Marshfield Medical Center - Park Falls
Marshfield Medical Center - Park Falls in Park Falls, WI publishes cash prices for 428 common procedures listed here, from its own machine-readable price file updated Feb 20, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Wisconsin median for 286 of 425 procedures and below it for 109. By typical cash price it ranks #90 of 103 Wisconsin hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.
98 Sherry Avenue, Park Falls, WI 54552 Collected Sep 27, 2026 Source price file Check a bill from this hospital (715) 762-7500
Critical access hospital (rural, 25 beds or fewer) Nonprofit hospital Emergency department CMS star rating 3 of 5 CCN 521325 · CMS hospital register NPI 1700963048
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
Marshfield Medical Center - Park Falls is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.
You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.
Source: IRS, section 501(r) requirements for nonprofit hospitals.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Wisconsin | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN WO/W CNTRST-TECH | $4,551.45 | $4,791.00 | $17.73–$4,666.43 | 91% above | 5% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABDOMEN WO/W CNTRST-TECH | $4,551.45 | $4,791.00 | $2,635.05–$4,666.43 | — | 5% |
| Abdominal X-ray, 2 views CPT 74019 XR ABDOMEN 2 VIEWS-TECH | $455.05 | $479.00 | $1.77–$466.55 | 90% above | 5% |
| Abdominal X-ray, 2 views inpatient CPT 74019 XR ABDOMEN 2 VIEWS-TECH | $455.05 | $479.00 | $263.45–$466.55 | — | 5% |
| Ankle X-ray, complete, 3 or more views CPT 73610 XR ANKLE COMPLT MIN 3 VWS-TECH | $464.55 | $489.00 | $1.81–$476.29 | 97% above | 5% |
| Ankle X-ray, complete, 3 or more views CPT 73610 RADIOLOGIC EXAMINATION ANKLE COMPLETE MINIMUM OF 3 VIEWS-TECH | $464.55 | $489.00 | $1.81–$476.29 | 97% above | 5% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 RADIOLOGIC EXAMINATION ANKLE COMPLETE MINIMUM OF 3 VIEWS-TECH | $464.55 | $489.00 | $268.95–$476.29 | — | 5% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 XR ANKLE COMPLT MIN 3 VWS-TECH | $464.55 | $489.00 | $268.95–$476.29 | — | 5% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 TRANSCUTANEOUS 02 MONITOR | $885.40 | $932.00 | $3.45–$907.77 | 130% above | 5% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 TRANSCUTANEOUS 02 MONITOR | $885.40 | $932.00 | $512.60–$907.77 | — | 5% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT UPPER EXT WO CNTRST-TECH | $2,805.35 | $2,953.00 | $10.93–$2,876.22 | 95% above | 5% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT UPPER EXT WO CNTRST-TECH | $2,805.35 | $2,953.00 | $1,624.15–$2,876.22 | — | 5% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPHAGRAM-TECH | $722.95 | $761.00 | $2.82–$741.21 | 36% above | 5% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR ESOPHAGRAM-TECH | $722.95 | $761.00 | $418.55–$741.21 | — | 5% |
| Bone scan, whole body (nuclear medicine) CPT 78306 BONE &/OR JT IMAGING WHOLE BODY-TECH | $2,573.55 | $2,709.00 | $10.02–$2,638.57 | 73% above | 5% |
| Bone scan, whole body (nuclear medicine) CPT 78306 BONE IMAGING;WHOLE -TECH | $2,573.55 | $2,709.00 | $10.02–$2,638.57 | 73% above | 5% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 BONE &/OR JT IMAGING WHOLE BODY-TECH | $2,573.55 | $2,709.00 | $1,489.95–$2,638.57 | — | 5% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 BONE IMAGING;WHOLE -TECH | $2,573.55 | $2,709.00 | $1,489.95–$2,638.57 | — | 5% |
| Breast ultrasound, complete, one breast one side CPT 76641 US BREAST UNILATERAL COMPLT-TECH | $789.45 | $831.00 | $3.07–$809.39 | 49% above | 5% |
| Breast ultrasound, complete, one breast one side CPT 76641 U.S.BREAST,UNILATERAL;COMPLETE-TECH | $789.45 | $831.00 | $3.07–$809.39 | 49% above | 5% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 U.S.BREAST,UNILATERAL;COMPLETE-TECH | $789.45 | $831.00 | $457.05–$809.39 | — | 5% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST UNILATERAL COMPLT-TECH | $789.45 | $831.00 | $457.05–$809.39 | — | 5% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST UNILATERAL LIMITED-TECH | $608.95 | $641.00 | $2.37–$624.33 | 55% above | 5% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST UNILATERAL LIMITED-TECH | $608.95 | $641.00 | $352.55–$624.33 | — | 5% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA/CTV ABD/PELV W IMG POST PROC-TECH | $7,482.20 | $7,876.00 | $29.14–$7,671.22 | 146% above | 5% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA/CTV ABD/PELV W IMG POST PROC-TECH | $7,482.20 | $7,876.00 | $4,331.80–$7,671.22 | — | 5% |
| CT angiography (CTA) of the head CPT 70496 CTA/CTV HEAD INCL IMG POST-PROC-TECH | $4,648.35 | $4,893.00 | $18.10–$4,765.78 | 124% above | 5% |
| CT angiography (CTA) of the head CPT 70496 COMPUTED TOMOGRAPHIC ANGIOGRAPHY HEAD WITH CONTRAST MATERIAL(S) INCLUDING NONCONTRAST IMAGES IF PERFORMED AND IMAGE POSTPROCESSING | $4,648.35 | $4,893.00 | $18.10–$4,765.78 | 124% above | 5% |
| CT angiography (CTA) of the head inpatient CPT 70496 CTA/CTV HEAD INCL IMG POST-PROC-TECH | $4,648.35 | $4,893.00 | $2,691.15–$4,765.78 | — | 5% |
| CT angiography (CTA) of the head inpatient CPT 70496 COMPUTED TOMOGRAPHIC ANGIOGRAPHY HEAD WITH CONTRAST MATERIAL(S) INCLUDING NONCONTRAST IMAGES IF PERFORMED AND IMAGE POSTPROCESSING | $4,648.35 | $4,893.00 | $2,691.15–$4,765.78 | — | 5% |
| CT angiography (CTA) of the neck CPT 70498 COMPUTED TOMOGRAPHIC ANGIOGRAPHY NECK WITH CONTRAST MATERIAL(S) INCLUDING NONCONTRAST IMAGES IF PERFORMED AND IMAGE POSTPROCESSING | $4,648.35 | $4,893.00 | $18.10–$4,765.78 | 129% above | 5% |
| CT angiography (CTA) of the neck CPT 70498 CTA/CTV NECK INCL IMG POST-PROC-TECH | $4,648.35 | $4,893.00 | $18.10–$4,765.78 | 129% above | 5% |
| CT angiography (CTA) of the neck inpatient CPT 70498 CTA/CTV NECK INCL IMG POST-PROC-TECH | $4,648.35 | $4,893.00 | $2,691.15–$4,765.78 | — | 5% |
| CT angiography (CTA) of the neck inpatient CPT 70498 COMPUTED TOMOGRAPHIC ANGIOGRAPHY NECK WITH CONTRAST MATERIAL(S) INCLUDING NONCONTRAST IMAGES IF PERFORMED AND IMAGE POSTPROCESSING | $4,648.35 | $4,893.00 | $2,691.15–$4,765.78 | — | 5% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA-PULM INCL IMAGE POST PROCED | $4,551.45 | $4,791.00 | $17.73–$4,666.43 | 124% above | 5% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 COMPUTED TOMOGRAPHIC ANGIOGRAPHY CHEST (NONCORONARY) WITH CONTRAST MATERIAL(S) INCLUDING NONCONTRAST IMAGES IF PERFORMED AND IMAGE POSTPROCESSING | $4,551.45 | $4,791.00 | $17.73–$4,666.43 | 124% above | 5% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHST WO/W CNTRST POST PROC-TECH | $4,551.45 | $4,791.00 | $17.73–$4,666.43 | 124% above | 5% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHST WO/W CNTRST POST PROC-TECH | $4,551.45 | $4,791.00 | $2,635.05–$4,666.43 | — | 5% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 COMPUTED TOMOGRAPHIC ANGIOGRAPHY CHEST (NONCORONARY) WITH CONTRAST MATERIAL(S) INCLUDING NONCONTRAST IMAGES IF PERFORMED AND IMAGE POSTPROCESSING | $4,551.45 | $4,791.00 | $2,635.05–$4,666.43 | — | 5% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA-PULM INCL IMAGE POST PROCED | $4,551.45 | $4,791.00 | $2,635.05–$4,666.43 | — | 5% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CTA HRT ART/GRFT W CNTRST 3D IMG-TECH | $2,621.05 | $2,759.00 | $10.21–$2,687.27 | 50% above | 5% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CTA HRT ART/GRFT W CNTRST 3D IMG-TECH | $2,621.05 | $2,759.00 | $1,517.45–$2,687.27 | — | 5% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HRT WO CNTRST W QUANT EVAL-TECH | $1,712.85 | $1,803.00 | $6.67–$1,756.12 | 2562% above | 5% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT-HEART,W/O CONTR,QUANT EVAL-TECH | $1,712.85 | $1,803.00 | $6.67–$1,756.12 | 2562% above | 5% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT-HEART,W/O CONTR,QUANT EVAL-TECH | $1,712.85 | $1,803.00 | $991.65–$1,756.12 | — | 5% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT HRT WO CNTRST W QUANT EVAL-TECH | $1,712.85 | $1,803.00 | $991.65–$1,756.12 | — | 5% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN/PELVIS WO CNTRST-TECH | $3,886.45 | $4,091.00 | $15.14–$3,984.63 | 55% above | 5% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABDOMEN/PELVIS WO CNTRST-TECH | $3,886.45 | $4,091.00 | $2,250.05–$3,984.63 | — | 5% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN/PELVIS W CNTRST-TECH | $5,369.40 | $5,652.00 | $20.91–$5,505.05 | 67% above | 5% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN/PELVIS W CNTRST-TECH | $5,369.40 | $5,652.00 | $3,108.60–$5,505.05 | — | 5% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN/PELVIS WO/W CNTRST-TECH | $6,504.65 | $6,847.00 | $25.33–$6,668.98 | 76% above | 5% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABDOMEN/PELVIS WO/W CNTRST-TECH | $6,504.65 | $6,847.00 | $3,765.85–$6,668.98 | — | 5% |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W CNTRST-TECH | $4,559.05 | $4,799.00 | $17.76–$4,674.23 | 178% above | 5% |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W CNTRST-TECH | $4,559.05 | $4,799.00 | $2,639.45–$4,674.23 | — | 5% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN WO CNRST-TECH | $2,511.80 | $2,644.00 | $9.78–$2,575.26 | 99% above | 5% |
| CT scan of the abdomen without contrast CPT 74150 CT-ABDOMEN W/O CONTRAST | $2,511.80 | $2,644.00 | $9.78–$2,575.26 | 99% above | 5% |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN WO CNRST-TECH | $2,511.80 | $2,644.00 | $1,454.20–$2,575.26 | — | 5% |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT-ABDOMEN W/O CONTRAST | $2,511.80 | $2,644.00 | $1,454.20–$2,575.26 | — | 5% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL WO CNTRST-TECH | $2,487.10 | $2,618.00 | $9.69–$2,549.93 | 79% above | 5% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL WO CNTRST-TECH | $2,487.10 | $2,618.00 | $1,439.90–$2,549.93 | — | 5% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD OR BRAIN WO CNTRST-TECH | $2,081.45 | $2,191.00 | $8.11–$2,134.03 | 62% above | 5% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD OR BRAIN WO CNTRST-TECH | $2,081.45 | $2,191.00 | $1,205.05–$2,134.03 | — | 5% |
| CT scan of the head with contrast CPT 70460 CT-HEAD;W/CONTRAST-TECH | $1,957.00 | $2,060.00 | $7.62–$2,006.44 | 27% above | 5% |
| CT scan of the head with contrast CPT 70460 CT HEAD OR BRAIN W CNTRST-TECH | $1,957.00 | $2,060.00 | $7.62–$2,006.44 | 27% above | 5% |
| CT scan of the head with contrast inpatient CPT 70460 CT-HEAD;W/CONTRAST-TECH | $1,957.00 | $2,060.00 | $1,133.00–$2,006.44 | — | 5% |
| CT scan of the head with contrast inpatient CPT 70460 CT HEAD OR BRAIN W CNTRST-TECH | $1,957.00 | $2,060.00 | $1,133.00–$2,006.44 | — | 5% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD OR BRAIN WO/W CNTRST-TECH | $2,358.85 | $2,483.00 | $9.19–$2,418.44 | 28% above | 5% |
| CT scan of the head without and with contrast CPT 70470 CT-HEAD W/WO CONTRAST-TECH | $2,358.85 | $2,483.00 | $9.19–$2,418.44 | 28% above | 5% |
| CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD OR BRAIN WO/W CNTRST-TECH | $2,358.85 | $2,483.00 | $1,365.65–$2,418.44 | — | 5% |
| CT scan of the head without and with contrast inpatient CPT 70470 CT-HEAD W/WO CONTRAST-TECH | $2,358.85 | $2,483.00 | $1,365.65–$2,418.44 | — | 5% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SPINE LUMBAR WO CNTRST-TECH | $2,649.55 | $2,789.00 | $10.32–$2,716.49 | 72% above | 5% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT SPINE LUMBAR WO CNTRST-TECH | $2,649.55 | $2,789.00 | $1,533.95–$2,716.49 | — | 5% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SPINE CERVICAL WO CNTRST-TECH | $2,726.50 | $2,870.00 | $10.62–$2,795.38 | 77% above | 5% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT SPINE CERVICAL WO CNTRST-TECH | $2,726.50 | $2,870.00 | $1,578.50–$2,795.38 | — | 5% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT-PELVIS W/CONTRAST SI JOINTS | $3,992.85 | $4,203.00 | $15.55–$4,093.72 | 143% above | 5% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT-PELVIS W/CONTRAST SI JOINTS | $3,992.85 | $4,203.00 | $2,311.65–$4,093.72 | — | 5% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 DUP SCAN EXTCR ART COMPL BI-TECH | $2,525.10 | $2,658.00 | $9.83–$2,588.89 | — | 5% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 DUP SCAN EXTCR ART COMPL BI-TECH | $2,525.10 | $2,658.00 | $1,461.90–$2,588.89 | — | 5% |
| Chest CT scan without and with contrast CPT 71270 STERNOCLAV JNTS W/WO CNT CT-DX-TECH | $3,147.35 | $3,313.00 | $12.26–$3,226.86 | 37% above | 5% |
| Chest CT scan without and with contrast CPT 71270 CT THORAX WO/W CNTRST + SECTNS-TECH | $3,147.35 | $3,313.00 | $12.26–$3,226.86 | 37% above | 5% |
| Chest CT scan without and with contrast CPT 71270 CT-CHEST W/WO CONTRAST | $3,147.35 | $3,313.00 | $12.26–$3,226.86 | 37% above | 5% |
| Chest CT scan without and with contrast inpatient CPT 71270 CT-CHEST W/WO CONTRAST | $3,147.35 | $3,313.00 | $1,822.15–$3,226.86 | — | 5% |
| Chest CT scan without and with contrast inpatient CPT 71270 CT THORAX WO/W CNTRST + SECTNS-TECH | $3,147.35 | $3,313.00 | $1,822.15–$3,226.86 | — | 5% |
| Chest CT scan without and with contrast inpatient CPT 71270 STERNOCLAV JNTS W/WO CNT CT-DX-TECH | $3,147.35 | $3,313.00 | $1,822.15–$3,226.86 | — | 5% |
| Chest X-ray, 2 views CPT 71046 XR CHEST 2 VWS FRONTAL&LATL-TECH | $437.00 | $460.00 | $1.70–$448.04 | 104% above | 5% |
| Chest X-ray, 2 views inpatient CPT 71046 XR CHEST 2 VWS FRONTAL&LATL-TECH | $437.00 | $460.00 | $253.00–$448.04 | — | 5% |
| Chest X-ray, single view CPT 71045 XR CHEST 1 VW FRONTAL-TECH | $292.60 | $308.00 | $1.14–$299.99 | 81% above | 5% |
| Chest X-ray, single view inpatient CPT 71045 XR CHEST 1 VW FRONTAL-TECH | $292.60 | $308.00 | $169.40–$299.99 | — | 5% |
| Collarbone (clavicle) X-ray, complete CPT 73000 XR CLAVICAL COMPLT-TECH | $454.10 | $478.00 | $1.77–$465.57 | 119% above | 5% |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 XR CLAVICAL COMPLT-TECH | $454.10 | $478.00 | $262.90–$465.57 | — | 5% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US URINARY TRACT-TECH | $858.80 | $904.00 | $3.34–$880.50 | 56% above | 5% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US URINARY TRACT-TECH | $858.80 | $904.00 | $497.20–$880.50 | — | 5% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA/XR BN DENSITY AXIAL | $674.50 | $710.00 | $2.63–$691.54 | 69% above | 5% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BN DENSITY AXIAL | $674.50 | $710.00 | $2.63–$691.54 | 69% above | 5% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DXA BN DENSITY AXIAL | $674.50 | $710.00 | $390.50–$691.54 | — | 5% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DXA/XR BN DENSITY AXIAL | $674.50 | $710.00 | $390.50–$691.54 | — | 5% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA BN DENSITY FOREARM | $456.95 | $481.00 | $1.78–$468.49 | 62% above | 5% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DXA BN DENSITY FOREARM | $456.95 | $481.00 | $264.55–$468.49 | — | 5% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US OB EXTENDED-TECH | $947.15 | $997.00 | $3.69–$971.08 | 38% above | 5% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US OB EXTENDED-TECH | $947.15 | $997.00 | $548.35–$971.08 | — | 5% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX WO CNTRST-TECH | $2,533.65 | $2,667.00 | $9.87–$2,597.66 | 77% above | 5% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 LOW DOSE CT LUNG SURVEILLANCE-TECH | $2,533.65 | $2,667.00 | $9.87–$2,597.66 | 77% above | 5% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX WO CNTRST-TECH | $2,533.65 | $2,667.00 | $1,466.85–$2,597.66 | — | 5% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 LOW DOSE CT LUNG SURVEILLANCE-TECH | $2,533.65 | $2,667.00 | $1,466.85–$2,597.66 | — | 5% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 STERNOCLAV JNTS W CONT CT-DX-TECH | $3,382.95 | $3,561.00 | $13.18–$3,468.41 | 106% above | 5% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX W CNTRST-TECH | $3,382.95 | $3,561.00 | $13.18–$3,468.41 | 106% above | 5% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 STERNOCLAV JNTS W CONT CT-DX-TECH | $3,382.95 | $3,561.00 | $1,958.55–$3,468.41 | — | 5% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT THORAX W CNTRST-TECH | $3,382.95 | $3,561.00 | $1,958.55–$3,468.41 | — | 5% |
| Diagnostic mammogram, both breasts CPT 77066 77066 TC DIAG MAMMOGR CAD BIL-MOBILE | $654.55 | $689.00 | $2.55–$671.09 | 26% above | 5% |
| Diagnostic mammogram, both breasts inpatient CPT 77066 77066 TC DIAG MAMMOGR CAD BIL-MOBILE | $654.55 | $689.00 | $378.95–$671.09 | — | 5% |
| Diagnostic mammogram, one breast CPT 77065 77065 TC TECH DIAG MAMMOGR CAD UNIL-MOBILE | $529.15 | $557.00 | $2.06–$542.52 | 72% above | 5% |
| Diagnostic mammogram, one breast inpatient CPT 77065 77065 TC TECH DIAG MAMMOGR CAD UNIL-MOBILE | $529.15 | $557.00 | $306.35–$542.52 | — | 5% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 DUP SCAN LWR EXT ART BIL-TECH | $1,735.65 | $1,827.00 | $6.76–$1,779.50 | 201% above | 5% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 OUTREACH ARTERIAL SCAN-TECH TC | $1,735.65 | $1,827.00 | $6.76–$1,779.50 | 201% above | 5% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 DUPLX SCN LWR EXTRM ART BYP GR TC | $1,735.65 | $1,827.00 | $6.76–$1,779.50 | 201% above | 5% |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 DUPLX SCN LWR EXTRM ART BYP GR TC | $1,735.65 | $1,827.00 | $1,004.85–$1,779.50 | — | 5% |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 OUTREACH ARTERIAL SCAN-TECH TC | $1,735.65 | $1,827.00 | $1,004.85–$1,779.50 | — | 5% |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 DUP SCAN LWR EXT ART BIL-TECH | $1,735.65 | $1,827.00 | $1,004.85–$1,779.50 | — | 5% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 DUP SCAN EXT VEIN BIL-TECH | $2,134.65 | $2,247.00 | $8.31–$2,188.58 | 80% above | 5% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 DUP SCAN EXT VEIN BIL-TECH | $2,134.65 | $2,247.00 | $1,235.85–$2,188.58 | — | 5% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHOCARDIOGRAPHY,TRANSTHOR-TECH | $2,837.65 | $2,987.00 | $11.05–$2,909.34 | 62% above | 5% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO 2D COMPLT W DPLR-TECH | $2,837.65 | $2,987.00 | $11.05–$2,909.34 | 62% above | 5% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO 2D COMPLT W DPLR-TECH | $2,837.65 | $2,987.00 | $1,642.85–$2,909.34 | — | 5% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHOCARDIOGRAPHY,TRANSTHOR-TECH | $2,837.65 | $2,987.00 | $1,642.85–$2,909.34 | — | 5% |
| Elbow X-ray, 2 views CPT 73070 XR ELBOW 2 VWS-TECH | $341.05 | $359.00 | $1.33–$349.67 | 78% above | 5% |
| Elbow X-ray, 2 views CPT 73070 RADIOLOGIC EXAMINATION ELBOW 2 VIEWS | $341.05 | $359.00 | $1.33–$349.67 | 78% above | 5% |
| Elbow X-ray, 2 views inpatient CPT 73070 RADIOLOGIC EXAMINATION ELBOW 2 VIEWS | $341.05 | $359.00 | $197.45–$349.67 | — | 5% |
| Elbow X-ray, 2 views inpatient CPT 73070 XR ELBOW 2 VWS-TECH | $341.05 | $359.00 | $197.45–$349.67 | — | 5% |
| Elbow X-ray, complete, 3 or more views CPT 73080 XR ELBOW COMPLT MIN 3 VWS-TECH | $464.55 | $489.00 | $1.81–$476.29 | 97% above | 5% |
| Elbow X-ray, complete, 3 or more views CPT 73080 RADIOLOGIC EXAMINATION ELBOW COMPLETE MINIMUM OF 3 VIEWS | $464.55 | $489.00 | $1.81–$476.29 | 97% above | 5% |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 RADIOLOGIC EXAMINATION ELBOW COMPLETE MINIMUM OF 3 VIEWS | $464.55 | $489.00 | $268.95–$476.29 | — | 5% |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 XR ELBOW COMPLT MIN 3 VWS-TECH | $464.55 | $489.00 | $268.95–$476.29 | — | 5% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT ORB SEL P FOS EAR WO CNTRST-TECH | $2,865.20 | $3,016.00 | $11.16–$2,937.58 | 99% above | 5% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT ORB SEL P FOS EAR WO CNTRST-TECH | $2,865.20 | $3,016.00 | $1,658.80–$2,937.58 | — | 5% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 XR FACIAL BNS MIN 3 VWS-TECH | $676.40 | $712.00 | $2.63–$693.49 | 125% above | 5% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 XRAY/FACIAL BONES-4 VIEWS-TECH | $676.40 | $712.00 | $2.63–$693.49 | 125% above | 5% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 XRAY/FACIAL BONES-4 VIEWS-TECH | $676.40 | $712.00 | $391.60–$693.49 | — | 5% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 XR FACIAL BNS MIN 3 VWS-TECH | $676.40 | $712.00 | $391.60–$693.49 | — | 5% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 XR FOREARM 2 VWS -TECH | $437.95 | $461.00 | $1.71–$449.01 | 122% above | 5% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 RADIOLOGIC EXAMINATION FOREARM 2 VIEWS | $437.95 | $461.00 | $1.71–$449.01 | 122% above | 5% |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 XR FOREARM 2 VWS -TECH | $437.95 | $461.00 | $253.55–$449.01 | — | 5% |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 RADIOLOGIC EXAMINATION FOREARM 2 VIEWS | $437.95 | $461.00 | $253.55–$449.01 | — | 5% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY SYSTEM IMAG | $3,360.15 | $3,537.00 | $13.09–$3,445.04 | 127% above | 5% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY SYSTEM IMAGING-TECH | $3,360.15 | $3,537.00 | $13.09–$3,445.04 | 127% above | 5% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HEPATOBILIARY SYSTEM IMAGING-TECH | $3,360.15 | $3,537.00 | $1,945.35–$3,445.04 | — | 5% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HEPATOBILIARY SYSTEM IMAG | $3,360.15 | $3,537.00 | $1,945.35–$3,445.04 | — | 5% |
| Hand X-ray, 2 views CPT 73120 XR HAND 2 VWS-TECH | $341.05 | $359.00 | $1.33–$349.67 | 81% above | 5% |
| Hand X-ray, 2 views CPT 73120 RADIOLOGIC EXAMINATION HAND 2 VIEWS | $341.05 | $359.00 | $1.33–$349.67 | 81% above | 5% |
| Hand X-ray, 2 views inpatient CPT 73120 XR HAND 2 VWS-TECH | $341.05 | $359.00 | $197.45–$349.67 | — | 5% |
| Hand X-ray, 2 views inpatient CPT 73120 RADIOLOGIC EXAMINATION HAND 2 VIEWS | $341.05 | $359.00 | $197.45–$349.67 | — | 5% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 XR CALCANEUS MIN 2 VWS ASC ONLY -PROF | $433.20 | $456.00 | $1.69–$444.14 | 118% above | 5% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 XR CALCANEUS MIN 2 VWS ASC ONLY -PROF | $433.20 | $456.00 | $250.80–$444.14 | — | 5% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY; UNATTENDED-TECH | $1,167.55 | $1,229.00 | $4.55–$1,197.05 | 90% above | 5% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 SLEEP STUDY; UNATTENDED-TECH | $1,167.55 | $1,229.00 | $675.95–$1,197.05 | — | 5% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOM 6+YRS 4+PA W/CPAP-TECH | $5,745.60 | $6,048.00 | $22.38–$5,890.75 | 57% above | 5% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 PSG W/ATT>=6YR>=4P 6+HR SPLIT NGT TECH95811 | $5,745.60 | $6,048.00 | $22.38–$5,890.75 | 57% above | 5% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 PSG W/ATT>=6YR>=4P 6+HR SPLIT NGT TECH95811 | $5,745.60 | $6,048.00 | $3,326.40–$5,890.75 | — | 5% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 POLYSOM 6+YRS 4+PA W/CPAP-TECH | $5,745.60 | $6,048.00 | $3,326.40–$5,890.75 | — | 5% |
| Knee X-ray, 3 views CPT 73562 XR KNEE 3 VWS -PROF | $439.85 | $463.00 | $1.71–$450.96 | 73% above | 5% |
| Knee X-ray, 3 views inpatient CPT 73562 XR KNEE 3 VWS -PROF | $439.85 | $463.00 | $254.65–$450.96 | — | 5% |
| Knee X-ray, complete, 4 or more views CPT 73564 XR KNEE COMPLT >=4 VWS-TECH | $528.20 | $556.00 | $2.06–$541.54 | 91% above | 5% |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 XR KNEE COMPLT >=4 VWS-TECH | $528.20 | $556.00 | $305.80–$541.54 | — | 5% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT LWR EXT WO CNTRST-TECH | $2,649.55 | $2,789.00 | $10.32–$2,716.49 | 82% above | 5% |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT LWR EXT WO CNTRST-TECH | $2,649.55 | $2,789.00 | $1,533.95–$2,716.49 | — | 5% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMINAL LIMITED-TECH | $966.15 | $1,017.00 | $3.76–$990.56 | 117% above | 5% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMINAL LIMITED-TECH | $966.15 | $1,017.00 | $559.35–$990.56 | — | 5% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 U.S.EXTREMITY,NONVASC,R-T;LMTD-TECH | $380.00 | $400.00 | $1.48–$389.60 | 33% above | 5% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 76857 US PELVIC LTD SICU TC | $380.00 | $400.00 | $1.48–$389.60 | 33% above | 5% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US EXTREMITY NONVASC LTD-TECH | $380.00 | $400.00 | $1.48–$389.60 | 33% above | 5% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US EXTREMITY NONVASC LTD-TECH | $380.00 | $400.00 | $220.00–$389.60 | — | 5% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 76857 US PELVIC LTD SICU TC | $380.00 | $400.00 | $220.00–$389.60 | — | 5% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 U.S.EXTREMITY,NONVASC,R-T;LMTD-TECH | $380.00 | $400.00 | $220.00–$389.60 | — | 5% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LOW DOSE LUNG CANCER SCRN | $221.35 | $233.00 | $0.86–$226.94 | 50% below | 5% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT LOW DOSE LUNG CANCER SCRN | $221.35 | $233.00 | $128.15–$226.94 | — | 5% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 RADIOLOGIC EXAMINATION TIBIA AND FIBULA 2 VIEWS | $438.90 | $462.00 | $1.71–$449.99 | 106% above | 5% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 XR TIBIA/FIBULA 2 VWS -TECH | $438.90 | $462.00 | $1.71–$449.99 | 106% above | 5% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 XR TIBIA/FIBULA 2 VWS -TECH | $438.90 | $462.00 | $254.10–$449.99 | — | 5% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 RADIOLOGIC EXAMINATION TIBIA AND FIBULA 2 VIEWS | $438.90 | $462.00 | $254.10–$449.99 | — | 5% |
| MR angiography (MRA) of the head without contrast CPT 70544 MRA/MRV HEAD W/O CONTR | $4,712.95 | $4,961.00 | $18.36–$4,832.01 | 113% above | 5% |
| MR angiography (MRA) of the head without contrast CPT 70544 MRA/MRV HEAD WO CNTRST-TECH | $4,712.95 | $4,961.00 | $18.36–$4,832.01 | 113% above | 5% |
| MR angiography (MRA) of the head without contrast CPT 70544 MRV-HEAD W/O CONTRAST TC | $4,712.95 | $4,961.00 | $18.36–$4,832.01 | 113% above | 5% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA/MRV HEAD WO CNTRST-TECH | $4,712.95 | $4,961.00 | $2,728.55–$4,832.01 | — | 5% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA/MRV HEAD W/O CONTR | $4,712.95 | $4,961.00 | $2,728.55–$4,832.01 | — | 5% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRV-HEAD W/O CONTRAST TC | $4,712.95 | $4,961.00 | $2,728.55–$4,832.01 | — | 5% |
| MRI of both breasts, without and then with contrast dye CPT 77049 MRI-BREAST BIL W/WO CONTR/CAD | $5,016.95 | $5,281.00 | $19.54–$5,143.69 | 3% above | 5% |
| MRI of both breasts, without and then with contrast dye inpatient CPT 77049 MRI-BREAST BIL W/WO CONTR/CAD | $5,016.95 | $5,281.00 | $2,904.55–$5,143.69 | — | 5% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LWR EXT ANY JT WO CNTRST-TECH | $4,297.80 | $4,524.00 | $16.74–$4,406.38 | 94% above | 5% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI LWR EXT ANY JT WO CNTRST-TECH | $4,297.80 | $4,524.00 | $2,488.20–$4,406.38 | — | 5% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LWR EXT ANY JT WO/W CNTRST-TECH | $5,520.45 | $5,811.00 | $21.50–$5,659.91 | 62% above | 5% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI LWR EXT ANY JT WO/W CNTRST-TECH | $5,520.45 | $5,811.00 | $3,196.05–$5,659.91 | — | 5% |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN WO CNTRST-TECH | $3,861.75 | $4,065.00 | $15.04–$3,959.31 | 75% above | 5% |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN WO CNTRST-TECH | $3,861.75 | $4,065.00 | $2,235.75–$3,959.31 | — | 5% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ENTEROGRAPHY ABD | $7,169.65 | $7,547.00 | $27.92–$7,350.78 | 110% above | 5% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ENTEROGRAPHY ABD | $7,169.65 | $7,547.00 | $4,150.85–$7,350.78 | — | 5% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO CNTRST-TECH | $3,782.90 | $3,982.00 | $14.73–$3,878.47 | 71% above | 5% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN WO CNTRST-TECH | $3,782.90 | $3,982.00 | $2,190.10–$3,878.47 | — | 5% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN WO/W CNTRST + SEQ-TECH | $5,756.05 | $6,059.00 | $22.42–$5,901.47 | 69% above | 5% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN WO/W CNTRST + SEQ-TECH | $5,756.05 | $6,059.00 | $3,332.45–$5,901.47 | — | 5% |
| MRI of the lower back, no contrast dye CPT 72148 MRI SPINE LUMBAR WO CNTRST-TECH | $4,173.35 | $4,393.00 | $16.25–$4,278.78 | 89% above | 5% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI SPINE LUMBAR WO CNTRST-TECH | $4,173.35 | $4,393.00 | $2,416.15–$4,278.78 | — | 5% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI SPINE LUMB WO/W CNTRST +SEQ-PROF | $5,705.70 | $6,006.00 | $22.22–$5,849.84 | 67% above | 5% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI SPINE LUMB WO/W CNTRST +SEQ-PROF | $5,705.70 | $6,006.00 | $3,303.30–$5,849.84 | — | 5% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI SPINE THORACIC WO CNTRST-TECH | $3,624.25 | $3,815.00 | $14.12–$3,715.81 | 64% above | 5% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI SPINE THORACIC WO CNTRST-TECH | $3,624.25 | $3,815.00 | $2,098.25–$3,715.81 | — | 5% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI SPINE CERV WO/W CNTRST +SEQ-TECH | $6,439.10 | $6,778.00 | $25.08–$6,601.77 | 89% above | 5% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI SPINE CERV WO/W CNTRST +SEQ-TECH | $6,439.10 | $6,778.00 | $3,727.90–$6,601.77 | — | 5% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI SPINE CERVICAL WO CNTRST-TECH | $3,628.05 | $3,819.00 | $14.13–$3,719.71 | 64% above | 5% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI SPINE CERVICAL WO CNTRST-TECH | $3,628.05 | $3,819.00 | $2,100.45–$3,719.71 | — | 5% |
| MRI of the pelvis without and with contrast CPT 72197 MRI ENTEROGRAPHY PELVIS | $7,149.70 | $7,526.00 | $27.85–$7,330.32 | 109% above | 5% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI ENTEROGRAPHY PELVIS | $7,149.70 | $7,526.00 | $4,139.30–$7,330.32 | — | 5% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS WO CNTRST-TECH | $4,898.20 | $5,156.00 | $19.08–$5,021.94 | 122% above | 5% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI-PELVIS W/O CONTR MATERIAL | $4,898.20 | $5,156.00 | $19.08–$5,021.94 | 122% above | 5% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS WO CNTRST-TECH | $4,898.20 | $5,156.00 | $2,835.80–$5,021.94 | — | 5% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI-PELVIS W/O CONTR MATERIAL | $4,898.20 | $5,156.00 | $2,835.80–$5,021.94 | — | 5% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI UPR EXT ANY JT WO CNTRST-TECH | $4,090.70 | $4,306.00 | $15.93–$4,194.04 | 85% above | 5% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI UPR EXT ANY JT WO CNTRST-TECH | $4,090.70 | $4,306.00 | $2,368.30–$4,194.04 | — | 5% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR SPINE CERVICAL 4-5 VWS-PROF | $667.85 | $703.00 | $2.60–$684.72 | 108% above | 5% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 XR SPINE CERVICAL 4-5 VWS-PROF | $667.85 | $703.00 | $386.65–$684.72 | — | 5% |
| Neck soft tissue CT scan with contrast CPT 70491 CT SOFT TISSUE NECK W CNTRST-TECH | $3,446.60 | $3,628.00 | $13.42–$3,533.67 | 110% above | 5% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 CT SOFT TISSUE NECK W CNTRST-TECH | $3,446.60 | $3,628.00 | $1,995.40–$3,533.67 | — | 5% |
| Neck soft tissue CT scan without contrast CPT 70490 CT SOFT TISSUE NECK WO CNTRST-TECH | $2,315.15 | $2,437.00 | $9.02–$2,373.64 | 63% above | 5% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 CT SOFT TISSUE NECK WO CNTRST-TECH | $2,315.15 | $2,437.00 | $1,340.35–$2,373.64 | — | 5% |
| Neck soft tissue X-ray CPT 70360 RADIOLOGIC EXAMINATION NECK SOFT TISSUE | $437.00 | $460.00 | $1.70–$448.04 | 108% above | 5% |
| Neck soft tissue X-ray CPT 70360 XR NECK SOFT TISSUE-TECH | $437.00 | $460.00 | $1.70–$448.04 | 108% above | 5% |
| Neck soft tissue X-ray inpatient CPT 70360 RADIOLOGIC EXAMINATION NECK SOFT TISSUE | $437.00 | $460.00 | $253.00–$448.04 | — | 5% |
| Neck soft tissue X-ray inpatient CPT 70360 XR NECK SOFT TISSUE-TECH | $437.00 | $460.00 | $253.00–$448.04 | — | 5% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 MYOCARD PERF TOMOG MULT STDY-TECH | $5,067.30 | $5,334.00 | $19.74–$5,195.32 | 64% above | 5% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 MYOCARD PERF TOMOG MULT STUDY | $5,067.30 | $5,334.00 | $19.74–$5,195.32 | 64% above | 5% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCARD PERF SCAN MULTI | $5,067.30 | $5,334.00 | $19.74–$5,195.32 | 64% above | 5% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM MYOCARD PERF SCAN MULTI | $5,067.30 | $5,334.00 | $2,933.70–$5,195.32 | — | 5% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 MYOCARD PERF TOMOG MULT STUDY | $5,067.30 | $5,334.00 | $2,933.70–$5,195.32 | — | 5% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 MYOCARD PERF TOMOG MULT STDY-TECH | $5,067.30 | $5,334.00 | $2,933.70–$5,195.32 | — | 5% |
| OCT scan of the retina (optical coherence tomography) CPT 92134 SCANNING CMP OPH DX IM PST RET TC | $42.75 | $45.00 | $0.17–$43.83 | at median | 5% |
| OCT scan of the retina (optical coherence tomography) inpatient CPT 92134 SCANNING CMP OPH DX IM PST RET TC | $42.75 | $45.00 | $24.75–$43.83 | — | 5% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET/CT SK BASE TO MID-THIGH-TECH | $14,193.95 | $14,941.00 | $55.28–$14,552.53 | 234% above | 5% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET W CT SKULL BASE-MID-THIGH-TECH | $14,193.95 | $14,941.00 | $55.28–$14,552.53 | 234% above | 5% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET/CT SKULL-THIGH SUBS ENC | $14,193.95 | $14,941.00 | $55.28–$14,552.53 | 234% above | 5% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET/CT SK BASE TO MID-THIGH-TECH | $14,193.95 | $14,941.00 | $8,217.55–$14,552.53 | — | 5% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET/CT SKULL-THIGH SUBS ENC | $14,193.95 | $14,941.00 | $8,217.55–$14,552.53 | — | 5% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET W CT SKULL BASE-MID-THIGH-TECH | $14,193.95 | $14,941.00 | $8,217.55–$14,552.53 | — | 5% |
| Pelvic CT scan without contrast CPT 72192 CT-PELVIS W/O CONTR | $2,626.75 | $2,765.00 | $10.23–$2,693.11 | 106% above | 5% |
| Pelvic CT scan without contrast CPT 72192 CT PELVIS WO CNTRST-TECH | $2,626.75 | $2,765.00 | $10.23–$2,693.11 | 106% above | 5% |
| Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS WO CNTRST-TECH | $2,626.75 | $2,765.00 | $1,520.75–$2,693.11 | — | 5% |
| Pelvic CT scan without contrast inpatient CPT 72192 CT-PELVIS W/O CONTR | $2,626.75 | $2,765.00 | $1,520.75–$2,693.11 | — | 5% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 ECHO PELVIC NON OB LTD F/U-PROF | $705.85 | $743.00 | $2.75–$723.68 | 76% above | 5% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 ECHO PELVIC NON OB LTD F/U-PROF | $705.85 | $743.00 | $408.65–$723.68 | — | 5% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC NON OB COMPLT-TECH | $1,013.65 | $1,067.00 | $3.95–$1,039.26 | 93% above | 5% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC NON OB COMPLT-TECH | $1,013.65 | $1,067.00 | $586.85–$1,039.26 | — | 5% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB TRANSABD >=14 WKS SNGL-TECH | $1,116.25 | $1,175.00 | $4.35–$1,144.45 | 95% above | 5% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB TRANSABD >=14 WKS SNGL-TECH | $1,116.25 | $1,175.00 | $646.25–$1,144.45 | — | 5% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB TRANSABD < 14 WKS SNGL-TECH | $1,052.60 | $1,108.00 | $4.10–$1,079.19 | 105% above | 5% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB TRANSABD < 14 WKS SNGL-TECH | $1,052.60 | $1,108.00 | $609.40–$1,079.19 | — | 5% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 ECHO OB LIMITED >=1 FETUS-PROF | $953.80 | $1,004.00 | $3.71–$977.90 | 160% above | 5% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 ECHO OB LIMITED >=1 FETUS-PROF | $953.80 | $1,004.00 | $552.20–$977.90 | — | 5% |
| Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS UNILATERAL 2 VWS -TECH | $464.55 | $489.00 | $1.81–$476.29 | 107% above | 5% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR RIBS UNILATERAL 2 VWS -TECH | $464.55 | $489.00 | $268.95–$476.29 | — | 5% |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 XR RIBS UNI W PA CHEST MIN 3VWS-PROF | $567.15 | $597.00 | $2.21–$581.48 | 104% above | 5% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 XR RIBS UNI W PA CHEST MIN 3VWS-PROF | $567.15 | $597.00 | $328.35–$581.48 | — | 5% |
| Screening mammogram, both breasts one side CPT 77067 SCREENING MAMMOGRAPHY, UNILATERAL-TECH | $570.95 | $601.00 | $2.22–$585.37 | 112% above | 5% |
| Screening mammogram, both breasts inpatient one side CPT 77067 SCREENING MAMMOGRAPHY, UNILATERAL-TECH | $570.95 | $601.00 | $330.55–$585.37 | — | 5% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 XR SHLDR COMPLT MIN 2 VWS-TECH | $445.55 | $469.00 | $1.74–$456.81 | 90% above | 5% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 XR SHLDR COMPLT MIN 2 VWS-TECH | $445.55 | $469.00 | $257.95–$456.81 | — | 5% |
| Sinus X-ray, complete, 3 or more views CPT 70220 XR SINUSES/PNSL CMPLT MIN 3 VWS-TECH | $473.10 | $498.00 | $1.84–$485.05 | 79% above | 5% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 XR SINUSES/PNSL CMPLT MIN 3 VWS-TECH | $473.10 | $498.00 | $273.90–$485.05 | — | 5% |
| Skull X-ray, fewer than 4 views CPT 70250 XR SKULL <4 VWS-TECH | $497.80 | $524.00 | $1.94–$510.38 | 104% above | 5% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 XR SKULL <4 VWS-TECH | $497.80 | $524.00 | $288.20–$510.38 | — | 5% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOM 6+YRS 4+ PA-TECH | $5,755.10 | $6,058.00 | $22.41–$5,900.49 | 69% above | 5% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOM 6+YRS 4+ PA-TECH | $5,755.10 | $6,058.00 | $3,331.90–$5,900.49 | — | 5% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 ECHOCARDIOGRAPHY,ELEC MON-TECH | $2,189.75 | $2,305.00 | $8.53–$2,245.07 | 7% above | 5% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 ECHO STRESS W ECG MONITOR | $2,189.75 | $2,305.00 | $8.53–$2,245.07 | 7% above | 5% |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 ECHO STRESS W ECG MONITOR | $2,189.75 | $2,305.00 | $1,267.75–$2,245.07 | — | 5% |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 ECHOCARDIOGRAPHY,ELEC MON-TECH | $2,189.75 | $2,305.00 | $1,267.75–$2,245.07 | — | 5% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 XR SWALLOWING FUNC W VIDEO-TECH | $1,105.80 | $1,164.00 | $4.31–$1,133.74 | 142% above | 5% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 XR SWALLOWING FUNC W VIDEO-TECH | $1,105.80 | $1,164.00 | $640.20–$1,133.74 | — | 5% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 XRAY/FEMUR MIN 2 VWS-ASC ONLY | $464.55 | $489.00 | $1.81–$476.29 | 89% above | 5% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 XR FEMUR MIN 2 VWS -TECH | $464.55 | $489.00 | $1.81–$476.29 | 89% above | 5% |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 XR FEMUR MIN 2 VWS -TECH | $464.55 | $489.00 | $268.95–$476.29 | — | 5% |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 XRAY/FEMUR MIN 2 VWS-ASC ONLY | $464.55 | $489.00 | $268.95–$476.29 | — | 5% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT SPINE THORACIC WO CNTRST-TECH | $2,202.10 | $2,318.00 | $8.58–$2,257.73 | 43% above | 5% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT-T SPINE W/O CONTRAST | $2,202.10 | $2,318.00 | $8.58–$2,257.73 | 43% above | 5% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT SPINE THORACIC WO CNTRST-TECH | $2,202.10 | $2,318.00 | $1,274.90–$2,257.73 | — | 5% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT-T SPINE W/O CONTRAST | $2,202.10 | $2,318.00 | $1,274.90–$2,257.73 | — | 5% |
| Toe X-ray, 2 or more views CPT 73660 XR TOES MIN 2 VWS ASC ONLY-PROF | $253.65 | $267.00 | $0.99–$260.06 | 26% above | 5% |
| Toe X-ray, 2 or more views inpatient CPT 73660 XR TOES MIN 2 VWS ASC ONLY-PROF | $253.65 | $267.00 | $146.85–$260.06 | — | 5% |
| Transvaginal pelvic ultrasound CPT 76830 US FOLLICLE STUDY IVT INFERTILITY-TECH | $979.45 | $1,031.00 | $3.81–$1,004.19 | 109% above | 5% |
| Transvaginal pelvic ultrasound CPT 76830 US PELVIS TRANSVAGINAL-TECH | $979.45 | $1,031.00 | $3.81–$1,004.19 | 109% above | 5% |
| Transvaginal pelvic ultrasound CPT 76830 ULTRASOUND TRANSVAGINAL | $979.45 | $1,031.00 | $3.81–$1,004.19 | 109% above | 5% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US PELVIS TRANSVAGINAL-TECH | $979.45 | $1,031.00 | $567.05–$1,004.19 | — | 5% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US FOLLICLE STUDY IVT INFERTILITY-TECH | $979.45 | $1,031.00 | $567.05–$1,004.19 | — | 5% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 ULTRASOUND TRANSVAGINAL | $979.45 | $1,031.00 | $567.05–$1,004.19 | — | 5% |
| Transvaginal ultrasound during pregnancy CPT 76817 US OB TRANSVAGINAL-TECH | $760.95 | $801.00 | $2.96–$780.17 | 94% above | 5% |
| Transvaginal ultrasound during pregnancy CPT 76817 CAT-US OB TRANSVAGINAL-TECH | $760.95 | $801.00 | $2.96–$780.17 | 94% above | 5% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB TRANSVAGINAL-TECH | $760.95 | $801.00 | $440.55–$780.17 | — | 5% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 CAT-US OB TRANSVAGINAL-TECH | $760.95 | $801.00 | $440.55–$780.17 | — | 5% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMINAL COMPLT-TECH | $1,211.25 | $1,275.00 | $4.72–$1,241.85 | 78% above | 5% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMINAL COMPLT-TECH | $1,211.25 | $1,275.00 | $701.25–$1,241.85 | — | 5% |
| Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM & CONTENTS-TECH | $923.40 | $972.00 | $3.60–$946.73 | 87% above | 5% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM & CONTENTS-TECH | $923.40 | $972.00 | $534.60–$946.73 | — | 5% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SFT TISS HEAD & NECK-TECH | $984.20 | $1,036.00 | $3.83–$1,009.06 | 93% above | 5% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US SFT TISS HEAD & NECK-TECH | $984.20 | $1,036.00 | $569.80–$1,009.06 | — | 5% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UPPER GI TRACT WO KUB-TECH | $861.65 | $907.00 | $3.36–$883.42 | 26% above | 5% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR UPPER GI TRACT WO KUB-TECH | $861.65 | $907.00 | $498.85–$883.42 | — | 5% |
| Upper arm X-ray (humerus), 2 views CPT 73060 XR HUMERUS MIN 2 VWS-TECH | $413.25 | $435.00 | $1.61–$423.69 | 97% above | 5% |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 XR HUMERUS MIN 2 VWS-TECH | $413.25 | $435.00 | $239.25–$423.69 | — | 5% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 DUP EXT VNS UNIL/LIMITED STUDY | $1,361.35 | $1,433.00 | $5.30–$1,395.74 | 90% above | 5% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 76937 US GUID VASC ACCESS SICU TC | $1,361.35 | $1,433.00 | $5.30–$1,395.74 | 90% above | 5% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 DUP SCAN EXT VEIN UNI/LTD-TECH | $1,361.35 | $1,433.00 | $5.30–$1,395.74 | 90% above | 5% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 DUP SCAN EXT VEIN UNI/LTD-TECH | $1,361.35 | $1,433.00 | $788.15–$1,395.74 | — | 5% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 76937 US GUID VASC ACCESS SICU TC | $1,361.35 | $1,433.00 | $788.15–$1,395.74 | — | 5% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 DUP EXT VNS UNIL/LIMITED STUDY | $1,361.35 | $1,433.00 | $788.15–$1,395.74 | — | 5% |
| Wrist X-ray, 2 views CPT 73100 XR WRIST 2 VWS-TECH | $341.05 | $359.00 | $1.33–$349.67 | 58% above | 5% |
| Wrist X-ray, 2 views CPT 73100 RADIOLOGIC EXAMINATION WRIST 2 VIEWS | $341.05 | $359.00 | $1.33–$349.67 | 58% above | 5% |
| Wrist X-ray, 2 views inpatient CPT 73100 XR WRIST 2 VWS-TECH | $341.05 | $359.00 | $197.45–$349.67 | — | 5% |
| Wrist X-ray, 2 views inpatient CPT 73100 RADIOLOGIC EXAMINATION WRIST 2 VIEWS | $341.05 | $359.00 | $197.45–$349.67 | — | 5% |
| Wrist X-ray, complete, 3 or more views CPT 73110 XR WRIST COMPLT MIN 3 VWS NAVICULAR 14438-PROF | $464.55 | $489.00 | $1.81–$476.29 | 83% above | 5% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 XR WRIST COMPLT MIN 3 VWS NAVICULAR 14438-PROF | $464.55 | $489.00 | $268.95–$476.29 | — | 5% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 XR HIP W PELVIS UNI 2-3 VWS-TECH | $413.25 | $435.00 | $1.61–$423.69 | 42% above | 5% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 XR HIP W PELVIS UNI 2-3 VWS-TECH | $413.25 | $435.00 | $239.25–$423.69 | — | 5% |
| X-ray of the abdomen, 1 view CPT 74018 XRAY/ABDOMEN,1 VIEW | $437.00 | $460.00 | $1.70–$448.04 | 108% above | 5% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XRAY/ABDOMEN,1 VIEW | $437.00 | $460.00 | $253.00–$448.04 | — | 5% |
| X-ray of the ankle, 2 views CPT 73600 XR ANKLE 2 VWS-TECH | $341.05 | $359.00 | $1.33–$349.67 | 71% above | 5% |
| X-ray of the ankle, 2 views CPT 73600 RADIOLOGIC EXAMINATION ANKLE 2 VIEWS | $341.05 | $359.00 | $1.33–$349.67 | 71% above | 5% |
| X-ray of the ankle, 2 views CPT 73600 XRAY/ANKLE,AP AND LATERAL-TECH | $341.05 | $359.00 | $1.33–$349.67 | 71% above | 5% |
| X-ray of the ankle, 2 views inpatient CPT 73600 RADIOLOGIC EXAMINATION ANKLE 2 VIEWS | $341.05 | $359.00 | $197.45–$349.67 | — | 5% |
| X-ray of the ankle, 2 views inpatient CPT 73600 XR ANKLE 2 VWS-TECH | $341.05 | $359.00 | $197.45–$349.67 | — | 5% |
| X-ray of the ankle, 2 views inpatient CPT 73600 XRAY/ANKLE,AP AND LATERAL-TECH | $341.05 | $359.00 | $197.45–$349.67 | — | 5% |
| X-ray of the finger(s), 2 or more views CPT 73140 XR FINGERS MIN 2 VWS ORTHO-PROF | $341.05 | $359.00 | $1.33–$349.67 | 40% above | 5% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 XR FINGERS MIN 2 VWS ORTHO-PROF | $341.05 | $359.00 | $197.45–$349.67 | — | 5% |
| X-ray of the foot, 2 views CPT 73620 XR FOOT 2 VWS ASC ONLY-PROF | $341.05 | $359.00 | $1.33–$349.67 | 80% above | 5% |
| X-ray of the foot, 2 views inpatient CPT 73620 XR FOOT 2 VWS ASC ONLY-PROF | $341.05 | $359.00 | $197.45–$349.67 | — | 5% |
| X-ray of the foot, complete, 3 or more views CPT 73630 XR FOOT COMPLT MIN 3 VWS ASC ONLY-PROF | $464.55 | $489.00 | $1.81–$476.29 | 93% above | 5% |
| X-ray of the foot, complete, 3 or more views CPT 73630 XR FOOT COMPLT MIN 3 VWS | $464.55 | $489.00 | $1.81–$476.29 | 93% above | 5% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 XR FOOT COMPLT MIN 3 VWS | $464.55 | $489.00 | $268.95–$476.29 | — | 5% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 XR FOOT COMPLT MIN 3 VWS ASC ONLY-PROF | $464.55 | $489.00 | $268.95–$476.29 | — | 5% |
| X-ray of the hand, 3 or more views CPT 73130 XR HAND MIN 3 VWS-PROF | $464.55 | $489.00 | $1.81–$476.29 | 98% above | 5% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 XR HAND MIN 3 VWS-PROF | $464.55 | $489.00 | $268.95–$476.29 | — | 5% |
| X-ray of the knee, 1 or 2 views CPT 73560 XR KNEE 1-2 VWS -PROF | $322.05 | $339.00 | $1.25–$330.19 | 52% above | 5% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 XR KNEE 1-2 VWS -PROF | $322.05 | $339.00 | $186.45–$330.19 | — | 5% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR SPINE LUMBOSACRAL 2-3VW-PROF | $491.15 | $517.00 | $1.91–$503.56 | 69% above | 5% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR SPINE LUMBOSACRAL 2-3VW-PROF | $491.15 | $517.00 | $284.35–$503.56 | — | 5% |
| X-ray of the lower back, 4 or more views CPT 72110 XR SPINE LUMBOSACRAL MIN 4VWS-TECH | $599.45 | $631.00 | $2.33–$614.59 | 61% above | 5% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR SPINE LUMBOSACRAL MIN 4VWS-TECH | $599.45 | $631.00 | $347.05–$614.59 | — | 5% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR SPINE THORACIC 2 VWS-PROF | $464.55 | $489.00 | $1.81–$476.29 | 96% above | 5% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR SPINE THORACIC 2 VWS-PROF | $464.55 | $489.00 | $268.95–$476.29 | — | 5% |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR NASL BNS MIN 3 VWS-PROF | $464.55 | $489.00 | $1.81–$476.29 | 92% above | 5% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR NASL BNS MIN 3 VWS-PROF | $464.55 | $489.00 | $268.95–$476.29 | — | 5% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR SPINE CERVICAL 2-3 VWS FLEX/LAT ONLY-PROF | $464.55 | $489.00 | $1.81–$476.29 | 93% above | 5% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR SPINE CERVICAL 2-3 VWS FLEX/LAT ONLY-PROF | $464.55 | $489.00 | $268.95–$476.29 | — | 5% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1-2 VWS-PROF | $413.25 | $435.00 | $1.61–$423.69 | 86% above | 5% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR PELVIS 1-2 VWS-PROF | $413.25 | $435.00 | $239.25–$423.69 | — | 5% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM & COCCYX MIN 2 VW-PROF | $464.55 | $489.00 | $1.81–$476.29 | 115% above | 5% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR SACRUM & COCCYX MIN 2 VW-PROF | $464.55 | $489.00 | $268.95–$476.29 | — | 5% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Wisconsin | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 ACTH ASSAY-TECH | $329.65 | $347.00 | $1.28–$337.98 | 50% above | 5% |
| ACTH blood test inpatient CPT 82024 ACTH ASSAY-TECH | $329.65 | $347.00 | $190.85–$337.98 | — | 5% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT SGPT-TECH | $49.40 | $52.00 | $0.19–$50.65 | 41% above | 5% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT SGPT-TECH | $49.40 | $52.00 | $28.60–$50.65 | — | 5% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST SGOT-TECH | $50.35 | $53.00 | $0.20–$51.62 | 6% above | 5% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST SGOT-TECH | $50.35 | $53.00 | $29.15–$51.62 | — | 5% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL-TECH | $460.75 | $485.00 | $1.79–$472.39 | 52% above | 5% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL-TECH | $460.75 | $485.00 | $266.75–$472.39 | — | 5% |
| Albumin blood test CPT 82040 ALBUMIN, SERUM, PLASMA OR WHOLE-TECH | $48.45 | $51.00 | $0.19–$49.67 | 29% above | 5% |
| Albumin blood test CPT 82040 ALBUMIN SERUM/PLASMA/WHOLE BLD-TECH | $53.20 | $56.00 | $0.21–$54.54 | 42% above | 5% |
| Albumin blood test inpatient CPT 82040 ALBUMIN, SERUM, PLASMA OR WHOLE-TECH | $48.45 | $51.00 | $28.05–$49.67 | — | 5% |
| Albumin blood test inpatient CPT 82040 ALBUMIN SERUM/PLASMA/WHOLE BLD-TECH | $53.20 | $56.00 | $30.80–$54.54 | — | 5% |
| Aldosterone blood test CPT 82088 ALDOSTERONE SERUM-TECH | $406.60 | $428.00 | $1.58–$416.87 | 108% above | 5% |
| Aldosterone blood test inpatient CPT 82088 ALDOSTERONE SERUM-TECH | $406.60 | $428.00 | $235.40–$416.87 | — | 5% |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE, TOTAL-TECH | $53.20 | $56.00 | $0.21–$54.54 | 9% above | 5% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE, TOTAL-TECH | $53.20 | $56.00 | $30.80–$54.54 | — | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SINGLE 1-TECH | $22.80 | $24.00 | $0.09–$35.97 | 9% below | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN GLUTEN IGE-TECH | $55.10 | $58.00 | $0.21–$56.49 | 120% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN CEDAR IGE-TECH | $57.00 | $60.00 | $0.22–$58.44 | 128% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN HAZELNUT-FOOD IGE-TECH | $57.00 | $60.00 | $0.22–$58.44 | 128% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN FIREBUSH IGE-TECH | $57.00 | $60.00 | $0.22–$58.44 | 128% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PORK IGE-TECH | $57.00 | $60.00 | $0.22–$58.44 | 128% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN COCKROACH-TECH | $57.00 | $60.00 | $0.22–$58.44 | 128% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN RYE GRASS IGE-TECH | $57.00 | $60.00 | $0.22–$58.44 | 128% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN CACAO/COCOA IGE-TECH | $57.00 | $60.00 | $0.22–$58.44 | 128% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN MEADOW FESCUE IGE-TECH | $57.00 | $60.00 | $0.22–$58.44 | 128% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN MUGWORT IGE-TECH | $57.00 | $60.00 | $0.22–$58.44 | 128% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN JUNE GRASS IGE-TECH | $57.00 | $60.00 | $0.22–$58.44 | 128% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN EPICOCCUM PURP. IGE-TECH | $57.00 | $60.00 | $0.22–$58.44 | 128% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN BLUEBERRY IGE-TECH | $57.00 | $60.00 | $0.22–$58.44 | 128% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN HOUSE DUST MITE/DP IGE-TECH | $57.00 | $60.00 | $0.22–$58.44 | 128% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN DOG DANDER IGE-TECH | $57.00 | $60.00 | $0.22–$58.44 | 128% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN MUCOR IGE-TECH | $57.00 | $60.00 | $0.22–$58.44 | 128% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PEACH IGE-TECH | $57.00 | $60.00 | $0.22–$58.44 | 128% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN GOOSE FEATHERS IGE-TECH | $57.00 | $60.00 | $0.22–$58.44 | 128% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN GREEN PEA IGE-TECH | $57.00 | $60.00 | $0.22–$58.44 | 128% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN RUSSIAN THISTLE IGE-TECH | $57.00 | $60.00 | $0.22–$58.44 | 128% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN NETTLE IGE-TECH | $57.00 | $60.00 | $0.22–$58.44 | 128% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SHEEP WOOL IGE-TECH | $57.00 | $60.00 | $0.22–$58.44 | 128% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN LIME IGE-TECH | $57.00 | $60.00 | $0.22–$58.44 | 128% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN ROUGH MARSH ELDER IGE-TECH | $57.00 | $60.00 | $0.22–$58.44 | 128% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN LAMBS QUARTER IGE-TECH | $57.00 | $60.00 | $0.22–$58.44 | 128% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN WHITE HICKORY IGE-TECH | $57.00 | $60.00 | $0.22–$58.44 | 128% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN YELLOW FACED HORNET IGE-TECH | $57.00 | $60.00 | $0.22–$58.44 | 128% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN ORCHARD GRASS IGE-TECH | $57.00 | $60.00 | $0.22–$58.44 | 128% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN YELLOW JACKET IGE-TECH | $57.00 | $60.00 | $0.22–$58.44 | 128% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN ROUGH PIGWEED IGE-TECH | $57.00 | $60.00 | $0.22–$58.44 | 128% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN CHEESE MOLD IGE-TECH | $60.80 | $64.00 | $0.24–$62.34 | 143% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN HOUSE DUST MITE/DF IGE-TECH | $60.80 | $64.00 | $0.24–$62.34 | 143% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SUNFLOWER SD-TECH | $60.80 | $64.00 | $0.24–$62.34 | 143% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN RICE IGE-TECH | $60.80 | $64.00 | $0.24–$62.34 | 143% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN GELATIN IGE-TECH | $60.80 | $64.00 | $0.24–$62.34 | 143% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SHRIMP IGE-TECH | $60.80 | $64.00 | $0.24–$62.34 | 143% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN GIANT RAGWEED IGE-TECH | $60.80 | $64.00 | $0.24–$62.34 | 143% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN TUNA IGE-TECH | $60.80 | $64.00 | $0.24–$62.34 | 143% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PECAN-FOOD IGE-TECH | $60.80 | $64.00 | $0.24–$62.34 | 143% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SESAME SEED-TECH | $60.80 | $64.00 | $0.24–$62.34 | 143% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN MALT IGE-TECH | $60.80 | $64.00 | $0.24–$62.34 | 143% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PISTACHIO IGE-TECH | $60.80 | $64.00 | $0.24–$62.34 | 143% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN RASPBERRY IGE-TECH | $60.80 | $64.00 | $0.24–$62.34 | 143% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN OAK IGE-TECH | $60.80 | $64.00 | $0.24–$62.34 | 143% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PENICILLUM IGE-TECH | $60.80 | $64.00 | $0.24–$62.34 | 143% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SCALLOP IGE-TECH | $60.80 | $64.00 | $0.24–$62.34 | 143% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PEANUT IGE-TECH | $60.80 | $64.00 | $0.24–$62.34 | 143% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN CINNAMON IGE-TECH | $60.80 | $64.00 | $0.24–$62.34 | 143% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN CAULIFLOWER IGE-TECH | $60.80 | $64.00 | $0.24–$62.34 | 143% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN OYSTER IGE-TECH | $60.80 | $64.00 | $0.24–$62.34 | 143% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN LOBSTER IGE-TECH | $60.80 | $64.00 | $0.24–$62.34 | 143% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN ONION IGE-TECH | $60.80 | $64.00 | $0.24–$62.34 | 143% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN BAKERS YEAST IGE-TECH | $60.80 | $64.00 | $0.24–$62.34 | 143% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN KIWI IGE-TECH | $60.80 | $64.00 | $0.24–$62.34 | 143% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN MILK LGE-TECH | $60.80 | $64.00 | $0.24–$62.34 | 143% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN OAT IGE-TECH | $60.80 | $64.00 | $0.24–$62.34 | 143% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN MUSTARD IGE-TECH | $60.80 | $64.00 | $0.24–$62.34 | 143% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN GARLIC IGE-TECH | $60.80 | $64.00 | $0.24–$62.34 | 143% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN ENGLISH PLANTAIN IGE-TECH | $60.80 | $64.00 | $0.24–$62.34 | 143% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN HONEYBEE VENOM IGE-TECH | $60.80 | $64.00 | $0.24–$62.34 | 143% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN CUMIN IGE-TECH | $60.80 | $64.00 | $0.24–$62.34 | 143% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN CRAB IGE-TECH | $60.80 | $64.00 | $0.24–$62.34 | 143% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN COCONUT IGE-TECH | $60.80 | $64.00 | $0.24–$62.34 | 143% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN COCKLEBUR IGE-TECH | $60.80 | $64.00 | $0.24–$62.34 | 143% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN ELM IGE-TECH | $60.80 | $64.00 | $0.24–$62.34 | 143% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN ASPERGILLUS FUMIGATUS IGE-TECH | $60.80 | $64.00 | $0.24–$62.34 | 143% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN EGG YOLK IGE-TECH | $60.80 | $64.00 | $0.24–$62.34 | 143% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN CHEESE CHEDDAR IGE-TECH | $60.80 | $64.00 | $0.24–$62.34 | 143% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN EGG WHITE IGE-TECH | $60.80 | $64.00 | $0.24–$62.34 | 143% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN CORN-FOOD IGE-TECH | $60.80 | $64.00 | $0.24–$62.34 | 143% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN CRANBERRY IGE-TECH | $60.80 | $64.00 | $0.24–$62.34 | 143% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN APPLE IGE-TECH | $60.80 | $64.00 | $0.24–$62.34 | 143% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN CARROT IGE-TECH | $60.80 | $64.00 | $0.24–$62.34 | 143% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN CANDIDA ALBICANS IGE-TECH | $60.80 | $64.00 | $0.24–$62.34 | 143% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN BEEF IGE-TECH | $60.80 | $64.00 | $0.24–$62.34 | 143% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN BREWERS YEAST IGE-TECH | $60.80 | $64.00 | $0.24–$62.34 | 143% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN CODFISH IGE-TECH | $60.80 | $64.00 | $0.24–$62.34 | 143% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN BRAZIL NUT IGE-TECH | $60.80 | $64.00 | $0.24–$62.34 | 143% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN ALMOND IGE-TECH | $60.80 | $64.00 | $0.24–$62.34 | 143% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN BOX ELDER/MAPLE IGE-TECH | $60.80 | $64.00 | $0.24–$62.34 | 143% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN CLAM IGE-TECH | $60.80 | $64.00 | $0.24–$62.34 | 143% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN CHICKEN IGE-TECH | $60.80 | $64.00 | $0.24–$62.34 | 143% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN BANANA IGE-TECH | $60.80 | $64.00 | $0.24–$62.34 | 143% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN CAT EPITHELIUM IGE-TECH | $60.80 | $64.00 | $0.24–$62.34 | 143% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN ALTERNARIA TENUSIS IGE-TECH | $60.80 | $64.00 | $0.24–$62.34 | 143% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN CLADOSPORIUM IGE-TECH | $60.80 | $64.00 | $0.24–$62.34 | 143% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN CASHEW IGE-TECH | $60.80 | $64.00 | $0.24–$62.34 | 143% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN BERMUDA GRASS IGE-TECH | $60.80 | $64.00 | $0.24–$62.34 | 143% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN TOMATO IGE-TECH | $60.80 | $64.00 | $0.24–$62.34 | 143% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SHORT RAGWEED IGE-TECH | $60.80 | $64.00 | $0.24–$62.34 | 143% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SALMON IGE-TECH | $60.80 | $64.00 | $0.24–$62.34 | 143% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN POTATO IGE-TECH | $60.80 | $64.00 | $0.24–$62.34 | 143% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SILVER BIRCH IGE-TECH | $60.80 | $64.00 | $0.24–$62.34 | 143% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN WHEAT IGE-TECH | $60.80 | $64.00 | $0.24–$62.34 | 143% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN STRAWBERRY IGE-TECH | $60.80 | $64.00 | $0.24–$62.34 | 143% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN TIMOTHY GRASS IGE-TECH | $60.80 | $64.00 | $0.24–$62.34 | 143% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN WATERMELON IGE-TECH | $60.80 | $64.00 | $0.24–$62.34 | 143% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN WALNUT-FOOD IGE-TECH | $60.80 | $64.00 | $0.24–$62.34 | 143% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN TROUT IGE-TECH | $60.80 | $64.00 | $0.24–$62.34 | 143% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN WHITE PINE IGE-TECH | $60.80 | $64.00 | $0.24–$62.34 | 143% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PERCH IGE-TECH | $60.80 | $64.00 | $0.24–$62.34 | 143% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN WHITE ASH IGE-TECH | $60.80 | $64.00 | $0.24–$62.34 | 143% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN HALIBUT IGE-TECH | $60.80 | $64.00 | $0.24–$62.34 | 143% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN ZUCCHINI SQUASH IGE-TECH | $63.65 | $67.00 | $0.25–$65.26 | 155% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN MACADAMIA NUT IGE-TECH | $63.65 | $67.00 | $0.25–$65.26 | 155% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN NECTARINE IGE-TECH | $77.90 | $82.00 | $0.30–$79.87 | 212% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN LATEX-TECH | $82.65 | $87.00 | $0.32–$84.74 | 231% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN WEED PANEL 2-TECH | $88.35 | $93.00 | $0.34–$90.58 | 253% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN WEED PANEL 4-TECH | $88.35 | $93.00 | $0.34–$90.58 | 253% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PANEL PED <3 YEAR-TECH | $92.15 | $97.00 | $0.36–$94.48 | 269% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PANEL PED >8 YEARS-TECH | $92.15 | $97.00 | $0.36–$94.48 | 269% above | 5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN UPPER RESP PANEL (83279)-TECH | $295.45 | $311.00 | $1.15–$302.91 | 1082% above | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SINGLE 1-TECH | $22.80 | $24.00 | $13.20–$23.38 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN GLUTEN IGE-TECH | $55.10 | $58.00 | $31.90–$56.49 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN HAZELNUT-FOOD IGE-TECH | $57.00 | $60.00 | $33.00–$58.44 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN CEDAR IGE-TECH | $57.00 | $60.00 | $33.00–$58.44 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN FIREBUSH IGE-TECH | $57.00 | $60.00 | $33.00–$58.44 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN COCKROACH-TECH | $57.00 | $60.00 | $33.00–$58.44 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SHEEP WOOL IGE-TECH | $57.00 | $60.00 | $33.00–$58.44 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN RYE GRASS IGE-TECH | $57.00 | $60.00 | $33.00–$58.44 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN ROUGH MARSH ELDER IGE-TECH | $57.00 | $60.00 | $33.00–$58.44 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN LAMBS QUARTER IGE-TECH | $57.00 | $60.00 | $33.00–$58.44 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN WHITE HICKORY IGE-TECH | $57.00 | $60.00 | $33.00–$58.44 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN LIME IGE-TECH | $57.00 | $60.00 | $33.00–$58.44 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN RUSSIAN THISTLE IGE-TECH | $57.00 | $60.00 | $33.00–$58.44 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN ORCHARD GRASS IGE-TECH | $57.00 | $60.00 | $33.00–$58.44 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN YELLOW FACED HORNET IGE-TECH | $57.00 | $60.00 | $33.00–$58.44 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN CACAO/COCOA IGE-TECH | $57.00 | $60.00 | $33.00–$58.44 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN MEADOW FESCUE IGE-TECH | $57.00 | $60.00 | $33.00–$58.44 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN NETTLE IGE-TECH | $57.00 | $60.00 | $33.00–$58.44 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN GOOSE FEATHERS IGE-TECH | $57.00 | $60.00 | $33.00–$58.44 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PEACH IGE-TECH | $57.00 | $60.00 | $33.00–$58.44 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN JUNE GRASS IGE-TECH | $57.00 | $60.00 | $33.00–$58.44 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN MUCOR IGE-TECH | $57.00 | $60.00 | $33.00–$58.44 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN HOUSE DUST MITE/DP IGE-TECH | $57.00 | $60.00 | $33.00–$58.44 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN DOG DANDER IGE-TECH | $57.00 | $60.00 | $33.00–$58.44 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PORK IGE-TECH | $57.00 | $60.00 | $33.00–$58.44 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN EPICOCCUM PURP. IGE-TECH | $57.00 | $60.00 | $33.00–$58.44 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN YELLOW JACKET IGE-TECH | $57.00 | $60.00 | $33.00–$58.44 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN BLUEBERRY IGE-TECH | $57.00 | $60.00 | $33.00–$58.44 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN GREEN PEA IGE-TECH | $57.00 | $60.00 | $33.00–$58.44 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN ROUGH PIGWEED IGE-TECH | $57.00 | $60.00 | $33.00–$58.44 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN MUGWORT IGE-TECH | $57.00 | $60.00 | $33.00–$58.44 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN CLAM IGE-TECH | $60.80 | $64.00 | $35.20–$62.34 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN OYSTER IGE-TECH | $60.80 | $64.00 | $35.20–$62.34 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PISTACHIO IGE-TECH | $60.80 | $64.00 | $35.20–$62.34 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN ONION IGE-TECH | $60.80 | $64.00 | $35.20–$62.34 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN MALT IGE-TECH | $60.80 | $64.00 | $35.20–$62.34 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN RASPBERRY IGE-TECH | $60.80 | $64.00 | $35.20–$62.34 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN OAK IGE-TECH | $60.80 | $64.00 | $35.20–$62.34 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PENICILLUM IGE-TECH | $60.80 | $64.00 | $35.20–$62.34 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN CAULIFLOWER IGE-TECH | $60.80 | $64.00 | $35.20–$62.34 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN CINNAMON IGE-TECH | $60.80 | $64.00 | $35.20–$62.34 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN BAKERS YEAST IGE-TECH | $60.80 | $64.00 | $35.20–$62.34 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN KIWI IGE-TECH | $60.80 | $64.00 | $35.20–$62.34 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN LOBSTER IGE-TECH | $60.80 | $64.00 | $35.20–$62.34 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN MILK LGE-TECH | $60.80 | $64.00 | $35.20–$62.34 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN OAT IGE-TECH | $60.80 | $64.00 | $35.20–$62.34 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SESAME SEED-TECH | $60.80 | $64.00 | $35.20–$62.34 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN MUSTARD IGE-TECH | $60.80 | $64.00 | $35.20–$62.34 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN GARLIC IGE-TECH | $60.80 | $64.00 | $35.20–$62.34 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN ENGLISH PLANTAIN IGE-TECH | $60.80 | $64.00 | $35.20–$62.34 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN HONEYBEE VENOM IGE-TECH | $60.80 | $64.00 | $35.20–$62.34 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN CUMIN IGE-TECH | $60.80 | $64.00 | $35.20–$62.34 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PECAN-FOOD IGE-TECH | $60.80 | $64.00 | $35.20–$62.34 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PEANUT IGE-TECH | $60.80 | $64.00 | $35.20–$62.34 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN CRAB IGE-TECH | $60.80 | $64.00 | $35.20–$62.34 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SCALLOP IGE-TECH | $60.80 | $64.00 | $35.20–$62.34 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN COCONUT IGE-TECH | $60.80 | $64.00 | $35.20–$62.34 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN TUNA IGE-TECH | $60.80 | $64.00 | $35.20–$62.34 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN COCKLEBUR IGE-TECH | $60.80 | $64.00 | $35.20–$62.34 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN GIANT RAGWEED IGE-TECH | $60.80 | $64.00 | $35.20–$62.34 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN ELM IGE-TECH | $60.80 | $64.00 | $35.20–$62.34 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN ASPERGILLUS FUMIGATUS IGE-TECH | $60.80 | $64.00 | $35.20–$62.34 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN EGG YOLK IGE-TECH | $60.80 | $64.00 | $35.20–$62.34 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SHRIMP IGE-TECH | $60.80 | $64.00 | $35.20–$62.34 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN CHEESE CHEDDAR IGE-TECH | $60.80 | $64.00 | $35.20–$62.34 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN EGG WHITE IGE-TECH | $60.80 | $64.00 | $35.20–$62.34 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN GELATIN IGE-TECH | $60.80 | $64.00 | $35.20–$62.34 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN CORN-FOOD IGE-TECH | $60.80 | $64.00 | $35.20–$62.34 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN CRANBERRY IGE-TECH | $60.80 | $64.00 | $35.20–$62.34 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN RICE IGE-TECH | $60.80 | $64.00 | $35.20–$62.34 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN APPLE IGE-TECH | $60.80 | $64.00 | $35.20–$62.34 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN CARROT IGE-TECH | $60.80 | $64.00 | $35.20–$62.34 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN CANDIDA ALBICANS IGE-TECH | $60.80 | $64.00 | $35.20–$62.34 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN BEEF IGE-TECH | $60.80 | $64.00 | $35.20–$62.34 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN BREWERS YEAST IGE-TECH | $60.80 | $64.00 | $35.20–$62.34 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN CODFISH IGE-TECH | $60.80 | $64.00 | $35.20–$62.34 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN BRAZIL NUT IGE-TECH | $60.80 | $64.00 | $35.20–$62.34 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN HALIBUT IGE-TECH | $60.80 | $64.00 | $35.20–$62.34 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN CHEESE MOLD IGE-TECH | $60.80 | $64.00 | $35.20–$62.34 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN ALMOND IGE-TECH | $60.80 | $64.00 | $35.20–$62.34 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN BOX ELDER/MAPLE IGE-TECH | $60.80 | $64.00 | $35.20–$62.34 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN TOMATO IGE-TECH | $60.80 | $64.00 | $35.20–$62.34 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN WHITE ASH IGE-TECH | $60.80 | $64.00 | $35.20–$62.34 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN CHICKEN IGE-TECH | $60.80 | $64.00 | $35.20–$62.34 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN HOUSE DUST MITE/DF IGE-TECH | $60.80 | $64.00 | $35.20–$62.34 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN BANANA IGE-TECH | $60.80 | $64.00 | $35.20–$62.34 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PERCH IGE-TECH | $60.80 | $64.00 | $35.20–$62.34 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN WHITE PINE IGE-TECH | $60.80 | $64.00 | $35.20–$62.34 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN CAT EPITHELIUM IGE-TECH | $60.80 | $64.00 | $35.20–$62.34 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SUNFLOWER SD-TECH | $60.80 | $64.00 | $35.20–$62.34 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN ALTERNARIA TENUSIS IGE-TECH | $60.80 | $64.00 | $35.20–$62.34 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN TROUT IGE-TECH | $60.80 | $64.00 | $35.20–$62.34 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN CLADOSPORIUM IGE-TECH | $60.80 | $64.00 | $35.20–$62.34 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN WALNUT-FOOD IGE-TECH | $60.80 | $64.00 | $35.20–$62.34 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN WATERMELON IGE-TECH | $60.80 | $64.00 | $35.20–$62.34 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN TIMOTHY GRASS IGE-TECH | $60.80 | $64.00 | $35.20–$62.34 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN STRAWBERRY IGE-TECH | $60.80 | $64.00 | $35.20–$62.34 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN WHEAT IGE-TECH | $60.80 | $64.00 | $35.20–$62.34 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SILVER BIRCH IGE-TECH | $60.80 | $64.00 | $35.20–$62.34 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN POTATO IGE-TECH | $60.80 | $64.00 | $35.20–$62.34 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SALMON IGE-TECH | $60.80 | $64.00 | $35.20–$62.34 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN CASHEW IGE-TECH | $60.80 | $64.00 | $35.20–$62.34 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SHORT RAGWEED IGE-TECH | $60.80 | $64.00 | $35.20–$62.34 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN BERMUDA GRASS IGE-TECH | $60.80 | $64.00 | $35.20–$62.34 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN MACADAMIA NUT IGE-TECH | $63.65 | $67.00 | $36.85–$65.26 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN ZUCCHINI SQUASH IGE-TECH | $63.65 | $67.00 | $36.85–$65.26 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN NECTARINE IGE-TECH | $77.90 | $82.00 | $45.10–$79.87 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN LATEX-TECH | $82.65 | $87.00 | $47.85–$84.74 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN WEED PANEL 4-TECH | $88.35 | $93.00 | $51.15–$90.58 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN WEED PANEL 2-TECH | $88.35 | $93.00 | $51.15–$90.58 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PANEL PED <3 YEAR-TECH | $92.15 | $97.00 | $53.35–$94.48 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PANEL PED >8 YEARS-TECH | $92.15 | $97.00 | $53.35–$94.48 | — | 5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN UPPER RESP PANEL (83279)-TECH | $295.45 | $311.00 | $171.05–$302.91 | — | 5% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROTEIN SERUM-TECH | $139.65 | $147.00 | $0.54–$143.18 | 67% above | 5% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA FETOPROTEIN SERUM-TECH | $139.65 | $147.00 | $80.85–$143.18 | — | 5% |
| Ammonia blood test CPT 82140 AMMONIA ASSAY-TECH | $138.70 | $146.00 | $0.54–$142.20 | 55% above | 5% |
| Ammonia blood test inpatient CPT 82140 AMMONIA ASSAY-TECH | $138.70 | $146.00 | $80.30–$142.20 | — | 5% |
| Amylase blood test CPT 82150 AMYLASE ASSAY-TECH | $65.55 | $69.00 | $0.26–$67.21 | 6% above | 5% |
| Amylase blood test CPT 82150 AMYLASE, NON-BLOOD SOURCE | $66.50 | $70.00 | $0.26–$68.18 | 8% above | 5% |
| Amylase blood test CPT 82150 AMYLASE PANCREATIC-TECH | $66.50 | $70.00 | $0.26–$68.18 | 8% above | 5% |
| Amylase blood test CPT 82150 AMYLASE, PANCREATIC-OTHER | $66.50 | $70.00 | $0.26–$68.18 | 8% above | 5% |
| Amylase blood test CPT 82150 AMYLASE, RANDOM URINE (RAMSU) SO | $87.78 | $92.40 | $0.34–$90.00 | 42% above | 5% |
| Amylase blood test inpatient CPT 82150 AMYLASE ASSAY-TECH | $65.55 | $69.00 | $37.95–$67.21 | — | 5% |
| Amylase blood test inpatient CPT 82150 AMYLASE, PANCREATIC-OTHER | $66.50 | $70.00 | $38.50–$68.18 | — | 5% |
| Amylase blood test inpatient CPT 82150 AMYLASE PANCREATIC-TECH | $66.50 | $70.00 | $38.50–$68.18 | — | 5% |
| Amylase blood test inpatient CPT 82150 AMYLASE, NON-BLOOD SOURCE | $66.50 | $70.00 | $38.50–$68.18 | — | 5% |
| Amylase blood test inpatient CPT 82150 AMYLASE, RANDOM URINE (RAMSU) SO | $87.78 | $92.40 | $50.82–$90.00 | — | 5% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEPTD AB-TECH | $142.50 | $150.00 | $0.56–$146.10 | 73% above | 5% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINATED PEPTD AB-TECH | $142.50 | $150.00 | $82.50–$146.10 | — | 5% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES-TECH | $110.20 | $116.00 | $0.43–$112.98 | 61% above | 5% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES-TECH | $110.20 | $116.00 | $63.80–$112.98 | — | 5% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE-TECH | $321.10 | $338.00 | $1.25–$329.21 | 125% above | 5% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NATRIURETIC PEPTIDE-TECH | $321.10 | $338.00 | $185.90–$329.21 | — | 5% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT AEROBIC OTH W ISOL PRES ID-TECH | $91.20 | $96.00 | $0.36–$93.50 | 74% above | 5% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LEGIONELLA CULTURE-TECH | $97.85 | $103.00 | $0.38–$100.32 | 86% above | 5% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULT AEROBIC OTH W ISOL PRES ID-TECH | $91.20 | $96.00 | $52.80–$93.50 | — | 5% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 LEGIONELLA CULTURE-TECH | $97.85 | $103.00 | $56.65–$100.32 | — | 5% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL W TOTAL CA-TECH | $88.35 | $93.00 | $0.34–$90.58 | at median | 5% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL W TOTAL CA-TECH | $88.35 | $93.00 | $51.15–$90.58 | — | 5% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN-TECH | $50.35 | $53.00 | $0.20–$51.62 | 8% above | 5% |
| Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN-TECH | $50.35 | $53.00 | $29.15–$51.62 | — | 5% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 LVL 4 SURG PATH GROSS & MICRO-TECH | $259.35 | $273.00 | $1.01–$265.90 | 20% above | 5% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 CYTO CELL BLOCKS | $568.10 | $598.00 | $2.21–$582.45 | 163% above | 5% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 LVL 4 SURG PATH GROSS & MICRO-TECH | $259.35 | $273.00 | $150.15–$265.90 | — | 5% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 CYTO CELL BLOCKS | $568.10 | $598.00 | $328.90–$582.45 | — | 5% |
| Blood culture for bacteria CPT 87040 CULTURE BLOOD AEROBIC-TECH | $124.45 | $131.00 | $0.48–$127.59 | 45% above | 5% |
| Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD AEROBIC-TECH | $124.45 | $131.00 | $72.05–$127.59 | — | 5% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE CHARGE - OUTREACH | $7.60 | $8.00 | $0.03–$56.81 | 48% below | 5% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $28.50 | $30.00 | $0.11–$56.81 | 94% above | 5% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE-TECH | $28.50 | $30.00 | $0.11–$56.81 | 94% above | 5% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE CHARGE - OUTREACH | $7.60 | $8.00 | $4.40–$7.79 | — | 5% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE | $28.50 | $30.00 | $16.50–$29.22 | — | 5% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE-TECH | $28.50 | $30.00 | $16.50–$29.22 | — | 5% |
| Blood glucose (sugar) test CPT 82947 BUN POST HEMODIALYSIS - TECH | $38.95 | $41.00 | $0.15–$39.93 | 60% above | 5% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE QUANT BLOOD-TECH | $38.95 | $41.00 | $0.15–$39.93 | 60% above | 5% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE BLD QUANT-TECH | $38.95 | $41.00 | $0.15–$39.93 | 60% above | 5% |
| Blood glucose (sugar) test inpatient CPT 82947 BUN POST HEMODIALYSIS - TECH | $38.95 | $41.00 | $22.55–$39.93 | — | 5% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE QUANT BLOOD-TECH | $38.95 | $41.00 | $22.55–$39.93 | — | 5% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE BLD QUANT-TECH | $38.95 | $41.00 | $22.55–$39.93 | — | 5% |
| Blood lead test CPT 83655 LEAD ASSAY-TECH | $122.55 | $129.00 | $0.48–$125.65 | 123% above | 5% |
| Blood lead test inpatient CPT 83655 LEAD ASSAY-TECH | $122.55 | $129.00 | $70.95–$125.65 | — | 5% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG SERUM-TECH | $80.75 | $85.00 | $0.31–$82.79 | 30% above | 5% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG SERUM-TECH | $80.75 | $85.00 | $46.75–$82.79 | — | 5% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING ABO-TECH | $35.15 | $37.00 | $0.14–$36.04 | 17% below | 5% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING ABO-TECH | $35.15 | $37.00 | $20.35–$36.04 | — | 5% |
| Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN-TECH | $39.90 | $42.00 | $0.16–$40.91 | 55% above | 5% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 UREA NITROGEN-TECH | $39.90 | $42.00 | $23.10–$40.91 | — | 5% |
| C-peptide blood test CPT 84681 C PEPTIDE ASSAY-TECH | $85.50 | $90.00 | $0.33–$143.38 | 2% below | 5% |
| C-peptide blood test inpatient CPT 84681 C PEPTIDE ASSAY-TECH | $85.50 | $90.00 | $49.50–$87.66 | — | 5% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN-TECH | $60.80 | $64.00 | $0.24–$62.34 | 11% above | 5% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN-TECH | $60.80 | $64.00 | $35.20–$62.34 | — | 5% |
| C. difficile toxin gene test (stool PCR) CPT 87493 CLOSTRIDIUM DIFFICILE TOXIN, NAT-TECH | $387.60 | $408.00 | $1.51–$397.39 | 157% above | 5% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFFICILE TOXIN AMP PROBE-TECH | $388.55 | $409.00 | $1.51–$398.37 | 158% above | 5% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 CLOSTRIDIUM DIFFICILE TOXIN, NAT-TECH | $387.60 | $408.00 | $224.40–$397.39 | — | 5% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFFICILE TOXIN AMP PROBE-TECH | $388.55 | $409.00 | $224.95–$398.37 | — | 5% |
| CA 19-9 blood test (tumor marker) CPT 86301 TUMOR ANTIGEN CA 19-9-TECH | $205.20 | $216.00 | $0.80–$210.38 | 82% above | 5% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 TUMOR ANTIGEN CA 19-9-TECH | $205.20 | $216.00 | $118.80–$210.38 | — | 5% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 TUMOR ANTIGEN CA 125-TECH | $231.80 | $244.00 | $0.90–$237.66 | 93% above | 5% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 TUMOR ANTIGEN CA 125-TECH | $231.80 | $244.00 | $134.20–$237.66 | — | 5% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 TECH | $166.25 | $175.00 | $0.65–$353.53 | 23% above | 5% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2 TECH | $166.25 | $175.00 | $96.25–$170.45 | — | 5% |
| Calcium blood test, total CPT 82310 CALCIUM TOTAL-TECH | $56.05 | $59.00 | $0.22–$57.47 | 7% above | 5% |
| Calcium blood test, total inpatient CPT 82310 CALCIUM TOTAL-TECH | $56.05 | $59.00 | $32.45–$57.47 | — | 5% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CEA CARCINOEMBRYONIC ANTIGEN-TECH | $189.05 | $199.00 | $0.74–$193.83 | 39% above | 5% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA CARCINOEMBRYONIC ANTIGEN-TECH | $189.05 | $199.00 | $109.45–$193.83 | — | 5% |
| Chickenpox (varicella) immunity blood test CPT 86787 OM VZV IMMUNE STATUS | $65.26 | $68.70 | $0.25–$88.74 | 11% below | 5% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER AB-TECH | $71.25 | $75.00 | $0.28–$88.74 | 3% below | 5% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 OM VZV IMMUNE STATUS | $65.26 | $68.70 | $37.78–$66.91 | — | 5% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER AB-TECH | $71.25 | $75.00 | $41.25–$73.05 | — | 5% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS PCR-TECH | $307.80 | $324.00 | $1.20–$315.58 | 115% above | 5% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS PCR-TECH | $307.80 | $324.00 | $178.20–$315.58 | — | 5% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL-TECH | $141.55 | $149.00 | $0.55–$145.13 | 59% above | 5% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL-TECH | $141.55 | $149.00 | $81.95–$145.13 | — | 5% |
| Complete blood count (CBC) with differential CPT 85025 CBC W AUTO DIFF-TECH | $80.75 | $85.00 | $0.31–$82.79 | 11% above | 5% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC W AUTO DIFF-TECH | $80.75 | $85.00 | $46.75–$82.79 | — | 5% |
| Complete blood count (CBC), no differential CPT 85027 CBC AUTO WO DIFF-TECH | $66.50 | $70.00 | $0.26–$68.18 | 27% above | 5% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC AUTO WO DIFF-TECH | $66.50 | $70.00 | $38.50–$68.18 | — | 5% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPR METABOLIC PANEL-TECH | $112.10 | $118.00 | $0.44–$114.93 | 1% below | 5% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPR METABOLIC PANEL-TECH | $112.10 | $118.00 | $64.90–$114.93 | — | 5% |
| Cortisol blood test, total CPT 82533 CORTISOL TOTAL-TECH | $144.40 | $152.00 | $0.56–$148.05 | 20% above | 5% |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL TOTAL-TECH | $144.40 | $152.00 | $83.60–$148.05 | — | 5% |
| Creatine kinase (CK) blood test, total CPT 82550 CREATINE KINASE TOTAL-TECH | $66.50 | $70.00 | $0.26–$68.18 | 4% above | 5% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 CREATINE KINASE TOTAL-TECH | $66.50 | $70.00 | $38.50–$68.18 | — | 5% |
| Creatinine blood test CPT 82565 CREATININE BLOOD-TECH | $51.30 | $54.00 | $0.20–$52.60 | 62% above | 5% |
| Creatinine blood test CPT 82565 RENAL FAILURE INDICIES-CREATININE, SERUM | $52.25 | $55.00 | $0.20–$53.57 | 65% above | 5% |
| Creatinine blood test inpatient CPT 82565 CREATININE BLOOD-TECH | $51.30 | $54.00 | $29.70–$52.60 | — | 5% |
| Creatinine blood test inpatient CPT 82565 RENAL FAILURE INDICIES-CREATININE, SERUM | $52.25 | $55.00 | $30.25–$53.57 | — | 5% |
| Cytomegalovirus (CMV) antibody test CPT 86644 CMV IGG | $147.25 | $155.00 | $0.57–$150.97 | 109% above | 5% |
| Cytomegalovirus (CMV) antibody test CPT 86644 CMV AB-TECH | $162.45 | $171.00 | $0.63–$166.55 | 130% above | 5% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV IGG | $147.25 | $155.00 | $85.25–$150.97 | — | 5% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV AB-TECH | $162.45 | $171.00 | $94.05–$166.55 | — | 5% |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER, QUANTITATIVE-TECH | $104.50 | $110.00 | $0.41–$107.14 | 31% above | 5% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER, QUANTITATIVE-TECH | $104.50 | $110.00 | $60.50–$107.14 | — | 5% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE-TECH | $217.55 | $229.00 | $0.85–$223.05 | 53% above | 5% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATE-TECH | $217.55 | $229.00 | $125.95–$223.05 | — | 5% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 MECONIUM DRUG SREEN-TECH | $115.90 | $122.00 | $0.45–$428.14 | at median | 5% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 URINE DRUG SCREEN, EACH DRUG-TECH | $261.25 | $275.00 | $1.02–$428.14 | 125% above | 5% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 PAIN CLINIC DRUGS W/ CONF URINE | $262.20 | $276.00 | $1.02–$428.14 | 126% above | 5% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 CANNABINOID SCREEN URINE-TECH | $263.15 | $277.00 | $1.02–$428.14 | 127% above | 5% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 LAB/DRUG TEST, PRESUMPTIVE, BY INSTRUMENT CHEMISTRY ANALYSER, PER DATE | $263.15 | $277.00 | $1.02–$428.14 | 127% above | 5% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRSMV INSTRUMENT CHEM ANALYZES PR DATE-TECH | $266.95 | $281.00 | $1.04–$428.14 | 130% above | 5% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TESTS PRSMTV CHEM ANLYZR-TECH | $273.60 | $288.00 | $1.07–$428.14 | 136% above | 5% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 ACETAMINOPHEN LEVEL | $273.60 | $288.00 | $1.07–$428.14 | 136% above | 5% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 SALICYLATE LEVEL | $273.60 | $288.00 | $1.07–$428.14 | 136% above | 5% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 PAIN CLINIC SURVEY 4,URINE TECH | $284.05 | $299.00 | $1.11–$428.14 | 145% above | 5% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 PAIN CLINIC SCREEN W/CONF-TECH | $476.90 | $502.00 | $1.86–$488.95 | 311% above | 5% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 MECONIUM DRUG SREEN-TECH | $115.90 | $122.00 | $67.10–$118.83 | — | 5% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 URINE DRUG SCREEN, EACH DRUG-TECH | $261.25 | $275.00 | $151.25–$267.85 | — | 5% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 PAIN CLINIC DRUGS W/ CONF URINE | $262.20 | $276.00 | $151.80–$268.82 | — | 5% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CANNABINOID SCREEN URINE-TECH | $263.15 | $277.00 | $152.35–$269.80 | — | 5% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LAB/DRUG TEST, PRESUMPTIVE, BY INSTRUMENT CHEMISTRY ANALYSER, PER DATE | $263.15 | $277.00 | $152.35–$269.80 | — | 5% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TEST PRSMV INSTRUMENT CHEM ANALYZES PR DATE-TECH | $266.95 | $281.00 | $154.55–$273.69 | — | 5% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TESTS PRSMTV CHEM ANLYZR-TECH | $273.60 | $288.00 | $158.40–$280.51 | — | 5% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 SALICYLATE LEVEL | $273.60 | $288.00 | $158.40–$280.51 | — | 5% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ACETAMINOPHEN LEVEL | $273.60 | $288.00 | $158.40–$280.51 | — | 5% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 PAIN CLINIC SURVEY 4,URINE TECH | $284.05 | $299.00 | $164.45–$291.23 | — | 5% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 PAIN CLINIC SCREEN W/CONF-TECH | $476.90 | $502.00 | $276.10–$488.95 | — | 5% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL-TECH | $101.65 | $107.00 | $0.40–$104.22 | 108% above | 5% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTE PANEL-TECH | $101.65 | $107.00 | $58.85–$104.22 | — | 5% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EBV VIRAL CAPSID-TECH | $211.85 | $223.00 | $0.83–$217.20 | 157% above | 5% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV VIRAL CAPSID-TECH | $211.85 | $223.00 | $122.65–$217.20 | — | 5% |
| Estradiol blood test CPT 82670 ESTRADIOL ASSAY-TECH | $197.60 | $208.00 | $0.77–$202.59 | 54% above | 5% |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL ASSAY-TECH | $197.60 | $208.00 | $114.40–$202.59 | — | 5% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH/FOLLICLE STIM HORMONE-TECH | $199.50 | $210.00 | $0.78–$204.54 | 72% above | 5% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH/FOLLICLE STIM HORMONE-TECH | $199.50 | $210.00 | $115.50–$204.54 | — | 5% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN, STOOL | $185.25 | $195.00 | $0.72–$189.93 | 2% below | 5% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL ASSAY-TECH | $254.60 | $268.00 | $0.99–$261.03 | 35% above | 5% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN, STOOL | $185.25 | $195.00 | $107.25–$189.93 | — | 5% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN FECAL ASSAY-TECH | $254.60 | $268.00 | $147.40–$261.03 | — | 5% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN ASSAY-TECH | $128.25 | $135.00 | $0.50–$131.49 | 42% above | 5% |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN ASSAY-TECH | $128.25 | $135.00 | $74.25–$131.49 | — | 5% |
| Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVTY-TECH | $87.40 | $92.00 | $0.34–$89.61 | 29% above | 5% |
| Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN ACTIVTY-TECH | $87.40 | $92.00 | $50.60–$89.61 | — | 5% |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID SERUM ASSAY-TECH | $140.60 | $148.00 | $0.55–$144.15 | 42% above | 5% |
| Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID SERUM ASSAY-TECH | $140.60 | $148.00 | $81.40–$144.15 | — | 5% |
| Free T3 thyroid hormone test CPT 84481 T3 FREE-TECH | $107.35 | $113.00 | $0.42–$116.72 | 10% above | 5% |
| Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE-TECH | $107.35 | $113.00 | $62.15–$110.06 | — | 5% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE FREE ASSAY-TECH | $80.75 | $85.00 | $0.31–$82.79 | at median | 5% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE FREE ASSAY-TECH | $80.75 | $85.00 | $46.75–$82.79 | — | 5% |
| Free testosterone test CPT 84402 TESTOSTERONE, FREE (INCLUDES TOTAL AND SHBG) | $247.95 | $261.00 | $0.97–$254.21 | 111% above | 5% |
| Free testosterone test CPT 84402 TESTOSTERONE FREE-TECH | $261.25 | $275.00 | $1.02–$267.85 | 122% above | 5% |
| Free testosterone test inpatient CPT 84402 TESTOSTERONE, FREE (INCLUDES TOTAL AND SHBG) | $247.95 | $261.00 | $143.55–$254.21 | — | 5% |
| Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE-TECH | $261.25 | $275.00 | $151.25–$267.85 | — | 5% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GAMMA GLUTAMYL TRANSFERASE-TECH | $65.55 | $69.00 | $0.26–$67.21 | 23% above | 5% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GAMMA GLUTAMYL TRANSFERASE-TECH | $65.55 | $69.00 | $37.95–$67.21 | — | 5% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL TECH | $378.76 | $398.70 | $1.48–$388.33 | 37% above | 5% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL TECH | $378.76 | $398.70 | $219.28–$388.33 | — | 5% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE POSTDOSE-TECH | $49.40 | $52.00 | $0.19–$50.65 | at median | 5% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE POSTDOSE-TECH | $49.40 | $52.00 | $28.60–$50.65 | — | 5% |
| Glucose tolerance test, 3 samples CPT 82951 GTT 3 SPECIMENS-TECH | $141.55 | $149.00 | $0.55–$145.13 | 58% above | 5% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GTT 3 SPECIMENS-TECH | $141.55 | $149.00 | $81.95–$145.13 | — | 5% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GONORRHOEAE AMPL PROBE-TECH | $306.85 | $323.00 | $1.20–$314.60 | 115% above | 5% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GONORRHOEAE AMPL PROBE-TECH | $306.85 | $323.00 | $177.65–$314.60 | — | 5% |
| H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI AB-TECH | $65.55 | $69.00 | $0.26–$116.10 | 30% below | 5% |
| H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYLORI AB-TECH | $65.55 | $69.00 | $37.95–$67.21 | — | 5% |
| H. pylori stool antigen test CPT 87338 H PYLORI STOOL AG IA-TECH | $152.00 | $160.00 | $0.59–$155.84 | 18% above | 5% |
| H. pylori stool antigen test inpatient CPT 87338 H PYLORI STOOL AG IA-TECH | $152.00 | $160.00 | $88.00–$155.84 | — | 5% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QUANT-TECH | $858.80 | $904.00 | $3.34–$880.50 | 122% above | 5% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 QUANT-TECH | $858.80 | $904.00 | $497.20–$880.50 | — | 5% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1 AND HIV 2 SNGL RESULT AB-TECH | $146.30 | $154.00 | $0.57–$165.91 | 43% above | 5% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1 AND HIV 2 SNGL RESULT AB-TECH | $146.30 | $154.00 | $84.70–$150.00 | — | 5% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH RISK TYPES-TECH | $363.85 | $383.00 | $1.42–$373.04 | 154% above | 5% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV HIGH RISK TYPES-TECH | $363.85 | $383.00 | $210.65–$373.04 | — | 5% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN GLYCOSYLATED A1C-TECH | $95.00 | $100.00 | $0.37–$97.40 | 38% above | 5% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN GLYCOSYLATED A1C-TECH | $95.00 | $100.00 | $55.00–$97.40 | — | 5% |
| Hemoglobin blood test CPT 85018 RHC HEMOGLOBIN | $24.70 | $26.00 | $0.10–$25.32 | 41% above | 5% |
| Hemoglobin blood test CPT 85018 HEMOGLOBIN-TECH | $26.60 | $28.00 | $0.10–$27.27 | 52% above | 5% |
| Hemoglobin blood test inpatient CPT 85018 RHC HEMOGLOBIN | $24.70 | $26.00 | $14.30–$25.32 | — | 5% |
| Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN-TECH | $26.60 | $28.00 | $15.40–$27.27 | — | 5% |
| Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE AB TOTAL-TECH | $119.70 | $126.00 | $0.47–$122.72 | 50% above | 5% |
| Hepatitis B core antibody test (total) CPT 86704 HEPB - OUTREACH ONLY | $135.85 | $143.00 | $0.53–$139.28 | 70% above | 5% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE AB TOTAL-TECH | $119.70 | $126.00 | $69.30–$122.72 | — | 5% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HEPB - OUTREACH ONLY | $135.85 | $143.00 | $78.65–$139.28 | — | 5% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE AB-TECH | $134.90 | $142.00 | $0.53–$138.31 | 82% above | 5% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE AB-TECH | $134.90 | $142.00 | $78.10–$138.31 | — | 5% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG IA-TECH | $100.70 | $106.00 | $0.39–$103.24 | 55% above | 5% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE AG IA-TECH | $100.70 | $106.00 | $58.30–$103.24 | — | 5% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY-TECH | $142.50 | $150.00 | $0.56–$146.10 | 78% above | 5% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY-TECH | $142.50 | $150.00 | $82.50–$146.10 | — | 5% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C PCR QUANT-TECH | $465.50 | $490.00 | $1.81–$477.26 | 97% above | 5% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C PCR QUANT-TECH | $465.50 | $490.00 | $269.50–$477.26 | — | 5% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX AB TYPE 1-TECH | $120.65 | $127.00 | $0.47–$123.70 | 78% above | 5% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX AB TYPE 1-TECH | $120.65 | $127.00 | $69.85–$123.70 | — | 5% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX AB TYPE 2-TECH | $176.70 | $186.00 | $0.69–$181.16 | 117% above | 5% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX AB TYPE 2-TECH | $176.70 | $186.00 | $102.30–$181.16 | — | 5% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 CRP HIGH SENSITIVITY-TECH | $140.60 | $148.00 | $0.55–$144.15 | 76% above | 5% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP HIGH SENSITIVITY-TECH | $140.60 | $148.00 | $81.40–$144.15 | — | 5% |
| Insulin blood test CPT 83525 INSULIN TOTAL ASSAY-TECH | $113.05 | $119.00 | $0.44–$115.91 | 67% above | 5% |
| Insulin blood test inpatient CPT 83525 INSULIN TOTAL ASSAY-TECH | $113.05 | $119.00 | $65.45–$115.91 | — | 5% |
| Iron blood test (serum iron) CPT 83540 IRON ASSAY-TECH | $64.60 | $68.00 | $0.25–$66.23 | 21% above | 5% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON ASSAY-TECH | $64.60 | $68.00 | $37.40–$66.23 | — | 5% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY-TECH | $81.70 | $86.00 | $0.32–$83.76 | 32% above | 5% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY-TECH | $81.70 | $86.00 | $47.30–$83.76 | — | 5% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL-TECH | $93.10 | $98.00 | $0.36–$95.45 | 9% below | 5% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL-TECH | $93.10 | $98.00 | $53.90–$95.45 | — | 5% |
| LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE-TECH | $194.75 | $205.00 | $0.76–$199.67 | 100% above | 5% |
| LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE-TECH | $194.75 | $205.00 | $112.75–$199.67 | — | 5% |
| Lactate (lactic acid) blood test CPT 83605 LACTATE-TECH | $103.55 | $109.00 | $0.40–$106.17 | 49% above | 5% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID ASSAY-TECH | $107.35 | $113.00 | $0.42–$110.06 | 54% above | 5% |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTATE-TECH | $103.55 | $109.00 | $59.95–$106.17 | — | 5% |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID ASSAY-TECH | $107.35 | $113.00 | $62.15–$110.06 | — | 5% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE LDH-TECH | $52.25 | $55.00 | $0.20–$53.57 | 4% above | 5% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE, OTHER BODY FLUIDS | $61.75 | $65.00 | $0.24–$63.31 | 24% above | 5% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTATE DEHYDROGENASE LDH-TECH | $52.25 | $55.00 | $30.25–$53.57 | — | 5% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTATE DEHYDROGENASE, OTHER BODY FLUIDS | $61.75 | $65.00 | $35.75–$63.31 | — | 5% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE ASSAY-TECH | $70.30 | $74.00 | $0.27–$72.08 | 4% above | 5% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE ASSAY-TECH | $70.30 | $74.00 | $40.70–$72.08 | — | 5% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL-TECH | $88.35 | $93.00 | $0.34–$90.58 | 13% below | 5% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL-TECH | $88.35 | $93.00 | $51.15–$90.58 | — | 5% |
| Lyme disease antibody test CPT 86618 LYME DISEASE AB-TECH | $185.25 | $195.00 | $0.72–$189.93 | 122% above | 5% |
| Lyme disease antibody test inpatient CPT 86618 LYME DISEASE AB-TECH | $185.25 | $195.00 | $107.25–$189.93 | — | 5% |
| Magnesium blood test CPT 83735 MAGNESIUM ASSAY-TECH | $65.55 | $69.00 | $0.26–$67.21 | 25% above | 5% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM ASSAY-TECH | $65.55 | $69.00 | $37.95–$67.21 | — | 5% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA AB-TECH | $156.75 | $165.00 | $0.61–$160.71 | 90% above | 5% |
| Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA AB-TECH | $156.75 | $165.00 | $90.75–$160.71 | — | 5% |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONOTEST TEST SCREEN-TECH | $55.10 | $58.00 | $0.21–$56.49 | at median | 5% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONOTEST TEST SCREEN-TECH | $55.10 | $58.00 | $31.90–$56.49 | — | 5% |
| Mumps immunity blood test CPT 86735 OM MUMPS IMMUNE STATUS | $146.39 | $154.10 | $0.57–$150.09 | 71% above | 5% |
| Mumps immunity blood test CPT 86735 MUMPS IMMUNE STATUS-TECH | $149.15 | $157.00 | $0.58–$152.92 | 74% above | 5% |
| Mumps immunity blood test inpatient CPT 86735 OM MUMPS IMMUNE STATUS | $146.39 | $154.10 | $84.75–$150.09 | — | 5% |
| Mumps immunity blood test inpatient CPT 86735 MUMPS IMMUNE STATUS-TECH | $149.15 | $157.00 | $86.35–$152.92 | — | 5% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE-TECH | $198.55 | $209.00 | $0.77–$203.57 | 115% above | 5% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE-TECH | $198.55 | $209.00 | $114.95–$203.57 | — | 5% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL-TECH | $198.55 | $209.00 | $0.77–$203.57 | 109% above | 5% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL-TECH | $198.55 | $209.00 | $114.95–$203.57 | — | 5% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 PAP-THIN PREP (NEW CODE FOR PRICE DESCRIPANCY) | $183.35 | $193.00 | $0.71–$187.98 | 104% above | 5% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 PAP-THIN PREP (NEW CODE FOR PRICE DESCRIPANCY) | $183.35 | $193.00 | $106.15–$187.98 | — | 5% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE ASSAY-TECH | $351.50 | $370.00 | $1.37–$360.38 | 65% above | 5% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHORMONE ASSAY-TECH | $351.50 | $370.00 | $203.50–$360.38 | — | 5% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL-TECH | $64.60 | $68.00 | $0.25–$66.23 | 23% above | 5% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME PARTIAL-TECH | $64.60 | $68.00 | $37.40–$66.23 | — | 5% |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS ASSAY-TECH | $46.55 | $49.00 | $0.18–$47.73 | 12% above | 5% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS ASSAY-TECH | $46.55 | $49.00 | $26.95–$47.73 | — | 5% |
| Potassium blood test CPT 84132 POTASSIUM SERUM ASSAY-TECH | $43.70 | $46.00 | $0.17–$44.80 | 59% above | 5% |
| Potassium blood test inpatient CPT 84132 POTASSIUM SERUM ASSAY-TECH | $43.70 | $46.00 | $25.30–$44.80 | — | 5% |
| Progesterone blood test CPT 84144 PROGESTERONE ASSAY-TECH | $190.00 | $200.00 | $0.74–$194.80 | 57% above | 5% |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE ASSAY-TECH | $190.00 | $200.00 | $110.00–$194.80 | — | 5% |
| Prolactin blood test CPT 84146 PROLACTIN ASSAY-TECH | $167.20 | $176.00 | $0.65–$171.42 | 38% above | 5% |
| Prolactin blood test inpatient CPT 84146 PROLACTIN ASSAY-TECH | $167.20 | $176.00 | $96.80–$171.42 | — | 5% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME-TECH | $42.75 | $45.00 | $0.17–$43.83 | 27% above | 5% |
| Prothrombin time (PT/INR) clotting test CPT 85610 COMPREHENSIVE ANTIPHOSPHOLIPID SYNDROME-TECH | $42.75 | $45.00 | $0.17–$43.83 | 27% above | 5% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME-TECH | $42.75 | $45.00 | $24.75–$43.83 | — | 5% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 COMPREHENSIVE ANTIPHOSPHOLIPID SYNDROME-TECH | $42.75 | $45.00 | $24.75–$43.83 | — | 5% |
| Rh blood typing CPT 86901 RH TYPE (ARC) CHARGE ONLY | $33.25 | $35.00 | $0.13–$34.09 | 16% below | 5% |
| Rh blood typing CPT 86901 BLOOD TYPING RH-TECH | $38.95 | $41.00 | $0.15–$39.93 | 2% below | 5% |
| Rh blood typing inpatient CPT 86901 RH TYPE (ARC) CHARGE ONLY | $33.25 | $35.00 | $19.25–$34.09 | — | 5% |
| Rh blood typing inpatient CPT 86901 BLOOD TYPING RH-TECH | $38.95 | $41.00 | $22.55–$39.93 | — | 5% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT-TECH | $70.30 | $74.00 | $0.27–$72.08 | 20% above | 5% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QUANT-TECH | $70.30 | $74.00 | $40.70–$72.08 | — | 5% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA AB-TECH | $150.10 | $158.00 | $0.58–$153.89 | 82% above | 5% |
| Rubella antibody test (immunity check) CPT 86762 OM RUBELLA IMMUNE STATUS | $161.60 | $170.10 | $0.63–$165.68 | 96% above | 5% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA AB-TECH | $150.10 | $158.00 | $86.90–$153.89 | — | 5% |
| Rubella antibody test (immunity check) inpatient CPT 86762 OM RUBELLA IMMUNE STATUS | $161.60 | $170.10 | $93.56–$165.68 | — | 5% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SEDIMENTATION RATE AUTOMATED-TECH | $29.45 | $31.00 | $0.11–$30.19 | 29% below | 5% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SEDIMENTATION RATE AUTOMATED-TECH | $29.45 | $31.00 | $17.05–$30.19 | — | 5% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANAL VOL CNT MOTIL DIFF-TECH | $135.28 | $142.40 | $0.53–$138.70 | at median | 5% |
| Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 SEMEN ANAL VOL CNT MOTIL DIFF-TECH | $135.28 | $142.40 | $78.32–$138.70 | — | 5% |
| Sodium blood test CPT 84295 RENAL FAILURE INDICIES-SODIUM, SERUM | $49.40 | $52.00 | $0.19–$50.65 | 99% above | 5% |
| Sodium blood test CPT 84295 SODIUM SERUM/PLASMA/WHOLE BLD-TECH | $51.30 | $54.00 | $0.20–$52.60 | 107% above | 5% |
| Sodium blood test inpatient CPT 84295 RENAL FAILURE INDICIES-SODIUM, SERUM | $49.40 | $52.00 | $28.60–$50.65 | — | 5% |
| Sodium blood test inpatient CPT 84295 SODIUM SERUM/PLASMA/WHOLE BLD-TECH | $51.30 | $54.00 | $29.70–$52.60 | — | 5% |
| Stool ova and parasites exam CPT 87177 OVA & PARASITES SMEARS-TECH | $101.65 | $107.00 | $0.40–$104.22 | 56% above | 5% |
| Stool ova and parasites exam inpatient CPT 87177 OVA & PARASITES SMEARS-TECH | $101.65 | $107.00 | $58.85–$104.22 | — | 5% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 FECAL-OCCULT BLD TS | $29.45 | $31.00 | $0.11–$30.19 | 39% above | 5% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD FECES CA SCREEN-TECH | $32.30 | $34.00 | $0.13–$33.12 | 53% above | 5% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 FECAL-OCCULT BLD TS | $29.45 | $31.00 | $17.05–$30.19 | — | 5% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD FECES CA SCREEN-TECH | $32.30 | $34.00 | $18.70–$33.12 | — | 5% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLD FECES IMMUNOASSAY-TECH | $138.70 | $146.00 | $0.54–$142.20 | 129% above | 5% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 OCCULT BLD FECES IMMUNOASSAY-TECH | $138.70 | $146.00 | $80.30–$142.20 | — | 5% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 SYPHILLIS FTA-ABS-TECH | $81.70 | $86.00 | $0.32–$91.22 | 49% above | 5% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM AB TECH | $91.20 | $96.00 | $0.36–$93.50 | 66% above | 5% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 SYPHILLIS FTA-ABS-TECH | $81.70 | $86.00 | $47.30–$83.76 | — | 5% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMA PALLIDUM AB TECH | $91.20 | $96.00 | $52.80–$93.50 | — | 5% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON-TB GOLD | $700.15 | $737.00 | $2.73–$717.84 | 177% above | 5% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON-TB GOLD | $700.15 | $737.00 | $405.35–$717.84 | — | 5% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL-TECH | $236.55 | $249.00 | $0.92–$242.53 | 106% above | 5% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL-TECH | $236.55 | $249.00 | $136.95–$242.53 | — | 5% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER-KIDNEY MICROSOMAL-1 AB-TECH | $144.40 | $152.00 | $0.56–$148.05 | 106% above | 5% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL AB EA-TECH | $165.30 | $174.00 | $0.64–$169.48 | 136% above | 5% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER-KIDNEY MICROSOMAL-1 AB-TECH | $144.40 | $152.00 | $83.60–$148.05 | — | 5% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL AB EA-TECH | $165.30 | $174.00 | $95.70–$169.48 | — | 5% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE-TECH | $172.90 | $182.00 | $0.67–$177.27 | 92% above | 5% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID DIAGNOSTIC CASCADE-TECH | $173.85 | $183.00 | $0.68–$178.24 | 93% above | 5% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMONE-TECH | $172.90 | $182.00 | $100.10–$177.27 | — | 5% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID DIAGNOSTIC CASCADE-TECH | $173.85 | $183.00 | $100.65–$178.24 | — | 5% |
| Total IgE blood test CPT 82785 IGE LEVEL-TECH | $148.20 | $156.00 | $0.58–$151.94 | 45% above | 5% |
| Total IgE blood test CPT 82785 IMMUNOGLOBULIN IGE ASSAY-TECH | $169.10 | $178.00 | $0.66–$173.37 | 66% above | 5% |
| Total IgE blood test inpatient CPT 82785 IGE LEVEL-TECH | $148.20 | $156.00 | $85.80–$151.94 | — | 5% |
| Total IgE blood test inpatient CPT 82785 IMMUNOGLOBULIN IGE ASSAY-TECH | $169.10 | $178.00 | $97.90–$173.37 | — | 5% |
| Total cholesterol blood test CPT 82465 CHOLESTEROL TOTAL-TECH | $46.55 | $49.00 | $0.18–$47.73 | 1% above | 5% |
| Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL TOTAL-TECH | $46.55 | $49.00 | $26.95–$47.73 | — | 5% |
| Total thyroxine (T4) blood test CPT 84436 THYROXINE TOTAL ASSAY-TECH | $66.50 | $70.00 | $0.26–$68.18 | 28% above | 5% |
| Total thyroxine (T4) blood test CPT 84436 FREE THYOXINE INDEX (FTI), S (FRTUP) SO | $73.82 | $77.70 | $0.29–$75.68 | 42% above | 5% |
| Total thyroxine (T4) blood test inpatient CPT 84436 THYROXINE TOTAL ASSAY-TECH | $66.50 | $70.00 | $38.50–$68.18 | — | 5% |
| Total thyroxine (T4) blood test inpatient CPT 84436 FREE THYOXINE INDEX (FTI), S (FRTUP) SO | $73.82 | $77.70 | $42.73–$75.68 | — | 5% |
| Total triiodothyronine (T3) blood test CPT 84480 T3 TOTAL-TECH | $147.25 | $155.00 | $0.57–$150.97 | 37% above | 5% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 TOTAL-TECH | $147.25 | $155.00 | $85.25–$150.97 | — | 5% |
| Transferrin blood test CPT 84466 TRANSFERRIN ASSAY-TECH | $137.75 | $145.00 | $0.54–$141.23 | 45% above | 5% |
| Transferrin blood test inpatient CPT 84466 TRANSFERRIN ASSAY-TECH | $137.75 | $145.00 | $79.75–$141.23 | — | 5% |
| Trichomonas test (NAAT) CPT 87661 TRICH VAGINALIS, AMP PROBE TECH | $131.10 | $138.00 | $0.51–$241.77 | 4% below | 5% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPL PROBE-TECH | $346.75 | $365.00 | $1.35–$355.51 | 154% above | 5% |
| Trichomonas test (NAAT) inpatient CPT 87661 TRICH VAGINALIS, AMP PROBE TECH | $131.10 | $138.00 | $75.90–$134.41 | — | 5% |
| Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS AMPL PROBE-TECH | $346.75 | $365.00 | $200.75–$355.51 | — | 5% |
| Triglycerides blood test CPT 84478 TRIGLYCERIDES ASSAY-TECH | $55.10 | $58.00 | $0.21–$56.49 | 2% above | 5% |
| Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES ASSAY-TECH | $55.10 | $58.00 | $31.90–$56.49 | — | 5% |
| Troponin test, quantitative CPT 84484 TROPONIN QUANT-TECH | $99.75 | $105.00 | $0.39–$102.27 | 18% above | 5% |
| Troponin test, quantitative inpatient CPT 84484 TROPONIN QUANT-TECH | $99.75 | $105.00 | $57.75–$102.27 | — | 5% |
| Uric acid blood test CPT 84550 URIC ACID BLOOD-TECH | $43.70 | $46.00 | $0.17–$44.80 | 13% below | 5% |
| Uric acid blood test inpatient CPT 84550 URIC ACID BLOOD-TECH | $43.70 | $46.00 | $25.30–$44.80 | — | 5% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W MICRO-TECH | $39.90 | $42.00 | $0.16–$40.91 | 11% above | 5% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS AUTO W MICRO-TECH | $39.90 | $42.00 | $23.10–$40.91 | — | 5% |
| Urinalysis without microscope exam, automated CPT 81003 RHC URINE, DIPSTICK ONLY | $25.65 | $27.00 | $0.10–$26.30 | 3% above | 5% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS BY DIP OR REGENT STRIP-TECH | $26.60 | $28.00 | $0.10–$27.27 | 6% above | 5% |
| Urinalysis without microscope exam, automated CPT 81003 BILE, URINE - TECH | $26.60 | $28.00 | $0.10–$27.27 | 6% above | 5% |
| Urinalysis without microscope exam, automated CPT 81003 BLOOD, URINE TECH | $26.60 | $28.00 | $0.10–$27.27 | 6% above | 5% |
| Urinalysis without microscope exam, automated CPT 81003 ALBUMIN LEVEL URINE-TECH | $29.45 | $31.00 | $0.11–$30.19 | 18% above | 5% |
| Urinalysis without microscope exam, automated CPT 81003 UA BY DIP OR TABLET FOR BILI-TECH | $29.45 | $31.00 | $0.11–$30.19 | 18% above | 5% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO WO MICROSCOPY-TECH | $29.45 | $31.00 | $0.11–$30.19 | 18% above | 5% |
| Urinalysis without microscope exam, automated CPT 81003 UA BY DIP OR TAB REG FOR BILI-TECH | $29.45 | $31.00 | $0.11–$30.19 | 18% above | 5% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 RHC URINE, DIPSTICK ONLY | $25.65 | $27.00 | $14.85–$26.30 | — | 5% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 BLOOD, URINE TECH | $26.60 | $28.00 | $15.40–$27.27 | — | 5% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS BY DIP OR REGENT STRIP-TECH | $26.60 | $28.00 | $15.40–$27.27 | — | 5% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 BILE, URINE - TECH | $26.60 | $28.00 | $15.40–$27.27 | — | 5% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 UA BY DIP OR TAB REG FOR BILI-TECH | $29.45 | $31.00 | $17.05–$30.19 | — | 5% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 UA BY DIP OR TABLET FOR BILI-TECH | $29.45 | $31.00 | $17.05–$30.19 | — | 5% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 ALBUMIN LEVEL URINE-TECH | $29.45 | $31.00 | $17.05–$30.19 | — | 5% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS AUTO WO MICROSCOPY-TECH | $29.45 | $31.00 | $17.05–$30.19 | — | 5% |
| Urinalysis without microscope exam, manual CPT 81002 DIP-POC | $31.35 | $33.00 | $0.12–$32.14 | 128% above | 5% |
| Urinalysis without microscope exam, manual CPT 81002 ONCOLOGY PROTEIN URINE SCREEN | $34.20 | $36.00 | $0.13–$35.06 | 148% above | 5% |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NON AUTO WO MICRO-TECH | $34.20 | $36.00 | $0.13–$35.06 | 148% above | 5% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 DIP-POC | $31.35 | $33.00 | $18.15–$32.14 | — | 5% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 ONCOLOGY PROTEIN URINE SCREEN | $34.20 | $36.00 | $19.80–$35.06 | — | 5% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS NON AUTO WO MICRO-TECH | $34.20 | $36.00 | $19.80–$35.06 | — | 5% |
| Urine culture for bacteria, with colony count CPT 87086 CULT URINE COLONY COUNT-TECH | $84.55 | $89.00 | $0.33–$86.69 | 12% above | 5% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 CULT URINE COLONY COUNT-TECH | $84.55 | $89.00 | $48.95–$86.69 | — | 5% |
| Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN QUANT URINE-TECH | $61.75 | $65.00 | $0.24–$63.31 | 5% below | 5% |
| Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN QUANT URINE-TECH | $61.75 | $65.00 | $35.75–$63.31 | — | 5% |
| Urine pregnancy test, read by color change CPT 81025 RHC PREGNANCY, QUAL-URINE | $72.20 | $76.00 | $0.28–$74.02 | 46% above | 5% |
| Urine pregnancy test, read by color change CPT 81025 HCG QUAL URINE-TECH | $75.05 | $79.00 | $0.29–$76.95 | 51% above | 5% |
| Urine pregnancy test, read by color change inpatient CPT 81025 RHC PREGNANCY, QUAL-URINE | $72.20 | $76.00 | $41.80–$74.02 | — | 5% |
| Urine pregnancy test, read by color change inpatient CPT 81025 HCG QUAL URINE-TECH | $75.05 | $79.00 | $43.45–$76.95 | — | 5% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 ASSAY-TECH | $131.10 | $138.00 | $0.51–$134.41 | 28% above | 5% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 ASSAY-TECH | $131.10 | $138.00 | $75.90–$134.41 | — | 5% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY-TECH | $267.90 | $282.00 | $1.04–$274.67 | 73% above | 5% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 HYDROXY-TECH | $267.90 | $282.00 | $155.10–$274.67 | — | 5% |
| Zinc blood test CPT 84630 ZINC ASSAY-TECH | $98.80 | $104.00 | $0.38–$101.30 | 24% above | 5% |
| Zinc blood test inpatient CPT 84630 ZINC ASSAY-TECH | $98.80 | $104.00 | $57.20–$101.30 | — | 5% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG QUANT-TECH | $136.80 | $144.00 | $0.53–$140.26 | 16% above | 5% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN, CHORIONIC (HCG); QUANTITATIVE-TECH | $153.90 | $162.00 | $0.60–$157.79 | 31% above | 5% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA HCG QUANT-TECH | $136.80 | $144.00 | $79.20–$140.26 | — | 5% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 GONADOTROPIN, CHORIONIC (HCG); QUANTITATIVE-TECH | $153.90 | $162.00 | $89.10–$157.79 | — | 5% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Wisconsin | Off list |
|---|---|---|---|---|---|
| Botox injections for chronic migraine both sides CPT 64615 CHEMODENERV MSCL INNERVATED BI -TECH | $397.10 | $418.00 | $1.55–$407.13 | — | 5% |
| Botox injections for chronic migraine inpatient both sides CPT 64615 CHEMODENERV MSCL INNERVATED BI -TECH | $397.10 | $418.00 | $229.90–$407.13 | — | 5% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BRST BX,PLC LOC DEV;STEREOTAC-TECH | $1,236.90 | $1,302.00 | $4.82–$1,268.15 | 51% below | 5% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BRST 1ST LESN STRTCTC-TECH | $4,180.95 | $4,401.00 | $16.28–$4,286.57 | 65% above | 5% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 BRST BX,PLC LOC DEV;STEREOTAC-TECH | $1,236.90 | $1,302.00 | $716.10–$1,268.15 | — | 5% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 BX BRST 1ST LESN STRTCTC-TECH | $4,180.95 | $4,401.00 | $2,420.55–$4,286.57 | — | 5% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CLSD TX DIST FIB WO MANIP-TECH | $855.95 | $901.00 | $3.33–$877.57 | 55% above | 5% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 CLSD TX DIST FIB WO MANIP-TECH | $855.95 | $901.00 | $495.55–$877.57 | — | 5% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 CLSD TX METATARSAL FX WO MANIP-TECH | $598.50 | $630.00 | $2.33–$613.62 | at median | 5% |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 CLSD TX METATARSAL FX WO MANIP-TECH | $598.50 | $630.00 | $346.50–$613.62 | — | 5% |
| Cardiac catheterization with coronary angiogram one side CPT 93458 CATH PLC COR ART LT HRT CATH 93458-TECH | $8,821.70 | $9,286.00 | $34.36–$9,044.56 | 10% below | 5% |
| Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 CATH PLC COR ART LT HRT CATH 93458-TECH | $8,821.70 | $9,286.00 | $5,107.30–$9,044.56 | — | 5% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION-TECH | $368.60 | $388.00 | $1.44–$377.91 | 63% below | 5% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTIVE EXTRNL-TECH | $1,589.35 | $1,673.00 | $6.19–$1,629.50 | 61% above | 5% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION-TECH | $368.60 | $388.00 | $213.40–$377.91 | — | 5% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTIVE EXTRNL-TECH | $1,589.35 | $1,673.00 | $920.15–$1,629.50 | — | 5% |
| Carpal tunnel release, open surgery CPT 64721 NEUROPLASTY MEDIAN CARPAL TUNNEL-TECH | $1,212.20 | $1,276.00 | $4.72–$1,242.82 | 46% below | 5% |
| Carpal tunnel release, open surgery inpatient CPT 64721 NEUROPLASTY MEDIAN CARPAL TUNNEL-TECH | $1,212.20 | $1,276.00 | $701.80–$1,242.82 | — | 5% |
| Cervical biopsy CPT 57500 BIOPSY CERVIX-TECH | $245.10 | $258.00 | $0.95–$251.29 | 59% below | 5% |
| Cervical biopsy inpatient CPT 57500 BIOPSY CERVIX-TECH | $245.10 | $258.00 | $141.90–$251.29 | — | 5% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION WITH CLAMP/BLOCK | $205.20 | $216.00 | $0.80–$210.38 | 1% above | 5% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION W CLAMP/BLOCK-TECH | $282.15 | $297.00 | $1.10–$289.28 | 38% above | 5% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION WITH CLAMP/BLOCK | $205.20 | $216.00 | $118.80–$210.38 | — | 5% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION W CLAMP/BLOCK-TECH | $282.15 | $297.00 | $163.35–$289.28 | — | 5% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLSD TX DIST RADL FX WO MANIP-TECH | $885.40 | $932.00 | $3.45–$907.77 | 44% above | 5% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 CLSD TX DIST RADL FX WO MANIP-TECH | $885.40 | $932.00 | $512.60–$907.77 | — | 5% |
| Colonoscopy with tissue sample CPT 45380 COLONOSC FLEX W/BIOPSY-TECH | $1,248.30 | $1,314.00 | $4.86–$1,279.84 | 39% below | 5% |
| Colonoscopy with tissue sample inpatient CPT 45380 COLONOSC FLEX W/BIOPSY-TECH | $1,248.30 | $1,314.00 | $722.70–$1,279.84 | — | 5% |
| Colonoscopy, diagnostic CPT 45378 COLONOSCOPY DIAGNOSTIC-TECH | $1,468.70 | $1,546.00 | $5.72–$1,505.80 | 16% below | 5% |
| Colonoscopy, diagnostic inpatient CPT 45378 COLONOSCOPY DIAGNOSTIC-TECH | $1,468.70 | $1,546.00 | $850.30–$1,505.80 | — | 5% |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 COLPOSCOPY;LOOP ELEC BX(LEEP)-TECH | $541.50 | $570.00 | $2.11–$555.18 | 37% below | 5% |
| Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 COLPOSCOPY;LOOP ELEC BX(LEEP)-TECH | $541.50 | $570.00 | $313.50–$555.18 | — | 5% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 COLPOSCOPY CERVIX W BX&CURETT-TECH | $293.55 | $309.00 | $1.14–$300.97 | 35% below | 5% |
| Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 COLPOSCOPY CERVIX W BX&CURETT-TECH | $293.55 | $309.00 | $169.95–$300.97 | — | 5% |
| Cystoscopy with ureteral stent placement CPT 52332 CYSTOURETHROSC,W/URETERAL STNT-TECH | $1,263.50 | $1,330.00 | $4.92–$1,295.42 | 71% below | 5% |
| Cystoscopy with ureteral stent placement inpatient CPT 52332 CYSTOURETHROSC,W/URETERAL STNT-TECH | $1,263.50 | $1,330.00 | $731.50–$1,295.42 | — | 5% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY-TECH | $531.05 | $559.00 | $2.07–$544.47 | 46% below | 5% |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSTOURETHROSCOPY-TECH | $531.05 | $559.00 | $307.45–$544.47 | — | 5% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DEST PREMLG LESN 1ST-TECH | $117.80 | $124.00 | $0.46–$120.78 | 35% below | 5% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DEST PREMLG LESN 1ST-TECH | $117.80 | $124.00 | $68.20–$120.78 | — | 5% |
| Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 TYMPANOSTOMY,GEN ANES,W/TUBE-TECH | $284.05 | $299.00 | $1.11–$291.23 | 53% below | 5% |
| Ear tube placement (tympanostomy) under general anesthesia, one ear inpatient CPT 69436 TYMPANOSTOMY,GEN ANES,W/TUBE-TECH | $284.05 | $299.00 | $164.45–$291.23 | — | 5% |
| Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 TYMPANOSTOMY LOC/TOP ANES-TECH | $358.15 | $377.00 | $1.39–$367.20 | 31% below | 5% |
| Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 TYMPANOSTOMY LOC/TOP ANES-TECH | $358.15 | $377.00 | $207.35–$367.20 | — | 5% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 RMV IMPAC CERUMEN IRR/LAV UNI | $668.80 | $704.00 | $2.60–$685.70 | 622% above | 5% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 RMV IMPAC CERUMEN IRR/LAV UNI | $668.80 | $704.00 | $387.20–$685.70 | — | 5% |
| Earwax removal with instruments, one ear CPT 69210 EAR LAVAGE-REQ INSTRUMENTATION-TECH | $86.45 | $91.00 | $0.34–$88.63 | 3% above | 5% |
| Earwax removal with instruments, one ear inpatient CPT 69210 EAR LAVAGE-REQ INSTRUMENTATION-TECH | $86.45 | $91.00 | $50.05–$88.63 | — | 5% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BX ENDOMET W/WO ENDOCERV SAMP-TECH | $209.00 | $220.00 | $0.81–$214.28 | 23% below | 5% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 BX ENDOMET W/WO ENDOCERV SAMP-TECH | $209.00 | $220.00 | $121.00–$214.28 | — | 5% |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 NASAL ENDOSC;MAXILLARY ANTROST-TECH | $345.80 | $364.00 | $1.35–$354.54 | 86% below | 5% |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus inpatient CPT 31256 NASAL ENDOSC;MAXILLARY ANTROST-TECH | $345.80 | $364.00 | $200.20–$354.54 | — | 5% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 CT INJ EPID/SUBARCH CER/THOR W/GUIDE-TECH | $834.10 | $878.00 | $3.25–$855.17 | 37% below | 5% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 CT INJ EPID/SUBARCH CER/THOR W/GUIDE-TECH | $834.10 | $878.00 | $482.90–$855.17 | — | 5% |
| Eye injection into the vitreous (intravitreal injection) CPT 67028 INJECTION INTRAVITREAL-TECH | $280.25 | $295.00 | $1.09–$287.33 | 31% below | 5% |
| Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 INJECTION INTRAVITREAL-TECH | $280.25 | $295.00 | $162.25–$287.33 | — | 5% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 XR INJ ANES AGNT L/S SGL LVL W GUID 64493 | $2,762.60 | $2,908.00 | $10.76–$2,832.39 | 71% above | 5% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 XR INJ ANES AGNT L/S SGL LVL W GUID 64493 | $2,762.60 | $2,908.00 | $1,599.40–$2,832.39 | — | 5% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 HEMORRHOIDECTOMY INTERNAL-TECH | $468.35 | $493.00 | $1.82–$480.18 | 64% below | 5% |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HEMORRHOIDECTOMY INTERNAL-TECH | $468.35 | $493.00 | $271.15–$480.18 | — | 5% |
| Hemorrhoidectomy (internal and external), one area CPT 46255 HEMORRHOIDECT INT AND EXT SNGL-TECH | $881.60 | $928.00 | $3.43–$903.87 | 74% below | 5% |
| Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 HEMORRHOIDECT INT AND EXT SNGL-TECH | $881.60 | $928.00 | $510.40–$903.87 | — | 5% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 INJ PROC-HYSTEROSALPINGOGRAM-TECH | $228.00 | $240.00 | $0.89–$233.76 | 32% below | 5% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 CATH W INJ CNTRST HSG-TECH | $1,323.35 | $1,393.00 | $5.15–$1,356.78 | 293% above | 5% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 INJ PROC-HYSTEROSALPINGOGRAM-TECH | $228.00 | $240.00 | $132.00–$233.76 | — | 5% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 CATH W INJ CNTRST HSG-TECH | $1,323.35 | $1,393.00 | $766.15–$1,356.78 | — | 5% |
| IUD insertion (the device itself billed separately) CPT 58300 INS OF INTRAUTERINE DEVICE-TECH | $175.75 | $185.00 | $0.68–$180.19 | 42% below | 5% |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 INS OF INTRAUTERINE DEVICE-TECH | $175.75 | $185.00 | $101.75–$180.19 | — | 5% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SMPL/SNGL-TECH | $209.00 | $220.00 | $0.81–$214.28 | 28% below | 5% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D WOUND -TECH | $402.80 | $424.00 | $1.57–$412.98 | 38% above | 5% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SMPL/SNGL-TECH | $209.00 | $220.00 | $121.00–$214.28 | — | 5% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D WOUND -TECH | $402.80 | $424.00 | $233.20–$412.98 | — | 5% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ SNGL TENDON/SHTH/LGMNT-TECH | $159.60 | $168.00 | $0.62–$163.63 | 53% below | 5% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ,MUSCL-CT IMAGE-TECH | $159.60 | $168.00 | $0.62–$163.63 | 53% below | 5% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 US MUSCLE/LIG INJECTION | $674.50 | $710.00 | $2.63–$691.54 | 98% above | 5% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ,MUSCL-CT IMAGE-TECH | $159.60 | $168.00 | $92.40–$163.63 | — | 5% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ SNGL TENDON/SHTH/LGMNT-TECH | $159.60 | $168.00 | $92.40–$163.63 | — | 5% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 US MUSCLE/LIG INJECTION | $674.50 | $710.00 | $390.50–$691.54 | — | 5% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHCS ASP/INJ MJR JT WO US-TECH | $2,762.60 | $2,908.00 | $10.76–$2,832.39 | 537% above | 5% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 CT ASP/INJ JT 20610 | $2,762.60 | $2,908.00 | $10.76–$2,832.39 | 537% above | 5% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 CT ASP/INJ JT 20610 | $2,762.60 | $2,908.00 | $1,599.40–$2,832.39 | — | 5% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHCS ASP/INJ MJR JT WO US-TECH | $2,762.60 | $2,908.00 | $1,599.40–$2,832.39 | — | 5% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INS NON-BIODEG DRUG DEL IMPL-TECH | $247.95 | $261.00 | $0.97–$254.21 | 6% below | 5% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERT DRUG IMPLANT DEVICE-TECH | $2,762.60 | $2,908.00 | $10.76–$2,832.39 | 946% above | 5% |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 INS NON-BIODEG DRUG DEL IMPL-TECH | $247.95 | $261.00 | $143.55–$254.21 | — | 5% |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 INSERT DRUG IMPLANT DEVICE-TECH | $2,762.60 | $2,908.00 | $1,599.40–$2,832.39 | — | 5% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHCS ASP/INJ INT JT WO US-TECH | $135.85 | $143.00 | $0.53–$139.28 | 58% below | 5% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENT INTERM JOINT W/CT-TECH | $135.85 | $143.00 | $0.53–$139.28 | 58% below | 5% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 CT ASP/INJ JT 20605 | $483.55 | $509.00 | $1.88–$495.77 | 51% above | 5% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHCS ASP INJ INT JT WO US-TECH | $483.55 | $509.00 | $1.88–$495.77 | 51% above | 5% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ASPIRATION/INJ JOINT - ORTHO TX DONE-TECH | $483.55 | $509.00 | $1.88–$495.77 | 51% above | 5% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHCS ASP/INJ INT JT WO US-TECH | $135.85 | $143.00 | $78.65–$139.28 | — | 5% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCENT INTERM JOINT W/CT-TECH | $135.85 | $143.00 | $78.65–$139.28 | — | 5% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHCS ASP INJ INT JT WO US-TECH | $483.55 | $509.00 | $279.95–$495.77 | — | 5% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ASPIRATION/INJ JOINT - ORTHO TX DONE-TECH | $483.55 | $509.00 | $279.95–$495.77 | — | 5% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 CT ASP/INJ JT 20605 | $483.55 | $509.00 | $279.95–$495.77 | — | 5% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENT ASP INJ-SM JT-CT-TECH | $129.20 | $136.00 | $0.50–$132.46 | 65% below | 5% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHCS ASP/INJ SM JT WO US-TECH | $129.20 | $136.00 | $0.50–$132.46 | 65% below | 5% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 CT ASP/INJ JT 20600 | $2,762.60 | $2,908.00 | $10.76–$2,832.39 | 644% above | 5% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHCS ASP/INJ SM JT WO US 4093727-TECH | $2,762.60 | $2,908.00 | $10.76–$2,832.39 | 644% above | 5% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHCS ASP/INJ SM JT WO US-TECH | $129.20 | $136.00 | $74.80–$132.46 | — | 5% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCENT ASP INJ-SM JT-CT-TECH | $129.20 | $136.00 | $74.80–$132.46 | — | 5% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 CT ASP/INJ JT 20600 | $2,762.60 | $2,908.00 | $1,599.40–$2,832.39 | — | 5% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHCS ASP/INJ SM JT WO US 4093727-TECH | $2,762.60 | $2,908.00 | $1,599.40–$2,832.39 | — | 5% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 DISC SECNDRY MEMB CATARACT LSR-TECH | $901.55 | $949.00 | $3.51–$924.33 | 23% below | 5% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 YAG LASER CAPS-EXT SHARE CARE-TECH | $901.55 | $949.00 | $3.51–$924.33 | 23% below | 5% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 DISC SECNDRY MEMB CATARACT LSR-TECH | $901.55 | $949.00 | $521.95–$924.33 | — | 5% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 YAG LASER CAPS-EXT SHARE CARE-TECH | $901.55 | $949.00 | $521.95–$924.33 | — | 5% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 RPR SATE <=2.5CM INT-TECH | $419.90 | $442.00 | $1.64–$430.51 | 20% below | 5% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 RPR SATE <=2.5CM INT-TECH | $419.90 | $442.00 | $243.10–$430.51 | — | 5% |
| Lower-back epidural injection, with imaging guidance CPT 62323 INJ DIAG/THER SUB L/S W/IMAG-TECH | $274.55 | $289.00 | $1.07–$281.49 | 76% below | 5% |
| Lower-back epidural injection, with imaging guidance CPT 62323 INJ EPID/SUBARCH LUM/SAC W/GUIDE-TECH | $744.80 | $784.00 | $2.90–$763.62 | 35% below | 5% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJ DIAG/THER SUB L/S W/IMAG-TECH | $274.55 | $289.00 | $158.95–$281.49 | — | 5% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJ EPID/SUBARCH LUM/SAC W/GUIDE-TECH | $744.80 | $784.00 | $431.20–$763.62 | — | 5% |
| Lower-back epidural injection, without imaging guidance CPT 62322 INJ DX/TX SUB LMBR/SAC WO IMG-TECH | $240.35 | $253.00 | $0.94–$246.42 | 71% below | 5% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 INJ DX/TX SUB LMBR/SAC WO IMG-TECH | $240.35 | $253.00 | $139.15–$246.42 | — | 5% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ ANES AGNT LMB/SAC-RAD ONLY-TECH | $312.55 | $329.00 | $1.22–$320.45 | 71% below | 5% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ ANES AGNT W/GUIDE-TECH | $744.80 | $784.00 | $2.90–$763.62 | 30% below | 5% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 INJ ANES AGNT LMB/SAC-RAD ONLY-TECH | $312.55 | $329.00 | $180.95–$320.45 | — | 5% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 INJ ANES AGNT W/GUIDE-TECH | $744.80 | $784.00 | $431.20–$763.62 | — | 5% |
| Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals CPT 17311 MOHS TECH;1ST STAGE,TO 5 BLCKS-TECH | $1,170.40 | $1,232.00 | $4.56–$1,199.97 | 13% below | 5% |
| Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals inpatient CPT 17311 MOHS TECH;1ST STAGE,TO 5 BLCKS-TECH | $1,170.40 | $1,232.00 | $677.60–$1,199.97 | — | 5% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXCISN B9 LESN TR/LIMB <=0.5CM-TECH | $219.45 | $231.00 | $0.85–$224.99 | 37% below | 5% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXCISN B9 LESN TR/LIMB <=0.5CM-TECH | $219.45 | $231.00 | $127.05–$224.99 | — | 5% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXN B9+MARG FEEYNLMM <=0.5CM-TECH | $239.40 | $252.00 | $0.93–$245.45 | 54% below | 5% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXN B9+MARG FEEYNLMM <=0.5CM-TECH | $239.40 | $252.00 | $138.60–$245.45 | — | 5% |
| Nail removal (partial or complete), one nail CPT 11730 AVUL NAIL PLT PRTL/COMPLT SMPL-TECH | $177.65 | $187.00 | $0.69–$182.14 | 24% below | 5% |
| Nail removal (partial or complete), one nail CPT 11730 AVUL NAIL PLT PRTL/COMPLETE SMPL-TECH | $609.90 | $642.00 | $2.38–$625.31 | 160% above | 5% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 AVUL NAIL PLT PRTL/COMPLT SMPL-TECH | $177.65 | $187.00 | $102.85–$182.14 | — | 5% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 AVUL NAIL PLT PRTL/COMPLETE SMPL-TECH | $609.90 | $642.00 | $353.10–$625.31 | — | 5% |
| Occipital nerve block (injection for headaches) CPT 64405 INJ ANES AGNT GRTR OCCIPTAL NV-TECH | $171.00 | $180.00 | $0.67–$175.32 | 63% below | 5% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 INJ ANES AGNT GRTR OCCIPTAL NV-TECH | $171.00 | $180.00 | $99.00–$175.32 | — | 5% |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS;W/IMAG GUID-TECH | $515.85 | $543.00 | $2.01–$528.88 | 60% below | 5% |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAG GUID-TECH | $997.50 | $1,050.00 | $3.88–$1,022.70 | 23% below | 5% |
| Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS;W/IMAG GUID-TECH | $515.85 | $543.00 | $298.65–$528.88 | — | 5% |
| Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W/IMAG GUID-TECH | $997.50 | $1,050.00 | $577.50–$1,022.70 | — | 5% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXN NAIL MATRIX PRTL/COMPLT-TECH | $323.00 | $340.00 | $1.26–$331.16 | 1% below | 5% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXN NAIL MATRIX PRTL/COMPLT-TECH | $323.00 | $340.00 | $187.00–$331.16 | — | 5% |
| Prostate biopsy CPT 55700 BIOPSY PROSTRATE NEEDLE/PUNCH-TECH | $399.95 | $421.00 | $1.56–$410.05 | 74% below | 5% |
| Prostate biopsy inpatient CPT 55700 BIOPSY PROSTRATE NEEDLE/PUNCH-TECH | $399.95 | $421.00 | $231.55–$410.05 | — | 5% |
| Removal of a breast lump, open surgery CPT 19120 EXN BRST LESN OPEN >=1 LESN-TECH | $868.30 | $914.00 | $3.38–$890.24 | 57% below | 5% |
| Removal of a breast lump, open surgery inpatient CPT 19120 EXN BRST LESN OPEN >=1 LESN-TECH | $868.30 | $914.00 | $502.70–$890.24 | — | 5% |
| Removal of a foreign object under the skin, simple CPT 10120 I&R FB SUBQ TISS SMPL-TECH | $270.75 | $285.00 | $1.05–$277.59 | 20% below | 5% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 I&R FB SUBQ TISS SMPL-TECH | $270.75 | $285.00 | $156.75–$277.59 | — | 5% |
| Short arm cast (elbow to hand) CPT 29075 APPLICATION OF FOREARM CAST-TECH | $235.60 | $248.00 | $0.92–$241.55 | 6% below | 5% |
| Short arm cast (elbow to hand) inpatient CPT 29075 APPLICATION OF FOREARM CAST-TECH | $235.60 | $248.00 | $136.40–$241.55 | — | 5% |
| Short arm splint (forearm and hand) CPT 29125 APP SHORT ARM SPLINT STATIC-TECH | $175.75 | $185.00 | $0.68–$180.19 | at median | 5% |
| Short arm splint (forearm and hand) inpatient CPT 29125 APP SHORT ARM SPLINT STATIC-TECH | $175.75 | $185.00 | $101.75–$180.19 | — | 5% |
| Short leg cast (below the knee) CPT 29405 APPLICATION OF SHORT LEG CAST-TECH | $223.25 | $235.00 | $0.87–$228.89 | 5% below | 5% |
| Short leg cast (below the knee) inpatient CPT 29405 APPLICATION OF SHORT LEG CAST-TECH | $223.25 | $235.00 | $129.25–$228.89 | — | 5% |
| Short leg splint (calf to foot) CPT 29515 APP SHORT LEG SPLINT-TECH | $196.65 | $207.00 | $0.77–$201.62 | 5% below | 5% |
| Short leg splint (calf to foot) inpatient CPT 29515 APP SHORT LEG SPLINT-TECH | $196.65 | $207.00 | $113.85–$201.62 | — | 5% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 RPR SNAGTE <=2.5CM SMPL-TECH | $158.65 | $167.00 | $0.62–$162.66 | 51% below | 5% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 RPR SNAGTE <=2.5CM SMPL-TECH | $158.65 | $167.00 | $91.85–$162.66 | — | 5% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BX,1ST LESION-TECH | $222.30 | $234.00 | $0.87–$227.92 | 7% below | 5% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX,1ST LESION-TECH | $222.30 | $234.00 | $128.70–$227.92 | — | 5% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXC MALIG LESION T A L 0.5 CM OR LESS-TECH | $341.05 | $359.00 | $1.33–$349.67 | 7% below | 5% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 EXC MALIG LESION T A L 0.5 CM OR LESS-TECH | $341.05 | $359.00 | $197.45–$349.67 | — | 5% |
| Skin tag removal, up to 15 tags CPT 11200 RMVE SKIN TAG UP TO 15-TECH | $155.80 | $164.00 | $0.61–$159.74 | 10% above | 5% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 RMVE SKIN TAG UP TO 15-TECH | $155.80 | $164.00 | $90.20–$159.74 | — | 5% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE DIAGNOSTIC-TECH | $452.20 | $476.00 | $1.76–$463.62 | 25% below | 5% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE DIAGNOSTIC-TECH | $452.20 | $476.00 | $261.80–$463.62 | — | 5% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 RPR SNAGTE 2.6-7.5CM SMPL-TECH | $192.85 | $203.00 | $0.75–$197.72 | 5% 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 RPR SNAGTE 2.6-7.5CM SMPL-TECH | $192.85 | $203.00 | $111.65–$197.72 | — | 5% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 RPR FEEYNLMM <=2.5CM SMPL-TECH | $193.80 | $204.00 | $0.75–$198.70 | 37% below | 5% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 RPR FEEYNLMM <=2.5CM SMPL-TECH | $193.80 | $204.00 | $112.20–$198.70 | — | 5% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGENTIAL BX,1ST LESION-TECH | $176.70 | $186.00 | $0.69–$181.16 | 26% below | 5% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TANGENTIAL BX,1ST LESION-TECH | $176.70 | $186.00 | $102.30–$181.16 | — | 5% |
| Thoracentesis with imaging guidance CPT 32555 THORAC,NDL/CATH;W/IMAG GUID-TECH | $505.40 | $532.00 | $1.97–$518.17 | 58% below | 5% |
| Thoracentesis with imaging guidance CPT 32555 THOR NDL/CATH ASP PLEU W/IMG-TECH | $916.75 | $965.00 | $3.57–$939.91 | 24% below | 5% |
| Thoracentesis with imaging guidance inpatient CPT 32555 THORAC,NDL/CATH;W/IMAG GUID-TECH | $505.40 | $532.00 | $292.60–$518.17 | — | 5% |
| Thoracentesis with imaging guidance inpatient CPT 32555 THOR NDL/CATH ASP PLEU W/IMG-TECH | $916.75 | $965.00 | $530.75–$939.91 | — | 5% |
| Trigger finger release surgery CPT 26055 TRIGGER FINGER REPAIR-TECH | $1,505.75 | $1,585.00 | $5.86–$1,543.79 | at median | 5% |
| Trigger finger release surgery inpatient CPT 26055 TRIGGER FINGER REPAIR-TECH | $1,505.75 | $1,585.00 | $871.75–$1,543.79 | — | 5% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIG PT-S US-TECH | $150.10 | $158.00 | $0.58–$153.89 | 58% below | 5% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER PNT 1 OR 2 MUSC-TECH | $150.10 | $158.00 | $0.58–$153.89 | 58% below | 5% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIG PT-S XR-TECH | $150.10 | $158.00 | $0.58–$153.89 | 58% below | 5% |
| Trigger point injections, 1 or 2 muscles CPT 20552 US INJ SGL/MULT TRIGGER POINTS | $524.40 | $552.00 | $2.04–$537.65 | 48% above | 5% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ MUSCLE TRIGGER PTS 1-2-TECH | $524.40 | $552.00 | $2.04–$537.65 | 48% above | 5% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIGGER PNT 1 OR 2 MUSC-TECH | $150.10 | $158.00 | $86.90–$153.89 | — | 5% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIG PT-S XR-TECH | $150.10 | $158.00 | $86.90–$153.89 | — | 5% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIG PT-S US-TECH | $150.10 | $158.00 | $86.90–$153.89 | — | 5% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 US INJ SGL/MULT TRIGGER POINTS | $524.40 | $552.00 | $303.60–$537.65 | — | 5% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ MUSCLE TRIGGER PTS 1-2-TECH | $524.40 | $552.00 | $303.60–$537.65 | — | 5% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BRST BX,PL LOC DEV;US GUID-TECH | $1,197.00 | $1,260.00 | $4.66–$1,227.24 | 41% below | 5% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BRST 1ST LESN US IMG-TECH | $2,425.35 | $2,553.00 | $9.45–$2,486.62 | 20% above | 5% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 BRST BX,PL LOC DEV;US GUID-TECH | $1,197.00 | $1,260.00 | $693.00–$1,227.24 | — | 5% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 BX BRST 1ST LESN US IMG-TECH | $2,425.35 | $2,553.00 | $1,404.15–$2,486.62 | — | 5% |
| Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 VASECTOMY UNI/BI SPX W/POSTOP SEMEN EXAMS-TECH | $703.95 | $741.00 | $2.74–$721.73 | — | 5% |
| Vasectomy, one or both sides, including follow-up semen testing inpatient both sides CPT 55250 VASECTOMY UNI/BI SPX W/POSTOP SEMEN EXAMS-TECH | $703.95 | $741.00 | $407.55–$721.73 | — | 5% |
| Vein ablation, radiofrequency, first vein CPT 36475 ENDOVEN ABL THER;1ST VN TREATD-TECH | $900.60 | $948.00 | $3.51–$923.35 | 77% below | 5% |
| Vein ablation, radiofrequency, first vein inpatient CPT 36475 ENDOVEN ABL THER;1ST VN TREATD-TECH | $900.60 | $948.00 | $521.40–$923.35 | — | 5% |
| Wart removal, up to 14 warts CPT 17110 DEST BENIGN LESN <=14-TECH | $196.65 | $207.00 | $0.77–$201.62 | at median | 5% |
| Wart removal, up to 14 warts inpatient CPT 17110 DEST BENIGN LESN <=14-TECH | $196.65 | $207.00 | $113.85–$201.62 | — | 5% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DBRD SKIN & SUBQ TISS<=20SCM-TECH | $207.10 | $218.00 | $0.81–$212.33 | 61% below | 5% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DBRD SKIN & SUBQ TISS<=20SCM-TECH | $207.10 | $218.00 | $119.90–$212.33 | — | 5% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Wisconsin | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION 36430 | $529.15 | $557.00 | $2.06–$542.52 | 9% below | 5% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION-TECH | $529.15 | $557.00 | $2.06–$542.52 | 9% below | 5% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION 36430 | $529.15 | $557.00 | $306.35–$542.52 | — | 5% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION-TECH | $529.15 | $557.00 | $306.35–$542.52 | — | 5% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INH TX/SPUT AERO/NEB/IPP-TECH | $233.70 | $246.00 | $0.91–$239.60 | 170% above | 5% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INH TX/SPUT AERO/NEB/IPP | $233.70 | $246.00 | $0.91–$239.60 | 170% above | 5% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INH TX/SPUT AERO/NEB/IPP | $233.70 | $246.00 | $135.30–$239.60 | — | 5% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INH TX/SPUT AERO/NEB/IPP-TECH | $233.70 | $246.00 | $135.30–$239.60 | — | 5% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INF 1ST HR-TECH | $662.15 | $697.00 | $2.58–$678.88 | 18% above | 5% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INF 1ST HR | $662.15 | $697.00 | $2.58–$678.88 | 18% above | 5% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO IV INF 1ST HR-TECH | $662.15 | $697.00 | $383.35–$678.88 | — | 5% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO IV INF 1ST HR | $662.15 | $697.00 | $383.35–$678.88 | — | 5% |
| Comprehensive eye exam by an eye doctor, new patient CPT 92004 EYE EXAM NEW PATIENT COMPR-TECH | $115.90 | $122.00 | $0.45–$118.83 | 11% below | 5% |
| Comprehensive eye exam by an eye doctor, new patient inpatient CPT 92004 EYE EXAM NEW PATIENT COMPR-TECH | $115.90 | $122.00 | $67.10–$118.83 | — | 5% |
| Comprehensive eye exam, returning patient CPT 92014 EYE EXAM ESTAB PAT COMPR-TECH | $95.95 | $101.00 | $0.37–$98.37 | 6% below | 5% |
| Comprehensive eye exam, returning patient inpatient CPT 92014 EYE EXAM ESTAB PAT COMPR-TECH | $95.95 | $101.00 | $55.55–$98.37 | — | 5% |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 COMPR AUDIOMETRY EVAL-TECH | $49.40 | $52.00 | $0.19–$50.65 | 68% below | 5% |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 COMPR AUDIOMETRY EVAL UNI-TECH | $49.40 | $52.00 | $0.19–$50.65 | 68% below | 5% |
| Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 COMPR AUDIOMETRY EVAL UNI-TECH | $49.40 | $52.00 | $28.60–$50.65 | — | 5% |
| Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 COMPR AUDIOMETRY EVAL-TECH | $49.40 | $52.00 | $28.60–$50.65 | — | 5% |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE 1ST 30-74MIN-TECH | $2,663.80 | $2,804.00 | $10.37–$2,731.10 | 49% above | 5% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE 1ST 30-74MIN-TECH | $2,663.80 | $2,804.00 | $1,542.20–$2,731.10 | — | 5% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE & DROWSY-TECH | $3,508.35 | $3,693.00 | $13.66–$3,596.98 | 424% above | 5% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE & DROWSY-TECH | $3,508.35 | $3,693.00 | $2,031.15–$3,596.98 | — | 5% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG 12 LEAD TRACING ONLY-TECH | $345.80 | $364.00 | $1.35–$354.54 | 134% above | 5% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG,TRACING ONLY | $345.80 | $364.00 | $1.35–$354.54 | 134% above | 5% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG 12 LEAD TRACING ONLY-TECH | $345.80 | $364.00 | $200.20–$354.54 | — | 5% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ECG,TRACING ONLY | $345.80 | $364.00 | $200.20–$354.54 | — | 5% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED VISIT LEVEL 1-TECH | $237.50 | $250.00 | $0.93–$243.50 | 27% above | 5% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ED VISIT LEVEL 1-TECH | $237.50 | $250.00 | $137.50–$243.50 | — | 5% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED VISIT LEVEL 2-TECH | $527.25 | $555.00 | $2.05–$540.57 | 63% above | 5% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ED VISIT LEVEL 2-TECH | $527.25 | $555.00 | $305.25–$540.57 | — | 5% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED VISIT LEVEL 3-TECH | $928.15 | $977.00 | $3.61–$951.60 | 57% above | 5% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ED VISIT LEVEL 3-TECH | $928.15 | $977.00 | $537.35–$951.60 | — | 5% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED VISIT LEVEL 4-TECH | $1,256.85 | $1,323.00 | $4.90–$1,288.60 | 37% above | 5% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ED VISIT LEVEL 4-TECH | $1,256.85 | $1,323.00 | $727.65–$1,288.60 | — | 5% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED VISIT LEVEL 5-TECH | $1,909.50 | $2,010.00 | $7.44–$1,957.74 | 30% above | 5% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ED VISIT LEVEL 5-TECH | $1,909.50 | $2,010.00 | $1,105.50–$1,957.74 | — | 5% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIAC STRESS TEST, TRACING-TECH | $1,567.50 | $1,650.00 | $6.11–$1,607.10 | 98% above | 5% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CARDIAC STRESS TEST, TRACING-TECH | $1,567.50 | $1,650.00 | $907.50–$1,607.10 | — | 5% |
| Eye exam, returning patient, intermediate CPT 92012 EYE EXAM ESTAB PAT INTERMED-TECH | $66.50 | $70.00 | $0.26–$68.18 | 30% below | 5% |
| Eye exam, returning patient, intermediate inpatient CPT 92012 EYE EXAM ESTAB PAT INTERMED-TECH | $66.50 | $70.00 | $38.50–$68.18 | — | 5% |
| Family therapy with the patient, 50 minutes CPT 90847 FAMILY THERAPY,50 MIN-MSW/MS 90847-TECH | $177.65 | $187.00 | $0.69–$182.14 | 6% below | 5% |
| Family therapy with the patient, 50 minutes CPT 90847 FAMILY THERAPY,50 MIN-PHD 90847-TECH | $177.65 | $187.00 | $0.69–$182.14 | 6% below | 5% |
| Family therapy with the patient, 50 minutes CPT 90847 FAMILY THERAPY,LMFT-MS 90847-TECH | $177.65 | $187.00 | $0.69–$182.14 | 6% below | 5% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY THERAPY,50 MIN-MSW/MS 90847-TECH | $177.65 | $187.00 | $102.85–$182.14 | — | 5% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY THERAPY,50 MIN-PHD 90847-TECH | $177.65 | $187.00 | $102.85–$182.14 | — | 5% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY THERAPY,LMFT-MS 90847-TECH | $177.65 | $187.00 | $102.85–$182.14 | — | 5% |
| Family therapy without the patient, 50 minutes CPT 90846 FAMILY THER W/O PT,50 MIN-PHD 90846-TECH | $171.00 | $180.00 | $0.67–$175.32 | 6% below | 5% |
| Family therapy without the patient, 50 minutes CPT 90846 FAMILY THER,W/O PT,50MN-MSW/MS 90846-TECH | $171.00 | $180.00 | $0.67–$175.32 | 6% below | 5% |
| Family therapy without the patient, 50 minutes CPT 90846 FAMILY THER W/O PT,50 MIN-MD 90846-TECH | $171.00 | $180.00 | $0.67–$175.32 | 6% below | 5% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY THER,W/O PT,50MN-MSW/MS 90846-TECH | $171.00 | $180.00 | $99.00–$175.32 | — | 5% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY THER W/O PT,50 MIN-PHD 90846-TECH | $171.00 | $180.00 | $99.00–$175.32 | — | 5% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY THER W/O PT,50 MIN-MD 90846-TECH | $171.00 | $180.00 | $99.00–$175.32 | — | 5% |
| Group psychotherapy session CPT 90853 GROUP THERAPY-APNP 90853-TECH | $50.35 | $53.00 | $0.20–$51.62 | 33% below | 5% |
| Group psychotherapy session CPT 90853 GROUP THERAPY-MSW/MS 90853-TECH | $50.35 | $53.00 | $0.20–$51.62 | 33% below | 5% |
| Group psychotherapy session inpatient CPT 90853 GROUP THERAPY-MSW/MS 90853-TECH | $50.35 | $53.00 | $29.15–$51.62 | — | 5% |
| Group psychotherapy session inpatient CPT 90853 GROUP THERAPY-APNP 90853-TECH | $50.35 | $53.00 | $29.15–$51.62 | — | 5% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION INIT 31MIN-1HR | $355.30 | $374.00 | $1.38–$364.28 | 25% above | 5% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION INIT 31MIN-1HR-TECH | $355.30 | $374.00 | $1.38–$364.28 | 25% above | 5% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION INIT 31MIN-1HR | $355.30 | $374.00 | $205.70–$364.28 | — | 5% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION INIT 31MIN-1HR-TECH | $355.30 | $374.00 | $205.70–$364.28 | — | 5% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION THERAPY INIT 1ST HR | $429.40 | $452.00 | $1.67–$440.25 | 35% above | 5% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION INIT 1ST HR-TECH | $429.40 | $452.00 | $1.67–$440.25 | 35% above | 5% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION THERAPY INIT 1ST HR | $429.40 | $452.00 | $248.60–$440.25 | — | 5% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION INIT 1ST HR-TECH | $429.40 | $452.00 | $248.60–$440.25 | — | 5% |
| IV push of a medicine, first drug CPT 96374 IVP SINGLE/INITIAL | $352.45 | $371.00 | $1.37–$361.35 | 113% above | 5% |
| IV push of a medicine, first drug CPT 96374 IVP SINGLE/INITIAL-TECH | $352.45 | $371.00 | $1.37–$361.35 | 113% above | 5% |
| IV push of a medicine, first drug inpatient CPT 96374 IVP SINGLE/INITIAL-TECH | $352.45 | $371.00 | $204.05–$361.35 | — | 5% |
| IV push of a medicine, first drug inpatient CPT 96374 IVP SINGLE/INITIAL | $352.45 | $371.00 | $204.05–$361.35 | — | 5% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ IM/SUBQ-TECH | $153.90 | $162.00 | $0.60–$157.79 | 91% above | 5% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ IM/SUBQ-TECH | $153.90 | $162.00 | $89.10–$157.79 | — | 5% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DIAGNOSTIC EVAL MD-TECH | $219.45 | $231.00 | $0.85–$224.99 | at median | 5% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 DIAGNOSTIC EVAL-MSW/MS-TECH | $219.45 | $231.00 | $0.85–$224.99 | at median | 5% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 DIAGNOSTIC EVALUATION,LMFT-MS 90791-TECH | $219.45 | $231.00 | $0.85–$224.99 | at median | 5% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DIAGNOSTIC EVAL APNP-TECH | $219.45 | $231.00 | $0.85–$224.99 | at median | 5% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 DIAGNOSTIC EVAL-QTT-MSW-TECH | $219.45 | $231.00 | $0.85–$224.99 | at median | 5% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCH DIAGNOSTIC EVAL MD-TECH | $219.45 | $231.00 | $127.05–$224.99 | — | 5% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCH DIAGNOSTIC EVAL APNP-TECH | $219.45 | $231.00 | $127.05–$224.99 | — | 5% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 DIAGNOSTIC EVAL-QTT-MSW-TECH | $219.45 | $231.00 | $127.05–$224.99 | — | 5% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 DIAGNOSTIC EVAL-MSW/MS-TECH | $219.45 | $231.00 | $127.05–$224.99 | — | 5% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 DIAGNOSTIC EVALUATION,LMFT-MS 90791-TECH | $219.45 | $231.00 | $127.05–$224.99 | — | 5% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 NRV COND STUDIES 7-8 STUDIES TC | $961.40 | $1,012.00 | $3.74–$985.69 | at median | 5% |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 NRV COND STUDIES 7-8 STUDIES TC | $961.40 | $1,012.00 | $556.60–$985.69 | — | 5% |
| New patient office visit, about 30 minutes CPT 99203 UC VISIT NEW, LEVEL 3 TECH | $244.15 | $257.00 | $0.95–$250.32 | 24% above | 5% |
| New patient office visit, about 30 minutes inpatient CPT 99203 UC VISIT NEW, LEVEL 3 TECH | $244.15 | $257.00 | $141.35–$250.32 | — | 5% |
| New patient office visit, about 45 minutes CPT 99204 VISIT NEW PAT LEVEL 4-TECH | $148.20 | $156.00 | $0.58–$151.94 | 34% below | 5% |
| New patient office visit, about 45 minutes CPT 99204 UC VISIT NEW, LEVEL 4 TECH | $358.15 | $377.00 | $1.39–$367.20 | 60% above | 5% |
| New patient office visit, about 45 minutes inpatient CPT 99204 VISIT NEW PAT LEVEL 4-TECH | $148.20 | $156.00 | $85.80–$151.94 | — | 5% |
| New patient office visit, about 45 minutes inpatient CPT 99204 UC VISIT NEW, LEVEL 4 TECH | $358.15 | $377.00 | $207.35–$367.20 | — | 5% |
| New patient office visit, about 60 minutes CPT 99205 VISIT NEW PAT LEVEL 5-TECH | $193.80 | $204.00 | $0.75–$198.70 | 36% below | 5% |
| New patient office visit, about 60 minutes CPT 99205 UC VISIT NEW, LEVEL 5 TECH | $469.30 | $494.00 | $1.83–$481.16 | 54% above | 5% |
| New patient office visit, about 60 minutes inpatient CPT 99205 VISIT NEW PAT LEVEL 5-TECH | $193.80 | $204.00 | $112.20–$198.70 | — | 5% |
| New patient office visit, about 60 minutes inpatient CPT 99205 UC VISIT NEW, LEVEL 5 TECH | $469.30 | $494.00 | $271.70–$481.16 | — | 5% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 VISIT NEW PAT LEVEL 2-TECH | $73.15 | $77.00 | $0.28–$75.00 | 44% below | 5% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 UC VISIT NEW, LEVEL 2 TECH | $176.70 | $186.00 | $0.69–$181.16 | 35% above | 5% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 VISIT NEW PAT LEVEL 2-TECH | $73.15 | $77.00 | $42.35–$75.00 | — | 5% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 UC VISIT NEW, LEVEL 2 TECH | $176.70 | $186.00 | $102.30–$181.16 | — | 5% |
| Preventive checkup, new patient aged 18–39 CPT 99385 VISIT PREV MED INIT AGE 18-39-TECH | $139.65 | $147.00 | $0.54–$143.18 | at median | 5% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 VISIT PREV MED INIT AGE 18-39-TECH | $139.65 | $147.00 | $80.85–$143.18 | — | 5% |
| Preventive checkup, new patient aged 40–64 CPT 99386 VISIT PREV MED INIT AGE 40-64-TECH | $151.05 | $159.00 | $0.59–$154.87 | at median | 5% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 VISIT PREV MED INIT AGE 40-64-TECH | $151.05 | $159.00 | $87.45–$154.87 | — | 5% |
| Preventive checkup, new patient aged 65 or older CPT 99387 VISIT PREV MED INIT AGE 65+-TECH | $178.60 | $188.00 | $0.70–$183.11 | at median | 5% |
| Preventive checkup, new patient aged 65 or older inpatient CPT 99387 VISIT PREV MED INIT AGE 65+-TECH | $178.60 | $188.00 | $103.40–$183.11 | — | 5% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 VISIT PREV MED EST AGE 18-39-TECH | $116.85 | $123.00 | $0.46–$119.80 | 25% below | 5% |
| Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 VISIT PREV MED EST AGE 18-39-TECH | $116.85 | $123.00 | $67.65–$119.80 | — | 5% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 VISIT PREV MED ESTAB AGE 40-64-TECH | $124.45 | $131.00 | $0.48–$127.59 | 26% below | 5% |
| Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 VISIT PREV MED ESTAB AGE 40-64-TECH | $124.45 | $131.00 | $72.05–$127.59 | — | 5% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 VISIT PREV MED ESTAB AGE 65+-TECH | $149.15 | $157.00 | $0.58–$152.92 | at median | 5% |
| Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 VISIT PREV MED ESTAB AGE 65+-TECH | $149.15 | $157.00 | $86.35–$152.92 | — | 5% |
| Psychiatric evaluation with medical services CPT 90792 PSYCH DIAG EVAL W MED SVCS APNP-TECH | $241.30 | $254.00 | $0.94–$247.40 | 13% below | 5% |
| Psychiatric evaluation with medical services CPT 90792 DIAG EVAL W/MEDICAL SRV-MD-TECH | $241.30 | $254.00 | $0.94–$247.40 | 13% below | 5% |
| Psychiatric evaluation with medical services inpatient CPT 90792 DIAG EVAL W/MEDICAL SRV-MD-TECH | $241.30 | $254.00 | $139.70–$247.40 | — | 5% |
| Psychiatric evaluation with medical services inpatient CPT 90792 PSYCH DIAG EVAL W MED SVCS APNP-TECH | $241.30 | $254.00 | $139.70–$247.40 | — | 5% |
| Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 PSYCH TST EVAL;1ST HR-TECH | $153.90 | $162.00 | $0.60–$157.79 | 39% below | 5% |
| Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 PSYCH TST EVAL;1ST HR-TECH | $153.90 | $162.00 | $89.10–$157.79 | — | 5% |
| Psychotherapy for crisis, first 60 minutes CPT 90839 PSYCHOTHERAPY FOR CRISIS-PHD 90839-TECH | $294.50 | $310.00 | $1.15–$301.94 | at median | 5% |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 PSYCHOTHERAPY FOR CRISIS-PHD 90839-TECH | $294.50 | $310.00 | $170.50–$301.94 | — | 5% |
| Psychotherapy session, 30 minutes CPT 90832 PSYCHOTHERAPY 30 MIN-APNP-TECH | $106.40 | $112.00 | $0.41–$109.09 | at median | 5% |
| Psychotherapy session, 30 minutes CPT 90832 90832 PSYCHOTHERAPY 30 MIN-MD-TECH | $106.40 | $112.00 | $0.41–$109.09 | at median | 5% |
| Psychotherapy session, 30 minutes CPT 90832 PSYCHOTHERAPY,QTT-MSW-90832-TECH | $106.40 | $112.00 | $0.41–$109.09 | at median | 5% |
| Psychotherapy session, 30 minutes CPT 90832 PSYCHOTHERAPY,30 MIN-PHD 90832-TECH | $106.40 | $112.00 | $0.41–$109.09 | at median | 5% |
| Psychotherapy session, 30 minutes CPT 90832 PSYCHOTHERAPY-30 MIN-MSW/MS 90832-TECH | $106.40 | $112.00 | $0.41–$109.09 | at median | 5% |
| Psychotherapy session, 30 minutes CPT 90832 INDIVIDUAL THERAPY,LMFT-MS 90832-TECH | $106.40 | $112.00 | $0.41–$109.09 | at median | 5% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PSYCHOTHERAPY,QTT-MSW-90832-TECH | $106.40 | $112.00 | $61.60–$109.09 | — | 5% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PSYCHOTHERAPY 30 MIN-APNP-TECH | $106.40 | $112.00 | $61.60–$109.09 | — | 5% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 INDIVIDUAL THERAPY,LMFT-MS 90832-TECH | $106.40 | $112.00 | $61.60–$109.09 | — | 5% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PSYCHOTHERAPY,30 MIN-PHD 90832-TECH | $106.40 | $112.00 | $61.60–$109.09 | — | 5% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 90832 PSYCHOTHERAPY 30 MIN-MD-TECH | $106.40 | $112.00 | $61.60–$109.09 | — | 5% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PSYCHOTHERAPY-30 MIN-MSW/MS 90832-TECH | $106.40 | $112.00 | $61.60–$109.09 | — | 5% |
| Psychotherapy session, 45 minutes CPT 90834 INDIVIDUAL; THERAPY,LMFT-MS 90834-TECH | $141.55 | $149.00 | $0.55–$145.13 | at median | 5% |
| Psychotherapy session, 45 minutes CPT 90834 PSYCHOTHERAPY,45 MIN-PHD 90834-TECH | $141.55 | $149.00 | $0.55–$145.13 | at median | 5% |
| Psychotherapy session, 45 minutes CPT 90834 PSYCHOTHERAPY 45 MIN-APNP-TECH | $141.55 | $149.00 | $0.55–$145.13 | at median | 5% |
| Psychotherapy session, 45 minutes CPT 90834 PSYCHOTHERAPY 45 MIN-MD-TECH | $141.55 | $149.00 | $0.55–$145.13 | at median | 5% |
| Psychotherapy session, 45 minutes CPT 90834 PSYCHOTHERAPY,QTT-MSW-90834-TECH | $141.55 | $149.00 | $0.55–$145.13 | at median | 5% |
| Psychotherapy session, 45 minutes CPT 90834 PSYCHOTHERAPY,45 MIN-MSW/MS 90834-TECH | $141.55 | $149.00 | $0.55–$145.13 | at median | 5% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 PSYCHOTHERAPY 45 MIN-APNP-TECH | $141.55 | $149.00 | $81.95–$145.13 | — | 5% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 PSYCHOTHERAPY,QTT-MSW-90834-TECH | $141.55 | $149.00 | $81.95–$145.13 | — | 5% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 PSYCHOTHERAPY 45 MIN-MD-TECH | $141.55 | $149.00 | $81.95–$145.13 | — | 5% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 PSYCHOTHERAPY,45 MIN-PHD 90834-TECH | $141.55 | $149.00 | $81.95–$145.13 | — | 5% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 PSYCHOTHERAPY,45 MIN-MSW/MS 90834-TECH | $141.55 | $149.00 | $81.95–$145.13 | — | 5% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 INDIVIDUAL; THERAPY,LMFT-MS 90834-TECH | $141.55 | $149.00 | $81.95–$145.13 | — | 5% |
| Psychotherapy session, 60 minutes CPT 90837 PSYCHOTHERAPY,60 MIN-MSW/MS 90837-TECH | $212.80 | $224.00 | $0.83–$218.18 | at median | 5% |
| Psychotherapy session, 60 minutes CPT 90837 90837 PSYCHOTHERAPY 60 MIN-APNP TECH | $212.80 | $224.00 | $0.83–$218.18 | at median | 5% |
| Psychotherapy session, 60 minutes CPT 90837 PSYTX 60 MIN MD-TECH | $212.80 | $224.00 | $0.83–$218.18 | at median | 5% |
| Psychotherapy session, 60 minutes CPT 90837 PSYCHOTHERAPY, QTT-MSW 90837-TECH | $212.80 | $224.00 | $0.83–$218.18 | at median | 5% |
| Psychotherapy session, 60 minutes CPT 90837 PSYCHOTHERAPY,60 MIN-PHD 90837-TECH | $212.80 | $224.00 | $0.83–$218.18 | at median | 5% |
| Psychotherapy session, 60 minutes CPT 90837 INDIVIDUAL THERAPY,LMFT-MS 90837-TECH | $212.80 | $224.00 | $0.83–$218.18 | at median | 5% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 PSYTX 60 MIN MD-TECH | $212.80 | $224.00 | $123.20–$218.18 | — | 5% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 PSYCHOTHERAPY, QTT-MSW 90837-TECH | $212.80 | $224.00 | $123.20–$218.18 | — | 5% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 INDIVIDUAL THERAPY,LMFT-MS 90837-TECH | $212.80 | $224.00 | $123.20–$218.18 | — | 5% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 PSYCHOTHERAPY,60 MIN-MSW/MS 90837-TECH | $212.80 | $224.00 | $123.20–$218.18 | — | 5% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 90837 PSYCHOTHERAPY 60 MIN-APNP TECH | $212.80 | $224.00 | $123.20–$218.18 | — | 5% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 PSYCHOTHERAPY,60 MIN-PHD 90837-TECH | $212.80 | $224.00 | $123.20–$218.18 | — | 5% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING/TOBAC COUN VS >3-10MIN-TECH | $13.30 | $14.00 | $0.05–$13.64 | 54% below | 5% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKING/TOBAC COUN VS >3-10MIN-TECH | $13.30 | $14.00 | $7.70–$13.64 | — | 5% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 VISIT EST PAT LEVEL 5-TECH | $145.35 | $153.00 | $0.57–$149.02 | 51% below | 5% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 UC VISIT EST, LEVEL 5 TECH | $305.90 | $322.00 | $1.19–$313.63 | 4% above | 5% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 VISIT EST PAT LEVEL 5-TECH | $145.35 | $153.00 | $84.15–$149.02 | — | 5% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 UC VISIT EST, LEVEL 5 TECH | $305.90 | $322.00 | $177.10–$313.63 | — | 5% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 VISIT EST PAT LEVEL 3-TECH | $62.70 | $66.00 | $0.24–$64.28 | 62% below | 5% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 SUBSEQUENT ANTEPARTUM CARE-TECH | $62.70 | $66.00 | $0.24–$64.28 | 62% below | 5% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 UC VISIT EST, LEVEL 3 TECH | $132.05 | $139.00 | $0.51–$135.39 | 20% below | 5% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 VISIT EST PAT LEVEL 3-TECH | $62.70 | $66.00 | $36.30–$64.28 | — | 5% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 SUBSEQUENT ANTEPARTUM CARE-TECH | $62.70 | $66.00 | $36.30–$64.28 | — | 5% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 UC VISIT EST, LEVEL 3 TECH | $132.05 | $139.00 | $76.45–$135.39 | — | 5% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 VISIT EST PAT LEVEL 4-TECH | $95.00 | $100.00 | $0.37–$97.40 | 49% below | 5% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 UC VISIT, LEVEL 4 EST TECH | $199.50 | $210.00 | $0.78–$204.54 | 7% above | 5% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 VISIT EST PAT LEVEL 4-TECH | $95.00 | $100.00 | $55.00–$97.40 | — | 5% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 UC VISIT, LEVEL 4 EST TECH | $199.50 | $210.00 | $115.50–$204.54 | — | 5% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 VISIT EST PAT LEVEL 2-TECH | $43.70 | $46.00 | $0.17–$44.80 | 55% below | 5% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 UC VISIT EST, LEVEL 2 TECH | $92.15 | $97.00 | $0.36–$94.48 | 5% below | 5% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 VISIT EST PAT LEVEL 2-TECH | $43.70 | $46.00 | $25.30–$44.80 | — | 5% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 UC VISIT EST, LEVEL 2 TECH | $92.15 | $97.00 | $53.35–$94.48 | — | 5% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 OFFICE CONSULT LEVEL 3 ESTAB - BASED ON TIME 99243-TECH | $143.45 | $151.00 | $0.56–$147.07 | 28% below | 5% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 OFFICE CONSULT LEVEL 3 NEW - BASED ON TIME 99243-TECH | $143.45 | $151.00 | $0.56–$147.07 | 28% below | 5% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 VISIT OP CONSULT LEVEL 3-TECH | $143.45 | $151.00 | $0.56–$147.07 | 28% below | 5% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 OFFICE CONSULT LEVEL 3 ESTAB - BASED ON COMPONENT-TECH | $143.45 | $151.00 | $0.56–$147.07 | 28% below | 5% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 OFFICE CONSULT LEVEL 3 NEW - BASED ON TIME 99243-TECH | $143.45 | $151.00 | $83.05–$147.07 | — | 5% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 VISIT OP CONSULT LEVEL 3-TECH | $143.45 | $151.00 | $83.05–$147.07 | — | 5% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 OFFICE CONSULT LEVEL 3 ESTAB - BASED ON COMPONENT-TECH | $143.45 | $151.00 | $83.05–$147.07 | — | 5% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 OFFICE CONSULT LEVEL 3 ESTAB - BASED ON TIME 99243-TECH | $143.45 | $151.00 | $83.05–$147.07 | — | 5% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OFFICE CONSULT LEVEL 4 ESTAB - BASED ON COMPONENTS-TECH | $193.80 | $204.00 | $0.75–$198.70 | 40% below | 5% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 VISIT OP CONSULT LEVEL 4-TECH | $193.80 | $204.00 | $0.75–$198.70 | 40% below | 5% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OFFICE CONSULT LEVEL 4 NEW - BASED ON TIME 99244-TECH | $193.80 | $204.00 | $0.75–$198.70 | 40% below | 5% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OFFICE CONSULT LEVEL 4 ESTAB - BASED ON TIME 99244-TECH | $193.80 | $204.00 | $0.75–$198.70 | 40% below | 5% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 VISIT OP CONSULT LEVEL 4-TECH | $193.80 | $204.00 | $112.20–$198.70 | — | 5% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 OFFICE CONSULT LEVEL 4 ESTAB - BASED ON COMPONENTS-TECH | $193.80 | $204.00 | $112.20–$198.70 | — | 5% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 OFFICE CONSULT LEVEL 4 ESTAB - BASED ON TIME 99244-TECH | $193.80 | $204.00 | $112.20–$198.70 | — | 5% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 OFFICE CONSULT LEVEL 4 NEW - BASED ON TIME 99244-TECH | $193.80 | $204.00 | $112.20–$198.70 | — | 5% |
| Spirometry (breathing test) CPT 94010 SPIROMETRY-TECH COMPONENT TC | $418.95 | $441.00 | $1.63–$429.53 | 50% above | 5% |
| Spirometry (breathing test) CPT 94010 SPIROMETRY-TECH | $418.95 | $441.00 | $1.63–$429.53 | 50% above | 5% |
| Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY-TECH | $418.95 | $441.00 | $242.55–$429.53 | — | 5% |
| Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY-TECH COMPONENT TC | $418.95 | $441.00 | $242.55–$429.53 | — | 5% |
| Spirometry before and after a bronchodilator CPT 94060 BRONCHODILATON RESPONSE-TECH | $593.75 | $625.00 | $2.31–$608.75 | 22% above | 5% |
| Spirometry before and after a bronchodilator CPT 94060 BRONCHOSPASM EVAL-B/A DILATORS TC | $593.75 | $625.00 | $2.31–$608.75 | 22% above | 5% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 BRONCHOSPASM EVAL-B/A DILATORS TC | $593.75 | $625.00 | $343.75–$608.75 | — | 5% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 BRONCHODILATON RESPONSE-TECH | $593.75 | $625.00 | $343.75–$608.75 | — | 5% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUTIC-TECH | $572.85 | $603.00 | $2.23–$587.32 | 187% above | 5% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY, THERAPEUTIC (SEPARATE PROCEDURE)-TECH | $572.85 | $603.00 | $2.23–$587.32 | 187% above | 5% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY-THERAPEUTIC | $572.85 | $603.00 | $2.23–$587.32 | 187% above | 5% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 DIALYSIS RBC DEPLETION | $572.85 | $603.00 | $2.23–$587.32 | 187% above | 5% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY-THERAPEUTIC | $572.85 | $603.00 | $331.65–$587.32 | — | 5% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPEUTIC-TECH | $572.85 | $603.00 | $331.65–$587.32 | — | 5% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 DIALYSIS RBC DEPLETION | $572.85 | $603.00 | $331.65–$587.32 | — | 5% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY, THERAPEUTIC (SEPARATE PROCEDURE)-TECH | $572.85 | $603.00 | $331.65–$587.32 | — | 5% |
| Visual field test, extended CPT 92083 VISUAL FIELD EXAM EXTENDED TC | $97.85 | $103.00 | $0.38–$100.32 | 4% below | 5% |
| Visual field test, extended inpatient CPT 92083 VISUAL FIELD EXAM EXTENDED TC | $97.85 | $103.00 | $56.65–$100.32 | — | 5% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Wisconsin | Off list |
|---|---|---|---|---|---|
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 COVID-19 VACCINE SUSP (SPIKEVAX 12YR+ 2024-2025) | $304.07 | $320.07 | $1.18–$311.75 | 82% above | 5% |
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 COVID-19 VACCINE SUSP (SPIKEVAX 12YR+ 2024-2025) | $608.13 | $640.14 | $2.37–$623.50 | 264% above | 5% |
| COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 COVID-19 VACCINE SUSP (SPIKEVAX 12YR+ 2024-2025) | $304.07 | $320.07 | $176.04–$311.75 | — | 5% |
| COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 COVID-19 VACCINE SUSP (SPIKEVAX 12YR+ 2024-2025) | $608.13 | $640.14 | $352.08–$623.50 | — | 5% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VACCINE POWD-INJ (VARIVAX) | $142.98 | $150.51 | $0.56–$147.29 | 13% below | 5% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VACCINE POWD-INJ (VARIVAX) | $285.97 | $301.02 | $1.11–$293.19 | 75% above | 5% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VACCINE POWD-INJ (VARIVAX) | $142.98 | $150.51 | $82.78–$146.60 | — | 5% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VACCINE POWD-INJ (VARIVAX) | $285.97 | $301.02 | $165.56–$293.19 | — | 5% |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 DIPHTHERIA-TETANUS-PERTUSSIS,ACEL-POLIO VACCINE SUSP (QUADRACEL) | $90.46 | $95.22 | $0.35–$92.74 | 7% above | 5% |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 DIPHTHERIA-TETANUS-PERTUSSIS,ACEL-POLIO VACCINE SUSP (KINRIX) | $107.76 | $113.43 | $0.42–$110.48 | 28% above | 5% |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 DIPHTHERIA-TETANUS-PERTUSSIS,ACEL-POLIO VACCINE SUSP (QUADRACEL) | $180.93 | $190.45 | $0.70–$185.50 | 115% above | 5% |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 DIPHTHERIA-TETANUS-PERTUSSIS,ACEL-POLIO VACCINE SUSP (KINRIX) | $215.52 | $226.86 | $0.84–$220.96 | 156% above | 5% |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 DIPHTHERIA-TETANUS-PERTUSSIS,ACEL-POLIO VACCINE SUSP (QUADRACEL) | $90.46 | $95.22 | $52.37–$92.74 | — | 5% |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 DIPHTHERIA-TETANUS-PERTUSSIS,ACEL-POLIO VACCINE SUSP (KINRIX) | $107.76 | $113.43 | $62.39–$110.48 | — | 5% |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 DIPHTHERIA-TETANUS-PERTUSSIS,ACEL-POLIO VACCINE SUSP (QUADRACEL) | $180.93 | $190.45 | $104.75–$185.50 | — | 5% |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 DIPHTHERIA-TETANUS-PERTUSSIS,ACEL-POLIO VACCINE SUSP (KINRIX) | $215.52 | $226.86 | $124.77–$220.96 | — | 5% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPHTHERIA-TETANUS-PERTUSSIS (DTAP) VACCINE SUSP (DAPTACEL) | $40.30 | $42.42 | $0.16–$47.59 | 3% below | 5% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPHTHERIA-TETANUS-PERTUSSIS (DTAP) VACCINE SUSP (DAPTACEL) | $80.60 | $84.84 | $0.31–$82.63 | 95% above | 5% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPHTHERIA-TETANUS-PERTUSSIS (DTAP) VACCINE SUSP (INFANRIX) | $164.77 | $173.44 | $0.64–$168.93 | 298% above | 5% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPHTHERIA-TETANUS-PERTUSSIS (DTAP) VACCINE SUSP (INFANRIX) | $329.54 | $346.88 | $1.28–$337.86 | 697% above | 5% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPHTHERIA-TETANUS-PERTUSSIS (DTAP) VACCINE SUSP (DAPTACEL) | $40.30 | $42.42 | $23.33–$41.32 | — | 5% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPHTHERIA-TETANUS-PERTUSSIS (DTAP) VACCINE SUSP (DAPTACEL) | $80.60 | $84.84 | $46.66–$82.63 | — | 5% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPHTHERIA-TETANUS-PERTUSSIS (DTAP) VACCINE SUSP (INFANRIX) | $164.77 | $173.44 | $95.39–$168.93 | — | 5% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPHTHERIA-TETANUS-PERTUSSIS (DTAP) VACCINE SUSP (INFANRIX) | $329.54 | $346.88 | $190.78–$337.86 | — | 5% |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 DIPHTHERIA-TETANUS-PERTUSSIS,ACEL-HEPB-POLIO VACCINE SUSP (PEDIARIX) | $164.77 | $173.44 | $0.64–$168.93 | 19% above | 5% |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 DIPHTHERIA-TETANUS-PERTUSSIS,ACEL-HEPB-POLIO VACCINE SUSP (PEDIARIX) | $329.54 | $346.88 | $1.28–$337.86 | 138% above | 5% |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 DIPHTHERIA-TETANUS-PERTUSSIS,ACEL-HEPB-POLIO VACCINE SUSP (PEDIARIX) | $164.77 | $173.44 | $95.39–$168.93 | — | 5% |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 DIPHTHERIA-TETANUS-PERTUSSIS,ACEL-HEPB-POLIO VACCINE SUSP (PEDIARIX) | $329.54 | $346.88 | $190.78–$337.86 | — | 5% |
| DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 DIPHTHERIA-TETANUS-PERTUSSIS,ACEL-POLIO-HAEMOPHILUS VACCINE SUSP (PENTACEL) | $64.92 | $68.34 | $0.25–$137.03 | 44% below | 5% |
| DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 DIPHTHERIA-TETANUS-PERTUSSIS,ACEL-POLIO-HAEMOPHILUS VACCINE SUSP (PENTACEL) | $129.85 | $136.68 | $0.51–$137.03 | 11% above | 5% |
| DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 DIPHTHERIA-TETANUS-PERTUSSIS,ACEL-POLIO-HAEMOPHILUS VACCINE SUSP (PENTACEL) | $64.92 | $68.34 | $37.59–$66.56 | — | 5% |
| DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 DIPHTHERIA-TETANUS-PERTUSSIS,ACEL-POLIO-HAEMOPHILUS VACCINE SUSP (PENTACEL) | $129.85 | $136.68 | $75.17–$133.13 | — | 5% |
| DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 DIPHTHERIA-TETANUS-PERT,ACEL-POLIO-HAEM-HEPB VACCINE SUSP (VAXELIS) | $184.95 | $194.68 | $0.72–$189.62 | at median | 5% |
| DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 DIPHTHERIA-TETANUS-PERT,ACEL-POLIO-HAEM-HEPB VACCINE SUSP (VAXELIS) | $369.88 | $389.35 | $1.44–$379.23 | 100% above | 5% |
| DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) inpatient CPT 90697 DIPHTHERIA-TETANUS-PERT,ACEL-POLIO-HAEM-HEPB VACCINE SUSP (VAXELIS) | $184.95 | $194.68 | $107.07–$189.62 | — | 5% |
| DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) inpatient CPT 90697 DIPHTHERIA-TETANUS-PERT,ACEL-POLIO-HAEM-HEPB VACCINE SUSP (VAXELIS) | $369.88 | $389.35 | $214.14–$379.23 | — | 5% |
| Flu shot, recombinant, egg-free (Flublok) CPT 90673 INFLUENZA VACCINE SUSP PF RECOMB HEMAGG TRI 18 YEARS(+) (FLUBLOK 2024-2025) | $79.32 | $83.49 | $0.31–$138.59 | 6% above | 5% |
| Flu shot, recombinant, egg-free (Flublok) CPT 90673 INFLUENZA VACCINE SUSP PF RECOMB HEMAGG TRI 18 YEARS(+) (FLUBLOK 2024-2025) | $158.63 | $166.98 | $0.62–$162.64 | 112% above | 5% |
| Flu shot, recombinant, egg-free (Flublok) inpatient CPT 90673 INFLUENZA VACCINE SUSP PF RECOMB HEMAGG TRI 18 YEARS(+) (FLUBLOK 2024-2025) | $79.32 | $83.49 | $45.92–$81.32 | — | 5% |
| Flu shot, recombinant, egg-free (Flublok) inpatient CPT 90673 INFLUENZA VACCINE SUSP PF RECOMB HEMAGG TRI 18 YEARS(+) (FLUBLOK 2024-2025) | $158.63 | $166.98 | $91.84–$162.64 | — | 5% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VACCINE SUSP PF TRIVALENT 6 MO(+) (FLUZONE 2024-2025) | $21.37 | $22.49 | $0.08–$37.10 | 33% below | 5% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VACCINE SUSP PF TRIVALENT 6 MO(+) (FLUZONE 2024-2025) | $42.73 | $44.98 | $0.17–$43.81 | 34% above | 5% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VACCINE SUSP PF TRIVALENT 6 MO(+) (FLUZONE 2024-2025) | $21.37 | $22.49 | $12.37–$21.91 | — | 5% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VACCINE SUSP PF TRIVALENT 6 MO(+) (FLUZONE 2024-2025) | $42.73 | $44.98 | $24.74–$43.81 | — | 5% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HUMAN PAPILLOMAVIRUS VACCINE, 9-VALENT SUSP (GARDASIL 9) | $485.16 | $510.69 | $1.89–$497.41 | 52% above | 5% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HUMAN PAPILLOMAVIRUS VACCINE, 9-VALENT SUSP (GARDASIL 9) | $970.31 | $1,021.38 | $3.78–$994.82 | 205% above | 5% |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HUMAN PAPILLOMAVIRUS VACCINE, 9-VALENT SUSP (GARDASIL 9) | $485.16 | $510.69 | $280.88–$497.41 | — | 5% |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HUMAN PAPILLOMAVIRUS VACCINE, 9-VALENT SUSP (GARDASIL 9) | $970.31 | $1,021.38 | $561.76–$994.82 | — | 5% |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEPATITIS A-HEPATITIS B VACCINE SUSP PF (TWINRIX) | $219.95 | $231.53 | $0.86–$225.51 | 15% above | 5% |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEPATITIS A-HEPATITIS B VACCINE SUSP PF (TWINRIX) | $219.95 | $231.53 | $0.86–$225.51 | 15% above | 5% |
| Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HEPATITIS A-HEPATITIS B VACCINE SUSP PF (TWINRIX) | $219.95 | $231.53 | $127.34–$225.51 | — | 5% |
| Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HEPATITIS A-HEPATITIS B VACCINE SUSP PF (TWINRIX) | $219.95 | $231.53 | $127.34–$225.51 | — | 5% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A ADULT VACCINE SUSP PF 1440 UNITS/ML (HAVRIX) | $131.81 | $138.75 | $0.51–$135.14 | at median | 5% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A ADULT VACCINE SUSP 50 UNITS/ML (VAQTA) | $131.81 | $138.75 | $0.51–$135.14 | at median | 5% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A ADULT VACCINE SUSP PF 1440 UNITS/ML (HAVRIX) | $131.81 | $138.75 | $0.51–$135.14 | at median | 5% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A ADULT VACCINE SUSP 50 UNITS/ML (VAQTA) | $131.81 | $138.75 | $0.51–$135.14 | at median | 5% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A ADULT VACCINE SUSP PF 1440 UNITS/ML (HAVRIX) | $131.81 | $138.75 | $76.31–$135.14 | — | 5% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A ADULT VACCINE SUSP PF 1440 UNITS/ML (HAVRIX) | $131.81 | $138.75 | $76.31–$135.14 | — | 5% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A ADULT VACCINE SUSP 50 UNITS/ML (VAQTA) | $131.81 | $138.75 | $76.31–$135.14 | — | 5% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A ADULT VACCINE SUSP 50 UNITS/ML (VAQTA) | $131.81 | $138.75 | $76.31–$135.14 | — | 5% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPATITIS A PEDIATRIC VACCINE SUSP PF 720 UNITS/0.5 ML (HAVRIX) | $21.58 | $22.72 | $0.08–$22.13 | 58% below | 5% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPATITIS A PEDIATRIC VACCINE SUSP PF 720 UNITS/0.5 ML (HAVRIX) | $43.17 | $45.44 | $0.17–$44.26 | 17% below | 5% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPATITIS A PEDIATRIC VACCINE SUSP 25 UNITS/0.5 ML (VAQTA) | $50.02 | $52.65 | $0.19–$51.28 | 4% below | 5% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPATITIS A PEDIATRIC VACCINE SUSP 25 UNITS/0.5 ML (VAQTA) | $100.03 | $105.30 | $0.39–$102.56 | 93% above | 5% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEPATITIS A PEDIATRIC VACCINE SUSP PF 720 UNITS/0.5 ML (HAVRIX) | $21.58 | $22.72 | $12.50–$22.13 | — | 5% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEPATITIS A PEDIATRIC VACCINE SUSP PF 720 UNITS/0.5 ML (HAVRIX) | $43.17 | $45.44 | $24.99–$44.26 | — | 5% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEPATITIS A PEDIATRIC VACCINE SUSP 25 UNITS/0.5 ML (VAQTA) | $50.02 | $52.65 | $28.96–$51.28 | — | 5% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEPATITIS A PEDIATRIC VACCINE SUSP 25 UNITS/0.5 ML (VAQTA) | $100.03 | $105.30 | $57.91–$102.56 | — | 5% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B ADULT VACCINE SUSP 20 MCG/ML (ENGERIX-B) | $132.37 | $139.34 | $0.52–$135.72 | 15% above | 5% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B ADULT VACCINE SUSP 20 MCG/ML (ENGERIX-B) | $132.37 | $139.34 | $0.52–$135.72 | 15% above | 5% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B ADULT VACCINE SUSP 10 MCG/ML (RECOMBIVAX-HB) | $138.91 | $146.22 | $0.54–$142.42 | 20% above | 5% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B ADULT VACCINE SUSP 10 MCG/ML (RECOMBIVAX-HB) | $138.91 | $146.22 | $0.54–$142.42 | 20% above | 5% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B ADULT VACCINE SUSP 20 MCG/ML (ENGERIX-B) | $132.37 | $139.34 | $76.64–$135.72 | — | 5% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B ADULT VACCINE SUSP 20 MCG/ML (ENGERIX-B) | $132.37 | $139.34 | $76.64–$135.72 | — | 5% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B ADULT VACCINE SUSP 10 MCG/ML (RECOMBIVAX-HB) | $138.91 | $146.22 | $80.42–$142.42 | — | 5% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B ADULT VACCINE SUSP 10 MCG/ML (RECOMBIVAX-HB) | $138.91 | $146.22 | $80.42–$142.42 | — | 5% |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEPATITIS B ADULT VACCINE SOLN 20 MCG/0.5 ML (HEPLISAV-B) | $301.49 | $317.36 | $1.17–$309.11 | 41% above | 5% |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEPATITIS B ADULT VACCINE SOLN 20 MCG/0.5 ML (HEPLISAV-B) | $602.98 | $634.72 | $2.35–$618.22 | 182% above | 5% |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HEPATITIS B ADULT VACCINE SOLN 20 MCG/0.5 ML (HEPLISAV-B) | $301.49 | $317.36 | $174.55–$309.11 | — | 5% |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HEPATITIS B ADULT VACCINE SOLN 20 MCG/0.5 ML (HEPLISAV-B) | $602.98 | $634.72 | $349.10–$618.22 | — | 5% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B PEDIATRIC VACCINE SUSP 5 MCG/0.5 ML (RECOMBIVAX-HB) | $56.23 | $59.19 | $0.22–$57.65 | at median | 5% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B PEDIATRIC VACCINE SUSP 10 MCG/0.5 ML (ENGERIX-B) | $56.23 | $59.19 | $0.22–$57.65 | at median | 5% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B PEDIATRIC VACCINE SUSP 10 MCG/0.5 ML (ENGERIX-B) | $112.46 | $118.38 | $0.44–$115.30 | 100% above | 5% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B PEDIATRIC VACCINE SUSP 5 MCG/0.5 ML (RECOMBIVAX-HB) | $112.46 | $118.38 | $0.44–$115.30 | 100% above | 5% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B PEDIATRIC VACCINE SUSP 5 MCG/0.5 ML (RECOMBIVAX-HB) | $56.23 | $59.19 | $32.55–$57.65 | — | 5% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B PEDIATRIC VACCINE SUSP 10 MCG/0.5 ML (ENGERIX-B) | $56.23 | $59.19 | $32.55–$57.65 | — | 5% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B PEDIATRIC VACCINE SUSP 10 MCG/0.5 ML (ENGERIX-B) | $112.46 | $118.38 | $65.11–$115.30 | — | 5% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B PEDIATRIC VACCINE SUSP 5 MCG/0.5 ML (RECOMBIVAX-HB) | $112.46 | $118.38 | $65.11–$115.30 | — | 5% |
| Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 HAEMOPHILUS B VACCINE, CONJUGATE (PRP-OMP) SUSP (PEDVAXHIB) | $50.27 | $52.92 | $0.20–$51.54 | at median | 5% |
| Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 HAEMOPHILUS B VACCINE, CONJUGATE (PRP-OMP) SUSP (PEDVAXHIB) | $100.54 | $105.83 | $0.39–$103.08 | 100% above | 5% |
| Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 HAEMOPHILUS B VACCINE, CONJUGATE (PRP-OMP) SUSP (PEDVAXHIB) | $50.27 | $52.92 | $29.11–$51.54 | — | 5% |
| Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 HAEMOPHILUS B VACCINE, CONJUGATE (PRP-OMP) SUSP (PEDVAXHIB) | $100.54 | $105.83 | $58.21–$103.08 | — | 5% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B VACCINE, CONJUGATE (PRP-T) POWD-INJ (ACTHIB) | $11.30 | $11.90 | $0.04–$46.30 | 73% below | 5% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B VACCINE, CONJUGATE (PRP-T) POWD-INJ (HIBERIX) | $22.60 | $23.79 | $0.09–$46.30 | 46% below | 5% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B VACCINE, CONJUGATE (PRP-T) POWD-INJ (ACTHIB) | $22.60 | $23.79 | $0.09–$46.30 | 46% below | 5% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B VACCINE, CONJUGATE (PRP-T) POWD-INJ (ACTHIB) | $11.30 | $11.90 | $6.54–$11.59 | — | 5% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B VACCINE, CONJUGATE (PRP-T) POWD-INJ (ACTHIB) | $22.60 | $23.79 | $13.08–$23.17 | — | 5% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B VACCINE, CONJUGATE (PRP-T) POWD-INJ (HIBERIX) | $22.60 | $23.79 | $13.08–$23.17 | — | 5% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLUENZA VACCINE SUSP PF HD TRIVALENT 65 YEARS(+) (FLUZONE HIGH DOSE 2024-2025) | $79.32 | $83.49 | $0.31–$138.59 | at median | 5% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLUENZA VACCINE SUSP PF HD TRIVALENT 65 YEARS(+) (FLUZONE HIGH DOSE 2024-2025) | $158.63 | $166.98 | $0.62–$162.64 | 100% above | 5% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 INFLUENZA VACCINE SUSP PF HD TRIVALENT 65 YEARS(+) (FLUZONE HIGH DOSE 2024-2025) | $79.32 | $83.49 | $45.92–$81.32 | — | 5% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 INFLUENZA VACCINE SUSP PF HD TRIVALENT 65 YEARS(+) (FLUZONE HIGH DOSE 2024-2025) | $158.63 | $166.98 | $91.84–$162.64 | — | 5% |
| Japanese encephalitis vaccine (Ixiaro), 2-dose schedule CPT 90738 JAPANESE ENCEPHALITIS VACCINE SA14-14-2, INACTIVATED SUSP (IXIARO) | $665.88 | $700.93 | $2.59–$682.71 | 139% above | 5% |
| Japanese encephalitis vaccine (Ixiaro), 2-dose schedule CPT 90738 JAPANESE ENCEPHALITIS VACCINE SA14-14-2, INACTIVATED SUSP (IXIARO) | $1,331.77 | $1,401.86 | $5.19–$1,365.41 | 377% above | 5% |
| Japanese encephalitis vaccine (Ixiaro), 2-dose schedule inpatient CPT 90738 JAPANESE ENCEPHALITIS VACCINE SA14-14-2, INACTIVATED SUSP (IXIARO) | $665.88 | $700.93 | $385.51–$682.71 | — | 5% |
| Japanese encephalitis vaccine (Ixiaro), 2-dose schedule inpatient CPT 90738 JAPANESE ENCEPHALITIS VACCINE SA14-14-2, INACTIVATED SUSP (IXIARO) | $1,331.77 | $1,401.86 | $771.02–$1,365.41 | — | 5% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES-MUMPS-RUBELLA VACCINE POWD-INJ (M-M-R II) | $153.28 | $161.35 | $0.60–$185.08 | at median | 5% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES-MUMPS-RUBELLA VACCINE POWD-INJ (M-M-R II) | $153.28 | $161.35 | $0.60–$185.08 | at median | 5% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES-MUMPS-RUBELLA VACCINE POWD-INJ (M-M-R II) | $153.28 | $161.35 | $88.74–$157.15 | — | 5% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES-MUMPS-RUBELLA VACCINE POWD-INJ (M-M-R II) | $153.28 | $161.35 | $88.74–$157.15 | — | 5% |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 MEASLES-MUMPS-RUBELLA-VARICELLA VIRUS VACCINE POWD-INJ (PROQUAD) | $229.59 | $241.67 | $0.89–$240.53 | 9% below | 5% |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 MEASLES-MUMPS-RUBELLA-VARICELLA VIRUS VACCINE POWD-INJ (PROQUAD) | $459.17 | $483.34 | $1.79–$470.77 | 81% above | 5% |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 MEASLES-MUMPS-RUBELLA-VARICELLA VIRUS VACCINE POWD-INJ (PROQUAD) | $229.59 | $241.67 | $132.92–$235.39 | — | 5% |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 MEASLES-MUMPS-RUBELLA-VARICELLA VIRUS VACCINE POWD-INJ (PROQUAD) | $459.17 | $483.34 | $265.84–$470.77 | — | 5% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL VACCINE, CONJUGATE POWD-INJ (MENVEO) | $229.59 | $241.67 | $0.89–$235.39 | at median | 5% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL VACCINE, CONJUGATE SOLN (MENACTRA) | $272.11 | $286.43 | $1.06–$278.98 | 19% above | 5% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL VACCINE, CONJUGATE POWD-INJ (MENVEO) | $459.17 | $483.34 | $1.79–$470.77 | 100% above | 5% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL VACCINE, CONJUGATE SOLN (MENACTRA) | $544.21 | $572.85 | $2.12–$557.96 | 137% above | 5% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL VACCINE, CONJUGATE POWD-INJ (MENVEO) | $229.59 | $241.67 | $132.92–$235.39 | — | 5% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL VACCINE, CONJUGATE SOLN (MENACTRA) | $272.11 | $286.43 | $157.54–$278.98 | — | 5% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL VACCINE, CONJUGATE POWD-INJ (MENVEO) | $459.17 | $483.34 | $265.84–$470.77 | — | 5% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL VACCINE, CONJUGATE SOLN (MENACTRA) | $544.21 | $572.85 | $315.07–$557.96 | — | 5% |
| Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 MENINGOCOCCAL VACCINE, CONJUGATE SOLN (MENQUADFI) | $203.41 | $214.12 | $0.79–$208.55 | at median | 5% |
| Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 MENINGOCOCCAL VACCINE, CONJUGATE SOLN (MENQUADFI) | $406.83 | $428.24 | $1.58–$417.11 | 100% above | 5% |
| Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 MENINGOCOCCAL VACCINE, CONJUGATE SOLN (MENQUADFI) | $203.41 | $214.12 | $117.77–$208.55 | — | 5% |
| Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 MENINGOCOCCAL VACCINE, CONJUGATE SOLN (MENQUADFI) | $406.83 | $428.24 | $235.53–$417.11 | — | 5% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL VACCINE, RECOMBINANT SUSP (BEXSERO) | $367.35 | $386.68 | $1.43–$376.63 | 59% above | 5% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL VACCINE, RECOMBINANT SUSP (BEXSERO) | $734.69 | $773.36 | $2.86–$753.25 | 217% above | 5% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL VACCINE, RECOMBINANT SUSP (BEXSERO) | $367.35 | $386.68 | $212.67–$376.63 | — | 5% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL VACCINE, RECOMBINANT SUSP (BEXSERO) | $734.69 | $773.36 | $425.35–$753.25 | — | 5% |
| Meningococcal B vaccine (Trumenba) CPT 90621 MENINGOCOCCAL VACCINE, RECOMBINANT SUSP (TRUMENBA) | $273.91 | $288.33 | $1.07–$280.83 | 42% above | 5% |
| Meningococcal B vaccine (Trumenba) CPT 90621 MENINGOCOCCAL VACCINE, RECOMBINANT SUSP (TRUMENBA) | $547.83 | $576.66 | $2.13–$561.67 | 184% above | 5% |
| Meningococcal B vaccine (Trumenba) inpatient CPT 90621 MENINGOCOCCAL VACCINE, RECOMBINANT SUSP (TRUMENBA) | $273.91 | $288.33 | $158.58–$280.83 | — | 5% |
| Meningococcal B vaccine (Trumenba) inpatient CPT 90621 MENINGOCOCCAL VACCINE, RECOMBINANT SUSP (TRUMENBA) | $547.83 | $576.66 | $317.16–$561.67 | — | 5% |
| Mpox and smallpox vaccine (Jynneos), 2-dose schedule CPT 90611 SMALLPOX-MONKEYPOX VACCINE SUSP (JYNNEOS) | $492.63 | $518.56 | $1.92–$505.08 | at median | 5% |
| Mpox and smallpox vaccine (Jynneos), 2-dose schedule CPT 90611 SMALLPOX-MONKEYPOX VACCINE SUSP (JYNNEOS) | $985.26 | $1,037.12 | $3.84–$1,010.15 | 100% above | 5% |
| Mpox and smallpox vaccine (Jynneos), 2-dose schedule inpatient CPT 90611 SMALLPOX-MONKEYPOX VACCINE SUSP (JYNNEOS) | $492.63 | $518.56 | $285.21–$505.08 | — | 5% |
| Mpox and smallpox vaccine (Jynneos), 2-dose schedule inpatient CPT 90611 SMALLPOX-MONKEYPOX VACCINE SUSP (JYNNEOS) | $985.26 | $1,037.12 | $570.42–$1,010.15 | — | 5% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PNEUMOCOCCAL VACCINE, 13-VALENT SUSP-INJ (PREVNAR 13) | $485.28 | $510.82 | $1.89–$497.54 | 66% above | 5% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PNEUMOCOCCAL VACCINE, 13-VALENT SUSP-INJ (PREVNAR 13) | $970.56 | $1,021.64 | $3.78–$995.08 | 232% above | 5% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PNEUMOCOCCAL VACCINE, 13-VALENT SUSP-INJ (PREVNAR 13) | $485.28 | $510.82 | $280.95–$497.54 | — | 5% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PNEUMOCOCCAL VACCINE, 13-VALENT SUSP-INJ (PREVNAR 13) | $970.56 | $1,021.64 | $561.90–$995.08 | — | 5% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL VACCINE, 20-VALENT SUSP-INJ (PREVNAR 20) | $542.98 | $571.56 | $2.11–$556.70 | 86% above | 5% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL VACCINE, 20-VALENT SUSP-INJ (PREVNAR 20) | $1,085.95 | $1,143.11 | $4.23–$1,113.39 | 271% above | 5% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL VACCINE, 20-VALENT SUSP-INJ (PREVNAR 20) | $542.98 | $571.56 | $314.36–$556.70 | — | 5% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL VACCINE, 20-VALENT SUSP-INJ (PREVNAR 20) | $1,085.95 | $1,143.11 | $628.71–$1,113.39 | — | 5% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VACCINE, 23-VALENT SOLN (PNEUMOVAX 23) | $251.07 | $264.28 | $0.98–$257.41 | 78% above | 5% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VACCINE, 23-VALENT SOLN (PNEUMOVAX 23) | $502.12 | $528.55 | $1.96–$514.81 | 256% above | 5% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL VACCINE, 23-VALENT SOLN (PNEUMOVAX 23) | $251.07 | $264.28 | $145.35–$257.41 | — | 5% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL VACCINE, 23-VALENT SOLN (PNEUMOVAX 23) | $502.12 | $528.55 | $290.70–$514.81 | — | 5% |
| Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS VACCINE, INACTIVATED SUSP (IPOL) | $458.38 | $482.51 | $1.79–$469.96 | 667% above | 5% |
| Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS VACCINE, INACTIVATED SUSP (IPOL) | $916.76 | $965.01 | $3.57–$939.92 | 1433% above | 5% |
| Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIOVIRUS VACCINE, INACTIVATED SUSP (IPOL) | $458.38 | $482.51 | $265.38–$469.96 | — | 5% |
| Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIOVIRUS VACCINE, INACTIVATED SUSP (IPOL) | $916.76 | $965.01 | $530.76–$939.92 | — | 5% |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 NIRSEVIMAB SOLN 100 MG/1 ML (BEYFORTUS) | $1,278.84 | $1,346.15 | $4.98–$1,311.15 | 25% above | 5% |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 NIRSEVIMAB SOLN 100 MG/1 ML (BEYFORTUS) | $1,278.84 | $1,346.15 | $740.38–$1,311.15 | — | 5% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB SOLN 50 MG/0.5 ML (BEYFORTUS) | $2,271.31 | $2,390.85 | $8.85–$2,328.69 | 122% above | 5% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NIRSEVIMAB SOLN 50 MG/0.5 ML (BEYFORTUS) | $2,271.31 | $2,390.85 | $1,314.97–$2,328.69 | — | 5% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RSV VACCINE, PREF A-PREF B, RECOMBINANT PF POWD-INJ (ABRYSVO) | $554.90 | $584.10 | $2.16–$568.91 | at median | 5% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RSV VACCINE, PREF A-PREF B, RECOMBINANT PF POWD-INJ (ABRYSVO) | $554.90 | $584.10 | $2.16–$568.91 | at median | 5% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 RSV VACCINE, PREF A-PREF B, RECOMBINANT PF POWD-INJ (ABRYSVO) | $554.90 | $584.10 | $321.25–$568.91 | — | 5% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 RSV VACCINE, PREF A-PREF B, RECOMBINANT PF POWD-INJ (ABRYSVO) | $554.90 | $584.10 | $321.25–$568.91 | — | 5% |
| RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 RSV VACCINE PREF3, RECOMBINANT PF POWD-INJ (AREXVY) | $553.01 | $582.12 | $2.15–$566.98 | 2% above | 5% |
| RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 RSV VACCINE PREF3, RECOMBINANT PF POWD-INJ (AREXVY) | $553.01 | $582.12 | $2.15–$566.98 | 2% above | 5% |
| RSV vaccine with adjuvant (Arexvy), one dose for older adults inpatient CPT 90679 RSV VACCINE PREF3, RECOMBINANT PF POWD-INJ (AREXVY) | $553.01 | $582.12 | $320.17–$566.98 | — | 5% |
| RSV vaccine with adjuvant (Arexvy), one dose for older adults inpatient CPT 90679 RSV VACCINE PREF3, RECOMBINANT PF POWD-INJ (AREXVY) | $553.01 | $582.12 | $320.17–$566.98 | — | 5% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PURIFIED POWD-INJ (RABAVERT) | $618.00 | $650.53 | $2.41–$633.62 | 6% above | 5% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE, HUMAN DIPLOID POWD-INJ (IMOVAX RABIES) | $618.00 | $650.53 | $2.41–$633.62 | 6% above | 5% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PURIFIED POWD-INJ (RABAVERT) | $618.00 | $650.53 | $2.41–$633.62 | 6% above | 5% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE, HUMAN DIPLOID POWD-INJ (IMOVAX RABIES) | $618.00 | $650.53 | $2.41–$633.62 | 6% above | 5% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, HUMAN DIPLOID POWD-INJ (IMOVAX RABIES) | $618.00 | $650.53 | $357.79–$633.62 | — | 5% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PURIFIED POWD-INJ (RABAVERT) | $618.00 | $650.53 | $357.79–$633.62 | — | 5% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PURIFIED POWD-INJ (RABAVERT) | $618.00 | $650.53 | $357.79–$633.62 | — | 5% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, HUMAN DIPLOID POWD-INJ (IMOVAX RABIES) | $618.00 | $650.53 | $357.79–$633.62 | — | 5% |
| Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 VFC ROTAVIRUS, 2 DOSE, SCHED, ORAL | $19.95 | $21.00 | $0.08–$182.97 | 87% below | 5% |
| Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 ROTAVIRUS VACCINE, MONOVALENT SUSP (ROTARIX) | $244.04 | $256.88 | $0.95–$250.20 | 60% above | 5% |
| Rotavirus vaccine, oral, 2-dose schedule (Rotarix) inpatient CPT 90681 VFC ROTAVIRUS, 2 DOSE, SCHED, ORAL | $19.95 | $21.00 | $11.55–$20.45 | — | 5% |
| Rotavirus vaccine, oral, 2-dose schedule (Rotarix) inpatient CPT 90681 ROTAVIRUS VACCINE, MONOVALENT SUSP (ROTARIX) | $244.04 | $256.88 | $141.28–$250.20 | — | 5% |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 ROTAVIRUS VACCINE, PENTAVALENT SUSP (ROTATEQ) | $72.57 | $76.39 | $0.28–$195.41 | 38% below | 5% |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 ROTAVIRUS VACCINE, PENTAVALENT SUSP (ROTATEQ) | $145.14 | $152.78 | $0.57–$195.41 | 24% above | 5% |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 ROTAVIRUS VACCINE, PENTAVALENT SUSP (ROTATEQ) | $72.57 | $76.39 | $42.01–$74.40 | — | 5% |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 ROTAVIRUS VACCINE, PENTAVALENT SUSP (ROTATEQ) | $145.14 | $152.78 | $84.03–$148.81 | — | 5% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 ZOSTER VACCINE POWD-INJ (SHINGRIX) | $335.16 | $352.80 | $1.31–$343.63 | 69% above | 5% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 ZOSTER VACCINE POWD-INJ (SHINGRIX) | $335.16 | $352.80 | $1.31–$343.63 | 69% above | 5% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 ZOSTER VACCINE POWD-INJ (SHINGRIX) | $335.16 | $352.80 | $194.04–$343.63 | — | 5% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 ZOSTER VACCINE POWD-INJ (SHINGRIX) | $335.16 | $352.80 | $194.04–$343.63 | — | 5% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA (TD) VACCINE SUSP (TDVAX) | $53.88 | $56.72 | $0.21–$56.37 | 30% above | 5% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA (TD) VACCINE SUSP PF (TENIVAC) | $53.88 | $56.72 | $0.21–$56.37 | 30% above | 5% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA (TD) VACCINE SUSP PF (TENIVAC) | $107.76 | $113.43 | $0.42–$110.48 | 160% above | 5% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA (TD) VACCINE SUSP (TDVAX) | $107.76 | $113.43 | $0.42–$110.48 | 160% above | 5% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTHERIA (TD) VACCINE SUSP PF (TENIVAC) | $53.88 | $56.72 | $31.20–$55.25 | — | 5% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTHERIA (TD) VACCINE SUSP (TDVAX) | $53.88 | $56.72 | $31.20–$55.25 | — | 5% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTHERIA (TD) VACCINE SUSP (TDVAX) | $107.76 | $113.43 | $62.39–$110.48 | — | 5% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTHERIA (TD) VACCINE SUSP PF (TENIVAC) | $107.76 | $113.43 | $62.39–$110.48 | — | 5% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTHERIA-PERTUSSIS (TDAP) VACCINE SUSP (BOOSTRIX) | $72.74 | $76.57 | $0.28–$74.58 | 11% below | 5% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTHERIA-PERTUSSIS (TDAP) VACCINE SUSP (ADACEL) | $72.74 | $76.57 | $0.28–$74.58 | 11% below | 5% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTHERIA-PERTUSSIS (TDAP) VACCINE SUSP (BOOSTRIX) | $145.48 | $153.14 | $0.57–$149.16 | 78% above | 5% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTHERIA-PERTUSSIS (TDAP) VACCINE SUSP (ADACEL) | $145.48 | $153.14 | $0.57–$149.16 | 78% above | 5% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS-DIPHTHERIA-PERTUSSIS (TDAP) VACCINE SUSP (ADACEL) | $72.74 | $76.57 | $42.11–$74.58 | — | 5% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS-DIPHTHERIA-PERTUSSIS (TDAP) VACCINE SUSP (BOOSTRIX) | $72.74 | $76.57 | $42.11–$74.58 | — | 5% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS-DIPHTHERIA-PERTUSSIS (TDAP) VACCINE SUSP (BOOSTRIX) | $145.48 | $153.14 | $84.23–$149.16 | — | 5% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS-DIPHTHERIA-PERTUSSIS (TDAP) VACCINE SUSP (ADACEL) | $145.48 | $153.14 | $84.23–$149.16 | — | 5% |
| Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYPHOID VACCINE, INACTIVATED SOLN (TYPHIM VI) | $174.89 | $184.10 | $0.68–$205.31 | 40% above | 5% |
| Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYPHOID VACCINE, INACTIVATED SOLN (TYPHIM VI) | $349.79 | $368.20 | $1.36–$358.63 | 180% above | 5% |
| Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 TYPHOID VACCINE, INACTIVATED SOLN (TYPHIM VI) | $174.89 | $184.10 | $101.25–$179.31 | — | 5% |
| Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 TYPHOID VACCINE, INACTIVATED SOLN (TYPHIM VI) | $349.79 | $368.20 | $202.51–$358.63 | — | 5% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VFC-DT(PED) <7 YRS-ADMIN | $19.95 | $21.00 | $0.08–$20.45 | 48% below | 5% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VFC-TD PRESERVATIVE FREE-ADMIN | $19.95 | $21.00 | $0.08–$20.45 | 48% below | 5% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VFC-4VHPV-3 DOSE-ADMIN | $19.95 | $21.00 | $0.08–$20.45 | 48% below | 5% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VFC-PPSV23 | $19.95 | $21.00 | $0.08–$20.45 | 48% below | 5% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VFC-HIB 3 DOSE SCHED-ADMIN | $19.95 | $21.00 | $0.08–$20.45 | 48% below | 5% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VFC-IPV-ADMIN | $19.95 | $21.00 | $0.08–$20.45 | 48% below | 5% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VFC-MENINGOCOCCAL REC-IM USE | $19.95 | $21.00 | $0.08–$20.45 | 48% below | 5% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN VACC SNGL-TECH | $61.75 | $65.00 | $0.24–$63.31 | 60% above | 5% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN SINGLE | $61.75 | $65.00 | $0.24–$63.31 | 60% above | 5% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN VACC SNGL-PROF | $61.75 | $65.00 | $0.24–$63.31 | 60% above | 5% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VFC-4VHPV-3 DOSE-ADMIN | $19.95 | $21.00 | $11.55–$20.45 | — | 5% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VFC-TD PRESERVATIVE FREE-ADMIN | $19.95 | $21.00 | $11.55–$20.45 | — | 5% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VFC-IPV-ADMIN | $19.95 | $21.00 | $11.55–$20.45 | — | 5% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VFC-HIB 3 DOSE SCHED-ADMIN | $19.95 | $21.00 | $11.55–$20.45 | — | 5% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VFC-MENINGOCOCCAL REC-IM USE | $19.95 | $21.00 | $11.55–$20.45 | — | 5% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VFC-DT(PED) <7 YRS-ADMIN | $19.95 | $21.00 | $11.55–$20.45 | — | 5% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VFC-PPSV23 | $19.95 | $21.00 | $11.55–$20.45 | — | 5% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN SINGLE | $61.75 | $65.00 | $35.75–$63.31 | — | 5% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN VACC SNGL-TECH | $61.75 | $65.00 | $35.75–$63.31 | — | 5% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN VACC SNGL-PROF | $61.75 | $65.00 | $35.75–$63.31 | — | 5% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMIN VACC EACH ADDL-TECH | $33.25 | $35.00 | $0.13–$34.09 | 2% above | 5% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ADMIN VACC EACH ADDL-TECH | $33.25 | $35.00 | $19.25–$34.09 | — | 5% |
| Yellow fever vaccine, live CPT 90717 YELLOW FEVER VACCINE POWD-INJ (YF-VAX) | $129.68 | $136.51 | $0.51–$144.20 | 25% below | 5% |
| Yellow fever vaccine, live CPT 90717 YELLOW FEVER VACCINE POWD-INJ (YF-VAX) | $259.37 | $273.02 | $1.01–$265.92 | 51% above | 5% |
| Yellow fever vaccine, live inpatient CPT 90717 YELLOW FEVER VACCINE POWD-INJ (YF-VAX) | $129.68 | $136.51 | $75.08–$132.96 | — | 5% |
| Yellow fever vaccine, live inpatient CPT 90717 YELLOW FEVER VACCINE POWD-INJ (YF-VAX) | $259.37 | $273.02 | $150.16–$265.92 | — | 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.