UMass Memorial Health - Harrington Hospital
UMass Memorial Health - Harrington Hospital in Southbridge, MA publishes cash prices for 434 common procedures listed here, from its own machine-readable price file updated Apr 3, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Massachusetts median for 355 of 429 procedures and below it for 63. By typical cash price it ranks #31 of 33 Massachusetts hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.
100 South St Southbridge, MA 01550 Collected Sep 22, 2026 Source price file Check a bill from this hospital (508) 765-9771
Acute care hospital Nonprofit hospital Emergency department CMS star rating 3 of 5 CCN 220019 · CMS hospital register NPI 1790780047
The price file shows no self-pay discount
For 1178 of the 1178 prices listed here, the cash price in UMass Memorial Health - Harrington Hospital's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
UMass Memorial Health - Harrington Hospital is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.
You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.
Source: IRS, section 501(r) requirements for nonprofit hospitals.
CMS price transparency record
The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 1 action for a hospital named UMass Memorial Health - Harrington Hospital in Southbridge, MA:
- Feb 13, 2026 Met requirements
Met requirements: CMS reviewed the hospital and found it met the requirements, so no further action was taken.
A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Massachusetts | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 HC CT Abdomen W/WO Contrast | $4,717.00 | $4,717.00 | — | 162% above | — |
| Abdominal CT scan without and with contrast inpatient CPT 74170 HC CT Abdomen W/WO Contrast | $4,717.00 | $4,717.00 | — | — | — |
| Abdominal X-ray, 2 views CPT 74019 HC X-Ray Exam Abdomen 2 Views | $322.00 | $322.00 | — | 14% below | — |
| Abdominal X-ray, 2 views inpatient CPT 74019 HC X-Ray Exam Abdomen 2 Views | $322.00 | $322.00 | — | — | — |
| Ankle X-ray, complete, 3 or more views CPT 73610 HC Ankle Complete Min 3 View | $550.00 | $550.00 | — | 114% above | — |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 HC Ankle Complete Min 3 View|LEFT SIDE | $550.00 | $550.00 | — | 114% above | — |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 HC Ankle Complete Min 3 View|RIGHT SIDE | $550.00 | $550.00 | — | 114% above | — |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC Ankle Complete Min 3 View | $550.00 | $550.00 | — | — | — |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 HC Ankle Complete Min 3 View|RIGHT SIDE | $550.00 | $550.00 | — | — | — |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 HC Ankle Complete Min 3 View|LEFT SIDE | $550.00 | $550.00 | — | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC Ankle Brachial Indices | $391.00 | $391.00 | — | 8% above | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC N-Inva Phy Std Ext Art 2 Lev | $532.00 | $532.00 | — | 47% above | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC Ankle Brachial Indices | $391.00 | $391.00 | — | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC N-Inva Phy Std Ext Art 2 Lev | $532.00 | $532.00 | — | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT Upper Extremity W/O Cont | $2,006.00 | $2,006.00 | — | 92% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HC CT Upper Extremity W/O Cont | $2,006.00 | $2,006.00 | — | — | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 HC Barium Swallow Esophagus | $717.00 | $717.00 | — | 34% above | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 HC Esophagus Incl Cst Radgrph and Dlyd Img, Single Contrast Study | $717.00 | $717.00 | — | 34% above | — |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC Barium Swallow Esophagus | $717.00 | $717.00 | — | — | — |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC Esophagus Incl Cst Radgrph and Dlyd Img, Single Contrast Study | $717.00 | $717.00 | — | — | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 HC Bone and/or Joint Imaging; Whole Body | $1,468.00 | $1,468.00 | — | 12% above | — |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC Bone and/or Joint Imaging; Whole Body | $1,468.00 | $1,468.00 | — | — | — |
| Breast ultrasound, complete, one breast one side CPT 76641 HC US Breast, Unilat, Complete | $1,084.00 | $1,084.00 | — | 160% above | — |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 HC US Breast, Unilat, Complete | $1,084.00 | $1,084.00 | — | — | — |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC US Breast, Unilat, Limited | $510.00 | $510.00 | — | 17% above | — |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC US Breast, Unilat, Limited | $510.00 | $510.00 | — | — | — |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CT Angio Abd & Pelvis W & W/O Con | $4,251.00 | $4,251.00 | — | 85% above | — |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CT Angio Abd & Pelvis W & W/O Con | $4,876.35 | $4,876.35 | — | 112% above | — |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC CT Angio Abd & Pelvis W & W/O Con | $4,251.00 | $4,251.00 | — | — | — |
| CT angiography (CTA) of the head CPT 70496 HC CT Angio Head W Contrast | $2,830.00 | $2,830.00 | — | 65% above | — |
| CT angiography (CTA) of the head inpatient CPT 70496 HC CT Angio Head W Contrast | $2,830.00 | $2,830.00 | — | — | — |
| CT angiography (CTA) of the neck CPT 70498 HC CT Angio Neck W Contrast | $2,830.00 | $2,830.00 | — | 116% above | — |
| CT angiography (CTA) of the neck inpatient CPT 70498 HC CT Angio Neck W Contrast | $2,830.00 | $2,830.00 | — | — | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CT Angio Chest W/WO Contrast | $2,859.00 | $2,859.00 | — | 82% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CT Angio Chest W/WO Contrast | $3,359.28 | $3,359.28 | — | 113% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CT Angio Chest W/WO Contrast | $2,859.00 | $2,859.00 | — | — | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT Hrt W/O Dye W /Quant of Ca | $61.00 | $61.00 | — | 69% below | — |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CT Hrt W/O Dye W /Quant of Ca | $61.00 | $61.00 | — | — | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT Abd & Pelvis W/O Contrast | $3,478.00 | $3,478.00 | — | 134% above | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT Abd & Pelvis W/O Contrast | $3,478.00 | $3,478.00 | — | 134% above | — |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT Abd & Pelvis W/O Contrast | $3,478.00 | $3,478.00 | — | — | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT Abd & Pelvis W Contrast | $4,166.00 | $4,166.00 | — | 71% above | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT Abd & Pelvis W Contrast | $4,791.35 | $4,791.35 | — | 97% above | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT Abd & Pelvis W Contrast | $4,166.00 | $4,166.00 | — | — | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT Abd & Pelvis W/O Fol W/Contrast | $4,717.00 | $4,717.00 | — | 79% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT Abd & Pelvis W/O Fol W/Contrast | $4,717.00 | $4,717.00 | — | — | — |
| CT scan of the abdomen with contrast CPT 74160 HC CT Abdomen W Contrast | $3,332.00 | $3,332.00 | — | 116% above | — |
| CT scan of the abdomen with contrast inpatient CPT 74160 HC CT Abdomen W Contrast | $3,332.00 | $3,332.00 | — | — | — |
| CT scan of the abdomen without contrast CPT 74150 HC CT Abdomen W/O Contrast | $2,781.00 | $2,781.00 | — | 188% above | — |
| CT scan of the abdomen without contrast inpatient CPT 74150 HC CT Abdomen W/O Contrast | $2,781.00 | $2,781.00 | — | — | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT Scan Maxillofac W/O Contrast | $2,610.00 | $2,610.00 | — | 156% above | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT Scan Maxillofac W/O Contrast | $2,610.00 | $2,610.00 | — | — | — |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT Head or Brain W/O Contrast | $1,625.00 | $1,625.00 | — | 56% above | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT Head or Brain W/O Contrast | $1,625.00 | $1,625.00 | — | — | — |
| CT scan of the head with contrast CPT 70460 HC CT Head or Brain W Contrast | $2,408.00 | $2,408.00 | — | 100% above | — |
| CT scan of the head with contrast inpatient CPT 70460 HC CT Head or Brain W Contrast | $2,408.00 | $2,408.00 | — | — | — |
| CT scan of the head without and with contrast CPT 70470 HC CT Head or Brain W/WO Contrast | $2,735.00 | $2,735.00 | — | 83% above | — |
| CT scan of the head without and with contrast inpatient CPT 70470 HC CT Head or Brain W/WO Contrast | $2,735.00 | $2,735.00 | — | — | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT Lumbar Spine W/O Contrast | $1,740.00 | $1,740.00 | — | 80% above | — |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT Lumbar Spine W/O Contrast | $1,740.00 | $1,740.00 | — | — | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT Cervical Spine W/O Contrast | $2,030.00 | $2,030.00 | — | 47% above | — |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT Cervical Spine W/O Contrast | $2,030.00 | $2,030.00 | — | — | — |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT Pelvis W Contrast | $3,607.00 | $3,607.00 | — | 118% above | — |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT Pelvis W Contrast | $3,607.00 | $3,607.00 | — | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC Duplex Scan of Extracranial Arteries; Complete Bilateral Study | $977.00 | $977.00 | — | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC Duplex Scan of Extracranial Arteries; Complete Bilateral Study | $977.00 | $977.00 | — | — | — |
| Chest CT scan without and with contrast CPT 71270 HC CT Thorax Diagnostic W/O Foll by Cont | $2,859.00 | $2,859.00 | — | 54% above | — |
| Chest CT scan without and with contrast CPT 71270 HC CT Thorax W/O Foll by Cont | $3,435.00 | $3,435.00 | — | 85% above | — |
| Chest CT scan without and with contrast inpatient CPT 71270 HC CT Thorax Diagnostic W/O Foll by Cont | $2,859.00 | $2,859.00 | — | — | — |
| Chest CT scan without and with contrast inpatient CPT 71270 HC CT Thorax W/O Foll by Cont | $3,435.00 | $3,435.00 | — | — | — |
| Chest X-ray, 2 views CPT 71046 HC X-Ray Exam Chest 2 Views | $357.00 | $357.00 | — | 41% above | — |
| Chest X-ray, 2 views CPT 71046 HC X-Ray Exam Chest 2 Views | $357.00 | $357.00 | — | 41% above | — |
| Chest X-ray, 2 views inpatient CPT 71046 HC X-Ray Exam Chest 2 Views | $357.00 | $357.00 | — | — | — |
| Chest X-ray, single view CPT 71045 HC X-Ray Exam Chest 1 View | $273.00 | $273.00 | — | 1% above | — |
| Chest X-ray, single view CPT 71045 HC X-Ray Exam Chest 1 View | $13,270.91 | $13,270.91 | — | 4833% above | — |
| Chest X-ray, single view inpatient CPT 71045 HC X-Ray Exam Chest 1 View | $273.00 | $273.00 | — | — | — |
| Collarbone (clavicle) X-ray, complete CPT 73000 HC Clavicle Complete | $444.00 | $444.00 | — | 68% above | — |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HC Clavicle Complete | $444.00 | $444.00 | — | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC Retroperitoneal Comp | $1,379.00 | $1,379.00 | — | 118% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC Retroperitoneal Comp | $1,379.00 | $1,379.00 | — | — | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC Bone Density Study Axial | $1,036.00 | $1,036.00 | — | 109% above | — |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC Bone Density Study Axial | $1,036.00 | $1,036.00 | — | — | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC Bone Density Peripheral | $1,036.00 | $1,036.00 | — | 321% above | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC Bone Density Peripheral | $1,036.00 | $1,036.00 | — | — | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT Thorax Diagnostic W/O Contrast | $1,687.00 | $1,687.00 | — | 41% above | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT Thorax Diagnostic W/O Contrast | $1,687.00 | $1,687.00 | — | — | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT Scan Thorax Diagnostic Chest W Contr | $2,109.00 | $2,109.00 | — | 37% above | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT Scan Thorax Chest W Contr | $2,109.00 | $2,109.00 | — | 37% above | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT Scan Thorax Diagnostic Chest W Contr | $6,489.35 | $6,489.35 | — | 320% above | — |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT Scan Thorax Diagnostic Chest W Contr | $2,109.00 | $2,109.00 | — | — | — |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT Scan Thorax Chest W Contr | $2,109.00 | $2,109.00 | — | — | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC Diagnostic Mammo Inc Computer Aided Detection Bilateral | $717.00 | $717.00 | — | — | — |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC Diagnostic Mammo Inc Computer Aided Detection Bilateral | $717.00 | $717.00 | — | — | — |
| Diagnostic mammogram, one breast one side CPT 77065 HC Diagnostic Mammo Inc Computer Aided Detection Unilateral | $564.00 | $564.00 | — | 43% above | — |
| Diagnostic mammogram, one breast one side CPT 77065 HC Diagnostic Mammo Inc Computer Aided Detection Unilateral|LEFT SIDE | $1,614.00 | $1,614.00 | — | 308% above | — |
| Diagnostic mammogram, one breast one side CPT 77065 HC Diagnostic Mammo Inc Computer Aided Detection Unilateral|RIGHT SIDE | $1,614.00 | $1,614.00 | — | 308% above | — |
| Diagnostic mammogram, one breast one side CPT 77065 HC Diagnostic Mammo Inc Computer Aided Detection Unilateral | $15,465.34 | $15,465.34 | — | 3812% above | — |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HC Diagnostic Mammo Inc Computer Aided Detection Unilateral | $564.00 | $564.00 | — | — | — |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 HC Dplx Scan Art Low Ext Comp Bil | $1,676.00 | $1,676.00 | — | 80% above | — |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 HC Dplx Scan Art Low Ext Comp Bil | $1,676.00 | $1,676.00 | — | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC Duplex Scan of Extremity Veins, Complete Bilateral | $971.00 | $971.00 | — | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC Duplex Scan of Extremity Veins, Complete Bilateral | $971.00 | $971.00 | — | — | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC Echo 2d W/Doppler/Color Flow | $2,064.00 | $2,064.00 | — | 17% above | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC Echo 2d W/Doppler/Color Flow | $2,064.00 | $2,064.00 | — | — | — |
| Elbow X-ray, 2 views CPT 73070 HC Elbow 2 Views | $509.00 | $509.00 | — | 113% above | — |
| Elbow X-ray, 2 views one side CPT 73070 HC Elbow 2 Views|LEFT SIDE | $509.00 | $509.00 | — | 113% above | — |
| Elbow X-ray, 2 views inpatient CPT 73070 HC Elbow 2 Views | $509.00 | $509.00 | — | — | — |
| Elbow X-ray, 2 views inpatient one side CPT 73070 HC Elbow 2 Views|LEFT SIDE | $509.00 | $509.00 | — | — | — |
| Elbow X-ray, complete, 3 or more views CPT 73080 HC Elbow Complete Min 3 Views | $644.00 | $644.00 | — | 128% above | — |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HC Elbow Complete Min 3 Views | $644.00 | $644.00 | — | — | — |
| Eye socket (orbit) CT scan without contrast CPT 70480 HC CT Orbit Sel Ear W/O Contrast | $2,517.00 | $2,517.00 | — | 161% above | — |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT Orbit Sel Ear W/O Contrast | $2,517.00 | $2,517.00 | — | — | — |
| Facial bones X-ray, complete, 3 or more views CPT 70150 HC Facial Bones Comp Min 3 Views | $578.00 | $578.00 | — | 46% above | — |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC Facial Bones Comp Min 3 Views | $578.00 | $578.00 | — | — | — |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 HC Forearm 2 Views | $391.00 | $391.00 | — | 40% above | — |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 HC Forearm 2 Views|RIGHT SIDE | $1,019.00 | $1,019.00 | — | 265% above | — |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 HC Forearm 2 Views|LEFT SIDE | $1,455.00 | $1,455.00 | — | 422% above | — |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC Forearm 2 Views | $391.00 | $391.00 | — | — | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC Hepatobiliary System Imaging | $1,841.00 | $1,841.00 | — | 41% above | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC Hepatobiliary System Imaging | $1,841.00 | $1,841.00 | — | — | — |
| Hand X-ray, 2 views CPT 73120 HC Hand 2 Views | $417.00 | $417.00 | — | 50% above | — |
| Hand X-ray, 2 views one side CPT 73120 HC Hand 2 Views|RIGHT SIDE | $417.00 | $417.00 | — | 50% above | — |
| Hand X-ray, 2 views one side CPT 73120 HC Hand 2 Views|LEFT SIDE | $417.00 | $417.00 | — | 50% above | — |
| Hand X-ray, 2 views inpatient CPT 73120 HC Hand 2 Views | $417.00 | $417.00 | — | — | — |
| Hand X-ray, 2 views inpatient one side CPT 73120 HC Hand 2 Views|LEFT SIDE | $417.00 | $417.00 | — | — | — |
| Hand X-ray, 2 views inpatient one side CPT 73120 HC Hand 2 Views|RIGHT SIDE | $417.00 | $417.00 | — | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC Calcaneus Min 2 Views | $406.00 | $406.00 | — | 54% above | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HC Calcaneus Min 2 Views | $406.00 | $406.00 | — | — | — |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC Sleep Std Airflow Hrt Rate&O2 Sat Effort Unatt | $1,120.00 | $1,120.00 | — | 66% above | — |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HC Sleep Std Airflow Hrt Rate&O2 Sat Effort Unatt | $1,120.00 | $1,120.00 | — | — | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd | $5,165.00 | $5,165.00 | — | 38% above | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd | $5,165.00 | $5,165.00 | — | — | — |
| Knee X-ray, 3 views CPT 73562 HC Knee 3 Views | $578.00 | $578.00 | — | 82% above | — |
| Knee X-ray, 3 views one side CPT 73562 HC Knee 3 Views|RIGHT SIDE | $578.00 | $578.00 | — | 82% above | — |
| Knee X-ray, 3 views one side CPT 73562 HC Knee 3 Views|LEFT SIDE | $578.00 | $578.00 | — | 82% above | — |
| Knee X-ray, 3 views one side CPT 73562 HC Knee 3 Views|LEFT SIDE | $578.00 | $578.00 | — | 82% above | — |
| Knee X-ray, 3 views one side CPT 73562 HC Knee 3 Views|RIGHT SIDE | $578.00 | $578.00 | — | 82% above | — |
| Knee X-ray, 3 views inpatient CPT 73562 HC Knee 3 Views | $578.00 | $578.00 | — | — | — |
| Knee X-ray, 3 views inpatient one side CPT 73562 HC Knee 3 Views|RIGHT SIDE | $578.00 | $578.00 | — | — | — |
| Knee X-ray, 3 views inpatient one side CPT 73562 HC Knee 3 Views|LEFT SIDE | $578.00 | $578.00 | — | — | — |
| Knee X-ray, complete, 4 or more views CPT 73564 HC Knee Comp Min 4 Views | $644.00 | $644.00 | — | 84% above | — |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 HC Knee Comp Min 4 Views | $644.00 | $644.00 | — | — | — |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT Lower Extremity W/O Contrast | $1,883.00 | $1,883.00 | — | 80% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 HC CT Lower Extremity W/O Contrast|RIGHT SIDE | $1,883.00 | $1,883.00 | — | 80% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 HC CT Lower Extremity W/O Contrast|LEFT SIDE | $1,883.00 | $1,883.00 | — | 80% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 HC CT Lower Extremity W/O Contrast|LEFT SIDE | $1,883.00 | $1,883.00 | — | 80% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 HC CT Lower Extremity W/O Contrast|RIGHT SIDE | $1,883.00 | $1,883.00 | — | 80% above | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC CT Lower Extremity W/O Contrast | $1,883.00 | $1,883.00 | — | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 HC CT Lower Extremity W/O Contrast|RIGHT SIDE | $1,883.00 | $1,883.00 | — | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 HC CT Lower Extremity W/O Contrast|LEFT SIDE | $1,883.00 | $1,883.00 | — | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US Lmtd Abd Sgl Organ Quad | $1,327.00 | $1,327.00 | — | 146% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US Lmtd Abd Sgl Organ Quad | $1,327.00 | $1,327.00 | — | 146% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US Lmtd Abd Sgl Organ Quad | $1,327.00 | $1,327.00 | — | — | — |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US Ext Non-Vas Rl-Tm Img Lim | $467.00 | $467.00 | — | 37% above | — |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 HC US Ext Non-Vas Rl-Tm Img Lim|RIGHT SIDE | $467.00 | $467.00 | — | 37% above | — |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 HC US Ext Non-Vas Rl-Tm Img Lim|RIGHT SIDE | $467.00 | $467.00 | — | 37% above | — |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 HC US Ext Non-Vas Rl-Tm Img Lim|LEFT SIDE | $467.00 | $467.00 | — | 37% above | — |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 HC US Ext Non-Vas Rl-Tm Img Lim|LEFT SIDE | $467.00 | $467.00 | — | 37% above | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC US Ext Non-Vas Rl-Tm Img Lim | $467.00 | $467.00 | — | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 HC US Ext Non-Vas Rl-Tm Img Lim|LEFT SIDE | $467.00 | $467.00 | — | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 HC US Ext Non-Vas Rl-Tm Img Lim|RIGHT SIDE | $467.00 | $467.00 | — | — | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC Low Dose CT Scan (Ldct) for Lung Cancer Screening | $1,687.00 | $1,687.00 | — | 259% above | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC Low Dose CT Scan (Ldct) for Lung Cancer Screening | $1,687.00 | $1,687.00 | — | — | — |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC Tibia & Fibula 2 Views | $407.00 | $407.00 | — | 51% above | — |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC Tibia & Fibula 2 Views | $986.00 | $986.00 | — | 265% above | — |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 HC Tibia & Fibula 2 Views|LEFT SIDE | $957.00 | $957.00 | — | 254% above | — |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 HC Tibia & Fibula 2 Views|RIGHT SIDE | $962.00 | $962.00 | — | 256% above | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC Tibia & Fibula 2 Views | $407.00 | $407.00 | — | — | — |
| MR angiography (MRA) of the head without contrast CPT 70544 HC Mra Angiography Head W/O Contrast | $3,818.00 | $3,818.00 | — | 113% above | — |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC Mra Angiography Head W/O Contrast | $3,818.00 | $3,818.00 | — | — | — |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 HC MRI, Breast, With & WO Contrast Incl Cad; Bilateral | $6,880.00 | $6,880.00 | — | — | — |
| MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 HC MRI, Breast, With & WO Contrast Incl Cad; Bilateral | $6,880.00 | $6,880.00 | — | — | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI Lower Extremity Any Jt W/O Contrast | $3,889.00 | $3,889.00 | — | 111% above | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI Lower Extremity Any Jt W/O Contrast | $3,889.00 | $3,889.00 | — | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI Lower Extremity Any Jt W/WO Con | $4,405.00 | $4,405.00 | — | 48% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI Lower Extremity Any Jt W/WO Con | $4,405.00 | $4,405.00 | — | — | — |
| MRI of the abdomen without contrast CPT 74181 HC MRI Abdomen W/O Contrast | $3,100.00 | $3,100.00 | — | 102% above | — |
| MRI of the abdomen without contrast inpatient CPT 74181 HC MRI Abdomen W/O Contrast | $3,100.00 | $3,100.00 | — | — | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI Abdomen W/O Fol W Contrast | $4,006.00 | $4,006.00 | — | 43% above | — |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI Abdomen W/O Fol W Contrast | $4,006.00 | $4,006.00 | — | — | — |
| MRI of the brain, no contrast dye CPT 70551 HC MRI Brain W/O Contrast | $3,818.00 | $3,818.00 | — | 85% above | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI Brain W/O Contrast | $3,818.00 | $3,818.00 | — | — | — |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI Brain W/O Fol W Contrast | $5,257.00 | $5,257.00 | — | 74% above | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI Brain W/O Fol W Contrast | $5,257.00 | $5,257.00 | — | — | — |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI Lumbar Spine W/O Contrast | $3,889.00 | $3,889.00 | — | 115% above | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI Lumbar Spine W/O Contrast | $3,889.00 | $3,889.00 | — | — | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI Lumbar Spine W/O Fol W Cont | $5,352.00 | $5,352.00 | — | 94% above | — |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI Lumbar Spine W/O Fol W Cont | $5,352.00 | $5,352.00 | — | — | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI Thoracic Spine W/O Contrast | $2,335.00 | $2,335.00 | — | 27% above | — |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI Thoracic Spine W/O Contrast | $2,335.00 | $2,335.00 | — | — | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI Cerv Spine W/O Fol W Cont | $5,352.00 | $5,352.00 | — | 84% above | — |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI Cerv Spine W/O Fol W Cont | $5,352.00 | $5,352.00 | — | — | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI Cerv Spine Canal W/O Cont | $3,889.00 | $3,889.00 | — | 113% above | — |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI Cerv Spine Canal W/O Cont | $3,889.00 | $3,889.00 | — | — | — |
| MRI of the pelvis without and with contrast CPT 72197 HC MRI Pelvis W/O Fol W Contrast | $5,352.00 | $5,352.00 | — | 90% above | — |
| MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI Pelvis W/O Fol W Contrast | $5,352.00 | $5,352.00 | — | — | — |
| MRI of the pelvis, no contrast dye CPT 72195 HC MRI Pelvis W/O Contrast | $3,744.00 | $3,744.00 | — | 107% above | — |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI Pelvis W/O Contrast | $3,744.00 | $3,744.00 | — | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI Upper Ext Any Joint W/O Contrast | $3,100.00 | $3,100.00 | — | 73% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI Upper Ext Any Joint W/O Contrast | $3,100.00 | $3,100.00 | — | — | — |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC C Spine 4 or 5 Views | $616.00 | $616.00 | — | 36% above | — |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC C Spine 4 or 5 Views | $616.00 | $616.00 | — | — | — |
| Neck soft tissue CT scan with contrast CPT 70491 HC CT Neck Soft Tissue W Contrast | $2,113.00 | $2,113.00 | — | 43% above | — |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 HC CT Neck Soft Tissue W Contrast | $2,113.00 | $2,113.00 | — | — | — |
| Neck soft tissue CT scan without contrast CPT 70490 HC CT Neck Soft Tiss W/O Contrast | $1,574.00 | $1,574.00 | — | 31% above | — |
| Neck soft tissue CT scan without contrast CPT 70490 HC Computed Tomography, Soft Tissue Neck; Without Contrast Material | $1,637.00 | $1,637.00 | — | 37% above | — |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 HC CT Neck Soft Tiss W/O Contrast | $1,574.00 | $1,574.00 | — | — | — |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 HC Computed Tomography, Soft Tissue Neck; Without Contrast Material | $1,637.00 | $1,637.00 | — | — | — |
| Neck soft tissue X-ray CPT 70360 HC Neck Soft Tissue Xray | $400.00 | $400.00 | — | 38% above | — |
| Neck soft tissue X-ray inpatient CPT 70360 HC Neck Soft Tissue Xray | $400.00 | $400.00 | — | — | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC Myocardial Perf Img Spect Mult | $5,371.00 | $5,371.00 | — | 29% above | — |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC Myocardial Perf Img Spect Mult | $5,371.00 | $5,371.00 | — | — | — |
| Pelvic CT scan without contrast CPT 72192 HC CT Pelvis W/O Contrast | $2,466.00 | $2,466.00 | — | 136% above | — |
| Pelvic CT scan without contrast inpatient CPT 72192 HC CT Pelvis W/O Contrast | $2,466.00 | $2,466.00 | — | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC Pelvic Nonob US Ltd or F/U | $694.00 | $694.00 | — | 91% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up one side CPT 76857 HC Pelvic Nonob US Ltd or F/U|LEFT SIDE | $694.00 | $694.00 | — | 91% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC Pelvic Nonob US Ltd or F/U | $694.00 | $694.00 | — | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient one side CPT 76857 HC Pelvic Nonob US Ltd or F/U|LEFT SIDE | $694.00 | $694.00 | — | — | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC Pelvic US Comp Non-OB | $1,471.00 | $1,471.00 | — | 130% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC Pelvic US Comp Non-OB | $2,530.00 | $2,530.00 | — | 295% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC Pelvic US Comp Non-OB | $1,471.00 | $1,471.00 | — | — | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US Preg Uterus >or=14wks Basic | $1,028.00 | $1,028.00 | — | 77% above | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US Preg Uterus >or=14wks Basic | $1,028.00 | $1,028.00 | — | — | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US Preg Uterus <14wks 0 Days | $507.00 | $507.00 | — | 4% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC US Preg Uterus <14wks 0 Days | $507.00 | $507.00 | — | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC Limited Intermed 1or> Fetuses | $780.00 | $780.00 | — | 92% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC Limited Intermed 1or> Fetuses | $780.00 | $780.00 | — | — | — |
| Rib X-ray, one side, 2 views one side CPT 71100 HC Ribs Unilateral 2 Views|RIGHT SIDE | $583.00 | $583.00 | — | 93% above | — |
| Rib X-ray, one side, 2 views one side CPT 71100 HC Ribs Unilateral 2 Views|LEFT SIDE | $583.00 | $583.00 | — | 93% above | — |
| Rib X-ray, one side, 2 views one side CPT 71100 HC Ribs Unilateral 2 Views | $583.00 | $583.00 | — | 93% above | — |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 HC Ribs Unilateral 2 Views|LEFT SIDE | $583.00 | $583.00 | — | — | — |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 HC Ribs Unilateral 2 Views | $583.00 | $583.00 | — | — | — |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 HC Ribs Unilateral 2 Views|RIGHT SIDE | $583.00 | $583.00 | — | — | — |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 HC Ribs Uni Min 3 Views W Chest Pa | $667.00 | $667.00 | — | 77% above | — |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 HC Ribs Uni Min 3 Views W Chest Pa | $667.00 | $667.00 | — | — | — |
| Screening mammogram, both breasts both sides CPT 77067 HC Screen Mammo Bilat 2 View Ea Breast Inc Cad | $708.00 | $708.00 | — | — | — |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC Screen Mammo Bilat 2 View Ea Breast Inc Cad | $708.00 | $708.00 | — | — | — |
| Shoulder X-ray, complete, 2 or more views CPT 73030 HC Shoulder Min 2 Views | $585.00 | $585.00 | — | 105% above | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 HC Shoulder Min 2 Views|RIGHT SIDE | $910.00 | $910.00 | — | 218% above | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 HC Shoulder Min 2 Views|LEFT SIDE | $910.00 | $910.00 | — | 218% above | — |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC Shoulder Min 2 Views | $585.00 | $585.00 | — | — | — |
| Sinus X-ray, complete, 3 or more views CPT 70220 HC Paranasal Sinuses Min 3 Views | $594.00 | $594.00 | — | 62% above | — |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC Paranasal Sinuses Min 3 Views | $594.00 | $594.00 | — | — | — |
| Skull X-ray, fewer than 4 views CPT 70250 HC Skull <4 Views | $544.00 | $544.00 | — | 75% above | — |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 HC Skull <4 Views | $544.00 | $544.00 | — | — | — |
| Sleep study in a lab (polysomnography) CPT 95810 HC Polysom 6/>Yrs Sleep 4/> Addl Param Attnd | $5,165.00 | $5,165.00 | — | 49% above | — |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC Polysom 6/>Yrs Sleep 4/> Addl Param Attnd | $5,165.00 | $5,165.00 | — | — | — |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC Echo Transtho R-T 2d W/WO M-Mode Rest & Stress Cont Ecg | $3,148.00 | $3,148.00 | — | 84% above | — |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HC Echo Transtho R-T 2d W/WO M-Mode Rest & Stress Cont Ecg | $3,148.00 | $3,148.00 | — | — | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 HC Swallow Function W Cine Video | $519.00 | $519.00 | — | 7% below | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 HC Swallow Function W/ Cine/Video Incl Nck Radgrph and Dlyd Img, Contrast Study | $539.00 | $539.00 | — | 3% below | — |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC Swallow Function W Cine Video | $519.00 | $519.00 | — | — | — |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC Swallow Function W/ Cine/Video Incl Nck Radgrph and Dlyd Img, Contrast Study | $539.00 | $539.00 | — | — | — |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC Femur Min 2 View | $555.00 | $555.00 | — | 140% above | — |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 HC Femur Min 2 View|LEFT SIDE | $555.00 | $555.00 | — | 140% above | — |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 HC Femur Min 2 View|RIGHT SIDE | $555.00 | $555.00 | — | 140% above | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HC Femur Min 2 View | $555.00 | $555.00 | — | — | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 HC Femur Min 2 View|LEFT SIDE | $555.00 | $555.00 | — | — | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 HC Femur Min 2 View|RIGHT SIDE | $555.00 | $555.00 | — | — | — |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT Thoracic Spine W/O Contrast | $1,752.00 | $1,752.00 | — | 40% above | — |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC CT Thoracic Spine W/O Contrast | $1,752.00 | $1,752.00 | — | — | — |
| Toe X-ray, 2 or more views CPT 73660 HC Toe(S) Min 2 Views | $306.00 | $306.00 | — | 30% above | — |
| Toe X-ray, 2 or more views inpatient CPT 73660 HC Toe(S) Min 2 Views | $306.00 | $306.00 | — | — | — |
| Transvaginal pelvic ultrasound CPT 76830 HC Transvaginal Ultrasound | $1,059.00 | $1,059.00 | — | 107% above | — |
| Transvaginal pelvic ultrasound CPT 76830 HC Transvaginal Ultrasound | $2,530.00 | $2,530.00 | — | 394% above | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC Transvaginal Ultrasound | $1,059.00 | $1,059.00 | — | — | — |
| Transvaginal ultrasound during pregnancy CPT 76817 HC OB Transvaginal US W/Image Doc | $636.00 | $636.00 | — | 7% above | — |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC OB Transvaginal US W/Image Doc | $636.00 | $636.00 | — | — | — |
| Ultrasound of the abdomen, complete CPT 76700 HC Abd US W Image Complete | $1,608.00 | $1,608.00 | — | 134% above | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC Abd US W Image Complete | $1,608.00 | $1,608.00 | — | — | — |
| Ultrasound of the scrotum and testicles CPT 76870 HC Scrotum Ultrasound & Contents | $1,045.00 | $1,045.00 | — | 81% above | — |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 HC Scrotum Ultrasound & Contents | $1,045.00 | $1,045.00 | — | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US Exam of Head and Neck Ac | $1,233.00 | $1,233.00 | — | 157% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US Exam of Head and Neck Ac | $1,233.00 | $1,233.00 | — | — | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC Upper Gastro Tract, Incl Abd Radgrph and Dlyd Img, Single Contrast Study | $815.00 | $815.00 | — | 31% above | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC Upper Gastro Tract, Incl Abd Radgrph and Dlyd Img, Single Contrast Study | $815.00 | $815.00 | — | — | — |
| Upper arm X-ray (humerus), 2 views CPT 73060 HC Humerus Min 2 Views | $325.00 | $325.00 | — | 28% above | — |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC Humerus Min 2 Views | $325.00 | $325.00 | — | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC Duplex Scan of Extremity Veins, Unilateral or Limited Study | $901.00 | $901.00 | — | 54% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC Duplex Scan of Extremity Veins, Unilateral or Limited Study | $901.00 | $901.00 | — | — | — |
| Wrist X-ray, 2 views CPT 73100 HC Wrist 2 Views | $485.00 | $485.00 | — | 85% above | — |
| Wrist X-ray, 2 views one side CPT 73100 HC Wrist 2 Views|LEFT SIDE | $485.00 | $485.00 | — | 85% above | — |
| Wrist X-ray, 2 views one side CPT 73100 HC Wrist 2 Views|RIGHT SIDE | $485.00 | $485.00 | — | 85% above | — |
| Wrist X-ray, 2 views inpatient CPT 73100 HC Wrist 2 Views | $485.00 | $485.00 | — | — | — |
| Wrist X-ray, 2 views inpatient one side CPT 73100 HC Wrist 2 Views|RIGHT SIDE | $485.00 | $485.00 | — | — | — |
| Wrist X-ray, 2 views inpatient one side CPT 73100 HC Wrist 2 Views|LEFT SIDE | $485.00 | $485.00 | — | — | — |
| Wrist X-ray, complete, 3 or more views CPT 73110 HC Wrist Complete Min 3 Views | $544.00 | $544.00 | — | 95% above | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 HC Wrist Complete Min 3 Views|RIGHT SIDE | $544.00 | $544.00 | — | 95% above | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 HC Wrist Complete Min 3 Views|LEFT SIDE | $544.00 | $544.00 | — | 95% above | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 HC Wrist Complete Min 3 Views|LEFT SIDE | $960.00 | $960.00 | — | 245% above | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 HC Wrist Complete Min 3 Views|RIGHT SIDE | $1,064.00 | $1,064.00 | — | 282% above | — |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC Wrist Complete Min 3 Views | $544.00 | $544.00 | — | — | — |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 HC Wrist Complete Min 3 Views|LEFT SIDE | $544.00 | $544.00 | — | — | — |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 HC Wrist Complete Min 3 Views|RIGHT SIDE | $544.00 | $544.00 | — | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC Hip Unilateral W Pelvis 2-3 View | $578.00 | $578.00 | — | 114% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC Hip Unilateral W Pelvis 2-3 View|LEFT SIDE | $578.00 | $578.00 | — | 114% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC Hip Unilateral W Pelvis 2-3 View|RIGHT SIDE | $578.00 | $578.00 | — | 114% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC Hip Unilateral W Pelvis 2-3 View|LEFT SIDE | $689.00 | $689.00 | — | 155% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC Hip Unilateral W Pelvis 2-3 View|RIGHT SIDE | $717.00 | $717.00 | — | 165% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HC Hip Unilateral W Pelvis 2-3 View | $578.00 | $578.00 | — | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HC Hip Unilateral W Pelvis 2-3 View|LEFT SIDE | $578.00 | $578.00 | — | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HC Hip Unilateral W Pelvis 2-3 View|RIGHT SIDE | $578.00 | $578.00 | — | — | — |
| X-ray of the abdomen, 1 view CPT 74018 HC X-Ray Exam Abdomen 1 View | $273.00 | $273.00 | — | 3% below | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 HC X-Ray Exam Abdomen 1 View | $273.00 | $273.00 | — | — | — |
| X-ray of the ankle, 2 views CPT 73600 HC Ankle 2 Views | $415.00 | $415.00 | — | 67% above | — |
| X-ray of the ankle, 2 views inpatient CPT 73600 HC Ankle 2 Views | $415.00 | $415.00 | — | — | — |
| X-ray of the finger(s), 2 or more views CPT 73140 HC Finger(S) Min 2 Views | $407.00 | $407.00 | — | 73% above | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 HC Finger(S) Min 2 Views|RIGHT SIDE | $407.00 | $407.00 | — | 73% above | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 HC Finger(S) Min 2 Views|LEFT SIDE | $407.00 | $407.00 | — | 73% above | — |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC Finger(S) Min 2 Views | $407.00 | $407.00 | — | — | — |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 HC Finger(S) Min 2 Views|RIGHT SIDE | $407.00 | $407.00 | — | — | — |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 HC Finger(S) Min 2 Views|LEFT SIDE | $407.00 | $407.00 | — | — | — |
| X-ray of the foot, 2 views CPT 73620 HC Foot 2 Views | $490.00 | $490.00 | — | 104% above | — |
| X-ray of the foot, 2 views inpatient CPT 73620 HC Foot 2 Views | $490.00 | $490.00 | — | — | — |
| X-ray of the foot, complete, 3 or more views CPT 73630 HC Foot Complete Min 3 Views | $532.00 | $532.00 | — | 102% above | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 HC Foot Complete Min 3 Views|LEFT SIDE | $532.00 | $532.00 | — | 102% above | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 HC Foot Complete Min 3 Views|RIGHT SIDE | $532.00 | $532.00 | — | 102% above | — |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC Foot Complete Min 3 Views | $532.00 | $532.00 | — | — | — |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 HC Foot Complete Min 3 Views|RIGHT SIDE | $532.00 | $532.00 | — | — | — |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 HC Foot Complete Min 3 Views|LEFT SIDE | $532.00 | $532.00 | — | — | — |
| X-ray of the hand, 3 or more views CPT 73130 HC Hand Min 3 Views | $520.00 | $520.00 | — | 73% above | — |
| X-ray of the hand, 3 or more views inpatient CPT 73130 HC Hand Min 3 Views | $520.00 | $520.00 | — | — | — |
| X-ray of the knee, 1 or 2 views CPT 73560 HC Knee 1 or 2 Views | $410.00 | $410.00 | — | 34% above | — |
| X-ray of the knee, 1 or 2 views CPT 73560 HC Knee 1 or 2 Views | $108,527.99 | $108,527.99 | — | 35483% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 HC Knee 1 or 2 Views|LEFT SIDE | $51,556.50 | $51,556.50 | — | 16804% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 HC Knee 1 or 2 Views|RIGHT SIDE | $53,942.25 | $53,942.25 | — | 17586% above | — |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC Knee 1 or 2 Views | $410.00 | $410.00 | — | — | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC Lumbosacral Spine 2 or 3 Views | $628.00 | $628.00 | — | 70% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC Lumbosacral Spine 2 or 3 Views | $628.00 | $628.00 | — | — | — |
| X-ray of the lower back, 4 or more views CPT 72110 HC Lumbosacral Spine W Obliques 4 Views | $1,050.00 | $1,050.00 | — | 110% above | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC Lumbosacral Spine W Obliques 4 Views | $1,050.00 | $1,050.00 | — | — | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC Thoracic Spine 2 Views | $520.00 | $520.00 | — | 44% above | — |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC Thoracic Spine 2 Views | $520.00 | $520.00 | — | — | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 HC Nasal Bones Comp Min 3 Views | $452.00 | $452.00 | — | 43% above | — |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC Nasal Bones Comp Min 3 Views | $452.00 | $452.00 | — | — | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC C Spine 2 to 3 Views | $493.00 | $493.00 | — | 61% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC C Spine 2 to 3 Views | $493.00 | $493.00 | — | — | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HC Pelvis 1 or 2 Views | $453.00 | $453.00 | — | 54% above | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC Pelvis 1 or 2 Views | $453.00 | $453.00 | — | — | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC Sacrum & Coccyx Min 2 Views | $426.00 | $426.00 | — | 44% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC Sacrum & Coccyx Min 2 Views | $426.00 | $426.00 | — | — | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Massachusetts | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 HC Adrenocorticotropic Hormone (Acth) | $426.00 | $426.00 | — | 131% above | — |
| ACTH blood test inpatient CPT 82024 HC Adrenocorticotropic Hormone (Acth) | $426.00 | $426.00 | — | — | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC Alanine Aminotransferase (Alt) | $86.00 | $86.00 | — | 105% above | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC Alanine Aminotransferase (Alt) | $86.00 | $86.00 | — | — | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC Ast | $76.00 | $76.00 | — | 117% above | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC Ast | $76.00 | $76.00 | — | — | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC Hepatitis Acute Profile | $666.00 | $666.00 | — | 265% above | — |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC Hepatitis Acute Profile | $666.00 | $666.00 | — | — | — |
| Albumin blood test CPT 82040 HC Albumin Blood | $46.00 | $46.00 | — | 70% above | — |
| Albumin blood test inpatient CPT 82040 HC Albumin Blood | $46.00 | $46.00 | — | — | — |
| Aldosterone blood test CPT 82088 HC Aldosterone | $452.00 | $452.00 | — | 184% above | — |
| Aldosterone blood test inpatient CPT 82088 HC Aldosterone | $452.00 | $452.00 | — | — | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 HC Phosphatase, Alkaline | $85.00 | $85.00 | — | 136% above | — |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC Phosphatase, Alkaline | $85.00 | $85.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Haddock, Ige | $70.00 | $70.00 | — | 79% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Specific Ige Quantitative or Semi Quantitative Each Allergen | $70.00 | $70.00 | — | 79% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Rl Allergen Tree Nut Panel, Ige | $70.00 | $70.00 | — | 79% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Specific Ige | $81.00 | $81.00 | — | 108% above | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Rl Allergen Tree Nut Panel, Ige | $70.00 | $70.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Haddock, Ige | $70.00 | $70.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Specific Ige Quantitative or Semi Quantitative Each Allergen | $70.00 | $70.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Specific Ige | $81.00 | $81.00 | — | — | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HC Alpha-Fetoprotein Serum | $240.00 | $240.00 | — | 196% above | — |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC Alpha-Fetoprotein Serum | $240.00 | $240.00 | — | — | — |
| Ammonia blood test CPT 82140 HC Ammonia | $109.00 | $109.00 | — | 18% above | — |
| Ammonia blood test inpatient CPT 82140 HC Ammonia | $109.00 | $109.00 | — | — | — |
| Amylase blood test CPT 82150 HC Amylase | $88.00 | $88.00 | — | 96% above | — |
| Amylase blood test inpatient CPT 82150 HC Amylase | $88.00 | $88.00 | — | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC Cyclic Citrullinated Peptide Antibody | $208.00 | $208.00 | — | 313% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC Cyclic Citrullinated Peptide Antibody | $208.00 | $208.00 | — | — | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC Antinuclear Antibodies (Ana) | $166.00 | $166.00 | — | 232% above | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC Antinuclear Antibodies (Ana) | $166.00 | $166.00 | — | — | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC Natriuretic Peptide | $211.00 | $211.00 | — | 28% above | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC Natriuretic Peptide | $211.00 | $211.00 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Culture Bacterial Except Urine/Blood/Stool | $107.00 | $107.00 | — | 168% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC Culture Bacterial Except Urine/Blood/Stool | $107.00 | $107.00 | — | — | — |
| Basic metabolic panel (blood test) CPT 80048 HC Bmp Calcium Total Panel 8 Tests | $80.00 | $80.00 | — | 3% above | — |
| Basic metabolic panel (blood test) CPT 80048 HC Basic Metabolic | $102.00 | $102.00 | — | 31% above | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC Bmp Calcium Total Panel 8 Tests | $80.00 | $80.00 | — | — | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC Basic Metabolic | $102.00 | $102.00 | — | — | — |
| Bilirubin blood test, total CPT 82247 HC Bilirubin; Total | $78.00 | $78.00 | — | 152% above | — |
| Bilirubin blood test, total inpatient CPT 82247 HC Bilirubin; Total | $78.00 | $78.00 | — | — | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC Surgical Pathology Level 4 | $557.00 | $557.00 | — | 225% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC Surgical Lev 4 Gross & Micro | $557.00 | $557.00 | — | 225% above | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC Surgical Pathology Level 4 | $557.00 | $557.00 | — | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC Surgical Lev 4 Gross & Micro | $557.00 | $557.00 | — | — | — |
| Blood culture for bacteria CPT 87040 HC Culture, Bacterial Blood, Aerobic, With Isolation and Presumptive Identification of Isolates | $91.00 | $91.00 | — | 15% above | — |
| Blood culture for bacteria inpatient CPT 87040 HC Culture, Bacterial Blood, Aerobic, With Isolation and Presumptive Identification of Isolates | $91.00 | $91.00 | — | — | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC Venipuncture | $37.00 | $37.00 | — | 147% above | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC Venipuncture | $37.00 | $37.00 | — | — | — |
| Blood glucose (sugar) test CPT 82947 Assay Quantitative,Blood Glucose | $39.97 | $39.97 | — | 29% above | — |
| Blood glucose (sugar) test CPT 82947 HC Glucose; Quantitative, Blood (Except Reagent Strip) | $52.00 | $52.00 | — | 68% above | — |
| Blood glucose (sugar) test inpatient CPT 82947 Assay Quantitative,Blood Glucose | $39.97 | $39.97 | — | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 HC Glucose; Quantitative, Blood (Except Reagent Strip) | $52.00 | $52.00 | — | — | — |
| Blood lead test CPT 83655 HC Assay of Lead | $86.00 | $86.00 | — | 18% above | — |
| Blood lead test CPT 83655 HC Lead | $86.00 | $86.00 | — | 18% above | — |
| Blood lead test inpatient CPT 83655 HC Lead | $86.00 | $86.00 | — | — | — |
| Blood lead test inpatient CPT 83655 HC Assay of Lead | $86.00 | $86.00 | — | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC Hcg Blood Qualitative | $171.00 | $171.00 | — | 276% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC Hcg Blood Qualitative | $171.00 | $171.00 | — | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC Blood Typing; Abo | $156.00 | $156.00 | — | 20% below | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC Blood Typing; Abo | $156.00 | $156.00 | — | — | — |
| Blood urea nitrogen (BUN) test CPT 84520 HC Urea Nitrogen Quantitative | $39.00 | $39.00 | — | 44% above | — |
| Blood urea nitrogen (BUN) test CPT 84520 HC Urea Nitrogen; Quantitative | $52.00 | $52.00 | — | 93% above | — |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 HC Urea Nitrogen Quantitative | $39.00 | $39.00 | — | — | — |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 HC Urea Nitrogen; Quantitative | $52.00 | $52.00 | — | — | — |
| C-peptide blood test CPT 84681 HC C-Peptide | $121.00 | $121.00 | — | 3% above | — |
| C-peptide blood test inpatient CPT 84681 HC C-Peptide | $121.00 | $121.00 | — | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-Reactive Protein | $85.00 | $85.00 | — | 118% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-Reactive Protein | $85.00 | $85.00 | — | — | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 HC C. Difficile Toxin B, Pcr | $211.00 | $211.00 | — | 24% above | — |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC C. Difficile Toxin B, Pcr | $211.00 | $211.00 | — | — | — |
| CA 19-9 blood test (tumor marker) CPT 86301 HC Immunoassay for Tumor Antigen, Quantitative; Ca 19-9 | $231.00 | $231.00 | — | 149% above | — |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC Immunoassay for Tumor Antigen, Quantitative; Ca 19-9 | $231.00 | $231.00 | — | — | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HC Immunoassay for Tumor Antigen, Quantitative; Ca 125 | $231.00 | $231.00 | — | 102% above | — |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC Immunoassay for Tumor Antigen, Quantitative; Ca 125 | $231.00 | $231.00 | — | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC Rl Infectious Agent Detection by Nucleic Acid (Dna or Rna); Sars-Cov-2 (Coronavirus Disease [Covid-19]), Amplified Probe Technique | $179.00 | $179.00 | — | 8% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC Rl Infectious Agent Detection by Nucleic Acid (Dna or Rna); Sars-Cov-2 (Coronavirus Disease [Covid-19]), Amplified Probe Technique | $179.00 | $179.00 | — | — | — |
| Calcium blood test, total CPT 82310 HC Calcium; Total | $51.00 | $51.00 | — | 50% above | — |
| Calcium blood test, total inpatient CPT 82310 HC Calcium; Total | $51.00 | $51.00 | — | — | — |
| Carcinoembryonic antigen (CEA) test CPT 82378 HC Carcinoembryonic Antigen (Cea) | $259.00 | $259.00 | — | 174% above | — |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC Carcinoembryonic Antigen (Cea) | $259.00 | $259.00 | — | — | — |
| Chickenpox (varicella) immunity blood test CPT 86787 HC Vczv Titer | $25.00 | $25.00 | — | 60% below | — |
| Chickenpox (varicella) immunity blood test CPT 86787 HC Antibody Varicella Zoster | $194.00 | $194.00 | — | 211% above | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC Vczv Titer | $25.00 | $25.00 | — | — | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC Antibody Varicella Zoster | $194.00 | $194.00 | — | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC Infectious Agent Detection by Nucleic Acid Chlamydia Trachomatis, Amplified Probe Technique | $300.00 | $300.00 | — | 77% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC Infectious Agent Detection by Nucleic Acid Chlamydia Trachomatis, Amplified Probe Technique | $300.00 | $300.00 | — | — | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Lipid Panel | $233.00 | $233.00 | — | 128% above | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC Lipid Panel | $233.00 | $233.00 | — | — | — |
| Complete blood count (CBC) with differential CPT 85025 HC Cbc W Auto Diff | $56.00 | $56.00 | — | 6% above | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC Cbc W Auto Diff | $56.00 | $56.00 | — | — | — |
| Complete blood count (CBC), no differential CPT 85027 HC Cbc | $56.00 | $56.00 | — | 30% above | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC Cbc | $56.00 | $56.00 | — | — | — |
| Comprehensive metabolic panel (blood test) CPT 80053 HC Comprehesive Metabolic Panel | $175.00 | $175.00 | — | 71% above | — |
| Comprehensive metabolic panel (blood test) CPT 80053 HC Comprehensive Metabolic | $178.00 | $178.00 | — | 74% above | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC Comprehesive Metabolic Panel | $175.00 | $175.00 | — | — | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC Comprehensive Metabolic | $178.00 | $178.00 | — | — | — |
| Cortisol blood test, total CPT 82533 HC Cortisol Total | $240.00 | $240.00 | — | 204% above | — |
| Cortisol blood test, total inpatient CPT 82533 HC Cortisol Total | $240.00 | $240.00 | — | — | — |
| Creatine kinase (CK) blood test, total CPT 82550 HC Creatine Kinase (CK), (Cpk); Total | $70.00 | $70.00 | — | 64% above | — |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 HC Creatine Kinase (CK), (Cpk); Total | $70.00 | $70.00 | — | — | — |
| Creatinine blood test CPT 82565 HC Creatinine Blood | $39.00 | $39.00 | — | 27% above | — |
| Creatinine blood test CPT 82565 HC Creatinine; Blood | $85.00 | $85.00 | — | 176% above | — |
| Creatinine blood test inpatient CPT 82565 HC Creatinine Blood | $39.00 | $39.00 | — | — | — |
| Creatinine blood test inpatient CPT 82565 HC Creatinine; Blood | $85.00 | $85.00 | — | — | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC Antibody Cytomegalovirus | $122.00 | $122.00 | — | 75% above | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC Cytomegalovirus Antibody, Igg | $122.00 | $122.00 | — | 75% above | — |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC Antibody Cytomegalovirus | $122.00 | $122.00 | — | — | — |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC Cytomegalovirus Antibody, Igg | $122.00 | $122.00 | — | — | — |
| D-dimer blood test (blood clot marker) CPT 85379 HC D-Dimer Quant | $106.00 | $106.00 | — | 80% above | — |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 HC D-Dimer Quant | $106.00 | $106.00 | — | — | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HC Dehydroepiandrosterone-Sulfate (Dhea-S) | $316.00 | $316.00 | — | 164% above | — |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC Dehydroepiandrosterone-Sulfate (Dhea-S) | $316.00 | $316.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Presumptive Drug Test,Any Number | $125.00 | $125.00 | — | 24% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Nida Res | $147.00 | $147.00 | — | 11% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Health Care Prof Pnl | $151.00 | $151.00 | — | 9% below | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Presumptive Drug Test,Any Number | $125.00 | $125.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Nida Res | $147.00 | $147.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Health Care Prof Pnl | $151.00 | $151.00 | — | — | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC Electrolyte Panel | $72.00 | $72.00 | — | 44% above | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HC Electrolyte Panel | $72.00 | $72.00 | — | — | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC Antibody; Epstein-Barr (Eb) Virus, Viral Capsid (Vca) | $177.00 | $177.00 | — | 99% above | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC Antibody; Epstein-Barr (Eb) Virus, Viral Capsid (Vca) | $177.00 | $177.00 | — | — | — |
| Estradiol blood test CPT 82670 HC Estradiol; Total | $274.00 | $274.00 | — | 57% above | — |
| Estradiol blood test inpatient CPT 82670 HC Estradiol; Total | $274.00 | $274.00 | — | — | — |
| FSH (follicle-stimulating hormone) test CPT 83001 HC Gonadotropin; Follicle Stimulating Hormone (Fsh) | $260.00 | $260.00 | — | 115% above | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC Gonadotropin; Follicle Stimulating Hormone (Fsh) | $260.00 | $260.00 | — | — | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 HC Calprotectin Fecal | $409.00 | $409.00 | — | 225% above | — |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC Calprotectin Fecal | $409.00 | $409.00 | — | — | — |
| Ferritin blood test (iron stores) CPT 82728 HC Ferritin | $122.00 | $122.00 | — | 49% above | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 HC Ferritin | $122.00 | $122.00 | — | — | — |
| Fibrinogen blood test CPT 85384 HC Fibrinogen Activity | $87.00 | $87.00 | — | 67% above | — |
| Fibrinogen blood test inpatient CPT 85384 HC Fibrinogen Activity | $87.00 | $87.00 | — | — | — |
| Folate (folic acid) blood test CPT 82746 HC Folic Acid; Serum | $122.00 | $122.00 | — | 71% above | — |
| Folate (folic acid) blood test inpatient CPT 82746 HC Folic Acid; Serum | $122.00 | $122.00 | — | — | — |
| Free T3 thyroid hormone test CPT 84481 HC Triiodothyronine T3; Free | $194.00 | $194.00 | — | 90% above | — |
| Free T3 thyroid hormone test inpatient CPT 84481 HC Triiodothyronine T3; Free | $194.00 | $194.00 | — | — | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC Thyroxine; Free | $113.00 | $113.00 | — | 71% above | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC Thyroxine; Free | $113.00 | $113.00 | — | — | — |
| Free testosterone test CPT 84402 HC Testosterone Free | $371.00 | $371.00 | — | 200% above | — |
| Free testosterone test inpatient CPT 84402 HC Testosterone Free | $371.00 | $371.00 | — | — | — |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC Glutamyltransferase, Gamma (Ggt) | $88.00 | $88.00 | — | 80% above | — |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC Glutamyltransferase, Gamma (Ggt) | $88.00 | $88.00 | — | — | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose Test | $55.36 | $55.36 | — | 131% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC Glucose; Post Glucose Dose (Includes Glucose) | $61.00 | $61.00 | — | 154% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose Test | $55.36 | $55.36 | — | — | — |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC Glucose; Post Glucose Dose (Includes Glucose) | $61.00 | $61.00 | — | — | — |
| Glucose tolerance test, 3 samples CPT 82951 HC Glucose; Tolerance Test (Gtt), Three Specimens (Includes Glucose) | $111.00 | $111.00 | — | 106% above | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HC Glucose; Tolerance Test (Gtt), Three Specimens (Includes Glucose) | $111.00 | $111.00 | — | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC Infectious Agent Detection by Nucleic Acid Neisseria Gonorrhoeae, Amplified Probe Technique | $294.00 | $294.00 | — | 73% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC Infectious Agent Detection by Nucleic Acid Neisseria Gonorrhoeae, Amplified Probe Technique | $294.00 | $294.00 | — | — | — |
| H. pylori stool antigen test CPT 87338 HC Infectious Agent Antigen Detection Helicobacter Pylori Stool | $116.00 | $116.00 | — | 12% above | — |
| H. pylori stool antigen test inpatient CPT 87338 HC Infectious Agent Antigen Detection Helicobacter Pylori Stool | $116.00 | $116.00 | — | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC Infectious Agent Detection by Nucleic Acid Hiv-1, Quantification | $378.00 | $378.00 | — | at median | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC Infectious Agent Detection by Nucleic Acid Hiv-1, Quantification | $378.00 | $378.00 | — | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC Infectious Agent Antigen Detection Hiv-1 Antigen With Hiv-1 and Hiv-2 Antibodies Single Result | $162.00 | $162.00 | — | 45% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC Infectious Agent Antigen Detection Hiv-1 Antigen With Hiv-1 and Hiv-2 Antibodies Single Result | $162.00 | $162.00 | — | — | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC Hpv High Risk Types | $260.00 | $260.00 | — | 89% above | — |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC Hpv High Risk Types | $260.00 | $260.00 | — | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC Hemoglobin Glycosylated | $168.00 | $168.00 | — | 229% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC Hemoglobin Glycosylated | $168.00 | $168.00 | — | — | — |
| Hemoglobin blood test CPT 85018 Hemoglobin | $18.00 | $18.00 | — | 9% above | — |
| Hemoglobin blood test CPT 85018 HC Blood Count Hemoglobin | $45.00 | $45.00 | — | 173% above | — |
| Hemoglobin blood test inpatient CPT 85018 Hemoglobin | $18.00 | $18.00 | — | — | — |
| Hemoglobin blood test inpatient CPT 85018 HC Blood Count Hemoglobin | $45.00 | $45.00 | — | — | — |
| Hepatitis B core antibody test (total) CPT 86704 HC Hepatitis B Core Antibody Total | $140.00 | $140.00 | — | 79% above | — |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HC Hepatitis B Core Antibody Total | $140.00 | $140.00 | — | — | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC Hepatitis B Surface Antibody (Hbsab) | $25.00 | $25.00 | — | 63% below | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC Hepatitis B Surface Antibody | $118.00 | $118.00 | — | 74% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC Hepatitis B Surface Antibody (Hbsab) | $25.00 | $25.00 | — | — | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC Hepatitis B Surface Antibody | $118.00 | $118.00 | — | — | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC Hepatits B, Surface Antigen, Conf | $162.00 | $162.00 | — | 75% above | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC Hepatits B, Surface Antigen, Conf | $162.00 | $162.00 | — | — | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HC Hepatitis C Antibody | $171.00 | $171.00 | — | 50% above | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC Hepatitis C Antibody | $171.00 | $171.00 | — | — | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC Hcv Pcr | $341.00 | $341.00 | — | 72% above | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC Hcv Pcr | $341.00 | $341.00 | — | — | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HC Antibody Herpes Simplex Type 1 | $213.00 | $213.00 | — | 265% above | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC Antibody Herpes Simplex Type 1 | $213.00 | $213.00 | — | — | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HC Antibody Herpes Simplex Type 2 | $249.00 | $249.00 | — | 283% above | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC Antibody Herpes Simplex Type 2 | $249.00 | $249.00 | — | — | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-Reactive Protein; High Sensitivity (Hscrp) | $161.00 | $161.00 | — | 166% above | — |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC C-Reactive Protein; High Sensitivity (Hscrp) | $161.00 | $161.00 | — | — | — |
| Homocysteine blood test CPT 83090 HC Homocysteine, Nutritional & Congenital | $254.00 | $254.00 | — | 119% above | — |
| Homocysteine blood test inpatient CPT 83090 HC Homocysteine, Nutritional & Congenital | $254.00 | $254.00 | — | — | — |
| Insulin blood test CPT 83525 HC Insulin Total | $101.00 | $101.00 | — | 68% above | — |
| Insulin blood test inpatient CPT 83525 HC Insulin Total | $101.00 | $101.00 | — | — | — |
| Iron blood test (serum iron) CPT 83540 HC Iron | $54.00 | $54.00 | — | 72% above | — |
| Iron blood test (serum iron) inpatient CPT 83540 HC Iron | $54.00 | $54.00 | — | — | — |
| Iron-binding capacity (TIBC) test CPT 83550 HC Iron Binding Capacity | $87.00 | $87.00 | — | 132% above | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 HC Iron Binding Capacity | $87.00 | $87.00 | — | — | — |
| Kidney function blood test panel CPT 80069 HC Renal Function Panel | $166.00 | $166.00 | — | 114% above | — |
| Kidney function blood test panel inpatient CPT 80069 HC Renal Function Panel | $166.00 | $166.00 | — | — | — |
| LH (luteinizing hormone) test CPT 83002 HC Gonadotropin; Luteinizing Hormone (Lh) | $259.00 | $259.00 | — | 154% above | — |
| LH (luteinizing hormone) test inpatient CPT 83002 HC Gonadotropin; Luteinizing Hormone (Lh) | $259.00 | $259.00 | — | — | — |
| Lactate (lactic acid) blood test CPT 83605 HC Lactic Acid | $78.00 | $78.00 | — | 10% above | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 HC Lactic Acid | $78.00 | $78.00 | — | — | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC Lactate Dehydrogenase (Ld), (Ldh) | $62.00 | $62.00 | — | 72% above | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC Lactate Dehydrogenase (Ld), (Ldh) | $62.00 | $62.00 | — | — | — |
| Lipase blood test (pancreas enzyme) CPT 83690 HC Lipase | $79.00 | $79.00 | — | 84% above | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC Lipase | $79.00 | $79.00 | — | — | — |
| Liver function blood test panel CPT 80076 HC Hepatic Panel | $134.00 | $134.00 | — | 40% above | — |
| Liver function blood test panel inpatient CPT 80076 HC Hepatic Panel | $134.00 | $134.00 | — | — | — |
| Lyme disease antibody test CPT 86618 HC Antibody Borrelia Burgdorferi | $220.00 | $220.00 | — | 172% above | — |
| Lyme disease antibody test inpatient CPT 86618 HC Antibody Borrelia Burgdorferi | $220.00 | $220.00 | — | — | — |
| Magnesium blood test CPT 83735 HC Magnesium | $57.00 | $57.00 | — | 50% above | — |
| Magnesium blood test inpatient CPT 83735 HC Magnesium | $57.00 | $57.00 | — | — | — |
| Measles (rubeola) antibody test CPT 86765 HC Antibody Rubeola | $134.00 | $134.00 | — | 73% above | — |
| Measles (rubeola) antibody test inpatient CPT 86765 HC Antibody Rubeola | $134.00 | $134.00 | — | — | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 HC Heterophile Antibody Screening | $118.00 | $118.00 | — | 162% above | — |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC Heterophile Antibody Screening | $118.00 | $118.00 | — | — | — |
| Mumps immunity blood test CPT 86735 HC O/H Mump Titer | $25.00 | $25.00 | — | 63% below | — |
| Mumps immunity blood test CPT 86735 HC Antibody Mumps | $149.00 | $149.00 | — | 119% above | — |
| Mumps immunity blood test inpatient CPT 86735 HC O/H Mump Titer | $25.00 | $25.00 | — | — | — |
| Mumps immunity blood test inpatient CPT 86735 HC Antibody Mumps | $149.00 | $149.00 | — | — | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC Psa Free | $214.00 | $214.00 | — | 119% above | — |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC Psa Free | $214.00 | $214.00 | — | — | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC Psa Total | $230.00 | $230.00 | — | 163% above | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC Psa Total | $230.00 | $230.00 | — | — | — |
| Pap test (liquid-based, automated screening with review) CPT 88175 HC Cytopath C/V Tp Autorescr Dx | $261.00 | $261.00 | — | 146% above | — |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC Cytopath C/V Tp Autorescr Dx | $261.00 | $261.00 | — | — | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC Cytopath C/V Tp Dx | $139.00 | $139.00 | — | 51% above | — |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC Cytopath C/V Tp Dx | $139.00 | $139.00 | — | — | — |
| Parathyroid hormone (PTH) blood test CPT 83970 HC Parathormone | $238.00 | $238.00 | — | 31% above | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC Parathormone | $238.00 | $238.00 | — | — | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC Thromboplastin Time Partial Plasma or Whole Blood | $49.00 | $49.00 | — | 66% above | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Thromboplastin Time Partial Plasma or Whole Blood | $49.00 | $49.00 | — | — | — |
| Phosphorus (phosphate) blood test CPT 84100 HC Phosphorus Inorganic (Phosphate) | $51.00 | $51.00 | — | 96% above | — |
| Phosphorus (phosphate) blood test inpatient CPT 84100 HC Phosphorus Inorganic (Phosphate) | $51.00 | $51.00 | — | — | — |
| Potassium blood test CPT 84132 HC Potassium; Serum | $41.00 | $41.00 | — | 32% above | — |
| Potassium blood test inpatient CPT 84132 HC Potassium; Serum | $41.00 | $41.00 | — | — | — |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HC Qnatal Advanced | $2,047.00 | $2,047.00 | — | 21% below | — |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 HC Qnatal Advanced | $2,047.00 | $2,047.00 | — | — | — |
| Progesterone blood test CPT 84144 HC Progesterone | $277.00 | $277.00 | — | 102% above | — |
| Progesterone blood test inpatient CPT 84144 HC Progesterone | $277.00 | $277.00 | — | — | — |
| Prolactin blood test CPT 84146 HC Prolactin | $233.00 | $233.00 | — | 149% above | — |
| Prolactin blood test inpatient CPT 84146 HC Prolactin | $233.00 | $233.00 | — | — | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC Prothrombin Time | $28.00 | $28.00 | — | 47% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time | $33.20 | $33.20 | — | 75% above | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC Prothrombin Time | $28.00 | $28.00 | — | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time | $33.20 | $33.20 | — | — | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC Drug Test Prsmv Read Direct Optical Obs PR Date | $45.00 | $45.00 | — | 8% below | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC Drug Test Presumptive Dir Opt Obs | $46.00 | $46.00 | — | 6% below | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 HC Drug Test Prsmv Read Direct Optical Obs PR Date | $45.00 | $45.00 | — | — | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 HC Drug Test Presumptive Dir Opt Obs | $46.00 | $46.00 | — | — | — |
| Rapid flu test (influenza antigen) CPT 87804 Detect Agent,Immun,Dir Obs,Influenza | $69.75 | $69.75 | — | 44% above | — |
| Rapid flu test (influenza antigen) CPT 87804 HC Infectious Agent Detection by Immunoassay W Direct Optical Obs Influenza | $202.00 | $202.00 | — | 317% above | — |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Detect Agent,Immun,Dir Obs,Influenza | $69.75 | $69.75 | — | — | — |
| Rapid flu test (influenza antigen) inpatient CPT 87804 HC Infectious Agent Detection by Immunoassay W Direct Optical Obs Influenza | $202.00 | $202.00 | — | — | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC Infectious Agent Detection by Immunoassay With Direct Optical Observation; Streptococcus, Group A | $70.00 | $70.00 | — | 9% above | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep a Assay W/Optic | $89.25 | $89.25 | — | 39% above | — |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC Infectious Agent Detection by Immunoassay With Direct Optical Observation; Streptococcus, Group A | $70.00 | $70.00 | — | — | — |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Strep a Assay W/Optic | $89.25 | $89.25 | — | — | — |
| Renin blood test CPT 84244 HC Renin | $310.00 | $310.00 | — | 185% above | — |
| Renin blood test inpatient CPT 84244 HC Renin | $310.00 | $310.00 | — | — | — |
| Rh blood typing CPT 86901 HC Blood Typing; Rh (D) | $87.00 | $87.00 | — | 3% below | — |
| Rh blood typing inpatient CPT 86901 HC Blood Typing; Rh (D) | $87.00 | $87.00 | — | — | — |
| Rheumatoid factor (RF) test CPT 86431 HC Rheumatoid Factor; Quantitative | $87.00 | $87.00 | — | 197% above | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 HC Rheumatoid Factor; Quantitative | $87.00 | $87.00 | — | — | — |
| Rubella antibody test (immunity check) CPT 86762 HC Rubella | $25.00 | $25.00 | — | 68% below | — |
| Rubella antibody test (immunity check) CPT 86762 HC Antibody Rubella | $108.00 | $108.00 | — | 37% above | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC Rubella | $25.00 | $25.00 | — | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC Antibody Rubella | $108.00 | $108.00 | — | — | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC Sedimentation Rate Erythrocyte Automated | $64.00 | $64.00 | — | 390% above | — |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC Sedimentation Rate Erythrocyte Automated | $64.00 | $64.00 | — | — | — |
| Sodium blood test CPT 84295 HC Sodium Blood | $46.00 | $46.00 | — | 66% above | — |
| Sodium blood test inpatient CPT 84295 HC Sodium Blood | $46.00 | $46.00 | — | — | — |
| Stool ova and parasites exam CPT 87177 HC Ova and Parasites, Direct Smears, Concentration and Identification | $98.00 | $98.00 | — | 132% above | — |
| Stool ova and parasites exam inpatient CPT 87177 HC Ova and Parasites, Direct Smears, Concentration and Identification | $98.00 | $98.00 | — | — | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HC Blood Occult Feces 1-3 Simultaneous Determinations | $56.00 | $56.00 | — | 180% above | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Blood Occult,by Peroxid,Feces,Single, Colorectal Screen | $69.75 | $69.75 | — | 249% above | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC Blood Occult Feces 1-3 Simultaneous Determinations | $56.00 | $56.00 | — | — | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Blood Occult,by Peroxid,Feces,Single, Colorectal Screen | $69.75 | $69.75 | — | — | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC Fecal Occult Blood by Immunoassay (Fit Testing), Qual, Feces, 1-3 Simultaneous Determinations | $104.00 | $104.00 | — | 55% above | — |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC Fecal Occult Blood by Immunoassay (Fit Testing), Qual, Feces, 1-3 Simultaneous Determinations | $104.00 | $104.00 | — | — | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC Antibody Treponema Pallidum | $101.00 | $101.00 | — | 64% above | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC Antibody Treponema Pallidum | $101.00 | $101.00 | — | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC Syphilus Test Qualitative | $41.00 | $41.00 | — | 67% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC Syphilis Test; Qualitative | $41.00 | $41.00 | — | 67% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC Syphilus Test Qualitative | $41.00 | $41.00 | — | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC Syphilis Test; Qualitative | $41.00 | $41.00 | — | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC Tuberculosis Test Gamma Interferon | $195.00 | $195.00 | — | 6% below | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC Tuberculosis Test Gamma Interferon | $195.00 | $195.00 | — | — | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC Testosterone; Total | $336.00 | $336.00 | — | 145% above | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC Testosterone; Total | $336.00 | $336.00 | — | — | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC Microsomal Antibodies | $177.00 | $177.00 | — | 146% above | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC Microsomal Antibodies | $177.00 | $177.00 | — | — | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Thyroid Stimulating Hormone (Tsh) | $321.00 | $321.00 | — | 340% above | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC Thyroid Stimulating Hormone (Tsh) | $321.00 | $321.00 | — | — | — |
| Total IgE blood test CPT 82785 HC Gammaglobulin Ige | $220.00 | $220.00 | — | 144% above | — |
| Total IgE blood test inpatient CPT 82785 HC Gammaglobulin Ige | $220.00 | $220.00 | — | — | — |
| Total cholesterol blood test CPT 82465 HC Cholesterol, Serum or Whole Blood, Total | $71.00 | $71.00 | — | 145% above | — |
| Total cholesterol blood test inpatient CPT 82465 HC Cholesterol, Serum or Whole Blood, Total | $71.00 | $71.00 | — | — | — |
| Total thyroxine (T4) blood test CPT 84436 HC Thyroxine; Total | $151.00 | $151.00 | — | 354% above | — |
| Total thyroxine (T4) blood test inpatient CPT 84436 HC Thyroxine; Total | $151.00 | $151.00 | — | — | — |
| Total triiodothyronine (T3) blood test CPT 84480 HC Triiodothyronine T3; Total (Tt-3) | $198.00 | $198.00 | — | 130% above | — |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 HC Triiodothyronine T3; Total (Tt-3) | $198.00 | $198.00 | — | — | — |
| Transferrin blood test CPT 84466 HC Transferrin | $83.00 | $83.00 | — | 34% above | — |
| Transferrin blood test inpatient CPT 84466 HC Transferrin | $83.00 | $83.00 | — | — | — |
| Trichomonas test (NAAT) CPT 87661 HC Rl Infectious Agent Detection by Nucleic Acid; Trichomonas Vaginalis, Amplified Probe Technique | $210.00 | $210.00 | — | 101% above | — |
| Trichomonas test (NAAT) CPT 87661 HC Infectious Agent Detection by Nucleic Acid Trichomonas Vaginalis Amplified Probe Technique | $210.00 | $210.00 | — | 101% above | — |
| Trichomonas test (NAAT) inpatient CPT 87661 HC Rl Infectious Agent Detection by Nucleic Acid; Trichomonas Vaginalis, Amplified Probe Technique | $210.00 | $210.00 | — | — | — |
| Trichomonas test (NAAT) inpatient CPT 87661 HC Infectious Agent Detection by Nucleic Acid Trichomonas Vaginalis Amplified Probe Technique | $210.00 | $210.00 | — | — | — |
| Triglycerides blood test CPT 84478 HC Triglyceride | $65.00 | $65.00 | — | 134% above | — |
| Triglycerides blood test inpatient CPT 84478 HC Triglyceride | $65.00 | $65.00 | — | — | — |
| Troponin test, quantitative CPT 84484 HC Troponin, Quantitative | $89.00 | $89.00 | — | 24% above | — |
| Troponin test, quantitative inpatient CPT 84484 HC Troponin, Quantitative | $89.00 | $89.00 | — | — | — |
| Uric acid blood test CPT 84550 HC Uric Acid; Blood | $72.00 | $72.00 | — | 140% above | — |
| Uric acid blood test inpatient CPT 84550 HC Uric Acid; Blood | $72.00 | $72.00 | — | — | — |
| Urinalysis with microscope exam, automated CPT 81001 HC Urinalysis Auto W/Scope | $45.00 | $45.00 | — | 32% above | — |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis, Auto, W/Scope | $68.25 | $68.25 | — | 101% above | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC Urinalysis Auto W/Scope | $45.00 | $45.00 | — | — | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis, Auto, W/Scope | $68.25 | $68.25 | — | — | — |
| Urinalysis without microscope exam, automated CPT 81003 HC Urinalysis | $24.00 | $24.00 | — | 14% above | — |
| Urinalysis without microscope exam, automated CPT 81003 HC Urinalysis Dip Stick/ Tablet Reagent Automated W/O Microscopy | $32.00 | $32.00 | — | 52% above | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC Urinalysis | $24.00 | $24.00 | — | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC Urinalysis Dip Stick/ Tablet Reagent Automated W/O Microscopy | $32.00 | $32.00 | — | — | — |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis Nonauto W/O Scope | $7.49 | $7.49 | — | 67% below | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis Nonauto W/O Scope | $7.49 | $7.49 | — | — | — |
| Urine culture for bacteria, with colony count CPT 87086 HC Culture, Bacterial; Quantitative Colony Count, Urine | $111.00 | $111.00 | — | 184% above | — |
| Urine culture for bacteria, with colony count inpatient CPT 87086 HC Culture, Bacterial; Quantitative Colony Count, Urine | $111.00 | $111.00 | — | — | — |
| Urine microalbumin (albumin) test CPT 82043 Microalbumin, Quantitative | $49.40 | $49.40 | — | 18% above | — |
| Urine microalbumin (albumin) test CPT 82043 HC Albumin; Urine, Microalbumin, Quantitative | $88.00 | $88.00 | — | 110% above | — |
| Urine microalbumin (albumin) test inpatient CPT 82043 Microalbumin, Quantitative | $49.40 | $49.40 | — | — | — |
| Urine microalbumin (albumin) test inpatient CPT 82043 HC Albumin; Urine, Microalbumin, Quantitative | $88.00 | $88.00 | — | — | — |
| Urine pregnancy test, read by color change CPT 81025 Urine Pregnancy Test | $23.00 | $23.00 | — | 18% below | — |
| Urine pregnancy test, read by color change CPT 81025 HC Urine Pregnancy Test by Visual Color Comparison Methods | $91.00 | $91.00 | — | 225% above | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 Urine Pregnancy Test | $23.00 | $23.00 | — | — | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 HC Urine Pregnancy Test by Visual Color Comparison Methods | $91.00 | $91.00 | — | — | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 Chg Vitamin B-12 | $109.86 | $109.86 | — | 45% above | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 HC Cyanocobalamin (Vitamin B-12); | $230.00 | $230.00 | — | 203% above | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Chg Vitamin B-12 | $109.86 | $109.86 | — | — | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC Cyanocobalamin (Vitamin B-12); | $230.00 | $230.00 | — | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC Vitamin D, 25-Hydroxy | $251.00 | $251.00 | — | 69% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC Vitamin D, 25-Hydroxy | $251.00 | $251.00 | — | — | — |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC Dihydroxyvitamin D, 1,25- | $422.00 | $422.00 | — | 134% above | — |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HC Dihydroxyvitamin D, 1,25- | $422.00 | $422.00 | — | — | — |
| Zinc blood test CPT 84630 Assay of Zinc | $108.00 | $108.00 | — | 44% above | — |
| Zinc blood test CPT 84630 HC Zinc | $169.00 | $169.00 | — | 125% above | — |
| Zinc blood test inpatient CPT 84630 Assay of Zinc | $108.00 | $108.00 | — | — | — |
| Zinc blood test inpatient CPT 84630 HC Zinc | $169.00 | $169.00 | — | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC Gonadotropin Chorionic Quantitative | $216.00 | $216.00 | — | 114% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC Gonadotropin Chorionic Quantitative | $216.00 | $216.00 | — | — | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Massachusetts | Off list |
|---|---|---|---|---|---|
| Adenoid removal (adenoidectomy), child under 12 CPT 42830 Removal Adenoids,Primary,<12 Y/O | $14,366.44 | $14,366.44 | — | 50% above | — |
| Arthroscopic ACL reconstruction or repair of the knee CPT 29888 Knee Scope,Aid Ant Cruciate Repair | $54,410.66 | $54,410.66 | — | 88% above | — |
| Arthroscopic ACL reconstruction or repair of the knee one side CPT 29888 Knee Scope,Aid Ant Cruciate Repair|LEFT SIDE | $79,613.13 | $79,613.13 | — | 175% above | — |
| Arthroscopic ACL reconstruction or repair of the knee one side CPT 29888 Knee Scope,Aid Ant Cruciate Repair|RIGHT SIDE | $80,718.53 | $80,718.53 | — | 179% above | — |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 Shldr Arthroscop,Surg,W/Rotat Cuff Repr | $32,387.46 | $32,387.46 | — | 210% above | — |
| Arthroscopic rotator cuff repair of the shoulder one side CPT 29827 Shldr Arthroscop,Surg,W/Rotat Cuff Repr|LEFT SIDE | $31,706.03 | $31,706.03 | — | 204% above | — |
| Arthroscopic rotator cuff repair of the shoulder one side CPT 29827 Shldr Arthroscop,Surg,W/Rotat Cuff Repr|RIGHT SIDE | $31,944.50 | $31,944.50 | — | 206% above | — |
| Botox injections for chronic migraine CPT 64615 HC Chemodenervation Mus Facial/Trig/Cev Spine/Ner | $1,173.00 | $1,173.00 | — | 118% above | — |
| Botox injections for chronic migraine inpatient CPT 64615 HC Chemodenervation Mus Facial/Trig/Cev Spine/Ner | $1,173.00 | $1,173.00 | — | — | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC Biopsy Breast W/Place of Brst Device Stereotx Guid | $4,097.00 | $4,097.00 | — | 74% above | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HC Biopsy Breast W/Place of Brst Device Stereotx Guid | $4,097.00 | $4,097.00 | — | — | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC Cl Tx Fx Lat Malleolus W/O Man | $926.07 | $926.07 | — | 5% below | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HC Cl Tx Fx Lat Malleolus W/O Man | $926.07 | $926.07 | — | — | — |
| Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 Corrj Hallux Valgus W/Sesmdc W/Dist Metar Osteot | $21,191.10 | $21,191.10 | — | 195% above | — |
| Bunion correction with a bone cut near the head of the first metatarsal one side CPT 28296 Corrj Hallux Valgus W/Sesmdc W/Dist Metar Osteot|RIGHT SIDE | $21,301.61 | $21,301.61 | — | 196% above | — |
| Bunion correction with a bone cut near the head of the first metatarsal one side CPT 28296 Corrj Hallux Valgus W/Sesmdc W/Dist Metar Osteot|LEFT SIDE | $25,867.47 | $25,867.47 | — | 260% above | — |
| Bunion correction with removal of part of the big toe joint one side CPT 28292 Corrj Hallux Valgus W/Sesmdc W/Rescj Prox Phal|RIGHT SIDE | $10,923.56 | $10,923.56 | — | 64% above | — |
| Bunion correction with removal of part of the big toe joint one side CPT 28292 Corrj Hallux Valgus W/Sesmdc W/Rescj Prox Phal|LEFT SIDE | $13,038.88 | $13,038.88 | — | 95% above | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC Cardioversion External | $1,365.00 | $1,365.00 | — | 7% above | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC Cardioversion External | $3,524.13 | $3,524.13 | — | 176% above | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC Cardioversion External | $1,365.00 | $1,365.00 | — | — | — |
| Carpal tunnel release, open surgery CPT 64721 HC Carpal Tunnel Surgery Median Nerve | $7,979.34 | $7,979.34 | — | 72% above | — |
| Carpal tunnel release, open surgery one side CPT 64721 HC Carpal Tunnel Surgery Median Nerve|RIGHT SIDE | $5,943.90 | $5,943.90 | — | 28% above | — |
| Carpal tunnel release, open surgery one side CPT 64721 HC Carpal Tunnel Surgery Median Nerve|LEFT SIDE | $5,981.93 | $5,981.93 | — | 29% above | — |
| Cataract surgery with lens implant one side CPT 66984 Remv Cataract Extracap,Insert Lens|LEFT SIDE | $20,993.14 | $20,993.14 | — | 129% above | — |
| Cataract surgery with lens implant one side CPT 66984 Remv Cataract Extracap,Insert Lens|RIGHT SIDE | $21,011.87 | $21,011.87 | — | 129% above | — |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 Circumcision,Othr | $11,631.37 | $11,631.37 | — | 157% above | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC Cl Tx Fx Distal Radius W/O Man | $753.00 | $753.00 | — | 22% above | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC Cl Tx Fx Distal Radius W/O Man | $753.00 | $753.00 | — | — | — |
| Colonoscopy with polyp removal CPT 45385 HC Colonoscopy Bey Spl Flx W Plp Rm Snar | $2,961.00 | $2,961.00 | — | 5% above | — |
| Colonoscopy with polyp removal CPT 45385 HC Colonoscopy Bey Spl Flx W Plp Rm Snar | $6,573.83 | $6,573.83 | — | 132% above | — |
| Colonoscopy with polyp removal inpatient CPT 45385 HC Colonoscopy Bey Spl Flx W Plp Rm Snar | $2,961.00 | $2,961.00 | — | — | — |
| Colonoscopy with tissue sample CPT 45380 HC Colonoscopy Bey Spl Flx W Biopsy | $2,961.00 | $2,961.00 | — | 27% above | — |
| Colonoscopy with tissue sample CPT 45380 HC Colonoscopy Bey Spl Flx W Biopsy | $6,072.72 | $6,072.72 | — | 160% above | — |
| Colonoscopy with tissue sample inpatient CPT 45380 HC Colonoscopy Bey Spl Flx W Biopsy | $2,961.00 | $2,961.00 | — | — | — |
| Colonoscopy, diagnostic CPT 45378 Colonoscopy | $2,961.00 | $2,961.00 | — | 30% above | — |
| Colonoscopy, diagnostic CPT 45378 Colonoscopy | $5,343.66 | $5,343.66 | — | 135% above | — |
| Colonoscopy, diagnostic inpatient CPT 45378 Colonoscopy | $2,961.00 | $2,961.00 | — | — | — |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 HC Colposcopy W Biopsy Endo Curret | $10,382.97 | $10,382.97 | — | 743% above | — |
| Complex cataract surgery with lens implant one side CPT 66982 Remv Cataract Extracap,Insert Lens,Comp|RIGHT SIDE | $22,627.80 | $22,627.80 | — | 93% above | — |
| Complex cataract surgery with lens implant one side CPT 66982 Remv Cataract Extracap,Insert Lens,Comp|LEFT SIDE | $22,836.59 | $22,836.59 | — | 95% above | — |
| Cystoscopy with ureteral stent placement CPT 52332 HC Cystoscopy W Insertion Ureteral Stent | $7,071.80 | $7,071.80 | — | 3% above | — |
| Cystoscopy with ureteral stent placement one side CPT 52332 Cystoscopy,Insert Ureteral Stent|LEFT SIDE | $12,296.76 | $12,296.76 | — | 79% above | — |
| Cystoscopy with ureteral stent placement one side CPT 52332 Cystoscopy,Insert Ureteral Stent|RIGHT SIDE | $14,808.75 | $14,808.75 | — | 116% above | — |
| Cystoscopy with ureteral stent placement inpatient CPT 52332 HC Cystoscopy W Insertion Ureteral Stent | $7,071.80 | $7,071.80 | — | — | — |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC Cystoscopy | $10,519.15 | $10,519.15 | — | 431% above | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC Destruct Premalig 1st Lesion | $347.00 | $347.00 | — | 27% above | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 HC Destruct Premalig 1st Lesion | $347.00 | $347.00 | — | — | — |
| Ear tube placement (tympanostomy) under general anesthesia, one ear one side CPT 69436 Create Eardrum Opening,Gen Anesth|RIGHT SIDE | $29,728.99 | $29,728.99 | — | 538% above | — |
| Ear tube placement (tympanostomy) under general anesthesia, one ear one side CPT 69436 Create Eardrum Opening,Gen Anesth|LEFT SIDE | $30,107.72 | $30,107.72 | — | 546% above | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 HC Rem Impact Cerumen Irriga/Lavage Uni | $297.00 | $297.00 | — | 43% above | — |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HC Rem Impact Cerumen Irriga/Lavage Uni | $297.00 | $297.00 | — | — | — |
| Earwax removal with instruments, one ear CPT 69210 HC Removal Impacted Cerumen | $198.00 | $198.00 | — | 28% below | — |
| Earwax removal with instruments, one ear CPT 69210 HC Remove Impacted Ear Wax | $202.00 | $202.00 | — | 26% below | — |
| Earwax removal with instruments, one ear one side CPT 69210 HC Removal Impacted Cerumen|LEFT SIDE | $7,606.02 | $7,606.02 | — | 2685% above | — |
| Earwax removal with instruments, one ear inpatient CPT 69210 HC Removal Impacted Cerumen | $198.00 | $198.00 | — | — | — |
| Earwax removal with instruments, one ear inpatient CPT 69210 HC Remove Impacted Ear Wax | $202.00 | $202.00 | — | — | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC Biopsy Endometrial | $10,947.72 | $10,947.72 | — | 1954% above | — |
| Endoscopic sinus surgery: opening the frontal sinus one side CPT 31276 Nasal/Sinus Endoscopy,Explor Frontal Sinus|LEFT SIDE | $40,869.40 | $40,869.40 | — | 59% above | — |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus one side CPT 31256 Nasal/Sinus Endoscopy,Open Maxill Sinus|LEFT SIDE | $25,717.89 | $25,717.89 | — | 125% above | — |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus one side CPT 31256 Nasal/Sinus Endoscopy,Open Maxill Sinus|RIGHT SIDE | $29,762.97 | $29,762.97 | — | 160% above | — |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC Injection Interlaminar Epi Cervical/Thoracic W/Img Guide | $959.00 | $959.00 | — | 40% below | — |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC Injection Interlaminar Epi Cervical/Thoracic W/Img Guide | $959.00 | $959.00 | — | — | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC Paravert F Jnt L/S 1 Lv W Guid | $2,600.00 | $2,600.00 | — | 5% above | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level | $5,017.00 | $5,017.00 | — | 103% above | — |
| Facet joint injection, lower back, one level, with imaging guidance one side CPT 64493 HC Paravert F Jnt L/S 1 Lv W Guid|LEFT SIDE | $2,600.00 | $2,600.00 | — | 5% above | — |
| Facet joint injection, lower back, one level, with imaging guidance one side CPT 64493 HC Paravert F Jnt L/S 1 Lv W Guid|RIGHT SIDE | $2,600.00 | $2,600.00 | — | 5% above | — |
| Facet joint injection, lower back, one level, with imaging guidance one side CPT 64493 HC Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level|LEFT SIDE | $5,017.00 | $5,017.00 | — | 103% above | — |
| Facet joint injection, lower back, one level, with imaging guidance one side CPT 64493 HC Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level|RIGHT SIDE | $5,017.00 | $5,017.00 | — | 103% above | — |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC Paravert F Jnt L/S 1 Lv W Guid | $2,600.00 | $2,600.00 | — | — | — |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level | $5,017.00 | $5,017.00 | — | — | — |
| Facet joint injection, lower back, one level, with imaging guidance inpatient one side CPT 64493 HC Paravert F Jnt L/S 1 Lv W Guid|LEFT SIDE | $2,600.00 | $2,600.00 | — | — | — |
| Facet joint injection, lower back, one level, with imaging guidance inpatient one side CPT 64493 HC Paravert F Jnt L/S 1 Lv W Guid|RIGHT SIDE | $2,600.00 | $2,600.00 | — | — | — |
| Facet joint injection, lower back, one level, with imaging guidance inpatient one side CPT 64493 HC Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level|LEFT SIDE | $5,017.00 | $5,017.00 | — | — | — |
| Facet joint injection, lower back, one level, with imaging guidance inpatient one side CPT 64493 HC Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level|RIGHT SIDE | $5,017.00 | $5,017.00 | — | — | — |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 PR Repair Ant Abd Hernia Any Appr W Mesh T Length Defect 3 Cm-10 Cm Reduc | $36,683.79 | $36,683.79 | — | 355% above | — |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 PR Repair Ant Abd Hernia Any Appr W Mesh T Length Defect Less3cm Reduc | $13,494.59 | $13,494.59 | — | 84% above | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HC Sigmoidoscopy Flexible Dx | $992.00 | $992.00 | — | 46% below | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HC Sigmoidoscopy Flexible Dx | $2,948.22 | $2,948.22 | — | 59% above | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 HC Sigmoidoscopy Flexible Dx | $992.00 | $992.00 | — | — | — |
| Gallbladder removal, laparoscopic CPT 47562 Lap,Cholecystectomy | $21,055.13 | $21,055.13 | — | 70% above | — |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 Lap,Cholecystectomy/Graph | $28,065.99 | $28,065.99 | — | 64% above | — |
| Hammertoe correction surgery CPT 28285 Repair of Hammertoe,One | $10,744.24 | $10,744.24 | — | 103% above | — |
| Hammertoe correction surgery one side CPT 28285 Repair of Hammertoe,One|LEFT SIDE | $11,464.26 | $11,464.26 | — | 117% above | — |
| Hammertoe correction surgery one side CPT 28285 Repair of Hammertoe,One|RIGHT SIDE | $11,807.26 | $11,807.26 | — | 123% above | — |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 Hysteroscopy,W/Endo Bx | $16,549.00 | $16,549.00 | — | 158% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC I&D Abscess Simple | $383.00 | $383.00 | — | 23% below | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC I&D Abscess Simple | $383.00 | $383.00 | — | — | — |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Repair Ing Hernia,5+Y/O,Reducibl | $12,618.93 | $12,618.93 | — | 48% above | — |
| Inguinal (groin) hernia repair, age 5 or older one side CPT 49505 Repair Ing Hernia,5+Y/O,Reducibl|LEFT SIDE | $13,795.24 | $13,795.24 | — | 62% above | — |
| Inguinal (groin) hernia repair, age 5 or older one side CPT 49505 Repair Ing Hernia,5+Y/O,Reducibl|RIGHT SIDE | $17,455.33 | $17,455.33 | — | 105% above | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC Injection Tendon Sheath or Ligament Single | $422.00 | $422.00 | — | 8% below | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC Injection Tendon Sheath or Ligament Single | $1,308.26 | $1,308.26 | — | 185% above | — |
| Injection into a tendon sheath or ligament (for example trigger finger) one side CPT 20550 HC Injection Tendon Sheath or Ligament Single|LEFT SIDE | $422.00 | $422.00 | — | 8% below | — |
| Injection into a tendon sheath or ligament (for example trigger finger) one side CPT 20550 HC Injection Tendon Sheath or Ligament Single|RIGHT SIDE | $422.00 | $422.00 | — | 8% below | — |
| Injection into a tendon sheath or ligament (for example trigger finger) one side CPT 20550 HC Injection Tendon Sheath or Ligament Single|RIGHT SIDE | $1,349.90 | $1,349.90 | — | 194% above | — |
| Injection into a tendon sheath or ligament (for example trigger finger) one side CPT 20550 HC Injection Tendon Sheath or Ligament Single|LEFT SIDE | $1,349.90 | $1,349.90 | — | 194% above | — |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC Injection Tendon Sheath or Ligament Single | $422.00 | $422.00 | — | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient one side CPT 20550 HC Injection Tendon Sheath or Ligament Single|LEFT SIDE | $422.00 | $422.00 | — | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient one side CPT 20550 HC Injection Tendon Sheath or Ligament Single|RIGHT SIDE | $422.00 | $422.00 | — | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC Arthrocentesis, Aspiration/Injection Major Joint or Bursa W/O US Guid | $766.00 | $766.00 | — | 35% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC Arthrocentesis, Aspiration/Injection Major Joint or Bursa W/O US Guid | $1,534.30 | $1,534.30 | — | 171% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 HC Arthrocentesis, Aspiration/Injection Major Joint or Bursa W/O US Guid|RIGHT SIDE | $766.00 | $766.00 | — | 35% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 HC Arthrocentesis, Aspiration/Injection Major Joint or Bursa W/O US Guid|LEFT SIDE | $766.00 | $766.00 | — | 35% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 HC Arthrocentesis, Aspiration/Injection Major Joint or Bursa W/O US Guid|RIGHT SIDE | $1,694.49 | $1,694.49 | — | 199% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 HC Arthrocentesis, Aspiration/Injection Major Joint or Bursa W/O US Guid|LEFT SIDE | $1,701.96 | $1,701.96 | — | 201% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC Arthrocentesis, Aspiration/Injection Major Joint or Bursa W/O US Guid | $766.00 | $766.00 | — | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 HC Arthrocentesis, Aspiration/Injection Major Joint or Bursa W/O US Guid|RIGHT SIDE | $766.00 | $766.00 | — | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 HC Arthrocentesis, Aspiration/Injection Major Joint or Bursa W/O US Guid|LEFT SIDE | $766.00 | $766.00 | — | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC Arthrocentesis, Aspiration/Injection Intermediate Joint or Bursa W/O US Guid | $679.00 | $679.00 | — | 26% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 HC Arthrocentesis, Aspiration/Injection Intermediate Joint or Bursa W/O US Guid|LEFT SIDE | $679.00 | $679.00 | — | 26% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 HC Arthrocentesis, Aspiration/Injection Intermediate Joint or Bursa W/O US Guid|RIGHT SIDE | $679.00 | $679.00 | — | 26% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC Arthrocentesis, Aspiration/Injection Intermediate Joint or Bursa W/O US Guid | $679.00 | $679.00 | — | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 HC Arthrocentesis, Aspiration/Injection Intermediate Joint or Bursa W/O US Guid|RIGHT SIDE | $679.00 | $679.00 | — | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 HC Arthrocentesis, Aspiration/Injection Intermediate Joint or Bursa W/O US Guid|LEFT SIDE | $679.00 | $679.00 | — | — | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC Arthro Asp Inj Sm Jt/Bursa W/O US | $604.00 | $604.00 | — | 12% above | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC Arthro Asp Inj Sm Jt/Bursa W/O US | $604.00 | $604.00 | — | — | — |
| Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 Knee Scope,Med or Lat Menis Repair | $52,414.09 | $52,414.09 | — | 426% above | — |
| Knee arthroscopy with meniscus repair (one side of the knee) one side CPT 29882 Knee Scope,Med or Lat Menis Repair|RIGHT SIDE | $21,089.78 | $21,089.78 | — | 112% above | — |
| Knee arthroscopy with meniscus trim CPT 29881 PR Arthro, Knee, Surg; With Menis (Med or Lat) Incl Deb/Shav When Perf | $14,912.68 | $14,912.68 | — | 48% above | — |
| Knee arthroscopy with meniscus trim one side CPT 29881 PR Arthro, Knee, Surg; With Menis (Med or Lat) Incl Deb/Shav When Perf|LEFT SIDE | $12,467.62 | $12,467.62 | — | 24% above | — |
| Knee arthroscopy with meniscus trim one side CPT 29881 PR Arthro, Knee, Surg; With Menis (Med or Lat) Incl Deb/Shav When Perf|RIGHT SIDE | $14,128.95 | $14,128.95 | — | 40% above | — |
| Knee arthroscopy with removal of both torn meniscus parts CPT 29880 PR Arthro, Knee, Surg; With Menis (Med and Lat) Incl Deb/Shav When Perf | $13,284.50 | $13,284.50 | — | at median | — |
| Knee arthroscopy with removal of both torn meniscus parts one side CPT 29880 PR Arthro, Knee, Surg; With Menis (Med and Lat) Incl Deb/Shav When Perf|RIGHT SIDE | $14,051.50 | $14,051.50 | — | 6% above | — |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 Knee Scope,Shave Articular Cart | $14,153.15 | $14,153.15 | — | 120% above | — |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) one side CPT 29877 Knee Scope,Shave Articular Cart|RIGHT SIDE | $14,123.16 | $14,123.16 | — | 120% above | — |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) one side CPT 29877 Knee Scope,Shave Articular Cart|LEFT SIDE | $16,439.01 | $16,439.01 | — | 156% above | — |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 Lap,Appendectomy | $27,796.27 | $27,796.27 | — | 173% above | — |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 Lap,Inguinal Hernia Repr,Initial | $30,965.71 | $30,965.71 | — | 84% above | — |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side one side CPT 49650 Lap,Inguinal Hernia Repr,Initial|LEFT SIDE | $25,361.16 | $25,361.16 | — | 51% above | — |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side one side CPT 49650 Lap,Inguinal Hernia Repr,Initial|RIGHT SIDE | $26,268.21 | $26,268.21 | — | 56% above | — |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 Lap,Rmv Adnexal Structure | $20,782.68 | $20,782.68 | — | 44% above | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC Layer Cl Scalp/Trunk Ext<=2.5 Cm | $514.00 | $514.00 | — | 35% below | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC Layer Cl Scalp/Trunk Ext<=2.5 Cm | $7,225.14 | $7,225.14 | — | 817% above | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC Layer Cl Scalp/Trunk Ext<=2.5 Cm | $514.00 | $514.00 | — | — | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC Injection Interlaminar Epi Lumbar/Sacral W /Img Guide | $1,006.00 | $1,006.00 | — | 42% below | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC Injection Interlaminar Epi Lumbar/Sacral W /Img Guide | $1,115.57 | $1,115.57 | — | 36% below | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC Injection Interlaminar Epi Lumbar/Sacral W /Img Guide | $1,006.00 | $1,006.00 | — | — | — |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC Injection Interlaminar Epi Lumbar/Sacral W/O Img Guide | $1,031.00 | $1,031.00 | — | 27% below | — |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC Injection Interlaminar Epi Lumbar/Sacral W/O Img Guide | $1,031.00 | $1,031.00 | — | — | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level | $2,916.00 | $2,916.00 | — | 59% above | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC Inj Anes/Strd Lbr/Sac 1 Level | $2,917.00 | $2,917.00 | — | 59% above | — |
| Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 HC Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level|LEFT SIDE | $2,916.00 | $2,916.00 | — | 59% above | — |
| Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 HC Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level|RIGHT SIDE | $2,916.00 | $2,916.00 | — | 59% above | — |
| Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 HC Inj Anes/Strd Lbr/Sac 1 Level|RIGHT SIDE | $2,917.00 | $2,917.00 | — | 59% above | — |
| Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 HC Inj Anes/Strd Lbr/Sac 1 Level|LEFT SIDE | $2,917.00 | $2,917.00 | — | 59% above | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level | $2,916.00 | $2,916.00 | — | — | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC Inj Anes/Strd Lbr/Sac 1 Level | $2,917.00 | $2,917.00 | — | — | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient one side CPT 64483 HC Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level|LEFT SIDE | $2,916.00 | $2,916.00 | — | — | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient one side CPT 64483 HC Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level|RIGHT SIDE | $2,916.00 | $2,916.00 | — | — | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient one side CPT 64483 HC Inj Anes/Strd Lbr/Sac 1 Level|RIGHT SIDE | $2,917.00 | $2,917.00 | — | — | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient one side CPT 64483 HC Inj Anes/Strd Lbr/Sac 1 Level|LEFT SIDE | $2,917.00 | $2,917.00 | — | — | — |
| Lumpectomy (partial mastectomy) one side CPT 19301 Mastectomy, Partial|LEFT SIDE | $20,277.57 | $20,277.57 | — | 71% above | — |
| Lumpectomy (partial mastectomy) one side CPT 19301 Mastectomy, Partial|RIGHT SIDE | $22,186.91 | $22,186.91 | — | 87% above | — |
| Mastectomy (total removal of the breast) one side CPT 19303 Mastectomy, Simple, Complete|LEFT SIDE | $38,657.75 | $38,657.75 | — | 116% above | — |
| Mastectomy (total removal of the breast) one side CPT 19303 Mastectomy, Simple, Complete|RIGHT SIDE | $39,541.61 | $39,541.61 | — | 121% above | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC Exc Bgn Les Trk/Arm/Leg <0.5 Cm | $1,131.00 | $1,131.00 | — | 21% above | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HC Exc Bgn Les Trk/Arm/Leg <0.5 Cm | $1,131.00 | $1,131.00 | — | — | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC Exc Bgn Les Fce/ER/Nos/Lp<0.5 Cm | $1,489.00 | $1,489.00 | — | 67% above | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 HC Exc Bgn Les Fce/ER/Nos/Lp<0.5 Cm | $1,489.00 | $1,489.00 | — | — | — |
| Nail removal (partial or complete), one nail CPT 11730 HC Avuls Nail Plate Part/Comp Sin | $172.00 | $172.00 | — | 56% below | — |
| Nail removal (partial or complete), one nail inpatient CPT 11730 HC Avuls Nail Plate Part/Comp Sin | $172.00 | $172.00 | — | — | — |
| Occipital nerve block (injection for headaches) CPT 64405 HC Nerve Block Inj Occipital Nerve Ac | $536.00 | $536.00 | — | 40% below | — |
| Occipital nerve block (injection for headaches) CPT 64405 HC Injection Aa&/Strd Greater Occipital Nerve | $997.00 | $997.00 | — | 12% above | — |
| Occipital nerve block (injection for headaches) CPT 64405 HC Inject Anes Agent Occipital Nerve | $997.00 | $997.00 | — | 12% above | — |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 HC Nerve Block Inj Occipital Nerve Ac | $536.00 | $536.00 | — | — | — |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 HC Injection Aa&/Strd Greater Occipital Nerve | $997.00 | $997.00 | — | — | — |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 HC Inject Anes Agent Occipital Nerve | $997.00 | $997.00 | — | — | — |
| Pacemaker implant (dual chamber) CPT 33208 HC Insert New Repl Av Pacer/Leads | $46,233.34 | $46,233.34 | — | 193% above | — |
| Paracentesis with imaging guidance CPT 49083 HC Abd Paracentesis W/Imaging | $2,574.00 | $2,574.00 | — | 46% above | — |
| Paracentesis with imaging guidance inpatient CPT 49083 HC Abd Paracentesis W/Imaging | $2,574.00 | $2,574.00 | — | — | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC Excision Nail/Nail Matrix | $596.00 | $596.00 | — | 41% below | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC Excision Nail/Nail Matrix | $7,948.40 | $7,948.40 | — | 690% above | — |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC Excision Nail/Nail Matrix | $596.00 | $596.00 | — | — | — |
| Prostate biopsy CPT 55700 HC Biopsy of Prostate | $11,990.65 | $11,990.65 | — | 312% above | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC Destruct Lumb/Sac Facet Jnt | $3,289.00 | $3,289.00 | — | 6% above | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level one side CPT 64635 HC Destruct Lumb/Sac Facet Jnt|LEFT SIDE | $3,289.00 | $3,289.00 | — | 6% above | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level one side CPT 64635 HC Destruct Lumb/Sac Facet Jnt|RIGHT SIDE | $3,289.00 | $3,289.00 | — | 6% above | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HC Destruct Lumb/Sac Facet Jnt | $3,289.00 | $3,289.00 | — | — | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient one side CPT 64635 HC Destruct Lumb/Sac Facet Jnt|LEFT SIDE | $3,289.00 | $3,289.00 | — | — | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient one side CPT 64635 HC Destruct Lumb/Sac Facet Jnt|RIGHT SIDE | $3,289.00 | $3,289.00 | — | — | — |
| Removal of a breast lump, open surgery one side CPT 19120 HC Exc Breast Cyst/Other Lesions|RIGHT SIDE | $7,334.69 | $7,334.69 | — | 12% above | — |
| Removal of a breast lump, open surgery one side CPT 19120 HC Exc Breast Cyst/Other Lesions|LEFT SIDE | $13,476.46 | $13,476.46 | — | 105% above | — |
| Removal of a foreign object under the skin, simple CPT 10120 HC I&R FB Subq Tissues Simple | $373.00 | $373.00 | — | 32% below | — |
| Removal of a foreign object under the skin, simple CPT 10120 HC I&R FB Subq Tissues Simple | $8,456.28 | $8,456.28 | — | 1439% above | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 HC I&R FB Subq Tissues Simple | $373.00 | $373.00 | — | — | — |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 HC Screening Colonoscopy Low Risk | $2,961.00 | $2,961.00 | — | 51% above | — |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 HC Screening Colonoscopy Low Risk | $5,647.86 | $5,647.86 | — | 188% above | — |
| Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 HC Screening Colonoscopy Low Risk | $2,961.00 | $2,961.00 | — | — | — |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 HC Screen Flex Colonosc High Risk | $2,961.00 | $2,961.00 | — | 48% above | — |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 HC Screen Flex Colonosc High Risk | $5,129.84 | $5,129.84 | — | 157% above | — |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 HC Screen Flex Colonosc High Risk | $2,961.00 | $2,961.00 | — | — | — |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 HC Mobile Lithotripsy | $14,843.00 | $14,843.00 | — | 97% above | — |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) one side CPT 50590 HC Mobile Lithotripsy|RIGHT SIDE | $9,507.14 | $9,507.14 | — | 26% above | — |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) one side CPT 50590 HC Mobile Lithotripsy|LEFT SIDE | $9,887.87 | $9,887.87 | — | 31% above | — |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) one side CPT 50590 HC Mobile Lithotripsy|RIGHT SIDE | $14,843.00 | $14,843.00 | — | 97% above | — |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) one side CPT 50590 HC Mobile Lithotripsy|LEFT SIDE | $14,843.00 | $14,843.00 | — | 97% above | — |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 HC Mobile Lithotripsy | $14,843.00 | $14,843.00 | — | — | — |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient one side CPT 50590 HC Mobile Lithotripsy|RIGHT SIDE | $14,843.00 | $14,843.00 | — | — | — |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient one side CPT 50590 HC Mobile Lithotripsy|LEFT SIDE | $14,843.00 | $14,843.00 | — | — | — |
| Short arm cast (elbow to hand) CPT 29075 HC Application Short Arm Cast | $828.00 | $828.00 | — | 29% above | — |
| Short arm cast (elbow to hand) inpatient CPT 29075 HC Application Short Arm Cast | $828.00 | $828.00 | — | — | — |
| Short arm splint (forearm and hand) CPT 29125 HC Application Short Arm Splint | $253.00 | $253.00 | — | 24% below | — |
| Short arm splint (forearm and hand) inpatient CPT 29125 HC Application Short Arm Splint | $253.00 | $253.00 | — | — | — |
| Short leg splint (calf to foot) CPT 29515 HC Application Short Leg Splint | $192.00 | $192.00 | — | 44% below | — |
| Short leg splint (calf to foot) inpatient CPT 29515 HC Application Short Leg Splint | $192.00 | $192.00 | — | — | — |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 Shldr Arthroscop,Surg,Dis Claviculectomy | $36,096.08 | $36,096.08 | — | 61% above | — |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) one side CPT 29824 Shldr Arthroscop,Surg,Dis Claviculectomy|RIGHT SIDE | $22,466.85 | $22,466.85 | — | at median | — |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) one side CPT 29824 Shldr Arthroscop,Surg,Dis Claviculectomy|LEFT SIDE | $25,748.52 | $25,748.52 | — | 15% above | — |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Shldr Arthroscop,Part Acromioplas | $19,745.22 | $19,745.22 | — | 3% above | — |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) one side CPT 29826 Shldr Arthroscop,Part Acromioplas|RIGHT SIDE | $19,178.13 | $19,178.13 | — | at median | — |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) one side CPT 29826 Shldr Arthroscop,Part Acromioplas|LEFT SIDE | $29,114.51 | $29,114.51 | — | 52% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC Simple Non Facial Repair 2.5 Cm | $464.00 | $464.00 | — | at median | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC Simple Non Facial Repair 2.5 Cm | $464.00 | $464.00 | — | — | — |
| Skin biopsy, punch, one lesion CPT 11104 HC Punch Bx of Skin, 1st Lesion | $851.00 | $851.00 | — | 56% above | — |
| Skin biopsy, punch, one lesion inpatient CPT 11104 HC Punch Bx of Skin, 1st Lesion | $851.00 | $851.00 | — | — | — |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 HC Exc Mal Les Trk/Arm/Leg < 0.5 Cm | $1,812.00 | $1,812.00 | — | 75% above | — |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 HC Exc Mal Les Trk/Arm/Leg < 0.5 Cm | $1,812.00 | $1,812.00 | — | — | — |
| Skin tag removal, up to 15 tags CPT 11200 HC Removal Skin Tags Up to 15 | $695.00 | $695.00 | — | 82% above | — |
| Skin tag removal, up to 15 tags inpatient CPT 11200 HC Removal Skin Tags Up to 15 | $695.00 | $695.00 | — | — | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC Lumbar Puncture Diagnostic | $1,313.00 | $1,313.00 | — | 10% below | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC Spinal Puncture Lumbar Diagno | $1,405.00 | $1,405.00 | — | 4% below | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC Lumbar Puncture Diagnostic | $1,313.00 | $1,313.00 | — | — | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC Spinal Puncture Lumbar Diagno | $1,405.00 | $1,405.00 | — | — | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC Simple Repair N Face 2.6 7.5 Cm | $611.00 | $611.00 | — | 28% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC Simple Repair N Face 2.6 7.5 Cm | $611.00 | $611.00 | — | — | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC Simple Repair/Face Up to 2.5 Cm | $611.00 | $611.00 | — | 30% below | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC Simple Repair/Face Up to 2.5 Cm | $611.00 | $611.00 | — | — | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC Tangential Bx of Skin, 1st Lesion | $928.00 | $928.00 | — | 112% above | — |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC Tangential Bx of Skin, 1st Lesion | $928.00 | $928.00 | — | — | — |
| Thoracentesis with imaging guidance CPT 32555 HC Thoracentesis Ndl/Cath Asp W/Imaging | $2,516.00 | $2,516.00 | — | 41% above | — |
| Thoracentesis with imaging guidance one side CPT 32555 HC Thoracentesis Ndl/Cath Asp W/Imaging|RIGHT SIDE | $2,516.00 | $2,516.00 | — | 41% above | — |
| Thoracentesis with imaging guidance one side CPT 32555 HC Thoracentesis Ndl/Cath Asp W/Imaging|RIGHT SIDE | $4,972.00 | $4,972.00 | — | 178% above | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 HC Thoracentesis Ndl/Cath Asp W/Imaging | $2,516.00 | $2,516.00 | — | — | — |
| Thoracentesis with imaging guidance inpatient one side CPT 32555 HC Thoracentesis Ndl/Cath Asp W/Imaging|RIGHT SIDE | $2,516.00 | $2,516.00 | — | — | — |
| Tonsil and adenoid removal, age 12 or older CPT 42821 Remove Tonsils/Adenoids,12+ Y/O | $13,820.83 | $13,820.83 | — | at median | — |
| Tonsil and adenoid removal, child under 12 CPT 42820 Remove Tonsils/Adenoids,<12 Y/O | $17,581.97 | $17,581.97 | — | 20% above | — |
| Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 Removal of Tonsils,12+ Y/O | $15,464.85 | $15,464.85 | — | 140% above | — |
| Total hip replacement one side CPT 27130 Total Hip Arthroplasty|RIGHT SIDE | $57,140.39 | $57,140.39 | — | at median | — |
| Total hip replacement one side CPT 27130 Total Hip Arthroplasty|LEFT SIDE | $57,659.59 | $57,659.59 | — | 1% above | — |
| Total knee replacement CPT 27447 Total Knee Arthroplasty | $82,727.10 | $82,727.10 | — | 335% above | — |
| Total knee replacement one side CPT 27447 Total Knee Arthroplasty|LEFT SIDE | $54,879.31 | $54,879.31 | — | 188% above | — |
| Total knee replacement one side CPT 27447 Total Knee Arthroplasty|RIGHT SIDE | $56,215.20 | $56,215.20 | — | 195% above | — |
| Total shoulder replacement one side CPT 23472 Reconstr Total Shoulder Implant|LEFT SIDE | $66,300.38 | $66,300.38 | — | 40% below | — |
| Total shoulder replacement one side CPT 23472 Reconstr Total Shoulder Implant|RIGHT SIDE | $67,937.88 | $67,937.88 | — | 39% below | — |
| Trigger finger release surgery CPT 26055 HC Incision Tendon Sheath Trig Fg | $6,271.83 | $6,271.83 | — | 44% above | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC Inj Single Multi Trg Pts 1or 2 Muscles | $462.00 | $462.00 | — | 12% below | — |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC Inj Single Multi Trg Pts 1or 2 Muscles | $462.00 | $462.00 | — | — | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC Bx Breast W Localization Device 1st Lesion Incl US | $4,908.00 | $4,908.00 | — | 126% above | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC Bx Breast W Localization Device 1st Lesion Incl US | $4,908.00 | $4,908.00 | — | — | — |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 HC Egd W Bal Dil Esoph <30mm | $1,975.00 | $1,975.00 | — | 34% below | — |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 HC Egd W Bal Dil Esoph <30mm | $7,676.53 | $7,676.53 | — | 158% above | — |
| Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 HC Egd W Bal Dil Esoph <30mm | $1,975.00 | $1,975.00 | — | — | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC Esophagogastroduodenoscopy W/Biopsy | $1,975.00 | $1,975.00 | — | 5% above | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC Esophagogastroduodenoscopy W/Biopsy | $6,709.70 | $6,709.70 | — | 257% above | — |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC Esophagogastroduodenoscopy W/Biopsy | $1,975.00 | $1,975.00 | — | — | — |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 HC Egd W/Directed Submucosal Injection(S) | $1,975.00 | $1,975.00 | — | 22% below | — |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 HC Egd W/Directed Submucosal Injection(S) | $11,915.07 | $11,915.07 | — | 372% above | — |
| Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 HC Egd W/Directed Submucosal Injection(S) | $1,975.00 | $1,975.00 | — | — | — |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 HC Egd W Polyp(S) Removal by Snare | $1,975.00 | $1,975.00 | — | 57% below | — |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 HC Egd W Polyp(S) Removal by Snare | $9,229.57 | $9,229.57 | — | 101% above | — |
| Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 HC Egd W Polyp(S) Removal by Snare | $1,975.00 | $1,975.00 | — | — | — |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 HC Egd W Guide Wire & Dil Eso Over Wire | $1,975.00 | $1,975.00 | — | 32% below | — |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 HC Egd W Guide Wire & Dil Eso Over Wire | $1,975.00 | $1,975.00 | — | — | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC Egd Flexible Transoral Diagnostic | $1,975.00 | $1,975.00 | — | 10% above | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC Egd Flexible Transoral Diagnostic | $6,851.82 | $6,851.82 | — | 280% above | — |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC Egd Flexible Transoral Diagnostic | $1,975.00 | $1,975.00 | — | — | — |
| Ureteroscopy with laser stone breaking and stent placement one side CPT 52356 Cysto/Uretero W/Lithotripsy &Indwell Stent Insrt|RIGHT SIDE | $17,498.31 | $17,498.31 | — | 14% above | — |
| Ureteroscopy with laser stone breaking and stent placement one side CPT 52356 Cysto/Uretero W/Lithotripsy &Indwell Stent Insrt|LEFT SIDE | $17,671.74 | $17,671.74 | — | 15% above | — |
| Vasectomy, one or both sides, including follow-up semen testing CPT 55250 HC Vasectomy | $5,304.08 | $5,304.08 | — | 61% above | — |
| Vein ablation, radiofrequency, first vein one side CPT 36475 HC Endovas Ablation Therapy Extrem 1st Vein|RIGHT SIDE | $14,646.69 | $14,646.69 | — | 181% above | — |
| Vein ablation, radiofrequency, first vein one side CPT 36475 HC Endovas Ablation Therapy Extrem 1st Vein|LEFT SIDE | $14,967.20 | $14,967.20 | — | 187% above | — |
| Wart removal, up to 14 warts CPT 17110 HC Destruct Benign Lesions 1 14 | $735.00 | $735.00 | — | 108% above | — |
| Wart removal, up to 14 warts inpatient CPT 17110 HC Destruct Benign Lesions 1 14 | $735.00 | $735.00 | — | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC Dbrdmt Subcu Tis 20 Sq Cm/< | $826.00 | $826.00 | — | 11% below | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC Dbrdmt Subcu Tis 20 Sq Cm/< | $961.48 | $961.48 | — | 4% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC Dbrdmt Subcu Tis 20 Sq Cm/< | $826.00 | $826.00 | — | — | — |
| Wrist fracture surgery (plate and screws), distal radius one side CPT 25607 Open Rx Distal Radius Fx, Extra-Articular|RIGHT SIDE | $33,225.05 | $33,225.05 | — | 187% above | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Massachusetts | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 HC Transfusion Blood/Blood Comp | $740.00 | $740.00 | — | 20% below | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC Transfusion Blood/Blood Comp | $740.00 | $740.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC Inhalation Treatment | $224.00 | $224.00 | — | 23% below | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC Inhalation Treatment | $224.00 | $224.00 | — | — | — |
| Chemotherapy IV infusion, first hour CPT 96413 HC Chemo Admin IV Infuse Up to 1 Hour | $839.00 | $839.00 | — | 5% below | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 HC Chemo Admin IV Infuse Up to 1 Hour | $839.00 | $839.00 | — | — | — |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 HC Comp Audio Threshld Evaluation | $451.00 | $451.00 | — | 37% above | — |
| Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 HC Comp Audio Threshld Evaluation | $451.00 | $451.00 | — | — | — |
| Critical care, first 30 to 74 minutes CPT 99291 HC Critical Care First 30-74 Min | $3,499.00 | $3,499.00 | — | 31% above | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 HC Critical Care First 30-74 Min | $3,499.00 | $3,499.00 | — | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC Ecg/Ekg Tracing Only | $190.00 | $190.00 | — | 5% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC Ecg/Ekg Tracing Only | $190.00 | $190.00 | — | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC Level 1 Emergency Department Visit | $163.00 | $163.00 | — | 61% below | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC Level 1 Emergency Department Visit | $163.00 | $163.00 | — | — | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC Level 2 Emergency Department Visit | $355.00 | $355.00 | — | 35% below | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC Level 2 Emergency Department Visit | $355.00 | $355.00 | — | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC Level 3 Emergency Department Visit | $499.00 | $499.00 | — | 39% below | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC Level 3 Emergency Department Visit | $499.00 | $499.00 | — | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC Level 4 Emergency Department Visit | $921.00 | $921.00 | — | 27% below | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC Level 4 Emergency Department Visit | $921.00 | $921.00 | — | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC Level 5 Emergency Department Visit | $1,083.00 | $1,083.00 | — | 36% below | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC Level 5 Emergency Department Visit | $1,083.00 | $1,083.00 | — | — | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC Stress Test Exerc or Pharmacol | $1,437.00 | $1,437.00 | — | 57% above | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC Stress Test Exerc or Pharmacol | $1,437.00 | $1,437.00 | — | — | — |
| Family therapy with the patient, 50 minutes CPT 90847 HC Bh Family Therapy W Pt Present | $659.00 | $659.00 | — | 153% above | — |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC Bh Family Therapy W Pt Present | $659.00 | $659.00 | — | — | — |
| Family therapy without the patient, 50 minutes CPT 90846 HC Bh Family Therapy W/O Pt Present | $659.00 | $659.00 | — | 138% above | — |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HC Bh Family Therapy W/O Pt Present | $659.00 | $659.00 | — | — | — |
| Group psychotherapy session CPT 90853 HC Bh General Outpatient Group Therapy | $656.00 | $656.00 | — | 373% above | — |
| Group psychotherapy session CPT 90853 HC Bh Php/Iop Group Therapy | $656.00 | $656.00 | — | 373% above | — |
| Group psychotherapy session inpatient CPT 90853 HC Bh General Outpatient Group Therapy | $656.00 | $656.00 | — | — | — |
| Group psychotherapy session inpatient CPT 90853 HC Bh Php/Iop Group Therapy | $656.00 | $656.00 | — | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV Infus Hydration Init 31-1hr | $576.00 | $576.00 | — | 13% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV Infus Hydration Init 31-1hr | $576.00 | $576.00 | — | — | — |
| IV infusion of a medicine, first hour CPT 96365 HC IV Infus Tx/Prop/Dx Initial Hr | $576.00 | $576.00 | — | at median | — |
| IV infusion of a medicine, first hour CPT 96365 HC IV Infusion Therapeutic First Hour Ac | $577.00 | $577.00 | — | at median | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 HC IV Infus Tx/Prop/Dx Initial Hr | $576.00 | $576.00 | — | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 HC IV Infusion Therapeutic First Hour Ac | $577.00 | $577.00 | — | — | — |
| IV push of a medicine, first drug CPT 96374 HC Therapeutic Injection IV Push Initial (96374) | $538.00 | $538.00 | — | 48% above | — |
| IV push of a medicine, first drug CPT 96374 HC IV Push Single/Initial Drug Ac | $550.00 | $550.00 | — | 51% above | — |
| IV push of a medicine, first drug CPT 96374 HC IV Push Single/Initial Drug | $581.00 | $581.00 | — | 59% above | — |
| IV push of a medicine, first drug inpatient CPT 96374 HC Therapeutic Injection IV Push Initial (96374) | $538.00 | $538.00 | — | — | — |
| IV push of a medicine, first drug inpatient CPT 96374 HC IV Push Single/Initial Drug Ac | $550.00 | $550.00 | — | — | — |
| IV push of a medicine, first drug inpatient CPT 96374 HC IV Push Single/Initial Drug | $581.00 | $581.00 | — | — | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC Injection Therp/Prophy/Diag Sq/Im Ac | $216.00 | $216.00 | — | 20% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC Injection Therp/Prophy/Diag Sq/Im | $220.00 | $220.00 | — | 22% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC Therapeutic Injection Subq/Intramusc (96372) | $225.00 | $225.00 | — | 25% above | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC Injection Therp/Prophy/Diag Sq/Im Ac | $216.00 | $216.00 | — | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC Injection Therp/Prophy/Diag Sq/Im | $220.00 | $220.00 | — | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC Therapeutic Injection Subq/Intramusc (96372) | $225.00 | $225.00 | — | — | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC Bh Psych Diagnostic Evaluation | $302.00 | $302.00 | — | at median | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC PR Bh Psych Diagnostic Evaluation | $1,418.00 | $1,418.00 | — | 370% above | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC Bh Psych Diagnostic Evaluation | $302.00 | $302.00 | — | — | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC PR Bh Psych Diagnostic Evaluation | $1,418.00 | $1,418.00 | — | — | — |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 HC Nerve Conduction Studies; 7-8 Studies | $730.00 | $730.00 | — | 8% below | — |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 HC Nerve Conduction Studies; 7-8 Studies | $730.00 | $730.00 | — | — | — |
| Neuromuscular re-education, 15 minutes CPT 97112 HC Neuromuscular Re-ED Pt | $137.00 | $137.00 | — | 14% above | — |
| Neuromuscular re-education, 15 minutes CPT 97112 HC Neuromuscular Re-ED Ot | $137.00 | $137.00 | — | 14% above | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC Neuromuscular Re-ED Pt | $137.00 | $137.00 | — | — | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC Neuromuscular Re-ED Ot | $137.00 | $137.00 | — | — | — |
| New patient office visit, about 30 minutes CPT 99203 HC WC New Patient Level 3 | $261.00 | $261.00 | — | 21% above | — |
| New patient office visit, about 30 minutes CPT 99203 HC Med Surveillance Ppe | $265.00 | $265.00 | — | 22% above | — |
| New patient office visit, about 30 minutes CPT 99203 HC Level 3 Outpatient New Pt Visit | $349.00 | $349.00 | — | 61% above | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC WC New Patient Level 3 | $261.00 | $261.00 | — | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC Med Surveillance Ppe | $265.00 | $265.00 | — | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC Level 3 Outpatient New Pt Visit | $349.00 | $349.00 | — | — | — |
| New patient office visit, about 45 minutes CPT 99204 HC Level 4 Outpatient New Pt Visit | $564.00 | $564.00 | — | 60% above | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC Level 4 Outpatient New Pt Visit | $564.00 | $564.00 | — | — | — |
| New patient office visit, about 60 minutes CPT 99205 HC Level 5 Outpatient New Pt Visit | $1,007.00 | $1,007.00 | — | 161% above | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC Level 5 Outpatient New Pt Visit | $1,007.00 | $1,007.00 | — | — | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC Screening Exam | $170.00 | $170.00 | — | 3% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC WC New Patient Level 2 | $177.00 | $177.00 | — | 7% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC Level 2 Outpatient New Pt Visit | $272.00 | $272.00 | — | 65% above | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC Screening Exam | $170.00 | $170.00 | — | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC WC New Patient Level 2 | $177.00 | $177.00 | — | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC Level 2 Outpatient New Pt Visit | $272.00 | $272.00 | — | — | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC Mnt Initial Assess Indiv Ea 15 Min | $119.00 | $119.00 | — | 19% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC Mnt Initial Assess Indiv Ea 15 Min | $119.00 | $119.00 | — | — | — |
| Occupational therapy evaluation, low complexity CPT 97165 HC Ot Evaluation Low Complexity | $375.00 | $375.00 | — | 12% above | — |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 HC Ot Evaluation Low Complexity | $375.00 | $375.00 | — | — | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC Pt Evaluation High Complexity | $498.00 | $498.00 | — | 36% above | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC Pt Evaluation High Complexity | $498.00 | $498.00 | — | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC Pt Evaluation Low Complexity | $375.00 | $375.00 | — | 7% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC Pt Evaluation Low Complexity | $375.00 | $375.00 | — | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC Pt Evaluation Moderate Complexity | $426.00 | $426.00 | — | 20% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC Pt Evaluation Moderate Complexity | $426.00 | $426.00 | — | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Manual Therapy 15 Min Pt | $239.00 | $239.00 | — | 99% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Manual Therapy 15 Min Ot | $239.00 | $239.00 | — | 99% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC Manual Therapy 15 Min Ot | $239.00 | $239.00 | — | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC Manual Therapy 15 Min Pt | $239.00 | $239.00 | — | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Thera Ex 15 Min Pt | $195.00 | $195.00 | — | 74% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Therapeutic Exercise 15 Min Ot | $195.00 | $195.00 | — | 74% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Therapeutic Exercise 15 Min Ot | $195.00 | $195.00 | — | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Thera Ex 15 Min Pt | $195.00 | $195.00 | — | — | — |
| Psychiatric evaluation with medical services CPT 90792 HC Bh Psych Diagnostic Evaluation W/Med Svcs | $302.00 | $302.00 | — | 17% below | — |
| Psychiatric evaluation with medical services inpatient CPT 90792 HC Bh Psych Diagnostic Evaluation W/Med Svcs | $302.00 | $302.00 | — | — | — |
| Psychotherapy session, 30 minutes CPT 90832 HC Bh Psychotherapy W/ Pt 30 Min | $368.00 | $368.00 | — | 47% above | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC Bh Psychotherapy W/ Pt 30 Min | $368.00 | $368.00 | — | — | — |
| Psychotherapy session, 45 minutes CPT 90834 HC Bh Psychotherapy W/ Pt 45 Min | $500.00 | $500.00 | — | 100% above | — |
| Psychotherapy session, 45 minutes CPT 90834 HC Bh Psychotherapy W/ Pt 45 Min | $500.00 | $500.00 | — | 100% above | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC Bh Psychotherapy W/ Pt 45 Min | $500.00 | $500.00 | — | — | — |
| Psychotherapy session, 60 minutes CPT 90837 HC Bh Psychotherapy W/ Pt 60 Min | $550.00 | $550.00 | — | 86% above | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC Bh Psychotherapy W/ Pt 60 Min | $550.00 | $550.00 | — | — | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC Sm/Tobacco Counseling 3-10 Min | $177.00 | $177.00 | — | 55% above | — |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC Sm/Tobacco Counseling 3-10 Min | $177.00 | $177.00 | — | — | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Est. Pt. Labor Check 241-480 Minutes | $384.00 | $384.00 | — | 28% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC Level 5 Outpatient Est Pt Visit | $582.00 | $582.00 | — | 95% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HB Bh Medication Management Lvl 5 (40-54 Mins) | $582.00 | $582.00 | — | 95% above | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Est. Pt. Labor Check 241-480 Minutes | $384.00 | $384.00 | — | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC Level 5 Outpatient Est Pt Visit | $582.00 | $582.00 | — | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HB Bh Medication Management Lvl 5 (40-54 Mins) | $582.00 | $582.00 | — | — | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HB Bh Medication Management Lvl 3 (20-29 Mins) | $403.00 | $403.00 | — | 115% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC Level 3 Outpatient Est Pt Visit | $403.00 | $403.00 | — | 115% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Est. Pt. Labor Check 61-120 Minutes | $494.00 | $494.00 | — | 163% above | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HB Bh Medication Management Lvl 3 (20-29 Mins) | $403.00 | $403.00 | — | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC Level 3 Outpatient Est Pt Visit | $403.00 | $403.00 | — | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Est. Pt. Labor Check 61-120 Minutes | $494.00 | $494.00 | — | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Est. Pt. Labor Check 121-240 Minutes | $171.00 | $171.00 | — | 23% below | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC Med Surveillance Per | $208.00 | $208.00 | — | 7% below | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC Level 4 Outpatient Est Pt Visit | $444.00 | $444.00 | — | 99% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HB Bh Medication Management Lvl 4 (30-39 Mins) | $444.00 | $444.00 | — | 99% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Est. Pt. Labor Check 121-240 Minutes | $171.00 | $171.00 | — | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC Med Surveillance Per | $208.00 | $208.00 | — | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HB Bh Medication Management Lvl 4 (30-39 Mins) | $444.00 | $444.00 | — | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC Level 4 Outpatient Est Pt Visit | $444.00 | $444.00 | — | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Est. Pt. Labor Check 31-60 Minutes | $98.00 | $98.00 | — | 24% below | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC Level 2 Outpatient Est Pt Visit | $346.00 | $346.00 | — | 168% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HB Bh Medication Management Lvl 2 (10-19 Mins) | $346.00 | $346.00 | — | 168% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Est. Pt. Labor Check 31-60 Minutes | $98.00 | $98.00 | — | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HB Bh Medication Management Lvl 2 (10-19 Mins) | $346.00 | $346.00 | — | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC Level 2 Outpatient Est Pt Visit | $346.00 | $346.00 | — | — | — |
| Speech and language evaluation CPT 92523 HC Eval Speech Sound Product Language Comprehension | $305.00 | $305.00 | — | 48% below | — |
| Speech and language evaluation CPT 92523 HC Eval Speech Sound Prod W/Lang Comp | $849.00 | $849.00 | — | 45% above | — |
| Speech and language evaluation inpatient CPT 92523 HC Eval Speech Sound Product Language Comprehension | $305.00 | $305.00 | — | — | — |
| Speech and language evaluation inpatient CPT 92523 HC Eval Speech Sound Prod W/Lang Comp | $849.00 | $849.00 | — | — | — |
| Speech therapy session, individual CPT 92507 HC St Splng Treatment | $519.00 | $519.00 | — | 73% above | — |
| Speech therapy session, individual inpatient CPT 92507 HC St Splng Treatment | $519.00 | $519.00 | — | — | — |
| Spirometry (breathing test) CPT 94010 HC Spirometry | $406.00 | $406.00 | — | at median | — |
| Spirometry (breathing test) inpatient CPT 94010 HC Spirometry | $406.00 | $406.00 | — | — | — |
| Spirometry before and after a bronchodilator CPT 94060 HC Spirometry Before/After | $525.00 | $525.00 | — | 26% below | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 HC Spirometry Before/After | $525.00 | $525.00 | — | — | — |
| TMS (transcranial magnetic stimulation), first session with mapping CPT 90867 HC Repet Tms Tx Initial W/Map/Motr Threshld/Del&M | $1,232.00 | $1,232.00 | — | 32% above | — |
| TMS (transcranial magnetic stimulation), first session with mapping inpatient CPT 90867 HC Repet Tms Tx Initial W/Map/Motr Threshld/Del&M | $1,232.00 | $1,232.00 | — | — | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC Func Activity 15 Min Pt | $200.00 | $200.00 | — | 40% above | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC Functional Activities, Each 15 Min Ot | $200.00 | $200.00 | — | 40% above | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC Functional Activities, Each 15 Min Ot | $200.00 | $200.00 | — | — | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC Func Activity 15 Min Pt | $200.00 | $200.00 | — | — | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC Therapeutic Phlebotomy | $412.00 | $412.00 | — | 46% above | — |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC Therapeutic Phlebotomy | $412.00 | $412.00 | — | — | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Massachusetts | Off list |
|---|---|---|---|---|---|
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 FLU VACC 2025-26(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE | $206.01 | $206.01 | — | 46% above | — |
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 FLU VACC 2025-26(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE | $206.01 | $206.01 | — | — | — |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 COVID VACC 2025-2026 (12 YRS UP) (PFIZER)(PF) 30 MCG/0.3 ML IM SYRINGE | $409.33 | $409.33 | — | at median | — |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 COVID VACC 2025-2026 (12 YRS UP) (PFIZER)(PF) 30 MCG/0.3 ML IM SYRINGE | $409.33 | $409.33 | — | — | — |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 HC Var Vaccine Live for Subcutaneous Use | $210.00 | $210.00 | — | 46% below | — |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP | $461.19 | $461.19 | — | 19% above | — |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 HC Var Vaccine Live for Subcutaneous Use | $210.00 | $210.00 | — | — | — |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP | $461.19 | $461.19 | — | — | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPH,PERTUS(ACEL),TET PEDI (PF) 15 LF UNIT-10 MCG-5 LF/0.5 ML IM SUSP | $70.54 | $70.54 | — | 10% above | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 HC Dtap Immunization, Im, <7 Yo | $74.00 | $74.00 | — | 15% above | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPH,PERTUS(ACEL),TET PEDI (PF) 15 LF UNIT-10 MCG-5 LF/0.5 ML IM SUSP | $70.54 | $70.54 | — | — | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 HC Dtap Immunization, Im, <7 Yo | $74.00 | $74.00 | — | — | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACC TS2025-26 (36 MOS UP)(PF)45 MCG (15 MCG X3)/0.5 ML IM SYRINGE | $52.24 | $52.24 | — | at median | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VACC TS2025-26 (36 MOS UP)(PF)45 MCG (15 MCG X3)/0.5 ML IM SYRINGE | $52.24 | $52.24 | — | — | — |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HC Hepa/Hepb Vaccine Adult Im | $117.00 | $117.00 | — | 52% below | — |
| Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HC Hepa/Hepb Vaccine Adult Im | $117.00 | $117.00 | — | — | — |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE (PF) 1,440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE | $214.05 | $214.05 | — | 25% above | — |
| Hepatitis A vaccine, adult dose CPT 90632 HC Hepa Vaccine Adult Dose for Intramuscular Use | $215.00 | $215.00 | — | 26% above | — |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VACCINE (PF) 1,440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE | $214.05 | $214.05 | — | — | — |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HC Hepa Vaccine Adult Dose for Intramuscular Use | $215.00 | $215.00 | — | — | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HC Hepb Vaccine Adult 3 Dose Schedule for Im Use | $156.00 | $156.00 | — | 17% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE | $179.18 | $179.18 | — | 34% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SUSP | $179.18 | $179.18 | — | 34% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HC Hepb Vaccine Adult 3 Dose Schedule for Im Use | $156.00 | $156.00 | — | — | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE | $179.18 | $179.18 | — | — | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SUSP | $179.18 | $179.18 | — | — | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HC Hepb Vaccine Ped/Adolesc 3 Dose Schedule Im | $50.00 | $50.00 | — | 15% below | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM SYRINGE | $70.75 | $70.75 | — | 20% above | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HC Hepb Vaccine Ped/Adolesc 3 Dose Schedule Im | $50.00 | $50.00 | — | — | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM SYRINGE | $70.75 | $70.75 | — | — | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 HC Iiv Vaccine Preserv Free Increased Ag Count Im | $219.00 | $219.00 | — | at median | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 HC Iiv Vaccine Preserv Free Increased Ag Count Im | $219.00 | $219.00 | — | — | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 HC Mmr Virus Immunization, Subcut | $127.00 | $127.00 | — | 31% below | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT | $230.73 | $230.73 | — | 25% above | — |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 HC Mmr Virus Immunization, Subcut | $127.00 | $127.00 | — | — | — |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT | $230.73 | $230.73 | — | — | — |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 HC Combined Vaccine,Mmr+Varicella,Sub-Q | $231.00 | $231.00 | — | 25% below | — |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 HC Combined Vaccine,Mmr+Varicella,Sub-Q | $231.00 | $231.00 | — | — | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 HC Pcv20 Vaccine for Intramuscular Use | $455.00 | $455.00 | — | 19% below | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $719.38 | $719.38 | — | 27% above | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 HC Pcv20 Vaccine for Intramuscular Use | $455.00 | $455.00 | — | — | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $719.38 | $719.38 | — | — | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SYRINGE | $282.17 | $282.17 | — | 2% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 HC Ppsv23 Vaccine 2 Yrs or Older for Subq/Im Use | $304.00 | $304.00 | — | 10% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SYRINGE | $282.17 | $282.17 | — | — | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 HC Ppsv23 Vaccine 2 Yrs or Older for Subq/Im Use | $304.00 | $304.00 | — | — | — |
| Rabies vaccine, one dose CPT 90675 HC Rabies Vaccine, Im | $623.00 | $623.00 | — | 31% below | — |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP | $1,047.41 | $1,047.41 | — | 16% above | — |
| Rabies vaccine, one dose inpatient CPT 90675 HC Rabies Vaccine, Im | $623.00 | $623.00 | — | — | — |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP | $1,047.41 | $1,047.41 | — | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 HC Td Vaccine Prsrv Free 7 Yrs or Older for Im Use | $104.00 | $104.00 | — | 21% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SUSP | $107.04 | $107.04 | — | 24% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 HC Td Vaccine Prsrv Free 7 Yrs or Older for Im Use | $104.00 | $104.00 | — | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SUSP | $107.04 | $107.04 | — | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HC Tdap Vaccine >7 Yo, Im | $97.00 | $97.00 | — | at median | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE | $115.42 | $115.42 | — | 19% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUS(AC)TETANUS(PF)2 LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SYRINGE | $117.68 | $117.68 | — | 21% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUS(ACEL)TETANUS(PF)2LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SUSP | $117.68 | $117.68 | — | 21% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 HC Tdap Vaccine >7 Yo, Im | $97.00 | $97.00 | — | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE | $115.42 | $115.42 | — | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH,PERTUS(AC)TETANUS(PF)2 LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SYRINGE | $117.68 | $117.68 | — | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH,PERTUS(ACEL)TETANUS(PF)2LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SUSP | $117.68 | $117.68 | — | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Admin Immunization | $108.00 | $108.00 | — | 2% below | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC Admin Immunization | $108.00 | $108.00 | — | — | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC Immunization Each Add | $57.00 | $57.00 | — | 15% above | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC Immunization Each Add | $57.00 | $57.00 | — | — | — |
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.
Source file: https://d1477x5i4cdpk9.cloudfront.net/042103577_umass-memorial-health-harrington-hospital-inc._standardcharges.csv