UPMC Altoona
UPMC Altoona in Altoona, PA publishes cash prices for 377 common procedures listed here, from its own machine-readable price file updated Mar 6, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Pennsylvania median for 191 of 374 procedures and above it for 168. By typical cash price it ranks #54 of 108 Pennsylvania hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.
620 Howard Avenue, Altoona, PA 16601 Collected Sep 27, 2026 Source price file Check a bill from this hospital (814) 889-2011
Acute care hospital Nonprofit hospital Emergency department CMS star rating 3 of 5 CCN 390073 · CMS hospital register NPI 1649278730
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
UPMC Altoona is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.
You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.
Source: IRS, section 501(r) requirements for nonprofit hospitals.
CMS price transparency record
The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 1 action for a hospital named UPMC Altoona in Altoona, PA:
- Apr 3, 2025 Met requirements
Met requirements: CMS reviewed the hospital and found it met the requirements, so no further action was taken.
A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Pennsylvania | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W WO CON | $1,674.60 | $2,791.00 | $111.50–$2,232.80 | 11% below | 40% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABDOMEN W WO CON | $1,674.60 | $2,791.00 | $1,395.50–$2,232.80 | — | 40% |
| Abdominal X-ray, 2 views CPT 74019 ABDOMEN 2 VIEWS | $273.60 | $456.00 | $13.05–$503.83 | 16% below | 40% |
| Abdominal X-ray, 2 views inpatient CPT 74019 ABDOMEN 2 VIEWS | $273.60 | $456.00 | $228.00–$364.80 | — | 40% |
| Ankle X-ray, complete, 3 or more views CPT 73610 ANKLE COMP MIN 3 VIEWS | $180.60 | $301.00 | $33.29–$240.80 | 50% below | 40% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 ANKLE COMP MIN 3 VIEWS | $180.60 | $301.00 | $150.50–$240.80 | — | 40% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 NON INVAS BIL SNGL LEVEL ABI S | $325.80 | $543.00 | $37.11–$434.40 | 27% below | 40% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 NON INVAS BIL SNGL LEVEL ABI S | $325.80 | $543.00 | $271.50–$434.40 | — | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT UPPER EXTREM WO CON | $2,021.40 | $3,369.00 | $240.00–$2,695.20 | 71% above | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT UPPER EXTREM WO CON | $2,021.40 | $3,369.00 | $1,684.50–$2,695.20 | — | 40% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGUS X-RAY XM SNGL CNTRST | $302.40 | $504.00 | $22.50–$403.20 | 34% below | 40% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 ESOPHAGUS X-RAY XM SNGL CNTRST | $302.40 | $504.00 | $252.00–$403.20 | — | 40% |
| Bone scan, whole body (nuclear medicine) CPT 78306 BONE/JNT IMAG WHOLE BODY | $679.20 | $1,132.00 | $61.50–$905.60 | 45% below | 40% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 BONE/JNT IMAG WHOLE BODY | $679.20 | $1,132.00 | $566.00–$905.60 | — | 40% |
| Breast ultrasound, complete, one breast one side CPT 76641 US BREAST COMPLETE UNILATERAL | $460.80 | $768.00 | $45.15–$614.40 | 16% below | 40% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST COMPLETE UNILATERAL | $460.80 | $768.00 | $384.00–$614.40 | — | 40% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LIMITED UNILATERAL | $253.80 | $423.00 | $34.59–$338.40 | 45% below | 40% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST LIMITED UNILATERAL | $253.80 | $423.00 | $211.50–$338.40 | — | 40% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABD&PLV W/WO CON W/POSTPRC | $2,415.60 | $4,026.00 | $333.70–$4,205.60 | 19% below | 40% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA ABD&PLV W/WO CON W/POSTPRC | $2,415.60 | $4,026.00 | $2,013.00–$3,220.80 | — | 40% |
| CT angiography (CTA) of the head CPT 70496 CTA HEAD W/WO CON W/PST PROC | $1,617.00 | $2,695.00 | $200.20–$2,156.00 | 5% below | 40% |
| CT angiography (CTA) of the head inpatient CPT 70496 CTA HEAD W/WO CON W/PST PROC | $1,617.00 | $2,695.00 | $1,347.50–$2,156.00 | — | 40% |
| CT angiography (CTA) of the neck CPT 70498 CTA NECK W/WO CON W/PST PROC | $1,617.00 | $2,695.00 | $200.20–$2,156.00 | 3% below | 40% |
| CT angiography (CTA) of the neck inpatient CPT 70498 CTA NECK W/WO CON W/PST PROC | $1,617.00 | $2,695.00 | $1,347.50–$2,156.00 | — | 40% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST W/WO CON W/PST PROC | $1,413.60 | $2,356.00 | $216.80–$1,884.80 | 26% below | 40% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST W/WO CON W/PST PROC | $1,413.60 | $2,356.00 | $1,178.00–$1,884.80 | — | 40% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HRT W/O DYE W/CA TEST | $120.00 | $200.00 | $34.78–$359.70 | 32% below | 40% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT HRT W/O DYE W/CA TEST | $120.00 | $200.00 | $100.00–$160.00 | — | 40% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD & PLVS WO CONTRAST | $2,368.80 | $3,948.00 | $101.07–$3,158.40 | 14% above | 40% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD & PLVS WO CONTRAST | $2,368.80 | $3,948.00 | $1,974.00–$3,158.40 | — | 40% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PLVS W CONTRAST | $2,737.80 | $4,563.00 | $192.73–$4,306.59 | 8% below | 40% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD & PLVS W CONTRAST | $2,737.80 | $4,563.00 | $2,281.50–$3,650.40 | — | 40% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD & PLVS W WO CONTRAST | $3,301.80 | $5,503.00 | $254.70–$5,014.34 | 11% above | 40% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD & PLVS W WO CONTRAST | $3,301.80 | $5,503.00 | $2,751.50–$4,402.40 | — | 40% |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W CON | $1,383.00 | $2,305.00 | $90.00–$1,844.00 | 16% below | 40% |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W CON | $1,383.00 | $2,305.00 | $1,152.50–$1,844.00 | — | 40% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN WO CON | $1,176.60 | $1,961.00 | $77.50–$1,568.80 | 4% above | 40% |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN WO CON | $1,176.60 | $1,961.00 | $980.50–$1,568.80 | — | 40% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL WO CON | $1,017.00 | $1,695.00 | $77.50–$1,356.00 | 10% below | 40% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL WO CON | $1,017.00 | $1,695.00 | $847.50–$1,356.00 | — | 40% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO CONTRAST | $961.20 | $1,602.00 | $77.50–$1,281.60 | 11% below | 40% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WO CONTRAST | $961.20 | $1,602.00 | $801.00–$1,281.60 | — | 40% |
| CT scan of the head with contrast CPT 70460 CT HEAD W CONTRAST | $1,160.40 | $1,934.00 | $80.00–$1,547.20 | 14% below | 40% |
| CT scan of the head with contrast inpatient CPT 70460 CT HEAD W CONTRAST | $1,160.40 | $1,934.00 | $967.00–$1,547.20 | — | 40% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD W WO CONTRAST | $1,420.20 | $2,367.00 | $100.00–$1,893.60 | 15% below | 40% |
| CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD W WO CONTRAST | $1,420.20 | $2,367.00 | $1,183.50–$1,893.60 | — | 40% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE WO CON | $1,405.80 | $2,343.00 | $88.10–$1,874.40 | 22% above | 40% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR SPINE WO CON | $1,405.80 | $2,343.00 | $1,171.50–$1,874.40 | — | 40% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL SPINE WO CON | $1,209.00 | $2,015.00 | $83.10–$1,612.00 | 3% above | 40% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERVICAL SPINE WO CON | $1,209.00 | $2,015.00 | $1,007.50–$1,612.00 | — | 40% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CON | $1,357.20 | $2,262.00 | $86.50–$1,809.60 | 20% below | 40% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W CON | $1,357.20 | $2,262.00 | $1,131.00–$1,809.60 | — | 40% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 DUP CAROTID BILAT COMP | $1,053.00 | $1,755.00 | $119.34–$1,404.00 | — | 40% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 DUP CAROTID BILAT COMP | $1,053.00 | $1,755.00 | $877.50–$1,404.00 | — | 40% |
| Chest CT scan without and with contrast CPT 71270 CT THORAX DX W/WO CON | $1,723.20 | $2,872.00 | $103.50–$2,297.60 | 7% above | 40% |
| Chest CT scan without and with contrast inpatient CPT 71270 CT THORAX DX W/WO CON | $1,723.20 | $2,872.00 | $1,436.00–$2,297.60 | — | 40% |
| Chest X-ray, 2 views CPT 71046 CHEST 2 VIEWS | $172.80 | $288.00 | $11.78–$230.40 | 46% below | 40% |
| Chest X-ray, 2 views inpatient CPT 71046 CHEST 2 VIEWS | $172.80 | $288.00 | $144.00–$230.40 | — | 40% |
| Chest X-ray, single view CPT 71045 CHEST 1 VIEW | $83.40 | $139.00 | $6.43–$124.23 | 56% below | 40% |
| Chest X-ray, single view inpatient CPT 71045 CHEST 1 VIEW | $83.40 | $139.00 | $69.50–$111.20 | — | 40% |
| Collarbone (clavicle) X-ray, complete CPT 73000 CLAVICLE COMPLETE | $267.60 | $446.00 | $32.49–$356.80 | 7% below | 40% |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 CLAVICLE COMPLETE | $267.60 | $446.00 | $223.00–$356.80 | — | 40% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COMPLETE | $726.60 | $1,211.00 | $49.00–$968.80 | at median | 40% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEAL COMPLETE | $726.60 | $1,211.00 | $605.50–$968.80 | — | 40% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA AXIAL SKL 1 OR MORE SITES | $240.00 | $400.00 | $51.94–$332.61 | 12% below | 40% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DEXA AXIAL SKL 1 OR MORE SITES | $240.00 | $400.00 | $200.00–$320.00 | — | 40% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US PREGNANT UTERUS FET ANAT EX | $1,995.60 | $3,326.00 | $91.42–$2,660.80 | 59% above | 40% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US PREGNANT UTERUS FET ANAT EX | $1,995.60 | $3,326.00 | $1,663.00–$2,660.80 | — | 40% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX DX WO CON | $1,209.00 | $2,015.00 | $83.10–$1,612.00 | 10% above | 40% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX DX WO CON | $1,209.00 | $2,015.00 | $1,007.50–$1,612.00 | — | 40% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX DX W CON | $1,413.60 | $2,356.00 | $87.50–$1,884.80 | 1% below | 40% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT THORAX DX W CON | $1,413.60 | $2,356.00 | $146.50–$1,884.80 | — | 40% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO DIGITAL DX BILAT WWO CAD | $583.20 | $972.00 | $73.61–$777.60 | — | 40% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MAM DIG DX SM DAY BI WWO CAD | $583.20 | $972.00 | $73.61–$777.60 | — | 40% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMMO DIGITAL DX BILAT WWO CAD | $583.20 | $972.00 | $486.00–$777.60 | — | 40% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAM DIG DX SM DAY BI WWO CAD | $583.20 | $972.00 | $486.00–$777.60 | — | 40% |
| Diagnostic mammogram, one breast CPT 77065 MAMMO DIGITAL DX UNI WWO CAD | $475.80 | $793.00 | $57.72–$634.40 | 50% above | 40% |
| Diagnostic mammogram, one breast inpatient CPT 77065 MAMMO DIGITAL DX UNI WWO CAD | $475.80 | $793.00 | $396.50–$634.40 | — | 40% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 DUPLEX LOWER EXT ARTERY BIL | $887.40 | $1,479.00 | $119.34–$1,183.20 | 8% above | 40% |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 DUPLEX LOWER EXT ARTERY BIL | $887.40 | $1,479.00 | $739.50–$1,183.20 | — | 40% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 DUPLEX VENOUS UPPER LOWER BIL | $1,053.00 | $1,755.00 | $114.20–$1,404.00 | 21% above | 40% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 DUPLEX VENOUS UPPER LOWER BIL | $1,053.00 | $1,755.00 | $877.50–$1,404.00 | — | 40% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W / DOPPLER COMP (BUNDLED) | $1,464.00 | $2,440.00 | $98.14–$1,952.00 | 22% below | 40% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 2D ECHO (TTE), COMPLETE | $1,464.00 | $2,440.00 | $98.14–$1,952.00 | 22% below | 40% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 2D ECHO (TTE), COMPLETE | $1,464.00 | $2,440.00 | $1,220.00–$1,952.00 | — | 40% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 TTE W / DOPPLER COMP (BUNDLED) | $1,464.00 | $2,440.00 | $1,220.00–$1,952.00 | — | 40% |
| Elbow X-ray, 2 views CPT 73070 ELBOW 2 VIEWS | $172.80 | $288.00 | $32.49–$230.40 | 43% below | 40% |
| Elbow X-ray, 2 views inpatient CPT 73070 ELBOW 2 VIEWS | $172.80 | $288.00 | $144.00–$230.40 | — | 40% |
| Elbow X-ray, complete, 3 or more views CPT 73080 ELBOW MIN 3 VIEWS | $171.00 | $285.00 | $35.08–$228.00 | 51% below | 40% |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 ELBOW MIN 3 VIEWS | $171.00 | $285.00 | $142.50–$228.00 | — | 40% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT SELLA P FOS EAR WO | $1,050.00 | $1,750.00 | $114.00–$1,400.00 | 3% below | 40% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT ORBIT SELLA P FOS EAR WO | $1,050.00 | $1,750.00 | $875.00–$1,400.00 | — | 40% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 FACIAL BONES COMP MIN 3 VWS | $295.20 | $492.00 | $22.50–$393.60 | 28% below | 40% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 FACIAL BONES COMP MIN 3 VWS | $295.20 | $492.00 | $246.00–$393.60 | — | 40% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 FOREARM 2 VIEWS | $179.40 | $299.00 | $33.24–$239.20 | 36% below | 40% |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 FOREARM 2 VIEWS | $179.40 | $299.00 | $149.50–$239.20 | — | 40% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBIL SYS IMG INC GB | $473.40 | $789.00 | $208.17–$766.81 | 61% below | 40% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HEPATOBIL SYS IMG INC GB | $473.40 | $789.00 | $394.50–$631.20 | — | 40% |
| Hand X-ray, 2 views CPT 73120 HAND 2 VIEWS | $172.80 | $288.00 | $31.32–$230.40 | 38% below | 40% |
| Hand X-ray, 2 views inpatient CPT 73120 HAND 2 VIEWS | $172.80 | $288.00 | $144.00–$230.40 | — | 40% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 CALCANEOUS MIN 2 VIEWS | $144.00 | $240.00 | $30.48–$192.00 | 46% below | 40% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 CALCANEOUS MIN 2 VIEWS | $144.00 | $240.00 | $120.00–$192.00 | — | 40% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 PSG WITH CPAP ATTENDED < 6 HRS | $2,547.00 | $4,245.00 | $517.67–$3,396.00 | 19% below | 40% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 PSG WITH CPAP ATTENDED | $2,547.00 | $4,245.00 | $517.67–$3,396.00 | 19% below | 40% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 PSG WITH CPAP ATTENDED < 6 HRS | $2,547.00 | $4,245.00 | $2,122.50–$3,396.00 | — | 40% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 PSG WITH CPAP ATTENDED | $2,547.00 | $4,245.00 | $2,122.50–$3,396.00 | — | 40% |
| Knee X-ray, 3 views CPT 73562 KNEE 3 VIEWS | $163.20 | $272.00 | $35.87–$217.60 | 59% below | 40% |
| Knee X-ray, 3 views inpatient CPT 73562 KNEE 3 VIEWS | $163.20 | $272.00 | $136.00–$217.60 | — | 40% |
| Knee X-ray, complete, 4 or more views CPT 73564 KNEE COMP 4 OR MORE VIEWS | $186.60 | $311.00 | $40.52–$248.80 | 57% below | 40% |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 KNEE COMP 4 OR MORE VIEWS | $186.60 | $311.00 | $155.50–$248.80 | — | 40% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT LOWER EXTREM WO CONT | $1,042.20 | $1,737.00 | $240.00–$1,389.60 | 1% below | 40% |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT LOWER EXTREM WO CONT | $1,042.20 | $1,737.00 | $868.50–$1,389.60 | — | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABD LIMITED | $415.80 | $693.00 | $37.50–$554.40 | 31% below | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABD LIMITED | $415.80 | $693.00 | $346.50–$554.40 | — | 40% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US LMTD JT/FCL EVL NVASC XTR | $336.60 | $561.00 | $14.98–$448.80 | 15% below | 40% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US LMTD JT/FCL EVL NVASC XTR | $336.60 | $561.00 | $280.50–$448.80 | — | 40% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LOW DOSE CT LUNG CANCER SCRN | $819.60 | $1,366.00 | $68.48–$1,092.80 | 107% above | 40% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 LOW DOSE CT LUNG CANCER SCRN | $819.60 | $1,366.00 | $683.00–$1,092.80 | — | 40% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 TIBIA FIBULA 2 VIEWS | $179.40 | $299.00 | $33.05–$239.20 | 46% below | 40% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 TIBIA FIBULA 2 VIEWS | $179.40 | $299.00 | $149.50–$239.20 | — | 40% |
| MR angiography (MRA) of the head without contrast CPT 70544 MRA BRAIN WO CON | $1,699.20 | $2,832.00 | $267.41–$2,265.60 | 6% below | 40% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA BRAIN WO CON | $1,699.20 | $2,832.00 | $1,416.00–$2,265.60 | — | 40% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MR LOW EXTREM ANY JNT WO | $1,699.20 | $2,832.00 | $400.00–$2,265.60 | 17% below | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MR LOW EXTREM ANY JNT WO | $1,699.20 | $2,832.00 | $1,416.00–$2,265.60 | — | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MR LOW EXTREM ANY JNT W/WO | $2,604.00 | $4,340.00 | $425.00–$3,472.00 | 26% below | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MR LOW EXTREM ANY JNT W/WO | $2,604.00 | $4,340.00 | $2,170.00–$3,472.00 | — | 40% |
| MRI of the abdomen without contrast CPT 74181 MRCP WO CONTRAST | $1,699.20 | $2,832.00 | $269.00–$2,265.60 | 14% below | 40% |
| MRI of the abdomen without contrast CPT 74181 MR ABDOMEN WO | $1,699.20 | $2,832.00 | $269.00–$2,265.60 | 14% below | 40% |
| MRI of the abdomen without contrast inpatient CPT 74181 MR ABDOMEN WO | $1,699.20 | $2,832.00 | $1,416.00–$2,265.60 | — | 40% |
| MRI of the abdomen without contrast inpatient CPT 74181 MRCP WO CONTRAST | $1,699.20 | $2,832.00 | $1,416.00–$2,265.60 | — | 40% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MR ABDOMEN W/WO | $2,604.00 | $4,340.00 | $425.00–$3,472.00 | 26% below | 40% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MR ABDOMEN W/WO | $2,604.00 | $4,340.00 | $2,170.00–$3,472.00 | — | 40% |
| MRI of the brain, no contrast dye CPT 70551 MR BRAIN WO CON | $1,699.20 | $2,832.00 | $269.00–$2,265.60 | 7% below | 40% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MR BRAIN WO CON | $1,699.20 | $2,832.00 | $1,416.00–$2,265.60 | — | 40% |
| MRI of the brain, with and without contrast dye CPT 70553 MR BRAIN W WO CON | $2,604.00 | $4,340.00 | $269.00–$4,153.86 | 10% below | 40% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MR BRAIN W WO CON | $2,604.00 | $4,340.00 | $2,170.00–$3,472.00 | — | 40% |
| MRI of the lower back, no contrast dye CPT 72148 MR SP CANAL LUMBAR WO | $1,699.20 | $2,832.00 | $187.20–$2,265.60 | 5% below | 40% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MR SP CANAL LUMBAR WO | $1,699.20 | $2,832.00 | $1,416.00–$2,265.60 | — | 40% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MR SP CANAL LUMBAR W WO | $2,604.00 | $4,340.00 | $269.00–$4,134.82 | 20% below | 40% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MR SP CANAL LUMBAR W WO | $2,604.00 | $4,340.00 | $2,170.00–$3,472.00 | — | 40% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MR SP CANAL THORACIC WO | $1,699.20 | $2,832.00 | $187.20–$2,265.60 | 18% below | 40% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MR SP CANAL THORACIC WO | $1,699.20 | $2,832.00 | $1,416.00–$2,265.60 | — | 40% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MR SP CANAL CERVICAL W WO | $2,604.00 | $4,340.00 | $269.00–$4,177.90 | 11% below | 40% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MR SP CANAL CERVICAL W WO | $2,604.00 | $4,340.00 | $2,170.00–$3,472.00 | — | 40% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MR SP CANAL CERVICAL WO | $1,699.20 | $2,832.00 | $269.00–$2,265.60 | 3% below | 40% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MR SP CANAL CERVICAL WO | $1,699.20 | $2,832.00 | $1,416.00–$2,265.60 | — | 40% |
| MRI of the pelvis without and with contrast CPT 72197 MR PELVIS W WO | $2,604.00 | $4,340.00 | $425.00–$3,472.00 | 26% below | 40% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MR PELVIS W WO | $2,604.00 | $4,340.00 | $2,170.00–$3,472.00 | — | 40% |
| MRI of the pelvis, no contrast dye CPT 72195 MR PELVIS WO | $1,699.20 | $2,832.00 | $261.12–$2,265.60 | 13% below | 40% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MR PELVIS WO | $1,699.20 | $2,832.00 | $1,416.00–$2,265.60 | — | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MR UP EXTREM ANY JOINT WO | $1,699.20 | $2,832.00 | $400.00–$2,265.60 | 20% below | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MR UP EXTREM ANY JOINT WO | $1,699.20 | $2,832.00 | $1,416.00–$2,265.60 | — | 40% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 SPINE CERVICAL 4 OR 5 VIEWS | $376.20 | $627.00 | $26.50–$501.60 | 15% below | 40% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 SPINE CERVICAL 4 OR 5 VIEWS | $376.20 | $627.00 | $313.50–$501.60 | — | 40% |
| Neck soft tissue CT scan with contrast CPT 70491 CT SOFT TISSUE NECK W CON | $1,222.80 | $2,038.00 | $82.50–$1,630.40 | 10% below | 40% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 CT SOFT TISSUE NECK W CON | $1,222.80 | $2,038.00 | $1,019.00–$1,630.40 | — | 40% |
| Neck soft tissue CT scan without contrast CPT 70490 CT SOFT TISSUE NECK WO CON | $1,050.00 | $1,750.00 | $79.00–$1,400.00 | 3% below | 40% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 CT SOFT TISSUE NECK WO CON | $1,050.00 | $1,750.00 | $875.00–$1,400.00 | — | 40% |
| Neck soft tissue X-ray CPT 70360 NECK SOFT TISSUE | $184.20 | $307.00 | $10.00–$245.60 | 34% below | 40% |
| Neck soft tissue X-ray inpatient CPT 70360 NECK SOFT TISSUE | $184.20 | $307.00 | $153.50–$245.60 | — | 40% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HT MSCL IMG SPECT MLT | $2,538.00 | $4,230.00 | $278.34–$3,384.00 | 35% below | 40% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HT MSCL IMG SPECT MLT | $2,538.00 | $4,230.00 | $2,115.00–$3,384.00 | — | 40% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 TUMOR IMAGE PET/CT SKULL-THIGH | $5,901.60 | $9,836.00 | $1,207.25–$7,868.80 | 19% below | 40% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 TUMOR IMAGE PET/CT SKULL-THIGH | $5,901.60 | $9,836.00 | $4,918.00–$7,868.80 | — | 40% |
| Pelvic CT scan without contrast CPT 72192 CT PELVIS WO CON | $1,192.80 | $1,988.00 | $67.50–$1,590.40 | 9% above | 40% |
| Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS WO CON | $1,192.80 | $1,988.00 | $994.00–$1,590.40 | — | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LTD/FOLLOW UP | $436.80 | $728.00 | $19.00–$582.40 | 2% below | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIC LTD/FOLLOW UP | $436.80 | $728.00 | $364.00–$582.40 | — | 40% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS COMP (NONOBSTETRIC) | $589.80 | $983.00 | $46.50–$786.40 | 1% above | 40% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIS COMP (NONOBSTETRIC) | $589.80 | $983.00 | $491.50–$786.40 | — | 40% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREGNANT UTERUS>14WKS | $682.80 | $1,138.00 | $46.50–$910.40 | 11% above | 40% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US PREGNANT UTERUS>14WKS | $682.80 | $1,138.00 | $569.00–$910.40 | — | 40% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREG UTERUS 1ST TRI <14WKS | $682.80 | $1,138.00 | $38.39–$910.40 | 22% above | 40% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US PREG UTERUS 1ST TRI <14WKS | $682.80 | $1,138.00 | $569.00–$910.40 | — | 40% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREGNANT UTERUS LTD | $184.20 | $307.00 | $39.00–$357.32 | 65% below | 40% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US PREGNANT UTERUS LTD | $184.20 | $307.00 | $153.50–$245.60 | — | 40% |
| Rib X-ray, one side, 2 views one side CPT 71100 RIBS UNILAT MIN 2 VWS | $180.60 | $301.00 | $16.50–$240.80 | 46% below | 40% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS UNILAT MIN 2 VWS | $180.60 | $301.00 | $150.50–$240.80 | — | 40% |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 RIBS UNI W/PA CXR MIN 3VW | $238.20 | $397.00 | $16.50–$317.60 | 42% below | 40% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 RIBS UNI W/PA CXR MIN 3VW | $238.20 | $397.00 | $198.50–$317.60 | — | 40% |
| Screening mammogram, both breasts both sides CPT 77067 MAMMO DIGI SCR BILAT WWO CAD | $345.00 | $575.00 | $60.95–$600.84 | — | 40% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MAMMO DIGI SCR BILAT WWO CAD | $345.00 | $575.00 | $287.50–$460.00 | — | 40% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 SHOULDER MIN 2 VIEWS | $172.80 | $288.00 | $35.47–$230.40 | 49% below | 40% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 SHOULDER MIN 2 VIEWS | $172.80 | $288.00 | $144.00–$230.40 | — | 40% |
| Sinus X-ray, complete, 3 or more views CPT 70220 SINUS COMP MIN 3 VWS | $295.20 | $492.00 | $22.50–$393.60 | 30% below | 40% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 SINUS COMP MIN 3 VWS | $295.20 | $492.00 | $246.00–$393.60 | — | 40% |
| Skull X-ray, fewer than 4 views CPT 70250 SKULL <4 VIEWS | $219.60 | $366.00 | $21.00–$292.80 | 38% below | 40% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 SKULL <4 VIEWS | $219.60 | $366.00 | $183.00–$292.80 | — | 40% |
| Sleep study in a lab (polysomnography) CPT 95810 PSG 9+PARAM ATTENDED <6 HRS | $2,265.00 | $3,775.00 | $270.32–$3,020.00 | 35% below | 40% |
| Sleep study in a lab (polysomnography) CPT 95810 PSG 9+PARAM ATTENDED | $2,265.00 | $3,775.00 | $270.32–$3,020.00 | 35% below | 40% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 PSG 9+PARAM ATTENDED | $2,265.00 | $3,775.00 | $1,887.50–$3,020.00 | — | 40% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 PSG 9+PARAM ATTENDED <6 HRS | $2,265.00 | $3,775.00 | $1,887.50–$3,020.00 | — | 40% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 STRESS TTE COMP (MD SUPERVISD) | $1,218.60 | $2,031.00 | $185.54–$1,624.80 | 33% below | 40% |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 STRESS TTE COMP (MD SUPERVISD) | $1,218.60 | $2,031.00 | $1,015.50–$1,624.80 | — | 40% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 SWALLOWING FUNC ESOPH | $793.80 | $1,323.00 | $28.00–$1,058.40 | 34% above | 40% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 SWALLOWING FUNC ESOPH | $793.80 | $1,323.00 | $661.50–$1,058.40 | — | 40% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 X-RAY EXAM OF FEMUR 2/> | $181.20 | $302.00 | $14.89–$241.60 | 55% below | 40% |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 X-RAY EXAM OF FEMUR 2/> | $181.20 | $302.00 | $151.00–$241.60 | — | 40% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT THORACIC SPINE WO CON | $1,209.00 | $2,015.00 | $90.60–$1,612.00 | 3% above | 40% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT THORACIC SPINE WO CON | $1,209.00 | $2,015.00 | $1,007.50–$1,612.00 | — | 40% |
| Toe X-ray, 2 or more views CPT 73660 TOE(S) MIN 2 VIEWS | $120.00 | $200.00 | $26.62–$160.00 | 57% below | 40% |
| Toe X-ray, 2 or more views inpatient CPT 73660 TOE(S) MIN 2 VIEWS | $120.00 | $200.00 | $100.00–$160.00 | — | 40% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL | $561.60 | $936.00 | $46.50–$748.80 | at median | 40% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL | $561.60 | $936.00 | $468.00–$748.80 | — | 40% |
| Transvaginal ultrasound during pregnancy CPT 76817 US PREGNANT UTERUS TRANSVAG | $534.60 | $891.00 | $53.03–$712.80 | 3% below | 40% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US PREGNANT UTERUS TRANSVAG | $534.60 | $891.00 | $445.50–$712.80 | — | 40% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMINAL COMPLETE | $607.20 | $1,012.00 | $57.50–$809.60 | 23% below | 40% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMINAL COMPLETE | $607.20 | $1,012.00 | $506.00–$809.60 | — | 40% |
| Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM TESTES | $556.80 | $928.00 | $44.00–$742.40 | 10% below | 40% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM TESTES | $556.80 | $928.00 | $464.00–$742.40 | — | 40% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID/NECK/SOFT TISSUE | $572.40 | $954.00 | $50.98–$763.20 | at median | 40% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US THYROID/NECK/SOFT TISSUE | $572.40 | $954.00 | $477.00–$763.20 | — | 40% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI W WO DLAYED FILMS W WO KUB | $372.60 | $621.00 | $39.00–$496.80 | 41% below | 40% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UGI W WO DLAYED FILMS W WO KUB | $372.60 | $621.00 | $310.50–$496.80 | — | 40% |
| Upper arm X-ray (humerus), 2 views CPT 73060 HUMERUS MIN 2 VIEWS | $151.20 | $252.00 | $35.48–$201.60 | 45% below | 40% |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HUMERUS MIN 2 VIEWS | $151.20 | $252.00 | $126.00–$201.60 | — | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 DUPLEX VENOUS UNIL OR LTD | $679.20 | $1,132.00 | $78.60–$905.60 | 6% above | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 DUPLEX VENOUS UNIL OR LTD | $679.20 | $1,132.00 | $566.00–$905.60 | — | 40% |
| Wrist X-ray, 2 views CPT 73100 WRIST 2 VIEWS | $172.80 | $288.00 | $31.32–$230.40 | 37% below | 40% |
| Wrist X-ray, 2 views inpatient CPT 73100 WRIST 2 VIEWS | $172.80 | $288.00 | $144.00–$230.40 | — | 40% |
| Wrist X-ray, complete, 3 or more views CPT 73110 WRIST MIN 3 VIEWS | $172.80 | $288.00 | $33.29–$230.40 | 46% below | 40% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 WRIST MIN 3 VIEWS | $172.80 | $288.00 | $144.00–$230.40 | — | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWS | $172.80 | $288.00 | $19.54–$242.18 | 51% below | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWS | $172.80 | $288.00 | $144.00–$230.40 | — | 40% |
| X-ray of the abdomen, 1 view CPT 74018 ABDOMEN 1 VIEW | $172.20 | $287.00 | $10.93–$258.23 | 38% below | 40% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN 1 VIEW | $172.20 | $287.00 | $143.50–$229.60 | — | 40% |
| X-ray of the ankle, 2 views CPT 73600 ANKLE 2 VIEWS | $172.80 | $288.00 | $31.23–$230.40 | 49% below | 40% |
| X-ray of the ankle, 2 views inpatient CPT 73600 ANKLE 2 VIEWS | $172.80 | $288.00 | $144.00–$230.40 | — | 40% |
| X-ray of the finger(s), 2 or more views CPT 73140 FINGER(S) MIN 2 VIEWS | $120.00 | $200.00 | $26.34–$160.00 | 50% below | 40% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 FINGER(S) MIN 2 VIEWS | $120.00 | $200.00 | $100.00–$160.00 | — | 40% |
| X-ray of the foot, 2 views CPT 73620 FOOT 2 VIEWS | $172.80 | $288.00 | $30.84–$230.40 | 47% below | 40% |
| X-ray of the foot, 2 views inpatient CPT 73620 FOOT 2 VIEWS | $172.80 | $288.00 | $144.00–$230.40 | — | 40% |
| X-ray of the foot, complete, 3 or more views CPT 73630 FOOT MIN 3 VIEWS | $179.40 | $299.00 | $33.29–$239.20 | 51% below | 40% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 FOOT MIN 3 VIEWS | $179.40 | $299.00 | $149.50–$239.20 | — | 40% |
| X-ray of the hand, 3 or more views CPT 73130 HAND MIN 3 VIEWS | $179.40 | $299.00 | $33.29–$239.20 | 40% below | 40% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 HAND MIN 3 VIEWS | $179.40 | $299.00 | $149.50–$239.20 | — | 40% |
| X-ray of the knee, 1 or 2 views CPT 73560 KNEE 1 OR 2 VIEWS | $163.80 | $273.00 | $32.47–$218.40 | 42% below | 40% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 KNEE 1 OR 2 VIEWS | $163.80 | $273.00 | $136.50–$218.40 | — | 40% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 SPINE LUMBOSACRAL 2-3 VIEWS | $208.80 | $348.00 | $22.50–$278.40 | 43% below | 40% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 SPINE LUMBOSACRAL 2-3 VIEWS | $208.80 | $348.00 | $174.00–$278.40 | — | 40% |
| X-ray of the lower back, 4 or more views CPT 72110 SPINE LUMBOSAC MIN 4 VWS | $339.00 | $565.00 | $22.50–$452.00 | 25% below | 40% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 SPINE LUMBOSAC MIN 4 VWS | $339.00 | $565.00 | $282.50–$452.00 | — | 40% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 SPINE THORACIC 2 VIEWS | $130.20 | $217.00 | $20.19–$173.60 | 64% below | 40% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 SPINE THORACIC 2 VIEWS | $130.20 | $217.00 | $108.50–$173.60 | — | 40% |
| X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES COMP MIN 3 VWS | $179.40 | $299.00 | $11.50–$239.20 | 34% below | 40% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONES COMP MIN 3 VWS | $179.40 | $299.00 | $149.50–$239.20 | — | 40% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 SPINE CERVICAL 3 VIEWS OR LESS | $333.00 | $555.00 | $16.50–$444.00 | at median | 40% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 SPINE CERVICAL 3 VIEWS OR LESS | $333.00 | $555.00 | $277.50–$444.00 | — | 40% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1 OR 2 VIEWS | $151.20 | $252.00 | $10.00–$201.60 | 48% below | 40% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS 1 OR 2 VIEWS | $151.20 | $252.00 | $126.00–$201.60 | — | 40% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM & COCCYX MIN 2 VWS | $171.00 | $285.00 | $16.50–$228.00 | 49% below | 40% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM & COCCYX MIN 2 VWS | $171.00 | $285.00 | $142.50–$228.00 | — | 40% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Pennsylvania | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 ACTH PLASMA 2 SPECIMENS | $456.60 | $761.00 | $38.17–$608.80 | 105% above | 40% |
| ACTH blood test CPT 82024 ADRENOCORT HORMONE PLASMA | $456.60 | $761.00 | $38.17–$608.80 | 105% above | 40% |
| ACTH blood test CPT 82024 ACTH ADRENOCORTICOTROPIC HORMN | $456.60 | $761.00 | $38.17–$608.80 | 105% above | 40% |
| ACTH blood test inpatient CPT 82024 ACTH ADRENOCORTICOTROPIC HORMN | $456.60 | $761.00 | $40.00–$608.80 | — | 40% |
| ACTH blood test inpatient CPT 82024 ACTH PLASMA 2 SPECIMENS | $456.60 | $761.00 | $40.00–$608.80 | — | 40% |
| ACTH blood test inpatient CPT 82024 ADRENOCORT HORMONE PLASMA | $456.60 | $761.00 | $40.00–$608.80 | — | 40% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINO P3896 | $73.80 | $123.00 | $5.24–$98.40 | 103% above | 40% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT P8027 | $73.80 | $123.00 | $5.24–$98.40 | 103% above | 40% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT/ALT | $73.80 | $123.00 | $5.24–$98.40 | 103% above | 40% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT/ALT P5140 | $73.80 | $123.00 | $5.24–$98.40 | 103% above | 40% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINO(ALT)(SGPT) P3356 | $73.80 | $123.00 | $5.24–$98.40 | 103% above | 40% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINO P9445 | $73.80 | $123.00 | $5.24–$98.40 | 103% above | 40% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT P8027 | $73.80 | $123.00 | $7.20–$98.40 | — | 40% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT/ALT | $73.80 | $123.00 | $7.20–$98.40 | — | 40% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT/ALT P5140 | $73.80 | $123.00 | $7.20–$98.40 | — | 40% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALANINE AMINO P3896 | $73.80 | $123.00 | $7.20–$98.40 | — | 40% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALANINE AMINO P9445 | $73.80 | $123.00 | $7.20–$98.40 | — | 40% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALANINE AMINO(ALT)(SGPT) P3356 | $73.80 | $123.00 | $7.20–$98.40 | — | 40% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE P9445 | $77.40 | $129.00 | $5.12–$103.20 | 114% above | 40% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE (AST)(SGOT) P3356 | $77.40 | $129.00 | $5.12–$103.20 | 114% above | 40% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE P1635 | $77.40 | $129.00 | $5.12–$103.20 | 114% above | 40% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST P8027 | $77.40 | $129.00 | $5.12–$103.20 | 114% above | 40% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT/AST | $77.40 | $129.00 | $5.12–$103.20 | 114% above | 40% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT/AST P5140 | $77.40 | $129.00 | $5.12–$103.20 | 114% above | 40% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT/AST P5140 | $77.40 | $129.00 | $7.13–$103.20 | — | 40% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST P8027 | $77.40 | $129.00 | $7.13–$103.20 | — | 40% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT/AST | $77.40 | $129.00 | $7.13–$103.20 | — | 40% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 TRANSFERASE P9445 | $77.40 | $129.00 | $7.13–$103.20 | — | 40% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 TRANSFERASE (AST)(SGOT) P3356 | $77.40 | $129.00 | $7.13–$103.20 | — | 40% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 TRANSFERASE P1635 | $77.40 | $129.00 | $7.13–$103.20 | — | 40% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL | $241.20 | $402.00 | $47.07–$391.92 | 22% below | 40% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL | $241.20 | $402.00 | $52.66–$321.60 | — | 40% |
| Albumin blood test CPT 82040 ALBUMIN SERUM P8000 | $66.60 | $111.00 | $3.65–$88.80 | 108% above | 40% |
| Albumin blood test CPT 82040 ALBUMIN SERUM P4556 | $66.60 | $111.00 | $3.65–$88.80 | 108% above | 40% |
| Albumin blood test CPT 82040 ALBUMIN SERUM P2435 | $66.60 | $111.00 | $3.65–$88.80 | 108% above | 40% |
| Albumin blood test CPT 82040 ALBUMIN SERUM | $66.60 | $111.00 | $3.65–$88.80 | 108% above | 40% |
| Albumin blood test CPT 82040 ALBUMIN PNL | $66.60 | $111.00 | $3.65–$88.80 | 108% above | 40% |
| Albumin blood test CPT 82040 ALBUMIN SERUM PNL 2260 | $66.60 | $111.00 | $3.65–$88.80 | 108% above | 40% |
| Albumin blood test CPT 82040 ALBUMIN IN SERUM PNL 1810 | $66.60 | $111.00 | $3.65–$88.80 | 108% above | 40% |
| Albumin blood test CPT 82040 ALBUMIN | $66.60 | $111.00 | $3.65–$88.80 | 108% above | 40% |
| Albumin blood test CPT 82040 ALBUMIN SERUM P8027 | $66.60 | $111.00 | $3.65–$88.80 | 108% above | 40% |
| Albumin blood test inpatient CPT 82040 ALBUMIN SERUM | $66.60 | $111.00 | $3.65–$88.80 | — | 40% |
| Albumin blood test inpatient CPT 82040 ALBUMIN IN SERUM PNL 1810 | $66.60 | $111.00 | $3.65–$88.80 | — | 40% |
| Albumin blood test inpatient CPT 82040 ALBUMIN | $66.60 | $111.00 | $3.65–$88.80 | — | 40% |
| Albumin blood test inpatient CPT 82040 ALBUMIN SERUM P4556 | $66.60 | $111.00 | $3.65–$88.80 | — | 40% |
| Albumin blood test inpatient CPT 82040 ALBUMIN SERUM P8000 | $66.60 | $111.00 | $3.65–$88.80 | — | 40% |
| Albumin blood test inpatient CPT 82040 ALBUMIN SERUM P8027 | $66.60 | $111.00 | $3.65–$88.80 | — | 40% |
| Albumin blood test inpatient CPT 82040 ALBUMIN SERUM PNL 2260 | $66.60 | $111.00 | $3.65–$88.80 | — | 40% |
| Albumin blood test inpatient CPT 82040 ALBUMIN SERUM P2435 | $66.60 | $111.00 | $3.65–$88.80 | — | 40% |
| Albumin blood test inpatient CPT 82040 ALBUMIN PNL | $66.60 | $111.00 | $3.65–$88.80 | — | 40% |
| Aldosterone blood test CPT 82088 ALDOSTERONE | $385.20 | $642.00 | $26.00–$513.60 | 85% above | 40% |
| Aldosterone blood test CPT 82088 ALDOSTERONE 24HR URINE | $385.20 | $642.00 | $26.00–$513.60 | 85% above | 40% |
| Aldosterone blood test CPT 82088 ALDOSTERONE P2402 | $385.20 | $642.00 | $26.00–$513.60 | 85% above | 40% |
| Aldosterone blood test CPT 82088 ALDOSTERONE P4328 | $385.20 | $642.00 | $26.00–$513.60 | 85% above | 40% |
| Aldosterone blood test CPT 82088 ALDOSTERONE UPRIGHT | $385.20 | $642.00 | $26.00–$513.60 | 85% above | 40% |
| Aldosterone blood test inpatient CPT 82088 ALDOSTERONE P2402 | $385.20 | $642.00 | $26.00–$513.60 | — | 40% |
| Aldosterone blood test inpatient CPT 82088 ALDOSTERONE UPRIGHT | $385.20 | $642.00 | $26.00–$513.60 | — | 40% |
| Aldosterone blood test inpatient CPT 82088 ALDOSTERONE | $385.20 | $642.00 | $26.00–$513.60 | — | 40% |
| Aldosterone blood test inpatient CPT 82088 ALDOSTERONE P4328 | $385.20 | $642.00 | $26.00–$513.60 | — | 40% |
| Aldosterone blood test inpatient CPT 82088 ALDOSTERONE 24HR URINE | $385.20 | $642.00 | $26.00–$513.60 | — | 40% |
| Alkaline phosphatase (ALP) blood test CPT 84075 TOTAL ALP PNL 1480 | $85.20 | $142.00 | $5.12–$113.60 | 134% above | 40% |
| Alkaline phosphatase (ALP) blood test CPT 84075 PHOSPHATASE ALKALINE P3374 | $85.20 | $142.00 | $5.12–$113.60 | 134% above | 40% |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE BONE | $85.20 | $142.00 | $5.12–$113.60 | 134% above | 40% |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE | $85.20 | $142.00 | $5.12–$113.60 | 134% above | 40% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE BONE | $85.20 | $142.00 | $7.14–$113.60 | — | 40% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 PHOSPHATASE ALKALINE P3374 | $85.20 | $142.00 | $7.14–$113.60 | — | 40% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 TOTAL ALP PNL 1480 | $85.20 | $142.00 | $7.14–$113.60 | — | 40% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE | $85.20 | $142.00 | $7.14–$113.60 | — | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 DOG DANDR IGE W/RFLX TO COM PN | $37.20 | $62.00 | $5.16–$51.50 | 15% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CAT DANDR IGE W/RFLX TO COM PN | $37.20 | $62.00 | $5.16–$51.50 | 15% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY/SHELLFISH PANEL | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE TUMERIC C.LONGA | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLRGN SPEC IGE WALL EYED PIKE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALRGY PNL18 NUT MIX GRP 7918X | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALTERNARIUS T ALLERGEN | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 AMOXICILLIN IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 APRICOT IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 B LACTOGLOBULIN ALLERGEN P5416 | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 B TROPICALIS IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BANANA IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BERMUDA ALLERGEN | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BLACK OLIVE IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BLACKBERRY IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BLUE MUSSEL ALLERGEN PNL 5410 | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BRAZIL NUT IGE W/RFX COMP PN | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BREWERS YEAST IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BRUSSEL SPROUTS (F217) IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CABBAGE IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CANTALOPE IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CARMEN RED DYE IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CASEIN ALLERGEN PNL 5416 | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CAT DANDER (EPITHEL) ALLERGEN | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ACREMONIUM KILIENSE IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CAULIFLOWER IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PN 15 CEREAL GROUP | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CHEESE MOZZARELLA IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CHEESE PARMESAN IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CHERRY IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CHESTNUT SWEET IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CHILI PEPPER IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CODFISH ALLERGEN PNL 5410 | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CORIANDER/CILANTRO IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 COWS MILK COMPONENT PANEL | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CRAB ALLERGEN PNL 5410 | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CRAYFISH IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PN 13 STINGNG INSCT GR | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 DOG FENNEL IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 EGG COMPONENT PANEL | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 EGG MIX IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PN 12 ANIMAL GROUP | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PANEL REGION 7 TREES | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PANEL REGION 6 WEEDS | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PANEL MOLD GROUP | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY MOLD PANEL COMPLETE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY INSECT VENOM PANEL | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN/IGE CHICK PEA | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN/GINGER IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN/EGGPLANT IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN/BOVINE GELATIN IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN WATERMELON IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SWISS CHEESE IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE P0925 | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE P0861 | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE P0722 | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECI IGE EA ALLERGEN | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE QUANT P1246 | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE HACKBERRY | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE FUSARM SOLAN | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SINGLE ORDER | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SAFFLOWER IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN RED MAPLE IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN RAPE SEED IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN QUEEN PALM IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PRIVET IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 EGG WHITE ALLERGEN | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 EGG YOLK ALLERGEN | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 EUROGLYPHUS MAYNEI IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 FERRET EPITHELIUM IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 FOOD ALLERGY PNL W/REFLEXES | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 FOOD AND TREE NUT ALLERGY PN | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 FUSARIUM OXYSPORUM IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 GALACTSE-ALPHA-1 3-GALACTS IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 GOAT EPITHELIA IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HORSERADISH IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IODINE BUSH IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 LAMBS QUARTER ALLERGEN | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 LEMON IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 LENTILS IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 LIMA BEAN IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 LIME IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 LOBSTER ALLERGEN PNL 5410 | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MANDARIN (TANGERINE) IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MAPLE (BOX ELDER) TREE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MELONS IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MILK ALLERGEN | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MILK COMPONENT PANEL | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MILLET IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MOUSE EPITHELIA IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 OCTOPUS (F59) IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 OREGANO IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PAPAIN (K201) IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PAPRIKA IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PEANUT TL RFX TO PEANT COM PN | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PEAR IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PENICILLIN G IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PENICILLIN V IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PERCH IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PINE NUT IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PINE(T213)IGE ALLERGEN | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PINTO BEAN IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 POMEGRANATE IGE MAYO | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 POPPYSEED IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PUMPKIN IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 QUINOA IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RED KIDNEY BEAN IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SAGE IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SHEEP EPITHELIA IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SHRIMP ALLERGEN PNL 5410 | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SOYBEAN ALLERGEN | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SQUID IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SUNFLOWER IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SUNFLOWER SEED IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SWEET GUM IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SWEET POTATO IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 THISTLE (RUSSIAN) ALLERGEN | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 TILAPIA IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 TIMOTHY ALLERGEN | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 TOBACCO LEAF IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 TREE NUT ALL PN W/REFL TO COMP | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 TREE OF HEAVEN IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 TROUT IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 TURKEY MEAT IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 VANILLA IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 VENISON IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 WHEAT ALLERGEN | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 WHITE POLLOCK IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 WHITEFISH IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ZUCCHINI (CUCURBITA SPP) IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 AL SPEC IGE CRUDE XTR EA P7115 | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PN REGION 6 GRASSES | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PORCINE GELATIN IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN MAPLE SUGAR SPEC IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN LATEX IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE WHITE POPLAR | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 A FUMIGATUS M3 IGE P0218 | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE HOPS | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN GOAT MILK IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN CULT RYE GRASS IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 A KILIENSE IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 A LACTOALBUMIN ALLERGEN P 5416 | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN COFFEE IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN AVOCADO IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN ASPARAGUS IGE | $39.00 | $65.00 | $5.16–$52.00 | 21% above | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CAT DANDR IGE W/RFLX TO COM PN | $37.20 | $62.00 | $31.00–$49.60 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DOG DANDR IGE W/RFLX TO COM PN | $37.20 | $62.00 | $31.00–$49.60 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE QUANT P1246 | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ZUCCHINI (CUCURBITA SPP) IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHITEFISH IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHITE POLLOCK IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHEAT ALLERGEN | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 VENISON IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 VANILLA IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TURKEY MEAT IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TROUT IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TREE OF HEAVEN IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TREE NUT ALL PN W/REFL TO COMP | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TOBACCO LEAF IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TIMOTHY ALLERGEN | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TILAPIA IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 THISTLE (RUSSIAN) ALLERGEN | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SWEET POTATO IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SWEET GUM IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SUNFLOWER SEED IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SUNFLOWER IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SQUID IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SOYBEAN ALLERGEN | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SHRIMP ALLERGEN PNL 5410 | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SHEEP EPITHELIA IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SAGE IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RED KIDNEY BEAN IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 QUINOA IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PUMPKIN IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 POPPYSEED IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 POMEGRANATE IGE MAYO | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PINTO BEAN IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PINE(T213)IGE ALLERGEN | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PINE NUT IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PERCH IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PENICILLIN V IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PENICILLIN G IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEAR IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEANUT TL RFX TO PEANT COM PN | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PAPRIKA IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PAPAIN (K201) IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OREGANO IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OCTOPUS (F59) IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MOUSE EPITHELIA IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MILLET IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MILK COMPONENT PANEL | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MILK ALLERGEN | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MELONS IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MAPLE (BOX ELDER) TREE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MANDARIN (TANGERINE) IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LOBSTER ALLERGEN PNL 5410 | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LIME IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LIMA BEAN IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LENTILS IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LEMON IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LAMBS QUARTER ALLERGEN | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IODINE BUSH IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HORSERADISH IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GOAT EPITHELIA IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GALACTSE-ALPHA-1 3-GALACTS IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FUSARIUM OXYSPORUM IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FOOD AND TREE NUT ALLERGY PN | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FOOD ALLERGY PNL W/REFLEXES | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FERRET EPITHELIUM IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EUROGLYPHUS MAYNEI IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG YOLK ALLERGEN | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG WHITE ALLERGEN | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG MIX IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG COMPONENT PANEL | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DOG FENNEL IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CRAYFISH IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CRAB ALLERGEN PNL 5410 | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COWS MILK COMPONENT PANEL | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CORIANDER/CILANTRO IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CODFISH ALLERGEN PNL 5410 | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHILI PEPPER IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHESTNUT SWEET IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHERRY IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHEESE PARMESAN IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHEESE MOZZARELLA IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CAULIFLOWER IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CAT DANDER (EPITHEL) ALLERGEN | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CASEIN ALLERGEN PNL 5416 | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CARMEN RED DYE IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CANTALOPE IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CABBAGE IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BRUSSEL SPROUTS (F217) IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BREWERS YEAST IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BRAZIL NUT IGE W/RFX COMP PN | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BLUE MUSSEL ALLERGEN PNL 5410 | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BLACKBERRY IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BLACK OLIVE IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BERMUDA ALLERGEN | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BANANA IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 B TROPICALIS IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 B LACTOGLOBULIN ALLERGEN P5416 | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 APRICOT IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AMOXICILLIN IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALTERNARIUS T ALLERGEN | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALRGY PNL18 NUT MIX GRP 7918X | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLRGN SPEC IGE WALL EYED PIKE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG SPEC IGE TUMERIC C.LONGA | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY/SHELLFISH PANEL | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY PN REGION 6 GRASSES | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY PN 15 CEREAL GROUP | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY PN 13 STINGNG INSCT GR | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY PN 12 ANIMAL GROUP | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY PANEL REGION 7 TREES | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY PANEL REGION 6 WEEDS | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY PANEL MOLD GROUP | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY MOLD PANEL COMPLETE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY INSECT VENOM PANEL | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN/IGE CHICK PEA | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN/GINGER IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN/EGGPLANT IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN/BOVINE GELATIN IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN WATERMELON IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SWISS CHEESE IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE P0925 | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE P0861 | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE P0722 | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECI IGE EA ALLERGEN | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE HACKBERRY | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE FUSARM SOLAN | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SINGLE ORDER | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SAFFLOWER IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN RED MAPLE IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN RAPE SEED IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN QUEEN PALM IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PRIVET IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PORCINE GELATIN IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN MAPLE SUGAR SPEC IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN LATEX IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE WHITE POPLAR | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE HOPS | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN GOAT MILK IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN CULT RYE GRASS IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN COFFEE IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN AVOCADO IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN ASPARAGUS IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AL SPEC IGE CRUDE XTR EA P7115 | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ACREMONIUM KILIENSE IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 A LACTOALBUMIN ALLERGEN P 5416 | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 A KILIENSE IGE | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 A FUMIGATUS M3 IGE P0218 | $39.00 | $65.00 | $32.50–$52.00 | — | 40% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 AFP ANALYSIS-SERUM P0010 | $154.80 | $258.00 | $16.57–$206.40 | 41% above | 40% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN SERUM P0493 | $154.80 | $258.00 | $16.57–$206.40 | 41% above | 40% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROTEIN TUMOR MARKER | $154.80 | $258.00 | $16.57–$206.40 | 41% above | 40% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROTEIN MATRN SERUM | $154.80 | $258.00 | $16.57–$206.40 | 41% above | 40% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETAPROTEIN | $154.80 | $258.00 | $16.57–$206.40 | 41% above | 40% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 AFP SERUM (STAND ALONE) | $154.80 | $258.00 | $16.57–$206.40 | 41% above | 40% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA FETOPROTEIN MATRN SERUM | $154.80 | $258.00 | $129.00–$206.40 | — | 40% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA FETAPROTEIN | $154.80 | $258.00 | $129.00–$206.40 | — | 40% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA FETOPROTEIN TUMOR MARKER | $154.80 | $258.00 | $129.00–$206.40 | — | 40% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA-FETOPROTEIN SERUM P0493 | $154.80 | $258.00 | $129.00–$206.40 | — | 40% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP SERUM (STAND ALONE) | $154.80 | $258.00 | $129.00–$206.40 | — | 40% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP ANALYSIS-SERUM P0010 | $154.80 | $258.00 | $129.00–$206.40 | — | 40% |
| Ammonia blood test CPT 82140 AMMONIA P7923 | $151.20 | $252.00 | $5.00–$201.60 | 66% above | 40% |
| Ammonia blood test CPT 82140 AMMONIA | $151.20 | $252.00 | $5.00–$201.60 | 66% above | 40% |
| Ammonia blood test inpatient CPT 82140 AMMONIA P7923 | $151.20 | $252.00 | $5.00–$201.60 | — | 40% |
| Ammonia blood test inpatient CPT 82140 AMMONIA | $151.20 | $252.00 | $5.00–$201.60 | — | 40% |
| Amylase blood test CPT 82150 AMYLASE - BODY FLUIDS | $93.00 | $155.00 | $5.00–$124.00 | 113% above | 40% |
| Amylase blood test CPT 82150 AMYLASE | $93.00 | $155.00 | $5.00–$124.00 | 113% above | 40% |
| Amylase blood test CPT 82150 AMYLASE BODY FLUID (ARUP) | $93.00 | $155.00 | $5.00–$124.00 | 113% above | 40% |
| Amylase blood test CPT 82150 AMYLASE/FLUID | $93.00 | $155.00 | $5.00–$124.00 | 113% above | 40% |
| Amylase blood test inpatient CPT 82150 AMYLASE - BODY FLUIDS | $93.00 | $155.00 | $5.00–$124.00 | — | 40% |
| Amylase blood test inpatient CPT 82150 AMYLASE | $93.00 | $155.00 | $5.00–$124.00 | — | 40% |
| Amylase blood test inpatient CPT 82150 AMYLASE/FLUID | $93.00 | $155.00 | $5.00–$124.00 | — | 40% |
| Amylase blood test inpatient CPT 82150 AMYLASE BODY FLUID (ARUP) | $93.00 | $155.00 | $5.00–$124.00 | — | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLIN PEPTIDE P4262 | $49.20 | $82.00 | $12.80–$79.81 | 42% below | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLIN PEPTIDE P3164 | $49.20 | $82.00 | $12.80–$79.81 | 42% below | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULINATED PEPT P4307 | $49.20 | $82.00 | $12.80–$79.81 | 42% below | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYC CITRULLIN PEPTIDE AB P5076 | $49.20 | $82.00 | $12.80–$79.81 | 42% below | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY P6897 | $49.20 | $82.00 | $12.80–$79.81 | 42% below | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY P4660 | $49.20 | $82.00 | $12.80–$79.81 | 42% below | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 ANTI-CCP | $49.20 | $82.00 | $12.80–$79.81 | 42% below | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEP P5720 | $49.20 | $82.00 | $12.80–$79.81 | 42% below | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINE PEP IGG | $49.20 | $82.00 | $12.80–$79.81 | 42% below | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINE PEP P0305 | $49.20 | $82.00 | $12.80–$79.81 | 42% below | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CUTRULLINATED IGG IGA | $49.20 | $82.00 | $12.80–$79.81 | 42% below | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 QUANT NOT OTHERWISE SPEC P3885 | $49.20 | $82.00 | $12.80–$79.81 | 42% below | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 QUANT NOT OTHERWISE SPEC P3885 | $49.20 | $82.00 | $41.00–$65.60 | — | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 ANTI-CCP | $49.20 | $82.00 | $41.00–$65.60 | — | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP ANTIBODY P6897 | $49.20 | $82.00 | $41.00–$65.60 | — | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYC CITRULLIN PEPTIDE AB P5076 | $49.20 | $82.00 | $41.00–$65.60 | — | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULINATED PEPT P4307 | $49.20 | $82.00 | $41.00–$65.60 | — | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLIN PEPTIDE P3164 | $49.20 | $82.00 | $41.00–$65.60 | — | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLIN PEPTIDE P4262 | $49.20 | $82.00 | $41.00–$65.60 | — | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINATED PEP P5720 | $49.20 | $82.00 | $41.00–$65.60 | — | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINE PEP IGG | $49.20 | $82.00 | $41.00–$65.60 | — | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINE PEP P0305 | $49.20 | $82.00 | $41.00–$65.60 | — | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP ANTIBODY P4660 | $49.20 | $82.00 | $41.00–$65.60 | — | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CUTRULLINATED IGG IGA | $49.20 | $82.00 | $41.00–$65.60 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES P5091 | $120.00 | $200.00 | $11.95–$160.00 | 61% above | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ABA AB BY IND FLUOR AB(IFA)CSF | $120.00 | $200.00 | $11.95–$160.00 | 61% above | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA (ANTI NUCLEAR ANTIBODIES) | $120.00 | $200.00 | $11.95–$160.00 | 61% above | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA ANTIBODIES P4769 | $120.00 | $200.00 | $11.95–$160.00 | 61% above | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA BODY FLUID | $120.00 | $200.00 | $11.95–$160.00 | 61% above | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA IFA W/RFLX TITR/CASCADE | $120.00 | $200.00 | $11.95–$160.00 | 61% above | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA IFA W/RFX TITR/PAT/SCL ABS | $120.00 | $200.00 | $11.95–$160.00 | 61% above | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA P4660 | $120.00 | $200.00 | $11.95–$160.00 | 61% above | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA SCR IFA W/RFX TITR&PAT/MIX | $120.00 | $200.00 | $11.95–$160.00 | 61% above | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA W/REFLEX LUPUS/SLE | $120.00 | $200.00 | $11.95–$160.00 | 61% above | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANACHOICE SCREEN W/RFX DSDNA | $120.00 | $200.00 | $11.95–$160.00 | 61% above | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANACHOICE SPEC ANTI CASCADING | $120.00 | $200.00 | $11.95–$160.00 | 61% above | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTI-NUCLEAR AB BODY FLUID | $120.00 | $200.00 | $11.95–$160.00 | 61% above | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTI-NUCLEAR ANTIBODIES P1920 | $120.00 | $200.00 | $11.95–$160.00 | 61% above | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR AB | $120.00 | $200.00 | $11.95–$160.00 | 61% above | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR AB ANA P5076 | $120.00 | $200.00 | $11.95–$160.00 | 61% above | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES P4262 | $120.00 | $200.00 | $11.95–$160.00 | 61% above | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES P4307 | $120.00 | $200.00 | $11.95–$160.00 | 61% above | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES P4312 | $120.00 | $200.00 | $11.95–$160.00 | 61% above | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES P5919 | $120.00 | $200.00 | $11.95–$160.00 | 61% above | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES P8130 | $120.00 | $200.00 | $11.95–$160.00 | 61% above | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES P9012 | $120.00 | $200.00 | $11.95–$160.00 | 61% above | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES P9430 | $120.00 | $200.00 | $11.95–$160.00 | 61% above | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 CENTROMERE AB W/TITER REFLEX | $120.00 | $200.00 | $11.95–$160.00 | 61% above | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 TITER P3355 | $120.00 | $200.00 | $11.95–$160.00 | 61% above | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA P4660 | $120.00 | $200.00 | $15.00–$160.00 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA W/REFLEX LUPUS/SLE | $120.00 | $200.00 | $15.00–$160.00 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES P9012 | $120.00 | $200.00 | $15.00–$160.00 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES P8130 | $120.00 | $200.00 | $15.00–$160.00 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES P5919 | $120.00 | $200.00 | $15.00–$160.00 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES P5091 | $120.00 | $200.00 | $15.00–$160.00 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES P4312 | $120.00 | $200.00 | $15.00–$160.00 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES P4307 | $120.00 | $200.00 | $15.00–$160.00 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES P4262 | $120.00 | $200.00 | $15.00–$160.00 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR AB ANA P5076 | $120.00 | $200.00 | $15.00–$160.00 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR AB | $120.00 | $200.00 | $15.00–$160.00 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTI-NUCLEAR ANTIBODIES P1920 | $120.00 | $200.00 | $15.00–$160.00 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTI-NUCLEAR AB BODY FLUID | $120.00 | $200.00 | $15.00–$160.00 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANACHOICE SPEC ANTI CASCADING | $120.00 | $200.00 | $15.00–$160.00 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANACHOICE SCREEN W/RFX DSDNA | $120.00 | $200.00 | $15.00–$160.00 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ABA AB BY IND FLUOR AB(IFA)CSF | $120.00 | $200.00 | $15.00–$160.00 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA (ANTI NUCLEAR ANTIBODIES) | $120.00 | $200.00 | $15.00–$160.00 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA ANTIBODIES P4769 | $120.00 | $200.00 | $15.00–$160.00 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA BODY FLUID | $120.00 | $200.00 | $15.00–$160.00 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA IFA W/RFLX TITR/CASCADE | $120.00 | $200.00 | $15.00–$160.00 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA IFA W/RFX TITR/PAT/SCL ABS | $120.00 | $200.00 | $15.00–$160.00 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA SCR IFA W/RFX TITR&PAT/MIX | $120.00 | $200.00 | $15.00–$160.00 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 TITER P3355 | $120.00 | $200.00 | $15.00–$160.00 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 CENTROMERE AB W/TITER REFLEX | $120.00 | $200.00 | $15.00–$160.00 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES P9430 | $120.00 | $200.00 | $15.00–$160.00 | — | 40% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PRO BNP N TERMINAL | $159.00 | $265.00 | $37.94–$212.00 | 20% below | 40% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 CARDIO IQ NT PROBNP | $159.00 | $265.00 | $37.94–$212.00 | 20% below | 40% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-TYPE NATIURETIC PEPTIDE | $159.00 | $265.00 | $37.94–$212.00 | 20% below | 40% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B-TYPE NATIURETIC PEPTIDE | $159.00 | $265.00 | $37.94–$212.00 | — | 40% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 CARDIO IQ NT PROBNP | $159.00 | $265.00 | $37.94–$212.00 | — | 40% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 PRO BNP N TERMINAL | $159.00 | $265.00 | $37.94–$212.00 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE CF SPUTUM | $108.00 | $180.00 | $6.90–$144.00 | 107% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE AEROBIC | $108.00 | $180.00 | $6.90–$144.00 | 107% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 NOCARDIA CULT AND GRAM STAIN | $108.00 | $180.00 | $6.90–$144.00 | 107% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 GENITAL CULTURE | $108.00 | $180.00 | $6.90–$144.00 | 107% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 NOCARDIA CULT AND GRAM STAIN | $108.00 | $180.00 | $6.90–$144.00 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE AEROBIC | $108.00 | $180.00 | $6.90–$144.00 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE CF SPUTUM | $108.00 | $180.00 | $6.90–$144.00 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 GENITAL CULTURE | $108.00 | $180.00 | $6.90–$144.00 | — | 40% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL PLASMA | $108.60 | $181.00 | $8.36–$144.80 | 48% above | 40% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $108.60 | $181.00 | $8.36–$144.80 | 48% above | 40% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL | $108.60 | $181.00 | $9.36–$144.80 | — | 40% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL PLASMA | $108.60 | $181.00 | $9.36–$144.80 | — | 40% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL P9445 | $58.20 | $97.00 | $4.96–$77.60 | 82% above | 40% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL P3356 | $58.20 | $97.00 | $4.96–$77.60 | 82% above | 40% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN TTL | $58.20 | $97.00 | $4.96–$77.60 | 82% above | 40% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL P1635 | $58.20 | $97.00 | $4.96–$77.60 | 82% above | 40% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL P6317 | $58.20 | $97.00 | $4.96–$77.60 | 82% above | 40% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL P3896 | $58.20 | $97.00 | $4.96–$77.60 | 82% above | 40% |
| Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TTL | $58.20 | $97.00 | $6.93–$77.60 | — | 40% |
| Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL P6317 | $58.20 | $97.00 | $6.93–$77.60 | — | 40% |
| Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL P3896 | $58.20 | $97.00 | $6.93–$77.60 | — | 40% |
| Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL P3356 | $58.20 | $97.00 | $6.93–$77.60 | — | 40% |
| Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL P1635 | $58.20 | $97.00 | $6.93–$77.60 | — | 40% |
| Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL P9445 | $58.20 | $97.00 | $6.93–$77.60 | — | 40% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM | $197.40 | $329.00 | $9.00–$263.20 | 11% above | 40% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 CELL BLOCK | $197.40 | $329.00 | $9.00–$263.20 | 11% above | 40% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 LEVEL 4 GROSS & MICRO EXAM | $197.40 | $329.00 | $9.00–$263.20 | 11% above | 40% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 EM LEVEL 4 SURG PATH EXAM | $197.40 | $329.00 | $9.00–$263.20 | 11% above | 40% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 BONE MARROW CORE(S) ONLY | $197.40 | $329.00 | $9.00–$263.20 | 11% above | 40% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 CELL BLOCK | $197.40 | $329.00 | $34.00–$263.20 | — | 40% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 TISSUE EXAM | $197.40 | $329.00 | $34.00–$263.20 | — | 40% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 EM LEVEL 4 SURG PATH EXAM | $197.40 | $329.00 | $34.00–$263.20 | — | 40% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 LEVEL 4 GROSS & MICRO EXAM | $197.40 | $329.00 | $34.00–$263.20 | — | 40% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 BONE MARROW CORE(S) ONLY | $197.40 | $329.00 | $34.00–$263.20 | — | 40% |
| Blood culture for bacteria CPT 87040 CULTURE BLOOD | $115.80 | $193.00 | $10.20–$154.40 | 37% above | 40% |
| Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD | $115.80 | $193.00 | $96.50–$154.40 | — | 40% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE ROUTINE PCI STAFF | $20.40 | $34.00 | $0.02–$27.20 | 36% above | 40% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE ROUTINE SPEC COLL | $20.40 | $34.00 | $0.02–$27.20 | 36% above | 40% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE ROUTINE SPEC COLL | $20.40 | $34.00 | $17.00–$27.20 | — | 40% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE ROUTINE PCI STAFF | $20.40 | $34.00 | $17.00–$27.20 | — | 40% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE QUANT P9445 | $46.80 | $78.00 | $3.89–$62.40 | 82% above | 40% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE QUANT P8027 | $46.80 | $78.00 | $3.89–$62.40 | 82% above | 40% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE QN P8100 | $46.80 | $78.00 | $3.89–$62.40 | 82% above | 40% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE - BLOOD P0800 | $46.80 | $78.00 | $3.89–$62.40 | 82% above | 40% |
| Blood glucose (sugar) test CPT 82947 ASSAY GLUCOSE BLD QUANT P3356 | $46.80 | $78.00 | $3.89–$62.40 | 82% above | 40% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE | $46.80 | $78.00 | $3.89–$62.40 | 82% above | 40% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE SERUM QUANT | $46.80 | $78.00 | $3.89–$62.40 | 82% above | 40% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE QUANT P9445 | $46.80 | $78.00 | $4.00–$62.40 | — | 40% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE QUANT P8027 | $46.80 | $78.00 | $4.00–$62.40 | — | 40% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE QN P8100 | $46.80 | $78.00 | $4.00–$62.40 | — | 40% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE - BLOOD P0800 | $46.80 | $78.00 | $4.00–$62.40 | — | 40% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE | $46.80 | $78.00 | $4.00–$62.40 | — | 40% |
| Blood glucose (sugar) test inpatient CPT 82947 ASSAY GLUCOSE BLD QUANT P3356 | $46.80 | $78.00 | $4.00–$62.40 | — | 40% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE SERUM QUANT | $46.80 | $78.00 | $4.00–$62.40 | — | 40% |
| Blood lead test CPT 83655 LEAD RANDOM URINE | $100.80 | $168.00 | $10.00–$134.40 | 29% above | 40% |
| Blood lead test CPT 83655 LEAD CAPILLARY | $100.80 | $168.00 | $10.00–$134.40 | 29% above | 40% |
| Blood lead test CPT 83655 LEAD BLOOD PNL 2787 | $100.80 | $168.00 | $10.00–$134.40 | 29% above | 40% |
| Blood lead test CPT 83655 LEAD | $100.80 | $168.00 | $10.00–$134.40 | 29% above | 40% |
| Blood lead test CPT 83655 RANDOM URINE LEAD PNL 7901 | $100.80 | $168.00 | $10.00–$134.40 | 29% above | 40% |
| Blood lead test CPT 83655 LEAD WHOLE BLOOD | $100.80 | $168.00 | $10.00–$134.40 | 29% above | 40% |
| Blood lead test CPT 83655 LEAD P3931 | $100.80 | $168.00 | $10.00–$134.40 | 29% above | 40% |
| Blood lead test CPT 83655 LEAD P6242 | $100.80 | $168.00 | $10.00–$134.40 | 29% above | 40% |
| Blood lead test CPT 83655 LEAD P6980 | $100.80 | $168.00 | $10.00–$134.40 | 29% above | 40% |
| Blood lead test CPT 83655 LEAD RAND URINE PNL 1750 | $100.80 | $168.00 | $10.00–$134.40 | 29% above | 40% |
| Blood lead test CPT 83655 LEAD 24HR URINE PNL 5331 | $100.80 | $168.00 | $10.00–$134.40 | 29% above | 40% |
| Blood lead test inpatient CPT 83655 LEAD P6242 | $100.80 | $168.00 | $10.00–$134.40 | — | 40% |
| Blood lead test inpatient CPT 83655 LEAD | $100.80 | $168.00 | $10.00–$134.40 | — | 40% |
| Blood lead test inpatient CPT 83655 LEAD RANDOM URINE | $100.80 | $168.00 | $10.00–$134.40 | — | 40% |
| Blood lead test inpatient CPT 83655 LEAD 24HR URINE PNL 5331 | $100.80 | $168.00 | $10.00–$134.40 | — | 40% |
| Blood lead test inpatient CPT 83655 LEAD BLOOD PNL 2787 | $100.80 | $168.00 | $10.00–$134.40 | — | 40% |
| Blood lead test inpatient CPT 83655 LEAD CAPILLARY | $100.80 | $168.00 | $10.00–$134.40 | — | 40% |
| Blood lead test inpatient CPT 83655 LEAD P3931 | $100.80 | $168.00 | $10.00–$134.40 | — | 40% |
| Blood lead test inpatient CPT 83655 LEAD P6980 | $100.80 | $168.00 | $10.00–$134.40 | — | 40% |
| Blood lead test inpatient CPT 83655 LEAD RAND URINE PNL 1750 | $100.80 | $168.00 | $10.00–$134.40 | — | 40% |
| Blood lead test inpatient CPT 83655 LEAD WHOLE BLOOD | $100.80 | $168.00 | $10.00–$134.40 | — | 40% |
| Blood lead test inpatient CPT 83655 RANDOM URINE LEAD PNL 7901 | $100.80 | $168.00 | $10.00–$134.40 | — | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUALITATIVE - SERUM | $124.80 | $208.00 | $7.43–$166.40 | 149% above | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUALITATIVE | $124.80 | $208.00 | $7.43–$166.40 | 149% above | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 ISTAT B-HCG QUAL | $124.80 | $208.00 | $7.43–$166.40 | 149% above | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 POC URINE HCG QUAL CLINITEK | $124.80 | $208.00 | $7.43–$166.40 | 149% above | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 ISTAT B-HCG QUAL | $124.80 | $208.00 | $10.38–$166.40 | — | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 POC URINE HCG QUAL CLINITEK | $124.80 | $208.00 | $10.38–$166.40 | — | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG QUALITATIVE - SERUM | $124.80 | $208.00 | $10.38–$166.40 | — | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG QUALITATIVE | $124.80 | $208.00 | $10.38–$166.40 | — | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ISOHEMAGGLUTIN TITER IGG & IGM | $30.60 | $51.00 | $2.96–$40.80 | 77% below | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPING ABO | $30.60 | $51.00 | $2.96–$40.80 | 77% below | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING P2168 | $30.60 | $51.00 | $2.96–$40.80 | 77% below | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING ABO | $30.60 | $51.00 | $2.96–$40.80 | 77% below | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ISOHEMAGGLUTIN TITER IGG & IGM | $30.60 | $51.00 | $4.12–$40.80 | — | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BLOOD TYPING ABO | $30.60 | $51.00 | $4.12–$40.80 | — | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING ABO | $30.60 | $51.00 | $4.12–$40.80 | — | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING P2168 | $30.60 | $51.00 | $4.12–$40.80 | — | 40% |
| Blood urea nitrogen (BUN) test CPT 84520 BUN PNL 1714 | $50.40 | $84.00 | $3.90–$67.20 | 87% above | 40% |
| Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN P4233 | $50.40 | $84.00 | $3.90–$67.20 | 87% above | 40% |
| Blood urea nitrogen (BUN) test CPT 84520 BUN | $50.40 | $84.00 | $3.90–$67.20 | 87% above | 40% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 UREA NITROGEN P4233 | $50.40 | $84.00 | $5.44–$67.20 | — | 40% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN PNL 1714 | $50.40 | $84.00 | $5.44–$67.20 | — | 40% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN | $50.40 | $84.00 | $5.44–$67.20 | — | 40% |
| C-peptide blood test CPT 84681 C-PEPTIDE RESP TO GLUC 2 SPEC | $197.40 | $329.00 | $20.57–$263.20 | 82% above | 40% |
| C-peptide blood test CPT 84681 C-PEPTIDE | $197.40 | $329.00 | $20.57–$263.20 | 82% above | 40% |
| C-peptide blood test CPT 84681 C-PEPTIDE P4981 | $197.40 | $329.00 | $20.57–$263.20 | 82% above | 40% |
| C-peptide blood test CPT 84681 C PEPTIDE | $197.40 | $329.00 | $20.57–$263.20 | 82% above | 40% |
| C-peptide blood test inpatient CPT 84681 C PEPTIDE | $197.40 | $329.00 | $164.50–$263.20 | — | 40% |
| C-peptide blood test inpatient CPT 84681 C-PEPTIDE | $197.40 | $329.00 | $164.50–$263.20 | — | 40% |
| C-peptide blood test inpatient CPT 84681 C-PEPTIDE P4981 | $197.40 | $329.00 | $164.50–$263.20 | — | 40% |
| C-peptide blood test inpatient CPT 84681 C-PEPTIDE RESP TO GLUC 2 SPEC | $197.40 | $329.00 | $164.50–$263.20 | — | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN P6330 | $60.60 | $101.00 | $3.00–$80.80 | 70% above | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $60.60 | $101.00 | $3.00–$80.80 | 70% above | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN | $60.60 | $101.00 | $3.00–$80.80 | 70% above | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN | $60.60 | $101.00 | $3.00–$80.80 | — | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C REACTIVE PROTEIN P6330 | $60.60 | $101.00 | $3.00–$80.80 | — | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C REACTIVE PROTEIN | $60.60 | $101.00 | $3.00–$80.80 | — | 40% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C-DIFF BY PCR | $349.80 | $583.00 | $36.84–$466.40 | 68% above | 40% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFFICILE DNA | $349.80 | $583.00 | $36.84–$466.40 | 68% above | 40% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFFICILE DNA | $349.80 | $583.00 | $40.22–$466.40 | — | 40% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C-DIFF BY PCR | $349.80 | $583.00 | $40.22–$466.40 | — | 40% |
| CA 19-9 blood test (tumor marker) CPT 86301 CANCER ANTIGEN-GI (CA 19-9) | $202.20 | $337.00 | $20.57–$269.60 | 52% above | 40% |
| CA 19-9 blood test (tumor marker) CPT 86301 CA ANTIGEN-GI(CA 19-9)BODY FL | $202.20 | $337.00 | $20.57–$269.60 | 52% above | 40% |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 QUANT | $202.20 | $337.00 | $20.57–$269.60 | 52% above | 40% |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-1/CA 19-9 TUMOR MARKER | $202.20 | $337.00 | $20.57–$269.60 | 52% above | 40% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA ANTIGEN-GI(CA 19-9)BODY FL | $202.20 | $337.00 | $168.50–$269.60 | — | 40% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 QUANT | $202.20 | $337.00 | $168.50–$269.60 | — | 40% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 CANCER ANTIGEN-GI (CA 19-9) | $202.20 | $337.00 | $168.50–$269.60 | — | 40% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-1/CA 19-9 TUMOR MARKER | $202.20 | $337.00 | $168.50–$269.60 | — | 40% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CANCER ANTIGEN 125 | $169.20 | $282.00 | $20.57–$225.60 | 29% above | 40% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 TUMOR MARKER | $169.20 | $282.00 | $20.57–$225.60 | 29% above | 40% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 QUANT | $169.20 | $282.00 | $20.57–$225.60 | 29% above | 40% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CANCER ANTIGEN 125 | $169.20 | $282.00 | $141.00–$225.60 | — | 40% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125 QUANT | $169.20 | $282.00 | $141.00–$225.60 | — | 40% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125 TUMOR MARKER | $169.20 | $282.00 | $141.00–$225.60 | — | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 IN AG DET NU AC(RNAORDNA)P5068 | $75.00 | $125.00 | $35.49–$106.78 | 18% below | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 TEST | $75.00 | $125.00 | $35.49–$106.78 | 18% below | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 IN AG DET NU AC(RNAORDNA)P5060 | $75.00 | $125.00 | $35.49–$106.78 | 18% below | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 INF AG DET AMP PRB TEC COVID19 | $75.00 | $125.00 | $35.49–$106.78 | 18% below | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 IN AG DET NU AC(RNAORDNA)P5063 | $75.00 | $125.00 | $35.49–$106.78 | 18% below | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 SARS COVID19/2 RNA QL RT-PCR | $75.00 | $125.00 | $35.49–$106.78 | 18% below | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 TEST | $75.00 | $125.00 | $62.50–$100.00 | — | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 IN AG DET NU AC(RNAORDNA)P5063 | $75.00 | $125.00 | $62.50–$100.00 | — | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 IN AG DET NU AC(RNAORDNA)P5068 | $75.00 | $125.00 | $62.50–$100.00 | — | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 INF AG DET AMP PRB TEC COVID19 | $75.00 | $125.00 | $62.50–$100.00 | — | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 IN AG DET NU AC(RNAORDNA)P5060 | $75.00 | $125.00 | $62.50–$100.00 | — | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient one side CPT 87635 SARS COVID19/2 RNA QL RT-PCR | $75.00 | $125.00 | $62.50–$100.00 | — | 40% |
| Calcium blood test, total CPT 82310 CALCIUM | $85.20 | $142.00 | $5.10–$113.60 | 154% above | 40% |
| Calcium blood test, total CPT 82310 CALCIUM (SERUM) PNL 2511 | $85.20 | $142.00 | $5.10–$113.60 | 154% above | 40% |
| Calcium blood test, total CPT 82310 CALCIUM RANDOM URINE | $85.20 | $142.00 | $5.10–$113.60 | 154% above | 40% |
| Calcium blood test, total CPT 82310 CALCIUM TOTAL | $85.20 | $142.00 | $5.10–$113.60 | 154% above | 40% |
| Calcium blood test, total CPT 82310 CALCIUM TOTAL P6970 | $85.20 | $142.00 | $5.10–$113.60 | 154% above | 40% |
| Calcium blood test, total inpatient CPT 82310 CALCIUM TOTAL | $85.20 | $142.00 | $7.11–$113.60 | — | 40% |
| Calcium blood test, total inpatient CPT 82310 CALCIUM TOTAL P6970 | $85.20 | $142.00 | $7.11–$113.60 | — | 40% |
| Calcium blood test, total inpatient CPT 82310 CALCIUM | $85.20 | $142.00 | $7.11–$113.60 | — | 40% |
| Calcium blood test, total inpatient CPT 82310 CALCIUM (SERUM) PNL 2511 | $85.20 | $142.00 | $7.11–$113.60 | — | 40% |
| Calcium blood test, total inpatient CPT 82310 CALCIUM RANDOM URINE | $85.20 | $142.00 | $7.11–$113.60 | — | 40% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC AG | $201.60 | $336.00 | $17.00–$268.80 | 70% above | 40% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CEA | $201.60 | $336.00 | $17.00–$268.80 | 70% above | 40% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA | $201.60 | $336.00 | $17.00–$268.80 | — | 40% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CARCINOEMBRYONIC AG | $201.60 | $336.00 | $17.00–$268.80 | — | 40% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER P7969 | $171.00 | $285.00 | $12.73–$228.00 | 102% above | 40% |
| Chickenpox (varicella) immunity blood test CPT 86787 HERPES ZOSTER AB IGG | $171.00 | $285.00 | $12.73–$228.00 | 102% above | 40% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER AB - IGG | $171.00 | $285.00 | $12.73–$228.00 | 102% above | 40% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER AB IGM | $171.00 | $285.00 | $12.73–$228.00 | 102% above | 40% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER AB PANEL CSF | $171.00 | $285.00 | $12.73–$228.00 | 102% above | 40% |
| Chickenpox (varicella) immunity blood test CPT 86787 HERPES ZOSTER AB IGM OSL | $171.00 | $285.00 | $12.73–$228.00 | 102% above | 40% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOST AB IMM SCR ACIF | $171.00 | $285.00 | $12.73–$228.00 | 102% above | 40% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER P0786 | $171.00 | $285.00 | $12.73–$228.00 | 102% above | 40% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER P1665 | $171.00 | $285.00 | $12.73–$228.00 | 102% above | 40% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA-ZOST AB IMM SCR ACIF | $171.00 | $285.00 | $17.81–$228.00 | — | 40% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA-ZOSTER P7969 | $171.00 | $285.00 | $17.81–$228.00 | — | 40% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA-ZOSTER P1665 | $171.00 | $285.00 | $17.81–$228.00 | — | 40% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA-ZOSTER P0786 | $171.00 | $285.00 | $17.81–$228.00 | — | 40% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER AB PANEL CSF | $171.00 | $285.00 | $17.81–$228.00 | — | 40% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER AB IGM | $171.00 | $285.00 | $17.81–$228.00 | — | 40% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER AB - IGG | $171.00 | $285.00 | $17.81–$228.00 | — | 40% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HERPES ZOSTER AB IGM OSL | $171.00 | $285.00 | $17.81–$228.00 | — | 40% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HERPES ZOSTER AB IGG | $171.00 | $285.00 | $17.81–$228.00 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS P9043 | $219.60 | $366.00 | $23.19–$292.80 | 12% above | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS P8866 | $219.60 | $366.00 | $23.19–$292.80 | 12% above | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C TRACHOMA RNA TMA RECT/THROAT | $219.60 | $366.00 | $23.19–$292.80 | 12% above | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C TRACHOMATIS AMPL P3611 | $219.60 | $366.00 | $23.19–$292.80 | 12% above | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C TRACHOMATIS AMPL PROBE P1815 | $219.60 | $366.00 | $23.19–$292.80 | 12% above | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS P3680 | $219.60 | $366.00 | $23.19–$292.80 | 12% above | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS P3690 | $219.60 | $366.00 | $23.19–$292.80 | 12% above | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS P4224 | $219.60 | $366.00 | $23.19–$292.80 | 12% above | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS P6035 | $219.60 | $366.00 | $23.19–$292.80 | 12% above | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS P7084 | $219.60 | $366.00 | $23.19–$292.80 | 12% above | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHYLMD TRACH DNA AMP PR P4792 | $219.60 | $366.00 | $23.19–$292.80 | 12% above | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMY TRACH DNA AMP PRBE P3411 | $219.60 | $366.00 | $23.19–$292.80 | 12% above | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRCH AMP PROBE P9292 | $219.60 | $366.00 | $23.19–$292.80 | 12% above | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS RNA TMA | $219.60 | $366.00 | $23.19–$292.80 | 12% above | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS PCR | $219.60 | $366.00 | $23.19–$292.80 | 12% above | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS RNA TMA | $219.60 | $366.00 | $23.19–$292.80 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHYLMD TRACH DNA AMP PR P4792 | $219.60 | $366.00 | $23.19–$292.80 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLMY TRACH DNA AMP PRBE P3411 | $219.60 | $366.00 | $23.19–$292.80 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRCH AMP PROBE P9292 | $219.60 | $366.00 | $23.19–$292.80 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS P3690 | $219.60 | $366.00 | $23.19–$292.80 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS P4224 | $219.60 | $366.00 | $23.19–$292.80 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS P6035 | $219.60 | $366.00 | $23.19–$292.80 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS P7084 | $219.60 | $366.00 | $23.19–$292.80 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS P8866 | $219.60 | $366.00 | $23.19–$292.80 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS P9043 | $219.60 | $366.00 | $23.19–$292.80 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 C TRACHOMA RNA TMA RECT/THROAT | $219.60 | $366.00 | $23.19–$292.80 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 C TRACHOMATIS AMPL P3611 | $219.60 | $366.00 | $23.19–$292.80 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 C TRACHOMATIS AMPL PROBE P1815 | $219.60 | $366.00 | $23.19–$292.80 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS PCR | $219.60 | $366.00 | $23.19–$292.80 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS P3680 | $219.60 | $366.00 | $23.19–$292.80 | — | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 CARDIO IQ LIPID PANEL | $143.40 | $239.00 | $13.24–$191.20 | 60% above | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 CARD IQ LIPID PN W/REF DIR LDL | $143.40 | $239.00 | $13.24–$191.20 | 60% above | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL W/RFX LDL | $143.40 | $239.00 | $13.24–$191.20 | 60% above | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL P8100 | $143.40 | $239.00 | $13.24–$191.20 | 60% above | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL P8093 | $143.40 | $239.00 | $13.24–$191.20 | 60% above | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL P4483 | $143.40 | $239.00 | $13.24–$191.20 | 60% above | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL 2 | $143.40 | $239.00 | $13.24–$191.20 | 60% above | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE | $143.40 | $239.00 | $13.24–$191.20 | 60% above | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL W/RFX LDL | $143.40 | $239.00 | $14.00–$191.20 | — | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL 2 | $143.40 | $239.00 | $14.00–$191.20 | — | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 CARD IQ LIPID PN W/REF DIR LDL | $143.40 | $239.00 | $14.00–$191.20 | — | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 CARDIO IQ LIPID PANEL | $143.40 | $239.00 | $14.00–$191.20 | — | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE | $143.40 | $239.00 | $14.00–$191.20 | — | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL P8100 | $143.40 | $239.00 | $14.00–$191.20 | — | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL P8093 | $143.40 | $239.00 | $14.00–$191.20 | — | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL P4483 | $143.40 | $239.00 | $14.00–$191.20 | — | 40% |
| Complete blood count (CBC) with differential CPT 85025 CBC & PLT & AUTO COMP DIFF | $89.40 | $149.00 | $6.00–$119.20 | 75% above | 40% |
| Complete blood count (CBC) with differential CPT 85025 OXLDL | $89.40 | $149.00 | $6.00–$119.20 | 75% above | 40% |
| Complete blood count (CBC) with differential CPT 85025 CBC W/DIFF & PLATELETS | $89.40 | $149.00 | $6.00–$119.20 | 75% above | 40% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC & PLT & AUTO COMP DIFF | $89.40 | $149.00 | $6.00–$119.20 | — | 40% |
| Complete blood count (CBC) with differential inpatient CPT 85025 OXLDL | $89.40 | $149.00 | $6.00–$119.20 | — | 40% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/DIFF & PLATELETS | $89.40 | $149.00 | $6.00–$119.20 | — | 40% |
| Complete blood count (CBC), no differential CPT 85027 CBC & PLT ONLY | $65.40 | $109.00 | $6.39–$87.20 | 51% above | 40% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC & PLT ONLY | $65.40 | $109.00 | $7.52–$87.20 | — | 40% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL | $156.00 | $260.00 | $10.43–$208.00 | 76% above | 40% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE MET PN PLASMA | $156.00 | $260.00 | $10.43–$208.00 | 76% above | 40% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE MET PN PLASMA | $156.00 | $260.00 | $11.69–$208.00 | — | 40% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL | $156.00 | $260.00 | $11.69–$208.00 | — | 40% |
| Cortisol blood test, total CPT 82533 CORTISOL BASELINE PNL 1964 | $190.20 | $317.00 | $12.00–$253.60 | 85% above | 40% |
| Cortisol blood test, total CPT 82533 CORTISOL 60 MINUTE PNL 1964 | $190.20 | $317.00 | $12.00–$253.60 | 85% above | 40% |
| Cortisol blood test, total CPT 82533 CORTISOL 30 MINUTE PNL 1964 | $190.20 | $317.00 | $12.00–$253.60 | 85% above | 40% |
| Cortisol blood test, total CPT 82533 CORTISOL | $190.20 | $317.00 | $12.00–$253.60 | 85% above | 40% |
| Cortisol blood test, total CPT 82533 AM CORTISOL | $190.20 | $317.00 | $12.00–$253.60 | 85% above | 40% |
| Cortisol blood test, total CPT 82533 DEXAMETHASONE SUPPRESSION | $190.20 | $317.00 | $12.00–$253.60 | 85% above | 40% |
| Cortisol blood test, total CPT 82533 CORTISOL TOTAL P4328 | $190.20 | $317.00 | $12.00–$253.60 | 85% above | 40% |
| Cortisol blood test, total CPT 82533 SALIVARY CORTISOL | $190.20 | $317.00 | $12.00–$253.60 | 85% above | 40% |
| Cortisol blood test, total CPT 82533 PM CORTISOL | $190.20 | $317.00 | $12.00–$253.60 | 85% above | 40% |
| Cortisol blood test, total CPT 82533 CORTISOL TOTAL | $190.20 | $317.00 | $12.00–$253.60 | 85% above | 40% |
| Cortisol blood test, total CPT 82533 CORTISOL TOTAL LC/MS/MS | $190.20 | $317.00 | $12.00–$253.60 | 85% above | 40% |
| Cortisol blood test, total CPT 82533 CORTISOL SERUM | $190.20 | $317.00 | $12.00–$253.60 | 85% above | 40% |
| Cortisol blood test, total inpatient CPT 82533 DEXAMETHASONE SUPPRESSION | $190.20 | $317.00 | $12.00–$253.60 | — | 40% |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL BASELINE PNL 1964 | $190.20 | $317.00 | $12.00–$253.60 | — | 40% |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL 60 MINUTE PNL 1964 | $190.20 | $317.00 | $12.00–$253.60 | — | 40% |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL 30 MINUTE PNL 1964 | $190.20 | $317.00 | $12.00–$253.60 | — | 40% |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL | $190.20 | $317.00 | $12.00–$253.60 | — | 40% |
| Cortisol blood test, total inpatient CPT 82533 AM CORTISOL | $190.20 | $317.00 | $12.00–$253.60 | — | 40% |
| Cortisol blood test, total inpatient CPT 82533 PM CORTISOL | $190.20 | $317.00 | $12.00–$253.60 | — | 40% |
| Cortisol blood test, total inpatient CPT 82533 SALIVARY CORTISOL | $190.20 | $317.00 | $12.00–$253.60 | — | 40% |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL TOTAL | $190.20 | $317.00 | $12.00–$253.60 | — | 40% |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL TOTAL LC/MS/MS | $190.20 | $317.00 | $12.00–$253.60 | — | 40% |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL TOTAL P4328 | $190.20 | $317.00 | $12.00–$253.60 | — | 40% |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL SERUM | $190.20 | $317.00 | $12.00–$253.60 | — | 40% |
| Creatine kinase (CK) blood test, total CPT 82550 CPK (CREATINE PHOSPHOKINASE) | $103.20 | $172.00 | $6.44–$137.60 | 129% above | 40% |
| Creatine kinase (CK) blood test, total CPT 82550 CREATINE KINASE P2392 | $103.20 | $172.00 | $6.44–$137.60 | 129% above | 40% |
| Creatine kinase (CK) blood test, total CPT 82550 CK (CPK) TOTAL | $103.20 | $172.00 | $6.44–$137.60 | 129% above | 40% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 CPK (CREATINE PHOSPHOKINASE) | $103.20 | $172.00 | $7.19–$137.60 | — | 40% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 CK (CPK) TOTAL | $103.20 | $172.00 | $7.19–$137.60 | — | 40% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 CREATINE KINASE P2392 | $103.20 | $172.00 | $7.19–$137.60 | — | 40% |
| Creatinine blood test CPT 82565 CREATININE P4233 | $61.80 | $103.00 | $5.07–$82.40 | 83% above | 40% |
| Creatinine blood test CPT 82565 CREATININE PNL 1714 | $61.80 | $103.00 | $5.07–$82.40 | 83% above | 40% |
| Creatinine blood test CPT 82565 GFR ESTIMATE | $61.80 | $103.00 | $5.07–$82.40 | 83% above | 40% |
| Creatinine blood test CPT 82565 CREATININE SERUM | $61.80 | $103.00 | $5.07–$82.40 | 83% above | 40% |
| Creatinine blood test CPT 82565 CREATININE POCT TEST | $61.80 | $103.00 | $5.07–$82.40 | 83% above | 40% |
| Creatinine blood test inpatient CPT 82565 CREATININE PNL 1714 | $61.80 | $103.00 | $6.41–$82.40 | — | 40% |
| Creatinine blood test inpatient CPT 82565 CREATININE POCT TEST | $61.80 | $103.00 | $6.41–$82.40 | — | 40% |
| Creatinine blood test inpatient CPT 82565 CREATININE P4233 | $61.80 | $103.00 | $6.41–$82.40 | — | 40% |
| Creatinine blood test inpatient CPT 82565 CREATININE SERUM | $61.80 | $103.00 | $6.41–$82.40 | — | 40% |
| Creatinine blood test inpatient CPT 82565 GFR ESTIMATE | $61.80 | $103.00 | $6.41–$82.40 | — | 40% |
| Cytomegalovirus (CMV) antibody test CPT 86644 CMV IGG PNL 1850 | $164.40 | $274.00 | $14.22–$219.20 | 90% above | 40% |
| Cytomegalovirus (CMV) antibody test CPT 86644 CMV IGG | $164.40 | $274.00 | $14.22–$219.20 | 90% above | 40% |
| Cytomegalovirus (CMV) antibody test CPT 86644 CYTOMEGALOVIRUS IGG AB PNL8733 | $164.40 | $274.00 | $14.22–$219.20 | 90% above | 40% |
| Cytomegalovirus (CMV) antibody test CPT 86644 DONOR CMV AB TOTAL | $164.40 | $274.00 | $14.22–$219.20 | 90% above | 40% |
| Cytomegalovirus (CMV) antibody test CPT 86644 CYTOMEGALOVIRUS(CMV)(IGG)AB | $164.40 | $274.00 | $14.22–$219.20 | 90% above | 40% |
| Cytomegalovirus (CMV) antibody test CPT 86644 CYTOMEGALOVIRUS P0786 | $164.40 | $274.00 | $14.22–$219.20 | 90% above | 40% |
| Cytomegalovirus (CMV) antibody test CPT 86644 CMV SCREENING PTS | $164.40 | $274.00 | $14.22–$219.20 | 90% above | 40% |
| Cytomegalovirus (CMV) antibody test CPT 86644 CMV IGG AVIDITY INDEX | $164.40 | $274.00 | $14.22–$219.20 | 90% above | 40% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV IGG PNL 1850 | $164.40 | $274.00 | $137.00–$219.20 | — | 40% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CYTOMEGALOVIRUS IGG AB PNL8733 | $164.40 | $274.00 | $137.00–$219.20 | — | 40% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CYTOMEGALOVIRUS P0786 | $164.40 | $274.00 | $137.00–$219.20 | — | 40% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CYTOMEGALOVIRUS(CMV)(IGG)AB | $164.40 | $274.00 | $137.00–$219.20 | — | 40% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 DONOR CMV AB TOTAL | $164.40 | $274.00 | $137.00–$219.20 | — | 40% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV IGG | $164.40 | $274.00 | $137.00–$219.20 | — | 40% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV IGG AVIDITY INDEX | $164.40 | $274.00 | $137.00–$219.20 | — | 40% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV SCREENING PTS | $164.40 | $274.00 | $137.00–$219.20 | — | 40% |
| D-dimer blood test (blood clot marker) CPT 85379 D DIMER P P7021 | $62.40 | $104.00 | $10.06–$83.20 | 9% below | 40% |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUANTITIVE | $62.40 | $104.00 | $10.06–$83.20 | 9% below | 40% |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUANTITATIVE | $62.40 | $104.00 | $10.06–$83.20 | 9% below | 40% |
| D-dimer blood test (blood clot marker) CPT 85379 D DIMER QUANTITATIVE BCS | $62.40 | $104.00 | $10.06–$83.20 | 9% below | 40% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D DIMER P P7021 | $62.40 | $104.00 | $52.00–$83.20 | — | 40% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER QUANTITIVE | $62.40 | $104.00 | $52.00–$83.20 | — | 40% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER QUANTITATIVE | $62.40 | $104.00 | $52.00–$83.20 | — | 40% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D DIMER QUANTITATIVE BCS | $62.40 | $104.00 | $52.00–$83.20 | — | 40% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S (ESOTERIX) | $259.20 | $432.00 | $21.00–$345.60 | 93% above | 40% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE | $259.20 | $432.00 | $21.00–$345.60 | 93% above | 40% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S | $259.20 | $432.00 | $21.00–$345.60 | 93% above | 40% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-S (ESOTERIX) | $259.20 | $432.00 | $21.00–$345.60 | — | 40% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATE | $259.20 | $432.00 | $21.00–$345.60 | — | 40% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-S | $259.20 | $432.00 | $21.00–$345.60 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG CLASS SNGL METHOD P0560 | $399.60 | $666.00 | $51.75–$532.80 | 120% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 URINE DRUGS OF ABUSE SCREEN | $399.60 | $666.00 | $51.75–$532.80 | 120% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 TRICYCLIC ANTIDEPRESSANT | $399.60 | $666.00 | $51.75–$532.80 | 120% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 TOX 10+ALCOHOL/URINE | $399.60 | $666.00 | $51.75–$532.80 | 120% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 SYNTHETIC CANNABINOIDS SCREEN | $399.60 | $666.00 | $51.75–$532.80 | 120% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 SYN CANNABINOID MET SCR-EXP UR | $399.60 | $666.00 | $51.75–$532.80 | 120% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 SNGLE DRUG CLASS METHD P9910 | $399.60 | $666.00 | $51.75–$532.80 | 120% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 SINGLE DRUG CLASS METHOD P3632 | $399.60 | $666.00 | $51.75–$532.80 | 120% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 PROPOXYPHENE SCREEN/CONF | $399.60 | $666.00 | $51.75–$532.80 | 120% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 POSTMORTEM EXPD SER FORENSIC | $399.60 | $666.00 | $51.75–$532.80 | 120% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 POSTMORTEM BASIC BLD FORENSIC | $399.60 | $666.00 | $51.75–$532.80 | 120% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 PM ALCOHOL METABOLITE W/CONF | $399.60 | $666.00 | $51.75–$532.80 | 120% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 PAIN MANAGEMENT AMPHETAMINES | $399.60 | $666.00 | $51.75–$532.80 | 120% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 OXYCODONE QL URINE | $399.60 | $666.00 | $51.75–$532.80 | 120% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 OXYCODONE QL NO CONFIRM | $399.60 | $666.00 | $51.75–$532.80 | 120% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 NOVEL PSYCHOACT SUBST SCR 2 | $399.60 | $666.00 | $51.75–$532.80 | 120% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 NICOTINE-COTININE URINE | $399.60 | $666.00 | $51.75–$532.80 | 120% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 NICOTINE AND METABOLITE | $399.60 | $666.00 | $51.75–$532.80 | 120% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 IMMUNOASSAY EACH DRUG CL P1261 | $399.60 | $666.00 | $51.75–$532.80 | 120% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HYPOGLYCEMIC AGNT SCR SER MAYO | $399.60 | $666.00 | $51.75–$532.80 | 120% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 GAMMA-OH-BUTYRIC SCREEN URINE | $399.60 | $666.00 | $51.75–$532.80 | 120% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 GAMMA-HYDROXYBUTYR ACID SCRN | $399.60 | $666.00 | $51.75–$532.80 | 120% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 FENTANYL SCREEN URINE | $399.60 | $666.00 | $51.75–$532.80 | 120% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 ETHANOL | $399.60 | $666.00 | $51.75–$532.80 | 120% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DTM FENTANYL WITH CONF URINE | $399.60 | $666.00 | $51.75–$532.80 | 120% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TOX MONITORNG 4 W CONF UR | $399.60 | $666.00 | $51.75–$532.80 | 120% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TOX MONITORING 9 SCR UR | $399.60 | $666.00 | $51.75–$532.80 | 120% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TOX MONITORING 1 SCR UR | $399.60 | $666.00 | $51.75–$532.80 | 120% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TOX MONITORING & SCRN UR | $399.60 | $666.00 | $51.75–$532.80 | 120% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TOX MON OPIATES W/CONF UR | $399.60 | $666.00 | $51.75–$532.80 | 120% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TOX MON BUPRENOR SCR UR | $399.60 | $666.00 | $51.75–$532.80 | 120% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TESTING P1966 | $399.60 | $666.00 | $51.75–$532.80 | 120% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN SINGLE CLASS P1620 | $399.60 | $666.00 | $51.75–$532.80 | 120% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN SINGLE CLASS P1603 | $399.60 | $666.00 | $51.75–$532.80 | 120% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN QUALITATIVE P3632 | $399.60 | $666.00 | $51.75–$532.80 | 120% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN P8040 | $399.60 | $666.00 | $51.75–$532.80 | 120% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN P4015 | $399.60 | $666.00 | $51.75–$532.80 | 120% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN FORENSIC(GC/MS)UR | $399.60 | $666.00 | $51.75–$532.80 | 120% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCR SINGL CLASS IMM P1603 | $399.60 | $666.00 | $51.75–$532.80 | 120% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG MONITORING PNL 5 SCR URN | $399.60 | $666.00 | $51.75–$532.80 | 120% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG MONITORING W/CONF URINE | $399.60 | $666.00 | $51.75–$532.80 | 120% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG MON OPIOIDS PN W/CONF UR | $399.60 | $666.00 | $51.75–$532.80 | 120% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRG TST PRSMV CHEM ANLY P3352 | $399.60 | $666.00 | $51.75–$532.80 | 120% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRG TOX MON ETHYL AL W/CONF UR | $399.60 | $666.00 | $51.75–$532.80 | 120% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 COCAINE METABOLITES - URINE | $399.60 | $666.00 | $51.75–$532.80 | 120% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 BUPRENORPHINE SCREEN URINE | $399.60 | $666.00 | $51.75–$532.80 | 120% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 BENZODIAZEPNS CONFRM URINE ARU | $399.60 | $666.00 | $51.75–$532.80 | 120% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 AMPHETAMINE QUAL | $399.60 | $666.00 | $51.75–$532.80 | 120% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 ALCOHOL URINE QUALITATIVE | $399.60 | $666.00 | $51.75–$532.80 | 120% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 10 DRUG URINE THC 50 | $399.60 | $666.00 | $51.75–$532.80 | 120% above | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 BENZODIAZEPNS CONFRM URINE ARU | $399.60 | $666.00 | $63.85–$532.80 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG MONITORING PNL 5 SCR URN | $399.60 | $666.00 | $63.85–$532.80 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCR SINGL CLASS IMM P1603 | $399.60 | $666.00 | $63.85–$532.80 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ETHANOL | $399.60 | $666.00 | $63.85–$532.80 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 SINGLE DRUG CLASS METHOD P3632 | $399.60 | $666.00 | $63.85–$532.80 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 PROPOXYPHENE SCREEN/CONF | $399.60 | $666.00 | $63.85–$532.80 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 POSTMORTEM EXPD SER FORENSIC | $399.60 | $666.00 | $63.85–$532.80 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 URINE DRUGS OF ABUSE SCREEN | $399.60 | $666.00 | $63.85–$532.80 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 POSTMORTEM BASIC BLD FORENSIC | $399.60 | $666.00 | $63.85–$532.80 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 PM ALCOHOL METABOLITE W/CONF | $399.60 | $666.00 | $63.85–$532.80 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 PAIN MANAGEMENT AMPHETAMINES | $399.60 | $666.00 | $63.85–$532.80 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 BUPRENORPHINE SCREEN URINE | $399.60 | $666.00 | $63.85–$532.80 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 COCAINE METABOLITES - URINE | $399.60 | $666.00 | $63.85–$532.80 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRG TOX MON ETHYL AL W/CONF UR | $399.60 | $666.00 | $63.85–$532.80 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 TOX 10+ALCOHOL/URINE | $399.60 | $666.00 | $63.85–$532.80 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 SYNTHETIC CANNABINOIDS SCREEN | $399.60 | $666.00 | $63.85–$532.80 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TOX MONITORING & SCRN UR | $399.60 | $666.00 | $63.85–$532.80 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TOX MONITORING 1 SCR UR | $399.60 | $666.00 | $63.85–$532.80 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TOX MONITORING 9 SCR UR | $399.60 | $666.00 | $63.85–$532.80 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TOX MONITORNG 4 W CONF UR | $399.60 | $666.00 | $63.85–$532.80 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DTM FENTANYL WITH CONF URINE | $399.60 | $666.00 | $63.85–$532.80 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 OXYCODONE QL URINE | $399.60 | $666.00 | $63.85–$532.80 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN FORENSIC(GC/MS)UR | $399.60 | $666.00 | $63.85–$532.80 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN P4015 | $399.60 | $666.00 | $63.85–$532.80 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 SYN CANNABINOID MET SCR-EXP UR | $399.60 | $666.00 | $63.85–$532.80 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 SNGLE DRUG CLASS METHD P9910 | $399.60 | $666.00 | $63.85–$532.80 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 OXYCODONE QL NO CONFIRM | $399.60 | $666.00 | $63.85–$532.80 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 NOVEL PSYCHOACT SUBST SCR 2 | $399.60 | $666.00 | $63.85–$532.80 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 TRICYCLIC ANTIDEPRESSANT | $399.60 | $666.00 | $63.85–$532.80 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 NICOTINE-COTININE URINE | $399.60 | $666.00 | $63.85–$532.80 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN P8040 | $399.60 | $666.00 | $63.85–$532.80 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN QUALITATIVE P3632 | $399.60 | $666.00 | $63.85–$532.80 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG MONITORING W/CONF URINE | $399.60 | $666.00 | $63.85–$532.80 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN SINGLE CLASS P1620 | $399.60 | $666.00 | $63.85–$532.80 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 NICOTINE AND METABOLITE | $399.60 | $666.00 | $63.85–$532.80 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 AMPHETAMINE QUAL | $399.60 | $666.00 | $63.85–$532.80 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ALCOHOL URINE QUALITATIVE | $399.60 | $666.00 | $63.85–$532.80 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TOX MON OPIATES W/CONF UR | $399.60 | $666.00 | $63.85–$532.80 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 10 DRUG URINE THC 50 | $399.60 | $666.00 | $63.85–$532.80 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 IMMUNOASSAY EACH DRUG CL P1261 | $399.60 | $666.00 | $63.85–$532.80 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HYPOGLYCEMIC AGNT SCR SER MAYO | $399.60 | $666.00 | $63.85–$532.80 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 GAMMA-OH-BUTYRIC SCREEN URINE | $399.60 | $666.00 | $63.85–$532.80 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 FENTANYL SCREEN URINE | $399.60 | $666.00 | $63.85–$532.80 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 GAMMA-HYDROXYBUTYR ACID SCRN | $399.60 | $666.00 | $63.85–$532.80 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TOX MON BUPRENOR SCR UR | $399.60 | $666.00 | $63.85–$532.80 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TESTING P1966 | $399.60 | $666.00 | $63.85–$532.80 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRG TST PRSMV CHEM ANLY P3352 | $399.60 | $666.00 | $63.85–$532.80 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG CLASS SNGL METHOD P0560 | $399.60 | $666.00 | $63.85–$532.80 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG MON OPIOIDS PN W/CONF UR | $399.60 | $666.00 | $63.85–$532.80 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN SINGLE CLASS P1603 | $399.60 | $666.00 | $63.85–$532.80 | — | 40% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL | $115.80 | $193.00 | $6.92–$154.40 | 119% above | 40% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTES | $115.80 | $193.00 | $6.92–$154.40 | 119% above | 40% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTE PANEL | $115.80 | $193.00 | $7.00–$154.40 | — | 40% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTES | $115.80 | $193.00 | $7.00–$154.40 | — | 40% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EBV VIRAL CAPSID AG IGM | $239.40 | $399.00 | $17.93–$319.20 | 109% above | 40% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EBV (VCA) IGM PNL 1380 | $239.40 | $399.00 | $17.93–$319.20 | 109% above | 40% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EBV (VCA) IGG PNL 1380 | $239.40 | $399.00 | $17.93–$319.20 | 109% above | 40% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EBV VIRAL CAPSID AG IGG | $239.40 | $399.00 | $17.93–$319.20 | 109% above | 40% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EBV IGM VCA | $239.40 | $399.00 | $17.93–$319.20 | 109% above | 40% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV (VCA) IGG PNL 1380 | $239.40 | $399.00 | $199.50–$319.20 | — | 40% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV VIRAL CAPSID AG IGM | $239.40 | $399.00 | $199.50–$319.20 | — | 40% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV IGM VCA | $239.40 | $399.00 | $199.50–$319.20 | — | 40% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV (VCA) IGM PNL 1380 | $239.40 | $399.00 | $199.50–$319.20 | — | 40% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV VIRAL CAPSID AG IGG | $239.40 | $399.00 | $199.50–$319.20 | — | 40% |
| Estradiol blood test CPT 82670 ESTRADIOL (E2) | $251.40 | $419.00 | $21.50–$335.20 | 51% above | 40% |
| Estradiol blood test CPT 82670 ESTRADIOL/FREE/SERUM | $251.40 | $419.00 | $21.50–$335.20 | 51% above | 40% |
| Estradiol blood test CPT 82670 ESTRADIOL EXTRACTION | $251.40 | $419.00 | $21.50–$335.20 | 51% above | 40% |
| Estradiol blood test CPT 82670 ESTRADIOL E2 TOTAL | $251.40 | $419.00 | $21.50–$335.20 | 51% above | 40% |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL/FREE/SERUM | $251.40 | $419.00 | $21.50–$335.20 | — | 40% |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL EXTRACTION | $251.40 | $419.00 | $21.50–$335.20 | — | 40% |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL E2 TOTAL | $251.40 | $419.00 | $21.50–$335.20 | — | 40% |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL (E2) | $251.40 | $419.00 | $21.50–$335.20 | — | 40% |
| FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIMULATING HORMO | $141.60 | $236.00 | $17.50–$188.80 | 19% above | 40% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH/3RD GENERATION | $141.60 | $236.00 | $17.50–$188.80 | 19% above | 40% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH PNL 2828 | $141.60 | $236.00 | $17.50–$188.80 | 19% above | 40% |
| FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIMULATING HORMONE | $141.60 | $236.00 | $17.50–$188.80 | 19% above | 40% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH PNL 2828 | $141.60 | $236.00 | $17.50–$188.80 | — | 40% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH/3RD GENERATION | $141.60 | $236.00 | $17.50–$188.80 | — | 40% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIMULATING HORMO | $141.60 | $236.00 | $17.50–$188.80 | — | 40% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIMULATING HORMONE | $141.60 | $236.00 | $17.50–$188.80 | — | 40% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN STOOL | $234.00 | $390.00 | $19.40–$312.00 | 81% above | 40% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN STOOL | $234.00 | $390.00 | $195.00–$312.00 | — | 40% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $150.60 | $251.00 | $12.00–$200.80 | 74% above | 40% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN P5087 | $150.60 | $251.00 | $12.00–$200.80 | 74% above | 40% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN P9262 | $150.60 | $251.00 | $12.00–$200.80 | 74% above | 40% |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN | $150.60 | $251.00 | $12.00–$200.80 | — | 40% |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN P5087 | $150.60 | $251.00 | $12.00–$200.80 | — | 40% |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN P9262 | $150.60 | $251.00 | $12.00–$200.80 | — | 40% |
| Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY CLAUSS | $124.80 | $208.00 | $9.61–$166.40 | 89% above | 40% |
| Fibrinogen blood test CPT 85384 FIBRINOGEN ASSAY | $124.80 | $208.00 | $9.61–$166.40 | 89% above | 40% |
| Fibrinogen blood test CPT 85384 FIBRINOGEN CLAUSS P P7021 | $124.80 | $208.00 | $9.61–$166.40 | 89% above | 40% |
| Fibrinogen blood test CPT 85384 TEG ANGLE P2038 | $124.80 | $208.00 | $9.61–$166.40 | 89% above | 40% |
| Fibrinogen blood test CPT 85384 TEG KINETICS K P2038 | $124.80 | $208.00 | $9.61–$166.40 | 89% above | 40% |
| Fibrinogen blood test CPT 85384 TEG RAPID ANGLE P2031 | $124.80 | $208.00 | $9.61–$166.40 | 89% above | 40% |
| Fibrinogen blood test CPT 85384 TEG RAPID KINETICS K P2031 | $124.80 | $208.00 | $9.61–$166.40 | 89% above | 40% |
| Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN CLAUSS P P7021 | $124.80 | $208.00 | $104.00–$166.40 | — | 40% |
| Fibrinogen blood test inpatient CPT 85384 TEG RAPID ANGLE P2031 | $124.80 | $208.00 | $104.00–$166.40 | — | 40% |
| Fibrinogen blood test inpatient CPT 85384 TEG RAPID KINETICS K P2031 | $124.80 | $208.00 | $104.00–$166.40 | — | 40% |
| Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN ACTIVITY CLAUSS | $124.80 | $208.00 | $104.00–$166.40 | — | 40% |
| Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN ASSAY | $124.80 | $208.00 | $104.00–$166.40 | — | 40% |
| Fibrinogen blood test inpatient CPT 85384 TEG ANGLE P2038 | $124.80 | $208.00 | $104.00–$166.40 | — | 40% |
| Fibrinogen blood test inpatient CPT 85384 TEG KINETICS K P2038 | $124.80 | $208.00 | $104.00–$166.40 | — | 40% |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID SERUM PNL 2979 | $120.00 | $200.00 | $12.00–$160.00 | 38% above | 40% |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID (SERUM FOLATE) | $120.00 | $200.00 | $12.00–$160.00 | 38% above | 40% |
| Folate (folic acid) blood test CPT 82746 FOLATE SERUM | $120.00 | $200.00 | $12.00–$160.00 | 38% above | 40% |
| Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID SERUM PNL 2979 | $120.00 | $200.00 | $12.00–$160.00 | — | 40% |
| Folate (folic acid) blood test inpatient CPT 82746 FOLATE SERUM | $120.00 | $200.00 | $12.00–$160.00 | — | 40% |
| Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID (SERUM FOLATE) | $120.00 | $200.00 | $12.00–$160.00 | — | 40% |
| Free T3 thyroid hormone test CPT 84481 FREE T3 PNL 2257 | $385.80 | $643.00 | $16.74–$514.40 | 261% above | 40% |
| Free T3 thyroid hormone test CPT 84481 DIRECT FREE T3 | $385.80 | $643.00 | $16.74–$514.40 | 261% above | 40% |
| Free T3 thyroid hormone test inpatient CPT 84481 FREE T3 PNL 2257 | $385.80 | $643.00 | $23.41–$514.40 | — | 40% |
| Free T3 thyroid hormone test inpatient CPT 84481 DIRECT FREE T3 | $385.80 | $643.00 | $23.41–$514.40 | — | 40% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 THROXINE FREE P4354 | $121.80 | $203.00 | $8.00–$162.40 | 103% above | 40% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 DIRECT FREE T4 (THYROXINE) | $121.80 | $203.00 | $8.00–$162.40 | 103% above | 40% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 EQUILBRIUM DIALYSIS | $121.80 | $203.00 | $8.00–$162.40 | 103% above | 40% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 (THYROXINE) FREE S | $121.80 | $203.00 | $8.00–$162.40 | 103% above | 40% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE ANALOG METHOD | $121.80 | $203.00 | $8.00–$162.40 | 103% above | 40% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE FREE | $121.80 | $203.00 | $8.00–$162.40 | 103% above | 40% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THROXINE FREE P4354 | $121.80 | $203.00 | $8.00–$162.40 | — | 40% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 DIRECT FREE T4 (THYROXINE) | $121.80 | $203.00 | $8.00–$162.40 | — | 40% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T4 EQUILBRIUM DIALYSIS | $121.80 | $203.00 | $8.00–$162.40 | — | 40% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 (THYROXINE) FREE S | $121.80 | $203.00 | $8.00–$162.40 | — | 40% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE ANALOG METHOD | $121.80 | $203.00 | $8.00–$162.40 | — | 40% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE FREE | $121.80 | $203.00 | $8.00–$162.40 | — | 40% |
| Free testosterone test CPT 84402 TESTOSTERONE FREE P4882 | $105.00 | $175.00 | $25.17–$167.43 | 34% below | 40% |
| Free testosterone test CPT 84402 FREE TESTOSTERONE P0605 | $105.00 | $175.00 | $25.17–$167.43 | 34% below | 40% |
| Free testosterone test CPT 84402 FREE TESTOSTERONE PNL 1540 | $105.00 | $175.00 | $25.17–$167.43 | 34% below | 40% |
| Free testosterone test CPT 84402 TESTOSTERONE FREE | $105.00 | $175.00 | $25.17–$167.43 | 34% below | 40% |
| Free testosterone test inpatient CPT 84402 FREE TESTOSTERONE P0605 | $105.00 | $175.00 | $27.00–$140.00 | — | 40% |
| Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE P4882 | $105.00 | $175.00 | $27.00–$140.00 | — | 40% |
| Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE | $105.00 | $175.00 | $27.00–$140.00 | — | 40% |
| Free testosterone test inpatient CPT 84402 FREE TESTOSTERONE PNL 1540 | $105.00 | $175.00 | $27.00–$140.00 | — | 40% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT | $54.60 | $91.00 | $7.12–$72.80 | 15% above | 40% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GLUTAMYLTRANSFERASE P9445 | $54.60 | $91.00 | $7.12–$72.80 | 15% above | 40% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GLUTAMYLTRANS GAMMA GGT P3896 | $54.60 | $91.00 | $7.12–$72.80 | 15% above | 40% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGTP(GAMMA GLUTAMYL TRANSF) | $54.60 | $91.00 | $7.12–$72.80 | 15% above | 40% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 ASSAY OF GGT P3356 | $54.60 | $91.00 | $7.12–$72.80 | 15% above | 40% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT | $54.60 | $91.00 | $9.36–$72.80 | — | 40% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGTP(GAMMA GLUTAMYL TRANSF) | $54.60 | $91.00 | $9.36–$72.80 | — | 40% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GLUTAMYLTRANS GAMMA GGT P3896 | $54.60 | $91.00 | $9.36–$72.80 | — | 40% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GLUTAMYLTRANSFERASE P9445 | $54.60 | $91.00 | $9.36–$72.80 | — | 40% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 ASSAY OF GGT P3356 | $54.60 | $91.00 | $9.36–$72.80 | — | 40% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TEST 1HR POST GLUCOLA | $58.20 | $97.00 | $4.70–$77.60 | 57% above | 40% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE TEST 1HR POST GLUCOLA | $58.20 | $97.00 | $48.50–$77.60 | — | 40% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE 3 SPECIMENS | $136.80 | $228.00 | $12.50–$182.40 | 69% above | 40% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE 3 SPECIMENS | $136.80 | $228.00 | $114.00–$182.40 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE P3680 | $217.20 | $362.00 | $23.19–$289.60 | 18% above | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE P4224 | $217.20 | $362.00 | $23.19–$289.60 | 18% above | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE P7084 | $217.20 | $362.00 | $23.19–$289.60 | 18% above | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N GONORRHOEAE AMPL P3611 | $217.20 | $362.00 | $23.19–$289.60 | 18% above | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N GONORR MISC AMPL RNA | $217.20 | $362.00 | $23.19–$289.60 | 18% above | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N GONORR DNA AMP PRB P3411 | $217.20 | $362.00 | $23.19–$289.60 | 18% above | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N GONORRHOEAE AMPL PROBE P1815 | $217.20 | $362.00 | $23.19–$289.60 | 18% above | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE PCR ONLY | $217.20 | $362.00 | $23.19–$289.60 | 18% above | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSRIA GONOR AMP PROBE P9292 | $217.20 | $362.00 | $23.19–$289.60 | 18% above | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N GONORRHOEAE DNA AMP PR P4792 | $217.20 | $362.00 | $23.19–$289.60 | 18% above | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N GONORRHOEAE TMA UROGENITAL | $217.20 | $362.00 | $23.19–$289.60 | 18% above | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISERIA GONORRHOEAE P6035 | $217.20 | $362.00 | $23.19–$289.60 | 18% above | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISERIA GONORRHOEAE P8866 | $217.20 | $362.00 | $23.19–$289.60 | 18% above | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISERIA GONORRHOEAE P9043 | $217.20 | $362.00 | $23.19–$289.60 | 18% above | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE P3690 | $217.20 | $362.00 | $23.19–$289.60 | 18% above | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHOEAE PCR ONLY | $217.20 | $362.00 | $23.19–$289.60 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N GONORR DNA AMP PRB P3411 | $217.20 | $362.00 | $23.19–$289.60 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N GONORR MISC AMPL RNA | $217.20 | $362.00 | $23.19–$289.60 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N GONORRHOEAE AMPL P3611 | $217.20 | $362.00 | $23.19–$289.60 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N GONORRHOEAE AMPL PROBE P1815 | $217.20 | $362.00 | $23.19–$289.60 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N GONORRHOEAE DNA AMP PR P4792 | $217.20 | $362.00 | $23.19–$289.60 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N GONORRHOEAE TMA UROGENITAL | $217.20 | $362.00 | $23.19–$289.60 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISERIA GONORRHOEAE P6035 | $217.20 | $362.00 | $23.19–$289.60 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISERIA GONORRHOEAE P8866 | $217.20 | $362.00 | $23.19–$289.60 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISERIA GONORRHOEAE P9043 | $217.20 | $362.00 | $23.19–$289.60 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHOEAE P3680 | $217.20 | $362.00 | $23.19–$289.60 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHOEAE P3690 | $217.20 | $362.00 | $23.19–$289.60 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHOEAE P4224 | $217.20 | $362.00 | $23.19–$289.60 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHOEAE P7084 | $217.20 | $362.00 | $23.19–$289.60 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSRIA GONOR AMP PROBE P9292 | $217.20 | $362.00 | $23.19–$289.60 | — | 40% |
| H. pylori antibody blood test CPT 86677 HELICOBA PYLORI AB IGA IGG IGM | $163.20 | $272.00 | $16.65–$217.60 | 41% above | 40% |
| H. pylori antibody blood test inpatient CPT 86677 HELICOBA PYLORI AB IGA IGG IGM | $163.20 | $272.00 | $20.05–$217.60 | — | 40% |
| H. pylori stool antigen test CPT 87338 ANTIGEN QUALITATIVE STOOL | $118.20 | $197.00 | $14.22–$157.60 | 23% above | 40% |
| H. pylori stool antigen test inpatient CPT 87338 ANTIGEN QUALITATIVE STOOL | $118.20 | $197.00 | $98.50–$157.60 | — | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA DETECT/QUANT | $607.80 | $1,013.00 | $84.10–$810.40 | 23% above | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-QUANT | $607.80 | $1,013.00 | $84.10–$810.40 | 23% above | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA/QUANT/REAL-TIME PCR | $607.80 | $1,013.00 | $84.10–$810.40 | 23% above | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) one side CPT 87536 HIV-1 RNA QN RT-PCR CSF | $607.80 | $1,013.00 | $84.10–$810.40 | 23% above | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) one side CPT 87536 HIV-1 RBA QN RT-PCR W/RFX GENO | $607.80 | $1,013.00 | $84.10–$810.40 | 23% above | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) one side CPT 87536 QUANT HIV-1 RT-PCR | $607.80 | $1,013.00 | $84.10–$810.40 | 23% above | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) one side CPT 87536 HIV-1 RNA QN RT-PCR RFX IN GN | $607.80 | $1,013.00 | $84.10–$810.40 | 23% above | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 RNA/QUANT/REAL-TIME PCR | $607.80 | $1,013.00 | $506.50–$810.40 | — | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-QUANT | $607.80 | $1,013.00 | $506.50–$810.40 | — | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 RNA DETECT/QUANT | $607.80 | $1,013.00 | $506.50–$810.40 | — | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient one side CPT 87536 HIV-1 RNA QN RT-PCR RFX IN GN | $607.80 | $1,013.00 | $506.50–$810.40 | — | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient one side CPT 87536 HIV-1 RBA QN RT-PCR W/RFX GENO | $607.80 | $1,013.00 | $506.50–$810.40 | — | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient one side CPT 87536 QUANT HIV-1 RT-PCR | $607.80 | $1,013.00 | $506.50–$810.40 | — | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient one side CPT 87536 HIV-1 RNA QN RT-PCR CSF | $607.80 | $1,013.00 | $506.50–$810.40 | — | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1/2 AG/AB 4TH GEN W/RFX | $70.80 | $118.00 | $23.80–$107.03 | 50% below | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1/HIV 2 ANTIBODY | $70.80 | $118.00 | $23.80–$107.03 | 50% below | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1/HIV 2 ANTIBODY | $70.80 | $118.00 | $27.30–$94.40 | — | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1/2 AG/AB 4TH GEN W/RFX | $70.80 | $118.00 | $27.30–$94.40 | — | 40% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV MRNA E6/E7 RFX TO GENOTYP | $205.80 | $343.00 | $32.29–$346.46 | 1% below | 40% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 INFECTIOUS AG DETECTION P4243 | $205.80 | $343.00 | $32.29–$346.46 | 1% below | 40% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH RISK AMPLIFIED PROBE | $205.80 | $343.00 | $32.29–$346.46 | 1% below | 40% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV MRNA | $205.80 | $343.00 | $32.29–$346.46 | 1% below | 40% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV MRNA E6/E7 POST-HYSTER VAG | $205.80 | $343.00 | $32.29–$346.46 | 1% below | 40% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV MRNA | $205.80 | $343.00 | $171.50–$274.40 | — | 40% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV MRNA E6/E7 RFX TO GENOTYP | $205.80 | $343.00 | $171.50–$274.40 | — | 40% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 INFECTIOUS AG DETECTION P4243 | $205.80 | $343.00 | $171.50–$274.40 | — | 40% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV HIGH RISK AMPLIFIED PROBE | $205.80 | $343.00 | $171.50–$274.40 | — | 40% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV MRNA E6/E7 POST-HYSTER VAG | $205.80 | $343.00 | $171.50–$274.40 | — | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C WITH EAG | $86.40 | $144.00 | $7.00–$115.20 | 69% above | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOSOLATED A1C P8100 | $86.40 | $144.00 | $7.00–$115.20 | 69% above | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 CAPILLARY GLYCATED HEMOGLOBIN | $86.40 | $144.00 | $7.00–$115.20 | 69% above | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLBN A1C&MEAN PLASMA GLUCO | $86.40 | $144.00 | $7.00–$115.20 | 69% above | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN GLYCOSYLATED | $86.40 | $144.00 | $7.00–$115.20 | 69% above | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 CAPILLARY GLYCATED HEMOGLOBIN | $86.40 | $144.00 | $7.00–$115.20 | — | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN GLYCOSYLATED | $86.40 | $144.00 | $7.00–$115.20 | — | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C WITH EAG | $86.40 | $144.00 | $7.00–$115.20 | — | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLBN A1C&MEAN PLASMA GLUCO | $86.40 | $144.00 | $7.00–$115.20 | — | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOSOLATED A1C P8100 | $86.40 | $144.00 | $7.00–$115.20 | — | 40% |
| Hemoglobin blood test CPT 85018 HEMOGLOBIN | $27.60 | $46.00 | $2.35–$36.80 | 61% above | 40% |
| Hemoglobin blood test CPT 85018 HEMOGLOBIN P9262 | $27.60 | $46.00 | $2.35–$36.80 | 61% above | 40% |
| Hemoglobin blood test CPT 85018 HEMOGLOBIN P0581 | $27.60 | $46.00 | $2.35–$36.80 | 61% above | 40% |
| Hemoglobin blood test CPT 85018 HEMOGLOBIN P0800 | $27.60 | $46.00 | $2.35–$36.80 | 61% above | 40% |
| Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN | $27.60 | $46.00 | $3.27–$36.80 | — | 40% |
| Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN P0800 | $27.60 | $46.00 | $3.27–$36.80 | — | 40% |
| Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN P9262 | $27.60 | $46.00 | $3.27–$36.80 | — | 40% |
| Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN P0581 | $27.60 | $46.00 | $3.27–$36.80 | — | 40% |
| Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE ANTIBODY | $106.20 | $177.00 | $11.91–$141.60 | 26% above | 40% |
| Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE AB TOT W/REFL | $106.20 | $177.00 | $11.91–$141.60 | 26% above | 40% |
| Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE AB P9276 | $106.20 | $177.00 | $11.91–$141.60 | 26% above | 40% |
| Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE AB P6911 | $106.20 | $177.00 | $11.91–$141.60 | 26% above | 40% |
| Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE AB P6941 | $106.20 | $177.00 | $11.91–$141.60 | 26% above | 40% |
| Hepatitis B core antibody test (total) CPT 86704 HEP B CORE AB TOTAL P5760 | $106.20 | $177.00 | $11.91–$141.60 | 26% above | 40% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE AB P6911 | $106.20 | $177.00 | $15.00–$141.60 | — | 40% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HEP B CORE AB TOTAL P5760 | $106.20 | $177.00 | $15.00–$141.60 | — | 40% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE ANTIBODY | $106.20 | $177.00 | $15.00–$141.60 | — | 40% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE AB TOT W/REFL | $106.20 | $177.00 | $15.00–$141.60 | — | 40% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE AB P9276 | $106.20 | $177.00 | $15.00–$141.60 | — | 40% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE AB P6941 | $106.20 | $177.00 | $15.00–$141.60 | — | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE AB P5760 | $100.20 | $167.00 | $10.62–$133.60 | 37% above | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY | $100.20 | $167.00 | $10.62–$133.60 | 37% above | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBODY (EIA) | $100.20 | $167.00 | $10.62–$133.60 | 37% above | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE AB P9276 | $100.20 | $167.00 | $10.62–$133.60 | 37% above | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE AB P9276 | $100.20 | $167.00 | $13.18–$133.60 | — | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFACE ANTIBODY (EIA) | $100.20 | $167.00 | $13.18–$133.60 | — | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFACE AB P5760 | $100.20 | $167.00 | $13.18–$133.60 | — | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE ANTIBODY | $100.20 | $167.00 | $13.18–$133.60 | — | 40% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURFACE ANTIGEN W/ REFLX | $197.40 | $329.00 | $10.21–$263.20 | 184% above | 40% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG P6911 | $197.40 | $329.00 | $10.21–$263.20 | 184% above | 40% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG P6941 | $197.40 | $329.00 | $10.21–$263.20 | 184% above | 40% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG P9276 | $197.40 | $329.00 | $10.21–$263.20 | 184% above | 40% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIGEN | $197.40 | $329.00 | $10.21–$263.20 | 184% above | 40% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG | $197.40 | $329.00 | $10.21–$263.20 | 184% above | 40% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEP B SURFACE ANTIGEN W/ REFLX | $197.40 | $329.00 | $14.17–$263.20 | — | 40% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE ANTIGEN | $197.40 | $329.00 | $14.17–$263.20 | — | 40% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE AG | $197.40 | $329.00 | $14.17–$263.20 | — | 40% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE AG P6911 | $197.40 | $329.00 | $14.17–$263.20 | — | 40% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE AG P6941 | $197.40 | $329.00 | $14.17–$263.20 | — | 40% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE AG P9276 | $197.40 | $329.00 | $14.17–$263.20 | — | 40% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY P6911 | $130.20 | $217.00 | $14.10–$173.60 | 31% above | 40% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPC AB RF HCV RNA PCR RF LIPA | $130.20 | $217.00 | $14.10–$173.60 | 31% above | 40% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB P9276 | $130.20 | $217.00 | $14.10–$173.60 | 31% above | 40% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY | $130.20 | $217.00 | $14.10–$173.60 | 31% above | 40% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY P6941 | $130.20 | $217.00 | $14.10–$173.60 | 31% above | 40% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEP C SCREENING BY ORAQUICK | $130.20 | $217.00 | $14.10–$173.60 | 31% above | 40% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY | $130.20 | $217.00 | $19.00–$173.60 | — | 40% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY P6911 | $130.20 | $217.00 | $19.00–$173.60 | — | 40% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEP C SCREENING BY ORAQUICK | $130.20 | $217.00 | $19.00–$173.60 | — | 40% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB P9276 | $130.20 | $217.00 | $19.00–$173.60 | — | 40% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPC AB RF HCV RNA PCR RF LIPA | $130.20 | $217.00 | $19.00–$173.60 | — | 40% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY P6941 | $130.20 | $217.00 | $19.00–$173.60 | — | 40% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA QN RL TME PCR W/RFX QL | $609.60 | $1,016.00 | $39.65–$812.80 | 114% above | 40% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C RNA BY PCR (QUANT) | $609.60 | $1,016.00 | $39.65–$812.80 | 114% above | 40% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA QN PCR W/RFL GENOTYPE | $609.60 | $1,016.00 | $39.65–$812.80 | 114% above | 40% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV-QUANT | $609.60 | $1,016.00 | $39.65–$812.80 | 114% above | 40% |
| Hepatitis C viral load (HCV RNA) test one side CPT 87522 HEP C VIR RNA QN RT-PCR W/RFX | $609.60 | $1,016.00 | $39.65–$812.80 | 114% above | 40% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV-QUANT | $609.60 | $1,016.00 | $36.95–$812.80 | — | 40% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C RNA BY PCR (QUANT) | $609.60 | $1,016.00 | $36.95–$812.80 | — | 40% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA QN PCR W/RFL GENOTYPE | $609.60 | $1,016.00 | $36.95–$812.80 | — | 40% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA QN RL TME PCR W/RFX QL | $609.60 | $1,016.00 | $36.95–$812.80 | — | 40% |
| Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 HEP C VIR RNA QN RT-PCR W/RFX | $609.60 | $1,016.00 | $36.95–$812.80 | — | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE I P7969 | $93.00 | $155.00 | $13.03–$124.00 | 16% above | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 P3408 | $93.00 | $155.00 | $13.03–$124.00 | 16% above | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 P3497 | $93.00 | $155.00 | $13.03–$124.00 | 16% above | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 P3731 | $93.00 | $155.00 | $13.03–$124.00 | 16% above | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 P4899 | $93.00 | $155.00 | $13.03–$124.00 | 16% above | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE I P0786 | $93.00 | $155.00 | $13.03–$124.00 | 16% above | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE I P3862 | $93.00 | $155.00 | $13.03–$124.00 | 16% above | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 IGM TITER | $93.00 | $155.00 | $13.03–$124.00 | 16% above | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV AB SCREEN/IGM P1641 | $93.00 | $155.00 | $13.03–$124.00 | 16% above | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV I IGG ANTIBODY | $93.00 | $155.00 | $13.03–$124.00 | 16% above | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV TYPE 1 IGG AB P0086 | $93.00 | $155.00 | $13.03–$124.00 | 16% above | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV-1 IGG AB | $93.00 | $155.00 | $13.03–$124.00 | 16% above | 40% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 IGM TITER | $93.00 | $155.00 | $77.50–$124.00 | — | 40% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX TYPE 1 P3408 | $93.00 | $155.00 | $77.50–$124.00 | — | 40% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX TYPE 1 P4899 | $93.00 | $155.00 | $77.50–$124.00 | — | 40% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV-1 IGG AB | $93.00 | $155.00 | $77.50–$124.00 | — | 40% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV TYPE 1 IGG AB P0086 | $93.00 | $155.00 | $77.50–$124.00 | — | 40% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV I IGG ANTIBODY | $93.00 | $155.00 | $77.50–$124.00 | — | 40% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV AB SCREEN/IGM P1641 | $93.00 | $155.00 | $77.50–$124.00 | — | 40% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX TYPE 1 P3497 | $93.00 | $155.00 | $77.50–$124.00 | — | 40% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX TYPE 1 P3731 | $93.00 | $155.00 | $77.50–$124.00 | — | 40% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX TYPE I P7969 | $93.00 | $155.00 | $77.50–$124.00 | — | 40% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX TYPE I P0786 | $93.00 | $155.00 | $77.50–$124.00 | — | 40% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX TYPE I P3862 | $93.00 | $155.00 | $77.50–$124.00 | — | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 IGG HERPESELECT AB | $108.60 | $181.00 | $19.13–$144.80 | 1% above | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 IGG HERPESEL W/REFLEX | $108.60 | $181.00 | $19.13–$144.80 | 1% above | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE II P0786 | $108.60 | $181.00 | $19.13–$144.80 | 1% above | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 P7969 | $108.60 | $181.00 | $19.13–$144.80 | 1% above | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 P4899 | $108.60 | $181.00 | $19.13–$144.80 | 1% above | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 P3862 | $108.60 | $181.00 | $19.13–$144.80 | 1% above | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 P3408 | $108.60 | $181.00 | $19.13–$144.80 | 1% above | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 P3731 | $108.60 | $181.00 | $19.13–$144.80 | 1% above | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 P3497 | $108.60 | $181.00 | $19.13–$144.80 | 1% above | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV-2 IGG AB | $108.60 | $181.00 | $19.13–$144.80 | 1% above | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV TYPE 2 IGG AB P0086 | $108.60 | $181.00 | $19.13–$144.80 | 1% above | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 IGM TITER | $108.60 | $181.00 | $19.13–$144.80 | 1% above | 40% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 IGM TITER | $108.60 | $181.00 | $90.50–$144.80 | — | 40% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV-2 IGG AB | $108.60 | $181.00 | $90.50–$144.80 | — | 40% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX TYPE II P0786 | $108.60 | $181.00 | $90.50–$144.80 | — | 40% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX TYPE 2 P7969 | $108.60 | $181.00 | $90.50–$144.80 | — | 40% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX TYPE 2 P4899 | $108.60 | $181.00 | $90.50–$144.80 | — | 40% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX TYPE 2 P3862 | $108.60 | $181.00 | $90.50–$144.80 | — | 40% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX TYPE 2 P3731 | $108.60 | $181.00 | $90.50–$144.80 | — | 40% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX TYPE 2 P3497 | $108.60 | $181.00 | $90.50–$144.80 | — | 40% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 IGG HERPESEL W/REFLEX | $108.60 | $181.00 | $90.50–$144.80 | — | 40% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 IGG HERPESELECT AB | $108.60 | $181.00 | $90.50–$144.80 | — | 40% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX TYPE 2 P3408 | $108.60 | $181.00 | $90.50–$144.80 | — | 40% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV TYPE 2 IGG AB P0086 | $108.60 | $181.00 | $90.50–$144.80 | — | 40% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 CARDIO CRP (QUANTATATIVE CRP) | $66.60 | $111.00 | $10.53–$88.80 | 15% below | 40% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 CRP HIGH SENSITIVITY | $66.60 | $111.00 | $10.53–$88.80 | 15% below | 40% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HIGH SENSITIVITY CRP P8093 | $66.60 | $111.00 | $10.53–$88.80 | 15% below | 40% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 CARDIO IQ HS-CRP | $66.60 | $111.00 | $10.53–$88.80 | 15% below | 40% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CARDIO CRP (QUANTATATIVE CRP) | $66.60 | $111.00 | $55.50–$88.80 | — | 40% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CARDIO IQ HS-CRP | $66.60 | $111.00 | $55.50–$88.80 | — | 40% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP HIGH SENSITIVITY | $66.60 | $111.00 | $55.50–$88.80 | — | 40% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HIGH SENSITIVITY CRP P8093 | $66.60 | $111.00 | $55.50–$88.80 | — | 40% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE NUTR/CONGNT P8743 | $199.20 | $332.00 | $17.71–$265.60 | 67% above | 40% |
| Homocysteine blood test CPT 83090 TOTAL HOMOCYSTEINE | $199.20 | $332.00 | $17.71–$265.60 | 67% above | 40% |
| Homocysteine blood test CPT 83090 HOMOCYSTINE SERUM | $199.20 | $332.00 | $17.71–$265.60 | 67% above | 40% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE P6881 | $199.20 | $332.00 | $17.71–$265.60 | 67% above | 40% |
| Homocysteine blood test CPT 83090 CARDIO IQ HOMOCYSTEINE | $199.20 | $332.00 | $17.71–$265.60 | 67% above | 40% |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE P6881 | $199.20 | $332.00 | $166.00–$265.60 | — | 40% |
| Homocysteine blood test inpatient CPT 83090 TOTAL HOMOCYSTEINE | $199.20 | $332.00 | $166.00–$265.60 | — | 40% |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE NUTR/CONGNT P8743 | $199.20 | $332.00 | $166.00–$265.60 | — | 40% |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTINE SERUM | $199.20 | $332.00 | $166.00–$265.60 | — | 40% |
| Homocysteine blood test inpatient CPT 83090 CARDIO IQ HOMOCYSTEINE | $199.20 | $332.00 | $166.00–$265.60 | — | 40% |
| Insulin blood test CPT 83525 INSULIN LEVEL SINGLE | $146.40 | $244.00 | $11.00–$195.20 | 102% above | 40% |
| Insulin blood test CPT 83525 CARDIO IQ INSULIN | $146.40 | $244.00 | $11.00–$195.20 | 102% above | 40% |
| Insulin blood test CPT 83525 INSULIN TOTAL P4981 | $146.40 | $244.00 | $11.00–$195.20 | 102% above | 40% |
| Insulin blood test CPT 83525 INSULIN TOTAL | $146.40 | $244.00 | $11.00–$195.20 | 102% above | 40% |
| Insulin blood test CPT 83525 INSULIN | $146.40 | $244.00 | $11.00–$195.20 | 102% above | 40% |
| Insulin blood test inpatient CPT 83525 INSULIN TOTAL P4981 | $146.40 | $244.00 | $11.00–$195.20 | — | 40% |
| Insulin blood test inpatient CPT 83525 INSULIN TOTAL | $146.40 | $244.00 | $11.00–$195.20 | — | 40% |
| Insulin blood test inpatient CPT 83525 INSULIN LEVEL SINGLE | $146.40 | $244.00 | $11.00–$195.20 | — | 40% |
| Insulin blood test inpatient CPT 83525 INSULIN | $146.40 | $244.00 | $11.00–$195.20 | — | 40% |
| Insulin blood test inpatient CPT 83525 CARDIO IQ INSULIN | $146.40 | $244.00 | $11.00–$195.20 | — | 40% |
| Iron blood test (serum iron) CPT 83540 FE | $85.20 | $142.00 | $6.39–$113.60 | 87% above | 40% |
| Iron blood test (serum iron) CPT 83540 IRON P6970 | $85.20 | $142.00 | $6.39–$113.60 | 87% above | 40% |
| Iron blood test (serum iron) CPT 83540 IRON P5087 | $85.20 | $142.00 | $6.39–$113.60 | 87% above | 40% |
| Iron blood test (serum iron) CPT 83540 IRON LIVER TISSUE | $85.20 | $142.00 | $6.39–$113.60 | 87% above | 40% |
| Iron blood test (serum iron) CPT 83540 IRON PNL 1160 | $85.20 | $142.00 | $6.39–$113.60 | 87% above | 40% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON P5087 | $85.20 | $142.00 | $8.45–$113.60 | — | 40% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON P6970 | $85.20 | $142.00 | $8.45–$113.60 | — | 40% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON LIVER TISSUE | $85.20 | $142.00 | $8.45–$113.60 | — | 40% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON PNL 1160 | $85.20 | $142.00 | $8.45–$113.60 | — | 40% |
| Iron blood test (serum iron) inpatient CPT 83540 FE | $85.20 | $142.00 | $8.45–$113.60 | — | 40% |
| Iron-binding capacity (TIBC) test CPT 83550 TIBC PNL 1160 | $100.80 | $168.00 | $5.00–$134.40 | 69% above | 40% |
| Iron-binding capacity (TIBC) test CPT 83550 TIBC | $100.80 | $168.00 | $5.00–$134.40 | 69% above | 40% |
| Iron-binding capacity (TIBC) test CPT 83550 UIBC | $100.80 | $168.00 | $5.00–$134.40 | 69% above | 40% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY P5087 | $100.80 | $168.00 | $5.00–$134.40 | 69% above | 40% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 UIBC | $100.80 | $168.00 | $84.00–$134.40 | — | 40% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY P5087 | $100.80 | $168.00 | $84.00–$134.40 | — | 40% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 TIBC | $100.80 | $168.00 | $84.00–$134.40 | — | 40% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 TIBC PNL 1160 | $100.80 | $168.00 | $84.00–$134.40 | — | 40% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL P1635 | $115.80 | $193.00 | $8.58–$154.40 | 69% above | 40% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $115.80 | $193.00 | $8.58–$154.40 | 69% above | 40% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL | $115.80 | $193.00 | $9.60–$154.40 | — | 40% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL P1635 | $115.80 | $193.00 | $9.60–$154.40 | — | 40% |
| LH (luteinizing hormone) test CPT 83002 LUTENIZING HORMONE | $141.60 | $236.00 | $17.00–$188.80 | 19% above | 40% |
| LH (luteinizing hormone) test CPT 83002 LH 3RD GENERATION | $141.60 | $236.00 | $17.00–$188.80 | 19% above | 40% |
| LH (luteinizing hormone) test CPT 83002 LH | $141.60 | $236.00 | $17.00–$188.80 | 19% above | 40% |
| LH (luteinizing hormone) test CPT 83002 LH/3RD GENERATION PNL 2828 | $141.60 | $236.00 | $17.00–$188.80 | 19% above | 40% |
| LH (luteinizing hormone) test inpatient CPT 83002 LH/3RD GENERATION PNL 2828 | $141.60 | $236.00 | $17.00–$188.80 | — | 40% |
| LH (luteinizing hormone) test inpatient CPT 83002 LH | $141.60 | $236.00 | $17.00–$188.80 | — | 40% |
| LH (luteinizing hormone) test inpatient CPT 83002 LH 3RD GENERATION | $141.60 | $236.00 | $17.00–$188.80 | — | 40% |
| LH (luteinizing hormone) test inpatient CPT 83002 LUTENIZING HORMONE | $141.60 | $236.00 | $17.00–$188.80 | — | 40% |
| Lactate (lactic acid) blood test CPT 83605 LACTATE-ER ONLY | $85.20 | $142.00 | $8.00–$113.60 | 11% above | 40% |
| Lactate (lactic acid) blood test CPT 83605 LACTIA/LACTIV | $85.20 | $142.00 | $8.00–$113.60 | 11% above | 40% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID PNL | $85.20 | $142.00 | $8.00–$113.60 | 11% above | 40% |
| Lactate (lactic acid) blood test CPT 83605 LACTATE P8892 | $85.20 | $142.00 | $8.00–$113.60 | 11% above | 40% |
| Lactate (lactic acid) blood test CPT 83605 D-LACTATE | $85.20 | $142.00 | $8.00–$113.60 | 11% above | 40% |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTIA/LACTIV | $85.20 | $142.00 | $8.00–$113.60 | — | 40% |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTATE-ER ONLY | $85.20 | $142.00 | $8.00–$113.60 | — | 40% |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID PNL | $85.20 | $142.00 | $8.00–$113.60 | — | 40% |
| Lactate (lactic acid) blood test inpatient CPT 83605 D-LACTATE | $85.20 | $142.00 | $8.00–$113.60 | — | 40% |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTATE P8892 | $85.20 | $142.00 | $8.00–$113.60 | — | 40% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE P1635 | $89.40 | $149.00 | $5.98–$119.20 | 143% above | 40% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE | $89.40 | $149.00 | $5.98–$119.20 | 143% above | 40% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LD CSF | $89.40 | $149.00 | $5.98–$119.20 | 143% above | 40% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH-LACTIC DEHYDROGENASE | $89.40 | $149.00 | $5.98–$119.20 | 143% above | 40% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 TOTAL LD PNL 1900 | $89.40 | $149.00 | $5.98–$119.20 | 143% above | 40% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTATE DEHYDROGENASE P1635 | $89.40 | $149.00 | $7.19–$119.20 | — | 40% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH-LACTIC DEHYDROGENASE | $89.40 | $149.00 | $7.19–$119.20 | — | 40% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 TOTAL LD PNL 1900 | $89.40 | $149.00 | $7.19–$119.20 | — | 40% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTATE DEHYDROGENASE | $89.40 | $149.00 | $7.19–$119.20 | — | 40% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LD CSF | $89.40 | $149.00 | $7.19–$119.20 | — | 40% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE JP DRAINAGE | $93.00 | $155.00 | $5.00–$124.00 | 98% above | 40% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $93.00 | $155.00 | $5.00–$124.00 | 98% above | 40% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE | $93.00 | $155.00 | $5.00–$124.00 | — | 40% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE JP DRAINAGE | $93.00 | $155.00 | $5.00–$124.00 | — | 40% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $156.00 | $260.00 | $8.08–$208.00 | 100% above | 40% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL | $156.00 | $260.00 | $9.03–$208.00 | — | 40% |
| Lyme disease antibody test CPT 86618 LYME VISE-1/PEPC10 IGG/IGM | $238.20 | $397.00 | $16.83–$317.60 | 151% above | 40% |
| Lyme disease antibody test CPT 86618 BORRELIA BURGDORFERI P2435 | $238.20 | $397.00 | $16.83–$317.60 | 151% above | 40% |
| Lyme disease antibody test CPT 86618 BORRELIA BURGDORFERI P8139 | $238.20 | $397.00 | $16.83–$317.60 | 151% above | 40% |
| Lyme disease antibody test CPT 86618 LYME DIS AB W/RFLX TO IMMUNOA | $238.20 | $397.00 | $16.83–$317.60 | 151% above | 40% |
| Lyme disease antibody test CPT 86618 LYME DISEASE AB | $238.20 | $397.00 | $16.83–$317.60 | 151% above | 40% |
| Lyme disease antibody test CPT 86618 LYME POLYV AIB SCREEN W/REF | $238.20 | $397.00 | $16.83–$317.60 | 151% above | 40% |
| Lyme disease antibody test inpatient CPT 86618 LYME POLYV AIB SCREEN W/REF | $238.20 | $397.00 | $23.54–$317.60 | — | 40% |
| Lyme disease antibody test inpatient CPT 86618 LYME DIS AB W/RFLX TO IMMUNOA | $238.20 | $397.00 | $23.54–$317.60 | — | 40% |
| Lyme disease antibody test inpatient CPT 86618 LYME VISE-1/PEPC10 IGG/IGM | $238.20 | $397.00 | $23.54–$317.60 | — | 40% |
| Lyme disease antibody test inpatient CPT 86618 BORRELIA BURGDORFERI P8139 | $238.20 | $397.00 | $23.54–$317.60 | — | 40% |
| Lyme disease antibody test inpatient CPT 86618 BORRELIA BURGDORFERI P2435 | $238.20 | $397.00 | $23.54–$317.60 | — | 40% |
| Lyme disease antibody test inpatient CPT 86618 LYME DISEASE AB | $238.20 | $397.00 | $23.54–$317.60 | — | 40% |
| Magnesium blood test CPT 83735 MAGNESIUM 24 HOUR URINE | $85.20 | $142.00 | $6.62–$113.60 | 105% above | 40% |
| Magnesium blood test CPT 83735 MAGNESIUM FECAL | $85.20 | $142.00 | $6.62–$113.60 | 105% above | 40% |
| Magnesium blood test CPT 83735 MAGNESIUM P1635 | $85.20 | $142.00 | $6.62–$113.60 | 105% above | 40% |
| Magnesium blood test CPT 83735 MAGNESIUM P6856 | $85.20 | $142.00 | $6.62–$113.60 | 105% above | 40% |
| Magnesium blood test CPT 83735 MAGNESIUM - 24HR URINE | $85.20 | $142.00 | $6.62–$113.60 | 105% above | 40% |
| Magnesium blood test CPT 83735 MAGNESIUM P7923 | $85.20 | $142.00 | $6.62–$113.60 | 105% above | 40% |
| Magnesium blood test CPT 83735 MAGNESIUM RBC | $85.20 | $142.00 | $6.62–$113.60 | 105% above | 40% |
| Magnesium blood test CPT 83735 MAGNESIUM | $85.20 | $142.00 | $6.62–$113.60 | 105% above | 40% |
| Magnesium blood test CPT 83735 MAGNESIUM/RANDOM URINE P1561 | $85.20 | $142.00 | $6.62–$113.60 | 105% above | 40% |
| Magnesium blood test CPT 83735 MAGNESIUM P6970 | $85.20 | $142.00 | $6.62–$113.60 | 105% above | 40% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM FECAL | $85.20 | $142.00 | $7.25–$113.60 | — | 40% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM/RANDOM URINE P1561 | $85.20 | $142.00 | $7.25–$113.60 | — | 40% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM RBC | $85.20 | $142.00 | $7.25–$113.60 | — | 40% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM P7923 | $85.20 | $142.00 | $7.25–$113.60 | — | 40% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM P6970 | $85.20 | $142.00 | $7.25–$113.60 | — | 40% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM P6856 | $85.20 | $142.00 | $7.25–$113.60 | — | 40% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM | $85.20 | $142.00 | $7.25–$113.60 | — | 40% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM - 24HR URINE | $85.20 | $142.00 | $7.25–$113.60 | — | 40% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM P1635 | $85.20 | $142.00 | $7.25–$113.60 | — | 40% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM 24 HOUR URINE | $85.20 | $142.00 | $7.25–$113.60 | — | 40% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA P7969 | $82.20 | $137.00 | $11.80–$109.60 | 2% above | 40% |
| Measles (rubeola) antibody test CPT 86765 MEASLES RUBEOLA AB | $82.20 | $137.00 | $11.80–$109.60 | 2% above | 40% |
| Measles (rubeola) antibody test CPT 86765 MEASLES ANTIBODY (IGG) | $82.20 | $137.00 | $11.80–$109.60 | 2% above | 40% |
| Measles (rubeola) antibody test CPT 86765 MEASLES AB IGM / RUBEOLA | $82.20 | $137.00 | $11.80–$109.60 | 2% above | 40% |
| Measles (rubeola) antibody test CPT 86765 MEASLES AB IGG IGM DIAGNOSTIC | $82.20 | $137.00 | $11.80–$109.60 | 2% above | 40% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA P3261 | $82.20 | $137.00 | $11.80–$109.60 | 2% above | 40% |
| Measles (rubeola) antibody test inpatient CPT 86765 MEASLES RUBEOLA AB | $82.20 | $137.00 | $11.80–$109.60 | — | 40% |
| Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA P3261 | $82.20 | $137.00 | $11.80–$109.60 | — | 40% |
| Measles (rubeola) antibody test inpatient CPT 86765 MEASLES AB IGG IGM DIAGNOSTIC | $82.20 | $137.00 | $11.80–$109.60 | — | 40% |
| Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA P7969 | $82.20 | $137.00 | $11.80–$109.60 | — | 40% |
| Measles (rubeola) antibody test inpatient CPT 86765 MEASLES ANTIBODY (IGG) | $82.20 | $137.00 | $11.80–$109.60 | — | 40% |
| Measles (rubeola) antibody test inpatient CPT 86765 MEASLES AB IGM / RUBEOLA | $82.20 | $137.00 | $11.80–$109.60 | — | 40% |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONOTEST (HETEROPHILE SCREEN) | $90.60 | $151.00 | $5.12–$120.80 | 144% above | 40% |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONOSPOT | $90.60 | $151.00 | $5.12–$120.80 | 144% above | 40% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONOTEST (HETEROPHILE SCREEN) | $90.60 | $151.00 | $7.15–$120.80 | — | 40% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONOSPOT | $90.60 | $151.00 | $7.15–$120.80 | — | 40% |
| Mumps immunity blood test CPT 86735 MUMPS P7969 | $82.20 | $137.00 | $12.90–$109.60 | 1% above | 40% |
| Mumps immunity blood test CPT 86735 MUMPS AB (IGG/M) PANEL | $82.20 | $137.00 | $12.90–$109.60 | 1% above | 40% |
| Mumps immunity blood test CPT 86735 MUMPS ANTIBODY - IGG | $82.20 | $137.00 | $12.90–$109.60 | 1% above | 40% |
| Mumps immunity blood test CPT 86735 MUMPS ANTIBODY IGM | $82.20 | $137.00 | $12.90–$109.60 | 1% above | 40% |
| Mumps immunity blood test CPT 86735 MUMPS IGG | $82.20 | $137.00 | $12.90–$109.60 | 1% above | 40% |
| Mumps immunity blood test CPT 86735 MUMPS P0786 | $82.20 | $137.00 | $12.90–$109.60 | 1% above | 40% |
| Mumps immunity blood test CPT 86735 MUMPS P3261 | $82.20 | $137.00 | $12.90–$109.60 | 1% above | 40% |
| Mumps immunity blood test CPT 86735 MUMPS P3862 | $82.20 | $137.00 | $12.90–$109.60 | 1% above | 40% |
| Mumps immunity blood test inpatient CPT 86735 MUMPS P3862 | $82.20 | $137.00 | $68.50–$109.60 | — | 40% |
| Mumps immunity blood test inpatient CPT 86735 MUMPS AB (IGG/M) PANEL | $82.20 | $137.00 | $68.50–$109.60 | — | 40% |
| Mumps immunity blood test inpatient CPT 86735 MUMPS ANTIBODY - IGG | $82.20 | $137.00 | $68.50–$109.60 | — | 40% |
| Mumps immunity blood test inpatient CPT 86735 MUMPS ANTIBODY IGM | $82.20 | $137.00 | $68.50–$109.60 | — | 40% |
| Mumps immunity blood test inpatient CPT 86735 MUMPS P7969 | $82.20 | $137.00 | $68.50–$109.60 | — | 40% |
| Mumps immunity blood test inpatient CPT 86735 MUMPS IGG | $82.20 | $137.00 | $68.50–$109.60 | — | 40% |
| Mumps immunity blood test inpatient CPT 86735 MUMPS P0786 | $82.20 | $137.00 | $68.50–$109.60 | — | 40% |
| Mumps immunity blood test inpatient CPT 86735 MUMPS P3261 | $82.20 | $137.00 | $68.50–$109.60 | — | 40% |
| Obstetric blood test panel CPT 80055 OBSTETRICS PANEL | $266.40 | $444.00 | $12.00–$355.20 | 14% below | 40% |
| Obstetric blood test panel inpatient CPT 80055 OBSTETRICS PANEL | $266.40 | $444.00 | $222.00–$355.20 | — | 40% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE REFLEX | $181.20 | $302.00 | $18.17–$241.60 | 59% above | 40% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 FREE PSA PNL 2770 | $181.20 | $302.00 | $18.17–$241.60 | 59% above | 40% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE REFLEX | $181.20 | $302.00 | $151.00–$241.60 | — | 40% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 FREE PSA PNL 2770 | $181.20 | $302.00 | $151.00–$241.60 | — | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA ULTRA-SENSITIVE | $118.80 | $198.00 | $18.17–$158.40 | 8% above | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 TOTAL PSA PNL 2770 | $118.80 | $198.00 | $18.17–$158.40 | 8% above | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA DIAGNOSTIC | $118.80 | $198.00 | $18.17–$158.40 | 8% above | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA POST-PROSTECTOMY HAMA | $118.80 | $198.00 | $18.17–$158.40 | 8% above | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 DIAGNOSTIC PSA | $118.80 | $198.00 | $18.17–$158.40 | 8% above | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL REFLEX TO FREE PSA | $118.80 | $198.00 | $18.17–$158.40 | 8% above | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA ULTRA-SENSITIVE | $118.80 | $198.00 | $24.36–$158.40 | — | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 DIAGNOSTIC PSA | $118.80 | $198.00 | $24.36–$158.40 | — | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL REFLEX TO FREE PSA | $118.80 | $198.00 | $24.36–$158.40 | — | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 TOTAL PSA PNL 2770 | $118.80 | $198.00 | $24.36–$158.40 | — | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA DIAGNOSTIC | $118.80 | $198.00 | $24.36–$158.40 | — | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA POST-PROSTECTOMY HAMA | $118.80 | $198.00 | $24.36–$158.40 | — | 40% |
| Pap test (liquid-based, automated screening with review) CPT 88175 THINPR IMG PAP RF HPV MRNA GEN | $102.00 | $170.00 | $26.30–$136.00 | 25% above | 40% |
| Pap test (liquid-based, automated screening with review) CPT 88175 PAP SMEAR DX THIN W/RESCREEN | $102.00 | $170.00 | $26.30–$136.00 | 25% above | 40% |
| Pap test (liquid-based, automated screening with review) CPT 88175 THINPREP IMAGING SYSTEM PAP | $102.00 | $170.00 | $26.30–$136.00 | 25% above | 40% |
| Pap test (liquid-based, automated screening with review) CPT 88175 SCREENING BY AUTO SYS P4243 | $102.00 | $170.00 | $26.30–$136.00 | 25% above | 40% |
| Pap test (liquid-based, automated screening with review) CPT 88175 THINPR IMAG PAP&HPV MRNA E6/E7 | $102.00 | $170.00 | $26.30–$136.00 | 25% above | 40% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 SCREENING BY AUTO SYS P4243 | $102.00 | $170.00 | $85.00–$136.00 | — | 40% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 THINPR IMG PAP RF HPV MRNA GEN | $102.00 | $170.00 | $85.00–$136.00 | — | 40% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 THINPR IMAG PAP&HPV MRNA E6/E7 | $102.00 | $170.00 | $85.00–$136.00 | — | 40% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 PAP SMEAR DX THIN W/RESCREEN | $102.00 | $170.00 | $85.00–$136.00 | — | 40% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 THINPREP IMAGING SYSTEM PAP | $102.00 | $170.00 | $85.00–$136.00 | — | 40% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 THIN PREP-DIAGNOSTIC | $61.20 | $102.00 | $16.00–$147.42 | at median | 40% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 THIN PREP-DIAGNOSTIC | $61.20 | $102.00 | $51.00–$81.60 | — | 40% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT FINE NEEDLE ASPIR | $379.20 | $632.00 | $40.80–$505.60 | 74% above | 40% |
| Parathyroid hormone (PTH) blood test CPT 83970 INTACT PTH PNL 2511 | $379.20 | $632.00 | $40.80–$505.60 | 74% above | 40% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE P1635 | $379.20 | $632.00 | $40.80–$505.60 | 74% above | 40% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE | $379.20 | $632.00 | $40.80–$505.60 | 74% above | 40% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT(WITHOUT CALCIUM) | $379.20 | $632.00 | $40.80–$505.60 | 74% above | 40% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH INTACT FINE NEEDLE ASPIR | $379.20 | $632.00 | $316.00–$505.60 | — | 40% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE | $379.20 | $632.00 | $316.00–$505.60 | — | 40% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 INTACT PTH PNL 2511 | $379.20 | $632.00 | $316.00–$505.60 | — | 40% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH INTACT(WITHOUT CALCIUM) | $379.20 | $632.00 | $316.00–$505.60 | — | 40% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHORMONE P1635 | $379.20 | $632.00 | $316.00–$505.60 | — | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME P0267 | $81.00 | $135.00 | $5.94–$108.00 | 96% above | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPL TIME PARTL(PTT)P2441 | $85.20 | $142.00 | $5.94–$113.60 | 106% above | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 ACT PART THROMBOP TIME P P7021 | $85.20 | $142.00 | $5.94–$113.60 | 106% above | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 ACTIVATED PTT | $85.20 | $142.00 | $5.94–$113.60 | 106% above | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 APTT (BASELINE) PNL 5464 | $85.20 | $142.00 | $5.94–$113.60 | 106% above | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL PROTHROMBIN TIME P4160 | $85.20 | $142.00 | $5.94–$113.60 | 106% above | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBOPLASTIN PL 2848 | $85.20 | $142.00 | $5.94–$113.60 | 106% above | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT ACTIVATED | $85.20 | $142.00 | $5.94–$113.60 | 106% above | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT (APTT) | $85.20 | $142.00 | $5.94–$113.60 | 106% above | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME P2635 | $85.20 | $142.00 | $5.94–$113.60 | 106% above | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME P3391 | $85.20 | $142.00 | $5.94–$113.60 | 106% above | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME P3417 | $85.20 | $142.00 | $5.94–$113.60 | 106% above | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBPL TIME PART(PTT) P6881 | $85.20 | $142.00 | $5.94–$113.60 | 106% above | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBO TIME PTT P0070 | $85.20 | $142.00 | $5.94–$113.60 | 106% above | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT-LA W/RFX HEXAGONAL CONFIRM | $85.20 | $142.00 | $5.94–$113.60 | 106% above | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME P0267 | $81.00 | $135.00 | $7.50–$108.00 | — | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT (APTT) | $85.20 | $142.00 | $7.50–$113.60 | — | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT-LA W/RFX HEXAGONAL CONFIRM | $85.20 | $142.00 | $7.50–$113.60 | — | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PARTIAL THROMBOPLASTIN PL 2848 | $85.20 | $142.00 | $7.50–$113.60 | — | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT ACTIVATED | $85.20 | $142.00 | $7.50–$113.60 | — | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME P3417 | $85.20 | $142.00 | $7.50–$113.60 | — | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 ACT PART THROMBOP TIME P P7021 | $85.20 | $142.00 | $7.50–$113.60 | — | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 ACTIVATED PTT | $85.20 | $142.00 | $7.50–$113.60 | — | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBPL TIME PART(PTT) P6881 | $85.20 | $142.00 | $7.50–$113.60 | — | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME P2635 | $85.20 | $142.00 | $7.50–$113.60 | — | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 APTT (BASELINE) PNL 5464 | $85.20 | $142.00 | $7.50–$113.60 | — | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PARTIAL PROTHROMBIN TIME P4160 | $85.20 | $142.00 | $7.50–$113.60 | — | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPL TIME PARTL(PTT)P2441 | $85.20 | $142.00 | $7.50–$113.60 | — | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME P3391 | $85.20 | $142.00 | $7.50–$113.60 | — | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBO TIME PTT P0070 | $85.20 | $142.00 | $7.50–$113.60 | — | 40% |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS SERUM | $61.80 | $103.00 | $4.69–$82.40 | 90% above | 40% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS SERUM | $61.80 | $103.00 | $6.55–$82.40 | — | 40% |
| Potassium blood test CPT 84132 BLOOD GAS POTASSIUM | $40.80 | $68.00 | $4.70–$54.40 | 28% above | 40% |
| Potassium blood test CPT 84132 POTASSIUM - SERUM P0800 | $40.80 | $68.00 | $4.70–$54.40 | 28% above | 40% |
| Potassium blood test CPT 84132 POTASSIUM RBC | $40.80 | $68.00 | $4.70–$54.40 | 28% above | 40% |
| Potassium blood test CPT 84132 POTASSIUM SERUM | $40.80 | $68.00 | $4.70–$54.40 | 28% above | 40% |
| Potassium blood test inpatient CPT 84132 POTASSIUM - SERUM P0800 | $40.80 | $68.00 | $6.34–$54.40 | — | 40% |
| Potassium blood test inpatient CPT 84132 BLOOD GAS POTASSIUM | $40.80 | $68.00 | $6.34–$54.40 | — | 40% |
| Potassium blood test inpatient CPT 84132 POTASSIUM RBC | $40.80 | $68.00 | $6.34–$54.40 | — | 40% |
| Potassium blood test inpatient CPT 84132 POTASSIUM SERUM | $40.80 | $68.00 | $6.34–$54.40 | — | 40% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 QNATAL ADVANCED | $3,388.80 | $5,648.00 | $537.36–$4,518.40 | 45% above | 40% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 QNATAL ADVANCED | $3,388.80 | $5,648.00 | $2,824.00–$4,518.40 | — | 40% |
| Progesterone blood test CPT 84144 PROGESTERONE | $177.60 | $296.00 | $17.00–$236.80 | 29% above | 40% |
| Progesterone blood test CPT 84144 PROGESTERONE LEVEL | $177.60 | $296.00 | $17.00–$236.80 | 29% above | 40% |
| Progesterone blood test CPT 84144 PROGESTERONE LC/MS/MS | $177.60 | $296.00 | $17.00–$236.80 | 29% above | 40% |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE LEVEL | $177.60 | $296.00 | $17.00–$236.80 | — | 40% |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE LC/MS/MS | $177.60 | $296.00 | $17.00–$236.80 | — | 40% |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE | $177.60 | $296.00 | $17.00–$236.80 | — | 40% |
| Prolactin blood test CPT 84146 PROLACTIN | $208.20 | $347.00 | $19.15–$277.60 | 67% above | 40% |
| Prolactin blood test CPT 84146 PROLACTIN DILUTION STUDY | $208.20 | $347.00 | $19.15–$277.60 | 67% above | 40% |
| Prolactin blood test CPT 84146 MACROPROLACTIN | $208.20 | $347.00 | $19.15–$277.60 | 67% above | 40% |
| Prolactin blood test inpatient CPT 84146 MACROPROLACTIN | $208.20 | $347.00 | $24.00–$277.60 | — | 40% |
| Prolactin blood test inpatient CPT 84146 PROLACTIN | $208.20 | $347.00 | $24.00–$277.60 | — | 40% |
| Prolactin blood test inpatient CPT 84146 PROLACTIN DILUTION STUDY | $208.20 | $347.00 | $24.00–$277.60 | — | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 ISTAT PT/INR | $54.60 | $91.00 | $4.00–$72.80 | 92% above | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME PNL 2848 | $54.60 | $91.00 | $4.00–$72.80 | 92% above | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME P P7021 | $54.60 | $91.00 | $4.00–$72.80 | 92% above | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME P0070 | $54.60 | $91.00 | $4.00–$72.80 | 92% above | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME P2680 | $54.60 | $91.00 | $4.00–$72.80 | 92% above | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME P4160 | $54.60 | $91.00 | $4.00–$72.80 | 92% above | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME P5674 | $54.60 | $91.00 | $4.00–$72.80 | 92% above | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT PROTHROMBIN TIME | $54.60 | $91.00 | $4.00–$72.80 | 92% above | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME P P7021 | $54.60 | $91.00 | $4.00–$72.80 | — | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME PNL 2848 | $54.60 | $91.00 | $4.00–$72.80 | — | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 ISTAT PT/INR | $54.60 | $91.00 | $4.00–$72.80 | — | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME P2680 | $54.60 | $91.00 | $4.00–$72.80 | — | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME P4160 | $54.60 | $91.00 | $4.00–$72.80 | — | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME P5674 | $54.60 | $91.00 | $4.00–$72.80 | — | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT PROTHROMBIN TIME | $54.60 | $91.00 | $4.00–$72.80 | — | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME P0070 | $54.60 | $91.00 | $4.00–$72.80 | — | 40% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST PRSMV DIR OPT OBS | $53.40 | $89.00 | $10.39–$110.93 | 4% below | 40% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG TEST PRSMV DIR OPT OBS | $53.40 | $89.00 | $44.50–$71.20 | — | 40% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A DIRECT | $67.80 | $113.00 | $6.30–$90.40 | 7% above | 40% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP A DIRECT | $67.80 | $113.00 | $56.50–$90.40 | — | 40% |
| Renin blood test CPT 84244 RENIN ACTIVITY PLASMA | $241.80 | $403.00 | $12.00–$322.40 | 67% above | 40% |
| Renin blood test CPT 84244 RENIN P2402 | $241.80 | $403.00 | $12.00–$322.40 | 67% above | 40% |
| Renin blood test inpatient CPT 84244 RENIN P2402 | $241.80 | $403.00 | $12.00–$322.40 | — | 40% |
| Renin blood test inpatient CPT 84244 RENIN ACTIVITY PLASMA | $241.80 | $403.00 | $12.00–$322.40 | — | 40% |
| Rh blood typing CPT 86901 HC BLOOD TYPING RH(D) | $44.40 | $74.00 | $2.96–$73.16 | 22% below | 40% |
| Rh blood typing CPT 86901 RH P2168 | $44.40 | $74.00 | $2.96–$73.16 | 22% below | 40% |
| Rh blood typing CPT 86901 RH TYPING | $44.40 | $74.00 | $2.96–$73.16 | 22% below | 40% |
| Rh blood typing inpatient CPT 86901 RH P2168 | $44.40 | $74.00 | $4.17–$59.20 | — | 40% |
| Rh blood typing inpatient CPT 86901 RH TYPING | $44.40 | $74.00 | $4.17–$59.20 | — | 40% |
| Rh blood typing inpatient CPT 86901 HC BLOOD TYPING RH(D) | $44.40 | $74.00 | $4.17–$59.20 | — | 40% |
| Rheumatoid factor (RF) test CPT 86431 QUANTITATIVE P4307 | $100.80 | $168.00 | $5.61–$134.40 | 158% above | 40% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTR(RA/RF FACTR) | $100.80 | $168.00 | $5.61–$134.40 | 158% above | 40% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR TITER QUANT | $100.80 | $168.00 | $5.61–$134.40 | 158% above | 40% |
| Rheumatoid factor (RF) test CPT 86431 QUANTITATIVE P0305 | $100.80 | $168.00 | $5.61–$134.40 | 158% above | 40% |
| Rheumatoid factor (RF) test CPT 86431 QUANTITATIVE P3164 | $100.80 | $168.00 | $5.61–$134.40 | 158% above | 40% |
| Rheumatoid factor (RF) test CPT 86431 QUANTITATIVE P4262 | $100.80 | $168.00 | $5.61–$134.40 | 158% above | 40% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMO FACT QUANT P3355 | $100.80 | $168.00 | $5.61–$134.40 | 158% above | 40% |
| Rheumatoid factor (RF) test CPT 86431 QUANTITATIVE P4312 | $100.80 | $168.00 | $5.61–$134.40 | 158% above | 40% |
| Rheumatoid factor (RF) test CPT 86431 QUANTITATIVE P5091 | $100.80 | $168.00 | $5.61–$134.40 | 158% above | 40% |
| Rheumatoid factor (RF) test CPT 86431 QUANTITATIVE P5919 | $100.80 | $168.00 | $5.61–$134.40 | 158% above | 40% |
| Rheumatoid factor (RF) test CPT 86431 QUANTITATIVE P8130 | $100.80 | $168.00 | $5.61–$134.40 | 158% above | 40% |
| Rheumatoid factor (RF) test CPT 86431 QUANTITATIVE P9012 | $100.80 | $168.00 | $5.61–$134.40 | 158% above | 40% |
| Rheumatoid factor (RF) test CPT 86431 QUANTITATIVE P9430 | $100.80 | $168.00 | $5.61–$134.40 | 158% above | 40% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QN P5076 | $100.80 | $168.00 | $5.61–$134.40 | 158% above | 40% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT P0199 | $100.80 | $168.00 | $5.61–$134.40 | 158% above | 40% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT P6897 | $100.80 | $168.00 | $5.61–$134.40 | 158% above | 40% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR TITER QUANT | $100.80 | $168.00 | $84.00–$134.40 | — | 40% |
| Rheumatoid factor (RF) test inpatient CPT 86431 QUANTITATIVE P0305 | $100.80 | $168.00 | $84.00–$134.40 | — | 40% |
| Rheumatoid factor (RF) test inpatient CPT 86431 QUANTITATIVE P3164 | $100.80 | $168.00 | $84.00–$134.40 | — | 40% |
| Rheumatoid factor (RF) test inpatient CPT 86431 QUANTITATIVE P4262 | $100.80 | $168.00 | $84.00–$134.40 | — | 40% |
| Rheumatoid factor (RF) test inpatient CPT 86431 QUANTITATIVE P4307 | $100.80 | $168.00 | $84.00–$134.40 | — | 40% |
| Rheumatoid factor (RF) test inpatient CPT 86431 QUANTITATIVE P4312 | $100.80 | $168.00 | $84.00–$134.40 | — | 40% |
| Rheumatoid factor (RF) test inpatient CPT 86431 QUANTITATIVE P5091 | $100.80 | $168.00 | $84.00–$134.40 | — | 40% |
| Rheumatoid factor (RF) test inpatient CPT 86431 QUANTITATIVE P5919 | $100.80 | $168.00 | $84.00–$134.40 | — | 40% |
| Rheumatoid factor (RF) test inpatient CPT 86431 QUANTITATIVE P8130 | $100.80 | $168.00 | $84.00–$134.40 | — | 40% |
| Rheumatoid factor (RF) test inpatient CPT 86431 QUANTITATIVE P9012 | $100.80 | $168.00 | $84.00–$134.40 | — | 40% |
| Rheumatoid factor (RF) test inpatient CPT 86431 QUANTITATIVE P9430 | $100.80 | $168.00 | $84.00–$134.40 | — | 40% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QN P5076 | $100.80 | $168.00 | $84.00–$134.40 | — | 40% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QUANT P0199 | $100.80 | $168.00 | $84.00–$134.40 | — | 40% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QUANT P6897 | $100.80 | $168.00 | $84.00–$134.40 | — | 40% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTR(RA/RF FACTR) | $100.80 | $168.00 | $84.00–$134.40 | — | 40% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMO FACT QUANT P3355 | $100.80 | $168.00 | $84.00–$134.40 | — | 40% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA AB IGM (GERMAN MEASLS) | $111.60 | $186.00 | $14.22–$148.80 | 32% above | 40% |
| Rubella antibody test (immunity check) CPT 86762 SCREEN RUBELLA AB IGG | $111.60 | $186.00 | $14.22–$148.80 | 32% above | 40% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA P3261 | $111.60 | $186.00 | $14.22–$148.80 | 32% above | 40% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY (IGG) PNL1850 | $111.60 | $186.00 | $14.22–$148.80 | 32% above | 40% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY - IGG | $111.60 | $186.00 | $14.22–$148.80 | 32% above | 40% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA AB/IGM P1641 | $111.60 | $186.00 | $14.22–$148.80 | 32% above | 40% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA AB(IGG IGM) DIAGNOSTIC | $111.60 | $186.00 | $14.22–$148.80 | 32% above | 40% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA AB/IGM P1641 | $111.60 | $186.00 | $19.64–$148.80 | — | 40% |
| Rubella antibody test (immunity check) inpatient CPT 86762 SCREEN RUBELLA AB IGG | $111.60 | $186.00 | $19.64–$148.80 | — | 40% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA P3261 | $111.60 | $186.00 | $19.64–$148.80 | — | 40% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY (IGG) PNL1850 | $111.60 | $186.00 | $19.64–$148.80 | — | 40% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY - IGG | $111.60 | $186.00 | $19.64–$148.80 | — | 40% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA AB IGM (GERMAN MEASLS) | $111.60 | $186.00 | $19.64–$148.80 | — | 40% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA AB(IGG IGM) DIAGNOSTIC | $111.60 | $186.00 | $19.64–$148.80 | — | 40% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS | $163.80 | $273.00 | $12.17–$218.40 | 84% above | 40% |
| Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 SEMEN ANALYSIS | $163.80 | $273.00 | $136.50–$218.40 | — | 40% |
| Sodium blood test CPT 84295 SODIUM | $58.20 | $97.00 | $4.76–$77.60 | 80% above | 40% |
| Sodium blood test CPT 84295 BLOOD GAS SODIUM | $58.20 | $97.00 | $4.76–$77.60 | 80% above | 40% |
| Sodium blood test CPT 84295 SODIUM PNL | $58.20 | $97.00 | $4.76–$77.60 | 80% above | 40% |
| Sodium blood test inpatient CPT 84295 SODIUM PNL | $58.20 | $97.00 | $6.60–$77.60 | — | 40% |
| Sodium blood test inpatient CPT 84295 SODIUM | $58.20 | $97.00 | $6.60–$77.60 | — | 40% |
| Sodium blood test inpatient CPT 84295 BLOOD GAS SODIUM | $58.20 | $97.00 | $6.60–$77.60 | — | 40% |
| Stool ova and parasites exam CPT 87177 OVA & PARASITES P0939 | $151.20 | $252.00 | $7.50–$201.60 | 158% above | 40% |
| Stool ova and parasites exam CPT 87177 OVA AND PARASITES PNL 5271 | $151.20 | $252.00 | $7.50–$201.60 | 158% above | 40% |
| Stool ova and parasites exam CPT 87177 OVA & PARASITE CONCTRN PNL2831 | $151.20 | $252.00 | $7.50–$201.60 | 158% above | 40% |
| Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITES PNL 5271 | $151.20 | $252.00 | $126.00–$201.60 | — | 40% |
| Stool ova and parasites exam inpatient CPT 87177 OVA & PARASITES P0939 | $151.20 | $252.00 | $126.00–$201.60 | — | 40% |
| Stool ova and parasites exam inpatient CPT 87177 OVA & PARASITE CONCTRN PNL2831 | $151.20 | $252.00 | $126.00–$201.60 | — | 40% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HEMOCCULT | $20.40 | $34.00 | $3.47–$27.20 | at median | 40% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HEMOCCULT TEST | $20.40 | $34.00 | $3.47–$27.20 | at median | 40% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD FECES | $20.40 | $34.00 | $3.47–$27.20 | at median | 40% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD FECES | $20.40 | $34.00 | $3.47–$27.20 | — | 40% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HEMOCCULT TEST | $20.40 | $34.00 | $3.47–$27.20 | — | 40% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HEMOCCULT | $20.40 | $34.00 | $3.47–$27.20 | — | 40% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 FECAL GLOBIN IMMUNOCHEMISTRY | $28.20 | $47.00 | $2.80–$37.60 | 22% below | 40% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 FECAL GLOBIN IMMUNOCHEMISTRY | $28.20 | $47.00 | $23.50–$37.60 | — | 40% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 FTA - SERUM | $121.80 | $203.00 | $13.08–$162.40 | 63% above | 40% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 FTA-ABS CSF | $121.80 | $203.00 | $13.08–$162.40 | 63% above | 40% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 SYPHILLIS AB CASCADING REFLEX | $121.80 | $203.00 | $13.08–$162.40 | 63% above | 40% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 TOTAL SYPHILIS | $121.80 | $203.00 | $13.08–$162.40 | 63% above | 40% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM AB IGG IGM | $121.80 | $203.00 | $13.08–$162.40 | 63% above | 40% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONMA PALLIDM AB PART AGGLU | $121.80 | $203.00 | $13.08–$162.40 | 63% above | 40% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONMA PALLIDM AB PART AGGLU | $121.80 | $203.00 | $15.18–$162.40 | — | 40% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMA PALLIDUM AB IGG IGM | $121.80 | $203.00 | $15.18–$162.40 | — | 40% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TOTAL SYPHILIS | $121.80 | $203.00 | $15.18–$162.40 | — | 40% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 SYPHILLIS AB CASCADING REFLEX | $121.80 | $203.00 | $15.18–$162.40 | — | 40% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 FTA-ABS CSF | $121.80 | $203.00 | $15.18–$162.40 | — | 40% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 FTA - SERUM | $121.80 | $203.00 | $15.18–$162.40 | — | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL SERUM | $70.80 | $118.00 | $4.00–$94.40 | 152% above | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR QUAL | $70.80 | $118.00 | $4.00–$94.40 | 152% above | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR SCREEN | $70.80 | $118.00 | $4.00–$94.40 | 152% above | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL - CSF | $70.80 | $118.00 | $4.00–$94.40 | 152% above | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL QUAL CSF | $70.80 | $118.00 | $4.00–$94.40 | 152% above | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR | $70.80 | $118.00 | $4.00–$94.40 | 152% above | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL SERUM | $70.80 | $118.00 | $4.00–$94.40 | — | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR | $70.80 | $118.00 | $4.00–$94.40 | — | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL - CSF | $70.80 | $118.00 | $4.00–$94.40 | — | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR QUAL | $70.80 | $118.00 | $4.00–$94.40 | — | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL QUAL CSF | $70.80 | $118.00 | $4.00–$94.40 | — | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR SCREEN | $70.80 | $118.00 | $4.00–$94.40 | — | 40% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TUBERCULOSIS TEST P6911 | $373.80 | $623.00 | $61.26–$498.40 | 21% above | 40% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TUBERCULOSIS TEST P6941 | $373.80 | $623.00 | $61.26–$498.40 | 21% above | 40% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON - TB GOLD | $373.80 | $623.00 | $61.26–$498.40 | 21% above | 40% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TUBERCULOSIS TEST P6941 | $373.80 | $623.00 | $311.50–$498.40 | — | 40% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON - TB GOLD | $373.80 | $623.00 | $311.50–$498.40 | — | 40% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TUBERCULOSIS TEST P6911 | $373.80 | $623.00 | $311.50–$498.40 | — | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TOTAL TESTOSTERONE P0605 | $262.20 | $437.00 | $25.52–$349.60 | 61% above | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL P4882 | $262.20 | $437.00 | $25.52–$349.60 | 61% above | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL LC/MS/MS | $262.20 | $437.00 | $25.52–$349.60 | 61% above | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE (ANDROGEN) | $262.20 | $437.00 | $25.52–$349.60 | 61% above | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE | $262.20 | $437.00 | $25.52–$349.60 | 61% above | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TOTAL TESTOSTERONE PNL 1540 | $262.20 | $437.00 | $25.52–$349.60 | 61% above | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TOTAL HORMONE P4556 | $262.20 | $437.00 | $25.52–$349.60 | 61% above | 40% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TOTAL TESTOSTERONE P0605 | $262.20 | $437.00 | $27.00–$349.60 | — | 40% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TOTAL HORMONE P4556 | $262.20 | $437.00 | $27.00–$349.60 | — | 40% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TOTAL TESTOSTERONE PNL 1540 | $262.20 | $437.00 | $27.00–$349.60 | — | 40% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL LC/MS/MS | $262.20 | $437.00 | $27.00–$349.60 | — | 40% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE (ANDROGEN) | $262.20 | $437.00 | $27.00–$349.60 | — | 40% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE | $262.20 | $437.00 | $27.00–$349.60 | — | 40% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL P4882 | $262.20 | $437.00 | $27.00–$349.60 | — | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI-THYROID PEROXIDASE PL2554 | $117.00 | $195.00 | $7.91–$156.00 | 55% above | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROPEROXIDASE AB S | $117.00 | $195.00 | $7.91–$156.00 | 55% above | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 PEROXIDASE ANTIBODY | $117.00 | $195.00 | $7.91–$156.00 | 55% above | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODIES P9705 | $117.00 | $195.00 | $7.91–$156.00 | 55% above | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODIES P5091 | $117.00 | $195.00 | $7.91–$156.00 | 55% above | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODIES P4758 | $117.00 | $195.00 | $7.91–$156.00 | 55% above | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOM AB EA P3355 | $117.00 | $195.00 | $7.91–$156.00 | 55% above | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER KIDNEY MICROSOMAL ABS | $117.00 | $195.00 | $7.91–$156.00 | 55% above | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI-LIVER/KIDNEY MICROSOML AB | $117.00 | $195.00 | $7.91–$156.00 | 55% above | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI THYROID PEROXIDASE AB | $117.00 | $195.00 | $7.91–$156.00 | 55% above | 40% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROPEROXIDASE AB S | $117.00 | $195.00 | $7.91–$156.00 | — | 40% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL ANTIBODIES P4758 | $117.00 | $195.00 | $7.91–$156.00 | — | 40% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTI THYROID PEROXIDASE AB | $117.00 | $195.00 | $7.91–$156.00 | — | 40% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTI-LIVER/KIDNEY MICROSOML AB | $117.00 | $195.00 | $7.91–$156.00 | — | 40% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTI-THYROID PEROXIDASE PL2554 | $117.00 | $195.00 | $7.91–$156.00 | — | 40% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL ANTIBODIES P5091 | $117.00 | $195.00 | $7.91–$156.00 | — | 40% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER KIDNEY MICROSOMAL ABS | $117.00 | $195.00 | $7.91–$156.00 | — | 40% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOM AB EA P3355 | $117.00 | $195.00 | $7.91–$156.00 | — | 40% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL ANTIBODIES P9705 | $117.00 | $195.00 | $7.91–$156.00 | — | 40% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 PEROXIDASE ANTIBODY | $117.00 | $195.00 | $7.91–$156.00 | — | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $126.00 | $210.00 | $16.60–$168.00 | 26% above | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE | $126.00 | $210.00 | $16.60–$168.00 | 26% above | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID FUNCTION CASCADE SERUM | $126.00 | $210.00 | $16.60–$168.00 | 26% above | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH W/FREE T4 RFX | $126.00 | $210.00 | $16.60–$168.00 | 26% above | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH THIRD GENERATION | $126.00 | $210.00 | $16.60–$168.00 | 26% above | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH W/HAMA TREATMENT | $126.00 | $210.00 | $16.60–$168.00 | 26% above | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID FUNCTION CASCADE SERUM | $126.00 | $210.00 | $23.21–$168.00 | — | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH W/FREE T4 RFX | $126.00 | $210.00 | $23.21–$168.00 | — | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH W/HAMA TREATMENT | $126.00 | $210.00 | $23.21–$168.00 | — | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMONE | $126.00 | $210.00 | $23.21–$168.00 | — | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH | $126.00 | $210.00 | $23.21–$168.00 | — | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH THIRD GENERATION | $126.00 | $210.00 | $23.21–$168.00 | — | 40% |
| Total IgE blood test CPT 82785 IGE P0925 | $135.00 | $225.00 | $16.27–$180.00 | 30% above | 40% |
| Total IgE blood test CPT 82785 IGE P0722 | $135.00 | $225.00 | $16.27–$180.00 | 30% above | 40% |
| Total IgE blood test CPT 82785 IGE P3280 | $135.00 | $225.00 | $16.27–$180.00 | 30% above | 40% |
| Total IgE blood test CPT 82785 IMMUNOGLOBULIN E (IGE) | $135.00 | $225.00 | $16.27–$180.00 | 30% above | 40% |
| Total IgE blood test CPT 82785 IMMUNOGLOBULIN IGE | $135.00 | $225.00 | $16.27–$180.00 | 30% above | 40% |
| Total IgE blood test inpatient CPT 82785 IMMUNOGLOBULIN IGE | $135.00 | $225.00 | $112.50–$180.00 | — | 40% |
| Total IgE blood test inpatient CPT 82785 IGE P0722 | $135.00 | $225.00 | $112.50–$180.00 | — | 40% |
| Total IgE blood test inpatient CPT 82785 IGE P0925 | $135.00 | $225.00 | $112.50–$180.00 | — | 40% |
| Total IgE blood test inpatient CPT 82785 IGE P3280 | $135.00 | $225.00 | $112.50–$180.00 | — | 40% |
| Total IgE blood test inpatient CPT 82785 IMMUNOGLOBULIN E (IGE) | $135.00 | $225.00 | $112.50–$180.00 | — | 40% |
| Total cholesterol blood test CPT 82465 CHOLESTEROL PNL 7905 | $73.80 | $123.00 | $4.30–$98.40 | 144% above | 40% |
| Total cholesterol blood test CPT 82465 CHOLESTRL SERUM WHOLE BL P9445 | $73.80 | $123.00 | $4.30–$98.40 | 144% above | 40% |
| Total cholesterol blood test CPT 82465 ASSAY BLD/SER CHOLESTERL P3356 | $73.80 | $123.00 | $4.30–$98.40 | 144% above | 40% |
| Total cholesterol blood test CPT 82465 CHOLESTEROL P4399 | $73.80 | $123.00 | $4.30–$98.40 | 144% above | 40% |
| Total cholesterol blood test CPT 82465 CHOLESTEROL PNL | $73.80 | $123.00 | $4.30–$98.40 | 144% above | 40% |
| Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL PNL 7905 | $73.80 | $123.00 | $6.01–$98.40 | — | 40% |
| Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL PNL | $73.80 | $123.00 | $6.01–$98.40 | — | 40% |
| Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL P4399 | $73.80 | $123.00 | $6.01–$98.40 | — | 40% |
| Total cholesterol blood test inpatient CPT 82465 ASSAY BLD/SER CHOLESTERL P3356 | $73.80 | $123.00 | $6.01–$98.40 | — | 40% |
| Total cholesterol blood test inpatient CPT 82465 CHOLESTRL SERUM WHOLE BL P9445 | $73.80 | $123.00 | $6.01–$98.40 | — | 40% |
| Total thyroxine (T4) blood test CPT 84436 T4 THYROXINE | $89.40 | $149.00 | $6.79–$119.20 | 98% above | 40% |
| Total thyroxine (T4) blood test CPT 84436 THYROXINE T4 PNL | $89.40 | $149.00 | $6.79–$119.20 | 98% above | 40% |
| Total thyroxine (T4) blood test CPT 84436 THYROXINE TOTAL P4354 | $89.40 | $149.00 | $6.79–$119.20 | 98% above | 40% |
| Total thyroxine (T4) blood test CPT 84436 T4 (THYROXINE TOTAL) | $89.40 | $149.00 | $6.79–$119.20 | 98% above | 40% |
| Total thyroxine (T4) blood test inpatient CPT 84436 THYROXINE TOTAL P4354 | $89.40 | $149.00 | $9.50–$119.20 | — | 40% |
| Total thyroxine (T4) blood test inpatient CPT 84436 T4 (THYROXINE TOTAL) | $89.40 | $149.00 | $9.50–$119.20 | — | 40% |
| Total thyroxine (T4) blood test inpatient CPT 84436 THYROXINE T4 PNL | $89.40 | $149.00 | $9.50–$119.20 | — | 40% |
| Total thyroxine (T4) blood test inpatient CPT 84436 T4 THYROXINE | $89.40 | $149.00 | $9.50–$119.20 | — | 40% |
| Total triiodothyronine (T3) blood test CPT 84480 T3 TOTAL | $83.40 | $139.00 | $8.00–$111.20 | 14% below | 40% |
| Total triiodothyronine (T3) blood test CPT 84480 TOTAL T3 PNL 2257 | $83.40 | $139.00 | $8.00–$111.20 | 14% below | 40% |
| Total triiodothyronine (T3) blood test CPT 84480 TOTAL T3 (TRIIODOTHYRONINE) | $83.40 | $139.00 | $8.00–$111.20 | 14% below | 40% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 TOTAL T3 PNL 2257 | $83.40 | $139.00 | $23.41–$111.20 | — | 40% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 TOTAL | $83.40 | $139.00 | $23.41–$111.20 | — | 40% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 TOTAL T3 (TRIIODOTHYRONINE) | $83.40 | $139.00 | $23.41–$111.20 | — | 40% |
| Transferrin blood test CPT 84466 TRANSFERRIN | $115.80 | $193.00 | $12.62–$154.40 | 35% above | 40% |
| Transferrin blood test inpatient CPT 84466 TRANSFERRIN | $115.80 | $193.00 | $96.50–$154.40 | — | 40% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS P6785 | $220.80 | $368.00 | $34.68–$366.47 | 20% above | 40% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS P7084 | $220.80 | $368.00 | $34.68–$366.47 | 20% above | 40% |
| Trichomonas test (NAAT) CPT 87661 TRICH VAG RNA QL TMA PAP VIAL | $220.80 | $368.00 | $34.68–$366.47 | 20% above | 40% |
| Trichomonas test (NAAT) CPT 87661 TRICH VAGINAL RNA P3686 | $220.80 | $368.00 | $34.68–$366.47 | 20% above | 40% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS BY AMPL P3611 | $220.80 | $368.00 | $34.68–$366.47 | 20% above | 40% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS P3680 | $220.80 | $368.00 | $34.68–$366.47 | 20% above | 40% |
| Trichomonas test (NAAT) CPT 87661 SURESWAB THRIC VAG RNA QL MALE | $220.80 | $368.00 | $34.68–$366.47 | 20% above | 40% |
| Trichomonas test (NAAT) CPT 87661 SURESWAB TRICH VAGINAL RNA QL | $220.80 | $368.00 | $34.68–$366.47 | 20% above | 40% |
| Trichomonas test (NAAT) CPT 87661 CHLAM TRACH AMP PRB TECH P3694 | $220.80 | $368.00 | $34.68–$366.47 | 20% above | 40% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS P6035 | $220.80 | $368.00 | $34.68–$366.47 | 20% above | 40% |
| Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS P6035 | $220.80 | $368.00 | $184.00–$294.40 | — | 40% |
| Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS P6785 | $220.80 | $368.00 | $184.00–$294.40 | — | 40% |
| Trichomonas test (NAAT) inpatient CPT 87661 CHLAM TRACH AMP PRB TECH P3694 | $220.80 | $368.00 | $184.00–$294.40 | — | 40% |
| Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS P7084 | $220.80 | $368.00 | $184.00–$294.40 | — | 40% |
| Trichomonas test (NAAT) inpatient CPT 87661 SURESWAB THRIC VAG RNA QL MALE | $220.80 | $368.00 | $184.00–$294.40 | — | 40% |
| Trichomonas test (NAAT) inpatient CPT 87661 SURESWAB TRICH VAGINAL RNA QL | $220.80 | $368.00 | $184.00–$294.40 | — | 40% |
| Trichomonas test (NAAT) inpatient CPT 87661 TRICH VAG RNA QL TMA PAP VIAL | $220.80 | $368.00 | $184.00–$294.40 | — | 40% |
| Trichomonas test (NAAT) inpatient CPT 87661 TRICH VAGINAL RNA P3686 | $220.80 | $368.00 | $184.00–$294.40 | — | 40% |
| Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS BY AMPL P3611 | $220.80 | $368.00 | $184.00–$294.40 | — | 40% |
| Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS P3680 | $220.80 | $368.00 | $184.00–$294.40 | — | 40% |
| Triglycerides blood test CPT 84478 TRIGLYCERIDES | $106.20 | $177.00 | $5.68–$141.60 | 168% above | 40% |
| Triglycerides blood test CPT 84478 ASSAY OF TRIGLYCERIDES P3356 | $106.20 | $177.00 | $5.68–$141.60 | 168% above | 40% |
| Triglycerides blood test CPT 84478 TRIGLYCERIDES P4399 | $106.20 | $177.00 | $5.68–$141.60 | 168% above | 40% |
| Triglycerides blood test CPT 84478 TRIGLYCERIDES PNL 7905 | $106.20 | $177.00 | $5.68–$141.60 | 168% above | 40% |
| Triglycerides blood test CPT 84478 TRIGLYCERIDE | $106.20 | $177.00 | $5.68–$141.60 | 168% above | 40% |
| Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES | $106.20 | $177.00 | $7.19–$141.60 | — | 40% |
| Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES P4399 | $106.20 | $177.00 | $7.19–$141.60 | — | 40% |
| Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES PNL 7905 | $106.20 | $177.00 | $7.19–$141.60 | — | 40% |
| Triglycerides blood test inpatient CPT 84478 ASSAY OF TRIGLYCERIDES P3356 | $106.20 | $177.00 | $7.19–$141.60 | — | 40% |
| Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDE | $106.20 | $177.00 | $7.19–$141.60 | — | 40% |
| Troponin test, quantitative CPT 84484 TROPONIN T HIGH SENSITIVITY | $57.00 | $95.00 | $9.87–$76.00 | 31% below | 40% |
| Troponin test, quantitative CPT 84484 TROPONIN T | $57.00 | $95.00 | $9.87–$76.00 | 31% below | 40% |
| Troponin test, quantitative CPT 84484 TROPONIN I-STAT | $57.00 | $95.00 | $9.87–$76.00 | 31% below | 40% |
| Troponin test, quantitative CPT 84484 TROPONIN 1 | $57.00 | $95.00 | $9.87–$76.00 | 31% below | 40% |
| Troponin test, quantitative CPT 84484 TROPONIN I QUANT | $57.00 | $95.00 | $9.87–$76.00 | 31% below | 40% |
| Troponin test, quantitative inpatient CPT 84484 TROPONIN I-STAT | $57.00 | $95.00 | $47.50–$76.00 | — | 40% |
| Troponin test, quantitative inpatient CPT 84484 TROPONIN 1 | $57.00 | $95.00 | $47.50–$76.00 | — | 40% |
| Troponin test, quantitative inpatient CPT 84484 TROPONIN I QUANT | $57.00 | $95.00 | $47.50–$76.00 | — | 40% |
| Troponin test, quantitative inpatient CPT 84484 TROPONIN T HIGH SENSITIVITY | $57.00 | $95.00 | $47.50–$76.00 | — | 40% |
| Troponin test, quantitative inpatient CPT 84484 TROPONIN T | $57.00 | $95.00 | $47.50–$76.00 | — | 40% |
| Uric acid blood test CPT 84550 URIC ACID | $73.80 | $123.00 | $4.47–$98.40 | 133% above | 40% |
| Uric acid blood test CPT 84550 URIC ACID BLOOD P1635 | $73.80 | $123.00 | $4.47–$98.40 | 133% above | 40% |
| Uric acid blood test inpatient CPT 84550 URIC ACID BLOOD P1635 | $73.80 | $123.00 | $7.13–$98.40 | — | 40% |
| Uric acid blood test inpatient CPT 84550 URIC ACID | $73.80 | $123.00 | $7.13–$98.40 | — | 40% |
| Urinalysis with microscope exam, automated CPT 81001 UR COMPL W/REFLEX TO CULTURE | $48.00 | $80.00 | $3.00–$64.00 | 46% above | 40% |
| Urinalysis with microscope exam, automated CPT 81001 UA ROUTINE & MICROSCOPIC | $48.00 | $80.00 | $3.00–$64.00 | 46% above | 40% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS R & M | $48.00 | $80.00 | $3.00–$64.00 | 46% above | 40% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 UA ROUTINE & MICROSCOPIC | $48.00 | $80.00 | $3.00–$64.00 | — | 40% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 UR COMPL W/REFLEX TO CULTURE | $48.00 | $80.00 | $3.00–$64.00 | — | 40% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS R & M | $48.00 | $80.00 | $3.00–$64.00 | — | 40% |
| Urinalysis with microscope exam, manual CPT 81000 URINALYSIS DIPSTICK W MICRO | $4.80 | $8.00 | $3.97–$8.85 | 84% below | 40% |
| Urinalysis with microscope exam, manual CPT 81000 URINE DIPSTICK W MICRO | $4.80 | $8.00 | $3.97–$8.85 | 84% below | 40% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 URINE DIPSTICK W MICRO | $4.80 | $8.00 | $4.00–$6.40 | — | 40% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 URINALYSIS DIPSTICK W MICRO | $4.80 | $8.00 | $4.00–$6.40 | — | 40% |
| Urinalysis without microscope exam, automated CPT 81003 SPECIFIC GRAVITY URINE-C | $45.60 | $76.00 | $2.22–$60.80 | 155% above | 40% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTOMATED | $45.60 | $76.00 | $2.22–$60.80 | 155% above | 40% |
| Urinalysis without microscope exam, automated CPT 81003 URINE MACRO | $45.60 | $76.00 | $2.22–$60.80 | 155% above | 40% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O SCPE P1635 | $45.60 | $76.00 | $2.22–$60.80 | 155% above | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINE MACRO | $45.60 | $76.00 | $4.37–$60.80 | — | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS AUTOMATED | $45.60 | $76.00 | $4.37–$60.80 | — | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS AUTO W/O SCPE P1635 | $45.60 | $76.00 | $4.37–$60.80 | — | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 SPECIFIC GRAVITY URINE-C | $45.60 | $76.00 | $4.37–$60.80 | — | 40% |
| Urinalysis without microscope exam, manual CPT 81002 CHEMSTRIP URINE TEST | $18.60 | $31.00 | $3.44–$28.62 | 11% below | 40% |
| Urinalysis without microscope exam, manual CPT 81002 NON AUTOMATED W/O MICRO P3632 | $18.60 | $31.00 | $3.44–$28.62 | 11% below | 40% |
| Urinalysis without microscope exam, manual CPT 81002 URINANALYSIS DIPSTICK WO MICRO | $18.60 | $31.00 | $3.44–$28.62 | 11% below | 40% |
| Urinalysis without microscope exam, manual CPT 81002 URINE DIPSTICK WO MICRO | $18.60 | $31.00 | $3.44–$28.62 | 11% below | 40% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 CHEMSTRIP URINE TEST | $18.60 | $31.00 | $15.50–$24.80 | — | 40% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 NON AUTOMATED W/O MICRO P3632 | $18.60 | $31.00 | $15.50–$24.80 | — | 40% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URINANALYSIS DIPSTICK WO MICRO | $18.60 | $31.00 | $15.50–$24.80 | — | 40% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URINE DIPSTICK WO MICRO | $18.60 | $31.00 | $15.50–$24.80 | — | 40% |
| Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE QNT COL CT | $103.20 | $172.00 | $7.98–$137.60 | 82% above | 40% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE URINE QNT COL CT | $103.20 | $172.00 | $86.00–$137.60 | — | 40% |
| Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN 24HR UR W/O CREAT | $28.80 | $48.00 | $5.71–$41.86 | 27% below | 40% |
| Urine microalbumin (albumin) test CPT 82043 ALBUMIN RAND UR W/O CREATININE | $28.80 | $48.00 | $5.71–$41.86 | 27% below | 40% |
| Urine microalbumin (albumin) test CPT 82043 ALBUMIN URINE | $28.80 | $48.00 | $5.71–$41.86 | 27% below | 40% |
| Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN TIMED URINE | $28.80 | $48.00 | $5.71–$41.86 | 27% below | 40% |
| Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN - 24HR URINE | $28.80 | $48.00 | $5.71–$41.86 | 27% below | 40% |
| Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN TIMED URINE | $28.80 | $48.00 | $8.00–$38.40 | — | 40% |
| Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN 24HR UR W/O CREAT | $28.80 | $48.00 | $8.00–$38.40 | — | 40% |
| Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN - 24HR URINE | $28.80 | $48.00 | $8.00–$38.40 | — | 40% |
| Urine microalbumin (albumin) test inpatient CPT 82043 ALBUMIN URINE | $28.80 | $48.00 | $8.00–$38.40 | — | 40% |
| Urine microalbumin (albumin) test inpatient CPT 82043 ALBUMIN RAND UR W/O CREATININE | $28.80 | $48.00 | $8.00–$38.40 | — | 40% |
| Urine pregnancy test, read by color change CPT 81025 PREGNANCY URINE QUAL BETA HCG | $36.00 | $60.00 | $4.00–$60.65 | 2% below | 40% |
| Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST | $36.00 | $60.00 | $4.00–$60.65 | 2% below | 40% |
| Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREGNANCY TEST | $36.00 | $60.00 | $4.00–$48.00 | — | 40% |
| Urine pregnancy test, read by color change inpatient CPT 81025 PREGNANCY URINE QUAL BETA HCG | $36.00 | $60.00 | $4.00–$48.00 | — | 40% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 PNL 2979 | $108.60 | $181.00 | $13.00–$144.80 | 16% above | 40% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 | $108.60 | $181.00 | $13.00–$144.80 | 16% above | 40% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B 12 TEST | $108.60 | $181.00 | $13.00–$144.80 | 16% above | 40% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B 12 TEST | $108.60 | $181.00 | $13.00–$144.80 | — | 40% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 PNL 2979 | $108.60 | $181.00 | $13.00–$144.80 | — | 40% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 | $108.60 | $181.00 | $13.00–$144.80 | — | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25-HYDROXY-VITAMIN-D | $271.80 | $453.00 | $29.26–$362.40 | 82% above | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25-OH VITAMIN D3 P3433 | $271.80 | $453.00 | $29.26–$362.40 | 82% above | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 CARD IQ VIT D 25HYDRX LC/MS/MS | $271.80 | $453.00 | $29.26–$362.40 | 82% above | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D/25-HYDROXY | $271.80 | $453.00 | $29.26–$362.40 | 82% above | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D/25-HYDROXY | $271.80 | $453.00 | $40.91–$362.40 | — | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 25-HYDROXY-VITAMIN-D | $271.80 | $453.00 | $40.91–$362.40 | — | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 25-OH VITAMIN D3 P3433 | $271.80 | $453.00 | $40.91–$362.40 | — | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 CARD IQ VIT D 25HYDRX LC/MS/MS | $271.80 | $453.00 | $40.91–$362.40 | — | 40% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 DIHYDROXYVITAMIN D 1-25 P3433 | $97.80 | $163.00 | $38.05–$243.77 | 59% below | 40% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D 1 25-DIHYDROXY | $97.80 | $163.00 | $38.05–$243.77 | 59% below | 40% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 DIHYDROXYVITAMIN D 1-25 P1635 | $97.80 | $163.00 | $38.05–$243.77 | 59% below | 40% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 DIHYDROXYVITAMIN D 1-25 P1635 | $97.80 | $163.00 | $53.78–$130.40 | — | 40% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VITAMIN D 1 25-DIHYDROXY | $97.80 | $163.00 | $53.78–$130.40 | — | 40% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 DIHYDROXYVITAMIN D 1-25 P3433 | $97.80 | $163.00 | $53.78–$130.40 | — | 40% |
| Zinc blood test CPT 84630 ZINC RBC | $183.60 | $306.00 | $11.26–$244.80 | 154% above | 40% |
| Zinc blood test CPT 84630 ZINC BLOOD | $183.60 | $306.00 | $11.26–$244.80 | 154% above | 40% |
| Zinc blood test CPT 84630 ZINC P6970 | $183.60 | $306.00 | $11.26–$244.80 | 154% above | 40% |
| Zinc blood test CPT 84630 24 HR URINE ZINC | $183.60 | $306.00 | $11.26–$244.80 | 154% above | 40% |
| Zinc blood test inpatient CPT 84630 ZINC RBC | $183.60 | $306.00 | $153.00–$244.80 | — | 40% |
| Zinc blood test inpatient CPT 84630 ZINC P6970 | $183.60 | $306.00 | $153.00–$244.80 | — | 40% |
| Zinc blood test inpatient CPT 84630 ZINC BLOOD | $183.60 | $306.00 | $153.00–$244.80 | — | 40% |
| Zinc blood test inpatient CPT 84630 24 HR URINE ZINC | $183.60 | $306.00 | $153.00–$244.80 | — | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN CHORIO QUAN P0493 | $180.60 | $301.00 | $14.88–$240.80 | 102% above | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN CHORNC(QNT) P0010 | $180.60 | $301.00 | $14.88–$240.80 | 102% above | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QN P3249 | $180.60 | $301.00 | $14.88–$240.80 | 102% above | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANTITATIVE INTACT | $180.60 | $301.00 | $14.88–$240.80 | 102% above | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADATROP CHRNC QNT FTS P0020 | $180.60 | $301.00 | $14.88–$240.80 | 102% above | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BHCG OTHER | $180.60 | $301.00 | $14.88–$240.80 | 102% above | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA-HCG SERUM QN TUMOR MARKER | $180.60 | $301.00 | $14.88–$240.80 | 102% above | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA-HCG QN TUMOR MARKER | $180.60 | $301.00 | $14.88–$240.80 | 102% above | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 ISTAT B-HCG QUAN | $180.60 | $301.00 | $14.88–$240.80 | 102% above | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 GONADOTROPIN CHORNC(QNT) P0010 | $180.60 | $301.00 | $16.42–$240.80 | — | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 GONADOTROPIN CHORIO QUAN P0493 | $180.60 | $301.00 | $16.42–$240.80 | — | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 GONADATROP CHRNC QNT FTS P0020 | $180.60 | $301.00 | $16.42–$240.80 | — | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 ISTAT B-HCG QUAN | $180.60 | $301.00 | $16.42–$240.80 | — | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANTITATIVE INTACT | $180.60 | $301.00 | $16.42–$240.80 | — | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QN P3249 | $180.60 | $301.00 | $16.42–$240.80 | — | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BHCG OTHER | $180.60 | $301.00 | $16.42–$240.80 | — | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA-HCG SERUM QN TUMOR MARKER | $180.60 | $301.00 | $16.42–$240.80 | — | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA-HCG QN TUMOR MARKER | $180.60 | $301.00 | $16.42–$240.80 | — | 40% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Pennsylvania | Off list |
|---|---|---|---|---|---|
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BREAST 1ST LESION STRTCTC | $2,923.20 | $4,872.00 | $148.30–$3,897.60 | 25% below | 40% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 BX BREAST 1ST LESION STRTCTC | $2,923.20 | $4,872.00 | $2,436.00–$3,897.60 | — | 40% |
| Cardiac catheterization with coronary angiogram CPT 93458 L HRT ART VNTRCL ANGIO IMG S&I | $9,964.80 | $16,608.00 | $1,309.04–$13,286.40 | 13% above | 40% |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 L HRT ART VNTRCL ANGIO IMG S&I | $9,964.80 | $16,608.00 | $8,304.00–$13,286.40 | — | 40% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDOVERSION ELECTIVE EXTERNAL | $1,621.20 | $2,702.00 | $87.00–$2,161.60 | 11% above | 40% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION | $1,621.20 | $2,702.00 | $87.00–$2,161.60 | 11% above | 40% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDOVERSION ELECTIVE EXTERNAL | $1,621.20 | $2,702.00 | $1,351.00–$2,161.60 | — | 40% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION | $1,621.20 | $2,702.00 | $1,351.00–$2,161.60 | — | 40% |
| Catheter ablation for atrial fibrillation CPT 93656 TX ATRIAL FIB PULM VEN ISOL | $11,199.60 | $18,666.00 | $932.06–$25,259.69 | 64% below | 40% |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 TX ATRIAL FIB PULM VEN ISOL | $11,199.60 | $18,666.00 | $9,333.00–$14,932.80 | — | 40% |
| Cervical biopsy CPT 57500 CERVICAL BIOPSY OR POLYPECTOMY | $6,169.80 | $10,283.00 | $66.12–$8,226.40 | 143% above | 40% |
| Cervical biopsy inpatient CPT 57500 CERVICAL BIOPSY OR POLYPECTOMY | $6,169.80 | $10,283.00 | $5,141.50–$8,226.40 | — | 40% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION | $1,248.60 | $2,081.00 | $27.00–$4,408.55 | 2% above | 40% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION | $1,248.60 | $2,081.00 | $1,040.50–$1,664.80 | — | 40% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 DISTAL RADIUS/COLLES FX WO RED | $574.80 | $958.00 | $114.50–$766.40 | 13% below | 40% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 DISTAL RADIUS/COLLES FX WO RED | $574.80 | $958.00 | $479.00–$766.40 | — | 40% |
| Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W/SNARE TECHNIQUE | $1,764.60 | $2,941.00 | $268.08–$2,503.39 | 31% below | 40% |
| Colonoscopy with polyp removal inpatient CPT 45385 COLONOSCOPY W/SNARE TECHNIQUE | $1,764.60 | $2,941.00 | $1,470.50–$2,352.80 | — | 40% |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY W/BX SINGLE/MULT | $1,764.60 | $2,941.00 | $225.42–$2,504.97 | 20% below | 40% |
| Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY W/BX SINGLE/MULT | $1,764.60 | $2,941.00 | $1,470.50–$2,352.80 | — | 40% |
| Colonoscopy, diagnostic CPT 45378 COLONOSCOPY DIAG W/WO BRUSHING | $1,500.00 | $2,500.00 | $180.50–$2,523.09 | at median | 40% |
| Colonoscopy, diagnostic inpatient CPT 45378 COLONOSCOPY DIAG W/WO BRUSHING | $1,500.00 | $2,500.00 | $1,250.00–$2,000.00 | — | 40% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 COLPOSCPY W BX CERV & ENDOCERV | $192.00 | $320.00 | $105.94–$455.07 | 61% below | 40% |
| Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 COLPOSCPY W BX CERV & ENDOCERV | $192.00 | $320.00 | $160.00–$256.00 | — | 40% |
| Cystoscopy with ureteral stent placement CPT 52332 CYSTOSCOPY W STENT INSERTION | $4,764.60 | $7,941.00 | $143.72–$6,352.80 | at median | 40% |
| Cystoscopy with ureteral stent placement inpatient CPT 52332 CYSTOSCOPY W STENT INSERTION | $4,764.60 | $7,941.00 | $3,970.50–$6,352.80 | — | 40% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DEST PRE-MALIGNANT LES 1ST | $52.20 | $87.00 | $20.00–$455.19 | 88% below | 40% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DEST PRE-MALIGNANT LES 1ST | $52.20 | $87.00 | $43.50–$69.60 | — | 40% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 RMV IMPACT CERUMEN IRR/LAV | $120.00 | $200.00 | $8.38–$175.00 | 14% below | 40% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 RMV IMPACT CERUMEN IRR/LAV | $120.00 | $200.00 | $100.00–$160.00 | — | 40% |
| Earwax removal with instruments, one ear CPT 69210 RMV IMPACT CERUMEN INSTR | $120.00 | $200.00 | $18.59–$160.00 | 11% below | 40% |
| Earwax removal with instruments, one ear inpatient CPT 69210 RMV IMPACT CERUMEN INSTR | $120.00 | $200.00 | $100.00–$160.00 | — | 40% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BIOPSY ENDOMETRIAL | $128.40 | $214.00 | $51.00–$1,160.93 | 68% below | 40% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 BIOPSY ENDOMETRIAL | $128.40 | $214.00 | $107.00–$171.20 | — | 40% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 FLEX SIG DIAG W/WO BRUSHING | $598.20 | $997.00 | $53.15–$1,141.04 | 48% below | 40% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 FLEX SIG DIAG W/WO BRUSHING | $598.20 | $997.00 | $498.50–$797.60 | — | 40% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 INJ HYSTEROSALPINGOGRAM | $382.80 | $638.00 | $52.00–$510.40 | at median | 40% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 INJ HYSTEROSALPINGOGRAM | $382.80 | $638.00 | $319.00–$510.40 | — | 40% |
| IUD insertion (the device itself billed separately) CPT 58300 INSERT INTRAUTERINE DEVICE | $148.80 | $248.00 | $17.25–$327.67 | 52% below | 40% |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 INSERT INTRAUTERINE DEVICE | $148.80 | $248.00 | $124.00–$198.40 | — | 40% |
| Incision and drainage of a simple or single skin abscess CPT 10060 ID SIMPLE ABSCESS | $518.40 | $864.00 | $23.50–$691.20 | 2% above | 40% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 ID SIMPLE ABSCESS | $518.40 | $864.00 | $432.00–$691.20 | — | 40% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ(S) TENDON SHEATH/LIGAMENT | $909.00 | $1,515.00 | $32.00–$1,212.00 | 60% above | 40% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TEND/LIGAMENT/GANG CYST | $909.00 | $1,515.00 | $32.00–$1,212.00 | 60% above | 40% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ(S) TENDON SHEATH/LIGAMENT | $909.00 | $1,515.00 | $757.50–$1,212.00 | — | 40% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ TEND/LIGAMENT/GANG CYST | $909.00 | $1,515.00 | $757.50–$1,212.00 | — | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHRO ASP/INJ LG JT WO/US | $505.20 | $842.00 | $18.59–$673.60 | 8% above | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHRO ASP/INJ MAJOR JOINT | $505.20 | $842.00 | $18.59–$673.60 | 8% above | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHRO ASP/INJ LG JT WO/US | $505.20 | $842.00 | $421.00–$673.60 | — | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHRO ASP/INJ MAJOR JOINT | $505.20 | $842.00 | $421.00–$673.60 | — | 40% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERT DRUG IMPLANT DEVICE | $253.20 | $422.00 | $75.73–$3,059.02 | at median | 40% |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 INSERT DRUG IMPLANT DEVICE | $253.20 | $422.00 | $211.00–$337.60 | — | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHRO ASP/INJ INT JT WO/US | $361.20 | $602.00 | $18.59–$481.60 | 2% above | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHRO ASP/INJ INT JT WO/US | $361.20 | $602.00 | $301.00–$481.60 | — | 40% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHRO ASP/INJ SMALL JOINT | $158.40 | $264.00 | $18.00–$303.94 | 61% below | 40% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHRO ASP/INJ SMALL JOINT | $158.40 | $264.00 | $132.00–$211.20 | — | 40% |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAPAROSCOPY SURG REM ADNEX STR | $7,589.40 | $12,649.00 | $1,232.68–$10,119.20 | 23% below | 40% |
| Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 LAPAROSCOPY SURG REM ADNEX STR | $7,589.40 | $12,649.00 | $6,324.50–$10,119.20 | — | 40% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INT LAC RPR 0-2.5CM SCLP TRNK | $574.80 | $958.00 | $24.50–$766.40 | 2% below | 40% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 INT LAC RPR 0-2.5CM SCLP TRNK | $574.80 | $958.00 | $479.00–$766.40 | — | 40% |
| Left heart catheterization, diagnostic one side CPT 93452 LEFT HRT CATH W VENTRCLGRPHY | $7,564.20 | $12,607.00 | $1,046.36–$10,085.60 | 16% above | 40% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 LEFT HRT CATH W VENTRCLGRPHY | $7,564.20 | $12,607.00 | $6,303.50–$10,085.60 | — | 40% |
| Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTRLMNR LUM/SAC W/IMG GDE | $2,094.60 | $3,491.00 | $81.32–$2,792.80 | at median | 40% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 NJX INTRLMNR LUM/SAC W/IMG GDE | $2,094.60 | $3,491.00 | $1,745.50–$2,792.80 | — | 40% |
| Lower-back epidural injection, without imaging guidance CPT 62322 NJX INTERLAMINAR LMBR/SAC | $1,629.00 | $2,715.00 | $71.15–$2,172.00 | 15% below | 40% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 NJX INTERLAMINAR LMBR/SAC | $1,629.00 | $2,715.00 | $1,357.50–$2,172.00 | — | 40% |
| Miscarriage treatment with D&C, first trimester CPT 59820 D & C FIRST TRIM | $8,746.80 | $14,578.00 | $743.25–$11,662.40 | 62% above | 40% |
| Miscarriage treatment with D&C, first trimester inpatient CPT 59820 D & C FIRST TRIM | $8,746.80 | $14,578.00 | $7,289.00–$11,662.40 | — | 40% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EX BEN LES<0.5CM TRNK/LIMB | $2,157.60 | $3,596.00 | $37.50–$2,876.80 | 62% above | 40% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EX BEN LES<0.5CM TRNK/LIMB | $2,157.60 | $3,596.00 | $1,798.00–$2,876.80 | — | 40% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC BGN LES FEENL <0.5CM | $286.80 | $478.00 | $54.50–$1,885.27 | 84% below | 40% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXC BGN LES FEENL <0.5CM | $286.80 | $478.00 | $239.00–$382.40 | — | 40% |
| Nail removal (partial or complete), one nail CPT 11730 NAIL AVULSION COMP/PART SNGL | $584.40 | $974.00 | $25.75–$779.20 | 24% above | 40% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 NAIL AVULSION COMP/PART SNGL | $584.40 | $974.00 | $487.00–$779.20 | — | 40% |
| Occipital nerve block (injection for headaches) CPT 64405 OCCIPITAL NERVE BLOCK | $2,184.00 | $3,640.00 | $35.00–$2,912.00 | 287% above | 40% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 OCCIPITAL NERVE BLOCK | $2,184.00 | $3,640.00 | $1,820.00–$2,912.00 | — | 40% |
| Pacemaker implant (dual chamber) CPT 33208 INS NEW ATRL & VNT PMKR & LEAD | $12,450.60 | $20,751.00 | $463.07–$16,600.80 | 2% below | 40% |
| Pacemaker implant (dual chamber) inpatient CPT 33208 INS NEW ATRL & VNT PMKR & LEAD | $12,450.60 | $20,751.00 | $10,375.50–$16,600.80 | — | 40% |
| Paracentesis with imaging guidance CPT 49083 ABD PARACNT DX/THR W IMG GUID | $2,179.80 | $3,633.00 | $84.33–$3,379.97 | 29% above | 40% |
| Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACNT DX/THR W IMG GUID | $2,179.80 | $3,633.00 | $1,816.50–$2,906.40 | — | 40% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION NAIL COMP/PART | $788.40 | $1,314.00 | $334.58–$1,141.28 | 5% below | 40% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXCISION NAIL COMP/PART | $788.40 | $1,314.00 | $657.00–$1,051.20 | — | 40% |
| Removal of a foreign object under the skin, simple CPT 10120 SUBCUT FB REMOVAL SIMPLE | $586.80 | $978.00 | $30.50–$782.40 | 8% above | 40% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 SUBCUT FB REMOVAL SIMPLE | $586.80 | $978.00 | $489.00–$782.40 | — | 40% |
| Short arm cast (elbow to hand) CPT 29075 SHORT ARM CAST APPLICATION | $379.20 | $632.00 | $45.50–$505.60 | 9% below | 40% |
| Short arm cast (elbow to hand) inpatient CPT 29075 SHORT ARM CAST APPLICATION | $379.20 | $632.00 | $316.00–$505.60 | — | 40% |
| Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT | $262.80 | $438.00 | $26.00–$350.40 | 17% below | 40% |
| Short arm splint (forearm and hand) inpatient CPT 29125 APPLY FOREARM SPLINT | $262.80 | $438.00 | $219.00–$350.40 | — | 40% |
| Short leg cast (below the knee) CPT 29405 APPL SHORT LEG CAST | $457.20 | $762.00 | $50.50–$609.60 | 12% below | 40% |
| Short leg cast (below the knee) inpatient CPT 29405 APPL SHORT LEG CAST | $457.20 | $762.00 | $381.00–$609.60 | — | 40% |
| Short leg splint (calf to foot) CPT 29515 APPLY LOWER LEG SPLINT | $262.80 | $438.00 | $35.00–$436.10 | 43% below | 40% |
| Short leg splint (calf to foot) inpatient CPT 29515 APPLY LOWER LEG SPLINT | $262.80 | $438.00 | $219.00–$350.40 | — | 40% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SMPL LAC RPR 0-2.5CM SCALP | $518.40 | $864.00 | $24.50–$691.20 | 1% above | 40% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SMPL LAC RPR 0-2.5CM SCALP | $518.40 | $864.00 | $432.00–$691.20 | — | 40% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION | $613.80 | $1,023.00 | $40.43–$818.40 | 7% below | 40% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX SKIN SINGLE LESION | $613.80 | $1,023.00 | $511.50–$818.40 | — | 40% |
| Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAGS UP TO 15 | $415.80 | $693.00 | $31.00–$711.29 | 31% below | 40% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVAL OF SKIN TAGS UP TO 15 | $415.80 | $693.00 | $346.50–$554.40 | — | 40% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNC LUMBAR DX | $1,192.20 | $1,987.00 | $42.00–$1,866.17 | 2% below | 40% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNC LUMBAR DX | $1,192.20 | $1,987.00 | $993.50–$1,589.60 | — | 40% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SMPL LAC RPR 2.6-7.5CM SCALP | $518.40 | $864.00 | $35.50–$691.20 | 2% below | 40% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SMPL LAC RPR 2.6-7.5CM SCALP | $518.40 | $864.00 | $432.00–$691.20 | — | 40% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SMPL LAC RPR 0-2.5CM FACE | $518.40 | $864.00 | $31.50–$691.20 | 2% above | 40% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SMPL LAC RPR 0-2.5CM FACE | $518.40 | $864.00 | $432.00–$691.20 | — | 40% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LES | $613.80 | $1,023.00 | $32.23–$818.40 | 8% above | 40% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TANGNTL BX SKIN SINGLE LES | $613.80 | $1,023.00 | $511.50–$818.40 | — | 40% |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W GUIDANCE | $1,635.00 | $2,725.00 | $403.71–$2,180.00 | 11% above | 40% |
| Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W GUIDANCE | $1,635.00 | $2,725.00 | $1,362.50–$2,180.00 | — | 40% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ SG/MUL TRG PTS 1-2 MUSCLES | $454.20 | $757.00 | $31.06–$605.60 | 16% below | 40% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ SNG/MUL TRG PTS 1-2 MUS GR | $454.20 | $757.00 | $31.06–$605.60 | 16% below | 40% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ SNG/MUL TRG PTS 1-2 MUS GR | $454.20 | $757.00 | $378.50–$605.60 | — | 40% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ SG/MUL TRG PTS 1-2 MUSCLES | $454.20 | $757.00 | $378.50–$605.60 | — | 40% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST 1ST LESION US IMAG | $1,945.20 | $3,242.00 | $138.89–$2,593.60 | 46% below | 40% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 BX BREAST 1ST LESION US IMAG | $1,945.20 | $3,242.00 | $1,621.00–$2,593.60 | — | 40% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 EGD W/BALLOON DILATION | $2,695.20 | $4,492.00 | $621.62–$3,593.60 | 21% below | 40% |
| Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 EGD W/BALLOON DILATION | $2,695.20 | $4,492.00 | $2,246.00–$3,593.60 | — | 40% |
| Upper endoscopy (EGD) with biopsy CPT 43239 EGD W/BIOPSY SINGLE/MULT | $1,675.80 | $2,793.00 | $148.58–$2,524.07 | 23% below | 40% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD W/BIOPSY SINGLE/MULT | $1,675.80 | $2,793.00 | $1,396.50–$2,234.40 | — | 40% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 EGD W/SUBMUCOSAL INJ ANY SUB | $1,675.80 | $2,793.00 | $151.55–$2,234.40 | 36% below | 40% |
| Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 EGD W/SUBMUCOSAL INJ ANY SUB | $1,675.80 | $2,793.00 | $1,396.50–$2,234.40 | — | 40% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD W/REMOVAL BY SNARE | $1,675.80 | $2,793.00 | $189.35–$2,524.19 | 47% below | 40% |
| Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 EGD W/REMOVAL BY SNARE | $1,675.80 | $2,793.00 | $1,396.50–$2,234.40 | — | 40% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 EGD W/DILATION OVER WIRE | $1,675.80 | $2,793.00 | $637.56–$2,503.32 | 32% below | 40% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 EGD W/DILATION OVER WIRE | $1,675.80 | $2,793.00 | $1,396.50–$2,234.40 | — | 40% |
| Upper endoscopy (EGD), diagnostic CPT 43235 EGD W/WO BRUSHINGS | $1,675.80 | $2,793.00 | $125.22–$2,234.40 | 12% below | 40% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 EGD W/WO BRUSHINGS | $1,675.80 | $2,793.00 | $1,396.50–$2,234.40 | — | 40% |
| Vein ablation, radiofrequency, first vein CPT 36475 ENDOVENOUS RF 1ST VEIN | $24,570.60 | $40,951.00 | $3,060.18–$32,760.80 | 163% above | 40% |
| Vein ablation, radiofrequency, first vein inpatient CPT 36475 ENDOVENOUS RF 1ST VEIN | $24,570.60 | $40,951.00 | $20,475.50–$32,760.80 | — | 40% |
| Wart removal, up to 14 warts CPT 17110 DESTR BENIGN LESIONS 1-14 | $52.20 | $87.00 | $43.50–$437.07 | 91% below | 40% |
| Wart removal, up to 14 warts inpatient CPT 17110 DESTR BENIGN LESIONS 1-14 | $52.20 | $87.00 | $43.50–$69.60 | — | 40% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRID SKIN AND SQ TISSUE | $1,656.00 | $2,760.00 | $33.00–$2,524.99 | 54% above | 40% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRID SKIN AND SQ TISSUE | $1,656.00 | $2,760.00 | $1,380.00–$2,208.00 | — | 40% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Pennsylvania | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD/COMPONENTS | $725.40 | $1,209.00 | $27.84–$967.20 | 23% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TX (CELL SAVER/BLD BANK) | $725.40 | $1,209.00 | $27.84–$967.20 | 23% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 CELL SAVING TRANSFUSION PROC | $725.40 | $1,209.00 | $27.84–$967.20 | 23% below | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TX (CELL SAVER/BLD BANK) | $725.40 | $1,209.00 | $604.50–$967.20 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD/COMPONENTS | $725.40 | $1,209.00 | $604.50–$967.20 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 CELL SAVING TRANSFUSION PROC | $725.40 | $1,209.00 | $604.50–$967.20 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 DRUG AEROSOL INITIAL | $126.00 | $210.00 | $24.67–$209.42 | 43% below | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI SUBSEQUENT | $126.00 | $210.00 | $24.67–$209.42 | 43% below | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI INITIAL | $126.00 | $210.00 | $24.67–$209.42 | 43% below | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPV SUBSEQUENT | $126.00 | $210.00 | $24.67–$209.42 | 43% below | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPV INITIAL | $126.00 | $210.00 | $24.67–$209.42 | 43% below | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPPB SUBSEQUENT | $126.00 | $210.00 | $24.67–$209.42 | 43% below | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPPB INITIAL/EVAL | $126.00 | $210.00 | $24.67–$209.42 | 43% below | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 DRUG AEROSOL/MDI - INIT ADMIN | $126.00 | $210.00 | $24.67–$209.42 | 43% below | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 DRUG AEROSOL SUBSEQUENT | $126.00 | $210.00 | $24.67–$209.42 | 43% below | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 IPPB SUBSEQUENT | $126.00 | $210.00 | $105.00–$168.00 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 IPPB INITIAL/EVAL | $126.00 | $210.00 | $105.00–$168.00 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 IPV INITIAL | $126.00 | $210.00 | $105.00–$168.00 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 IPV SUBSEQUENT | $126.00 | $210.00 | $105.00–$168.00 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI INITIAL | $126.00 | $210.00 | $105.00–$168.00 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI SUBSEQUENT | $126.00 | $210.00 | $105.00–$168.00 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 DRUG AEROSOL/MDI - INIT ADMIN | $126.00 | $210.00 | $105.00–$168.00 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 DRUG AEROSOL SUBSEQUENT | $126.00 | $210.00 | $105.00–$168.00 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 DRUG AEROSOL INITIAL | $126.00 | $210.00 | $105.00–$168.00 | — | 40% |
| Chemotherapy IV infusion, first hour CPT 96413 IV INF CHEMO 1ST HR | $402.00 | $670.00 | $124.80–$536.00 | 45% below | 40% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 IV INF CHEMO 1ST HR | $402.00 | $670.00 | $335.00–$536.00 | — | 40% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE & DROWSY | $448.80 | $748.00 | $13.50–$598.40 | 41% below | 40% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE & DROWSY | $448.80 | $748.00 | $22.50–$598.40 | — | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TRACING WO INTERP & RPT | $135.00 | $225.00 | $10.46–$180.00 | 23% below | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG TRACING WO INTERP & RPT | $135.00 | $225.00 | $11.50–$180.00 | — | 40% |
| Electroconvulsive therapy (ECT), one session CPT 90870 ECT SINGLE SEIZURE | $633.00 | $1,055.00 | $45.00–$1,089.05 | 50% below | 40% |
| Electroconvulsive therapy (ECT), one session inpatient CPT 90870 ECT SINGLE SEIZURE | $633.00 | $1,055.00 | $45.00–$844.00 | — | 40% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 ECG STRESS WITH ECHO | $759.00 | $1,265.00 | $46.50–$1,012.00 | 20% below | 40% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 PROGRESSIVE STRESS TEST | $759.00 | $1,265.00 | $46.50–$1,012.00 | 20% below | 40% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 PROGRESSIVE STRESS TEST | $759.00 | $1,265.00 | $632.50–$1,012.00 | — | 40% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 ECG STRESS WITH ECHO | $759.00 | $1,265.00 | $632.50–$1,012.00 | — | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INF HYDRATION 1ST HR | $369.60 | $616.00 | $31.63–$492.80 | 15% below | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INF HYDRATION 1ST HR | $369.60 | $616.00 | $308.00–$492.80 | — | 40% |
| IV infusion of a medicine, first hour CPT 96365 IV INF NONCHEMO 1ST HR | $369.60 | $616.00 | $39.30–$492.80 | 18% below | 40% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INF NONCHEMO 1ST HR | $369.60 | $616.00 | $308.00–$492.80 | — | 40% |
| IV push of a medicine, first drug CPT 96374 IV PUSH NONCHEMO 1ST DRUG | $166.80 | $278.00 | $31.02–$222.40 | 49% below | 40% |
| IV push of a medicine, first drug inpatient CPT 96374 IV PUSH NONCHEMO 1ST DRUG | $166.80 | $278.00 | $139.00–$222.40 | — | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM/SQ | $163.20 | $272.00 | $12.70–$217.60 | 32% above | 40% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION IM/SQ | $163.20 | $272.00 | $136.00–$217.60 | — | 40% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 NERVE COND MTR/SEN 7-8 STUDIES | $453.00 | $755.00 | $58.99–$604.00 | 69% below | 40% |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 NERVE COND MTR/SEN 7-8 STUDIES | $453.00 | $755.00 | $377.50–$604.00 | — | 40% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 NUTRITION THER INIT IND P/15M | $27.00 | $45.00 | $12.97–$36.00 | 46% below | 40% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 TM NUTR THER INIT IND P/15M | $27.00 | $45.00 | $12.97–$36.00 | 46% below | 40% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 TM NUTR THER INIT IND P/15M | $27.00 | $45.00 | $22.50–$36.00 | — | 40% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 NUTRITION THER INIT IND P/15M | $27.00 | $45.00 | $22.50–$36.00 | — | 40% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKE/TOBACCO COUNSEL 3-10 MIN | $30.00 | $50.00 | $19.22–$40.21 | 34% below | 40% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 TOBACCO USE COUNSLNG 3-10 MIN | $30.00 | $50.00 | $19.22–$40.21 | 34% below | 40% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 TOBACCO USE COUNSLNG 3-10 MIN | $30.00 | $50.00 | $25.00–$40.00 | — | 40% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKE/TOBACCO COUNSEL 3-10 MIN | $30.00 | $50.00 | $25.00–$40.00 | — | 40% |
| Spirometry (breathing test) CPT 94010 SPIROMETRY PRE BRONCH REMOTE | $199.80 | $333.00 | $9.00–$266.40 | 34% below | 40% |
| Spirometry (breathing test) CPT 94010 SPIROMETRY VC EXP FLOW MVV | $199.80 | $333.00 | $9.00–$266.40 | 34% below | 40% |
| Spirometry (breathing test) CPT 94010 SPIROMETRY | $199.80 | $333.00 | $9.00–$266.40 | 34% below | 40% |
| Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY PRE BRONCH REMOTE | $199.80 | $333.00 | $166.50–$266.40 | — | 40% |
| Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY | $199.80 | $333.00 | $166.50–$266.40 | — | 40% |
| Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY VC EXP FLOW MVV | $199.80 | $333.00 | $166.50–$266.40 | — | 40% |
| Spirometry before and after a bronchodilator CPT 94060 SPIROMETRY PRE & POST BRONCH | $322.80 | $538.00 | $11.40–$430.40 | 50% below | 40% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 SPIROMETRY PRE & POST BRONCH | $322.80 | $538.00 | $269.00–$430.40 | — | 40% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACT P/15M (FUNCT) | $113.40 | $189.00 | $13.00–$151.20 | 12% below | 40% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 CO THERAPEUT ACT P/15M (FUNCT) | $113.40 | $189.00 | $13.00–$151.20 | 12% below | 40% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 CQ THERAPEUT ACT P/15M (FUNCT) | $113.40 | $189.00 | $13.00–$151.20 | 12% below | 40% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACT P/15M (FUNCT) | $113.40 | $189.00 | $94.50–$151.20 | — | 40% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 CQ THERAPEUT ACT P/15M (FUNCT) | $113.40 | $189.00 | $94.50–$151.20 | — | 40% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 CO THERAPEUT ACT P/15M (FUNCT) | $113.40 | $189.00 | $94.50–$151.20 | — | 40% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUTIC | $261.00 | $435.00 | $10.00–$348.00 | 13% above | 40% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPEUTIC | $261.00 | $435.00 | $217.50–$348.00 | — | 40% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Pennsylvania | Off list |
|---|---|---|---|---|---|
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 COVID-19 SPIKEVAX MODERNA 12+Y | $199.20 | $332.00 | $40.00–$484.95 | at median | 40% |
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 COVID-19 SPIKEVAX MODERNA 12+Y | $340.00 | $425.00 | $40.00–$484.95 | 71% above | 20% |
| COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 COVID-19 SPIKEVAX MODERNA 12+Y | $199.20 | $332.00 | $131.24–$265.60 | — | 40% |
| COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 COVID-19 SPIKEVAX MODERNA 12+Y | $340.00 | $425.00 | $168.00–$340.00 | — | 20% |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 KINRIX DTAP-IPV VACC 4-6 YR IM | $543.60 | $906.00 | $10.00–$724.80 | 555% above | 40% |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 KINRIX DTAP-IPV VACC 4-6 YR IM | $543.60 | $906.00 | $358.14–$724.80 | — | 40% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPH/TET/PERT-DTAP 0.5ML INJ | $32.40 | $54.00 | $10.00–$106.14 | 5% below | 40% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPH/TET/PERT-DTAP 0.5ML INJ | $32.40 | $54.00 | $21.35–$43.20 | — | 40% |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 PEDIARIX VACCINE 0.5ML SDV | $63.00 | $105.00 | $10.00–$341.43 | 24% below | 40% |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 PEDIARIX VACCINE 0.5ML SDV | $63.00 | $105.00 | $41.51–$84.00 | — | 40% |
| Flu shot, recombinant, egg-free (Flublok) CPT 90673 FLUBLOK 0.5ML PFS LTX/EGG FREE | $30.00 | $50.00 | $10.00–$250.47 | at median | 40% |
| Flu shot, recombinant, egg-free (Flublok) CPT 90673 RIV3 VAC NO PRSV IM FLUBLK TRI | $30.00 | $50.00 | $10.00–$250.47 | at median | 40% |
| Flu shot, recombinant, egg-free (Flublok) CPT 90673 FLUBLOK 0.5ML PFS LTX/EGG FREE | $40.00 | $50.00 | $10.00–$250.47 | 33% above | 20% |
| Flu shot, recombinant, egg-free (Flublok) inpatient CPT 90673 RIV3 VAC NO PRSV IM FLUBLK TRI | $30.00 | $50.00 | $19.77–$40.00 | — | 40% |
| Flu shot, recombinant, egg-free (Flublok) inpatient CPT 90673 FLUBLOK 0.5ML PFS LTX/EGG FREE | $30.00 | $50.00 | $19.77–$40.00 | — | 40% |
| Flu shot, recombinant, egg-free (Flublok) inpatient CPT 90673 FLUBLOK 0.5ML PFS LTX/EGG FREE | $40.00 | $50.00 | $19.77–$40.00 | — | 20% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 GARDASIL HPV VACCINE 9 VAL IM | $186.00 | $310.00 | $10.00–$1,106.94 | 27% below | 40% |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 GARDASIL HPV VACCINE 9 VAL IM | $186.00 | $310.00 | $122.54–$248.00 | — | 40% |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 TWINRIX VACCINE SYR 20MCG/720U | $117.60 | $196.00 | $10.00–$387.99 | 31% above | 40% |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 TWINRIX VACCINE SYR 20MCG/720U | $156.80 | $196.00 | $10.00–$387.99 | 74% above | 20% |
| Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 TWINRIX VACCINE SYR 20MCG/720U | $117.60 | $196.00 | $77.48–$156.80 | — | 40% |
| Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 TWINRIX VACCINE SYR 20MCG/720U | $156.80 | $196.00 | $77.48–$156.80 | — | 20% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPAT A VACC 1440U/ML VIAL | $81.00 | $135.00 | $10.00–$214.83 | 9% below | 40% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE ADULT IM | $81.00 | $135.00 | $10.00–$214.83 | 9% below | 40% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VACCINE ADULT IM | $81.00 | $135.00 | $53.37–$108.00 | — | 40% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPAT A VACC 1440U/ML VIAL | $81.00 | $135.00 | $53.37–$108.00 | — | 40% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HAVRIX 720 UNITS/0.5ML VIAL | $64.80 | $108.00 | $10.00–$194.34 | 13% below | 40% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HAVRIX 720 UNITS/0.5ML VIAL | $64.80 | $108.00 | $42.69–$86.40 | — | 40% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 VAC HEP B 20MCG/ 1ML ADULT INJ | $64.80 | $108.00 | $10.00–$211.14 | 21% below | 40% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VACCINE ADULT | $64.80 | $108.00 | $10.00–$211.14 | 21% below | 40% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 VAC HEP B 20MCG/ 1ML ADULT INJ | $86.40 | $108.00 | $10.00–$211.14 | 5% above | 20% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 VAC HEP B 20MCG/ 1ML ADULT INJ | $64.80 | $108.00 | $42.69–$86.40 | — | 40% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VACCINE ADULT | $64.80 | $108.00 | $42.69–$86.40 | — | 40% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 VAC HEP B 20MCG/ 1ML ADULT INJ | $86.40 | $108.00 | $42.69–$86.40 | — | 20% |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEPLISAV-B 20MCG/0.5ML ADT | $126.60 | $211.00 | $10.00–$504.90 | 27% below | 40% |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEPATITIS B VAC 20MCG/0.5 ML | $126.60 | $211.00 | $10.00–$504.90 | 27% below | 40% |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEPATITIS B VAC 20MCG/0.5 ML | $168.80 | $211.00 | $10.00–$504.90 | 3% below | 20% |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HEPATITIS B VAC 20MCG/0.5 ML | $126.60 | $211.00 | $83.41–$168.80 | — | 40% |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HEPLISAV-B 20MCG/0.5ML ADT | $126.60 | $211.00 | $83.41–$168.80 | — | 40% |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HEPATITIS B VAC 20MCG/0.5 ML | $168.80 | $211.00 | $83.41–$168.80 | — | 20% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VAC5MCG/.5ML PED | $47.40 | $79.00 | $10.00–$92.31 | at median | 40% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 ENGERIX-B 10MCG/.5ML PED INJ | $47.40 | $79.00 | $10.00–$92.31 | at median | 40% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 ENGERIX-B 10MCG/.5ML PED INJ | $63.20 | $79.00 | $10.00–$92.31 | 33% above | 20% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VAC5MCG/.5ML PED | $47.40 | $79.00 | $31.23–$63.20 | — | 40% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 ENGERIX-B 10MCG/.5ML PED INJ | $47.40 | $79.00 | $31.23–$63.20 | — | 40% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 ENGERIX-B 10MCG/.5ML PED INJ | $63.20 | $79.00 | $31.23–$63.20 | — | 20% |
| Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 PEDVAX HIB PRP-OMP CONJUGATE | $31.20 | $52.00 | $10.00–$144.31 | 62% below | 40% |
| Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 PEDVAX HIB PRP-OMP CONJUGATE | $31.20 | $52.00 | $20.56–$41.60 | — | 40% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 H. INFLUENZA B PRP-T VACCINE | $31.20 | $52.00 | $10.00–$106.29 | at median | 40% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 H. INFLUENZA B PRP-T VACCINE | $31.20 | $52.00 | $20.56–$41.60 | — | 40% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 VACCINE MEAS/MUMPS/RUBELLA INJ | $48.60 | $81.00 | $10.00–$336.51 | 26% below | 40% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 VACCINE MEAS/MUMPS/RUBELLA INJ | $64.80 | $81.00 | $10.00–$336.51 | 1% below | 20% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 VACCINE MEAS/MUMPS/RUBELLA INJ | $48.60 | $81.00 | $32.02–$64.80 | — | 40% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 VACCINE MEAS/MUMPS/RUBELLA INJ | $64.80 | $81.00 | $32.02–$64.80 | — | 20% |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 PROQUAD VACCINE (MMRV) | $106.80 | $178.00 | $10.00–$999.57 | 56% below | 40% |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 PROQUAD VACCINE (MMRV) | $106.80 | $178.00 | $70.36–$142.40 | — | 40% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENVEO INJECTION (VACCINE) | $81.60 | $136.00 | $10.00–$545.37 | 13% below | 40% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENVEO MENINGOC 0.5ML (10-55Y) | $90.00 | $150.00 | $10.00–$545.37 | 4% below | 40% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENVEO INJECTION (VACCINE) | $108.80 | $136.00 | $10.00–$545.37 | 16% above | 20% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENVEO MENINGOC 0.5ML (10-55Y) | $120.00 | $150.00 | $10.00–$545.37 | 28% above | 20% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENVEO INJECTION (VACCINE) | $81.60 | $136.00 | $53.76–$108.80 | — | 40% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENVEO MENINGOC 0.5ML (10-55Y) | $90.00 | $150.00 | $59.30–$120.00 | — | 40% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENVEO INJECTION (VACCINE) | $108.80 | $136.00 | $53.76–$108.80 | — | 20% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENVEO MENINGOC 0.5ML (10-55Y) | $120.00 | $150.00 | $59.30–$120.00 | — | 20% |
| Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 MENINGOCOCC ACYW 0.5ML 2YR UP | $82.20 | $137.00 | $10.00–$618.63 | 83% below | 40% |
| Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 MENINGOCOCC ACYW 0.5ML 2YR UP | $82.20 | $137.00 | $54.16–$109.60 | — | 40% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL GRP B VACC 0.5ML | $82.20 | $137.00 | $10.00–$747.45 | 57% below | 40% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL RECOMB VACC | $82.20 | $137.00 | $10.00–$747.45 | 57% below | 40% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL GRP B VACC 0.5ML | $109.60 | $137.00 | $10.00–$747.45 | 43% below | 20% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL GRP B VACC 0.5ML | $82.20 | $137.00 | $54.16–$109.60 | — | 40% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL RECOMB VACC | $82.20 | $137.00 | $54.16–$109.60 | — | 40% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL GRP B VACC 0.5ML | $109.60 | $137.00 | $54.16–$109.60 | — | 20% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PNEUMOC 13-VAL VAC 0.5ML | $144.00 | $240.00 | $10.00–$773.97 | at median | 40% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PNEUMOC 13-VAL VAC 0.5ML | $144.00 | $240.00 | $94.87–$192.00 | — | 40% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20 VACC 0.5ML INJ | $144.00 | $240.00 | $10.00–$894.12 | 55% below | 40% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOC 20-VAL VAC 0.5ML | $144.00 | $240.00 | $10.00–$894.12 | 55% below | 40% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20 VACC 0.5ML INJ | $192.00 | $240.00 | $10.00–$894.12 | 41% below | 20% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOC 20-VAL VAC 0.5ML | $144.00 | $240.00 | $94.87–$192.00 | — | 40% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20 VACC 0.5ML INJ | $144.00 | $240.00 | $94.87–$192.00 | — | 40% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20 VACC 0.5ML INJ | $192.00 | $240.00 | $94.87–$192.00 | — | 20% |
| Pneumonia vaccine, 21-valent conjugate (Capvaxive) CPT 90684 CAPVAXIVE VACCINE 0.5 ML SYR | $189.60 | $316.00 | $10.00–$983.67 | at median | 40% |
| Pneumonia vaccine, 21-valent conjugate (Capvaxive) CPT 90684 CAPVAXIVE VACCINE 0.5 ML SYR | $252.80 | $316.00 | $10.00–$983.67 | 33% above | 20% |
| Pneumonia vaccine, 21-valent conjugate (Capvaxive) inpatient CPT 90684 CAPVAXIVE VACCINE 0.5 ML SYR | $189.60 | $316.00 | $124.91–$252.80 | — | 40% |
| Pneumonia vaccine, 21-valent conjugate (Capvaxive) inpatient CPT 90684 CAPVAXIVE VACCINE 0.5 ML SYR | $252.80 | $316.00 | $124.91–$252.80 | — | 20% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 VACCINE PNEUMOCC 0.5ML LED INJ | $75.00 | $125.00 | $10.00–$400.41 | 42% below | 40% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VAC POLYVAL INJ | $75.00 | $125.00 | $10.00–$400.41 | 42% below | 40% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL VAC POLYVAL INJ | $75.00 | $125.00 | $49.41–$100.00 | — | 40% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 VACCINE PNEUMOCC 0.5ML LED INJ | $75.00 | $125.00 | $49.41–$100.00 | — | 40% |
| Polio vaccine, inactivated (IPV) CPT 90713 IPOL POLIOVIRUS VAC .5ML INJ | $38.40 | $64.00 | $9.44–$160.59 | 36% below | 40% |
| Polio vaccine, inactivated (IPV) inpatient CPT 90713 IPOL POLIOVIRUS VAC .5ML INJ | $38.40 | $64.00 | $25.30–$51.20 | — | 40% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP RSV 50MG/0.5ML | $888.60 | $1,481.00 | $10.00–$3,742.20 | 1% below | 40% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP RSV 50MG/0.5ML | $1,184.80 | $1,481.00 | $10.00–$3,742.20 | 32% above | 20% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NIRSEVIMAB-ALIP RSV 50MG/0.5ML | $888.60 | $1,481.00 | $585.44–$1,184.80 | — | 40% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NIRSEVIMAB-ALIP RSV 50MG/0.5ML | $1,184.80 | $1,481.00 | $585.44–$1,184.80 | — | 20% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 ABRYSVO RSV VAC PREF BIVLNT IM | $504.00 | $840.00 | $10.00–$1,062.00 | at median | 40% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 ABRYSVO RSV VAC PREF BIVLNT IM | $504.00 | $840.00 | $332.05–$672.00 | — | 40% |
| Rabies vaccine, one dose CPT 90675 RABAVERT RABIES VIAL/KIT | $600.00 | $1,000.00 | $10.00–$983.34 | at median | 40% |
| Rabies vaccine, one dose CPT 90675 RABIES VAC HUM 1ML | $600.00 | $1,000.00 | $10.00–$983.34 | at median | 40% |
| Rabies vaccine, one dose CPT 90675 RABAVERT RABIES VIAL/KIT | $800.00 | $1,000.00 | $10.00–$983.34 | 34% above | 20% |
| Rabies vaccine, one dose CPT 90675 RABIES VAC HUM 1ML | $800.00 | $1,000.00 | $10.00–$983.34 | 34% above | 20% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VAC HUM 1ML | $600.00 | $1,000.00 | $395.30–$800.00 | — | 40% |
| Rabies vaccine, one dose inpatient CPT 90675 RABAVERT RABIES VIAL/KIT | $600.00 | $1,000.00 | $395.30–$800.00 | — | 40% |
| Rabies vaccine, one dose inpatient CPT 90675 RABAVERT RABIES VIAL/KIT | $800.00 | $1,000.00 | $395.30–$800.00 | — | 20% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VAC HUM 1ML | $800.00 | $1,000.00 | $395.30–$800.00 | — | 20% |
| Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 ROTARIX RV1 VACC 2 DSE LV ORAL | $373.20 | $622.00 | $10.00–$497.60 | 492% above | 40% |
| Rotavirus vaccine, oral, 2-dose schedule (Rotarix) inpatient CPT 90681 ROTARIX RV1 VACC 2 DSE LV ORAL | $373.20 | $622.00 | $245.88–$497.60 | — | 40% |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 ROTA TEQ ROTAVIRUS 3 DOSE ORAL | $57.60 | $96.00 | $10.00–$355.29 | 31% below | 40% |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 ROTA TEQ ROTAVIRUS 3 DOSE ORAL | $57.60 | $96.00 | $37.95–$76.80 | — | 40% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 HZV VAC RECOM NJX (SHINGRIX) | $150.00 | $250.00 | $10.00–$200.00 | 43% below | 40% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 HZV VAC RECOM NJX (SHINGRIX) | $150.00 | $250.00 | $98.83–$200.00 | — | 40% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS/DIPTHERIA INJ | $55.80 | $93.00 | $10.00–$100.44 | at median | 40% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS DIPTHERIA INJ - ADULT | $55.80 | $93.00 | $10.00–$100.44 | at median | 40% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS/DIPTHERIA INJ | $74.40 | $93.00 | $10.00–$100.44 | 33% above | 20% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS DIPTHERIA INJ - ADULT | $55.80 | $93.00 | $36.76–$74.40 | — | 40% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS/DIPTHERIA INJ | $55.80 | $93.00 | $36.76–$74.40 | — | 40% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS/DIPTHERIA INJ | $74.40 | $93.00 | $36.76–$74.40 | — | 20% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIX 0.5ML(AGE 10-64) | $31.80 | $53.00 | $10.00–$115.89 | 43% below | 40% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIX VACCINE | $31.80 | $53.00 | $10.00–$115.89 | 43% below | 40% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS DIPH PERT ADACEL IM IN | $31.80 | $53.00 | $10.00–$115.89 | 43% below | 40% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 ADACEL VACCINE PFS | $31.80 | $53.00 | $10.00–$115.89 | 43% below | 40% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIX VACCINE | $42.40 | $53.00 | $10.00–$115.89 | 24% below | 20% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 ADACEL VACCINE PFS | $31.80 | $53.00 | $20.95–$42.40 | — | 40% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 BOOSTRIX 0.5ML(AGE 10-64) | $31.80 | $53.00 | $20.95–$42.40 | — | 40% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 BOOSTRIX VACCINE | $31.80 | $53.00 | $20.95–$42.40 | — | 40% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS DIPH PERT ADACEL IM IN | $31.80 | $53.00 | $20.95–$42.40 | — | 40% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 BOOSTRIX VACCINE | $42.40 | $53.00 | $20.95–$42.40 | — | 20% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMM ADM ONE VAC SGL/COMB | $12.00 | $20.00 | $1.18–$73.28 | 81% below | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMM ADM ONE VAC SGL/COMB | $12.00 | $20.00 | $10.00–$16.00 | — | 40% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUN ADM EA ADDL VACC SGL/COM | $12.00 | $20.00 | $0.56–$16.00 | 55% below | 40% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUN ADM EA ADDL VACC SGL/COM | $12.00 | $20.00 | $10.00–$16.00 | — | 40% |
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.