East Alabama Medical Center
East Alabama Medical Center in Opelika, AL publishes cash prices for 440 common procedures listed here, from its own machine-readable price file updated Jan 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Alabama median for 346 of 438 procedures and above it for 84. By typical cash price it ranks #11 of 53 Alabama hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.
2000 PEPPERELL PKWY OPELIKA, AL 36801 Collected Sep 22, 2026 Source price file Check a bill from this hospital (334) 528-1300
Acute care hospital Government-owned hospital Emergency department CMS star rating 3 of 5 CCN 010029 · CMS hospital register NPI 1154386431
Financial assistance
Public hospital: ask for its charity care or sliding-scale discount
East Alabama Medical Center is government-owned (CMS register). The federal financial assistance rules for nonprofit hospitals do not always apply to public ones, but many public hospitals run charity care or sliding-scale discounts for uninsured and low-income patients. Ask the billing office for its financial assistance or charity care policy and application before you pay. Letters you can copy.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Alabama | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 RAD CT ABDOMEN W/ + W/O CONTRAST | $335.50 | $610.00 | $91.50–$549.00 | 76% below | 45% |
| Abdominal CT scan without and with contrast CPT 74170 RAD CT ABDOMEN WO+W CONTRAST | $335.50 | $610.00 | $91.50–$549.00 | 76% below | 45% |
| Abdominal CT scan without and with contrast CPT 74170 CT Exam 2 | $345.40 | $628.00 | $94.20–$565.20 | 75% below | 45% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 RAD CT ABDOMEN WO+W CONTRAST | $335.50 | $610.00 | $91.50–$610.00 | — | 45% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 RAD CT ABDOMEN W/ + W/O CONTRAST | $335.50 | $610.00 | $91.50–$610.00 | — | 45% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 CT Exam 2 | $345.40 | $628.00 | $94.20–$628.00 | — | 45% |
| Abdominal X-ray, 2 views CPT 74019 XR Portable Abdomen AP and Lat Views 74019 AMB | $122.65 | $223.00 | $33.45–$200.70 | 39% below | 45% |
| Abdominal X-ray, 2 views CPT 74019 XR Exam | $126.50 | $230.00 | $34.50–$207.00 | 37% below | 45% |
| Abdominal X-ray, 2 views inpatient CPT 74019 XR Portable Abdomen AP and Lat Views 74019 AMB | $122.65 | $223.00 | $33.45–$223.00 | — | 45% |
| Abdominal X-ray, 2 views inpatient CPT 74019 XR Exam | $126.50 | $230.00 | $34.50–$230.00 | — | 45% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle 3 or more Views RT 73610 AMB | $86.35 | $157.00 | $23.55–$141.30 | 59% below | 45% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle 3 or more Views LT 73610 AMB | $86.35 | $157.00 | $23.55–$141.30 | 59% below | 45% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Exam | $89.10 | $162.00 | $24.30–$145.80 | 58% below | 45% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Exam | $89.10 | $162.00 | $24.30–$145.80 | 58% below | 45% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle 3 or more Views LT 73610 AMB | $86.35 | $157.00 | $23.55–$157.00 | — | 45% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle 3 or more Views RT 73610 AMB | $86.35 | $157.00 | $23.55–$157.00 | — | 45% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Exam | $89.10 | $162.00 | $24.30–$162.00 | — | 45% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Exam | $89.10 | $162.00 | $24.30–$162.00 | — | 45% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 THC ABI SINGLE STUDY BILATERAL | $125.95 | $229.00 | $34.35–$206.10 | — | 45% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries one side CPT 93922 93922 ABI Unilateral | $129.80 | $236.00 | $35.40–$212.40 | 44% below | 45% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 THC ABI SINGLE STUDY BILATERAL | $125.95 | $229.00 | $34.35–$229.00 | — | 45% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient one side CPT 93922 93922 ABI Unilateral | $129.80 | $236.00 | $35.40–$236.00 | — | 45% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Exam 2 | $128.15 | $233.00 | $34.95–$209.70 | 87% below | 45% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Exam 2 | $128.15 | $233.00 | $34.95–$209.70 | 87% below | 45% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Exam 2 | $128.15 | $233.00 | $34.95–$233.00 | — | 45% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Exam 2 | $128.15 | $233.00 | $34.95–$233.00 | — | 45% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 XR Exam 9 | $227.15 | $413.00 | $61.95–$371.70 | 18% below | 45% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR Exam 9 | $227.15 | $413.00 | $61.95–$413.00 | — | 45% |
| Bone scan, whole body (nuclear medicine) CPT 78306 Injection | $419.65 | $763.00 | $114.45–$686.70 | 62% below | 45% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Injection | $419.65 | $763.00 | $114.45–$763.00 | — | 45% |
| Breast ultrasound, complete, one breast one side CPT 76641 US Exam 2 | $139.70 | $254.00 | $38.10–$228.60 | 46% below | 45% |
| Breast ultrasound, complete, one breast one side CPT 76641 US Exam 2 | $139.70 | $254.00 | $38.10–$228.60 | 46% below | 45% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Exam 2 | $139.70 | $254.00 | $38.10–$254.00 | — | 45% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Exam 2 | $139.70 | $254.00 | $38.10–$254.00 | — | 45% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Exam 2 | $139.70 | $254.00 | $38.10–$228.60 | 45% below | 45% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Exam 2 | $144.10 | $262.00 | $39.30–$235.80 | 43% below | 45% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Exam 2 | $139.70 | $254.00 | $38.10–$254.00 | — | 45% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Exam 2 | $144.10 | $262.00 | $39.30–$262.00 | — | 45% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 RAD CT ANGIO ABD/PELVIS W/CONTRAST COMBO | $421.30 | $766.00 | $114.90–$689.40 | 83% below | 45% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT Exam 2 | $433.95 | $789.00 | $118.35–$710.10 | 83% below | 45% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 RAD CT TAVR CTA Abdomen/Pelvis | $433.95 | $789.00 | $118.35–$710.10 | 83% below | 45% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 RAD CT ANGIO ABD/PELVIS W/CONTRAST COMBO | $421.30 | $766.00 | $114.90–$766.00 | — | 45% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CT Exam 2 | $433.95 | $789.00 | $118.35–$789.00 | — | 45% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 RAD CT TAVR CTA Abdomen/Pelvis | $433.95 | $789.00 | $118.35–$789.00 | — | 45% |
| CT angiography (CTA) of the head CPT 70496 RAD CT ANGIO HEAD W/CONTRAST | $410.85 | $747.00 | $112.05–$672.30 | 73% below | 45% |
| CT angiography (CTA) of the head CPT 70496 CT Exam 2 | $422.95 | $769.00 | $115.35–$692.10 | 73% below | 45% |
| CT angiography (CTA) of the head CPT 70496 RAD CTA HEAD W/CONTRAST | $422.95 | $769.00 | $115.35–$692.10 | 73% below | 45% |
| CT angiography (CTA) of the head inpatient CPT 70496 RAD CT ANGIO HEAD W/CONTRAST | $410.85 | $747.00 | $112.05–$747.00 | — | 45% |
| CT angiography (CTA) of the head inpatient CPT 70496 CT Exam 2 | $422.95 | $769.00 | $115.35–$769.00 | — | 45% |
| CT angiography (CTA) of the head inpatient CPT 70496 RAD CTA HEAD W/CONTRAST | $422.95 | $769.00 | $115.35–$769.00 | — | 45% |
| CT angiography (CTA) of the neck CPT 70498 RAD CTA NECK W/CONTRAST | $422.95 | $769.00 | $115.35–$692.10 | 70% below | 45% |
| CT angiography (CTA) of the neck CPT 70498 CT Exam 2 | $422.95 | $769.00 | $115.35–$692.10 | 70% below | 45% |
| CT angiography (CTA) of the neck inpatient CPT 70498 CT Exam 2 | $422.95 | $769.00 | $115.35–$769.00 | — | 45% |
| CT angiography (CTA) of the neck inpatient CPT 70498 RAD CTA NECK W/CONTRAST | $422.95 | $769.00 | $115.35–$769.00 | — | 45% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 RAD CT TAVR CTA Chest | $410.85 | $747.00 | $112.05–$672.30 | 70% below | 45% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Exam 2 | $422.95 | $769.00 | $115.35–$692.10 | 69% below | 45% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 RAD CT TAVR CTA Chest | $410.85 | $747.00 | $112.05–$747.00 | — | 45% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT Exam 2 | $422.95 | $769.00 | $115.35–$769.00 | — | 45% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT Exam 1 | $410.85 | $747.00 | $112.05–$672.30 | 72% below | 45% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT Exam 2 | $422.95 | $769.00 | $115.35–$692.10 | 71% below | 45% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 RAD CT TAVR CTA Heart | $422.95 | $769.00 | $115.35–$692.10 | 71% below | 45% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 75574 CT Angio Heart w/Contrast | $422.95 | $769.00 | $115.35–$692.10 | 71% below | 45% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT Exam 1 | $410.85 | $747.00 | $112.05–$747.00 | — | 45% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT Exam 2 | $422.95 | $769.00 | $115.35–$769.00 | — | 45% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 RAD CT TAVR CTA Heart | $422.95 | $769.00 | $115.35–$769.00 | — | 45% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 75574 CT Angio Heart w/Contrast | $422.95 | $769.00 | $115.35–$769.00 | — | 45% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT Exam | $55.00 | $100.00 | $15.00–$90.00 | 71% below | 45% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT Exam 1 | $124.30 | $226.00 | $33.90–$203.40 | 34% below | 45% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 75571 CT HEART NO CONTRAST QUANT EVAL CORONRY CALCIUM | $124.30 | $226.00 | $33.90–$203.40 | 34% below | 45% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT Heart/Calcium Scoring | $124.30 | $226.00 | $33.90–$203.40 | 34% below | 45% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT Coronary Screening. | $128.15 | $233.00 | $34.95–$209.70 | 32% below | 45% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT Exam | $55.00 | $100.00 | $15.00–$100.00 | — | 45% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT Heart/Calcium Scoring | $124.30 | $226.00 | $33.90–$226.00 | — | 45% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT Exam 1 | $124.30 | $226.00 | $33.90–$226.00 | — | 45% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 75571 CT HEART NO CONTRAST QUANT EVAL CORONRY CALCIUM | $124.30 | $226.00 | $33.90–$226.00 | — | 45% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT Coronary Screening. | $128.15 | $233.00 | $34.95–$233.00 | — | 45% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 RAD CT ABDOMEN/PELVIS W/O CONTRAST COMBO | $335.50 | $610.00 | $91.50–$549.00 | 83% below | 45% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Exam 2 | $345.40 | $628.00 | $94.20–$565.20 | 83% below | 45% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 RAD CT ABDOMEN/PELVIS W/O CONTRAST COMBO | $335.50 | $610.00 | $91.50–$610.00 | — | 45% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Exam 2 | $345.40 | $628.00 | $94.20–$628.00 | — | 45% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Exam 2 | $433.95 | $789.00 | $118.35–$710.10 | 81% below | 45% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Exam 2 | $433.95 | $789.00 | $118.35–$789.00 | — | 45% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 RAD CT ABDOMEN/PELVIS W/O + WITH | $421.30 | $766.00 | $114.90–$689.40 | 84% below | 45% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Exam 2 | $433.95 | $789.00 | $118.35–$710.10 | 83% below | 45% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 RAD CT ABDOMEN/PELVIS W/O + WITH | $421.30 | $766.00 | $114.90–$766.00 | — | 45% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Exam 2 | $433.95 | $789.00 | $118.35–$789.00 | — | 45% |
| CT scan of the abdomen with contrast CPT 74160 CT Exam 2 | $345.40 | $628.00 | $94.20–$565.20 | 75% below | 45% |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT Exam 2 | $345.40 | $628.00 | $94.20–$628.00 | — | 45% |
| CT scan of the abdomen without contrast CPT 74150 CT Abdomen w/o contrast | $269.50 | $490.00 | $73.50–$441.00 | 76% below | 45% |
| CT scan of the abdomen without contrast CPT 74150 CT Exam 2 | $269.50 | $490.00 | $73.50–$441.00 | 76% below | 45% |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT Abdomen w/o contrast | $269.50 | $490.00 | $73.50–$490.00 | — | 45% |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT Exam 2 | $269.50 | $490.00 | $73.50–$490.00 | — | 45% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT Exam 1 | $128.15 | $233.00 | $34.95–$209.70 | 89% below | 45% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Exam 1 | $128.15 | $233.00 | $34.95–$233.00 | — | 45% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Exam 2 | $345.40 | $628.00 | $94.20–$565.20 | 68% below | 45% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Exam 2 | $345.40 | $628.00 | $94.20–$628.00 | — | 45% |
| CT scan of the head with contrast CPT 70460 CT Exam 2 | $345.40 | $628.00 | $94.20–$565.20 | 70% below | 45% |
| CT scan of the head with contrast inpatient CPT 70460 CT Exam 2 | $345.40 | $628.00 | $94.20–$628.00 | — | 45% |
| CT scan of the head without and with contrast CPT 70470 RAD CT BRAIN W/ + W/O CONTRAST | $335.50 | $610.00 | $91.50–$549.00 | 80% below | 45% |
| CT scan of the head without and with contrast CPT 70470 CT Exam 2 | $345.40 | $628.00 | $94.20–$565.20 | 79% below | 45% |
| CT scan of the head without and with contrast inpatient CPT 70470 RAD CT BRAIN W/ + W/O CONTRAST | $335.50 | $610.00 | $91.50–$610.00 | — | 45% |
| CT scan of the head without and with contrast inpatient CPT 70470 CT Exam 2 | $345.40 | $628.00 | $94.20–$628.00 | — | 45% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis w/o contrast | $345.40 | $628.00 | $94.20–$565.20 | 74% below | 45% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Exam 2 | $345.40 | $628.00 | $94.20–$565.20 | 74% below | 45% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Exam 2 | $345.40 | $628.00 | $94.20–$628.00 | — | 45% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis w/o contrast | $345.40 | $628.00 | $94.20–$628.00 | — | 45% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 RAD US Carotid Duplex Bilateral | $251.90 | $458.00 | $68.70–$412.20 | — | 45% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 THC US CAROTID DUPLEX SCAN BILATERAL | $251.90 | $458.00 | $68.70–$412.20 | — | 45% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 93880 US Carotid (Pinnacle) | $251.90 | $458.00 | $68.70–$412.20 | 41% below | 45% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US Exam ADI/4 | $259.60 | $472.00 | $70.80–$424.80 | 40% below | 45% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 THC US CAROTID DUPLEX SCAN BILATERAL | $251.90 | $458.00 | $68.70–$458.00 | — | 45% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 RAD US Carotid Duplex Bilateral | $251.90 | $458.00 | $68.70–$458.00 | — | 45% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 93880 US Carotid (Pinnacle) | $251.90 | $458.00 | $68.70–$458.00 | — | 45% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 US Exam ADI/4 | $259.60 | $472.00 | $70.80–$472.00 | — | 45% |
| Chest CT scan without and with contrast CPT 71270 RAD CT CHEST W/ + W/O CONTRAST | $335.50 | $610.00 | $91.50–$549.00 | 79% below | 45% |
| Chest CT scan without and with contrast CPT 71270 CT Exam 2 | $345.40 | $628.00 | $94.20–$565.20 | 78% below | 45% |
| Chest CT scan without and with contrast inpatient CPT 71270 RAD CT CHEST W/ + W/O CONTRAST | $335.50 | $610.00 | $91.50–$610.00 | — | 45% |
| Chest CT scan without and with contrast inpatient CPT 71270 CT Exam 2 | $345.40 | $628.00 | $94.20–$628.00 | — | 45% |
| Chest X-ray, 2 views CPT 71046 XR Chest 2 Views 71046 AMB | $86.35 | $157.00 | $23.55–$141.30 | 55% below | 45% |
| Chest X-ray, 2 views CPT 71046 RAD XR CHEST 2 VIEWS | $89.10 | $162.00 | $24.30–$145.80 | 53% below | 45% |
| Chest X-ray, 2 views CPT 71046 XR Exam | $89.10 | $162.00 | $24.30–$145.80 | 53% below | 45% |
| Chest X-ray, 2 views inpatient CPT 71046 XR Chest 2 Views 71046 AMB | $86.35 | $157.00 | $23.55–$157.00 | — | 45% |
| Chest X-ray, 2 views inpatient CPT 71046 RAD XR CHEST 2 VIEWS | $89.10 | $162.00 | $24.30–$162.00 | — | 45% |
| Chest X-ray, 2 views inpatient CPT 71046 XR Exam | $89.10 | $162.00 | $24.30–$162.00 | — | 45% |
| Chest X-ray, single view CPT 71045 XR Chest 1 View 71045 AMB | $86.35 | $157.00 | $23.55–$141.30 | 40% below | 45% |
| Chest X-ray, single view CPT 71045 RAD XR CHEST | $86.35 | $157.00 | $23.55–$141.30 | 40% below | 45% |
| Chest X-ray, single view CPT 71045 XR Exam | $89.10 | $162.00 | $24.30–$145.80 | 38% below | 45% |
| Chest X-ray, single view CPT 71045 XR Exam 14 | $89.10 | $162.00 | $24.30–$145.80 | 38% below | 45% |
| Chest X-ray, single view CPT 71045 XR Exam 17 | $89.10 | $162.00 | $24.30–$145.80 | 38% below | 45% |
| Chest X-ray, single view one side CPT 71045 XR Exam 3 | $89.10 | $162.00 | $24.30–$145.80 | 38% below | 45% |
| Chest X-ray, single view one side CPT 71045 XR Exam | $89.10 | $162.00 | $24.30–$145.80 | 38% below | 45% |
| Chest X-ray, single view inpatient CPT 71045 XR Chest 1 View 71045 AMB | $86.35 | $157.00 | $23.55–$157.00 | — | 45% |
| Chest X-ray, single view inpatient CPT 71045 RAD XR CHEST | $86.35 | $157.00 | $23.55–$157.00 | — | 45% |
| Chest X-ray, single view inpatient CPT 71045 XR Exam | $89.10 | $162.00 | $24.30–$162.00 | — | 45% |
| Chest X-ray, single view inpatient CPT 71045 XR Exam 17 | $89.10 | $162.00 | $24.30–$162.00 | — | 45% |
| Chest X-ray, single view inpatient CPT 71045 XR Exam 14 | $89.10 | $162.00 | $24.30–$162.00 | — | 45% |
| Chest X-ray, single view inpatient one side CPT 71045 XR Exam | $89.10 | $162.00 | $24.30–$162.00 | — | 45% |
| Chest X-ray, single view inpatient one side CPT 71045 XR Exam 3 | $89.10 | $162.00 | $24.30–$162.00 | — | 45% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XR Clavicle Complete RT 73000 AMB | $86.35 | $157.00 | $23.55–$141.30 | 46% below | 45% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XR Clavicle Complete LT 73000 AMB | $86.35 | $157.00 | $23.55–$141.30 | 46% below | 45% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XR Exam | $89.10 | $162.00 | $24.30–$145.80 | 44% below | 45% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XR Exam | $89.10 | $162.00 | $24.30–$145.80 | 44% below | 45% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR Clavicle Complete LT 73000 AMB | $86.35 | $157.00 | $23.55–$157.00 | — | 45% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR Clavicle Complete RT 73000 AMB | $86.35 | $157.00 | $23.55–$157.00 | — | 45% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR Exam | $89.10 | $162.00 | $24.30–$162.00 | — | 45% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR Exam | $89.10 | $162.00 | $24.30–$162.00 | — | 45% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 RAD US Retroperitoneal Complete (Renal) | $180.95 | $329.00 | $49.35–$296.10 | 54% below | 45% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 THC US RENAL COMPLETE | $180.95 | $329.00 | $49.35–$296.10 | 54% below | 45% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Exam ADI/2 | $186.45 | $339.00 | $50.85–$305.10 | 53% below | 45% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 RAD US Retroperitoneal Complete (Renal) | $180.95 | $329.00 | $49.35–$329.00 | — | 45% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 THC US RENAL COMPLETE | $180.95 | $329.00 | $49.35–$329.00 | — | 45% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US Exam ADI/2 | $186.45 | $339.00 | $50.85–$339.00 | — | 45% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 Dexa Exam | $126.50 | $230.00 | $34.50–$207.00 | 55% below | 45% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Dexa Exam | $126.50 | $230.00 | $34.50–$230.00 | — | 45% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Radiologist Report | $86.35 | $157.00 | $23.55–$141.30 | 10% below | 45% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Dexa Exam | $86.35 | $157.00 | $23.55–$141.30 | 10% below | 45% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 Radiologist Report | $86.35 | $157.00 | $23.55–$157.00 | — | 45% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 Dexa Exam | $86.35 | $157.00 | $23.55–$157.00 | — | 45% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US Obstetrical Detailed Fetal Anatomy (Single) 76811 AMB | $251.90 | $458.00 | $68.70–$412.20 | 27% below | 45% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US Exam ADI/2 | $251.90 | $458.00 | $68.70–$412.20 | 27% below | 45% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US Exam ADI/2 | $251.90 | $458.00 | $68.70–$458.00 | — | 45% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US Obstetrical Detailed Fetal Anatomy (Single) 76811 AMB | $251.90 | $458.00 | $68.70–$458.00 | — | 45% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 RAD CT CHEST W/O CONTRAST | $124.30 | $226.00 | $33.90–$203.40 | 89% below | 45% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Exam 2 | $124.30 | $226.00 | $33.90–$203.40 | 89% below | 45% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 RT CT CHEST W/O CONTRAST | $128.15 | $233.00 | $34.95–$209.70 | 89% below | 45% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest w/o Contrast | $128.15 | $233.00 | $34.95–$209.70 | 89% below | 45% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 RAD CT CHEST W/O CONTRAST | $124.30 | $226.00 | $33.90–$226.00 | — | 45% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Exam 2 | $124.30 | $226.00 | $33.90–$226.00 | — | 45% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Chest w/o Contrast | $128.15 | $233.00 | $34.95–$233.00 | — | 45% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 RT CT CHEST W/O CONTRAST | $128.15 | $233.00 | $34.95–$233.00 | — | 45% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Exam 2 | $345.40 | $628.00 | $94.20–$565.20 | 75% below | 45% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Exam 2 | $345.40 | $628.00 | $94.20–$628.00 | — | 45% |
| Diagnostic mammogram, both breasts CPT 77066 MM Exam 1 | $112.75 | $205.00 | $30.75–$184.50 | 52% below | 45% |
| Diagnostic mammogram, both breasts inpatient CPT 77066 MM Exam 1 | $112.75 | $205.00 | $30.75–$205.00 | — | 45% |
| Diagnostic mammogram, one breast one side CPT 77065 MM Mammogram Clip Study LT | $83.05 | $151.00 | $22.65–$135.90 | 60% below | 45% |
| Diagnostic mammogram, one breast one side CPT 77065 MM Exam 1 | $83.05 | $151.00 | $22.65–$135.90 | 60% below | 45% |
| Diagnostic mammogram, one breast one side CPT 77065 MM Mammogram Clip Study RT | $83.05 | $151.00 | $22.65–$135.90 | 60% below | 45% |
| Diagnostic mammogram, one breast one side CPT 77065 MM Exam 1 | $85.80 | $156.00 | $23.40–$140.40 | 59% below | 45% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MM Mammogram Clip Study LT | $83.05 | $151.00 | $22.65–$151.00 | — | 45% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MM Mammogram Clip Study RT | $83.05 | $151.00 | $22.65–$151.00 | — | 45% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MM Exam 1 | $83.05 | $151.00 | $22.65–$151.00 | — | 45% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MM Exam 1 | $85.80 | $156.00 | $23.40–$156.00 | — | 45% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 RAD US Ext Lower Artery Duplex Bil | $251.90 | $458.00 | $68.70–$412.20 | 14% below | 45% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 US Exam ADI/2 | $259.60 | $472.00 | $70.80–$424.80 | 11% below | 45% |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 RAD US Ext Lower Artery Duplex Bil | $251.90 | $458.00 | $68.70–$458.00 | — | 45% |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 US Exam ADI/2 | $259.60 | $472.00 | $70.80–$472.00 | — | 45% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 93970 US Ext Upper Venous Bilateral (Pinnacle) | $251.90 | $458.00 | $68.70–$412.20 | — | 45% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 93970 US Ext Lower Venous Bilateral (Pinnacle) | $251.90 | $458.00 | $68.70–$412.20 | — | 45% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 RAD US Ext Lower Venous Duplex Bilateral | $251.90 | $458.00 | $68.70–$412.20 | — | 45% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 THC US BC EXT VENOUS DUPLEX BILATERAL | $251.90 | $458.00 | $68.70–$412.20 | — | 45% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 US Exam ADI/3 | $259.60 | $472.00 | $70.80–$424.80 | 58% below | 45% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 93970 US Ext Upper Venous Bilateral (Pinnacle) | $251.90 | $458.00 | $68.70–$458.00 | — | 45% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 93970 US Ext Lower Venous Bilateral (Pinnacle) | $251.90 | $458.00 | $68.70–$458.00 | — | 45% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 RAD US Ext Lower Venous Duplex Bilateral | $251.90 | $458.00 | $68.70–$458.00 | — | 45% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 THC US BC EXT VENOUS DUPLEX BILATERAL | $251.90 | $458.00 | $68.70–$458.00 | — | 45% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US Exam ADI/3 | $259.60 | $472.00 | $70.80–$472.00 | — | 45% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 93306 Echo 2D/M-Mode Spect & Color Doppler (Pinnacle) | $543.40 | $988.00 | $148.20–$889.20 | 49% below | 45% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 CV Echo Stress + Dobutamine | $543.40 | $988.00 | $148.20–$889.20 | 49% below | 45% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 CRD CV ECHO 2D/M-MODE/SPEC&COLOR DOPP | $543.40 | $988.00 | $148.20–$889.20 | 49% below | 45% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 CV Echo Exam | $559.90 | $1,018.00 | $152.70–$916.20 | 47% below | 45% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 CV Echo Stress + Dobutamine | $543.40 | $988.00 | $148.20–$988.00 | — | 45% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 CRD CV ECHO 2D/M-MODE/SPEC&COLOR DOPP | $543.40 | $988.00 | $148.20–$988.00 | — | 45% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 93306 Echo 2D/M-Mode Spect & Color Doppler (Pinnacle) | $543.40 | $988.00 | $148.20–$988.00 | — | 45% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 CV Echo Exam | $559.90 | $1,018.00 | $152.70–$1,018.00 | — | 45% |
| Elbow X-ray, 2 views one side CPT 73070 XR Elbow 2 Views LT 73070 AMB | $86.35 | $157.00 | $23.55–$141.30 | 41% below | 45% |
| Elbow X-ray, 2 views one side CPT 73070 XR Elbow 2 Views RT 73070 AMB | $86.35 | $157.00 | $23.55–$141.30 | 41% below | 45% |
| Elbow X-ray, 2 views one side CPT 73070 XR Exam | $89.10 | $162.00 | $24.30–$145.80 | 39% below | 45% |
| Elbow X-ray, 2 views one side CPT 73070 XR Exam | $89.10 | $162.00 | $24.30–$145.80 | 39% below | 45% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 XR Elbow 2 Views LT 73070 AMB | $86.35 | $157.00 | $23.55–$157.00 | — | 45% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 XR Elbow 2 Views RT 73070 AMB | $86.35 | $157.00 | $23.55–$157.00 | — | 45% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 XR Exam | $89.10 | $162.00 | $24.30–$162.00 | — | 45% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 XR Exam | $89.10 | $162.00 | $24.30–$162.00 | — | 45% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XR Elbow 3 or more Views LT 73080 AMB | $86.35 | $157.00 | $23.55–$141.30 | 47% below | 45% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XR Elbow 3 or more Views RT 73080 AMB | $86.35 | $157.00 | $23.55–$141.30 | 47% below | 45% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XR Exam | $89.10 | $162.00 | $24.30–$145.80 | 45% below | 45% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XR Exam | $89.10 | $162.00 | $24.30–$145.80 | 45% below | 45% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR Elbow 3 or more Views RT 73080 AMB | $86.35 | $157.00 | $23.55–$157.00 | — | 45% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR Elbow 3 or more Views LT 73080 AMB | $86.35 | $157.00 | $23.55–$157.00 | — | 45% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR Exam | $89.10 | $162.00 | $24.30–$162.00 | — | 45% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR Exam | $89.10 | $162.00 | $24.30–$162.00 | — | 45% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT Exam 2 | $124.30 | $226.00 | $33.90–$203.40 | 88% below | 45% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT Exam 2 | $124.30 | $226.00 | $33.90–$226.00 | — | 45% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 XR Facial Bones Complete Minimum 3 Views 70150 AMB | $122.65 | $223.00 | $33.45–$200.70 | 50% below | 45% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 XR Exam | $126.50 | $230.00 | $34.50–$207.00 | 48% below | 45% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 XR Facial Bones Complete Minimum 3 Views 70150 AMB | $122.65 | $223.00 | $33.45–$223.00 | — | 45% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 XR Exam | $126.50 | $230.00 | $34.50–$230.00 | — | 45% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR Forearm 2 Views LT 73090 AMB | $86.35 | $157.00 | $23.55–$141.30 | 46% below | 45% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR Forearm 2 Views RT 73090 AMB | $86.35 | $157.00 | $23.55–$141.30 | 46% below | 45% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR Exam | $89.10 | $162.00 | $24.30–$145.80 | 44% below | 45% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR Exam | $89.10 | $162.00 | $24.30–$145.80 | 44% below | 45% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR Forearm 2 Views RT 73090 AMB | $86.35 | $157.00 | $23.55–$157.00 | — | 45% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR Forearm 2 Views LT 73090 AMB | $86.35 | $157.00 | $23.55–$157.00 | — | 45% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR Exam | $89.10 | $162.00 | $24.30–$162.00 | — | 45% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR Exam | $89.10 | $162.00 | $24.30–$162.00 | — | 45% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HIDA | $407.55 | $741.00 | $111.15–$666.90 | 58% below | 45% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM Exam | $419.65 | $763.00 | $114.45–$686.70 | 57% below | 45% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM HIDA | $407.55 | $741.00 | $111.15–$741.00 | — | 45% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM Exam | $419.65 | $763.00 | $114.45–$763.00 | — | 45% |
| Hand X-ray, 2 views one side CPT 73120 XR Hand 2 Views LT 73120 AMB | $122.65 | $223.00 | $33.45–$200.70 | 16% below | 45% |
| Hand X-ray, 2 views one side CPT 73120 XR Hand 2 Views RT 73120 AMB | $122.65 | $223.00 | $33.45–$200.70 | 16% below | 45% |
| Hand X-ray, 2 views one side CPT 73120 XR Exam | $126.50 | $230.00 | $34.50–$207.00 | 14% below | 45% |
| Hand X-ray, 2 views one side CPT 73120 XR Exam | $126.50 | $230.00 | $34.50–$207.00 | 14% below | 45% |
| Hand X-ray, 2 views inpatient one side CPT 73120 XR Hand 2 Views RT 73120 AMB | $122.65 | $223.00 | $33.45–$223.00 | — | 45% |
| Hand X-ray, 2 views inpatient one side CPT 73120 XR Hand 2 Views LT 73120 AMB | $122.65 | $223.00 | $33.45–$223.00 | — | 45% |
| Hand X-ray, 2 views inpatient one side CPT 73120 XR Exam | $126.50 | $230.00 | $34.50–$230.00 | — | 45% |
| Hand X-ray, 2 views inpatient one side CPT 73120 XR Exam | $126.50 | $230.00 | $34.50–$230.00 | — | 45% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR Heel 2 or more Views RT 73650 AMB | $86.35 | $157.00 | $23.55–$141.30 | 41% below | 45% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR Heel 2 or more Views LT 73650 AMB | $86.35 | $157.00 | $23.55–$141.30 | 41% below | 45% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR Exam | $89.10 | $162.00 | $24.30–$145.80 | 39% below | 45% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR Exam | $89.10 | $162.00 | $24.30–$145.80 | 39% below | 45% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR Heel 2 or more Views RT 73650 AMB | $86.35 | $157.00 | $23.55–$157.00 | — | 45% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR Heel 2 or more Views LT 73650 AMB | $86.35 | $157.00 | $23.55–$157.00 | — | 45% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR Exam | $89.10 | $162.00 | $24.30–$162.00 | — | 45% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR Exam | $89.10 | $162.00 | $24.30–$162.00 | — | 45% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 NPSG With CPAP Titration | $2,560.25 | $4,655.00 | $698.25–$4,189.50 | 9% below | 45% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 NPSG with CPAP Titration - Sleep Lab Charges | $2,560.25 | $4,655.00 | $698.25–$4,189.50 | 9% below | 45% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 NPSG with CPAP Titration - Sleep Lab Charges | $2,560.25 | $4,655.00 | $698.25–$4,655.00 | — | 45% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 NPSG With CPAP Titration | $2,560.25 | $4,655.00 | $698.25–$4,655.00 | — | 45% |
| Knee X-ray, 3 views one side CPT 73562 XR Knee 3 Views RT 73562 AMB | $86.35 | $157.00 | $23.55–$141.30 | 51% below | 45% |
| Knee X-ray, 3 views one side CPT 73562 XR Knee 3 Views LT 73562 AMB | $86.35 | $157.00 | $23.55–$141.30 | 51% below | 45% |
| Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 Views RT 73562 AMB | $86.35 | $157.00 | $23.55–$157.00 | — | 45% |
| Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 Views LT 73562 AMB | $86.35 | $157.00 | $23.55–$157.00 | — | 45% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee 4 or more Views RT 73564 AMB | $122.65 | $223.00 | $33.45–$200.70 | 45% below | 45% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XR Exam | $122.65 | $223.00 | $33.45–$200.70 | 45% below | 45% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee 4 or more Views LT 73564 AMB | $122.65 | $223.00 | $33.45–$200.70 | 45% below | 45% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XR Exam | $126.50 | $230.00 | $34.50–$207.00 | 44% below | 45% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR Exam | $122.65 | $223.00 | $33.45–$223.00 | — | 45% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR Knee 4 or more Views RT 73564 AMB | $122.65 | $223.00 | $33.45–$223.00 | — | 45% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR Knee 4 or more Views LT 73564 AMB | $122.65 | $223.00 | $33.45–$223.00 | — | 45% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR Exam | $126.50 | $230.00 | $34.50–$230.00 | — | 45% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Exam 1 | $128.15 | $233.00 | $34.95–$209.70 | 86% below | 45% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Exam 1 | $128.15 | $233.00 | $34.95–$209.70 | 86% below | 45% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Exam 1 | $128.15 | $233.00 | $34.95–$233.00 | — | 45% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Exam 1 | $128.15 | $233.00 | $34.95–$233.00 | — | 45% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Exam ADI/2 | $117.70 | $214.00 | $32.10–$192.60 | 68% below | 45% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 RAD US Abdomen Limited (GB, Liver, etc.) | $139.70 | $254.00 | $38.10–$228.60 | 62% below | 45% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Exam ADI/2 | $117.70 | $214.00 | $32.10–$214.00 | — | 45% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 RAD US Abdomen Limited (GB, Liver, etc.) | $139.70 | $254.00 | $38.10–$254.00 | — | 45% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US Exam ADI/2 | $117.70 | $214.00 | $32.10–$192.60 | 41% below | 45% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 76882 US Groin (Pinnacle) | $139.70 | $254.00 | $38.10–$228.60 | 30% below | 45% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 BCDI CV ECHO EXAM | $139.70 | $254.00 | $38.10–$228.60 | 30% below | 45% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 RAD US Groin | $139.70 | $254.00 | $38.10–$228.60 | 30% below | 45% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 RAD US Extremity Non-vascular Limited | $139.70 | $254.00 | $38.10–$228.60 | 30% below | 45% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US Exam ADI/3 | $144.10 | $262.00 | $39.30–$235.80 | 28% below | 45% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Extremity Limited RT 76882 AMB | $139.70 | $254.00 | $38.10–$228.60 | 30% below | 45% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Extremity Limited LT 76882 AMB | $139.70 | $254.00 | $38.10–$228.60 | 30% below | 45% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Exam ADI/2 | $144.10 | $262.00 | $39.30–$235.80 | 28% below | 45% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Exam ADI/2 | $144.10 | $262.00 | $39.30–$235.80 | 28% below | 45% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US Exam ADI/2 | $117.70 | $214.00 | $32.10–$214.00 | — | 45% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 RAD US Extremity Non-vascular Limited | $139.70 | $254.00 | $38.10–$254.00 | — | 45% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 RAD US Groin | $139.70 | $254.00 | $38.10–$254.00 | — | 45% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 76882 US Groin (Pinnacle) | $139.70 | $254.00 | $38.10–$254.00 | — | 45% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 BCDI CV ECHO EXAM | $139.70 | $254.00 | $38.10–$254.00 | — | 45% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US Exam ADI/3 | $144.10 | $262.00 | $39.30–$262.00 | — | 45% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Extremity Limited RT 76882 AMB | $139.70 | $254.00 | $38.10–$254.00 | — | 45% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Extremity Limited LT 76882 AMB | $139.70 | $254.00 | $38.10–$254.00 | — | 45% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Exam ADI/2 | $144.10 | $262.00 | $39.30–$262.00 | — | 45% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Exam ADI/2 | $144.10 | $262.00 | $39.30–$262.00 | — | 45% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT Exam 2 | $128.15 | $233.00 | $34.95–$209.70 | 41% below | 45% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT Exam 2 | $128.15 | $233.00 | $34.95–$233.00 | — | 45% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tib Fib 2 Views RT 73590 AMB | $86.35 | $157.00 | $23.55–$141.30 | 56% below | 45% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tib Fib 2 Views LT 73590 AMB | $86.35 | $157.00 | $23.55–$141.30 | 56% below | 45% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Exam | $89.10 | $162.00 | $24.30–$145.80 | 55% below | 45% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Exam | $89.10 | $162.00 | $24.30–$145.80 | 55% below | 45% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR Tib Fib 2 Views RT 73590 AMB | $86.35 | $157.00 | $23.55–$157.00 | — | 45% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR Tib Fib 2 Views LT 73590 AMB | $86.35 | $157.00 | $23.55–$157.00 | — | 45% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR Exam | $89.10 | $162.00 | $24.30–$162.00 | — | 45% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR Exam | $89.10 | $162.00 | $24.30–$162.00 | — | 45% |
| MR angiography (MRA) of the head without contrast CPT 70544 MRI Exam 1 | $546.15 | $993.00 | $148.95–$893.70 | 66% below | 45% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRI Exam 1 | $546.15 | $993.00 | $148.95–$993.00 | — | 45% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 RAD MRI JNT OF LWR EXTRE W/O DYE LT | $270.60 | $492.00 | $73.80–$442.80 | 83% below | 45% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Exam | $278.85 | $507.00 | $76.05–$456.30 | 83% below | 45% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Exam | $278.85 | $507.00 | $76.05–$456.30 | 83% below | 45% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 RAD MRI JNT OF LWR EXTRE W/O DYE LT | $270.60 | $492.00 | $73.80–$492.00 | — | 45% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Exam | $278.85 | $507.00 | $76.05–$507.00 | — | 45% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Exam | $278.85 | $507.00 | $76.05–$507.00 | — | 45% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Exam | $497.75 | $905.00 | $135.75–$814.50 | 76% below | 45% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Exam | $497.75 | $905.00 | $135.75–$814.50 | 76% below | 45% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Exam | $497.75 | $905.00 | $135.75–$905.00 | — | 45% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Exam | $497.75 | $905.00 | $135.75–$905.00 | — | 45% |
| MRI of the abdomen without contrast CPT 74181 MRI Exam | $356.40 | $648.00 | $97.20–$583.20 | 74% below | 45% |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI Exam | $356.40 | $648.00 | $97.20–$648.00 | — | 45% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Exam | $504.35 | $917.00 | $137.55–$825.30 | 75% below | 45% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 RAD MRI Abdomen w/ + w/o Contrast | $504.35 | $917.00 | $137.55–$825.30 | 75% below | 45% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI Exam | $504.35 | $917.00 | $137.55–$917.00 | — | 45% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 RAD MRI Abdomen w/ + w/o Contrast | $504.35 | $917.00 | $137.55–$917.00 | — | 45% |
| MRI of the brain, no contrast dye CPT 70551 MRI Brain w/o contrast | $323.40 | $588.00 | $88.20–$529.20 | 81% below | 45% |
| MRI of the brain, no contrast dye CPT 70551 MRI Exam | $333.30 | $606.00 | $90.90–$545.40 | 81% below | 45% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain w/o contrast | $323.40 | $588.00 | $88.20–$588.00 | — | 45% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI Exam | $333.30 | $606.00 | $90.90–$606.00 | — | 45% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Brain w/ + w/o contrast | $473.55 | $861.00 | $129.15–$774.90 | 80% below | 45% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Exam | $487.85 | $887.00 | $133.05–$798.30 | 79% below | 45% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain w/ + w/o contrast | $473.55 | $861.00 | $129.15–$861.00 | — | 45% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Exam | $487.85 | $887.00 | $133.05–$887.00 | — | 45% |
| MRI of the lower back, no contrast dye CPT 72148 MRI Spine Lumbar Without Contrast | $270.60 | $492.00 | $73.80–$442.80 | 83% below | 45% |
| MRI of the lower back, no contrast dye CPT 72148 MRI Exam | $278.85 | $507.00 | $76.05–$456.30 | 83% below | 45% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Spine Lumbar Without Contrast | $270.60 | $492.00 | $73.80–$492.00 | — | 45% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Exam | $278.85 | $507.00 | $76.05–$507.00 | — | 45% |
| MRI of the lower back, without and then with contrast dye CPT 72158 RAD MRI SPINE LUMBAR W/ + W/O CONTRAST | $473.55 | $861.00 | $129.15–$774.90 | 81% below | 45% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI Exam | $487.85 | $887.00 | $133.05–$798.30 | 80% below | 45% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 RAD MRI SPINE LUMBAR W/ + W/O CONTRAST | $473.55 | $861.00 | $129.15–$861.00 | — | 45% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI Exam | $487.85 | $887.00 | $133.05–$887.00 | — | 45% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI Spine Thoracic w/o contrast | $270.60 | $492.00 | $73.80–$442.80 | 82% below | 45% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI Exam | $278.85 | $507.00 | $76.05–$456.30 | 82% below | 45% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI Spine Thoracic w/o contrast | $270.60 | $492.00 | $73.80–$492.00 | — | 45% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI Exam | $278.85 | $507.00 | $76.05–$507.00 | — | 45% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI Exam | $487.85 | $887.00 | $133.05–$798.30 | 78% below | 45% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI Exam | $487.85 | $887.00 | $133.05–$887.00 | — | 45% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Spine Cervical Without Contrast | $270.60 | $492.00 | $73.80–$442.80 | 83% below | 45% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Exam | $278.85 | $507.00 | $76.05–$456.30 | 83% below | 45% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI Spine Cervical Without Contrast | $270.60 | $492.00 | $73.80–$492.00 | — | 45% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI Exam | $278.85 | $507.00 | $76.05–$507.00 | — | 45% |
| MRI of the pelvis without and with contrast CPT 72197 MRI Exam | $498.85 | $907.00 | $136.05–$816.30 | 76% below | 45% |
| MRI of the pelvis without and with contrast CPT 72197 RAD MRI Pelvis w/ + w/o Contrast | $498.85 | $907.00 | $136.05–$816.30 | 76% below | 45% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 RAD MRI Pelvis w/ + w/o Contrast | $498.85 | $907.00 | $136.05–$907.00 | — | 45% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI Exam | $498.85 | $907.00 | $136.05–$907.00 | — | 45% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI Exam | $297.55 | $541.00 | $81.15–$486.90 | 80% below | 45% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI Exam | $297.55 | $541.00 | $81.15–$541.00 | — | 45% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Exam | $270.60 | $492.00 | $73.80–$442.80 | 82% below | 45% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Exam | $270.60 | $492.00 | $73.80–$442.80 | 82% below | 45% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Exam | $270.60 | $492.00 | $73.80–$492.00 | — | 45% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Exam | $270.60 | $492.00 | $73.80–$492.00 | — | 45% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR Neck Spine 4 or 5 Views 72050 AMB | $122.65 | $223.00 | $33.45–$200.70 | 57% below | 45% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR Exam | $126.50 | $230.00 | $34.50–$207.00 | 55% below | 45% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 XR Neck Spine 4 or 5 Views 72050 AMB | $122.65 | $223.00 | $33.45–$223.00 | — | 45% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 XR Exam | $126.50 | $230.00 | $34.50–$230.00 | — | 45% |
| Neck soft tissue CT scan with contrast CPT 70491 CT Exam 2 | $345.40 | $628.00 | $94.20–$565.20 | 73% below | 45% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 CT Exam 2 | $345.40 | $628.00 | $94.20–$628.00 | — | 45% |
| Neck soft tissue CT scan without contrast CPT 70490 CT Exam 2 | $133.65 | $243.00 | $36.45–$218.70 | 86% below | 45% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 CT Exam 2 | $133.65 | $243.00 | $36.45–$243.00 | — | 45% |
| Neck soft tissue X-ray CPT 70360 XR Exam | $89.10 | $162.00 | $24.30–$145.80 | 45% below | 45% |
| Neck soft tissue X-ray inpatient CPT 70360 XR Exam | $89.10 | $162.00 | $24.30–$162.00 | — | 45% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MPS Rest & Stress (Spect) | $1,378.85 | $2,507.00 | $376.05–$2,256.30 | 34% below | 45% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Exam 2 | $1,378.85 | $2,507.00 | $376.05–$2,256.30 | 34% below | 45% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 THC NM BC MYOCARDIAL REST & STRESS | $1,378.85 | $2,507.00 | $376.05–$2,256.30 | 34% below | 45% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 AMB MYOCARDIAL SPECT MULTIPLE STUDIES | $1,378.85 | $2,507.00 | $376.05–$2,256.30 | 34% below | 45% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Exam 1 | $1,420.10 | $2,582.00 | $387.30–$2,323.80 | 32% below | 45% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM MPS Rest & Stress (Spect) | $1,378.85 | $2,507.00 | $376.05–$2,507.00 | — | 45% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM Exam 2 | $1,378.85 | $2,507.00 | $376.05–$2,507.00 | — | 45% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 THC NM BC MYOCARDIAL REST & STRESS | $1,378.85 | $2,507.00 | $376.05–$2,507.00 | — | 45% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 AMB MYOCARDIAL SPECT MULTIPLE STUDIES | $1,378.85 | $2,507.00 | $376.05–$2,507.00 | — | 45% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM Exam 1 | $1,420.10 | $2,582.00 | $387.30–$2,582.00 | — | 45% |
| Pelvic CT scan without contrast CPT 72192 CT Exam | $269.50 | $490.00 | $73.50–$441.00 | 75% below | 45% |
| Pelvic CT scan without contrast CPT 72192 CT Exam 2 | $269.50 | $490.00 | $73.50–$441.00 | 75% below | 45% |
| Pelvic CT scan without contrast inpatient CPT 72192 CT Exam 2 | $269.50 | $490.00 | $73.50–$490.00 | — | 45% |
| Pelvic CT scan without contrast inpatient CPT 72192 CT Exam | $269.50 | $490.00 | $73.50–$490.00 | — | 45% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Exam ADI/2 | $117.70 | $214.00 | $32.10–$192.60 | 40% below | 45% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Pelvic Limited 76857 AMB | $139.70 | $254.00 | $38.10–$228.60 | 29% below | 45% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Exam ADI/2 | $117.70 | $214.00 | $32.10–$214.00 | — | 45% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Pelvic Limited 76857 AMB | $139.70 | $254.00 | $38.10–$254.00 | — | 45% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 RAD US Pelvis Complete | $180.95 | $329.00 | $49.35–$296.10 | 59% below | 45% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvic Non-obstetrical 76856 AMB | $180.95 | $329.00 | $49.35–$296.10 | 59% below | 45% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Exam ADI/2 | $186.45 | $339.00 | $50.85–$305.10 | 57% below | 45% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvis Complete | $186.45 | $339.00 | $50.85–$305.10 | 57% below | 45% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 RAD US Pelvis Complete | $180.95 | $329.00 | $49.35–$329.00 | — | 45% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US Pelvic Non-obstetrical 76856 AMB | $180.95 | $329.00 | $49.35–$329.00 | — | 45% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US Exam ADI/2 | $186.45 | $339.00 | $50.85–$339.00 | — | 45% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US Pelvis Complete | $186.45 | $339.00 | $50.85–$339.00 | — | 45% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US Obstetrical Complete 76805 AMB | $122.65 | $223.00 | $33.45–$200.70 | 68% below | 45% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 RAD US Obstetrical Pregnancy > 14 weeks | $122.65 | $223.00 | $33.45–$200.70 | 68% below | 45% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US Exam ADI/2 | $126.50 | $230.00 | $34.50–$207.00 | 67% below | 45% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US Obstetrical Complete 76805 AMB | $122.65 | $223.00 | $33.45–$223.00 | — | 45% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 RAD US Obstetrical Pregnancy > 14 weeks | $122.65 | $223.00 | $33.45–$223.00 | — | 45% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US Exam ADI/2 | $126.50 | $230.00 | $34.50–$230.00 | — | 45% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 RAD US Obstetrical Pregnancy < 14 weeks | $122.65 | $223.00 | $33.45–$200.70 | 59% below | 45% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US Obstetrical Pregnancy < 14 weeks 76801 AMB | $122.65 | $223.00 | $33.45–$200.70 | 59% below | 45% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US Exam ADI/2 | $126.50 | $230.00 | $34.50–$207.00 | 58% below | 45% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 RAD US Obstetrical Pregnancy < 14 weeks | $122.65 | $223.00 | $33.45–$223.00 | — | 45% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US Obstetrical Pregnancy < 14 weeks 76801 AMB | $122.65 | $223.00 | $33.45–$223.00 | — | 45% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US Exam ADI/2 | $126.50 | $230.00 | $34.50–$230.00 | — | 45% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 RAD US OBSTETRICAL LIMITED | $122.65 | $223.00 | $33.45–$200.70 | 50% below | 45% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US Obstetrical Limited 76815 AMB | $122.65 | $223.00 | $33.45–$200.70 | 50% below | 45% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US Exam ADI/2 | $126.50 | $230.00 | $34.50–$207.00 | 48% below | 45% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 RAD US OBSTETRICAL LIMITED | $122.65 | $223.00 | $33.45–$223.00 | — | 45% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US Obstetrical Limited 76815 AMB | $122.65 | $223.00 | $33.45–$223.00 | — | 45% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US Exam ADI/2 | $126.50 | $230.00 | $34.50–$230.00 | — | 45% |
| Rib X-ray, one side, 2 views CPT 71100 XR Ribs Uni 2 Views 71100 AMB | $86.35 | $157.00 | $23.55–$141.30 | 59% below | 45% |
| Rib X-ray, one side, 2 views one side CPT 71100 XR Exam | $89.10 | $162.00 | $24.30–$145.80 | 57% below | 45% |
| Rib X-ray, one side, 2 views one side CPT 71100 XR Exam | $89.10 | $162.00 | $24.30–$145.80 | 57% below | 45% |
| Rib X-ray, one side, 2 views inpatient CPT 71100 XR Ribs Uni 2 Views 71100 AMB | $86.35 | $157.00 | $23.55–$157.00 | — | 45% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR Exam | $89.10 | $162.00 | $24.30–$162.00 | — | 45% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR Exam | $89.10 | $162.00 | $24.30–$162.00 | — | 45% |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 XR Ribs 3 Views include PA Chest View Uni 71101 AMB | $122.65 | $223.00 | $33.45–$200.70 | 47% below | 45% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR Exam | $126.50 | $230.00 | $34.50–$207.00 | 45% below | 45% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR Exam | $126.50 | $230.00 | $34.50–$207.00 | 45% below | 45% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 XR Ribs 3 Views include PA Chest View Uni 71101 AMB | $122.65 | $223.00 | $33.45–$223.00 | — | 45% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR Exam | $126.50 | $230.00 | $34.50–$230.00 | — | 45% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR Exam | $126.50 | $230.00 | $34.50–$230.00 | — | 45% |
| Screening mammogram, both breasts CPT 77067 MM Exam 1 | $93.50 | $170.00 | $25.50–$153.00 | 55% below | 45% |
| Screening mammogram, both breasts inpatient CPT 77067 MM Exam 1 | $93.50 | $170.00 | $25.50–$170.00 | — | 45% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder 2 or more Views RT 73030 AMB | $86.35 | $157.00 | $23.55–$141.30 | 57% below | 45% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder 2 or more Views LT 73030 AMB | $86.35 | $157.00 | $23.55–$141.30 | 57% below | 45% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Exam | $89.10 | $162.00 | $24.30–$145.80 | 56% below | 45% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Exam | $89.10 | $162.00 | $24.30–$145.80 | 56% below | 45% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder 2 or more Views LT 73030 AMB | $86.35 | $157.00 | $23.55–$157.00 | — | 45% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder 2 or more Views RT 73030 AMB | $86.35 | $157.00 | $23.55–$157.00 | — | 45% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Exam | $89.10 | $162.00 | $24.30–$162.00 | — | 45% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Exam | $89.10 | $162.00 | $24.30–$162.00 | — | 45% |
| Sinus X-ray, complete, 3 or more views CPT 70220 XR Sinuses Paranasal Complete Minimum 3 Views 70220 AMB | $86.35 | $157.00 | $23.55–$141.30 | 60% below | 45% |
| Sinus X-ray, complete, 3 or more views CPT 70220 XR Exam | $89.10 | $162.00 | $24.30–$145.80 | 58% below | 45% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 XR Sinuses Paranasal Complete Minimum 3 Views 70220 AMB | $86.35 | $157.00 | $23.55–$157.00 | — | 45% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 XR Exam | $89.10 | $162.00 | $24.30–$162.00 | — | 45% |
| Skull X-ray, fewer than 4 views CPT 70250 XR Skull 1-3 Views 70250 AMB | $122.65 | $223.00 | $33.45–$200.70 | 33% below | 45% |
| Skull X-ray, fewer than 4 views CPT 70250 XR Exam | $126.50 | $230.00 | $34.50–$207.00 | 31% below | 45% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 XR Skull 1-3 Views 70250 AMB | $122.65 | $223.00 | $33.45–$223.00 | — | 45% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 XR Exam | $126.50 | $230.00 | $34.50–$230.00 | — | 45% |
| Sleep study in a lab (polysomnography) CPT 95810 Nocturnal Polysomnogram (NPSG) - Sleep Lab Charges | $2,246.75 | $4,085.00 | $612.75–$3,676.50 | 14% below | 45% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 Nocturnal Polysomnogram (NPSG) - Sleep Lab Charges | $2,246.75 | $4,085.00 | $612.75–$4,085.00 | — | 45% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 93351 Echo Stress + Dobutamine (Pinnacle) | $543.40 | $988.00 | $148.20–$889.20 | 38% below | 45% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 CV Echo Exam | $543.40 | $988.00 | $148.20–$889.20 | 38% below | 45% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 CRD ECHO STRESS TEST | $543.40 | $988.00 | $148.20–$889.20 | 38% below | 45% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 93351 Echo Stress Exercise (Pinnacle) | $543.40 | $988.00 | $148.20–$889.20 | 38% below | 45% |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 93351 Echo Stress Exercise (Pinnacle) | $543.40 | $988.00 | $148.20–$988.00 | — | 45% |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 CV Echo Exam | $543.40 | $988.00 | $148.20–$988.00 | — | 45% |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 CRD ECHO STRESS TEST | $543.40 | $988.00 | $148.20–$988.00 | — | 45% |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 93351 Echo Stress + Dobutamine (Pinnacle) | $543.40 | $988.00 | $148.20–$988.00 | — | 45% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR Femur 2 View RT 73552 AMB | $86.35 | $157.00 | $23.55–$141.30 | 54% below | 45% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR Femur 2 View LT 73552 AMB | $86.35 | $157.00 | $23.55–$141.30 | 54% below | 45% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR Exam | $89.10 | $162.00 | $24.30–$145.80 | 52% below | 45% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR Exam | $89.10 | $162.00 | $24.30–$145.80 | 52% below | 45% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR Femur 2 View LT 73552 AMB | $86.35 | $157.00 | $23.55–$157.00 | — | 45% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR Femur 2 View RT 73552 AMB | $86.35 | $157.00 | $23.55–$157.00 | — | 45% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR Exam | $89.10 | $162.00 | $24.30–$162.00 | — | 45% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR Exam | $89.10 | $162.00 | $24.30–$162.00 | — | 45% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT Exam 2 | $135.30 | $246.00 | $36.90–$221.40 | 89% below | 45% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT Exam 2 | $135.30 | $246.00 | $36.90–$246.00 | — | 45% |
| Toe X-ray, 2 or more views CPT 73660 XR Exam | $89.10 | $162.00 | $24.30–$145.80 | 35% below | 45% |
| Toe X-ray, 2 or more views one side CPT 73660 XR Toes 2 or more Views LT 73660 AMB | $86.35 | $157.00 | $23.55–$141.30 | 37% below | 45% |
| Toe X-ray, 2 or more views one side CPT 73660 XR Toes 2 or more Views RT 73660 AMB - need modifier for different toes/fingers | $86.35 | $157.00 | $23.55–$141.30 | 37% below | 45% |
| Toe X-ray, 2 or more views one side CPT 73660 XR Exam | $89.10 | $162.00 | $24.30–$145.80 | 35% below | 45% |
| Toe X-ray, 2 or more views one side CPT 73660 XR Exam | $89.10 | $162.00 | $24.30–$145.80 | 35% below | 45% |
| Toe X-ray, 2 or more views inpatient CPT 73660 XR Exam | $89.10 | $162.00 | $24.30–$162.00 | — | 45% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 2 or more Views LT 73660 AMB | $86.35 | $157.00 | $23.55–$157.00 | — | 45% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 2 or more Views RT 73660 AMB - need modifier for different toes/fingers | $86.35 | $157.00 | $23.55–$157.00 | — | 45% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Exam | $89.10 | $162.00 | $24.30–$162.00 | — | 45% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Exam | $89.10 | $162.00 | $24.30–$162.00 | — | 45% |
| Transvaginal pelvic ultrasound CPT 76830 RAD US Transvaginal | $139.70 | $254.00 | $38.10–$228.60 | 59% below | 45% |
| Transvaginal pelvic ultrasound CPT 76830 US Transvaginal Non-Obstetrical 76830 AMB | $139.70 | $254.00 | $38.10–$228.60 | 59% below | 45% |
| Transvaginal pelvic ultrasound CPT 76830 RAD US Transvaginal Non-Obstetrical | $139.70 | $254.00 | $38.10–$228.60 | 59% below | 45% |
| Transvaginal pelvic ultrasound CPT 76830 US Transvaginal | $144.10 | $262.00 | $39.30–$235.80 | 57% below | 45% |
| Transvaginal pelvic ultrasound CPT 76830 US Exam ADI/2 | $144.10 | $262.00 | $39.30–$235.80 | 57% below | 45% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US Transvaginal Non-Obstetrical 76830 AMB | $139.70 | $254.00 | $38.10–$254.00 | — | 45% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 RAD US Transvaginal | $139.70 | $254.00 | $38.10–$254.00 | — | 45% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 RAD US Transvaginal Non-Obstetrical | $139.70 | $254.00 | $38.10–$254.00 | — | 45% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US Transvaginal | $144.10 | $262.00 | $39.30–$262.00 | — | 45% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US Exam ADI/2 | $144.10 | $262.00 | $39.30–$262.00 | — | 45% |
| Transvaginal ultrasound during pregnancy CPT 76817 RAD US Obstetrical Transvaginal | $122.65 | $223.00 | $33.45–$200.70 | 56% below | 45% |
| Transvaginal ultrasound during pregnancy CPT 76817 US Obstetrical Transvaginal 76817 AMB | $122.65 | $223.00 | $33.45–$200.70 | 56% below | 45% |
| Transvaginal ultrasound during pregnancy CPT 76817 US Exam ADI/2 | $126.50 | $230.00 | $34.50–$207.00 | 55% below | 45% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US Obstetrical Transvaginal 76817 AMB | $122.65 | $223.00 | $33.45–$223.00 | — | 45% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 RAD US Obstetrical Transvaginal | $122.65 | $223.00 | $33.45–$223.00 | — | 45% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US Exam ADI/2 | $126.50 | $230.00 | $34.50–$230.00 | — | 45% |
| Ultrasound of the abdomen, complete CPT 76700 RAD US Abdomen Complete | $180.95 | $329.00 | $49.35–$296.10 | 62% below | 45% |
| Ultrasound of the abdomen, complete CPT 76700 US Exam ADI/2 | $186.45 | $339.00 | $50.85–$305.10 | 61% below | 45% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 RAD US Abdomen Complete | $180.95 | $329.00 | $49.35–$329.00 | — | 45% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US Exam ADI/2 | $186.45 | $339.00 | $50.85–$339.00 | — | 45% |
| Ultrasound of the scrotum and testicles CPT 76870 RAD US Scrotum (Contents) | $139.70 | $254.00 | $38.10–$228.60 | 62% below | 45% |
| Ultrasound of the scrotum and testicles CPT 76870 US Scrotum 76870 AMB | $139.70 | $254.00 | $38.10–$228.60 | 62% below | 45% |
| Ultrasound of the scrotum and testicles CPT 76870 US Exam ADI/2 | $144.10 | $262.00 | $39.30–$235.80 | 61% below | 45% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US Scrotum 76870 AMB | $139.70 | $254.00 | $38.10–$254.00 | — | 45% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 RAD US Scrotum (Contents) | $139.70 | $254.00 | $38.10–$254.00 | — | 45% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US Exam ADI/2 | $144.10 | $262.00 | $39.30–$262.00 | — | 45% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 76536 ECHOGRAPHY NECK INCLUDING THYROID | $139.70 | $254.00 | $38.10–$228.60 | 57% below | 45% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 RAD US Head/Neck Soft Tissue | $139.70 | $254.00 | $38.10–$228.60 | 57% below | 45% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 RAD US Thyroid | $139.70 | $254.00 | $38.10–$228.60 | 57% below | 45% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Exam ADI/2 | $144.10 | $262.00 | $39.30–$235.80 | 56% below | 45% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 RAD US Thyroid | $139.70 | $254.00 | $38.10–$254.00 | — | 45% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 76536 ECHOGRAPHY NECK INCLUDING THYROID | $139.70 | $254.00 | $38.10–$254.00 | — | 45% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 RAD US Head/Neck Soft Tissue | $139.70 | $254.00 | $38.10–$254.00 | — | 45% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Exam ADI/2 | $144.10 | $262.00 | $39.30–$262.00 | — | 45% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR Exam 9 | $227.15 | $413.00 | $61.95–$371.70 | 36% below | 45% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR Exam 9 | $227.15 | $413.00 | $61.95–$413.00 | — | 45% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XR Humerus 2 or more Views LT 73060 AMB | $86.35 | $157.00 | $23.55–$141.30 | 53% below | 45% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XR Humerus 2 or more Views RT 73060 AMB | $86.35 | $157.00 | $23.55–$141.30 | 53% below | 45% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XR Exam 3 | $89.10 | $162.00 | $24.30–$145.80 | 51% below | 45% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XR Exam 3 | $89.10 | $162.00 | $24.30–$145.80 | 51% below | 45% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR Humerus 2 or more Views RT 73060 AMB | $86.35 | $157.00 | $23.55–$157.00 | — | 45% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR Humerus 2 or more Views LT 73060 AMB | $86.35 | $157.00 | $23.55–$157.00 | — | 45% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR Exam 3 | $89.10 | $162.00 | $24.30–$162.00 | — | 45% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR Exam 3 | $89.10 | $162.00 | $24.30–$162.00 | — | 45% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 RAD US Ext Lower Venous Duplex Right | $167.20 | $304.00 | $45.60–$273.60 | 45% below | 45% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 THC US BC EXT VENOUS DUPLEX RT | $167.20 | $304.00 | $45.60–$273.60 | 45% below | 45% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 THC US BC EXT VENOUS DUPLEX LT | $167.20 | $304.00 | $45.60–$273.60 | 45% below | 45% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 RAD US Ext Upper Venous Duplex Left | $167.20 | $304.00 | $45.60–$273.60 | 45% below | 45% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 RAD US Ext Upper Venous Duplex Right | $167.20 | $304.00 | $45.60–$273.60 | 45% below | 45% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 RAD US Ext Lower Venous Duplex Left | $167.20 | $304.00 | $45.60–$273.60 | 45% below | 45% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 93971 US Ext Lower Venous Duplex Right (Pinnacle) | $167.20 | $304.00 | $45.60–$273.60 | 45% below | 45% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 93971 US Ext Lower Venous Duplex Left (Pinnacle) | $167.20 | $304.00 | $45.60–$273.60 | 45% below | 45% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Exam ADI/3 | $172.15 | $313.00 | $46.95–$281.70 | 44% below | 45% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Exam ADI/3 | $172.15 | $313.00 | $46.95–$281.70 | 44% below | 45% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 THC US BC EXT VENOUS DUPLEX RT | $167.20 | $304.00 | $45.60–$304.00 | — | 45% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 RAD US Ext Lower Venous Duplex Left | $167.20 | $304.00 | $45.60–$304.00 | — | 45% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 RAD US Ext Lower Venous Duplex Right | $167.20 | $304.00 | $45.60–$304.00 | — | 45% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 RAD US Ext Upper Venous Duplex Left | $167.20 | $304.00 | $45.60–$304.00 | — | 45% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 93971 US Ext Lower Venous Duplex Right (Pinnacle) | $167.20 | $304.00 | $45.60–$304.00 | — | 45% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 93971 US Ext Lower Venous Duplex Left (Pinnacle) | $167.20 | $304.00 | $45.60–$304.00 | — | 45% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 RAD US Ext Upper Venous Duplex Right | $167.20 | $304.00 | $45.60–$304.00 | — | 45% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 THC US BC EXT VENOUS DUPLEX LT | $167.20 | $304.00 | $45.60–$304.00 | — | 45% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Exam ADI/3 | $172.15 | $313.00 | $46.95–$313.00 | — | 45% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Exam ADI/3 | $172.15 | $313.00 | $46.95–$313.00 | — | 45% |
| Wrist X-ray, 2 views one side CPT 73100 XR Wrist 2 Views RT 73100 AMB | $86.35 | $157.00 | $23.55–$141.30 | 34% below | 45% |
| Wrist X-ray, 2 views one side CPT 73100 XR Wrist 2 Views LT 73100 AMB | $86.35 | $157.00 | $23.55–$141.30 | 34% below | 45% |
| Wrist X-ray, 2 views one side CPT 73100 XR Exam | $89.10 | $162.00 | $24.30–$145.80 | 31% below | 45% |
| Wrist X-ray, 2 views one side CPT 73100 XR Exam | $89.10 | $162.00 | $24.30–$145.80 | 31% below | 45% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 XR Wrist 2 Views RT 73100 AMB | $86.35 | $157.00 | $23.55–$157.00 | — | 45% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 XR Wrist 2 Views LT 73100 AMB | $86.35 | $157.00 | $23.55–$157.00 | — | 45% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 XR Exam | $89.10 | $162.00 | $24.30–$162.00 | — | 45% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 XR Exam | $89.10 | $162.00 | $24.30–$162.00 | — | 45% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist 3 or more Views RT 73110 AMB | $86.35 | $157.00 | $23.55–$141.30 | 57% below | 45% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist 3 or more Views LT 73110 AMB | $86.35 | $157.00 | $23.55–$141.30 | 57% below | 45% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Exam | $89.10 | $162.00 | $24.30–$145.80 | 56% below | 45% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Exam | $89.10 | $162.00 | $24.30–$145.80 | 56% below | 45% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist 3 or more Views LT 73110 AMB | $86.35 | $157.00 | $23.55–$157.00 | — | 45% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist 3 or more Views RT 73110 AMB | $86.35 | $157.00 | $23.55–$157.00 | — | 45% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Exam | $89.10 | $162.00 | $24.30–$162.00 | — | 45% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Exam | $89.10 | $162.00 | $24.30–$162.00 | — | 45% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip Unilateral 2-3 Views 73502 AMB | $86.35 | $157.00 | $23.55–$141.30 | 52% below | 45% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Exam | $89.10 | $162.00 | $24.30–$145.80 | 51% below | 45% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Exam | $89.10 | $162.00 | $24.30–$145.80 | 51% below | 45% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip Unilateral 2-3 Views 73502 AMB | $86.35 | $157.00 | $23.55–$157.00 | — | 45% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Exam | $89.10 | $162.00 | $24.30–$162.00 | — | 45% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Exam | $89.10 | $162.00 | $24.30–$162.00 | — | 45% |
| X-ray of the abdomen, 1 view CPT 74018 XR Abdomen AP Supine View 74018 AMB | $86.35 | $157.00 | $23.55–$141.30 | 40% below | 45% |
| X-ray of the abdomen, 1 view CPT 74018 XR Exam | $89.10 | $162.00 | $24.30–$145.80 | 39% below | 45% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR Abdomen AP Supine View 74018 AMB | $86.35 | $157.00 | $23.55–$157.00 | — | 45% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR Exam | $89.10 | $162.00 | $24.30–$162.00 | — | 45% |
| X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 Views RT 73600 AMB | $86.35 | $157.00 | $23.55–$141.30 | 38% below | 45% |
| X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 Views LT 73600 AMB | $86.35 | $157.00 | $23.55–$141.30 | 38% below | 45% |
| X-ray of the ankle, 2 views one side CPT 73600 XR Exam | $89.10 | $162.00 | $24.30–$145.80 | 36% below | 45% |
| X-ray of the ankle, 2 views one side CPT 73600 XR Exam | $89.10 | $162.00 | $24.30–$145.80 | 36% below | 45% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 Views LT 73600 AMB | $86.35 | $157.00 | $23.55–$157.00 | — | 45% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 Views RT 73600 AMB | $86.35 | $157.00 | $23.55–$157.00 | — | 45% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Exam | $89.10 | $162.00 | $24.30–$162.00 | — | 45% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Exam | $89.10 | $162.00 | $24.30–$162.00 | — | 45% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger(s) 2 or more Views RT 73140 AMB | $86.35 | $157.00 | $23.55–$141.30 | 41% below | 45% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger(s) 2 or more Views LT 73140 AMB | $86.35 | $157.00 | $23.55–$141.30 | 41% below | 45% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Exam | $89.10 | $162.00 | $24.30–$145.80 | 39% below | 45% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Exam | $89.10 | $162.00 | $24.30–$145.80 | 39% below | 45% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger(s) 2 or more Views RT 73140 AMB | $86.35 | $157.00 | $23.55–$157.00 | — | 45% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger(s) 2 or more Views LT 73140 AMB | $86.35 | $157.00 | $23.55–$157.00 | — | 45% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Exam | $89.10 | $162.00 | $24.30–$162.00 | — | 45% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Exam | $89.10 | $162.00 | $24.30–$162.00 | — | 45% |
| X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 Views LT 73620 AMB | $86.35 | $157.00 | $23.55–$141.30 | 36% below | 45% |
| X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 Views RT 73620 AMB | $86.35 | $157.00 | $23.55–$141.30 | 36% below | 45% |
| X-ray of the foot, 2 views one side CPT 73620 XR Exam | $89.10 | $162.00 | $24.30–$145.80 | 34% below | 45% |
| X-ray of the foot, 2 views one side CPT 73620 XR Exam | $89.10 | $162.00 | $24.30–$145.80 | 34% below | 45% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 Views RT 73620 AMB | $86.35 | $157.00 | $23.55–$157.00 | — | 45% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 Views LT 73620 AMB | $86.35 | $157.00 | $23.55–$157.00 | — | 45% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XR Exam | $89.10 | $162.00 | $24.30–$162.00 | — | 45% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XR Exam | $89.10 | $162.00 | $24.30–$162.00 | — | 45% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot 3 or more Views RT 73630 AMB | $86.35 | $157.00 | $23.55–$141.30 | 52% below | 45% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot 3 or more Views LT 73630 AMB | $86.35 | $157.00 | $23.55–$141.30 | 52% below | 45% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Exam | $89.10 | $162.00 | $24.30–$145.80 | 51% below | 45% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Exam | $89.10 | $162.00 | $24.30–$145.80 | 51% below | 45% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot 3 or more Views LT 73630 AMB | $86.35 | $157.00 | $23.55–$157.00 | — | 45% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot 3 or more Views RT 73630 AMB | $86.35 | $157.00 | $23.55–$157.00 | — | 45% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Exam | $89.10 | $162.00 | $24.30–$162.00 | — | 45% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Exam | $89.10 | $162.00 | $24.30–$162.00 | — | 45% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR Hand 3 or more Views RT 73130 AMB | $86.35 | $157.00 | $23.55–$141.30 | 57% below | 45% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR Hand 3 or more Views LT 73130 AMB | $86.35 | $157.00 | $23.55–$141.30 | 57% below | 45% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR Exam | $89.10 | $162.00 | $24.30–$145.80 | 56% below | 45% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR Exam | $89.10 | $162.00 | $24.30–$145.80 | 56% below | 45% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand 3 or more Views LT 73130 AMB | $86.35 | $157.00 | $23.55–$157.00 | — | 45% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand 3 or more Views RT 73130 AMB | $86.35 | $157.00 | $23.55–$157.00 | — | 45% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Exam | $89.10 | $162.00 | $24.30–$162.00 | — | 45% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Exam | $89.10 | $162.00 | $24.30–$162.00 | — | 45% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 Views RT 73560 AMB | $86.35 | $157.00 | $23.55–$141.30 | 41% below | 45% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 Views LT 73560 AMB | $86.35 | $157.00 | $23.55–$141.30 | 41% below | 45% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR Exam 2 | $89.10 | $162.00 | $24.30–$145.80 | 39% below | 45% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR Exam 2 | $89.10 | $162.00 | $24.30–$145.80 | 39% below | 45% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 Views LT 73560 AMB | $86.35 | $157.00 | $23.55–$157.00 | — | 45% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 Views RT 73560 AMB | $86.35 | $157.00 | $23.55–$157.00 | — | 45% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Exam 2 | $89.10 | $162.00 | $24.30–$162.00 | — | 45% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Exam 2 | $89.10 | $162.00 | $24.30–$162.00 | — | 45% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR L-S Spine 2/3 Views 72100 AMB | $122.65 | $223.00 | $33.45–$200.70 | 39% below | 45% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR Exam | $126.50 | $230.00 | $34.50–$207.00 | 37% below | 45% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR L-S Spine 2/3 Views 72100 AMB | $122.65 | $223.00 | $33.45–$223.00 | — | 45% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR Exam | $126.50 | $230.00 | $34.50–$230.00 | — | 45% |
| X-ray of the lower back, 4 or more views CPT 72110 XR L-S Spine 4 or more Views 72110 AMB | $122.65 | $223.00 | $33.45–$200.70 | 57% below | 45% |
| X-ray of the lower back, 4 or more views CPT 72110 XR Exam | $126.50 | $230.00 | $34.50–$207.00 | 56% below | 45% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR L-S Spine 4 or more Views 72110 AMB | $122.65 | $223.00 | $33.45–$223.00 | — | 45% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR Exam | $126.50 | $230.00 | $34.50–$230.00 | — | 45% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR Thorac Spine 2 Views 72070 AMB | $122.65 | $223.00 | $33.45–$200.70 | 38% below | 45% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR Exam | $126.50 | $230.00 | $34.50–$207.00 | 36% below | 45% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR Thorac Spine 2 Views 72070 AMB | $122.65 | $223.00 | $33.45–$223.00 | — | 45% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR Exam | $126.50 | $230.00 | $34.50–$230.00 | — | 45% |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR Nasal Bones Complete Minimum 3 Views 70160 AMB | $86.35 | $157.00 | $23.55–$141.30 | 50% below | 45% |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR Exam | $89.10 | $162.00 | $24.30–$145.80 | 49% below | 45% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR Nasal Bones Complete Minimum 3 Views 70160 AMB | $86.35 | $157.00 | $23.55–$157.00 | — | 45% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR Exam | $89.10 | $162.00 | $24.30–$162.00 | — | 45% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR Neck Spine 2-3 Views 72040 AMB | $86.35 | $157.00 | $23.55–$141.30 | 57% below | 45% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR Exam | $89.10 | $162.00 | $24.30–$145.80 | 55% below | 45% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR Neck Spine 2-3 Views 72040 AMB | $86.35 | $157.00 | $23.55–$157.00 | — | 45% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR Exam | $89.10 | $162.00 | $24.30–$162.00 | — | 45% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR Pelvis 1-2 Views 72170 AMB | $122.65 | $223.00 | $33.45–$200.70 | 25% below | 45% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR Exam | $126.50 | $230.00 | $34.50–$207.00 | 23% below | 45% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR Pelvis 1-2 Views 72170 AMB | $122.65 | $223.00 | $33.45–$223.00 | — | 45% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR Exam | $126.50 | $230.00 | $34.50–$230.00 | — | 45% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR Sacrum/Coccyx 2 Views 72220 AMB | $86.35 | $157.00 | $23.55–$141.30 | 58% below | 45% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR Exam | $89.10 | $162.00 | $24.30–$145.80 | 56% below | 45% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR Sacrum/Coccyx 2 Views 72220 AMB | $86.35 | $157.00 | $23.55–$157.00 | — | 45% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR Exam | $89.10 | $162.00 | $24.30–$162.00 | — | 45% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Alabama | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 zzAdrenocorticotropic Hormone | $90.75 | $165.00 | $24.75–$148.50 | 32% below | 45% |
| ACTH blood test CPT 82024 Adrenocorticotropic Hormone | $93.50 | $170.00 | $25.50–$153.00 | 30% below | 45% |
| ACTH blood test inpatient CPT 82024 zzAdrenocorticotropic Hormone | $90.75 | $165.00 | $24.75–$165.00 | — | 45% |
| ACTH blood test inpatient CPT 82024 Adrenocorticotropic Hormone | $93.50 | $170.00 | $25.50–$170.00 | — | 45% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 LAB FIBROSURE ALT (SGPT) | $59.40 | $108.00 | $16.20–$97.20 | 117% above | 45% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 LAB 84460 - ALANINE AMINO (ALT) (SGPT) | $59.40 | $108.00 | $16.20–$97.20 | 117% above | 45% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alanine Aminotransferase (ALT) | $61.05 | $111.00 | $16.65–$99.90 | 123% above | 45% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 LAB LIVER FIBROSIS PANEL-ALT(SGPT) | $61.05 | $111.00 | $16.65–$99.90 | 123% above | 45% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 LAB 84460 - ALANINE AMINO (ALT) (SGPT) | $59.40 | $108.00 | $16.20–$108.00 | — | 45% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 LAB FIBROSURE ALT (SGPT) | $59.40 | $108.00 | $16.20–$108.00 | — | 45% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alanine Aminotransferase (ALT) | $61.05 | $111.00 | $16.65–$111.00 | — | 45% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 LAB LIVER FIBROSIS PANEL-ALT(SGPT) | $61.05 | $111.00 | $16.65–$111.00 | — | 45% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 LAB FIBROSURE AST (SGOT) | $51.15 | $93.00 | $13.95–$83.70 | 50% above | 45% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Aspartate Aminotransferase (AST) | $52.80 | $96.00 | $14.40–$86.40 | 55% above | 45% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 LAB FIBROSURE AST (SGOT) | $51.15 | $93.00 | $13.95–$93.00 | — | 45% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Aspartate Aminotransferase (AST) | $52.80 | $96.00 | $14.40–$96.00 | — | 45% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatitis ABC Profile Acute | $228.25 | $415.00 | $62.25–$373.50 | 3% above | 45% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hepatitis ABC Profile Acute | $228.25 | $415.00 | $62.25–$415.00 | — | 45% |
| Albumin blood test CPT 82040 LAB 82040 - ASSAY OF SERUM ALBUMIN | $30.25 | $55.00 | $8.25–$49.50 | 16% above | 45% |
| Albumin blood test CPT 82040 Albumin Level | $30.25 | $55.00 | $8.25–$49.50 | 16% above | 45% |
| Albumin blood test CPT 82040 Multiple Sclerosis Profile 1 | $30.25 | $55.00 | $8.25–$49.50 | 16% above | 45% |
| Albumin blood test inpatient CPT 82040 Multiple Sclerosis Profile 1 | $30.25 | $55.00 | $8.25–$55.00 | — | 45% |
| Albumin blood test inpatient CPT 82040 LAB 82040 - ASSAY OF SERUM ALBUMIN | $30.25 | $55.00 | $8.25–$55.00 | — | 45% |
| Albumin blood test inpatient CPT 82040 Albumin Level | $30.25 | $55.00 | $8.25–$55.00 | — | 45% |
| Aldosterone blood test CPT 82088 LAB 82088 - ASSAY OF ALDOSTERONE | $97.35 | $177.00 | $26.55–$159.30 | 25% below | 45% |
| Aldosterone blood test CPT 82088 Aldosterone Serum | $97.35 | $177.00 | $26.55–$159.30 | 25% below | 45% |
| Aldosterone blood test inpatient CPT 82088 LAB 82088 - ASSAY OF ALDOSTERONE | $97.35 | $177.00 | $26.55–$177.00 | — | 45% |
| Aldosterone blood test inpatient CPT 82088 Aldosterone Serum | $97.35 | $177.00 | $26.55–$177.00 | — | 45% |
| Alkaline phosphatase (ALP) blood test CPT 84075 LAB ALKALINE PHOSPHATASE | $31.35 | $57.00 | $8.55–$51.30 | 20% above | 45% |
| Alkaline phosphatase (ALP) blood test CPT 84075 LAB 84075 - ASSAY ALKALINE PHOSPHATASE | $32.45 | $59.00 | $8.85–$53.10 | 25% above | 45% |
| Alkaline phosphatase (ALP) blood test CPT 84075 Alkaline Phosphatase | $32.45 | $59.00 | $8.85–$53.10 | 25% above | 45% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 LAB ALKALINE PHOSPHATASE | $31.35 | $57.00 | $8.55–$57.00 | — | 45% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 LAB 84075 - ASSAY ALKALINE PHOSPHATASE | $32.45 | $59.00 | $8.85–$59.00 | — | 45% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Alkaline Phosphatase | $32.45 | $59.00 | $8.85–$59.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 LAB SHELLFISH ALLERGY PANEL | $26.40 | $48.00 | $7.20–$43.20 | 74% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 LAB ALLERGEN SPEC IGE, EACH ALLERGEN | $26.40 | $48.00 | $7.20–$43.20 | 74% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 LAB IGE PANEL | $26.40 | $48.00 | $7.20–$43.20 | 74% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 LAB ASPERGILLUS IGE PANEL | $26.40 | $48.00 | $7.20–$43.20 | 74% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Peanut (f13) IgE | $26.95 | $49.00 | $7.35–$44.10 | 77% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Food and Tree Nut Allergy Profile | $26.95 | $49.00 | $7.35–$44.10 | 77% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 LAB ALLERGEN SPEC IGE, EACH - LINK | $26.95 | $49.00 | $7.35–$44.10 | 77% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 LAB ALLERGEN SPEC IGE, EACH ALLERG | $26.95 | $49.00 | $7.35–$44.10 | 77% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 LAB 86003 - ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH | $26.95 | $49.00 | $7.35–$44.10 | 77% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Panel #13, Stinging Insect Group | $26.95 | $49.00 | $7.35–$44.10 | 77% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Fire Ant (i70) IgE | $26.95 | $49.00 | $7.35–$44.10 | 77% above | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LAB ALLERGEN SPEC IGE, EACH ALLERGEN | $26.40 | $48.00 | $7.20–$48.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LAB ASPERGILLUS IGE PANEL | $26.40 | $48.00 | $7.20–$48.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LAB SHELLFISH ALLERGY PANEL | $26.40 | $48.00 | $7.20–$48.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LAB IGE PANEL | $26.40 | $48.00 | $7.20–$48.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Panel #13, Stinging Insect Group | $26.95 | $49.00 | $7.35–$49.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Food and Tree Nut Allergy Profile | $26.95 | $49.00 | $7.35–$49.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Fire Ant (i70) IgE | $26.95 | $49.00 | $7.35–$49.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LAB ALLERGEN SPEC IGE, EACH - LINK | $26.95 | $49.00 | $7.35–$49.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LAB ALLERGEN SPEC IGE, EACH ALLERG | $26.95 | $49.00 | $7.35–$49.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Peanut (f13) IgE | $26.95 | $49.00 | $7.35–$49.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LAB 86003 - ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH | $26.95 | $49.00 | $7.35–$49.00 | — | 45% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Maternal Serum Screen 4 | $41.25 | $75.00 | $11.25–$67.50 | 44% below | 45% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha Fetoprotein Tumor Marker | $41.25 | $75.00 | $11.25–$67.50 | 44% below | 45% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha Fetoprotein Maternal Serum | $41.25 | $75.00 | $11.25–$67.50 | 44% below | 45% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Maternal Serum Screen 4 | $41.25 | $75.00 | $11.25–$75.00 | — | 45% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Alpha Fetoprotein Maternal Serum | $41.25 | $75.00 | $11.25–$75.00 | — | 45% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Alpha Fetoprotein Tumor Marker | $41.25 | $75.00 | $11.25–$75.00 | — | 45% |
| Ammonia blood test CPT 82140 LAB AMMONIUM | $69.85 | $127.00 | $19.05–$114.30 | 7% below | 45% |
| Ammonia blood test CPT 82140 Ammonia Level | $69.85 | $127.00 | $19.05–$114.30 | 7% below | 45% |
| Ammonia blood test inpatient CPT 82140 Ammonia Level | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Ammonia blood test inpatient CPT 82140 LAB AMMONIUM | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Amylase blood test CPT 82150 Amylase 24 Hour Urine | $33.55 | $61.00 | $9.15–$54.90 | 24% below | 45% |
| Amylase blood test CPT 82150 Urine Amylase 2 Hour | $33.55 | $61.00 | $9.15–$54.90 | 24% below | 45% |
| Amylase blood test CPT 82150 Amylase Urine | $34.65 | $63.00 | $9.45–$56.70 | 21% below | 45% |
| Amylase blood test CPT 82150 Amylase Level | $34.65 | $63.00 | $9.45–$56.70 | 21% below | 45% |
| Amylase blood test CPT 82150 Amylase Body Fluid | $34.65 | $63.00 | $9.45–$56.70 | 21% below | 45% |
| Amylase blood test inpatient CPT 82150 Urine Amylase 2 Hour | $33.55 | $61.00 | $9.15–$61.00 | — | 45% |
| Amylase blood test inpatient CPT 82150 Amylase 24 Hour Urine | $33.55 | $61.00 | $9.15–$61.00 | — | 45% |
| Amylase blood test inpatient CPT 82150 Amylase Level | $34.65 | $63.00 | $9.45–$63.00 | — | 45% |
| Amylase blood test inpatient CPT 82150 Amylase Urine | $34.65 | $63.00 | $9.45–$63.00 | — | 45% |
| Amylase blood test inpatient CPT 82150 Amylase Body Fluid | $34.65 | $63.00 | $9.45–$63.00 | — | 45% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 LAB CYCLIC CITRULLINATED PEPTIDE AB (CCP) | $75.35 | $137.00 | $20.55–$123.30 | 44% above | 45% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 LAB 86200 - CYCLIC CITRULLINATED PEPTIDE ANTIBODY | $77.55 | $141.00 | $21.15–$126.90 | 48% above | 45% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic Citrulline Peptide Ab (IgG) | $77.55 | $141.00 | $21.15–$126.90 | 48% above | 45% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 LAB CYCLIC CITRULLINATED PEPTIDE AB (CCP) | $75.35 | $137.00 | $20.55–$137.00 | — | 45% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 LAB 86200 - CYCLIC CITRULLINATED PEPTIDE ANTIBODY | $77.55 | $141.00 | $21.15–$141.00 | — | 45% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Cyclic Citrulline Peptide Ab (IgG) | $77.55 | $141.00 | $21.15–$141.00 | — | 45% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 LAB Centromere B Antibody | $28.60 | $52.00 | $7.80–$46.80 | 33% below | 45% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Centromere B Antibody | $28.60 | $52.00 | $7.80–$46.80 | 33% below | 45% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA IFA, with Reflex to Titer/Pattern/Cascade | $29.70 | $54.00 | $8.10–$48.60 | 31% below | 45% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 LAB 86038 - ANTINUCLEAR ANTIBODIES ANA | $29.70 | $54.00 | $8.10–$48.60 | 31% below | 45% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Anti-Nuclear Antibodies Screen with reflex to Titer and Pattern | $29.70 | $54.00 | $8.10–$48.60 | 31% below | 45% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Centromere B Antibody | $28.60 | $52.00 | $7.80–$52.00 | — | 45% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 LAB Centromere B Antibody | $28.60 | $52.00 | $7.80–$52.00 | — | 45% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Anti-Nuclear Antibodies Screen with reflex to Titer and Pattern | $29.70 | $54.00 | $8.10–$54.00 | — | 45% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA IFA, with Reflex to Titer/Pattern/Cascade | $29.70 | $54.00 | $8.10–$54.00 | — | 45% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 LAB 86038 - ANTINUCLEAR ANTIBODIES ANA | $29.70 | $54.00 | $8.10–$54.00 | — | 45% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 LAB 83880 - ASSAY OF NATRIURETIC PEPTIDE | $245.85 | $447.00 | $67.05–$402.30 | 136% above | 45% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-Type Natriuretic Peptide | $245.85 | $447.00 | $67.05–$402.30 | 136% above | 45% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B-Type Natriuretic Peptide | $245.85 | $447.00 | $67.05–$447.00 | — | 45% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 LAB 83880 - ASSAY OF NATRIURETIC PEPTIDE | $245.85 | $447.00 | $67.05–$447.00 | — | 45% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bronchial Brushing Culture | $48.40 | $88.00 | $13.20–$79.20 | 8% below | 45% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Biopsy Culture | $48.40 | $88.00 | $13.20–$79.20 | 8% below | 45% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Decubitus | $48.40 | $88.00 | $13.20–$79.20 | 8% below | 45% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Sputum Culture | $50.05 | $91.00 | $13.65–$81.90 | 4% below | 45% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Tissue Culture | $50.05 | $91.00 | $13.65–$81.90 | 4% below | 45% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Throat Culture < 10 Yrs Old | $50.05 | $91.00 | $13.65–$81.90 | 4% below | 45% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Throat Culture | $50.05 | $91.00 | $13.65–$81.90 | 4% below | 45% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Sinus Culture | $50.05 | $91.00 | $13.65–$81.90 | 4% below | 45% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Routine Culture | $50.05 | $91.00 | $13.65–$81.90 | 4% below | 45% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Peritoneal Dialysis Fl Culture | $50.05 | $91.00 | $13.65–$81.90 | 4% below | 45% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Joint Fluid Culture | $50.05 | $91.00 | $13.65–$81.90 | 4% below | 45% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Group B Strep Culture | $50.05 | $91.00 | $13.65–$81.90 | 4% below | 45% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Genital Culture | $50.05 | $91.00 | $13.65–$81.90 | 4% below | 45% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Gallbladder Culture | $50.05 | $91.00 | $13.65–$81.90 | 4% below | 45% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Surgical Incision | $50.05 | $91.00 | $13.65–$81.90 | 4% below | 45% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Pustule/Abscess | $50.05 | $91.00 | $13.65–$81.90 | 4% below | 45% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bronch Washing Culture | $50.05 | $91.00 | $13.65–$81.90 | 4% below | 45% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bordetella Pertussis Culture | $50.05 | $91.00 | $13.65–$81.90 | 4% below | 45% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bacterial Culture CSF | $50.05 | $91.00 | $13.65–$81.90 | 4% below | 45% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LAB 87070 - CULTURE OTHR SPECIMN AEROBIC | $50.05 | $91.00 | $13.65–$81.90 | 4% below | 45% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Biopsy Culture | $48.40 | $88.00 | $13.20–$88.00 | — | 45% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Decubitus | $48.40 | $88.00 | $13.20–$88.00 | — | 45% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Bronchial Brushing Culture | $48.40 | $88.00 | $13.20–$88.00 | — | 45% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Peritoneal Dialysis Fl Culture | $50.05 | $91.00 | $13.65–$91.00 | — | 45% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Bronch Washing Culture | $50.05 | $91.00 | $13.65–$91.00 | — | 45% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Pustule/Abscess | $50.05 | $91.00 | $13.65–$91.00 | — | 45% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Surgical Incision | $50.05 | $91.00 | $13.65–$91.00 | — | 45% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Gallbladder Culture | $50.05 | $91.00 | $13.65–$91.00 | — | 45% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Routine Culture | $50.05 | $91.00 | $13.65–$91.00 | — | 45% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Genital Culture | $50.05 | $91.00 | $13.65–$91.00 | — | 45% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Joint Fluid Culture | $50.05 | $91.00 | $13.65–$91.00 | — | 45% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 LAB 87070 - CULTURE OTHR SPECIMN AEROBIC | $50.05 | $91.00 | $13.65–$91.00 | — | 45% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Bacterial Culture CSF | $50.05 | $91.00 | $13.65–$91.00 | — | 45% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Bordetella Pertussis Culture | $50.05 | $91.00 | $13.65–$91.00 | — | 45% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Group B Strep Culture | $50.05 | $91.00 | $13.65–$91.00 | — | 45% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Tissue Culture | $50.05 | $91.00 | $13.65–$91.00 | — | 45% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Throat Culture < 10 Yrs Old | $50.05 | $91.00 | $13.65–$91.00 | — | 45% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Throat Culture | $50.05 | $91.00 | $13.65–$91.00 | — | 45% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Sputum Culture | $50.05 | $91.00 | $13.65–$91.00 | — | 45% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Sinus Culture | $50.05 | $91.00 | $13.65–$91.00 | — | 45% |
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel | $63.25 | $115.00 | $17.25–$103.50 | 6% above | 45% |
| Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel | $63.25 | $115.00 | $17.25–$115.00 | — | 45% |
| Bilirubin blood test, total CPT 82247 LAB FIBROSURE TOTAL BILIRUBIN | $29.15 | $53.00 | $7.95–$47.70 | 20% above | 45% |
| Bilirubin blood test, total CPT 82247 Bilirubin Total | $29.15 | $53.00 | $7.95–$47.70 | 20% above | 45% |
| Bilirubin blood test, total CPT 82247 LAB BILIRUBIN, TOTAL | $29.15 | $53.00 | $7.95–$47.70 | 20% above | 45% |
| Bilirubin blood test, total CPT 82247 LAB LIVER FIBROSIS PANEL-TOTAL BILIRUBIN | $30.25 | $55.00 | $8.25–$49.50 | 24% above | 45% |
| Bilirubin blood test, total CPT 82247 Bilirubin Total/Direct | $30.25 | $55.00 | $8.25–$49.50 | 24% above | 45% |
| Bilirubin blood test, total CPT 82247 LAB 82247 - BILIRUBIN TOTAL | $30.25 | $55.00 | $8.25–$49.50 | 24% above | 45% |
| Bilirubin blood test, total inpatient CPT 82247 Bilirubin Total | $29.15 | $53.00 | $7.95–$53.00 | — | 45% |
| Bilirubin blood test, total inpatient CPT 82247 LAB BILIRUBIN, TOTAL | $29.15 | $53.00 | $7.95–$53.00 | — | 45% |
| Bilirubin blood test, total inpatient CPT 82247 LAB FIBROSURE TOTAL BILIRUBIN | $29.15 | $53.00 | $7.95–$53.00 | — | 45% |
| Bilirubin blood test, total inpatient CPT 82247 LAB LIVER FIBROSIS PANEL-TOTAL BILIRUBIN | $30.25 | $55.00 | $8.25–$55.00 | — | 45% |
| Bilirubin blood test, total inpatient CPT 82247 LAB 82247 - BILIRUBIN TOTAL | $30.25 | $55.00 | $8.25–$55.00 | — | 45% |
| Bilirubin blood test, total inpatient CPT 82247 Bilirubin Total/Direct | $30.25 | $55.00 | $8.25–$55.00 | — | 45% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 LAB TISSUE EXAM | $83.60 | $152.00 | $22.80–$136.80 | 50% below | 45% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Tissue Pathology Lee Path-Bill Only | $83.60 | $152.00 | $22.80–$136.80 | 50% below | 45% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 REFLAB LVL IV - SURGICAL PATH, GROSS & MICRO EXAM | $83.60 | $152.00 | $22.80–$136.80 | 50% below | 45% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 APA LAB TISSUE EXAM BY PATHOLOGIST | $83.60 | $152.00 | $22.80–$136.80 | 50% below | 45% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 LAB LEVEL IV-SURGICAL PATHOLOGY | $83.60 | $152.00 | $22.80–$136.80 | 50% below | 45% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 88305 AP Bill Surgical Pathology Level IV Complexity | $86.35 | $157.00 | $23.55–$141.30 | 49% below | 45% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 LAB 88305 - LEVEL IV SURG PATHOLOGY GROSS&MICROSCOPIC EXAM | $86.35 | $157.00 | $23.55–$141.30 | 49% below | 45% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 LAB LEVEL IV-SURGICAL PATHOLOGY | $83.60 | $152.00 | $22.80–$152.00 | — | 45% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 APA LAB TISSUE EXAM BY PATHOLOGIST | $83.60 | $152.00 | $22.80–$152.00 | — | 45% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 LAB TISSUE EXAM | $83.60 | $152.00 | $22.80–$152.00 | — | 45% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Tissue Pathology Lee Path-Bill Only | $83.60 | $152.00 | $22.80–$152.00 | — | 45% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 REFLAB LVL IV - SURGICAL PATH, GROSS & MICRO EXAM | $83.60 | $152.00 | $22.80–$152.00 | — | 45% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 LAB 88305 - LEVEL IV SURG PATHOLOGY GROSS&MICROSCOPIC EXAM | $86.35 | $157.00 | $23.55–$157.00 | — | 45% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 88305 AP Bill Surgical Pathology Level IV Complexity | $86.35 | $157.00 | $23.55–$157.00 | — | 45% |
| Blood culture for bacteria CPT 87040 Culture Blood Body Fluid | $47.30 | $86.00 | $12.90–$77.40 | 42% below | 45% |
| Blood culture for bacteria CPT 87040 Bacterial Culture Blood | $48.95 | $89.00 | $13.35–$80.10 | 40% below | 45% |
| Blood culture for bacteria inpatient CPT 87040 Culture Blood Body Fluid | $47.30 | $86.00 | $12.90–$86.00 | — | 45% |
| Blood culture for bacteria inpatient CPT 87040 Bacterial Culture Blood | $48.95 | $89.00 | $13.35–$89.00 | — | 45% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Nurse Collect (Blood) | $10.45 | $19.00 | $2.85–$17.10 | 45% above | 45% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture (charge only) | $10.45 | $19.00 | $2.85–$17.10 | 45% above | 45% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Collection Of Venous Blood By Venipuncture 36415 | $10.45 | $19.00 | $2.85–$17.10 | 45% above | 45% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 36415 Routine Venipuncture | $11.00 | $20.00 | $3.00–$18.00 | 53% above | 45% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 SANE VENIPUNCTURE | $11.00 | $20.00 | $3.00–$18.00 | 53% above | 45% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION: Venous Draw | $11.00 | $20.00 | $3.00–$18.00 | 53% above | 45% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Nurse Collect (Blood) | $10.45 | $19.00 | $2.85–$19.00 | — | 45% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Collection Of Venous Blood By Venipuncture 36415 | $10.45 | $19.00 | $2.85–$19.00 | — | 45% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Venipuncture (charge only) | $10.45 | $19.00 | $2.85–$19.00 | — | 45% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 36415 Routine Venipuncture | $11.00 | $20.00 | $3.00–$20.00 | — | 45% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 SANE VENIPUNCTURE | $11.00 | $20.00 | $3.00–$20.00 | — | 45% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COLLECTION: Venous Draw | $11.00 | $20.00 | $3.00–$20.00 | — | 45% |
| Blood glucose (sugar) test CPT 82947 POC-Glucose | $7.15 | $13.00 | $1.95–$11.70 | 73% below | 45% |
| Blood glucose (sugar) test CPT 82947 LAB 82947 - ASSAY GLUCOSE BLOOD QUANT | $7.15 | $13.00 | $1.95–$11.70 | 73% below | 45% |
| Blood glucose (sugar) test CPT 82947 Glucose Blood Sugar | $7.15 | $13.00 | $1.95–$11.70 | 73% below | 45% |
| Blood glucose (sugar) test CPT 82947 POC-Glu CAP | $7.15 | $13.00 | $1.95–$11.70 | 73% below | 45% |
| Blood glucose (sugar) test CPT 82947 POC-Glu | $7.15 | $13.00 | $1.95–$11.70 | 73% below | 45% |
| Blood glucose (sugar) test CPT 82947 LAB CARDIO IQ GLUC | $7.15 | $13.00 | $1.95–$11.70 | 73% below | 45% |
| Blood glucose (sugar) test CPT 82947 LAB FIBROSURE GLUCOSE | $7.15 | $13.00 | $1.95–$11.70 | 73% below | 45% |
| Blood glucose (sugar) test CPT 82947 LAB Glucose Level | $7.15 | $13.00 | $1.95–$11.70 | 73% below | 45% |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose Blood Sugar | $7.15 | $13.00 | $1.95–$13.00 | — | 45% |
| Blood glucose (sugar) test inpatient CPT 82947 POC-Glu CAP | $7.15 | $13.00 | $1.95–$13.00 | — | 45% |
| Blood glucose (sugar) test inpatient CPT 82947 LAB Glucose Level | $7.15 | $13.00 | $1.95–$13.00 | — | 45% |
| Blood glucose (sugar) test inpatient CPT 82947 LAB 82947 - ASSAY GLUCOSE BLOOD QUANT | $7.15 | $13.00 | $1.95–$13.00 | — | 45% |
| Blood glucose (sugar) test inpatient CPT 82947 LAB CARDIO IQ GLUC | $7.15 | $13.00 | $1.95–$13.00 | — | 45% |
| Blood glucose (sugar) test inpatient CPT 82947 LAB FIBROSURE GLUCOSE | $7.15 | $13.00 | $1.95–$13.00 | — | 45% |
| Blood glucose (sugar) test inpatient CPT 82947 POC-Glucose | $7.15 | $13.00 | $1.95–$13.00 | — | 45% |
| Blood glucose (sugar) test inpatient CPT 82947 POC-Glu | $7.15 | $13.00 | $1.95–$13.00 | — | 45% |
| Blood lead test CPT 83655 LAB 83655 - ASSAY OF LEAD | $27.50 | $50.00 | $7.50–$45.00 | 33% below | 45% |
| Blood lead test CPT 83655 LAB LEAD LEVEL, BLOOD | $28.60 | $52.00 | $7.80–$46.80 | 31% below | 45% |
| Blood lead test CPT 83655 Lead Level | $28.60 | $52.00 | $7.80–$46.80 | 31% below | 45% |
| Blood lead test CPT 83655 LAB LEAD (PANEL) | $28.60 | $52.00 | $7.80–$46.80 | 31% below | 45% |
| Blood lead test inpatient CPT 83655 LAB 83655 - ASSAY OF LEAD | $27.50 | $50.00 | $7.50–$50.00 | — | 45% |
| Blood lead test inpatient CPT 83655 LAB LEAD (PANEL) | $28.60 | $52.00 | $7.80–$52.00 | — | 45% |
| Blood lead test inpatient CPT 83655 LAB LEAD LEVEL, BLOOD | $28.60 | $52.00 | $7.80–$52.00 | — | 45% |
| Blood lead test inpatient CPT 83655 Lead Level | $28.60 | $52.00 | $7.80–$52.00 | — | 45% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Serum Pregnancy Test | $38.50 | $70.00 | $10.50–$63.00 | 18% below | 45% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Serum Pregnancy Test | $38.50 | $70.00 | $10.50–$70.00 | — | 45% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Post-Trns ABORh | $125.95 | $229.00 | $34.35–$206.10 | 93% above | 45% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 zzABORh-Bench | $125.95 | $229.00 | $34.35–$206.10 | 93% above | 45% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 zABO Group and Rh Type | $125.95 | $229.00 | $34.35–$206.10 | 93% above | 45% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Pre-trns ABORh | $125.95 | $229.00 | $34.35–$206.10 | 93% above | 45% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Cord ABO Group and Rh Type | $125.95 | $229.00 | $34.35–$206.10 | 93% above | 45% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO Group and Rh Type | $125.95 | $229.00 | $34.35–$206.10 | 93% above | 45% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 86900 BLOOD TYPING SEROLOGIC ABO | $125.95 | $229.00 | $34.35–$206.10 | 93% above | 45% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB ABO TYPE-LIFESOUTH | $129.80 | $236.00 | $35.40–$212.40 | 99% above | 45% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO/Rh | $129.80 | $236.00 | $35.40–$212.40 | 99% above | 45% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Pre-trns ABORh | $125.95 | $229.00 | $34.35–$229.00 | — | 45% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Post-Trns ABORh | $125.95 | $229.00 | $34.35–$229.00 | — | 45% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Cord ABO Group and Rh Type | $125.95 | $229.00 | $34.35–$229.00 | — | 45% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO Group and Rh Type | $125.95 | $229.00 | $34.35–$229.00 | — | 45% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 86900 BLOOD TYPING SEROLOGIC ABO | $125.95 | $229.00 | $34.35–$229.00 | — | 45% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 zzABORh-Bench | $125.95 | $229.00 | $34.35–$229.00 | — | 45% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 zABO Group and Rh Type | $125.95 | $229.00 | $34.35–$229.00 | — | 45% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB ABO TYPE-LIFESOUTH | $129.80 | $236.00 | $35.40–$236.00 | — | 45% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO/Rh | $129.80 | $236.00 | $35.40–$236.00 | — | 45% |
| Blood urea nitrogen (BUN) test CPT 84520 LAB 84520 - ASSAY OF UREA NITROGEN | $29.15 | $53.00 | $7.95–$47.70 | 4% above | 45% |
| Blood urea nitrogen (BUN) test CPT 84520 POC-BUN | $29.15 | $53.00 | $7.95–$47.70 | 4% above | 45% |
| Blood urea nitrogen (BUN) test CPT 84520 Blood Urea Nitrogen | $30.25 | $55.00 | $8.25–$49.50 | 8% above | 45% |
| Blood urea nitrogen (BUN) test CPT 84520 LAB BUN | $30.25 | $55.00 | $8.25–$49.50 | 8% above | 45% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 LAB 84520 - ASSAY OF UREA NITROGEN | $29.15 | $53.00 | $7.95–$53.00 | — | 45% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 POC-BUN | $29.15 | $53.00 | $7.95–$53.00 | — | 45% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 Blood Urea Nitrogen | $30.25 | $55.00 | $8.25–$55.00 | — | 45% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 LAB BUN | $30.25 | $55.00 | $8.25–$55.00 | — | 45% |
| C-peptide blood test CPT 84681 ZZC-Peptide | $28.60 | $52.00 | $7.80–$46.80 | 61% below | 45% |
| C-peptide blood test CPT 84681 LAB CARDIO IQ C-PEPTIDE | $28.60 | $52.00 | $7.80–$46.80 | 61% below | 45% |
| C-peptide blood test CPT 84681 LAB 84681 - ASSAY OF C-PEPTIDE | $28.60 | $52.00 | $7.80–$46.80 | 61% below | 45% |
| C-peptide blood test CPT 84681 LAB C-PEPTIDE | $28.60 | $52.00 | $7.80–$46.80 | 61% below | 45% |
| C-peptide blood test CPT 84681 C-Peptide | $29.70 | $54.00 | $8.10–$48.60 | 60% below | 45% |
| C-peptide blood test CPT 84681 Cardio IQ Insulin Resistance Pnl w Score | $29.70 | $54.00 | $8.10–$48.60 | 60% below | 45% |
| C-peptide blood test inpatient CPT 84681 LAB CARDIO IQ C-PEPTIDE | $28.60 | $52.00 | $7.80–$52.00 | — | 45% |
| C-peptide blood test inpatient CPT 84681 LAB 84681 - ASSAY OF C-PEPTIDE | $28.60 | $52.00 | $7.80–$52.00 | — | 45% |
| C-peptide blood test inpatient CPT 84681 ZZC-Peptide | $28.60 | $52.00 | $7.80–$52.00 | — | 45% |
| C-peptide blood test inpatient CPT 84681 LAB C-PEPTIDE | $28.60 | $52.00 | $7.80–$52.00 | — | 45% |
| C-peptide blood test inpatient CPT 84681 Cardio IQ Insulin Resistance Pnl w Score | $29.70 | $54.00 | $8.10–$54.00 | — | 45% |
| C-peptide blood test inpatient CPT 84681 C-Peptide | $29.70 | $54.00 | $8.10–$54.00 | — | 45% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-Reactive Protein (measure inflammatory response) | $28.60 | $52.00 | $7.80–$46.80 | 35% below | 45% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-Reactive Protein (measure inflammatory response) | $28.60 | $52.00 | $7.80–$52.00 | — | 45% |
| C. difficile toxin gene test (stool PCR) CPT 87493 LAB 87493 - C DIFF AMPLIFIED PROBE | $169.40 | $308.00 | $46.20–$277.20 | 73% above | 45% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C Diff DNA PCR w/reflex to Toxin | $174.35 | $317.00 | $47.55–$285.30 | 78% above | 45% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 LAB 87493 - C DIFF AMPLIFIED PROBE | $169.40 | $308.00 | $46.20–$308.00 | — | 45% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C Diff DNA PCR w/reflex to Toxin | $174.35 | $317.00 | $47.55–$317.00 | — | 45% |
| CA 19-9 blood test (tumor marker) CPT 86301 Cancer Antigen(CA) 19-9 | $34.65 | $63.00 | $9.45–$56.70 | 66% below | 45% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 Cancer Antigen(CA) 19-9 | $34.65 | $63.00 | $9.45–$63.00 | — | 45% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Cancer Antigen 125 | $69.85 | $127.00 | $19.05–$114.30 | 19% below | 45% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Cancer Antigen 125 | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 LAB 87635 - IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ | $115.50 | $210.00 | $31.50–$189.00 | 97% above | 45% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 PCR (COVID-19) | $118.80 | $216.00 | $32.40–$194.40 | 102% above | 45% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 LAB 87635 - IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ | $115.50 | $210.00 | $31.50–$210.00 | — | 45% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2 PCR (COVID-19) | $118.80 | $216.00 | $32.40–$216.00 | — | 45% |
| Calcium blood test, total CPT 82310 Calcium Level Urine Random | $30.25 | $55.00 | $8.25–$49.50 | 11% above | 45% |
| Calcium blood test, total CPT 82310 LAB Calcium Level | $30.25 | $55.00 | $8.25–$49.50 | 11% above | 45% |
| Calcium blood test, total CPT 82310 Calcium Level Total | $30.25 | $55.00 | $8.25–$49.50 | 11% above | 45% |
| Calcium blood test, total inpatient CPT 82310 LAB Calcium Level | $30.25 | $55.00 | $8.25–$55.00 | — | 45% |
| Calcium blood test, total inpatient CPT 82310 Calcium Level Urine Random | $30.25 | $55.00 | $8.25–$55.00 | — | 45% |
| Calcium blood test, total inpatient CPT 82310 Calcium Level Total | $30.25 | $55.00 | $8.25–$55.00 | — | 45% |
| Carcinoembryonic antigen (CEA) test CPT 82378 xxxxCarcinoembryonic Antigen | $49.50 | $90.00 | $13.50–$81.00 | 37% below | 45% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CEA(Carcinoembryonic Antigen) | $51.15 | $93.00 | $13.95–$83.70 | 35% below | 45% |
| Carcinoembryonic antigen (CEA) test CPT 82378 LAB 82378 - CARCINOEMBRYONIC ANTIGEN CEA | $51.15 | $93.00 | $13.95–$83.70 | 35% below | 45% |
| Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic Antigen-Quest | $51.15 | $93.00 | $13.95–$83.70 | 35% below | 45% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 xxxxCarcinoembryonic Antigen | $49.50 | $90.00 | $13.50–$90.00 | — | 45% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Carcinoembryonic Antigen-Quest | $51.15 | $93.00 | $13.95–$93.00 | — | 45% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA(Carcinoembryonic Antigen) | $51.15 | $93.00 | $13.95–$93.00 | — | 45% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 LAB 82378 - CARCINOEMBRYONIC ANTIGEN CEA | $51.15 | $93.00 | $13.95–$93.00 | — | 45% |
| Chickenpox (varicella) immunity blood test CPT 86787 LAB VARICELLA ZOSTER IGM | $28.60 | $52.00 | $7.80–$46.80 | 52% below | 45% |
| Chickenpox (varicella) immunity blood test CPT 86787 LAB 86787 - ANTIBODY VARICELLA-ZOSTER | $28.60 | $52.00 | $7.80–$46.80 | 52% below | 45% |
| Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster IgM Antibody | $29.70 | $54.00 | $8.10–$48.60 | 50% below | 45% |
| Chickenpox (varicella) immunity blood test CPT 86787 ZZVZV IgG | $29.70 | $54.00 | $8.10–$48.60 | 50% below | 45% |
| Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster IgG Antibody | $29.70 | $54.00 | $8.10–$48.60 | 50% below | 45% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 LAB VARICELLA ZOSTER IGM | $28.60 | $52.00 | $7.80–$52.00 | — | 45% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 LAB 86787 - ANTIBODY VARICELLA-ZOSTER | $28.60 | $52.00 | $7.80–$52.00 | — | 45% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 ZZVZV IgG | $29.70 | $54.00 | $8.10–$54.00 | — | 45% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella Zoster IgM Antibody | $29.70 | $54.00 | $8.10–$54.00 | — | 45% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella Zoster IgG Antibody | $29.70 | $54.00 | $8.10–$54.00 | — | 45% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia trachomatis, DNA (Rectal) | $79.20 | $144.00 | $21.60–$129.60 | 22% above | 45% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia trachomatis, DNA (Throat) | $79.20 | $144.00 | $21.60–$129.60 | 22% above | 45% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 LAB 87491 - IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ | $81.40 | $148.00 | $22.20–$133.20 | 25% above | 45% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia trachomatis, DNA (Swab) | $81.40 | $148.00 | $22.20–$133.20 | 25% above | 45% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia trachomatis, DNA (Urine) | $81.40 | $148.00 | $22.20–$133.20 | 25% above | 45% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 zzCTDNA-TP | $81.40 | $148.00 | $22.20–$133.20 | 25% above | 45% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia trachomatis, DNA (Rectal) | $79.20 | $144.00 | $21.60–$144.00 | — | 45% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia trachomatis, DNA (Throat) | $79.20 | $144.00 | $21.60–$144.00 | — | 45% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 LAB 87491 - IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ | $81.40 | $148.00 | $22.20–$148.00 | — | 45% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia trachomatis, DNA (Swab) | $81.40 | $148.00 | $22.20–$148.00 | — | 45% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia trachomatis, DNA (Urine) | $81.40 | $148.00 | $22.20–$148.00 | — | 45% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 zzCTDNA-TP | $81.40 | $148.00 | $22.20–$148.00 | — | 45% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 POC Lipid Panel | $52.25 | $95.00 | $14.25–$85.50 | at median | 45% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LAB 80061 - LIPID PANEL | $52.25 | $95.00 | $14.25–$85.50 | at median | 45% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LAB LIPID PANEL WITH TRIG/HDL-CHOL | $52.25 | $95.00 | $14.25–$85.50 | at median | 45% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Profile V (Lipid) | $53.90 | $98.00 | $14.70–$88.20 | 3% above | 45% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LAB LIPID PANEL WITH TRIG/HDL-CHOL | $52.25 | $95.00 | $14.25–$95.00 | — | 45% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 POC Lipid Panel | $52.25 | $95.00 | $14.25–$95.00 | — | 45% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LAB 80061 - LIPID PANEL | $52.25 | $95.00 | $14.25–$95.00 | — | 45% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Profile V (Lipid) | $53.90 | $98.00 | $14.70–$98.00 | — | 45% |
| Complete blood count (CBC) with differential CPT 85025 POC Cell Dyn Complete Blood Count w/Diff | $38.50 | $70.00 | $10.50–$63.00 | 5% above | 45% |
| Complete blood count (CBC) with differential CPT 85025 LAB 85025 - COMPLETE CBC W/AUTO DIFF WBC | $38.50 | $70.00 | $10.50–$63.00 | 5% above | 45% |
| Complete blood count (CBC) with differential CPT 85025 Complete Blood Count w/ Diff | $38.50 | $70.00 | $10.50–$63.00 | 5% above | 45% |
| Complete blood count (CBC) with differential CPT 85025 ED Complete Blood Count w/Diff | $38.50 | $70.00 | $10.50–$63.00 | 5% above | 45% |
| Complete blood count (CBC) with differential CPT 85025 zzCBC w/Diff (Outreach Only) | $38.50 | $70.00 | $10.50–$63.00 | 5% above | 45% |
| Complete blood count (CBC) with differential CPT 85025 Complete Blood Count | $39.60 | $72.00 | $10.80–$64.80 | 8% above | 45% |
| Complete blood count (CBC) with differential CPT 85025 Complete Blood Count w/Diff | $39.60 | $72.00 | $10.80–$64.80 | 8% above | 45% |
| Complete blood count (CBC) with differential inpatient CPT 85025 POC Cell Dyn Complete Blood Count w/Diff | $38.50 | $70.00 | $10.50–$70.00 | — | 45% |
| Complete blood count (CBC) with differential inpatient CPT 85025 ED Complete Blood Count w/Diff | $38.50 | $70.00 | $10.50–$70.00 | — | 45% |
| Complete blood count (CBC) with differential inpatient CPT 85025 LAB 85025 - COMPLETE CBC W/AUTO DIFF WBC | $38.50 | $70.00 | $10.50–$70.00 | — | 45% |
| Complete blood count (CBC) with differential inpatient CPT 85025 Complete Blood Count w/ Diff | $38.50 | $70.00 | $10.50–$70.00 | — | 45% |
| Complete blood count (CBC) with differential inpatient CPT 85025 zzCBC w/Diff (Outreach Only) | $38.50 | $70.00 | $10.50–$70.00 | — | 45% |
| Complete blood count (CBC) with differential inpatient CPT 85025 Complete Blood Count w/Diff | $39.60 | $72.00 | $10.80–$72.00 | — | 45% |
| Complete blood count (CBC) with differential inpatient CPT 85025 Complete Blood Count | $39.60 | $72.00 | $10.80–$72.00 | — | 45% |
| Complete blood count (CBC), no differential CPT 85027 Complete Blood Count | $25.30 | $46.00 | $6.90–$41.40 | 25% below | 45% |
| Complete blood count (CBC), no differential inpatient CPT 85027 Complete Blood Count | $25.30 | $46.00 | $6.90–$46.00 | — | 45% |
| Comprehensive metabolic panel (blood test) CPT 80053 Profile 1 (CMP) | $71.50 | $130.00 | $19.50–$117.00 | 6% below | 45% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 Profile 1 (CMP) | $71.50 | $130.00 | $19.50–$130.00 | — | 45% |
| Cortisol blood test, total CPT 82533 LAB CORTISOL TOTAL | $39.60 | $72.00 | $10.80–$64.80 | 40% below | 45% |
| Cortisol blood test, total CPT 82533 Cortisol Total | $40.70 | $74.00 | $11.10–$66.60 | 38% below | 45% |
| Cortisol blood test, total CPT 82533 LAB 82533 - TOTAL CORTISOL | $40.70 | $74.00 | $11.10–$66.60 | 38% below | 45% |
| Cortisol blood test, total inpatient CPT 82533 LAB CORTISOL TOTAL | $39.60 | $72.00 | $10.80–$72.00 | — | 45% |
| Cortisol blood test, total inpatient CPT 82533 LAB 82533 - TOTAL CORTISOL | $40.70 | $74.00 | $11.10–$74.00 | — | 45% |
| Cortisol blood test, total inpatient CPT 82533 Cortisol Total | $40.70 | $74.00 | $11.10–$74.00 | — | 45% |
| Creatine kinase (CK) blood test, total CPT 82550 Creatine Phosphokinase (CPK) | $31.35 | $57.00 | $8.55–$51.30 | 4% below | 45% |
| Creatine kinase (CK) blood test, total CPT 82550 LAB 82550 - ASSAY OF CK (CPK) | $31.35 | $57.00 | $8.55–$51.30 | 4% below | 45% |
| Creatine kinase (CK) blood test, total CPT 82550 LAB CPK, PANEL OUT | $31.35 | $57.00 | $8.55–$51.30 | 4% below | 45% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 LAB CPK, PANEL OUT | $31.35 | $57.00 | $8.55–$57.00 | — | 45% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 Creatine Phosphokinase (CPK) | $31.35 | $57.00 | $8.55–$57.00 | — | 45% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 LAB 82550 - ASSAY OF CK (CPK) | $31.35 | $57.00 | $8.55–$57.00 | — | 45% |
| Creatinine blood test CPT 82565 LABL Creat, Blood | $18.70 | $34.00 | $5.10–$30.60 | 36% below | 45% |
| Creatinine blood test CPT 82565 POC Cardiology Creatinine | $18.70 | $34.00 | $5.10–$30.60 | 36% below | 45% |
| Creatinine blood test CPT 82565 POC-Creatinine | $18.70 | $34.00 | $5.10–$30.60 | 36% below | 45% |
| Creatinine blood test CPT 82565 POC Card Creat | $18.70 | $34.00 | $5.10–$30.60 | 36% below | 45% |
| Creatinine blood test CPT 82565 POC Rad Creat | $18.70 | $34.00 | $5.10–$30.60 | 36% below | 45% |
| Creatinine blood test CPT 82565 POC Creatinine AUMRI | $18.70 | $34.00 | $5.10–$30.60 | 36% below | 45% |
| Creatinine blood test CPT 82565 EPOC-Creatinine | $19.25 | $35.00 | $5.25–$31.50 | 34% below | 45% |
| Creatinine blood test CPT 82565 POC Creatinine ADI | $19.25 | $35.00 | $5.25–$31.50 | 34% below | 45% |
| Creatinine blood test CPT 82565 Creatinine Level | $19.25 | $35.00 | $5.25–$31.50 | 34% below | 45% |
| Creatinine blood test CPT 82565 LAB Creatinine Level | $19.25 | $35.00 | $5.25–$31.50 | 34% below | 45% |
| Creatinine blood test CPT 82565 I-Stat | $19.25 | $35.00 | $5.25–$31.50 | 34% below | 45% |
| Creatinine blood test inpatient CPT 82565 POC Rad Creat | $18.70 | $34.00 | $5.10–$34.00 | — | 45% |
| Creatinine blood test inpatient CPT 82565 LABL Creat, Blood | $18.70 | $34.00 | $5.10–$34.00 | — | 45% |
| Creatinine blood test inpatient CPT 82565 POC-Creatinine | $18.70 | $34.00 | $5.10–$34.00 | — | 45% |
| Creatinine blood test inpatient CPT 82565 POC Cardiology Creatinine | $18.70 | $34.00 | $5.10–$34.00 | — | 45% |
| Creatinine blood test inpatient CPT 82565 POC Creatinine AUMRI | $18.70 | $34.00 | $5.10–$34.00 | — | 45% |
| Creatinine blood test inpatient CPT 82565 POC Card Creat | $18.70 | $34.00 | $5.10–$34.00 | — | 45% |
| Creatinine blood test inpatient CPT 82565 POC Creatinine ADI | $19.25 | $35.00 | $5.25–$35.00 | — | 45% |
| Creatinine blood test inpatient CPT 82565 I-Stat | $19.25 | $35.00 | $5.25–$35.00 | — | 45% |
| Creatinine blood test inpatient CPT 82565 LAB Creatinine Level | $19.25 | $35.00 | $5.25–$35.00 | — | 45% |
| Creatinine blood test inpatient CPT 82565 EPOC-Creatinine | $19.25 | $35.00 | $5.25–$35.00 | — | 45% |
| Creatinine blood test inpatient CPT 82565 Creatinine Level | $19.25 | $35.00 | $5.25–$35.00 | — | 45% |
| Cytomegalovirus (CMV) antibody test CPT 86644 ZZEpstBarrPnl | $33.55 | $61.00 | $9.15–$54.90 | 51% below | 45% |
| Cytomegalovirus (CMV) antibody test CPT 86644 Cytomegalovirus IGG/IGM Ab Panel | $34.65 | $63.00 | $9.45–$56.70 | 49% below | 45% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 ZZEpstBarrPnl | $33.55 | $61.00 | $9.15–$61.00 | — | 45% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Cytomegalovirus IGG/IGM Ab Panel | $34.65 | $63.00 | $9.45–$63.00 | — | 45% |
| D-dimer blood test (blood clot marker) CPT 85379 LAB 85379 - FIBRIN DGRADJ PRODUCTS D-DIMER QUANTITATIVE | $85.25 | $155.00 | $23.25–$139.50 | 40% above | 45% |
| D-dimer blood test (blood clot marker) CPT 85379 D-Dimer HS | $85.25 | $155.00 | $23.25–$139.50 | 40% above | 45% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D-Dimer HS | $85.25 | $155.00 | $23.25–$155.00 | — | 45% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 LAB 85379 - FIBRIN DGRADJ PRODUCTS D-DIMER QUANTITATIVE | $85.25 | $155.00 | $23.25–$155.00 | — | 45% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone-sulfate | $52.80 | $96.00 | $14.40–$86.40 | 40% below | 45% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dehydroepiandrosterone-sulfate | $52.80 | $96.00 | $14.40–$96.00 | — | 45% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 LAB DRUG MONITORING BUPRENORPHINE W/CONFIRM, URINE | $68.75 | $125.00 | $18.75–$112.50 | 14% below | 45% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 LAB DRUG MONITORING FENTANYL W/CONFIRM, W/MEDMATCH, URINE | $68.75 | $125.00 | $18.75–$112.50 | 14% below | 45% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 LAB 80307 - DRUG TST PRSMV INSTRMNT CHEM ANALYZERS PR DATE | $68.75 | $125.00 | $18.75–$112.50 | 14% below | 45% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 LAB PAIN MANAGEMENT DRUG PANEL | $68.75 | $125.00 | $18.75–$112.50 | 14% below | 45% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Acetaminophen Level | $68.75 | $125.00 | $18.75–$112.50 | 14% below | 45% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen, Industrial | $68.75 | $125.00 | $18.75–$112.50 | 14% below | 45% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen, Urine | $68.75 | $125.00 | $18.75–$112.50 | 14% below | 45% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Ethanol (Alcohol) | $68.75 | $125.00 | $18.75–$112.50 | 14% below | 45% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Salicylate Level | $68.75 | $125.00 | $18.75–$112.50 | 14% below | 45% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Umbilicial Cord Expanded Drug Screen | $68.75 | $125.00 | $18.75–$112.50 | 14% below | 45% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Urine Drug Screen | $68.75 | $125.00 | $18.75–$112.50 | 14% below | 45% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Urine Drug Screen | $68.75 | $125.00 | $18.75–$125.00 | — | 45% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Acetaminophen Level | $68.75 | $125.00 | $18.75–$125.00 | — | 45% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LAB PAIN MANAGEMENT DRUG PANEL | $68.75 | $125.00 | $18.75–$125.00 | — | 45% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LAB 80307 - DRUG TST PRSMV INSTRMNT CHEM ANALYZERS PR DATE | $68.75 | $125.00 | $18.75–$125.00 | — | 45% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LAB DRUG MONITORING FENTANYL W/CONFIRM, W/MEDMATCH, URINE | $68.75 | $125.00 | $18.75–$125.00 | — | 45% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Screen, Urine | $68.75 | $125.00 | $18.75–$125.00 | — | 45% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Ethanol (Alcohol) | $68.75 | $125.00 | $18.75–$125.00 | — | 45% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Salicylate Level | $68.75 | $125.00 | $18.75–$125.00 | — | 45% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Umbilicial Cord Expanded Drug Screen | $68.75 | $125.00 | $18.75–$125.00 | — | 45% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LAB DRUG MONITORING BUPRENORPHINE W/CONFIRM, URINE | $68.75 | $125.00 | $18.75–$125.00 | — | 45% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Screen, Industrial | $68.75 | $125.00 | $18.75–$125.00 | — | 45% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 LAB 80051 - ELECTROLYTE PANEL | $30.25 | $55.00 | $8.25–$49.50 | 39% below | 45% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 POC CHEM 8 charge | $30.25 | $55.00 | $8.25–$49.50 | 39% below | 45% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolytes Dialysate Fluid | $30.25 | $55.00 | $8.25–$49.50 | 39% below | 45% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 POC-tCO2. | $30.25 | $55.00 | $8.25–$49.50 | 39% below | 45% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 NICU 7 | $30.25 | $55.00 | $8.25–$49.50 | 39% below | 45% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 POC-TCO2 | $31.35 | $57.00 | $8.55–$51.30 | 36% below | 45% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolytes | $31.35 | $57.00 | $8.55–$51.30 | 36% below | 45% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 NICU Complete | $31.35 | $57.00 | $8.55–$51.30 | 36% below | 45% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 POC-tCO2. | $30.25 | $55.00 | $8.25–$55.00 | — | 45% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 NICU 7 | $30.25 | $55.00 | $8.25–$55.00 | — | 45% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Electrolytes Dialysate Fluid | $30.25 | $55.00 | $8.25–$55.00 | — | 45% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 POC CHEM 8 charge | $30.25 | $55.00 | $8.25–$55.00 | — | 45% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 LAB 80051 - ELECTROLYTE PANEL | $30.25 | $55.00 | $8.25–$55.00 | — | 45% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 NICU Complete | $31.35 | $57.00 | $8.55–$57.00 | — | 45% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Electrolytes | $31.35 | $57.00 | $8.55–$57.00 | — | 45% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 POC-TCO2 | $31.35 | $57.00 | $8.55–$57.00 | — | 45% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 86665 EPSTEIN-BARR(EB) VIRUS VIRAL CAPSID (VCA) | $28.60 | $52.00 | $7.80–$46.80 | 44% below | 45% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 LAB 86665 - ANTIBODY EPSTEIN-BARR EB VIRUS VIRAL CAPSID VCA | $28.60 | $52.00 | $7.80–$46.80 | 44% below | 45% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 LAB EBV AB PANEL, IGG AB-L | $29.70 | $54.00 | $8.10–$48.60 | 42% below | 45% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 LAB 86665 - ANTIBODY EPSTEIN-BARR EB VIRUS VIRAL CAPSID VCA | $28.60 | $52.00 | $7.80–$52.00 | — | 45% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 86665 EPSTEIN-BARR(EB) VIRUS VIRAL CAPSID (VCA) | $28.60 | $52.00 | $7.80–$52.00 | — | 45% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 LAB EBV AB PANEL, IGG AB-L | $29.70 | $54.00 | $8.10–$54.00 | — | 45% |
| Estradiol blood test CPT 82670 LAB 82670 - ASSAY OF TOTAL ESTRADIOL | $151.25 | $275.00 | $41.25–$247.50 | 51% above | 45% |
| Estradiol blood test inpatient CPT 82670 LAB 82670 - ASSAY OF TOTAL ESTRADIOL | $151.25 | $275.00 | $41.25–$275.00 | — | 45% |
| FSH (follicle-stimulating hormone) test CPT 83001 LAB 83001 - GONADOTROPIN FOLLICLE STIMULATING HORMONE | $54.45 | $99.00 | $14.85–$89.10 | 37% below | 45% |
| FSH (follicle-stimulating hormone) test CPT 83001 Follicle Stimulating Hormone Level | $56.10 | $102.00 | $15.30–$91.80 | 35% below | 45% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 LAB 83001 - GONADOTROPIN FOLLICLE STIMULATING HORMONE | $54.45 | $99.00 | $14.85–$99.00 | — | 45% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 Follicle Stimulating Hormone Level | $56.10 | $102.00 | $15.30–$102.00 | — | 45% |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin Stool | $133.10 | $242.00 | $36.30–$217.80 | 32% below | 45% |
| Fecal calprotectin (stool inflammation test) CPT 83993 ZZCalprotectin, Stool | $133.10 | $242.00 | $36.30–$217.80 | 32% below | 45% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 ZZCalprotectin, Stool | $133.10 | $242.00 | $36.30–$242.00 | — | 45% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Calprotectin Stool | $133.10 | $242.00 | $36.30–$242.00 | — | 45% |
| Ferritin blood test (iron stores) CPT 82728 Ferritin | $61.05 | $111.00 | $16.65–$99.90 | 9% above | 45% |
| Ferritin blood test (iron stores) CPT 82728 LAB 82728 - ASSAY OF FERRITIN | $62.70 | $114.00 | $17.10–$102.60 | 12% above | 45% |
| Ferritin blood test (iron stores) CPT 82728 LAB FERRITIN | $62.70 | $114.00 | $17.10–$102.60 | 12% above | 45% |
| Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin | $61.05 | $111.00 | $16.65–$111.00 | — | 45% |
| Ferritin blood test (iron stores) inpatient CPT 82728 LAB FERRITIN | $62.70 | $114.00 | $17.10–$114.00 | — | 45% |
| Ferritin blood test (iron stores) inpatient CPT 82728 LAB 82728 - ASSAY OF FERRITIN | $62.70 | $114.00 | $17.10–$114.00 | — | 45% |
| Fibrinogen blood test CPT 85384 LAB 85384 - FIBRINOGEN ACTIVITY | $48.40 | $88.00 | $13.20–$79.20 | 5% above | 45% |
| Fibrinogen blood test CPT 85384 LAB HYPERCOAGULABLE FIBRINOGEN | $48.40 | $88.00 | $13.20–$79.20 | 5% above | 45% |
| Fibrinogen blood test CPT 85384 Fibrinogen | $50.05 | $91.00 | $13.65–$81.90 | 8% above | 45% |
| Fibrinogen blood test CPT 85384 LAB FIBRINOGEN, PANEL | $50.05 | $91.00 | $13.65–$81.90 | 8% above | 45% |
| Fibrinogen blood test inpatient CPT 85384 LAB HYPERCOAGULABLE FIBRINOGEN | $48.40 | $88.00 | $13.20–$88.00 | — | 45% |
| Fibrinogen blood test inpatient CPT 85384 LAB 85384 - FIBRINOGEN ACTIVITY | $48.40 | $88.00 | $13.20–$88.00 | — | 45% |
| Fibrinogen blood test inpatient CPT 85384 Fibrinogen | $50.05 | $91.00 | $13.65–$91.00 | — | 45% |
| Fibrinogen blood test inpatient CPT 85384 LAB FIBRINOGEN, PANEL | $50.05 | $91.00 | $13.65–$91.00 | — | 45% |
| Folate (folic acid) blood test CPT 82746 Folate Level | $57.20 | $104.00 | $15.60–$93.60 | 7% below | 45% |
| Folate (folic acid) blood test inpatient CPT 82746 Folate Level | $57.20 | $104.00 | $15.60–$104.00 | — | 45% |
| Free T3 thyroid hormone test CPT 84481 LAB T3, FREE | $42.90 | $78.00 | $11.70–$70.20 | 38% below | 45% |
| Free T3 thyroid hormone test CPT 84481 LAB 84481 - ASSAY OF TRIIODOTHYRONINE T3 FREE | $42.90 | $78.00 | $11.70–$70.20 | 38% below | 45% |
| Free T3 thyroid hormone test CPT 84481 T3 Free | $44.00 | $80.00 | $12.00–$72.00 | 36% below | 45% |
| Free T3 thyroid hormone test inpatient CPT 84481 LAB 84481 - ASSAY OF TRIIODOTHYRONINE T3 FREE | $42.90 | $78.00 | $11.70–$78.00 | — | 45% |
| Free T3 thyroid hormone test inpatient CPT 84481 LAB T3, FREE | $42.90 | $78.00 | $11.70–$78.00 | — | 45% |
| Free T3 thyroid hormone test inpatient CPT 84481 T3 Free | $44.00 | $80.00 | $12.00–$80.00 | — | 45% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 84439 Thyroxine Free | $40.70 | $74.00 | $11.10–$66.60 | 33% below | 45% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 LAB 84439 - ASSAY OF FREE THYROXINE | $40.70 | $74.00 | $11.10–$66.60 | 33% below | 45% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine Free | $41.80 | $76.00 | $11.40–$68.40 | 31% below | 45% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Profile 2 (Thyroid) | $41.80 | $76.00 | $11.40–$68.40 | 31% below | 45% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 84439 Thyroxine Free | $40.70 | $74.00 | $11.10–$74.00 | — | 45% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 LAB 84439 - ASSAY OF FREE THYROXINE | $40.70 | $74.00 | $11.10–$74.00 | — | 45% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Profile 2 (Thyroid) | $41.80 | $76.00 | $11.40–$76.00 | — | 45% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Thyroxine Free | $41.80 | $76.00 | $11.40–$76.00 | — | 45% |
| Free testosterone test CPT 84402 LAB 84402- ASSAY OF FREE TESTOSTERONE | $61.60 | $112.00 | $16.80–$100.80 | 17% below | 45% |
| Free testosterone test CPT 84402 Testosterone Free and Total | $61.60 | $112.00 | $16.80–$100.80 | 17% below | 45% |
| Free testosterone test inpatient CPT 84402 LAB 84402- ASSAY OF FREE TESTOSTERONE | $61.60 | $112.00 | $16.80–$112.00 | — | 45% |
| Free testosterone test inpatient CPT 84402 Testosterone Free and Total | $61.60 | $112.00 | $16.80–$112.00 | — | 45% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 LAB FIBROSURE GGT | $29.15 | $53.00 | $7.95–$47.70 | 11% below | 45% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 LAB 82977 - ASSAY OF GLUTAMYLTRASE GAMMA | $29.15 | $53.00 | $7.95–$47.70 | 11% below | 45% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 Gamma GT | $30.25 | $55.00 | $8.25–$49.50 | 8% below | 45% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 LAB LIVER FIBROSIS PANEL-GGT | $30.25 | $55.00 | $8.25–$49.50 | 8% below | 45% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 LAB 82977 - ASSAY OF GLUTAMYLTRASE GAMMA | $29.15 | $53.00 | $7.95–$53.00 | — | 45% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 LAB FIBROSURE GGT | $29.15 | $53.00 | $7.95–$53.00 | — | 45% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 LAB LIVER FIBROSIS PANEL-GGT | $30.25 | $55.00 | $8.25–$55.00 | — | 45% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Gamma GT | $30.25 | $55.00 | $8.25–$55.00 | — | 45% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 28 Week Prenatal Profile | $29.15 | $53.00 | $7.95–$47.70 | 28% below | 45% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose Gestational | $29.15 | $53.00 | $7.95–$47.70 | 28% below | 45% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 28 Week Prenatal Profile | $29.15 | $53.00 | $7.95–$53.00 | — | 45% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose Gestational | $29.15 | $53.00 | $7.95–$53.00 | — | 45% |
| Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance 4 Hour | $47.30 | $86.00 | $12.90–$77.40 | 22% below | 45% |
| Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance 5 Hour | $47.30 | $86.00 | $12.90–$77.40 | 22% below | 45% |
| Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance Abbreviated | $48.95 | $89.00 | $13.35–$80.10 | 20% below | 45% |
| Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance 2 Hour | $48.95 | $89.00 | $13.35–$80.10 | 20% below | 45% |
| Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance 3 Hour | $48.95 | $89.00 | $13.35–$80.10 | 20% below | 45% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose Tolerance 4 Hour | $47.30 | $86.00 | $12.90–$86.00 | — | 45% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose Tolerance 5 Hour | $47.30 | $86.00 | $12.90–$86.00 | — | 45% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose Tolerance 2 Hour | $48.95 | $89.00 | $13.35–$89.00 | — | 45% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose Tolerance Abbreviated | $48.95 | $89.00 | $13.35–$89.00 | — | 45% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose Tolerance 3 Hour | $48.95 | $89.00 | $13.35–$89.00 | — | 45% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria gonorrhoeae, DNA (Urine) | $79.20 | $144.00 | $21.60–$129.60 | 13% above | 45% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria gonorrhoeae, DNA (Throat) | $79.20 | $144.00 | $21.60–$129.60 | 13% above | 45% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 LAB N. GONORRHOEAE RNA, TMA | $79.20 | $144.00 | $21.60–$129.60 | 13% above | 45% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 LAB NG, RECTAL | $79.20 | $144.00 | $21.60–$129.60 | 13% above | 45% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 LAB N. GONORRHOEAE RNA, TMA, THROAT | $79.20 | $144.00 | $21.60–$129.60 | 13% above | 45% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria gonorrhoeae, DNA (Rectal) | $79.20 | $144.00 | $21.60–$129.60 | 13% above | 45% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria gonorrhoeae, DNA (Thin Prep) | $81.40 | $148.00 | $22.20–$133.20 | 16% above | 45% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria gonorrhoeae, DNA (Swab) | $81.40 | $148.00 | $22.20–$133.20 | 16% above | 45% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 LAB 87591 - IADNA NEISSERIA GONORRHOEAE AMPLIFIED PROBE TQ | $81.40 | $148.00 | $22.20–$133.20 | 16% above | 45% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 LAB NG, RECTAL | $79.20 | $144.00 | $21.60–$144.00 | — | 45% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Neisseria gonorrhoeae, DNA (Urine) | $79.20 | $144.00 | $21.60–$144.00 | — | 45% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Neisseria gonorrhoeae, DNA (Throat) | $79.20 | $144.00 | $21.60–$144.00 | — | 45% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Neisseria gonorrhoeae, DNA (Rectal) | $79.20 | $144.00 | $21.60–$144.00 | — | 45% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 LAB N. GONORRHOEAE RNA, TMA, THROAT | $79.20 | $144.00 | $21.60–$144.00 | — | 45% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 LAB N. GONORRHOEAE RNA, TMA | $79.20 | $144.00 | $21.60–$144.00 | — | 45% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 LAB 87591 - IADNA NEISSERIA GONORRHOEAE AMPLIFIED PROBE TQ | $81.40 | $148.00 | $22.20–$148.00 | — | 45% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Neisseria gonorrhoeae, DNA (Swab) | $81.40 | $148.00 | $22.20–$148.00 | — | 45% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Neisseria gonorrhoeae, DNA (Thin Prep) | $81.40 | $148.00 | $22.20–$148.00 | — | 45% |
| H. pylori antibody blood test CPT 86677 ZZH.Pylori Ab | $47.30 | $86.00 | $12.90–$77.40 | 17% above | 45% |
| H. pylori antibody blood test CPT 86677 LAB 86677 - ANTIBODY HELICOBACTER PYLORI | $47.30 | $86.00 | $12.90–$77.40 | 17% above | 45% |
| H. pylori antibody blood test CPT 86677 Helicobacter Pylori AB | $47.30 | $86.00 | $12.90–$77.40 | 17% above | 45% |
| H. pylori antibody blood test inpatient CPT 86677 ZZH.Pylori Ab | $47.30 | $86.00 | $12.90–$86.00 | — | 45% |
| H. pylori antibody blood test inpatient CPT 86677 LAB 86677 - ANTIBODY HELICOBACTER PYLORI | $47.30 | $86.00 | $12.90–$86.00 | — | 45% |
| H. pylori antibody blood test inpatient CPT 86677 Helicobacter Pylori AB | $47.30 | $86.00 | $12.90–$86.00 | — | 45% |
| H. pylori stool antigen test CPT 87338 Helicobacter Pylori Ag Stool | $50.60 | $92.00 | $13.80–$82.80 | 27% below | 45% |
| H. pylori stool antigen test inpatient CPT 87338 Helicobacter Pylori Ag Stool | $50.60 | $92.00 | $13.80–$92.00 | — | 45% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 zzHIV RNA PCR | $122.10 | $222.00 | $33.30–$199.80 | 47% below | 45% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA, PCR, Quantitative | $125.95 | $229.00 | $34.35–$206.10 | 45% below | 45% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 LAB 87536 - HIV-1 QUANT&REVRSE TRNSCRPJ | $125.95 | $229.00 | $34.35–$206.10 | 45% below | 45% |
| HIV viral load test (HIV-1 RNA, quantitative) one side CPT 87536 zHIV-1 RNA, QL, RT PCR | $125.95 | $229.00 | $34.35–$206.10 | 45% below | 45% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 zzHIV RNA PCR | $122.10 | $222.00 | $33.30–$222.00 | — | 45% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 LAB 87536 - HIV-1 QUANT&REVRSE TRNSCRPJ | $125.95 | $229.00 | $34.35–$229.00 | — | 45% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 RNA, PCR, Quantitative | $125.95 | $229.00 | $34.35–$229.00 | — | 45% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient one side CPT 87536 zHIV-1 RNA, QL, RT PCR | $125.95 | $229.00 | $34.35–$229.00 | — | 45% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV 1/2 | $29.70 | $54.00 | $8.10–$48.60 | 1% below | 45% |
| HIV-1 and HIV-2 antibody test CPT 86703 xxRapid HIV | $29.70 | $54.00 | $8.10–$48.60 | 1% below | 45% |
| HIV-1 and HIV-2 antibody test CPT 86703 Rapid HIV FSED | $29.70 | $54.00 | $8.10–$48.60 | 1% below | 45% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 xxRapid HIV | $29.70 | $54.00 | $8.10–$54.00 | — | 45% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV 1/2 | $29.70 | $54.00 | $8.10–$54.00 | — | 45% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 Rapid HIV FSED | $29.70 | $54.00 | $8.10–$54.00 | — | 45% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 LAB 87389 - IAAD IA HIV-1 AG W/HIV-1 & HIV-2 ANTBDY SINGLE | $97.35 | $177.00 | $26.55–$159.30 | 61% above | 45% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Human Immunodeficiency Virus 1,2 Ag/Ab | $97.35 | $177.00 | $26.55–$159.30 | 61% above | 45% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Human Immunodeficiency Virus 1,2 Ag/Ab | $97.35 | $177.00 | $26.55–$177.00 | — | 45% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 LAB 87389 - IAAD IA HIV-1 AG W/HIV-1 & HIV-2 ANTBDY SINGLE | $97.35 | $177.00 | $26.55–$177.00 | — | 45% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 LAB 87624 - IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPE | $123.75 | $225.00 | $33.75–$202.50 | 150% above | 45% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 ZHuman Papillomavirus DNA | $123.75 | $225.00 | $33.75–$202.50 | 150% above | 45% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV-HR | $127.60 | $232.00 | $34.80–$208.80 | 157% above | 45% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 LAB 87624 - IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPE | $123.75 | $225.00 | $33.75–$225.00 | — | 45% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 ZHuman Papillomavirus DNA | $123.75 | $225.00 | $33.75–$225.00 | — | 45% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV-HR | $127.60 | $232.00 | $34.80–$232.00 | — | 45% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 LAB CARDIO IQ A1C | $11.00 | $20.00 | $3.00–$18.00 | 63% below | 45% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 LAB 83036 - HEMOGLOBIN GLYCOSYLATED A1C | $65.45 | $119.00 | $17.85–$107.10 | 118% above | 45% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c | $67.65 | $123.00 | $18.45–$110.70 | 126% above | 45% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 LAB CARDIO IQ A1C | $11.00 | $20.00 | $3.00–$20.00 | — | 45% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 LAB 83036 - HEMOGLOBIN GLYCOSYLATED A1C | $65.45 | $119.00 | $17.85–$119.00 | — | 45% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1c | $67.65 | $123.00 | $18.45–$123.00 | — | 45% |
| Hemoglobin blood test CPT 85018 LAB HEMOGLOBINOPATHY EVAL - HGB | $7.70 | $14.00 | $2.10–$12.60 | 56% below | 45% |
| Hemoglobin blood test CPT 85018 Hemoglobin and Hematocrit | $7.70 | $14.00 | $2.10–$12.60 | 56% below | 45% |
| Hemoglobin blood test CPT 85018 POC-Hb | $7.70 | $14.00 | $2.10–$12.60 | 56% below | 45% |
| Hemoglobin blood test CPT 85018 POC-Hb CAP | $7.70 | $14.00 | $2.10–$12.60 | 56% below | 45% |
| Hemoglobin blood test CPT 85018 LAB 85018 - HEMOGLOBIN | $7.70 | $14.00 | $2.10–$12.60 | 56% below | 45% |
| Hemoglobin blood test CPT 85018 POC-Hemoglobin | $7.70 | $14.00 | $2.10–$12.60 | 56% below | 45% |
| Hemoglobin blood test inpatient CPT 85018 POC-Hb CAP | $7.70 | $14.00 | $2.10–$14.00 | — | 45% |
| Hemoglobin blood test inpatient CPT 85018 POC-Hemoglobin | $7.70 | $14.00 | $2.10–$14.00 | — | 45% |
| Hemoglobin blood test inpatient CPT 85018 LAB HEMOGLOBINOPATHY EVAL - HGB | $7.70 | $14.00 | $2.10–$14.00 | — | 45% |
| Hemoglobin blood test inpatient CPT 85018 Hemoglobin and Hematocrit | $7.70 | $14.00 | $2.10–$14.00 | — | 45% |
| Hemoglobin blood test inpatient CPT 85018 POC-Hb | $7.70 | $14.00 | $2.10–$14.00 | — | 45% |
| Hemoglobin blood test inpatient CPT 85018 LAB 85018 - HEMOGLOBIN | $7.70 | $14.00 | $2.10–$14.00 | — | 45% |
| Hepatitis B core antibody test (total) CPT 86704 LAB 86704 - HEP B CORE ANTIBODY TOTAL | $22.00 | $40.00 | $6.00–$36.00 | 63% below | 45% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 LAB 86704 - HEP B CORE ANTIBODY TOTAL | $22.00 | $40.00 | $6.00–$40.00 | — | 45% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 LAB HEP B SUR AB L | $80.30 | $146.00 | $21.90–$131.40 | 54% above | 45% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Antibody | $80.30 | $146.00 | $21.90–$131.40 | 54% above | 45% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 LAB HEP B SUR AB L | $80.30 | $146.00 | $21.90–$146.00 | — | 45% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis B Surface Antibody | $80.30 | $146.00 | $21.90–$146.00 | — | 45% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Antigen | $59.40 | $108.00 | $16.20–$97.20 | 59% above | 45% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Profile | $61.05 | $111.00 | $16.65–$99.90 | 63% above | 45% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface Antigen | $59.40 | $108.00 | $16.20–$108.00 | — | 45% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Profile | $61.05 | $111.00 | $16.65–$111.00 | — | 45% |
| Hepatitis C antibody blood test (screening) CPT 86803 LAB 86803 - HEPATITIS C AB TEST | $50.60 | $92.00 | $13.80–$82.80 | 30% below | 45% |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Antibody Screen with Reflex to RNA by PCR | $52.25 | $95.00 | $14.25–$85.50 | 28% below | 45% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 LAB 86803 - HEPATITIS C AB TEST | $50.60 | $92.00 | $13.80–$92.00 | — | 45% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C Antibody Screen with Reflex to RNA by PCR | $52.25 | $95.00 | $14.25–$95.00 | — | 45% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 LAB HEP C VIRAL RNA, QUANT, REAL-TIME PCR W/RFX TO GENOTYPE LiPA | $94.60 | $172.00 | $25.80–$154.80 | 51% below | 45% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 LAB 87522 - HEPATITIS C REVRS TRNSCRP | $94.60 | $172.00 | $25.80–$154.80 | 51% below | 45% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 zzHepatitis C Viral RNA by PCR | $94.60 | $172.00 | $25.80–$154.80 | 51% below | 45% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hepatitis C Viral RNA, Quantitative PCR | $97.35 | $177.00 | $26.55–$159.30 | 50% below | 45% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 zzHepatitis C Viral RNA by PCR | $94.60 | $172.00 | $25.80–$172.00 | — | 45% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 LAB HEP C VIRAL RNA, QUANT, REAL-TIME PCR W/RFX TO GENOTYPE LiPA | $94.60 | $172.00 | $25.80–$172.00 | — | 45% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 LAB 87522 - HEPATITIS C REVRS TRNSCRP | $94.60 | $172.00 | $25.80–$172.00 | — | 45% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hepatitis C Viral RNA, Quantitative PCR | $97.35 | $177.00 | $26.55–$177.00 | — | 45% |
| Herpes blood test, HSV-1 antibody CPT 86695 LAB HSV 1 IGM | $29.15 | $53.00 | $7.95–$47.70 | 51% below | 45% |
| Herpes blood test, HSV-1 antibody CPT 86695 zzHerpes Simplex Virus IgM Ab w/rfx to Titer | $29.15 | $53.00 | $7.95–$47.70 | 51% below | 45% |
| Herpes blood test, HSV-1 antibody CPT 86695 zHSV 1 IgM Titer | $29.15 | $53.00 | $7.95–$47.70 | 51% below | 45% |
| Herpes blood test, HSV-1 antibody CPT 86695 LAB 86695 - HERPES SIMPLEX TYPE 1 TEST | $30.25 | $55.00 | $8.25–$49.50 | 49% below | 45% |
| Herpes blood test, HSV-1 antibody CPT 86695 Herpes Simplex Virus 1/2 IgG * | $30.25 | $55.00 | $8.25–$49.50 | 49% below | 45% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 zzHerpes Simplex Virus IgM Ab w/rfx to Titer | $29.15 | $53.00 | $7.95–$53.00 | — | 45% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 LAB HSV 1 IGM | $29.15 | $53.00 | $7.95–$53.00 | — | 45% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 zHSV 1 IgM Titer | $29.15 | $53.00 | $7.95–$53.00 | — | 45% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 LAB 86695 - HERPES SIMPLEX TYPE 1 TEST | $30.25 | $55.00 | $8.25–$55.00 | — | 45% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 Herpes Simplex Virus 1/2 IgG * | $30.25 | $55.00 | $8.25–$55.00 | — | 45% |
| Herpes blood test, HSV-2 antibody CPT 86696 LAB HSV 2 IGM | $52.25 | $95.00 | $14.25–$85.50 | 17% below | 45% |
| Herpes blood test, HSV-2 antibody CPT 86696 LAB HERPES IGM AB TYPE 2 | $52.25 | $95.00 | $14.25–$85.50 | 17% below | 45% |
| Herpes blood test, HSV-2 antibody CPT 86696 LAB HSV 2 IGG | $52.25 | $95.00 | $14.25–$85.50 | 17% below | 45% |
| Herpes blood test, HSV-2 antibody CPT 86696 LAB 86696 - ANTIBODY HERPES SMPLX TYPE 2 | $52.25 | $95.00 | $14.25–$85.50 | 17% below | 45% |
| Herpes blood test, HSV-2 antibody CPT 86696 zHSV 2 IgM Titer | $52.25 | $95.00 | $14.25–$85.50 | 17% below | 45% |
| Herpes blood test, HSV-2 antibody CPT 86696 LAB HERPES IGG ANTIBODY TYPE 2 L | $53.90 | $98.00 | $14.70–$88.20 | 14% below | 45% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 LAB HSV 2 IGG | $52.25 | $95.00 | $14.25–$95.00 | — | 45% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 LAB HERPES IGM AB TYPE 2 | $52.25 | $95.00 | $14.25–$95.00 | — | 45% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 zHSV 2 IgM Titer | $52.25 | $95.00 | $14.25–$95.00 | — | 45% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 LAB 86696 - ANTIBODY HERPES SMPLX TYPE 2 | $52.25 | $95.00 | $14.25–$95.00 | — | 45% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 LAB HSV 2 IGM | $52.25 | $95.00 | $14.25–$95.00 | — | 45% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 LAB HERPES IGG ANTIBODY TYPE 2 L | $53.90 | $98.00 | $14.70–$98.00 | — | 45% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 LAB CARDIO IQ HS-CRP | $62.70 | $114.00 | $17.10–$102.60 | 17% above | 45% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 High Sensitivity C-Reactive Protein (vascular disease risk stratification) | $64.35 | $117.00 | $17.55–$105.30 | 21% above | 45% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 LAB CARDIO IQ HS-CRP | $62.70 | $114.00 | $17.10–$114.00 | — | 45% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 High Sensitivity C-Reactive Protein (vascular disease risk stratification) | $64.35 | $117.00 | $17.55–$117.00 | — | 45% |
| Homocysteine blood test CPT 83090 zzHomocystine Total | $42.90 | $78.00 | $11.70–$70.20 | 67% below | 45% |
| Homocysteine blood test CPT 83090 LAB HOMOCYSTEINE | $42.90 | $78.00 | $11.70–$70.20 | 67% below | 45% |
| Homocysteine blood test CPT 83090 LAB 83090 - ASSAY OF HOMOCYSTEINE | $42.90 | $78.00 | $11.70–$70.20 | 67% below | 45% |
| Homocysteine blood test CPT 83090 Homocysteine, Cardio | $44.00 | $80.00 | $12.00–$72.00 | 66% below | 45% |
| Homocysteine blood test inpatient CPT 83090 LAB HOMOCYSTEINE | $42.90 | $78.00 | $11.70–$78.00 | — | 45% |
| Homocysteine blood test inpatient CPT 83090 LAB 83090 - ASSAY OF HOMOCYSTEINE | $42.90 | $78.00 | $11.70–$78.00 | — | 45% |
| Homocysteine blood test inpatient CPT 83090 zzHomocystine Total | $42.90 | $78.00 | $11.70–$78.00 | — | 45% |
| Homocysteine blood test inpatient CPT 83090 Homocysteine, Cardio | $44.00 | $80.00 | $12.00–$80.00 | — | 45% |
| Insulin blood test CPT 83525 LAB 83525 - ASSAY OF INSULIN TOTAL | $25.30 | $46.00 | $6.90–$41.40 | 64% below | 45% |
| Insulin blood test CPT 83525 Insulin Level | $25.85 | $47.00 | $7.05–$42.30 | 63% below | 45% |
| Insulin blood test CPT 83525 LAB CARDIO IQ INSULIN | $25.85 | $47.00 | $7.05–$42.30 | 63% below | 45% |
| Insulin blood test inpatient CPT 83525 LAB 83525 - ASSAY OF INSULIN TOTAL | $25.30 | $46.00 | $6.90–$46.00 | — | 45% |
| Insulin blood test inpatient CPT 83525 Insulin Level | $25.85 | $47.00 | $7.05–$47.00 | — | 45% |
| Insulin blood test inpatient CPT 83525 LAB CARDIO IQ INSULIN | $25.85 | $47.00 | $7.05–$47.00 | — | 45% |
| Iron blood test (serum iron) CPT 83540 Profile 7 (Iron) | $21.45 | $39.00 | $5.85–$35.10 | 25% below | 45% |
| Iron blood test (serum iron) CPT 83540 Iron Total | $21.45 | $39.00 | $5.85–$35.10 | 25% below | 45% |
| Iron blood test (serum iron) CPT 83540 LAB 83540 - ASSAY OF IRON | $21.45 | $39.00 | $5.85–$35.10 | 25% below | 45% |
| Iron blood test (serum iron) inpatient CPT 83540 LAB 83540 - ASSAY OF IRON | $21.45 | $39.00 | $5.85–$39.00 | — | 45% |
| Iron blood test (serum iron) inpatient CPT 83540 Iron Total | $21.45 | $39.00 | $5.85–$39.00 | — | 45% |
| Iron blood test (serum iron) inpatient CPT 83540 Profile 7 (Iron) | $21.45 | $39.00 | $5.85–$39.00 | — | 45% |
| Iron-binding capacity (TIBC) test CPT 83550 LABL IRON BINDING CAPACITY, TOTAL | $28.60 | $52.00 | $7.80–$46.80 | 32% below | 45% |
| Iron-binding capacity (TIBC) test CPT 83550 LAB TOTAL IRON BINDING CAPACITY | $28.60 | $52.00 | $7.80–$46.80 | 32% below | 45% |
| Iron-binding capacity (TIBC) test CPT 83550 LAB 83550 - IRON BINDING CAPACITY | $28.60 | $52.00 | $7.80–$46.80 | 32% below | 45% |
| Iron-binding capacity (TIBC) test CPT 83550 LAB IRON BINDING CAPACITY, TOTAL | $29.70 | $54.00 | $8.10–$48.60 | 29% below | 45% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 LAB 83550 - IRON BINDING CAPACITY | $28.60 | $52.00 | $7.80–$52.00 | — | 45% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 LAB TOTAL IRON BINDING CAPACITY | $28.60 | $52.00 | $7.80–$52.00 | — | 45% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 LABL IRON BINDING CAPACITY, TOTAL | $28.60 | $52.00 | $7.80–$52.00 | — | 45% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 LAB IRON BINDING CAPACITY, TOTAL | $29.70 | $54.00 | $8.10–$54.00 | — | 45% |
| Kidney function blood test panel CPT 80069 Profile III (Renal) | $63.25 | $115.00 | $17.25–$103.50 | 17% below | 45% |
| Kidney function blood test panel inpatient CPT 80069 Profile III (Renal) | $63.25 | $115.00 | $17.25–$115.00 | — | 45% |
| LH (luteinizing hormone) test CPT 83002 LAB LH, PEDIATRIC | $62.70 | $114.00 | $17.10–$102.60 | 33% below | 45% |
| LH (luteinizing hormone) test CPT 83002 LAB 83002 - GONADOTROPIN LUTEINIZING HORMONE | $62.70 | $114.00 | $17.10–$102.60 | 33% below | 45% |
| LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone | $64.35 | $117.00 | $17.55–$105.30 | 31% below | 45% |
| LH (luteinizing hormone) test inpatient CPT 83002 LAB LH, PEDIATRIC | $62.70 | $114.00 | $17.10–$114.00 | — | 45% |
| LH (luteinizing hormone) test inpatient CPT 83002 LAB 83002 - GONADOTROPIN LUTEINIZING HORMONE | $62.70 | $114.00 | $17.10–$114.00 | — | 45% |
| LH (luteinizing hormone) test inpatient CPT 83002 Luteinizing Hormone | $64.35 | $117.00 | $17.55–$117.00 | — | 45% |
| Lactate (lactic acid) blood test CPT 83605 LAB 83605 - ASSAY OF LACTIC ACID | $50.60 | $92.00 | $13.80–$82.80 | 14% below | 45% |
| Lactate (lactic acid) blood test CPT 83605 Lactic Acid | $50.60 | $92.00 | $13.80–$82.80 | 14% below | 45% |
| Lactate (lactic acid) blood test inpatient CPT 83605 LAB 83605 - ASSAY OF LACTIC ACID | $50.60 | $92.00 | $13.80–$92.00 | — | 45% |
| Lactate (lactic acid) blood test inpatient CPT 83605 Lactic Acid | $50.60 | $92.00 | $13.80–$92.00 | — | 45% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LAB 83615 - LACTATE (LD) (LDH) ENZYME | $29.15 | $53.00 | $7.95–$47.70 | 16% above | 45% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LAB LDH | $29.15 | $53.00 | $7.95–$47.70 | 16% above | 45% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate Dehydrogenase Body Fluid | $30.25 | $55.00 | $8.25–$49.50 | 21% above | 45% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LAB LDH,PANEL,OUT | $30.25 | $55.00 | $8.25–$49.50 | 21% above | 45% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate Dehydrogenase(LDH) | $30.25 | $55.00 | $8.25–$49.50 | 21% above | 45% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LAB 83615 - LACTATE (LD) (LDH) ENZYME | $29.15 | $53.00 | $7.95–$53.00 | — | 45% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LAB LDH | $29.15 | $53.00 | $7.95–$53.00 | — | 45% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Lactate Dehydrogenase(LDH) | $30.25 | $55.00 | $8.25–$55.00 | — | 45% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Lactate Dehydrogenase Body Fluid | $30.25 | $55.00 | $8.25–$55.00 | — | 45% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LAB LDH,PANEL,OUT | $30.25 | $55.00 | $8.25–$55.00 | — | 45% |
| Lipase blood test (pancreas enzyme) CPT 83690 LAB 83690 - ASSAY OF LIPASE | $45.65 | $83.00 | $12.45–$74.70 | 8% below | 45% |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase | $45.65 | $83.00 | $12.45–$74.70 | 8% below | 45% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase | $45.65 | $83.00 | $12.45–$83.00 | — | 45% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LAB 83690 - ASSAY OF LIPASE | $45.65 | $83.00 | $12.45–$83.00 | — | 45% |
| Liver function blood test panel CPT 80076 Profile IV (Liver) | $63.25 | $115.00 | $17.25–$103.50 | 20% below | 45% |
| Liver function blood test panel inpatient CPT 80076 Profile IV (Liver) | $63.25 | $115.00 | $17.25–$115.00 | — | 45% |
| Lyme disease antibody test CPT 86618 Lyme Disease Antibody Total | $54.45 | $99.00 | $14.85–$89.10 | 26% below | 45% |
| Lyme disease antibody test inpatient CPT 86618 Lyme Disease Antibody Total | $54.45 | $99.00 | $14.85–$99.00 | — | 45% |
| Magnesium blood test CPT 83735 LAB MAGNESIUM URINE | $33.55 | $61.00 | $9.15–$54.90 | 49% above | 45% |
| Magnesium blood test CPT 83735 Magnesium Level | $34.65 | $63.00 | $9.45–$56.70 | 54% above | 45% |
| Magnesium blood test CPT 83735 Magnesium Level 24 Hour Urine | $34.65 | $63.00 | $9.45–$56.70 | 54% above | 45% |
| Magnesium blood test CPT 83735 LAB Magnesium Level | $34.65 | $63.00 | $9.45–$56.70 | 54% above | 45% |
| Magnesium blood test CPT 83735 LAB 83735 - ASSAY OF MAGNESIUM | $34.65 | $63.00 | $9.45–$56.70 | 54% above | 45% |
| Magnesium blood test CPT 83735 Magnesium Level Urine | $34.65 | $63.00 | $9.45–$56.70 | 54% above | 45% |
| Magnesium blood test inpatient CPT 83735 LAB MAGNESIUM URINE | $33.55 | $61.00 | $9.15–$61.00 | — | 45% |
| Magnesium blood test inpatient CPT 83735 Magnesium Level Urine | $34.65 | $63.00 | $9.45–$63.00 | — | 45% |
| Magnesium blood test inpatient CPT 83735 LAB Magnesium Level | $34.65 | $63.00 | $9.45–$63.00 | — | 45% |
| Magnesium blood test inpatient CPT 83735 LAB 83735 - ASSAY OF MAGNESIUM | $34.65 | $63.00 | $9.45–$63.00 | — | 45% |
| Magnesium blood test inpatient CPT 83735 Magnesium Level | $34.65 | $63.00 | $9.45–$63.00 | — | 45% |
| Magnesium blood test inpatient CPT 83735 Magnesium Level 24 Hour Urine | $34.65 | $63.00 | $9.45–$63.00 | — | 45% |
| Measles (rubeola) antibody test CPT 86765 LAB 86765 - ANTIBODY RUBEOLA | $23.65 | $43.00 | $6.45–$38.70 | 46% below | 45% |
| Measles (rubeola) antibody test CPT 86765 LAB MEASLES AB IGM | $23.65 | $43.00 | $6.45–$38.70 | 46% below | 45% |
| Measles (rubeola) antibody test CPT 86765 Measles Antibodies IgG/IgM | $23.65 | $43.00 | $6.45–$38.70 | 46% below | 45% |
| Measles (rubeola) antibody test CPT 86765 LAB MEASLES IGM | $23.65 | $43.00 | $6.45–$38.70 | 46% below | 45% |
| Measles (rubeola) antibody test CPT 86765 Measles IgG | $24.20 | $44.00 | $6.60–$39.60 | 45% below | 45% |
| Measles (rubeola) antibody test CPT 86765 ZZMeasles Ab IgG (Rubeola) Level | $24.20 | $44.00 | $6.60–$39.60 | 45% below | 45% |
| Measles (rubeola) antibody test inpatient CPT 86765 Measles Antibodies IgG/IgM | $23.65 | $43.00 | $6.45–$43.00 | — | 45% |
| Measles (rubeola) antibody test inpatient CPT 86765 LAB MEASLES AB IGM | $23.65 | $43.00 | $6.45–$43.00 | — | 45% |
| Measles (rubeola) antibody test inpatient CPT 86765 LAB 86765 - ANTIBODY RUBEOLA | $23.65 | $43.00 | $6.45–$43.00 | — | 45% |
| Measles (rubeola) antibody test inpatient CPT 86765 LAB MEASLES IGM | $23.65 | $43.00 | $6.45–$43.00 | — | 45% |
| Measles (rubeola) antibody test inpatient CPT 86765 Measles IgG | $24.20 | $44.00 | $6.60–$44.00 | — | 45% |
| Measles (rubeola) antibody test inpatient CPT 86765 ZZMeasles Ab IgG (Rubeola) Level | $24.20 | $44.00 | $6.60–$44.00 | — | 45% |
| Mono test (heterophile antibody, Monospot) CPT 86308 Mononucleosis Screen | $39.60 | $72.00 | $10.80–$64.80 | 19% below | 45% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Mononucleosis Screen | $39.60 | $72.00 | $10.80–$72.00 | — | 45% |
| Mumps immunity blood test CPT 86735 LAB 86735 - ANTIBODY MUMPS | $26.40 | $48.00 | $7.20–$43.20 | 40% below | 45% |
| Mumps immunity blood test CPT 86735 Mumps IgG | $26.95 | $49.00 | $7.35–$44.10 | 39% below | 45% |
| Mumps immunity blood test CPT 86735 ZZMumps Virus Ab IgG Level | $26.95 | $49.00 | $7.35–$44.10 | 39% below | 45% |
| Mumps immunity blood test inpatient CPT 86735 LAB 86735 - ANTIBODY MUMPS | $26.40 | $48.00 | $7.20–$48.00 | — | 45% |
| Mumps immunity blood test inpatient CPT 86735 ZZMumps Virus Ab IgG Level | $26.95 | $49.00 | $7.35–$49.00 | — | 45% |
| Mumps immunity blood test inpatient CPT 86735 Mumps IgG | $26.95 | $49.00 | $7.35–$49.00 | — | 45% |
| Obstetric blood test panel CPT 80055 Prenatal1 | $245.85 | $447.00 | $67.05–$402.30 | 32% above | 45% |
| Obstetric blood test panel CPT 80055 Prenatal2 | $245.85 | $447.00 | $67.05–$402.30 | 32% above | 45% |
| Obstetric blood test panel inpatient CPT 80055 Prenatal1 | $245.85 | $447.00 | $67.05–$447.00 | — | 45% |
| Obstetric blood test panel inpatient CPT 80055 Prenatal2 | $245.85 | $447.00 | $67.05–$447.00 | — | 45% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 LAB 84154 - ASSAY OF PSA FREE | $42.90 | $78.00 | $11.70–$70.20 | 38% below | 45% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 LAB PSA FREE | $42.90 | $78.00 | $11.70–$70.20 | 38% below | 45% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Prostate Specific Antigen Free | $44.00 | $80.00 | $12.00–$72.00 | 36% below | 45% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 LAB PSA FREE | $42.90 | $78.00 | $11.70–$78.00 | — | 45% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 LAB 84154 - ASSAY OF PSA FREE | $42.90 | $78.00 | $11.70–$78.00 | — | 45% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Prostate Specific Antigen Free | $44.00 | $80.00 | $12.00–$80.00 | — | 45% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate Specific Antigen Diagnostic | $48.40 | $88.00 | $13.20–$79.20 | 41% below | 45% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 LAB PSA, TOTAL L | $48.40 | $88.00 | $13.20–$79.20 | 41% below | 45% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 LAB 84153 - ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL | $48.40 | $88.00 | $13.20–$79.20 | 41% below | 45% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 LAB 84153 - ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL | $48.40 | $88.00 | $13.20–$88.00 | — | 45% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostate Specific Antigen Diagnostic | $48.40 | $88.00 | $13.20–$88.00 | — | 45% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 LAB PSA, TOTAL L | $48.40 | $88.00 | $13.20–$88.00 | — | 45% |
| Pap test (liquid-based, automated screening with review) CPT 88175 88175 TC CYTO AUTO SCREEN THIN PREP | $35.75 | $65.00 | $9.75–$58.50 | at median | 45% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 88175 TC CYTO AUTO SCREEN THIN PREP | $35.75 | $65.00 | $9.75–$65.00 | — | 45% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 PAP Cytology Thinprep Bill Only | $28.60 | $52.00 | $7.80–$46.80 | 30% below | 45% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 88142 TC CYTOPATH C/V THIN LAYER | $28.60 | $52.00 | $7.80–$46.80 | 30% below | 45% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 88142 TC CYTOPATH C/V THIN LAYER | $28.60 | $52.00 | $7.80–$52.00 | — | 45% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 PAP Cytology Thinprep Bill Only | $28.60 | $52.00 | $7.80–$52.00 | — | 45% |
| Parathyroid hormone (PTH) blood test CPT 83970 LAB 83970 - ASSAY OF PARATHORMONE | $134.75 | $245.00 | $36.75–$220.50 | 1% below | 45% |
| Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hormone Intact and Calcium | $134.75 | $245.00 | $36.75–$220.50 | 1% below | 45% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathyroid Hormone Intact and Calcium | $134.75 | $245.00 | $36.75–$245.00 | — | 45% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 LAB 83970 - ASSAY OF PARATHORMONE | $134.75 | $245.00 | $36.75–$245.00 | — | 45% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 zPPT-LA w/Reflex to Hexagonal Phase Conf | $39.60 | $72.00 | $10.80–$64.80 | 6% below | 45% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 LAB HYPERCOAGULABLE PTT | $39.60 | $72.00 | $10.80–$64.80 | 6% below | 45% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 LAB APTT | $39.60 | $72.00 | $10.80–$64.80 | 6% below | 45% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 ZAPTT Mix 1:1 | $39.60 | $72.00 | $10.80–$64.80 | 6% below | 45% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Lupus Anticoagulant Evaluation with Reflex | $40.70 | $74.00 | $11.10–$66.60 | 4% below | 45% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Activated Partial Thromboplastin Time | $40.70 | $74.00 | $11.10–$66.60 | 4% below | 45% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 LAB 85730 - THROMBOPLASTIN TIME PARTIAL | $40.70 | $74.00 | $11.10–$66.60 | 4% below | 45% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 LAB PTT, PANEL | $40.70 | $74.00 | $11.10–$66.60 | 4% below | 45% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 LAB FACTOR VIII VW PTT-L | $40.70 | $74.00 | $11.10–$66.60 | 4% below | 45% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 LAB APTT | $39.60 | $72.00 | $10.80–$72.00 | — | 45% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 LAB HYPERCOAGULABLE PTT | $39.60 | $72.00 | $10.80–$72.00 | — | 45% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 ZAPTT Mix 1:1 | $39.60 | $72.00 | $10.80–$72.00 | — | 45% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 zPPT-LA w/Reflex to Hexagonal Phase Conf | $39.60 | $72.00 | $10.80–$72.00 | — | 45% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 LAB FACTOR VIII VW PTT-L | $40.70 | $74.00 | $11.10–$74.00 | — | 45% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Lupus Anticoagulant Evaluation with Reflex | $40.70 | $74.00 | $11.10–$74.00 | — | 45% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Activated Partial Thromboplastin Time | $40.70 | $74.00 | $11.10–$74.00 | — | 45% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 LAB 85730 - THROMBOPLASTIN TIME PARTIAL | $40.70 | $74.00 | $11.10–$74.00 | — | 45% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 LAB PTT, PANEL | $40.70 | $74.00 | $11.10–$74.00 | — | 45% |
| Phosphorus (phosphate) blood test CPT 84100 LAB 84100 - ASSAY OF PHOSPHORUS INORGANIC | $29.15 | $53.00 | $7.95–$47.70 | 20% above | 45% |
| Phosphorus (phosphate) blood test CPT 84100 LAB Phosphorus Level | $30.25 | $55.00 | $8.25–$49.50 | 24% above | 45% |
| Phosphorus (phosphate) blood test CPT 84100 Phosphorus Level Serum | $30.25 | $55.00 | $8.25–$49.50 | 24% above | 45% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 LAB 84100 - ASSAY OF PHOSPHORUS INORGANIC | $29.15 | $53.00 | $7.95–$53.00 | — | 45% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 LAB Phosphorus Level | $30.25 | $55.00 | $8.25–$55.00 | — | 45% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 Phosphorus Level Serum | $30.25 | $55.00 | $8.25–$55.00 | — | 45% |
| Potassium blood test CPT 84132 POC OCO I-STAT | $30.25 | $55.00 | $8.25–$49.50 | 10% above | 45% |
| Potassium blood test CPT 84132 POC-K | $30.25 | $55.00 | $8.25–$49.50 | 10% above | 45% |
| Potassium blood test CPT 84132 POC EC4 TSC | $30.25 | $55.00 | $8.25–$49.50 | 10% above | 45% |
| Potassium blood test CPT 84132 POC-Potassium | $30.25 | $55.00 | $8.25–$49.50 | 10% above | 45% |
| Potassium blood test CPT 84132 RSP Potassium | $30.25 | $55.00 | $8.25–$49.50 | 10% above | 45% |
| Potassium blood test CPT 84132 RSP POTASSIUM | $31.35 | $57.00 | $8.55–$51.30 | 14% above | 45% |
| Potassium blood test CPT 84132 Potassium Level | $31.35 | $57.00 | $8.55–$51.30 | 14% above | 45% |
| Potassium blood test CPT 84132 LAB 84132 - ASSAY OF SERUM POTASSIUM | $31.35 | $57.00 | $8.55–$51.30 | 14% above | 45% |
| Potassium blood test inpatient CPT 84132 RSP Potassium | $30.25 | $55.00 | $8.25–$55.00 | — | 45% |
| Potassium blood test inpatient CPT 84132 POC EC4 TSC | $30.25 | $55.00 | $8.25–$55.00 | — | 45% |
| Potassium blood test inpatient CPT 84132 POC-K | $30.25 | $55.00 | $8.25–$55.00 | — | 45% |
| Potassium blood test inpatient CPT 84132 POC-Potassium | $30.25 | $55.00 | $8.25–$55.00 | — | 45% |
| Potassium blood test inpatient CPT 84132 POC OCO I-STAT | $30.25 | $55.00 | $8.25–$55.00 | — | 45% |
| Potassium blood test inpatient CPT 84132 RSP POTASSIUM | $31.35 | $57.00 | $8.55–$57.00 | — | 45% |
| Potassium blood test inpatient CPT 84132 LAB 84132 - ASSAY OF SERUM POTASSIUM | $31.35 | $57.00 | $8.55–$57.00 | — | 45% |
| Potassium blood test inpatient CPT 84132 Potassium Level | $31.35 | $57.00 | $8.55–$57.00 | — | 45% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 LAB QNATAL ADVANCED | $2,182.40 | $3,968.00 | $595.20–$3,571.20 | 117% above | 45% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 QNATAL ADVANCED | $2,182.40 | $3,968.00 | $595.20–$3,571.20 | 117% above | 45% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 QNATAL ADVANCED | $2,182.40 | $3,968.00 | $595.20–$3,968.00 | — | 45% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 LAB QNATAL ADVANCED | $2,182.40 | $3,968.00 | $595.20–$3,968.00 | — | 45% |
| Progesterone blood test CPT 84144 Progesterone Level | $49.50 | $90.00 | $13.50–$81.00 | 50% below | 45% |
| Progesterone blood test inpatient CPT 84144 Progesterone Level | $49.50 | $90.00 | $13.50–$90.00 | — | 45% |
| Prolactin blood test CPT 84146 LAB PROLACTIN, UNDILUTED | $79.75 | $145.00 | $21.75–$130.50 | 23% below | 45% |
| Prolactin blood test CPT 84146 LAB PROLACTIN, MONOMERIC | $79.75 | $145.00 | $21.75–$130.50 | 23% below | 45% |
| Prolactin blood test CPT 84146 Prolactin Level | $81.95 | $149.00 | $22.35–$134.10 | 21% below | 45% |
| Prolactin blood test CPT 84146 LAB 84146 - ASSAY OF PROLACTIN | $81.95 | $149.00 | $22.35–$134.10 | 21% below | 45% |
| Prolactin blood test inpatient CPT 84146 LAB PROLACTIN, UNDILUTED | $79.75 | $145.00 | $21.75–$145.00 | — | 45% |
| Prolactin blood test inpatient CPT 84146 LAB PROLACTIN, MONOMERIC | $79.75 | $145.00 | $21.75–$145.00 | — | 45% |
| Prolactin blood test inpatient CPT 84146 LAB 84146 - ASSAY OF PROLACTIN | $81.95 | $149.00 | $22.35–$149.00 | — | 45% |
| Prolactin blood test inpatient CPT 84146 Prolactin Level | $81.95 | $149.00 | $22.35–$149.00 | — | 45% |
| Prothrombin time (PT/INR) clotting test CPT 85610 LAB 85610 - PROTHROMBIN TIME | $44.00 | $80.00 | $12.00–$72.00 | 84% above | 45% |
| Prothrombin time (PT/INR) clotting test CPT 85610 POC PT+/INR END | $44.00 | $80.00 | $12.00–$72.00 | 84% above | 45% |
| Prothrombin time (PT/INR) clotting test CPT 85610 DIC Screen | $44.00 | $80.00 | $12.00–$72.00 | 84% above | 45% |
| Prothrombin time (PT/INR) clotting test CPT 85610 POC PT+/INR OCO | $44.00 | $80.00 | $12.00–$72.00 | 84% above | 45% |
| Prothrombin time (PT/INR) clotting test CPT 85610 POC PT+/INR TSC | $44.00 | $80.00 | $12.00–$72.00 | 84% above | 45% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time | $44.00 | $80.00 | $12.00–$72.00 | 84% above | 45% |
| Prothrombin time (PT/INR) clotting test CPT 85610 POC PT+/INR PAC | $44.00 | $80.00 | $12.00–$72.00 | 84% above | 45% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 POC PT+/INR TSC | $44.00 | $80.00 | $12.00–$80.00 | — | 45% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time | $44.00 | $80.00 | $12.00–$80.00 | — | 45% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 POC PT+/INR PAC | $44.00 | $80.00 | $12.00–$80.00 | — | 45% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 POC PT+/INR OCO | $44.00 | $80.00 | $12.00–$80.00 | — | 45% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 POC PT+/INR END | $44.00 | $80.00 | $12.00–$80.00 | — | 45% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 DIC Screen | $44.00 | $80.00 | $12.00–$80.00 | — | 45% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 LAB 85610 - PROTHROMBIN TIME | $44.00 | $80.00 | $12.00–$80.00 | — | 45% |
| Rapid flu test (influenza antigen) CPT 87804 POC-Flu A and B Viral Antigens | $32.45 | $59.00 | $8.85–$53.10 | 10% above | 45% |
| Rapid flu test (influenza antigen) CPT 87804 POC Flu A and B Viral Antigen Form | $32.45 | $59.00 | $8.85–$53.10 | 10% above | 45% |
| Rapid flu test (influenza antigen) CPT 87804 POC Flu A and B Viral Antigens | $32.45 | $59.00 | $8.85–$53.10 | 10% above | 45% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 POC-Flu A and B Viral Antigens | $32.45 | $59.00 | $8.85–$59.00 | — | 45% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 POC Flu A and B Viral Antigens | $32.45 | $59.00 | $8.85–$59.00 | — | 45% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 POC Flu A and B Viral Antigen Form | $32.45 | $59.00 | $8.85–$59.00 | — | 45% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Rapid Strep (ED Charge) | $42.90 | $78.00 | $11.70–$70.20 | 1% below | 45% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Rapid Strep (ED Charge) | $42.90 | $78.00 | $11.70–$78.00 | — | 45% |
| Renin blood test CPT 84244 LAB PLASMA RENIN ACTIVITY | $50.60 | $92.00 | $13.80–$82.80 | 43% below | 45% |
| Renin blood test CPT 84244 LAB 84244 - ASSAY OF RENIN | $52.25 | $95.00 | $14.25–$85.50 | 41% below | 45% |
| Renin blood test CPT 84244 Renin | $52.25 | $95.00 | $14.25–$85.50 | 41% below | 45% |
| Renin blood test inpatient CPT 84244 LAB PLASMA RENIN ACTIVITY | $50.60 | $92.00 | $13.80–$92.00 | — | 45% |
| Renin blood test inpatient CPT 84244 LAB 84244 - ASSAY OF RENIN | $52.25 | $95.00 | $14.25–$95.00 | — | 45% |
| Renin blood test inpatient CPT 84244 Renin | $52.25 | $95.00 | $14.25–$95.00 | — | 45% |
| Rh blood typing CPT 86901 86901 BLOOD TYPING SEROLOGIC RH (D) | $38.50 | $70.00 | $10.50–$63.00 | 55% above | 45% |
| Rh blood typing CPT 86901 Rh Type | $38.50 | $70.00 | $10.50–$63.00 | 55% above | 45% |
| Rh blood typing CPT 86901 BB RH TYPE-LIFESOUTH | $39.60 | $72.00 | $10.80–$64.80 | 60% above | 45% |
| Rh blood typing CPT 86901 Rh | $39.60 | $72.00 | $10.80–$64.80 | 60% above | 45% |
| Rh blood typing inpatient CPT 86901 86901 BLOOD TYPING SEROLOGIC RH (D) | $38.50 | $70.00 | $10.50–$70.00 | — | 45% |
| Rh blood typing inpatient CPT 86901 Rh Type | $38.50 | $70.00 | $10.50–$70.00 | — | 45% |
| Rh blood typing inpatient CPT 86901 BB RH TYPE-LIFESOUTH | $39.60 | $72.00 | $10.80–$72.00 | — | 45% |
| Rh blood typing inpatient CPT 86901 Rh | $39.60 | $72.00 | $10.80–$72.00 | — | 45% |
| Rheumatoid factor (RF) test CPT 86431 zRheumatoid Factor Titer | $61.05 | $111.00 | $16.65–$99.90 | 36% above | 45% |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Chem | $62.70 | $114.00 | $17.10–$102.60 | 39% above | 45% |
| Rheumatoid factor (RF) test CPT 86431 LAB 86431 - RHEUMATOID FACTOR QUANTITATIVE | $62.70 | $114.00 | $17.10–$102.60 | 39% above | 45% |
| Rheumatoid factor (RF) test inpatient CPT 86431 zRheumatoid Factor Titer | $61.05 | $111.00 | $16.65–$111.00 | — | 45% |
| Rheumatoid factor (RF) test inpatient CPT 86431 LAB 86431 - RHEUMATOID FACTOR QUANTITATIVE | $62.70 | $114.00 | $17.10–$114.00 | — | 45% |
| Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor Chem | $62.70 | $114.00 | $17.10–$114.00 | — | 45% |
| Rubella antibody test (immunity check) CPT 86762 Rubella Antibody Screen (IGG) | $64.90 | $118.00 | $17.70–$106.20 | 71% above | 45% |
| Rubella antibody test (immunity check) CPT 86762 LAB 86762 - ANTIBODY RUBELLA | $67.10 | $122.00 | $18.30–$109.80 | 77% above | 45% |
| Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Antibody Screen (IGG) | $64.90 | $118.00 | $17.70–$118.00 | — | 45% |
| Rubella antibody test (immunity check) inpatient CPT 86762 LAB 86762 - ANTIBODY RUBELLA | $67.10 | $122.00 | $18.30–$122.00 | — | 45% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Sedimentation Rate | $29.15 | $53.00 | $7.95–$47.70 | 23% above | 45% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 Sedimentation Rate | $29.15 | $53.00 | $7.95–$53.00 | — | 45% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 Seminal Fluid Analysis | $52.25 | $95.00 | $14.25–$85.50 | 40% below | 45% |
| Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 Seminal Fluid Analysis | $52.25 | $95.00 | $14.25–$95.00 | — | 45% |
| Sodium blood test CPT 84295 POC-Na | $17.05 | $31.00 | $4.65–$27.90 | 28% below | 45% |
| Sodium blood test CPT 84295 LABL Sodium, Blood | $17.05 | $31.00 | $4.65–$27.90 | 28% below | 45% |
| Sodium blood test CPT 84295 Fractional Excretion of Sodium(FENa) | $17.05 | $31.00 | $4.65–$27.90 | 28% below | 45% |
| Sodium blood test CPT 84295 POC-Sodium | $17.05 | $31.00 | $4.65–$27.90 | 28% below | 45% |
| Sodium blood test CPT 84295 POC-Na CAP | $17.05 | $31.00 | $4.65–$27.90 | 28% below | 45% |
| Sodium blood test CPT 84295 Sodium Level | $17.60 | $32.00 | $4.80–$28.80 | 26% below | 45% |
| Sodium blood test inpatient CPT 84295 Fractional Excretion of Sodium(FENa) | $17.05 | $31.00 | $4.65–$31.00 | — | 45% |
| Sodium blood test inpatient CPT 84295 POC-Sodium | $17.05 | $31.00 | $4.65–$31.00 | — | 45% |
| Sodium blood test inpatient CPT 84295 POC-Na CAP | $17.05 | $31.00 | $4.65–$31.00 | — | 45% |
| Sodium blood test inpatient CPT 84295 POC-Na | $17.05 | $31.00 | $4.65–$31.00 | — | 45% |
| Sodium blood test inpatient CPT 84295 LABL Sodium, Blood | $17.05 | $31.00 | $4.65–$31.00 | — | 45% |
| Sodium blood test inpatient CPT 84295 Sodium Level | $17.60 | $32.00 | $4.80–$32.00 | — | 45% |
| Stool ova and parasites exam CPT 87177 Ova and Parasites | $21.45 | $39.00 | $5.85–$35.10 | 53% below | 45% |
| Stool ova and parasites exam inpatient CPT 87177 Ova and Parasites | $21.45 | $39.00 | $5.85–$39.00 | — | 45% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood Multiple Spec | $24.75 | $45.00 | $6.75–$40.50 | 64% above | 45% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Occult Blood Multiple Spec | $24.75 | $45.00 | $6.75–$45.00 | — | 45% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 LAB 82274 - ASSAY TEST FOR BLOOD FECAL | $18.15 | $33.00 | $4.95–$29.70 | 67% below | 45% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 LAB 82274 - ASSAY TEST FOR BLOOD FECAL | $18.15 | $33.00 | $4.95–$33.00 | — | 45% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Treponema pallidum Antibody, Particle Agglutination (TPPA) | $29.15 | $53.00 | $7.95–$47.70 | 23% below | 45% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 LAB TREPONEMA PALLIDUM IGM AB | $29.15 | $53.00 | $7.95–$47.70 | 23% below | 45% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 LAB 86780 - ANTIBODY TREPONEMA PALLIDUM | $29.15 | $53.00 | $7.95–$47.70 | 23% below | 45% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 FTA-ABS Serum | $30.25 | $55.00 | $8.25–$49.50 | 20% below | 45% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 ZZFTA-ABS Serum | $30.25 | $55.00 | $8.25–$49.50 | 20% below | 45% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Treponema pallidum Antibody, Particle Agglutination (TPPA) | $29.15 | $53.00 | $7.95–$53.00 | — | 45% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 LAB TREPONEMA PALLIDUM IGM AB | $29.15 | $53.00 | $7.95–$53.00 | — | 45% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 LAB 86780 - ANTIBODY TREPONEMA PALLIDUM | $29.15 | $53.00 | $7.95–$53.00 | — | 45% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 ZZFTA-ABS Serum | $30.25 | $55.00 | $8.25–$55.00 | — | 45% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 FTA-ABS Serum | $30.25 | $55.00 | $8.25–$55.00 | — | 45% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 LAB 86592 - SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL | $28.05 | $51.00 | $7.65–$45.90 | 8% above | 45% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL CSF | $29.15 | $53.00 | $7.95–$47.70 | 12% above | 45% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 XXRapid Plasma Reagin with reflex to titer | $29.15 | $53.00 | $7.95–$47.70 | 12% above | 45% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 LAB 86592 - SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL | $28.05 | $51.00 | $7.65–$51.00 | — | 45% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL CSF | $29.15 | $53.00 | $7.95–$53.00 | — | 45% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 XXRapid Plasma Reagin with reflex to titer | $29.15 | $53.00 | $7.95–$53.00 | — | 45% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 zzQuantiferon TB Gold Plus | $112.20 | $204.00 | $30.60–$183.60 | 2% below | 45% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 ZZQuantiferon TB Gold Plus, 4T, Incubated | $115.50 | $210.00 | $31.50–$189.00 | 1% above | 45% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QuantiFERON-TB Gold Plus | $115.50 | $210.00 | $31.50–$189.00 | 1% above | 45% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 zzQuantiferon TB Gold Plus | $112.20 | $204.00 | $30.60–$204.00 | — | 45% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 ZZQuantiferon TB Gold Plus, 4T, Incubated | $115.50 | $210.00 | $31.50–$210.00 | — | 45% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QuantiFERON-TB Gold Plus | $115.50 | $210.00 | $31.50–$210.00 | — | 45% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Total | $62.70 | $114.00 | $17.10–$102.60 | 12% below | 45% |
| Testosterone blood test, total (not free testosterone) CPT 84403 LAB TESTOSTERONE, TOTAL, L | $62.70 | $114.00 | $17.10–$102.60 | 12% below | 45% |
| Testosterone blood test, total (not free testosterone) CPT 84403 LAB 84403 - ASSAY OF TOTAL TESTOSTERONE | $62.70 | $114.00 | $17.10–$102.60 | 12% below | 45% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 LAB TESTOSTERONE, TOTAL, L | $62.70 | $114.00 | $17.10–$114.00 | — | 45% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone Total | $62.70 | $114.00 | $17.10–$114.00 | — | 45% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 LAB 84403 - ASSAY OF TOTAL TESTOSTERONE | $62.70 | $114.00 | $17.10–$114.00 | — | 45% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 ZZThyroid Peroxidase Antibody | $40.70 | $74.00 | $11.10–$66.60 | 8% below | 45% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LAB MICROSOMAL AB, PANEL | $41.80 | $76.00 | $11.40–$68.40 | 5% below | 45% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LAB 86376 - MICROSOMAL ANTIBODY EAC | $41.80 | $76.00 | $11.40–$68.40 | 5% below | 45% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase Antibody | $41.80 | $76.00 | $11.40–$68.40 | 5% below | 45% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ZZThyroid Peroxidase Antibody | $40.70 | $74.00 | $11.10–$74.00 | — | 45% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroid Peroxidase Antibody | $41.80 | $76.00 | $11.40–$76.00 | — | 45% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LAB MICROSOMAL AB, PANEL | $41.80 | $76.00 | $11.40–$76.00 | — | 45% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LAB 86376 - MICROSOMAL ANTIBODY EAC | $41.80 | $76.00 | $11.40–$76.00 | — | 45% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 LAB TSH | $45.10 | $82.00 | $12.30–$73.80 | 20% below | 45% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 LAB 84443 - ASSAY THYROID STIM HORMONE | $45.10 | $82.00 | $12.30–$73.80 | 20% below | 45% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone | $46.20 | $84.00 | $12.60–$75.60 | 18% below | 45% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 LAB TSH, PANEL (0162)- L | $46.20 | $84.00 | $12.60–$75.60 | 18% below | 45% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 LAB 84443 - ASSAY THYROID STIM HORMONE | $45.10 | $82.00 | $12.30–$82.00 | — | 45% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 LAB TSH | $45.10 | $82.00 | $12.30–$82.00 | — | 45% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stimulating Hormone | $46.20 | $84.00 | $12.60–$84.00 | — | 45% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 LAB TSH, PANEL (0162)- L | $46.20 | $84.00 | $12.60–$84.00 | — | 45% |
| Total IgE blood test CPT 82785 LAB TOTAL IGE | $33.55 | $61.00 | $9.15–$54.90 | 32% below | 45% |
| Total IgE blood test CPT 82785 LAB CHILDHOOD ALLERGY PROFILE W/REFLEXES | $33.55 | $61.00 | $9.15–$54.90 | 32% below | 45% |
| Total IgE blood test CPT 82785 LAB RESP ALLERGY PROFILE REGION III | $33.55 | $61.00 | $9.15–$54.90 | 32% below | 45% |
| Total IgE blood test CPT 82785 LAB RESP. ALLERGY PROFILE REGION V | $33.55 | $61.00 | $9.15–$54.90 | 32% below | 45% |
| Total IgE blood test CPT 82785 LAB 82785 - ASSAY OF GAMMAGLOBULIN IGE | $34.65 | $63.00 | $9.45–$56.70 | 30% below | 45% |
| Total IgE blood test CPT 82785 Immunoglobulin E | $34.65 | $63.00 | $9.45–$56.70 | 30% below | 45% |
| Total IgE blood test CPT 82785 Respiratory Allergy Profile Region VI w rfx | $34.65 | $63.00 | $9.45–$56.70 | 30% below | 45% |
| Total IgE blood test inpatient CPT 82785 LAB RESP ALLERGY PROFILE REGION III | $33.55 | $61.00 | $9.15–$61.00 | — | 45% |
| Total IgE blood test inpatient CPT 82785 LAB RESP. ALLERGY PROFILE REGION V | $33.55 | $61.00 | $9.15–$61.00 | — | 45% |
| Total IgE blood test inpatient CPT 82785 LAB TOTAL IGE | $33.55 | $61.00 | $9.15–$61.00 | — | 45% |
| Total IgE blood test inpatient CPT 82785 LAB CHILDHOOD ALLERGY PROFILE W/REFLEXES | $33.55 | $61.00 | $9.15–$61.00 | — | 45% |
| Total IgE blood test inpatient CPT 82785 Immunoglobulin E | $34.65 | $63.00 | $9.45–$63.00 | — | 45% |
| Total IgE blood test inpatient CPT 82785 Respiratory Allergy Profile Region VI w rfx | $34.65 | $63.00 | $9.45–$63.00 | — | 45% |
| Total IgE blood test inpatient CPT 82785 LAB 82785 - ASSAY OF GAMMAGLOBULIN IGE | $34.65 | $63.00 | $9.45–$63.00 | — | 45% |
| Total cholesterol blood test CPT 82465 LAB 82465 - ASSAY BLD/SERUM CHOLESTEROL | $29.15 | $53.00 | $7.95–$47.70 | 5% below | 45% |
| Total cholesterol blood test CPT 82465 LAB CARDIO IQ CHOLESTEROL | $29.15 | $53.00 | $7.95–$47.70 | 5% below | 45% |
| Total cholesterol blood test CPT 82465 LAB LIPOPROTEIN ELEC CHOLESTEROL | $29.15 | $53.00 | $7.95–$47.70 | 5% below | 45% |
| Total cholesterol blood test CPT 82465 LAB LIPOPROTEIN FRACT CHOLESTEROL | $29.15 | $53.00 | $7.95–$47.70 | 5% below | 45% |
| Total cholesterol blood test CPT 82465 LAB FIBROSURE CHOLESTEROL | $29.15 | $53.00 | $7.95–$47.70 | 5% below | 45% |
| Total cholesterol blood test CPT 82465 Cholesterol Total | $30.25 | $55.00 | $8.25–$49.50 | 2% below | 45% |
| Total cholesterol blood test CPT 82465 Cholesterol Body Fluid | $30.25 | $55.00 | $8.25–$49.50 | 2% below | 45% |
| Total cholesterol blood test inpatient CPT 82465 LAB CARDIO IQ CHOLESTEROL | $29.15 | $53.00 | $7.95–$53.00 | — | 45% |
| Total cholesterol blood test inpatient CPT 82465 LAB 82465 - ASSAY BLD/SERUM CHOLESTEROL | $29.15 | $53.00 | $7.95–$53.00 | — | 45% |
| Total cholesterol blood test inpatient CPT 82465 LAB LIPOPROTEIN FRACT CHOLESTEROL | $29.15 | $53.00 | $7.95–$53.00 | — | 45% |
| Total cholesterol blood test inpatient CPT 82465 LAB LIPOPROTEIN ELEC CHOLESTEROL | $29.15 | $53.00 | $7.95–$53.00 | — | 45% |
| Total cholesterol blood test inpatient CPT 82465 LAB FIBROSURE CHOLESTEROL | $29.15 | $53.00 | $7.95–$53.00 | — | 45% |
| Total cholesterol blood test inpatient CPT 82465 Cholesterol Total | $30.25 | $55.00 | $8.25–$55.00 | — | 45% |
| Total cholesterol blood test inpatient CPT 82465 Cholesterol Body Fluid | $30.25 | $55.00 | $8.25–$55.00 | — | 45% |
| Total thyroxine (T4) blood test CPT 84436 LAB T4, TOTAL | $46.75 | $85.00 | $12.75–$76.50 | 3% below | 45% |
| Total thyroxine (T4) blood test CPT 84436 LAB 84436 - ASSAY OF TOTAL THYROXINE | $46.75 | $85.00 | $12.75–$76.50 | 3% below | 45% |
| Total thyroxine (T4) blood test CPT 84436 T4 Total | $48.40 | $88.00 | $13.20–$79.20 | at median | 45% |
| Total thyroxine (T4) blood test inpatient CPT 84436 LAB T4, TOTAL | $46.75 | $85.00 | $12.75–$85.00 | — | 45% |
| Total thyroxine (T4) blood test inpatient CPT 84436 LAB 84436 - ASSAY OF TOTAL THYROXINE | $46.75 | $85.00 | $12.75–$85.00 | — | 45% |
| Total thyroxine (T4) blood test inpatient CPT 84436 T4 Total | $48.40 | $88.00 | $13.20–$88.00 | — | 45% |
| Total triiodothyronine (T3) blood test CPT 84480 LAB 84480 - ASSAY OF TRIIODOTHYRONINE T3 TOTAL TT3 | $33.55 | $61.00 | $9.15–$54.90 | 30% below | 45% |
| Total triiodothyronine (T3) blood test CPT 84480 Triiodothyronine | $33.55 | $61.00 | $9.15–$54.90 | 30% below | 45% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 Triiodothyronine | $33.55 | $61.00 | $9.15–$61.00 | — | 45% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 LAB 84480 - ASSAY OF TRIIODOTHYRONINE T3 TOTAL TT3 | $33.55 | $61.00 | $9.15–$61.00 | — | 45% |
| Transferrin blood test CPT 84466 LAB 84466 - ASSAY OF L7383TRANSFERRIN | $42.35 | $77.00 | $11.55–$69.30 | 23% below | 45% |
| Transferrin blood test CPT 84466 Transferrin Level | $42.35 | $77.00 | $11.55–$69.30 | 23% below | 45% |
| Transferrin blood test CPT 84466 LAB TRANSFERRIN LEVEL | $43.45 | $79.00 | $11.85–$71.10 | 21% below | 45% |
| Transferrin blood test inpatient CPT 84466 LAB 84466 - ASSAY OF L7383TRANSFERRIN | $42.35 | $77.00 | $11.55–$77.00 | — | 45% |
| Transferrin blood test inpatient CPT 84466 Transferrin Level | $42.35 | $77.00 | $11.55–$77.00 | — | 45% |
| Transferrin blood test inpatient CPT 84466 LAB TRANSFERRIN LEVEL | $43.45 | $79.00 | $11.85–$79.00 | — | 45% |
| Trichomonas test (NAAT) CPT 87661 Trichomonas vaginalis, DNA (Swab) | $97.90 | $178.00 | $26.70–$160.20 | 40% above | 45% |
| Trichomonas test (NAAT) CPT 87661 LAB 87661 - IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH | $97.90 | $178.00 | $26.70–$160.20 | 40% above | 45% |
| Trichomonas test (NAAT) CPT 87661 Trichomonas vaginalis, DNA (Urine) | $100.65 | $183.00 | $27.45–$164.70 | 44% above | 45% |
| Trichomonas test (NAAT) CPT 87661 LAB T. VAGINALIS RNA, TMA | $100.65 | $183.00 | $27.45–$164.70 | 44% above | 45% |
| Trichomonas test (NAAT) CPT 87661 Trichomonas vaginalis, DNA (Thin Prep) | $100.65 | $183.00 | $27.45–$164.70 | 44% above | 45% |
| Trichomonas test (NAAT) inpatient CPT 87661 Trichomonas vaginalis, DNA (Swab) | $97.90 | $178.00 | $26.70–$178.00 | — | 45% |
| Trichomonas test (NAAT) inpatient CPT 87661 LAB 87661 - IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH | $97.90 | $178.00 | $26.70–$178.00 | — | 45% |
| Trichomonas test (NAAT) inpatient CPT 87661 Trichomonas vaginalis, DNA (Thin Prep) | $100.65 | $183.00 | $27.45–$183.00 | — | 45% |
| Trichomonas test (NAAT) inpatient CPT 87661 LAB T. VAGINALIS RNA, TMA | $100.65 | $183.00 | $27.45–$183.00 | — | 45% |
| Trichomonas test (NAAT) inpatient CPT 87661 Trichomonas vaginalis, DNA (Urine) | $100.65 | $183.00 | $27.45–$183.00 | — | 45% |
| Triglycerides blood test CPT 84478 LAB LIPOPROTEIN ELEC TRIGLYCERIDES | $29.15 | $53.00 | $7.95–$47.70 | 7% below | 45% |
| Triglycerides blood test CPT 84478 LAB 84478 - ASSAY OF TRIGLYCERIDES | $29.15 | $53.00 | $7.95–$47.70 | 7% below | 45% |
| Triglycerides blood test CPT 84478 LAB LIPOPROTEIN FRACT TRIGLYCERIDES | $29.15 | $53.00 | $7.95–$47.70 | 7% below | 45% |
| Triglycerides blood test CPT 84478 LAB FIBROSURE TRIGLYCERIDES | $29.15 | $53.00 | $7.95–$47.70 | 7% below | 45% |
| Triglycerides blood test CPT 84478 LAB CARDIO IQ TRIGLYCERIDES | $29.15 | $53.00 | $7.95–$47.70 | 7% below | 45% |
| Triglycerides blood test CPT 84478 Triglyceride Body Fluid | $30.25 | $55.00 | $8.25–$49.50 | 4% below | 45% |
| Triglycerides blood test CPT 84478 Triglyceride | $30.25 | $55.00 | $8.25–$49.50 | 4% below | 45% |
| Triglycerides blood test inpatient CPT 84478 LAB LIPOPROTEIN FRACT TRIGLYCERIDES | $29.15 | $53.00 | $7.95–$53.00 | — | 45% |
| Triglycerides blood test inpatient CPT 84478 LAB LIPOPROTEIN ELEC TRIGLYCERIDES | $29.15 | $53.00 | $7.95–$53.00 | — | 45% |
| Triglycerides blood test inpatient CPT 84478 LAB CARDIO IQ TRIGLYCERIDES | $29.15 | $53.00 | $7.95–$53.00 | — | 45% |
| Triglycerides blood test inpatient CPT 84478 LAB 84478 - ASSAY OF TRIGLYCERIDES | $29.15 | $53.00 | $7.95–$53.00 | — | 45% |
| Triglycerides blood test inpatient CPT 84478 LAB FIBROSURE TRIGLYCERIDES | $29.15 | $53.00 | $7.95–$53.00 | — | 45% |
| Triglycerides blood test inpatient CPT 84478 Triglyceride | $30.25 | $55.00 | $8.25–$55.00 | — | 45% |
| Triglycerides blood test inpatient CPT 84478 Triglyceride Body Fluid | $30.25 | $55.00 | $8.25–$55.00 | — | 45% |
| Troponin test, quantitative CPT 84484 Troponin-I | $52.80 | $96.00 | $14.40–$86.40 | 25% below | 45% |
| Troponin test, quantitative CPT 84484 LAB 84484 - ASSAY OF TROPONIN QUANT | $54.45 | $99.00 | $14.85–$89.10 | 22% below | 45% |
| Troponin test, quantitative CPT 84484 High Sensitivity Troponin-I | $54.45 | $99.00 | $14.85–$89.10 | 22% below | 45% |
| Troponin test, quantitative inpatient CPT 84484 Troponin-I | $52.80 | $96.00 | $14.40–$96.00 | — | 45% |
| Troponin test, quantitative inpatient CPT 84484 High Sensitivity Troponin-I | $54.45 | $99.00 | $14.85–$99.00 | — | 45% |
| Troponin test, quantitative inpatient CPT 84484 LAB 84484 - ASSAY OF TROPONIN QUANT | $54.45 | $99.00 | $14.85–$99.00 | — | 45% |
| Uric acid blood test CPT 84550 Uric Acid | $30.25 | $55.00 | $8.25–$49.50 | 2% above | 45% |
| Uric acid blood test inpatient CPT 84550 Uric Acid | $30.25 | $55.00 | $8.25–$55.00 | — | 45% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis with Microscopic | $24.20 | $44.00 | $6.60–$39.60 | 22% below | 45% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis with Microscopic | $24.20 | $44.00 | $6.60–$44.00 | — | 45% |
| Urinalysis without microscope exam, automated CPT 81003 Urine for Hemoglobin | $20.35 | $37.00 | $5.55–$33.30 | 7% below | 45% |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis | $20.90 | $38.00 | $5.70–$34.20 | 5% below | 45% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urine for Hemoglobin | $20.35 | $37.00 | $5.55–$37.00 | — | 45% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis | $20.90 | $38.00 | $5.70–$38.00 | — | 45% |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis Strip (ED Charge) | $18.15 | $33.00 | $4.95–$29.70 | 54% above | 45% |
| Urinalysis without microscope exam, manual CPT 81002 Ketones Urine | $18.70 | $34.00 | $5.10–$30.60 | 59% above | 45% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis Strip (ED Charge) | $18.15 | $33.00 | $4.95–$33.00 | — | 45% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Ketones Urine | $18.70 | $34.00 | $5.10–$34.00 | — | 45% |
| Urine culture for bacteria, with colony count CPT 87086 Urine Culture | $40.15 | $73.00 | $10.95–$65.70 | 25% below | 45% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 Urine Culture | $40.15 | $73.00 | $10.95–$73.00 | — | 45% |
| Urine microalbumin (albumin) test CPT 82043 Albumin, 24-hr Microalbuminuria Study | $36.30 | $66.00 | $9.90–$59.40 | 11% below | 45% |
| Urine microalbumin (albumin) test CPT 82043 U MicAlb QRT | $36.30 | $66.00 | $9.90–$59.40 | 11% below | 45% |
| Urine microalbumin (albumin) test CPT 82043 zzMicroalbumin Urine | $36.30 | $66.00 | $9.90–$59.40 | 11% below | 45% |
| Urine microalbumin (albumin) test CPT 82043 LAB 82043 - UR ALBUMIN QN | $37.40 | $68.00 | $10.20–$61.20 | 9% below | 45% |
| Urine microalbumin (albumin) test CPT 82043 Microalbumin with Creatinine Random Urine | $37.40 | $68.00 | $10.20–$61.20 | 9% below | 45% |
| Urine microalbumin (albumin) test CPT 82043 Microalbumin with Creatinine 24hr Urine | $37.40 | $68.00 | $10.20–$61.20 | 9% below | 45% |
| Urine microalbumin (albumin) test CPT 82043 AMB POC 82043 Albumin, Random | $37.40 | $68.00 | $10.20–$61.20 | 9% below | 45% |
| Urine microalbumin (albumin) test inpatient CPT 82043 Albumin, 24-hr Microalbuminuria Study | $36.30 | $66.00 | $9.90–$66.00 | — | 45% |
| Urine microalbumin (albumin) test inpatient CPT 82043 zzMicroalbumin Urine | $36.30 | $66.00 | $9.90–$66.00 | — | 45% |
| Urine microalbumin (albumin) test inpatient CPT 82043 U MicAlb QRT | $36.30 | $66.00 | $9.90–$66.00 | — | 45% |
| Urine microalbumin (albumin) test inpatient CPT 82043 LAB 82043 - UR ALBUMIN QN | $37.40 | $68.00 | $10.20–$68.00 | — | 45% |
| Urine microalbumin (albumin) test inpatient CPT 82043 AMB POC 82043 Albumin, Random | $37.40 | $68.00 | $10.20–$68.00 | — | 45% |
| Urine microalbumin (albumin) test inpatient CPT 82043 Microalbumin with Creatinine 24hr Urine | $37.40 | $68.00 | $10.20–$68.00 | — | 45% |
| Urine microalbumin (albumin) test inpatient CPT 82043 Microalbumin with Creatinine Random Urine | $37.40 | $68.00 | $10.20–$68.00 | — | 45% |
| Urine pregnancy test, read by color change CPT 81025 Urine Pregnancy Test | $35.75 | $65.00 | $9.75–$58.50 | 7% below | 45% |
| Urine pregnancy test, read by color change CPT 81025 POC Rad Urine Preg | $35.75 | $65.00 | $9.75–$58.50 | 7% below | 45% |
| Urine pregnancy test, read by color change CPT 81025 81025 HCG, Urine POC | $35.75 | $65.00 | $9.75–$58.50 | 7% below | 45% |
| Urine pregnancy test, read by color change CPT 81025 Pregnancy Test, Urine (ED Charge) | $35.75 | $65.00 | $9.75–$58.50 | 7% below | 45% |
| Urine pregnancy test, read by color change CPT 81025 SANE PREGNANCY TEST | $35.75 | $65.00 | $9.75–$58.50 | 7% below | 45% |
| Urine pregnancy test, read by color change inpatient CPT 81025 81025 HCG, Urine POC | $35.75 | $65.00 | $9.75–$65.00 | — | 45% |
| Urine pregnancy test, read by color change inpatient CPT 81025 POC Rad Urine Preg | $35.75 | $65.00 | $9.75–$65.00 | — | 45% |
| Urine pregnancy test, read by color change inpatient CPT 81025 SANE PREGNANCY TEST | $35.75 | $65.00 | $9.75–$65.00 | — | 45% |
| Urine pregnancy test, read by color change inpatient CPT 81025 Pregnancy Test, Urine (ED Charge) | $35.75 | $65.00 | $9.75–$65.00 | — | 45% |
| Urine pregnancy test, read by color change inpatient CPT 81025 Urine Pregnancy Test | $35.75 | $65.00 | $9.75–$65.00 | — | 45% |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 Level | $41.25 | $75.00 | $11.25–$67.50 | 22% below | 45% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B12 Level | $41.25 | $75.00 | $11.25–$75.00 | — | 45% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25 OH Total Level | $104.50 | $190.00 | $28.50–$171.00 | 10% above | 45% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 LAB 82306 - VITAMIN D 25 HYDROXY | $104.50 | $190.00 | $28.50–$171.00 | 10% above | 45% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25 OH Total Level | $104.50 | $190.00 | $28.50–$190.00 | — | 45% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 LAB 82306 - VITAMIN D 25 HYDROXY | $104.50 | $190.00 | $28.50–$190.00 | — | 45% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 LAB VITAMIN D, 1,25-DIHYDROXY (QUEST ASSURE D) | $90.20 | $164.00 | $24.60–$147.60 | 33% below | 45% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 ZZVitamin D 1,25 Lvl | $90.20 | $164.00 | $24.60–$147.60 | 33% below | 45% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 LAB 82652 - 1 25 DIHYDROXY INCLUDES FRACTIONS IF PERFORMED | $90.20 | $164.00 | $24.60–$147.60 | 33% below | 45% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 Vitamin D 1,25 Dihydroxy Level | $92.95 | $169.00 | $25.35–$152.10 | 31% below | 45% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 LAB VITAMIN D, 1,25-DIHYDROXY (QUEST ASSURE D) | $90.20 | $164.00 | $24.60–$164.00 | — | 45% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 LAB 82652 - 1 25 DIHYDROXY INCLUDES FRACTIONS IF PERFORMED | $90.20 | $164.00 | $24.60–$164.00 | — | 45% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 ZZVitamin D 1,25 Lvl | $90.20 | $164.00 | $24.60–$164.00 | — | 45% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 Vitamin D 1,25 Dihydroxy Level | $92.95 | $169.00 | $25.35–$169.00 | — | 45% |
| Zinc blood test CPT 84630 LAB 84630 - ASSAY OF ZINC | $30.25 | $55.00 | $8.25–$49.50 | 35% below | 45% |
| Zinc blood test CPT 84630 Zinc Level | $30.25 | $55.00 | $8.25–$49.50 | 35% below | 45% |
| Zinc blood test inpatient CPT 84630 Zinc Level | $30.25 | $55.00 | $8.25–$55.00 | — | 45% |
| Zinc blood test inpatient CPT 84630 LAB 84630 - ASSAY OF ZINC | $30.25 | $55.00 | $8.25–$55.00 | — | 45% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Molar Preg BHCG Quant | $45.10 | $82.00 | $12.30–$73.80 | 21% below | 45% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Triple Test | $45.10 | $82.00 | $12.30–$73.80 | 21% below | 45% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 LAB MAT. SER. 4 (HCG QUANT)-L | $46.20 | $84.00 | $12.60–$75.60 | 19% below | 45% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Beta Human Chorionic Gonadotropin Quantitative | $46.20 | $84.00 | $12.60–$75.60 | 19% below | 45% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Triple Test | $45.10 | $82.00 | $12.30–$82.00 | — | 45% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Molar Preg BHCG Quant | $45.10 | $82.00 | $12.30–$82.00 | — | 45% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 LAB MAT. SER. 4 (HCG QUANT)-L | $46.20 | $84.00 | $12.60–$84.00 | — | 45% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Beta Human Chorionic Gonadotropin Quantitative | $46.20 | $84.00 | $12.60–$84.00 | — | 45% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Alabama | Off list |
|---|---|---|---|---|---|
| Arthroscopic ACL reconstruction or repair of the knee CPT 29888 29888 Arthroscope/ant cruciate lig rpr | $6,979.50 | $12,690.00 | $1,903.50–$11,421.00 | 63% below | 45% |
| Arthroscopic ACL reconstruction or repair of the knee inpatient CPT 29888 29888 Arthroscope/ant cruciate lig rpr | $6,979.50 | $12,690.00 | $1,903.50–$12,690.00 | — | 45% |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 29827 Arthroscop rotator cuff repr | $6,979.50 | $12,690.00 | $1,903.50–$11,421.00 | 40% below | 45% |
| Arthroscopic rotator cuff repair of the shoulder inpatient CPT 29827 29827 Arthroscop rotator cuff repr | $6,979.50 | $12,690.00 | $1,903.50–$12,690.00 | — | 45% |
| Botox injections for chronic migraine CPT 64615 64615 Chemodenerv/fac/trigem/cerv spine | $475.75 | $865.00 | $129.75–$778.50 | 43% above | 45% |
| Botox injections for chronic migraine inpatient CPT 64615 64615 Chemodenerv/fac/trigem/cerv spine | $475.75 | $865.00 | $129.75–$865.00 | — | 45% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 MM/SP Exam | $1,630.75 | $2,965.00 | $444.75–$2,668.50 | 25% below | 45% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 MM/SP Exam | $1,630.75 | $2,965.00 | $444.75–$2,668.50 | 25% below | 45% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 MM/SP Exam | $1,630.75 | $2,965.00 | $444.75–$2,965.00 | — | 45% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 MM/SP Exam | $1,630.75 | $2,965.00 | $444.75–$2,965.00 | — | 45% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 27786 Clsd tx/dis fibular fx w/o manip | $555.50 | $1,010.00 | $151.50–$909.00 | 104% above | 45% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Clo Fx Distal Fibular | $572.00 | $1,040.00 | $156.00–$936.00 | 110% above | 45% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 27786 Clsd tx/dis fibular fx w/o manip | $555.50 | $1,010.00 | $151.50–$1,010.00 | — | 45% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 Clo Fx Distal Fibular | $572.00 | $1,040.00 | $156.00–$1,040.00 | — | 45% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 28470 Clsd tx/metatarsal fx w/o manip | $555.50 | $1,010.00 | $151.50–$909.00 | 152% above | 45% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Clo Fx Metatarsal | $572.00 | $1,040.00 | $156.00–$936.00 | 160% above | 45% |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 28470 Clsd tx/metatarsal fx w/o manip | $555.50 | $1,010.00 | $151.50–$1,010.00 | — | 45% |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 Clo Fx Metatarsal | $572.00 | $1,040.00 | $156.00–$1,040.00 | — | 45% |
| Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 28296 CORRJ HALLUX VALGUS W/SESMDC W/DIST METAR OSTEOT | $5,550.60 | $10,092.00 | $1,513.80–$9,082.80 | 26% below | 45% |
| Bunion correction with a bone cut near the head of the first metatarsal inpatient CPT 28296 28296 CORRJ HALLUX VALGUS W/SESMDC W/DIST METAR OSTEOT | $5,550.60 | $10,092.00 | $1,513.80–$10,092.00 | — | 45% |
| Bunion correction with removal of part of the big toe joint CPT 28292 28292 Correct bunion/Keller/McBride/Mayo | $5,550.60 | $10,092.00 | $1,513.80–$9,082.80 | at median | 45% |
| Bunion correction with removal of part of the big toe joint inpatient CPT 28292 28292 Correct bunion/Keller/McBride/Mayo | $5,550.60 | $10,092.00 | $1,513.80–$10,092.00 | — | 45% |
| Cardiac catheterization with coronary angiogram CPT 93458 CTH LHC WITH LV | $3,236.75 | $5,885.00 | $882.75–$5,296.50 | 49% below | 45% |
| Cardiac catheterization with coronary angiogram one side CPT 93458 93458 Lt Heart cath/LV/cors | $3,236.75 | $5,885.00 | $882.75–$5,296.50 | 49% below | 45% |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 CTH LHC WITH LV | $3,236.75 | $5,885.00 | $882.75–$5,885.00 | — | 45% |
| Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 93458 Lt Heart cath/LV/cors | $3,236.75 | $5,885.00 | $882.75–$5,885.00 | — | 45% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 92960 Cardioversion/elective/external | $706.20 | $1,284.00 | $192.60–$1,155.60 | 10% below | 45% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CTH CL CARDIOVERSION ELECT/EXTERNAL | $706.20 | $1,284.00 | $192.60–$1,155.60 | 10% below | 45% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion (ED Charge) | $706.20 | $1,284.00 | $192.60–$1,155.60 | 10% below | 45% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 PAC CARDIOVERSION EXTERNAL | $706.20 | $1,284.00 | $192.60–$1,155.60 | 10% below | 45% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CV Cardioversion External | $706.20 | $1,284.00 | $192.60–$1,155.60 | 10% below | 45% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CTH CL CARDIOVERSION ELECT/EXTERNAL | $706.20 | $1,284.00 | $192.60–$1,284.00 | — | 45% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CV Cardioversion External | $706.20 | $1,284.00 | $192.60–$1,284.00 | — | 45% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 PAC CARDIOVERSION EXTERNAL | $706.20 | $1,284.00 | $192.60–$1,284.00 | — | 45% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 92960 Cardioversion/elective/external | $706.20 | $1,284.00 | $192.60–$1,284.00 | — | 45% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion (ED Charge) | $706.20 | $1,284.00 | $192.60–$1,284.00 | — | 45% |
| Carpal tunnel release, open surgery CPT 64721 64721 Carpal tunnel surgery | $1,907.95 | $3,469.00 | $520.35–$3,122.10 | 57% below | 45% |
| Carpal tunnel release, open surgery inpatient CPT 64721 64721 Carpal tunnel surgery | $1,907.95 | $3,469.00 | $520.35–$3,469.00 | — | 45% |
| Catheter ablation for atrial fibrillation CPT 93656 CTH EP EVALUATION INCLUDING TRAN SEPTAL CATHETERIZATIONS | $24,686.20 | $44,884.00 | $6,732.60–$40,395.60 | 2% below | 45% |
| Catheter ablation for atrial fibrillation CPT 93656 93656 Comp EP/ Afib ablat/pul vein iso | $24,686.20 | $44,884.00 | $6,732.60–$40,395.60 | 2% below | 45% |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 CTH EP EVALUATION INCLUDING TRAN SEPTAL CATHETERIZATIONS | $24,686.20 | $44,884.00 | $6,732.60–$44,884.00 | — | 45% |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 93656 Comp EP/ Afib ablat/pul vein iso | $24,686.20 | $44,884.00 | $6,732.60–$44,884.00 | — | 45% |
| Cervical biopsy CPT 57500 57500 Biopsy of Cervix | $876.15 | $1,593.00 | $238.95–$1,433.70 | 63% below | 45% |
| Cervical biopsy inpatient CPT 57500 57500 Biopsy of Cervix | $876.15 | $1,593.00 | $238.95–$1,593.00 | — | 45% |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 54161 CIRCUM 28 DAYS OR OLDER | $2,146.65 | $3,903.00 | $585.45–$3,512.70 | 38% below | 45% |
| Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 54161 CIRCUM 28 DAYS OR OLDER | $2,146.65 | $3,903.00 | $585.45–$3,903.00 | — | 45% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 54150 CIRCUMCISION W/CLAMP/OTH DEV W/BLOCK | $2,146.65 | $3,903.00 | $585.45–$3,512.70 | 1% below | 45% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 54150 CIRCUMCISION W/CLAMP/OTH DEV W/BLOCK | $2,146.65 | $3,903.00 | $585.45–$3,903.00 | — | 45% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 25600 Clsd tx Fracture Radius/Ulna w/o manip | $555.50 | $1,010.00 | $151.50–$909.00 | 103% above | 45% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Treat Fx Radius w/wo Ulna Fx | $572.00 | $1,040.00 | $156.00–$936.00 | 109% above | 45% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 25600 Clsd tx Fracture Radius/Ulna w/o manip | $555.50 | $1,010.00 | $151.50–$1,010.00 | — | 45% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 Treat Fx Radius w/wo Ulna Fx | $572.00 | $1,040.00 | $156.00–$1,040.00 | — | 45% |
| Colonoscopy with polyp removal CPT 45385 45385 COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ | $1,186.90 | $2,158.00 | $323.70–$1,942.20 | 50% below | 45% |
| Colonoscopy with polyp removal inpatient CPT 45385 45385 COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ | $1,186.90 | $2,158.00 | $323.70–$2,158.00 | — | 45% |
| Colonoscopy with tissue sample CPT 45380 45380 Colonoscopy w/ Biopsy Single/Multiple | $1,186.90 | $2,158.00 | $323.70–$1,942.20 | 46% below | 45% |
| Colonoscopy with tissue sample inpatient CPT 45380 45380 Colonoscopy w/ Biopsy Single/Multiple | $1,186.90 | $2,158.00 | $323.70–$2,158.00 | — | 45% |
| Colonoscopy, diagnostic CPT 45378 45378 COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD | $1,061.50 | $1,930.00 | $289.50–$1,737.00 | 47% below | 45% |
| Colonoscopy, diagnostic inpatient CPT 45378 45378 COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD | $1,061.50 | $1,930.00 | $289.50–$1,930.00 | — | 45% |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 57460 COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX | $3,199.35 | $5,817.00 | $872.55–$5,235.30 | at median | 45% |
| Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 57460 COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX | $3,199.35 | $5,817.00 | $872.55–$5,817.00 | — | 45% |
| Coronary stent placement, one artery CPT 92928 92928 Coronary stent/single cor art | $11,411.95 | $20,749.00 | $3,112.35–$18,674.10 | 4% below | 45% |
| Coronary stent placement, one artery CPT 92928 CTH PTCA STENT MAJOR CORO ART BRANCH | $11,411.95 | $20,749.00 | $3,112.35–$18,674.10 | 4% below | 45% |
| Coronary stent placement, one artery inpatient CPT 92928 92928 Coronary stent/single cor art | $11,411.95 | $20,749.00 | $3,112.35–$20,749.00 | — | 45% |
| Coronary stent placement, one artery inpatient CPT 92928 CTH PTCA STENT MAJOR CORO ART BRANCH | $11,411.95 | $20,749.00 | $3,112.35–$20,749.00 | — | 45% |
| Cystoscopy with ureteral stent placement CPT 52332 52332 CYSTO W/INSERT URETERAL STENT | $3,471.05 | $6,311.00 | $946.65–$5,679.90 | 16% below | 45% |
| Cystoscopy with ureteral stent placement inpatient CPT 52332 52332 CYSTO W/INSERT URETERAL STENT | $3,471.05 | $6,311.00 | $946.65–$6,311.00 | — | 45% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 ED CYSTOSCOPY | $1,656.05 | $3,011.00 | $451.65–$2,709.90 | 2% above | 45% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 52000 Cystoscopy | $1,705.55 | $3,101.00 | $465.15–$2,790.90 | 5% above | 45% |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 ED CYSTOSCOPY | $1,656.05 | $3,011.00 | $451.65–$3,011.00 | — | 45% |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 52000 Cystoscopy | $1,705.55 | $3,101.00 | $465.15–$3,101.00 | — | 45% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 58120 DILATION & CURETTAGE DX&/THER NONOBSTETRIC | $3,199.35 | $5,817.00 | $872.55–$5,235.30 | 50% below | 45% |
| D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 58120 DILATION & CURETTAGE DX&/THER NONOBSTETRIC | $3,199.35 | $5,817.00 | $872.55–$5,817.00 | — | 45% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 17000 Destruct premalig lesion/1st | $296.45 | $539.00 | $80.85–$485.10 | 25% above | 45% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 17000 Destruct premalig lesion/1st | $296.45 | $539.00 | $80.85–$539.00 | — | 45% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 69209 Ear Irrigation | $121.55 | $221.00 | $33.15–$198.90 | 22% above | 45% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI | $121.55 | $221.00 | $33.15–$198.90 | 22% above | 45% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 69209 Ear Irrigation | $121.55 | $221.00 | $33.15–$221.00 | — | 45% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REMOVE IMPACTED EAR WAX UNI | $121.55 | $221.00 | $33.15–$221.00 | — | 45% |
| Earwax removal with instruments, one ear CPT 69210 Removal Impacted Earwax | $162.80 | $296.00 | $44.40–$266.40 | 66% above | 45% |
| Earwax removal with instruments, one ear CPT 69210 69210 Remove impacted ear wax w/ instrumentation | $162.80 | $296.00 | $44.40–$266.40 | 66% above | 45% |
| Earwax removal with instruments, one ear inpatient CPT 69210 Removal Impacted Earwax | $162.80 | $296.00 | $44.40–$296.00 | — | 45% |
| Earwax removal with instruments, one ear inpatient CPT 69210 69210 Remove impacted ear wax w/ instrumentation | $162.80 | $296.00 | $44.40–$296.00 | — | 45% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 58100 Endometrial Biopsy | $501.05 | $911.00 | $136.65–$819.90 | 19% above | 45% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 58100 Endometrial Biopsy | $501.05 | $911.00 | $136.65–$911.00 | — | 45% |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 49591 RPR AA HERNIA 1ST < 3 CM REDUCIBLE | $4,748.70 | $8,634.00 | $1,295.10–$7,770.60 | 53% below | 45% |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 49591 RPR AA HERNIA 1ST < 3 CM REDUCIBLE | $4,748.70 | $8,634.00 | $1,295.10–$8,634.00 | — | 45% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 45330 SIGMOIDOSCOPY FLX DX W/COLLJ SPEC BR/WA IF PFRMD | $1,061.50 | $1,930.00 | $289.50–$1,737.00 | 8% below | 45% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 45330 SIGMOIDOSCOPY FLX DX W/COLLJ SPEC BR/WA IF PFRMD | $1,061.50 | $1,930.00 | $289.50–$1,930.00 | — | 45% |
| Hammertoe correction surgery CPT 28285 28285 Correction/hammertoe | $3,170.20 | $5,764.00 | $864.60–$5,187.60 | 7% below | 45% |
| Hammertoe correction surgery inpatient CPT 28285 28285 Correction/hammertoe | $3,170.20 | $5,764.00 | $864.60–$5,764.00 | — | 45% |
| Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 27132 Prev hip surg/total arthroplasty | $9,893.95 | $17,989.00 | $2,698.35–$16,190.10 | 7% below | 45% |
| Hip replacement after an earlier hip surgery (conversion to total hip) inpatient CPT 27132 27132 Prev hip surg/total arthroplasty | $9,893.95 | $17,989.00 | $2,698.35–$17,989.00 | — | 45% |
| Hysterectomy through an abdominal incision (total) CPT 58150 58150 TOTAL ABDOMINAL HYSTERECT W/WO RMVL TUBE OVARY | $6,528.50 | $11,870.00 | $1,780.50–$10,683.00 | 68% below | 45% |
| Hysterectomy through an abdominal incision (total) inpatient CPT 58150 58150 TOTAL ABDOMINAL HYSTERECT W/WO RMVL TUBE OVARY | $6,528.50 | $11,870.00 | $1,780.50–$11,870.00 | — | 45% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 XR Hystero Cath and Injection | $331.65 | $603.00 | $90.45–$542.70 | 59% above | 45% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 US Injection Hysterosonogram | $331.65 | $603.00 | $90.45–$542.70 | 59% above | 45% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 XR Hystero Cath and Injection | $331.65 | $603.00 | $90.45–$603.00 | — | 45% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 US Injection Hysterosonogram | $331.65 | $603.00 | $90.45–$603.00 | — | 45% |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 58558 HYSTEROSCOPY BX ENDOMETRIUM&/POLYPC W/WO D&C | $3,199.35 | $5,817.00 | $872.55–$5,235.30 | 62% below | 45% |
| Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 58558 HYSTEROSCOPY BX ENDOMETRIUM&/POLYPC W/WO D&C | $3,199.35 | $5,817.00 | $872.55–$5,817.00 | — | 45% |
| IUD insertion (the device itself billed separately) CPT 58300 58300 Insert Intrauterine Device | $215.60 | $392.00 | $58.80–$352.80 | 96% below | 45% |
| IUD insertion (the device itself billed separately) CPT 58300 US IUD Insertion | $215.60 | $392.00 | $58.80–$352.80 | 96% below | 45% |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 US IUD Insertion | $215.60 | $392.00 | $58.80–$392.00 | — | 45% |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 58300 Insert Intrauterine Device | $215.60 | $392.00 | $58.80–$392.00 | — | 45% |
| Incision and drainage of a simple or single skin abscess CPT 10060 US Subcutaneous Drainage | $279.95 | $509.00 | $76.35–$458.10 | at median | 45% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D Skin Abscess Simple | $288.20 | $524.00 | $78.60–$471.60 | 3% above | 45% |
| Incision and drainage of a simple or single skin abscess CPT 10060 10060 Abscess/simple/single/I&D | $288.20 | $524.00 | $78.60–$471.60 | 3% above | 45% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 US Subcutaneous Drainage | $279.95 | $509.00 | $76.35–$509.00 | — | 45% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D Skin Abscess Simple | $288.20 | $524.00 | $78.60–$524.00 | — | 45% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 10060 Abscess/simple/single/I&D | $288.20 | $524.00 | $78.60–$524.00 | — | 45% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 49505 RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE | $3,717.45 | $6,759.00 | $1,013.85–$6,083.10 | 1% below | 45% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 49505 RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE | $3,717.45 | $6,759.00 | $1,013.85–$6,759.00 | — | 45% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 20550 Trigger Pt Tendon Sheath Inj | $297.55 | $541.00 | $81.15–$486.90 | 21% below | 45% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Aspiration Inj Tendon | $297.55 | $541.00 | $81.15–$486.90 | 21% below | 45% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 20550 Trigger Pt Tendon Sheath Inj | $297.55 | $541.00 | $81.15–$541.00 | — | 45% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Aspiration Inj Tendon | $297.55 | $541.00 | $81.15–$541.00 | — | 45% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 CTH DRAIN/INJ MAJOR JOINT/BURSA W/O US | $288.75 | $525.00 | $78.75–$472.50 | 25% below | 45% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Drain/Inject Joint/Bursa | $297.55 | $541.00 | $81.15–$486.90 | 23% below | 45% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 XR Large Joint Therapeutic Injection | $297.55 | $541.00 | $81.15–$486.90 | 23% below | 45% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 20610 Drain/Inj Joint/Bursa W/O US LT | $297.55 | $541.00 | $81.15–$486.90 | 23% below | 45% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 20610 Drain/Inj Joint/Bursa W/O US RT | $297.55 | $541.00 | $81.15–$486.90 | 23% below | 45% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 CTH DRAIN/INJ MAJOR JOINT/BURSA W/O US | $288.75 | $525.00 | $78.75–$525.00 | — | 45% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 XR Large Joint Therapeutic Injection | $297.55 | $541.00 | $81.15–$541.00 | — | 45% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Drain/Inject Joint/Bursa | $297.55 | $541.00 | $81.15–$541.00 | — | 45% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 20610 Drain/Inj Joint/Bursa W/O US LT | $297.55 | $541.00 | $81.15–$541.00 | — | 45% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 20610 Drain/Inj Joint/Bursa W/O US RT | $297.55 | $541.00 | $81.15–$541.00 | — | 45% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 11981 Insert Drug Implant Device | $279.95 | $509.00 | $76.35–$458.10 | 10% below | 45% |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 11981 Insert Drug Implant Device | $279.95 | $509.00 | $76.35–$509.00 | — | 45% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Aspiration Med Joint | $297.55 | $541.00 | $81.15–$486.90 | 11% below | 45% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 XR Intermediate Joint (wrist,elbow) | $297.55 | $541.00 | $81.15–$486.90 | 11% below | 45% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 20605 Drain/Inj Joint/Bursa W/O US RT | $297.55 | $541.00 | $81.15–$486.90 | 11% below | 45% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 20605 Drain/Inj Joint/Bursa W/O US LT | $297.55 | $541.00 | $81.15–$486.90 | 11% below | 45% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 XR Intermediate Joint (wrist,elbow) | $297.55 | $541.00 | $81.15–$541.00 | — | 45% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Aspiration Med Joint | $297.55 | $541.00 | $81.15–$541.00 | — | 45% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 20605 Drain/Inj Joint/Bursa W/O US RT | $297.55 | $541.00 | $81.15–$541.00 | — | 45% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 20605 Drain/Inj Joint/Bursa W/O US LT | $297.55 | $541.00 | $81.15–$541.00 | — | 45% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 XR Small Joint Injection (fingers,toes) | $288.75 | $525.00 | $78.75–$472.50 | 25% below | 45% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US | $297.55 | $541.00 | $81.15–$486.90 | 23% below | 45% |
| Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 20600 Drain/Inj Joint/Bursa W/O US RT | $297.55 | $541.00 | $81.15–$486.90 | 23% below | 45% |
| Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 20600 Drain/Inj Joint/Bursa W/O US LT | $297.55 | $541.00 | $81.15–$486.90 | 23% below | 45% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 XR Small Joint Injection (fingers,toes) | $288.75 | $525.00 | $78.75–$525.00 | — | 45% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US | $297.55 | $541.00 | $81.15–$541.00 | — | 45% |
| Joint injection or drainage, small joint (fingers, toes) inpatient one side CPT 20600 20600 Drain/Inj Joint/Bursa W/O US LT | $297.55 | $541.00 | $81.15–$541.00 | — | 45% |
| Joint injection or drainage, small joint (fingers, toes) inpatient one side CPT 20600 20600 Drain/Inj Joint/Bursa W/O US RT | $297.55 | $541.00 | $81.15–$541.00 | — | 45% |
| Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 29882 Arthroscopy/knee w/meniscus repair | $3,170.20 | $5,764.00 | $864.60–$5,187.60 | 70% below | 45% |
| Knee arthroscopy with meniscus repair (one side of the knee) inpatient CPT 29882 29882 Arthroscopy/knee w/meniscus repair | $3,170.20 | $5,764.00 | $864.60–$5,764.00 | — | 45% |
| Knee arthroscopy with meniscus trim CPT 29881 29881 Arthroscopy/knee/menisc/med or lat | $3,170.20 | $5,764.00 | $864.60–$5,187.60 | 65% below | 45% |
| Knee arthroscopy with meniscus trim inpatient CPT 29881 29881 Arthroscopy/knee/menisc/med or lat | $3,170.20 | $5,764.00 | $864.60–$5,764.00 | — | 45% |
| Knee arthroscopy with removal of both torn meniscus parts CPT 29880 29880 Arthroscopy/knee/meniscect/med/lat | $3,170.20 | $5,764.00 | $864.60–$5,187.60 | 61% below | 45% |
| Knee arthroscopy with removal of both torn meniscus parts inpatient CPT 29880 29880 Arthroscopy/knee/meniscect/med/lat | $3,170.20 | $5,764.00 | $864.60–$5,764.00 | — | 45% |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 29877 Arthroscopy/knee/chondroplasty | $3,170.20 | $5,764.00 | $864.60–$5,187.60 | 64% below | 45% |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) inpatient CPT 29877 29877 Arthroscopy/knee/chondroplasty | $3,170.20 | $5,764.00 | $864.60–$5,764.00 | — | 45% |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 58571 LAPS TOTAL HYSTERECT 250 GM/< W/RMVL TUBE/OVARY | $10,476.95 | $19,049.00 | $2,857.35–$17,144.10 | 25% below | 45% |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries inpatient CPT 58571 58571 LAPS TOTAL HYSTERECT 250 GM/< W/RMVL TUBE/OVARY | $10,476.95 | $19,049.00 | $2,857.35–$19,049.00 | — | 45% |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 58661 LAPAROSCOPY W/RMVL ADNEXAL STRUCTURES | $5,871.25 | $10,675.00 | $1,601.25–$9,607.50 | 50% below | 45% |
| Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 58661 LAPAROSCOPY W/RMVL ADNEXAL STRUCTURES | $5,871.25 | $10,675.00 | $1,601.25–$10,675.00 | — | 45% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 12031 Int rp scalp/ax/trunk/ext 2.5 or < | $411.40 | $748.00 | $112.20–$673.20 | 6% above | 45% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAYER CLOSURE 2.5CM/LESS | $411.40 | $748.00 | $112.20–$673.20 | 6% above | 45% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 12031 Int rp scalp/ax/trunk/ext 2.5 or < | $411.40 | $748.00 | $112.20–$748.00 | — | 45% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LAYER CLOSURE 2.5CM/LESS | $411.40 | $748.00 | $112.20–$748.00 | — | 45% |
| Left heart catheterization, diagnostic CPT 93452 CTH LV | $3,236.75 | $5,885.00 | $882.75–$5,296.50 | 31% below | 45% |
| Left heart catheterization, diagnostic one side CPT 93452 93452 Left Heart Cath (LHC) LV Only | $3,236.75 | $5,885.00 | $882.75–$5,296.50 | 31% below | 45% |
| Left heart catheterization, diagnostic inpatient CPT 93452 CTH LV | $3,236.75 | $5,885.00 | $882.75–$5,885.00 | — | 45% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 93452 Left Heart Cath (LHC) LV Only | $3,236.75 | $5,885.00 | $882.75–$5,885.00 | — | 45% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 11400 Excision, Benign Lesion Tr/Arm/Leg <0.5cm | $708.40 | $1,288.00 | $193.20–$1,159.20 | 20% below | 45% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 11400 Excision, Benign Lesion Tr/Arm/Leg <0.5cm | $708.40 | $1,288.00 | $193.20–$1,288.00 | — | 45% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 11440 Excision Ben.Les. Face/Ear/ Muc. Memb. 0.5cm/< | $708.40 | $1,288.00 | $193.20–$1,159.20 | 24% below | 45% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 11440 Excision Ben.Les. Face/Ear/ Muc. Memb. 0.5cm/< | $708.40 | $1,288.00 | $193.20–$1,288.00 | — | 45% |
| Nail removal (partial or complete), one nail CPT 11730 Removal Nail Plate Single | $239.80 | $436.00 | $65.40–$392.40 | 7% above | 45% |
| Nail removal (partial or complete), one nail CPT 11730 11730 Avulsion/nail plate/simple single | $239.80 | $436.00 | $65.40–$392.40 | 7% above | 45% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 Removal Nail Plate Single | $239.80 | $436.00 | $65.40–$436.00 | — | 45% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 11730 Avulsion/nail plate/simple single | $239.80 | $436.00 | $65.40–$436.00 | — | 45% |
| Occipital nerve block (injection for headaches) CPT 64405 Nerve Block Greater Occipital | $475.75 | $865.00 | $129.75–$778.50 | at median | 45% |
| Occipital nerve block (injection for headaches) CPT 64405 64405 Inj/anest/greater occipital nerve | $475.75 | $865.00 | $129.75–$778.50 | at median | 45% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 Nerve Block Greater Occipital | $475.75 | $865.00 | $129.75–$865.00 | — | 45% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 64405 Inj/anest/greater occipital nerve | $475.75 | $865.00 | $129.75–$865.00 | — | 45% |
| Pacemaker implant (dual chamber) CPT 33208 CTH INSERT PERM PCMK VT AT | $11,298.65 | $20,543.00 | $3,081.45–$18,488.70 | 10% below | 45% |
| Pacemaker implant (dual chamber) CPT 33208 33208 Insert new or repl PPM w/A&V leads | $11,298.65 | $20,543.00 | $3,081.45–$18,488.70 | 10% below | 45% |
| Pacemaker implant (dual chamber) inpatient CPT 33208 CTH INSERT PERM PCMK VT AT | $11,298.65 | $20,543.00 | $3,081.45–$20,543.00 | — | 45% |
| Pacemaker implant (dual chamber) inpatient CPT 33208 33208 Insert new or repl PPM w/A&V leads | $11,298.65 | $20,543.00 | $3,081.45–$20,543.00 | — | 45% |
| Paracentesis with imaging guidance CPT 49083 RAD XR PARACENTESIS | $916.30 | $1,666.00 | $249.90–$1,499.40 | 1% above | 45% |
| Paracentesis with imaging guidance CPT 49083 CT Exam 2 | $916.30 | $1,666.00 | $249.90–$1,499.40 | 1% above | 45% |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING | $943.80 | $1,716.00 | $257.40–$1,544.40 | 4% above | 45% |
| Paracentesis with imaging guidance CPT 49083 US Exam 1 | $943.80 | $1,716.00 | $257.40–$1,544.40 | 4% above | 45% |
| Paracentesis with imaging guidance CPT 49083 49083 ABDOM PARACENTESIS DX/THER W/IMAGING GUIDANCE | $943.80 | $1,716.00 | $257.40–$1,544.40 | 4% above | 45% |
| Paracentesis with imaging guidance inpatient CPT 49083 RAD XR PARACENTESIS | $916.30 | $1,666.00 | $249.90–$1,666.00 | — | 45% |
| Paracentesis with imaging guidance inpatient CPT 49083 CT Exam 2 | $916.30 | $1,666.00 | $249.90–$1,666.00 | — | 45% |
| Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W/IMAGING | $943.80 | $1,716.00 | $257.40–$1,716.00 | — | 45% |
| Paracentesis with imaging guidance inpatient CPT 49083 49083 ABDOM PARACENTESIS DX/THER W/IMAGING GUIDANCE | $943.80 | $1,716.00 | $257.40–$1,716.00 | — | 45% |
| Paracentesis with imaging guidance inpatient CPT 49083 US Exam 1 | $943.80 | $1,716.00 | $257.40–$1,716.00 | — | 45% |
| Partial knee replacement (one compartment) CPT 27446 27446 Arthroplast/knee/med or lat comp | $13,008.60 | $23,652.00 | $3,547.80–$21,286.80 | 33% below | 45% |
| Partial knee replacement (one compartment) inpatient CPT 27446 27446 Arthroplast/knee/med or lat comp | $13,008.60 | $23,652.00 | $3,547.80–$23,652.00 | — | 45% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 11750 Excision nail/matrix part/comp perm | $588.50 | $1,070.00 | $160.50–$963.00 | 5% above | 45% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION NAIL MATRIX PERMANENT REMOVAL | $606.10 | $1,102.00 | $165.30–$991.80 | 8% above | 45% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 11750 Excision nail/matrix part/comp perm | $588.50 | $1,070.00 | $160.50–$1,070.00 | — | 45% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXCISION NAIL MATRIX PERMANENT REMOVAL | $606.10 | $1,102.00 | $165.30–$1,102.00 | — | 45% |
| Prostate biopsy CPT 55700 RAD CT PROSTATE NEEDLE BIOPSY ANY APPROACH | $2,124.10 | $3,862.00 | $579.30–$3,475.80 | 23% below | 45% |
| Prostate biopsy CPT 55700 55700 Prostate biopsy | $2,187.90 | $3,978.00 | $596.70–$3,580.20 | 21% below | 45% |
| Prostate biopsy inpatient CPT 55700 RAD CT PROSTATE NEEDLE BIOPSY ANY APPROACH | $2,124.10 | $3,862.00 | $579.30–$3,862.00 | — | 45% |
| Prostate biopsy inpatient CPT 55700 55700 Prostate biopsy | $2,187.90 | $3,978.00 | $596.70–$3,978.00 | — | 45% |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 55866 LAPS PROSTECT RETROPUBIC RAD W/NRV SPARING ROBOT | $10,476.95 | $19,049.00 | $2,857.35–$17,144.10 | 64% below | 45% |
| Prostate removal (prostatectomy), laparoscopic inpatient CPT 55866 55866 LAPS PROSTECT RETROPUBIC RAD W/NRV SPARING ROBOT | $10,476.95 | $19,049.00 | $2,857.35–$19,049.00 | — | 45% |
| Removal of a breast lump, open surgery CPT 19120 19120 EXCISIONAL BX | $3,741.10 | $6,802.00 | $1,020.30–$6,121.80 | 6% below | 45% |
| Removal of a breast lump, open surgery inpatient CPT 19120 19120 EXCISIONAL BX | $3,741.10 | $6,802.00 | $1,020.30–$6,802.00 | — | 45% |
| Removal of a foreign object under the skin, simple CPT 10120 CTH REMOVE FOREIGN BOCY SIMPLE | $390.50 | $710.00 | $106.50–$639.00 | 24% below | 45% |
| Removal of a foreign object under the skin, simple CPT 10120 Removal Foreign Body Simple | $402.05 | $731.00 | $109.65–$657.90 | 22% below | 45% |
| Removal of a foreign object under the skin, simple CPT 10120 10120 Inc/removal foreign body subq simple | $402.05 | $731.00 | $109.65–$657.90 | 22% below | 45% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 CTH REMOVE FOREIGN BOCY SIMPLE | $390.50 | $710.00 | $106.50–$710.00 | — | 45% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 Removal Foreign Body Simple | $402.05 | $731.00 | $109.65–$731.00 | — | 45% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 10120 Inc/removal foreign body subq simple | $402.05 | $731.00 | $109.65–$731.00 | — | 45% |
| Septoplasty to straighten the nasal septum CPT 30520 30520 Repair Of Nasal Septum | $3,168.55 | $5,761.00 | $864.15–$5,184.90 | 45% below | 45% |
| Septoplasty to straighten the nasal septum inpatient CPT 30520 30520 Repair Of Nasal Septum | $3,168.55 | $5,761.00 | $864.15–$5,761.00 | — | 45% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 50590 LITHOTRIPSY XTRCORP SHOCK WAVE | $3,471.05 | $6,311.00 | $946.65–$5,679.90 | 63% below | 45% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 50590 LITHOTRIPSY XTRCORP SHOCK WAVE | $3,471.05 | $6,311.00 | $946.65–$6,311.00 | — | 45% |
| Short arm cast (elbow to hand) CPT 29075 29075 Apply figure 8 cast/elbow/finger | $259.60 | $472.00 | $70.80–$424.80 | 2% above | 45% |
| Short arm cast (elbow to hand) inpatient CPT 29075 29075 Apply figure 8 cast/elbow/finger | $259.60 | $472.00 | $70.80–$472.00 | — | 45% |
| Short arm splint (forearm and hand) CPT 29125 29125 Apply forearm splint | $125.95 | $229.00 | $34.35–$206.10 | 27% below | 45% |
| Short arm splint (forearm and hand) CPT 29125 Splint Short Arm | $129.80 | $236.00 | $35.40–$212.40 | 25% below | 45% |
| Short arm splint (forearm and hand) inpatient CPT 29125 29125 Apply forearm splint | $125.95 | $229.00 | $34.35–$229.00 | — | 45% |
| Short arm splint (forearm and hand) inpatient CPT 29125 Splint Short Arm | $129.80 | $236.00 | $35.40–$236.00 | — | 45% |
| Short leg cast (below the knee) CPT 29405 Cast Short Leg | $259.60 | $472.00 | $70.80–$424.80 | 4% above | 45% |
| Short leg cast (below the knee) CPT 29405 29405 Apply short leg cast/below knee/toe | $259.60 | $472.00 | $70.80–$424.80 | 4% above | 45% |
| Short leg cast (below the knee) inpatient CPT 29405 29405 Apply short leg cast/below knee/toe | $259.60 | $472.00 | $70.80–$472.00 | — | 45% |
| Short leg cast (below the knee) inpatient CPT 29405 Cast Short Leg | $259.60 | $472.00 | $70.80–$472.00 | — | 45% |
| Short leg splint (calf to foot) CPT 29515 29515 Apply short leg splint/calf/foot | $154.55 | $281.00 | $42.15–$252.90 | 8% below | 45% |
| Short leg splint (calf to foot) CPT 29515 Splint Short Leg | $158.95 | $289.00 | $43.35–$260.10 | 6% below | 45% |
| Short leg splint (calf to foot) inpatient CPT 29515 29515 Apply short leg splint/calf/foot | $154.55 | $281.00 | $42.15–$281.00 | — | 45% |
| Short leg splint (calf to foot) inpatient CPT 29515 Splint Short Leg | $158.95 | $289.00 | $43.35–$289.00 | — | 45% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 29824 Arthro/shoulder/dis claviculectomy | $3,170.20 | $5,764.00 | $864.60–$5,187.60 | 59% below | 45% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) inpatient CPT 29824 29824 Arthro/shoulder/dis claviculectomy | $3,170.20 | $5,764.00 | $864.60–$5,764.00 | — | 45% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 29826 Arthroscop/shoulder/decomp/subacro | $2,372.70 | $4,314.00 | $647.10–$3,882.60 | 63% below | 45% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 29826 Arthroscop/shoulder/decomp/subacro | $2,372.70 | $4,314.00 | $647.10–$4,314.00 | — | 45% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 CTH RPR S/N/AX/GEN/TRNK 2.5CM OR LESS | $232.65 | $423.00 | $63.45–$380.70 | 5% above | 45% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001 Lac Repair Sup. Wound S/N/Ax/ext Gen/Trunk< 2.5cm | $239.80 | $436.00 | $65.40–$392.40 | 8% above | 45% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Sim Wound Repair 2.5cm/Less | $239.80 | $436.00 | $65.40–$392.40 | 8% above | 45% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 CTH RPR S/N/AX/GEN/TRNK 2.5CM OR LESS | $232.65 | $423.00 | $63.45–$423.00 | — | 45% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 12001 Lac Repair Sup. Wound S/N/Ax/ext Gen/Trunk< 2.5cm | $239.80 | $436.00 | $65.40–$436.00 | — | 45% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Sim Wound Repair 2.5cm/Less | $239.80 | $436.00 | $65.40–$436.00 | — | 45% |
| Skin biopsy, punch, one lesion CPT 11104 11104 PUNCH BIOPSY SKIN SINGLE LESION | $603.35 | $1,097.00 | $164.55–$987.30 | 78% above | 45% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 11104 PUNCH BIOPSY SKIN SINGLE LESION | $603.35 | $1,097.00 | $164.55–$1,097.00 | — | 45% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 11600 Excision Malig. Lesion Trunk/arms/leg <0.5cm | $687.50 | $1,250.00 | $187.50–$1,125.00 | 2% below | 45% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 11600 Excision Malig. Lesion Trunk/arms/leg <0.5cm | $687.50 | $1,250.00 | $187.50–$1,250.00 | — | 45% |
| Skin tag removal, up to 15 tags CPT 11200 11200 Remove skin tags/15 or < | $296.45 | $539.00 | $80.85–$485.10 | at median | 45% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 11200 Remove skin tags/15 or < | $296.45 | $539.00 | $80.85–$539.00 | — | 45% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 CTH SPINAL PUNCTURE LUMBAR DX | $908.05 | $1,651.00 | $247.65–$1,485.90 | 35% above | 45% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Spinal Puncture Lumbar Diagnostic 62270 | $908.05 | $1,651.00 | $247.65–$1,485.90 | 35% above | 45% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 XR Exam 11 | $908.05 | $1,651.00 | $247.65–$1,485.90 | 35% above | 45% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Spinal Fluid Tap Diagnosic | $935.55 | $1,701.00 | $255.15–$1,530.90 | 39% above | 45% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 62270 Spinal puncture/lumbar/diagnostic | $935.55 | $1,701.00 | $255.15–$1,530.90 | 39% above | 45% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 CTH SPINAL PUNCTURE LUMBAR DX | $908.05 | $1,651.00 | $247.65–$1,651.00 | — | 45% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 XR Exam 11 | $908.05 | $1,651.00 | $247.65–$1,651.00 | — | 45% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Spinal Puncture Lumbar Diagnostic 62270 | $908.05 | $1,651.00 | $247.65–$1,651.00 | — | 45% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 62270 Spinal puncture/lumbar/diagnostic | $935.55 | $1,701.00 | $255.15–$1,701.00 | — | 45% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Spinal Fluid Tap Diagnosic | $935.55 | $1,701.00 | $255.15–$1,701.00 | — | 45% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 12002 Lac Repair Sup. Wound S/N/Ax/ext Gen/Trunk2.6-7.5cm | $232.65 | $423.00 | $63.45–$380.70 | 1% above | 45% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Sim Wound Repair 2.6/7.5 cm | $239.80 | $436.00 | $65.40–$392.40 | 4% above | 45% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 12002 Lac Repair Sup. Wound S/N/Ax/ext Gen/Trunk2.6-7.5cm | $232.65 | $423.00 | $63.45–$423.00 | — | 45% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Sim Wound Repair 2.6/7.5 cm | $239.80 | $436.00 | $65.40–$436.00 | — | 45% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 12011 Lac Smp Repair face/ear/nose/lip/lid <2.5cm | $232.65 | $423.00 | $63.45–$380.70 | 5% above | 45% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Repair Wound Face, Ears, Eyes | $239.80 | $436.00 | $65.40–$392.40 | 8% above | 45% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 12011 Lac Smp Repair face/ear/nose/lip/lid <2.5cm | $232.65 | $423.00 | $63.45–$423.00 | — | 45% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Repair Wound Face, Ears, Eyes | $239.80 | $436.00 | $65.40–$436.00 | — | 45% |
| TURP (transurethral resection of the prostate) CPT 52601 52601 TRANSUR ELECTR RESECTION OF PROSTATE | $5,116.10 | $9,302.00 | $1,395.30–$8,371.80 | 57% below | 45% |
| TURP (transurethral resection of the prostate) inpatient CPT 52601 52601 TRANSUR ELECTR RESECTION OF PROSTATE | $5,116.10 | $9,302.00 | $1,395.30–$9,302.00 | — | 45% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 11102 TANGENTIAL BIOPSY SKIN SINGLE LESION | $487.30 | $886.00 | $132.90–$797.40 | 57% above | 45% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 11102 TANGENTIAL BIOPSY SKIN SINGLE LESION | $487.30 | $886.00 | $132.90–$886.00 | — | 45% |
| Thoracentesis with imaging guidance CPT 32555 CT Exam 2 | $1,011.45 | $1,839.00 | $275.85–$1,655.10 | 4% below | 45% |
| Thoracentesis with imaging guidance CPT 32555 US Thoracentesis(radiology to determine site) | $1,011.45 | $1,839.00 | $275.85–$1,655.10 | 4% below | 45% |
| Thoracentesis with imaging guidance CPT 32555 RAD US THORACENTESIS | $1,041.70 | $1,894.00 | $284.10–$1,704.60 | 1% below | 45% |
| Thoracentesis with imaging guidance CPT 32555 US Exam 1 | $1,041.70 | $1,894.00 | $284.10–$1,704.60 | 1% below | 45% |
| Thoracentesis with imaging guidance CPT 32555 32555 Thoracentesis/image guide | $1,041.70 | $1,894.00 | $284.10–$1,704.60 | 1% below | 45% |
| Thoracentesis with imaging guidance inpatient CPT 32555 CT Exam 2 | $1,011.45 | $1,839.00 | $275.85–$1,839.00 | — | 45% |
| Thoracentesis with imaging guidance inpatient CPT 32555 US Thoracentesis(radiology to determine site) | $1,011.45 | $1,839.00 | $275.85–$1,839.00 | — | 45% |
| Thoracentesis with imaging guidance inpatient CPT 32555 32555 Thoracentesis/image guide | $1,041.70 | $1,894.00 | $284.10–$1,894.00 | — | 45% |
| Thoracentesis with imaging guidance inpatient CPT 32555 US Exam 1 | $1,041.70 | $1,894.00 | $284.10–$1,894.00 | — | 45% |
| Thoracentesis with imaging guidance inpatient CPT 32555 RAD US THORACENTESIS | $1,041.70 | $1,894.00 | $284.10–$1,894.00 | — | 45% |
| Total hip replacement CPT 27130 27130 Arthroplas/acetab/prox fem replac | $13,008.60 | $23,652.00 | $3,547.80–$21,286.80 | 28% below | 45% |
| Total hip replacement inpatient CPT 27130 27130 Arthroplas/acetab/prox fem replac | $13,008.60 | $23,652.00 | $3,547.80–$23,652.00 | — | 45% |
| Total knee replacement CPT 27447 27447 Arthroplasty/knee/med & lat comp | $13,008.60 | $23,652.00 | $3,547.80–$21,286.80 | 40% below | 45% |
| Total knee replacement inpatient CPT 27447 27447 Arthroplasty/knee/med & lat comp | $13,008.60 | $23,652.00 | $3,547.80–$23,652.00 | — | 45% |
| Total shoulder replacement CPT 23472 23472 Reconstruct Shoulder Joint | $17,966.85 | $32,667.00 | $4,900.05–$29,400.30 | 24% below | 45% |
| Total shoulder replacement inpatient CPT 23472 23472 Reconstruct Shoulder Joint | $17,966.85 | $32,667.00 | $4,900.05–$32,667.00 | — | 45% |
| Trigger finger release surgery CPT 26055 26055 Incise Finger Tendon Sheath | $1,563.65 | $2,843.00 | $426.45–$2,558.70 | 48% below | 45% |
| Trigger finger release surgery inpatient CPT 26055 26055 Incise Finger Tendon Sheath | $1,563.65 | $2,843.00 | $426.45–$2,843.00 | — | 45% |
| Trigger point injections, 1 or 2 muscles CPT 20552 20552 Trigger Pt 1-2 Musc Groups Inj | $297.55 | $541.00 | $81.15–$486.90 | 6% below | 45% |
| Trigger point injections, 1 or 2 muscles CPT 20552 Inj Sgl/Mlt Trigger Pts 1-2 MSC | $297.55 | $541.00 | $81.15–$486.90 | 6% below | 45% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 20552 Trigger Pt 1-2 Musc Groups Inj | $297.55 | $541.00 | $81.15–$541.00 | — | 45% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Inj Sgl/Mlt Trigger Pts 1-2 MSC | $297.55 | $541.00 | $81.15–$541.00 | — | 45% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 RAD US BIOPSY/ASPIRATION | $1,583.45 | $2,879.00 | $431.85–$2,591.10 | 35% below | 45% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 19083 Biopsy/breast/1st lesion/US guide | $1,583.45 | $2,879.00 | $431.85–$2,591.10 | 35% below | 45% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 US Exam 1 | $1,630.75 | $2,965.00 | $444.75–$2,668.50 | 33% below | 45% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 RAD US BIOPSY/ASPIRATION | $1,583.45 | $2,879.00 | $431.85–$2,879.00 | — | 45% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 19083 Biopsy/breast/1st lesion/US guide | $1,583.45 | $2,879.00 | $431.85–$2,879.00 | — | 45% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 US Exam 1 | $1,630.75 | $2,965.00 | $444.75–$2,965.00 | — | 45% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 43249 EGD BALLOON DILATION ESOPHAGUS <30 MM DIAM | $1,909.05 | $3,471.00 | $520.65–$3,123.90 | 28% below | 45% |
| Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 43249 EGD BALLOON DILATION ESOPHAGUS <30 MM DIAM | $1,909.05 | $3,471.00 | $520.65–$3,471.00 | — | 45% |
| Upper endoscopy (EGD) with biopsy CPT 43239 43239 EGD TRANSORAL BIOPSY SINGLE/MULTIPLE | $1,045.55 | $1,901.00 | $285.15–$1,710.90 | 47% below | 45% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 43239 EGD TRANSORAL BIOPSY SINGLE/MULTIPLE | $1,045.55 | $1,901.00 | $285.15–$1,901.00 | — | 45% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 43236 ESOPHAGOGASTRODUODENOSCOPY SUBMUCOSAL INJECTION | $1,045.55 | $1,901.00 | $285.15–$1,710.90 | 80% below | 45% |
| Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 43236 ESOPHAGOGASTRODUODENOSCOPY SUBMUCOSAL INJECTION | $1,045.55 | $1,901.00 | $285.15–$1,901.00 | — | 45% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 43251 EGD REMOVAL TUMOR POLYP/OTHER LESION SNARE TECH | $1,909.05 | $3,471.00 | $520.65–$3,123.90 | 23% below | 45% |
| Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 43251 EGD REMOVAL TUMOR POLYP/OTHER LESION SNARE TECH | $1,909.05 | $3,471.00 | $520.65–$3,471.00 | — | 45% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 43248 EGD INSERT GUIDE WIRE DILATOR PASSAGE ESOPHAGUS | $1,045.55 | $1,901.00 | $285.15–$1,710.90 | 59% below | 45% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 43248 EGD INSERT GUIDE WIRE DILATOR PASSAGE ESOPHAGUS | $1,045.55 | $1,901.00 | $285.15–$1,901.00 | — | 45% |
| Upper endoscopy (EGD), diagnostic CPT 43235 43235 ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC | $1,045.55 | $1,901.00 | $285.15–$1,710.90 | 41% below | 45% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 43235 ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC | $1,045.55 | $1,901.00 | $285.15–$1,901.00 | — | 45% |
| Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 52353 CYSTO W/URETEROSCOPY W/LITHOTRIPSY | $5,116.10 | $9,302.00 | $1,395.30–$8,371.80 | 18% below | 45% |
| Ureteroscopy with laser stone breaking (lithotripsy) inpatient CPT 52353 52353 CYSTO W/URETEROSCOPY W/LITHOTRIPSY | $5,116.10 | $9,302.00 | $1,395.30–$9,302.00 | — | 45% |
| Ureteroscopy with laser stone breaking and stent placement CPT 52356 52356 CYSTO/URETERO W/LITHOTRIPSY &INDWELL STENT INSRT | $5,116.10 | $9,302.00 | $1,395.30–$8,371.80 | 38% below | 45% |
| Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 52356 CYSTO/URETERO W/LITHOTRIPSY &INDWELL STENT INSRT | $5,116.10 | $9,302.00 | $1,395.30–$9,302.00 | — | 45% |
| Vasectomy, one or both sides, including follow-up semen testing CPT 55250 55250 Vasectomy | $2,250.60 | $4,092.00 | $613.80–$3,682.80 | 62% below | 45% |
| Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 55250 Vasectomy | $2,250.60 | $4,092.00 | $613.80–$4,092.00 | — | 45% |
| Vein ablation, radiofrequency, first vein CPT 36475 36475 Vein Ablation (Pinnacle) | $3,075.05 | $5,591.00 | $838.65–$5,031.90 | 46% below | 45% |
| Vein ablation, radiofrequency, first vein inpatient CPT 36475 36475 Vein Ablation (Pinnacle) | $3,075.05 | $5,591.00 | $838.65–$5,591.00 | — | 45% |
| Wart removal, up to 14 warts CPT 17110 DESTRUCT B9 LESION 1-14 | $362.45 | $659.00 | $98.85–$593.10 | 5% above | 45% |
| Wart removal, up to 14 warts CPT 17110 17110 Destruction Benign Lesions 1-14 | $373.45 | $679.00 | $101.85–$611.10 | 9% above | 45% |
| Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCT B9 LESION 1-14 | $362.45 | $659.00 | $98.85–$659.00 | — | 45% |
| Wart removal, up to 14 warts inpatient CPT 17110 17110 Destruction Benign Lesions 1-14 | $373.45 | $679.00 | $101.85–$679.00 | — | 45% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 RS DEB SUBQ TISSUE 20 SQ CM OR LESS | $399.30 | $726.00 | $108.90–$653.40 | 31% below | 45% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debridement Tissue | $399.30 | $726.00 | $108.90–$653.40 | 31% below | 45% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042 Debride subq epi/derm first 20 sq cm | $411.40 | $748.00 | $112.20–$673.20 | 29% below | 45% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 RS DEB SUBQ TISSUE 20 SQ CM OR LESS | $399.30 | $726.00 | $108.90–$726.00 | — | 45% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Debridement Tissue | $399.30 | $726.00 | $108.90–$726.00 | — | 45% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 11042 Debride subq epi/derm first 20 sq cm | $411.40 | $748.00 | $112.20–$748.00 | — | 45% |
| Wrist fracture surgery (plate and screws), distal radius CPT 25607 25607 Open tx/dis radial extra-artic fx | $6,979.50 | $12,690.00 | $1,903.50–$11,421.00 | 31% below | 45% |
| Wrist fracture surgery (plate and screws), distal radius inpatient CPT 25607 25607 Open tx/dis radial extra-artic fx | $6,979.50 | $12,690.00 | $1,903.50–$12,690.00 | — | 45% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Alabama | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 XR NSG blood and/or components transfusion | $392.70 | $714.00 | $107.10–$642.60 | at median | 45% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Administration Charge | $392.70 | $714.00 | $107.10–$642.60 | at median | 45% |
| Blood transfusion (giving blood or blood components) CPT 36430 BB Product Admin Fee | $404.25 | $735.00 | $110.25–$661.50 | 3% above | 45% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Administration Charge | $392.70 | $714.00 | $107.10–$714.00 | — | 45% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 XR NSG blood and/or components transfusion | $392.70 | $714.00 | $107.10–$714.00 | — | 45% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BB Product Admin Fee | $404.25 | $735.00 | $110.25–$735.00 | — | 45% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640 Inhalation Treatment - AMB Admin Charge albuterol | $199.10 | $362.00 | $54.30–$325.80 | 59% above | 45% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Induced Sputum - Respiratory Charges | $199.10 | $362.00 | $54.30–$325.80 | 59% above | 45% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Induced Sputum - Respiratory Charges Aerosol Therapy | $199.10 | $362.00 | $54.30–$325.80 | 59% above | 45% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPV Initial - Respiratory Charges | $199.10 | $362.00 | $54.30–$325.80 | 59% above | 45% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment, Initial - Respiratory Charges Aerosol Therapy | $199.10 | $362.00 | $54.30–$325.80 | 59% above | 45% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPV Initial - Respiratory Charges Aerosol Therapy | $199.10 | $362.00 | $54.30–$325.80 | 59% above | 45% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment, Initial - Respiratory Charges | $199.10 | $362.00 | $54.30–$325.80 | 59% above | 45% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640 Inhalation Treatment - AMB Admin Charge albuterol-ipratropium | $199.10 | $362.00 | $54.30–$325.80 | 59% above | 45% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640 Inhalation tx/AAO/therapeutic/diag | $205.15 | $373.00 | $55.95–$335.70 | 64% above | 45% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 IPV Initial - Respiratory Charges | $199.10 | $362.00 | $54.30–$362.00 | — | 45% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 IPV Initial - Respiratory Charges Aerosol Therapy | $199.10 | $362.00 | $54.30–$362.00 | — | 45% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Induced Sputum - Respiratory Charges | $199.10 | $362.00 | $54.30–$362.00 | — | 45% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Induced Sputum - Respiratory Charges Aerosol Therapy | $199.10 | $362.00 | $54.30–$362.00 | — | 45% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Treatment, Initial - Respiratory Charges Aerosol Therapy | $199.10 | $362.00 | $54.30–$362.00 | — | 45% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 94640 Inhalation Treatment - AMB Admin Charge albuterol-ipratropium | $199.10 | $362.00 | $54.30–$362.00 | — | 45% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 94640 Inhalation Treatment - AMB Admin Charge albuterol | $199.10 | $362.00 | $54.30–$362.00 | — | 45% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Treatment, Initial - Respiratory Charges | $199.10 | $362.00 | $54.30–$362.00 | — | 45% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 94640 Inhalation tx/AAO/therapeutic/diag | $205.15 | $373.00 | $55.95–$373.00 | — | 45% |
| Chemotherapy IV infusion, first hour CPT 96413 96413 Chemo admin/IV/1 hr | $337.15 | $613.00 | $91.95–$551.70 | 25% below | 45% |
| Chemotherapy IV infusion, first hour CPT 96413 96413 Chemo IV Infution Initial Hour - AMB Inj Charge infliximab | $337.15 | $613.00 | $91.95–$551.70 | 25% below | 45% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO ADMIN IV INF UP TO 1 HOUR | $347.05 | $631.00 | $94.65–$567.90 | 23% below | 45% |
| Chemotherapy IV infusion, first hour CPT 96413 96413 ONC CHEMOTX ADMN IV NFS TQ UP 1 HR 1/1ST SBST/DRUG | $347.05 | $631.00 | $94.65–$567.90 | 23% below | 45% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 96413 Chemo admin/IV/1 hr | $337.15 | $613.00 | $91.95–$613.00 | — | 45% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 96413 Chemo IV Infution Initial Hour - AMB Inj Charge infliximab | $337.15 | $613.00 | $91.95–$613.00 | — | 45% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO ADMIN IV INF UP TO 1 HOUR | $347.05 | $631.00 | $94.65–$631.00 | — | 45% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 96413 ONC CHEMOTX ADMN IV NFS TQ UP 1 HR 1/1ST SBST/DRUG | $347.05 | $631.00 | $94.65–$631.00 | — | 45% |
| Critical care, first 30 to 74 minutes CPT 99291 ED Trauma SP | $848.10 | $1,542.00 | $231.30–$1,387.80 | 23% below | 45% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 ED Trauma SP | $848.10 | $1,542.00 | $231.30–$1,542.00 | — | 45% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG Awake and Drowsy | $339.35 | $617.00 | $92.55–$555.30 | 46% below | 45% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG Awake and Drowsy - EEG Charges | $339.35 | $617.00 | $92.55–$555.30 | 46% below | 45% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 95816 EEG monitor/record/awake/drowsy | $349.80 | $636.00 | $95.40–$572.40 | 44% below | 45% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG Awake and Drowsy - EEG Charges | $339.35 | $617.00 | $92.55–$617.00 | — | 45% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG Awake and Drowsy | $339.35 | $617.00 | $92.55–$617.00 | — | 45% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 95816 EEG monitor/record/awake/drowsy | $349.80 | $636.00 | $95.40–$636.00 | — | 45% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 NSG EKG DIAGNOSTIC | $58.85 | $107.00 | $16.05–$96.30 | 47% below | 45% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Cancer Center ONLY - EKG | $58.85 | $107.00 | $16.05–$96.30 | 47% below | 45% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 CRD EKG DIAGNOSTIC | $60.50 | $110.00 | $16.50–$99.00 | 45% below | 45% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 93005 ECG ROUTINE ECG W/LEAST 12 LDS TRCG ONLY W/O I&R | $60.50 | $110.00 | $16.50–$99.00 | 45% below | 45% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Procedure Acquisition | $60.50 | $110.00 | $16.50–$99.00 | 45% below | 45% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Cancer Center ONLY - EKG | $58.85 | $107.00 | $16.05–$107.00 | — | 45% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 NSG EKG DIAGNOSTIC | $58.85 | $107.00 | $16.05–$107.00 | — | 45% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 CRD EKG DIAGNOSTIC | $60.50 | $110.00 | $16.50–$110.00 | — | 45% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 93005 ECG ROUTINE ECG W/LEAST 12 LDS TRCG ONLY W/O I&R | $60.50 | $110.00 | $16.50–$110.00 | — | 45% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Procedure Acquisition | $60.50 | $110.00 | $16.50–$110.00 | — | 45% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED Level 1 Visit | $89.10 | $162.00 | $24.30–$145.80 | 38% below | 45% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ED Level 1 Visit | $89.10 | $162.00 | $24.30–$162.00 | — | 45% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EDBasic | $159.50 | $290.00 | $43.50–$261.00 | 36% below | 45% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 EDBasic | $159.50 | $290.00 | $43.50–$290.00 | — | 45% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED Intermediate | $278.85 | $507.00 | $76.05–$456.30 | 20% below | 45% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ED Intermediate | $278.85 | $507.00 | $76.05–$507.00 | — | 45% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER Extensive | $429.00 | $780.00 | $117.00–$702.00 | 25% below | 45% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER Extensive | $429.00 | $780.00 | $117.00–$780.00 | — | 45% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED Critical Care | $617.65 | $1,123.00 | $168.45–$1,010.70 | 24% below | 45% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ED Critical Care | $617.65 | $1,123.00 | $168.45–$1,123.00 | — | 45% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 93017 Cardio stress test/tracing only | $337.70 | $614.00 | $92.10–$552.60 | 44% below | 45% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 93017 Cardio stress test/tracing only | $337.70 | $614.00 | $92.10–$614.00 | — | 45% |
| Family therapy with the patient, 50 minutes CPT 90847 PSY LTA ADOLESCENT FAMILY THERAPY | $157.30 | $286.00 | $42.90–$257.40 | 9% below | 45% |
| Family therapy with the patient, 50 minutes CPT 90847 PSY FAMILY THERAPY | $157.30 | $286.00 | $42.90–$257.40 | 9% below | 45% |
| Family therapy with the patient, 50 minutes CPT 90847 PSY Family Therapy | $162.25 | $295.00 | $44.25–$265.50 | 6% below | 45% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 PSY FAMILY THERAPY | $157.30 | $286.00 | $42.90–$286.00 | — | 45% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 PSY LTA ADOLESCENT FAMILY THERAPY | $157.30 | $286.00 | $42.90–$286.00 | — | 45% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 PSY Family Therapy | $162.25 | $295.00 | $44.25–$295.00 | — | 45% |
| Family therapy without the patient, 50 minutes CPT 90846 PSY FAMILY THERAPY WO PT | $157.30 | $286.00 | $42.90–$257.40 | 7% above | 45% |
| Family therapy without the patient, 50 minutes CPT 90846 PSY LTA ADOLESCENT FAMILY THPY WO PT | $157.30 | $286.00 | $42.90–$257.40 | 7% above | 45% |
| Family therapy without the patient, 50 minutes CPT 90846 PSY Family Therapy w/o pt | $162.25 | $295.00 | $44.25–$265.50 | 10% above | 45% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 PSY LTA ADOLESCENT FAMILY THPY WO PT | $157.30 | $286.00 | $42.90–$286.00 | — | 45% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 PSY FAMILY THERAPY WO PT | $157.30 | $286.00 | $42.90–$286.00 | — | 45% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 PSY Family Therapy w/o pt | $162.25 | $295.00 | $44.25–$295.00 | — | 45% |
| Group psychotherapy session CPT 90853 PSY LTA ADOLESCENT GROUP THERAPY | $200.75 | $365.00 | $54.75–$328.50 | 56% above | 45% |
| Group psychotherapy session CPT 90853 PSY GROUP THERAPY | $200.75 | $365.00 | $54.75–$328.50 | 56% above | 45% |
| Group psychotherapy session CPT 90853 PSY Group Therapy | $206.80 | $376.00 | $56.40–$338.40 | 61% above | 45% |
| Group psychotherapy session inpatient CPT 90853 PSY GROUP THERAPY | $200.75 | $365.00 | $54.75–$365.00 | — | 45% |
| Group psychotherapy session inpatient CPT 90853 PSY LTA ADOLESCENT GROUP THERAPY | $200.75 | $365.00 | $54.75–$365.00 | — | 45% |
| Group psychotherapy session inpatient CPT 90853 PSY Group Therapy | $206.80 | $376.00 | $56.40–$376.00 | — | 45% |
| Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 93224 Ext ECG/48 hr rec/scan/rept/interp | $74.80 | $136.00 | $20.40–$122.40 | — | 45% |
| Holter monitor, heart rhythm recording up to 48 hours, with report inpatient CPT 93224 93224 Ext ECG/48 hr rec/scan/rept/interp | $74.80 | $136.00 | $20.40–$136.00 | — | 45% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 RAI IV INF HYDRATION INITIAL 31MI | $321.75 | $585.00 | $87.75–$526.50 | 38% above | 45% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 RAD INF HYDRATION INITIAL 31 MIN-1 HR | $321.75 | $585.00 | $87.75–$526.50 | 38% above | 45% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hydration - SCC Initial Non Chemo Med | $321.75 | $585.00 | $87.75–$526.50 | 38% above | 45% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Initial hour hydration (31-90 min) - LAN AMB Hydration Charges | $321.75 | $585.00 | $87.75–$526.50 | 38% above | 45% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 AMB IV INF HYDRATION INITIAL 31MI-1HR | $321.75 | $585.00 | $87.75–$526.50 | 38% above | 45% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 Hydration Iv Infusion Init | $321.75 | $585.00 | $87.75–$526.50 | 38% above | 45% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 Hydration 31min-1hr - AMB Inj Charge sodium chloride | $321.75 | $585.00 | $87.75–$526.50 | 38% above | 45% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 EAR Hydration, First Hour | $321.75 | $585.00 | $87.75–$526.50 | 38% above | 45% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hydration IV Infusion, Initial | $331.65 | $603.00 | $90.45–$542.70 | 42% above | 45% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 ONC IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR | $331.65 | $603.00 | $90.45–$542.70 | 42% above | 45% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 CRD INF HYDRATION INITIAL 31 MIN-1 HR | $331.65 | $603.00 | $90.45–$542.70 | 42% above | 45% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INF HYDRATION INITIAL 31 MIN-1 HR | $331.65 | $603.00 | $90.45–$542.70 | 42% above | 45% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 RAD INF HYDRATION INITIAL 31 MIN-1 HR | $321.75 | $585.00 | $87.75–$585.00 | — | 45% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 RAI IV INF HYDRATION INITIAL 31MI | $321.75 | $585.00 | $87.75–$585.00 | — | 45% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360 Hydration Iv Infusion Init | $321.75 | $585.00 | $87.75–$585.00 | — | 45% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 EAR Hydration, First Hour | $321.75 | $585.00 | $87.75–$585.00 | — | 45% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Hydration - SCC Initial Non Chemo Med | $321.75 | $585.00 | $87.75–$585.00 | — | 45% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 AMB IV INF HYDRATION INITIAL 31MI-1HR | $321.75 | $585.00 | $87.75–$585.00 | — | 45% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360 Hydration 31min-1hr - AMB Inj Charge sodium chloride | $321.75 | $585.00 | $87.75–$585.00 | — | 45% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Initial hour hydration (31-90 min) - LAN AMB Hydration Charges | $321.75 | $585.00 | $87.75–$585.00 | — | 45% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360 ONC IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR | $331.65 | $603.00 | $90.45–$603.00 | — | 45% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 CRD INF HYDRATION INITIAL 31 MIN-1 HR | $331.65 | $603.00 | $90.45–$603.00 | — | 45% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INF HYDRATION INITIAL 31 MIN-1 HR | $331.65 | $603.00 | $90.45–$603.00 | — | 45% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Hydration IV Infusion, Initial | $331.65 | $603.00 | $90.45–$603.00 | — | 45% |
| IV infusion of a medicine, first hour CPT 96365 Ketamine infusion, first hour | $321.75 | $585.00 | $87.75–$526.50 | 10% above | 45% |
| IV infusion of a medicine, first hour CPT 96365 96365 IV Infusion Therapy, Non-chemo – INITIAL HOUR - AMB Inj Charge methylPREDNISolone | $321.75 | $585.00 | $87.75–$526.50 | 10% above | 45% |
| IV infusion of a medicine, first hour CPT 96365 Rheum IV Therapeutic 1st hour | $321.75 | $585.00 | $87.75–$526.50 | 10% above | 45% |
| IV infusion of a medicine, first hour CPT 96365 Infusion, non-chemotherapeutic - EAR Initial Drug Charge | $321.75 | $585.00 | $87.75–$526.50 | 10% above | 45% |
| IV infusion of a medicine, first hour CPT 96365 PAC INF,IV NON CHEMO FIRST HOUR | $321.75 | $585.00 | $87.75–$526.50 | 10% above | 45% |
| IV infusion of a medicine, first hour CPT 96365 IV Infusion, Non-Chemo, Initial - SCC Initial Non Chemo Med | $321.75 | $585.00 | $87.75–$526.50 | 10% above | 45% |
| IV infusion of a medicine, first hour CPT 96365 ID CIC IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST TO 1 HR | $321.75 | $585.00 | $87.75–$526.50 | 10% above | 45% |
| IV infusion of a medicine, first hour CPT 96365 AMB INF,IV NON CHEMO FIRST HOUR | $321.75 | $585.00 | $87.75–$526.50 | 10% above | 45% |
| IV infusion of a medicine, first hour CPT 96365 Initial IV infusion, up to 1 hour (16-90 min) - LAN AMB Infusion Charges | $321.75 | $585.00 | $87.75–$526.50 | 10% above | 45% |
| IV infusion of a medicine, first hour CPT 96365 INF, IV NON CHEMO FIRST HOUR | $331.65 | $603.00 | $90.45–$542.70 | 14% above | 45% |
| IV infusion of a medicine, first hour CPT 96365 RAI INF IV NON CHEMO FIRST HOUR | $331.65 | $603.00 | $90.45–$542.70 | 14% above | 45% |
| IV infusion of a medicine, first hour CPT 96365 Inf Therapy ,Non-Chemo 1st hr | $331.65 | $603.00 | $90.45–$542.70 | 14% above | 45% |
| IV infusion of a medicine, first hour CPT 96365 96365 ONC IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST >1 HOUR | $331.65 | $603.00 | $90.45–$542.70 | 14% above | 45% |
| IV infusion of a medicine, first hour CPT 96365 96365 Ther/Proph/Diag Iv Inf Init | $331.65 | $603.00 | $90.45–$542.70 | 14% above | 45% |
| IV infusion of a medicine, first hour CPT 96365 CRD IV INF THERAPY/DX UP TO 1 HOUR | $331.65 | $603.00 | $90.45–$542.70 | 14% above | 45% |
| IV infusion of a medicine, first hour inpatient CPT 96365 Ketamine infusion, first hour | $321.75 | $585.00 | $87.75–$585.00 | — | 45% |
| IV infusion of a medicine, first hour inpatient CPT 96365 AMB INF,IV NON CHEMO FIRST HOUR | $321.75 | $585.00 | $87.75–$585.00 | — | 45% |
| IV infusion of a medicine, first hour inpatient CPT 96365 ID CIC IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST TO 1 HR | $321.75 | $585.00 | $87.75–$585.00 | — | 45% |
| IV infusion of a medicine, first hour inpatient CPT 96365 PAC INF,IV NON CHEMO FIRST HOUR | $321.75 | $585.00 | $87.75–$585.00 | — | 45% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV Infusion, Non-Chemo, Initial - SCC Initial Non Chemo Med | $321.75 | $585.00 | $87.75–$585.00 | — | 45% |
| IV infusion of a medicine, first hour inpatient CPT 96365 Infusion, non-chemotherapeutic - EAR Initial Drug Charge | $321.75 | $585.00 | $87.75–$585.00 | — | 45% |
| IV infusion of a medicine, first hour inpatient CPT 96365 96365 IV Infusion Therapy, Non-chemo – INITIAL HOUR - AMB Inj Charge methylPREDNISolone | $321.75 | $585.00 | $87.75–$585.00 | — | 45% |
| IV infusion of a medicine, first hour inpatient CPT 96365 Rheum IV Therapeutic 1st hour | $321.75 | $585.00 | $87.75–$585.00 | — | 45% |
| IV infusion of a medicine, first hour inpatient CPT 96365 Initial IV infusion, up to 1 hour (16-90 min) - LAN AMB Infusion Charges | $321.75 | $585.00 | $87.75–$585.00 | — | 45% |
| IV infusion of a medicine, first hour inpatient CPT 96365 96365 Ther/Proph/Diag Iv Inf Init | $331.65 | $603.00 | $90.45–$603.00 | — | 45% |
| IV infusion of a medicine, first hour inpatient CPT 96365 INF, IV NON CHEMO FIRST HOUR | $331.65 | $603.00 | $90.45–$603.00 | — | 45% |
| IV infusion of a medicine, first hour inpatient CPT 96365 CRD IV INF THERAPY/DX UP TO 1 HOUR | $331.65 | $603.00 | $90.45–$603.00 | — | 45% |
| IV infusion of a medicine, first hour inpatient CPT 96365 RAI INF IV NON CHEMO FIRST HOUR | $331.65 | $603.00 | $90.45–$603.00 | — | 45% |
| IV infusion of a medicine, first hour inpatient CPT 96365 96365 ONC IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST >1 HOUR | $331.65 | $603.00 | $90.45–$603.00 | — | 45% |
| IV infusion of a medicine, first hour inpatient CPT 96365 Inf Therapy ,Non-Chemo 1st hr | $331.65 | $603.00 | $90.45–$603.00 | — | 45% |
| IV push of a medicine, first drug CPT 96374 AMB IV PUSH SGL/INITIAL SUBST/DRUG | $215.60 | $392.00 | $58.80–$352.80 | 50% above | 45% |
| IV push of a medicine, first drug CPT 96374 IV push, non-chemotherapeutic - EAR Initial Drug Charge | $215.60 | $392.00 | $58.80–$352.80 | 50% above | 45% |
| IV push of a medicine, first drug CPT 96374 IV Push, Non-Chemo, Initial - SCC Initial Non Chemo Med | $215.60 | $392.00 | $58.80–$352.80 | 50% above | 45% |
| IV push of a medicine, first drug CPT 96374 RAI IV PUSH SGL/INITIAL SUBST/DRU | $215.60 | $392.00 | $58.80–$352.80 | 50% above | 45% |
| IV push of a medicine, first drug CPT 96374 ID CIC THER PROPH/DX NJX IV PUSH SINGLE/1ST SBST/DRUG | $215.60 | $392.00 | $58.80–$352.80 | 50% above | 45% |
| IV push of a medicine, first drug CPT 96374 96374 IVPUSH/NON Chemo Initial Drug - AMB Inj Charge ondansetron | $215.60 | $392.00 | $58.80–$352.80 | 50% above | 45% |
| IV push of a medicine, first drug CPT 96374 Initial IV push (drug #1) - LAN AMB IV Push Charges | $215.60 | $392.00 | $58.80–$352.80 | 50% above | 45% |
| IV push of a medicine, first drug CPT 96374 96374 ONC THER PROPH/DX NJX IV PUSH SINGLE/1ST SBST/DRUG | $222.20 | $404.00 | $60.60–$363.60 | 54% above | 45% |
| IV push of a medicine, first drug CPT 96374 CRD TX/PROHPLX/DX IV PUSH SNGL/INIT | $222.20 | $404.00 | $60.60–$363.60 | 54% above | 45% |
| IV push of a medicine, first drug CPT 96374 IV PUSH SGL/INITIAL SUBST/DRUG | $222.20 | $404.00 | $60.60–$363.60 | 54% above | 45% |
| IV push of a medicine, first drug CPT 96374 96374 Ther/Proph/Diag Inj Iv Push | $222.20 | $404.00 | $60.60–$363.60 | 54% above | 45% |
| IV push of a medicine, first drug CPT 96374 Admin IV Inj Other | $222.20 | $404.00 | $60.60–$363.60 | 54% above | 45% |
| IV push of a medicine, first drug inpatient CPT 96374 IV Push, Non-Chemo, Initial - SCC Initial Non Chemo Med | $215.60 | $392.00 | $58.80–$392.00 | — | 45% |
| IV push of a medicine, first drug inpatient CPT 96374 Initial IV push (drug #1) - LAN AMB IV Push Charges | $215.60 | $392.00 | $58.80–$392.00 | — | 45% |
| IV push of a medicine, first drug inpatient CPT 96374 96374 IVPUSH/NON Chemo Initial Drug - AMB Inj Charge ondansetron | $215.60 | $392.00 | $58.80–$392.00 | — | 45% |
| IV push of a medicine, first drug inpatient CPT 96374 AMB IV PUSH SGL/INITIAL SUBST/DRUG | $215.60 | $392.00 | $58.80–$392.00 | — | 45% |
| IV push of a medicine, first drug inpatient CPT 96374 ID CIC THER PROPH/DX NJX IV PUSH SINGLE/1ST SBST/DRUG | $215.60 | $392.00 | $58.80–$392.00 | — | 45% |
| IV push of a medicine, first drug inpatient CPT 96374 RAI IV PUSH SGL/INITIAL SUBST/DRU | $215.60 | $392.00 | $58.80–$392.00 | — | 45% |
| IV push of a medicine, first drug inpatient CPT 96374 IV push, non-chemotherapeutic - EAR Initial Drug Charge | $215.60 | $392.00 | $58.80–$392.00 | — | 45% |
| IV push of a medicine, first drug inpatient CPT 96374 96374 ONC THER PROPH/DX NJX IV PUSH SINGLE/1ST SBST/DRUG | $222.20 | $404.00 | $60.60–$404.00 | — | 45% |
| IV push of a medicine, first drug inpatient CPT 96374 Admin IV Inj Other | $222.20 | $404.00 | $60.60–$404.00 | — | 45% |
| IV push of a medicine, first drug inpatient CPT 96374 96374 Ther/Proph/Diag Inj Iv Push | $222.20 | $404.00 | $60.60–$404.00 | — | 45% |
| IV push of a medicine, first drug inpatient CPT 96374 IV PUSH SGL/INITIAL SUBST/DRUG | $222.20 | $404.00 | $60.60–$404.00 | — | 45% |
| IV push of a medicine, first drug inpatient CPT 96374 CRD TX/PROHPLX/DX IV PUSH SNGL/INIT | $222.20 | $404.00 | $60.60–$404.00 | — | 45% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM - AMB Inj Charge methylPREDNISolone | $69.85 | $127.00 | $19.05–$114.30 | 7% above | 45% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 AMB EXTERNAL ECG REC>7D<15D REVIEW & INTERPRETATION | $69.85 | $127.00 | $19.05–$114.30 | 7% above | 45% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 EMEA THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM | $69.85 | $127.00 | $19.05–$114.30 | 7% above | 45% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Rheum Intramuscular Injection | $69.85 | $127.00 | $19.05–$114.30 | 7% above | 45% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 Admin Charge - AMB Admin Charge Miscellaneous | $69.85 | $127.00 | $19.05–$114.30 | 7% above | 45% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 Admin Charge - AMB Admin Charge lenacapavir | $69.85 | $127.00 | $19.05–$114.30 | 7% above | 45% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM - AMB Admin Charge estradiol | $69.85 | $127.00 | $19.05–$114.30 | 7% above | 45% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM - AMB Admin Charge semaglutide | $69.85 | $127.00 | $19.05–$114.30 | 7% above | 45% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM - AMB Inj Charge EPINEPHrine | $69.85 | $127.00 | $19.05–$114.30 | 7% above | 45% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM - AMB Inj Charge abobotulinumtoxinA | $69.85 | $127.00 | $19.05–$114.30 | 7% above | 45% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM - AMB Inj Charge adalimumab | $69.85 | $127.00 | $19.05–$114.30 | 7% above | 45% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM - AMB Inj Charge betameth sodium phosphate | $69.85 | $127.00 | $19.05–$114.30 | 7% above | 45% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM - AMB Inj Charge cabotegravir-rilpivirine | $69.85 | $127.00 | $19.05–$114.30 | 7% above | 45% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM - AMB Inj Charge cefTRIAXone | $69.85 | $127.00 | $19.05–$114.30 | 7% above | 45% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM - AMB Inj Charge certolizumab pegol | $69.85 | $127.00 | $19.05–$114.30 | 7% above | 45% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM - AMB Inj Charge cyanocobalamin | $69.85 | $127.00 | $19.05–$114.30 | 7% above | 45% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM - AMB Inj Charge denosumab | $69.85 | $127.00 | $19.05–$114.30 | 7% above | 45% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM - AMB Inj Charge dexamethasone | $69.85 | $127.00 | $19.05–$114.30 | 7% above | 45% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM - AMB Inj Charge diphenhydrAMINE | $69.85 | $127.00 | $19.05–$114.30 | 7% above | 45% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM - AMB Inj Charge ketorolac | $69.85 | $127.00 | $19.05–$114.30 | 7% above | 45% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM - AMB Inj Charge lidocaine | $69.85 | $127.00 | $19.05–$114.30 | 7% above | 45% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM - AMB Inj Charge lidocaine w/ epi | $69.85 | $127.00 | $19.05–$114.30 | 7% above | 45% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM - AMB Inj Charge medroxyPROGESTERone | $69.85 | $127.00 | $19.05–$114.30 | 7% above | 45% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM - AMB Inj Charge meperidine | $69.85 | $127.00 | $19.05–$114.30 | 7% above | 45% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM - AMB Inj Charge octreotide acetate | $69.85 | $127.00 | $19.05–$114.30 | 7% above | 45% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM - AMB Inj Charge omalizumab | $69.85 | $127.00 | $19.05–$114.30 | 7% above | 45% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM - AMB Inj Charge onabotulinumtoxinA | $69.85 | $127.00 | $19.05–$114.30 | 7% above | 45% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM - AMB Inj Charge ondansetron | $69.85 | $127.00 | $19.05–$114.30 | 7% above | 45% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM - AMB Inj Charge penicillin G benzathine | $69.85 | $127.00 | $19.05–$114.30 | 7% above | 45% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM - AMB Inj Charge promethazine | $69.85 | $127.00 | $19.05–$114.30 | 7% above | 45% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM - AMB Inj Charge sterile water | $69.85 | $127.00 | $19.05–$114.30 | 7% above | 45% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM - AMB Inj Charge sumatriptan succinate | $69.85 | $127.00 | $19.05–$114.30 | 7% above | 45% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM - AMB Inj Charge testosterone cypionate | $69.85 | $127.00 | $19.05–$114.30 | 7% above | 45% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM - AMB Inj Charge thiamine | $69.85 | $127.00 | $19.05–$114.30 | 7% above | 45% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM - AMB Inj Charge triamcinolone | $69.85 | $127.00 | $19.05–$114.30 | 7% above | 45% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM - AMB Inj Charge ustekinumab | $69.85 | $127.00 | $19.05–$114.30 | 7% above | 45% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 AMB INJECTION SQ/IM NON CHEMO | $69.85 | $127.00 | $19.05–$114.30 | 7% above | 45% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 RAI INJECTION SQ/IM NON CHEMO | $69.85 | $127.00 | $19.05–$114.30 | 7% above | 45% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 RT INJ SQ/IM NON CHEMO | $69.85 | $127.00 | $19.05–$114.30 | 7% above | 45% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 EAR SubQ IM, Nonchemotherapeutic | $69.85 | $127.00 | $19.05–$114.30 | 7% above | 45% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM/SQ Injection - LAN AMB Injection Charges | $69.85 | $127.00 | $19.05–$114.30 | 7% above | 45% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection - OB Charges | $69.85 | $127.00 | $19.05–$114.30 | 7% above | 45% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 SCC SubQ IM, Nonchemotherapeutic | $69.85 | $127.00 | $19.05–$114.30 | 7% above | 45% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Admin Inj SQ/IM | $72.05 | $131.00 | $19.65–$117.90 | 10% above | 45% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 CRD INJ SQ/IM NON CHEMO | $72.05 | $131.00 | $19.65–$117.90 | 10% above | 45% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION SQ/IM NON CHEMO | $72.05 | $131.00 | $19.65–$117.90 | 10% above | 45% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 ONC THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM | $72.05 | $131.00 | $19.65–$117.90 | 10% above | 45% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 Ther/Proph/Diag Inj Sc/Im | $72.05 | $131.00 | $19.65–$117.90 | 10% above | 45% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 SANE SQ/IM ADMINISTRATION | $72.05 | $131.00 | $19.65–$117.90 | 10% above | 45% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 RT INJ SQ/IM NON CHEMO | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM - AMB Inj Charge denosumab | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM - AMB Inj Charge dexamethasone | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM - AMB Inj Charge diphenhydrAMINE | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM - AMB Inj Charge ketorolac | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM - AMB Inj Charge lidocaine | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM - AMB Inj Charge lidocaine w/ epi | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM - AMB Inj Charge medroxyPROGESTERone | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM - AMB Inj Charge meperidine | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM - AMB Inj Charge methylPREDNISolone | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM - AMB Inj Charge octreotide acetate | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM - AMB Inj Charge omalizumab | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM - AMB Inj Charge onabotulinumtoxinA | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM - AMB Inj Charge ondansetron | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM - AMB Inj Charge penicillin G benzathine | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM - AMB Inj Charge promethazine | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM - AMB Inj Charge sterile water | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM - AMB Inj Charge sumatriptan succinate | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM - AMB Inj Charge testosterone cypionate | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM - AMB Inj Charge thiamine | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM - AMB Inj Charge triamcinolone | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM - AMB Inj Charge ustekinumab | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 AMB INJECTION SQ/IM NON CHEMO | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 RAI INJECTION SQ/IM NON CHEMO | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 EAR SubQ IM, Nonchemotherapeutic | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM/SQ Injection - LAN AMB Injection Charges | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Injection - OB Charges | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 SCC SubQ IM, Nonchemotherapeutic | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 AMB EXTERNAL ECG REC>7D<15D REVIEW & INTERPRETATION | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 EMEA THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Rheum Intramuscular Injection | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 Admin Charge - AMB Admin Charge Miscellaneous | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 Admin Charge - AMB Admin Charge lenacapavir | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM - AMB Admin Charge estradiol | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM - AMB Admin Charge semaglutide | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM - AMB Inj Charge EPINEPHrine | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM - AMB Inj Charge abobotulinumtoxinA | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM - AMB Inj Charge adalimumab | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM - AMB Inj Charge betameth sodium phosphate | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM - AMB Inj Charge cabotegravir-rilpivirine | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM - AMB Inj Charge cefTRIAXone | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM - AMB Inj Charge certolizumab pegol | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM - AMB Inj Charge cyanocobalamin | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 SANE SQ/IM ADMINISTRATION | $72.05 | $131.00 | $19.65–$131.00 | — | 45% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 Ther/Proph/Diag Inj Sc/Im | $72.05 | $131.00 | $19.65–$131.00 | — | 45% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION SQ/IM NON CHEMO | $72.05 | $131.00 | $19.65–$131.00 | — | 45% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 CRD INJ SQ/IM NON CHEMO | $72.05 | $131.00 | $19.65–$131.00 | — | 45% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 ONC THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM | $72.05 | $131.00 | $19.65–$131.00 | — | 45% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Admin Inj SQ/IM | $72.05 | $131.00 | $19.65–$131.00 | — | 45% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 95910 Nerve conduction study/7-8 study | $314.05 | $571.00 | $85.65–$513.90 | 72% below | 45% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 RS RSO NRV CNDJ TST 7-8 STUDIES | $314.05 | $571.00 | $85.65–$513.90 | 72% below | 45% |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 95910 Nerve conduction study/7-8 study | $314.05 | $571.00 | $85.65–$571.00 | — | 45% |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 RS RSO NRV CNDJ TST 7-8 STUDIES | $314.05 | $571.00 | $85.65–$571.00 | — | 45% |
| Neuromuscular re-education, 15 minutes CPT 97112 97112 Neuromuscular reedu/ea 15 min | $41.25 | $75.00 | $11.25–$67.50 | 53% below | 45% |
| Neuromuscular re-education, 15 minutes CPT 97112 RSA NEURO REED PER 15 MIN | $42.35 | $77.00 | $11.55–$69.30 | 52% below | 45% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 97112 Neuromuscular reedu/ea 15 min | $41.25 | $75.00 | $11.25–$75.00 | — | 45% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 RSA NEURO REED PER 15 MIN | $42.35 | $77.00 | $11.55–$77.00 | — | 45% |
| New patient office visit, about 30 minutes CPT 99203 ROP FAC NEW PT DETAILED LEVEL 3 | $72.05 | $131.00 | $19.65–$117.90 | 62% below | 45% |
| New patient office visit, about 30 minutes CPT 99203 RHEUM FAC OP NEW PATIENT LEVEL 3 | $72.05 | $131.00 | $19.65–$117.90 | 62% below | 45% |
| New patient office visit, about 30 minutes CPT 99203 MC 99203 FAC OFFICE VISIT NEW PATIENT LEVEL 3 | $72.05 | $131.00 | $19.65–$117.90 | 62% below | 45% |
| New patient office visit, about 30 minutes CPT 99203 Level 3 99203 9-80 - FC Leveling Code | $74.25 | $135.00 | $20.25–$121.50 | 61% below | 45% |
| New patient office visit, about 30 minutes CPT 99203 zAMB WTC Level 3 99203 9-80 points | $74.25 | $135.00 | $20.25–$121.50 | 61% below | 45% |
| New patient office visit, about 30 minutes inpatient CPT 99203 MC 99203 FAC OFFICE VISIT NEW PATIENT LEVEL 3 | $72.05 | $131.00 | $19.65–$131.00 | — | 45% |
| New patient office visit, about 30 minutes inpatient CPT 99203 ROP FAC NEW PT DETAILED LEVEL 3 | $72.05 | $131.00 | $19.65–$131.00 | — | 45% |
| New patient office visit, about 30 minutes inpatient CPT 99203 RHEUM FAC OP NEW PATIENT LEVEL 3 | $72.05 | $131.00 | $19.65–$131.00 | — | 45% |
| New patient office visit, about 30 minutes inpatient CPT 99203 zAMB WTC Level 3 99203 9-80 points | $74.25 | $135.00 | $20.25–$135.00 | — | 45% |
| New patient office visit, about 30 minutes inpatient CPT 99203 Level 3 99203 9-80 - FC Leveling Code | $74.25 | $135.00 | $20.25–$135.00 | — | 45% |
| New patient office visit, about 45 minutes CPT 99204 RHEUM FAC OP NEW PATIENT LEVEL 4 | $72.05 | $131.00 | $19.65–$117.90 | 72% below | 45% |
| New patient office visit, about 45 minutes CPT 99204 ROP FAC NEW PT COMPREHENSIVE LEVEL 4 | $72.05 | $131.00 | $19.65–$117.90 | 72% below | 45% |
| New patient office visit, about 45 minutes CPT 99204 MC 99204 FAC OFFICE VISIT NEW PATIENT LEVEL 4 | $72.05 | $131.00 | $19.65–$117.90 | 72% below | 45% |
| New patient office visit, about 45 minutes CPT 99204 zAMB WTC Level 4 99204 81-161 points | $72.05 | $131.00 | $19.65–$117.90 | 72% below | 45% |
| New patient office visit, about 45 minutes CPT 99204 Level 4 99204 81-161 - FC Leveling Code | $74.25 | $135.00 | $20.25–$121.50 | 71% below | 45% |
| New patient office visit, about 45 minutes inpatient CPT 99204 ROP FAC NEW PT COMPREHENSIVE LEVEL 4 | $72.05 | $131.00 | $19.65–$131.00 | — | 45% |
| New patient office visit, about 45 minutes inpatient CPT 99204 MC 99204 FAC OFFICE VISIT NEW PATIENT LEVEL 4 | $72.05 | $131.00 | $19.65–$131.00 | — | 45% |
| New patient office visit, about 45 minutes inpatient CPT 99204 zAMB WTC Level 4 99204 81-161 points | $72.05 | $131.00 | $19.65–$131.00 | — | 45% |
| New patient office visit, about 45 minutes inpatient CPT 99204 RHEUM FAC OP NEW PATIENT LEVEL 4 | $72.05 | $131.00 | $19.65–$131.00 | — | 45% |
| New patient office visit, about 45 minutes inpatient CPT 99204 Level 4 99204 81-161 - FC Leveling Code | $74.25 | $135.00 | $20.25–$135.00 | — | 45% |
| New patient office visit, about 60 minutes CPT 99205 RHEUM FAC OP NEW PATIENT LEVEL 5 | $72.05 | $131.00 | $19.65–$117.90 | 79% below | 45% |
| New patient office visit, about 60 minutes CPT 99205 Level 5 99205 162 - FC Leveling Code | $72.05 | $131.00 | $19.65–$117.90 | 79% below | 45% |
| New patient office visit, about 60 minutes CPT 99205 zAMB WTC Level 5 99205 162 points | $72.05 | $131.00 | $19.65–$117.90 | 79% below | 45% |
| New patient office visit, about 60 minutes CPT 99205 ROP FAC NEW PT HIGH COMPLEX LEVEL 5 | $72.05 | $131.00 | $19.65–$117.90 | 79% below | 45% |
| New patient office visit, about 60 minutes CPT 99205 MC 99205 FAC OFFICE VISIT NEW PATIENT LEVEL 5 | $72.05 | $131.00 | $19.65–$117.90 | 79% below | 45% |
| New patient office visit, about 60 minutes inpatient CPT 99205 RHEUM FAC OP NEW PATIENT LEVEL 5 | $72.05 | $131.00 | $19.65–$131.00 | — | 45% |
| New patient office visit, about 60 minutes inpatient CPT 99205 ROP FAC NEW PT HIGH COMPLEX LEVEL 5 | $72.05 | $131.00 | $19.65–$131.00 | — | 45% |
| New patient office visit, about 60 minutes inpatient CPT 99205 MC 99205 FAC OFFICE VISIT NEW PATIENT LEVEL 5 | $72.05 | $131.00 | $19.65–$131.00 | — | 45% |
| New patient office visit, about 60 minutes inpatient CPT 99205 zAMB WTC Level 5 99205 162 points | $72.05 | $131.00 | $19.65–$131.00 | — | 45% |
| New patient office visit, about 60 minutes inpatient CPT 99205 Level 5 99205 162 - FC Leveling Code | $72.05 | $131.00 | $19.65–$131.00 | — | 45% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 zAMB WTC Level 2 99202 1-8 points | $72.05 | $131.00 | $19.65–$117.90 | 44% below | 45% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 RHEUM FAC OP NEW PATIENT LEVEL 2 | $72.05 | $131.00 | $19.65–$117.90 | 44% below | 45% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 ROP FAC NEW PT EXPANDED LEVEL 2 | $72.05 | $131.00 | $19.65–$117.90 | 44% below | 45% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 MC 99202 FAC OFFICE VISIT NEW PATIENT LEVEL 2 | $72.05 | $131.00 | $19.65–$117.90 | 44% below | 45% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 Level 2 99202 1-8 points - FC Leveling Code | $74.25 | $135.00 | $20.25–$121.50 | 42% below | 45% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 RHEUM FAC OP NEW PATIENT LEVEL 2 | $72.05 | $131.00 | $19.65–$131.00 | — | 45% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 zAMB WTC Level 2 99202 1-8 points | $72.05 | $131.00 | $19.65–$131.00 | — | 45% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 MC 99202 FAC OFFICE VISIT NEW PATIENT LEVEL 2 | $72.05 | $131.00 | $19.65–$131.00 | — | 45% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 ROP FAC NEW PT EXPANDED LEVEL 2 | $72.05 | $131.00 | $19.65–$131.00 | — | 45% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Level 2 99202 1-8 points - FC Leveling Code | $74.25 | $135.00 | $20.25–$135.00 | — | 45% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 DANC Initial MNT Charges | $38.50 | $70.00 | $10.50–$63.00 | 26% below | 45% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 DANC Initial MNT Charges | $38.50 | $70.00 | $10.50–$70.00 | — | 45% |
| Occupational therapy evaluation, low complexity CPT 97165 RS OT EVAL LOW COMPLEXITY | $107.25 | $195.00 | $29.25–$175.50 | 52% below | 45% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 RS OT EVAL LOW COMPLEXITY | $107.25 | $195.00 | $29.25–$195.00 | — | 45% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 RS PT EVAL HIGH COMPLEXITY | $106.15 | $193.00 | $28.95–$173.70 | 47% below | 45% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 RS PT EVAL HIGH COMPLEXITY | $106.15 | $193.00 | $28.95–$193.00 | — | 45% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 RS PT EVAL LOW COMPLEXITY | $106.15 | $193.00 | $28.95–$173.70 | 39% below | 45% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 RS PT EVAL LOW COMPLEXITY | $106.15 | $193.00 | $28.95–$193.00 | — | 45% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 RS PT EVAL MOD COMPLEXITY | $106.15 | $193.00 | $28.95–$173.70 | 50% below | 45% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 RS PT EVAL MOD COMPLEXITY | $106.15 | $193.00 | $28.95–$193.00 | — | 45% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 RSA MANUAL THERAPY | $42.35 | $77.00 | $11.55–$69.30 | 62% below | 45% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 97140 Manual therapy/1> areas/ea 15 min | $42.35 | $77.00 | $11.55–$69.30 | 62% below | 45% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 97140 Manual therapy/1> areas/ea 15 min | $42.35 | $77.00 | $11.55–$77.00 | — | 45% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 RSA MANUAL THERAPY | $42.35 | $77.00 | $11.55–$77.00 | — | 45% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 97110 Therapeutic exercise/ea 15 min | $46.20 | $84.00 | $12.60–$75.60 | 26% below | 45% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 RSA THERAPEUTIC EX 15 MIN | $47.85 | $87.00 | $13.05–$78.30 | 23% below | 45% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 97110 Therapeutic exercise/ea 15 min | $46.20 | $84.00 | $12.60–$84.00 | — | 45% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 RSA THERAPEUTIC EX 15 MIN | $47.85 | $87.00 | $13.05–$87.00 | — | 45% |
| Psychotherapy session, 30 minutes CPT 90832 PSY LTA ADOLESCENT INDIV THPY 30 MIN | $157.30 | $286.00 | $42.90–$257.40 | 46% above | 45% |
| Psychotherapy session, 30 minutes CPT 90832 PSY INDIV THERAPY 30 MIN | $157.30 | $286.00 | $42.90–$257.40 | 46% above | 45% |
| Psychotherapy session, 30 minutes CPT 90832 PSY Individual Therapy 30 min | $162.25 | $295.00 | $44.25–$265.50 | 50% above | 45% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PSY LTA ADOLESCENT INDIV THPY 30 MIN | $157.30 | $286.00 | $42.90–$286.00 | — | 45% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PSY INDIV THERAPY 30 MIN | $157.30 | $286.00 | $42.90–$286.00 | — | 45% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PSY Individual Therapy 30 min | $162.25 | $295.00 | $44.25–$295.00 | — | 45% |
| Psychotherapy session, 45 minutes CPT 90834 PSY INDIV THERAPY 45 MIN | $157.30 | $286.00 | $42.90–$257.40 | 5% above | 45% |
| Psychotherapy session, 45 minutes CPT 90834 PSY LTA ADOLESCENT INDIV THPY 45 MIN | $157.30 | $286.00 | $42.90–$257.40 | 5% above | 45% |
| Psychotherapy session, 45 minutes CPT 90834 PSY Individual Therapy 45 min | $162.25 | $295.00 | $44.25–$265.50 | 8% above | 45% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 PSY LTA ADOLESCENT INDIV THPY 45 MIN | $157.30 | $286.00 | $42.90–$286.00 | — | 45% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 PSY INDIV THERAPY 45 MIN | $157.30 | $286.00 | $42.90–$286.00 | — | 45% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 PSY Individual Therapy 45 min | $162.25 | $295.00 | $44.25–$295.00 | — | 45% |
| Psychotherapy session, 60 minutes CPT 90837 PSY LTA ADOLESCENT INDV THPY 60 MIN | $157.30 | $286.00 | $42.90–$257.40 | 18% below | 45% |
| Psychotherapy session, 60 minutes CPT 90837 PSY INDIV THERAPY 60 MIN | $157.30 | $286.00 | $42.90–$257.40 | 18% below | 45% |
| Psychotherapy session, 60 minutes CPT 90837 PSY Individual Therapy 60 min | $162.25 | $295.00 | $44.25–$265.50 | 16% below | 45% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 PSY LTA ADOLESCENT INDV THPY 60 MIN | $157.30 | $286.00 | $42.90–$286.00 | — | 45% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 PSY INDIV THERAPY 60 MIN | $157.30 | $286.00 | $42.90–$286.00 | — | 45% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 PSY Individual Therapy 60 min | $162.25 | $295.00 | $44.25–$295.00 | — | 45% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 RSP SMOKING CESSATION COUNS 3-10 MI | $31.35 | $57.00 | $8.55–$51.30 | 13% below | 45% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 PRB Smoking Cessation Couns 3-10 Min | $31.35 | $57.00 | $8.55–$51.30 | 13% below | 45% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 RSP SMOKING CESSATION COUNS 3-10 MI | $31.35 | $57.00 | $8.55–$57.00 | — | 45% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 PRB Smoking Cessation Couns 3-10 Min | $31.35 | $57.00 | $8.55–$57.00 | — | 45% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 RHEUM FAC OP ESTABLISHED LEVEL 5 | $72.05 | $131.00 | $19.65–$117.90 | 67% below | 45% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 ROP FAC EST PT OP HIGH COMPLEX LEVEL 5 | $72.05 | $131.00 | $19.65–$117.90 | 67% below | 45% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 MC 99215 FAC OFFICE VISIT EST PATIENT LEVEL 5 | $72.05 | $131.00 | $19.65–$117.90 | 67% below | 45% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Level 5 99215 162 - FC Leveling Code | $74.25 | $135.00 | $20.25–$121.50 | 66% below | 45% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 zAMB WTC Level 5 99215 162 points | $74.25 | $135.00 | $20.25–$121.50 | 66% below | 45% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 ROP FAC EST PT OP HIGH COMPLEX LEVEL 5 | $72.05 | $131.00 | $19.65–$131.00 | — | 45% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 RHEUM FAC OP ESTABLISHED LEVEL 5 | $72.05 | $131.00 | $19.65–$131.00 | — | 45% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 MC 99215 FAC OFFICE VISIT EST PATIENT LEVEL 5 | $72.05 | $131.00 | $19.65–$131.00 | — | 45% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 zAMB WTC Level 5 99215 162 points | $74.25 | $135.00 | $20.25–$135.00 | — | 45% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Level 5 99215 162 - FC Leveling Code | $74.25 | $135.00 | $20.25–$135.00 | — | 45% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 RHEUM FAC OP ESTABLISHED LEVEL 3 | $72.05 | $131.00 | $19.65–$117.90 | 51% below | 45% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 MC 99213 FAC OFFICE VISIT EST PATIENT LEVEL 3 | $72.05 | $131.00 | $19.65–$117.90 | 51% below | 45% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Level 3 99213 9-80 - FC Leveling Code | $74.25 | $135.00 | $20.25–$121.50 | 49% below | 45% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 zAMB WTC Level 3 99213 9-80 points | $74.25 | $135.00 | $20.25–$121.50 | 49% below | 45% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ROP FAC EST PT OP DETAILED LEVEL 3 | $74.25 | $135.00 | $20.25–$121.50 | 49% below | 45% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 MC 99213 FAC OFFICE VISIT EST PATIENT LEVEL 3 | $72.05 | $131.00 | $19.65–$131.00 | — | 45% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 RHEUM FAC OP ESTABLISHED LEVEL 3 | $72.05 | $131.00 | $19.65–$131.00 | — | 45% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 ROP FAC EST PT OP DETAILED LEVEL 3 | $74.25 | $135.00 | $20.25–$135.00 | — | 45% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Level 3 99213 9-80 - FC Leveling Code | $74.25 | $135.00 | $20.25–$135.00 | — | 45% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 zAMB WTC Level 3 99213 9-80 points | $74.25 | $135.00 | $20.25–$135.00 | — | 45% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 RHEUM FAC OP ESTABLISHED LEVEL 4 | $72.05 | $131.00 | $19.65–$117.90 | 62% below | 45% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 MC 99214 FAC OFFICE VISIT EST PATIENT LEVEL 4 | $72.05 | $131.00 | $19.65–$117.90 | 62% below | 45% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ROP FAC EST PT OP COMPREHENSIVE LEVEL 4 | $72.05 | $131.00 | $19.65–$117.90 | 62% below | 45% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 zAMB WTC Level 4 99214 81-161 points | $74.25 | $135.00 | $20.25–$121.50 | 61% below | 45% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Level 4 99214 81-161 - FC Leveling Code | $74.25 | $135.00 | $20.25–$121.50 | 61% below | 45% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 RHEUM FAC OP ESTABLISHED LEVEL 4 | $72.05 | $131.00 | $19.65–$131.00 | — | 45% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 ROP FAC EST PT OP COMPREHENSIVE LEVEL 4 | $72.05 | $131.00 | $19.65–$131.00 | — | 45% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 MC 99214 FAC OFFICE VISIT EST PATIENT LEVEL 4 | $72.05 | $131.00 | $19.65–$131.00 | — | 45% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Level 4 99214 81-161 - FC Leveling Code | $74.25 | $135.00 | $20.25–$135.00 | — | 45% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 zAMB WTC Level 4 99214 81-161 points | $74.25 | $135.00 | $20.25–$135.00 | — | 45% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 RHEUM FAC OP ESTABLISHED LEVEL 2 | $72.05 | $131.00 | $19.65–$117.90 | 26% below | 45% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ROP FAC EST PT OP EXPANDED LEVEL 2 | $72.05 | $131.00 | $19.65–$117.90 | 26% below | 45% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 MC 99212 FAC OFFICE VISIT EST PATIENT LEVEL 2 | $72.05 | $131.00 | $19.65–$117.90 | 26% below | 45% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 zAMB WTC Level 2 99212 3-8 points | $74.25 | $135.00 | $20.25–$121.50 | 23% below | 45% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Level 2 99212 3 - 8 points - FC Leveling Code | $74.25 | $135.00 | $20.25–$121.50 | 23% below | 45% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 RHEUM FAC OP ESTABLISHED LEVEL 2 | $72.05 | $131.00 | $19.65–$131.00 | — | 45% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 ROP FAC EST PT OP EXPANDED LEVEL 2 | $72.05 | $131.00 | $19.65–$131.00 | — | 45% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 MC 99212 FAC OFFICE VISIT EST PATIENT LEVEL 2 | $72.05 | $131.00 | $19.65–$131.00 | — | 45% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Level 2 99212 3 - 8 points - FC Leveling Code | $74.25 | $135.00 | $20.25–$135.00 | — | 45% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 zAMB WTC Level 2 99212 3-8 points | $74.25 | $135.00 | $20.25–$135.00 | — | 45% |
| Speech and language evaluation CPT 92523 RS SPO EVAL SOUND PROD LANG COMPR | $211.20 | $384.00 | $57.60–$345.60 | 52% below | 45% |
| Speech and language evaluation inpatient CPT 92523 RS SPO EVAL SOUND PROD LANG COMPR | $211.20 | $384.00 | $57.60–$384.00 | — | 45% |
| Speech therapy session, individual CPT 92507 RS SPO TX,SP,LANG,VOICE OR AUDITORY | $78.10 | $142.00 | $21.30–$127.80 | 28% below | 45% |
| Speech therapy session, individual inpatient CPT 92507 RS SPO TX,SP,LANG,VOICE OR AUDITORY | $78.10 | $142.00 | $21.30–$142.00 | — | 45% |
| Spirometry (breathing test) CPT 94010 PRB Bedside PFT - Pulmonary Rehab PFT Lab Charges | $152.90 | $278.00 | $41.70–$250.20 | 11% below | 45% |
| Spirometry (breathing test) CPT 94010 Bedside PFT - Pulmonary Function Lab Charges | $152.90 | $278.00 | $41.70–$250.20 | 11% below | 45% |
| Spirometry (breathing test) CPT 94010 RSP BASIC PFT | $152.90 | $278.00 | $41.70–$250.20 | 11% below | 45% |
| Spirometry (breathing test) CPT 94010 Bedside Spirometry - Respiratory Charges | $152.90 | $278.00 | $41.70–$250.20 | 11% below | 45% |
| Spirometry (breathing test) CPT 94010 Spirometry - Pulmonary Function Lab Charges | $152.90 | $278.00 | $41.70–$250.20 | 11% below | 45% |
| Spirometry (breathing test) CPT 94010 PRB Spirometry - Pulmonary Rehab PFT Lab Charges | $152.90 | $278.00 | $41.70–$250.20 | 11% below | 45% |
| Spirometry (breathing test) CPT 94010 94010 Spirometry/include graphic record | $157.30 | $286.00 | $42.90–$257.40 | 9% below | 45% |
| Spirometry (breathing test) one side CPT 94010 Bedside Spirometry - Respiratory Charges RT / PFT | $152.90 | $278.00 | $41.70–$250.20 | 11% below | 45% |
| Spirometry (breathing test) inpatient CPT 94010 PRB Spirometry - Pulmonary Rehab PFT Lab Charges | $152.90 | $278.00 | $41.70–$278.00 | — | 45% |
| Spirometry (breathing test) inpatient CPT 94010 PRB Bedside PFT - Pulmonary Rehab PFT Lab Charges | $152.90 | $278.00 | $41.70–$278.00 | — | 45% |
| Spirometry (breathing test) inpatient CPT 94010 Bedside PFT - Pulmonary Function Lab Charges | $152.90 | $278.00 | $41.70–$278.00 | — | 45% |
| Spirometry (breathing test) inpatient CPT 94010 RSP BASIC PFT | $152.90 | $278.00 | $41.70–$278.00 | — | 45% |
| Spirometry (breathing test) inpatient CPT 94010 Bedside Spirometry - Respiratory Charges | $152.90 | $278.00 | $41.70–$278.00 | — | 45% |
| Spirometry (breathing test) inpatient CPT 94010 Spirometry - Pulmonary Function Lab Charges | $152.90 | $278.00 | $41.70–$278.00 | — | 45% |
| Spirometry (breathing test) inpatient CPT 94010 94010 Spirometry/include graphic record | $157.30 | $286.00 | $42.90–$286.00 | — | 45% |
| Spirometry (breathing test) inpatient one side CPT 94010 Bedside Spirometry - Respiratory Charges RT / PFT | $152.90 | $278.00 | $41.70–$278.00 | — | 45% |
| Spirometry before and after a bronchodilator CPT 94060 PRB Pre & Post Spirometry - Pulmonary Rehab PFT Lab Charges | $304.70 | $554.00 | $83.10–$498.60 | 3% below | 45% |
| Spirometry before and after a bronchodilator CPT 94060 Pre & Post Spirometry - Pulmonary Function Lab Charges | $304.70 | $554.00 | $83.10–$498.60 | 3% below | 45% |
| Spirometry before and after a bronchodilator CPT 94060 RSP PRE/POST PFT | $304.70 | $554.00 | $83.10–$498.60 | 3% below | 45% |
| Spirometry before and after a bronchodilator CPT 94060 RSP PRE AND POST SPIROMETRY | $304.70 | $554.00 | $83.10–$498.60 | 3% below | 45% |
| Spirometry before and after a bronchodilator CPT 94060 94060 Spirometry/pre/post bronchodilator | $314.05 | $571.00 | $85.65–$513.90 | at median | 45% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 PRB Pre & Post Spirometry - Pulmonary Rehab PFT Lab Charges | $304.70 | $554.00 | $83.10–$554.00 | — | 45% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 Pre & Post Spirometry - Pulmonary Function Lab Charges | $304.70 | $554.00 | $83.10–$554.00 | — | 45% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 RSP PRE AND POST SPIROMETRY | $304.70 | $554.00 | $83.10–$554.00 | — | 45% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 RSP PRE/POST PFT | $304.70 | $554.00 | $83.10–$554.00 | — | 45% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 94060 Spirometry/pre/post bronchodilator | $314.05 | $571.00 | $85.65–$571.00 | — | 45% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 97530 Therapeutic activ/direct/ea 15 min | $41.25 | $75.00 | $11.25–$67.50 | 33% below | 45% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 RSA THERA ACT 1 ON 1 PER 15 MIN | $42.35 | $77.00 | $11.55–$69.30 | 31% below | 45% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 97530 Therapeutic activ/direct/ea 15 min | $41.25 | $75.00 | $11.25–$75.00 | — | 45% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 RSA THERA ACT 1 ON 1 PER 15 MIN | $42.35 | $77.00 | $11.55–$77.00 | — | 45% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy, Therapeutic (Separate Procedure) 99195 | $125.95 | $229.00 | $34.35–$206.10 | 13% above | 45% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Therapeutic Phlebotomy | $129.80 | $236.00 | $35.40–$212.40 | 17% above | 45% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Phlebotomy, Therapeutic (Separate Procedure) 99195 | $125.95 | $229.00 | $34.35–$229.00 | — | 45% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Therapeutic Phlebotomy | $129.80 | $236.00 | $35.40–$236.00 | — | 45% |
| Treadmill or drug stress test with ECG, supervision and report CPT 93015 93015 NM Myocardial Rest AND Stress Exercise (Pinnacle) | $327.80 | $596.00 | $89.40–$536.40 | 51% below | 45% |
| Treadmill or drug stress test with ECG, supervision and report CPT 93015 93015 NM Myocardial Rest AND Stress Pharm - Lexiscan (Pinnacle) | $327.80 | $596.00 | $89.40–$536.40 | 51% below | 45% |
| Treadmill or drug stress test with ECG, supervision and report CPT 93015 93015 Exercise Stress Treadmill (GxT) (Pinnacle) | $327.80 | $596.00 | $89.40–$536.40 | 51% below | 45% |
| Treadmill or drug stress test with ECG, supervision and report CPT 93015 93015 NM Myocardial Rest AND Stress Pharm - Dobutamine (Pinnacle) | $327.80 | $596.00 | $89.40–$536.40 | 51% below | 45% |
| Treadmill or drug stress test with ECG, supervision and report inpatient CPT 93015 93015 Exercise Stress Treadmill (GxT) (Pinnacle) | $327.80 | $596.00 | $89.40–$596.00 | — | 45% |
| Treadmill or drug stress test with ECG, supervision and report inpatient CPT 93015 93015 NM Myocardial Rest AND Stress Exercise (Pinnacle) | $327.80 | $596.00 | $89.40–$596.00 | — | 45% |
| Treadmill or drug stress test with ECG, supervision and report inpatient CPT 93015 93015 NM Myocardial Rest AND Stress Pharm - Dobutamine (Pinnacle) | $327.80 | $596.00 | $89.40–$596.00 | — | 45% |
| Treadmill or drug stress test with ECG, supervision and report inpatient CPT 93015 93015 NM Myocardial Rest AND Stress Pharm - Lexiscan (Pinnacle) | $327.80 | $596.00 | $89.40–$596.00 | — | 45% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Alabama | Off list |
|---|---|---|---|---|---|
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 Fluad TIV PF-90653 - AMB Med Charge influenza | $46.20 | $84.00 | $12.60–$75.60 | 86% below | 45% |
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 Fluad TIV PF-90653 - AMB Med Charge influenza | $46.20 | $84.00 | $12.60–$84.00 | — | 45% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Varivax - AMB Med Charge varicella virus | $116.60 | $212.00 | $31.80–$190.80 | 76% below | 45% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 Varivax - AMB Med Charge varicella virus | $116.60 | $212.00 | $31.80–$212.00 | — | 45% |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 Kinrix - AMB Med Charge DTaP | $29.15 | $53.00 | $7.95–$47.70 | 27% below | 45% |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 Kinrix - AMB Med Charge DTaP | $29.15 | $53.00 | $7.95–$53.00 | — | 45% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 58160-0810-52 - diphtheria/tetanus/pertussis (DTaP) ped 25 units-10 units-58 mcg/0.5 mL Sus | $145.75 | $265.00 | $39.75–$238.50 | 32% above | 45% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 58160-0810-52 - diphtheria/tetanus/pertussis (DTaP) ped 25 units-10 units-58 mcg/0.5 mL Sus | $145.75 | $265.00 | $39.75–$265.00 | — | 45% |
| DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 49281-0511-05 - diphth/haemophilus/pertussis/tetanus/polio - Kit | $309.83 | $563.33 | $84.50–$507.00 | 25% above | 45% |
| DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 49281-0511-05 - diphth/haemophilus/pertussis/tetanus/polio - Kit | $309.83 | $563.33 | $84.50–$563.33 | — | 45% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Fluzone TIV PF–90656 - AMB Med Charge influenza | $29.15 | $53.00 | $7.95–$47.70 | 46% below | 45% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Afluria TIV-90656 - AMB Med Charge influenza | $29.15 | $53.00 | $7.95–$47.70 | 46% below | 45% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Fluarix-90656 - AMB Med Charge influenza | $29.15 | $53.00 | $7.95–$47.70 | 46% below | 45% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 58160-0912-52 - influenza virus vaccine, inactivated preservative-free trivalent Susp | $145.75 | $265.00 | $39.75–$238.50 | 170% above | 45% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Fluzone TIV PF–90656 - AMB Med Charge influenza | $29.15 | $53.00 | $7.95–$53.00 | — | 45% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Fluarix-90656 - AMB Med Charge influenza | $29.15 | $53.00 | $7.95–$53.00 | — | 45% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Afluria TIV-90656 - AMB Med Charge influenza | $29.15 | $53.00 | $7.95–$53.00 | — | 45% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 58160-0912-52 - influenza virus vaccine, inactivated preservative-free trivalent Susp | $145.75 | $265.00 | $39.75–$265.00 | — | 45% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Gardasil 9 - AMB Med Charge HPV | $169.40 | $308.00 | $46.20–$277.20 | 87% below | 45% |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 Gardasil 9 - AMB Med Charge HPV | $169.40 | $308.00 | $46.20–$308.00 | — | 45% |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 Twinrix - AMB Med Charge hepatitis A & B | $116.60 | $212.00 | $31.80–$190.80 | 68% below | 45% |
| Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 Twinrix - AMB Med Charge hepatitis A & B | $116.60 | $212.00 | $31.80–$212.00 | — | 45% |
| Hepatitis A vaccine, adult dose CPT 90632 Havrix Adult - AMB Med Charge hepatitis A adult | $55.00 | $100.00 | $15.00–$90.00 | 64% below | 45% |
| Hepatitis A vaccine, adult dose CPT 90632 58160-0826-52 - hepatitis A adult vaccine 1440 units/mL preservative free Susp | $213.13 | $387.50 | $58.12–$348.75 | 39% above | 45% |
| Hepatitis A vaccine, adult dose CPT 90632 58160-0826-01 - hepatitis A adult vaccine 1440 u/ml Susp | $213.13 | $387.50 | $58.12–$348.75 | 39% above | 45% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 Havrix Adult - AMB Med Charge hepatitis A adult | $55.00 | $100.00 | $15.00–$100.00 | — | 45% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 58160-0826-01 - hepatitis A adult vaccine 1440 u/ml Susp | $213.13 | $387.50 | $58.12–$387.50 | — | 45% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 58160-0826-52 - hepatitis A adult vaccine 1440 units/mL preservative free Susp | $213.13 | $387.50 | $58.12–$387.50 | — | 45% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 Havrix Ped - AMB Med Charge hepatitis A pediatric | $29.15 | $53.00 | $7.95–$47.70 | 76% below | 45% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 Havrix Ped - AMB Med Charge hepatitis A pediatric | $29.15 | $53.00 | $7.95–$53.00 | — | 45% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 hepatitis B pediatric vaccine - AMB Med Charge hepatitis B pediatric | $29.15 | $53.00 | $7.95–$47.70 | 61% below | 45% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 90744 Engerix-B Pediatric - AMB Med Charge hepatitis B pediatric | $29.15 | $53.00 | $7.95–$47.70 | 61% below | 45% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 58160-0820-52 - hepatitis B pediatric vaccine 10 mcg/0.5 mL Susp | $145.75 | $265.00 | $39.75–$238.50 | 94% above | 45% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 hepatitis B pediatric vaccine - AMB Med Charge hepatitis B pediatric | $29.15 | $53.00 | $7.95–$53.00 | — | 45% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 90744 Engerix-B Pediatric - AMB Med Charge hepatitis B pediatric | $29.15 | $53.00 | $7.95–$53.00 | — | 45% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 58160-0820-52 - hepatitis B pediatric vaccine 10 mcg/0.5 mL Susp | $145.75 | $265.00 | $39.75–$265.00 | — | 45% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 ActHIB - AMB Med Charge haem b conj (PRP-T) | $29.15 | $53.00 | $7.95–$47.70 | 27% below | 45% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 49281-0545-03 - haemophilus b conjugate (PRP-T) vaccine - REC | $145.75 | $265.00 | $39.75–$238.50 | 267% above | 45% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 ActHIB - AMB Med Charge haem b conj (PRP-T) | $29.15 | $53.00 | $7.95–$53.00 | — | 45% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 49281-0545-03 - haemophilus b conjugate (PRP-T) vaccine - REC | $145.75 | $265.00 | $39.75–$265.00 | — | 45% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Fluzone HD TIV-90662 - AMB Med Charge influenza | $46.20 | $84.00 | $12.60–$75.60 | 64% below | 45% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 49281-0125-65 - influenza virus vaccine, inactivated high-dose preservative-free trivalent Susp | $312.40 | $568.00 | $85.20–$511.20 | 141% above | 45% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 Fluzone HD TIV-90662 - AMB Med Charge influenza | $46.20 | $84.00 | $12.60–$84.00 | — | 45% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 49281-0125-65 - influenza virus vaccine, inactivated high-dose preservative-free trivalent Susp | $312.40 | $568.00 | $85.20–$568.00 | — | 45% |
| Japanese encephalitis vaccine (Ixiaro), 2-dose schedule CPT 90738 Japanese enceph vaccine - AMB Med Charge japanese enceph | $224.95 | $409.00 | $61.35–$368.10 | 72% below | 45% |
| Japanese encephalitis vaccine (Ixiaro), 2-dose schedule inpatient CPT 90738 Japanese enceph vaccine - AMB Med Charge japanese enceph | $224.95 | $409.00 | $61.35–$409.00 | — | 45% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MMRV - AMB Med Charge MMRV | $52.80 | $96.00 | $14.40–$86.40 | 67% below | 45% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR - AMB Med Charge MMR | $52.80 | $96.00 | $14.40–$86.40 | 67% below | 45% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 00006-4681-00 - measles/mumps/rubella virus vaccine - REC | $232.00 | $421.81 | $63.27–$379.63 | 46% above | 45% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 00006-4681-01 - measles/mumps/rubella virus vaccine na REC Injection | $232.00 | $421.81 | $63.27–$379.63 | 46% above | 45% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MMR - AMB Med Charge MMR | $52.80 | $96.00 | $14.40–$96.00 | — | 45% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MMRV - AMB Med Charge MMRV | $52.80 | $96.00 | $14.40–$96.00 | — | 45% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 00006-4681-00 - measles/mumps/rubella virus vaccine - REC | $232.00 | $421.81 | $63.27–$421.81 | — | 45% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 00006-4681-01 - measles/mumps/rubella virus vaccine na REC Injection | $232.00 | $421.81 | $63.27–$421.81 | — | 45% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 Menactra - AMB Med Charge meningococcal conjugate | $116.60 | $212.00 | $31.80–$190.80 | 65% below | 45% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 58160-0955-09 - meningococcal conjugate vaccine - REC | $286.50 | $520.91 | $78.14–$468.82 | 15% below | 45% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 Menactra - AMB Med Charge meningococcal conjugate | $116.60 | $212.00 | $31.80–$212.00 | — | 45% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 58160-0955-09 - meningococcal conjugate vaccine - REC | $286.50 | $520.91 | $78.14–$520.91 | — | 45% |
| Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 MenQuadfi - AMB Med Charge meningococcal conjugate | $126.50 | $230.00 | $34.50–$207.00 | 76% below | 45% |
| Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 MenQuadfi - AMB Med Charge meningococcal conjugate | $126.50 | $230.00 | $34.50–$230.00 | — | 45% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Bexsero - AMB Med Charge meningococcal b | $116.60 | $212.00 | $31.80–$190.80 | 83% below | 45% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 58160-0976-20 - meningococcal group B vaccine recombinant, OMV, adjuvanted Susp | $583.00 | $1,060.00 | $159.00–$954.00 | 13% below | 45% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 Bexsero - AMB Med Charge meningococcal b | $116.60 | $212.00 | $31.80–$212.00 | — | 45% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 58160-0976-20 - meningococcal group B vaccine recombinant, OMV, adjuvanted Susp | $583.00 | $1,060.00 | $159.00–$1,060.00 | — | 45% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 Prevnar 13 - AMB Med Charge pneumo 13 | $145.20 | $264.00 | $39.60–$237.60 | 71% below | 45% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 Prevnar 13 - AMB Med Charge pneumo 13 | $145.20 | $264.00 | $39.60–$264.00 | — | 45% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Prevnar 20 - AMB Med Charge pneumo 20 | $164.45 | $299.00 | $44.85–$269.10 | 80% below | 45% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 00005-2000-10 - pneumococcal 20-valent conjugate vaccine - Susp | $583.00 | $1,060.00 | $159.00–$954.00 | 28% below | 45% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 Prevnar 20 - AMB Med Charge pneumo 20 | $164.45 | $299.00 | $44.85–$299.00 | — | 45% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 00005-2000-10 - pneumococcal 20-valent conjugate vaccine - Susp | $583.00 | $1,060.00 | $159.00–$1,060.00 | — | 45% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumovax 23 - AMB Med Charge pneumo 23 | $102.85 | $187.00 | $28.05–$168.30 | 47% below | 45% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 00006-4837-03 - pneumococcal 23-polyvalent vaccine na Injection | $312.40 | $568.00 | $85.20–$511.20 | 62% above | 45% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 00006-4943-01 - pneumococcal 23-polyvalent vaccine 25 mcg Injection | $312.40 | $568.00 | $85.20–$511.20 | 62% above | 45% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 00006-4943-00 - pneumococcal 23-polyvalent vaccine - Sol | $472.02 | $858.21 | $128.73–$772.39 | 145% above | 45% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Pneumovax 23 - AMB Med Charge pneumo 23 | $102.85 | $187.00 | $28.05–$187.00 | — | 45% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 00006-4943-01 - pneumococcal 23-polyvalent vaccine 25 mcg Injection | $312.40 | $568.00 | $85.20–$568.00 | — | 45% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 00006-4837-03 - pneumococcal 23-polyvalent vaccine na Injection | $312.40 | $568.00 | $85.20–$568.00 | — | 45% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 00006-4943-00 - pneumococcal 23-polyvalent vaccine - Sol | $472.02 | $858.21 | $128.73–$858.21 | — | 45% |
| Polio vaccine, inactivated (IPV) CPT 90713 Poliovirus vaccine - AMB Med Charge poliovirus | $29.15 | $53.00 | $7.95–$47.70 | 78% below | 45% |
| Polio vaccine, inactivated (IPV) inpatient CPT 90713 Poliovirus vaccine - AMB Med Charge poliovirus | $29.15 | $53.00 | $7.95–$53.00 | — | 45% |
| Rabies vaccine, one dose CPT 90675 Rabies Vaccine - AMB Med Charge rabies | $337.70 | $614.00 | $92.10–$552.60 | 50% below | 45% |
| Rabies vaccine, one dose inpatient CPT 90675 Rabies Vaccine - AMB Med Charge rabies | $337.70 | $614.00 | $92.10–$614.00 | — | 45% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Zostavax - AMB Med Charge zoster live | $116.60 | $212.00 | $31.80–$190.80 | 82% below | 45% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Shingrix - AMB Med Charge zoster inactivated | $116.60 | $212.00 | $31.80–$190.80 | 82% below | 45% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 Shingrix - AMB Med Charge zoster inactivated | $116.60 | $212.00 | $31.80–$212.00 | — | 45% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 Zostavax - AMB Med Charge zoster live | $116.60 | $212.00 | $31.80–$212.00 | — | 45% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Td - AMB Med Charge Td | $29.15 | $53.00 | $7.95–$47.70 | 48% below | 45% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tenivac - AMB Med Charge Td | $29.15 | $53.00 | $7.95–$47.70 | 48% below | 45% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 49281-0215-15 - tetanus-diphth toxoids (Td) adult/adol 5 units-2 units/0.5 mL preservative-free Susp | $213.13 | $387.50 | $58.12–$348.75 | 283% above | 45% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Td - AMB Med Charge Td | $29.15 | $53.00 | $7.95–$53.00 | — | 45% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Tenivac - AMB Med Charge Td | $29.15 | $53.00 | $7.95–$53.00 | — | 45% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 49281-0215-15 - tetanus-diphth toxoids (Td) adult/adol 5 units-2 units/0.5 mL preservative-free Susp | $213.13 | $387.50 | $58.12–$387.50 | — | 45% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Adacel - AMB Med Charge Tdap | $33.00 | $60.00 | $9.00–$54.00 | 75% below | 45% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Boostrix - AMB Med Charge Tdap | $33.00 | $60.00 | $9.00–$54.00 | 75% below | 45% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 58160-0842-11 - tetanus/diphth/pertuss (Tdap) adult/adol 5 units-2.5 units-18.5 mcg/0.5 mL Susp | $213.13 | $387.50 | $58.12–$348.75 | 61% above | 45% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 58160-0842-52 - tetanus/diphth/pertuss (Tdap) adult/adol 5 units-2.5 units-18.5 mcg/0.5 mL Susp | $213.13 | $387.50 | $58.12–$348.75 | 61% above | 45% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Adacel - AMB Med Charge Tdap | $33.00 | $60.00 | $9.00–$60.00 | — | 45% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Boostrix - AMB Med Charge Tdap | $33.00 | $60.00 | $9.00–$60.00 | — | 45% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 58160-0842-52 - tetanus/diphth/pertuss (Tdap) adult/adol 5 units-2.5 units-18.5 mcg/0.5 mL Susp | $213.13 | $387.50 | $58.12–$387.50 | — | 45% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 58160-0842-11 - tetanus/diphth/pertuss (Tdap) adult/adol 5 units-2.5 units-18.5 mcg/0.5 mL Susp | $213.13 | $387.50 | $58.12–$387.50 | — | 45% |
| Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 Typhoid Vaccine - AMB Med Charge typhoid | $86.90 | $158.00 | $23.70–$142.20 | at median | 45% |
| Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 Typhoid Vaccine - AMB Med Charge typhoid | $86.90 | $158.00 | $23.70–$158.00 | — | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 First Vaccine - AMB Imm Admin Charge HPV | $69.85 | $127.00 | $19.05–$114.30 | 17% above | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 First Vaccine - AMB Imm Admin Charge MMR | $69.85 | $127.00 | $19.05–$114.30 | 17% above | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 First Vaccine - AMB Imm Admin Charge haem b conj (PRP-T) | $69.85 | $127.00 | $19.05–$114.30 | 17% above | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 First Vaccine - AMB Imm Admin Charge hep A & B | $69.85 | $127.00 | $19.05–$114.30 | 17% above | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 First Vaccine - AMB Imm Admin Charge hep A adult | $69.85 | $127.00 | $19.05–$114.30 | 17% above | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 First Vaccine - AMB Imm Admin Charge hep A pediatric | $69.85 | $127.00 | $19.05–$114.30 | 17% above | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 First Vaccine - AMB Imm Admin Charge hep B pediatric | $69.85 | $127.00 | $19.05–$114.30 | 17% above | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 First Vaccine - AMB Imm Admin Charge hepatitis B adult | $69.85 | $127.00 | $19.05–$114.30 | 17% above | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 First Vaccine - AMB Imm Admin Charge influenza | $69.85 | $127.00 | $19.05–$114.30 | 17% above | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 First Vaccine - AMB Imm Admin Charge japanese enceph | $69.85 | $127.00 | $19.05–$114.30 | 17% above | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 First Vaccine - AMB Imm Admin Charge pneumo 13 | $69.85 | $127.00 | $19.05–$114.30 | 17% above | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 First Vaccine - AMB Imm Admin Charge pneumo 23 | $69.85 | $127.00 | $19.05–$114.30 | 17% above | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 SCC Other Vaccine | $69.85 | $127.00 | $19.05–$114.30 | 17% above | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Other Vaccine - SCC Misc Meds | $69.85 | $127.00 | $19.05–$114.30 | 17% above | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 EAR Other Vaccine | $69.85 | $127.00 | $19.05–$114.30 | 17% above | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 RAI ADM VACCINE - OTHER | $69.85 | $127.00 | $19.05–$114.30 | 17% above | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN 1 VACCINE | $69.85 | $127.00 | $19.05–$114.30 | 17% above | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 First Vaccine 90471 - AMB Imm Admin Charge meningococcal conj | $69.85 | $127.00 | $19.05–$114.30 | 17% above | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 First Vaccine 90471 - AMB Imm Admin Charge meningococcal b | $69.85 | $127.00 | $19.05–$114.30 | 17% above | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 First Vaccine 90471 - AMB Imm Admin Charge Tdap | $69.85 | $127.00 | $19.05–$114.30 | 17% above | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 First Vaccine 90471 - AMB Imm Admin Charge Td | $69.85 | $127.00 | $19.05–$114.30 | 17% above | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 First Vaccine 90471 - AMB Imm Admin Charge MMRV | $69.85 | $127.00 | $19.05–$114.30 | 17% above | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 First Vaccine 90471 - AMB Imm Admin Charge DTaP | $69.85 | $127.00 | $19.05–$114.30 | 17% above | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 First Vaccine 90471 - AMB Imm Adm Chg dip/tet/pet/ace/hepB/pol | $69.85 | $127.00 | $19.05–$114.30 | 17% above | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 First Vaccine - AMB Imm Admin Charge pneumo 20 | $69.85 | $127.00 | $19.05–$114.30 | 17% above | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 First Vaccine - AMB Imm Admin Charge poliovirus | $69.85 | $127.00 | $19.05–$114.30 | 17% above | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 First Vaccine - AMB Imm Admin Charge rabies | $69.85 | $127.00 | $19.05–$114.30 | 17% above | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 First Vaccine - AMB Imm Admin Charge typhoid | $69.85 | $127.00 | $19.05–$114.30 | 17% above | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 First Vaccine - AMB Imm Admin Charge varicella virus | $69.85 | $127.00 | $19.05–$114.30 | 17% above | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 First Vaccine - AMB Imm Admin Charge zoster inactivated | $69.85 | $127.00 | $19.05–$114.30 | 17% above | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 First Vaccine - AMB Imm Admin Charge zoster live | $69.85 | $127.00 | $19.05–$114.30 | 17% above | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admin Immunization SQ/IM | $72.05 | $131.00 | $19.65–$117.90 | 21% above | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 M ADM PRQ ID SUBQ/IM NJXS 1 VACCINE | $72.05 | $131.00 | $19.65–$117.90 | 21% above | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 First Vaccine - AMB Imm Admin Charge typhoid | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 First Vaccine - AMB Imm Admin Charge HPV | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 First Vaccine - AMB Imm Admin Charge rabies | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 First Vaccine - AMB Imm Admin Charge poliovirus | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 First Vaccine - AMB Imm Admin Charge MMR | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 First Vaccine - AMB Imm Admin Charge pneumo 20 | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 First Vaccine - AMB Imm Admin Charge pneumo 23 | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 First Vaccine - AMB Imm Admin Charge pneumo 13 | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 First Vaccine - AMB Imm Admin Charge hep A pediatric | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 First Vaccine - AMB Imm Admin Charge hep A adult | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 SCC Other Vaccine | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Other Vaccine - SCC Misc Meds | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 EAR Other Vaccine | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 First Vaccine - AMB Imm Admin Charge japanese enceph | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 First Vaccine - AMB Imm Admin Charge influenza | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 First Vaccine - AMB Imm Admin Charge hepatitis B adult | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 RAI ADM VACCINE - OTHER | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN 1 VACCINE | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 First Vaccine 90471 - AMB Imm Admin Charge MMRV | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 First Vaccine 90471 - AMB Imm Admin Charge Td | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 First Vaccine 90471 - AMB Imm Admin Charge Tdap | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 First Vaccine 90471 - AMB Imm Admin Charge meningococcal b | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 First Vaccine 90471 - AMB Imm Admin Charge meningococcal conj | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 First Vaccine - AMB Imm Admin Charge hep B pediatric | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 First Vaccine - AMB Imm Admin Charge varicella virus | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 First Vaccine - AMB Imm Admin Charge zoster live | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 First Vaccine - AMB Imm Admin Charge zoster inactivated | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 First Vaccine - AMB Imm Admin Charge hep A & B | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 First Vaccine - AMB Imm Admin Charge haem b conj (PRP-T) | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 First Vaccine 90471 - AMB Imm Admin Charge DTaP | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 First Vaccine 90471 - AMB Imm Adm Chg dip/tet/pet/ace/hepB/pol | $69.85 | $127.00 | $19.05–$127.00 | — | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 M ADM PRQ ID SUBQ/IM NJXS 1 VACCINE | $72.05 | $131.00 | $19.65–$131.00 | — | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Admin Immunization SQ/IM | $72.05 | $131.00 | $19.65–$131.00 | — | 45% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 Each Additional - AMB Imm Admin Charge hep A adult | $41.25 | $75.00 | $11.25–$67.50 | 17% below | 45% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 Each Additional - AMB Imm Admin Charge MMR | $41.25 | $75.00 | $11.25–$67.50 | 17% below | 45% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 Each Additional - AMB Imm Admin Charge haem b conj (PRP-T) | $41.25 | $75.00 | $11.25–$67.50 | 17% below | 45% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 Each Additional - AMB Imm Admin Charge hep A & B | $41.25 | $75.00 | $11.25–$67.50 | 17% below | 45% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 Each Additional - AMB Imm Admin Charge hep A pediatric | $41.25 | $75.00 | $11.25–$67.50 | 17% below | 45% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 Each Additional - AMB Imm Admin Charge hep B pediatric | $41.25 | $75.00 | $11.25–$67.50 | 17% below | 45% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 Each Additional - AMB Imm Admin Charge hepatitis B adult | $41.25 | $75.00 | $11.25–$67.50 | 17% below | 45% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 Each Additional - AMB Imm Admin Charge influenza | $41.25 | $75.00 | $11.25–$67.50 | 17% below | 45% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 Each Additional - AMB Imm Admin Charge japanese enceph | $41.25 | $75.00 | $11.25–$67.50 | 17% below | 45% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 Each Additional - AMB Imm Admin Charge pneumo 13 | $41.25 | $75.00 | $11.25–$67.50 | 17% below | 45% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 Each Additional - AMB Imm Admin Charge pneumo 23 | $41.25 | $75.00 | $11.25–$67.50 | 17% below | 45% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 Each Additional - AMB Imm Admin Charge pneumo 20 | $41.25 | $75.00 | $11.25–$67.50 | 17% below | 45% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 EAR Additional Vaccines | $41.25 | $75.00 | $11.25–$67.50 | 17% below | 45% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Each Additional 90472 - AMB Imm Admin Charge MMRV | $41.25 | $75.00 | $11.25–$67.50 | 17% below | 45% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Each Additional 90472 - AMB Imm Admin Charge Td | $41.25 | $75.00 | $11.25–$67.50 | 17% below | 45% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Each Additional 90472 - AMB Imm Admin Charge meningococcal conj | $41.25 | $75.00 | $11.25–$67.50 | 17% below | 45% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Each Additional 90472 - AMB Imm Admin Charge Tdap | $41.25 | $75.00 | $11.25–$67.50 | 17% below | 45% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 Each Additional - AMB Imm Admin Charge poliovirus | $41.25 | $75.00 | $11.25–$67.50 | 17% below | 45% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 Each Additional - AMB Imm Admin Charge rabies | $41.25 | $75.00 | $11.25–$67.50 | 17% below | 45% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Each Additional 90472 - AMB Imm Admin Charge meningococcal b | $41.25 | $75.00 | $11.25–$67.50 | 17% below | 45% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 SCC Other Vaccines, Additional | $41.25 | $75.00 | $11.25–$67.50 | 17% below | 45% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 Each Additional - AMB Imm Admin Charge typhoid | $41.25 | $75.00 | $11.25–$67.50 | 17% below | 45% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 Each Additional - AMB Imm Admin Charge varicella virus | $41.25 | $75.00 | $11.25–$67.50 | 17% below | 45% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 Each Additional - AMB Imm Admin Charge zoster inactivated | $41.25 | $75.00 | $11.25–$67.50 | 17% below | 45% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 Each Additional - AMB Imm Admin Charge zoster live | $41.25 | $75.00 | $11.25–$67.50 | 17% below | 45% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Each Additional 90472 - AMB Imm Adm Chg dip/tet/pet/ace/hepB/pol | $41.25 | $75.00 | $11.25–$67.50 | 17% below | 45% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Each Additional 90472 - AMB Imm Admin Charge DTaP | $41.25 | $75.00 | $11.25–$67.50 | 17% below | 45% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 Each Additional - AMB Imm Admin Charge HPV | $41.25 | $75.00 | $11.25–$67.50 | 17% below | 45% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Inj ADM Vaccine/SSGL/COMB Vaccine | $42.35 | $77.00 | $11.55–$69.30 | 15% below | 45% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 IM ADM PRQ ID SUBQ/IM NJXS EA VACCINE | $42.35 | $77.00 | $11.55–$69.30 | 15% below | 45% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472 Each Additional - AMB Imm Admin Charge hep B pediatric | $41.25 | $75.00 | $11.25–$75.00 | — | 45% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Each Additional 90472 - AMB Imm Admin Charge meningococcal b | $41.25 | $75.00 | $11.25–$75.00 | — | 45% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472 Each Additional - AMB Imm Admin Charge haem b conj (PRP-T) | $41.25 | $75.00 | $11.25–$75.00 | — | 45% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Each Additional 90472 - AMB Imm Admin Charge Tdap | $41.25 | $75.00 | $11.25–$75.00 | — | 45% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472 Each Additional - AMB Imm Admin Charge hep A & B | $41.25 | $75.00 | $11.25–$75.00 | — | 45% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472 Each Additional - AMB Imm Admin Charge hep A pediatric | $41.25 | $75.00 | $11.25–$75.00 | — | 45% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Each Additional 90472 - AMB Imm Admin Charge DTaP | $41.25 | $75.00 | $11.25–$75.00 | — | 45% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Each Additional 90472 - AMB Imm Admin Charge MMRV | $41.25 | $75.00 | $11.25–$75.00 | — | 45% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 EAR Additional Vaccines | $41.25 | $75.00 | $11.25–$75.00 | — | 45% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 SCC Other Vaccines, Additional | $41.25 | $75.00 | $11.25–$75.00 | — | 45% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Each Additional 90472 - AMB Imm Admin Charge Td | $41.25 | $75.00 | $11.25–$75.00 | — | 45% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472 Each Additional - AMB Imm Admin Charge hep A adult | $41.25 | $75.00 | $11.25–$75.00 | — | 45% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472 Each Additional - AMB Imm Admin Charge HPV | $41.25 | $75.00 | $11.25–$75.00 | — | 45% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472 Each Additional - AMB Imm Admin Charge MMR | $41.25 | $75.00 | $11.25–$75.00 | — | 45% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472 Each Additional - AMB Imm Admin Charge hepatitis B adult | $41.25 | $75.00 | $11.25–$75.00 | — | 45% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472 Each Additional - AMB Imm Admin Charge influenza | $41.25 | $75.00 | $11.25–$75.00 | — | 45% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472 Each Additional - AMB Imm Admin Charge japanese enceph | $41.25 | $75.00 | $11.25–$75.00 | — | 45% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472 Each Additional - AMB Imm Admin Charge pneumo 13 | $41.25 | $75.00 | $11.25–$75.00 | — | 45% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472 Each Additional - AMB Imm Admin Charge pneumo 23 | $41.25 | $75.00 | $11.25–$75.00 | — | 45% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472 Each Additional - AMB Imm Admin Charge pneumo 20 | $41.25 | $75.00 | $11.25–$75.00 | — | 45% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472 Each Additional - AMB Imm Admin Charge poliovirus | $41.25 | $75.00 | $11.25–$75.00 | — | 45% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472 Each Additional - AMB Imm Admin Charge rabies | $41.25 | $75.00 | $11.25–$75.00 | — | 45% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472 Each Additional - AMB Imm Admin Charge typhoid | $41.25 | $75.00 | $11.25–$75.00 | — | 45% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Each Additional 90472 - AMB Imm Admin Charge meningococcal conj | $41.25 | $75.00 | $11.25–$75.00 | — | 45% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472 Each Additional - AMB Imm Admin Charge varicella virus | $41.25 | $75.00 | $11.25–$75.00 | — | 45% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472 Each Additional - AMB Imm Admin Charge zoster inactivated | $41.25 | $75.00 | $11.25–$75.00 | — | 45% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472 Each Additional - AMB Imm Admin Charge zoster live | $41.25 | $75.00 | $11.25–$75.00 | — | 45% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Each Additional 90472 - AMB Imm Adm Chg dip/tet/pet/ace/hepB/pol | $41.25 | $75.00 | $11.25–$75.00 | — | 45% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472 IM ADM PRQ ID SUBQ/IM NJXS EA VACCINE | $42.35 | $77.00 | $11.55–$77.00 | — | 45% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Inj ADM Vaccine/SSGL/COMB Vaccine | $42.35 | $77.00 | $11.55–$77.00 | — | 45% |
| Yellow fever vaccine, live CPT 90717 First Vaccine 90717 - AMB Imm Admin Charge yellow fever | $116.60 | $212.00 | $31.80–$190.80 | — | 45% |
| Yellow fever vaccine, live inpatient CPT 90717 First Vaccine 90717 - AMB Imm Admin Charge yellow fever | $116.60 | $212.00 | $31.80–$212.00 | — | 45% |
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://eastalabamahealth.org/sites/default/files/financial-service/636000526_EastAlabama_standardcharges.csv.zip