H. Lee Moffitt Cancer Center and Research Institute Hospital
H. Lee Moffitt Cancer Center and Research Institute Hospital in Tampa, FL publishes cash prices for 340 common procedures listed here, from its own machine-readable price file updated Jul 10, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Florida median for 178 of 334 procedures and above it for 154. By typical cash price it ranks #76 of 171 Florida hospitals and #13 of 33 hospitals in the Tampa, FL area, cheapest first. Select a procedure to compare it with other hospitals nearby.
12902 USF Magnolia Drive, Tampa, FL, 33612 Collected Sep 22, 2026 Source price file Check a bill from this hospital
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN 3 PHASE-LIVER PROTO | $5,632.00 | $11,264.00 | $2,128.90–$11,264.00 | 42% above | 50% |
| Abdominal CT scan without and with contrast CPT 74170 ABDOMEN W/WO CONTRAST | $5,632.00 | $11,264.00 | $2,128.90–$11,264.00 | 42% above | 50% |
| Abdominal CT scan without and with contrast CPT 74170 COMPUTED TOMOGRAPHY ABDOMEN WITHOUT CONTRAST MATERIAL FOLLOWED BY CONTRAST MATERIALS AND FURTHER SECTIONS | $5,632.00 | $11,264.00 | $2,128.90–$11,264.00 | 42% above | 50% |
| Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN 3 PHASE LIVER PROTO | $5,632.00 | $11,264.00 | $2,128.90–$11,264.00 | 42% above | 50% |
| Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN WITHOUT AND WITH CONTRAST | $5,632.00 | $11,264.00 | $2,128.90–$11,264.00 | 42% above | 50% |
| Abdominal CT scan without and with contrast CPT 74170 CT PANCREAS PROTOCOL | $5,632.00 | $11,264.00 | $2,128.90–$11,264.00 | 42% above | 50% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABDOMEN 3 PHASE LIVER PROTO | $5,632.00 | $11,264.00 | $5,068.80–$9,011.20 | — | 50% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 COMPUTED TOMOGRAPHY ABDOMEN WITHOUT CONTRAST MATERIAL FOLLOWED BY CONTRAST MATERIALS AND FURTHER SECTIONS | $5,632.00 | $11,264.00 | $5,068.80–$9,011.20 | — | 50% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABDOMEN WITHOUT AND WITH CONTRAST | $5,632.00 | $11,264.00 | $5,068.80–$9,011.20 | — | 50% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 ABDOMEN W/WO CONTRAST | $5,632.00 | $11,264.00 | $5,068.80–$9,011.20 | — | 50% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABDOMEN 3 PHASE-LIVER PROTO | $5,632.00 | $11,264.00 | $5,068.80–$9,011.20 | — | 50% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 CT PANCREAS PROTOCOL | $5,632.00 | $11,264.00 | $5,068.80–$9,011.20 | — | 50% |
| Abdominal X-ray, 2 views CPT 74019 RADIOLOGIC EXAM ABDOMEN 2 VIEWS | $153.00 | $306.00 | $57.83–$306.00 | 76% below | 50% |
| Abdominal X-ray, 2 views inpatient CPT 74019 RADIOLOGIC EXAM ABDOMEN 2 VIEWS | $153.00 | $306.00 | $137.70–$244.80 | — | 50% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XRAY ANKLE MIN 3 VIEWS RT | $1,051.50 | $2,103.00 | $397.47–$2,103.00 | 69% above | 50% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XRAY ANKLE MIN 3 VIEWS LT | $1,051.50 | $2,103.00 | $397.47–$2,103.00 | 69% above | 50% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XRAY ANKLE MIN 3 VIEWS LT | $1,051.50 | $2,103.00 | $946.35–$1,682.40 | — | 50% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XRAY ANKLE MIN 3 VIEWS RT | $1,051.50 | $2,103.00 | $946.35–$1,682.40 | — | 50% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 LIMTED BILATERAL STUDY UPPER OR LOWER EXTREMITY ARTERIES 1-2 LEVELS | $442.50 | $885.00 | $167.26–$885.00 | — | 50% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 LIMTED BILATERAL STUDY UPPER OR LOWER EXTREMITY ARTERIES 1-2 LEVELS | $442.50 | $885.00 | $398.25–$708.00 | — | 50% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT UPPER EXTREMITY WITHOUT CONTRAST | $1,688.50 | $3,377.00 | $638.25–$3,377.00 | 28% below | 50% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 COMPUTED TOMOGRAPHY UPPER EXTREMITY WITHOUT CONTRAST MATERIALS RT | $1,688.50 | $3,377.00 | $638.25–$3,377.00 | 28% below | 50% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 COMPUTED TOMOGRAPHY UPPER EXTREMITY WITHOUT CONTRAST MATERIALS LT | $1,688.50 | $3,377.00 | $638.25–$3,377.00 | 28% below | 50% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXTREMITY; W/O CONTRAST LT | $1,688.50 | $3,377.00 | $638.25–$3,377.00 | 28% below | 50% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXTREMITY; W/O CONTRAST RT | $1,688.50 | $3,377.00 | $638.25–$3,377.00 | 28% below | 50% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT UPPER EXTREMITY WITHOUT CONTRAST | $1,688.50 | $3,377.00 | $1,519.65–$2,701.60 | — | 50% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 COMPUTED TOMOGRAPHY UPPER EXTREMITY WITHOUT CONTRAST MATERIALS RT | $1,688.50 | $3,377.00 | $1,519.65–$2,701.60 | — | 50% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UPPER EXTREMITY; W/O CONTRAST RT | $1,688.50 | $3,377.00 | $1,519.65–$2,701.60 | — | 50% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UPPER EXTREMITY; W/O CONTRAST LT | $1,688.50 | $3,377.00 | $1,519.65–$2,701.60 | — | 50% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 COMPUTED TOMOGRAPHY UPPER EXTREMITY WITHOUT CONTRAST MATERIALS LT | $1,688.50 | $3,377.00 | $1,519.65–$2,701.60 | — | 50% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 RADIOLOGIC EXAMINATION ESOPHAGUS INCLUDING SCOUT CHEST RADIOGRAPHS AND DELAYED IMAGES WHEN PERFORMED SINGLE CONTRAST STUDY | $712.50 | $1,425.00 | $269.32–$1,425.00 | 15% below | 50% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 RADIOLOGIC EXAMINATION ESOPHAGUS INCLUDING SCOUT CHEST RADIOGRAPHS AND DELAYED IMAGES WHEN PERFORMED SINGLE CONTRAST STUDY | $712.50 | $1,425.00 | $641.25–$1,140.00 | — | 50% |
| Bone scan, whole body (nuclear medicine) CPT 78306 BONE SCAN-WHOLE BODY | $4,383.50 | $8,767.00 | $1,656.96–$8,767.00 | 73% above | 50% |
| Bone scan, whole body (nuclear medicine) CPT 78306 BONE AND OR JOINT IMAGING WHOLE BODY | $4,383.50 | $8,767.00 | $1,656.96–$8,767.00 | 73% above | 50% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 BONE SCAN-WHOLE BODY | $4,383.50 | $8,767.00 | $3,945.15–$7,013.60 | — | 50% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 BONE AND OR JOINT IMAGING WHOLE BODY | $4,383.50 | $8,767.00 | $3,945.15–$7,013.60 | — | 50% |
| Breast ultrasound, complete, one breast one side CPT 76641 ULTRASOUND BREAST UNILATERAL INCLUDING AXILLA WHEN DONE COMPLETE LT | $944.50 | $1,889.00 | $357.02–$1,889.00 | 63% above | 50% |
| Breast ultrasound, complete, one breast one side CPT 76641 ULTRASOUND BREAST UNILATERAL INCLUDING AXILLA WHEN DONE COMPLETE RT | $944.50 | $1,889.00 | $357.02–$1,889.00 | 63% above | 50% |
| Breast ultrasound, complete, one breast one side CPT 76641 ULTRASOUND BREAST UNIL INCL AXILLA WHEN DONE COMPLETE-RT | $944.50 | $1,889.00 | $357.02–$1,889.00 | 63% above | 50% |
| Breast ultrasound, complete, one breast one side CPT 76641 ULTRASOUND BREAST UNIL INCL AXILLA WHEN DONE COMPLETE-LT | $944.50 | $1,889.00 | $357.02–$1,889.00 | 63% above | 50% |
| Breast ultrasound, complete, one breast one side CPT 76641 ULTRASOUND BREAST UNILATERAL REAL TIME WITH IMAGE DOCUMENTATION INCLUDING AXILLA WHEN PERFORMED COMPLETE | $1,888.50 | $3,777.00 | $713.85–$3,777.00 | 226% above | 50% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 ULTRASOUND BREAST UNILATERAL INCLUDING AXILLA WHEN DONE COMPLETE LT | $944.50 | $1,889.00 | $850.05–$1,511.20 | — | 50% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 ULTRASOUND BREAST UNILATERAL INCLUDING AXILLA WHEN DONE COMPLETE RT | $944.50 | $1,889.00 | $850.05–$1,511.20 | — | 50% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 ULTRASOUND BREAST UNIL INCL AXILLA WHEN DONE COMPLETE-LT | $944.50 | $1,889.00 | $850.05–$1,511.20 | — | 50% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 ULTRASOUND BREAST UNIL INCL AXILLA WHEN DONE COMPLETE-RT | $944.50 | $1,889.00 | $850.05–$1,511.20 | — | 50% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 ULTRASOUND BREAST UNILATERAL REAL TIME WITH IMAGE DOCUMENTATION INCLUDING AXILLA WHEN PERFORMED COMPLETE | $1,888.50 | $3,777.00 | $1,699.65–$3,021.60 | — | 50% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 ULTRASOUND BREAST UNILATERAL INCLUDING AXILLA WHEN DONE LIMITED RT | $643.50 | $1,287.00 | $243.24–$1,287.00 | 24% above | 50% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 ULTRASOUND BREAST UNILATERAL INCLUDING AXILLA WHEN DONE; LIMITED | $643.50 | $1,287.00 | $243.24–$1,287.00 | 24% above | 50% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 ULTRASOUND BREAST UNILATERAL INCLUDING AXILLA WHEN DONE LIMITED LT | $643.50 | $1,287.00 | $243.24–$1,287.00 | 24% above | 50% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 ULTRASOUND BREAST UNILATERAL REAL TIME WITH IMAGE DOCUMENTATION INCLUDING AXILLA WHEN PERFORMED LIMITED RT | $643.50 | $1,287.00 | $243.24–$1,287.00 | 24% above | 50% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 ULTRASOUND BREAST UNILATERAL REAL TIME WITH IMAGE DOCUMENTATION INCLUDING AXILLA WHEN PERFORMED LIMITED | $1,287.00 | $2,574.00 | $486.49–$2,574.00 | 148% above | 50% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 ULTRASOUND BREAST UNILATERAL INCLUDING AXILLA WHEN DONE; LIMITED | $643.50 | $1,287.00 | $579.15–$1,029.60 | — | 50% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 ULTRASOUND BREAST UNILATERAL REAL TIME WITH IMAGE DOCUMENTATION INCLUDING AXILLA WHEN PERFORMED LIMITED RT | $643.50 | $1,287.00 | $579.15–$1,029.60 | — | 50% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 ULTRASOUND BREAST UNILATERAL INCLUDING AXILLA WHEN DONE LIMITED RT | $643.50 | $1,287.00 | $579.15–$1,029.60 | — | 50% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 ULTRASOUND BREAST UNILATERAL INCLUDING AXILLA WHEN DONE LIMITED LT | $643.50 | $1,287.00 | $579.15–$1,029.60 | — | 50% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 ULTRASOUND BREAST UNILATERAL REAL TIME WITH IMAGE DOCUMENTATION INCLUDING AXILLA WHEN PERFORMED LIMITED | $1,287.00 | $2,574.00 | $1,158.30–$2,059.20 | — | 50% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 COMPUTED TOMOGRAPHIC ANGIOGRAPHY ABDOMEN AND PELVIS WITH CONTRAST MATERIALS INCLUDING NONCONTRAST IMAGES IF PERFORMED AND IMAGE POSTPROCESSING | $8,188.00 | $16,376.00 | $3,095.06–$16,376.00 | 38% above | 50% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT ANGIO ABD/PELVIS WWO CONTRAST | $8,188.00 | $16,376.00 | $3,095.06–$16,376.00 | 38% above | 50% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CT ANGIO ABD/PELVIS WWO CONTRAST | $8,188.00 | $16,376.00 | $7,369.20–$13,100.80 | — | 50% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 COMPUTED TOMOGRAPHIC ANGIOGRAPHY ABDOMEN AND PELVIS WITH CONTRAST MATERIALS INCLUDING NONCONTRAST IMAGES IF PERFORMED AND IMAGE POSTPROCESSING | $8,188.00 | $16,376.00 | $7,369.20–$13,100.80 | — | 50% |
| CT angiography (CTA) of the head CPT 70496 CTA HEAD W/CONT OR WO/W | $3,984.00 | $7,968.00 | $1,505.95–$7,968.00 | 13% above | 50% |
| CT angiography (CTA) of the head CPT 70496 CT ANGIOGRAPHY HEAD WITH OR WITH AND WITHOUT CONTRAST | $3,984.00 | $7,968.00 | $1,505.95–$7,968.00 | 13% above | 50% |
| CT angiography (CTA) of the head CPT 70496 COMPUTED TOMOGRAPHY ANGIOGRAPHY HEAD WITHOUT CONTRAST MATERIAL FOLLWED BY CONTRAST MATERIAL AND FURTHER SECTIONS INCLUDING IMAGE POST PROCESSING | $3,984.00 | $7,968.00 | $1,505.95–$7,968.00 | 13% above | 50% |
| CT angiography (CTA) of the head inpatient CPT 70496 CTA HEAD W/CONT OR WO/W | $3,984.00 | $7,968.00 | $3,585.60–$6,374.40 | — | 50% |
| CT angiography (CTA) of the head inpatient CPT 70496 CT ANGIOGRAPHY HEAD WITH OR WITH AND WITHOUT CONTRAST | $3,984.00 | $7,968.00 | $3,585.60–$6,374.40 | — | 50% |
| CT angiography (CTA) of the head inpatient CPT 70496 COMPUTED TOMOGRAPHY ANGIOGRAPHY HEAD WITHOUT CONTRAST MATERIAL FOLLWED BY CONTRAST MATERIAL AND FURTHER SECTIONS INCLUDING IMAGE POST PROCESSING | $3,984.00 | $7,968.00 | $3,585.60–$6,374.40 | — | 50% |
| CT angiography (CTA) of the neck CPT 70498 CTA NECK W/CONT OR WO/W | $4,882.00 | $9,764.00 | $1,845.40–$9,764.00 | 17% above | 50% |
| CT angiography (CTA) of the neck CPT 70498 CT ANGIOGRAPHY NECK WITH OR WITH AND WITHOUT CONTRAST | $4,882.00 | $9,764.00 | $1,845.40–$9,764.00 | 17% above | 50% |
| CT angiography (CTA) of the neck CPT 70498 COMPUTED TOMOGRAPHY ANGIOGRAPHY NECK WITHOUT CONTRAST MATERIAL FOLLWED BY CONTRAST MATERIAL AND FURTHER SECTIONS INCLUDING IMAGE POST PROCESSING | $4,882.00 | $9,764.00 | $1,845.40–$9,764.00 | 17% above | 50% |
| CT angiography (CTA) of the neck inpatient CPT 70498 CT ANGIOGRAPHY NECK WITH OR WITH AND WITHOUT CONTRAST | $4,882.00 | $9,764.00 | $4,393.80–$7,811.20 | — | 50% |
| CT angiography (CTA) of the neck inpatient CPT 70498 COMPUTED TOMOGRAPHY ANGIOGRAPHY NECK WITHOUT CONTRAST MATERIAL FOLLWED BY CONTRAST MATERIAL AND FURTHER SECTIONS INCLUDING IMAGE POST PROCESSING | $4,882.00 | $9,764.00 | $4,393.80–$7,811.20 | — | 50% |
| CT angiography (CTA) of the neck inpatient CPT 70498 CTA NECK W/CONT OR WO/W | $4,882.00 | $9,764.00 | $4,393.80–$7,811.20 | — | 50% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 COMPUTED TOMOGRAPHIC ANGIOGRAPHY CHEST WITHOUT CONTRAST MATERIAL FOLLOWED BY CONTRAST MATERIAL AND FURTHER SECTION INCLUDING IMAGE POST PROCESSING | $3,084.50 | $6,169.00 | $1,165.94–$6,169.00 | 32% below | 50% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST LUNG W/CONT OR WO/W | $3,084.50 | $6,169.00 | $1,165.94–$6,169.00 | 32% below | 50% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIOGRAPHY CHEST WITH CONTRAST OR WITH AND WITHOUT CONTRAST | $3,084.50 | $6,169.00 | $1,165.94–$6,169.00 | 32% below | 50% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 COMPUTED TOMOGRAPHIC ANGIOGRAPHY CHEST WITHOUT CONTRAST MATERIAL FOLLOWED BY CONTRAST MATERIAL AND FURTHER SECTION INCLUDING IMAGE POST PROCESSING | $3,084.50 | $6,169.00 | $2,776.05–$4,935.20 | — | 50% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT ANGIOGRAPHY CHEST WITH CONTRAST OR WITH AND WITHOUT CONTRAST | $3,084.50 | $6,169.00 | $2,776.05–$4,935.20 | — | 50% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST LUNG W/CONT OR WO/W | $3,084.50 | $6,169.00 | $2,776.05–$4,935.20 | — | 50% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT ANGIO HEART CORONARY ARTERIES BYPASS GRAFTS WHEN PRESENT WITH CONTRAST MATERIAL INCLUDING 3D IMAGE POSTPROCESS INCLUDING EVAL OF CARDIAC STRUCTURE MORPHOLOGY ASSMT OF CARDIAC FUNCTION AND EVAL OF VENOUS STRUCTURES IF PERFORMED | $2,378.00 | $4,756.00 | $898.88–$4,756.00 | 22% above | 50% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT ANGIO HEART WITH 3D IMAGE | $2,378.00 | $4,756.00 | $898.88–$4,756.00 | 22% above | 50% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT ANGIO HEART CORONARY ARTERIES BYPASS GRAFTS WHEN PRESENT WITH CONTRAST MATERIAL INCLUDING 3D IMAGE POSTPROCESS INCLUDING EVAL OF CARDIAC STRUCTURE MORPHOLOGY ASSMT OF CARDIAC FUNCTION AND EVAL OF VENOUS STRUCTURES IF PERFORMED | $2,378.00 | $4,756.00 | $2,140.20–$3,804.80 | — | 50% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT ANGIO HEART WITH 3D IMAGE | $2,378.00 | $4,756.00 | $2,140.20–$3,804.80 | — | 50% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 COMPUTED TOMOGRAPHY HEART WITHOUT CONTRAST MATERIAL WITH QUANTITATIVE EVALUATION OF CORONARY CALCIUM | $361.00 | $722.00 | $136.46–$722.00 | 33% below | 50% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HEART WITHOUT CONTRAST WITH CALCIUM TEST | $361.00 | $722.00 | $136.46–$722.00 | 33% below | 50% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT HEART WITHOUT CONTRAST WITH CALCIUM TEST | $361.00 | $722.00 | $324.90–$577.60 | — | 50% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 COMPUTED TOMOGRAPHY HEART WITHOUT CONTRAST MATERIAL WITH QUANTITATIVE EVALUATION OF CORONARY CALCIUM | $361.00 | $722.00 | $324.90–$577.60 | — | 50% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 COMPUTED TOMOGRAPHY ABDOMEN AND PELVIS WITHOUT CONTRAST MATERIAL | $4,174.00 | $8,348.00 | $1,577.77–$8,348.00 | 25% below | 50% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN AND PELVIS WITHOUT CONTRAST | $4,174.00 | $8,348.00 | $1,577.77–$8,348.00 | 25% below | 50% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN/PELVIS WO CONTRAST | $4,174.00 | $8,348.00 | $1,577.77–$8,348.00 | 25% below | 50% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 COMPUTED TOMOGRAPHY ABDOMEN AND PELVIS WITHOUT CONTRAST MATERIAL | $4,174.00 | $8,348.00 | $3,756.60–$6,678.40 | — | 50% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABDOMEN AND PELVIS WITHOUT CONTRAST | $4,174.00 | $8,348.00 | $3,756.60–$6,678.40 | — | 50% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABDOMEN/PELVIS WO CONTRAST | $4,174.00 | $8,348.00 | $3,756.60–$6,678.40 | — | 50% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN AND PELVIS WITH CONTRAST | $5,512.50 | $11,025.00 | $2,083.72–$11,025.00 | 8% below | 50% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN/PELVIS W CONTRAST | $5,512.50 | $11,025.00 | $2,083.72–$11,025.00 | 8% below | 50% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 COMPUTED TOMOGRAPHY ABDOMEN AND PELVIS WITH CONTRAST MATERIAL | $5,512.50 | $11,025.00 | $2,083.72–$11,025.00 | 8% below | 50% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN/PELVIS W CONTRAST | $5,512.50 | $11,025.00 | $4,961.25–$8,820.00 | — | 50% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 COMPUTED TOMOGRAPHY ABDOMEN AND PELVIS WITH CONTRAST MATERIAL | $5,512.50 | $11,025.00 | $4,961.25–$8,820.00 | — | 50% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN AND PELVIS WITH CONTRAST | $5,512.50 | $11,025.00 | $4,961.25–$8,820.00 | — | 50% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 COMPUTED TOMOGRAPHY ABDOMEN AND PELVIS WITHOUT CONTRAST MATERIAL IN ONE OR BOTH BODY REGIONS FOLLOWED BY CONTRAST MATERIALS AND FURTHER SECTIONS IN ONE OR BOTH BODY REGIONS | $6,888.50 | $13,777.00 | $2,603.85–$13,777.00 | 1% below | 50% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN/PELVIS WO/W CONTRAST | $6,888.50 | $13,777.00 | $2,603.85–$13,777.00 | 1% below | 50% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN AND PELVIS WITHOUT AND WITH CONTRAST | $6,888.50 | $13,777.00 | $2,603.85–$13,777.00 | 1% below | 50% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 COMPUTED TOMOGRAPHY ABDOMEN AND PELVIS WITHOUT CONTRAST MATERIAL IN ONE OR BOTH BODY REGIONS FOLLOWED BY CONTRAST MATERIALS AND FURTHER SECTIONS IN ONE OR BOTH BODY REGIONS | $6,888.50 | $13,777.00 | $6,199.65–$11,021.60 | — | 50% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABDOMEN AND PELVIS WITHOUT AND WITH CONTRAST | $6,888.50 | $13,777.00 | $6,199.65–$11,021.60 | — | 50% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABDOMEN/PELVIS WO/W CONTRAST | $6,888.50 | $13,777.00 | $6,199.65–$11,021.60 | — | 50% |
| CT scan of the abdomen with contrast CPT 74160 COMPUTED TOMOGRAPHY ABDOMEN WITH CONTRAST MATERIALS | $4,135.00 | $8,270.00 | $1,563.03–$8,270.00 | 21% above | 50% |
| CT scan of the abdomen with contrast CPT 74160 ABDOMEN W/CONTRAST | $4,135.00 | $8,270.00 | $1,563.03–$8,270.00 | 21% above | 50% |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN WITH CONTRAST | $4,135.00 | $8,270.00 | $1,563.03–$8,270.00 | 21% above | 50% |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN WITH CONTRAST | $4,135.00 | $8,270.00 | $3,721.50–$6,616.00 | — | 50% |
| CT scan of the abdomen with contrast inpatient CPT 74160 ABDOMEN W/CONTRAST | $4,135.00 | $8,270.00 | $3,721.50–$6,616.00 | — | 50% |
| CT scan of the abdomen with contrast inpatient CPT 74160 COMPUTED TOMOGRAPHY ABDOMEN WITH CONTRAST MATERIALS | $4,135.00 | $8,270.00 | $3,721.50–$6,616.00 | — | 50% |
| CT scan of the abdomen without contrast CPT 74150 ABDOMEN W/O CONTRAST | $2,591.00 | $5,182.00 | $979.40–$5,182.00 | 19% below | 50% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN WITHOUT CONTRAST | $2,591.00 | $5,182.00 | $979.40–$5,182.00 | 19% below | 50% |
| CT scan of the abdomen without contrast CPT 74150 COMPUTED TOMOGRAPHY ABDOMEN WITHOUT CONTRAST MATERIAL | $2,591.00 | $5,182.00 | $979.40–$5,182.00 | 19% below | 50% |
| CT scan of the abdomen without contrast inpatient CPT 74150 COMPUTED TOMOGRAPHY ABDOMEN WITHOUT CONTRAST MATERIAL | $2,591.00 | $5,182.00 | $2,331.90–$4,145.60 | — | 50% |
| CT scan of the abdomen without contrast inpatient CPT 74150 ABDOMEN W/O CONTRAST | $2,591.00 | $5,182.00 | $2,331.90–$4,145.60 | — | 50% |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN WITHOUT CONTRAST | $2,591.00 | $5,182.00 | $2,331.90–$4,145.60 | — | 50% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL WO/CONTRAST | $4,201.00 | $8,402.00 | $1,587.98–$8,402.00 | 47% above | 50% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL AREA WITHOUT CONTRAST MATERIAL | $4,201.00 | $8,402.00 | $1,587.98–$8,402.00 | 47% above | 50% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 COMPUTED TOMOGRAPHY MAXILLOFACIAL AREA WITHOUT CONTRAST MATERIAL | $4,201.00 | $8,402.00 | $1,587.98–$8,402.00 | 47% above | 50% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL AREA WITHOUT CONTRAST MATERIAL | $4,201.00 | $8,402.00 | $3,780.90–$6,721.60 | — | 50% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 COMPUTED TOMOGRAPHY MAXILLOFACIAL AREA WITHOUT CONTRAST MATERIAL | $4,201.00 | $8,402.00 | $3,780.90–$6,721.60 | — | 50% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL WO/CONTRAST | $4,201.00 | $8,402.00 | $3,780.90–$6,721.60 | — | 50% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WITHOUT CONTRAST | $2,280.00 | $4,560.00 | $861.84–$4,560.00 | 25% below | 50% |
| CT scan of the head or brain, no contrast dye CPT 70450 COMPUTED TOMOGRAPHY HEAD OR BRAIN WITHOUT CONTRAST MATERIAL | $2,280.00 | $4,560.00 | $861.84–$4,560.00 | 25% below | 50% |
| CT scan of the head or brain, no contrast dye CPT 70450 HEAD W/O CONTRAST | $2,280.00 | $4,560.00 | $861.84–$4,560.00 | 25% below | 50% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 COMPUTED TOMOGRAPHY HEAD OR BRAIN WITHOUT CONTRAST MATERIAL | $2,280.00 | $4,560.00 | $2,052.00–$3,648.00 | — | 50% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WITHOUT CONTRAST | $2,280.00 | $4,560.00 | $2,052.00–$3,648.00 | — | 50% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HEAD W/O CONTRAST | $2,280.00 | $4,560.00 | $2,052.00–$3,648.00 | — | 50% |
| CT scan of the head with contrast CPT 70460 COMPUTED TOMOGRAPHY HEAD OR BRAIN WITH CONTRAST MATERIALS | $3,547.00 | $7,094.00 | $1,340.77–$7,094.00 | 5% below | 50% |
| CT scan of the head with contrast CPT 70460 HEAD WITH CONTRAST | $3,547.00 | $7,094.00 | $1,340.77–$7,094.00 | 5% below | 50% |
| CT scan of the head with contrast CPT 70460 CT HEAD WITH CONTRAST | $3,547.00 | $7,094.00 | $1,340.77–$7,094.00 | 5% below | 50% |
| CT scan of the head with contrast inpatient CPT 70460 HEAD WITH CONTRAST | $3,547.00 | $7,094.00 | $3,192.30–$5,675.20 | — | 50% |
| CT scan of the head with contrast inpatient CPT 70460 CT HEAD WITH CONTRAST | $3,547.00 | $7,094.00 | $3,192.30–$5,675.20 | — | 50% |
| CT scan of the head with contrast inpatient CPT 70460 COMPUTED TOMOGRAPHY HEAD OR BRAIN WITH CONTRAST MATERIALS | $3,547.00 | $7,094.00 | $3,192.30–$5,675.20 | — | 50% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD WITH AND WITHOUT CONTRAST | $3,855.50 | $7,711.00 | $1,457.38–$7,711.00 | 13% below | 50% |
| CT scan of the head without and with contrast CPT 70470 COMPUTED TOMOGRAPHAY HEAD OR BRAIN WITHOUT CONTRAST MATERIAL FOLLOWED BY CONTRAST MATERIAL AND FURTHER SECTIONS | $3,855.50 | $7,711.00 | $1,457.38–$7,711.00 | 13% below | 50% |
| CT scan of the head without and with contrast CPT 70470 HEAD WO/W CONTRAST | $3,855.50 | $7,711.00 | $1,457.38–$7,711.00 | 13% below | 50% |
| CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD WITH AND WITHOUT CONTRAST | $3,855.50 | $7,711.00 | $3,469.95–$6,168.80 | — | 50% |
| CT scan of the head without and with contrast inpatient CPT 70470 COMPUTED TOMOGRAPHAY HEAD OR BRAIN WITHOUT CONTRAST MATERIAL FOLLOWED BY CONTRAST MATERIAL AND FURTHER SECTIONS | $3,855.50 | $7,711.00 | $3,469.95–$6,168.80 | — | 50% |
| CT scan of the head without and with contrast inpatient CPT 70470 HEAD WO/W CONTRAST | $3,855.50 | $7,711.00 | $3,469.95–$6,168.80 | — | 50% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 COMPUTED TOMOGRAPHY LUMBAR SPINE WITHOUT CONTRAST MATERIAL | $831.50 | $1,663.00 | $314.31–$1,663.00 | 75% below | 50% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE WITHOUT CONTRAST | $831.50 | $1,663.00 | $314.31–$1,663.00 | 75% below | 50% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 L-SPINE W/O CONTRAST | $831.50 | $1,663.00 | $314.31–$1,663.00 | 75% below | 50% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 COMPUTED TOMOGRAPHY LUMBAR SPINE WITHOUT CONTRAST MATERIAL | $831.50 | $1,663.00 | $748.35–$1,330.40 | — | 50% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 L-SPINE W/O CONTRAST | $831.50 | $1,663.00 | $748.35–$1,330.40 | — | 50% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR SPINE WITHOUT CONTRAST | $831.50 | $1,663.00 | $748.35–$1,330.40 | — | 50% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 C-SPINE W/O CONTRAST | $1,594.50 | $3,189.00 | $602.72–$3,189.00 | 53% below | 50% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 COMPUTED TOMOGRAPHY CERVICAL SPINE WITHOUT CONTRAST MATERIAL | $1,594.50 | $3,189.00 | $602.72–$3,189.00 | 53% below | 50% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL SPINE WITHOUT CONTRAST | $1,594.50 | $3,189.00 | $602.72–$3,189.00 | 53% below | 50% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 COMPUTED TOMOGRAPHY CERVICAL SPINE WITHOUT CONTRAST MATERIAL | $1,594.50 | $3,189.00 | $1,435.05–$2,551.20 | — | 50% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 C-SPINE W/O CONTRAST | $1,594.50 | $3,189.00 | $1,435.05–$2,551.20 | — | 50% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERVICAL SPINE WITHOUT CONTRAST | $1,594.50 | $3,189.00 | $1,435.05–$2,551.20 | — | 50% |
| CT scan of the pelvis, with contrast dye CPT 72193 COMPUTED TOMOGRAPHY PELVIS WITH CONTRAST MATERIAL | $2,285.00 | $4,570.00 | $863.73–$4,570.00 | 47% below | 50% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT - PELVIS W/CONTRAST | $2,285.00 | $4,570.00 | $863.73–$4,570.00 | 47% below | 50% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS WITH CONTRAST | $2,285.00 | $4,570.00 | $863.73–$4,570.00 | 47% below | 50% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS WITH CONTRAST | $2,285.00 | $4,570.00 | $2,056.50–$3,656.00 | — | 50% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT - PELVIS W/CONTRAST | $2,285.00 | $4,570.00 | $2,056.50–$3,656.00 | — | 50% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 COMPUTED TOMOGRAPHY PELVIS WITH CONTRAST MATERIAL | $2,285.00 | $4,570.00 | $2,056.50–$3,656.00 | — | 50% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US-DOPPLER CAROTID BILATERAL | $1,196.00 | $2,392.00 | $452.09–$2,392.00 | — | 50% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US-DOPPLER CAROTID BILATERAL | $1,196.00 | $2,392.00 | $1,076.40–$1,913.60 | — | 50% |
| Chest CT scan without and with contrast CPT 71270 COMPUTED TOMOGRAPHY THORAX WITHOUT CONTRAST MATERIAL FOLLOWED BY CONTRAST MATERIAL AND FURTHER SECTIONS | $2,759.50 | $5,519.00 | $1,043.09–$5,519.00 | 31% below | 50% |
| Chest CT scan without and with contrast CPT 71270 CT THORAX W/WO CONTRAST | $2,759.50 | $5,519.00 | $1,043.09–$5,519.00 | 31% below | 50% |
| Chest CT scan without and with contrast CPT 71270 CT THORAX WITHOUT AND WITH CONTRAST | $2,759.50 | $5,519.00 | $1,043.09–$5,519.00 | 31% below | 50% |
| Chest CT scan without and with contrast inpatient CPT 71270 CT THORAX W/WO CONTRAST | $2,759.50 | $5,519.00 | $2,483.55–$4,415.20 | — | 50% |
| Chest CT scan without and with contrast inpatient CPT 71270 CT THORAX WITHOUT AND WITH CONTRAST | $2,759.50 | $5,519.00 | $2,483.55–$4,415.20 | — | 50% |
| Chest CT scan without and with contrast inpatient CPT 71270 COMPUTED TOMOGRAPHY THORAX WITHOUT CONTRAST MATERIAL FOLLOWED BY CONTRAST MATERIAL AND FURTHER SECTIONS | $2,759.50 | $5,519.00 | $2,483.55–$4,415.20 | — | 50% |
| Chest X-ray, 2 views CPT 71046 RADIOLOGIC EXAM CHEST 2 VIEWS | $145.50 | $291.00 | $55.00–$291.00 | 71% below | 50% |
| Chest X-ray, 2 views inpatient CPT 71046 RADIOLOGIC EXAM CHEST 2 VIEWS | $145.50 | $291.00 | $130.95–$232.80 | — | 50% |
| Chest X-ray, single view CPT 71045 RADIOLOGIC EXAM CHEST SINGLE VIEW | $115.50 | $231.00 | $43.66–$231.00 | 72% below | 50% |
| Chest X-ray, single view CPT 71045 RADIOLOGIC EXAM CHEST SINGLE VIEW TB EMP HEALTH | $115.50 | $231.00 | $43.66–$231.00 | 72% below | 50% |
| Chest X-ray, single view CPT 71045 RADIOLOGIC EXAM CHEST SINGLE VIEW OUTSIDE RADIOLOGY | $115.50 | $231.00 | $43.66–$231.00 | 72% below | 50% |
| Chest X-ray, single view inpatient CPT 71045 RADIOLOGIC EXAM CHEST SINGLE VIEW TB EMP HEALTH | $115.50 | $231.00 | $103.95–$184.80 | — | 50% |
| Chest X-ray, single view inpatient CPT 71045 RADIOLOGIC EXAM CHEST SINGLE VIEW | $115.50 | $231.00 | $103.95–$184.80 | — | 50% |
| Chest X-ray, single view inpatient CPT 71045 RADIOLOGIC EXAM CHEST SINGLE VIEW OUTSIDE RADIOLOGY | $115.50 | $231.00 | $103.95–$184.80 | — | 50% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XRAY CLAVICLE LT | $386.50 | $773.00 | $146.10–$773.00 | 30% below | 50% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XRAY CLAVICLE RT | $386.50 | $773.00 | $146.10–$773.00 | 30% below | 50% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XRAY CLAVICLE LT | $386.50 | $773.00 | $347.85–$618.40 | — | 50% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XRAY CLAVICLE RT | $386.50 | $773.00 | $347.85–$618.40 | — | 50% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COMPLETE | $986.00 | $1,972.00 | $372.71–$1,972.00 | 22% below | 50% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEAL COMPLETE | $986.00 | $1,972.00 | $887.40–$1,577.60 | — | 50% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY STUDY HIPS PE | $612.00 | $1,224.00 | $231.34–$1,224.00 | at median | 50% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DXA BONE DENSITY STUDY HIPS PE | $612.00 | $1,224.00 | $550.80–$979.20 | — | 50% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 COMPUTED TOMOGRAPHY THORAX DIAGNOSTIC WITHOUT CONTRAST MATERIAL | $2,135.00 | $4,270.00 | $807.03–$4,270.00 | 27% below | 50% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX W/O CONTRAST | $2,135.00 | $4,270.00 | $807.03–$4,270.00 | 27% below | 50% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX W/O CONTRAST HIGH RESOL | $2,135.00 | $4,270.00 | $807.03–$4,270.00 | 27% below | 50% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX WITHOUT CONTRAST | $2,135.00 | $4,270.00 | $807.03–$4,270.00 | 27% below | 50% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX WITHOUT CONTRAST HIGH RESOLUTION | $2,135.00 | $4,270.00 | $807.03–$4,270.00 | 27% below | 50% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX W/O CONTRAST HIGH RESOL | $2,135.00 | $4,270.00 | $1,921.50–$3,416.00 | — | 50% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX WITHOUT CONTRAST HIGH RESOLUTION | $2,135.00 | $4,270.00 | $1,921.50–$3,416.00 | — | 50% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX WITHOUT CONTRAST | $2,135.00 | $4,270.00 | $1,921.50–$3,416.00 | — | 50% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX W/O CONTRAST | $2,135.00 | $4,270.00 | $1,921.50–$3,416.00 | — | 50% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 COMPUTED TOMOGRAPHY THORAX DIAGNOSTIC WITHOUT CONTRAST MATERIAL | $2,135.00 | $4,270.00 | $1,921.50–$3,416.00 | — | 50% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 THORAX W/ CONTRAST | $2,635.50 | $5,271.00 | $996.22–$5,271.00 | 31% below | 50% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX WITH CONTRAST | $2,635.50 | $5,271.00 | $996.22–$5,271.00 | 31% below | 50% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 COMPUTED TOMOGRAPHY THORAX DIAGNOSTIC WITH CONTRAST MATERIAL | $2,635.50 | $5,271.00 | $996.22–$5,271.00 | 31% below | 50% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT THORAX WITH CONTRAST | $2,635.50 | $5,271.00 | $2,371.95–$4,216.80 | — | 50% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 THORAX W/ CONTRAST | $2,635.50 | $5,271.00 | $2,371.95–$4,216.80 | — | 50% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 COMPUTED TOMOGRAPHY THORAX DIAGNOSTIC WITH CONTRAST MATERIAL | $2,635.50 | $5,271.00 | $2,371.95–$4,216.80 | — | 50% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MA-DX MAMMO INCL CAD BILAT | $291.50 | $583.00 | $110.19–$583.00 | — | 50% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MA-DX MAMMO INCL CAD BILAT | $291.50 | $583.00 | $262.35–$466.40 | — | 50% |
| Diagnostic mammogram, one breast one side CPT 77065 MA-DX MAMMO TO INCL CAD UNILAT LT | $243.50 | $487.00 | $92.04–$487.00 | 44% below | 50% |
| Diagnostic mammogram, one breast one side CPT 77065 MA-DX MAMMO TO INCL CAD UNILAT RT | $243.50 | $487.00 | $92.04–$487.00 | 44% below | 50% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MA-DX MAMMO TO INCL CAD UNILAT LT | $243.50 | $487.00 | $219.15–$389.60 | — | 50% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MA-DX MAMMO TO INCL CAD UNILAT RT | $243.50 | $487.00 | $219.15–$389.60 | — | 50% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 US DOPPLER ART LOWER EXT-BIL | $315.50 | $631.00 | $119.26–$631.00 | 85% below | 50% |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 US DOPPLER ART LOWER EXT-BIL | $315.50 | $631.00 | $283.95–$504.80 | — | 50% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 DUPLEX SCAN OF EXTREMITY VEINS INCLUDING RESPONSES TO COMPRESSION AND OTHER MANEUVERS; COMPLETE BILATERAL STUDY | $946.00 | $1,892.00 | $357.59–$1,892.00 | — | 50% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 DUPLEX SCAN OF EXTREMITY VEINS INCLUDING RESPONSES TO COMPRESSION AND OTHER MANEUVERS; COMPLETE BILATERAL STUDY | $946.00 | $1,892.00 | $851.40–$1,513.60 | — | 50% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHOCARDIOGRAPHY TRANSTHORACIC REALTIME WITH IMAGE DOCUMENTATION 2D INCLUDED MMODE RECORDING WHEN PERFORMED COMPLETE WITH SPECTRAL DOPPLER ECHO AND WITH COLOR FLOW DOPPLER ECHO MMH | $2,930.00 | $5,860.00 | $1,107.54–$5,860.00 | 12% below | 50% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHOCARDIOGRAPHY TRANSTHORACIC REAL TIME WITH IMAGE DOCUMENTATION 2D INCLUDED M MODE RECORDING WHEN PERFORMED COMPLETE WITH SPECTRAL DOPPLER ECHO AND WITH COLOR FLOW DOPPLER ECHO | $2,930.00 | $5,860.00 | $1,107.54–$5,860.00 | 12% below | 50% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHOCARDIOGRAPHY TRANSTHORACIC REAL TIME WITH IMAGE DOCUMENTATION 2D INCLUDED M MODE RECORDING WHEN PERFORMED COMPLETE WITH SPECTRAL DOPPLER ECHO AND WITH COLOR FLOW DOPPLER ECHO MKC | $2,930.00 | $5,860.00 | $1,107.54–$5,860.00 | 12% below | 50% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHOCARDIOGRAPHY TRANSTHORACIC REAL TIME WITH IMAGE DOCUMENTATION 2D INCLUDED M MODE RECORDING WHEN PERFORMED COMPLETE WITH SPECTRAL DOPPLER ECHO AND WITH COLOR FLOW DOPPLER ECHO | $2,930.00 | $5,860.00 | $2,637.00–$4,688.00 | — | 50% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHOCARDIOGRAPHY TRANSTHORACIC REALTIME WITH IMAGE DOCUMENTATION 2D INCLUDED MMODE RECORDING WHEN PERFORMED COMPLETE WITH SPECTRAL DOPPLER ECHO AND WITH COLOR FLOW DOPPLER ECHO MMH | $2,930.00 | $5,860.00 | $2,637.00–$4,688.00 | — | 50% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHOCARDIOGRAPHY TRANSTHORACIC REAL TIME WITH IMAGE DOCUMENTATION 2D INCLUDED M MODE RECORDING WHEN PERFORMED COMPLETE WITH SPECTRAL DOPPLER ECHO AND WITH COLOR FLOW DOPPLER ECHO MKC | $2,930.00 | $5,860.00 | $2,637.00–$4,688.00 | — | 50% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 X-RAY EXAM OF ELBOW >= 3 VIEWS RT | $301.00 | $602.00 | $113.78–$602.00 | 50% below | 50% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 X-RAY EXAM OF ELBOW >= 3 VIEWS LT | $301.00 | $602.00 | $113.78–$602.00 | 50% below | 50% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 X-RAY EXAM OF ELBOW >= 3 VIEWS LT | $301.00 | $602.00 | $270.90–$481.60 | — | 50% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 X-RAY EXAM OF ELBOW >= 3 VIEWS RT | $301.00 | $602.00 | $270.90–$481.60 | — | 50% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT SELLA PITUITARY WITHOUT CONTRAST | $2,528.50 | $5,057.00 | $955.77–$5,057.00 | 4% below | 50% |
| Eye socket (orbit) CT scan without contrast CPT 70480 POSTERIOR FOSSA W/O CONT | $2,528.50 | $5,057.00 | $955.77–$5,057.00 | 4% below | 50% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT SELLA PITUITARY W/O CONTRAS | $2,528.50 | $5,057.00 | $955.77–$5,057.00 | 4% below | 50% |
| Eye socket (orbit) CT scan without contrast CPT 70480 INT AUD CAN (IAC) W/O CON | $2,528.50 | $5,057.00 | $955.77–$5,057.00 | 4% below | 50% |
| Eye socket (orbit) CT scan without contrast CPT 70480 ORBITS W/O CONTRAST | $2,528.50 | $5,057.00 | $955.77–$5,057.00 | 4% below | 50% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT POSTERIOR FOSSA WITHOUT CONTRAST | $2,528.50 | $5,057.00 | $955.77–$5,057.00 | 4% below | 50% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT INTERNAL AUDITORY CANAL WITHOUT CONTRAST | $2,528.50 | $5,057.00 | $955.77–$5,057.00 | 4% below | 50% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBITS WO CONTRAST | $2,528.50 | $5,057.00 | $955.77–$5,057.00 | 4% below | 50% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT SELLA OR POSTERIOR FOSSA OR OUTER MIDDLE OR INNER EAR WITHOUT CONTRAST MATERIAL | $2,528.50 | $5,057.00 | $955.77–$5,057.00 | 4% below | 50% |
| Eye socket (orbit) CT scan without contrast one side CPT 70480 ORBITS W/O CONTRAST LT | $2,528.50 | $5,057.00 | $955.77–$5,057.00 | 4% below | 50% |
| Eye socket (orbit) CT scan without contrast one side CPT 70480 CT ORBITS WITHOUT CONTRAST LT | $2,528.50 | $5,057.00 | $955.77–$5,057.00 | 4% below | 50% |
| Eye socket (orbit) CT scan without contrast one side CPT 70480 INT AUD CAN (IAC) W/O CON RT | $2,528.50 | $5,057.00 | $955.77–$5,057.00 | 4% below | 50% |
| Eye socket (orbit) CT scan without contrast one side CPT 70480 ORBITS W/O CONTRAST RT | $2,528.50 | $5,057.00 | $955.77–$5,057.00 | 4% below | 50% |
| Eye socket (orbit) CT scan without contrast one side CPT 70480 CT ORBITS WITHOUT CONTRAST RT | $2,528.50 | $5,057.00 | $955.77–$5,057.00 | 4% below | 50% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT SELLA PITUITARY W/O CONTRAS | $2,528.50 | $5,057.00 | $2,275.65–$4,045.60 | — | 50% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT SELLA PITUITARY WITHOUT CONTRAST | $2,528.50 | $5,057.00 | $2,275.65–$4,045.60 | — | 50% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT POSTERIOR FOSSA WITHOUT CONTRAST | $2,528.50 | $5,057.00 | $2,275.65–$4,045.60 | — | 50% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 ORBITS W/O CONTRAST | $2,528.50 | $5,057.00 | $2,275.65–$4,045.60 | — | 50% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 INT AUD CAN (IAC) W/O CON | $2,528.50 | $5,057.00 | $2,275.65–$4,045.60 | — | 50% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 POSTERIOR FOSSA W/O CONT | $2,528.50 | $5,057.00 | $2,275.65–$4,045.60 | — | 50% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT ORBIT SELLA OR POSTERIOR FOSSA OR OUTER MIDDLE OR INNER EAR WITHOUT CONTRAST MATERIAL | $2,528.50 | $5,057.00 | $2,275.65–$4,045.60 | — | 50% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT ORBITS WO CONTRAST | $2,528.50 | $5,057.00 | $2,275.65–$4,045.60 | — | 50% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT INTERNAL AUDITORY CANAL WITHOUT CONTRAST | $2,528.50 | $5,057.00 | $2,275.65–$4,045.60 | — | 50% |
| Eye socket (orbit) CT scan without contrast inpatient one side CPT 70480 ORBITS W/O CONTRAST LT | $2,528.50 | $5,057.00 | $2,275.65–$4,045.60 | — | 50% |
| Eye socket (orbit) CT scan without contrast inpatient one side CPT 70480 ORBITS W/O CONTRAST RT | $2,528.50 | $5,057.00 | $2,275.65–$4,045.60 | — | 50% |
| Eye socket (orbit) CT scan without contrast inpatient one side CPT 70480 INT AUD CAN (IAC) W/O CON RT | $2,528.50 | $5,057.00 | $2,275.65–$4,045.60 | — | 50% |
| Eye socket (orbit) CT scan without contrast inpatient one side CPT 70480 CT ORBITS WITHOUT CONTRAST LT | $2,528.50 | $5,057.00 | $2,275.65–$4,045.60 | — | 50% |
| Eye socket (orbit) CT scan without contrast inpatient one side CPT 70480 CT ORBITS WITHOUT CONTRAST RT | $2,528.50 | $5,057.00 | $2,275.65–$4,045.60 | — | 50% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 FACIAL BONE (MAXILLA/ZYG | $484.50 | $969.00 | $183.14–$969.00 | 36% below | 50% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 FACIAL BONE (MAXILLA/ZYG | $484.50 | $969.00 | $436.05–$775.20 | — | 50% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XRAY FOREARM LT | $340.50 | $681.00 | $128.71–$681.00 | 40% below | 50% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XRAY FOREARM RT | $340.50 | $681.00 | $128.71–$681.00 | 40% below | 50% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XRAY FOREARM LT | $340.50 | $681.00 | $306.45–$544.80 | — | 50% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XRAY FOREARM RT | $340.50 | $681.00 | $306.45–$544.80 | — | 50% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY SYSTEM IMAGING INCLUDING GALLBLADDER WHEN PRESENT | $1,310.00 | $2,620.00 | $495.18–$2,620.00 | 36% below | 50% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 GB/HEPATO-BILIARY IMAGING | $1,310.00 | $2,620.00 | $495.18–$2,620.00 | 36% below | 50% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HEPATOBILIARY SYSTEM IMAGING INCLUDING GALLBLADDER WHEN PRESENT | $1,310.00 | $2,620.00 | $1,179.00–$2,096.00 | — | 50% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 GB/HEPATO-BILIARY IMAGING | $1,310.00 | $2,620.00 | $1,179.00–$2,096.00 | — | 50% |
| Hand X-ray, 2 views one side CPT 73120 XRAY HAND 2 VIEWS RT | $1,086.00 | $2,172.00 | $410.51–$2,172.00 | 110% above | 50% |
| Hand X-ray, 2 views one side CPT 73120 XRAY HAND 2 VIEWS LT | $1,086.00 | $2,172.00 | $410.51–$2,172.00 | 110% above | 50% |
| Hand X-ray, 2 views inpatient one side CPT 73120 XRAY HAND 2 VIEWS LT | $1,086.00 | $2,172.00 | $977.40–$1,737.60 | — | 50% |
| Hand X-ray, 2 views inpatient one side CPT 73120 XRAY HAND 2 VIEWS RT | $1,086.00 | $2,172.00 | $977.40–$1,737.60 | — | 50% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XRAY CALCANEUS LT | $423.50 | $847.00 | $160.08–$847.00 | 14% below | 50% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XRAY CALCANEUS RT | $423.50 | $847.00 | $160.08–$847.00 | 14% below | 50% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XRAY CALCANEUS RT | $423.50 | $847.00 | $381.15–$677.60 | — | 50% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XRAY CALCANEUS LT | $423.50 | $847.00 | $381.15–$677.60 | — | 50% |
| Knee X-ray, 3 views one side CPT 73562 XRAY KNEE 3 VIEWS LT | $910.00 | $1,820.00 | $343.98–$1,820.00 | 33% above | 50% |
| Knee X-ray, 3 views one side CPT 73562 XRAY KNEE 3 VIEWS RT | $910.00 | $1,820.00 | $343.98–$1,820.00 | 33% above | 50% |
| Knee X-ray, 3 views inpatient one side CPT 73562 XRAY KNEE 3 VIEWS LT | $910.00 | $1,820.00 | $819.00–$1,456.00 | — | 50% |
| Knee X-ray, 3 views inpatient one side CPT 73562 XRAY KNEE 3 VIEWS RT | $910.00 | $1,820.00 | $819.00–$1,456.00 | — | 50% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XRAY KNEE 4+ VIEW RT | $1,021.00 | $2,042.00 | $385.94–$2,042.00 | 32% above | 50% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XRAY KNEE 4+ VIEW LT | $1,021.00 | $2,042.00 | $385.94–$2,042.00 | 32% above | 50% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XRAY KNEE 4+ VIEW LT | $1,021.00 | $2,042.00 | $918.90–$1,633.60 | — | 50% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XRAY KNEE 4+ VIEW RT | $1,021.00 | $2,042.00 | $918.90–$1,633.60 | — | 50% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 EXTREMITY-LOWER W/O CONT | $966.50 | $1,933.00 | $365.34–$1,933.00 | 63% below | 50% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 COMPUTED TOMOGRAPHY LOWER EXTREMITY WITHOUT CONTRAST MATERIAL | $966.50 | $1,933.00 | $365.34–$1,933.00 | 63% below | 50% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT LOWER EXTREMITY WITHOUT CONTAST | $966.50 | $1,933.00 | $365.34–$1,933.00 | 63% below | 50% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 COMPUTED TOMOGRAPHY LOWER EXTREMITY WITHOUT CONTRAST MATERIALS RT | $966.50 | $1,933.00 | $365.34–$1,933.00 | 63% below | 50% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 COMPUTED TOMOGRAPHY LOWER EXTREMITY WITHOUT CONTRAST MATERIALS LT | $966.50 | $1,933.00 | $365.34–$1,933.00 | 63% below | 50% |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT LOWER EXTREMITY WITHOUT CONTAST | $966.50 | $1,933.00 | $869.85–$1,546.40 | — | 50% |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 COMPUTED TOMOGRAPHY LOWER EXTREMITY WITHOUT CONTRAST MATERIAL | $966.50 | $1,933.00 | $869.85–$1,546.40 | — | 50% |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 EXTREMITY-LOWER W/O CONT | $966.50 | $1,933.00 | $869.85–$1,546.40 | — | 50% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 COMPUTED TOMOGRAPHY LOWER EXTREMITY WITHOUT CONTRAST MATERIALS LT | $966.50 | $1,933.00 | $869.85–$1,546.40 | — | 50% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 COMPUTED TOMOGRAPHY LOWER EXTREMITY WITHOUT CONTRAST MATERIALS RT | $966.50 | $1,933.00 | $869.85–$1,546.40 | — | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ABDOMEN LIMITED | $1,351.00 | $2,702.00 | $510.68–$2,702.00 | 20% above | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ULTRASOUND ABDOMINAL REAL TIME WITH IMAGE DOCUMENTATION LIMITED | $1,351.00 | $2,702.00 | $510.68–$2,702.00 | 20% above | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ULTRASOUND ABDOMINAL REAL TIME WITH IMAGE DOCUMENTATION LIMITED | $1,351.00 | $2,702.00 | $1,215.90–$2,161.60 | — | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ABDOMEN LIMITED | $1,351.00 | $2,702.00 | $1,215.90–$2,161.60 | — | 50% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 ULTRASOUND LIMITED JOINT OR FOCAL EVAL OF NONVASCULAR EXT IE JOINT SPACE AND PERIARTICULAR SOFT TISSUE STRUCTURES LT | $1,346.00 | $2,692.00 | $508.79–$2,692.00 | 111% above | 50% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 ULTRASOUND LIMITED JOINT OR FOCAL EVAL OF NONVASCULAR EXT IE JOINT SPACE AND PERIARTICULAR SOFT TISSUE STRUCTURES RT | $1,346.00 | $2,692.00 | $508.79–$2,692.00 | 111% above | 50% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 ULTRASOUND LIMITED JOINT (IE JOINT SPACE AND PERIARTICULAR SOFT TISSUE STRUCTURES) LT | $1,346.00 | $2,692.00 | $508.79–$2,692.00 | 111% above | 50% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 ULTRASOUND LIMITED JOINT (IE JOINT SPACE AND PERIARTICULAR SOFT TISSUE STRUCTURES) RT | $1,346.00 | $2,692.00 | $508.79–$2,692.00 | 111% above | 50% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 ULTRASOUND LIMITED JOINT (IE JOINT SPACE AND PERIARTICULAR SOFT TISSUE STRUCTURES) LT | $1,346.00 | $2,692.00 | $1,211.40–$2,153.60 | — | 50% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 ULTRASOUND LIMITED JOINT OR FOCAL EVAL OF NONVASCULAR EXT IE JOINT SPACE AND PERIARTICULAR SOFT TISSUE STRUCTURES LT | $1,346.00 | $2,692.00 | $1,211.40–$2,153.60 | — | 50% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 ULTRASOUND LIMITED JOINT OR FOCAL EVAL OF NONVASCULAR EXT IE JOINT SPACE AND PERIARTICULAR SOFT TISSUE STRUCTURES RT | $1,346.00 | $2,692.00 | $1,211.40–$2,153.60 | — | 50% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 ULTRASOUND LIMITED JOINT (IE JOINT SPACE AND PERIARTICULAR SOFT TISSUE STRUCTURES) RT | $1,346.00 | $2,692.00 | $1,211.40–$2,153.60 | — | 50% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 COMPUTED TOMOGRAPHY THORAX LOW DOSE FOR LUNG CANCER SCREENING WITHOUT CONTRAST MATERIALS ANNUAL | $136.50 | $273.00 | $51.60–$273.00 | 81% below | 50% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 COMPUTED TOMOGRAPHY THORAX LOW DOSE FOR LUNG CANCER SCREENING WITHOUT CONTRAST MATERIALS BASELINE | $136.50 | $273.00 | $51.60–$273.00 | 81% below | 50% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 COMPUTED TOMOGRAPHY THORAX LOW DOSE FOR LUNG CANCER SCREENING WITHOUT CONTRAST MATERIALS | $136.50 | $273.00 | $51.60–$273.00 | 81% below | 50% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 COMPUTED TOMOGRAPHY THORAX LOW DOSE FOR LUNG CANCER SCREENING WITHOUT CONTRAST MATERIALS | $136.50 | $273.00 | $122.85–$218.40 | — | 50% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 COMPUTED TOMOGRAPHY THORAX LOW DOSE FOR LUNG CANCER SCREENING WITHOUT CONTRAST MATERIALS ANNUAL | $136.50 | $273.00 | $122.85–$218.40 | — | 50% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 COMPUTED TOMOGRAPHY THORAX LOW DOSE FOR LUNG CANCER SCREENING WITHOUT CONTRAST MATERIALS BASELINE | $136.50 | $273.00 | $122.85–$218.40 | — | 50% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XRAY TIBIA FIBULA 2 VIEWS RT | $786.50 | $1,573.00 | $297.30–$1,573.00 | 25% above | 50% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XRAY TIBIA FIBULA 2 VIEWS LT | $786.50 | $1,573.00 | $297.30–$1,573.00 | 25% above | 50% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XRAY TIBIA FIBULA 2 VIEWS RT | $786.50 | $1,573.00 | $707.85–$1,258.40 | — | 50% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XRAY TIBIA FIBULA 2 VIEWS LT | $786.50 | $1,573.00 | $707.85–$1,258.40 | — | 50% |
| MR angiography (MRA) of the head without contrast CPT 70544 MAGNETIC RESONANCE ANGIOGRAPHY HEAD WITHOUT CONTRAST MATERIALS | $2,465.00 | $4,930.00 | $931.77–$4,930.00 | 16% below | 50% |
| MR angiography (MRA) of the head without contrast CPT 70544 MRA-HEAD W/O CONTRAST | $2,465.00 | $4,930.00 | $931.77–$4,930.00 | 16% below | 50% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA-HEAD W/O CONTRAST | $2,465.00 | $4,930.00 | $2,218.50–$3,944.00 | — | 50% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 MAGNETIC RESONANCE ANGIOGRAPHY HEAD WITHOUT CONTRAST MATERIALS | $2,465.00 | $4,930.00 | $2,218.50–$3,944.00 | — | 50% |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI BREAST WITHOUT AND WITH CONTRAST MATERIAL INCLUDING CAD BILATERAL | $2,666.00 | $5,332.00 | $1,007.75–$5,332.00 | — | 50% |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 MAGNETIC RESONANCE IMAGING BREAST WITHOUT AND WITH CONTRAST MATERIAL INCLUDING CAD WHEN PERFORMED BILATERAL | $2,666.00 | $5,332.00 | $1,007.75–$5,332.00 | — | 50% |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 MAGNETIC RESONANCE IMAGING BREAST WITHOUT AND WITH CONTRAST MATERIALS INCLUDING COMPUTER AIDED DETECTION CAD REAL-TIME LESION DETECTION CHARACTERIZATION AND PHARMACOKINETIC ANALYSIS WHEN PERFORMED BILATERAL | $2,666.00 | $5,332.00 | $1,007.75–$5,332.00 | — | 50% |
| MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 MAGNETIC RESONANCE IMAGING BREAST WITHOUT AND WITH CONTRAST MATERIAL INCLUDING CAD WHEN PERFORMED BILATERAL | $2,666.00 | $5,332.00 | $2,399.40–$4,265.60 | — | 50% |
| MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 MRI BREAST WITHOUT AND WITH CONTRAST MATERIAL INCLUDING CAD BILATERAL | $2,666.00 | $5,332.00 | $2,399.40–$4,265.60 | — | 50% |
| MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 MAGNETIC RESONANCE IMAGING BREAST WITHOUT AND WITH CONTRAST MATERIALS INCLUDING COMPUTER AIDED DETECTION CAD REAL-TIME LESION DETECTION CHARACTERIZATION AND PHARMACOKINETIC ANALYSIS WHEN PERFORMED BILATERAL | $2,666.00 | $5,332.00 | $2,399.40–$4,265.60 | — | 50% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MAGNETIC RESONANCE EG PROTON IMAGING ANY JOINT OF LOWER EXTREMITY WITHOUT CONTRAST MATERIAL LT | $2,347.50 | $4,695.00 | $887.36–$4,695.00 | 33% below | 50% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI-LOWER EXT JOINT W/O CON LT | $2,347.50 | $4,695.00 | $887.36–$4,695.00 | 33% below | 50% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI-LOWER EXT JOINT W/O CON RT | $2,347.50 | $4,695.00 | $887.36–$4,695.00 | 33% below | 50% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MAGNETIC RESONANCE EG PROTON IMAGING ANY JOINT OF LOWER EXTREMITY WITHOUT CONTRAST MATERIAL RT | $2,347.50 | $4,695.00 | $887.36–$4,695.00 | 33% below | 50% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI-LOWER EXT JOINT W/O CON RT | $2,347.50 | $4,695.00 | $2,112.75–$3,756.00 | — | 50% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI-LOWER EXT JOINT W/O CON LT | $2,347.50 | $4,695.00 | $2,112.75–$3,756.00 | — | 50% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MAGNETIC RESONANCE EG PROTON IMAGING ANY JOINT OF LOWER EXTREMITY WITHOUT CONTRAST MATERIAL RT | $2,347.50 | $4,695.00 | $2,112.75–$3,756.00 | — | 50% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MAGNETIC RESONANCE EG PROTON IMAGING ANY JOINT OF LOWER EXTREMITY WITHOUT CONTRAST MATERIAL LT | $2,347.50 | $4,695.00 | $2,112.75–$3,756.00 | — | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI-JOINT LOWER W/WO CONTRA | $3,912.50 | $7,825.00 | $1,478.92–$7,825.00 | 20% below | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MAGNETIC RESONANCE EG PROTON IMAGING ANY JOINT OF LOWER EXTREMITY WITHOUT AND WITH CONTRAST MATERIALS | $3,912.50 | $7,825.00 | $1,478.92–$7,825.00 | 20% below | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MAGNETIC RESONANCE EG PROTON IMAGING ANY JOINT OF LOWER EXTREMITY WITHOUT CONTRAST MATERIALS FOLLOWED BY CONTRAST MATERIALS AND FURTHER SEQUENCES LT | $3,912.50 | $7,825.00 | $1,478.92–$7,825.00 | 20% below | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MAGNETIC RESONANCE EG PROTON IMAGING ANY JOINT OF LOWER EXTREMITY WITHOUT CONTRAST MATERIALS FOLLOWED BY CONTRAST MATERIALS AND FURTHER SEQUENCES RT | $3,912.50 | $7,825.00 | $1,478.92–$7,825.00 | 20% below | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI-JOINT LOWER W/WO CONTRA | $3,912.50 | $7,825.00 | $3,521.25–$6,260.00 | — | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MAGNETIC RESONANCE EG PROTON IMAGING ANY JOINT OF LOWER EXTREMITY WITHOUT AND WITH CONTRAST MATERIALS | $3,912.50 | $7,825.00 | $3,521.25–$6,260.00 | — | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MAGNETIC RESONANCE EG PROTON IMAGING ANY JOINT OF LOWER EXTREMITY WITHOUT CONTRAST MATERIALS FOLLOWED BY CONTRAST MATERIALS AND FURTHER SEQUENCES RT | $3,912.50 | $7,825.00 | $3,521.25–$6,260.00 | — | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MAGNETIC RESONANCE EG PROTON IMAGING ANY JOINT OF LOWER EXTREMITY WITHOUT CONTRAST MATERIALS FOLLOWED BY CONTRAST MATERIALS AND FURTHER SEQUENCES LT | $3,912.50 | $7,825.00 | $3,521.25–$6,260.00 | — | 50% |
| MRI of the abdomen without contrast CPT 74181 MRI - ABDOMEN W/O CONTRAST | $2,947.00 | $5,894.00 | $1,113.97–$5,894.00 | 16% below | 50% |
| MRI of the abdomen without contrast CPT 74181 MAGNETIC RESONANCE EG PROTON IMAGING ABDOMEN WITHOUT CONTRAST MATERIAL | $2,947.00 | $5,894.00 | $1,113.97–$5,894.00 | 16% below | 50% |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI - ABDOMEN W/O CONTRAST | $2,947.00 | $5,894.00 | $2,652.30–$4,715.20 | — | 50% |
| MRI of the abdomen without contrast inpatient CPT 74181 MAGNETIC RESONANCE EG PROTON IMAGING ABDOMEN WITHOUT CONTRAST MATERIAL | $2,947.00 | $5,894.00 | $2,652.30–$4,715.20 | — | 50% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MAGNETIC RESONANCE EG PROTON IMAGING ABDOMEN WITHOUT CONTRAST MATERIALS FOLLOWED BY WITH CONTRAST MATERIALS AND FURTHER SEQUENCES | $4,441.50 | $8,883.00 | $1,678.89–$8,883.00 | 4% above | 50% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI-ABDOMEN W/WO CONTRAST | $4,441.50 | $8,883.00 | $1,678.89–$8,883.00 | 4% above | 50% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI-ABDOMEN W/WO CONTRAST | $4,441.50 | $8,883.00 | $3,997.35–$7,106.40 | — | 50% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MAGNETIC RESONANCE EG PROTON IMAGING ABDOMEN WITHOUT CONTRAST MATERIALS FOLLOWED BY WITH CONTRAST MATERIALS AND FURTHER SEQUENCES | $4,441.50 | $8,883.00 | $3,997.35–$7,106.40 | — | 50% |
| MRI of the brain, no contrast dye CPT 70551 MAGNETIC RESONANCE EG PROTON IMAGING BRAIN INCLUDING BRAIN STEM WITHOUT CONTRAST MATERIAL | $2,964.00 | $5,928.00 | $1,120.39–$5,928.00 | 15% below | 50% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST | $2,964.00 | $5,928.00 | $1,120.39–$5,928.00 | 15% below | 50% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN W/O CONTRAST | $2,964.00 | $5,928.00 | $2,667.60–$4,742.40 | — | 50% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MAGNETIC RESONANCE EG PROTON IMAGING BRAIN INCLUDING BRAIN STEM WITHOUT CONTRAST MATERIAL | $2,964.00 | $5,928.00 | $2,667.60–$4,742.40 | — | 50% |
| MRI of the brain, with and without contrast dye CPT 70553 MAGNETIC RESONANCE EG PROTON IMAGING BRAIN INCLUDING BRAIN STEM WITHOUT CONTRAST MATERIAL FOLLOWED BY CONTRAST MATERIALS AND FURTHER SEQUENCES | $4,042.00 | $8,084.00 | $1,527.88–$8,084.00 | 18% below | 50% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W/WO CONTRAST | $4,042.00 | $8,084.00 | $1,527.88–$8,084.00 | 18% below | 50% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN INCLUDING BRAIN STEM WITHOUT CONTRAST MATERIAL FOLLOWED BY CONTRAST MATERIAL AND FURTHER SEQUENCES | $4,042.00 | $8,084.00 | $1,527.88–$8,084.00 | 18% below | 50% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MAGNETIC RESONANCE EG PROTON IMAGING BRAIN INCLUDING BRAIN STEM WITHOUT CONTRAST MATERIAL FOLLOWED BY CONTRAST MATERIALS AND FURTHER SEQUENCES | $4,042.00 | $8,084.00 | $3,637.80–$6,467.20 | — | 50% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W/WO CONTRAST | $4,042.00 | $8,084.00 | $3,637.80–$6,467.20 | — | 50% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN INCLUDING BRAIN STEM WITHOUT CONTRAST MATERIAL FOLLOWED BY CONTRAST MATERIAL AND FURTHER SEQUENCES | $4,042.00 | $8,084.00 | $3,637.80–$6,467.20 | — | 50% |
| MRI of the lower back, no contrast dye CPT 72148 MAGNETIC RESONANCE IMAGING SPINAL CANAL AND CONTENTS LUMBAR WITHOUT CONTRAST MATERIAL | $2,045.50 | $4,091.00 | $773.20–$4,091.00 | 45% below | 50% |
| MRI of the lower back, no contrast dye CPT 72148 MRI-L-SPINE W/O CONTRAST | $2,045.50 | $4,091.00 | $773.20–$4,091.00 | 45% below | 50% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MAGNETIC RESONANCE IMAGING SPINAL CANAL AND CONTENTS LUMBAR WITHOUT CONTRAST MATERIAL | $2,045.50 | $4,091.00 | $1,840.95–$3,272.80 | — | 50% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI-L-SPINE W/O CONTRAST | $2,045.50 | $4,091.00 | $1,840.95–$3,272.80 | — | 50% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MAGNETIC RESONANCE EG PROTON IMAGING SPINAL CANAL AND CONTENTS WITHOUT CONTRAST MATERIAL FOLLOWED BY CONTRAST MATERIALS AND FURTHER SEQUENCES LUMBAR | $3,408.00 | $6,816.00 | $1,288.22–$6,816.00 | 31% below | 50% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI L SPINE W.WO CONTRAST | $3,408.00 | $6,816.00 | $1,288.22–$6,816.00 | 31% below | 50% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MAGNETIC RESONANCE EG PROTON IMAGING SPINAL CANAL AND CONTENTS WITHOUT CONTRAST MATERIAL FOLLOWED BY CONTRAST MATERIALS AND FURTHER SEQUENCES LUMBAR | $3,408.00 | $6,816.00 | $3,067.20–$5,452.80 | — | 50% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI L SPINE W.WO CONTRAST | $3,408.00 | $6,816.00 | $3,067.20–$5,452.80 | — | 50% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MAGNETIC RESONANCE IMAGING SPINAL CANAL AND CONTENTS THORACIC WITHOUT CONTRAST MATERIAL | $2,357.50 | $4,715.00 | $891.14–$4,715.00 | 38% below | 50% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI-T-SPINE W/O CONTRAST | $2,357.50 | $4,715.00 | $891.14–$4,715.00 | 38% below | 50% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI-T-SPINE W/O CONTRAST | $2,357.50 | $4,715.00 | $2,121.75–$3,772.00 | — | 50% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MAGNETIC RESONANCE IMAGING SPINAL CANAL AND CONTENTS THORACIC WITHOUT CONTRAST MATERIAL | $2,357.50 | $4,715.00 | $2,121.75–$3,772.00 | — | 50% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C SPINE W.WO CONTRAST | $3,682.00 | $7,364.00 | $1,391.80–$7,364.00 | 23% below | 50% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MAGNETIC RESONANCE EG PROTON IMAGING SPINAL CANAL AND CONTENTS WITHOUT CONTRAST MATERIAL FOLLOWED BY CONTRAST MATERIALS AND FURTHER SEQUENCES CERVICAL | $3,682.00 | $7,364.00 | $1,391.80–$7,364.00 | 23% below | 50% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MAGNETIC RESONANCE EG PROTON IMAGING SPINAL CANAL AND CONTENTS WITHOUT CONTRAST MATERIAL FOLLOWED BY CONTRAST MATERIALS AND FURTHER SEQUENCES CERVICAL | $3,682.00 | $7,364.00 | $3,313.80–$5,891.20 | — | 50% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI C SPINE W.WO CONTRAST | $3,682.00 | $7,364.00 | $3,313.80–$5,891.20 | — | 50% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI-C-SPINE W/O CONTRAST | $2,208.50 | $4,417.00 | $834.81–$4,417.00 | 41% below | 50% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MAGNETIC RESONANCE IMAGING SPINAL CANAL AND CONTENTS CERVICAL WITHOUT CONTRAST MATERIAL | $2,208.50 | $4,417.00 | $834.81–$4,417.00 | 41% below | 50% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MAGNETIC RESONANCE IMAGING SPINAL CANAL AND CONTENTS CERVICAL WITHOUT CONTRAST MATERIAL | $2,208.50 | $4,417.00 | $1,987.65–$3,533.60 | — | 50% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI-C-SPINE W/O CONTRAST | $2,208.50 | $4,417.00 | $1,987.65–$3,533.60 | — | 50% |
| MRI of the pelvis without and with contrast CPT 72197 MRI-PELVIS W/WO CONTRAST | $4,418.00 | $8,836.00 | $1,670.00–$8,836.00 | 19% above | 50% |
| MRI of the pelvis without and with contrast CPT 72197 MAGNETIC RESONANCE EG PROTON IMAGING PELVIS WITHOUT CONTRAST MATERIALS FOLLOWED BY CONTRAST MATERIALS AND FURTHER SEQUENCES | $4,418.00 | $8,836.00 | $1,670.00–$8,836.00 | 19% above | 50% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI-PELVIS W/WO CONTRAST | $4,418.00 | $8,836.00 | $3,976.20–$7,068.80 | — | 50% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MAGNETIC RESONANCE EG PROTON IMAGING PELVIS WITHOUT CONTRAST MATERIALS FOLLOWED BY CONTRAST MATERIALS AND FURTHER SEQUENCES | $4,418.00 | $8,836.00 | $3,976.20–$7,068.80 | — | 50% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI-PELVIS W/O CONTRAST | $2,775.00 | $5,550.00 | $1,048.95–$5,550.00 | 15% below | 50% |
| MRI of the pelvis, no contrast dye CPT 72195 MAGNETIC RESONANCE EG PROTON IMAGING PELVIS WITHOUT CONTRAST MATERIALS | $2,775.00 | $5,550.00 | $1,048.95–$5,550.00 | 15% below | 50% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MAGNETIC RESONANCE EG PROTON IMAGING PELVIS WITHOUT CONTRAST MATERIALS | $2,775.00 | $5,550.00 | $2,497.50–$4,440.00 | — | 50% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI-PELVIS W/O CONTRAST | $2,775.00 | $5,550.00 | $2,497.50–$4,440.00 | — | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MAGNETIC RESONANCE EG PROTON IMAGING ANY JOINT OF UPPER EXTREMITY WITHOUT CONTRAST MATERIALS | $2,162.00 | $4,324.00 | $817.24–$4,324.00 | 35% below | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MAGNETIC RESONANCE EG PROTON IMAGING ANY JOINT OF UPPER EXTREMITY WITHOUT CONTRAST MATERIALS LT | $2,162.00 | $4,324.00 | $817.24–$4,324.00 | 35% below | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MAGNETIC RESONANCE EG PROTON IMAGING ANY JOINT OF UPPER EXTREMITY WITHOUT CONTRAST MATERIALS RT | $2,162.00 | $4,324.00 | $817.24–$4,324.00 | 35% below | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MAGNETIC RESONANCE EG PROTON IMAGING ANY JOINT OF UPPER EXTREMITY WITHOUT CONTRAST MATERIALS | $2,162.00 | $4,324.00 | $1,945.80–$3,459.20 | — | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MAGNETIC RESONANCE EG PROTON IMAGING ANY JOINT OF UPPER EXTREMITY WITHOUT CONTRAST MATERIALS RT | $2,162.00 | $4,324.00 | $1,945.80–$3,459.20 | — | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MAGNETIC RESONANCE EG PROTON IMAGING ANY JOINT OF UPPER EXTREMITY WITHOUT CONTRAST MATERIALS LT | $2,162.00 | $4,324.00 | $1,945.80–$3,459.20 | — | 50% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 SPINE CERVICAL 4-5 VIEWS | $1,308.50 | $2,617.00 | $494.61–$2,617.00 | 49% above | 50% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 SPINE CERVICAL 4-5 VIEWS | $1,308.50 | $2,617.00 | $1,177.65–$2,093.60 | — | 50% |
| Neck soft tissue CT scan with contrast CPT 70491 NECK W/ CONTRAST | $4,236.00 | $8,472.00 | $1,601.21–$8,472.00 | 27% above | 50% |
| Neck soft tissue CT scan with contrast CPT 70491 COMPUTED TOMOGRAPHY SOFT TISSUE NECK WITH CONTRAST MATERIAL | $4,236.00 | $8,472.00 | $1,601.21–$8,472.00 | 27% above | 50% |
| Neck soft tissue CT scan with contrast CPT 70491 CT SOFT TISSUE NECK WITH CONTRAST | $4,236.00 | $8,472.00 | $1,601.21–$8,472.00 | 27% above | 50% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 CT SOFT TISSUE NECK WITH CONTRAST | $4,236.00 | $8,472.00 | $3,812.40–$6,777.60 | — | 50% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 COMPUTED TOMOGRAPHY SOFT TISSUE NECK WITH CONTRAST MATERIAL | $4,236.00 | $8,472.00 | $3,812.40–$6,777.60 | — | 50% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 NECK W/ CONTRAST | $4,236.00 | $8,472.00 | $3,812.40–$6,777.60 | — | 50% |
| Neck soft tissue CT scan without contrast CPT 70490 CT SOFT TISSUE NECK WITHOUT CONTRAST | $3,628.50 | $7,257.00 | $1,371.57–$7,257.00 | 21% above | 50% |
| Neck soft tissue CT scan without contrast CPT 70490 NECK W/O CONTRAST | $3,628.50 | $7,257.00 | $1,371.57–$7,257.00 | 21% above | 50% |
| Neck soft tissue CT scan without contrast CPT 70490 COMPUTED TOMOGRAPHY SOFT TISSUE NECK WITHOUT CONTRAST MATERIAL | $3,628.50 | $7,257.00 | $1,371.57–$7,257.00 | 21% above | 50% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 CT SOFT TISSUE NECK WITHOUT CONTRAST | $3,628.50 | $7,257.00 | $3,265.65–$5,805.60 | — | 50% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 NECK W/O CONTRAST | $3,628.50 | $7,257.00 | $3,265.65–$5,805.60 | — | 50% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 COMPUTED TOMOGRAPHY SOFT TISSUE NECK WITHOUT CONTRAST MATERIAL | $3,628.50 | $7,257.00 | $3,265.65–$5,805.60 | — | 50% |
| Neck soft tissue X-ray CPT 70360 SOFT TISSUE NECK | $193.50 | $387.00 | $73.14–$387.00 | 65% below | 50% |
| Neck soft tissue X-ray inpatient CPT 70360 SOFT TISSUE NECK | $193.50 | $387.00 | $174.15–$309.60 | — | 50% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET CT FLUOROESTRADIOL F18 CERIANNA SKULL BASE TO MID THIGH SUBSEQUENT | $5,471.50 | $10,943.00 | $2,068.23–$10,943.00 | 5% below | 50% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 POSITRON EMISSION TOMOGRAPHY PET WITH CONCURRENTLY ACQUIRED COMPUTED TOMOGRAPHY CT FOR ATTENUATION CORRECTION AND ANATOMICAL LOCALIZATION IMAGING SKULL BASE TO MID THIGH INITIAL | $5,471.50 | $10,943.00 | $2,068.23–$10,943.00 | 5% below | 50% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 POSITRON EMISSION TOMOGRAPHY PET WITH CONCURRENTLY ACQUIRED COMPUTED TOMOGRAPHY CT FOR ATTENUATION CORRECTION AND ANATOMICAL LOCALIZATION IMAGING SKULL BASE TO MID THIGH SUBSEQUENT | $5,471.50 | $10,943.00 | $2,068.23–$10,943.00 | 5% below | 50% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET-CT FLUCICLOVINE (F18) SCAN | $5,471.50 | $10,943.00 | $2,068.23–$10,943.00 | 5% below | 50% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET CT Ga68 GOZETOTIDE SCAN SKULL TO THIGH | $5,471.50 | $10,943.00 | $2,068.23–$10,943.00 | 5% below | 50% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET WITH CONCURRENTLY ACQUIRED CT FOR ATTENUATION CORRECTION AND ANATOMICAL LOCALIZATION IMAGING SKULL BASE TO MID THIGH | $5,471.50 | $10,943.00 | $2,068.23–$10,943.00 | 5% below | 50% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET CT FLUOROESTRADIOL F18 CERIANNA SKULL BASE TO MID THIGH INITIAL | $5,471.50 | $10,943.00 | $2,068.23–$10,943.00 | 5% below | 50% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET CT FLUCICLOVINE F18 SCAN PET CT SKULL TO THIGH | $5,471.50 | $10,943.00 | $2,068.23–$10,943.00 | 5% below | 50% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET CT PIFLUFOLASTAT F18 PSMA SKULL BASE TO MID THIGH SUBSEQUENT | $5,471.50 | $10,943.00 | $2,068.23–$10,943.00 | 5% below | 50% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET CT Ga-68 DOTATATE SCAN SKULL BASE TO MID THIGH | $5,471.50 | $10,943.00 | $2,068.23–$10,943.00 | 5% below | 50% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET-CT Ga-68 DOTATATE SCAN | $5,471.50 | $10,943.00 | $2,068.23–$10,943.00 | 5% below | 50% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET CT Cu 64 DOTATATE SCAN PET CT SKULL TO THIGH SUBSEQUENT | $5,471.50 | $10,943.00 | $2,068.23–$10,943.00 | 5% below | 50% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET CT Cu 64 DOTATATE SCAN PET CT SKULL TO THIGH INITIAL | $5,471.50 | $10,943.00 | $2,068.23–$10,943.00 | 5% below | 50% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET/CT SKULL TO THIGH | $5,471.50 | $10,943.00 | $2,068.23–$10,943.00 | 5% below | 50% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET CT PIFLUFOLASTAT F18 PSMA SKULL BASE TO MID THIGH INITIAL | $5,471.50 | $10,943.00 | $2,068.23–$10,943.00 | 5% below | 50% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 POSITRON EMISSION TOMOGRAPHY PET WITH CONCURRENTLY ACQUIRED COMPUTED TOMOGRAPHY CT FOR ATTENUATION CORRECTION AND ANATOMICAL LOCALIZATION IMAGING SKULL BASE TO MID THIGH SUBSEQUENT | $5,471.50 | $10,943.00 | $4,924.35–$8,754.40 | — | 50% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET CT PIFLUFOLASTAT F18 PSMA SKULL BASE TO MID THIGH INITIAL | $5,471.50 | $10,943.00 | $4,924.35–$8,754.40 | — | 50% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET/CT SKULL TO THIGH | $5,471.50 | $10,943.00 | $4,924.35–$8,754.40 | — | 50% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET CT Cu 64 DOTATATE SCAN PET CT SKULL TO THIGH INITIAL | $5,471.50 | $10,943.00 | $4,924.35–$8,754.40 | — | 50% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET CT Cu 64 DOTATATE SCAN PET CT SKULL TO THIGH SUBSEQUENT | $5,471.50 | $10,943.00 | $4,924.35–$8,754.40 | — | 50% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET-CT Ga-68 DOTATATE SCAN | $5,471.50 | $10,943.00 | $4,924.35–$8,754.40 | — | 50% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET CT Ga-68 DOTATATE SCAN SKULL BASE TO MID THIGH | $5,471.50 | $10,943.00 | $4,924.35–$8,754.40 | — | 50% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET CT PIFLUFOLASTAT F18 PSMA SKULL BASE TO MID THIGH SUBSEQUENT | $5,471.50 | $10,943.00 | $4,924.35–$8,754.40 | — | 50% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET CT FLUCICLOVINE F18 SCAN PET CT SKULL TO THIGH | $5,471.50 | $10,943.00 | $4,924.35–$8,754.40 | — | 50% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET CT FLUOROESTRADIOL F18 CERIANNA SKULL BASE TO MID THIGH INITIAL | $5,471.50 | $10,943.00 | $4,924.35–$8,754.40 | — | 50% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET CT FLUOROESTRADIOL F18 CERIANNA SKULL BASE TO MID THIGH SUBSEQUENT | $5,471.50 | $10,943.00 | $4,924.35–$8,754.40 | — | 50% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET WITH CONCURRENTLY ACQUIRED CT FOR ATTENUATION CORRECTION AND ANATOMICAL LOCALIZATION IMAGING SKULL BASE TO MID THIGH | $5,471.50 | $10,943.00 | $4,924.35–$8,754.40 | — | 50% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET CT Ga68 GOZETOTIDE SCAN SKULL TO THIGH | $5,471.50 | $10,943.00 | $4,924.35–$8,754.40 | — | 50% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET-CT FLUCICLOVINE (F18) SCAN | $5,471.50 | $10,943.00 | $4,924.35–$8,754.40 | — | 50% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 POSITRON EMISSION TOMOGRAPHY PET WITH CONCURRENTLY ACQUIRED COMPUTED TOMOGRAPHY CT FOR ATTENUATION CORRECTION AND ANATOMICAL LOCALIZATION IMAGING SKULL BASE TO MID THIGH INITIAL | $5,471.50 | $10,943.00 | $4,924.35–$8,754.40 | — | 50% |
| Pelvic CT scan without contrast CPT 72192 COMPUTED TOMOGRAPHY PELVIS WITHOUT CONTRAST MATERIAL | $1,416.00 | $2,832.00 | $535.25–$2,832.00 | 53% below | 50% |
| Pelvic CT scan without contrast CPT 72192 PELVIS W/O CONTRAST | $1,416.00 | $2,832.00 | $535.25–$2,832.00 | 53% below | 50% |
| Pelvic CT scan without contrast CPT 72192 CT PELVIS WITHOUT CONTRAST | $1,416.00 | $2,832.00 | $535.25–$2,832.00 | 53% below | 50% |
| Pelvic CT scan without contrast inpatient CPT 72192 PELVIS W/O CONTRAST | $1,416.00 | $2,832.00 | $1,274.40–$2,265.60 | — | 50% |
| Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS WITHOUT CONTRAST | $1,416.00 | $2,832.00 | $1,274.40–$2,265.60 | — | 50% |
| Pelvic CT scan without contrast inpatient CPT 72192 COMPUTED TOMOGRAPHY PELVIS WITHOUT CONTRAST MATERIAL | $1,416.00 | $2,832.00 | $1,274.40–$2,265.60 | — | 50% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 PELVIS - LIMITED | $890.00 | $1,780.00 | $336.42–$1,780.00 | 1% above | 50% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 PELVIS - LIMITED | $890.00 | $1,780.00 | $801.00–$1,424.00 | — | 50% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 PELVIS - ULTRASOUND | $2,023.50 | $4,047.00 | $764.88–$4,047.00 | 52% above | 50% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 PELVIS - ULTRASOUND | $2,023.50 | $4,047.00 | $1,821.15–$3,237.60 | — | 50% |
| Rib X-ray, one side, 2 views one side CPT 71100 XRAY RIBS UNI 2 VIEWS RT | $513.50 | $1,027.00 | $194.10–$1,027.00 | 12% below | 50% |
| Rib X-ray, one side, 2 views one side CPT 71100 XRAY RIBS UNI 2 VIEWS LT | $513.50 | $1,027.00 | $194.10–$1,027.00 | 12% below | 50% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 XRAY RIBS UNI 2 VIEWS LT | $513.50 | $1,027.00 | $462.15–$821.60 | — | 50% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 XRAY RIBS UNI 2 VIEWS RT | $513.50 | $1,027.00 | $462.15–$821.60 | — | 50% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XRAY RIBS UNI 3 VIEW W/CHEST LT | $586.00 | $1,172.00 | $221.51–$1,172.00 | 14% below | 50% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XRAY RIBS UNI 3 VIEW W/CHEST RT | $586.00 | $1,172.00 | $221.51–$1,172.00 | 14% below | 50% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XRAY RIBS UNI 3 VIEW W/CHEST LT | $586.00 | $1,172.00 | $527.40–$937.60 | — | 50% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XRAY RIBS UNI 3 VIEW W/CHEST RT | $586.00 | $1,172.00 | $527.40–$937.60 | — | 50% |
| Screening mammogram, both breasts both sides CPT 77067 MA-SCR MAMMO BILAT INCL CAD | $235.00 | $470.00 | $88.83–$470.00 | — | 50% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MA-SCR MAMMO BILAT INCL CAD | $235.00 | $470.00 | $211.50–$376.00 | — | 50% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XRAY SHOULDER RT | $1,221.50 | $2,443.00 | $461.73–$2,443.00 | 68% above | 50% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XRAY SHOULDER LT | $1,221.50 | $2,443.00 | $461.73–$2,443.00 | 68% above | 50% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XRAY SHOULDER RT | $1,221.50 | $2,443.00 | $1,099.35–$1,954.40 | — | 50% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XRAY SHOULDER LT | $1,221.50 | $2,443.00 | $1,099.35–$1,954.40 | — | 50% |
| Sinus X-ray, complete, 3 or more views CPT 70220 SINUSES-3 VIEW | $879.50 | $1,759.00 | $332.45–$1,759.00 | 3% above | 50% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 SINUSES-3 VIEW | $879.50 | $1,759.00 | $791.55–$1,407.20 | — | 50% |
| Skull X-ray, fewer than 4 views CPT 70250 SKULL-UP TO 4 VIEWS | $877.50 | $1,755.00 | $331.70–$1,755.00 | 37% above | 50% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 SKULL-UP TO 4 VIEWS | $877.50 | $1,755.00 | $789.75–$1,404.00 | — | 50% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 RADIOLOGIC EXAMINATION SWALLOWING FUNCTION WITH CINERADIOGRAPHY VIDEORADIOGRAPHY INCLUDING SCOUT NECK RADIOGRAPHS AND DELAYED IMAGES WHEN PERFORMED CONTRAST STUDY | $975.50 | $1,951.00 | $368.74–$1,951.00 | at median | 50% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 RADIOLOGIC EXAMINATION SWALLOWING FUNCTION WITH CINERADIOGRAPHY VIDEORADIOGRAPHY INCLUDING SCOUT NECK RADIOGRAPHS AND DELAYED IMAGES WHEN PERFORMED CONTRAST STUDY | $975.50 | $1,951.00 | $877.95–$1,560.80 | — | 50% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 X-RAY EXAM OF FEMUR 2/> | $1,697.00 | $3,394.00 | $641.47–$3,394.00 | 222% above | 50% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 X-RAY EXAM OF FEMUR 2 RT | $848.00 | $1,696.00 | $320.54–$1,696.00 | 61% above | 50% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 X-RAY EXAM OF FEMUR 2 LT | $848.00 | $1,696.00 | $320.54–$1,696.00 | 61% above | 50% |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 X-RAY EXAM OF FEMUR 2/> | $1,697.00 | $3,394.00 | $1,527.30–$2,715.20 | — | 50% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 X-RAY EXAM OF FEMUR 2 LT | $848.00 | $1,696.00 | $763.20–$1,356.80 | — | 50% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 X-RAY EXAM OF FEMUR 2 RT | $848.00 | $1,696.00 | $763.20–$1,356.80 | — | 50% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT THORACIC SPINE WITHOUT CONTRAST | $621.00 | $1,242.00 | $234.74–$1,242.00 | 79% below | 50% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 COMPUTED TOMOGRAPHY THORACIC SPINE WITHOUT CONTRAST MATERIAL | $621.00 | $1,242.00 | $234.74–$1,242.00 | 79% below | 50% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 T-SPINE W/O CONTRAST | $621.00 | $1,242.00 | $234.74–$1,242.00 | 79% below | 50% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 T-SPINE W/O CONTRAST | $621.00 | $1,242.00 | $558.90–$993.60 | — | 50% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT THORACIC SPINE WITHOUT CONTRAST | $621.00 | $1,242.00 | $558.90–$993.60 | — | 50% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 COMPUTED TOMOGRAPHY THORACIC SPINE WITHOUT CONTRAST MATERIAL | $621.00 | $1,242.00 | $558.90–$993.60 | — | 50% |
| Toe X-ray, 2 or more views one side CPT 73660 TOE RT GREAT | $162.00 | $324.00 | $61.24–$324.00 | 67% below | 50% |
| Toe X-ray, 2 or more views one side CPT 73660 TOE LT GREAT | $162.00 | $324.00 | $61.24–$324.00 | 67% below | 50% |
| Toe X-ray, 2 or more views one side CPT 73660 TOE LT SECOND DIGIT | $162.00 | $324.00 | $61.24–$324.00 | 67% below | 50% |
| Toe X-ray, 2 or more views one side CPT 73660 TOE LT THIRD DIGIT | $162.00 | $324.00 | $61.24–$324.00 | 67% below | 50% |
| Toe X-ray, 2 or more views one side CPT 73660 TOE LT FOURTH DIGIT | $162.00 | $324.00 | $61.24–$324.00 | 67% below | 50% |
| Toe X-ray, 2 or more views one side CPT 73660 TOE RT THIRD DIGIT | $162.00 | $324.00 | $61.24–$324.00 | 67% below | 50% |
| Toe X-ray, 2 or more views one side CPT 73660 TOE LT FIFTH DIGIT | $162.00 | $324.00 | $61.24–$324.00 | 67% below | 50% |
| Toe X-ray, 2 or more views one side CPT 73660 TOE RT SECOND DIGIT | $162.00 | $324.00 | $61.24–$324.00 | 67% below | 50% |
| Toe X-ray, 2 or more views one side CPT 73660 TOE RT FIFTH DIGIT | $162.00 | $324.00 | $61.24–$324.00 | 67% below | 50% |
| Toe X-ray, 2 or more views one side CPT 73660 TOE RT FOURTH DIGIT | $162.00 | $324.00 | $61.24–$324.00 | 67% below | 50% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE LT FOURTH DIGIT | $162.00 | $324.00 | $145.80–$259.20 | — | 50% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE LT THIRD DIGIT | $162.00 | $324.00 | $145.80–$259.20 | — | 50% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE RT FIFTH DIGIT | $162.00 | $324.00 | $145.80–$259.20 | — | 50% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE RT FOURTH DIGIT | $162.00 | $324.00 | $145.80–$259.20 | — | 50% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE RT THIRD DIGIT | $162.00 | $324.00 | $145.80–$259.20 | — | 50% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE LT GREAT | $162.00 | $324.00 | $145.80–$259.20 | — | 50% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE LT SECOND DIGIT | $162.00 | $324.00 | $145.80–$259.20 | — | 50% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE RT SECOND DIGIT | $162.00 | $324.00 | $145.80–$259.20 | — | 50% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE RT GREAT | $162.00 | $324.00 | $145.80–$259.20 | — | 50% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE LT FIFTH DIGIT | $162.00 | $324.00 | $145.80–$259.20 | — | 50% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL NON OB | $2,305.00 | $4,610.00 | $871.29–$4,610.00 | 129% above | 50% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL NON OB | $2,305.00 | $4,610.00 | $2,074.50–$3,688.00 | — | 50% |
| Ultrasound of the abdomen, complete CPT 76700 ABDOMINAL ULTRASOUND | $1,809.00 | $3,618.00 | $683.80–$3,618.00 | 17% above | 50% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 ABDOMINAL ULTRASOUND | $1,809.00 | $3,618.00 | $1,628.10–$2,894.40 | — | 50% |
| Ultrasound of the scrotum and testicles CPT 76870 TESTICULAR - ULTRASOUND | $1,336.00 | $2,672.00 | $505.01–$2,672.00 | 24% above | 50% |
| Ultrasound of the scrotum and testicles CPT 76870 TESTICULAR ULTRASOUND | $1,336.00 | $2,672.00 | $505.01–$2,672.00 | 24% above | 50% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 TESTICULAR - ULTRASOUND | $1,336.00 | $2,672.00 | $1,202.40–$2,137.60 | — | 50% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 TESTICULAR ULTRASOUND | $1,336.00 | $2,672.00 | $1,202.40–$2,137.60 | — | 50% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 ULTRASOUND SOFT TISSUES OF HEAD AND NECK EG THYROID PARATHYROID PAROTID B SCAN AND OR REAL TIME WITH IMAGE DOCUMENTATION | $1,024.00 | $2,048.00 | $387.07–$2,048.00 | 12% below | 50% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 ULTRASOUND SOFT TISSUES OF HEAD AND NECK REAL TIME WITH IMAGE DOCUMENTATION | $1,024.00 | $2,048.00 | $387.07–$2,048.00 | 12% below | 50% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US-SOFT TISSUE NECK | $1,024.00 | $2,048.00 | $387.07–$2,048.00 | 12% below | 50% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE OF HEAD AND NECK | $1,024.00 | $2,048.00 | $387.07–$2,048.00 | 12% below | 50% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 ULTRASOUND SOFT TISSUES OF HEAD AND NECK EG THYROID PARATHYROID PAROTID B SCAN AND OR REAL TIME WITH IMAGE DOCUMENTATION | $1,024.00 | $2,048.00 | $921.60–$1,638.40 | — | 50% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US-SOFT TISSUE NECK | $1,024.00 | $2,048.00 | $921.60–$1,638.40 | — | 50% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 ULTRASOUND SOFT TISSUES OF HEAD AND NECK REAL TIME WITH IMAGE DOCUMENTATION | $1,024.00 | $2,048.00 | $921.60–$1,638.40 | — | 50% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US SOFT TISSUE OF HEAD AND NECK | $1,024.00 | $2,048.00 | $921.60–$1,638.40 | — | 50% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 RADIOLOGIC EXAMINATION GASTROINTESTINAL TRACT UPPER WITH OR WITHOUT DELAYED IMAGES WITHOUT KUB | $518.00 | $1,036.00 | $195.80–$1,036.00 | 54% below | 50% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 RADIOLOGIC EXAMINATION GASTROINTESTINAL TRACT UPPER WITH OR WITHOUT DELAYED IMAGES WITHOUT KUB | $518.00 | $1,036.00 | $466.20–$828.80 | — | 50% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XRAY HUMERUS RT | $759.50 | $1,519.00 | $287.09–$1,519.00 | 30% above | 50% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XRAY HUMERUS LT | $759.50 | $1,519.00 | $287.09–$1,519.00 | 30% above | 50% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XRAY HUMERUS RT | $759.50 | $1,519.00 | $683.55–$1,215.20 | — | 50% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XRAY HUMERUS LT | $759.50 | $1,519.00 | $683.55–$1,215.20 | — | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUPLEX SCAN EXT VEINS UNI OR LIMITED LT | $586.00 | $1,172.00 | $221.51–$1,172.00 | 32% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUPLEX SCAN EXT VEINS UNI OR LIMITED RT | $586.00 | $1,172.00 | $221.51–$1,172.00 | 32% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 DUPLEX SCAN EXT VEINS UNI OR LIMITED LT | $586.00 | $1,172.00 | $527.40–$937.60 | — | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 DUPLEX SCAN EXT VEINS UNI OR LIMITED RT | $586.00 | $1,172.00 | $527.40–$937.60 | — | 50% |
| Wrist X-ray, 2 views one side CPT 73100 XRAY WRIST 2 VIEWS RT | $890.50 | $1,781.00 | $336.61–$1,781.00 | 44% above | 50% |
| Wrist X-ray, 2 views one side CPT 73100 XRAY WRIST 2 VIEWS LT | $890.50 | $1,781.00 | $336.61–$1,781.00 | 44% above | 50% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 XRAY WRIST 2 VIEWS RT | $890.50 | $1,781.00 | $801.45–$1,424.80 | — | 50% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 XRAY WRIST 2 VIEWS LT | $890.50 | $1,781.00 | $801.45–$1,424.80 | — | 50% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XRAY WRIST MIN 3 VIEWS LT | $851.50 | $1,703.00 | $321.87–$1,703.00 | 20% above | 50% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XRAY WRIST MIN 3 VIEWS RT | $851.50 | $1,703.00 | $321.87–$1,703.00 | 20% above | 50% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XRAY WRIST MIN 3 VIEWS LT | $851.50 | $1,703.00 | $766.35–$1,362.40 | — | 50% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XRAY WRIST MIN 3 VIEWS RT | $851.50 | $1,703.00 | $766.35–$1,362.40 | — | 50% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XRAY EXAM HIP UNI 2-3 VIEWS RT | $562.00 | $1,124.00 | $212.44–$1,124.00 | 4% below | 50% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XRAY EXAM HIP UNI 2-3 VIEWS LT | $562.00 | $1,124.00 | $212.44–$1,124.00 | 4% below | 50% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XRAY EXAM HIP UNI 2-3 VIEWS LT | $562.00 | $1,124.00 | $505.80–$899.20 | — | 50% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XRAY EXAM HIP UNI 2-3 VIEWS RT | $562.00 | $1,124.00 | $505.80–$899.20 | — | 50% |
| X-ray of the abdomen, 1 view CPT 74018 RADIOLOGIC EXAM ABDOMEN 1 VIEW | $83.50 | $167.00 | $31.56–$167.00 | 83% below | 50% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 RADIOLOGIC EXAM ABDOMEN 1 VIEW | $83.50 | $167.00 | $75.15–$133.60 | — | 50% |
| X-ray of the ankle, 2 views one side CPT 73600 XRAY ANKLE 2 VIEWS RT | $1,175.50 | $2,351.00 | $444.34–$2,351.00 | 140% above | 50% |
| X-ray of the ankle, 2 views one side CPT 73600 XRAY ANKLE 2 VIEWS LT | $1,175.50 | $2,351.00 | $444.34–$2,351.00 | 140% above | 50% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XRAY ANKLE 2 VIEWS LT | $1,175.50 | $2,351.00 | $1,057.95–$1,880.80 | — | 50% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XRAY ANKLE 2 VIEWS RT | $1,175.50 | $2,351.00 | $1,057.95–$1,880.80 | — | 50% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER RT HANDFOURTH DIGIT | $758.50 | $1,517.00 | $286.71–$1,517.00 | 61% above | 50% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER LEFT HANDSECOND DIGIT | $758.50 | $1,517.00 | $286.71–$1,517.00 | 61% above | 50% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER LEFT HANDTHIRD DIGIT | $758.50 | $1,517.00 | $286.71–$1,517.00 | 61% above | 50% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER RT HANDTHIRD DIGIT | $758.50 | $1,517.00 | $286.71–$1,517.00 | 61% above | 50% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER RT HANDSECOND DIGIT | $758.50 | $1,517.00 | $286.71–$1,517.00 | 61% above | 50% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER LEFT HANDFOURTH DIGIT | $758.50 | $1,517.00 | $286.71–$1,517.00 | 61% above | 50% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER RT HAND THUMB | $758.50 | $1,517.00 | $286.71–$1,517.00 | 61% above | 50% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER RT HAND FIFTH DIGIT | $758.50 | $1,517.00 | $286.71–$1,517.00 | 61% above | 50% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER LEFT HANDFIFTH DIGIT | $758.50 | $1,517.00 | $286.71–$1,517.00 | 61% above | 50% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER LEFT HAND THUMB | $758.50 | $1,517.00 | $286.71–$1,517.00 | 61% above | 50% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER RT HANDFOURTH DIGIT | $758.50 | $1,517.00 | $682.65–$1,213.60 | — | 50% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER RT HAND FIFTH DIGIT | $758.50 | $1,517.00 | $682.65–$1,213.60 | — | 50% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER RT HANDTHIRD DIGIT | $758.50 | $1,517.00 | $682.65–$1,213.60 | — | 50% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER RT HANDSECOND DIGIT | $758.50 | $1,517.00 | $682.65–$1,213.60 | — | 50% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER RT HAND THUMB | $758.50 | $1,517.00 | $682.65–$1,213.60 | — | 50% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER LEFT HANDFIFTH DIGIT | $758.50 | $1,517.00 | $682.65–$1,213.60 | — | 50% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER LEFT HANDFOURTH DIGIT | $758.50 | $1,517.00 | $682.65–$1,213.60 | — | 50% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER LEFT HANDTHIRD DIGIT | $758.50 | $1,517.00 | $682.65–$1,213.60 | — | 50% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER LEFT HANDSECOND DIGIT | $758.50 | $1,517.00 | $682.65–$1,213.60 | — | 50% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER LEFT HAND THUMB | $758.50 | $1,517.00 | $682.65–$1,213.60 | — | 50% |
| X-ray of the foot, 2 views one side CPT 73620 XRAY FOOT 2 VIEWS RT | $704.50 | $1,409.00 | $266.30–$1,409.00 | 44% above | 50% |
| X-ray of the foot, 2 views one side CPT 73620 XRAY FOOT 2 VIEWS LT | $704.50 | $1,409.00 | $266.30–$1,409.00 | 44% above | 50% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XRAY FOOT 2 VIEWS RT | $704.50 | $1,409.00 | $634.05–$1,127.20 | — | 50% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XRAY FOOT 2 VIEWS LT | $704.50 | $1,409.00 | $634.05–$1,127.20 | — | 50% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XRAY FOOT MIN 3 VIEWS RT | $682.50 | $1,365.00 | $257.98–$1,365.00 | 13% above | 50% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XRAY FOOT MIN 3 VIEWS LT | $682.50 | $1,365.00 | $257.98–$1,365.00 | 13% above | 50% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XRAY FOOT MIN 3 VIEWS RT | $682.50 | $1,365.00 | $614.25–$1,092.00 | — | 50% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XRAY FOOT MIN 3 VIEWS LT | $682.50 | $1,365.00 | $614.25–$1,092.00 | — | 50% |
| X-ray of the hand, 3 or more views one side CPT 73130 XRAY HAND MIN 3 VIEWS RT | $1,038.00 | $2,076.00 | $392.36–$2,076.00 | 64% above | 50% |
| X-ray of the hand, 3 or more views one side CPT 73130 XRAY HAND MIN 3 VIEWS LT | $1,038.00 | $2,076.00 | $392.36–$2,076.00 | 64% above | 50% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XRAY HAND MIN 3 VIEWS RT | $1,038.00 | $2,076.00 | $934.20–$1,660.80 | — | 50% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XRAY HAND MIN 3 VIEWS LT | $1,038.00 | $2,076.00 | $934.20–$1,660.80 | — | 50% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XRAY KNEE 1-2 VIEW RT | $791.00 | $1,582.00 | $299.00–$1,582.00 | 31% above | 50% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XRAY KNEE 1-2 VIEW LT | $791.00 | $1,582.00 | $299.00–$1,582.00 | 31% above | 50% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XRAY KNEE 1-2 VIEW RT | $791.00 | $1,582.00 | $711.90–$1,265.60 | — | 50% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XRAY KNEE 1-2 VIEW LT | $791.00 | $1,582.00 | $711.90–$1,265.60 | — | 50% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 RADIOLOGIC EXAMINATION SPINE LUMBOSACRAL 2 OR 3 VIEWS | $522.00 | $1,044.00 | $197.32–$1,044.00 | 25% below | 50% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 RADIOLOGIC EXAMINATION SPINE LUMBOSACRAL 2 OR 3 VIEWS | $522.00 | $1,044.00 | $469.80–$835.20 | — | 50% |
| X-ray of the lower back, 4 or more views CPT 72110 SPINE LUMBOSACRAL 4 VIEWS | $730.50 | $1,461.00 | $276.13–$1,461.00 | 35% below | 50% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 SPINE LUMBOSACRAL 4 VIEWS | $730.50 | $1,461.00 | $657.45–$1,168.80 | — | 50% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 SPINE THORACIC 2 VIEWS | $382.50 | $765.00 | $144.58–$765.00 | 38% below | 50% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 SPINE THORACIC 2 VIEWS | $382.50 | $765.00 | $344.25–$612.00 | — | 50% |
| X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES | $484.00 | $968.00 | $182.95–$968.00 | 25% below | 50% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONES | $484.00 | $968.00 | $435.60–$774.40 | — | 50% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 SPINE CERVICAL 2-3 VIEWS | $949.00 | $1,898.00 | $358.72–$1,898.00 | 38% above | 50% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 SPINE CERVICAL 2-3 VIEWS | $949.00 | $1,898.00 | $854.10–$1,518.40 | — | 50% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1-2 VIEWS | $572.50 | $1,145.00 | $216.40–$1,145.00 | 8% below | 50% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS 1-2 VIEWS | $572.50 | $1,145.00 | $515.25–$916.00 | — | 50% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 COCCYX/SACRUM | $340.50 | $681.00 | $128.71–$681.00 | 48% below | 50% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 COCCYX/SACRUM | $340.50 | $681.00 | $306.45–$544.80 | — | 50% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 ACTH | $194.00 | $388.00 | $73.33–$388.00 | 325% above | 50% |
| ACTH blood test inpatient CPT 82024 ACTH | $194.00 | $388.00 | $174.60–$310.40 | — | 50% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT (SGPT), OUTSIDE FACILITY | $140.00 | $280.00 | $52.92–$280.00 | 255% above | 50% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINO (ALT) (SGPT) | $140.00 | $280.00 | $52.92–$280.00 | 255% above | 50% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALANINE AMINO (ALT) (SGPT) | $140.00 | $280.00 | $126.00–$224.00 | — | 50% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT (SGPT), OUTSIDE FACILITY | $140.00 | $280.00 | $126.00–$224.00 | — | 50% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE (AST) (SGOT) | $99.50 | $199.00 | $37.61–$199.00 | 82% above | 50% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST (SGOT), OUTSIDE FACILITY | $99.50 | $199.00 | $37.61–$199.00 | 82% above | 50% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 TRANSFERASE (AST) (SGOT) | $99.50 | $199.00 | $89.55–$159.20 | — | 50% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST (SGOT), OUTSIDE FACILITY | $99.50 | $199.00 | $89.55–$159.20 | — | 50% |
| Albumin blood test CPT 82040 ALBUMIN LEVEL, OUTSIDE FACILITY | $12.00 | $24.00 | $4.54–$24.00 | 29% below | 50% |
| Albumin blood test CPT 82040 ALBUMIN (SERUM) | $12.00 | $24.00 | $4.54–$24.00 | 29% below | 50% |
| Albumin blood test CPT 82040 ASSAY OF SERUM ALBUMIN | $12.00 | $24.00 | $4.54–$24.00 | 29% below | 50% |
| Albumin blood test inpatient CPT 82040 ALBUMIN LEVEL, OUTSIDE FACILITY | $12.00 | $24.00 | $10.80–$19.20 | — | 50% |
| Albumin blood test inpatient CPT 82040 ASSAY OF SERUM ALBUMIN | $12.00 | $24.00 | $10.80–$19.20 | — | 50% |
| Albumin blood test inpatient CPT 82040 ALBUMIN (SERUM) | $12.00 | $24.00 | $10.80–$19.20 | — | 50% |
| Aldosterone blood test CPT 82088 ALDOSTERONE BLOOD | $80.00 | $160.00 | $30.24–$160.00 | 186% above | 50% |
| Aldosterone blood test inpatient CPT 82088 ALDOSTERONE BLOOD | $80.00 | $160.00 | $72.00–$128.00 | — | 50% |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALK PHOS ISOENZYMES CSF | $21.00 | $42.00 | $7.94–$42.00 | 52% below | 50% |
| Alkaline phosphatase (ALP) blood test CPT 84075 ASSAY ALKALINE PHOSPHATASE | $177.00 | $354.00 | $66.91–$354.00 | 305% above | 50% |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE, OUTSIDE FACILITY | $177.00 | $354.00 | $66.91–$354.00 | 305% above | 50% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALK PHOS ISOENZYMES CSF | $21.00 | $42.00 | $18.90–$33.60 | — | 50% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE, OUTSIDE FACILITY | $177.00 | $354.00 | $159.30–$283.20 | — | 50% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ASSAY ALKALINE PHOSPHATASE | $177.00 | $354.00 | $159.30–$283.20 | — | 50% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN SERUM | $166.50 | $333.00 | $62.94–$333.00 | 394% above | 50% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA-FETOPROTEIN SERUM | $166.50 | $333.00 | $149.85–$266.40 | — | 50% |
| Ammonia blood test CPT 82140 AMMONIA | $121.00 | $242.00 | $45.74–$242.00 | 6% above | 50% |
| Ammonia blood test CPT 82140 AMMONIA LEVEL, OUTSIDE FACILITY | $121.00 | $242.00 | $45.74–$242.00 | 6% above | 50% |
| Ammonia blood test inpatient CPT 82140 AMMONIA LEVEL, OUTSIDE FACILITY | $121.00 | $242.00 | $108.90–$193.60 | — | 50% |
| Ammonia blood test inpatient CPT 82140 AMMONIA | $121.00 | $242.00 | $108.90–$193.60 | — | 50% |
| Amylase blood test CPT 82150 AMYLASE | $29.00 | $58.00 | $10.96–$58.00 | 7% below | 50% |
| Amylase blood test CPT 82150 ASSAY OF AMYLASE; FLD | $29.00 | $58.00 | $10.96–$58.00 | 7% below | 50% |
| Amylase blood test CPT 82150 ASSAY OF AMYLASE | $29.00 | $58.00 | $10.96–$58.00 | 7% below | 50% |
| Amylase blood test inpatient CPT 82150 ASSAY OF AMYLASE | $29.00 | $58.00 | $26.10–$46.40 | — | 50% |
| Amylase blood test inpatient CPT 82150 ASSAY OF AMYLASE; FLD | $29.00 | $58.00 | $26.10–$46.40 | — | 50% |
| Amylase blood test inpatient CPT 82150 AMYLASE | $29.00 | $58.00 | $26.10–$46.40 | — | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CITRULLINE AB (CCP IGG) | $29.50 | $59.00 | $11.15–$59.00 | 8% above | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CITRULLINE AB (CCP IGG) | $29.50 | $59.00 | $26.55–$47.20 | — | 50% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES (ANA) | $23.50 | $47.00 | $8.88–$47.00 | 19% below | 50% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES (ANA) | $23.50 | $47.00 | $21.15–$37.60 | — | 50% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B TYPE NATRIURETIC PEPTIDE | $96.00 | $192.00 | $36.29–$192.00 | 42% below | 50% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NT PROBNP | $96.00 | $192.00 | $36.29–$192.00 | 42% below | 50% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PRO BNP LEVEL, OUTSIDE FACILITY | $96.00 | $192.00 | $36.29–$192.00 | 42% below | 50% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B TYPE NATRIURETIC PEPTIDE | $96.00 | $192.00 | $86.40–$153.60 | — | 50% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 PRO BNP LEVEL, OUTSIDE FACILITY | $96.00 | $192.00 | $86.40–$153.60 | — | 50% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NT PROBNP | $96.00 | $192.00 | $86.40–$153.60 | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE OTHR SPECIMN AEROBIC; ACTIMIMYCES | $503.50 | $1,007.00 | $190.32–$1,007.00 | 574% above | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE OTHR SPECIMN AEROBIC; BONE MARROW | $503.50 | $1,007.00 | $190.32–$1,007.00 | 574% above | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE OTHR SPECIMN AEROBIC; GRAM STAIN | $503.50 | $1,007.00 | $190.32–$1,007.00 | 574% above | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE OTHR SPECIMN AEROBIC; EAR NOSE THROAT | $503.50 | $1,007.00 | $190.32–$1,007.00 | 574% above | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE OTHR SPECIMN AEROBIC; WOUND DRAINAGE | $503.50 | $1,007.00 | $190.32–$1,007.00 | 574% above | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE OTHR SPECIMN AEROBIC; TRANSFUSION RX | $503.50 | $1,007.00 | $190.32–$1,007.00 | 574% above | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE OTHR SPECIMN AEROBIC; RESPIRATORY | $503.50 | $1,007.00 | $190.32–$1,007.00 | 574% above | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE OTHR SPECIMN AEROBIC; GENITAL | $503.50 | $1,007.00 | $190.32–$1,007.00 | 574% above | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE OTHR SPECIMN AEROBIC; EYE | $503.50 | $1,007.00 | $190.32–$1,007.00 | 574% above | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE OTHR SPECIMN AEROBIC; CATHETER TIP | $503.50 | $1,007.00 | $190.32–$1,007.00 | 574% above | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE OTHR SPECIMN AEROBIC; CSF | $503.50 | $1,007.00 | $190.32–$1,007.00 | 574% above | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE OTHR SPECIMN AEROBIC; BODY FLUID | $503.50 | $1,007.00 | $190.32–$1,007.00 | 574% above | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE OTHR SPECIMN AEROBIC; ABCESS | $503.50 | $1,007.00 | $190.32–$1,007.00 | 574% above | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE OTHR SPECIMN AEROBIC; MISCELLANEOUS | $503.50 | $1,007.00 | $190.32–$1,007.00 | 574% above | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE OTHR SPECIMN AEROBIC; ABCESS | $503.50 | $1,007.00 | $453.15–$805.60 | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE OTHR SPECIMN AEROBIC; GENITAL | $503.50 | $1,007.00 | $453.15–$805.60 | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE OTHR SPECIMN AEROBIC; MISCELLANEOUS | $503.50 | $1,007.00 | $453.15–$805.60 | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE OTHR SPECIMN AEROBIC; RESPIRATORY | $503.50 | $1,007.00 | $453.15–$805.60 | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE OTHR SPECIMN AEROBIC; EYE | $503.50 | $1,007.00 | $453.15–$805.60 | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE OTHR SPECIMN AEROBIC; CSF | $503.50 | $1,007.00 | $453.15–$805.60 | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE OTHR SPECIMN AEROBIC; BODY FLUID | $503.50 | $1,007.00 | $453.15–$805.60 | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE OTHR SPECIMN AEROBIC; CATHETER TIP | $503.50 | $1,007.00 | $453.15–$805.60 | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE OTHR SPECIMN AEROBIC; ACTIMIMYCES | $503.50 | $1,007.00 | $453.15–$805.60 | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE OTHR SPECIMN AEROBIC; BONE MARROW | $503.50 | $1,007.00 | $453.15–$805.60 | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE OTHR SPECIMN AEROBIC; TRANSFUSION RX | $503.50 | $1,007.00 | $453.15–$805.60 | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE OTHR SPECIMN AEROBIC; WOUND DRAINAGE | $503.50 | $1,007.00 | $453.15–$805.60 | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE OTHR SPECIMN AEROBIC; EAR NOSE THROAT | $503.50 | $1,007.00 | $453.15–$805.60 | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE OTHR SPECIMN AEROBIC; GRAM STAIN | $503.50 | $1,007.00 | $453.15–$805.60 | — | 50% |
| Basic metabolic panel (blood test) CPT 80048 METABOLIC PANEL TOTAL CA | $76.00 | $152.00 | $28.73–$152.00 | 77% below | 50% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL, OUTSIDE FACILITY | $76.00 | $152.00 | $28.73–$152.00 | 77% below | 50% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL, OUTSIDE FACILITY | $76.00 | $152.00 | $68.40–$121.60 | — | 50% |
| Basic metabolic panel (blood test) inpatient CPT 80048 METABOLIC PANEL TOTAL CA | $76.00 | $152.00 | $68.40–$121.60 | — | 50% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL, OUTSIDE FACILITY | $115.00 | $230.00 | $43.47–$230.00 | 386% above | 50% |
| Bilirubin blood test, total CPT 82247 BILIRUBINTOTALBODY FLUID | $115.00 | $230.00 | $43.47–$230.00 | 386% above | 50% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL BODY FLUID | $115.00 | $230.00 | $43.47–$230.00 | 386% above | 50% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL | $115.00 | $230.00 | $43.47–$230.00 | 386% above | 50% |
| Bilirubin blood test, total inpatient CPT 82247 BILIRUBINTOTALBODY FLUID | $115.00 | $230.00 | $103.50–$184.00 | — | 50% |
| Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL, OUTSIDE FACILITY | $115.00 | $230.00 | $103.50–$184.00 | — | 50% |
| Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL | $115.00 | $230.00 | $103.50–$184.00 | — | 50% |
| Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL BODY FLUID | $115.00 | $230.00 | $103.50–$184.00 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATHOLOGIST | $341.00 | $682.00 | $128.90–$682.00 | 193% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 TISSUE EXAM BY PATHOLOGIST | $341.00 | $682.00 | $306.90–$545.60 | — | 50% |
| Blood culture for bacteria CPT 87040 BLOOD CULTURE FOR BACTERIA | $390.50 | $781.00 | $147.61–$781.00 | 15% above | 50% |
| Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE FOR BACTERIA | $390.50 | $781.00 | $351.45–$624.80 | — | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $26.00 | $52.00 | $9.83–$52.00 | 37% above | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 MMH ASSESSMENT COLLECTION OF VENOUS BLOOD BY VENIPUNCTURE | $26.00 | $52.00 | $9.83–$52.00 | 37% above | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION OF VENOUS BLOOD BY VENIPUNCTURE MKC CONSULT MMH | $26.00 | $52.00 | $9.83–$52.00 | 37% above | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION OF VENOUS BLOOD BY VENIPUNCTURE IM | $26.00 | $52.00 | $9.83–$52.00 | 37% above | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION OF VENOUS BLOOD - BY VENIPUNCTURE | $26.00 | $52.00 | $9.83–$52.00 | 37% above | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION OF VENOUS BLOOD BY VENIPUNCTURE | $26.00 | $52.00 | $9.83–$52.00 | 37% above | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 PACU OVERFLOW COLLECTION OF VENOUS BLOOD BY VENIPUNCTURE | $26.00 | $52.00 | $9.83–$52.00 | 37% above | 50% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE | $26.00 | $52.00 | $23.40–$41.60 | — | 50% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COLLECTION OF VENOUS BLOOD BY VENIPUNCTURE | $26.00 | $52.00 | $23.40–$41.60 | — | 50% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COLLECTION OF VENOUS BLOOD - BY VENIPUNCTURE | $26.00 | $52.00 | $23.40–$41.60 | — | 50% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COLLECTION OF VENOUS BLOOD BY VENIPUNCTURE IM | $26.00 | $52.00 | $23.40–$41.60 | — | 50% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 PACU OVERFLOW COLLECTION OF VENOUS BLOOD BY VENIPUNCTURE | $26.00 | $52.00 | $23.40–$41.60 | — | 50% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 MMH ASSESSMENT COLLECTION OF VENOUS BLOOD BY VENIPUNCTURE | $26.00 | $52.00 | $23.40–$41.60 | — | 50% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COLLECTION OF VENOUS BLOOD BY VENIPUNCTURE MKC CONSULT MMH | $26.00 | $52.00 | $23.40–$41.60 | — | 50% |
| Blood glucose (sugar) test CPT 82947 POC ASSAY GLUCOSE BLOOD QUANTITATIVE | $66.50 | $133.00 | $25.14–$133.00 | 48% above | 50% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE | $66.50 | $133.00 | $25.14–$133.00 | 48% above | 50% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE LEVEL, OUTSIDE FACILITY | $66.50 | $133.00 | $25.14–$133.00 | 48% above | 50% |
| Blood glucose (sugar) test CPT 82947 ASSAY GLUCOSE BLOOD QUANT | $66.50 | $133.00 | $25.14–$133.00 | 48% above | 50% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE | $66.50 | $133.00 | $59.85–$106.40 | — | 50% |
| Blood glucose (sugar) test inpatient CPT 82947 ASSAY GLUCOSE BLOOD QUANT | $66.50 | $133.00 | $59.85–$106.40 | — | 50% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE LEVEL, OUTSIDE FACILITY | $66.50 | $133.00 | $59.85–$106.40 | — | 50% |
| Blood glucose (sugar) test inpatient CPT 82947 POC ASSAY GLUCOSE BLOOD QUANTITATIVE | $66.50 | $133.00 | $59.85–$106.40 | — | 50% |
| Blood lead test CPT 83655 LEAD BLOOD | $26.50 | $53.00 | $10.02–$53.00 | 144% above | 50% |
| Blood lead test inpatient CPT 83655 LEAD BLOOD | $26.50 | $53.00 | $23.85–$42.40 | — | 50% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 CHORIONIC GONADOTROPIN ASSAY OUTSIDE FACILITY | $670.00 | $1,340.00 | $253.26–$1,340.00 | 433% above | 50% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 CHORIONIC GONADOTROPIN ASSAY | $670.00 | $1,340.00 | $253.26–$1,340.00 | 433% above | 50% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 CHORIONIC GONADOTROPIN ASSAY OUTSIDE FACILITY | $670.00 | $1,340.00 | $603.00–$1,072.00 | — | 50% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 CHORIONIC GONADOTROPIN ASSAY | $670.00 | $1,340.00 | $603.00–$1,072.00 | — | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING SEROLOGIC ABO | $92.00 | $184.00 | $34.78–$184.00 | 94% above | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ISOHEMAGGLUTININ TITER IgG | $92.00 | $184.00 | $34.78–$184.00 | 94% above | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING SEROLOGIC ABO | $92.00 | $184.00 | $82.80–$147.20 | — | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ISOHEMAGGLUTININ TITER IgG | $92.00 | $184.00 | $82.80–$147.20 | — | 50% |
| Blood urea nitrogen (BUN) test CPT 84520 BUN, OUTSIDE FACILITY | $175.50 | $351.00 | $66.34–$351.00 | 289% above | 50% |
| Blood urea nitrogen (BUN) test CPT 84520 ASSAY OF UREA NITROGEN | $175.50 | $351.00 | $66.34–$351.00 | 289% above | 50% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 ASSAY OF UREA NITROGEN | $175.50 | $351.00 | $157.95–$280.80 | — | 50% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN, OUTSIDE FACILITY | $175.50 | $351.00 | $157.95–$280.80 | — | 50% |
| C-peptide blood test CPT 84681 C - PEPTIDE | $41.00 | $82.00 | $15.50–$82.00 | 12% above | 50% |
| C-peptide blood test inpatient CPT 84681 C - PEPTIDE | $41.00 | $82.00 | $36.90–$65.60 | — | 50% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN, OUTSIDE FACILITY | $144.50 | $289.00 | $54.62–$289.00 | 99% above | 50% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $144.50 | $289.00 | $54.62–$289.00 | 99% above | 50% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C REACTIVE PROTEIN, OUTSIDE FACILITY | $144.50 | $289.00 | $130.05–$231.20 | — | 50% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN | $144.50 | $289.00 | $130.05–$231.20 | — | 50% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE | $140.00 | $280.00 | $52.92–$280.00 | 23% above | 50% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF AMPLIFIED PROBE | $140.00 | $280.00 | $126.00–$224.00 | — | 50% |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19 9 | $42.50 | $85.00 | $16.07–$85.00 | 23% below | 50% |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 FLUID | $42.50 | $85.00 | $16.07–$85.00 | 23% below | 50% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 FLUID | $42.50 | $85.00 | $38.25–$68.00 | — | 50% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19 9 | $42.50 | $85.00 | $38.25–$68.00 | — | 50% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOASSAY TUMOR CA 125 | $263.00 | $526.00 | $99.41–$526.00 | 218% above | 50% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 reference | $263.00 | $526.00 | $99.41–$526.00 | 218% above | 50% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 IMMUNOASSAY TUMOR CA 125 | $263.00 | $526.00 | $236.70–$420.80 | — | 50% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125 reference | $263.00 | $526.00 | $236.70–$420.80 | — | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS COV2 COVID19 AMP PRB | $119.50 | $239.00 | $45.17–$239.00 | 36% above | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS COV2 COVID19 AMP PRB | $119.50 | $239.00 | $107.55–$191.20 | — | 50% |
| Calcium blood test, total CPT 82310 CALCIUM LEVEL, OUTSIDE FACILITY | $56.00 | $112.00 | $21.17–$112.00 | 13% above | 50% |
| Calcium blood test, total CPT 82310 ASSAY OF CALCIUM BLOOD | $56.00 | $112.00 | $21.17–$112.00 | 13% above | 50% |
| Calcium blood test, total inpatient CPT 82310 ASSAY OF CALCIUM BLOOD | $56.00 | $112.00 | $50.40–$89.60 | — | 50% |
| Calcium blood test, total inpatient CPT 82310 CALCIUM LEVEL, OUTSIDE FACILITY | $56.00 | $112.00 | $50.40–$89.60 | — | 50% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CEA | $215.00 | $430.00 | $81.27–$430.00 | 83% above | 50% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CEA PANCREATIC FLUID | $215.00 | $430.00 | $81.27–$430.00 | 83% above | 50% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANTIGEN | $215.00 | $430.00 | $81.27–$430.00 | 83% above | 50% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA PANCREATIC FLUID | $215.00 | $430.00 | $193.50–$344.00 | — | 50% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CARCINOEMBRYONIC ANTIGEN | $215.00 | $430.00 | $193.50–$344.00 | — | 50% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA | $215.00 | $430.00 | $193.50–$344.00 | — | 50% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER VIRUS AB IGM | $141.00 | $282.00 | $53.30–$282.00 | 675% above | 50% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER ANTIBODY | $141.00 | $282.00 | $53.30–$282.00 | 675% above | 50% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER VIRUS AB IGG | $141.00 | $282.00 | $53.30–$282.00 | 675% above | 50% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER VIRUS AB IGM | $141.00 | $282.00 | $126.90–$225.60 | — | 50% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER VIRUS AB IGG | $141.00 | $282.00 | $126.90–$225.60 | — | 50% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA-ZOSTER ANTIBODY | $141.00 | $282.00 | $126.90–$225.60 | — | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACH BY AMPLIFICATION | $65.00 | $130.00 | $24.57–$130.00 | 55% above | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACH BY AMPLIFICATION | $65.00 | $130.00 | $58.50–$104.00 | — | 50% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $299.50 | $599.00 | $113.21–$599.00 | 196% above | 50% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL, OUTSIDE FACILITY | $299.50 | $599.00 | $113.21–$599.00 | 196% above | 50% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL, OUTSIDE FACILITY | $299.50 | $599.00 | $269.55–$479.20 | — | 50% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $299.50 | $599.00 | $269.55–$479.20 | — | 50% |
| Complete blood count (CBC) with differential CPT 85025 COMPLETE CBC W/AUTO DIFF WBC | $206.00 | $412.00 | $77.87–$412.00 | 204% above | 50% |
| Complete blood count (CBC) with differential CPT 85025 CBC PLT W DIFF AUTOMATED, OUTSIDE FACILITY | $206.00 | $412.00 | $77.87–$412.00 | 204% above | 50% |
| Complete blood count (CBC) with differential CPT 85025 COMPLETE CBC W AUTO DIFF WBC | $206.00 | $412.00 | $77.87–$412.00 | 204% above | 50% |
| Complete blood count (CBC) with differential inpatient CPT 85025 COMPLETE CBC W/AUTO DIFF WBC | $206.00 | $412.00 | $185.40–$329.60 | — | 50% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC PLT W DIFF AUTOMATED, OUTSIDE FACILITY | $206.00 | $412.00 | $185.40–$329.60 | — | 50% |
| Complete blood count (CBC) with differential inpatient CPT 85025 COMPLETE CBC W AUTO DIFF WBC | $206.00 | $412.00 | $185.40–$329.60 | — | 50% |
| Complete blood count (CBC), no differential CPT 85027 CBC AUTOMATED | $15.50 | $31.00 | $5.86–$31.00 | 84% below | 50% |
| Complete blood count (CBC), no differential CPT 85027 COMPLETE CBC AUTOMATED | $15.50 | $31.00 | $5.86–$31.00 | 84% below | 50% |
| Complete blood count (CBC), no differential inpatient CPT 85027 COMPLETE CBC AUTOMATED | $15.50 | $31.00 | $13.95–$24.80 | — | 50% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC AUTOMATED | $15.50 | $31.00 | $13.95–$24.80 | — | 50% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHEN METABOLIC PANEL | $427.00 | $854.00 | $161.41–$854.00 | 7% below | 50% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL, OUTSIDE FACILITY | $427.00 | $854.00 | $161.41–$854.00 | 7% below | 50% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METABOLIC PANEL, OUTSIDE FACILITY | $427.00 | $854.00 | $384.30–$683.20 | — | 50% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHEN METABOLIC PANEL | $427.00 | $854.00 | $384.30–$683.20 | — | 50% |
| Cortisol blood test, total CPT 82533 CORTISOL LCMS MS | $223.00 | $446.00 | $84.29–$446.00 | 247% above | 50% |
| Cortisol blood test, total CPT 82533 TOTAL CORTISOL | $223.00 | $446.00 | $84.29–$446.00 | 247% above | 50% |
| Cortisol blood test, total CPT 82533 CORTISOL SALIVA | $223.00 | $446.00 | $84.29–$446.00 | 247% above | 50% |
| Cortisol blood test, total CPT 82533 CORTISOL URINE | $223.00 | $446.00 | $84.29–$446.00 | 247% above | 50% |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL SALIVA | $223.00 | $446.00 | $200.70–$356.80 | — | 50% |
| Cortisol blood test, total inpatient CPT 82533 TOTAL CORTISOL | $223.00 | $446.00 | $200.70–$356.80 | — | 50% |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL LCMS MS | $223.00 | $446.00 | $200.70–$356.80 | — | 50% |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL URINE | $223.00 | $446.00 | $200.70–$356.80 | — | 50% |
| Creatine kinase (CK) blood test, total CPT 82550 ASSAY OF CK (CPK) | $19.50 | $39.00 | $7.37–$39.00 | 74% below | 50% |
| Creatine kinase (CK) blood test, total CPT 82550 CK TOTAL | $19.50 | $39.00 | $7.37–$39.00 | 74% below | 50% |
| Creatine kinase (CK) blood test, total CPT 82550 CPK TOTAL, OUTSIDE FACILITY | $19.50 | $39.00 | $7.37–$39.00 | 74% below | 50% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 CPK TOTAL, OUTSIDE FACILITY | $19.50 | $39.00 | $17.55–$31.20 | — | 50% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 CK TOTAL | $19.50 | $39.00 | $17.55–$31.20 | — | 50% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 ASSAY OF CK (CPK) | $19.50 | $39.00 | $17.55–$31.20 | — | 50% |
| Creatinine blood test CPT 82565 CREATININE, OUTSIDE FACILITY | $229.50 | $459.00 | $86.75–$459.00 | 320% above | 50% |
| Creatinine blood test CPT 82565 CREATININE | $229.50 | $459.00 | $86.75–$459.00 | 320% above | 50% |
| Creatinine blood test CPT 82565 ASSAY OF CREATININE BLOOD | $229.50 | $459.00 | $86.75–$459.00 | 320% above | 50% |
| Creatinine blood test CPT 82565 ASSAY OF CREATININE BLOOD POC | $229.50 | $459.00 | $86.75–$459.00 | 320% above | 50% |
| Creatinine blood test CPT 82565 ASSAY OF CREATININE POC | $229.50 | $459.00 | $86.75–$459.00 | 320% above | 50% |
| Creatinine blood test inpatient CPT 82565 ASSAY OF CREATININE POC | $229.50 | $459.00 | $206.55–$367.20 | — | 50% |
| Creatinine blood test inpatient CPT 82565 ASSAY OF CREATININE BLOOD | $229.50 | $459.00 | $206.55–$367.20 | — | 50% |
| Creatinine blood test inpatient CPT 82565 CREATININE | $229.50 | $459.00 | $206.55–$367.20 | — | 50% |
| Creatinine blood test inpatient CPT 82565 CREATININE, OUTSIDE FACILITY | $229.50 | $459.00 | $206.55–$367.20 | — | 50% |
| Creatinine blood test inpatient CPT 82565 ASSAY OF CREATININE BLOOD POC | $229.50 | $459.00 | $206.55–$367.20 | — | 50% |
| Cytomegalovirus (CMV) antibody test CPT 86644 CMV TOTAL ANTIBODIES-DONOR | $119.50 | $239.00 | $45.17–$239.00 | 327% above | 50% |
| Cytomegalovirus (CMV) antibody test CPT 86644 CMV ANTIBODY; IGG | $119.50 | $239.00 | $45.17–$239.00 | 327% above | 50% |
| Cytomegalovirus (CMV) antibody test CPT 86644 CMV ANTIBODY IGG | $119.50 | $239.00 | $45.17–$239.00 | 327% above | 50% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV TOTAL ANTIBODIES-DONOR | $119.50 | $239.00 | $107.55–$191.20 | — | 50% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV ANTIBODY; IGG | $119.50 | $239.00 | $107.55–$191.20 | — | 50% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV ANTIBODY IGG | $119.50 | $239.00 | $107.55–$191.20 | — | 50% |
| D-dimer blood test (blood clot marker) CPT 85379 D DIMER QUANT, OUTSIDE FACILITY | $85.50 | $171.00 | $32.32–$171.00 | 57% below | 50% |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUANTITATIVE | $85.50 | $171.00 | $32.32–$171.00 | 57% below | 50% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D DIMER QUANT, OUTSIDE FACILITY | $85.50 | $171.00 | $76.95–$136.80 | — | 50% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER QUANTITATIVE | $85.50 | $171.00 | $76.95–$136.80 | — | 50% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE | $47.50 | $95.00 | $17.96–$95.00 | 6% above | 50% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATE | $47.50 | $95.00 | $42.75–$76.00 | — | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN URINE | $138.50 | $277.00 | $52.35–$277.00 | 117% above | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 ETHYL GLUCURONIDE SCREEN | $330.50 | $661.00 | $124.93–$661.00 | 419% above | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN URINE | $138.50 | $277.00 | $124.65–$221.60 | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ETHYL GLUCURONIDE SCREEN | $330.50 | $661.00 | $297.45–$528.80 | — | 50% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 POC ELECTROLYTE PANEL | $34.50 | $69.00 | $13.04–$69.00 | 84% below | 50% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL, OUTSIDE FACILITY | $34.50 | $69.00 | $13.04–$69.00 | 84% below | 50% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL | $34.50 | $69.00 | $13.04–$69.00 | 84% below | 50% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTES | $34.50 | $69.00 | $13.04–$69.00 | 84% below | 50% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTE PANEL | $34.50 | $69.00 | $31.05–$55.20 | — | 50% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTE PANEL, OUTSIDE FACILITY | $34.50 | $69.00 | $31.05–$55.20 | — | 50% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 POC ELECTROLYTE PANEL | $34.50 | $69.00 | $31.05–$55.20 | — | 50% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTES | $34.50 | $69.00 | $31.05–$55.20 | — | 50% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN-BARR CAPSID VCA | $175.00 | $350.00 | $66.15–$350.00 | 508% above | 50% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EBV AB TO VIRAL CAPSID AG IGM | $175.00 | $350.00 | $66.15–$350.00 | 508% above | 50% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EBV AB TO VIRAL CAPSID AG IgG | $175.00 | $350.00 | $66.15–$350.00 | 508% above | 50% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN-BARR CAPSID VCA | $175.00 | $350.00 | $157.50–$280.00 | — | 50% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV AB TO VIRAL CAPSID AG IGM | $175.00 | $350.00 | $157.50–$280.00 | — | 50% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV AB TO VIRAL CAPSID AG IgG | $175.00 | $350.00 | $157.50–$280.00 | — | 50% |
| Estradiol blood test CPT 82670 Estradiol Total | $62.50 | $125.00 | $23.62–$125.00 | 93% above | 50% |
| Estradiol blood test inpatient CPT 82670 Estradiol Total | $62.50 | $125.00 | $56.25–$100.00 | — | 50% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH | $41.50 | $83.00 | $15.69–$83.00 | 34% below | 50% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH | $41.50 | $83.00 | $37.35–$66.40 | — | 50% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN | $38.50 | $77.00 | $14.55–$77.00 | 68% below | 50% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN | $38.50 | $77.00 | $34.65–$61.60 | — | 50% |
| Ferritin blood test (iron stores) CPT 82728 ASSAY OF FERRITIN | $217.00 | $434.00 | $82.03–$434.00 | 75% above | 50% |
| Ferritin blood test (iron stores) inpatient CPT 82728 ASSAY OF FERRITIN | $217.00 | $434.00 | $195.30–$347.20 | — | 50% |
| Fibrinogen blood test CPT 85384 FIBRINOGEN; ACTIVITY K; ANGLE | $54.50 | $109.00 | $20.60–$109.00 | 31% below | 50% |
| Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY K CFFMA | $54.50 | $109.00 | $20.60–$109.00 | 31% below | 50% |
| Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY K CKA | $54.50 | $109.00 | $20.60–$109.00 | 31% below | 50% |
| Fibrinogen blood test CPT 85384 PLATELET AGGREG CKMA | $54.50 | $109.00 | $20.60–$109.00 | 31% below | 50% |
| Fibrinogen blood test CPT 85384 FIBRINOGEN, OUTSIDE FACILITY | $54.50 | $109.00 | $20.60–$109.00 | 31% below | 50% |
| Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY | $54.50 | $109.00 | $20.60–$109.00 | 31% below | 50% |
| Fibrinogen blood test CPT 85384 Fibrinogen Activity | $54.50 | $109.00 | $20.60–$109.00 | 31% below | 50% |
| Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN ACTIVITY | $54.50 | $109.00 | $49.05–$87.20 | — | 50% |
| Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN, OUTSIDE FACILITY | $54.50 | $109.00 | $49.05–$87.20 | — | 50% |
| Fibrinogen blood test inpatient CPT 85384 PLATELET AGGREG CKMA | $54.50 | $109.00 | $49.05–$87.20 | — | 50% |
| Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN ACTIVITY K CKA | $54.50 | $109.00 | $49.05–$87.20 | — | 50% |
| Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN ACTIVITY K CFFMA | $54.50 | $109.00 | $49.05–$87.20 | — | 50% |
| Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN; ACTIVITY K; ANGLE | $54.50 | $109.00 | $49.05–$87.20 | — | 50% |
| Fibrinogen blood test inpatient CPT 85384 Fibrinogen Activity | $54.50 | $109.00 | $49.05–$87.20 | — | 50% |
| Folate (folic acid) blood test CPT 82746 ASSAY OF FOLIC ACID SERUM | $89.00 | $178.00 | $33.64–$178.00 | 29% below | 50% |
| Folate (folic acid) blood test inpatient CPT 82746 ASSAY OF FOLIC ACID SERUM | $89.00 | $178.00 | $80.10–$142.40 | — | 50% |
| Free T3 thyroid hormone test CPT 84481 TRIIODOTHYRONINE T3 FREE | $100.50 | $201.00 | $37.99–$201.00 | 61% above | 50% |
| Free T3 thyroid hormone test CPT 84481 T3 FREE | $100.50 | $201.00 | $37.99–$201.00 | 61% above | 50% |
| Free T3 thyroid hormone test CPT 84481 THYROID HORMONE T3 MEASUREMENT | $100.50 | $201.00 | $37.99–$201.00 | 61% above | 50% |
| Free T3 thyroid hormone test inpatient CPT 84481 THYROID HORMONE T3 MEASUREMENT | $100.50 | $201.00 | $90.45–$160.80 | — | 50% |
| Free T3 thyroid hormone test inpatient CPT 84481 TRIIODOTHYRONINE T3 FREE | $100.50 | $201.00 | $90.45–$160.80 | — | 50% |
| Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE | $100.50 | $201.00 | $90.45–$160.80 | — | 50% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 ASSAY OF FREE THYROXINE | $255.50 | $511.00 | $96.58–$511.00 | 204% above | 50% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 (THYROXINE) FREE, OUTSIDE FACILITY | $255.50 | $511.00 | $96.58–$511.00 | 204% above | 50% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 ASSAY OF FREE THYROXINE | $255.50 | $511.00 | $229.95–$408.80 | — | 50% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 (THYROXINE) FREE, OUTSIDE FACILITY | $255.50 | $511.00 | $229.95–$408.80 | — | 50% |
| Free testosterone test CPT 84402 Testosterone Free Females | $50.00 | $100.00 | $18.90–$100.00 | 79% above | 50% |
| Free testosterone test CPT 84402 TESTOSTERONE FREE | $50.00 | $100.00 | $18.90–$100.00 | 79% above | 50% |
| Free testosterone test inpatient CPT 84402 Testosterone Free Females | $50.00 | $100.00 | $45.00–$80.00 | — | 50% |
| Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE | $50.00 | $100.00 | $45.00–$80.00 | — | 50% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 ASSAY OF GGT | $190.00 | $380.00 | $71.82–$380.00 | 311% above | 50% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 ASSAY OF GGT | $190.00 | $380.00 | $171.00–$304.00 | — | 50% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL | $655.50 | $1,311.00 | $247.78–$1,311.00 | 341% above | 50% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General Health Panel | $655.50 | $1,311.00 | $247.78–$1,311.00 | 341% above | 50% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL | $655.50 | $1,311.00 | $589.95–$1,048.80 | — | 50% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 General Health Panel | $655.50 | $1,311.00 | $589.95–$1,048.80 | — | 50% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOL TEST 3 SPEC | $128.00 | $256.00 | $48.38–$256.00 | 2% above | 50% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOL TEST 3 SPEC | $128.00 | $256.00 | $115.20–$204.80 | — | 50% |
| H. pylori stool antigen test CPT 87338 H PYLORI AG FECAL | $28.50 | $57.00 | $10.77–$57.00 | 40% below | 50% |
| H. pylori stool antigen test inpatient CPT 87338 H PYLORI AG FECAL | $28.50 | $57.00 | $25.65–$45.60 | — | 50% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV 1 BY QUANTITATIVE NAAT | $167.50 | $335.00 | $63.32–$335.00 | 51% above | 50% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV 1 BY QUANTITATIVE NAAT | $167.50 | $335.00 | $150.75–$268.00 | — | 50% |
| HIV-1 and HIV-2 antibody test CPT 86703 DONOR HIV1/2 PLUS O AB SCREEN WITH REFLEX TO DIFFERENTIATION | $31.50 | $63.00 | $11.91–$63.00 | 37% below | 50% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 DONOR HIV1/2 PLUS O AB SCREEN WITH REFLEX TO DIFFERENTIATION | $31.50 | $63.00 | $28.35–$50.40 | — | 50% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 AG W/HIV-1 & HIV-2 AB | $83.50 | $167.00 | $31.56–$167.00 | 7% above | 50% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV-1 AG W/HIV-1 & HIV-2 AB | $83.50 | $167.00 | $75.15–$133.60 | — | 50% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH RISK RFLX TO GENOTYPE | $47.50 | $95.00 | $17.96–$95.00 | 31% above | 50% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV HIGH RISK RFLX TO GENOTYPE | $47.50 | $95.00 | $42.75–$76.00 | — | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C, OUTSIDE FACILITY | $270.50 | $541.00 | $102.25–$541.00 | 289% above | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOSYLATED HEMOGLOBIN TEST | $270.50 | $541.00 | $102.25–$541.00 | 289% above | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOSYLATED HEMOGLOBIN TEST | $270.50 | $541.00 | $243.45–$432.80 | — | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C, OUTSIDE FACILITY | $270.50 | $541.00 | $243.45–$432.80 | — | 50% |
| Hemoglobin blood test CPT 85018 HEMOGLOBIN | $5.50 | $11.00 | $2.08–$11.00 | 90% below | 50% |
| Hemoglobin blood test CPT 85018 POC HEMOGLOBIN | $5.50 | $11.00 | $2.08–$11.00 | 90% below | 50% |
| Hemoglobin blood test CPT 85018 HEMOGLOBIN, OUTSIDE FACILITY | $5.50 | $11.00 | $2.08–$11.00 | 90% below | 50% |
| Hemoglobin blood test inpatient CPT 85018 POC HEMOGLOBIN | $5.50 | $11.00 | $4.95–$8.80 | — | 50% |
| Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN | $5.50 | $11.00 | $4.95–$8.80 | — | 50% |
| Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN, OUTSIDE FACILITY | $5.50 | $11.00 | $4.95–$8.80 | — | 50% |
| Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE TOTAL AB DONOR | $109.00 | $218.00 | $41.20–$218.00 | 206% above | 50% |
| Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE AB | $109.00 | $218.00 | $41.20–$218.00 | 206% above | 50% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE AB | $109.00 | $218.00 | $98.10–$174.40 | — | 50% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE TOTAL AB DONOR | $109.00 | $218.00 | $98.10–$174.40 | — | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HBS AB | $20.50 | $41.00 | $7.75–$41.00 | 53% below | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HBS AB | $20.50 | $41.00 | $18.45–$32.80 | — | 50% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG | $123.50 | $247.00 | $46.68–$247.00 | 244% above | 50% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Ag Donor | $123.50 | $247.00 | $46.68–$247.00 | 244% above | 50% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE AG | $123.50 | $247.00 | $111.15–$197.60 | — | 50% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface Ag Donor | $123.50 | $247.00 | $111.15–$197.60 | — | 50% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY DONOR | $193.00 | $386.00 | $72.95–$386.00 | 314% above | 50% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB TEST | $193.00 | $386.00 | $72.95–$386.00 | 314% above | 50% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY DONOR | $193.00 | $386.00 | $173.70–$308.80 | — | 50% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB TEST | $193.00 | $386.00 | $173.70–$308.80 | — | 50% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV by Quantitative NAAT | $85.00 | $170.00 | $32.13–$170.00 | 25% below | 50% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV by Quantitative NAAT | $85.00 | $170.00 | $76.50–$136.00 | — | 50% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 IGM titer reflex | $27.00 | $54.00 | $10.21–$54.00 | 15% above | 50% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 IGM titer reflex | $27.00 | $54.00 | $24.30–$43.20 | — | 50% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 IGM titer reflex | $37.00 | $74.00 | $13.99–$74.00 | 12% above | 50% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 IGM titer reflex | $37.00 | $74.00 | $33.30–$59.20 | — | 50% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 CRP HIGH SENSITIVITY | $28.50 | $57.00 | $10.77–$57.00 | 33% below | 50% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP HIGH SENSITIVITY | $28.50 | $57.00 | $25.65–$45.60 | — | 50% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE | $35.00 | $70.00 | $13.23–$70.00 | 35% below | 50% |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE | $35.00 | $70.00 | $31.50–$56.00 | — | 50% |
| Insulin blood test CPT 83525 INSULIN | $21.50 | $43.00 | $8.13–$43.00 | 15% below | 50% |
| Insulin blood test inpatient CPT 83525 INSULIN | $21.50 | $43.00 | $19.35–$34.40 | — | 50% |
| Iron blood test (serum iron) CPT 83540 ASSAY OF IRON | $132.50 | $265.00 | $50.08–$265.00 | 143% above | 50% |
| Iron blood test (serum iron) CPT 83540 IRON TIMED URINE | $132.50 | $265.00 | $50.08–$265.00 | 143% above | 50% |
| Iron blood test (serum iron) inpatient CPT 83540 ASSAY OF IRON | $132.50 | $265.00 | $119.25–$212.00 | — | 50% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON TIMED URINE | $132.50 | $265.00 | $119.25–$212.00 | — | 50% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING TEST | $87.50 | $175.00 | $33.08–$175.00 | 3% below | 50% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING TEST | $87.50 | $175.00 | $78.75–$140.00 | — | 50% |
| Kidney function blood test panel CPT 80069 RENAL PANEL, OUTSIDE FACILITY | $211.50 | $423.00 | $79.95–$423.00 | 48% below | 50% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $211.50 | $423.00 | $79.95–$423.00 | 48% below | 50% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL | $211.50 | $423.00 | $190.35–$338.40 | — | 50% |
| Kidney function blood test panel inpatient CPT 80069 RENAL PANEL, OUTSIDE FACILITY | $211.50 | $423.00 | $190.35–$338.40 | — | 50% |
| LH (luteinizing hormone) test CPT 83002 LH | $41.50 | $83.00 | $15.69–$83.00 | 34% below | 50% |
| LH (luteinizing hormone) test inpatient CPT 83002 LH | $41.50 | $83.00 | $37.35–$66.40 | — | 50% |
| Lactate (lactic acid) blood test CPT 83605 ASSAY OF LACTIC ACID | $34.00 | $68.00 | $12.85–$68.00 | 54% below | 50% |
| Lactate (lactic acid) blood test CPT 83605 POC LACTATE | $34.00 | $68.00 | $12.85–$68.00 | 54% below | 50% |
| Lactate (lactic acid) blood test CPT 83605 POC ASSAY OF LACTIC ACID | $34.00 | $68.00 | $12.85–$68.00 | 54% below | 50% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID WO REFLEX, OUTSIDE FACILITY | $34.00 | $68.00 | $12.85–$68.00 | 54% below | 50% |
| Lactate (lactic acid) blood test inpatient CPT 83605 ASSAY OF LACTIC ACID | $34.00 | $68.00 | $30.60–$54.40 | — | 50% |
| Lactate (lactic acid) blood test inpatient CPT 83605 POC LACTATE | $34.00 | $68.00 | $30.60–$54.40 | — | 50% |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID WO REFLEX, OUTSIDE FACILITY | $34.00 | $68.00 | $30.60–$54.40 | — | 50% |
| Lactate (lactic acid) blood test inpatient CPT 83605 POC ASSAY OF LACTIC ACID | $34.00 | $68.00 | $30.60–$54.40 | — | 50% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH, OUTSIDE FACILITY | $292.00 | $584.00 | $110.38–$584.00 | 444% above | 50% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE (LD) (LDH) ENZYME | $292.00 | $584.00 | $110.38–$584.00 | 444% above | 50% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE (LD) (LDH) ENZYME; FLUID | $292.00 | $584.00 | $110.38–$584.00 | 444% above | 50% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH total Body Fluid | $292.00 | $584.00 | $110.38–$584.00 | 444% above | 50% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH, OUTSIDE FACILITY | $292.00 | $584.00 | $262.80–$467.20 | — | 50% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTATE (LD) (LDH) ENZYME; FLUID | $292.00 | $584.00 | $262.80–$467.20 | — | 50% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH total Body Fluid | $292.00 | $584.00 | $262.80–$467.20 | — | 50% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTATE (LD) (LDH) ENZYME | $292.00 | $584.00 | $262.80–$467.20 | — | 50% |
| Lipase blood test (pancreas enzyme) CPT 83690 ASSAY OF LIPASE | $56.50 | $113.00 | $21.36–$113.00 | 3% below | 50% |
| Lipase blood test (pancreas enzyme) CPT 83690 ASSAY OF LIPASE; FLUID | $56.50 | $113.00 | $21.36–$113.00 | 3% below | 50% |
| Lipase blood test (pancreas enzyme) CPT 83690 FLUID LIPASE | $56.50 | $113.00 | $21.36–$113.00 | 3% below | 50% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE, OUTSIDE FACILITY | $56.50 | $113.00 | $21.36–$113.00 | 3% below | 50% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 ASSAY OF LIPASE | $56.50 | $113.00 | $50.85–$90.40 | — | 50% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE, OUTSIDE FACILITY | $56.50 | $113.00 | $50.85–$90.40 | — | 50% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 FLUID LIPASE | $56.50 | $113.00 | $50.85–$90.40 | — | 50% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 ASSAY OF LIPASE; FLUID | $56.50 | $113.00 | $50.85–$90.40 | — | 50% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL, OUTSIDE FACILITY | $221.50 | $443.00 | $83.73–$443.00 | 5% below | 50% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $221.50 | $443.00 | $83.73–$443.00 | 5% below | 50% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL | $221.50 | $443.00 | $199.35–$354.40 | — | 50% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL, OUTSIDE FACILITY | $221.50 | $443.00 | $199.35–$354.40 | — | 50% |
| Lyme disease antibody test CPT 86618 LYME DISEASE AB | $33.50 | $67.00 | $12.66–$67.00 | 29% above | 50% |
| Lyme disease antibody test inpatient CPT 86618 LYME DISEASE AB | $33.50 | $67.00 | $30.15–$53.60 | — | 50% |
| Magnesium blood test CPT 83735 URN MAGNESIUM RANDOM | $107.00 | $214.00 | $40.45–$214.00 | 708% above | 50% |
| Magnesium blood test CPT 83735 MAGNESIUM LEVEL, OUTSIDE FACILITY | $107.00 | $214.00 | $40.45–$214.00 | 708% above | 50% |
| Magnesium blood test CPT 83735 ASSAY OF MAGNESIUM | $107.00 | $214.00 | $40.45–$214.00 | 708% above | 50% |
| Magnesium blood test inpatient CPT 83735 ASSAY OF MAGNESIUM | $107.00 | $214.00 | $96.30–$171.20 | — | 50% |
| Magnesium blood test inpatient CPT 83735 URN MAGNESIUM RANDOM | $107.00 | $214.00 | $96.30–$171.20 | — | 50% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM LEVEL, OUTSIDE FACILITY | $107.00 | $214.00 | $96.30–$171.20 | — | 50% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA MEASLES VIRUS AB IGG OR IGM | $26.00 | $52.00 | $9.83–$52.00 | 2% below | 50% |
| Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA MEASLES VIRUS AB IGG OR IGM | $26.00 | $52.00 | $23.40–$41.60 | — | 50% |
| Mumps immunity blood test CPT 86735 MUMPS VIRUS AB IGG | $26.00 | $52.00 | $9.83–$52.00 | 60% above | 50% |
| Mumps immunity blood test inpatient CPT 86735 MUMPS VIRUS AB IGG | $26.00 | $52.00 | $23.40–$41.60 | — | 50% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE | $40.50 | $81.00 | $15.31–$81.00 | 30% above | 50% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE | $40.50 | $81.00 | $36.45–$64.80 | — | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Total PSA Only | $38.50 | $77.00 | $14.55–$77.00 | 31% below | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA ULTRA SENSITIVE | $38.50 | $77.00 | $14.55–$77.00 | 31% below | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Screen | $148.00 | $296.00 | $55.94–$296.00 | 164% above | 50% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA ULTRA SENSITIVE | $38.50 | $77.00 | $34.65–$61.60 | — | 50% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA Total PSA Only | $38.50 | $77.00 | $34.65–$61.60 | — | 50% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA Screen | $148.00 | $296.00 | $133.20–$236.80 | — | 50% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATH C/V THIN LAYER | $121.00 | $242.00 | $45.74–$242.00 | 134% above | 50% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CYTOPATH C/V THIN LAYER | $121.00 | $242.00 | $108.90–$193.60 | — | 50% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT | $214.50 | $429.00 | $81.08–$429.00 | 118% above | 50% |
| Parathyroid hormone (PTH) blood test CPT 83970 ASSAY OF PARATHORMONE | $214.50 | $429.00 | $81.08–$429.00 | 118% above | 50% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH-FNA | $214.50 | $429.00 | $81.08–$429.00 | 118% above | 50% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 ASSAY OF PARATHORMONE | $214.50 | $429.00 | $193.05–$343.20 | — | 50% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH-FNA | $214.50 | $429.00 | $193.05–$343.20 | — | 50% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH INTACT | $214.50 | $429.00 | $193.05–$343.20 | — | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 APTT, OUTSIDE FACILITY | $33.50 | $67.00 | $12.66–$67.00 | 13% below | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL PLASMA OR WHOLE BLOOD | $33.50 | $67.00 | $12.66–$67.00 | 13% below | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT D HEPARIN REFLEX BILL | $33.50 | $67.00 | $12.66–$67.00 | 13% below | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL PTT | $33.50 | $67.00 | $12.66–$67.00 | 13% below | 50% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT D HEPARIN REFLEX BILL | $33.50 | $67.00 | $30.15–$53.60 | — | 50% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 APTT, OUTSIDE FACILITY | $33.50 | $67.00 | $30.15–$53.60 | — | 50% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME PARTIAL PLASMA OR WHOLE BLOOD | $33.50 | $67.00 | $30.15–$53.60 | — | 50% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME PARTIAL PTT | $33.50 | $67.00 | $30.15–$53.60 | — | 50% |
| Phosphorus (phosphate) blood test CPT 84100 ASSAY OF PHOSPHORUS | $75.00 | $150.00 | $28.35–$150.00 | 23% above | 50% |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHOROUS, OUTSIDE FACILITY | $75.00 | $150.00 | $28.35–$150.00 | 23% above | 50% |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS (BLOOD) | $75.00 | $150.00 | $28.35–$150.00 | 23% above | 50% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS (BLOOD) | $75.00 | $150.00 | $67.50–$120.00 | — | 50% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHOROUS, OUTSIDE FACILITY | $75.00 | $150.00 | $67.50–$120.00 | — | 50% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 ASSAY OF PHOSPHORUS | $75.00 | $150.00 | $67.50–$120.00 | — | 50% |
| Potassium blood test CPT 84132 ASSAY OF SERUM POTASSIUM K | $44.50 | $89.00 | $16.82–$89.00 | 33% below | 50% |
| Potassium blood test CPT 84132 POTASSIUM LEVEL, OUTSIDE FACILITY | $44.50 | $89.00 | $16.82–$89.00 | 33% below | 50% |
| Potassium blood test CPT 84132 ASSAY OF SERUM POTASSIUM | $44.50 | $89.00 | $16.82–$89.00 | 33% below | 50% |
| Potassium blood test CPT 84132 ASSAY OF POTASSIUM WHOLE BLOOD | $44.50 | $89.00 | $16.82–$89.00 | 33% below | 50% |
| Potassium blood test inpatient CPT 84132 ASSAY OF POTASSIUM WHOLE BLOOD | $44.50 | $89.00 | $40.05–$71.20 | — | 50% |
| Potassium blood test inpatient CPT 84132 ASSAY OF SERUM POTASSIUM K | $44.50 | $89.00 | $40.05–$71.20 | — | 50% |
| Potassium blood test inpatient CPT 84132 POTASSIUM LEVEL, OUTSIDE FACILITY | $44.50 | $89.00 | $40.05–$71.20 | — | 50% |
| Potassium blood test inpatient CPT 84132 ASSAY OF SERUM POTASSIUM | $44.50 | $89.00 | $40.05–$71.20 | — | 50% |
| Progesterone blood test CPT 84144 PROGESTERONE LEVEL | $42.00 | $84.00 | $15.88–$84.00 | 11% below | 50% |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE LEVEL | $42.00 | $84.00 | $37.80–$67.20 | — | 50% |
| Prolactin blood test CPT 84146 MACROPROLACTIN | $37.00 | $74.00 | $13.99–$74.00 | 43% below | 50% |
| Prolactin blood test CPT 84146 PROLACTIN | $37.00 | $74.00 | $13.99–$74.00 | 43% below | 50% |
| Prolactin blood test CPT 84146 PROLACTIN WITH DILUTIONS | $37.00 | $74.00 | $13.99–$74.00 | 43% below | 50% |
| Prolactin blood test inpatient CPT 84146 PROLACTIN WITH DILUTIONS | $37.00 | $74.00 | $33.30–$59.20 | — | 50% |
| Prolactin blood test inpatient CPT 84146 PROLACTIN | $37.00 | $74.00 | $33.30–$59.20 | — | 50% |
| Prolactin blood test inpatient CPT 84146 MACROPROLACTIN | $37.00 | $74.00 | $33.30–$59.20 | — | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME, OUTSIDE FACILITY | $33.50 | $67.00 | $12.66–$67.00 | 8% below | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $33.50 | $67.00 | $12.66–$67.00 | 8% below | 50% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME, OUTSIDE FACILITY | $33.50 | $67.00 | $30.15–$53.60 | — | 50% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME | $33.50 | $67.00 | $30.15–$53.60 | — | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 POC DRUG SCREEN READ VISUALLY | $108.50 | $217.00 | $41.01–$217.00 | 8% above | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 POC Drug Screen read visually | $108.50 | $217.00 | $41.01–$217.00 | 8% above | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 POC DRUG SCREEN READ VISUALLY | $108.50 | $217.00 | $97.65–$173.60 | — | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 POC Drug Screen read visually | $108.50 | $217.00 | $97.65–$173.60 | — | 50% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A ASSAY W/OPTIC | $333.00 | $666.00 | $125.87–$666.00 | 191% above | 50% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP A ASSAY W/OPTIC | $333.00 | $666.00 | $299.70–$532.80 | — | 50% |
| Renin blood test CPT 84244 RENIN ACTIVITY | $44.00 | $88.00 | $16.63–$88.00 | 120% above | 50% |
| Renin blood test inpatient CPT 84244 RENIN ACTIVITY | $44.00 | $88.00 | $39.60–$70.40 | — | 50% |
| Rh blood typing CPT 86901 BLOOD TYPING SEROLOGIC RH(D); DU ANTIGEN | $80.50 | $161.00 | $30.43–$161.00 | 92% above | 50% |
| Rh blood typing CPT 86901 RH (UNIT CONFIRMATION) | $80.50 | $161.00 | $30.43–$161.00 | 92% above | 50% |
| Rh blood typing inpatient CPT 86901 RH (UNIT CONFIRMATION) | $80.50 | $161.00 | $72.45–$128.80 | — | 50% |
| Rh blood typing inpatient CPT 86901 BLOOD TYPING SEROLOGIC RH(D); DU ANTIGEN | $80.50 | $161.00 | $72.45–$128.80 | — | 50% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR FLUID | $11.50 | $23.00 | $4.35–$23.00 | 53% below | 50% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR | $11.50 | $23.00 | $4.35–$23.00 | 53% below | 50% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR FLUID | $11.50 | $23.00 | $10.35–$18.40 | — | 50% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR | $11.50 | $23.00 | $10.35–$18.40 | — | 50% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY IGG | $28.50 | $57.00 | $10.77–$57.00 | 51% above | 50% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY IGG | $28.50 | $57.00 | $25.65–$45.60 | — | 50% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE AUTOMATED | $217.50 | $435.00 | $82.22–$435.00 | 97% above | 50% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SED RATE AUTOMATED | $217.50 | $435.00 | $195.75–$348.00 | — | 50% |
| Sodium blood test CPT 84295 ASSAY OF SODIUM WHOLE BLOOD | $70.50 | $141.00 | $26.65–$141.00 | 5% above | 50% |
| Sodium blood test CPT 84295 ASSAY OF SERUM SODIUM | $70.50 | $141.00 | $26.65–$141.00 | 5% above | 50% |
| Sodium blood test CPT 84295 SODIUM LEVEL, OUTSIDE FACILITY | $70.50 | $141.00 | $26.65–$141.00 | 5% above | 50% |
| Sodium blood test inpatient CPT 84295 SODIUM LEVEL, OUTSIDE FACILITY | $70.50 | $141.00 | $63.45–$112.80 | — | 50% |
| Sodium blood test inpatient CPT 84295 ASSAY OF SERUM SODIUM | $70.50 | $141.00 | $63.45–$112.80 | — | 50% |
| Sodium blood test inpatient CPT 84295 ASSAY OF SODIUM WHOLE BLOOD | $70.50 | $141.00 | $63.45–$112.80 | — | 50% |
| Stool ova and parasites exam CPT 87177 OVA & PARASITE SMEARS | $17.50 | $35.00 | $6.62–$35.00 | 58% below | 50% |
| Stool ova and parasites exam inpatient CPT 87177 OVA & PARASITE SMEARS | $17.50 | $35.00 | $15.75–$28.00 | — | 50% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 ASSAY TEST FOR BLOOD FECAL | $36.00 | $72.00 | $13.61–$72.00 | 28% below | 50% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 ASSAY TEST FOR BLOOD FECAL | $36.00 | $72.00 | $32.40–$57.60 | — | 50% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 FTA | $30.50 | $61.00 | $11.53–$61.00 | 109% above | 50% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 SYPHILIS IGG AB DONOR | $50.00 | $100.00 | $18.90–$100.00 | 242% above | 50% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 FTA | $30.50 | $61.00 | $27.45–$48.80 | — | 50% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 SYPHILIS IGG AB DONOR | $50.00 | $100.00 | $45.00–$80.00 | — | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR WITH REFLEX TO TITER AND FTA | $23.00 | $46.00 | $8.69–$46.00 | 16% above | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL SERUM | $25.50 | $51.00 | $9.64–$51.00 | 29% above | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST NON-TREP QUAL | $315.00 | $630.00 | $119.07–$630.00 | 1491% above | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR WITH REFLEX TO TITER AND FTA | $23.00 | $46.00 | $20.70–$36.80 | — | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL SERUM | $25.50 | $51.00 | $22.95–$40.80 | — | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS TEST NON-TREP QUAL | $315.00 | $630.00 | $283.50–$504.00 | — | 50% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD PLUS 1 TUBE | $122.00 | $244.00 | $46.12–$244.00 | 98% above | 50% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON TB GOLD PLUS 1 TUBE | $122.00 | $244.00 | $109.80–$195.20 | — | 50% |
| Testosterone blood test, total (not free testosterone) CPT 84403 ASSAY OF TOTAL TESTOSTERONE | $77.00 | $154.00 | $29.11–$154.00 | 157% above | 50% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 ASSAY OF TOTAL TESTOSTERONE | $77.00 | $154.00 | $69.30–$123.20 | — | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE AB | $29.00 | $58.00 | $10.96–$58.00 | 113% above | 50% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE AB | $29.00 | $58.00 | $26.10–$46.40 | — | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH with HAMA Treatment | $237.00 | $474.00 | $89.59–$474.00 | 90% above | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $237.00 | $474.00 | $89.59–$474.00 | 90% above | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH, OUTSIDE FACILITY | $237.00 | $474.00 | $89.59–$474.00 | 90% above | 50% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH | $237.00 | $474.00 | $213.30–$379.20 | — | 50% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH with HAMA Treatment | $237.00 | $474.00 | $213.30–$379.20 | — | 50% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH, OUTSIDE FACILITY | $237.00 | $474.00 | $213.30–$379.20 | — | 50% |
| Total IgE blood test CPT 82785 IGE | $32.50 | $65.00 | $12.28–$65.00 | 37% above | 50% |
| Total IgE blood test inpatient CPT 82785 IGE | $32.50 | $65.00 | $29.25–$52.00 | — | 50% |
| Total cholesterol blood test CPT 82465 ASSAY BLD/SERUM CHOLESTEROL | $175.00 | $350.00 | $66.15–$350.00 | 505% above | 50% |
| Total cholesterol blood test inpatient CPT 82465 ASSAY BLD/SERUM CHOLESTEROL | $175.00 | $350.00 | $157.50–$280.00 | — | 50% |
| Total thyroxine (T4) blood test CPT 84436 ASSAY OF TOTAL THYROXINE | $344.00 | $688.00 | $130.03–$688.00 | 277% above | 50% |
| Total thyroxine (T4) blood test inpatient CPT 84436 ASSAY OF TOTAL THYROXINE | $344.00 | $688.00 | $309.60–$550.40 | — | 50% |
| Total triiodothyronine (T3) blood test CPT 84480 TRIIODOTHYRONINE T3 TOTAL | $32.50 | $65.00 | $12.28–$65.00 | 58% below | 50% |
| Total triiodothyronine (T3) blood test CPT 84480 T3 TRIIODOTHYRONINE TOTAL | $32.50 | $65.00 | $12.28–$65.00 | 58% below | 50% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 TRIIODOTHYRONINE T3 TOTAL | $32.50 | $65.00 | $29.25–$52.00 | — | 50% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 TRIIODOTHYRONINE TOTAL | $32.50 | $65.00 | $29.25–$52.00 | — | 50% |
| Transferrin blood test CPT 84466 TRANSFERRIN, OUTSIDE FACILITY | $27.00 | $54.00 | $10.21–$54.00 | 65% below | 50% |
| Transferrin blood test CPT 84466 ASSAY OF TRANSFERRIN | $27.00 | $54.00 | $10.21–$54.00 | 65% below | 50% |
| Transferrin blood test inpatient CPT 84466 TRANSFERRIN, OUTSIDE FACILITY | $27.00 | $54.00 | $24.30–$43.20 | — | 50% |
| Transferrin blood test inpatient CPT 84466 ASSAY OF TRANSFERRIN | $27.00 | $54.00 | $24.30–$43.20 | — | 50% |
| Triglycerides blood test CPT 84478 ASSAY OF TRIGLYCERIDES | $131.50 | $263.00 | $49.71–$263.00 | 316% above | 50% |
| Triglycerides blood test CPT 84478 TRIGLYCERIDES, OUTSIDE FACILITY | $131.50 | $263.00 | $49.71–$263.00 | 316% above | 50% |
| Triglycerides blood test inpatient CPT 84478 ASSAY OF TRIGLYCERIDES | $131.50 | $263.00 | $118.35–$210.40 | — | 50% |
| Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES, OUTSIDE FACILITY | $131.50 | $263.00 | $118.35–$210.40 | — | 50% |
| Troponin test, quantitative CPT 84484 HIGH SENSITIVITY TROPONIN I | $30.50 | $61.00 | $11.53–$61.00 | 80% below | 50% |
| Troponin test, quantitative CPT 84484 TROPONIN T | $30.50 | $61.00 | $11.53–$61.00 | 80% below | 50% |
| Troponin test, quantitative CPT 84484 ASSAY OF TROPONIN QUANT | $30.50 | $61.00 | $11.53–$61.00 | 80% below | 50% |
| Troponin test, quantitative inpatient CPT 84484 HIGH SENSITIVITY TROPONIN I | $30.50 | $61.00 | $27.45–$48.80 | — | 50% |
| Troponin test, quantitative inpatient CPT 84484 TROPONIN T | $30.50 | $61.00 | $27.45–$48.80 | — | 50% |
| Troponin test, quantitative inpatient CPT 84484 ASSAY OF TROPONIN QUANT | $30.50 | $61.00 | $27.45–$48.80 | — | 50% |
| Uric acid blood test CPT 84550 ASSAY OF BLOOD/URIC ACID | $100.50 | $201.00 | $37.99–$201.00 | 21% above | 50% |
| Uric acid blood test CPT 84550 URIC ACID, OUTSIDE FACILITY | $100.50 | $201.00 | $37.99–$201.00 | 21% above | 50% |
| Uric acid blood test inpatient CPT 84550 ASSAY OF BLOOD/URIC ACID | $100.50 | $201.00 | $90.45–$160.80 | — | 50% |
| Uric acid blood test inpatient CPT 84550 URIC ACID, OUTSIDE FACILITY | $100.50 | $201.00 | $90.45–$160.80 | — | 50% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/SCOPE | $201.00 | $402.00 | $75.98–$402.00 | 23% above | 50% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS W MICRO, OUTSIDE FACILITY | $201.00 | $402.00 | $75.98–$402.00 | 23% above | 50% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS AUTO W/SCOPE | $201.00 | $402.00 | $180.90–$321.60 | — | 50% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS W MICRO, OUTSIDE FACILITY | $201.00 | $402.00 | $180.90–$321.60 | — | 50% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS , OUTSIDE FACILITY | $54.50 | $109.00 | $20.60–$109.00 | 35% below | 50% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O SCOPE | $54.50 | $109.00 | $20.60–$109.00 | 35% below | 50% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O SCOPE; pH | $54.50 | $109.00 | $20.60–$109.00 | 35% below | 50% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS AUTO W/O SCOPE; pH | $54.50 | $109.00 | $49.05–$87.20 | — | 50% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS AUTO W/O SCOPE | $54.50 | $109.00 | $49.05–$87.20 | — | 50% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS , OUTSIDE FACILITY | $54.50 | $109.00 | $49.05–$87.20 | — | 50% |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NONAUTO W/O SCOPE | $32.00 | $64.00 | $12.10–$64.00 | 58% above | 50% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS NONAUTO W/O SCOPE | $32.00 | $64.00 | $28.80–$51.20 | — | 50% |
| Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE/COLONY COUNT | $18.50 | $37.00 | $6.99–$37.00 | 89% below | 50% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 URINE CULTURE/COLONY COUNT | $18.50 | $37.00 | $16.65–$29.60 | — | 50% |
| Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN URINE | $13.00 | $26.00 | $4.91–$26.00 | 54% below | 50% |
| Urine microalbumin (albumin) test CPT 82043 ASSAY OF URINE ALBUMIN RANDOM | $13.00 | $26.00 | $4.91–$26.00 | 54% below | 50% |
| Urine microalbumin (albumin) test CPT 82043 ASSAY OF URINE ALBUMIN TIMED | $13.00 | $26.00 | $4.91–$26.00 | 54% below | 50% |
| Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN URINE | $13.00 | $26.00 | $11.70–$20.80 | — | 50% |
| Urine microalbumin (albumin) test inpatient CPT 82043 ASSAY OF URINE ALBUMIN RANDOM | $13.00 | $26.00 | $11.70–$20.80 | — | 50% |
| Urine microalbumin (albumin) test inpatient CPT 82043 ASSAY OF URINE ALBUMIN TIMED | $13.00 | $26.00 | $11.70–$20.80 | — | 50% |
| Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST | $177.50 | $355.00 | $67.10–$355.00 | 41% above | 50% |
| Urine pregnancy test, read by color change CPT 81025 HCG STAT, OUTSIDE FACILITY | $177.50 | $355.00 | $67.10–$355.00 | 41% above | 50% |
| Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREGNANCY TEST | $177.50 | $355.00 | $159.75–$284.00 | — | 50% |
| Urine pregnancy test, read by color change inpatient CPT 81025 HCG STAT, OUTSIDE FACILITY | $177.50 | $355.00 | $159.75–$284.00 | — | 50% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 | $125.00 | $250.00 | $47.25–$250.00 | 2% above | 50% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B 12 | $125.00 | $250.00 | $47.25–$250.00 | 2% above | 50% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 LEVEL, OUTSIDE FACILITY | $125.00 | $250.00 | $47.25–$250.00 | 2% above | 50% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B-12 | $125.00 | $250.00 | $112.50–$200.00 | — | 50% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B 12 | $125.00 | $250.00 | $112.50–$200.00 | — | 50% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 LEVEL, OUTSIDE FACILITY | $125.00 | $250.00 | $112.50–$200.00 | — | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D (25-OH) | $115.50 | $231.00 | $43.66–$231.00 | 151% above | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VIT D 25OH, OUTSIDE FACILITY | $115.50 | $231.00 | $43.66–$231.00 | 151% above | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D3 | $115.50 | $231.00 | $43.66–$231.00 | 151% above | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D (25-OH) | $115.50 | $231.00 | $103.95–$184.80 | — | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D3 | $115.50 | $231.00 | $103.95–$184.80 | — | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VIT D 25OH, OUTSIDE FACILITY | $115.50 | $231.00 | $103.95–$184.80 | — | 50% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 125 DIHYDROXY VITAMIN D | $76.50 | $153.00 | $28.92–$153.00 | 99% above | 50% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 125 DIHYDROXY VITAMIN D | $76.50 | $153.00 | $68.85–$122.40 | — | 50% |
| Zinc blood test CPT 84630 ZINC LEVEL | $21.50 | $43.00 | $8.13–$43.00 | 44% above | 50% |
| Zinc blood test inpatient CPT 84630 ZINC LEVEL | $21.50 | $43.00 | $19.35–$34.40 | — | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 CHORIONIC GONADOTROPIN TEST QUANT OUTSIDE FACILITY | $518.50 | $1,037.00 | $195.99–$1,037.00 | 779% above | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 CHORIONIC GONADOTROPIN TEST; TUMOR MARKER | $518.50 | $1,037.00 | $195.99–$1,037.00 | 779% above | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 CHORIONIC GONADOTROPIN TEST; QUANT | $518.50 | $1,037.00 | $195.99–$1,037.00 | 779% above | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG CSF | $518.50 | $1,037.00 | $195.99–$1,037.00 | 779% above | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 CHORIONIC GONADOTROPIN TEST; TUMOR MARKER | $518.50 | $1,037.00 | $466.65–$829.60 | — | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA HCG CSF | $518.50 | $1,037.00 | $466.65–$829.60 | — | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 CHORIONIC GONADOTROPIN TEST QUANT OUTSIDE FACILITY | $518.50 | $1,037.00 | $466.65–$829.60 | — | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 CHORIONIC GONADOTROPIN TEST; QUANT | $518.50 | $1,037.00 | $466.65–$829.60 | — | 50% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| Botox injections for chronic migraine CPT 64615 CHEMODENERV FACE TRIG CERVICAL MUSCEL(S) BIL | $526.50 | $1,053.00 | $199.02–$1,053.00 | 10% below | 50% |
| Botox injections for chronic migraine inpatient CPT 64615 CHEMODENERV FACE TRIG CERVICAL MUSCEL(S) BIL | $526.50 | $1,053.00 | $473.85–$842.40 | — | 50% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 MA BX BREAST 1ST LESION INCLD STEREOLOC/IMAGE OF BX LT | $1,698.00 | $3,396.00 | $641.84–$3,396.00 | 52% below | 50% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 MA BX BREAST 1ST LESION INCLD STEREOLOC/IMAGE OF BX RT | $1,698.00 | $3,396.00 | $641.84–$3,396.00 | 52% below | 50% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 MA BX BREAST 1ST LESION INCLD STEREOLOC/IMAGE OF BX LT | $1,698.00 | $3,396.00 | $1,528.20–$2,716.80 | — | 50% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 MA BX BREAST 1ST LESION INCLD STEREOLOC/IMAGE OF BX RT | $1,698.00 | $3,396.00 | $1,528.20–$2,716.80 | — | 50% |
| Cervical biopsy CPT 57500 CERVICAL BIOPSY | $2,890.50 | $5,781.00 | $1,092.61–$5,781.00 | 45% above | 50% |
| Cervical biopsy CPT 57500 BIOPSY SINGLE OR MULTIPLE OR LOCAL EXCISION OF LESION WITH OR WITHOUT FULGURATION SEPARATE PROCEDURE | $2,890.50 | $5,781.00 | $1,092.61–$5,781.00 | 45% above | 50% |
| Cervical biopsy inpatient CPT 57500 CERVICAL BIOPSY | $2,890.50 | $5,781.00 | $2,601.45–$4,624.80 | — | 50% |
| Cervical biopsy inpatient CPT 57500 BIOPSY SINGLE OR MULTIPLE OR LOCAL EXCISION OF LESION WITH OR WITHOUT FULGURATION SEPARATE PROCEDURE | $2,890.50 | $5,781.00 | $2,601.45–$4,624.80 | — | 50% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 COLPOSCOPY CERVIX W BIOPSY & ENDOCERVICAL CURETTAGE | $1,876.00 | $3,752.00 | $709.13–$3,752.00 | 166% above | 50% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 COLPOSCOPY CERVIX W/BIOPSY & ENDOCERVICAL CURETTAGE | $1,876.00 | $3,752.00 | $709.13–$3,752.00 | 166% above | 50% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 COLPOSCOPY OF THE CERVIX INCLUDING UPPER/ADJACENT VAGINA WITH BIOPSY S OF THE CERVIX AND ENDOCERVICAL CURETTAGE | $1,876.00 | $3,752.00 | $709.13–$3,752.00 | 166% above | 50% |
| Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 COLPOSCOPY OF THE CERVIX INCLUDING UPPER/ADJACENT VAGINA WITH BIOPSY S OF THE CERVIX AND ENDOCERVICAL CURETTAGE | $1,876.00 | $3,752.00 | $1,688.40–$3,001.60 | — | 50% |
| Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 COLPOSCOPY CERVIX W BIOPSY & ENDOCERVICAL CURETTAGE | $1,876.00 | $3,752.00 | $1,688.40–$3,001.60 | — | 50% |
| Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 COLPOSCOPY CERVIX W/BIOPSY & ENDOCERVICAL CURETTAGE | $1,876.00 | $3,752.00 | $1,688.40–$3,001.60 | — | 50% |
| Cystoscopy with ureteral stent placement CPT 52332 CYSTOURETHROSCOPY WITH INSERTION OF INDWELLING URETERAL STENT EG GIBBONS OR DOUBLE J TYPE | $2,198.00 | $4,396.00 | $830.84–$4,396.00 | 55% below | 50% |
| Cystoscopy with ureteral stent placement CPT 52332 CYSTO WITH INSERT STENT | $2,198.00 | $4,396.00 | $830.84–$4,396.00 | 55% below | 50% |
| Cystoscopy with ureteral stent placement inpatient CPT 52332 CYSTO WITH INSERT STENT | $2,198.00 | $4,396.00 | $1,978.20–$3,516.80 | — | 50% |
| Cystoscopy with ureteral stent placement inpatient CPT 52332 CYSTOURETHROSCOPY WITH INSERTION OF INDWELLING URETERAL STENT EG GIBBONS OR DOUBLE J TYPE | $2,198.00 | $4,396.00 | $1,978.20–$3,516.80 | — | 50% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY SEPARATE PROCEDURE | $430.50 | $861.00 | $162.73–$861.00 | 78% below | 50% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY | $430.50 | $861.00 | $162.73–$861.00 | 78% below | 50% |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSTOURETHROSCOPY SEPARATE PROCEDURE | $430.50 | $861.00 | $387.45–$688.80 | — | 50% |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSTOURETHROSCOPY | $430.50 | $861.00 | $387.45–$688.80 | — | 50% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTROY PREMALIGNANT FIRST LESION | $355.50 | $711.00 | $134.38–$711.00 | 25% above | 50% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DESTROY PREMALIGNANT FIRST LESION | $355.50 | $711.00 | $319.95–$568.80 | — | 50% |
| Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 TYMPANOSTOMY REQUIRING INSERTION OF VENTILATING TUBE LOCAL OR TOPICAL ANESTHESIA | $477.50 | $955.00 | $180.50–$955.00 | 55% below | 50% |
| Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 TYMPANOSTOMY REQUIRING INSERTION OF VENTILATING TUBE LOCAL OR TOPICAL ANESTHESIA | $477.50 | $955.00 | $180.50–$955.00 | 55% below | 50% |
| Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 TYMPANO. W/TUBE | $477.50 | $955.00 | $180.50–$955.00 | 55% below | 50% |
| Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 TYMPANOSTOMY REQUIRING INSERTION OF VENTILATING TUBE LOCAL OR TOPICAL ANESTHESIA | $477.50 | $955.00 | $429.75–$764.00 | — | 50% |
| Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 TYMPANOSTOMY REQUIRING INSERTION OF VENTILATING TUBE LOCAL OR TOPICAL ANESTHESIA | $477.50 | $955.00 | $429.75–$764.00 | — | 50% |
| Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 TYMPANO. W/TUBE | $477.50 | $955.00 | $429.75–$764.00 | — | 50% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 REMOVAL IMPACTED CERUMEN USING IRRIGATION LAVAGE UNILATERAL RT | $130.00 | $260.00 | $49.14–$260.00 | 31% below | 50% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 REMOVAL IMPACTED CERUMEN USING IRRIGATION/LAVAGE UNILATERAL LEFT | $130.00 | $260.00 | $49.14–$260.00 | 31% below | 50% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 REMOVAL IMPACTED CERUMEN USING IRRIGATION/LAVAGE UNILATERAL RIGHT | $130.00 | $260.00 | $49.14–$260.00 | 31% below | 50% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 REMOVAL IMPACTED CERUMEN USING IRRIGATION LAVAGE UNILATERAL LT | $130.00 | $260.00 | $49.14–$260.00 | 31% below | 50% |
| Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 REMOVAL IMPACTED CERUMEN USING IRRIGATION/LAVAGE UNILATERAL LEFT | $130.00 | $260.00 | $117.00–$208.00 | — | 50% |
| Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 REMOVAL IMPACTED CERUMEN USING IRRIGATION LAVAGE UNILATERAL RT | $130.00 | $260.00 | $117.00–$208.00 | — | 50% |
| Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 REMOVAL IMPACTED CERUMEN USING IRRIGATION LAVAGE UNILATERAL LT | $130.00 | $260.00 | $117.00–$208.00 | — | 50% |
| Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 REMOVAL IMPACTED CERUMEN USING IRRIGATION/LAVAGE UNILATERAL RIGHT | $130.00 | $260.00 | $117.00–$208.00 | — | 50% |
| Earwax removal with instruments, one ear both sides CPT 69210 REMOVAL IMPACTED CERUMEN REQUIRING INSTRUMENTATION BILATERAL | $164.00 | $328.00 | $61.99–$328.00 | — | 50% |
| Earwax removal with instruments, one ear one side CPT 69210 REMOVAL IMPACTED CERUMEN REQUIRING INSTRUMENTATION UNILATERAL LT | $82.00 | $164.00 | $31.00–$164.00 | 60% below | 50% |
| Earwax removal with instruments, one ear one side CPT 69210 REMOVAL IMPACTED CERUMEN REQUIRING INSTRUMENTATION UNILATERAL RIGHT | $82.00 | $164.00 | $31.00–$164.00 | 60% below | 50% |
| Earwax removal with instruments, one ear one side CPT 69210 REMOVAL IMPACTED CERUMEN REQUIRING INSTRUMENTATION UNILATERAL RT | $82.00 | $164.00 | $31.00–$164.00 | 60% below | 50% |
| Earwax removal with instruments, one ear inpatient both sides CPT 69210 REMOVAL IMPACTED CERUMEN REQUIRING INSTRUMENTATION BILATERAL | $164.00 | $328.00 | $147.60–$262.40 | — | 50% |
| Earwax removal with instruments, one ear inpatient one side CPT 69210 REMOVAL IMPACTED CERUMEN REQUIRING INSTRUMENTATION UNILATERAL RT | $82.00 | $164.00 | $73.80–$131.20 | — | 50% |
| Earwax removal with instruments, one ear inpatient one side CPT 69210 REMOVAL IMPACTED CERUMEN REQUIRING INSTRUMENTATION UNILATERAL RIGHT | $82.00 | $164.00 | $73.80–$131.20 | — | 50% |
| Earwax removal with instruments, one ear inpatient one side CPT 69210 REMOVAL IMPACTED CERUMEN REQUIRING INSTRUMENTATION UNILATERAL LT | $82.00 | $164.00 | $73.80–$131.20 | — | 50% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 ENDOMETRIAL SAMPLING BIOPSY WITH OR WITHOUT ENDOCERVICAL SAMPLING BIOPSY WITHOUT CERVICAL DILATION ANY METHOD SEPARATE PROCEDURE | $833.50 | $1,667.00 | $315.06–$1,667.00 | 87% above | 50% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 ENDOMETRIAL BIOPSY | $833.50 | $1,667.00 | $315.06–$1,667.00 | 87% above | 50% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 ENDOMETRIAL SAMPLING BIOPSY WITH OR WITHOUT ENDOCERVICAL SAMPLING BIOPSY WITHOUT CERVICAL DILATION ANY METHOD SEPARATE PROCEDURE | $833.50 | $1,667.00 | $315.06–$1,667.00 | 87% above | 50% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 ENDOMETRIAL SAMPLING BIOPSY WITH OR WITHOUT ENDOCERVICAL SAMPLING BIOPSY WITHOUT CERVICAL DILATION ANY METHOD SEPARATE PROCEDURE | $833.50 | $1,667.00 | $750.15–$1,333.60 | — | 50% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 ENDOMETRIAL BIOPSY | $833.50 | $1,667.00 | $750.15–$1,333.60 | — | 50% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 ENDOMETRIAL SAMPLING BIOPSY WITH OR WITHOUT ENDOCERVICAL SAMPLING BIOPSY WITHOUT CERVICAL DILATION ANY METHOD SEPARATE PROCEDURE | $833.50 | $1,667.00 | $750.15–$1,333.60 | — | 50% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 FLUORO INJ ANES AGENT-LUMBAR S | $897.50 | $1,795.00 | $339.26–$1,795.00 | 60% below | 50% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 FLUORO INJ ANES AGENT-LUMBAR S | $897.50 | $1,795.00 | $807.75–$1,436.00 | — | 50% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS | $1,772.00 | $3,544.00 | $669.82–$3,544.00 | 3% above | 50% |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS | $1,772.00 | $3,544.00 | $1,594.80–$2,835.20 | — | 50% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 CATH/INTRO CONTRAST HYSTEROSAL | $220.50 | $441.00 | $83.35–$441.00 | 48% below | 50% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 CATH/INTRO CONTRAST HYSTEROSAL | $220.50 | $441.00 | $198.45–$352.80 | — | 50% |
| IUD insertion (the device itself billed separately) CPT 58300 INSERTION INTRAUTERINE DEVICE IUD | $1,973.00 | $3,946.00 | $745.79–$3,946.00 | 126% above | 50% |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 INSERTION INTRAUTERINE DEVICE IUD | $1,973.00 | $3,946.00 | $1,775.70–$3,156.80 | — | 50% |
| Incision and drainage of a simple or single skin abscess CPT 10060 INCISION AND DRAINAGE OF ABSCESS SINGLE OR SIMPLE | $428.50 | $857.00 | $161.97–$857.00 | 29% below | 50% |
| Incision and drainage of a simple or single skin abscess CPT 10060 INCISION AND DRAINAGE ABSCESS SINGLE OR SIMPLE | $428.50 | $857.00 | $161.97–$857.00 | 29% below | 50% |
| Incision and drainage of a simple or single skin abscess CPT 10060 MMH ASSESSMENT INCISION AND DRAINAGE OF ABSCESS SINGLE OR SIMPLE | $428.50 | $857.00 | $161.97–$857.00 | 29% below | 50% |
| Incision and drainage of a simple or single skin abscess CPT 10060 PACU OVERFLOW INCISION AND DRAINAGE OF ABSCESS SINGLE OR SIMPLE | $428.50 | $857.00 | $161.97–$857.00 | 29% below | 50% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS-SIMPLE | $428.50 | $857.00 | $161.97–$857.00 | 29% below | 50% |
| Incision and drainage of a simple or single skin abscess CPT 10060 INCISION AND DRAINAGE OF ABSCESS SIMPLE OR SINGLE | $428.50 | $857.00 | $161.97–$857.00 | 29% below | 50% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS-SIMPLE | $428.50 | $857.00 | $385.65–$685.60 | — | 50% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 INCISION AND DRAINAGE OF ABSCESS SINGLE OR SIMPLE | $428.50 | $857.00 | $385.65–$685.60 | — | 50% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 INCISION AND DRAINAGE ABSCESS SINGLE OR SIMPLE | $428.50 | $857.00 | $385.65–$685.60 | — | 50% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 INCISION AND DRAINAGE OF ABSCESS SIMPLE OR SINGLE | $428.50 | $857.00 | $385.65–$685.60 | — | 50% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 MMH ASSESSMENT INCISION AND DRAINAGE OF ABSCESS SINGLE OR SIMPLE | $428.50 | $857.00 | $385.65–$685.60 | — | 50% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 PACU OVERFLOW INCISION AND DRAINAGE OF ABSCESS SINGLE OR SIMPLE | $428.50 | $857.00 | $385.65–$685.60 | — | 50% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECTION S SINGLE TENDON OR LIGAMENT | $142.00 | $284.00 | $53.68–$284.00 | 75% below | 50% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJECTION S SINGLE TENDON OR LIGAMENT | $142.00 | $284.00 | $127.80–$227.20 | — | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS ASPIRATION AND OR INJECTION MAJOR JOINT OR BURSA EG SHOULDER HIP KNEE SUBACROMIAL BURSA WITHOUT US GUIDANCE | $736.50 | $1,473.00 | $278.40–$1,473.00 | 10% above | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 ARTHROCENTESIS ASPIR AND OR INJ MAJOR JT BURSA WO US RT | $736.50 | $1,473.00 | $278.40–$1,473.00 | 10% above | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 ARTHROCENTESIS ASPIR AND OR INJ MAJOR JT BURSA WO US LT | $736.50 | $1,473.00 | $278.40–$1,473.00 | 10% above | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 ARTHROCENTESIS ASPIR AND OR INJ MAJOR JT BURSA WO US RT | $736.50 | $1,473.00 | $278.40–$1,473.00 | 10% above | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESIS ASPIRATION AND OR INJECTION MAJOR JOINT OR BURSA EG SHOULDER HIP KNEE SUBACROMIAL BURSA WITHOUT US GUIDANCE | $736.50 | $1,473.00 | $662.85–$1,178.40 | — | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 ARTHROCENTESIS ASPIR AND OR INJ MAJOR JT BURSA WO US RT | $736.50 | $1,473.00 | $662.85–$1,178.40 | — | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 ARTHROCENTESIS ASPIR AND OR INJ MAJOR JT BURSA WO US RT | $736.50 | $1,473.00 | $662.85–$1,178.40 | — | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 ARTHROCENTESIS ASPIR AND OR INJ MAJOR JT BURSA WO US LT | $736.50 | $1,473.00 | $662.85–$1,178.40 | — | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS ASPIRATION AND OR INJ INTERMEDIATE JOINT EG TEMPROMANDIBULAR WRIST ELBOW ANKLE | $720.00 | $1,440.00 | $272.16–$1,440.00 | 26% above | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 ARTHRO ASP INJ INTERM JT RT | $720.00 | $1,440.00 | $272.16–$1,440.00 | 26% above | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 ARTHRO ASP INJ INTERM JT LT | $720.00 | $1,440.00 | $272.16–$1,440.00 | 26% above | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 ARTHROCENTESIS ASP/INJ INTERMEDIATE JOINT/BURSA RT | $720.00 | $1,440.00 | $272.16–$1,440.00 | 26% above | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 FLUID REMOVAL INTERMEDIATE JOI LEFT | $720.00 | $1,440.00 | $272.16–$1,440.00 | 26% above | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCENTESIS ASPIRATION AND OR INJ INTERMEDIATE JOINT EG TEMPROMANDIBULAR WRIST ELBOW ANKLE | $720.00 | $1,440.00 | $648.00–$1,152.00 | — | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 ARTHRO ASP INJ INTERM JT RT | $720.00 | $1,440.00 | $648.00–$1,152.00 | — | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 FLUID REMOVAL INTERMEDIATE JOI LEFT | $720.00 | $1,440.00 | $648.00–$1,152.00 | — | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 ARTHROCENTESIS ASP/INJ INTERMEDIATE JOINT/BURSA RT | $720.00 | $1,440.00 | $648.00–$1,152.00 | — | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 ARTHRO ASP INJ INTERM JT LT | $720.00 | $1,440.00 | $648.00–$1,152.00 | — | 50% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS ASPIR AND OR INJ SMALL JT BURSA WO US | $576.00 | $1,152.00 | $217.73–$1,152.00 | 5% above | 50% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCENTESIS ASPIR AND OR INJ SMALL JT BURSA WO US | $576.00 | $1,152.00 | $518.40–$921.60 | — | 50% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 REPAIR INTERMEDIATE WOUNDS OF SCALP AXILLAE TRUNK AND OR EXTREMITIES EXCLUDING HANDS AND FEET 2.5 CM OR LESS | $208.50 | $417.00 | $78.81–$417.00 | 78% below | 50% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAYER CLOSURE OF WOUNDS SCALP AXILLAE TRUNK OR EXTREMITIES EXCLUDING HANDS AND FEET 2.5 CM OR LESS | $208.50 | $417.00 | $78.81–$417.00 | 78% below | 50% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LAYER CLOSURE OF WOUNDS SCALP AXILLAE TRUNK OR EXTREMITIES EXCLUDING HANDS AND FEET 2.5 CM OR LESS | $208.50 | $417.00 | $187.65–$333.60 | — | 50% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 REPAIR INTERMEDIATE WOUNDS OF SCALP AXILLAE TRUNK AND OR EXTREMITIES EXCLUDING HANDS AND FEET 2.5 CM OR LESS | $208.50 | $417.00 | $187.65–$333.60 | — | 50% |
| Lower-back epidural injection, without imaging guidance CPT 62322 INJ DX/THER INTERLAMINAR EPIDURAL SUBARACHNOID LUMBAR SACRAL W/O IMG GUIDANCE | $980.50 | $1,961.00 | $370.63–$1,961.00 | 55% below | 50% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 INJ DX/THER INTERLAMINAR EPIDURAL SUBARACHNOID LUMBAR SACRAL W/O IMG GUIDANCE | $980.50 | $1,961.00 | $882.45–$1,568.80 | — | 50% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJECTION ANESTHETIC/STEROID; LUMBAR SINGLE LEVEL | $891.50 | $1,783.00 | $336.99–$1,783.00 | 59% below | 50% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 INJECTION ANESTHETIC/STEROID; LUMBAR SINGLE LEVEL | $891.50 | $1,783.00 | $802.35–$1,426.40 | — | 50% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXCISION OTHER BENIGN LESION INCLUDING MARGINS EXCEPT SKIN TAG UNLESS LISTED ELSEWHERE FACE EARS EYELIDS NOSE LIPS MUCOUS MEMB EXCISED DIAMETER 05 CM OR LESS | $762.00 | $1,524.00 | $288.04–$1,524.00 | 34% below | 50% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXCISION OTHER BENIGN LESION INCLUDING MARGINS EXCEPT SKIN TAG UNLESS LISTED ELSEWHERE FACE EARS EYELIDS NOSE LIPS MUCOUS MEMB EXCISED DIAMETER 05 CM OR LESS | $762.00 | $1,524.00 | $685.80–$1,219.20 | — | 50% |
| Occipital nerve block (injection for headaches) both sides CPT 64405 INJECTIONS ANESTHETIC AGENTS ANDOR STEROID GREATER OCCIPITAL NERVE BILATERAL | $1,315.00 | $2,630.00 | $497.07–$2,630.00 | — | 50% |
| Occipital nerve block (injection for headaches) CPT 64405 INJECTIONS ANESTHETIC AGENTS ANDOR STEROID GREATER OCCIPITAL NERVE | $657.50 | $1,315.00 | $248.54–$1,315.00 | 27% below | 50% |
| Occipital nerve block (injection for headaches) one side CPT 64405 INJECTIONS ANESTHETIC AGENTS ANDOR STEROID GREATER OCCIPITAL NERVE RT | $657.50 | $1,315.00 | $248.54–$1,315.00 | 27% below | 50% |
| Occipital nerve block (injection for headaches) one side CPT 64405 INJECTIONS ANESTHETIC AGENTS ANDOR STEROID GREATER OCCIPITAL NERVE LT | $657.50 | $1,315.00 | $248.54–$1,315.00 | 27% below | 50% |
| Occipital nerve block (injection for headaches) inpatient both sides CPT 64405 INJECTIONS ANESTHETIC AGENTS ANDOR STEROID GREATER OCCIPITAL NERVE BILATERAL | $1,315.00 | $2,630.00 | $1,183.50–$2,104.00 | — | 50% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 INJECTIONS ANESTHETIC AGENTS ANDOR STEROID GREATER OCCIPITAL NERVE | $657.50 | $1,315.00 | $591.75–$1,052.00 | — | 50% |
| Occipital nerve block (injection for headaches) inpatient one side CPT 64405 INJECTIONS ANESTHETIC AGENTS ANDOR STEROID GREATER OCCIPITAL NERVE RT | $657.50 | $1,315.00 | $591.75–$1,052.00 | — | 50% |
| Occipital nerve block (injection for headaches) inpatient one side CPT 64405 INJECTIONS ANESTHETIC AGENTS ANDOR STEROID GREATER OCCIPITAL NERVE LT | $657.50 | $1,315.00 | $591.75–$1,052.00 | — | 50% |
| Paracentesis with imaging guidance CPT 49083 PARACENTESIS W/IMAGE GUIDE | $1,259.50 | $2,519.00 | $476.09–$2,519.00 | 19% below | 50% |
| Paracentesis with imaging guidance CPT 49083 PARACENTES W/IMAGE GUIDANCE | $1,259.50 | $2,519.00 | $476.09–$2,519.00 | 19% below | 50% |
| Paracentesis with imaging guidance CPT 49083 ABDOMINAL PARACENTESIS DIAGNOSTIC OR THERAPEUTIC WITH IMAGING GUIDANCE | $1,259.50 | $2,519.00 | $476.09–$2,519.00 | 19% below | 50% |
| Paracentesis with imaging guidance CPT 49083 PARACENTESIS W/IMAGE GUIDANCE | $1,259.50 | $2,519.00 | $476.09–$2,519.00 | 19% below | 50% |
| Paracentesis with imaging guidance inpatient CPT 49083 PARACENTES W/IMAGE GUIDANCE | $1,259.50 | $2,519.00 | $1,133.55–$2,015.20 | — | 50% |
| Paracentesis with imaging guidance inpatient CPT 49083 PARACENTESIS W/IMAGE GUIDANCE | $1,259.50 | $2,519.00 | $1,133.55–$2,015.20 | — | 50% |
| Paracentesis with imaging guidance inpatient CPT 49083 PARACENTESIS W/IMAGE GUIDE | $1,259.50 | $2,519.00 | $1,133.55–$2,015.20 | — | 50% |
| Paracentesis with imaging guidance inpatient CPT 49083 ABDOMINAL PARACENTESIS DIAGNOSTIC OR THERAPEUTIC WITH IMAGING GUIDANCE | $1,259.50 | $2,519.00 | $1,133.55–$2,015.20 | — | 50% |
| Prostate biopsy CPT 55700 BIOPSY PROSTATE NEEDLE /PUNCH SINGLE OR MULTIPLE ANY APPROACH M | $1,718.50 | $3,437.00 | $649.59–$3,437.00 | 68% below | 50% |
| Prostate biopsy inpatient CPT 55700 BIOPSY PROSTATE NEEDLE /PUNCH SINGLE OR MULTIPLE ANY APPROACH M | $1,718.50 | $3,437.00 | $1,546.65–$2,749.60 | — | 50% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 IR RFA LUMBAR/SACRAL W/IMAGE GUIDANCE | $1,565.00 | $3,130.00 | $591.57–$3,130.00 | 54% below | 50% |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 IR RFA LUMBAR/SACRAL W/IMAGE GUIDANCE | $1,565.00 | $3,130.00 | $1,408.50–$2,504.00 | — | 50% |
| Removal of a breast lump, open surgery CPT 19120 REMOVAL OF BREAST ONE OR MORE LESION | $4,668.00 | $9,336.00 | $1,764.50–$9,336.00 | 16% above | 50% |
| Removal of a breast lump, open surgery CPT 19120 EXCISION OF CYST FIBROADENOMA OR OTHER BENIGN OR MALIGNANT TUMOR ABERRANT BREAST TISSUE DUCT LESION NIPPLE OR AREOLAR LESION OPEN MALE OR FEMALE 1 OR MORE LESIONS | $4,668.00 | $9,336.00 | $1,764.50–$9,336.00 | 16% above | 50% |
| Removal of a breast lump, open surgery inpatient CPT 19120 REMOVAL OF BREAST ONE OR MORE LESION | $4,668.00 | $9,336.00 | $4,201.20–$7,468.80 | — | 50% |
| Removal of a breast lump, open surgery inpatient CPT 19120 EXCISION OF CYST FIBROADENOMA OR OTHER BENIGN OR MALIGNANT TUMOR ABERRANT BREAST TISSUE DUCT LESION NIPPLE OR AREOLAR LESION OPEN MALE OR FEMALE 1 OR MORE LESIONS | $4,668.00 | $9,336.00 | $4,201.20–$7,468.80 | — | 50% |
| Removal of a foreign object under the skin, simple CPT 10120 I AND REMOVAL FOREIGN BODY SUBQ SIMPLE | $555.00 | $1,110.00 | $209.79–$1,110.00 | 44% below | 50% |
| Removal of a foreign object under the skin, simple CPT 10120 MMH ASSESSMENT INCISION AND REMOVAL OF FOREIGN BODY SUBCUTANEOUS TISSUES SIMPLE | $555.00 | $1,110.00 | $209.79–$1,110.00 | 44% below | 50% |
| Removal of a foreign object under the skin, simple CPT 10120 INCISION&REMOVE FB SUBQUE | $555.00 | $1,110.00 | $209.79–$1,110.00 | 44% below | 50% |
| Removal of a foreign object under the skin, simple CPT 10120 INCISION AND REMOVAL OF FOREIGN BODY SUBCUTANEOUS TISSUES SIMPLE | $555.00 | $1,110.00 | $209.79–$1,110.00 | 44% below | 50% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 INCISION AND REMOVAL OF FOREIGN BODY SUBCUTANEOUS TISSUES SIMPLE | $555.00 | $1,110.00 | $499.50–$888.00 | — | 50% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 I AND REMOVAL FOREIGN BODY SUBQ SIMPLE | $555.00 | $1,110.00 | $499.50–$888.00 | — | 50% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 MMH ASSESSMENT INCISION AND REMOVAL OF FOREIGN BODY SUBCUTANEOUS TISSUES SIMPLE | $555.00 | $1,110.00 | $499.50–$888.00 | — | 50% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 INCISION&REMOVE FB SUBQUE | $555.00 | $1,110.00 | $499.50–$888.00 | — | 50% |
| Short arm cast (elbow to hand) one side CPT 29075 APPLICATION CAST - ELBOW TO FI LEFT | $205.50 | $411.00 | $77.68–$411.00 | 67% below | 50% |
| Short arm cast (elbow to hand) one side CPT 29075 APPLICATION CAST; ELBOW TO FINGER (SHORT ARM) RIGHT | $205.50 | $411.00 | $77.68–$411.00 | 67% below | 50% |
| Short arm cast (elbow to hand) inpatient one side CPT 29075 APPLICATION CAST - ELBOW TO FI LEFT | $205.50 | $411.00 | $184.95–$328.80 | — | 50% |
| Short arm cast (elbow to hand) inpatient one side CPT 29075 APPLICATION CAST; ELBOW TO FINGER (SHORT ARM) RIGHT | $205.50 | $411.00 | $184.95–$328.80 | — | 50% |
| Short arm splint (forearm and hand) one side CPT 29125 APPL OF SHORT ARM SPLINT FOREARM TO HAND STATIC RIGHT | $308.00 | $616.00 | $116.42–$616.00 | 20% below | 50% |
| Short arm splint (forearm and hand) one side CPT 29125 APPL OF SHORT ARM SPLINT FOREARM TO HAND STATIC LEFT | $308.00 | $616.00 | $116.42–$616.00 | 20% below | 50% |
| Short arm splint (forearm and hand) inpatient one side CPT 29125 APPL OF SHORT ARM SPLINT FOREARM TO HAND STATIC RIGHT | $308.00 | $616.00 | $277.20–$492.80 | — | 50% |
| Short arm splint (forearm and hand) inpatient one side CPT 29125 APPL OF SHORT ARM SPLINT FOREARM TO HAND STATIC LEFT | $308.00 | $616.00 | $277.20–$492.80 | — | 50% |
| Short leg cast (below the knee) one side CPT 29405 APPLICATION SHORT LEG CAST BELOW KNEE TO TOE LEFT | $276.00 | $552.00 | $104.33–$552.00 | 53% below | 50% |
| Short leg cast (below the knee) one side CPT 29405 APPLICATION SHORT LEG CAST BELOW KNEE TO TOE RT | $276.00 | $552.00 | $104.33–$552.00 | 53% below | 50% |
| Short leg cast (below the knee) inpatient one side CPT 29405 APPLICATION SHORT LEG CAST BELOW KNEE TO TOE RT | $276.00 | $552.00 | $248.40–$441.60 | — | 50% |
| Short leg cast (below the knee) inpatient one side CPT 29405 APPLICATION SHORT LEG CAST BELOW KNEE TO TOE LEFT | $276.00 | $552.00 | $248.40–$441.60 | — | 50% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SREP SCLP NK AX GEN TRK EXT 2.5CM OR LESS | $115.00 | $230.00 | $43.47–$230.00 | 77% below | 50% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP NECK AXILLAE EXTERNAL GENITALIA TRUNK AND OR EXTREMITIES INCLUDING HANDS AND FEET 2 5 CM OR LESS | $115.00 | $230.00 | $43.47–$230.00 | 77% below | 50% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 MMH ASSESSMENT SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP NECK AXILLAE EXTERNAL GENITALIA TRUNK AND OR EXTREMITIES INCLUDING HANDS AND FEET 2.5 CM OR LESS | $115.00 | $230.00 | $43.47–$230.00 | 77% below | 50% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP NECK AXILLAE EXTERNAL GENITALIA TRUNK AND OR EXTREMITIES INCLUDING HANDS AND FEET 2 5 CM OR LESS | $115.00 | $230.00 | $103.50–$184.00 | — | 50% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SREP SCLP NK AX GEN TRK EXT 2.5CM OR LESS | $115.00 | $230.00 | $103.50–$184.00 | — | 50% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 MMH ASSESSMENT SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP NECK AXILLAE EXTERNAL GENITALIA TRUNK AND OR EXTREMITIES INCLUDING HANDS AND FEET 2.5 CM OR LESS | $115.00 | $230.00 | $103.50–$184.00 | — | 50% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY OF SKIN INCLUDING SIMPLE CLOSURE WHEN PERFORMED SINGLE LESION | $392.50 | $785.00 | $148.36–$785.00 | 52% below | 50% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY OF SKIN INCLUDING SIMPLE CLOSURE SINGLE LESION | $392.50 | $785.00 | $148.36–$785.00 | 52% below | 50% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY OF SKIN SINGLE LESION | $392.50 | $785.00 | $148.36–$785.00 | 52% below | 50% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BIOPSY OF SKIN INCLUDING SIMPLE CLOSURE SINGLE LESION | $392.50 | $785.00 | $353.25–$628.00 | — | 50% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BIOPSY OF SKIN SINGLE LESION | $392.50 | $785.00 | $353.25–$628.00 | — | 50% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BIOPSY OF SKIN INCLUDING SIMPLE CLOSURE WHEN PERFORMED SINGLE LESION | $392.50 | $785.00 | $353.25–$628.00 | — | 50% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXCISION MALIGNANT LESION INCLUDING MARGINS TRUNK ARMS OR LEGS EXCISED DIAMETER 05 CM OR LESS | $991.00 | $1,982.00 | $374.60–$1,982.00 | 39% below | 50% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 EXCISION MALIGNANT LESION INCLUDING MARGINS TRUNK ARMS OR LEGS EXCISED DIAMETER 05 CM OR LESS | $991.00 | $1,982.00 | $891.90–$1,585.60 | — | 50% |
| Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAGS MULTIPLE FIBROCUTANEOUS TAGS ANY AREA UP TO AND INCLUDING 15 LESIONS | $190.00 | $380.00 | $71.82–$380.00 | 54% below | 50% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVAL OF SKIN TAGS MULTIPLE FIBROCUTANEOUS TAGS ANY AREA UP TO AND INCLUDING 15 LESIONS | $190.00 | $380.00 | $171.00–$304.00 | — | 50% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC | $1,207.50 | $2,415.00 | $456.44–$2,415.00 | 3% below | 50% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE DX | $1,207.50 | $2,415.00 | $456.44–$2,415.00 | 3% below | 50% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE DX | $1,207.50 | $2,415.00 | $1,086.75–$1,932.00 | — | 50% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC | $1,207.50 | $2,415.00 | $1,086.75–$1,932.00 | — | 50% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP NECK AXILLAE EXTERNAL GENITALIA TRUNK AND OR EXTREMITIES INCLUDING HANDS AND FEET 2 6 CM TO 7 5 CM | $649.50 | $1,299.00 | $245.51–$1,299.00 | 13% above | 50% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 MMH ASSESSMENT SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP NECK AXILLAE EXTERNAL GENITALIA TRUNK AND OR EXTREMITIES INCLUDING HANDS AND FEET 2.6CM TO 7.5CM | $649.50 | $1,299.00 | $245.51–$1,299.00 | 13% above | 50% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SREP SCLP NK AX GEN TRK EXT 2.6 TO 7.5CM | $649.50 | $1,299.00 | $245.51–$1,299.00 | 13% above | 50% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SREP SCLP NK AX GEN TRK EXT 2.6 TO 7.5CM | $649.50 | $1,299.00 | $245.51–$1,299.00 | 13% above | 50% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP NECK AXILLAE EXTERNAL GENITALIA TRUNK AND OR EXTREMITIES INCLUDING HANDS AND FEET 2.6 CM TO 7.5 CM | $649.50 | $1,299.00 | $245.51–$1,299.00 | 13% above | 50% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP NECK AXILLAE EXTERNAL GENITALIA TRUNK AND OR EXTREMITIES INCLUDING HANDS AND FEET 2.6 CM TO 7.5 CM | $649.50 | $1,299.00 | $584.55–$1,039.20 | — | 50% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SREP SCLP NK AX GEN TRK EXT 2.6 TO 7.5CM | $649.50 | $1,299.00 | $584.55–$1,039.20 | — | 50% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP NECK AXILLAE EXTERNAL GENITALIA TRUNK AND OR EXTREMITIES INCLUDING HANDS AND FEET 2 6 CM TO 7 5 CM | $649.50 | $1,299.00 | $584.55–$1,039.20 | — | 50% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 MMH ASSESSMENT SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP NECK AXILLAE EXTERNAL GENITALIA TRUNK AND OR EXTREMITIES INCLUDING HANDS AND FEET 2.6CM TO 7.5CM | $649.50 | $1,299.00 | $584.55–$1,039.20 | — | 50% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SREP SCLP NK AX GEN TRK EXT 2.6 TO 7.5CM | $649.50 | $1,299.00 | $584.55–$1,039.20 | — | 50% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF FACE EARS EYELIDS NOSE LIPS AND OR MUCOUS MEMBRANES 2.5 CM OR LESS | $486.50 | $973.00 | $183.90–$973.00 | at median | 50% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF FACE EARS EYELIDS NOSE LIPS AND OR MUCOUS MEMBRANES 2.5 CM OR LESS | $486.50 | $973.00 | $437.85–$778.40 | — | 50% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGENTIAL BIOPSY OF SKIN SINGLE LESION | $314.00 | $628.00 | $118.69–$628.00 | 49% below | 50% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGENTIAL BIOPSY OF SKIN EG SHAVE SCOOP SAUCERIZE CURETTE SINGLE LESION | $314.00 | $628.00 | $118.69–$628.00 | 49% below | 50% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGENTIAL BIOPSY OF SKIN EG SHAVE SCOOP SAUCERIZE CURETTE SINGLE LESION DEP | $314.00 | $628.00 | $118.69–$628.00 | 49% below | 50% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TANGENTIAL BIOPSY OF SKIN EG SHAVE SCOOP SAUCERIZE CURETTE SINGLE LESION DEP | $314.00 | $628.00 | $282.60–$502.40 | — | 50% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TANGENTIAL BIOPSY OF SKIN EG SHAVE SCOOP SAUCERIZE CURETTE SINGLE LESION | $314.00 | $628.00 | $282.60–$502.40 | — | 50% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TANGENTIAL BIOPSY OF SKIN SINGLE LESION | $314.00 | $628.00 | $282.60–$502.40 | — | 50% |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS NEEDLE OR CATHETER ASPIRATION OF THE PLEURAL SPACE WITH IMAGING GUIDANCE | $1,249.00 | $2,498.00 | $472.12–$2,498.00 | 33% below | 50% |
| Thoracentesis with imaging guidance one side CPT 32555 THORACENTESIS NEEDLE OR CATHETER ASPIRATION OF THE PLEURAL SPACE WITH IMAGING GUIDANCE RT | $1,249.00 | $2,498.00 | $472.12–$2,498.00 | 33% below | 50% |
| Thoracentesis with imaging guidance one side CPT 32555 THORACENTESIS NEEDLE OR CATHETER ASPIRATION OF THE PLEURAL SPACE WITH IMAGING GUIDANCE LT | $1,249.00 | $2,498.00 | $472.12–$2,498.00 | 33% below | 50% |
| Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS NEEDLE OR CATHETER ASPIRATION OF THE PLEURAL SPACE WITH IMAGING GUIDANCE | $1,249.00 | $2,498.00 | $1,124.10–$1,998.40 | — | 50% |
| Thoracentesis with imaging guidance inpatient one side CPT 32555 THORACENTESIS NEEDLE OR CATHETER ASPIRATION OF THE PLEURAL SPACE WITH IMAGING GUIDANCE RT | $1,249.00 | $2,498.00 | $1,124.10–$1,998.40 | — | 50% |
| Thoracentesis with imaging guidance inpatient one side CPT 32555 THORACENTESIS NEEDLE OR CATHETER ASPIRATION OF THE PLEURAL SPACE WITH IMAGING GUIDANCE LT | $1,249.00 | $2,498.00 | $1,124.10–$1,998.40 | — | 50% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES | $204.50 | $409.00 | $77.30–$409.00 | 67% below | 50% |
| Trigger point injections, 1 or 2 muscles CPT 20552 TPI-INJ TRIGGER PT-1-2 MUSCLES | $204.50 | $409.00 | $77.30–$409.00 | 67% below | 50% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES | $204.50 | $409.00 | $184.05–$327.20 | — | 50% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 TPI-INJ TRIGGER PT-1-2 MUSCLES | $204.50 | $409.00 | $184.05–$327.20 | — | 50% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 BX BREAST 1ST LESION INCLD US LT | $2,377.50 | $4,755.00 | $898.70–$4,755.00 | 32% below | 50% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 BX BREAST 1ST LESION INCLD US RT | $2,377.50 | $4,755.00 | $898.70–$4,755.00 | 32% below | 50% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 BX BREAST 1ST LESION INCLD US LT | $2,377.50 | $4,755.00 | $2,139.75–$3,804.00 | — | 50% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 BX BREAST 1ST LESION INCLD US RT | $2,377.50 | $4,755.00 | $2,139.75–$3,804.00 | — | 50% |
| Wart removal, up to 14 warts CPT 17110 DESTRUCT FLAT WARTS MOLLUSCUM CONTAGIOSUM OR MILIA UP TO 14 LESIONS | $355.50 | $711.00 | $134.38–$711.00 | 18% above | 50% |
| Wart removal, up to 14 warts CPT 17110 DESTRUCTION OF BENIGN LESIONS OTHER THAN SKIN TAGS OR CUTANEOUS VASCULAR PROLIFERATIVE LESIONS UP TO 14 LESIONS | $355.50 | $711.00 | $134.38–$711.00 | 18% above | 50% |
| Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCTION OF BENIGN LESIONS OTHER THAN SKIN TAGS OR CUTANEOUS VASCULAR PROLIFERATIVE LESIONS UP TO 14 LESIONS | $355.50 | $711.00 | $319.95–$568.80 | — | 50% |
| Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCT FLAT WARTS MOLLUSCUM CONTAGIOSUM OR MILIA UP TO 14 LESIONS | $355.50 | $711.00 | $319.95–$568.80 | — | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT SUBCUTANEOUS TISSUE INCLUDES EPIDERMIS AND DERMIS FIRST 20 SQ CM OR LESS | $2,554.00 | $5,108.00 | $965.41–$5,108.00 | 129% above | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT SUBCUTANEOUS TISSUE INCLUDES EPIDERMIS AND DERMIS IF PERFORMED FIRST 20 SQ CM OR LESS | $2,554.00 | $5,108.00 | $965.41–$5,108.00 | 129% above | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM OR LESS | $2,554.00 | $5,108.00 | $965.41–$5,108.00 | 129% above | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM OR LESS | $2,554.00 | $5,108.00 | $2,298.60–$4,086.40 | — | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDEMENT SUBCUTANEOUS TISSUE INCLUDES EPIDERMIS AND DERMIS FIRST 20 SQ CM OR LESS | $2,554.00 | $5,108.00 | $2,298.60–$4,086.40 | — | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDEMENT SUBCUTANEOUS TISSUE INCLUDES EPIDERMIS AND DERMIS IF PERFORMED FIRST 20 SQ CM OR LESS | $2,554.00 | $5,108.00 | $2,298.60–$4,086.40 | — | 50% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD 1 TO 4 HRS | $816.00 | $1,632.00 | $308.45–$1,632.00 | 26% below | 50% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD 4 TO 8 HRS | $816.00 | $1,632.00 | $308.45–$1,632.00 | 26% below | 50% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD 0 TO 1 HR | $816.00 | $1,632.00 | $308.45–$1,632.00 | 26% below | 50% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD OR BLOOD COMPONENTS | $816.00 | $1,632.00 | $308.45–$1,632.00 | 26% below | 50% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD OR BLOOD COMPONENTS 4 TO 8 HOURS | $816.00 | $1,632.00 | $308.45–$1,632.00 | 26% below | 50% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD OR BLOOD COMPONENTS 1 TO 4 HOURS | $816.00 | $1,632.00 | $308.45–$1,632.00 | 26% below | 50% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD OR BLOOD COMPONENTS 0 TO 1 HOUR | $816.00 | $1,632.00 | $308.45–$1,632.00 | 26% below | 50% |
| Blood transfusion (giving blood or blood components) CPT 36430 MMH ASSESSMENT TRANSFUSION BLOOD 1 TO 4 HRS | $816.00 | $1,632.00 | $308.45–$1,632.00 | 26% below | 50% |
| Blood transfusion (giving blood or blood components) CPT 36430 MMH ASSESSMENT TRANSFUSION BLOOD 4 TO 8 HRS | $816.00 | $1,632.00 | $308.45–$1,632.00 | 26% below | 50% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD OR BLOOD COMPONENTS 4 TO 8 HRS | $816.00 | $1,632.00 | $308.45–$1,632.00 | 26% below | 50% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD 0-1 HR | $816.00 | $1,632.00 | $308.45–$1,632.00 | 26% below | 50% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD | $816.00 | $1,632.00 | $308.45–$1,632.00 | 26% below | 50% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD OR BLOOD COMPONENTS 0 TO 1 HR | $816.00 | $1,632.00 | $308.45–$1,632.00 | 26% below | 50% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD OR BLOOD COMPONENTS 1 TO 4 HRS | $816.00 | $1,632.00 | $308.45–$1,632.00 | 26% below | 50% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD 4-8 HRS | $816.00 | $1,632.00 | $308.45–$1,632.00 | 26% below | 50% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD 8-12 HRS | $816.00 | $1,632.00 | $308.45–$1,632.00 | 26% below | 50% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSF BLD/PROD 1-4 HR | $816.00 | $1,632.00 | $308.45–$1,632.00 | 26% below | 50% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSF BLD/PROD 0-1 HR | $816.00 | $1,632.00 | $308.45–$1,632.00 | 26% below | 50% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSF BLD/PROD 4-8 HR | $816.00 | $1,632.00 | $308.45–$1,632.00 | 26% below | 50% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSF BLDPROD 01 HRS | $816.00 | $1,632.00 | $308.45–$1,632.00 | 26% below | 50% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSF BLDPROD 14 HR | $816.00 | $1,632.00 | $308.45–$1,632.00 | 26% below | 50% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSF BLDPROD 4-8 HRS | $816.00 | $1,632.00 | $308.45–$1,632.00 | 26% below | 50% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD OR BLOOD COMPONENTS 1 TO 4 HR | $816.00 | $1,632.00 | $308.45–$1,632.00 | 26% below | 50% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD OR BLOOD COMPONENTS 4 TO 8 HR | $816.00 | $1,632.00 | $308.45–$1,632.00 | 26% below | 50% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD 1-4 HRS | $816.00 | $1,632.00 | $308.45–$1,632.00 | 26% below | 50% |
| Blood transfusion (giving blood or blood components) CPT 36430 MMH ASSESSMENT TRANSFUSION BLOOD 0 TO 1 HR | $816.00 | $1,632.00 | $308.45–$1,632.00 | 26% below | 50% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD OR BLOOD COMPONENTS 0 TO1 HOUR | $816.00 | $1,632.00 | $308.45–$1,632.00 | 26% below | 50% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSF BLD/PROD 0-1 HR | $816.00 | $1,632.00 | $734.40–$1,305.60 | — | 50% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD 8-12 HRS | $816.00 | $1,632.00 | $734.40–$1,305.60 | — | 50% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD 0 TO 1 HR | $816.00 | $1,632.00 | $734.40–$1,305.60 | — | 50% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD OR BLOOD COMPONENTS | $816.00 | $1,632.00 | $734.40–$1,305.60 | — | 50% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD OR BLOOD COMPONENTS 4 TO 8 HOURS | $816.00 | $1,632.00 | $734.40–$1,305.60 | — | 50% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 MMH ASSESSMENT TRANSFUSION BLOOD 0 TO 1 HR | $816.00 | $1,632.00 | $734.40–$1,305.60 | — | 50% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 MMH ASSESSMENT TRANSFUSION BLOOD 1 TO 4 HRS | $816.00 | $1,632.00 | $734.40–$1,305.60 | — | 50% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD 1 TO 4 HRS | $816.00 | $1,632.00 | $734.40–$1,305.60 | — | 50% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD 4 TO 8 HRS | $816.00 | $1,632.00 | $734.40–$1,305.60 | — | 50% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSF BLDPROD 14 HR | $816.00 | $1,632.00 | $734.40–$1,305.60 | — | 50% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSF BLDPROD 01 HRS | $816.00 | $1,632.00 | $734.40–$1,305.60 | — | 50% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSF BLD/PROD 4-8 HR | $816.00 | $1,632.00 | $734.40–$1,305.60 | — | 50% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSF BLD/PROD 1-4 HR | $816.00 | $1,632.00 | $734.40–$1,305.60 | — | 50% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD OR BLOOD COMPONENTS 1 TO 4 HOURS | $816.00 | $1,632.00 | $734.40–$1,305.60 | — | 50% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD OR BLOOD COMPONENTS 0 TO 1 HOUR | $816.00 | $1,632.00 | $734.40–$1,305.60 | — | 50% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 MMH ASSESSMENT TRANSFUSION BLOOD 4 TO 8 HRS | $816.00 | $1,632.00 | $734.40–$1,305.60 | — | 50% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD OR BLOOD COMPONENTS 4 TO 8 HRS | $816.00 | $1,632.00 | $734.40–$1,305.60 | — | 50% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD 0-1 HR | $816.00 | $1,632.00 | $734.40–$1,305.60 | — | 50% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD | $816.00 | $1,632.00 | $734.40–$1,305.60 | — | 50% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD OR BLOOD COMPONENTS 0 TO 1 HR | $816.00 | $1,632.00 | $734.40–$1,305.60 | — | 50% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD OR BLOOD COMPONENTS 0 TO1 HOUR | $816.00 | $1,632.00 | $734.40–$1,305.60 | — | 50% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD OR BLOOD COMPONENTS 1 TO 4 HRS | $816.00 | $1,632.00 | $734.40–$1,305.60 | — | 50% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD 1-4 HRS | $816.00 | $1,632.00 | $734.40–$1,305.60 | — | 50% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD OR BLOOD COMPONENTS 4 TO 8 HR | $816.00 | $1,632.00 | $734.40–$1,305.60 | — | 50% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD OR BLOOD COMPONENTS 1 TO 4 HR | $816.00 | $1,632.00 | $734.40–$1,305.60 | — | 50% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSF BLDPROD 4-8 HRS | $816.00 | $1,632.00 | $734.40–$1,305.60 | — | 50% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD 4-8 HRS | $816.00 | $1,632.00 | $734.40–$1,305.60 | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREATMENT | $98.50 | $197.00 | $37.23–$197.00 | 62% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 PRESSURIZED OR NONPRESSURIZED INHALATION TREATMENT | $98.50 | $197.00 | $37.23–$197.00 | 62% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 PRESSURIZED OR NONPRESSURIZED INHALATION TREATMENT FOR ACUTE AIRWAY OBSTRUCTION OR FOR SPUTUM INDUCTION FOR DIAGNOSTIC PURPOSES MDI | $98.50 | $197.00 | $37.23–$197.00 | 62% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MMH ASSESSMENT PRESSURIZED OR NONPRESSURIZED INHALATION TREATMENT | $98.50 | $197.00 | $37.23–$197.00 | 62% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 PACU OVERFLOW PRESSURIZED OR NONPRESSURIZED INHALATION TREATMENT | $98.50 | $197.00 | $37.23–$197.00 | 62% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 PRESSURIZED OR NONPRESSURIZED INHALATION TREATMENT FOR ACUTE AIRWAY OBSTRUCTION OR FOR SPUTUM INDUCTION FOR DIAGNOSTIC PURPOSES EZ PAP | $98.50 | $197.00 | $37.23–$197.00 | 62% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MMH ASSESSMENT PRESSURIZED OR NONPRESSURIZED INHALATION TREATMENT | $98.50 | $197.00 | $88.65–$157.60 | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 PACU OVERFLOW PRESSURIZED OR NONPRESSURIZED INHALATION TREATMENT | $98.50 | $197.00 | $88.65–$157.60 | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 PRESSURIZED OR NONPRESSURIZED INHALATION TREATMENT | $98.50 | $197.00 | $88.65–$157.60 | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TREATMENT | $98.50 | $197.00 | $88.65–$157.60 | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 PRESSURIZED OR NONPRESSURIZED INHALATION TREATMENT FOR ACUTE AIRWAY OBSTRUCTION OR FOR SPUTUM INDUCTION FOR DIAGNOSTIC PURPOSES EZ PAP | $98.50 | $197.00 | $88.65–$157.60 | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 PRESSURIZED OR NONPRESSURIZED INHALATION TREATMENT FOR ACUTE AIRWAY OBSTRUCTION OR FOR SPUTUM INDUCTION FOR DIAGNOSTIC PURPOSES MDI | $98.50 | $197.00 | $88.65–$157.60 | — | 50% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO ADMIN INTRVENOUS INFUSION TECHNIQUE UP TO 1 HOUR SINGLE OR INTIAL SUBSTANCE DRUG | $935.50 | $1,871.00 | $353.62–$1,871.00 | 4% below | 50% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUSION <= 1 HR INITIAL SUBSTANCE DRUG | $935.50 | $1,871.00 | $353.62–$1,871.00 | 4% below | 50% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUSION LESSEQUAL 1 HR INITIAL SUBSTANCE DRUG | $935.50 | $1,871.00 | $353.62–$1,871.00 | 4% below | 50% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMOTHERAPY ADMINISTRATION INTRAVENOUS INFUSION TECHNIQUE UP TO 1 HOUR SINGLE OR INITIAL SUBSTANCE DRUG | $935.50 | $1,871.00 | $353.62–$1,871.00 | 4% below | 50% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO IV INFUSION LESSEQUAL 1 HR INITIAL SUBSTANCE DRUG | $935.50 | $1,871.00 | $841.95–$1,496.80 | — | 50% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO ADMIN INTRVENOUS INFUSION TECHNIQUE UP TO 1 HOUR SINGLE OR INTIAL SUBSTANCE DRUG | $935.50 | $1,871.00 | $841.95–$1,496.80 | — | 50% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO IV INFUSION <= 1 HR INITIAL SUBSTANCE DRUG | $935.50 | $1,871.00 | $841.95–$1,496.80 | — | 50% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMOTHERAPY ADMINISTRATION INTRAVENOUS INFUSION TECHNIQUE UP TO 1 HOUR SINGLE OR INITIAL SUBSTANCE DRUG | $935.50 | $1,871.00 | $841.95–$1,496.80 | — | 50% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE AND DROWSY | $618.50 | $1,237.00 | $233.79–$1,237.00 | 59% below | 50% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE AND DROWSY | $618.50 | $1,237.00 | $556.65–$989.60 | — | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM ROUTINE ECG WITH AT LEAST 12 LEADS TRACING ONLY WITHOUT INTERPRETATION OR REPORT MIP | $382.00 | $764.00 | $144.40–$764.00 | 4% above | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM ROUTINE ECG WITH AT LEAST 12 LEADS TRACING ONLY WITHOUT INTERPRETATION OR REPORT MSS | $382.00 | $764.00 | $144.40–$764.00 | 4% above | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM ROUTINE ECG WITH AT LEAST 12 LEADS TRACING ONLY WITHOUT INTERPRETATION OR REPORT MWC | $382.00 | $764.00 | $144.40–$764.00 | 4% above | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM ROUTINE ECG WITH AT LEAST 12 LEADS TRACING ONLY WITHOUT INTERPRETATION AND REPORT MKC | $382.00 | $764.00 | $144.40–$764.00 | 4% above | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM ROUTINE ECG WITH AT LEAST 12 LEADS TRACING ONLY WITHOUT INTERPRETATION AND REPORT MMH | $382.00 | $764.00 | $144.40–$764.00 | 4% above | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM ROUTINE ECG WITH AT LEAST 12 LEADS TRACING ONLY WITHOUT INTERPRETATION OR REPORT MAS | $382.00 | $764.00 | $144.40–$764.00 | 4% above | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM ROUTINE ECG WITH AT LEAST 12 LEADS TRACING ONLY WITHOUT INTERPRETATION AND REPORT | $382.00 | $764.00 | $144.40–$764.00 | 4% above | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ELECTROCARDIOGRAM ROUTINE ECG WITH AT LEAST 12 LEADS TRACING ONLY WITHOUT INTERPRETATION OR REPORT MAS | $382.00 | $764.00 | $343.80–$611.20 | — | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ELECTROCARDIOGRAM ROUTINE ECG WITH AT LEAST 12 LEADS TRACING ONLY WITHOUT INTERPRETATION AND REPORT MMH | $382.00 | $764.00 | $343.80–$611.20 | — | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ELECTROCARDIOGRAM ROUTINE ECG WITH AT LEAST 12 LEADS TRACING ONLY WITHOUT INTERPRETATION OR REPORT MWC | $382.00 | $764.00 | $343.80–$611.20 | — | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ELECTROCARDIOGRAM ROUTINE ECG WITH AT LEAST 12 LEADS TRACING ONLY WITHOUT INTERPRETATION OR REPORT MSS | $382.00 | $764.00 | $343.80–$611.20 | — | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ELECTROCARDIOGRAM ROUTINE ECG WITH AT LEAST 12 LEADS TRACING ONLY WITHOUT INTERPRETATION OR REPORT MIP | $382.00 | $764.00 | $343.80–$611.20 | — | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ELECTROCARDIOGRAM ROUTINE ECG WITH AT LEAST 12 LEADS TRACING ONLY WITHOUT INTERPRETATION AND REPORT | $382.00 | $764.00 | $343.80–$611.20 | — | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ELECTROCARDIOGRAM ROUTINE ECG WITH AT LEAST 12 LEADS TRACING ONLY WITHOUT INTERPRETATION AND REPORT MKC | $382.00 | $764.00 | $343.80–$611.20 | — | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 PACU OVERFLOW INTRAVENOUS INFUSION HYDRATION INITIAL 31 MINUTES TO 1 HOUR | $466.50 | $933.00 | $176.34–$933.00 | 17% below | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 MMH ASSESSMENT INTRAVENOUS INFUSION HYDRATION INITIAL 31 MINUTES TO 1 HOUR | $466.50 | $933.00 | $176.34–$933.00 | 17% below | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INTRAVENOUS INFUSION HYDRATION INITIAL 31 MINUTES TO 1 HOUR | $466.50 | $933.00 | $176.34–$933.00 | 17% below | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSION HYDRATION INITIAL 31-60 MINS | $466.50 | $933.00 | $176.34–$933.00 | 17% below | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSION HYDRATION INITIAL 3160 MINS | $466.50 | $933.00 | $176.34–$933.00 | 17% below | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 MMH ASSESSMENT INTRAVENOUS INFUSION HYDRATION INITIAL 31 MINUTES TO 1 HOUR | $466.50 | $933.00 | $419.85–$746.40 | — | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INFUSION HYDRATION INITIAL 31-60 MINS | $466.50 | $933.00 | $419.85–$746.40 | — | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INFUSION HYDRATION INITIAL 3160 MINS | $466.50 | $933.00 | $419.85–$746.40 | — | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 INTRAVENOUS INFUSION HYDRATION INITIAL 31 MINUTES TO 1 HOUR | $466.50 | $933.00 | $419.85–$746.40 | — | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 PACU OVERFLOW INTRAVENOUS INFUSION HYDRATION INITIAL 31 MINUTES TO 1 HOUR | $466.50 | $933.00 | $419.85–$746.40 | — | 50% |
| IV infusion of a medicine, first hour CPT 96365 INFUSION KETAMINE FIRST HOUR | $519.00 | $1,038.00 | $196.18–$1,038.00 | 21% below | 50% |
| IV infusion of a medicine, first hour CPT 96365 THERPROPHDIAG IV INF INIT LESSEQUAL1 HR | $519.00 | $1,038.00 | $196.18–$1,038.00 | 21% below | 50% |
| IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF INIT =<1 HR | $519.00 | $1,038.00 | $196.18–$1,038.00 | 21% below | 50% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION THERAPY PROPHYLAXIS DX 1ST TO 1 HR | $519.00 | $1,038.00 | $196.18–$1,038.00 | 21% below | 50% |
| IV infusion of a medicine, first hour CPT 96365 MMH ASSESSMENT INTRAVENOUS INFUSION FOR THERAPY PROPHYLAXIS OR DIAGNOSIS INITIAL UP TO 1 HOUR | $519.00 | $1,038.00 | $196.18–$1,038.00 | 21% below | 50% |
| IV infusion of a medicine, first hour CPT 96365 PACU OVERFLOW INTRAVENOUS INFUSION FOR THERAPY PROPHYLAXIS OR DIAGNOSIS INITIAL UP TO 1 HOUR | $519.00 | $1,038.00 | $196.18–$1,038.00 | 21% below | 50% |
| IV infusion of a medicine, first hour CPT 96365 INTRAVENOUS INFUSION FOR THERAPY PROPHYLAXIS OR DIAGNOSIS INITIAL UP TO ONE HOUR | $519.00 | $1,038.00 | $196.18–$1,038.00 | 21% below | 50% |
| IV infusion of a medicine, first hour CPT 96365 INFUSION LIDOCAINE FIRST HOUR | $519.00 | $1,038.00 | $196.18–$1,038.00 | 21% below | 50% |
| IV infusion of a medicine, first hour inpatient CPT 96365 INFUSION KETAMINE FIRST HOUR | $519.00 | $1,038.00 | $467.10–$830.40 | — | 50% |
| IV infusion of a medicine, first hour inpatient CPT 96365 THERPROPHDIAG IV INF INIT LESSEQUAL1 HR | $519.00 | $1,038.00 | $467.10–$830.40 | — | 50% |
| IV infusion of a medicine, first hour inpatient CPT 96365 THER/PROPH/DIAG IV INF INIT =<1 HR | $519.00 | $1,038.00 | $467.10–$830.40 | — | 50% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION THERAPY PROPHYLAXIS DX 1ST TO 1 HR | $519.00 | $1,038.00 | $467.10–$830.40 | — | 50% |
| IV infusion of a medicine, first hour inpatient CPT 96365 MMH ASSESSMENT INTRAVENOUS INFUSION FOR THERAPY PROPHYLAXIS OR DIAGNOSIS INITIAL UP TO 1 HOUR | $519.00 | $1,038.00 | $467.10–$830.40 | — | 50% |
| IV infusion of a medicine, first hour inpatient CPT 96365 PACU OVERFLOW INTRAVENOUS INFUSION FOR THERAPY PROPHYLAXIS OR DIAGNOSIS INITIAL UP TO 1 HOUR | $519.00 | $1,038.00 | $467.10–$830.40 | — | 50% |
| IV infusion of a medicine, first hour inpatient CPT 96365 INTRAVENOUS INFUSION FOR THERAPY PROPHYLAXIS OR DIAGNOSIS INITIAL UP TO ONE HOUR | $519.00 | $1,038.00 | $467.10–$830.40 | — | 50% |
| IV infusion of a medicine, first hour inpatient CPT 96365 INFUSION LIDOCAINE FIRST HOUR | $519.00 | $1,038.00 | $467.10–$830.40 | — | 50% |
| IV push of a medicine, first drug CPT 96374 NON CHEMO INF 15MIN OR LESS IV PUSH INITIAL DRUG | $168.50 | $337.00 | $63.69–$337.00 | 47% below | 50% |
| IV push of a medicine, first drug CPT 96374 THERAPEUTIC PROPHYLACTIC OR DIAGNOSTIC INJECTION INTRAVENOUS PUSH SINGLE OR INITIAL DRUG | $168.50 | $337.00 | $63.69–$337.00 | 47% below | 50% |
| IV push of a medicine, first drug CPT 96374 PACU OVERFLOW THERAPEUTIC PROPHYLACTIC OR DIAGNOSTIC INJECTION INTROVENOUS PUSH SINGLE OR INITIAL DRUG | $168.50 | $337.00 | $63.69–$337.00 | 47% below | 50% |
| IV push of a medicine, first drug CPT 96374 MMH ASSESSMENT THERAPEUTIC PROPHYLACTIC OR DIAGNOSTIC INJECTION INTROVENOUS PUSH SINGLE OR INITIAL DRUG | $168.50 | $337.00 | $63.69–$337.00 | 47% below | 50% |
| IV push of a medicine, first drug CPT 96374 THERAPEUTIC IV PUSH INITIAL SUBSTANCE DRUG | $168.50 | $337.00 | $63.69–$337.00 | 47% below | 50% |
| IV push of a medicine, first drug CPT 96374 THERAPEUTIC IV PUSH INITIAL DRUG | $168.50 | $337.00 | $63.69–$337.00 | 47% below | 50% |
| IV push of a medicine, first drug inpatient CPT 96374 THERAPEUTIC PROPHYLACTIC OR DIAGNOSTIC INJECTION INTRAVENOUS PUSH SINGLE OR INITIAL DRUG | $168.50 | $337.00 | $151.65–$269.60 | — | 50% |
| IV push of a medicine, first drug inpatient CPT 96374 NON CHEMO INF 15MIN OR LESS IV PUSH INITIAL DRUG | $168.50 | $337.00 | $151.65–$269.60 | — | 50% |
| IV push of a medicine, first drug inpatient CPT 96374 THERAPEUTIC IV PUSH INITIAL DRUG | $168.50 | $337.00 | $151.65–$269.60 | — | 50% |
| IV push of a medicine, first drug inpatient CPT 96374 THERAPEUTIC IV PUSH INITIAL SUBSTANCE DRUG | $168.50 | $337.00 | $151.65–$269.60 | — | 50% |
| IV push of a medicine, first drug inpatient CPT 96374 MMH ASSESSMENT THERAPEUTIC PROPHYLACTIC OR DIAGNOSTIC INJECTION INTROVENOUS PUSH SINGLE OR INITIAL DRUG | $168.50 | $337.00 | $151.65–$269.60 | — | 50% |
| IV push of a medicine, first drug inpatient CPT 96374 PACU OVERFLOW THERAPEUTIC PROPHYLACTIC OR DIAGNOSTIC INJECTION INTROVENOUS PUSH SINGLE OR INITIAL DRUG | $168.50 | $337.00 | $151.65–$269.60 | — | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION SC/IM | $168.50 | $337.00 | $63.69–$337.00 | 7% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 MMH ASSESSMENT THERAPEUTIC PROPHYLACTIC OR DIAGNOSTIC INJECTION SUBCUTANEOUS OR INTRAMUSCULAR | $168.50 | $337.00 | $63.69–$337.00 | 7% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ IM | $168.50 | $337.00 | $63.69–$337.00 | 7% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM | $168.50 | $337.00 | $63.69–$337.00 | 7% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION SC/IM THERAPEUTIC | $168.50 | $337.00 | $63.69–$337.00 | 7% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC PROPHYLACTIC OR DIAGNOSTIC INJECTION SUBQ OR INTRAMUSC | $168.50 | $337.00 | $63.69–$337.00 | 7% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 PACU OVERFLOW THERAPEUTIC PROPHYLACTIC OR DIAGNOSTIC INJECTION SUBCUTANEOUS OR INTRAMUSCULAR | $168.50 | $337.00 | $63.69–$337.00 | 7% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION SC IM THERAPEUTIC | $168.50 | $337.00 | $63.69–$337.00 | 7% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC PROPHYLACTIC OR DIAGNOSTIC INJECTION SUBCUTANEOUS OR INTRAMUSCULAR | $168.50 | $337.00 | $63.69–$337.00 | 7% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION SC IM THERAPEUTIC | $168.50 | $337.00 | $151.65–$269.60 | — | 50% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION SC/IM | $168.50 | $337.00 | $151.65–$269.60 | — | 50% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ IM | $168.50 | $337.00 | $151.65–$269.60 | — | 50% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM | $168.50 | $337.00 | $151.65–$269.60 | — | 50% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION SC/IM THERAPEUTIC | $168.50 | $337.00 | $151.65–$269.60 | — | 50% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC PROPHYLACTIC OR DIAGNOSTIC INJECTION SUBQ OR INTRAMUSC | $168.50 | $337.00 | $151.65–$269.60 | — | 50% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 MMH ASSESSMENT THERAPEUTIC PROPHYLACTIC OR DIAGNOSTIC INJECTION SUBCUTANEOUS OR INTRAMUSCULAR | $168.50 | $337.00 | $151.65–$269.60 | — | 50% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 PACU OVERFLOW THERAPEUTIC PROPHYLACTIC OR DIAGNOSTIC INJECTION SUBCUTANEOUS OR INTRAMUSCULAR | $168.50 | $337.00 | $151.65–$269.60 | — | 50% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC PROPHYLACTIC OR DIAGNOSTIC INJECTION SUBCUTANEOUS OR INTRAMUSCULAR | $168.50 | $337.00 | $151.65–$269.60 | — | 50% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 NERVE CONDUCTION 7-8 STUDIES | $867.50 | $1,735.00 | $327.92–$1,735.00 | 19% below | 50% |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 NERVE CONDUCTION 7-8 STUDIES | $867.50 | $1,735.00 | $780.75–$1,388.00 | — | 50% |
| Neuromuscular re-education, 15 minutes CPT 97112 PTA NEUROMUSC RE ED 15 MIN | $124.50 | $249.00 | $47.06–$249.00 | 16% below | 50% |
| Neuromuscular re-education, 15 minutes CPT 97112 PT-NEUROMUSC RE-ED 15 MIN | $124.50 | $249.00 | $47.06–$249.00 | 16% below | 50% |
| Neuromuscular re-education, 15 minutes CPT 97112 OT-NEUROMUSC RE-ED 15 MIN | $124.50 | $249.00 | $47.06–$249.00 | 16% below | 50% |
| Neuromuscular re-education, 15 minutes CPT 97112 OTA THERAPEUTIC PROCEDURE ONE OR MORE AREAS EACH 15 MINUTES NEUROMUSCULAR REEDUCATION OF MOVEMENT BALANCE COORDINATION KINESTHETIC SENSE POSTURE AND OR PROPRIOCEPTION FOR SITTING AND OR STANDING ACTIVITIES | $124.50 | $249.00 | $47.06–$249.00 | 16% below | 50% |
| Neuromuscular re-education, 15 minutes CPT 97112 OT NEUROMUSC RE ED 15 MIN | $124.50 | $249.00 | $47.06–$249.00 | 16% below | 50% |
| Neuromuscular re-education, 15 minutes CPT 97112 PT NEUROMUSC RE ED 15 MIN | $124.50 | $249.00 | $47.06–$249.00 | 16% below | 50% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT NEUROMUSC RE ED 15 MIN | $124.50 | $249.00 | $112.05–$199.20 | — | 50% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT-NEUROMUSC RE-ED 15 MIN | $124.50 | $249.00 | $112.05–$199.20 | — | 50% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 PTA NEUROMUSC RE ED 15 MIN | $124.50 | $249.00 | $112.05–$199.20 | — | 50% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT NEUROMUSC RE ED 15 MIN | $124.50 | $249.00 | $112.05–$199.20 | — | 50% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 OTA THERAPEUTIC PROCEDURE ONE OR MORE AREAS EACH 15 MINUTES NEUROMUSCULAR REEDUCATION OF MOVEMENT BALANCE COORDINATION KINESTHETIC SENSE POSTURE AND OR PROPRIOCEPTION FOR SITTING AND OR STANDING ACTIVITIES | $124.50 | $249.00 | $112.05–$199.20 | — | 50% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT-NEUROMUSC RE-ED 15 MIN | $124.50 | $249.00 | $112.05–$199.20 | — | 50% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MEDICAL NUTRITION THERAPY INITIAL ASSESSMENT AND INTERVENTION INDIVIDUAL FACE TO FACE EACH 15 MINUTES | $63.00 | $126.00 | $23.81–$126.00 | 5% below | 50% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MEDICAL NUTRITION THERAPY INITIAL ASSESSMENT AND INTERVENTION INDIVIDUAL FACE TO FACE EACH 15 MINUTES | $63.00 | $126.00 | $56.70–$100.80 | — | 50% |
| Occupational therapy evaluation, low complexity CPT 97165 OT - EVAL LOW COMPLEX 30 MIN | $28.50 | $57.00 | $10.77–$57.00 | 94% below | 50% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT - EVAL LOW COMPLEX 30 MIN | $28.50 | $57.00 | $25.65–$45.60 | — | 50% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT - EVAL HIGH COMPLEX 45 MIN | $47.00 | $94.00 | $17.77–$94.00 | 91% below | 50% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT - EVAL HIGH COMPLEX 45 MIN | $47.00 | $94.00 | $42.30–$75.20 | — | 50% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT - EVAL LOW COMPLEX 20 MIN | $28.50 | $57.00 | $10.77–$57.00 | 94% below | 50% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT - EVAL LOW COMPLEX 20 MIN | $28.50 | $57.00 | $25.65–$45.60 | — | 50% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT - EVAL MOD COMPLEX 30 MIN | $39.00 | $78.00 | $14.74–$78.00 | 91% below | 50% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT - EVAL MOD COMPLEX 30 MIN | $39.00 | $78.00 | $35.10–$62.40 | — | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT-MANUAL THERAPY 15 MIN | $129.50 | $259.00 | $48.95–$259.00 | at median | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT-MANUAL THERAPY 15 MIN | $129.50 | $259.00 | $48.95–$259.00 | at median | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT MANUAL THERAPY 15 MIN | $129.50 | $259.00 | $48.95–$259.00 | at median | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PTA MANUAL THERAPY 15 MIN | $129.50 | $259.00 | $48.95–$259.00 | at median | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OTA MANUAL THERAPY TECHNIQUES EG MOBILIZATION MANIPULATION MANUAL LYMPHATIC DRAINAGE MANUAL TRACTION ONE OR MORE REGIONS EACH 15 MINUTES | $129.50 | $259.00 | $48.95–$259.00 | at median | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT MANUAL THERAPY 15 MIN | $129.50 | $259.00 | $48.95–$259.00 | at median | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT-MANUAL THERAPY 15 MIN | $129.50 | $259.00 | $116.55–$207.20 | — | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT MANUAL THERAPY 15 MIN | $129.50 | $259.00 | $116.55–$207.20 | — | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PTA MANUAL THERAPY 15 MIN | $129.50 | $259.00 | $116.55–$207.20 | — | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT MANUAL THERAPY 15 MIN | $129.50 | $259.00 | $116.55–$207.20 | — | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OTA MANUAL THERAPY TECHNIQUES EG MOBILIZATION MANIPULATION MANUAL LYMPHATIC DRAINAGE MANUAL TRACTION ONE OR MORE REGIONS EACH 15 MINUTES | $129.50 | $259.00 | $116.55–$207.20 | — | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT-MANUAL THERAPY 15 MIN | $129.50 | $259.00 | $116.55–$207.20 | — | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PTA THERAPEUTIC EX EA 15 MIN | $118.50 | $237.00 | $44.79–$237.00 | 18% below | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT-THERAPEUTIC EX 15 MIN | $118.50 | $237.00 | $44.79–$237.00 | 18% below | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OTA THERAPEUTIC PROCEDURE ONE OR MORE AREAS EACH 15 MINUTES; THERAPEUTIC EXERCISES TO DEVELOP STRENGTH AND ENDURANCE RANGE OF MOTION AND FLEXIBILITY | $118.50 | $237.00 | $44.79–$237.00 | 18% below | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT-THERAPEUTIC EX EA 15 MIN | $118.50 | $237.00 | $44.79–$237.00 | 18% below | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THERAPEUTIC EX 15 MIN | $118.50 | $237.00 | $44.79–$237.00 | 18% below | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OTA THERAPEUTIC PROCEDURE ONE OR MORE AREAS EACH 15 MINUTES; THERAPEUTIC EXERCISES TO DEVELOP STRENGTH AND ENDURANCE RANGE OF MOTION AND FLEXIBILITY | $118.50 | $237.00 | $106.65–$189.60 | — | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT-THERAPEUTIC EX 15 MIN | $118.50 | $237.00 | $106.65–$189.60 | — | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT THERAPEUTIC EX 15 MIN | $118.50 | $237.00 | $106.65–$189.60 | — | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT-THERAPEUTIC EX EA 15 MIN | $118.50 | $237.00 | $106.65–$189.60 | — | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PTA THERAPEUTIC EX EA 15 MIN | $118.50 | $237.00 | $106.65–$189.60 | — | 50% |
| Speech and language evaluation CPT 92523 SPEECH LANGUAGE EVAL | $270.00 | $540.00 | $102.06–$540.00 | 54% below | 50% |
| Speech and language evaluation inpatient CPT 92523 SPEECH LANGUAGE EVAL | $270.00 | $540.00 | $243.00–$432.00 | — | 50% |
| Speech therapy session, individual CPT 92507 SPEECH THER TREATMENT INDIVIDIUAL | $242.50 | $485.00 | $91.66–$485.00 | 33% below | 50% |
| Speech therapy session, individual inpatient CPT 92507 SPEECH THER TREATMENT INDIVIDIUAL | $242.50 | $485.00 | $218.25–$388.00 | — | 50% |
| Spirometry (breathing test) CPT 94010 SPIROMETRY INCLUDING GRAPHIC RECORD TOTAL AND TIMED VITAL CAPACITY EXPIRATORY FLOW RATE MEASUREMENTS WITH OR WITHOUT MAXIMAL VOLUNTARY VENTILATION | $362.00 | $724.00 | $136.84–$724.00 | 20% above | 50% |
| Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY INCLUDING GRAPHIC RECORD TOTAL AND TIMED VITAL CAPACITY EXPIRATORY FLOW RATE MEASUREMENTS WITH OR WITHOUT MAXIMAL VOLUNTARY VENTILATION | $362.00 | $724.00 | $325.80–$579.20 | — | 50% |
| Spirometry before and after a bronchodilator CPT 94060 BRONCHODILATION RESPONSIVENESS SPIROMETRY AS IN 94010 PRE AND POST BRONCHODILATOR ADMINISTRATION | $652.00 | $1,304.00 | $246.46–$1,304.00 | 27% below | 50% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 BRONCHODILATION RESPONSIVENESS SPIROMETRY AS IN 94010 PRE AND POST BRONCHODILATOR ADMINISTRATION | $652.00 | $1,304.00 | $586.80–$1,043.20 | — | 50% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT FUNCTIONAL ACTIVITY 15 MIN | $16.50 | $33.00 | $6.24–$33.00 | 89% below | 50% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT-FUNCTIONAL ACTIVITY 15 MIN | $16.50 | $33.00 | $6.24–$33.00 | 89% below | 50% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OTA THERAPEUTIC ACTIVITIES DIRECT ONE ON ONE PATIENT CONTACT BY THE PROVIDER USE OF DYNAMIC ACTIVITIES TO IMPROVE FUNCTIONAL PERFORMANCE EACH 15 MINUTES | $16.50 | $33.00 | $6.24–$33.00 | 89% below | 50% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PTA FUNCTIONAL ACTIVITY 15 MIN | $16.50 | $33.00 | $6.24–$33.00 | 89% below | 50% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT-FUNCTIONAL ACTIVITY 15 MIN | $16.50 | $33.00 | $6.24–$33.00 | 89% below | 50% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OTA THERAPEUTIC ACTIVITIES DIRECT ONE ON ONE PATIENT CONTACT BY THE PROVIDER USE OF DYNAMIC ACTIVITIES TO IMPROVE FUNCTIONAL PERFORMANCE EACH 15 MINUTES | $16.50 | $33.00 | $14.85–$26.40 | — | 50% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PTA FUNCTIONAL ACTIVITY 15 MIN | $16.50 | $33.00 | $14.85–$26.40 | — | 50% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT-FUNCTIONAL ACTIVITY 15 MIN | $16.50 | $33.00 | $14.85–$26.40 | — | 50% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT-FUNCTIONAL ACTIVITY 15 MIN | $16.50 | $33.00 | $14.85–$26.40 | — | 50% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT FUNCTIONAL ACTIVITY 15 MIN | $16.50 | $33.00 | $14.85–$26.40 | — | 50% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUTIC | $459.50 | $919.00 | $173.69–$919.00 | 48% above | 50% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPEUTIC | $459.50 | $919.00 | $413.55–$735.20 | — | 50% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 SEVERE ACUTE RESPIRATORY SYNDROME CORONAVIRUS 2 SARS COV 2 CORONAVIRUS DISEASE COVID 19 VACCINE MRNA LNP 50MCG PER 0.5ML DOSAGE FOR INTRAMUSCULAR USE | $374.00 | $748.00 | $141.37–$748.00 | 67% above | 50% |
| COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 SEVERE ACUTE RESPIRATORY SYNDROME CORONAVIRUS 2 SARS COV 2 CORONAVIRUS DISEASE COVID 19 VACCINE MRNA LNP 50MCG PER 0.5ML DOSAGE FOR INTRAMUSCULAR USE | $374.00 | $748.00 | $336.60–$598.40 | — | 50% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 SEVERE ACUTE RESPIRATORY SYNDROME CORONAVIRUS 2 SARS COV 2 COVID 19 VACCINE MRNA LNP SPIKE PROTEIN 30MCG PER 0.3ML DOSAGE TRIS SUCROSE FORMULATION FOR INTRAMUSCULAR USE | $384.00 | $768.00 | $145.15–$768.00 | 60% above | 50% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 SEVERE ACUTE RESPIRATORY SYNDROME CORONAVIRUS 2 SARS COV 2 COVID 19 VACCINE MRNA LNP SPIKE PROTEIN 30MCG PER 0.3ML DOSAGE TRIS SUCROSE FORMULATION FOR INTRAMUSCULAR USE | $384.00 | $768.00 | $345.60–$614.40 | — | 50% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACC LIVE | $320.50 | $641.00 | $121.15–$641.00 | 12% above | 50% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACC LIVE | $320.50 | $641.00 | $288.45–$512.80 | — | 50% |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 DTAP AND INACTIVATED POLIOVIRUS VACCINE DTAP IPV WHEN ADMINISTERED TO CHILDREN 4 THROUGH 6 YEARS OF AGE FOR IM USE | $194.00 | $388.00 | $73.33–$388.00 | 19% above | 50% |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 DTAP AND INACTIVATED POLIOVIRUS VACCINE DTAP IPV WHEN ADMINISTERED TO CHILDREN 4 THROUGH 6 YEARS OF AGE FOR IM USE | $194.00 | $388.00 | $174.60–$310.40 | — | 50% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPHTH TETANUS TOX ACELL PERTUSSIS VACCINE YOUNGER THAN 7 YEARS INTRAMUSCULAR | $82.50 | $165.00 | $31.18–$165.00 | 16% below | 50% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPHTH TETANUS TOX ACELL PERTUSSIS VACCINE YOUNGER THAN 7 YEARS INTRAMUSCULAR | $82.50 | $165.00 | $74.25–$132.00 | — | 50% |
| Flu shot, recombinant, egg-free (Flublok) CPT 90673 RIV3 VACCINE NO PRESERV IM (FLUBLOK) | $22.50 | $45.00 | $8.51–$45.00 | 88% below | 50% |
| Flu shot, recombinant, egg-free (Flublok) inpatient CPT 90673 RIV3 VACCINE NO PRESERV IM (FLUBLOK) | $22.50 | $45.00 | $20.25–$36.00 | — | 50% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VIRUS VACCINE TRIVALENT IIV3 SPLIT VIRUS PRESERVATIVE FREE 0.5ML FOR INTRAMUSCULAR USE | $50.00 | $100.00 | $18.90–$100.00 | 32% below | 50% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VIRUS VACCINE TRIVALENT IIV3 SPLIT VIRUS PRESERVATIVE FREE 0.5ML FOR INTRAMUSCULAR USE | $50.00 | $100.00 | $45.00–$80.00 | — | 50% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 9VHPV VACCINE 2/3 Gardasil 9 DOSE IM | $677.00 | $1,354.00 | $255.91–$1,354.00 | 28% below | 50% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 9VHPV VACCINE 2/3 (Gardasil 9) DOSE IM | $677.00 | $1,354.00 | $255.91–$1,354.00 | 28% below | 50% |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 9VHPV VACCINE 2/3 (Gardasil 9) DOSE IM | $677.00 | $1,354.00 | $609.30–$1,083.20 | — | 50% |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 9VHPV VACCINE 2/3 Gardasil 9 DOSE IM | $677.00 | $1,354.00 | $609.30–$1,083.20 | — | 50% |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEPATITIS A/HEPATITIS B VACCIN | $171.00 | $342.00 | $64.64–$342.00 | 48% below | 50% |
| Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HEPATITIS A/HEPATITIS B VACCIN | $171.00 | $342.00 | $153.90–$273.60 | — | 50% |
| Hepatitis A vaccine, adult dose CPT 90632 INJECTION HEPATITIS A VACCINE 1440 U PER ML INJ 1ML HAVRIX ADULT IM 7536278 | $109.00 | $218.00 | $41.20–$218.00 | 37% below | 50% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPA VACCINE ADULT IM | $109.00 | $218.00 | $41.20–$218.00 | 37% below | 50% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPA VACCINE ADULT IM | $109.00 | $218.00 | $98.10–$174.40 | — | 50% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 INJECTION HEPATITIS A VACCINE 1440 U PER ML INJ 1ML HAVRIX ADULT IM 7536278 | $109.00 | $218.00 | $98.10–$174.40 | — | 50% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B ADULT VA | $188.00 | $376.00 | $71.06–$376.00 | 25% below | 50% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B ADULT VACCINE | $188.00 | $376.00 | $71.06–$376.00 | 25% below | 50% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VACCINE ADULT DOSAGE FOR INTRAMUSCULAR USE | $188.00 | $376.00 | $71.06–$376.00 | 25% below | 50% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B ADULT VA | $188.00 | $376.00 | $169.20–$300.80 | — | 50% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B ADULT VACCINE | $188.00 | $376.00 | $169.20–$300.80 | — | 50% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VACCINE ADULT DOSAGE FOR INTRAMUSCULAR USE | $188.00 | $376.00 | $169.20–$300.80 | — | 50% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VACCINE PEDIATRIC/ADOLESCENT DOSAGE (3 DOSE SCHEDULE) FOR INTRAMUSCULAR USE | $124.00 | $248.00 | $46.87–$248.00 | 23% above | 50% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VACCINE PEDIATRIC/ADOLESCENT DOSAGE (3 DOSE SCHEDULE) FOR INTRAMUSCULAR USE | $124.00 | $248.00 | $111.60–$198.40 | — | 50% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS INFLUENZAE TYPE B HIB PRP T CONJUGATE 4 DOSE SCHEDULE FOR INTRAMUSCULAR USE | $17.50 | $35.00 | $6.62–$35.00 | 72% below | 50% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HIB PRP-T CONJUGATE 4 DOSE FOR IM USE | $17.50 | $35.00 | $6.62–$35.00 | 72% below | 50% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HIB PRP-T CONJUGATE 4 DOSE FOR IM USE | $17.50 | $35.00 | $15.75–$28.00 | — | 50% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS INFLUENZAE TYPE B HIB PRP T CONJUGATE 4 DOSE SCHEDULE FOR INTRAMUSCULAR USE | $17.50 | $35.00 | $15.75–$28.00 | — | 50% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES MUMPS AND RUBELLA VIRUS VACCINE (MMR) | $117.00 | $234.00 | $44.23–$234.00 | 39% below | 50% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES MUMPS AND R | $117.00 | $234.00 | $44.23–$234.00 | 39% below | 50% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES MUMPS AND RUBELLA VIRUS VACCINE (MMR) | $117.00 | $234.00 | $105.30–$187.20 | — | 50% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES MUMPS AND R | $117.00 | $234.00 | $105.30–$187.20 | — | 50% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL POLYSA | $217.50 | $435.00 | $82.22–$435.00 | 62% below | 50% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL POLYSACCHARIDE | $217.50 | $435.00 | $82.22–$435.00 | 62% below | 50% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL POLYSACCHARIDE | $217.50 | $435.00 | $195.75–$348.00 | — | 50% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL POLYSA | $217.50 | $435.00 | $195.75–$348.00 | — | 50% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENB RP W/OMV VACCINE IM (BEXSERO) | $551.00 | $1,102.00 | $208.28–$1,102.00 | 25% below | 50% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENB 4C RECOMBNT PROT and OUTER MEMB VESIC VACC IM | $551.00 | $1,102.00 | $208.28–$1,102.00 | 25% below | 50% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENB RP W/OMV VACCINE IM BEXSERO | $551.00 | $1,102.00 | $208.28–$1,102.00 | 25% below | 50% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENB RP W/OMV VACCINE IM BEXSERO | $551.00 | $1,102.00 | $495.90–$881.60 | — | 50% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENB 4C RECOMBNT PROT and OUTER MEMB VESIC VACC IM | $551.00 | $1,102.00 | $495.90–$881.60 | — | 50% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENB RP W/OMV VACCINE IM (BEXSERO) | $551.00 | $1,102.00 | $495.90–$881.60 | — | 50% |
| Meningococcal B vaccine (Trumenba) CPT 90621 MENB RLP VACCINE IM TRUMENBA | $382.00 | $764.00 | $144.40–$764.00 | 36% below | 50% |
| Meningococcal B vaccine (Trumenba) CPT 90621 MENB RLP VACCINE IM (TRUMENBA) | $382.00 | $764.00 | $144.40–$764.00 | 36% below | 50% |
| Meningococcal B vaccine (Trumenba) inpatient CPT 90621 MENB RLP VACCINE IM (TRUMENBA) | $382.00 | $764.00 | $343.80–$611.20 | — | 50% |
| Meningococcal B vaccine (Trumenba) inpatient CPT 90621 MENB RLP VACCINE IM TRUMENBA | $382.00 | $764.00 | $343.80–$611.20 | — | 50% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PNEUMOCOCCAL CONJUGATE 13 VALENT | $643.00 | $1,286.00 | $243.05–$1,286.00 | 10% above | 50% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PCV13 VACCINE IM | $643.00 | $1,286.00 | $243.05–$1,286.00 | 10% above | 50% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PCV13 VACCINE IM | $643.00 | $1,286.00 | $578.70–$1,028.80 | — | 50% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PNEUMOCOCCAL CONJUGATE 13 VALENT | $643.00 | $1,286.00 | $578.70–$1,028.80 | — | 50% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL CONJUGATE VACCINE 20 VALENT PCV20 FOR INTRAMUSCULAR USE | $605.50 | $1,211.00 | $228.88–$1,211.00 | 37% below | 50% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL CONJUGATE VACCINE 20 VALENT PCV20 FOR INTRAMUSCULAR USE | $605.50 | $1,211.00 | $544.95–$968.80 | — | 50% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCOCCAL VACCI | $238.50 | $477.00 | $90.15–$477.00 | 40% below | 50% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23 POLYSACCHARIDE VALENT VACCINE SQ/IM >= 2 YEARS | $238.50 | $477.00 | $90.15–$477.00 | 40% below | 50% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23 POLYSACCHARIDE VALENT VACCINE SQ/IM >= 2 YEARS | $238.50 | $477.00 | $214.65–$381.60 | — | 50% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCOCCAL VACCI | $238.50 | $477.00 | $214.65–$381.60 | — | 50% |
| Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS VACCINE I | $32.50 | $65.00 | $12.28–$65.00 | 67% below | 50% |
| Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS VACCINE INACTIVATED (IPV) FOR SUBCUTANEOUS OR INTRAMUSCULAR USE | $32.50 | $65.00 | $12.28–$65.00 | 67% below | 50% |
| Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIOVIRUS VACCINE I | $32.50 | $65.00 | $29.25–$52.00 | — | 50% |
| Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIOVIRUS VACCINE INACTIVATED (IPV) FOR SUBCUTANEOUS OR INTRAMUSCULAR USE | $32.50 | $65.00 | $29.25–$52.00 | — | 50% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 ZOSTER SHINGLES VACCINE HZV RECOMBINANT ADJUVANTED IM | $496.50 | $993.00 | $187.68–$993.00 | 32% above | 50% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 ZOSTER SHINGLES VACCINE HZV RECOMBINANT IM | $496.50 | $993.00 | $187.68–$993.00 | 32% above | 50% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 ZOSTER SHINGLES VACCINE HZV RECOMBINANT ADJUVANTED IM | $496.50 | $993.00 | $446.85–$794.40 | — | 50% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 ZOSTER SHINGLES VACCINE HZV RECOMBINANT IM | $496.50 | $993.00 | $446.85–$794.40 | — | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUSDIPHTHERIA ACELLUL VA | $127.50 | $255.00 | $48.20–$255.00 | 38% below | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUSDIPHTHERIA | $127.50 | $255.00 | $48.20–$255.00 | 38% below | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUSDIPHTHERIA | $127.50 | $255.00 | $114.75–$204.00 | — | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUSDIPHTHERIA ACELLUL VA | $127.50 | $255.00 | $114.75–$204.00 | — | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMINISTRATION INCLUDES PERCUTANEOUS INTRADERMAL SUBCUTANEOUS OR INTRAMUSCULAR INJECTIONS VACCINE SINGLE OR COMBINATION VACCINE TOXOID | $172.50 | $345.00 | $65.20–$345.00 | 44% above | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IM ADM PRQ ID SUBQ IM NJXS 1 VACCINE | $172.50 | $345.00 | $65.20–$345.00 | 44% above | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 PACU OVERFLOW IMMUNIZATION ADMINISTRATION 1 VACCINE | $172.50 | $345.00 | $65.20–$345.00 | 44% above | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMINISTRATION INCLUDES PERCUTANEOUS INTRADERMAL SUBCUTANEOUS OR INTRAMUSCULAR INJECTIONS 1 VACCINE SINGLE OR COMBINATION VACCINE TOXOID | $172.50 | $345.00 | $65.20–$345.00 | 44% above | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMINISTRATION INCLUDES PERCUTANEOUS INTRADERMAL SUBCUTANEOUS OR INTRAMUSCULAR INJECTIONS 1 VACCINE SINGLE OR COMBINATION VACCINE TOXOID | $172.50 | $345.00 | $155.25–$276.00 | — | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 PACU OVERFLOW IMMUNIZATION ADMINISTRATION 1 VACCINE | $172.50 | $345.00 | $155.25–$276.00 | — | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IM ADM PRQ ID SUBQ IM NJXS 1 VACCINE | $172.50 | $345.00 | $155.25–$276.00 | — | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMINISTRATION INCLUDES PERCUTANEOUS INTRADERMAL SUBCUTANEOUS OR INTRAMUSCULAR INJECTIONS VACCINE SINGLE OR COMBINATION VACCINE TOXOID | $172.50 | $345.00 | $155.25–$276.00 | — | 50% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMINISTRATION INCLUDES PERCUTANEOUS INTRADERMAL SUBCUTANEOUS OR INTRAMUSCULAR INJECTIONS EA ADDITIONAL VACCINE SINGLE OR COMBINATION VACCINE TOXOID | $118.50 | $237.00 | $44.79–$237.00 | 9% above | 50% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IM ADM PRQ ID SUBQ IM NJXS EA VACCINE | $118.50 | $237.00 | $44.79–$237.00 | 9% above | 50% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 PACU OVERFLOW IMMUNIZATION ADMINISTRATION EACH ADDL VACCINE | $118.50 | $237.00 | $44.79–$237.00 | 9% above | 50% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 PACU OVERFLOW IMMUNIZATION ADMINISTRATION EACH ADDL VACCINE | $118.50 | $237.00 | $106.65–$189.60 | — | 50% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADMINISTRATION INCLUDES PERCUTANEOUS INTRADERMAL SUBCUTANEOUS OR INTRAMUSCULAR INJECTIONS EA ADDITIONAL VACCINE SINGLE OR COMBINATION VACCINE TOXOID | $118.50 | $237.00 | $106.65–$189.60 | — | 50% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IM ADM PRQ ID SUBQ IM NJXS EA VACCINE | $118.50 | $237.00 | $106.65–$189.60 | — | 50% |
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.