SelfPayRates
Hospital State College, PA

Mount Nittany Health

Mount Nittany Health in State College, PA publishes cash prices for 320 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the Pennsylvania median for 272 of 318 procedures and above it for 45. By typical cash price it ranks #26 of 102 Pennsylvania hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

155 Wellness Way, State College, PA 16803 Collected Sep 27, 2026 Source price file (814) 231-7000

Acute care hospital Emergency department CMS star rating 5 of 5 CCN 390268 · CMS hospital register NPI 1730173154

Scans and imaging

ProcedureCash price List priceInsurers payvs PennsylvaniaOff list
Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN COMBO $1,198.35 $2,663.00 $668.41–$2,130.40 36% below 55%
Abdominal CT scan without and with contrast CPT 74170 CT (LIVER) ABDOMEN COMBO $1,198.35 $2,663.00 $668.41–$2,130.40 36% below 55%
Abdominal CT scan without and with contrast CPT 74170 PANCREAS (ABDOMEN) COMBO $1,198.35 $2,663.00 $668.41–$2,130.40 36% below 55%
Abdominal CT scan without and with contrast CPT 74170 CT (KIDNEY) ABDOMEN COMBO $1,198.35 $2,663.00 $668.41–$2,130.40 36% below 55%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABDOMEN COMBO $1,198.35 $2,663.00 $1,624.43–$2,130.40 — 55%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT (KIDNEY) ABDOMEN COMBO $1,198.35 $2,663.00 $1,624.43–$2,130.40 — 55%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT (LIVER) ABDOMEN COMBO $1,198.35 $2,663.00 $1,624.43–$2,130.40 — 55%
Abdominal CT scan without and with contrast inpatient CPT 74170 PANCREAS (ABDOMEN) COMBO $1,198.35 $2,663.00 $1,624.43–$2,130.40 — 55%
Abdominal X-ray, 2 views CPT 74019 ABDOMEN 2 VIEWS $254.25 $565.00 $141.82–$452.00 22% below 55%
Abdominal X-ray, 2 views inpatient CPT 74019 ABDOMEN 2 VIEWS $254.25 $565.00 $344.65–$452.00 — 55%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE COMPLETE MIN 3 VIEWS LT $198.45 $441.00 $110.69–$352.80 43% below 55%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE COMPLETE MIN 3 VIEWS RT $198.45 $441.00 $110.69–$352.80 43% below 55%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE COMPLETE MIN 3 VIEWS LT $198.45 $441.00 $269.01–$352.80 — 55%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE COMPLETE MIN 3 VIEWS RT $198.45 $441.00 $269.01–$352.80 — 55%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 ANKLE BRACHIAL INDEX LIMITED $337.05 $749.00 $188.00–$599.20 27% below 55%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 ANKLE BRACHIAL INDEX LIMITED $337.05 $749.00 $456.89–$599.20 — 55%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT ELBOW RT W/O CONT $809.55 $1,799.00 $451.55–$1,439.20 34% below 55%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT FOREARM LT W/O CONT $809.55 $1,799.00 $451.55–$1,439.20 34% below 55%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT FOREARM RT W/O CONT $809.55 $1,799.00 $451.55–$1,439.20 34% below 55%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT HAND LT W/O CONT $809.55 $1,799.00 $451.55–$1,439.20 34% below 55%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT HAND RT W/O CONT $809.55 $1,799.00 $451.55–$1,439.20 34% below 55%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT CLAVICLE RT WO CON $809.55 $1,799.00 $451.55–$1,439.20 34% below 55%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT HUMERUS LT W/O CONT $809.55 $1,799.00 $451.55–$1,439.20 34% below 55%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT HUMERUS RT W/O CONT $809.55 $1,799.00 $451.55–$1,439.20 34% below 55%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT SCAPULA LT W/O CONT $809.55 $1,799.00 $451.55–$1,439.20 34% below 55%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT SCAPULA RT W/O CONT $809.55 $1,799.00 $451.55–$1,439.20 34% below 55%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT SHOULDER LT W/O CONT $809.55 $1,799.00 $451.55–$1,439.20 34% below 55%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT SHOULDER RT W/O CONT $809.55 $1,799.00 $451.55–$1,439.20 34% below 55%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT WRIST LT W/O CONT $809.55 $1,799.00 $451.55–$1,439.20 34% below 55%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT WRIST RT W/O CONT $809.55 $1,799.00 $451.55–$1,439.20 34% below 55%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT CLAVICLE LT WO CON $809.55 $1,799.00 $451.55–$1,439.20 34% below 55%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT ELBOW LT W/O CONT $809.55 $1,799.00 $451.55–$1,439.20 34% below 55%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT SCAPULA LT W/O CONT $809.55 $1,799.00 $1,097.39–$1,439.20 — 55%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT CLAVICLE RT WO CON $809.55 $1,799.00 $1,097.39–$1,439.20 — 55%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT CLAVICLE LT WO CON $809.55 $1,799.00 $1,097.39–$1,439.20 — 55%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT WRIST RT W/O CONT $809.55 $1,799.00 $1,097.39–$1,439.20 — 55%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT WRIST LT W/O CONT $809.55 $1,799.00 $1,097.39–$1,439.20 — 55%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT SHOULDER RT W/O CONT $809.55 $1,799.00 $1,097.39–$1,439.20 — 55%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT SHOULDER LT W/O CONT $809.55 $1,799.00 $1,097.39–$1,439.20 — 55%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT SCAPULA RT W/O CONT $809.55 $1,799.00 $1,097.39–$1,439.20 — 55%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT HUMERUS RT W/O CONT $809.55 $1,799.00 $1,097.39–$1,439.20 — 55%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT HUMERUS LT W/O CONT $809.55 $1,799.00 $1,097.39–$1,439.20 — 55%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT HAND RT W/O CONT $809.55 $1,799.00 $1,097.39–$1,439.20 — 55%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT HAND LT W/O CONT $809.55 $1,799.00 $1,097.39–$1,439.20 — 55%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT FOREARM RT W/O CONT $809.55 $1,799.00 $1,097.39–$1,439.20 — 55%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT FOREARM LT W/O CONT $809.55 $1,799.00 $1,097.39–$1,439.20 — 55%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT ELBOW RT W/O CONT $809.55 $1,799.00 $1,097.39–$1,439.20 — 55%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT ELBOW LT W/O CONT $809.55 $1,799.00 $1,097.39–$1,439.20 — 55%
Barium swallow (esophagus X-ray with contrast) CPT 74220 (BARIUM SWALLOW) ESOPHAGUS $360.45 $801.00 $201.05–$640.80 22% below 55%
Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHOGRAM $360.45 $801.00 $201.05–$640.80 22% below 55%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 ESOPHOGRAM $360.45 $801.00 $488.61–$640.80 — 55%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 (BARIUM SWALLOW) ESOPHAGUS $360.45 $801.00 $488.61–$640.80 — 55%
Bone scan, whole body (nuclear medicine) CPT 78306 BONE SCAN WHOLE BODY $652.50 $1,450.00 $363.95–$1,160.00 52% below 55%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 BONE SCAN WHOLE BODY $652.50 $1,450.00 $884.50–$1,160.00 — 55%
Breast ultrasound, complete, one breast one side CPT 76641 ULTRASOUND BREAST COMPLETE LT $359.10 $798.00 $200.30–$638.40 34% below 55%
Breast ultrasound, complete, one breast one side CPT 76641 ULTRASOUND BREAST COMPLETE RT $359.10 $798.00 $200.30–$638.40 34% below 55%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 ULTRASOUND BREAST COMPLETE LT $359.10 $798.00 $486.78–$638.40 — 55%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 ULTRASOUND BREAST COMPLETE RT $359.10 $798.00 $486.78–$638.40 — 55%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 ULTRASOUND BREAST LIMITED LT $233.55 $519.00 $130.27–$415.20 49% below 55%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 ULTRASOUND BREAST LIMITED RT $233.55 $519.00 $130.27–$415.20 49% below 55%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 ULTRASOUND BREAST LIMITED LT $233.55 $519.00 $316.59–$415.20 — 55%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 ULTRASOUND BREAST LIMITED RT $233.55 $519.00 $316.59–$415.20 — 55%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 ANGIO ABD/PELVIS WITH CONTRAST $2,041.65 $4,537.00 $1,138.79–$3,629.60 17% below 55%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 VENOGRAM ABD/PELVIS COMBO $2,041.65 $4,537.00 $1,138.79–$3,629.60 17% below 55%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT VENOGRAM ABD/PELVIS W/CONTR $2,041.65 $4,537.00 $1,138.79–$3,629.60 17% below 55%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 ANGIO ABD/PELVIS COMBO $2,041.65 $4,537.00 $1,138.79–$3,629.60 17% below 55%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 ANGIO ABD/PELVIS WITH CONTRAST $2,041.65 $4,537.00 $2,767.57–$3,629.60 — 55%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 ANGIO ABD/PELVIS COMBO $2,041.65 $4,537.00 $2,767.57–$3,629.60 — 55%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 VENOGRAM ABD/PELVIS COMBO $2,041.65 $4,537.00 $2,767.57–$3,629.60 — 55%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CT VENOGRAM ABD/PELVIS W/CONTR $2,041.65 $4,537.00 $2,767.57–$3,629.60 — 55%
CT angiography (CTA) of the head CPT 70496 HEAD ANGIO WITH CONTRAST $1,497.15 $3,327.00 $835.08–$2,661.60 7% below 55%
CT angiography (CTA) of the head CPT 70496 VENOGRAM HEAD WITH CONTRAST $1,497.15 $3,327.00 $835.08–$2,661.60 7% below 55%
CT angiography (CTA) of the head CPT 70496 CT HEAD VENOGRAM $1,497.15 $3,327.00 $835.08–$2,661.60 7% below 55%
CT angiography (CTA) of the head CPT 70496 CT ANGIOGRAPHY HEAD COMBO $1,497.15 $3,327.00 $835.08–$2,661.60 7% below 55%
CT angiography (CTA) of the head inpatient CPT 70496 VENOGRAM HEAD WITH CONTRAST $1,497.15 $3,327.00 $2,029.47–$2,661.60 — 55%
CT angiography (CTA) of the head inpatient CPT 70496 CT ANGIOGRAPHY HEAD COMBO $1,497.15 $3,327.00 $2,029.47–$2,661.60 — 55%
CT angiography (CTA) of the head inpatient CPT 70496 HEAD ANGIO WITH CONTRAST $1,497.15 $3,327.00 $2,029.47–$2,661.60 — 55%
CT angiography (CTA) of the head inpatient CPT 70496 CT HEAD VENOGRAM $1,497.15 $3,327.00 $2,029.47–$2,661.60 — 55%
CT angiography (CTA) of the neck CPT 70498 CT ANGIOGRAPHY NECK COMBO $1,282.50 $2,850.00 $715.35–$2,280.00 22% below 55%
CT angiography (CTA) of the neck CPT 70498 NECK ANGIO WITH CONTRAST $1,282.50 $2,850.00 $715.35–$2,280.00 22% below 55%
CT angiography (CTA) of the neck inpatient CPT 70498 CT ANGIOGRAPHY NECK COMBO $1,282.50 $2,850.00 $1,738.50–$2,280.00 — 55%
CT angiography (CTA) of the neck inpatient CPT 70498 NECK ANGIO WITH CONTRAST $1,282.50 $2,850.00 $1,738.50–$2,280.00 — 55%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CHEST ANGIO WITH CONTRAST $1,346.40 $2,992.00 $750.99–$2,393.60 29% below 55%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIOGRAPHY CHEST COMBO $1,346.40 $2,992.00 $750.99–$2,393.60 29% below 55%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 (CHEST FOR PE) ANGIO WITH $1,346.40 $2,992.00 $750.99–$2,393.60 29% below 55%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CHEST COMBO ANGIO DISSECTION $1,346.40 $2,992.00 $750.99–$2,393.60 29% below 55%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT CHEST VENOGRAM $1,346.40 $2,992.00 $750.99–$2,393.60 29% below 55%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 VENOGRAM CHEST COMBO $1,346.40 $2,992.00 $750.99–$2,393.60 29% below 55%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CHEST COMBO ANGIO DISSECTION $1,346.40 $2,992.00 $1,825.12–$2,393.60 — 55%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CHEST ANGIO WITH CONTRAST $1,346.40 $2,992.00 $1,825.12–$2,393.60 — 55%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT ANGIOGRAPHY CHEST COMBO $1,346.40 $2,992.00 $1,825.12–$2,393.60 — 55%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 VENOGRAM CHEST COMBO $1,346.40 $2,992.00 $1,825.12–$2,393.60 — 55%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT CHEST VENOGRAM $1,346.40 $2,992.00 $1,825.12–$2,393.60 — 55%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 (CHEST FOR PE) ANGIO WITH $1,346.40 $2,992.00 $1,825.12–$2,393.60 — 55%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 ABD/PELVIS NO IV OR ORAL CONT $1,622.25 $3,605.00 $904.86–$2,884.00 22% below 55%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 ABD/PELVIS ORAL CONT ONLY $1,622.25 $3,605.00 $904.86–$2,884.00 22% below 55%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 ABD/PELVIS ORAL CONT ONLY $1,622.25 $3,605.00 $2,199.05–$2,884.00 — 55%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 ABD/PELVIS NO IV OR ORAL CONT $1,622.25 $3,605.00 $2,199.05–$2,884.00 — 55%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 ABD/PELVIS IV AND ORAL CONT $1,678.50 $3,730.00 $936.23–$2,984.00 44% below 55%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 ABD/PELVIS IV CONTRAST ONLY $1,678.50 $3,730.00 $936.23–$2,984.00 44% below 55%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 ABD/PELVIS IV AND ORAL CONT $1,678.50 $3,730.00 $2,275.30–$2,984.00 — 55%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 ABD/PELVIS IV CONTRAST ONLY $1,678.50 $3,730.00 $2,275.30–$2,984.00 — 55%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 ABD/PELVIS COMBO $2,221.65 $4,937.00 $1,239.19–$3,949.60 26% below 55%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 ABD/PELVIS COMBO $2,221.65 $4,937.00 $3,011.57–$3,949.60 — 55%
CT scan of the abdomen with contrast CPT 74160 ABD W/IV & ORAL CONTR (CT) $977.40 $2,172.00 $545.17–$1,737.60 41% below 55%
CT scan of the abdomen with contrast CPT 74160 CT (LIVER) ABDOMEN W/CONTRAST $977.40 $2,172.00 $545.17–$1,737.60 41% below 55%
CT scan of the abdomen with contrast CPT 74160 ABD WITH IV CONTRAST ONLY (CT) $977.40 $2,172.00 $545.17–$1,737.60 41% below 55%
CT scan of the abdomen with contrast inpatient CPT 74160 ABD W/IV & ORAL CONTR (CT) $977.40 $2,172.00 $1,324.92–$1,737.60 — 55%
CT scan of the abdomen with contrast inpatient CPT 74160 CT (LIVER) ABDOMEN W/CONTRAST $977.40 $2,172.00 $1,324.92–$1,737.60 — 55%
CT scan of the abdomen with contrast inpatient CPT 74160 ABD WITH IV CONTRAST ONLY (CT) $977.40 $2,172.00 $1,324.92–$1,737.60 — 55%
CT scan of the abdomen without contrast CPT 74150 ABD NO IV/ORAL CONTR (CT) $790.20 $1,756.00 $440.76–$1,404.80 33% below 55%
CT scan of the abdomen without contrast CPT 74150 CT (KIDNEY) ABDOMEN W/O CONTRA $790.20 $1,756.00 $440.76–$1,404.80 33% below 55%
CT scan of the abdomen without contrast CPT 74150 ABD WITH ORAL CONT ONLY (CT) $790.20 $1,756.00 $440.76–$1,404.80 33% below 55%
CT scan of the abdomen without contrast inpatient CPT 74150 ABD WITH ORAL CONT ONLY (CT) $790.20 $1,756.00 $1,071.16–$1,404.80 — 55%
CT scan of the abdomen without contrast inpatient CPT 74150 CT (KIDNEY) ABDOMEN W/O CONTRA $790.20 $1,756.00 $1,071.16–$1,404.80 — 55%
CT scan of the abdomen without contrast inpatient CPT 74150 ABD NO IV/ORAL CONTR (CT) $790.20 $1,756.00 $1,071.16–$1,404.80 — 55%
CT scan of the face and sinuses, no contrast dye CPT 70486 SINUSES WITH BRAIN LAB $845.55 $1,879.00 $471.63–$1,503.20 26% below 55%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT (SINUSES) MAXILLOFACIAL W/O $845.55 $1,879.00 $471.63–$1,503.20 26% below 55%
CT scan of the face and sinuses, no contrast dye CPT 70486 FUSION CT SINUSES WITHOUT CONT $845.55 $1,879.00 $471.63–$1,503.20 26% below 55%
CT scan of the face and sinuses, no contrast dye CPT 70486 MAXILLOFAC WO CONTRAST $845.55 $1,879.00 $471.63–$1,503.20 26% below 55%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 SINUSES WITH BRAIN LAB $845.55 $1,879.00 $1,146.19–$1,503.20 — 55%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT (SINUSES) MAXILLOFACIAL W/O $845.55 $1,879.00 $1,146.19–$1,503.20 — 55%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 FUSION CT SINUSES WITHOUT CONT $845.55 $1,879.00 $1,146.19–$1,503.20 — 55%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 MAXILLOFAC WO CONTRAST $845.55 $1,879.00 $1,146.19–$1,503.20 — 55%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WITHOUT CONTRAST $783.00 $1,740.00 $436.74–$1,392.00 28% below 55%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WITHOUT CONTRAST $783.00 $1,740.00 $1,061.40–$1,392.00 — 55%
CT scan of the head with contrast CPT 70460 CT HEAD WITH CONTRAST $856.80 $1,904.00 $477.90–$1,523.20 36% below 55%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD WITH CONTRAST $856.80 $1,904.00 $1,161.44–$1,523.20 — 55%
CT scan of the head without and with contrast CPT 70470 CT HEAD COMBO $1,250.10 $2,778.00 $697.28–$2,222.40 25% below 55%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD COMBO $1,250.10 $2,778.00 $1,694.58–$2,222.40 — 55%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE W/O CONTRAST $1,034.55 $2,299.00 $577.05–$1,839.20 17% below 55%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR SPINE W/O CONTRAST $1,034.55 $2,299.00 $1,402.39–$1,839.20 — 55%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL SPINE W/O CONTRAST $967.50 $2,150.00 $539.65–$1,720.00 23% below 55%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERVICAL SPINE W/O CONTRAST $967.50 $2,150.00 $1,311.50–$1,720.00 — 55%
CT scan of the pelvis, with contrast dye CPT 72193 PELVIS W/IV CONT ONLY (CT) $1,072.35 $2,383.00 $598.13–$1,906.40 37% below 55%
CT scan of the pelvis, with contrast dye CPT 72193 PELVIS W/IV & ORAL CONTR (CT) $1,072.35 $2,383.00 $598.13–$1,906.40 37% below 55%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 PELVIS W/IV & ORAL CONTR (CT) $1,072.35 $2,383.00 $1,453.63–$1,906.40 — 55%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 PELVIS W/IV CONT ONLY (CT) $1,072.35 $2,383.00 $1,453.63–$1,906.40 — 55%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 (CAROTID DOP)DUPLEX NECK ARTER $769.50 $1,710.00 $429.21–$1,368.00 23% below 55%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 (CAROTID DOP)DUPLEX NECK ARTER $769.50 $1,710.00 $1,043.10–$1,368.00 — 55%
Chest CT scan without and with contrast CPT 71270 CT (CHEST) THORAX COMBO $1,321.65 $2,937.00 $737.19–$2,349.60 21% below 55%
Chest CT scan without and with contrast inpatient CPT 71270 CT (CHEST) THORAX COMBO $1,321.65 $2,937.00 $1,791.57–$2,349.60 — 55%
Chest X-ray, 2 views CPT 71046 CHEST SPECIAL VIEW - LAT DECUB $220.95 $491.00 $123.24–$392.80 31% below 55%
Chest X-ray, 2 views CPT 71046 CHEST PREADMISSION TESTING $220.95 $491.00 $123.24–$392.80 31% below 55%
Chest X-ray, 2 views CPT 71046 CHEST 2 VIEWS PA & LATERAL $220.95 $491.00 $123.24–$392.80 31% below 55%
Chest X-ray, 2 views CPT 71046 CHEST INSPIRATION/EXPIRATION $220.95 $491.00 $123.24–$392.80 31% below 55%
Chest X-ray, 2 views inpatient CPT 71046 CHEST INSPIRATION/EXPIRATION $220.95 $491.00 $299.51–$392.80 — 55%
Chest X-ray, 2 views inpatient CPT 71046 CHEST 2 VIEWS PA & LATERAL $220.95 $491.00 $299.51–$392.80 — 55%
Chest X-ray, 2 views inpatient CPT 71046 CHEST SPECIAL VIEW - LAT DECUB $220.95 $491.00 $299.51–$392.80 — 55%
Chest X-ray, 2 views inpatient CPT 71046 CHEST PREADMISSION TESTING $220.95 $491.00 $299.51–$392.80 — 55%
Chest X-ray, single view CPT 71045 CHEST 1 VW FRONT-NOT PORTABLE $167.85 $373.00 $93.62–$298.40 11% below 55%
Chest X-ray, single view CPT 71045 CHEST ONE VIEW PORTABLE $167.85 $373.00 $93.62–$298.40 11% below 55%
Chest X-ray, single view inpatient CPT 71045 CHEST 1 VW FRONT-NOT PORTABLE $167.85 $373.00 $227.53–$298.40 — 55%
Chest X-ray, single view inpatient CPT 71045 CHEST ONE VIEW PORTABLE $167.85 $373.00 $227.53–$298.40 — 55%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE,COMPLETE LT $176.85 $393.00 $98.64–$314.40 37% below 55%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE,COMPLETE RT $176.85 $393.00 $98.64–$314.40 37% below 55%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE,COMPLETE LT $176.85 $393.00 $239.73–$314.40 — 55%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE,COMPLETE RT $176.85 $393.00 $239.73–$314.40 — 55%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 REN/BLAD RETROPERITONEAL COMP $387.00 $860.00 $215.86–$688.00 50% below 55%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 REN/BLAD RETROPERITONEAL COMP $387.00 $860.00 $524.60–$688.00 — 55%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY,AXIAL $252.00 $560.00 $140.56–$448.00 9% below 55%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DXA BONE DENSITY,AXIAL $252.00 $560.00 $341.60–$448.00 — 55%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA BONE DENSITY/PERIPHERAL $159.30 $354.00 $88.85–$283.20 5% below 55%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DXA BONE DENSITY/PERIPHERAL $159.30 $354.00 $215.94–$283.20 — 55%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST HIGHRESOLUTION WO CON $833.85 $1,853.00 $465.10–$1,482.40 25% below 55%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT LUNG LOW DOSE FOLLOW-UP $833.85 $1,853.00 $465.10–$1,482.40 25% below 55%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT (CHEST) THORAX W/O CONTRAST $833.85 $1,853.00 $465.10–$1,482.40 25% below 55%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT LUNG LOW DOSE FOLLOW-UP $833.85 $1,853.00 $1,130.33–$1,482.40 — 55%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST HIGHRESOLUTION WO CON $833.85 $1,853.00 $1,130.33–$1,482.40 — 55%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT (CHEST) THORAX W/O CONTRAST $833.85 $1,853.00 $1,130.33–$1,482.40 — 55%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT (CHEST) THORAX W/CONTRAST $973.35 $2,163.00 $542.91–$1,730.40 34% below 55%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT (CHEST) THORAX W/CONTRAST $973.35 $2,163.00 $1,319.43–$1,730.40 — 55%
Diagnostic mammogram, both breasts CPT 77066 DIAGNOSTIC MAMMO W CAD $347.40 $772.00 $193.77–$617.60 12% above 55%
Diagnostic mammogram, both breasts CPT 77066 DIG DIAGNOSTIC MAMMOGRAPHY/CAD $347.40 $772.00 $193.77–$617.60 12% above 55%
Diagnostic mammogram, both breasts inpatient CPT 77066 DIG DIAGNOSTIC MAMMOGRAPHY/CAD $347.40 $772.00 $470.92–$617.60 — 55%
Diagnostic mammogram, both breasts inpatient CPT 77066 DIAGNOSTIC MAMMO W CAD $347.40 $772.00 $470.92–$617.60 — 55%
Diagnostic mammogram, one breast one side CPT 77065 DIAG RIGHT UNILATERAL W CAD $347.85 $773.00 $194.02–$618.40 14% above 55%
Diagnostic mammogram, one breast one side CPT 77065 DIAGNOSTIC MAMMO RIGHT W CAD $347.85 $773.00 $194.02–$618.40 14% above 55%
Diagnostic mammogram, one breast one side CPT 77065 DIAG LEFT UNILATERAL W CAD $347.85 $773.00 $194.02–$618.40 14% above 55%
Diagnostic mammogram, one breast one side CPT 77065 DIAGNOSTIC MAMMO LT W CAD $347.85 $773.00 $194.02–$618.40 14% above 55%
Diagnostic mammogram, one breast inpatient one side CPT 77065 DIAGNOSTIC MAMMO RIGHT W CAD $347.85 $773.00 $471.53–$618.40 — 55%
Diagnostic mammogram, one breast inpatient one side CPT 77065 DIAG RIGHT UNILATERAL W CAD $347.85 $773.00 $471.53–$618.40 — 55%
Diagnostic mammogram, one breast inpatient one side CPT 77065 DIAG LEFT UNILATERAL W CAD $347.85 $773.00 $471.53–$618.40 — 55%
Diagnostic mammogram, one breast inpatient one side CPT 77065 DIAGNOSTIC MAMMO LT W CAD $347.85 $773.00 $471.53–$618.40 — 55%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 DUPLEX LOWER EXT ART BILATERAL $841.05 $1,869.00 $469.12–$1,495.20 — 55%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 DUPLEX LOWER EXT ART BILATERAL $841.05 $1,869.00 $1,140.09–$1,495.20 — 55%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 VENOUS LWR EXT MAPPING BILAT $759.15 $1,687.00 $423.44–$1,349.60 — 55%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 VENOUS UPR EXT MAPPING BILAT $759.15 $1,687.00 $423.44–$1,349.60 — 55%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 VENOUS DOPPLER LOWER EXT BILAT $759.15 $1,687.00 $423.44–$1,349.60 — 55%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 VENOUS REFLUX LWR EXT BILAT $759.15 $1,687.00 $423.44–$1,349.60 — 55%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 VENOUS DOPPLER UPPER EXT BILAT $759.15 $1,687.00 $423.44–$1,349.60 — 55%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 VENOUS DOPPLER UPPER EXT BILAT $759.15 $1,687.00 $1,029.07–$1,349.60 — 55%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 VENOUS UPR EXT MAPPING BILAT $759.15 $1,687.00 $1,029.07–$1,349.60 — 55%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 VENOUS LWR EXT MAPPING BILAT $759.15 $1,687.00 $1,029.07–$1,349.60 — 55%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 VENOUS REFLUX LWR EXT BILAT $759.15 $1,687.00 $1,029.07–$1,349.60 — 55%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 VENOUS DOPPLER LOWER EXT BILAT $759.15 $1,687.00 $1,029.07–$1,349.60 — 55%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE COLOR & DOPPLER PEDIATRIC $1,564.20 $3,476.00 $872.48–$2,780.80 18% below 55%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE COLOR & DOPPLER $1,564.20 $3,476.00 $872.48–$2,780.80 18% below 55%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 TTE COLOR & DOPPLER $1,564.20 $3,476.00 $2,120.36–$2,780.80 — 55%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 TTE COLOR & DOPPLER PEDIATRIC $1,564.20 $3,476.00 $2,120.36–$2,780.80 — 55%
Elbow X-ray, 2 views one side CPT 73070 ELBOW 2 VIEWS RT $167.85 $373.00 $93.62–$298.40 42% below 55%
Elbow X-ray, 2 views one side CPT 73070 ELBOW 2 VIEWS LT $167.85 $373.00 $93.62–$298.40 42% below 55%
Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW 2 VIEWS RT $167.85 $373.00 $227.53–$298.40 — 55%
Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW 2 VIEWS LT $167.85 $373.00 $227.53–$298.40 — 55%
Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW COMPLETE MIN 3 VIEWS LT $182.25 $405.00 $101.66–$324.00 41% below 55%
Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW COMPLETE MIN 3 VIEWS RT $182.25 $405.00 $101.66–$324.00 41% below 55%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW COMPLETE MIN 3 VIEWS RT $182.25 $405.00 $247.05–$324.00 — 55%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW COMPLETE MIN 3 VIEWS LT $182.25 $405.00 $247.05–$324.00 — 55%
Eye socket (orbit) CT scan without contrast CPT 70480 (ORBITS) ORB/SELLA/TEMP W/O $1,013.85 $2,253.00 $565.50–$1,802.40 6% below 55%
Eye socket (orbit) CT scan without contrast CPT 70480 (MAST)ORB/SELLA/TEMP BONE W/O $1,013.85 $2,253.00 $565.50–$1,802.40 6% below 55%
Eye socket (orbit) CT scan without contrast CPT 70480 (IAC) ORB/SELLA/TEMP BONE W/O $1,013.85 $2,253.00 $565.50–$1,802.40 6% below 55%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 (IAC) ORB/SELLA/TEMP BONE W/O $1,013.85 $2,253.00 $1,374.33–$1,802.40 — 55%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 (ORBITS) ORB/SELLA/TEMP W/O $1,013.85 $2,253.00 $1,374.33–$1,802.40 — 55%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 (MAST)ORB/SELLA/TEMP BONE W/O $1,013.85 $2,253.00 $1,374.33–$1,802.40 — 55%
Facial bones X-ray, complete, 3 or more views CPT 70150 FACIAL BONES COMP MIN 3 VIEWS $295.20 $656.00 $164.66–$524.80 28% below 55%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 FACIAL BONES COMP MIN 3 VIEWS $295.20 $656.00 $400.16–$524.80 — 55%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM 2 VIEWS RT $175.95 $391.00 $98.14–$312.80 36% below 55%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM 2 VIEWS LT $175.95 $391.00 $98.14–$312.80 36% below 55%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM 2 VIEWS LT $175.95 $391.00 $238.51–$312.80 — 55%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM 2 VIEWS RT $175.95 $391.00 $238.51–$312.80 — 55%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY HIDA IMAGING $883.80 $1,964.00 $492.96–$1,571.20 35% below 55%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HEPATOBILIARY HIDA IMAGING $883.80 $1,964.00 $1,198.04–$1,571.20 — 55%
Hand X-ray, 2 views one side CPT 73120 HAND,2 VIEWS RT $202.95 $451.00 $113.20–$360.80 28% below 55%
Hand X-ray, 2 views one side CPT 73120 HAND,2 VIEWS LT $202.95 $451.00 $113.20–$360.80 28% below 55%
Hand X-ray, 2 views inpatient one side CPT 73120 HAND,2 VIEWS RT $202.95 $451.00 $275.11–$360.80 — 55%
Hand X-ray, 2 views inpatient one side CPT 73120 HAND,2 VIEWS LT $202.95 $451.00 $275.11–$360.80 — 55%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 HEEL MINIMUM 2 VIEWS RT $167.85 $373.00 $93.62–$298.40 32% below 55%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 HEEL MINIMUM 2 VIEWS LT $167.85 $373.00 $93.62–$298.40 32% below 55%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 HEEL MINIMUM 2 VIEWS RT $167.85 $373.00 $227.53–$298.40 — 55%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 HEEL MINIMUM 2 VIEWS LT $167.85 $373.00 $227.53–$298.40 — 55%
Knee X-ray, 3 views one side CPT 73562 KNEE 3 VIEWS LT $248.85 $553.00 $138.80–$442.40 29% below 55%
Knee X-ray, 3 views one side CPT 73562 KNEE 3 VIEWS RT $248.85 $553.00 $138.80–$442.40 29% below 55%
Knee X-ray, 3 views inpatient one side CPT 73562 KNEE 3 VIEWS RT $248.85 $553.00 $337.33–$442.40 — 55%
Knee X-ray, 3 views inpatient one side CPT 73562 KNEE 3 VIEWS LT $248.85 $553.00 $337.33–$442.40 — 55%
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE COMP 4 OR MORE VIEWS RT $327.15 $727.00 $182.48–$581.60 26% below 55%
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE COMP 4 OR MORE VIEWS LT $327.15 $727.00 $182.48–$581.60 26% below 55%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE COMP 4 OR MORE VIEWS LT $327.15 $727.00 $443.47–$581.60 — 55%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE COMP 4 OR MORE VIEWS RT $327.15 $727.00 $443.47–$581.60 — 55%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT KNEE RT W/O CONT $804.15 $1,787.00 $448.54–$1,429.60 23% below 55%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT KNEE LT W/O CONT $804.15 $1,787.00 $448.54–$1,429.60 23% below 55%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT HIP RT W/O CONT $804.15 $1,787.00 $448.54–$1,429.60 23% below 55%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT HIP LT W/O CONT $804.15 $1,787.00 $448.54–$1,429.60 23% below 55%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXTREMITY LT W/O CONT $804.15 $1,787.00 $448.54–$1,429.60 23% below 55%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXTREMITY RT W/O CONT $804.15 $1,787.00 $448.54–$1,429.60 23% below 55%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT FOOT RT W/O CONT $804.15 $1,787.00 $448.54–$1,429.60 23% below 55%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT ANKLE LT W/O CONT $804.15 $1,787.00 $448.54–$1,429.60 23% below 55%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT ANKLE RT W/O CONT $804.15 $1,787.00 $448.54–$1,429.60 23% below 55%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT CALCANEUR LT W/O CONT $804.15 $1,787.00 $448.54–$1,429.60 23% below 55%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT CALCANEUS RT W/O CONT $804.15 $1,787.00 $448.54–$1,429.60 23% below 55%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT FEMUR LT W/O CONT $804.15 $1,787.00 $448.54–$1,429.60 23% below 55%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT FEMUR RT W/O CONT $804.15 $1,787.00 $448.54–$1,429.60 23% below 55%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT FOOT LT W/O CONT $804.15 $1,787.00 $448.54–$1,429.60 23% below 55%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT CALCANEUR LT W/O CONT $804.15 $1,787.00 $1,090.07–$1,429.60 — 55%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT FOOT RT W/O CONT $804.15 $1,787.00 $1,090.07–$1,429.60 — 55%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT HIP LT W/O CONT $804.15 $1,787.00 $1,090.07–$1,429.60 — 55%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT HIP RT W/O CONT $804.15 $1,787.00 $1,090.07–$1,429.60 — 55%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT KNEE LT W/O CONT $804.15 $1,787.00 $1,090.07–$1,429.60 — 55%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT ANKLE RT W/O CONT $804.15 $1,787.00 $1,090.07–$1,429.60 — 55%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT ANKLE LT W/O CONT $804.15 $1,787.00 $1,090.07–$1,429.60 — 55%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOWER EXTREMITY LT W/O CONT $804.15 $1,787.00 $1,090.07–$1,429.60 — 55%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT KNEE RT W/O CONT $804.15 $1,787.00 $1,090.07–$1,429.60 — 55%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOWER EXTREMITY RT W/O CONT $804.15 $1,787.00 $1,090.07–$1,429.60 — 55%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT FEMUR LT W/O CONT $804.15 $1,787.00 $1,090.07–$1,429.60 — 55%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT FOOT LT W/O CONT $804.15 $1,787.00 $1,090.07–$1,429.60 — 55%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT FEMUR RT W/O CONT $804.15 $1,787.00 $1,090.07–$1,429.60 — 55%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT CALCANEUS RT W/O CONT $804.15 $1,787.00 $1,090.07–$1,429.60 — 55%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 (PANCREAS) ABDOMEN LIMITED $350.10 $778.00 $195.28–$622.40 49% below 55%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 (LIVER) ABDOMEN LIMITED $350.10 $778.00 $195.28–$622.40 49% below 55%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ABDOMEN LIMITED $350.10 $778.00 $195.28–$622.40 49% below 55%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ABD LTD INTUSSUSCEPTION $350.10 $778.00 $195.28–$622.40 49% below 55%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ABD LTD PYLORIC STENOSIS $350.10 $778.00 $195.28–$622.40 49% below 55%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ABDOMEN FOR HERNIA $350.10 $778.00 $195.28–$622.40 49% below 55%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LTD ASCITES $350.10 $778.00 $195.28–$622.40 49% below 55%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 APPENDIX ULTRASOUND $350.10 $778.00 $195.28–$622.40 49% below 55%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 (GALLBLADDER) ABDOMEN LIMITED $350.10 $778.00 $195.28–$622.40 49% below 55%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ABDOMEN LIMITED $350.10 $778.00 $474.58–$622.40 — 55%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 APPENDIX ULTRASOUND $350.10 $778.00 $474.58–$622.40 — 55%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 (PANCREAS) ABDOMEN LIMITED $350.10 $778.00 $474.58–$622.40 — 55%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 (GALLBLADDER) ABDOMEN LIMITED $350.10 $778.00 $474.58–$622.40 — 55%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 (LIVER) ABDOMEN LIMITED $350.10 $778.00 $474.58–$622.40 — 55%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ABD LTD INTUSSUSCEPTION $350.10 $778.00 $474.58–$622.40 — 55%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ABD LTD PYLORIC STENOSIS $350.10 $778.00 $474.58–$622.40 — 55%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ABDOMEN FOR HERNIA $350.10 $778.00 $474.58–$622.40 — 55%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN LTD ASCITES $350.10 $778.00 $474.58–$622.40 — 55%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 EXTREMITY NONVASCULAR LIMITED $297.45 $661.00 $165.91–$528.80 16% below 55%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US SOFT TISSUE EXT LTD $297.45 $661.00 $165.91–$528.80 16% below 55%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US AXILLARY LYMPH NODES RT $297.45 $661.00 $165.91–$528.80 16% below 55%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US AXILLARY LYMPH NODES LMT RT $297.45 $661.00 $165.91–$528.80 16% below 55%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US AXILLARY LYMPH NODES LT $297.45 $661.00 $165.91–$528.80 16% below 55%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US AXILLARY LYMPH NODES LMT LT $297.45 $661.00 $165.91–$528.80 16% below 55%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US SOFT TISSUE EXT LTD $297.45 $661.00 $403.21–$528.80 — 55%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 EXTREMITY NONVASCULAR LIMITED $297.45 $661.00 $403.21–$528.80 — 55%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US AXILLARY LYMPH NODES LT $297.45 $661.00 $403.21–$528.80 — 55%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US AXILLARY LYMPH NODES LMT RT $297.45 $661.00 $403.21–$528.80 — 55%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US AXILLARY LYMPH NODES LMT LT $297.45 $661.00 $403.21–$528.80 — 55%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US AXILLARY LYMPH NODES RT $297.45 $661.00 $403.21–$528.80 — 55%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LUNG SCREENING,LOW DOSE $252.00 $560.00 $140.56–$448.00 5% below 55%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 LUNG SCREENING,LOW DOSE $252.00 $560.00 $341.60–$448.00 — 55%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 TIBIA/FIBULA - 2 VIEWS RT $205.20 $456.00 $114.46–$364.80 35% below 55%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 TIBIA/FIBULA - 2 VIEWS LT $205.20 $456.00 $114.46–$364.80 35% below 55%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 TIBIA/FIBULA - 2 VIEWS RT $205.20 $456.00 $278.16–$364.80 — 55%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 TIBIA/FIBULA - 2 VIEWS LT $205.20 $456.00 $278.16–$364.80 — 55%
MR angiography (MRA) of the head without contrast CPT 70544 MRV HEAD WITHOUT CONTRAST $980.55 $2,179.00 $546.93–$1,743.20 45% below 55%
MR angiography (MRA) of the head without contrast CPT 70544 MRA HEAD W/O CONTRAST $980.55 $2,179.00 $546.93–$1,743.20 45% below 55%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA HEAD W/O CONTRAST $980.55 $2,179.00 $1,329.19–$1,743.20 — 55%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRV HEAD WITHOUT CONTRAST $980.55 $2,179.00 $1,329.19–$1,743.20 — 55%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI KNEE RT W/O CONT $1,274.85 $2,833.00 $711.08–$2,266.40 27% below 55%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI ANKLE LT W/O CONT $1,274.85 $2,833.00 $711.08–$2,266.40 27% below 55%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI ANKLE RT W/O CONT $1,274.85 $2,833.00 $711.08–$2,266.40 27% below 55%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI HIP LT W/O CONT $1,274.85 $2,833.00 $711.08–$2,266.40 27% below 55%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI HIP RT W/O CONT $1,274.85 $2,833.00 $711.08–$2,266.40 27% below 55%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI KNEE LT W/O CONT $1,274.85 $2,833.00 $711.08–$2,266.40 27% below 55%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI HIP LT W/O CONT $1,274.85 $2,833.00 $1,728.13–$2,266.40 — 55%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI ANKLE LT W/O CONT $1,274.85 $2,833.00 $1,728.13–$2,266.40 — 55%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI KNEE LT W/O CONT $1,274.85 $2,833.00 $1,728.13–$2,266.40 — 55%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI KNEE RT W/O CONT $1,274.85 $2,833.00 $1,728.13–$2,266.40 — 55%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI ANKLE RT W/O CONT $1,274.85 $2,833.00 $1,728.13–$2,266.40 — 55%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI HIP RT W/O CONT $1,274.85 $2,833.00 $1,728.13–$2,266.40 — 55%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI ANKLE LT COMBO $1,676.25 $3,725.00 $934.98–$2,980.00 55% below 55%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI HIP LT COMBO $1,676.25 $3,725.00 $934.98–$2,980.00 55% below 55%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI HIP RT COMBO $1,676.25 $3,725.00 $934.98–$2,980.00 55% below 55%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI KNEE LT COMBO $1,676.25 $3,725.00 $934.98–$2,980.00 55% below 55%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI KNEE RT COMBO $1,676.25 $3,725.00 $934.98–$2,980.00 55% below 55%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI ANKLE RT COMBO $1,676.25 $3,725.00 $934.98–$2,980.00 55% below 55%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI ANKLE RT COMBO $1,676.25 $3,725.00 $2,272.25–$2,980.00 — 55%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI ANKLE LT COMBO $1,676.25 $3,725.00 $2,272.25–$2,980.00 — 55%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI HIP RT COMBO $1,676.25 $3,725.00 $2,272.25–$2,980.00 — 55%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI KNEE LT COMBO $1,676.25 $3,725.00 $2,272.25–$2,980.00 — 55%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI KNEE RT COMBO $1,676.25 $3,725.00 $2,272.25–$2,980.00 — 55%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI HIP LT COMBO $1,676.25 $3,725.00 $2,272.25–$2,980.00 — 55%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONTRAST $1,220.85 $2,713.00 $680.96–$2,170.40 38% below 55%
MRI of the abdomen without contrast CPT 74181 MRCP $1,220.85 $2,713.00 $680.96–$2,170.40 38% below 55%
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN W/O CONTRAST $1,220.85 $2,713.00 $1,654.93–$2,170.40 — 55%
MRI of the abdomen without contrast inpatient CPT 74181 MRCP $1,220.85 $2,713.00 $1,654.93–$2,170.40 — 55%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN COMBO $1,516.50 $3,370.00 $845.87–$2,696.00 59% below 55%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN COMBINATION $1,696.50 $3,770.00 $946.27–$3,016.00 54% below 55%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN COMBO $1,516.50 $3,370.00 $2,055.70–$2,696.00 — 55%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN COMBINATION $1,696.50 $3,770.00 $2,299.70–$3,016.00 — 55%
MRI of the brain, no contrast dye CPT 70551 MRI-BRAIN W/O CONTRAST $1,184.40 $2,632.00 $660.63–$2,105.60 34% below 55%
MRI of the brain, no contrast dye CPT 70551 BRAIN W/O 3 FLAIRS $1,184.40 $2,632.00 $660.63–$2,105.60 34% below 55%
MRI of the brain, no contrast dye CPT 70551 BRAIN W/O FOR IAC $1,184.40 $2,632.00 $660.63–$2,105.60 34% below 55%
MRI of the brain, no contrast dye CPT 70551 BRAIN W/O FOR TRIGEMINAL $1,184.40 $2,632.00 $660.63–$2,105.60 34% below 55%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN SEIZURE W/O CONT $1,184.40 $2,632.00 $660.63–$2,105.60 34% below 55%
MRI of the brain, no contrast dye inpatient CPT 70551 BRAIN W/O FOR TRIGEMINAL $1,184.40 $2,632.00 $1,605.52–$2,105.60 — 55%
MRI of the brain, no contrast dye inpatient CPT 70551 BRAIN W/O FOR IAC $1,184.40 $2,632.00 $1,605.52–$2,105.60 — 55%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI-BRAIN W/O CONTRAST $1,184.40 $2,632.00 $1,605.52–$2,105.60 — 55%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN SEIZURE W/O CONT $1,184.40 $2,632.00 $1,605.52–$2,105.60 — 55%
MRI of the brain, no contrast dye inpatient CPT 70551 BRAIN W/O 3 FLAIRS $1,184.40 $2,632.00 $1,605.52–$2,105.60 — 55%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN SEIZURE WO/W CONT $1,831.50 $4,070.00 $1,021.57–$3,256.00 36% below 55%
MRI of the brain, with and without contrast dye CPT 70553 MR BRAIN SWAN WO/W CON $1,831.50 $4,070.00 $1,021.57–$3,256.00 36% below 55%
MRI of the brain, with and without contrast dye CPT 70553 BRAIN COMBO 3 FLAIRS $1,831.50 $4,070.00 $1,021.57–$3,256.00 36% below 55%
MRI of the brain, with and without contrast dye CPT 70553 BRAIN COMBO FOR PITUITARY $1,831.50 $4,070.00 $1,021.57–$3,256.00 36% below 55%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN COMBINATION $1,831.50 $4,070.00 $1,021.57–$3,256.00 36% below 55%
MRI of the brain, with and without contrast dye CPT 70553 BRAIN COMBO FOR IAC $1,831.50 $4,070.00 $1,021.57–$3,256.00 36% below 55%
MRI of the brain, with and without contrast dye CPT 70553 BRAIN COMBO FOR TRIGEMINAL $1,831.50 $4,070.00 $1,021.57–$3,256.00 36% below 55%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN COMBINATION $1,831.50 $4,070.00 $2,482.70–$3,256.00 — 55%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MR BRAIN SWAN WO/W CON $1,831.50 $4,070.00 $2,482.70–$3,256.00 — 55%
MRI of the brain, with and without contrast dye inpatient CPT 70553 BRAIN COMBO 3 FLAIRS $1,831.50 $4,070.00 $2,482.70–$3,256.00 — 55%
MRI of the brain, with and without contrast dye inpatient CPT 70553 BRAIN COMBO FOR IAC $1,831.50 $4,070.00 $2,482.70–$3,256.00 — 55%
MRI of the brain, with and without contrast dye inpatient CPT 70553 BRAIN COMBO FOR TRIGEMINAL $1,831.50 $4,070.00 $2,482.70–$3,256.00 — 55%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN SEIZURE WO/W CONT $1,831.50 $4,070.00 $2,482.70–$3,256.00 — 55%
MRI of the brain, with and without contrast dye inpatient CPT 70553 BRAIN COMBO FOR PITUITARY $1,831.50 $4,070.00 $2,482.70–$3,256.00 — 55%
MRI of the lower back, no contrast dye CPT 72148 MRI- LUMBAR W/O CONTRAST $1,283.85 $2,853.00 $716.10–$2,282.40 28% below 55%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI- LUMBAR W/O CONTRAST $1,283.85 $2,853.00 $1,740.33–$2,282.40 — 55%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI- LUMBAR SPINE COMBO $1,894.50 $4,210.00 $1,056.71–$3,368.00 43% below 55%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI- LUMBAR SPINE COMBO $1,894.50 $4,210.00 $2,568.10–$3,368.00 — 55%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI- T SPINE W/O CONTRAST $1,268.55 $2,819.00 $707.57–$2,255.20 39% below 55%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI- T SPINE W/O CONTRAST $1,268.55 $2,819.00 $1,719.59–$2,255.20 — 55%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERVICAL COMBINATION $1,816.65 $4,037.00 $1,013.29–$3,229.60 36% below 55%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI CERVICAL COMBINATION $1,816.65 $4,037.00 $2,462.57–$3,229.60 — 55%
MRI of the neck (cervical spine), no contrast dye CPT 72141 CERVICAL SPINE FLEX/EXT WO CON $1,161.45 $2,581.00 $647.83–$2,064.80 34% below 55%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CERVICAL W/O CONTRAST $1,161.45 $2,581.00 $647.83–$2,064.80 34% below 55%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 CERVICAL SPINE FLEX/EXT WO CON $1,161.45 $2,581.00 $1,574.41–$2,064.80 — 55%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI CERVICAL W/O CONTRAST $1,161.45 $2,581.00 $1,574.41–$2,064.80 — 55%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS COMBO $1,560.60 $3,468.00 $870.47–$2,774.40 56% below 55%
MRI of the pelvis without and with contrast CPT 72197 PROSTATE MRI COMBO $1,560.60 $3,468.00 $870.47–$2,774.40 56% below 55%
MRI of the pelvis without and with contrast CPT 72197 SI JOINTS COMBO $1,560.60 $3,468.00 $870.47–$2,774.40 56% below 55%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS COMBINATION $1,560.60 $3,468.00 $870.47–$2,774.40 56% below 55%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS COMBINATION $1,560.60 $3,468.00 $2,115.48–$2,774.40 — 55%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS COMBO $1,560.60 $3,468.00 $2,115.48–$2,774.40 — 55%
MRI of the pelvis without and with contrast inpatient CPT 72197 PROSTATE MRI COMBO $1,560.60 $3,468.00 $2,115.48–$2,774.40 — 55%
MRI of the pelvis without and with contrast inpatient CPT 72197 SI JOINTS COMBO $1,560.60 $3,468.00 $2,115.48–$2,774.40 — 55%
MRI of the pelvis, no contrast dye CPT 72195 SI JOINTS W/O $1,145.70 $2,546.00 $639.05–$2,036.80 40% below 55%
MRI of the pelvis, no contrast dye CPT 72195 MRI PROSTATE WO CON $1,145.70 $2,546.00 $639.05–$2,036.80 40% below 55%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS WITHOUT CONTRAST $1,145.70 $2,546.00 $639.05–$2,036.80 40% below 55%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PROSTATE WO CON $1,145.70 $2,546.00 $1,553.06–$2,036.80 — 55%
MRI of the pelvis, no contrast dye inpatient CPT 72195 SI JOINTS W/O $1,145.70 $2,546.00 $1,553.06–$2,036.80 — 55%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS WITHOUT CONTRAST $1,145.70 $2,546.00 $1,553.06–$2,036.80 — 55%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI WRIST RT W/O CONT $1,314.00 $2,920.00 $732.92–$2,336.00 38% below 55%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI ELBOW LT W/O CONT $1,314.00 $2,920.00 $732.92–$2,336.00 38% below 55%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI WRIST LT W/O CONT $1,314.00 $2,920.00 $732.92–$2,336.00 38% below 55%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI ELBOW RT W/O CONT $1,314.00 $2,920.00 $732.92–$2,336.00 38% below 55%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI SHOULDER LT W/O CONT $1,314.00 $2,920.00 $732.92–$2,336.00 38% below 55%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI SHOULDER RT W/O CONT $1,314.00 $2,920.00 $732.92–$2,336.00 38% below 55%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI SHOULDER RT W/O CONT $1,314.00 $2,920.00 $1,781.20–$2,336.00 — 55%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI ELBOW LT W/O CONT $1,314.00 $2,920.00 $1,781.20–$2,336.00 — 55%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI ELBOW RT W/O CONT $1,314.00 $2,920.00 $1,781.20–$2,336.00 — 55%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI SHOULDER LT W/O CONT $1,314.00 $2,920.00 $1,781.20–$2,336.00 — 55%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI WRIST LT W/O CONT $1,314.00 $2,920.00 $1,781.20–$2,336.00 — 55%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI WRIST RT W/O CONT $1,314.00 $2,920.00 $1,781.20–$2,336.00 — 55%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 C-SPINE ROUTINE 4 OR 5 VIEWS $283.50 $630.00 $158.13–$504.00 39% below 55%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 C-SPINE ROUTINE 4 OR 5 VIEWS $283.50 $630.00 $384.30–$504.00 — 55%
Neck soft tissue CT scan with contrast CPT 70491 CT SOFT TISSUE NECK W/CONTRAST $1,095.75 $2,435.00 $611.18–$1,948.00 18% below 55%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT SOFT TISSUE NECK W/CONTRAST $1,095.75 $2,435.00 $1,485.35–$1,948.00 — 55%
Neck soft tissue CT scan without contrast CPT 70490 CT SOFT TISSUE NECK W/O CONTRA $853.65 $1,897.00 $476.15–$1,517.60 21% below 55%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT SOFT TISSUE NECK W/O CONTRA $853.65 $1,897.00 $1,157.17–$1,517.60 — 55%
Neck soft tissue X-ray CPT 70360 SOFT TISSUE NECK $167.85 $373.00 $93.62–$298.40 36% below 55%
Neck soft tissue X-ray inpatient CPT 70360 SOFT TISSUE NECK $167.85 $373.00 $227.53–$298.40 — 55%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 MYOCARDIAL PERF IMG (TC) SD $2,621.25 $5,825.00 $1,462.08–$4,660.00 38% below 55%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 MYOCARDIAL PERF IMG (TC) S/R $2,621.25 $5,825.00 $1,462.08–$4,660.00 38% below 55%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 MYOCARDIAL PERF IMG (TC) R/S $2,621.25 $5,825.00 $1,462.08–$4,660.00 38% below 55%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 MYOCARDIAL PERF IMG (TC) R/S $2,621.25 $5,825.00 $3,553.25–$4,660.00 — 55%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 MYOCARDIAL PERF IMG (TC) SD $2,621.25 $5,825.00 $3,553.25–$4,660.00 — 55%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 MYOCARDIAL PERF IMG (TC) S/R $2,621.25 $5,825.00 $3,553.25–$4,660.00 — 55%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET/CT SKULL-THIGH $5,418.45 $12,041.00 $3,022.29–$9,632.80 21% below 55%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET/CT SKULL-THIGH $5,418.45 $12,041.00 $7,345.01–$9,632.80 — 55%
Pelvic CT scan without contrast CPT 72192 PELVIS NO IV/ORAL CONTR (CT) $794.70 $1,766.00 $443.27–$1,412.80 27% below 55%
Pelvic CT scan without contrast CPT 72192 PELVIS W/ORAL CONT ONLY (CT) $794.70 $1,766.00 $443.27–$1,412.80 27% below 55%
Pelvic CT scan without contrast inpatient CPT 72192 PELVIS W/ORAL CONT ONLY (CT) $794.70 $1,766.00 $1,077.26–$1,412.80 — 55%
Pelvic CT scan without contrast inpatient CPT 72192 PELVIS NO IV/ORAL CONTR (CT) $794.70 $1,766.00 $1,077.26–$1,412.80 — 55%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 PELVIC LTD OR FOLLOW-UP $262.35 $583.00 $146.33–$466.40 41% below 55%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 PELVIC LTD OR FOLLOW-UP $262.35 $583.00 $355.63–$466.40 — 55%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 PELVIS COMPLETE NON-OB $430.65 $957.00 $240.21–$765.60 25% below 55%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 PELVIS COMPLETE NON-OB $430.65 $957.00 $583.77–$765.60 — 55%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 FETAL COMP >14 WEEKS,SINGLE $395.55 $879.00 $220.63–$703.20 39% below 55%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 FETAL COMP >14 WEEKS,SINGLE $395.55 $879.00 $536.19–$703.20 — 55%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 (ECTOPIC) FETAL <14 WEEKS $367.65 $817.00 $205.07–$653.60 34% below 55%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 FETAL <14 WEEKS,SINGLE $367.65 $817.00 $205.07–$653.60 34% below 55%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 (ECTOPIC) FETAL <14 WEEKS $367.65 $817.00 $498.37–$653.60 — 55%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 FETAL <14 WEEKS,SINGLE $367.65 $817.00 $498.37–$653.60 — 55%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 ULTRASOUND FETAL LIMITED (L&D) $311.85 $693.00 $173.94–$554.40 39% below 55%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 FETAL LIMITED $311.85 $693.00 $173.94–$554.40 39% below 55%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 FETAL LIMITED $311.85 $693.00 $422.73–$554.40 — 55%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 ULTRASOUND FETAL LIMITED (L&D) $311.85 $693.00 $422.73–$554.40 — 55%
Rib X-ray, one side, 2 views one side CPT 71100 RIBS UNILATERAL 2 VIEWS RT $193.50 $430.00 $107.93–$344.00 43% below 55%
Rib X-ray, one side, 2 views one side CPT 71100 RIBS UNILATERAL 2 VIEWS LT $193.50 $430.00 $107.93–$344.00 43% below 55%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS UNILATERAL 2 VIEWS RT $193.50 $430.00 $262.30–$344.00 — 55%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS UNILATERAL 2 VIEWS LT $193.50 $430.00 $262.30–$344.00 — 55%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS UNILATERAL W PA CHEST RT $261.90 $582.00 $146.08–$465.60 36% below 55%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS UNILATERAL W PA CHEST LT $261.90 $582.00 $146.08–$465.60 36% below 55%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS UNILATERAL W PA CHEST RT $261.90 $582.00 $355.02–$465.60 — 55%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS UNILATERAL W PA CHEST LT $261.90 $582.00 $355.02–$465.60 — 55%
Screening mammogram, both breasts CPT 77067 DIG SCREENING MAMMOGRAPHY WCAD $292.05 $649.00 $162.90–$519.20 19% above 55%
Screening mammogram, both breasts CPT 77067 DIG SCREENING MAMMO W CAD $292.05 $649.00 $162.90–$519.20 19% above 55%
Screening mammogram, both breasts inpatient CPT 77067 DIG SCREENING MAMMOGRAPHY WCAD $292.05 $649.00 $395.89–$519.20 — 55%
Screening mammogram, both breasts inpatient CPT 77067 DIG SCREENING MAMMO W CAD $292.05 $649.00 $395.89–$519.20 — 55%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER COMP MIN 2 VIEWS LT $183.60 $408.00 $102.41–$326.40 45% below 55%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER COMP MIN 2 VIEWS RT $183.60 $408.00 $102.41–$326.40 45% below 55%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER COMP MIN 2 VIEWS LT $183.60 $408.00 $248.88–$326.40 — 55%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER COMP MIN 2 VIEWS RT $183.60 $408.00 $248.88–$326.40 — 55%
Sinus X-ray, complete, 3 or more views CPT 70220 SINUSES COMPLETE MIN 3 VIEWS $198.45 $441.00 $110.69–$352.80 53% below 55%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 SINUSES COMPLETE MIN 3 VIEWS $198.45 $441.00 $269.01–$352.80 — 55%
Skull X-ray, fewer than 4 views CPT 70250 SKULL < 4 VIEWS $220.50 $490.00 $122.99–$392.00 38% below 55%
Skull X-ray, fewer than 4 views inpatient CPT 70250 SKULL < 4 VIEWS $220.50 $490.00 $298.90–$392.00 — 55%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 ECHO EXERCISE W PHYS SUP $1,899.00 $4,220.00 $1,059.22–$3,376.00 1% above 55%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 DOB STRESS W/O CON W PHYS $1,899.00 $4,220.00 $1,059.22–$3,376.00 1% above 55%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 ECHO EXERCISE W PHYS SUP $1,899.00 $4,220.00 $2,574.20–$3,376.00 — 55%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 DOB STRESS W/O CON W PHYS $1,899.00 $4,220.00 $2,574.20–$3,376.00 — 55%
Swallow study (modified barium swallow, video X-ray) CPT 74230 VIDEO SWALLOW $416.70 $926.00 $232.43–$740.80 29% below 55%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 VIDEO SWALLOW $416.70 $926.00 $564.86–$740.80 — 55%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR 2 OR MORE VIEWS LT $216.00 $480.00 $120.48–$384.00 46% below 55%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR 2 OR MORE VIEWS RT $216.00 $480.00 $120.48–$384.00 46% below 55%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FEMUR 2 OR MORE VIEWS RT $216.00 $480.00 $292.80–$384.00 — 55%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FEMUR 2 OR MORE VIEWS LT $216.00 $480.00 $292.80–$384.00 — 55%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT THORACIC SPINE W/O CONTRAST $790.20 $1,756.00 $440.76–$1,404.80 35% below 55%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT THORACIC SPINE W/O CONTRAST $790.20 $1,756.00 $1,071.16–$1,404.80 — 55%
Toe X-ray, 2 or more views one side CPT 73660 TOE(S) MINIMUM 2 VIEWS LT $172.35 $383.00 $96.13–$306.40 38% below 55%
Toe X-ray, 2 or more views one side CPT 73660 TOE(S) MINIMUM 2 VIEWS RT $172.35 $383.00 $96.13–$306.40 38% below 55%
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE(S) MINIMUM 2 VIEWS RT $172.35 $383.00 $233.63–$306.40 — 55%
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE(S) MINIMUM 2 VIEWS LT $172.35 $383.00 $233.63–$306.40 — 55%
Transvaginal pelvic ultrasound CPT 76830 (TRANSVAG) FEMALE PELVIS TRANS $342.00 $760.00 $190.76–$608.00 39% below 55%
Transvaginal pelvic ultrasound inpatient CPT 76830 (TRANSVAG) FEMALE PELVIS TRANS $342.00 $760.00 $463.60–$608.00 — 55%
Transvaginal ultrasound during pregnancy CPT 76817 FETAL TRANSVAGINAL $343.35 $763.00 $191.51–$610.40 37% below 55%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 FETAL TRANSVAGINAL $343.35 $763.00 $465.43–$610.40 — 55%
Ultrasound of the abdomen, complete CPT 76700 ABDOMEN COMPLETE $413.55 $919.00 $230.67–$735.20 55% below 55%
Ultrasound of the abdomen, complete inpatient CPT 76700 ABDOMEN COMPLETE $413.55 $919.00 $560.59–$735.20 — 55%
Ultrasound of the scrotum and testicles CPT 76870 (TESTICULAR)SCROTUM & CONTENTS $406.35 $903.00 $226.65–$722.40 34% below 55%
Ultrasound of the scrotum and testicles inpatient CPT 76870 (TESTICULAR)SCROTUM & CONTENTS $406.35 $903.00 $550.83–$722.40 — 55%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 SOFT TISSUE HEAD/NECK $361.80 $804.00 $201.80–$643.20 37% below 55%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 SOFT TISSUE HEAD/NECK $361.80 $804.00 $490.44–$643.20 — 55%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 GI SERIES W/O KUB $350.10 $778.00 $195.28–$622.40 42% below 55%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-RAY XM UPR GI TRC 1CNTRST $350.10 $778.00 $195.28–$622.40 42% below 55%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 X-RAY XM UPR GI TRC 1CNTRST $350.10 $778.00 $474.58–$622.40 — 55%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 GI SERIES W/O KUB $350.10 $778.00 $474.58–$622.40 — 55%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS MINIMUM 2 VIEWS LT $174.60 $388.00 $97.39–$310.40 34% below 55%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS MINIMUM 2 VIEWS RT $174.60 $388.00 $97.39–$310.40 34% below 55%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS MINIMUM 2 VIEWS LT $174.60 $388.00 $236.68–$310.40 — 55%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS MINIMUM 2 VIEWS RT $174.60 $388.00 $236.68–$310.40 — 55%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 VENOUS UPPER EXT MAPPING UNI $531.90 $1,182.00 $296.68–$945.60 21% below 55%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 VENOUS LWR EXT MAPPING UNIL $531.90 $1,182.00 $296.68–$945.60 21% below 55%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 VENOUS DOPPLER LOWER EXT UNILA $531.90 $1,182.00 $296.68–$945.60 21% below 55%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 VENOUS DOPPLER UPPER EXT UNILA $531.90 $1,182.00 $296.68–$945.60 21% below 55%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS REFLUX LWR EXT UNILAT $531.90 $1,182.00 $296.68–$945.60 21% below 55%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 VENOUS DOPPLER LOWER EXT UNILA $531.90 $1,182.00 $721.02–$945.60 — 55%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 VENOUS UPPER EXT MAPPING UNI $531.90 $1,182.00 $721.02–$945.60 — 55%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 VENOUS DOPPLER UPPER EXT UNILA $531.90 $1,182.00 $721.02–$945.60 — 55%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 VENOUS LWR EXT MAPPING UNIL $531.90 $1,182.00 $721.02–$945.60 — 55%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VENOUS REFLUX LWR EXT UNILAT $531.90 $1,182.00 $721.02–$945.60 — 55%
Wrist X-ray, 2 views one side CPT 73100 WRIST 2 VIEWS RT $184.95 $411.00 $103.16–$328.80 28% below 55%
Wrist X-ray, 2 views one side CPT 73100 WRIST 2 VIEWS LT $184.95 $411.00 $103.16–$328.80 28% below 55%
Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST 2 VIEWS RT $184.95 $411.00 $250.71–$328.80 — 55%
Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST 2 VIEWS LT $184.95 $411.00 $250.71–$328.80 — 55%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST COMPLETE,MIN 3 VIEWS LT $187.20 $416.00 $104.42–$332.80 42% below 55%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST COMPLETE,MIN 3 VIEWS RT $187.20 $416.00 $104.42–$332.80 42% below 55%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST COMPLETE,MIN 3 VIEWS LT $187.20 $416.00 $253.76–$332.80 — 55%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST COMPLETE,MIN 3 VIEWS RT $187.20 $416.00 $253.76–$332.80 — 55%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP 2 V W PELVIS RT $181.80 $404.00 $101.40–$323.20 47% below 55%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP 2 V W PELVIS LT $181.80 $404.00 $101.40–$323.20 47% below 55%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP 2 V W PELVIS RT $181.80 $404.00 $246.44–$323.20 — 55%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP 2 V W PELVIS LT $181.80 $404.00 $246.44–$323.20 — 55%
X-ray of the abdomen, 1 view CPT 74018 KUB CT SCOUT FILM $167.85 $373.00 $93.62–$298.40 42% below 55%
X-ray of the abdomen, 1 view CPT 74018 KUB (ABDOMEN) SINGLE AP VIEW $167.85 $373.00 $93.62–$298.40 42% below 55%
X-ray of the abdomen, 1 view inpatient CPT 74018 KUB (ABDOMEN) SINGLE AP VIEW $167.85 $373.00 $227.53–$298.40 — 55%
X-ray of the abdomen, 1 view inpatient CPT 74018 KUB CT SCOUT FILM $167.85 $373.00 $227.53–$298.40 — 55%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE 2 VIEWS RT $188.10 $418.00 $104.92–$334.40 45% below 55%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE 2 VIEWS LT $188.10 $418.00 $104.92–$334.40 45% below 55%
X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE 2 VIEWS RT $188.10 $418.00 $254.98–$334.40 — 55%
X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE 2 VIEWS LT $188.10 $418.00 $254.98–$334.40 — 55%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER(S) MINIMUM 2 VIEWS RT $167.85 $373.00 $93.62–$298.40 27% below 55%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER(S) MINIMUM 2 VIEWS LT $167.85 $373.00 $93.62–$298.40 27% below 55%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER(S) MINIMUM 2 VIEWS RT $167.85 $373.00 $227.53–$298.40 — 55%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER(S) MINIMUM 2 VIEWS LT $167.85 $373.00 $227.53–$298.40 — 55%
X-ray of the foot, 2 views one side CPT 73620 FOOT 2 VIEWS RT $171.90 $382.00 $95.88–$305.60 47% below 55%
X-ray of the foot, 2 views one side CPT 73620 FOOT 2 VIEWS LT $171.90 $382.00 $95.88–$305.60 47% below 55%
X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT 2 VIEWS RT $171.90 $382.00 $233.02–$305.60 — 55%
X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT 2 VIEWS LT $171.90 $382.00 $233.02–$305.60 — 55%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT COMPLETE MIN 3 VIEWS LT $187.20 $416.00 $104.42–$332.80 49% below 55%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT COMPLETE MIN 3 VIEWS RT $187.20 $416.00 $104.42–$332.80 49% below 55%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT COMPLETE MIN 3 VIEWS RT $187.20 $416.00 $253.76–$332.80 — 55%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT COMPLETE MIN 3 VIEWS LT $187.20 $416.00 $253.76–$332.80 — 55%
X-ray of the hand, 3 or more views one side CPT 73130 HAND MINIMUM 3 VIEWS RT $205.20 $456.00 $114.46–$364.80 31% below 55%
X-ray of the hand, 3 or more views one side CPT 73130 HAND MINIMUM 3 VIEWS LT $205.20 $456.00 $114.46–$364.80 31% below 55%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND MINIMUM 3 VIEWS RT $205.20 $456.00 $278.16–$364.80 — 55%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND MINIMUM 3 VIEWS LT $205.20 $456.00 $278.16–$364.80 — 55%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 1 OR 2 VIEWS LT $198.00 $440.00 $110.44–$352.00 28% below 55%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 1 OR 2 VIEWS RT $198.00 $440.00 $110.44–$352.00 28% below 55%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE 1 OR 2 VIEWS RT $198.00 $440.00 $268.40–$352.00 — 55%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE 1 OR 2 VIEWS LT $198.00 $440.00 $268.40–$352.00 — 55%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LUMBAR SPINE FLEX/EXT ONLY $224.10 $498.00 $125.00–$398.40 45% below 55%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LUMBAR SPINE 2 OR 3 VIEWS $224.10 $498.00 $125.00–$398.40 45% below 55%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 LUMBAR SPINE FLEX/EXT ONLY $224.10 $498.00 $303.78–$398.40 — 55%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 LUMBAR SPINE 2 OR 3 VIEWS $224.10 $498.00 $303.78–$398.40 — 55%
X-ray of the lower back, 4 or more views CPT 72110 LUMBAR SPINE ROUTINE MIN 4 VIE $311.40 $692.00 $173.69–$553.60 34% below 55%
X-ray of the lower back, 4 or more views inpatient CPT 72110 LUMBAR SPINE ROUTINE MIN 4 VIE $311.40 $692.00 $422.12–$553.60 — 55%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 THORACIC SPINE TWO VIEW $203.40 $452.00 $113.45–$361.60 44% below 55%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 THORACIC SPINE TWO VIEW $203.40 $452.00 $275.72–$361.60 — 55%
X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES COMP MIN 3 VIEWS $167.85 $373.00 $93.62–$298.40 38% below 55%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONES COMP MIN 3 VIEWS $167.85 $373.00 $227.53–$298.40 — 55%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERVICAL SPINE 2 OR 3 VIEWS $220.50 $490.00 $122.99–$392.00 34% below 55%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 CERVICAL SPINE 2 OR 3 VIEWS $220.50 $490.00 $298.90–$392.00 — 55%
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1 OR 2 VIEWS $202.95 $451.00 $113.20–$360.80 31% below 55%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS 1 OR 2 VIEWS $202.95 $451.00 $275.11–$360.80 — 55%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 COCCYX ONLY $184.05 $409.00 $102.66–$327.20 43% below 55%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM & COCCYX MIN 2 VIEWS $184.05 $409.00 $102.66–$327.20 43% below 55%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM ONLY $184.05 $409.00 $102.66–$327.20 43% below 55%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM & COCCYX MIN 2 VIEWS $184.05 $409.00 $249.49–$327.20 — 55%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM ONLY $184.05 $409.00 $249.49–$327.20 — 55%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 COCCYX ONLY $184.05 $409.00 $249.49–$327.20 — 55%

Lab tests

ProcedureCash price List priceInsurers payvs PennsylvaniaOff list
ACTH blood test CPT 82024 ACTH ASSAY $135.00 $300.00 $75.30–$240.00 31% below 55%
ACTH blood test inpatient CPT 82024 ACTH ASSAY $135.00 $300.00 $183.00–$240.00 — 55%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT (ALT) $23.40 $52.00 $13.05–$41.60 37% below 55%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT (ALT) $23.40 $52.00 $31.72–$41.60 — 55%
AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT $26.55 $59.00 $14.81–$47.20 27% below 55%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT $26.55 $59.00 $35.99–$47.20 — 55%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL $229.50 $510.00 $128.01–$408.00 26% below 55%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL $229.50 $510.00 $311.10–$408.00 — 55%
Albumin blood test CPT 82040 ASSAY OF SERUM ALBUMIN $27.00 $60.00 $15.06–$48.00 15% below 55%
Albumin blood test CPT 82040 ALBUMIN $27.00 $60.00 $15.06–$48.00 15% below 55%
Albumin blood test inpatient CPT 82040 ASSAY OF SERUM ALBUMIN $27.00 $60.00 $36.60–$48.00 — 55%
Albumin blood test inpatient CPT 82040 ALBUMIN $27.00 $60.00 $36.60–$48.00 — 55%
Aldosterone blood test CPT 82088 ASSAY OF ALDOSTERONE $55.35 $123.00 $30.87–$98.40 73% below 55%
Aldosterone blood test CPT 82088 ALDOSTERONE,SERUM $143.55 $319.00 $80.07–$255.20 30% below 55%
Aldosterone blood test CPT 82088 ALDOSTERONE,24 HR URINE $143.55 $319.00 $80.07–$255.20 30% below 55%
Aldosterone blood test inpatient CPT 82088 ASSAY OF ALDOSTERONE $55.35 $123.00 $75.03–$98.40 — 55%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE,24 HR URINE $143.55 $319.00 $194.59–$255.20 — 55%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE,SERUM $143.55 $319.00 $194.59–$255.20 — 55%
Alkaline phosphatase (ALP) blood test CPT 84075 PHOSPHATASE,ALKALINE $18.90 $42.00 $10.54–$33.60 49% below 55%
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE $24.75 $55.00 $13.80–$44.00 34% below 55%
Alkaline phosphatase (ALP) blood test CPT 84075 ALK PHOSPHATASE BONE SPECIFIC $34.65 $77.00 $19.33–$61.60 7% below 55%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 PHOSPHATASE,ALKALINE $18.90 $42.00 $25.62–$33.60 — 55%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE $24.75 $55.00 $33.55–$44.00 — 55%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALK PHOSPHATASE BONE SPECIFIC $34.65 $77.00 $46.97–$61.60 — 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE PISTACHIO $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE CLAM $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE BUCKWHEAT $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY IGE TESTING CHERRY $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE HOP FRUIT CONE $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALRGN IGE CEPHALOSPOR ACR MOLD $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE ANISE SEED $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE WALNUT $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE STEMP BOTRYOSUM $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALRGN IGE RHIZOPUS NIGRIC MOLD $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE PULLULARIA MOLD $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE PENICILLIN V $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALRGN IGE MUCOR RACEMOSUS MOLD $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLRGN IGE FUSARIUM MONIL MOLD $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE EPICOC PURPU MOLD $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE DOCKWEED $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE CHOCOLATE $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE CASHEW $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE ASPERGILL NIGER $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE YELLOW JACKET $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE WILLOW TREE $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE WHITE PINE $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE WHEAT $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE WATERMELON $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE WASP PAPER $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE WALNUT TREE $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE TURKEY MEAT $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE TURKEY FEATHER $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE TUNA $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLRGN IGE TRICHOPHYTON RUBRUM $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE TOMATO $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE TIMOTHY GRASS $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE THYME $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE SYCAMORE TREE $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE SWINE EPITHELIA $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGN IGE SWEET VERNAL GRASS $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE STRAWBERRY $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE SPINACH $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE SOYBEAN $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE SHRIMP $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGN IGE SHORT RAGWEED COMM $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE SHEEP SORREL $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE SESAME SEED $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE SCALLOP $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE SALMON $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE PERENNIAL RYE GR $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE RYE FOOD $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE RUSSIAN THISTLE $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE PIGWEED $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE ROUGH MARSH ELDER $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE RED TOP GRASS $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE RAT EPITHELIA $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE RADISH $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE RABBIT EPITHELIUM $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE PUMPKIN $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE POTATO $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE PORK $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE SWEET POTATO $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE 2857 CHICKEN MEAT $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 LATEX (K82) ALLERGEN $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY TESTING-GROUP 1 $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY IGE MUSHROOM $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE 2809 RICE $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE TC 90660 QUINOA $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY IGE LENTIL $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE CINNAMON $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE ALMOND $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE ALTERNARIA TEN $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE APPLE $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE ASH $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE ASPERGILL FUM $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE AVOCADO $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE BAHIA GRASS $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE BANANA $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE BARLEY $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE BASIL $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE BEECH TREE $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE BEEF $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE BERMUDA GRASS $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE BIRCH TREE $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE BLACK PEPPER $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE BLUEBERRY $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE BOTRYTIS CINEREA $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE BRAZIL NUT $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE BROME GRASS $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE BUMBLE BEE $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE CANDIDA ALBICANS $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE CARDAMON $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE CARMINE/RED DYE $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE CARROT $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE CAT DANER $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE CHEDDAR CHEESE $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE CHESTNUT,SWEET $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE CHICKEN FEATHER $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE CHICK PEA $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE CLAD HERB MOLD $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE COCKLEBUR $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE COCKROACH $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE COCONUT $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE CODFISH $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE CORN $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE COTTONWOOD $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE COW DANDER $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE CRAB $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE CRANBERRY $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE CULT WHEAT $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE D.FARINAE DUST M $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE D.PTERON DUSTMITE $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE DANDELION $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE DOG DANDER $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE DUCK FEATHER $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE EGG MIX (Y&W) $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE EGG WHITE $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE YOLK $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE ELM $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE ENGLISH PLANTWEED $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE FIRE ANT $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE FIREBUSH $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE FLAXSEED $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE GULF FLOUNDER $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE GARLIC $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE GIANT RAGWEED $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE GOLDENROD $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE GOOSE FEATHER $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE GRAPE $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE GRAPEFRUIT $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE GREEN BEAN $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE GREEN PEPPER $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE GUINEA PIG $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE HAZEL NUT TREE $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE HAZELNUT $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE HELMINTH HALODES $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE HICK/PECAN TREE $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE HONEY BEE $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE HORSE DANDER $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE HOUSE DUST $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE WHITE FACE HORNET $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGN IGE YELLOW FACE HORNET $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE JOHNSON GRASS $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE JUNE KENTUCKY BL $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE KIWI FRUIT $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE LAMB'S QUARTER $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE LOBSTER $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE MACADAMIA NUT $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE MANGO $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE MAPLE BOX $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE MEADOW FESCUE $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE COW'S MILK $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE MOSQUITO $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE MOUSE UR $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE MUGWORT $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE MUSTARD $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE OAK WHITE $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE OAT $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE OLIVE $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE ONION $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE ORANGE $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE ORCHARD GRASS $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE OREGANO $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE OYSTER $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE PASSION FRUIT $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE PEA $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE PEACH $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE PEANUT $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE PEANUT TOTAL RFLX $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE PECAN NUT $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALRGN IGE PENICIL NOTATUM MOLD $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE PENICILLIN-G $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE PHOMA BETAE $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE PINE NUT $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE PINEAPPLE $26.55 $59.00 $14.81–$47.20 18% below 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY TESTING-GROUP 2 $34.20 $76.00 $19.08–$60.80 6% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE PORCINE GELATIN $46.35 $103.00 $25.85–$82.40 43% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLGERGEN SPEC IGE SQUASH $46.35 $103.00 $25.85–$82.40 43% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE MAPLE RED $46.35 $103.00 $25.85–$82.40 43% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY SHELLFISH PANEL $46.80 $104.00 $26.10–$83.20 45% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PANEL SEAFOOD GROUP $48.60 $108.00 $27.11–$86.40 50% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY STING INSECT GRP IGE $54.00 $120.00 $30.12–$96.00 67% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE OAK-RED $57.15 $127.00 $31.88–$101.60 76% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE WHITEFISH $57.15 $127.00 $31.88–$101.60 76% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE ANNATTO SEED $57.15 $127.00 $31.88–$101.60 76% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY TESTING-GROUP 4 $75.60 $168.00 $42.17–$134.40 133% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERGEN PROFILE-NUT $81.00 $180.00 $45.18–$144.00 150% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 NUT ALLERGEN RFLX COMP $85.05 $189.00 $47.44–$151.20 163% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE ALPHA-GAL $87.75 $195.00 $48.94–$156.00 171% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERG SP IgE; QUAN OR SEMIQUA $113.40 $252.00 $63.25–$201.60 250% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY TESTING-TREES $114.75 $255.00 $64.00–$204.00 254% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 FOOD ALLERGY PANEL $137.70 $306.00 $76.81–$244.80 325% above 55%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE XTRC EA $245.70 $546.00 $137.05–$436.80 659% above 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE DOCKWEED $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE THYME $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE JOHNSON GRASS $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGN IGE YELLOW FACE HORNET $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE WHITE FACE HORNET $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE HOUSE DUST $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE HORSE DANDER $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE HONEY BEE $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE HICK/PECAN TREE $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE HELMINTH HALODES $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE HAZELNUT $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE HAZEL NUT TREE $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE GUINEA PIG $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE GREEN PEPPER $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE GREEN BEAN $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE GRAPEFRUIT $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE GRAPE $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE GOOSE FEATHER $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE GOLDENROD $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE GIANT RAGWEED $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE GARLIC $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE GULF FLOUNDER $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE FLAXSEED $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE FIREBUSH $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE FIRE ANT $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE ENGLISH PLANTWEED $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE ELM $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE YOLK $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE EGG WHITE $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE EGG MIX (Y&W) $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE DUCK FEATHER $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE DOG DANDER $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE DANDELION $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE D.PTERON DUSTMITE $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE D.FARINAE DUST M $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE CULT WHEAT $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE CRANBERRY $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE CRAB $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE COW DANDER $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE COTTONWOOD $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE CORN $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE CODFISH $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE COCONUT $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE COCKROACH $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE COCKLEBUR $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE CLAD HERB MOLD $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE CHICK PEA $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE CHICKEN FEATHER $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE CHESTNUT,SWEET $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE CHEDDAR CHEESE $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE CAT DANER $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE CARROT $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE CARMINE/RED DYE $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE CARDAMON $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE CANDIDA ALBICANS $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE BUMBLE BEE $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE BROME GRASS $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE BRAZIL NUT $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE BOTRYTIS CINEREA $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE BLUEBERRY $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE BLACK PEPPER $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE BIRCH TREE $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE BERMUDA GRASS $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE BEEF $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE BEECH TREE $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE BASIL $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE BARLEY $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE BANANA $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE BAHIA GRASS $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE AVOCADO $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE ASPERGILL FUM $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE ASH $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE APPLE $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE ALTERNARIA TEN $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE ALMOND $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE CINNAMON $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY IGE LENTIL $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE TC 90660 QUINOA $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE 2809 RICE $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY IGE MUSHROOM $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY TESTING-GROUP 1 $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LATEX (K82) ALLERGEN $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE 2857 CHICKEN MEAT $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE SWEET POTATO $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE CLAM $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE BUCKWHEAT $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY IGE TESTING CHERRY $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE HOP FRUIT CONE $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALRGN IGE CEPHALOSPOR ACR MOLD $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE ANISE SEED $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE WALNUT $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE STEMP BOTRYOSUM $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALRGN IGE RHIZOPUS NIGRIC MOLD $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE PULLULARIA MOLD $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE PENICILLIN V $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALRGN IGE MUCOR RACEMOSUS MOLD $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLRGN IGE FUSARIUM MONIL MOLD $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE EPICOC PURPU MOLD $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE SYCAMORE TREE $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE CHOCOLATE $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE CASHEW $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE ASPERGILL NIGER $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE YELLOW JACKET $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE WILLOW TREE $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE WHITE PINE $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE WHEAT $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE WATERMELON $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE WASP PAPER $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE WALNUT TREE $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE TURKEY MEAT $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE TURKEY FEATHER $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE TUNA $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLRGN IGE TRICHOPHYTON RUBRUM $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE TOMATO $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE TIMOTHY GRASS $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE SOYBEAN $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE SPINACH $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE STRAWBERRY $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGN IGE SWEET VERNAL GRASS $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE SWINE EPITHELIA $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE SHRIMP $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGN IGE SHORT RAGWEED COMM $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE SHEEP SORREL $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE SESAME SEED $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE SCALLOP $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE SALMON $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE PERENNIAL RYE GR $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE RYE FOOD $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE RUSSIAN THISTLE $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE PIGWEED $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE ROUGH MARSH ELDER $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE RED TOP GRASS $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE RAT EPITHELIA $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE RADISH $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE RABBIT EPITHELIUM $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE PUMPKIN $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE POTATO $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE PORK $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE PISTACHIO $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE PINEAPPLE $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE PINE NUT $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE PHOMA BETAE $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE PENICILLIN-G $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALRGN IGE PENICIL NOTATUM MOLD $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE PECAN NUT $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE PEANUT TOTAL RFLX $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE PEANUT $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE PEACH $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE PEA $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE PASSION FRUIT $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE OYSTER $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE OREGANO $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE ORCHARD GRASS $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE ORANGE $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE ONION $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE OLIVE $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE OAT $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE OAK WHITE $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE MUSTARD $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE MUGWORT $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE MOUSE UR $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE MOSQUITO $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE COW'S MILK $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE MEADOW FESCUE $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE MAPLE BOX $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE MANGO $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE MACADAMIA NUT $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE LOBSTER $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE LAMB'S QUARTER $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE KIWI FRUIT $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE JUNE KENTUCKY BL $26.55 $59.00 $35.99–$47.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY TESTING-GROUP 2 $34.20 $76.00 $46.36–$60.80 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLGERGEN SPEC IGE SQUASH $46.35 $103.00 $62.83–$82.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE MAPLE RED $46.35 $103.00 $62.83–$82.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE PORCINE GELATIN $46.35 $103.00 $62.83–$82.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY SHELLFISH PANEL $46.80 $104.00 $63.44–$83.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY PANEL SEAFOOD GROUP $48.60 $108.00 $65.88–$86.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY STING INSECT GRP IGE $54.00 $120.00 $73.20–$96.00 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE WHITEFISH $57.15 $127.00 $77.47–$101.60 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE ANNATTO SEED $57.15 $127.00 $77.47–$101.60 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE OAK-RED $57.15 $127.00 $77.47–$101.60 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY TESTING-GROUP 4 $75.60 $168.00 $102.48–$134.40 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALLERGEN PROFILE-NUT $81.00 $180.00 $109.80–$144.00 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 NUT ALLERGEN RFLX COMP $85.05 $189.00 $115.29–$151.20 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE ALPHA-GAL $87.75 $195.00 $118.95–$156.00 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERG SP IgE; QUAN OR SEMIQUA $113.40 $252.00 $153.72–$201.60 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY TESTING-TREES $114.75 $255.00 $155.55–$204.00 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FOOD ALLERGY PANEL $137.70 $306.00 $186.66–$244.80 — 55%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG SPEC IGE CRUDE XTRC EA $245.70 $546.00 $333.06–$436.80 — 55%
Alpha-fetoprotein (AFP) blood test CPT 82105 AFP SERUM - NEUROTUBE DEF. $72.45 $161.00 $40.41–$128.80 32% below 55%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN $72.45 $161.00 $40.41–$128.80 32% below 55%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP SERUM - NEUROTUBE DEF. $72.45 $161.00 $98.21–$128.80 — 55%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA-FETOPROTEIN $72.45 $161.00 $98.21–$128.80 — 55%
Ammonia blood test CPT 82140 AMMONIA $83.70 $186.00 $46.69–$148.80 3% below 55%
Ammonia blood test CPT 82140 ISCHEMIC EXERCISE AMMONIAS $502.20 $1,116.00 $280.12–$892.80 481% above 55%
Ammonia blood test inpatient CPT 82140 AMMONIA $83.70 $186.00 $113.46–$148.80 — 55%
Ammonia blood test inpatient CPT 82140 ISCHEMIC EXERCISE AMMONIAS $502.20 $1,116.00 $680.76–$892.80 — 55%
Amylase blood test CPT 82150 FLUID AMYLASE $42.30 $94.00 $23.59–$75.20 7% below 55%
Amylase blood test CPT 82150 AMYLASE $42.30 $94.00 $23.59–$75.20 7% below 55%
Amylase blood test CPT 82150 AMYLASE ISOENZYMES PERICARDIAL $42.30 $94.00 $23.59–$75.20 7% below 55%
Amylase blood test CPT 82150 AMYLASE,PLEURAL FLUID $42.30 $94.00 $23.59–$75.20 7% below 55%
Amylase blood test CPT 82150 BODY FLUID AMYLASE $42.30 $94.00 $23.59–$75.20 7% below 55%
Amylase blood test CPT 82150 FLUID AMYLASE PANCREATIC CYST $42.30 $94.00 $23.59–$75.20 7% below 55%
Amylase blood test inpatient CPT 82150 FLUID AMYLASE $42.30 $94.00 $57.34–$75.20 — 55%
Amylase blood test inpatient CPT 82150 BODY FLUID AMYLASE $42.30 $94.00 $57.34–$75.20 — 55%
Amylase blood test inpatient CPT 82150 AMYLASE,PLEURAL FLUID $42.30 $94.00 $57.34–$75.20 — 55%
Amylase blood test inpatient CPT 82150 AMYLASE $42.30 $94.00 $57.34–$75.20 — 55%
Amylase blood test inpatient CPT 82150 FLUID AMYLASE PANCREATIC CYST $42.30 $94.00 $57.34–$75.20 — 55%
Amylase blood test inpatient CPT 82150 AMYLASE ISOENZYMES PERICARDIAL $42.30 $94.00 $57.34–$75.20 — 55%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEPTIDE $72.90 $162.00 $40.66–$129.60 17% below 55%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINATED PEPTIDE $72.90 $162.00 $98.82–$129.60 — 55%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA $40.50 $90.00 $22.59–$72.00 46% below 55%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTI-CENTROMERE $40.50 $90.00 $22.59–$72.00 46% below 55%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA SCR REFLEX TITER +PATTERN $40.50 $90.00 $22.59–$72.00 46% below 55%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR AB (ANA); $40.50 $90.00 $22.59–$72.00 46% below 55%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR AB (ANA); $40.50 $90.00 $54.90–$72.00 — 55%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA SCR REFLEX TITER +PATTERN $40.50 $90.00 $54.90–$72.00 — 55%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTI-CENTROMERE $40.50 $90.00 $54.90–$72.00 — 55%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA $40.50 $90.00 $54.90–$72.00 — 55%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-TYPE NATRIURETIC PEPTIDE $141.75 $315.00 $79.06–$252.00 29% below 55%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B-TYPE NATRIURETIC PEPTIDE $141.75 $315.00 $192.15–$252.00 — 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 BACTERIAL CULT - OTHR SOURCE $63.45 $141.00 $35.39–$112.80 4% above 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE,BACT.,DEF; ANY SOURC $63.45 $141.00 $35.39–$112.80 4% above 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 ENT CULTURE $63.45 $141.00 $35.39–$112.80 4% above 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE,THROAT $63.45 $141.00 $35.39–$112.80 4% above 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE,WOUND $63.45 $141.00 $35.39–$112.80 4% above 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE,SPUTUM $63.45 $141.00 $35.39–$112.80 4% above 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE,ENVIRONMENTAL $63.45 $141.00 $35.39–$112.80 4% above 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CATH TIP $63.45 $141.00 $35.39–$112.80 4% above 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE,NASOPHARYNX $63.45 $141.00 $35.39–$112.80 4% above 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 THROAT CULTURE PEDS <13 YRS $63.45 $141.00 $35.39–$112.80 4% above 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE,CSF $63.45 $141.00 $35.39–$112.80 4% above 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE/CS,GENITAL FEMALE $63.45 $141.00 $35.39–$112.80 4% above 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE/CS GENITAL MALE $63.45 $141.00 $35.39–$112.80 4% above 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE,BRONCHIAL WASH $63.45 $141.00 $35.39–$112.80 4% above 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE,NASOPHARYNX $63.45 $141.00 $86.01–$112.80 — 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 BACTERIAL CULT - OTHR SOURCE $63.45 $141.00 $86.01–$112.80 — 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE,BACT.,DEF; ANY SOURC $63.45 $141.00 $86.01–$112.80 — 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE,CSF $63.45 $141.00 $86.01–$112.80 — 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 THROAT CULTURE PEDS <13 YRS $63.45 $141.00 $86.01–$112.80 — 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CATH TIP $63.45 $141.00 $86.01–$112.80 — 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE,ENVIRONMENTAL $63.45 $141.00 $86.01–$112.80 — 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE,SPUTUM $63.45 $141.00 $86.01–$112.80 — 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE,WOUND $63.45 $141.00 $86.01–$112.80 — 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE,THROAT $63.45 $141.00 $86.01–$112.80 — 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 ENT CULTURE $63.45 $141.00 $86.01–$112.80 — 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE/CS,GENITAL FEMALE $63.45 $141.00 $86.01–$112.80 — 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE/CS GENITAL MALE $63.45 $141.00 $86.01–$112.80 — 55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE,BRONCHIAL WASH $63.45 $141.00 $86.01–$112.80 — 55%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PROF FASTING $72.00 $160.00 $40.16–$128.00 27% below 55%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PROFILE $72.00 $160.00 $40.16–$128.00 27% below 55%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PROF FASTING $72.00 $160.00 $97.60–$128.00 — 55%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PROFILE $72.00 $160.00 $97.60–$128.00 — 55%
Bilirubin blood test, total CPT 82247 BILIRUBIN,TOTAL $21.60 $48.00 $12.05–$38.40 32% below 55%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN,TOTAL $21.60 $48.00 $29.28–$38.40 — 55%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 CYTOLOGY CELL BLOCK $157.50 $350.00 $87.85–$280.00 20% below 55%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE PATH LEVEL IV $157.50 $350.00 $87.85–$280.00 20% below 55%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 LEVEL IV SURG PATH GROSS+MIC $157.50 $350.00 $87.85–$280.00 20% below 55%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 LEVEL IV SURG PATH GROSS+MIC $157.50 $350.00 $213.50–$280.00 — 55%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 CYTOLOGY CELL BLOCK $157.50 $350.00 $213.50–$280.00 — 55%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 TISSUE PATH LEVEL IV $157.50 $350.00 $213.50–$280.00 — 55%
Blood culture for bacteria CPT 87040 CULTURE,BLOOD $88.65 $197.00 $49.45–$157.60 5% below 55%
Blood culture for bacteria inpatient CPT 87040 CULTURE,BLOOD $88.65 $197.00 $120.17–$157.60 — 55%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 ALCOHOL LEGAL COLLECTION FEE $15.30 $34.00 $8.53–$27.20 2% above 55%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCTURE $15.30 $34.00 $8.53–$27.20 2% above 55%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCTURE SPEC COLL $15.30 $34.00 $8.53–$27.20 2% above 55%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VITAL TEARS COLLECTION $17.55 $39.00 $9.79–$31.20 17% above 55%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 SPEC COLLECT FEE-SENDOUT SPECS $20.70 $46.00 $11.55–$36.80 38% above 55%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 SPEC COLLECT FEE ONLY $20.70 $46.00 $11.55–$36.80 38% above 55%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ALCOHOL LEGAL COLLECTION FEE $15.30 $34.00 $20.74–$27.20 — 55%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ROUTINE VENIPUNCTURE $15.30 $34.00 $20.74–$27.20 — 55%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ROUTINE VENIPUNCTURE SPEC COLL $15.30 $34.00 $20.74–$27.20 — 55%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VITAL TEARS COLLECTION $17.55 $39.00 $23.79–$31.20 — 55%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 SPEC COLLECT FEE-SENDOUT SPECS $20.70 $46.00 $28.06–$36.80 — 55%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 SPEC COLLECT FEE ONLY $20.70 $46.00 $28.06–$36.80 — 55%
Blood glucose (sugar) test CPT 82947 GLUCOSE,BLOOD FASTING $24.30 $54.00 $13.55–$43.20 10% below 55%
Blood glucose (sugar) test CPT 82947 GLUCOSE; QUAN FASTING $24.30 $54.00 $13.55–$43.20 10% below 55%
Blood glucose (sugar) test CPT 82947 GLUCOSE,BLOOD $24.30 $54.00 $13.55–$43.20 10% below 55%
Blood glucose (sugar) test CPT 82947 GLUCOSE,ISTAT $24.30 $54.00 $13.55–$43.20 10% below 55%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE,BLOOD FASTING $24.30 $54.00 $32.94–$43.20 — 55%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE,ISTAT $24.30 $54.00 $32.94–$43.20 — 55%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE,BLOOD $24.30 $54.00 $32.94–$43.20 — 55%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE; QUAN FASTING $24.30 $54.00 $32.94–$43.20 — 55%
Blood lead test CPT 83655 LEAD $42.75 $95.00 $23.84–$76.00 45% below 55%
Blood lead test CPT 83655 LEAD,CAPILLARY $44.55 $99.00 $24.85–$79.20 43% below 55%
Blood lead test inpatient CPT 83655 LEAD $42.75 $95.00 $57.95–$76.00 — 55%
Blood lead test inpatient CPT 83655 LEAD,CAPILLARY $44.55 $99.00 $60.39–$79.20 — 55%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY TEST,SERUM $48.60 $108.00 $27.11–$86.40 14% below 55%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREGNANCY TEST,SERUM $48.60 $108.00 $65.88–$86.40 — 55%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO TYPE JRC $224.55 $499.00 $125.25–$399.20 76% above 55%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING; ABO $224.55 $499.00 $125.25–$399.20 76% above 55%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING; ABO $224.55 $499.00 $304.39–$399.20 — 55%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO TYPE JRC $224.55 $499.00 $304.39–$399.20 — 55%
Blood urea nitrogen (BUN) test CPT 84520 BLOOD UREA NITROGEN,BODY FLUID $13.95 $31.00 $7.78–$24.80 51% below 55%
Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN; QUAN NMS $15.30 $34.00 $8.53–$27.20 47% below 55%
Blood urea nitrogen (BUN) test CPT 84520 B.U.N. $20.70 $46.00 $11.55–$36.80 28% below 55%
Blood urea nitrogen (BUN) test inpatient CPT 84520 BLOOD UREA NITROGEN,BODY FLUID $13.95 $31.00 $18.91–$24.80 — 55%
Blood urea nitrogen (BUN) test inpatient CPT 84520 UREA NITROGEN; QUAN NMS $15.30 $34.00 $20.74–$27.20 — 55%
Blood urea nitrogen (BUN) test inpatient CPT 84520 B.U.N. $20.70 $46.00 $28.06–$36.80 — 55%
C-peptide blood test CPT 84681 C-PEPTIDE $95.85 $213.00 $53.46–$170.40 9% below 55%
C-peptide blood test inpatient CPT 84681 C-PEPTIDE $95.85 $213.00 $129.93–$170.40 — 55%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN $44.10 $98.00 $24.60–$78.40 14% above 55%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN $44.10 $98.00 $59.78–$78.40 — 55%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF REAL TIME PCR $167.40 $372.00 $93.37–$297.60 19% below 55%
C. difficile toxin gene test (stool PCR) CPT 87493 C. DIFFICILE TOXIN B,QUAL PCR $167.40 $372.00 $93.37–$297.60 19% below 55%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF REAL TIME PCR $167.40 $372.00 $226.92–$297.60 — 55%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C. DIFFICILE TOXIN B,QUAL PCR $167.40 $372.00 $226.92–$297.60 — 55%
CA 19-9 blood test (tumor marker) CPT 86301 CA-19-9 $107.55 $239.00 $59.99–$191.20 21% below 55%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA-19-9 $107.55 $239.00 $145.79–$191.20 — 55%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 $104.40 $232.00 $58.23–$185.60 21% below 55%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125 $104.40 $232.00 $141.52–$185.60 — 55%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 CORONAVIRUS CoV2 (COVID19) $76.50 $170.00 $42.67–$136.00 16% below 55%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 CORONAVIRUS CoV2 (COVID19) $76.50 $170.00 $103.70–$136.00 — 55%
Calcium blood test, total CPT 82310 RANDOM URINE CALCIUM $26.55 $59.00 $14.81–$47.20 21% below 55%
Calcium blood test, total CPT 82310 CALCIUM,SERUM $26.55 $59.00 $14.81–$47.20 21% below 55%
Calcium blood test, total inpatient CPT 82310 RANDOM URINE CALCIUM $26.55 $59.00 $35.99–$47.20 — 55%
Calcium blood test, total inpatient CPT 82310 CALCIUM,SERUM $26.55 $59.00 $35.99–$47.20 — 55%
Carcinoembryonic antigen (CEA) test CPT 82378 CEA,PLEURAL FLUID $80.55 $179.00 $44.93–$143.20 22% below 55%
Carcinoembryonic antigen (CEA) test CPT 82378 CEA $97.65 $217.00 $54.47–$173.60 6% below 55%
Carcinoembryonic antigen (CEA) test CPT 82378 FLUID CEA PANCREATIC CYST $210.60 $468.00 $117.47–$374.40 103% above 55%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA,PLEURAL FLUID $80.55 $179.00 $109.19–$143.20 — 55%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA $97.65 $217.00 $132.37–$173.60 — 55%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 FLUID CEA PANCREATIC CYST $210.60 $468.00 $285.48–$374.40 — 55%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER IGG $74.25 $165.00 $41.42–$132.00 18% below 55%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER AB IGM $74.25 $165.00 $41.42–$132.00 18% below 55%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER VIR IGG $74.25 $165.00 $41.42–$132.00 18% below 55%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER AB IGM $74.25 $165.00 $100.65–$132.00 — 55%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER VIR IGG $74.25 $165.00 $100.65–$132.00 — 55%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER IGG $74.25 $165.00 $100.65–$132.00 — 55%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHYLMD TRACH DNA AMP PROBE $80.10 $178.00 $44.68–$142.40 59% below 55%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACH RNA $148.05 $329.00 $82.58–$263.20 25% below 55%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA T AMPLIF NA PROBE $148.05 $329.00 $82.58–$263.20 25% below 55%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA T,AMPLIF NA PROBE $148.05 $329.00 $82.58–$263.20 25% below 55%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS MISCSITE $148.05 $329.00 $82.58–$263.20 25% below 55%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHYLMD TRACH DNA AMP PROBE $80.10 $178.00 $108.58–$142.40 — 55%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS MISCSITE $148.05 $329.00 $200.69–$263.20 — 55%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA T,AMPLIF NA PROBE $148.05 $329.00 $200.69–$263.20 — 55%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA T AMPLIF NA PROBE $148.05 $329.00 $200.69–$263.20 — 55%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACH RNA $148.05 $329.00 $200.69–$263.20 — 55%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL FASTING $84.15 $187.00 $46.94–$149.60 11% below 55%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL $84.15 $187.00 $46.94–$149.60 11% below 55%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL FASTING $84.15 $187.00 $114.07–$149.60 — 55%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL $84.15 $187.00 $114.07–$149.60 — 55%
Complete blood count (CBC) with differential CPT 85025 CBC W/AUTOMATED DIFFERENTIAL $45.45 $101.00 $25.35–$80.80 9% below 55%
Complete blood count (CBC) with differential CPT 85025 CBC W/AUTOMATED DIFF BONE MAR $45.45 $101.00 $25.35–$80.80 9% below 55%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/AUTOMATED DIFF BONE MAR $45.45 $101.00 $61.61–$80.80 — 55%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/AUTOMATED DIFFERENTIAL $45.45 $101.00 $61.61–$80.80 — 55%
Complete blood count (CBC), no differential CPT 85027 CBC W/O DIFF $36.00 $80.00 $20.08–$64.00 20% below 55%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC W/O DIFF $36.00 $80.00 $48.80–$64.00 — 55%
Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PROFILE FASTING $90.90 $202.00 $50.70–$161.60 27% below 55%
Comprehensive metabolic panel (blood test) CPT 80053 COMP. METABOLIC PROFILE $90.90 $202.00 $50.70–$161.60 27% below 55%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METABOLIC PROFILE FASTING $90.90 $202.00 $123.22–$161.60 — 55%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP. METABOLIC PROFILE $90.90 $202.00 $123.22–$161.60 — 55%
Cortisol blood test, total CPT 82533 CORTISOL LEVEL $94.50 $210.00 $52.71–$168.00 8% below 55%
Cortisol blood test, total CPT 82533 CORTISOL,URINE $94.50 $210.00 $52.71–$168.00 8% below 55%
Cortisol blood test, total CPT 82533 CORTISOL LEVEL PM $94.50 $210.00 $52.71–$168.00 8% below 55%
Cortisol blood test, total CPT 82533 CORTISOL LEVEL AM $94.50 $210.00 $52.71–$168.00 8% below 55%
Cortisol blood test, total inpatient CPT 82533 CORTISOL LEVEL $94.50 $210.00 $128.10–$168.00 — 55%
Cortisol blood test, total inpatient CPT 82533 CORTISOL,URINE $94.50 $210.00 $128.10–$168.00 — 55%
Cortisol blood test, total inpatient CPT 82533 CORTISOL LEVEL PM $94.50 $210.00 $128.10–$168.00 — 55%
Cortisol blood test, total inpatient CPT 82533 CORTISOL LEVEL AM $94.50 $210.00 $128.10–$168.00 — 55%
Creatine kinase (CK) blood test, total CPT 82550 CREATINE KINASE; TOTAL $23.85 $53.00 $13.30–$42.40 49% below 55%
Creatine kinase (CK) blood test, total CPT 82550 CPK $31.50 $70.00 $17.57–$56.00 33% below 55%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CREATINE KINASE; TOTAL $23.85 $53.00 $32.33–$42.40 — 55%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CPK $31.50 $70.00 $42.70–$56.00 — 55%
Creatinine blood test CPT 82565 CREATININE ISTAT $24.30 $54.00 $13.55–$43.20 27% below 55%
Creatinine blood test CPT 82565 CREATININE $24.30 $54.00 $13.55–$43.20 27% below 55%
Creatinine blood test inpatient CPT 82565 CREATININE $24.30 $54.00 $32.94–$43.20 — 55%
Creatinine blood test inpatient CPT 82565 CREATININE ISTAT $24.30 $54.00 $32.94–$43.20 — 55%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV (IGG) $65.25 $145.00 $36.40–$116.00 19% below 55%
Cytomegalovirus (CMV) antibody test CPT 86644 AB; CMV $65.25 $145.00 $36.40–$116.00 19% below 55%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV PRODUCT TESTING JRC $76.05 $169.00 $42.42–$135.20 5% below 55%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV (IGG) $65.25 $145.00 $88.45–$116.00 — 55%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 AB; CMV $65.25 $145.00 $88.45–$116.00 — 55%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV PRODUCT TESTING JRC $76.05 $169.00 $103.09–$135.20 — 55%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE $88.65 $197.00 $49.45–$157.60 27% below 55%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATE $88.65 $197.00 $120.17–$157.60 — 55%
Drug screen by lab instrument (any number of drug classes) CPT 80307 EMP HEALTH PANEL DRUG SCREEN $14.40 $32.00 $8.03–$25.60 92% below 55%
Drug screen by lab instrument (any number of drug classes) CPT 80307 EH PROFESSIONAL PANEL 1 $22.50 $50.00 $12.55–$40.00 87% below 55%
Drug screen by lab instrument (any number of drug classes) CPT 80307 OCC HLTH DRUG 10 PANEL-ECSTASY $22.95 $51.00 $12.80–$40.80 87% below 55%
Drug screen by lab instrument (any number of drug classes) CPT 80307 OCC HEALTH DRUG SCREEN $24.75 $55.00 $13.80–$44.00 86% below 55%
Drug screen by lab instrument (any number of drug classes) CPT 80307 OCC HEALTH PROFESSIONAL PANEL $36.00 $80.00 $20.08–$64.00 80% below 55%
Drug screen by lab instrument (any number of drug classes) CPT 80307 NMS URINE DRUG FOR 6-MAM $47.25 $105.00 $26.36–$84.00 73% below 55%
Drug screen by lab instrument (any number of drug classes) CPT 80307 SYNTHET CANNABINOID QUAL UR $89.55 $199.00 $49.95–$159.20 50% below 55%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRSMV CHEM ANLYZR $106.65 $237.00 $59.49–$189.60 40% below 55%
Drug screen by lab instrument (any number of drug classes) CPT 80307 BUPRENORPHINE SCREEN,URINE $138.60 $308.00 $77.31–$246.40 22% below 55%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN URINE $138.60 $308.00 $77.31–$246.40 22% below 55%
Drug screen by lab instrument (any number of drug classes) CPT 80307 LSD SCREEN $138.60 $308.00 $77.31–$246.40 22% below 55%
Drug screen by lab instrument (any number of drug classes) CPT 80307 OXYCODONE QUAL UR BY GCMS $138.60 $308.00 $77.31–$246.40 22% below 55%
Drug screen by lab instrument (any number of drug classes) CPT 80307 URINE DRUG SCREEN (MNMC) $145.80 $324.00 $81.32–$259.20 18% below 55%
Drug screen by lab instrument (any number of drug classes) CPT 80307 NMS SYNTH CANN $152.10 $338.00 $84.84–$270.40 14% below 55%
Drug screen by lab instrument (any number of drug classes) CPT 80307 NMS BATH SALTS $197.55 $439.00 $110.19–$351.20 11% above 55%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG PANEL 9,MECONIUM $198.00 $440.00 $110.44–$352.00 11% above 55%
Drug screen by lab instrument (any number of drug classes) CPT 80307 NMS EXP POST MORTEM PANEL BLD $215.10 $478.00 $119.98–$382.40 21% above 55%
Drug screen by lab instrument (any number of drug classes) CPT 80307 NMS EXP POSTMORTEM PANEL URINE $215.10 $478.00 $119.98–$382.40 21% above 55%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG MONITORING PAN W/MEDMATCH $225.00 $500.00 $125.50–$400.00 27% above 55%
Drug screen by lab instrument (any number of drug classes) CPT 80307 NMS POST MORTEM BASIC PAN TISS $254.25 $565.00 $141.82–$452.00 43% above 55%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 EMP HEALTH PANEL DRUG SCREEN $14.40 $32.00 $19.52–$25.60 — 55%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 EH PROFESSIONAL PANEL 1 $22.50 $50.00 $30.50–$40.00 — 55%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 OCC HLTH DRUG 10 PANEL-ECSTASY $22.95 $51.00 $31.11–$40.80 — 55%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 OCC HEALTH DRUG SCREEN $24.75 $55.00 $33.55–$44.00 — 55%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 OCC HEALTH PROFESSIONAL PANEL $36.00 $80.00 $48.80–$64.00 — 55%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 NMS URINE DRUG FOR 6-MAM $47.25 $105.00 $64.05–$84.00 — 55%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 SYNTHET CANNABINOID QUAL UR $89.55 $199.00 $121.39–$159.20 — 55%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TEST PRSMV CHEM ANLYZR $106.65 $237.00 $144.57–$189.60 — 55%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 OXYCODONE QUAL UR BY GCMS $138.60 $308.00 $187.88–$246.40 — 55%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 BUPRENORPHINE SCREEN,URINE $138.60 $308.00 $187.88–$246.40 — 55%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN URINE $138.60 $308.00 $187.88–$246.40 — 55%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LSD SCREEN $138.60 $308.00 $187.88–$246.40 — 55%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 URINE DRUG SCREEN (MNMC) $145.80 $324.00 $197.64–$259.20 — 55%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 NMS SYNTH CANN $152.10 $338.00 $206.18–$270.40 — 55%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 NMS BATH SALTS $197.55 $439.00 $267.79–$351.20 — 55%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG PANEL 9,MECONIUM $198.00 $440.00 $268.40–$352.00 — 55%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 NMS EXP POST MORTEM PANEL BLD $215.10 $478.00 $291.58–$382.40 — 55%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 NMS EXP POSTMORTEM PANEL URINE $215.10 $478.00 $291.58–$382.40 — 55%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG MONITORING PAN W/MEDMATCH $225.00 $500.00 $305.00–$400.00 — 55%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 NMS POST MORTEM BASIC PAN TISS $254.25 $565.00 $344.65–$452.00 — 55%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTES,TOTAL $44.10 $98.00 $24.60–$78.40 33% below 55%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTES,TOTAL $44.10 $98.00 $59.78–$78.40 — 55%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV,VIRAL CAPSID IgM $64.80 $144.00 $36.14–$115.20 36% below 55%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV,VIRAL CAPSID IgG $64.80 $144.00 $36.14–$115.20 36% below 55%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV VIRAL CAPSID IGG $64.80 $144.00 $36.14–$115.20 36% below 55%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV VIRAL CAPSID IGM $64.80 $144.00 $36.14–$115.20 36% below 55%
Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN-BARR VIRUS,VIRAL CAPS $83.70 $186.00 $46.69–$148.80 18% below 55%
Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN-BARR CAPSID VCA $83.70 $186.00 $46.69–$148.80 18% below 55%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV VIRAL CAPSID IGM $64.80 $144.00 $87.84–$115.20 — 55%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV,VIRAL CAPSID IgG $64.80 $144.00 $87.84–$115.20 — 55%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV VIRAL CAPSID IGG $64.80 $144.00 $87.84–$115.20 — 55%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV,VIRAL CAPSID IgM $64.80 $144.00 $87.84–$115.20 — 55%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN-BARR VIRUS,VIRAL CAPS $83.70 $186.00 $113.46–$148.80 — 55%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN-BARR CAPSID VCA $83.70 $186.00 $113.46–$148.80 — 55%
Estradiol blood test CPT 82670 ASSAY OF TOTAL ESTRADIOL $98.55 $219.00 $54.97–$175.20 35% below 55%
Estradiol blood test CPT 82670 ESTRADIOL ULTRASENSITIVE $99.45 $221.00 $55.47–$176.80 35% below 55%
Estradiol blood test CPT 82670 ESTRADIOL $113.85 $253.00 $63.50–$202.40 25% below 55%
Estradiol blood test inpatient CPT 82670 ASSAY OF TOTAL ESTRADIOL $98.55 $219.00 $133.59–$175.20 — 55%
Estradiol blood test inpatient CPT 82670 ESTRADIOL ULTRASENSITIVE $99.45 $221.00 $134.81–$176.80 — 55%
Estradiol blood test inpatient CPT 82670 ESTRADIOL $113.85 $253.00 $154.33–$202.40 — 55%
FSH (follicle-stimulating hormone) test CPT 83001 FSH,PEDIATRIC $72.45 $161.00 $40.41–$128.80 35% below 55%
FSH (follicle-stimulating hormone) test CPT 83001 FSH,SERUM $84.60 $188.00 $47.19–$150.40 24% below 55%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH,PEDIATRIC $72.45 $161.00 $98.21–$128.80 — 55%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH,SERUM $84.60 $188.00 $114.68–$150.40 — 55%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTION,STOOL $143.55 $319.00 $80.07–$255.20 4% above 55%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTION,STOOL $143.55 $319.00 $194.59–$255.20 — 55%
Ferritin blood test (iron stores) CPT 82728 FERRITIN $71.10 $158.00 $39.66–$126.40 18% below 55%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN $71.10 $158.00 $96.38–$126.40 — 55%
Fibrinogen blood test CPT 85384 FIBRINOGEN $55.80 $124.00 $31.12–$99.20 18% below 55%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN $55.80 $124.00 $75.64–$99.20 — 55%
Folate (folic acid) blood test CPT 82746 FOLATE LEVEL $65.25 $145.00 $36.40–$116.00 25% below 55%
Folate (folic acid) blood test inpatient CPT 82746 FOLATE LEVEL $65.25 $145.00 $88.45–$116.00 — 55%
Free T3 thyroid hormone test CPT 84481 T3 FREE $82.35 $183.00 $45.93–$146.40 23% below 55%
Free T3 thyroid hormone test CPT 84481 TRIIODOTHYRONINE T3; FREE $88.65 $197.00 $49.45–$157.60 17% below 55%
Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE $82.35 $183.00 $111.63–$146.40 — 55%
Free T3 thyroid hormone test inpatient CPT 84481 TRIIODOTHYRONINE T3; FREE $88.65 $197.00 $120.17–$157.60 — 55%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 BY EQUILIBRIUM DIALYSIS $60.30 $134.00 $33.63–$107.20 3% below 55%
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 $65.70 $146.00 $36.65–$116.80 6% above 55%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 BY EQUILIBRIUM DIALYSIS $60.30 $134.00 $81.74–$107.20 — 55%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T4 $65.70 $146.00 $89.06–$116.80 — 55%
Free testosterone test CPT 84402 TESTOSTERONE; FREE $91.35 $203.00 $50.95–$162.40 31% below 55%
Free testosterone test inpatient CPT 84402 TESTOSTERONE; FREE $91.35 $203.00 $123.83–$162.40 — 55%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT $36.00 $80.00 $20.08–$64.00 23% below 55%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT $36.00 $80.00 $48.80–$64.00 — 55%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 2 HR PP $31.95 $71.00 $17.82–$56.80 15% below 55%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE PP W/GLUCOLA DOSE $31.95 $71.00 $17.82–$56.80 15% below 55%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE; POST PRANDIAL $42.30 $94.00 $23.59–$75.20 12% above 55%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE PP W/GLUCOLA DOSE $31.95 $71.00 $43.31–$56.80 — 55%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE 2 HR PP $31.95 $71.00 $43.31–$56.80 — 55%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE; POST PRANDIAL $42.30 $94.00 $57.34–$75.20 — 55%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOL. TEST,3 SPECIMENS $55.35 $123.00 $30.87–$98.40 31% below 55%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOL 2HR 3 SPEC PREG $64.80 $144.00 $36.14–$115.20 20% below 55%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOL 2HR 3 SPEC $64.80 $144.00 $36.14–$115.20 20% below 55%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOL. TEST,3 SPECIMENS $55.35 $123.00 $75.03–$98.40 — 55%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOL 2HR 3 SPEC $64.80 $144.00 $87.84–$115.20 — 55%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOL 2HR 3 SPEC PREG $64.80 $144.00 $87.84–$115.20 — 55%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE DNA AMP PROB $80.10 $178.00 $44.68–$142.40 56% below 55%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEA MISC SITE $140.85 $313.00 $78.56–$250.40 23% below 55%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC (NEISSERIA GONORR) RNA $149.85 $333.00 $83.58–$266.40 18% below 55%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA AMPLIF NA PROBE $149.85 $333.00 $83.58–$266.40 18% below 55%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA,AMPLIF NA PROBE $149.85 $333.00 $83.58–$266.40 18% below 55%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.GONORRHOEAE DNA AMP PROB $80.10 $178.00 $108.58–$142.40 — 55%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHOEA MISC SITE $140.85 $313.00 $190.93–$250.40 — 55%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA AMPLIF NA PROBE $149.85 $333.00 $203.13–$266.40 — 55%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA,AMPLIF NA PROBE $149.85 $333.00 $203.13–$266.40 — 55%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC (NEISSERIA GONORR) RNA $149.85 $333.00 $203.13–$266.40 — 55%
H. pylori stool antigen test CPT 87338 H. PYLORI ANTIGEN STOOL $82.35 $183.00 $45.93–$146.40 19% below 55%
H. pylori stool antigen test inpatient CPT 87338 H. PYLORI ANTIGEN STOOL $82.35 $183.00 $111.63–$146.40 — 55%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV RNA BY PCR QUANT ULTRASENS $368.10 $818.00 $205.32–$654.40 22% below 55%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV QUANT W RFLX TO GENOTYPE $368.10 $818.00 $205.32–$654.40 22% below 55%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV QUANT W RFLX TO GENOTYPE $368.10 $818.00 $498.98–$654.40 — 55%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV RNA BY PCR QUANT ULTRASENS $368.10 $818.00 $498.98–$654.40 — 55%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 4TH GENERATION $99.00 $220.00 $55.22–$176.00 29% below 55%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 4TH GEN $99.00 $220.00 $55.22–$176.00 29% below 55%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 4TH GEN $99.00 $220.00 $134.20–$176.00 — 55%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 4TH GENERATION $99.00 $220.00 $134.20–$176.00 — 55%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH RISK $83.25 $185.00 $46.44–$148.00 60% below 55%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HUMAN PAPILLOMAVIRUS HIGH RISK $164.25 $365.00 $91.62–$292.00 22% below 55%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HI RISK+RFLX GENOTYPE $164.25 $365.00 $91.62–$292.00 22% below 55%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV HIGH RISK $83.25 $185.00 $112.85–$148.00 — 55%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV HI RISK+RFLX GENOTYPE $164.25 $365.00 $222.65–$292.00 — 55%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HUMAN PAPILLOMAVIRUS HIGH RISK $164.25 $365.00 $222.65–$292.00 — 55%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOHEMOGLOBIN A1C $65.25 $145.00 $36.40–$116.00 22% above 55%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HA1C WITH EAG $65.25 $145.00 $36.40–$116.00 22% above 55%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOHEMOGLOBIN A1C $65.25 $145.00 $88.45–$116.00 — 55%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HA1C WITH EAG $65.25 $145.00 $88.45–$116.00 — 55%
Hemoglobin blood test CPT 85018 HEMOGLOBIN I-STAT $18.00 $40.00 $10.04–$32.00 6% below 55%
Hemoglobin blood test CPT 85018 HEMOGLOBIN $18.00 $40.00 $10.04–$32.00 6% below 55%
Hemoglobin blood test CPT 85018 HGB $18.00 $40.00 $10.04–$32.00 6% below 55%
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN $18.00 $40.00 $24.40–$32.00 — 55%
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN I-STAT $18.00 $40.00 $24.40–$32.00 — 55%
Hemoglobin blood test inpatient CPT 85018 HGB $18.00 $40.00 $24.40–$32.00 — 55%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE AB,TOTAL $71.55 $159.00 $39.91–$127.20 25% below 55%
Hepatitis B core antibody test (total) CPT 86704 HEP B CORE TOTAL AB $71.55 $159.00 $39.91–$127.20 25% below 55%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE AB,TOTAL $71.55 $159.00 $96.99–$127.20 — 55%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEP B CORE TOTAL AB $71.55 $159.00 $96.99–$127.20 — 55%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATIS B SURFACE ANTIBODY $49.50 $110.00 $27.61–$88.00 39% below 55%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HBSAB QUALITATIVE $51.30 $114.00 $28.61–$91.20 37% below 55%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HBSAB QUANT FOR IMMUNITY $55.80 $124.00 $31.12–$99.20 31% below 55%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATIS B SURFACE ANTIBODY $49.50 $110.00 $67.10–$88.00 — 55%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HBSAB QUALITATIVE $51.30 $114.00 $69.54–$91.20 — 55%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HBSAB QUANT FOR IMMUNITY $55.80 $124.00 $75.64–$99.20 — 55%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURF AG W REL NEUT CONF $55.80 $124.00 $31.12–$99.20 20% below 55%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG IA $88.20 $196.00 $49.20–$156.80 27% above 55%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEP B SURF AG W REL NEUT CONF $55.80 $124.00 $75.64–$99.20 — 55%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE AG IA $88.20 $196.00 $119.56–$156.80 — 55%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY $85.50 $190.00 $47.69–$152.00 21% below 55%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY $85.50 $190.00 $115.90–$152.00 — 55%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C RNA QUANT $259.20 $576.00 $144.58–$460.80 5% below 55%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C RNA QUANT $259.20 $576.00 $351.36–$460.80 — 55%
Herpes blood test, HSV-1 antibody CPT 86695 AB; HSV 1 $53.55 $119.00 $29.87–$95.20 33% below 55%
Herpes blood test, HSV-1 antibody CPT 86695 ANTIBODY; HERPES SIMPLEX 1 $53.55 $119.00 $29.87–$95.20 33% below 55%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 ANTIBODY; HERPES SIMPLEX 1 $53.55 $119.00 $72.59–$95.20 — 55%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 AB; HSV 1 $53.55 $119.00 $72.59–$95.20 — 55%
Herpes blood test, HSV-2 antibody CPT 86696 ANTIBODY; HERPES SIMPLEX 2 $88.20 $196.00 $49.20–$156.80 9% below 55%
Herpes blood test, HSV-2 antibody CPT 86696 AB; HSV TYPE 2 $88.20 $196.00 $49.20–$156.80 9% below 55%
Herpes blood test, HSV-2 antibody CPT 86696 HSV-2 INHIBITION $202.50 $450.00 $112.95–$360.00 109% above 55%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 AB; HSV TYPE 2 $88.20 $196.00 $119.56–$156.80 — 55%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 ANTIBODY; HERPES SIMPLEX 2 $88.20 $196.00 $119.56–$156.80 — 55%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV-2 INHIBITION $202.50 $450.00 $274.50–$360.00 — 55%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HI-SENSITIV $66.60 $148.00 $37.15–$118.40 10% below 55%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-REACTIVE PROTEIN HI-SENSITIV $66.60 $148.00 $90.28–$118.40 — 55%
Homocysteine blood test CPT 83090 HOMOCYSTINE,QUAL $50.40 $112.00 $28.11–$89.60 58% below 55%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTINE,QUAL $50.40 $112.00 $68.32–$89.60 — 55%
Insulin blood test CPT 83525 INSULIN - 2 SPECIMENS $49.50 $110.00 $27.61–$88.00 26% below 55%
Insulin blood test CPT 83525 ASSAY OF INSULIN TOTAL $63.00 $140.00 $35.14–$112.00 5% below 55%
Insulin blood test CPT 83525 INSULIN 2 HR 3 SPEC $72.90 $162.00 $40.66–$129.60 9% above 55%
Insulin blood test CPT 83525 INSULIN; TOTAL 3 SPEC $76.50 $170.00 $42.67–$136.00 15% above 55%
Insulin blood test inpatient CPT 83525 INSULIN - 2 SPECIMENS $49.50 $110.00 $67.10–$88.00 — 55%
Insulin blood test inpatient CPT 83525 ASSAY OF INSULIN TOTAL $63.00 $140.00 $85.40–$112.00 — 55%
Insulin blood test inpatient CPT 83525 INSULIN 2 HR 3 SPEC $72.90 $162.00 $98.82–$129.60 — 55%
Insulin blood test inpatient CPT 83525 INSULIN; TOTAL 3 SPEC $76.50 $170.00 $103.70–$136.00 — 55%
Iron blood test (serum iron) CPT 83540 IRON $31.95 $71.00 $17.82–$56.80 32% below 55%
Iron blood test (serum iron) inpatient CPT 83540 IRON $31.95 $71.00 $43.31–$56.80 — 55%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY $49.95 $111.00 $27.86–$88.80 20% below 55%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY $49.95 $111.00 $67.71–$88.80 — 55%
Kidney function blood test panel CPT 80069 RENAL PROFILE $79.65 $177.00 $44.43–$141.60 at median 55%
Kidney function blood test panel inpatient CPT 80069 RENAL PROFILE $79.65 $177.00 $107.97–$141.60 — 55%
LH (luteinizing hormone) test CPT 83002 LH PEDIATRIC $72.00 $160.00 $40.16–$128.00 35% below 55%
LH (luteinizing hormone) test CPT 83002 LH $82.80 $184.00 $46.18–$147.20 25% below 55%
LH (luteinizing hormone) test inpatient CPT 83002 LH PEDIATRIC $72.00 $160.00 $97.60–$128.00 — 55%
LH (luteinizing hormone) test inpatient CPT 83002 LH $82.80 $184.00 $112.24–$147.20 — 55%
Lactate (lactic acid) blood test CPT 83605 CSF LACTATE $94.95 $211.00 $52.96–$168.80 24% above 55%
Lactate (lactic acid) blood test CPT 83605 LACTATE,L-LACTIC ACID $94.95 $211.00 $52.96–$168.80 24% above 55%
Lactate (lactic acid) blood test CPT 83605 ISCHEMIC EXERCISE LACTATES $569.70 $1,266.00 $317.77–$1,012.80 642% above 55%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTATE,L-LACTIC ACID $94.95 $211.00 $128.71–$168.80 — 55%
Lactate (lactic acid) blood test inpatient CPT 83605 CSF LACTATE $94.95 $211.00 $128.71–$168.80 — 55%
Lactate (lactic acid) blood test inpatient CPT 83605 ISCHEMIC EXERCISE LACTATES $569.70 $1,266.00 $772.26–$1,012.80 — 55%
Lactate dehydrogenase (LDH) blood test CPT 83615 BODY FLUID LDH $28.35 $63.00 $15.81–$50.40 18% below 55%
Lactate dehydrogenase (LDH) blood test CPT 83615 SYNOVIAL FLUID LDH $28.35 $63.00 $15.81–$50.40 18% below 55%
Lactate dehydrogenase (LDH) blood test CPT 83615 LD,SYNOVIAL FLUID $28.35 $63.00 $15.81–$50.40 18% below 55%
Lactate dehydrogenase (LDH) blood test CPT 83615 LD,CSF $28.35 $63.00 $15.81–$50.40 18% below 55%
Lactate dehydrogenase (LDH) blood test CPT 83615 FLUID LD $28.35 $63.00 $15.81–$50.40 18% below 55%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH $28.35 $63.00 $15.81–$50.40 18% below 55%
Lactate dehydrogenase (LDH) blood test CPT 83615 PLEURAL FLUID LDH $28.35 $63.00 $15.81–$50.40 18% below 55%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 PLEURAL FLUID LDH $28.35 $63.00 $38.43–$50.40 — 55%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LD,SYNOVIAL FLUID $28.35 $63.00 $38.43–$50.40 — 55%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 SYNOVIAL FLUID LDH $28.35 $63.00 $38.43–$50.40 — 55%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LD,CSF $28.35 $63.00 $38.43–$50.40 — 55%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 FLUID LD $28.35 $63.00 $38.43–$50.40 — 55%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH $28.35 $63.00 $38.43–$50.40 — 55%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 BODY FLUID LDH $28.35 $63.00 $38.43–$50.40 — 55%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE $45.00 $100.00 $25.10–$80.00 9% below 55%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE PLEURAL FLUID $45.00 $100.00 $25.10–$80.00 9% below 55%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE,BODY FLUID $45.00 $100.00 $25.10–$80.00 9% below 55%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE PLEURAL FLUID $45.00 $100.00 $61.00–$80.00 — 55%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE,BODY FLUID $45.00 $100.00 $61.00–$80.00 — 55%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE $45.00 $100.00 $61.00–$80.00 — 55%
Liver function blood test panel CPT 80076 LIVER PROFILE $76.95 $171.00 $42.92–$136.80 16% below 55%
Liver function blood test panel inpatient CPT 80076 LIVER PROFILE $76.95 $171.00 $104.31–$136.80 — 55%
Lyme disease antibody test CPT 86618 LYME IGM $59.85 $133.00 $33.38–$106.40 37% below 55%
Lyme disease antibody test CPT 86618 LYME IGG $59.85 $133.00 $33.38–$106.40 37% below 55%
Lyme disease antibody test CPT 86618 LYME DISEASE SCREEN ANTIBODY $59.85 $133.00 $33.38–$106.40 37% below 55%
Lyme disease antibody test CPT 86618 AB; LYME'S DISEASE $133.20 $296.00 $74.30–$236.80 41% above 55%
Lyme disease antibody test inpatient CPT 86618 LYME IGM $59.85 $133.00 $81.13–$106.40 — 55%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE SCREEN ANTIBODY $59.85 $133.00 $81.13–$106.40 — 55%
Lyme disease antibody test inpatient CPT 86618 LYME IGG $59.85 $133.00 $81.13–$106.40 — 55%
Lyme disease antibody test inpatient CPT 86618 AB; LYME'S DISEASE $133.20 $296.00 $180.56–$236.80 — 55%
Magnesium blood test CPT 83735 ASSAY OF MAGNESIUM $19.35 $43.00 $10.79–$34.40 53% below 55%
Magnesium blood test CPT 83735 MAGNESIUM RBC $34.20 $76.00 $19.08–$60.80 16% below 55%
Magnesium blood test CPT 83735 MAGNESIUM $34.20 $76.00 $19.08–$60.80 16% below 55%
Magnesium blood test CPT 83735 24 HR MAGNESIUM $34.20 $76.00 $19.08–$60.80 16% below 55%
Magnesium blood test CPT 83735 MAGNESIUM THERA L&D $34.20 $76.00 $19.08–$60.80 16% below 55%
Magnesium blood test inpatient CPT 83735 ASSAY OF MAGNESIUM $19.35 $43.00 $26.23–$34.40 — 55%
Magnesium blood test inpatient CPT 83735 24 HR MAGNESIUM $34.20 $76.00 $46.36–$60.80 — 55%
Magnesium blood test inpatient CPT 83735 MAGNESIUM THERA L&D $34.20 $76.00 $46.36–$60.80 — 55%
Magnesium blood test inpatient CPT 83735 MAGNESIUM $34.20 $76.00 $46.36–$60.80 — 55%
Magnesium blood test inpatient CPT 83735 MAGNESIUM RBC $34.20 $76.00 $46.36–$60.80 — 55%
Measles (rubeola) antibody test CPT 86765 MEASLES IGG $40.95 $91.00 $22.84–$72.80 50% below 55%
Measles (rubeola) antibody test CPT 86765 MEASLES (RUBEOLA) IG M $72.45 $161.00 $40.41–$128.80 11% below 55%
Measles (rubeola) antibody test inpatient CPT 86765 MEASLES IGG $40.95 $91.00 $55.51–$72.80 — 55%
Measles (rubeola) antibody test inpatient CPT 86765 MEASLES (RUBEOLA) IG M $72.45 $161.00 $98.21–$128.80 — 55%
Mono test (heterophile antibody, Monospot) CPT 86308 MONOSPOT $40.05 $89.00 $22.34–$71.20 3% above 55%
Mono test (heterophile antibody, Monospot) CPT 86308 MONOSPOT REFLEX TO EBV PANEL $40.05 $89.00 $22.34–$71.20 3% above 55%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONOSPOT REFLEX TO EBV PANEL $40.05 $89.00 $54.29–$71.20 — 55%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONOSPOT $40.05 $89.00 $54.29–$71.20 — 55%
Mumps immunity blood test CPT 86735 MUMPS IgM $55.80 $124.00 $31.12–$99.20 31% below 55%
Mumps immunity blood test CPT 86735 MUMPS IGG $55.80 $124.00 $31.12–$99.20 31% below 55%
Mumps immunity blood test inpatient CPT 86735 MUMPS IgM $55.80 $124.00 $75.64–$99.20 — 55%
Mumps immunity blood test inpatient CPT 86735 MUMPS IGG $55.80 $124.00 $75.64–$99.20 — 55%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA; FREE $91.35 $203.00 $50.95–$162.40 2% below 55%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA; FREE $91.35 $203.00 $123.83–$162.40 — 55%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPEC ANTIGEN; TOTAL $87.30 $194.00 $48.69–$155.20 20% below 55%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA; TOTAL $87.30 $194.00 $48.69–$155.20 20% below 55%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA; TOTAL $87.30 $194.00 $118.34–$155.20 — 55%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPEC ANTIGEN; TOTAL $87.30 $194.00 $118.34–$155.20 — 55%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE,INTACT $167.85 $373.00 $93.62–$298.40 20% below 55%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE,INTACT $167.85 $373.00 $227.53–$298.40 — 55%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT LA SCREEN $25.20 $56.00 $14.06–$44.80 45% below 55%
Partial thromboplastin time (PTT) clotting test CPT 85730 APTT $37.35 $83.00 $20.83–$66.40 18% below 55%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL $46.80 $104.00 $26.10–$83.20 3% above 55%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT; PLASMA OR WHOLE BLOOD $52.20 $116.00 $29.12–$92.80 14% above 55%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME,PARTIAL $73.35 $163.00 $40.91–$130.40 61% above 55%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT LA SCREEN $25.20 $56.00 $34.16–$44.80 — 55%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 APTT $37.35 $83.00 $50.63–$66.40 — 55%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME PARTIAL $46.80 $104.00 $63.44–$83.20 — 55%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT; PLASMA OR WHOLE BLOOD $52.20 $116.00 $70.76–$92.80 — 55%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME,PARTIAL $73.35 $163.00 $99.43–$130.40 — 55%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS,SERUM $25.20 $56.00 $14.06–$44.80 32% below 55%
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS,SERUM $25.20 $56.00 $34.16–$44.80 — 55%
Potassium blood test CPT 84132 ASSAY OF SERUM POTASSIUM $24.30 $54.00 $13.55–$43.20 26% below 55%
Potassium blood test CPT 84132 POTASSIUM (ONLY) $24.30 $54.00 $13.55–$43.20 26% below 55%
Potassium blood test inpatient CPT 84132 ASSAY OF SERUM POTASSIUM $24.30 $54.00 $32.94–$43.20 — 55%
Potassium blood test inpatient CPT 84132 POTASSIUM (ONLY) $24.30 $54.00 $32.94–$43.20 — 55%
Progesterone blood test CPT 84144 PROGESTERONE $141.75 $315.00 $79.06–$252.00 3% above 55%
Progesterone blood test CPT 84144 PROGESTERONE BY LC/MS/MS $141.75 $315.00 $79.06–$252.00 3% above 55%
Progesterone blood test inpatient CPT 84144 PROGESTERONE BY LC/MS/MS $141.75 $315.00 $192.15–$252.00 — 55%
Progesterone blood test inpatient CPT 84144 PROGESTERONE $141.75 $315.00 $192.15–$252.00 — 55%
Prolactin blood test CPT 84146 PROLACTIN,PEDIATRIC $68.85 $153.00 $38.40–$122.40 44% below 55%
Prolactin blood test CPT 84146 PROLACTIN $113.40 $252.00 $63.25–$201.60 7% below 55%
Prolactin blood test CPT 84146 PROLACTIN TOTAL AND MONOMERIC $216.00 $480.00 $120.48–$384.00 76% above 55%
Prolactin blood test inpatient CPT 84146 PROLACTIN,PEDIATRIC $68.85 $153.00 $93.33–$122.40 — 55%
Prolactin blood test inpatient CPT 84146 PROLACTIN $113.40 $252.00 $153.72–$201.60 — 55%
Prolactin blood test inpatient CPT 84146 PROLACTIN TOTAL AND MONOMERIC $216.00 $480.00 $292.80–$384.00 — 55%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME/INR - ISTAT $29.70 $66.00 $16.57–$52.80 1% above 55%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME $33.30 $74.00 $18.57–$59.20 14% above 55%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME/INR - ISTAT $29.70 $66.00 $40.26–$52.80 — 55%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME $33.30 $74.00 $45.14–$59.20 — 55%
Renin blood test CPT 84244 ASSAY OF RENIN $29.70 $66.00 $16.57–$52.80 81% below 55%
Renin blood test CPT 84244 RENIN $85.95 $191.00 $47.94–$152.80 44% below 55%
Renin blood test inpatient CPT 84244 ASSAY OF RENIN $29.70 $66.00 $40.26–$52.80 — 55%
Renin blood test inpatient CPT 84244 RENIN $85.95 $191.00 $116.51–$152.80 — 55%
Rh blood typing CPT 86901 RH TYPE JRC $70.65 $157.00 $39.41–$125.60 32% above 55%
Rh blood typing CPT 86901 BLOOD TYPING; RH D $70.65 $157.00 $39.41–$125.60 32% above 55%
Rh blood typing CPT 86901 BLOOD TYPING; RH $70.65 $157.00 $39.41–$125.60 32% above 55%
Rh blood typing inpatient CPT 86901 RH TYPE JRC $70.65 $157.00 $95.77–$125.60 — 55%
Rh blood typing inpatient CPT 86901 BLOOD TYPING; RH $70.65 $157.00 $95.77–$125.60 — 55%
Rh blood typing inpatient CPT 86901 BLOOD TYPING; RH D $70.65 $157.00 $95.77–$125.60 — 55%
Rheumatoid factor (RF) test CPT 86431 RF FACTOR $25.65 $57.00 $14.31–$45.60 35% below 55%
Rheumatoid factor (RF) test CPT 86431 QUAN RHEUM FACTOR $25.65 $57.00 $14.31–$45.60 35% below 55%
Rheumatoid factor (RF) test inpatient CPT 86431 RF FACTOR $25.65 $57.00 $34.77–$45.60 — 55%
Rheumatoid factor (RF) test inpatient CPT 86431 QUAN RHEUM FACTOR $25.65 $57.00 $34.77–$45.60 — 55%
Rubella antibody test (immunity check) CPT 86762 AB; RUBELLA $55.80 $124.00 $31.12–$99.20 34% below 55%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY $55.80 $124.00 $31.12–$99.20 34% below 55%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG ABY,EIA $65.25 $145.00 $36.40–$116.00 23% below 55%
Rubella antibody test (immunity check) CPT 86762 RUBELLE IGM $82.80 $184.00 $46.18–$147.20 2% below 55%
Rubella antibody test (immunity check) inpatient CPT 86762 AB; RUBELLA $55.80 $124.00 $75.64–$99.20 — 55%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY $55.80 $124.00 $75.64–$99.20 — 55%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IGG ABY,EIA $65.25 $145.00 $88.45–$116.00 — 55%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLE IGM $82.80 $184.00 $112.24–$147.20 — 55%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE AUTOMATED $27.90 $62.00 $15.56–$49.60 25% above 55%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SED RATE AUTOMATED $27.90 $62.00 $37.82–$49.60 — 55%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS $104.40 $232.00 $58.23–$185.60 10% above 55%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 SEMEN ANALYSIS $104.40 $232.00 $141.52–$185.60 — 55%
Sodium blood test CPT 84295 SODIUM (ONLY) $26.55 $59.00 $14.81–$47.20 21% below 55%
Sodium blood test CPT 84295 ASSAY OF SERUM SODIUM $26.55 $59.00 $14.81–$47.20 21% below 55%
Sodium blood test inpatient CPT 84295 SODIUM (ONLY) $26.55 $59.00 $35.99–$47.20 — 55%
Sodium blood test inpatient CPT 84295 ASSAY OF SERUM SODIUM $26.55 $59.00 $35.99–$47.20 — 55%
Stool ova and parasites exam CPT 87177 OVA & PARASITES,DIR SMR W ID $40.05 $89.00 $22.34–$71.20 35% below 55%
Stool ova and parasites exam inpatient CPT 87177 OVA & PARASITES,DIR SMR W ID $40.05 $89.00 $54.29–$71.20 — 55%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM ASSAY $18.00 $40.00 $10.04–$32.00 76% below 55%
Syphilis antibody test (Treponema pallidum) CPT 86780 FTA-ABS $58.05 $129.00 $32.38–$103.20 22% below 55%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMA PALLIDUM ASSAY $18.00 $40.00 $24.40–$32.00 — 55%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 FTA-ABS $58.05 $129.00 $78.69–$103.20 — 55%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL,CSF $24.30 $54.00 $13.55–$43.20 14% below 55%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR WITH REFLEX TO TITER $24.30 $54.00 $13.55–$43.20 14% below 55%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR $25.20 $56.00 $14.06–$44.80 11% below 55%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR WITH REFLEX TO TITER $24.30 $54.00 $32.94–$43.20 — 55%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL,CSF $24.30 $54.00 $32.94–$43.20 — 55%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR $25.20 $56.00 $34.16–$44.80 — 55%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD PLUS $216.00 $480.00 $120.48–$384.00 25% below 55%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON $216.00 $480.00 $120.48–$384.00 25% below 55%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON TB GOLD PLUS $216.00 $480.00 $292.80–$384.00 — 55%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON $216.00 $480.00 $292.80–$384.00 — 55%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE,TOTAL,MS $100.35 $223.00 $55.97–$178.40 38% below 55%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE; TOTAL $100.35 $223.00 $55.97–$178.40 38% below 55%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE; TOTAL $100.35 $223.00 $136.03–$178.40 — 55%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE,TOTAL,MS $100.35 $223.00 $136.03–$178.40 — 55%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODIES,EACH $54.00 $120.00 $30.12–$96.00 28% below 55%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL AB EACH $54.00 $120.00 $30.12–$96.00 28% below 55%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID MICROSOMAL ANTIBODY $78.75 $175.00 $43.92–$140.00 5% above 55%
Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI LKM(LIVER,KIDNEY,MICRSO) $126.90 $282.00 $70.78–$225.60 69% above 55%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL AB EACH $54.00 $120.00 $73.20–$96.00 — 55%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL ANTIBODIES,EACH $54.00 $120.00 $73.20–$96.00 — 55%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID MICROSOMAL ANTIBODY $78.75 $175.00 $106.75–$140.00 — 55%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTI LKM(LIVER,KIDNEY,MICRSO) $126.90 $282.00 $172.02–$225.60 — 55%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH $86.40 $192.00 $48.19–$153.60 11% below 55%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH WITH HAMA TREATMENT $172.80 $384.00 $96.38–$307.20 78% above 55%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH $86.40 $192.00 $117.12–$153.60 — 55%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH WITH HAMA TREATMENT $172.80 $384.00 $234.24–$307.20 — 55%
Total IgE blood test CPT 82785 ASSAY OF IGE $64.80 $144.00 $36.14–$115.20 38% below 55%
Total IgE blood test CPT 82785 IMMUNOGLOBULIN E $64.80 $144.00 $36.14–$115.20 38% below 55%
Total IgE blood test CPT 82785 GAMMAGLOBULIN; IgE $71.55 $159.00 $39.91–$127.20 31% below 55%
Total IgE blood test inpatient CPT 82785 IMMUNOGLOBULIN E $64.80 $144.00 $87.84–$115.20 — 55%
Total IgE blood test inpatient CPT 82785 ASSAY OF IGE $64.80 $144.00 $87.84–$115.20 — 55%
Total IgE blood test inpatient CPT 82785 GAMMAGLOBULIN; IgE $71.55 $159.00 $96.99–$127.20 — 55%
Total cholesterol blood test CPT 82465 CHOLESTEROL $24.75 $55.00 $13.80–$44.00 21% below 55%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL $24.75 $55.00 $33.55–$44.00 — 55%
Total thyroxine (T4) blood test CPT 84436 T4 (THYROXINE) TOTAL $37.35 $83.00 $20.83–$66.40 16% below 55%
Total thyroxine (T4) blood test CPT 84436 T-4 $37.35 $83.00 $20.83–$66.40 16% below 55%
Total thyroxine (T4) blood test inpatient CPT 84436 T4 (THYROXINE) TOTAL $37.35 $83.00 $50.63–$66.40 — 55%
Total thyroxine (T4) blood test inpatient CPT 84436 T-4 $37.35 $83.00 $50.63–$66.40 — 55%
Total triiodothyronine (T3) blood test CPT 84480 T3 TOTAL $23.40 $52.00 $13.05–$41.60 77% below 55%
Total triiodothyronine (T3) blood test CPT 84480 TRIIODOTHYRONINE T3; TOTAL $95.85 $213.00 $53.46–$170.40 4% below 55%
Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 TOTAL $23.40 $52.00 $31.72–$41.60 — 55%
Total triiodothyronine (T3) blood test inpatient CPT 84480 TRIIODOTHYRONINE T3; TOTAL $95.85 $213.00 $129.93–$170.40 — 55%
Transferrin blood test CPT 84466 TRANSFERRIN $52.65 $117.00 $29.37–$93.60 42% below 55%
Transferrin blood test inpatient CPT 84466 TRANSFERRIN $52.65 $117.00 $71.37–$93.60 — 55%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS RNA $51.30 $114.00 $28.61–$91.20 72% below 55%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPLIF $66.60 $148.00 $37.15–$118.40 64% below 55%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAG RNA MALE $130.95 $291.00 $73.04–$232.80 29% below 55%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS RNA,QUA $130.95 $291.00 $73.04–$232.80 29% below 55%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS RNA $51.30 $114.00 $69.54–$91.20 — 55%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS AMPLIF $66.60 $148.00 $90.28–$118.40 — 55%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS RNA,QUA $130.95 $291.00 $177.51–$232.80 — 55%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAG RNA MALE $130.95 $291.00 $177.51–$232.80 — 55%
Triglycerides blood test CPT 84478 TRIGLYCERIDES $34.65 $77.00 $19.33–$61.60 19% below 55%
Triglycerides blood test CPT 84478 FLUID TRIGLYCERIDE $34.65 $77.00 $19.33–$61.60 19% below 55%
Triglycerides blood test inpatient CPT 84478 FLUID TRIGLYCERIDE $34.65 $77.00 $46.97–$61.60 — 55%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES $34.65 $77.00 $46.97–$61.60 — 55%
Troponin test, quantitative CPT 84484 TROPONIN I $86.40 $192.00 $48.19–$153.60 4% above 55%
Troponin test, quantitative inpatient CPT 84484 TROPONIN I $86.40 $192.00 $117.12–$153.60 — 55%
Uric acid blood test CPT 84550 URIC ACID $25.20 $56.00 $14.06–$44.80 26% below 55%
Uric acid blood test inpatient CPT 84550 URIC ACID $25.20 $56.00 $34.16–$44.80 — 55%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS WITH MICROSCOPY $35.10 $78.00 $19.58–$62.40 1% below 55%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS WITH MICROSCOPY $35.10 $78.00 $47.58–$62.40 — 55%
Urinalysis without microscope exam, automated CPT 81003 URINE PH $24.30 $54.00 $13.55–$43.20 26% above 55%
Urinalysis without microscope exam, automated CPT 81003 URINE KETONES $24.30 $54.00 $13.55–$43.20 26% above 55%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS W/O MICROSCOPY $24.30 $54.00 $13.55–$43.20 26% above 55%
Urinalysis without microscope exam, automated CPT 81003 SPECIFIC GRAVITY $24.30 $54.00 $13.55–$43.20 26% above 55%
Urinalysis without microscope exam, automated CPT 81003 INDIVIDUAL COMP URINE $24.30 $54.00 $13.55–$43.20 26% above 55%
Urinalysis without microscope exam, automated inpatient CPT 81003 SPECIFIC GRAVITY $24.30 $54.00 $32.94–$43.20 — 55%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS W/O MICROSCOPY $24.30 $54.00 $32.94–$43.20 — 55%
Urinalysis without microscope exam, automated inpatient CPT 81003 INDIVIDUAL COMP URINE $24.30 $54.00 $32.94–$43.20 — 55%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINE PH $24.30 $54.00 $32.94–$43.20 — 55%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINE KETONES $24.30 $54.00 $32.94–$43.20 — 55%
Urine culture for bacteria, with colony count CPT 87086 CULTURE,URINE PREGNANT $56.70 $126.00 $31.63–$100.80 6% below 55%
Urine culture for bacteria, with colony count CPT 87086 CULTURE,URINE $56.70 $126.00 $31.63–$100.80 6% below 55%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE,URINE $56.70 $126.00 $76.86–$100.80 — 55%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE,URINE PREGNANT $56.70 $126.00 $76.86–$100.80 — 55%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN,URINE $56.25 $125.00 $31.38–$100.00 36% above 55%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN; URINE 24 HR $56.25 $125.00 $31.38–$100.00 36% above 55%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN; URINE QUAN $56.25 $125.00 $31.38–$100.00 36% above 55%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN; URINE QUAN $56.25 $125.00 $76.25–$100.00 — 55%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN; URINE 24 HR $56.25 $125.00 $76.25–$100.00 — 55%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN,URINE $56.25 $125.00 $76.25–$100.00 — 55%
Vitamin B12 (cobalamin) blood test CPT 82607 B-12 VITAMIN LEVEL $72.00 $160.00 $40.16–$128.00 19% below 55%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 B-12 VITAMIN LEVEL $72.00 $160.00 $97.60–$128.00 — 55%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY $132.30 $294.00 $73.79–$235.20 11% below 55%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 CARDIO IQ VITAMIN D 25-HYDROXY $132.30 $294.00 $73.79–$235.20 11% below 55%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 QUESTASSURED(TM) 250H D(D2,D3 $132.30 $294.00 $73.79–$235.20 11% below 55%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 HYDROXY $132.30 $294.00 $179.34–$235.20 — 55%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 CARDIO IQ VITAMIN D 25-HYDROXY $132.30 $294.00 $179.34–$235.20 — 55%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 QUESTASSURED(TM) 250H D(D2,D3 $132.30 $294.00 $179.34–$235.20 — 55%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D,1,25-DIHYDROXY $135.45 $301.00 $75.55–$240.80 34% below 55%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VITAMIN D,1,25-DIHYDROXY $135.45 $301.00 $183.61–$240.80 — 55%
Zinc blood test CPT 84630 ZINC,RBC $44.55 $99.00 $24.85–$79.20 37% below 55%
Zinc blood test CPT 84630 ZINC LEVEL $44.55 $99.00 $24.85–$79.20 37% below 55%
Zinc blood test inpatient CPT 84630 ZINC,RBC $44.55 $99.00 $60.39–$79.20 — 55%
Zinc blood test inpatient CPT 84630 ZINC LEVEL $44.55 $99.00 $60.39–$79.20 — 55%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BHCG ALT METH FOR TUMOR MARK $52.65 $117.00 $29.37–$93.60 37% below 55%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG QUANTITATIVE $90.45 $201.00 $50.45–$160.80 8% above 55%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BHCG ALT METH FOR TUMOR MARK $52.65 $117.00 $71.37–$93.60 — 55%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA HCG QUANTITATIVE $90.45 $201.00 $122.61–$160.80 — 55%

Surgery and procedures

ProcedureCash price List priceInsurers payvs PennsylvaniaOff list
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 STEREOTATIC BR BX W/TOMO 1ST $3,142.80 $6,984.00 $1,752.98–$5,587.20 17% below 55%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 MM STEREOTACTIC BREAST BX $3,142.80 $6,984.00 $1,752.98–$5,587.20 17% below 55%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 STEREOTATIC BR BX W/TOMO 1ST $3,142.80 $6,984.00 $4,260.24–$5,587.20 — 55%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 MM STEREOTACTIC BREAST BX $3,142.80 $6,984.00 $4,260.24–$5,587.20 — 55%
Cardiac catheterization with coronary angiogram one side CPT 93458 CATH,LEFT WITH CORS AND VENT $6,315.75 $14,035.00 $3,522.78–$11,228.00 22% below 55%
Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 CATH,LEFT WITH CORS AND VENT $6,315.75 $14,035.00 $8,561.35–$11,228.00 — 55%
Cardioversion, elective (restoring heart rhythm) CPT 92960 EXTERNAL CARDIOVERSION,ELECTR $918.45 $2,041.00 $512.29–$1,632.80 37% below 55%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION OUTSIDE OF UNIT $918.45 $2,041.00 $512.29–$1,632.80 37% below 55%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION EXTERNAL ELECT $918.45 $2,041.00 $512.29–$1,632.80 37% below 55%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION $1,056.60 $2,348.00 $589.35–$1,878.40 28% below 55%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION OUTSIDE OF UNIT $918.45 $2,041.00 $1,245.01–$1,632.80 — 55%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 EXTERNAL CARDIOVERSION,ELECTR $918.45 $2,041.00 $1,245.01–$1,632.80 — 55%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION EXTERNAL ELECT $918.45 $2,041.00 $1,245.01–$1,632.80 — 55%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION $1,056.60 $2,348.00 $1,432.28–$1,878.40 — 55%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION W/REGIONAL BLOCK $3,107.70 $6,906.00 $1,733.41–$5,524.80 229% above 55%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION W REG BLOCK $3,107.70 $6,906.00 $1,733.41–$5,524.80 229% above 55%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION W/REGIONAL BLOCK $3,107.70 $6,906.00 $4,212.66–$5,524.80 — 55%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION W REG BLOCK $3,107.70 $6,906.00 $4,212.66–$5,524.80 — 55%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 TREAT RADIUS & ULNA FRACTURE $321.75 $715.00 $179.46–$572.00 45% below 55%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 TREAT RADIUS & ULNA FRACTURE $321.75 $715.00 $436.15–$572.00 — 55%
Coronary stent placement, one artery CPT 92928 CORONARY STENT(S); SGL VESSEL $7,951.50 $17,670.00 $4,435.17–$14,136.00 58% below 55%
Coronary stent placement, one artery inpatient CPT 92928 CORONARY STENT(S); SGL VESSEL $7,951.50 $17,670.00 $10,778.70–$14,136.00 — 55%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY $1,259.10 $2,798.00 $702.30–$2,238.40 22% below 55%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSTOURETHROSCOPY $1,259.10 $2,798.00 $1,706.78–$2,238.40 — 55%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI $112.05 $249.00 $62.50–$199.20 14% below 55%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REMOVE IMPACTED EAR WAX UNI $112.05 $249.00 $151.89–$199.20 — 55%
Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX $97.20 $216.00 $54.22–$172.80 27% below 55%
Earwax removal with instruments, one ear inpatient CPT 69210 REMOVE IMPACTED EAR WAX $97.20 $216.00 $131.76–$172.80 — 55%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 IR INJ INTERLAMINAR CERV/THOR $1,224.00 $2,720.00 $682.72–$2,176.00 49% below 55%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 IR INJ INTERLAMINAR CERV/THOR $1,224.00 $2,720.00 $1,659.20–$2,176.00 — 55%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 SC INTRO SALINE/CONT MATERIAL $326.70 $726.00 $182.23–$580.80 14% below 55%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 SC INTRO SALINE/CONT MATERIAL $326.70 $726.00 $442.86–$580.80 — 55%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSC; SMPL OR SGL $381.15 $847.00 $212.60–$677.60 23% below 55%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS,SIMPLE $381.15 $847.00 $212.60–$677.60 23% below 55%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS,SIMPLE $381.15 $847.00 $516.67–$677.60 — 55%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSC; SMPL OR SGL $381.15 $847.00 $516.67–$677.60 — 55%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 INJ MAJOR JNT SHLDR,HIP,KNEE $351.00 $780.00 $195.78–$624.00 25% below 55%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 IR DR/INJ MAJ JOINT/BUR WO US $351.00 $780.00 $195.78–$624.00 25% below 55%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJECT JOINT/BURSA LARGE $351.00 $780.00 $195.78–$624.00 25% below 55%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 SC INJ/ASP MAJOR JNT $351.00 $780.00 $195.78–$624.00 25% below 55%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 IR DR/INJ MAJ JOINT/BUR WO US $351.00 $780.00 $475.80–$624.00 — 55%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN/INJECT JOINT/BURSA LARGE $351.00 $780.00 $475.80–$624.00 — 55%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 INJ MAJOR JNT SHLDR,HIP,KNEE $351.00 $780.00 $475.80–$624.00 — 55%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 SC INJ/ASP MAJOR JNT $351.00 $780.00 $475.80–$624.00 — 55%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 IR DR/INJ INT JOINT/BUR WO US $318.60 $708.00 $177.71–$566.40 5% below 55%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJECT JOINT/BURSA INTER $318.60 $708.00 $177.71–$566.40 5% below 55%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 INJ INTERMED JNT ELB/WRST/ANK $318.60 $708.00 $177.71–$566.40 5% below 55%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 INJ INTERMED JNT ELB/WRST/ANK $318.60 $708.00 $431.88–$566.40 — 55%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 IR DR/INJ INT JOINT/BUR WO US $318.60 $708.00 $431.88–$566.40 — 55%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN/INJECT JOINT/BURSA INTER $318.60 $708.00 $431.88–$566.40 — 55%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 REPAIR INTERMEDIATE WOUND(S) $648.00 $1,440.00 $361.44–$1,152.00 5% above 55%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 REPAIR INTERMEDIATE WOUND(S) $648.00 $1,440.00 $878.40–$1,152.00 — 55%
Lower-back epidural injection, with imaging guidance CPT 62323 INJ LUMBAR/SACRAL SP W GUID $1,340.10 $2,978.00 $747.48–$2,382.40 36% below 55%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJ LUMBAR/SACRAL SP W GUID $1,340.10 $2,978.00 $1,816.58–$2,382.40 — 55%
Lower-back epidural injection, without imaging guidance CPT 62322 INJ LUMBAR/SACRAL SP WO GUID $1,247.40 $2,772.00 $695.77–$2,217.60 33% below 55%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 INJ LUMBAR/SACRAL SP WO GUID $1,247.40 $2,772.00 $1,690.92–$2,217.60 — 55%
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE,SIMPLE $415.35 $923.00 $231.67–$738.40 18% below 55%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAIL PLATE,SIMPLE $415.35 $923.00 $563.03–$738.40 — 55%
Pacemaker implant (dual chamber) CPT 33208 INSERT PACEMAKER W/ AV LEADS $9,379.80 $20,844.00 $5,231.84–$16,675.20 18% below 55%
Pacemaker implant (dual chamber) inpatient CPT 33208 INSERT PACEMAKER W/ AV LEADS $9,379.80 $20,844.00 $12,714.84–$16,675.20 — 55%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING $1,559.25 $3,465.00 $869.72–$2,772.00 2% below 55%
Paracentesis with imaging guidance CPT 49083 PARACENTESIS ABDOMEN W/IMAGING $1,559.25 $3,465.00 $869.72–$2,772.00 2% below 55%
Paracentesis with imaging guidance CPT 49083 PARACENTESIS WITH IMAGING $1,559.25 $3,465.00 $869.72–$2,772.00 2% below 55%
Paracentesis with imaging guidance CPT 49083 IR PARACENTESIS ABDOMEN W/IMAG $1,559.25 $3,465.00 $869.72–$2,772.00 2% below 55%
Paracentesis with imaging guidance inpatient CPT 49083 IR PARACENTESIS ABDOMEN W/IMAG $1,559.25 $3,465.00 $2,113.65–$2,772.00 — 55%
Paracentesis with imaging guidance inpatient CPT 49083 PARACENTESIS WITH IMAGING $1,559.25 $3,465.00 $2,113.65–$2,772.00 — 55%
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W/IMAGING $1,559.25 $3,465.00 $2,113.65–$2,772.00 — 55%
Paracentesis with imaging guidance inpatient CPT 49083 PARACENTESIS ABDOMEN W/IMAGING $1,559.25 $3,465.00 $2,113.65–$2,772.00 — 55%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED $856.80 $1,904.00 $477.90–$1,523.20 at median 55%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 REMOVAL OF NAIL BED $856.80 $1,904.00 $1,161.44–$1,523.20 — 55%
Removal of a foreign object under the skin, simple CPT 10120 REMOVAL FB SUBQ SIMPLE $583.65 $1,297.00 $325.55–$1,037.60 12% above 55%
Removal of a foreign object under the skin, simple inpatient CPT 10120 REMOVAL FB SUBQ SIMPLE $583.65 $1,297.00 $791.17–$1,037.60 — 55%
Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT $247.05 $549.00 $137.80–$439.20 25% below 55%
Short arm splint (forearm and hand) inpatient CPT 29125 APPLY FOREARM SPLINT $247.05 $549.00 $334.89–$439.20 — 55%
Short leg splint (calf to foot) CPT 29515 APPLICATION OF LOWER LEG SPLIN $306.00 $680.00 $170.68–$544.00 34% below 55%
Short leg splint (calf to foot) inpatient CPT 29515 APPLICATION OF LOWER LEG SPLIN $306.00 $680.00 $414.80–$544.00 — 55%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REPAIR SIMPLE WOUND(S) $360.00 $800.00 $200.80–$640.00 30% below 55%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 REPAIR SIMPLE WOUND(S) $360.00 $800.00 $488.00–$640.00 — 55%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL FLUID TAP,DIAGNOSTIC $1,277.55 $2,839.00 $712.59–$2,271.20 5% above 55%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL FLUID TAP,DIAGNOSTIC $1,277.55 $2,839.00 $1,731.79–$2,271.20 — 55%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 REPAIR SIMPLE WOUND(S) $404.10 $898.00 $225.40–$718.40 31% below 55%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 REPAIR SIMPLE WOUND(S) $404.10 $898.00 $547.78–$718.40 — 55%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REPAIR SIMPLE WOUND(S) $390.15 $867.00 $217.62–$693.60 25% below 55%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 REPAIR SIMPLE WOUND(S) $390.15 $867.00 $528.87–$693.60 — 55%
Thoracentesis with imaging guidance CPT 32555 IR THORACENTESIS W/IMAGING $1,055.70 $2,346.00 $588.85–$1,876.80 29% below 55%
Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING $1,055.70 $2,346.00 $588.85–$1,876.80 29% below 55%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W/ IMAGING $1,055.70 $2,346.00 $588.85–$1,876.80 29% below 55%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W/IMAGING $1,055.70 $2,346.00 $588.85–$1,876.80 29% below 55%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W/IMAGING $1,055.70 $2,346.00 $1,431.06–$1,876.80 — 55%
Thoracentesis with imaging guidance inpatient CPT 32555 IR THORACENTESIS W/IMAGING $1,055.70 $2,346.00 $1,431.06–$1,876.80 — 55%
Thoracentesis with imaging guidance inpatient CPT 32555 ASPIRATE PLEURA W/ IMAGING $1,055.70 $2,346.00 $1,431.06–$1,876.80 — 55%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W/ IMAGING $1,055.70 $2,346.00 $1,431.06–$1,876.80 — 55%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT,1/2 MUSCL $574.20 $1,276.00 $320.28–$1,020.80 15% above 55%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIGGER POINT,1/2 MUSCL $574.20 $1,276.00 $778.36–$1,020.80 — 55%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 US CORE BREAST BIOPSY $3,142.80 $6,984.00 $1,752.98–$5,587.20 13% below 55%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 US CORE BREAST BIOPSY $3,142.80 $6,984.00 $4,260.24–$5,587.20 — 55%
Vein ablation, radiofrequency, first vein CPT 36475 VEIN ABLATION $3,415.95 $7,591.00 $1,905.34–$6,072.80 62% below 55%
Vein ablation, radiofrequency, first vein inpatient CPT 36475 VEIN ABLATION $3,415.95 $7,591.00 $4,630.51–$6,072.80 — 55%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SQ TISSUE 20 SQ CM/< $945.45 $2,101.00 $527.35–$1,680.80 11% below 55%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE SQ TISSUE 20 SQ CM/< $945.45 $2,101.00 $1,281.61–$1,680.80 — 55%

Doctor visits and therapy

ProcedureCash price List priceInsurers payvs PennsylvaniaOff list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION $801.45 $1,781.00 $447.03–$1,424.80 27% below 55%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD OR BLD COMP $801.45 $1,781.00 $447.03–$1,424.80 27% below 55%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMINISTRATION $801.45 $1,781.00 $1,086.41–$1,424.80 — 55%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD OR BLD COMP $801.45 $1,781.00 $1,086.41–$1,424.80 — 55%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 METER DOSE INHALER,TREATMENT $393.75 $875.00 $219.62–$700.00 95% above 55%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI OR AEROSOL/NEBULIZER TX $393.75 $875.00 $219.62–$700.00 95% above 55%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL THERAPY $393.75 $875.00 $219.62–$700.00 95% above 55%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI OR AEROSOL/NEBULIZER TX $393.75 $875.00 $533.75–$700.00 — 55%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL THERAPY $393.75 $875.00 $533.75–$700.00 — 55%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 METER DOSE INHALER,TREATMENT $393.75 $875.00 $533.75–$700.00 — 55%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INF SNGL/INIT 1 HR $625.50 $1,390.00 $348.89–$1,112.00 19% below 55%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUSION 1 HR INITIAL $625.50 $1,390.00 $348.89–$1,112.00 19% below 55%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO IV INF SNGL/INIT 1 HR $625.50 $1,390.00 $847.90–$1,112.00 — 55%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO IV INFUSION 1 HR INITIAL $625.50 $1,390.00 $847.90–$1,112.00 — 55%
Critical care, first 30 to 74 minutes CPT 99291 ED CRITICAL CARE,1ST HOUR $1,685.70 $3,746.00 $940.25–$2,996.80 12% below 55%
Critical care, first 30 to 74 minutes inpatient CPT 99291 ED CRITICAL CARE,1ST HOUR $1,685.70 $3,746.00 $2,285.06–$2,996.80 — 55%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG - AWAKE/DROWSY-H $579.60 $1,288.00 $323.29–$1,030.40 24% below 55%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG - AWAKE/DROWSY-H $579.60 $1,288.00 $785.68–$1,030.40 — 55%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG,ROUTINE $156.60 $348.00 $87.35–$278.40 14% below 55%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ECG,ROUTINE $156.60 $348.00 $212.28–$278.40 — 55%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED VISIT LEVEL 1 $224.55 $499.00 $125.25–$399.20 13% below 55%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ED VISIT LEVEL 1 $224.55 $499.00 $304.39–$399.20 — 55%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED VISIT LEVEL 2 $342.45 $761.00 $191.01–$608.80 20% below 55%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ED VISIT LEVEL 2 $342.45 $761.00 $464.21–$608.80 — 55%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED VISIT LEVEL 3 $557.10 $1,238.00 $310.74–$990.40 24% below 55%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ED VISIT LEVEL 3 $557.10 $1,238.00 $755.18–$990.40 — 55%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED VISIT LEVEL 4 $932.85 $2,073.00 $520.32–$1,658.40 24% below 55%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ED VISIT LEVEL 4 $932.85 $2,073.00 $1,264.53–$1,658.40 — 55%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED VISIT LEVEL 5 $1,245.15 $2,767.00 $694.52–$2,213.60 21% below 55%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ED VISIT LEVEL 5 $1,245.15 $2,767.00 $1,687.87–$2,213.60 — 55%
Exercise stress test, tracing only, the hospital charge CPT 93017 MYOCARDIAL TREADMILL $694.35 $1,543.00 $387.29–$1,234.40 27% below 55%
Exercise stress test, tracing only, the hospital charge CPT 93017 MYOCARDIAL LEXISCAN $694.35 $1,543.00 $387.29–$1,234.40 27% below 55%
Exercise stress test, tracing only, the hospital charge CPT 93017 TREADMILL EXERCISE EKG $694.35 $1,543.00 $387.29–$1,234.40 27% below 55%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 TREADMILL EXERCISE EKG $694.35 $1,543.00 $941.23–$1,234.40 — 55%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 MYOCARDIAL TREADMILL $694.35 $1,543.00 $941.23–$1,234.40 — 55%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 MYOCARDIAL LEXISCAN $694.35 $1,543.00 $941.23–$1,234.40 — 55%
Family therapy with the patient, 50 minutes CPT 90847 FAMILY THERAPY LSW W/PATIENT $193.95 $431.00 $108.18–$344.80 36% below 55%
Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY THERAPY LSW W/PATIENT $193.95 $431.00 $262.91–$344.80 — 55%
Family therapy without the patient, 50 minutes CPT 90846 FAMILY THERAPY LSW W/O PATIENT $283.95 $631.00 $158.38–$504.80 58% above 55%
Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY THERAPY LSW W/O PATIENT $283.95 $631.00 $384.91–$504.80 — 55%
Group psychotherapy session CPT 90853 GROUP THERAPY LSW $153.00 $340.00 $85.34–$272.00 8% above 55%
Group psychotherapy session inpatient CPT 90853 GROUP THERAPY LSW $153.00 $340.00 $207.40–$272.00 — 55%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION INF INITIAL HR $407.70 $906.00 $227.41–$724.80 7% below 55%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION,INIT $407.70 $906.00 $227.41–$724.80 7% below 55%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION INF INITIAL HR $407.70 $906.00 $552.66–$724.80 — 55%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION IV INFUSION,INIT $407.70 $906.00 $552.66–$724.80 — 55%
IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF,INIT $411.30 $914.00 $229.41–$731.20 9% below 55%
IV infusion of a medicine, first hour CPT 96365 THERA IV INITIAL INF 1ST HR $411.30 $914.00 $229.41–$731.20 9% below 55%
IV infusion of a medicine, first hour inpatient CPT 96365 THER/PROPH/DIAG IV INF,INIT $411.30 $914.00 $557.54–$731.20 — 55%
IV infusion of a medicine, first hour inpatient CPT 96365 THERA IV INITIAL INF 1ST HR $411.30 $914.00 $557.54–$731.20 — 55%
IV push of a medicine, first drug CPT 96374 THER/PROPH/DIAG INJ,IV PUSH $407.70 $906.00 $227.41–$724.80 24% above 55%
IV push of a medicine, first drug CPT 96374 THERAPEUTIC IV PUSH,INITIAL $407.70 $906.00 $227.41–$724.80 24% above 55%
IV push of a medicine, first drug CPT 96374 THERAPEUTIC IV PUSH INITIAL $407.70 $906.00 $227.41–$724.80 24% above 55%
IV push of a medicine, first drug inpatient CPT 96374 THER/PROPH/DIAG INJ,IV PUSH $407.70 $906.00 $552.66–$724.80 — 55%
IV push of a medicine, first drug inpatient CPT 96374 THERAPEUTIC IV PUSH,INITIAL $407.70 $906.00 $552.66–$724.80 — 55%
IV push of a medicine, first drug inpatient CPT 96374 THERAPEUTIC IV PUSH INITIAL $407.70 $906.00 $552.66–$724.80 — 55%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC INJ SC/IM $140.40 $312.00 $78.31–$249.60 13% above 55%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ,SC/IM $140.40 $312.00 $78.31–$249.60 13% above 55%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER/PROPH/DIAG INJ,SC/IM $140.40 $312.00 $190.32–$249.60 — 55%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC INJ SC/IM $140.40 $312.00 $190.32–$249.60 — 55%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INITIAL EA 15 MIN $43.20 $96.00 $24.10–$76.80 14% below 55%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INITIAL OP EA 15 MIN $43.20 $96.00 $24.10–$76.80 14% below 55%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MNT INITIAL OP EA 15 MIN $43.20 $96.00 $58.56–$76.80 — 55%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MNT INITIAL EA 15 MIN $43.20 $96.00 $58.56–$76.80 — 55%
Spirometry (breathing test) CPT 94010 SPIROMETRY $198.90 $442.00 $110.94–$353.60 38% below 55%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY $198.90 $442.00 $269.62–$353.60 — 55%
Spirometry before and after a bronchodilator CPT 94060 PRE AND POST PFT $546.30 $1,214.00 $304.71–$971.20 16% below 55%
Spirometry before and after a bronchodilator inpatient CPT 94060 PRE AND POST PFT $546.30 $1,214.00 $740.54–$971.20 — 55%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY,THERAPEUTIC $208.35 $463.00 $116.21–$370.40 10% below 55%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY,THERAPEUTIC $208.35 $463.00 $282.43–$370.40 — 55%

Vaccines

ProcedureCash price List priceInsurers payvs PennsylvaniaOff list
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE INJ $774.79 $1,721.75 $432.16–$1,377.40 276% above 55%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE INJ $774.79 $1,721.75 $1,050.27–$1,377.40 — 55%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPHTHERIA/TET/ACELLULAR PERT $120.15 $267.00 $67.02–$213.60 208% above 55%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPHTHERIA/TET/ACELLULAR PERT $120.15 $267.00 $162.87–$213.60 — 55%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUARIX TRIVALENT 0.5 ML $83.92 $186.50 $46.81–$149.20 18% above 55%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLUARIX TRIVALENT 0.5 ML $83.92 $186.50 $113.76–$149.20 — 55%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HPV VACCINE 9-VALENT/PF 0.5 ML $1,060.31 $2,356.25 $591.42–$1,885.00 364% above 55%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HPV VACCINE 9-VALENT/PF 0.5 ML $1,060.31 $2,356.25 $1,437.31–$1,885.00 — 55%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VIRUS VACCINE/PF $304.09 $675.75 $169.61–$540.60 253% above 55%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VIRUS VACCINE/PF $304.09 $675.75 $412.21–$540.60 — 55%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 ENGERIX-B HEPATITIS B VACCINE $303.41 $674.25 $169.24–$539.40 287% above 55%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 ENGERIX-B HEPATITIS B VACCINE $303.41 $674.25 $411.29–$539.40 — 55%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VAC REC 10MCG/.5ML $25.06 $55.68 $13.98–$44.54 50% below 55%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VAC REC 10MCG/.5ML $25.06 $55.68 $33.96–$44.54 — 55%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B POLYSAC CONJ VAC $56.02 $124.50 $31.25–$99.60 70% above 55%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B POLYSAC CONJ VAC $56.02 $124.50 $75.94–$99.60 — 55%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLUENZA VIRUS VACCINE HD 65+ $294.64 $654.75 $164.34–$523.80 227% above 55%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 INFLUENZA VIRUS VACCINE HD 65+ $294.64 $654.75 $399.40–$523.80 — 55%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES,MUMPS,& RUBELLA VIRUS $384.64 $854.75 $214.54–$683.80 503% above 55%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES,MUMPS,& RUBELLA VIRUS $384.64 $854.75 $521.40–$683.80 — 55%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOC 20-VAL CONJ-DIP CRM/PF $995.96 $2,213.25 $555.53–$1,770.60 209% above 55%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOC 20-VAL CONJ-DIP CRM/PF $995.96 $2,213.25 $1,350.08–$1,770.60 — 55%
Rabies vaccine, one dose CPT 90675 RABIES VACC (RABAVERT) (PCEC)/ $353.57 $785.72 $197.22–$628.58 41% below 55%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE (IMOVAX) $378.29 $840.64 $211.00–$672.51 37% below 55%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACC (RABAVERT) (PCEC)/ $353.57 $785.72 $479.29–$628.58 — 55%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE (IMOVAX) $378.29 $840.64 $512.79–$672.51 — 55%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD VACCINE NO PRSRV >/= 7 IM $179.44 $398.75 $100.09–$319.00 222% above 55%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TD VACCINE NO PRSRV >/= 7 IM $179.44 $398.75 $243.24–$319.00 — 55%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTHERIA/TETANUS/PERTUSSIS $199.58 $443.50 $111.32–$354.80 256% above 55%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTHERIA/TETANUS/PERTUSSIS $199.58 $443.50 $270.53–$354.80 — 55%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADM - ONE VACCINE $119.70 $266.00 $66.77–$212.80 87% above 55%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADM - ONE VACCINE $119.70 $266.00 $162.26–$212.80 — 55%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADM-EA ADDL VACCI $84.60 $188.00 $47.19–$150.40 215% above 55%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADM-EA ADDL VACCI $84.60 $188.00 $114.68–$150.40 — 55%

Source file: https://app-mnmc02saas3n8jpp001.cms.optimizely.com/globalassets/uploads/2026/01/240795682_mount-nittany-health_standardcharges-2.csv