70	$106.00	$23.99–$100.70	13% below	5%
Speech and language evaluation CPT 92523 SP Eval Language	$491.09	$516.94	$117.00–$491.09	16% below	5%
Speech and language evaluation CPT 92523 SP Eval Lang Comprehension	$491.09	$516.94	$117.00–$491.09	16% below	5%
Speech and language evaluation inpatient CPT 92523 SP Eval Lang Comprehension	$491.09	$516.94	$272.43–$491.09	—	5%
Speech and language evaluation inpatient CPT 92523 SP Eval Language	$491.09	$516.94	$272.43–$491.09	—	5%
Speech therapy session, individual CPT 92507 SP Treatment	$275.49	$289.99	$65.63–$289.99	8% below	5%
Speech therapy session, individual CPT 92507 SP Voice Sp Lang Aur Rhb Tx	$275.49	$289.99	$65.63–$289.99	8% below	5%
Speech therapy session, individual inpatient CPT 92507 SP Treatment	$275.49	$289.99	$152.82–$275.49	—	5%
Speech therapy session, individual inpatient CPT 92507 SP Voice Sp Lang Aur Rhb Tx	$275.49	$289.99	$152.82–$275.49	—	5%
Spirometry (breathing test) CPT 94010 Breathing Capacity Test	$355.73	$374.45	$84.74–$355.73	12% below	5%
Spirometry (breathing test) inpatient CPT 94010 Breathing Capacity Test	$355.73	$374.45	$197.34–$355.73	—	5%
Spirometry before and after a bronchodilator CPT 94060 Evaluation Wheezing	$530.46	$558.38	$126.38–$530.46	25% below	5%
Spirometry before and after a bronchodilator inpatient CPT 94060 Evaluation Wheezing	$530.46	$558.38	$294.27–$530.46	—	5%
Therapeutic activities (functional training), 15 minutes CPT 97530 PT Functional Activities	$88.93	$93.61	$21.19–$88.93	38% below	5%
Therapeutic activities (functional training), 15 minutes CPT 97530 PT Functional Activities Lymph	$88.93	$93.61	$21.19–$88.93	38% below	5%
Therapeutic activities (functional training), 15 minutes CPT 97530 OT Functional Activities	$88.93	$93.61	$21.19–$88.93	38% below	5%
Therapeutic activities (functional training), 15 minutes CPT 97530 OT Functional Activities Lymph	$88.93	$93.61	$21.19–$88.93	38% below	5%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT Functional Activities	$88.93	$93.61	$49.33–$88.93	—	5%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT Functional Activities	$88.93	$93.61	$49.33–$88.93	—	5%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT Functional Activities Lymph	$88.93	$93.61	$49.33–$88.93	—	5%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT Functional Activities Lymph	$88.93	$93.61	$49.33–$88.93	—	5%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Therapeutic Phlebotomy	$149.10	$156.95	$35.38–$149.10	47% below	5%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Therapeutic Phlebotomy	$149.10	$156.95	$82.71–$149.10	—	5%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Massachusetts	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 Flu Vacc IIV3 Adjuvant IM	$348.89	$367.25	$83.12–$348.89	147% above	5%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 AMB Flu Vacc IIV3 Adjuvant IM - Professional Charg	$367.65	$387.00	$87.59–$367.65	160% above	5%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 Flu Vacc IIV3 Adjuvant IM	$379.82	$399.81	$210.70–$379.82	—	5%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 SARSCOV2 50 MCG/.5ml MDRNA	$708.38	$745.66	$161.65–$708.38	196% above	5%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 SARSCOV2 50 MCG/.5ml MDRNA	$708.38	$745.66	$392.96–$708.38	—	5%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 SARSCV2 VAC 30MCG TRS-SC	$634.19	$667.57	$151.08–$634.19	55% above	5%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 SARSCV2 VAC 30MCG TRS-SC	$697.35	$734.05	$386.84–$697.35	—	5%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Varicella Virus Vaccine Subq	$623.09	$655.88	$71.02–$623.09	61% above	5%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 Varicella Virus Vaccine Subq	$623.09	$655.88	$345.65–$623.09	—	5%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DTap Vacc <7yrs IM	$154.28	$162.40	$24.28–$154.28	140% above	5%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DTap Vacc <7yrs IM	$154.28	$162.40	$85.58–$154.28	—	5%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Flu Vacc IIV3 PF 0.5ml IM	$165.35	$174.05	$23.22–$165.35	216% above	5%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 AMB Flu Vacc IIV3 PF 0.5ml IM - Professional Charg	$166.25	$175.00	$23.22–$166.25	218% above	5%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Flu Vacc IIV3 PF 0.5ml IM	$165.52	$174.23	$91.82–$165.52	—	5%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 Hepatitis A B Vacc 1ml syr	$548.02	$576.86	$88.78–$548.02	126% above	5%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 Hepatitis A B Vacc 1ml syr	$548.02	$576.86	$304.01–$548.02	—	5%
Hepatitis A vaccine, adult dose CPT 90632 Hep A Vacc VAQTA 1ml	$371.09	$390.62	$75.74–$371.09	117% above	5%
Hepatitis A vaccine, adult dose inpatient CPT 90632 Hep A Vacc VAQTA 1ml	$371.09	$390.62	$205.86–$371.09	—	5%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepatitis B Vac 20mcg/ml Adult - Professional Char	$187.15	$197.00	$44.58–$187.15	40% above	5%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hep B Vac 20mcg/ml Home Trn	$356.57	$375.34	$81.52–$356.57	166% above	5%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepatitis B Vac 20mcg/ml Adult	$356.57	$375.34	$81.52–$356.57	166% above	5%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Hep B Vac 20mcg/ml Home Trn	$356.57	$375.34	$197.80–$356.57	—	5%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Hepatitis B Vac 20mcg/ml Adult	$356.57	$375.34	$197.80–$356.57	—	5%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 Hepatitis B-CPG Vacc 20mcg/0.5	$704.17	$741.23	$167.75–$741.23	123% above	5%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 Hepatitis B-CPG Vacc 20mcg/0.5	$704.17	$741.23	$390.63–$704.17	—	5%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HIB PRP-T Vacc 4 Dose IM	$146.71	$154.43	$13.68–$146.71	414% above	5%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HIB PRP-T Vacc 4 Dose IM	$146.71	$154.43	$81.38–$146.71	—	5%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 AMB Flu Vacc PF Quad Inc Antig - Professional Char	$380.95	$401.00	$90.75–$380.95	74% above	5%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR Vacc Live SC	$507.78	$534.50	$48.56–$507.78	175% above	5%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MMR Vacc Live SC	$507.78	$534.50	$281.68–$507.78	—	5%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Meningococcal Vacc(Menacwy) Im - Professional Char	$230.85	$243.00	$55.00–$284.46	15% below	5%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Meningococcal Vacc(Menacwy) Im	$598.37	$629.86	$142.55–$598.37	120% above	5%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 Meningococcal Vacc(Menacwy) Im	$598.37	$629.86	$331.94–$598.37	—	5%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENB-4C Vacc 2 Dose IM	$736.71	$775.48	$175.51–$736.71	61% above	5%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENB-4C Vacc 2 Dose IM	$736.71	$775.48	$408.68–$736.71	—	5%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 Pneumocal Vacc 13 Val IM	$999.69	$1,052.31	$238.16–$999.69	82% above	5%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 Pneumocal Vacc 13 Val IM	$999.69	$1,052.31	$554.57–$999.69	—	5%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 BMC PVC20 Vacc IM	$1,133.76	$1,193.43	$270.10–$1,133.76	101% above	5%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 BMC PVC20 Vacc IM	$1,133.76	$1,193.43	$628.94–$1,133.76	—	5%
Pneumonia vaccine, 21-valent conjugate (Capvaxive) CPT 90684 PCV21 (Capvaxive) Vacc IM	$1,067.90	$1,124.10	$254.40–$1,067.90	23% above	5%
Pneumonia vaccine, 21-valent conjugate (Capvaxive) CPT 90684 AMB PCV21 (Capvaxive) Vacc IM - Professional Charg	$1,076.35	$1,133.00	$256.42–$1,076.35	24% above	5%
Pneumonia vaccine, 21-valent conjugate (Capvaxive) inpatient CPT 90684 PCV21 (Capvaxive) Vacc IM	$1,067.90	$1,124.10	$592.40–$1,067.90	—	5%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PPSV23 Vacc 2yr Subq/IM	$642.16	$675.96	$133.48–$642.16	131% above	5%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PPSV23 Vacc 2yr Subq/IM HT	$642.16	$675.96	$133.48–$642.16	131% above	5%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PPSV23 Vacc 2yr Subq/IM HT	$642.16	$675.96	$356.23–$642.16	—	5%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PPSV23 Vacc 2yr Subq/IM	$642.16	$675.96	$356.23–$642.16	—	5%
Polio vaccine, inactivated (IPV) CPT 90713 Poliovirus Vac Inactiv Subq/Im - Professional Char	$57.00	$60.00	$13.58–$57.00	37% below	5%
Polio vaccine, inactivated (IPV) CPT 90713 Poliovirus Vac Inactiv Subq/Im	$1,727.71	$1,818.64	$27.53–$1,727.71	1801% above	5%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 Poliovirus Vac Inactiv Subq/Im	$1,727.71	$1,818.64	$958.42–$1,727.71	—	5%
Rabies vaccine, one dose CPT 90675 Rabies Vacc (Rabavert) 2.5u/mL	$1,774.28	$1,867.66	$331.98–$1,774.28	97% above	5%
Rabies vaccine, one dose inpatient CPT 90675 Rabies Vacc (Rabavert) 2.5u/mL	$1,774.28	$1,867.66	$984.26–$1,774.28	—	5%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Zoster Vac Rcmbnnt (Shingrix) - Professional Charg	$197.60	$208.00	$47.07–$239.39	34% below	5%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Zoster Vac Rcmbnnt (Shingrix)	$726.85	$765.11	$173.16–$726.85	142% above	5%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 Zoster Vac Rcmbnnt (Shingrix)	$726.85	$765.11	$403.21–$726.85	—	5%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD Vacc PF >/7yrs IM	$322.01	$338.96	$40.66–$322.01	273% above	5%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TD Vacc PF >/7yrs IM	$322.01	$338.96	$178.63–$322.01	—	5%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP Vacc >/7yr IM	$294.98	$310.50	$40.29–$294.98	204% above	5%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP (Boostrix) 0.5ml	$405.96	$427.33	$40.29–$405.96	319% above	5%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP Vacc >/7yr IM	$294.98	$310.50	$163.63–$294.98	—	5%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP (Boostrix) 0.5ml	$405.96	$427.33	$225.20–$405.96	—	5%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VFC Admin Pneumo	$22.13	$23.29	$5.27–$22.13	80% below	5%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VFC Adm Vacc 1 or Combo w/Tox	$22.13	$23.29	$5.27–$22.13	80% below	5%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VFC Admin Hep B	$22.13	$23.29	$5.27–$22.13	80% below	5%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VFC Admin Flu	$22.13	$23.29	$5.27–$22.13	80% below	5%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Adm Vacc Flu	$205.37	$216.18	$48.92–$205.37	87% above	5%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Adm Vacc 1 or Combo w/Tox	$205.37	$216.18	$48.92–$205.37	87% above	5%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Adm Vacc Pneumococcal	$205.37	$216.18	$48.92–$205.37	87% above	5%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Adm Vacc Hep B	$205.37	$216.18	$48.92–$205.37	87% above	5%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VFC Admin Hep B	$22.13	$23.29	$12.27–$22.13	—	5%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VFC Admin Flu	$22.13	$23.29	$12.27–$22.13	—	5%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VFC Adm Vacc 1 or Combo w/Tox	$22.13	$23.29	$12.27–$22.13	—	5%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VFC Admin Pneumo	$22.13	$23.29	$12.27–$22.13	—	5%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Adm Vacc Flu	$205.37	$216.18	$113.93–$205.37	—	5%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Adm Vacc Pneumococcal	$205.37	$216.18	$113.93–$205.37	—	5%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Adm Vacc Hep B	$205.37	$216.18	$113.93–$205.37	—	5%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Adm Vacc 1 or Combo w/Tox	$205.37	$216.18	$113.93–$205.37	—	5%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 VFC Admin Imm ea Add l Vac	$22.13	$23.29	$5.27–$22.13	55% below	5%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Admin Imm ea Add l Vac	$42.48	$44.72	$10.13–$42.48	14% below	5%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 VFC Admin Imm ea Add l Vac	$22.13	$23.29	$12.27–$22.13	—	5%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Admin Imm ea Add l Vac	$42.48	$44.72	$23.57–$42.48	—	5%

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://bhs-publicdownload.s3.us-east-1.amazonaws.com/Public/932484732_North-Adams-Regional-Hospital_StandardCharges.csv