Pali Momi Medical Center
Pali Momi Medical Center in Aiea, HI publishes cash prices for 361 common procedures listed here, from its own machine-readable price file updated Feb 12, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Hawaii median for 280 of 337 procedures and above it for 30. By typical cash price it ranks #3 of 13 Hawaii hospitals and #2 of 8 hospitals in the Urban Honolulu, HI area, cheapest first. Select a procedure to compare it with other hospitals nearby.
98-1079 Moanalua Road, Aiea HI 96701 Collected Sep 22, 2026 Source price file Check a bill from this hospital (808) 486-6000
Acute care hospital For-profit hospital Emergency department CMS star rating 4 of 5 CCN 120026 · CMS hospital register NPI 1013961408
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Hawaii | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN WITHOUT & WITH CONTRAST-TECH | $1,435.20 | $2,392.00 | $185.37–$693.09 | 22% below | 40% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABDOMEN WITHOUT & WITH CONTRAST-TECH | $1,435.20 | $2,392.00 | $1,794.00–$2,033.20 | — | 40% |
| Abdominal X-ray, 2 views CPT 74019 XR ABDOMEN 2 VIEWS-TECH | $204.00 | $340.00 | $18.84–$126.06 | 29% below | 40% |
| Abdominal X-ray, 2 views inpatient CPT 74019 XR ABDOMEN 2 VIEWS-TECH | $204.00 | $340.00 | $255.00–$289.00 | — | 40% |
| Ankle X-ray, complete, 3 or more views CPT 73610 XR ANKLE, 3+ VIEWS -TECH | $241.80 | $403.00 | $17.34–$104.37 | at median | 40% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE, 3+ VIEWS, LT - TECH | $258.60 | $431.00 | $120.16–$366.35 | 7% above | 40% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE, 3+ VIEWS, RT - TECH | $258.60 | $431.00 | $120.16–$366.35 | 7% above | 40% |
| Ankle X-ray, complete, 3 or more views inpatient both sides CPT 73610 XR ANKLE,COMPLETE 3+VIEWS BILATERAL-TECH | $387.00 | $645.00 | $179.83–$548.25 | — | 40% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 XR ANKLE, 3+ VIEWS -TECH | $241.80 | $403.00 | $302.25–$342.55 | — | 40% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR ANKLE, 3+ VIEWS, RT - TECH | $258.60 | $431.00 | $120.16–$366.35 | — | 40% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR ANKLE, 3+ VIEWS, LT - TECH | $258.60 | $431.00 | $120.16–$366.35 | — | 40% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 NONINVASV UPR/LWR EXTRM ART 1-2LVLS;BI LTD-TECH | $292.80 | $488.00 | $126.32–$168.08 | 3% above | 40% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 NONINVASV UPR/LWR EXTRM ART 1-2LVLS;BI LTD-TECH | $292.80 | $488.00 | $366.00–$414.80 | — | 40% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient one side CPT 93922 NONINVASV UP/LW EXTM ART 1-2LVL;UNILAT LTD-TC | $178.20 | $297.00 | $82.80–$252.45 | — | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT EXTREMITY UPPER WITHOUT CONTRAST-TECH | $1,324.80 | $2,208.00 | $113.44–$409.53 | 3% above | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT EXTREMITY UPPER WITHOUT CONTRAST-TECH | $1,324.80 | $2,208.00 | $1,656.00–$1,876.80 | — | 40% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 FL ESOPHAGUS SCOUT CHEST 1-CONTRAST STUDY-TECH | $257.40 | $429.00 | $39.30–$227.16 | 47% below | 40% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 FL ESOPHAGUS SCOUT CHEST 1-CONTRAST STUDY-TECH | $257.40 | $429.00 | $321.75–$364.65 | — | 40% |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE &/OR JOINT IMAGING; WHOLE BODY-TECH | $908.40 | $1,514.00 | $393.79–$523.96 | 16% below | 40% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM BONE &/OR JOINT IMAGING; WHOLE BODY-TECH | $908.40 | $1,514.00 | $1,135.50–$1,286.90 | — | 40% |
| Breast ultrasound, complete, one breast one side CPT 76641 US BREAST UNILATERAL COMPLETE - TECH | $326.40 | $544.00 | $104.21–$138.66 | 16% below | 40% |
| Breast ultrasound, complete, one breast one side CPT 76641 US BREAST UNILATERAL COMPLETE, LEFT - TECH | $326.40 | $544.00 | $151.67–$462.40 | 16% below | 40% |
| Breast ultrasound, complete, one breast one side CPT 76641 US BREAST UNILATERAL COMPLETE, RIGHT - TECH | $326.40 | $544.00 | $151.67–$462.40 | 16% below | 40% |
| Breast ultrasound, complete, one breast inpatient both sides CPT 76641 US BREAST BILATERAL COMPLETE - TECH | $643.20 | $1,072.00 | $298.87–$911.20 | — | 40% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST UNILATERAL COMPLETE, LEFT - TECH | $326.40 | $544.00 | $151.67–$462.40 | — | 40% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST UNILATERAL COMPLETE, RIGHT - TECH | $326.40 | $544.00 | $151.67–$462.40 | — | 40% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST UNILATERAL COMPLETE - TECH | $326.40 | $544.00 | $408.00–$462.40 | — | 40% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST UNILATERAL LIMITED, RIGHT - TECH | $273.60 | $456.00 | $127.13–$387.60 | 37% below | 40% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST UNILATERAL LIMITED, LEFT - TECH | $273.60 | $456.00 | $127.13–$387.60 | 37% below | 40% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST UNILATERAL LIMITED - TECH | $273.60 | $456.00 | $86.29–$114.81 | 37% below | 40% |
| Breast ultrasound, limited (one breast or one area) inpatient both sides CPT 76642 US BREAST BILATERAL LIMITED - TECH | $538.80 | $898.00 | $250.36–$763.30 | — | 40% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST UNILATERAL LIMITED, LEFT - TECH | $273.60 | $456.00 | $127.13–$387.60 | — | 40% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST UNILATERAL LIMITED - TECH | $273.60 | $456.00 | $342.00–$387.60 | — | 40% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST UNILATERAL LIMITED, RIGHT - TECH | $273.60 | $456.00 | $127.13–$387.60 | — | 40% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABD/PELVIS W/CON W/NONCON IMAGES POSTPROC-TECH | $2,261.40 | $3,769.00 | $268.11–$1,264.40 | 27% below | 40% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA ABD/PELVIS W/CON W/NONCON IMAGES POSTPROC-TECH | $2,261.40 | $3,769.00 | $2,826.75–$3,203.65 | — | 40% |
| CT angiography (CTA) of the head CPT 70496 CT ANGIO HEAD WITH CONTRAST-TECH | $1,619.40 | $2,699.00 | $193.86–$946.15 | 8% below | 40% |
| CT angiography (CTA) of the head CPT 70496 CT ANGIO HEAD WITHOUT & WITH CONTRAST-TECH | $1,861.20 | $3,102.00 | $174.46–$232.13 | 6% above | 40% |
| CT angiography (CTA) of the head CPT 70496 CT VENOGRAM HEAD W/O&W/ CONTRAST-TECH | $1,861.20 | $3,102.00 | $174.46–$232.13 | 6% above | 40% |
| CT angiography (CTA) of the head inpatient CPT 70496 CT ANGIO HEAD WITH CONTRAST-TECH | $1,619.40 | $2,699.00 | $2,024.25–$2,294.15 | — | 40% |
| CT angiography (CTA) of the head inpatient CPT 70496 CT VENOGRAM HEAD W/O&W/ CONTRAST-TECH | $1,861.20 | $3,102.00 | $2,326.50–$2,636.70 | — | 40% |
| CT angiography (CTA) of the head inpatient CPT 70496 CT ANGIO HEAD WITHOUT & WITH CONTRAST-TECH | $1,861.20 | $3,102.00 | $2,326.50–$2,636.70 | — | 40% |
| CT angiography (CTA) of the neck CPT 70498 CT ANGIO NECK WITH CONTRAST-TECH | $1,771.20 | $2,952.00 | $193.63–$946.15 | 3% above | 40% |
| CT angiography (CTA) of the neck CPT 70498 CT ANGIO NECK WITHOUT & WITH CONTRAST-TECH | $1,864.20 | $3,107.00 | $174.46–$232.13 | 8% above | 40% |
| CT angiography (CTA) of the neck CPT 70498 CT VENOGRAM NECK WITHOUT & WITH CONTRAST-TECH | $1,864.20 | $3,107.00 | $174.46–$232.13 | 8% above | 40% |
| CT angiography (CTA) of the neck inpatient CPT 70498 CT ANGIO NECK WITH CONTRAST-TECH | $1,771.20 | $2,952.00 | $2,214.00–$2,509.20 | — | 40% |
| CT angiography (CTA) of the neck inpatient CPT 70498 CT VENOGRAM NECK WITHOUT & WITH CONTRAST-TECH | $1,864.20 | $3,107.00 | $2,330.25–$2,640.95 | — | 40% |
| CT angiography (CTA) of the neck inpatient CPT 70498 CT ANGIO NECK WITHOUT & WITH CONTRAST-TECH | $1,864.20 | $3,107.00 | $2,330.25–$2,640.95 | — | 40% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIO CHEST WITH CONTRAST-TECH | $1,499.40 | $2,499.00 | $197.54–$905.49 | 14% below | 40% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIO CHEST WITHOUT & WITH CONTRAST-TECH | $1,570.80 | $2,618.00 | $197.54–$905.49 | 10% below | 40% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT ANGIO CHEST WO&W CONTRAST LIMITED-TECH | $1,160.40 | $1,934.00 | $539.20–$1,643.90 | — | 40% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT ANGIO CHEST WITH CONTRAST-TECH | $1,499.40 | $2,499.00 | $1,874.25–$2,124.15 | — | 40% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT ANGIO CHEST WITHOUT & WITH CONTRAST-TECH | $1,570.80 | $2,618.00 | $1,963.50–$2,225.30 | — | 40% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CTA HEART W/CONTRAST CARDIAC STRUC MORPH-TECH | $1,159.80 | $1,933.00 | $187.39–$719.63 | 41% below | 40% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CTA HEART W/CONTRAST CARDIAC STRUC MORPH-TECH | $1,159.80 | $1,933.00 | $1,449.75–$1,643.05 | — | 40% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HEART W/O CONTRAST W/EVAL CALCIUM-TECH | $125.40 | $209.00 | $86.29–$114.81 | at median | 40% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT HEART W/O CONTRAST W/EVAL CALCIUM-TECH | $125.40 | $209.00 | $156.75–$177.65 | — | 40% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN-PELVIS(KUB LOW DOSE) W/O CON-TECH | $1,338.60 | $2,231.00 | $236.89–$315.19 | 36% below | 40% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN-PELVIS(APPENDIX) W/O CON-TECH | $1,967.40 | $3,279.00 | $236.89–$315.19 | 6% below | 40% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN-PELVIS(RENAL STONES)W/O CON-TECH | $1,967.40 | $3,279.00 | $94.66–$760.47 | 6% below | 40% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN-PELVIS(KUB) W/O CON | $1,996.20 | $3,327.00 | $236.89–$315.19 | 4% below | 40% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN AND PELVIS;W/OUT CONTRAST-TECH | $1,996.20 | $3,327.00 | $94.66–$760.47 | 4% below | 40% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABDOMEN-PELVIS(KUB LOW DOSE) W/O CON-TECH | $1,338.60 | $2,231.00 | $1,673.25–$1,896.35 | — | 40% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABDOMEN-PELVIS(RENAL STONES)W/O CON-TECH | $1,967.40 | $3,279.00 | $2,459.25–$2,787.15 | — | 40% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABDOMEN-PELVIS(APPENDIX) W/O CON-TECH | $1,967.40 | $3,279.00 | $2,459.25–$2,787.15 | — | 40% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABDOMEN-PELVIS(KUB) W/O CON | $1,996.20 | $3,327.00 | $2,495.25–$2,827.95 | — | 40% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABDOMEN AND PELVIS;W/OUT CONTRAST-TECH | $1,996.20 | $3,327.00 | $2,495.25–$2,827.95 | — | 40% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN-PELVIS W/RAPID ORAL/IV CON-TECH | $1,965.00 | $3,275.00 | $180.62–$900.93 | 15% below | 40% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN-PELVIS(APPENDIX) W/CONTRAST-TECH | $2,353.80 | $3,923.00 | $349.99–$465.68 | 1% above | 40% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN AND PELVIS W/CONTRAST-TECH | $2,388.60 | $3,981.00 | $180.62–$900.93 | 3% above | 40% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN-PELVIS W/RAPID ORAL/IV CON-TECH | $1,965.00 | $3,275.00 | $2,456.25–$2,783.75 | — | 40% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN-PELVIS(APPENDIX) W/CONTRAST-TECH | $2,353.80 | $3,923.00 | $2,942.25–$3,334.55 | — | 40% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN AND PELVIS W/CONTRAST-TECH | $2,388.60 | $3,981.00 | $2,985.75–$3,383.85 | — | 40% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD/PELVIS;W/O CON ONE/BOTH REGNS THEN W/CON ON | $2,515.80 | $4,193.00 | $238.75–$1,115.22 | 22% below | 40% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN/PELVS W/O&W/CONTRST 1/>BODYREGNS-TC | $2,547.00 | $4,245.00 | $349.99–$465.68 | 21% below | 40% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT IVP ABD/PELVS W/O & W CON 1/BOTH REGNS-TC | $2,584.20 | $4,307.00 | $349.99–$465.68 | 20% below | 40% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD/PELVIS W/O & W CON 1/BOTH REGNS-TECH | $2,584.20 | $4,307.00 | $349.99–$465.68 | 20% below | 40% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD/PELVIS;W/O CON ONE/BOTH REGNS THEN W/CON ON | $2,515.80 | $4,193.00 | $3,144.75–$3,564.05 | — | 40% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABDOMEN/PELVS W/O&W/CONTRST 1/>BODYREGNS-TC | $2,547.00 | $4,245.00 | $3,183.75–$3,608.25 | — | 40% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT IVP ABD/PELVS W/O & W CON 1/BOTH REGNS-TC | $2,584.20 | $4,307.00 | $3,230.25–$3,660.95 | — | 40% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD/PELVIS W/O & W CON 1/BOTH REGNS-TECH | $2,584.20 | $4,307.00 | $3,230.25–$3,660.95 | — | 40% |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN WITH CONTRAST-TECH | $1,359.60 | $2,266.00 | $164.73–$590.01 | 25% below | 40% |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN WITH CONTRAST-TECH | $1,359.60 | $2,266.00 | $1,699.50–$1,926.10 | — | 40% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN WITHOUT CONTRAST-TECH | $1,183.80 | $1,973.00 | $94.78–$406.43 | 15% below | 40% |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN WITHOUT CONTRAST-TECH | $1,183.80 | $1,973.00 | $1,479.75–$1,677.05 | — | 40% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL WITHOUT CONTRAST-TECH | $1,047.00 | $1,745.00 | $104.21–$138.66 | 12% below | 40% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL WITHOUT CONTRAST-TECH | $1,047.00 | $1,745.00 | $1,308.75–$1,483.25 | — | 40% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WITHOUT CONTRAST-TECH | $1,059.00 | $1,765.00 | $104.21–$138.66 | 17% below | 40% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WITHOUT CONTRAST-TECH | $1,059.00 | $1,765.00 | $1,323.75–$1,500.25 | — | 40% |
| CT scan of the head with contrast CPT 70460 CT HEAD WITH CONTRAST-TECH | $1,249.20 | $2,082.00 | $174.46–$232.13 | 26% below | 40% |
| CT scan of the head with contrast inpatient CPT 70460 CT HEAD WITH CONTRAST-TECH | $1,249.20 | $2,082.00 | $1,561.50–$1,769.70 | — | 40% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD WITHOUT & WITH CONTRAST-TECH | $1,338.00 | $2,230.00 | $174.46–$232.13 | 26% below | 40% |
| CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD WITHOUT & WITH CONTRAST-TECH | $1,338.00 | $2,230.00 | $1,672.50–$1,895.50 | — | 40% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SPINE LUMBAR WITHOUT CONTRAST-TECH | $1,305.00 | $2,175.00 | $90.04–$409.53 | 4% below | 40% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT SPINE (LUMBAR) W/O CONTRAST LIMITED STUDY - TECH | $931.20 | $1,552.00 | $432.70–$1,319.20 | — | 40% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT SPINE LUMBAR WITHOUT CONTRAST-TECH | $1,305.00 | $2,175.00 | $1,631.25–$1,848.75 | — | 40% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SPINE CERVICAL WITHOUT CONTRAST-TECH | $1,327.20 | $2,212.00 | $90.75–$409.53 | 3% below | 40% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT SPINE CERVICAL WITHOUT CONTRAST-TECH | $1,327.20 | $2,212.00 | $1,659.00–$1,880.20 | — | 40% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS (LOWER ABD) WITH CONTRAST-TECH | $1,291.80 | $2,153.00 | $162.11–$589.11 | 10% below | 40% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS (LOWER ABD) WITH CONTRAST-TECH | $1,291.80 | $2,153.00 | $1,614.75–$1,830.05 | — | 40% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 DUPLEX SCAN EXTRACRAN ART;COMPL BILAT - TECH | $674.40 | $1,124.00 | $236.89–$315.19 | — | 40% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 DUPLEX SCAN EXTRACRAN ART;COMPL BILAT - TECH | $674.40 | $1,124.00 | $843.00–$955.40 | — | 40% |
| Chest CT scan without and with contrast CPT 71270 CT CHEST DX WITHOUT & WITH CONTRAST - TECH | $1,481.40 | $2,469.00 | $174.46–$232.13 | 21% below | 40% |
| Chest CT scan without and with contrast inpatient CPT 71270 CT CHEST DX WITHOUT & WITH CONTRAST - TECH | $1,481.40 | $2,469.00 | $1,851.75–$2,098.65 | — | 40% |
| Chest X-ray, 2 views CPT 71046 XR CHEST 2 VIEWS-TECH | $237.00 | $395.00 | $20.40–$104.37 | 8% below | 40% |
| Chest X-ray, 2 views inpatient CPT 71046 XR CHEST 2 VIEWS-TECH | $237.00 | $395.00 | $296.25–$335.75 | — | 40% |
| Chest X-ray, single view CPT 71045 XR CHEST SINGLE VIEW-TECH | $204.60 | $341.00 | $86.29–$114.81 | 6% below | 40% |
| Chest X-ray, single view inpatient CPT 71045 XR CHEST SINGLE VIEW-TECH | $204.60 | $341.00 | $255.75–$289.85 | — | 40% |
| Collarbone (clavicle) X-ray, complete CPT 73000 XR CLAVICLE, COMPLETE-TECH | $198.00 | $330.00 | $86.29–$114.81 | 17% below | 40% |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 XR CLAVICLE, COMPLETE-TECH | $198.00 | $330.00 | $247.50–$280.50 | — | 40% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL, COMPLETE-TECH | $448.20 | $747.00 | $104.21–$138.66 | 30% below | 40% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEAL, COMPLETE-TECH | $448.20 | $747.00 | $560.25–$634.95 | — | 40% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA BONE DENSITY STUDY 1+SITES-AXIAL-TECH | $249.60 | $416.00 | $104.21–$138.66 | 14% below | 40% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DEXA BONE DENSITY STUDY 1+SITES-AXIAL-TECH | $249.60 | $416.00 | $312.00–$353.60 | — | 40% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DEXA BONE DENSTY 1+SITES-APPENDCLR-TECH | $146.40 | $244.00 | $86.29–$114.81 | at median | 40% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DEXA BONE DENSTY 1+SITES-APPENDCLR-TECH | $146.40 | $244.00 | $183.00–$207.40 | — | 40% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US OB FETAL MATERNAL EVALUATION, MULTIPLE -TECH | $562.80 | $938.00 | $236.89–$315.19 | 11% below | 40% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US OB FETAL MATERNAL EVAL,SINGLE-TECH | $562.80 | $938.00 | $236.89–$315.19 | 11% below | 40% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US OB FETAL MATERNAL EVAL,SINGLE-TECH | $562.80 | $938.00 | $703.50–$797.30 | — | 40% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US OB FETAL MATERNAL EVALUATION, MULTIPLE -TECH | $562.80 | $938.00 | $703.50–$797.30 | — | 40% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST DX WITHOUT CONTRAST LOW DOSE - TECH | $1,117.80 | $1,863.00 | $104.21–$138.66 | 16% below | 40% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST DX W/O CONTRAST HI RES ONLY - TECH | $1,206.60 | $2,011.00 | $104.21–$138.66 | 9% below | 40% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST DX WITHOUT CONTRAST - TECH | $1,278.60 | $2,131.00 | $104.21–$138.66 | 4% below | 40% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST DX WITHOUT CONTRAST LIMITED-TECH | $975.00 | $1,625.00 | $453.05–$1,381.25 | — | 40% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST DX WITHOUT CONTRAST LOW DOSE - TECH | $1,117.80 | $1,863.00 | $1,397.25–$1,583.55 | — | 40% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST DX W/O CONTRAST HI RES ONLY - TECH | $1,206.60 | $2,011.00 | $1,508.25–$1,709.35 | — | 40% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST DX WITHOUT CONTRAST - TECH | $1,278.60 | $2,131.00 | $1,598.25–$1,811.35 | — | 40% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST DX WITH CONTRAST - TECH | $1,353.00 | $2,255.00 | $174.46–$232.13 | 9% below | 40% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST DX WITH CONTRAST - TECH | $1,353.00 | $2,255.00 | $1,691.25–$1,916.75 | — | 40% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO BILAT DIAGNOSTIC 2-D W/WO CAD - TECH | $417.00 | $695.00 | $77.83–$385.70 | — | 40% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMMO BILAT DIAGNOSTIC 2-D W/WO CAD - TECH | $417.00 | $695.00 | $205.72–$590.75 | — | 40% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMMO BILAT DIAGNOSTIC 2-D W/WO CAD W/SCRN-TC | $417.00 | $695.00 | $193.77–$590.75 | — | 40% |
| Diagnostic mammogram, one breast one side CPT 77065 MAMMO UNILAT DIAGNOSTIC 2-D W/WO CAD - TECH | $299.40 | $499.00 | $64.13–$301.28 | 6% below | 40% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMO UNILAT DIAGNOSTIC 2-D W/WO CAD - TECH | $299.40 | $499.00 | $147.70–$424.15 | — | 40% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMO UNILAT DIAGNOSTC 2-D W/WO CAD W/SCRN-TC | $299.40 | $499.00 | $139.12–$424.15 | — | 40% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 DUPLEX SCAN LOWR EXTRM ART;COMPLT BILAT - TC | $560.40 | $934.00 | $236.89–$315.19 | — | 40% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 DUPLEX SCAN LOWR EXTRM ART;COMPLT BILAT - TC | $310.20 | $517.00 | $144.14–$439.45 | — | 40% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 DUPLEX SCAN EXTREM VEINS;COMPLT BILAT - TECH | $595.80 | $993.00 | $236.89–$315.19 | — | 40% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 DUPLEX SCAN EXTREM VEINS;COMPLT BILAT - TECH | $595.80 | $993.00 | $744.75–$844.05 | — | 40% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO TTHRC COMP SPEC/COLR FLW DPLR WO CON-TC | $1,209.00 | $2,015.00 | $132.88–$649.95 | at median | 40% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO TTHRC COMP SPEC/COLR FLW DPLR W/CON-TC | $1,269.60 | $2,116.00 | $132.88–$649.95 | 5% above | 40% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO TTHRC COMP SPEC/COLR FLWDPLR WO&WCON-TC | $1,330.20 | $2,217.00 | $132.88–$649.95 | 10% above | 40% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO TTHRC COMP SPEC/COLR FLW DPLR WO CON-TC | $1,209.00 | $2,015.00 | $1,511.25–$1,712.75 | — | 40% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO TTHRC COMP SPEC/COLR FLW DPLR W/CON-TC | $1,269.60 | $2,116.00 | $1,587.00–$1,798.60 | — | 40% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO TTHRC COMP SPEC/COLR FLWDPLR WO&WCON-TC | $1,330.20 | $2,217.00 | $1,662.75–$1,884.45 | — | 40% |
| Elbow X-ray, 2 views CPT 73070 XR ELBOW, 2 VIEWS -TECH | $182.40 | $304.00 | $17.04–$104.37 | 9% below | 40% |
| Elbow X-ray, 2 views one side CPT 73070 XR ELBOW, 2 VIEWS (RIGHT) - TECH | $184.80 | $308.00 | $85.87–$261.80 | 8% below | 40% |
| Elbow X-ray, 2 views one side CPT 73070 XR ELBOW, 2 VIEWS (LEFT) - TECH | $184.80 | $308.00 | $85.87–$261.80 | 8% below | 40% |
| Elbow X-ray, 2 views inpatient CPT 73070 XR ELBOW, 2 VIEWS -TECH | $284.40 | $474.00 | $132.15–$402.90 | — | 40% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 XR ELBOW, 2 VIEWS (LEFT) - TECH | $184.80 | $308.00 | $85.87–$261.80 | — | 40% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 XR ELBOW, 2 VIEWS (RIGHT) - TECH | $184.80 | $308.00 | $85.87–$261.80 | — | 40% |
| Elbow X-ray, complete, 3 or more views CPT 73080 XR ELBOW COMPLETE 3+VIEWS - TECH | $251.40 | $419.00 | $18.84–$104.37 | at median | 40% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW, 3+ VIEWS (LEFT) - TECH | $271.20 | $452.00 | $126.02–$384.20 | 8% above | 40% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW, 3+ VIEWS (RIGHT) - TECH | $271.20 | $452.00 | $126.02–$384.20 | 8% above | 40% |
| Elbow X-ray, complete, 3 or more views inpatient both sides CPT 73080 XR ELBOW COMPLETE 3+VIEWS BILATERAL - TECH | $402.00 | $670.00 | $186.80–$569.50 | — | 40% |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 XR ELBOW COMPLETE 3+VIEWS - TECH | $251.40 | $419.00 | $314.25–$356.15 | — | 40% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR ELBOW, 3+ VIEWS (LEFT) - TECH | $271.20 | $452.00 | $126.02–$384.20 | — | 40% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR ELBOW, 3+ VIEWS (RIGHT) - TECH | $271.20 | $452.00 | $126.02–$384.20 | — | 40% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT/SELLA/P FOSSA/IAC WITHOUT CONTRAST-TECH | $1,141.80 | $1,903.00 | $104.21–$138.66 | 16% below | 40% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT ORBIT/SELLA/P FOSSA/IAC WITHOUT CONTRAST-TECH | $1,141.80 | $1,903.00 | $1,427.25–$1,617.55 | — | 40% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 XR FACIAL BONES COMPLETE 3+VIEWS - TECH | $372.60 | $621.00 | $104.21–$138.66 | 5% above | 40% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 XR FACIAL BONES COMPLETE 3+VIEWS - TECH | $372.60 | $621.00 | $465.75–$527.85 | — | 40% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 XR FOREARM, 2 VIEWS -TECH | $215.40 | $359.00 | $17.04–$104.37 | 4% below | 40% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM, 2 VIEWS (LEFT) - TECH | $253.80 | $423.00 | $117.93–$359.55 | 13% above | 40% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM, 2 VIEWS (RIGHT) - TECH | $253.80 | $423.00 | $117.93–$359.55 | 13% above | 40% |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 XR FOREARM, 2 VIEWS -TECH | $215.40 | $359.00 | $269.25–$305.15 | — | 40% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR FOREARM, 2 VIEWS (RIGHT) - TECH | $253.80 | $423.00 | $117.93–$359.55 | — | 40% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR FOREARM, 2 VIEWS (LEFT) - TECH | $253.80 | $423.00 | $117.93–$359.55 | — | 40% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPATOBILIARY SYS IMAG,W/GALLBLADDER-TECH | $754.20 | $1,257.00 | $393.79–$523.96 | 5% below | 40% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM HEPATOBILIARY SYS IMAG,W/GALLBLADDER-TECH | $754.20 | $1,257.00 | $942.75–$1,068.45 | — | 40% |
| Hand X-ray, 2 views CPT 73120 XR HAND, 2 VIEWS-TECH | $230.40 | $384.00 | $17.55–$126.06 | 5% below | 40% |
| Hand X-ray, 2 views one side CPT 73120 XR HAND, 2 VIEWS, RT - TECH | $221.40 | $369.00 | $102.88–$313.65 | 8% below | 40% |
| Hand X-ray, 2 views one side CPT 73120 XR HAND, 2 VIEWS, LT - TECH | $221.40 | $369.00 | $102.88–$313.65 | 8% below | 40% |
| Hand X-ray, 2 views inpatient CPT 73120 XR HAND, 2 VIEWS-TECH | $230.40 | $384.00 | $288.00–$326.40 | — | 40% |
| Hand X-ray, 2 views inpatient one side CPT 73120 XR HAND, 2 VIEWS, RT - TECH | $221.40 | $369.00 | $102.88–$313.65 | — | 40% |
| Hand X-ray, 2 views inpatient one side CPT 73120 XR HAND, 2 VIEWS, LT - TECH | $221.40 | $369.00 | $102.88–$313.65 | — | 40% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 XR CALCANEUS 2+VIEWS - TECH | $156.60 | $261.00 | $86.29–$114.81 | 8% below | 40% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 XR CALCANEUS 2+VIEWS - TECH | $156.60 | $261.00 | $195.75–$221.85 | — | 40% |
| Knee X-ray, 3 views CPT 73562 XR KNEE, 3 VIEWS -TECH | $300.00 | $500.00 | $86.29–$114.81 | 4% above | 40% |
| Knee X-ray, 3 views one side CPT 73562 XR KNEE, 3 VIEWS (RIGHT) - TECH | $291.60 | $486.00 | $135.50–$413.10 | 1% above | 40% |
| Knee X-ray, 3 views one side CPT 73562 XR KNEE, 3 VIEWS (LEFT) - TECH | $291.60 | $486.00 | $135.50–$413.10 | 1% above | 40% |
| Knee X-ray, 3 views inpatient both sides CPT 73562 XR KNEE 3 VIEWS BILATERAL - TECH | $480.00 | $800.00 | $223.04–$680.00 | — | 40% |
| Knee X-ray, 3 views inpatient CPT 73562 XR KNEE, 3 VIEWS -TECH | $300.00 | $500.00 | $375.00–$425.00 | — | 40% |
| Knee X-ray, 3 views inpatient one side CPT 73562 XR KNEE, 3 VIEWS (RIGHT) - TECH | $291.60 | $486.00 | $135.50–$413.10 | — | 40% |
| Knee X-ray, 3 views inpatient one side CPT 73562 XR KNEE, 3 VIEWS (LEFT) - TECH | $291.60 | $486.00 | $135.50–$413.10 | — | 40% |
| Knee X-ray, complete, 4 or more views CPT 73564 XR KNEE, 4+ VIEWS -TECH | $308.40 | $514.00 | $104.21–$138.66 | 1% below | 40% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XR KNEE, 4+ VIEWS (LEFT) - TECH | $250.80 | $418.00 | $116.54–$355.30 | 19% below | 40% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XR KNEE, 4+ VIEWS (RIGHT) - TECH | $250.80 | $418.00 | $116.54–$355.30 | 19% below | 40% |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 XR KNEE, 4+ VIEWS -TECH | $308.40 | $514.00 | $385.50–$436.90 | — | 40% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR KNEE, 4+ VIEWS (LEFT) - TECH | $250.80 | $418.00 | $116.54–$355.30 | — | 40% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR KNEE, 4+ VIEWS (RIGHT) - TECH | $250.80 | $418.00 | $116.54–$355.30 | — | 40% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT EXTREMITY LOWER WITHOUT CONTRAST-TECH | $1,176.00 | $1,960.00 | $104.21–$138.66 | 2% below | 40% |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT EXTREMITY LOWER WITHOUT CONTRAST-TECH | $1,176.00 | $1,960.00 | $1,470.00–$1,666.00 | — | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LIMITED SONOSITE | $247.20 | $412.00 | $104.21–$138.66 | 56% below | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN, LIMITED-TECH | $412.80 | $688.00 | $46.98–$259.67 | 26% below | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN LIMITED SONOSITE | $247.20 | $412.00 | $309.00–$350.20 | — | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN, LIMITED-TECH | $412.80 | $688.00 | $516.00–$584.80 | — | 40% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US JT/FOC EVAL NONVASC EXTRM LMTD IMG SONOSIT-TC | $215.40 | $359.00 | $104.21–$138.66 | 38% below | 40% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US JOINT/FOCAL EVAL NONVASC EXTRM LMTD IMG-TC | $279.60 | $466.00 | $104.21–$138.66 | 20% below | 40% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US JT/FOC EVAL NONVASC EXTRM LMTD IMG SONOSIT-TC | $215.40 | $359.00 | $269.25–$305.15 | — | 40% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US JOINT/FOCAL EVAL NONVASC EXTRM LMTD IMG-TC | $279.60 | $466.00 | $349.50–$396.10 | — | 40% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT CHEST LOW DOSE LUNG CA SCREEN WO CON-TECH | $549.60 | $916.00 | $104.21–$138.66 | at median | 40% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT CHEST LOW DOSE LUNG CA SCREEN WO CON-TECH | $549.60 | $916.00 | $687.00–$778.60 | — | 40% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 XR TIBIA & FIBULA 2VIEWS - TECH | $220.80 | $368.00 | $18.46–$104.37 | 2% below | 40% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA & FIBULA, 2 VIEWS (RIGHT) - TECH | $202.80 | $338.00 | $94.23–$287.30 | 10% below | 40% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA & FIBULA, 2 VIEWS (LEFT) - TECH | $202.80 | $338.00 | $94.23–$287.30 | 10% below | 40% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 XR TIBIA & FIBULA 2VIEWS - TECH | $220.80 | $368.00 | $276.00–$312.80 | — | 40% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR TIBIA & FIBULA, 2 VIEWS (LEFT) - TECH | $202.80 | $338.00 | $94.23–$287.30 | — | 40% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR TIBIA & FIBULA, 2 VIEWS (RIGHT) - TECH | $202.80 | $338.00 | $94.23–$287.30 | — | 40% |
| MR angiography (MRA) of the head without contrast CPT 70544 MR VENOGRAM BRAIN W/O CONTRAST-TECH | $1,286.40 | $2,144.00 | $236.89–$315.19 | 39% below | 40% |
| MR angiography (MRA) of the head without contrast CPT 70544 MR ANGIO HEAD WITHOUT CONTRAST-TECH | $1,528.80 | $2,548.00 | $236.89–$315.19 | 27% below | 40% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 MR VENOGRAM BRAIN W/O CONTRAST-TECH | $1,286.40 | $2,144.00 | $1,608.00–$1,822.40 | — | 40% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 MR ANGIO HEAD WITHOUT CONTRAST-TECH | $1,528.80 | $2,548.00 | $1,911.00–$2,165.80 | — | 40% |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI BREAST WO&W CONTRAST W/CAD BILAT-TECH | $2,461.20 | $4,102.00 | $233.96–$1,520.08 | — | 40% |
| MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 MRI BREAST WO&W CONTRAST W/CAD BILAT-TECH | $2,461.20 | $4,102.00 | $1,214.19–$3,486.70 | — | 40% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MR EXTREMITY (LOWER) JOINT WITHOUT CONTRAST-TECH | $1,479.00 | $2,465.00 | $142.50–$733.84 | 2% below | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MR EXTREMITY (LOWER) JOINT WITHOUT CONTRAST-TECH | $1,479.00 | $2,465.00 | $1,848.75–$2,095.25 | — | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MR EXTREMITY (LOWER) JOINT WITHOUT & WITH CONTRAST-TECH | $1,830.60 | $3,051.00 | $272.99–$1,618.26 | 24% below | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MR EXTREMITY (LOWER) JOINT WITHOUT & WITH CONTRAST-TECH | $1,830.60 | $3,051.00 | $2,288.25–$2,593.35 | — | 40% |
| MRI of the abdomen without contrast CPT 74181 MR ABDOMEN WITHOUT CONTRAST-TECH | $1,518.00 | $2,530.00 | $137.08–$862.51 | 28% below | 40% |
| MRI of the abdomen without contrast CPT 74181 MR MRCP - TECH | $1,518.00 | $2,530.00 | $236.89–$315.19 | 28% below | 40% |
| MRI of the abdomen without contrast inpatient CPT 74181 MR ABDOMEN WITHOUT CONTRAST-TECH | $1,518.00 | $2,530.00 | $1,897.50–$2,150.50 | — | 40% |
| MRI of the abdomen without contrast inpatient CPT 74181 MR MRCP - TECH | $1,518.00 | $2,530.00 | $1,897.50–$2,150.50 | — | 40% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MR ABDOMEN WITHOUT & WITH CONTRAST-TECH | $2,185.80 | $3,643.00 | $238.09–$1,621.06 | 18% below | 40% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MR ABDOMEN WITHOUT & WITH CONTRAST-TECH | $2,185.80 | $3,643.00 | $2,732.25–$3,096.55 | — | 40% |
| MRI of the brain, no contrast dye CPT 70551 MR BRAIN WITHOUT CONTRAST-TECH | $1,481.40 | $2,469.00 | $236.89–$315.19 | 4% above | 40% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MR BRAIN WITHOUT CONTRAST-TECH | $1,481.40 | $2,469.00 | $1,851.75–$2,098.65 | — | 40% |
| MRI of the brain, with and without contrast dye CPT 70553 MR BRAIN WITHOUT & WITH CONTRAST-TECH | $1,967.40 | $3,279.00 | $349.99–$465.68 | 1% above | 40% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MR BRAIN WITHOUT & WITH CONTRAST-TECH | $1,967.40 | $3,279.00 | $2,459.25–$2,787.15 | — | 40% |
| MRI of the lower back, no contrast dye CPT 72148 MR SPINE (LUMBAR) WITHOUT CONTRAST-TECH | $1,510.20 | $2,517.00 | $133.71–$817.65 | 1% below | 40% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MR SPINE (LUMBAR) WITHOUT CONTRAST-TECH | $1,510.20 | $2,517.00 | $1,887.75–$2,139.45 | — | 40% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MR SPINE (LUMBAR) WITHOUT & WITH CONTRAST-TECH | $1,939.80 | $3,233.00 | $223.99–$1,636.73 | 21% below | 40% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MR SPINE (LUMBAR) WITHOUT & WITH CONTRAST-TECH | $1,939.80 | $3,233.00 | $2,424.75–$2,748.05 | — | 40% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MR SPINE (THORACIC) WITHOUT CONTRAST-TECH | $1,493.40 | $2,489.00 | $133.00–$817.65 | 24% below | 40% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MR SPINE (THORACIC) WITHOUT CONTRAST-TECH | $1,493.40 | $2,489.00 | $1,866.75–$2,115.65 | — | 40% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MR SPINE (CERVICAL) WITHOUT & WITH CONTRAST-TECH | $1,919.40 | $3,199.00 | $224.46–$1,636.73 | 12% below | 40% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MR SPINE (CERVICAL) WITHOUT & WITH CONTRAST-TECH | $1,919.40 | $3,199.00 | $2,399.25–$2,719.15 | — | 40% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MR SPINE (CERVICAL) WITHOUT CONTRAST-TECH | $1,423.20 | $2,372.00 | $236.89–$315.19 | 2% below | 40% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MR SPINE (CERVICAL) WITHOUT CONTRAST-TECH | $1,423.20 | $2,372.00 | $1,779.00–$2,016.20 | — | 40% |
| MRI of the pelvis without and with contrast CPT 72197 MR PELVIS(PROSTATE) W/O&W CONTRAST-TC | $1,895.40 | $3,159.00 | $349.99–$465.68 | 25% below | 40% |
| MRI of the pelvis without and with contrast CPT 72197 MR PELVIS W/O & W/CONTRAST - TECH | $1,951.80 | $3,253.00 | $237.15–$1,621.06 | 23% below | 40% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MR PELVIS(PROSTATE) W/O&W CONTRAST-TC | $1,895.40 | $3,159.00 | $2,369.25–$2,685.15 | — | 40% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MR PELVIS W/O & W/CONTRAST - TECH | $1,951.80 | $3,253.00 | $2,439.75–$2,765.05 | — | 40% |
| MRI of the pelvis, no contrast dye CPT 72195 MR PELVIS (LOWER ABD.) WITHOUT CONTRAST-TECH | $1,591.20 | $2,652.00 | $161.43–$955.42 | 22% below | 40% |
| MRI of the pelvis, no contrast dye CPT 72195 MR PELVIS(PROSTATE) W/O CONTRAST-TC | $1,798.80 | $2,998.00 | $236.89–$315.19 | 12% below | 40% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MR PELVIS (LOWER ABD.) WITHOUT CONTRAST-TECH | $1,591.20 | $2,652.00 | $1,989.00–$2,254.20 | — | 40% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MR PELVIS(PROSTATE) W/O CONTRAST-TC | $1,798.80 | $2,998.00 | $2,248.50–$2,548.30 | — | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MR EXTREMITY (UPPER) JOINT WITHOUT CONTRAST -TECH | $1,700.40 | $2,834.00 | $142.74–$733.84 | 26% below | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MR EXTREMITY (UPPER) JOINT WITHOUT CONTRAST -TECH | $1,700.40 | $2,834.00 | $2,125.50–$2,408.90 | — | 40% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR SPINE,CERVICAL 4 OR 5 VIEWS-TECH | $291.00 | $485.00 | $104.21–$138.66 | 9% below | 40% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 XR SPINE,CERVICAL 4 OR 5 VIEWS-TECH | $291.00 | $485.00 | $363.75–$412.25 | — | 40% |
| Neck soft tissue CT scan with contrast CPT 70491 CT NECK (SOFT TISSUE) WITH CONTRAST-TECH | $1,297.20 | $2,162.00 | $174.46–$232.13 | at median | 40% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 CT NECK (SOFT TISSUE) WITH CONTRAST-TECH | $1,297.20 | $2,162.00 | $1,621.50–$1,837.70 | — | 40% |
| Neck soft tissue CT scan without contrast CPT 70490 CT NECK (SOFT TISSUE) WITHOUT CONTRAST-TECH | $1,253.40 | $2,089.00 | $104.07–$409.53 | 11% below | 40% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 CT NECK (SOFT TISSUE) WITHOUT CONTRAST-TECH | $1,253.40 | $2,089.00 | $1,566.75–$1,775.65 | — | 40% |
| Neck soft tissue X-ray CPT 70360 XR NECK SOFT TISSUE-TECH | $213.00 | $355.00 | $86.29–$114.81 | 26% below | 40% |
| Neck soft tissue X-ray inpatient CPT 70360 XR NECK SOFT TISSUE-TECH | $213.00 | $355.00 | $266.25–$301.75 | — | 40% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCARDIAL PERFUSION(SPECT);MULTIPLE STUDIES-TECH | $2,735.40 | $4,559.00 | $1,279.37–$1,702.27 | 6% above | 40% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCARDIAL PERF(SPECT);(TREADMILL)MULT-TECH | $2,774.40 | $4,624.00 | $1,279.37–$1,702.27 | 7% above | 40% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCARDIAL PERF(SPECT);(PHARMACOLOGIC)MULT-TECH | $2,774.40 | $4,624.00 | $164.65–$1,547.52 | 7% above | 40% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM MYOCARDIAL PERFUSION(SPECT);MULTIPLE STUDIES-TECH | $2,735.40 | $4,559.00 | $3,419.25–$3,875.15 | — | 40% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM MYOCARDIAL PERF(SPECT);(PHARMACOLOGIC)MULT-TECH | $2,774.40 | $4,624.00 | $3,468.00–$3,930.40 | — | 40% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM MYOCARDIAL PERF(SPECT);(TREADMILL)MULT-TECH | $2,774.40 | $4,624.00 | $3,468.00–$3,930.40 | — | 40% |
| Pelvic CT scan without contrast CPT 72192 CT PELVIS (LOWER ABD.) WITHOUT CONTRAST-TECH | $1,081.20 | $1,802.00 | $92.48–$406.96 | 16% below | 40% |
| Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS (LOWER ABD.) WITHOUT CONTRAST-TECH | $1,081.20 | $1,802.00 | $1,351.50–$1,531.70 | — | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC NON-OB LIMITED/FOLLOW UP SONOSITE | $167.40 | $279.00 | $104.21–$138.66 | 60% below | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC, LIMITED/FOLLOW UP-TECH | $380.40 | $634.00 | $33.08–$130.17 | 10% below | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIC NON-OB LIMITED/FOLLOW UP SONOSITE | $167.40 | $279.00 | $209.25–$237.15 | — | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIC, LIMITED/FOLLOW UP-TECH | $380.40 | $634.00 | $475.50–$538.90 | — | 40% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC, COMPLETE-TECH | $468.00 | $780.00 | $50.35–$294.53 | 4% below | 40% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC, COMPLETE-TECH | $468.00 | $780.00 | $585.00–$663.00 | — | 40% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB >OR=14 WEEKS SINGLE FETUS -TECH | $551.40 | $919.00 | $104.21–$138.66 | at median | 40% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB COMPLETE > OR =14 WEEKS, MULTIPLE - TECH | $551.40 | $919.00 | $104.21–$138.66 | at median | 40% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB >OR=14 WEEKS SINGLE FETUS -TECH | $551.40 | $919.00 | $689.25–$781.15 | — | 40% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB COMPLETE > OR =14 WEEKS, MULTIPLE - TECH | $551.40 | $919.00 | $689.25–$781.15 | — | 40% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB 1ST TRIMESTER, MULTIPLE - TECH | $445.20 | $742.00 | $104.21–$138.66 | at median | 40% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB 1ST TRIMESTER SINGLE FETUS - TECH | $445.20 | $742.00 | $104.21–$138.66 | at median | 40% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB 1ST TRIMESTER, MULTIPLE - TECH | $445.20 | $742.00 | $556.50–$630.70 | — | 40% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB 1ST TRIMESTER SINGLE FETUS - TECH | $445.20 | $742.00 | $556.50–$630.70 | — | 40% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB UTERUS LIMITED 1/+ FETUSES SONOSITE | $265.20 | $442.00 | $104.21–$138.66 | 35% below | 40% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB UTERUS LIMITED 1/+ FETUSES - TECH | $403.80 | $673.00 | $104.21–$138.66 | 1% below | 40% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB UTERUS LIMITED 1/+ FETUSES SONOSITE | $265.20 | $442.00 | $331.50–$375.70 | — | 40% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB UTERUS LIMITED 1/+ FETUSES - TECH | $403.80 | $673.00 | $504.75–$572.05 | — | 40% |
| Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS, UNILATERAL, 2 VIEWS-TECH | $220.80 | $368.00 | $18.84–$104.37 | 7% below | 40% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR RIBS, UNILATERAL, 2 VIEWS-TECH | $220.80 | $368.00 | $276.00–$312.80 | — | 40% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR RIBS UNILAT W/POST CHEST 3+VIEWS - TECH | $249.60 | $416.00 | $21.96–$126.06 | 6% below | 40% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR RIBS UNILAT W/POST CHEST 3+VIEWS - TECH | $249.60 | $416.00 | $312.00–$353.60 | — | 40% |
| Screening mammogram, both breasts both sides CPT 77067 MAMMO SELFREQUESTD BILAT SCRN 2-D W/WO CAD-TC | $249.60 | $416.00 | $80.77–$318.64 | — | 40% |
| Screening mammogram, both breasts both sides CPT 77067 MAMMO BILAT SCREENING 2-D W/WO CAD - TECH | $249.60 | $416.00 | $80.77–$318.64 | — | 40% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MAMMO BILAT SCREENING 2-D W/WO CAD - TECH | $249.60 | $416.00 | $123.14–$353.60 | — | 40% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MAMMO SELFREQUESTD BILAT SCRN 2-D W/WO CAD-TC | $249.60 | $416.00 | $123.14–$353.60 | — | 40% |
| Screening mammogram, both breasts inpatient CPT 77067 MAMMO SELFREQUESTD UNILT SCRN 2-D W/WO CAD-TC | $226.80 | $378.00 | $105.39–$321.30 | — | 40% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MAMMO UNILAT SCREENING 2-D W/WO CAD - TECH | $226.80 | $378.00 | $105.39–$321.30 | — | 40% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 XR SHOULDER COMPLETE 2+VIEWS - TECH | $214.80 | $358.00 | $18.84–$104.37 | 3% below | 40% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER,COMPLETE 2+ VIEWS,LT-TECH | $221.40 | $369.00 | $102.88–$313.65 | at median | 40% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER,COMPLETE 2+ VIEWS,RT-TECH | $221.40 | $369.00 | $102.88–$313.65 | at median | 40% |
| Shoulder X-ray, complete, 2 or more views inpatient both sides CPT 73030 XR SHOULDER COMPLETE 2+VIEWS BILAT-TECH | $295.80 | $493.00 | $137.45–$419.05 | — | 40% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 XR SHOULDER COMPLETE 2+VIEWS - TECH | $214.80 | $358.00 | $268.50–$304.30 | — | 40% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 XR SHOULDER,COMPLETE 2+ VIEWS,LT-TECH | $221.40 | $369.00 | $102.88–$313.65 | — | 40% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 XR SHOULDER,COMPLETE 2+ VIEWS,RT-TECH | $221.40 | $369.00 | $102.88–$313.65 | — | 40% |
| Sinus X-ray, complete, 3 or more views CPT 70220 XR SINUS PARANASAL COMPLETE 3+VIEWS - TECH | $291.00 | $485.00 | $86.29–$114.81 | 3% below | 40% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 XR SINUS PARANASAL COMPLETE 3+VIEWS - TECH | $291.00 | $485.00 | $363.75–$412.25 | — | 40% |
| Skull X-ray, fewer than 4 views CPT 70250 XR SKULL,<4 VIEWS-TECH | $273.60 | $456.00 | $104.21–$138.66 | 7% below | 40% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 XR SKULL,<4 VIEWS-TECH | $273.60 | $456.00 | $342.00–$387.60 | — | 40% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 ECHO TTHRC STRESS WCONT ECG TRDM-TC | $1,159.80 | $1,933.00 | $183.31–$649.95 | 16% below | 40% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 ECHO TTHRC 2D REST/STRSS W/CONT ECG-TC | $1,171.80 | $1,953.00 | $183.31–$649.95 | 15% below | 40% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 ECHO TTHRC STRESS W/CONT ECG PHRM-TC | $1,257.60 | $2,096.00 | $183.31–$649.95 | 9% below | 40% |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 ECHO TTHRC STRESS WCONT ECG TRDM-TC | $1,159.80 | $1,933.00 | $1,449.75–$1,643.05 | — | 40% |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 ECHO TTHRC 2D REST/STRSS W/CONT ECG-TC | $1,171.80 | $1,953.00 | $1,464.75–$1,660.05 | — | 40% |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 ECHO TTHRC STRESS W/CONT ECG PHRM-TC | $1,257.60 | $2,096.00 | $1,572.00–$1,781.60 | — | 40% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 FL SWALLOW FUNC SCOUT NECK CONTRST STUDY-TC | $364.20 | $607.00 | $42.98–$247.46 | 16% below | 40% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 FL SWALLOW FUNC SCOUT NECK CONTRST STUDY-TC | $364.20 | $607.00 | $455.25–$515.95 | — | 40% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 XR FEMUR,2+VIEWS-TECH | $252.00 | $420.00 | $86.29–$114.81 | 10% below | 40% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR,2+VIEWS RIGHT-TECH | $223.20 | $372.00 | $103.71–$316.20 | 21% below | 40% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR,2+VIEWS LEFT-TECH | $223.20 | $372.00 | $103.71–$316.20 | 21% below | 40% |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 XR FEMUR,2+VIEWS-TECH | $252.00 | $420.00 | $315.00–$357.00 | — | 40% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR FEMUR,2+VIEWS LEFT-TECH | $223.20 | $372.00 | $103.71–$316.20 | — | 40% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR FEMUR,2+VIEWS RIGHT-TECH | $223.20 | $372.00 | $103.71–$316.20 | — | 40% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT SPINE THORACIC WITHOUT CONTRAST-TECH | $1,279.20 | $2,132.00 | $90.52–$409.53 | 5% above | 40% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT SPINE THORACIC WITHOUT CONTRAST-TECH | $1,279.20 | $2,132.00 | $1,599.00–$1,812.20 | — | 40% |
| Toe X-ray, 2 or more views CPT 73660 XR TOE(S) 2+VIEWS - TECH | $145.80 | $243.00 | $86.29–$114.81 | 7% below | 40% |
| Toe X-ray, 2 or more views one side CPT 73660 XR TOE(S), 2+ VIEWS (LEFT) - TECH | $145.20 | $242.00 | $67.47–$205.70 | 7% below | 40% |
| Toe X-ray, 2 or more views one side CPT 73660 XR TOE(S), 2+ VIEWS (RIGHT) - TECH | $145.20 | $242.00 | $67.47–$205.70 | 7% below | 40% |
| Toe X-ray, 2 or more views inpatient CPT 73660 XR TOE(S) 2+VIEWS - TECH | $145.80 | $243.00 | $182.25–$206.55 | — | 40% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XR TOE(S), 2+ VIEWS (RIGHT) - TECH | $145.20 | $242.00 | $67.47–$205.70 | — | 40% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XR TOE(S), 2+ VIEWS (LEFT) - TECH | $145.20 | $242.00 | $67.47–$205.70 | — | 40% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL-TECH | $420.00 | $700.00 | $50.35–$300.33 | 7% below | 40% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL LIMITED SONOSITE | $229.80 | $383.00 | $106.78–$325.55 | — | 40% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL-TECH | $420.00 | $700.00 | $525.00–$595.00 | — | 40% |
| Transvaginal ultrasound during pregnancy CPT 76817 US OB TRANSVAGINAL - TECH | $403.80 | $673.00 | $46.06–$208.57 | at median | 40% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB TRANSVAGINAL LIMITED SONOSITE | $220.20 | $367.00 | $102.32–$311.95 | — | 40% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB TRANSVAGINAL - TECH | $403.80 | $673.00 | $504.75–$572.05 | — | 40% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN, COMPLETE-TECH | $501.00 | $835.00 | $104.21–$138.66 | 10% below | 40% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN, COMPLETE-TECH | $501.00 | $835.00 | $626.25–$709.75 | — | 40% |
| Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM AND CONTENTS-TECH | $327.00 | $545.00 | $104.21–$138.66 | 28% below | 40% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM AND CONTENTS-TECH | $327.00 | $545.00 | $408.75–$463.25 | — | 40% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE HEAD/NECK (THYROID)-TECH | $413.40 | $689.00 | $104.21–$138.66 | 24% below | 40% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US SOFT TISSUE HEAD/NCK(THYROID)LMTD SONOSITE | $348.60 | $581.00 | $161.98–$493.85 | — | 40% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US SOFT TISSUE HEAD/NECK (THYROID)-TECH | $413.40 | $689.00 | $516.75–$585.65 | — | 40% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 FL UGI SCOUT ABD 1-CONTRAST STUDY-TECH | $221.40 | $369.00 | $48.23–$265.50 | 53% below | 40% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 FL UGI SCOUT ABD 1-CONTRAST STUDY-TECH | $221.40 | $369.00 | $276.75–$313.65 | — | 40% |
| Upper arm X-ray (humerus), 2 views CPT 73060 XR HUMERUS, 2+ VIEWS -TECH | $225.60 | $376.00 | $86.29–$114.81 | 27% above | 40% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS, 1 VIEW (LEFT)-TECH | $135.00 | $225.00 | $18.84–$104.37 | 24% below | 40% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS, 1 VIEW (RIGHT)-TECH | $135.00 | $225.00 | $18.84–$104.37 | 24% below | 40% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS, 2+ VIEWS (LEFT) - TECH | $252.00 | $420.00 | $117.10–$357.00 | 42% above | 40% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS, 2+ VIEWS (RIGHT) - TECH | $252.00 | $420.00 | $117.10–$357.00 | 42% above | 40% |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 XR HUMERUS,1 VIEW -TECH | $164.40 | $274.00 | $76.39–$232.90 | — | 40% |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 XR HUMERUS, 2+ VIEWS -TECH | $225.60 | $376.00 | $282.00–$319.60 | — | 40% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR HUMERUS, 1 VIEW (RIGHT)-TECH | $135.00 | $225.00 | $168.75–$191.25 | — | 40% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR HUMERUS, 1 VIEW (LEFT)-TECH | $135.00 | $225.00 | $168.75–$191.25 | — | 40% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR HUMERUS, 2+ VIEWS (RIGHT) - TECH | $252.00 | $420.00 | $117.10–$357.00 | — | 40% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR HUMERUS, 2+ VIEWS (LEFT) - TECH | $252.00 | $420.00 | $117.10–$357.00 | — | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US DUPLEX SCAN EXTREM VEINS UNI/LMTD SONOSITE | $268.80 | $448.00 | $104.21–$138.66 | 39% below | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 DUPLEX SCAN EXTREM VEINS;UNI/LTD - TECH | $501.60 | $836.00 | $104.21–$138.66 | 13% above | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US DUPLEX SCAN EXTREM VEINS UNI/LMTD SONOSITE | $268.80 | $448.00 | $336.00–$380.80 | — | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 DUPLEX SCAN EXTREM VEINS;UNI/LTD - TECH | $501.60 | $836.00 | $627.00–$710.60 | — | 40% |
| Wrist X-ray, 2 views CPT 73100 XR WRIST, 2 VIEWS -TECH | $218.40 | $364.00 | $16.41–$104.37 | 4% below | 40% |
| Wrist X-ray, 2 views one side CPT 73100 XR WRISTS, 2 VIEWS, RT - TECH | $130.20 | $217.00 | $60.50–$184.45 | 43% below | 40% |
| Wrist X-ray, 2 views one side CPT 73100 XR WRISTS, 2 VIEWS, LT - TECH | $130.20 | $217.00 | $60.50–$184.45 | 43% below | 40% |
| Wrist X-ray, 2 views inpatient CPT 73100 XR WRIST, 1 VIEW -TECH | $166.20 | $277.00 | $77.23–$235.45 | — | 40% |
| Wrist X-ray, 2 views inpatient CPT 73100 XR WRIST, 2 VIEWS -TECH | $218.40 | $364.00 | $273.00–$309.40 | — | 40% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 XR WRISTS, 2 VIEWS, LT - TECH | $130.20 | $217.00 | $60.50–$184.45 | — | 40% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 XR WRISTS, 2 VIEWS, RT - TECH | $130.20 | $217.00 | $60.50–$184.45 | — | 40% |
| Wrist X-ray, complete, 3 or more views CPT 73110 XR WRIST, 3+ VIEWS-TECH | $254.40 | $424.00 | $17.34–$104.37 | 3% below | 40% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRISTS, 3+ VIEWS, RT - TECH | $207.60 | $346.00 | $96.46–$294.10 | 21% below | 40% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRISTS, 3+ VIEWS, LT - TECH | $207.60 | $346.00 | $96.46–$294.10 | 21% below | 40% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 XR WRIST, 3+ VIEWS-TECH | $254.40 | $424.00 | $318.00–$360.40 | — | 40% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRISTS, 3+ VIEWS, RT - TECH | $207.60 | $346.00 | $96.46–$294.10 | — | 40% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRISTS, 3+ VIEWS, LT - TECH | $207.60 | $346.00 | $96.46–$294.10 | — | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP UNILAT W/PELVIS 2-3VWS-TECH | $291.00 | $485.00 | $20.87–$104.37 | at median | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP UNILAT W/PELVIS 2-3VWS-TECH | $291.00 | $485.00 | $363.75–$412.25 | — | 40% |
| X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN 1 VIEW-TECH | $192.00 | $320.00 | $18.74–$104.37 | 12% below | 40% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABDOMEN 1 VIEW-TECH | $192.00 | $320.00 | $240.00–$272.00 | — | 40% |
| X-ray of the ankle, 2 views CPT 73600 XR ANKLE, 2 VIEWS-TECH | $161.40 | $269.00 | $16.41–$104.37 | 14% below | 40% |
| X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2VIEWS (RIGHT) - TECH | $164.40 | $274.00 | $76.39–$232.90 | 12% below | 40% |
| X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2VIEWS (LEFT) - TECH | $164.40 | $274.00 | $76.39–$232.90 | 12% below | 40% |
| X-ray of the ankle, 2 views inpatient CPT 73600 XR ANKLE, 2 VIEWS-TECH | $225.60 | $376.00 | $104.83–$319.60 | — | 40% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR ANKLE 2VIEWS (RIGHT) - TECH | $164.40 | $274.00 | $76.39–$232.90 | — | 40% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR ANKLE 2VIEWS (LEFT) - TECH | $164.40 | $274.00 | $76.39–$232.90 | — | 40% |
| X-ray of the finger(s), 2 or more views CPT 73140 XR FINGER(S), 2+ VIEWS -TECH | $143.40 | $239.00 | $14.98–$104.37 | 14% below | 40% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER(S), 2+ VIEWS (RIGHT) - TECH | $142.20 | $237.00 | $66.08–$201.45 | 14% below | 40% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER(S), 2+ VIEWS (LEFT) - TECH | $142.20 | $237.00 | $66.08–$201.45 | 14% below | 40% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 XR FINGER(S), 2+ VIEWS -TECH | $143.40 | $239.00 | $179.25–$203.15 | — | 40% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGER(S), 2+ VIEWS (LEFT) - TECH | $142.20 | $237.00 | $66.08–$201.45 | — | 40% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGER(S), 2+ VIEWS (RIGHT) - TECH | $142.20 | $237.00 | $66.08–$201.45 | — | 40% |
| X-ray of the foot, 2 views CPT 73620 XR FOOT, 2 VIEWS -TECH | $214.80 | $358.00 | $86.29–$114.81 | 10% above | 40% |
| X-ray of the foot, 2 views one side CPT 73620 XR FOOT, 2 VIEWS ,RT - TECH | $174.60 | $291.00 | $81.13–$247.35 | 11% below | 40% |
| X-ray of the foot, 2 views one side CPT 73620 XR FOOT, 2 VIEWS, LT - TECH | $174.60 | $291.00 | $81.13–$247.35 | 11% below | 40% |
| X-ray of the foot, 2 views inpatient CPT 73620 XR FOOT, 2 VIEWS ,RT - TECH | $174.60 | $291.00 | $81.13–$247.35 | — | 40% |
| X-ray of the foot, 2 views inpatient CPT 73620 XR FOOT, 2 VIEWS -TECH | $214.80 | $358.00 | $268.50–$304.30 | — | 40% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XR FOOT, 2 VIEWS, LT - TECH | $174.60 | $291.00 | $81.13–$247.35 | — | 40% |
| X-ray of the foot, complete, 3 or more views CPT 73630 XR FOOT, 3+ VIEWS -TECH | $233.40 | $389.00 | $86.29–$114.81 | 1% below | 40% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT COMPLETE 3+VIEWS (RIGHT) - TECH | $233.40 | $389.00 | $108.45–$330.65 | 1% below | 40% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT COMPLETE 3+VIEWS (LEFT) - TECH | $233.40 | $389.00 | $108.45–$330.65 | 1% below | 40% |
| X-ray of the foot, complete, 3 or more views inpatient both sides CPT 73630 XR FOOT COMPLETE, 3+ VIEWS BILATERAL - TECH | $373.80 | $623.00 | $173.69–$529.55 | — | 40% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 XR FOOT, 3+ VIEWS -TECH | $327.00 | $545.00 | $151.95–$463.25 | — | 40% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR FOOT COMPLETE 3+VIEWS (RIGHT) - TECH | $233.40 | $389.00 | $108.45–$330.65 | — | 40% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR FOOT COMPLETE 3+VIEWS (LEFT) - TECH | $233.40 | $389.00 | $108.45–$330.65 | — | 40% |
| X-ray of the hand, 3 or more views CPT 73130 XR HAND, 3+ VIEWS -TECH | $271.20 | $452.00 | $19.08–$104.37 | 2% below | 40% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR HAND, 3+ VIEWS, RT - TECH | $271.20 | $452.00 | $126.02–$384.20 | 2% below | 40% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR HAND, 3+ VIEWS, LT - TECH | $271.20 | $452.00 | $126.02–$384.20 | 2% below | 40% |
| X-ray of the hand, 3 or more views inpatient both sides CPT 73130 XR HAND 3+VIEWS BILATERAL - TECH | $433.80 | $723.00 | $201.57–$614.55 | — | 40% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 XR HAND, 3+ VIEWS -TECH | $271.20 | $452.00 | $339.00–$384.20 | — | 40% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR HAND, 3+ VIEWS, RT - TECH | $271.20 | $452.00 | $126.02–$384.20 | — | 40% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR HAND, 3+ VIEWS, LT - TECH | $271.20 | $452.00 | $126.02–$384.20 | — | 40% |
| X-ray of the knee, 1 or 2 views CPT 73560 XR KNEE, 1 OR 2 VIEWS-TECH | $232.80 | $388.00 | $86.29–$114.81 | 8% above | 40% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1 OR 2 VIEWS (RIGHT) - TECH | $214.20 | $357.00 | $99.53–$303.45 | 1% below | 40% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE, 1 OR 2 VIEWS (LEFT) - TECH | $214.20 | $357.00 | $99.53–$303.45 | 1% below | 40% |
| X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 XR KNEE 1 OR 2 VIEWS BILATERAL - TECH | $302.40 | $504.00 | $140.52–$428.40 | — | 40% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 XR KNEE, 1 OR 2 VIEWS-TECH | $333.00 | $555.00 | $154.73–$471.75 | — | 40% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR KNEE, 1 OR 2 VIEWS (LEFT) - TECH | $214.20 | $357.00 | $99.53–$303.45 | — | 40% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR KNEE 1 OR 2 VIEWS (RIGHT) - TECH | $214.20 | $357.00 | $99.53–$303.45 | — | 40% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR SPINE LUMBOSACRAL 2 OR 3 VIEWS - TECH | $249.60 | $416.00 | $21.96–$126.06 | 11% below | 40% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR SPINE LUMBOSACRAL 2 OR 3 VIEWS - TECH | $249.60 | $416.00 | $312.00–$353.60 | — | 40% |
| X-ray of the lower back, 4 or more views CPT 72110 XR SPINE, LUMBAR, 4+ VIEWS-TECH | $316.80 | $528.00 | $32.35–$126.06 | 28% below | 40% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR SPINE, LUMBAR, 4+ VIEWS-TECH | $316.80 | $528.00 | $396.00–$448.80 | — | 40% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR SPINE, THORACIC, 2 VIEWS-TECH | $235.80 | $393.00 | $104.21–$138.66 | 3% below | 40% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR SPINE, THORACIC, 2 VIEWS-TECH | $235.80 | $393.00 | $294.75–$334.05 | — | 40% |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES COMPLETE 3+VIEWS - TECH | $213.60 | $356.00 | $86.29–$114.81 | 15% below | 40% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR NASAL BONES COMPLETE 3+VIEWS - TECH | $213.60 | $356.00 | $267.00–$302.60 | — | 40% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR SPINE,CERVICAL 2 OR 3 VIEWS-TECH | $249.60 | $416.00 | $86.29–$114.81 | 10% below | 40% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR SPINE,CERVICAL 2 OR 3 VIEWS-TECH | $249.60 | $416.00 | $312.00–$353.60 | — | 40% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS, 1 OR 2 VIEWS-TECH | $178.80 | $298.00 | $18.74–$126.06 | 10% below | 40% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR PELVIS, 1 OR 2 VIEWS-TECH | $178.80 | $298.00 | $223.50–$253.30 | — | 40% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM & COCCYX 2+VIEWS - TECH | $210.00 | $350.00 | $86.29–$114.81 | 9% below | 40% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR SACRUM & COCCYX 2+VIEWS - TECH | $210.00 | $350.00 | $262.50–$297.50 | — | 40% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Hawaii | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 ACTH, ADENOCORTICOTROPIC HORMONE | $106.20 | $177.00 | $37.85–$98.01 | 50% below | 40% |
| ACTH blood test inpatient CPT 82024 ACTH, ADENOCORTICOTROPIC HORMONE | $106.20 | $177.00 | $132.75–$150.45 | — | 40% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT (SGPT), FLUID | $33.00 | $55.00 | $5.19–$5.83 | 31% below | 40% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT,BLOOD | $33.00 | $55.00 | $5.19–$5.83 | 31% below | 40% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 PSBC ALT (SGPT) | $33.00 | $55.00 | $5.19–$13.45 | 31% below | 40% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT (SGPT) | $34.20 | $57.00 | $5.19–$13.45 | 28% below | 40% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT (SGPT), FLUID | $33.00 | $55.00 | $41.25–$46.75 | — | 40% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 PSBC ALT (SGPT) | $33.00 | $55.00 | $41.25–$46.75 | — | 40% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT,BLOOD | $33.00 | $55.00 | $41.25–$46.75 | — | 40% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT (SGPT) | $34.20 | $57.00 | $42.75–$48.45 | — | 40% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT,BLOOD | $31.20 | $52.00 | $5.08–$5.70 | 38% below | 40% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST (SGOT), FLUID | $31.20 | $52.00 | $5.08–$5.70 | 38% below | 40% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST (SGOT) | $32.40 | $54.00 | $5.08–$13.14 | 35% below | 40% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT,BLOOD | $31.20 | $52.00 | $39.00–$44.20 | — | 40% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST (SGOT), FLUID | $31.20 | $52.00 | $39.00–$44.20 | — | 40% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST (SGOT) | $32.40 | $54.00 | $40.50–$45.90 | — | 40% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL | $293.40 | $489.00 | $46.68–$52.39 | 41% below | 40% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL | $293.40 | $489.00 | $366.75–$415.65 | — | 40% |
| Albumin blood test CPT 82040 ALBUMIN SERUM | $13.80 | $23.00 | $4.85–$12.56 | 60% below | 40% |
| Albumin blood test CPT 82040 ALBUMIN | $31.20 | $52.00 | $4.85–$12.56 | 9% below | 40% |
| Albumin blood test CPT 82040 ALBUMIN, BLOOD | $32.40 | $54.00 | $4.85–$12.56 | 6% below | 40% |
| Albumin blood test inpatient CPT 82040 ALBUMIN SERUM | $13.80 | $23.00 | $17.25–$19.55 | — | 40% |
| Albumin blood test inpatient CPT 82040 ALBUMIN | $31.20 | $52.00 | $39.00–$44.20 | — | 40% |
| Albumin blood test inpatient CPT 82040 ALBUMIN, BLOOD | $32.40 | $54.00 | $40.50–$45.90 | — | 40% |
| Aldosterone blood test CPT 82088 ALDOSTERONE, URINE | $105.60 | $176.00 | $39.94–$103.42 | 60% below | 40% |
| Aldosterone blood test CPT 82088 ALDOSTERONE,B | $112.20 | $187.00 | $39.94–$44.83 | 57% below | 40% |
| Aldosterone blood test CPT 82088 ALDOSTERONE | $112.20 | $187.00 | $39.94–$103.42 | 57% below | 40% |
| Aldosterone blood test inpatient CPT 82088 ALDOSTERONE, URINE | $105.60 | $176.00 | $132.00–$149.60 | — | 40% |
| Aldosterone blood test inpatient CPT 82088 ALDOSTERONE,B | $112.20 | $187.00 | $140.25–$158.95 | — | 40% |
| Aldosterone blood test inpatient CPT 82088 ALDOSTERONE | $112.20 | $187.00 | $140.25–$158.95 | — | 40% |
| Alkaline phosphatase (ALP) blood test CPT 84075 PHOSPHATASE ALKALINE | $33.00 | $55.00 | $5.08–$13.14 | 34% below | 40% |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE, FLUID | $33.00 | $55.00 | $5.08–$5.70 | 34% below | 40% |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE | $34.20 | $57.00 | $5.08–$13.14 | 32% below | 40% |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE, TOTAL | $49.80 | $83.00 | $5.08–$5.70 | at median | 40% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 PHOSPHATASE ALKALINE | $33.00 | $55.00 | $41.25–$46.75 | — | 40% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE, FLUID | $33.00 | $55.00 | $41.25–$46.75 | — | 40% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE | $34.20 | $57.00 | $42.75–$48.45 | — | 40% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE, TOTAL | $49.80 | $83.00 | $62.25–$70.55 | — | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN - CANDIDA ALBICANS-RA14 | $13.20 | $22.00 | $5.12–$13.25 | 70% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HOPS IGE | $15.00 | $25.00 | $5.12–$5.74 | 66% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 WATERMELON IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PENICILLOYL V IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PENICILLOYL G IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PISTACHIO NUT IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BLACK ANT IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 GRAY ALDER IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RABBIT EPITHELIUM IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 COCKLEBUR IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, FLOUNDER-RA270 | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, ANCHOVY | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN - CINNAMON | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN- GINGER | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN - RASPBERRY | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN - EGGPLANT - RA273 | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,PAPAYA IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-COTTONSEED-RA243 | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN - ISOCYANATE HDI, IGE-RA55 | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN - CORN POLLEN-RA231 | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN - LIMA BEAN/WHITE BEAN-RA196 | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN - VANILLA-RA195 | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN - COFFEE-RA153 | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN - TEA-RA136 | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN - LIME-RA132 | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAT EPITHELIA | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 GREEN BEAN IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CARROT IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HALIBUT IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 COD FISH IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CAULIFLOWER IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 OYSTER IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BEAN KIDNEY/PINTO IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 TURKEY IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BEEF IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PEPPER, GREEN IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BROCCOLI IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PORK IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 GRAPE IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 WALNUT IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 TOMATO IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CUCUMBER IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SHRIMP IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CRAB IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CABBAGE IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HOUSE DUST (GREER) IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RED TOP/BENT GRASS IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 LATEX IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HONEY BEE IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HOUSE DUST (H-S) IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 LETTUCE IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PINEAPPLE IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 GRAPEFRUIT IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 LEMON IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CLAM IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 TROUT IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CASHEW NUT IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PECAN NUT IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALMOND IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MILK IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BRAZIL NUT IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HAZEL NUT/FILBERT IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BEAN, WHITE NAVY IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SOYBEAN IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PEANUT IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PEA IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BUCKWHEAT IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 COCOA IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SESAME SEED IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 EGG WHITE IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 DUCK FEATHERS IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CHICKEN FEATHERS IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HAMSTER EPITHELIUM IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 GOAT EPITHELIUM IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BUDGERIGAR FEATHER IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAT URINE PROTEIN IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MOUSE EPITHELIUM IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 GOOSE FEATHERS IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PIGEON DROPPINGS IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 GUINEA PIG EPI IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 COW DANDER IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HORSE DANDER IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CANARYBIRD FEATHER IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 DOG DANDER IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CAT EPITHELIUM IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 B. TROPICALIS IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 D. PTERONYSSINUS IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 D. FARINAE IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 WHITE PINE IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MULBERRY TREE IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PINE NUT/PIGNOLES IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MUGWORT IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 DANDELION IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ENGLISH PLANTAIN IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 E. PURPURASCENS IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 R. NIGRICANS IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 T. RUBRUM IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 COCKROACH, GERMAN IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 GOLDEN ROD IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SWEET VERNAL GRASS IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 POTATO, SWEET IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 WALL PELLITORY IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SWEET GUM IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CHESTNUT, SWEET IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BEECH, AMERICAN IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 NETTLE IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SUNFLOWER SEED IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CHICK PEA/GARBANZO IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 WHEY IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 A. NIGER IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 LIVE OAK VIRGINIA IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PECAN/HICKORY TREE IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CEDAR, RED IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MOSQUITO IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MUSHROOM IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CHILI PEPPER/CAYEN IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MACADAMIA NUT IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BLUEBERRY IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, HADDOCK-RA269 | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 FLAXSEED/LINSEED IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN - ISOCYN MDI,IGE-RA56 | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN - ISOCYN TDI-RA57 | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE QUANT 1 | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PEANUT IGE REFLEX COMP | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MILK IGE WITH REFLEX | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 TILAPIA IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BLACK PEPPER IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 OVOMUCOID IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 OVALBUMIN IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 EGG WHITE IGE W/REFLEX | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 AMOXICILLOYL IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SPINACH IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PUMPKIN IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CHERRY IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BAYBERRY IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MOUSE UR PROTEIN IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MELALEUCA TREE IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PRIVET IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 APRICOT IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 EGG, WHOLE IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,YELLOW DOCK IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 COCKROACH, AMERICAN IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN -D. PTERONYSSINUS IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 JUNE GRASS/KENTCKY IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 TIMOTHY GRASS IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PERENNIAL RYE IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MEADOW FESCUE IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ORCHARD/COCKSFOOT IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BERMUDA GRASS IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BAHIA GRASS IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BROME GRASS IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 JOHNSON GRASS IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 AVOCADO IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PEACH IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PEAR IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BANANA IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MANGO IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MALT IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RICE IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MELON IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PARSLEY IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CELERY IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 KIWI IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CHICKEN IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CHEESE, MOLD TYPE IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CHEDDAR CHEESE IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 LOBSTER IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CORN IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 GLUTEN IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CASEIN IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BETA-LACTOGLOBULIN IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALPHA-LACTALBUMIN IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 EGG YOLK IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 OAT IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PERCH, OCEAN IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BARLEY IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RYE IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 APPLE IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ONION IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 GARLIC IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 YEAST, S. CEREV IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 STRAWBERRY IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SALMON IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 TUNA IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 WHEAT IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MUSSEL, BLUE IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 COCONUT IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 POTATO, WHITE IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SCALLOP IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ORANGE IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 WHITE-FACED HORNET IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 YELLOW JACKET IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PAPER WASP IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 YELLOW HORNET IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 FIRE ANT IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 P. CHRYSOGENUM IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 S. HERBARUM IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 A. PULLULANS IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 P. BETAE IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 C. LUNATA IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 C. HERBARUM IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 C. ACREMONIUM IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 A. FUMIGATUS IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 M. RACEMOSUS IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 C. ALBICANS IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 A. ALTERNATA IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 S. ROSTRATA IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F. PROLIFERATUM IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MAPLE/BOX ELDER IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 WALNUT TREE IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SYCAMOR/MAPLE LEAF IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 WILLOW IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 COTTONWOOD IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 WHITE ASH IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 EUCALYPT/GUM TREE IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ACACIA/HUISACHE IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MESQUITE TREE IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BIRCH COMMON SILVR IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MOUNTAIN CEDAR IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 OAK TREE IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 QUEEN PALM IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 AUSTRALIAN PINE IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ELM, AMERICAN IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 OLIVE TREE IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAGWEED, COMMON IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 LAMB'S QUARTER IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RUSSIAN THISTLE IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PIGWEED/CARELESS IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MARSH ELDER, ROUGH IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 FIREBUSH, KOCHIA IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SHEEP SORREL IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAGWEED, WESTERN IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAGWEED, GIANT IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAGWEED, FALSE IGE | $15.60 | $26.00 | $5.12–$13.25 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 WORMWOOD/SAGEBRUSH IGE | $15.60 | $26.00 | $5.12–$5.74 | 65% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERG FOOD HONEY IGE | $16.80 | $28.00 | $5.12–$13.25 | 62% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN - HAGINO PANEL-R45 | $18.60 | $31.00 | $5.12–$5.74 | 58% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN - HELM. HALODES (M8-6)-R93 | $19.20 | $32.00 | $5.12–$5.74 | 56% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN - CULT RYE-R174 | $19.20 | $32.00 | $5.12–$13.25 | 56% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,PERCH IGE | $28.20 | $47.00 | $5.12–$13.25 | 36% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, RED SNAPPER-RA271 | $28.20 | $47.00 | $5.12–$13.25 | 36% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN - BREWER'S YEAST - YF403 | $35.40 | $59.00 | $5.12–$13.25 | 20% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN - MOSQUITO - YI71 | $35.40 | $59.00 | $5.12–$13.25 | 20% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN - RABBIT EPITHELIUM - YE82 | $35.40 | $59.00 | $5.12–$5.74 | 20% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN - FOUR DUST-YK301 | $35.40 | $59.00 | $5.12–$13.25 | 20% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN - CANTALOPE - YF102 | $35.40 | $59.00 | $5.12–$13.25 | 20% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN - DOG DANDER - YE5 | $35.40 | $59.00 | $5.12–$5.74 | 20% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN - PIG EPITHELIUM IGE - YE83 | $35.40 | $59.00 | $5.12–$5.74 | 20% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN - SUMMER SQUASH-RA107 | $40.20 | $67.00 | $5.12–$5.74 | 9% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, BASS-RA274 | $40.20 | $67.00 | $5.12–$13.25 | 9% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN - ZUCCHINI | $40.20 | $67.00 | $5.12–$13.25 | 9% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN - SUGAR CANE-RA106 | $40.20 | $67.00 | $5.12–$5.74 | 9% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN - RED MULBERRY TREE | $40.80 | $68.00 | $5.12–$5.74 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,ASPERGILLUS FLAVUS IGE | $40.80 | $68.00 | $5.12–$13.25 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 TURMERIC IGE | $40.80 | $68.00 | $5.12–$13.25 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,BLACK BEAN IGE | $40.80 | $68.00 | $5.12–$13.25 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN - SOLE-R163 | $40.80 | $68.00 | $5.12–$13.25 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,STACHYBOTRYS CHARTARUM | $40.80 | $68.00 | $5.12–$5.74 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CUMIN IGE | $41.40 | $69.00 | $5.12–$13.25 | 6% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN - SQUID | $45.00 | $75.00 | $5.12–$13.25 | 2% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN - CRANBERRY | $45.00 | $75.00 | $5.12–$13.25 | 2% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,ASPERGI VERSICOLOR IGE | $64.80 | $108.00 | $5.12–$13.25 | 47% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN - CAYENNE PEPPER | $65.40 | $109.00 | $5.12–$13.25 | 48% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HELMINTH SATIVUM, IGE | $74.40 | $124.00 | $5.12–$13.25 | 69% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN - BLACK BEAN-R165 | $74.40 | $124.00 | $5.12–$13.25 | 69% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MAHIMAHI IGE | $87.60 | $146.00 | $5.12–$13.25 | 99% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN - BUMBLE BEE IGE (IBT) | $87.60 | $146.00 | $5.12–$5.74 | 99% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN - ETHYLENE OXIDE IGE-RA213 | $88.80 | $148.00 | $5.12–$5.74 | 101% above | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - MITES(D.FARIN)-RA51 | $13.20 | $22.00 | $6.13–$18.70 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - DOG DANDER-RA27 | $13.20 | $22.00 | $6.13–$18.70 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - CAT EPITH AND DANDER-RA17 | $13.20 | $22.00 | $6.13–$18.70 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - CANDIDA ALBICANS-RA14 | $13.20 | $22.00 | $16.50–$18.70 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - STEMPHY. BOTRYOSUM,IGE-RA104 | $13.20 | $22.00 | $6.13–$18.70 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - HORMODEN/CLADOSP.-RA20 | $13.20 | $22.00 | $6.13–$18.70 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - AUREO. PULLULANS-RA96 | $13.20 | $22.00 | $6.13–$18.70 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - COW HAIR AND DANDER-RA28 | $13.20 | $22.00 | $6.13–$18.70 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - CHICKEN FEATHERS-RA233 | $13.20 | $22.00 | $6.13–$18.70 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - PHOMA BETAE-RA94 | $13.20 | $22.00 | $6.13–$18.70 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - MITES(D.PTERON)-RA52 | $13.20 | $22.00 | $6.13–$18.70 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - DOG EPITHELIUM-RA29 | $13.20 | $22.00 | $6.13–$18.70 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - ALTERNARIA TENUIS-RA3 | $13.20 | $22.00 | $6.13–$18.70 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - DUCK FEATHERS,IGE-R30 | $13.20 | $22.00 | $6.13–$18.70 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - GOOSE FEATHERS-RA42 | $13.20 | $22.00 | $6.13–$18.70 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - ASP. FUMIGATUS-RA5 | $13.20 | $22.00 | $6.13–$18.70 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - PENICILLIUM NOTATUM-RA74 | $13.20 | $22.00 | $6.13–$18.70 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - MUCOR-RA68 | $13.20 | $22.00 | $6.13–$18.70 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HOPS IGE | $15.00 | $25.00 | $18.75–$21.25 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HOUSE DUST (H-S) IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN -JOHNSON GRASS IGE | $15.60 | $26.00 | $7.25–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - PECAN/HICKORY TREE IGE | $15.60 | $26.00 | $7.25–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - WALNUT TREE IGE | $15.60 | $26.00 | $7.25–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - A. FUMIGATUS IGE | $15.60 | $26.00 | $7.25–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - C. HERBARUM IGE | $15.60 | $26.00 | $7.25–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - BIRCH COMMON SILVR IGE | $15.60 | $26.00 | $7.25–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - D. FARINAE IGE | $15.60 | $26.00 | $7.25–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - MULBERRY TREE IGE | $15.60 | $26.00 | $7.25–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - WHITE ASH IGE | $15.60 | $26.00 | $7.25–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - COTTONWOOD IGE | $15.60 | $26.00 | $7.25–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - SHEEP SORREL IGE | $15.60 | $26.00 | $7.25–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - MOUNTAIN CEDAR IGE | $15.60 | $26.00 | $7.25–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - PIGWEED/CARELESS IGE | $15.60 | $26.00 | $7.25–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - ELM, AMERICAN IGE | $15.60 | $26.00 | $7.25–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - MAPLE/BOX ELDER IGE | $15.60 | $26.00 | $7.25–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - BERMUDA GRASS IGE | $15.60 | $26.00 | $7.25–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - OAK TREE IGE | $15.60 | $26.00 | $7.25–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - RAGWEED, COMMON IGE | $15.60 | $26.00 | $7.25–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - TIMOTHY GRASS IGE | $15.60 | $26.00 | $7.25–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - MOUSE UR PROTEIN IGE | $15.60 | $26.00 | $7.25–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - COCKROACH, GERMAN IGE | $15.60 | $26.00 | $7.25–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - A. ALTERNATA IGE | $15.60 | $26.00 | $7.25–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - CAT EPITHELIUM IGE | $15.60 | $26.00 | $7.25–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - DOG DANDER IGE | $15.60 | $26.00 | $7.25–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN -D. PTERONYSSINUS IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COCKROACH, AMERICAN IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PIGWEED / CARELESS IGE | $15.60 | $26.00 | $7.25–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EUCALYPT / GUM TREE IGE | $15.60 | $26.00 | $7.25–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ACACIA / HUISACHE IGE | $15.60 | $26.00 | $7.25–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 JUNE GRASS / KENTUCKY IGE | $15.60 | $26.00 | $7.25–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN,YELLOW DOCK IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HAZEL/NUT FILBERT IGE | $15.60 | $26.00 | $7.25–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG, WHOLE IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 APRICOT IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PRIVET IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MELALEUCA TREE IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MOUSE UR PROTEIN IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BAYBERRY IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHERRY IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PUMPKIN IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SPINACH IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AMOXICILLOYL IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG WHITE IGE W/REFLEX | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OVALBUMIN IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OVOMUCOID IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BLACK PEPPER IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TILAPIA IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MILK IGE WITH REFLEX | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEANUT IGE REFLEX COMP | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE QUANT 5 | $15.60 | $26.00 | $7.25–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE QUANT 4 | $15.60 | $26.00 | $7.25–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE QUANT 3 | $15.60 | $26.00 | $7.25–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE QUANT 2 | $15.60 | $26.00 | $7.25–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE QUANT 1 | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - ISOCYN TDI-RA57 | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - ISOCYN MDI,IGE-RA56 | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FLAXSEED/LINSEED IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, HADDOCK-RA269 | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BLUEBERRY IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MACADAMIA NUT IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHILI PEPPER/CAYEN IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MUSHROOM IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MOSQUITO IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CEDAR, RED IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PECAN/HICKORY TREE IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LIVE OAK VIRGINIA IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 A. NIGER IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHEY IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHICK PEA/GARBANZO IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SUNFLOWER SEED IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 NETTLE IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BEECH, AMERICAN IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHESTNUT, SWEET IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SWEET GUM IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WALL PELLITORY IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 POTATO, SWEET IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SWEET VERNAL GRASS IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GOLDEN ROD IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COCKROACH, GERMAN IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 T. RUBRUM IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 R. NIGRICANS IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 E. PURPURASCENS IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ENGLISH PLANTAIN IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DANDELION IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MUGWORT IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WORMWOOD/SAGEBRUSH IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAGWEED, FALSE IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAGWEED, GIANT IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAGWEED, WESTERN IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SHEEP SORREL IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FIREBUSH, KOCHIA IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MARSH ELDER, ROUGH IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PIGWEED/CARELESS IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RUSSIAN THISTLE IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LAMB'S QUARTER IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAGWEED, COMMON IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OLIVE TREE IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ELM, AMERICAN IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AUSTRALIAN PINE IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 QUEEN PALM IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OAK TREE IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MOUNTAIN CEDAR IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BIRCH COMMON SILVR IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MESQUITE TREE IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ACACIA/HUISACHE IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EUCALYPT/GUM TREE IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHITE ASH IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COTTONWOOD IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WILLOW IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SYCAMOR/MAPLE LEAF IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WALNUT TREE IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MAPLE/BOX ELDER IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F. PROLIFERATUM IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 S. ROSTRATA IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 A. ALTERNATA IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 C. ALBICANS IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M. RACEMOSUS IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 A. FUMIGATUS IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 C. ACREMONIUM IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 C. HERBARUM IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 C. LUNATA IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 P. BETAE IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 A. PULLULANS IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 S. HERBARUM IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 P. CHRYSOGENUM IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LATEX IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FIRE ANT IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 YELLOW HORNET IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PAPER WASP IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 YELLOW JACKET IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHITE-FACED HORNET IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HONEY BEE IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GREEN BEAN IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ORANGE IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SCALLOP IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 POTATO, WHITE IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COCONUT IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MUSSEL, BLUE IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHEAT IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TUNA IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SALMON IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 STRAWBERRY IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 YEAST, S. CEREV IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GARLIC IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ONION IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 APPLE IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RYE IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BARLEY IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PERCH, OCEAN IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OAT IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG YOLK IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALPHA-LACTALBUMIN IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BETA-LACTOGLOBULIN IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CASEIN IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GLUTEN IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CORN IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LOBSTER IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHEDDAR CHEESE IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHEESE, MOLD TYPE IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHICKEN IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 KIWI IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CELERY IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PARSLEY IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MELON IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RICE IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MALT IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MANGO IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BANANA IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEAR IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEACH IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AVOCADO IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 JOHNSON GRASS IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BROME GRASS IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BAHIA GRASS IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BERMUDA GRASS IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ORCHARD/COCKSFOOT IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MEADOW FESCUE IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PERENNIAL RYE IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TIMOTHY GRASS IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 JUNE GRASS/KENTCKY IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RED TOP/BENT GRASS IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LETTUCE IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CABBAGE IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CRAB IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SHRIMP IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CUCUMBER IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TOMATO IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WALNUT IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GRAPE IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PORK IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BROCCOLI IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEPPER, GREEN IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BEEF IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TURKEY IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BEAN KIDNEY/PINTO IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OYSTER IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CAULIFLOWER IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COD FISH IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HALIBUT IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CARROT IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAT EPITHELIA | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - LIME-RA132 | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - TEA-RA136 | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - COFFEE-RA153 | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - VANILLA-RA195 | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - LIMA BEAN/WHITE BEAN-RA196 | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - CORN POLLEN-RA231 | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - ISOCYANATE HDI, IGE-RA55 | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN-COTTONSEED-RA243 | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN,PAPAYA IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - EGGPLANT - RA273 | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - RASPBERRY | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN- GINGER | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - CINNAMON | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, ANCHOVY | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, FLOUNDER-RA270 | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COCKLEBUR IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RABBIT EPITHELIUM IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GRAY ALDER IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BLACK ANT IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PISTACHIO NUT IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PENICILLOYL G IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PENICILLOYL V IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WATERMELON IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PINE NUT/PIGNOLES IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MULBERRY TREE IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHITE PINE IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 D. FARINAE IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 D. PTERONYSSINUS IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 B. TROPICALIS IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CAT EPITHELIUM IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DOG DANDER IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CANARYBIRD FEATHER IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HORSE DANDER IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COW DANDER IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GUINEA PIG EPI IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PIGEON DROPPINGS IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GOOSE FEATHERS IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MOUSE EPITHELIUM IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAT URINE PROTEIN IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BUDGERIGAR FEATHER IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GOAT EPITHELIUM IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HAMSTER EPITHELIUM IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHICKEN FEATHERS IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DUCK FEATHERS IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG WHITE IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SESAME SEED IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COCOA IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BUCKWHEAT IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEA IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEANUT IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SOYBEAN IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BEAN, WHITE NAVY IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HAZEL NUT/FILBERT IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BRAZIL NUT IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MILK IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALMOND IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PECAN NUT IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CASHEW NUT IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TROUT IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CLAM IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LEMON IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GRAPEFRUIT IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PINEAPPLE IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HOUSE DUST (GREER) IGE | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERG FOOD HONEY IGE | $16.80 | $28.00 | $21.00–$23.80 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - HAGINO PANEL-R45 | $18.60 | $31.00 | $23.25–$26.35 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - CULT RYE-R174 | $19.20 | $32.00 | $24.00–$27.20 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - HELM. HALODES (M8-6)-R93 | $19.20 | $32.00 | $24.00–$27.20 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN,PERCH IGE | $28.20 | $47.00 | $35.25–$39.95 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, RED SNAPPER-RA271 | $28.20 | $47.00 | $35.25–$39.95 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - CANTALOPE - YF102 | $35.40 | $59.00 | $44.25–$50.15 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - FOUR DUST-YK301 | $35.40 | $59.00 | $44.25–$50.15 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - BREWER'S YEAST - YF403 | $35.40 | $59.00 | $44.25–$50.15 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - DOG DANDER - YE5 | $35.40 | $59.00 | $44.25–$50.15 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - RABBIT EPITHELIUM - YE82 | $35.40 | $59.00 | $44.25–$50.15 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - MOSQUITO - YI71 | $35.40 | $59.00 | $44.25–$50.15 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - PIG EPITHELIUM IGE - YE83 | $35.40 | $59.00 | $44.25–$50.15 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - SUMMER SQUASH-RA107 | $40.20 | $67.00 | $50.25–$56.95 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - SUGAR CANE-RA106 | $40.20 | $67.00 | $50.25–$56.95 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - ZUCCHINI | $40.20 | $67.00 | $50.25–$56.95 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, BASS-RA274 | $40.20 | $67.00 | $50.25–$56.95 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN,BLACK BEAN IGE | $40.80 | $68.00 | $51.00–$57.80 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - RED MULBERRY TREE | $40.80 | $68.00 | $51.00–$57.80 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN,STACHYBOTRYS CHARTARUM | $40.80 | $68.00 | $51.00–$57.80 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - SOLE-R163 | $40.80 | $68.00 | $51.00–$57.80 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN,ASPERGILLUS FLAVUS IGE | $40.80 | $68.00 | $51.00–$57.80 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TURMERIC IGE | $40.80 | $68.00 | $51.00–$57.80 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CUMIN IGE | $41.40 | $69.00 | $51.75–$58.65 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - SQUID | $45.00 | $75.00 | $56.25–$63.75 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - CRANBERRY | $45.00 | $75.00 | $56.25–$63.75 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN,ASPERGI VERSICOLOR IGE | $64.80 | $108.00 | $81.00–$91.80 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - CAYENNE PEPPER | $65.40 | $109.00 | $81.75–$92.65 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - BLACK BEAN-R165 | $74.40 | $124.00 | $93.00–$105.40 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HELMINTH SATIVUM, IGE | $74.40 | $124.00 | $93.00–$105.40 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - BUMBLE BEE IGE (IBT) | $87.60 | $146.00 | $109.50–$124.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MAHIMAHI IGE | $87.60 | $146.00 | $109.50–$124.10 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN - ETHYLENE OXIDE IGE-RA213 | $88.80 | $148.00 | $111.00–$125.80 | — | 40% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROTEIN SERUM | $45.00 | $75.00 | $16.43–$18.45 | 65% below | 40% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN, SERUM | $45.00 | $75.00 | $16.43–$18.45 | 65% below | 40% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 CHEMILUMINESCENT IMMUNOASSAY | $64.80 | $108.00 | $16.43–$42.57 | 49% below | 40% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN,MATRNL SERUM | $79.20 | $132.00 | $16.43–$18.45 | 38% below | 40% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHAFETOPROTEIN,TUMOR MARKER | $82.80 | $138.00 | $16.43–$18.45 | 35% below | 40% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 FLUID AFP | $82.80 | $138.00 | $16.43–$18.45 | 35% below | 40% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROTEIN MATERNAL SERUM | $91.80 | $153.00 | $16.43–$18.45 | 28% below | 40% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA-FETOPROTEIN, SERUM | $45.00 | $75.00 | $56.25–$63.75 | — | 40% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA FETOPROTEIN SERUM | $45.00 | $75.00 | $56.25–$63.75 | — | 40% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 CHEMILUMINESCENT IMMUNOASSAY | $64.80 | $108.00 | $81.00–$91.80 | — | 40% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA-FETOPROTEIN,MATRNL SERUM | $79.20 | $132.00 | $99.00–$112.20 | — | 40% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHAFETOPROTEIN,TUMOR MARKER | $82.80 | $138.00 | $103.50–$117.30 | — | 40% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 FLUID AFP | $82.80 | $138.00 | $103.50–$117.30 | — | 40% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA FETOPROTEIN MATERNAL SERUM | $91.80 | $153.00 | $114.75–$130.05 | — | 40% |
| Ammonia blood test CPT 82140 AMMONIA LEVEL | $90.00 | $150.00 | $14.28–$36.98 | 34% below | 40% |
| Ammonia blood test inpatient CPT 82140 AMMONIA LEVEL | $90.00 | $150.00 | $112.50–$127.50 | — | 40% |
| Amylase blood test CPT 82150 AMYLASE TOTAL | $17.40 | $29.00 | $6.35–$7.13 | 75% below | 40% |
| Amylase blood test CPT 82150 AMYLASE, URINE, RANDOM | $39.60 | $66.00 | $6.35–$7.13 | 42% below | 40% |
| Amylase blood test CPT 82150 AMYLASE, URINE | $39.60 | $66.00 | $6.35–$7.13 | 42% below | 40% |
| Amylase blood test CPT 82150 AMYLASE, BLOOD, TOTAL | $41.40 | $69.00 | $6.35–$16.45 | 39% below | 40% |
| Amylase blood test CPT 82150 AMYLASE, URINE, TIMED | $41.40 | $69.00 | $6.35–$7.13 | 39% below | 40% |
| Amylase blood test CPT 82150 AMYLASE, FLUID | $41.40 | $69.00 | $6.35–$7.13 | 39% below | 40% |
| Amylase blood test inpatient CPT 82150 AMYLASE TOTAL | $17.40 | $29.00 | $21.75–$24.65 | — | 40% |
| Amylase blood test inpatient CPT 82150 AMYLASE PANCREATIC | $17.40 | $29.00 | $8.09–$24.65 | — | 40% |
| Amylase blood test inpatient CPT 82150 AMYLASE, URINE, RANDOM | $39.60 | $66.00 | $49.50–$56.10 | — | 40% |
| Amylase blood test inpatient CPT 82150 AMYLASE, URINE | $39.60 | $66.00 | $49.50–$56.10 | — | 40% |
| Amylase blood test inpatient CPT 82150 AMYLASE, FLUID | $41.40 | $69.00 | $51.75–$58.65 | — | 40% |
| Amylase blood test inpatient CPT 82150 AMYLASE, URINE, TIMED | $41.40 | $69.00 | $51.75–$58.65 | — | 40% |
| Amylase blood test inpatient CPT 82150 AMYLASE, BLOOD, TOTAL | $41.40 | $69.00 | $51.75–$58.65 | — | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 ANTICYCLIC CITRULLINATED PEPTIDE AB IGG | $90.00 | $150.00 | $12.66–$32.86 | 12% below | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 ANTICYCLIC CITRULLINATED PEPTIDE AB IGG | $90.00 | $150.00 | $112.50–$127.50 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODY SCREEN | $73.20 | $122.00 | $11.85–$30.67 | 43% below | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA RX TITER,ADNA,ENA | $75.60 | $126.00 | $11.85–$30.67 | 41% below | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA SCREEN RFX TITER | $75.60 | $126.00 | $11.85–$30.67 | 41% below | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA SCREEN | $75.60 | $126.00 | $11.85–$30.67 | 41% below | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA R/TITR,DNA,ENA,SSA | $75.60 | $126.00 | $11.85–$30.67 | 41% below | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODY SCREEN | $73.20 | $122.00 | $91.50–$103.70 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA SCREEN RFX TITER | $75.60 | $126.00 | $94.50–$107.10 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA R/TITR,DNA,ENA,SSA | $75.60 | $126.00 | $94.50–$107.10 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA SCREEN | $75.60 | $126.00 | $94.50–$107.10 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA RX TITER,ADNA,ENA | $75.60 | $126.00 | $94.50–$107.10 | — | 40% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PROBNP N TERMINAL | $87.00 | $145.00 | $28.46–$86.14 | 66% below | 40% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BRAIN NATRIURETIC PEPTIDE | $159.60 | $266.00 | $28.46–$86.14 | 37% below | 40% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NT-PROBNP | $169.20 | $282.00 | $38.47–$43.19 | 33% below | 40% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NT PROBNP | $526.80 | $878.00 | $28.46–$86.14 | 108% above | 40% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 PROBNP N TERMINAL | $87.00 | $145.00 | $108.75–$123.25 | — | 40% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BRAIN NATRIURETIC PEPTIDE | $159.60 | $266.00 | $199.50–$226.10 | — | 40% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NT-PROBNP | $169.20 | $282.00 | $211.50–$239.70 | — | 40% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NT PROBNP | $526.80 | $878.00 | $658.50–$746.30 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, METH RESIS STAPH (MRSA) | $41.40 | $69.00 | $8.45–$21.87 | 54% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE,SPUTUM, RFLX SENS | $58.20 | $97.00 | $8.45–$9.48 | 36% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE,CATH TIP,RFLX SENS | $60.60 | $101.00 | $8.45–$21.87 | 33% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE,WOUND (AER),RFLX SENS | $60.60 | $101.00 | $8.45–$21.87 | 33% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT, MISC,RFX SENS | $60.60 | $101.00 | $8.45–$21.87 | 33% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, WOUND, AEROBIC | $60.60 | $101.00 | $8.45–$21.87 | 33% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, THROAT | $60.60 | $101.00 | $8.45–$21.87 | 33% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE,NASAL,REFLEX SENS | $60.60 | $101.00 | $8.45–$21.87 | 33% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT,GNTL AER,RFX SENS | $60.60 | $101.00 | $8.45–$21.87 | 33% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, SPUTUM | $60.60 | $101.00 | $8.45–$21.87 | 33% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE,GNTL AER,RFX SENS | $60.60 | $101.00 | $8.45–$21.87 | 33% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE,RESPIRATORY, RFLX SENS | $60.60 | $101.00 | $8.45–$21.87 | 33% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, WOUND(AEROBIC),RFLX SENS | $60.60 | $101.00 | $8.45–$21.87 | 33% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE,GENITAL(AEROBIC),RFLX SENS | $60.60 | $101.00 | $8.45–$21.87 | 33% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, MISC, RFLX SENS | $60.60 | $101.00 | $8.45–$21.87 | 33% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, RESPIRATORY RFLX SENS | $60.60 | $101.00 | $8.45–$21.87 | 33% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE,STERILITY | $60.60 | $101.00 | $8.45–$21.87 | 33% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, BRONCHIAL, RFLX SENS | $60.60 | $101.00 | $8.45–$21.87 | 33% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, BRONC WASH | $60.60 | $101.00 | $8.45–$21.87 | 33% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT, BACTERIAL | $60.60 | $101.00 | $8.45–$21.87 | 33% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, FLUID,REFLEX SENS | $60.60 | $101.00 | $8.45–$21.87 | 33% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, FLUID, RFLX SENS | $60.60 | $101.00 | $8.45–$21.87 | 33% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT,CSF,RFLX SENS(SPINAL FLUID) | $60.60 | $101.00 | $8.45–$21.87 | 33% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, CSF RFLX SENS | $60.60 | $101.00 | $8.45–$21.87 | 33% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 BONE MARROW CULTURE | $61.20 | $102.00 | $8.45–$21.87 | 32% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CYSTIC FIBROSIS CULTURE | $61.20 | $102.00 | $8.45–$21.87 | 32% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE TISSUE | $61.20 | $102.00 | $8.45–$21.87 | 32% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE,GNTL AEROBIC RFX SENS | $65.40 | $109.00 | $8.45–$21.87 | 28% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, METH RESIS STAPH (MRSA) | $41.40 | $69.00 | $51.75–$58.65 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE,SPUTUM, RFLX SENS | $58.20 | $97.00 | $72.75–$82.45 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE,GENITAL(AEROBIC),RFLX SENS | $60.60 | $101.00 | $75.75–$85.85 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, CSF RFLX SENS | $60.60 | $101.00 | $75.75–$85.85 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE,WOUND (AER),RFLX SENS | $60.60 | $101.00 | $75.75–$85.85 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULT, BACTERIAL | $60.60 | $101.00 | $75.75–$85.85 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE,RESPIRATORY, RFLX SENS | $60.60 | $101.00 | $75.75–$85.85 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULT, MISC,RFX SENS | $60.60 | $101.00 | $75.75–$85.85 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE,GNTL AER,RFX SENS | $60.60 | $101.00 | $75.75–$85.85 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, WOUND, AEROBIC | $60.60 | $101.00 | $75.75–$85.85 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, BRONC WASH | $60.60 | $101.00 | $75.75–$85.85 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULT,CSF,RFLX SENS(SPINAL FLUID) | $60.60 | $101.00 | $75.75–$85.85 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, RESPIRATORY RFLX SENS | $60.60 | $101.00 | $75.75–$85.85 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE,CATH TIP,RFLX SENS | $60.60 | $101.00 | $75.75–$85.85 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULT,GNTL AER,RFX SENS | $60.60 | $101.00 | $75.75–$85.85 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE,STERILITY | $60.60 | $101.00 | $75.75–$85.85 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, MISC, RFLX SENS | $60.60 | $101.00 | $75.75–$85.85 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, SPUTUM | $60.60 | $101.00 | $75.75–$85.85 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, FLUID, RFLX SENS | $60.60 | $101.00 | $75.75–$85.85 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, BRONCHIAL, RFLX SENS | $60.60 | $101.00 | $75.75–$85.85 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, FLUID,REFLEX SENS | $60.60 | $101.00 | $75.75–$85.85 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, THROAT | $60.60 | $101.00 | $75.75–$85.85 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, WOUND(AEROBIC),RFLX SENS | $60.60 | $101.00 | $75.75–$85.85 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE,NASAL,REFLEX SENS | $60.60 | $101.00 | $75.75–$85.85 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 BONE MARROW CULTURE | $61.20 | $102.00 | $76.50–$86.70 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CYSTIC FIBROSIS CULTURE | $61.20 | $102.00 | $76.50–$86.70 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE TISSUE | $61.20 | $102.00 | $76.50–$86.70 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE,GNTL AEROBIC RFX SENS | $65.40 | $109.00 | $81.75–$92.65 | — | 40% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $56.40 | $94.00 | $8.29–$21.46 | 33% below | 40% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL | $56.40 | $94.00 | $70.50–$79.90 | — | 40% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN,TOTAL | $31.20 | $52.00 | $4.92–$12.73 | 33% below | 40% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN, FLUID | $32.40 | $54.00 | $4.92–$5.52 | 31% below | 40% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL | $32.40 | $54.00 | $4.92–$12.73 | 31% below | 40% |
| Bilirubin blood test, total CPT 82247 BILISCREEN, NEONATAL | $32.40 | $54.00 | $4.92–$12.73 | 31% below | 40% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN, TOTAL | $32.40 | $54.00 | $4.92–$12.73 | 31% below | 40% |
| Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN,TOTAL | $31.20 | $52.00 | $39.00–$44.20 | — | 40% |
| Bilirubin blood test, total inpatient CPT 82247 BILISCREEN, NEONATAL | $32.40 | $54.00 | $40.50–$45.90 | — | 40% |
| Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL | $32.40 | $54.00 | $40.50–$45.90 | — | 40% |
| Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN, TOTAL | $32.40 | $54.00 | $40.50–$45.90 | — | 40% |
| Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN, FLUID | $32.40 | $54.00 | $40.50–$45.90 | — | 40% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 CELL BLOCK, ANY SOURCE | $190.20 | $317.00 | $52.36–$69.67 | 25% below | 40% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 CELL BLOCK INTERP | $190.20 | $317.00 | $40.64–$92.17 | 25% below | 40% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURGICAL GROSS AND MICRO, LEVEL IV | $190.20 | $317.00 | $40.64–$92.17 | 25% below | 40% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 CELL BLOCK INTERP | $190.20 | $317.00 | $237.75–$269.45 | — | 40% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURGICAL GROSS AND MICRO, LEVEL IV | $190.20 | $317.00 | $237.75–$269.45 | — | 40% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 CELL BLOCK, ANY SOURCE | $190.20 | $317.00 | $237.75–$269.45 | — | 40% |
| Blood culture for bacteria CPT 87040 CULTURE CYSTIC FIBROSIS | $61.20 | $102.00 | $10.11–$26.20 | 39% below | 40% |
| Blood culture for bacteria CPT 87040 CULTURE, BLOOD, BILL ONLY | $61.80 | $103.00 | $10.11–$26.20 | 38% below | 40% |
| Blood culture for bacteria CPT 87040 BLOOD CULTURE 2 REFLEX MRSA PCR | $64.80 | $108.00 | $10.11–$26.20 | 35% below | 40% |
| Blood culture for bacteria CPT 87040 BLOOD CULTURE REFLEX MRSA PCR | $64.80 | $108.00 | $10.11–$26.20 | 35% below | 40% |
| Blood culture for bacteria CPT 87040 CULTURE, BLOOD 1ST SITE, RFLX SENS | $65.40 | $109.00 | $10.11–$26.20 | 35% below | 40% |
| Blood culture for bacteria CPT 87040 CULTURE, BLOOD 2ND SITE, RFLX SENS | $65.40 | $109.00 | $10.11–$26.20 | 35% below | 40% |
| Blood culture for bacteria inpatient CPT 87040 CULTURE CYSTIC FIBROSIS | $61.20 | $102.00 | $76.50–$86.70 | — | 40% |
| Blood culture for bacteria inpatient CPT 87040 CULTURE, BLOOD, BILL ONLY | $61.80 | $103.00 | $77.25–$87.55 | — | 40% |
| Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE REFLEX MRSA PCR | $64.80 | $108.00 | $81.00–$91.80 | — | 40% |
| Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE 2 REFLEX MRSA PCR | $64.80 | $108.00 | $81.00–$91.80 | — | 40% |
| Blood culture for bacteria inpatient CPT 87040 CULTURE, BLOOD 1ST SITE, RFLX SENS | $65.40 | $109.00 | $81.75–$92.65 | — | 40% |
| Blood culture for bacteria inpatient CPT 87040 CULTURE, BLOOD 2ND SITE, RFLX SENS | $65.40 | $109.00 | $81.75–$92.65 | — | 40% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 PHLEBOTOMY | $9.00 | $15.00 | $8.91–$10.00 | 32% below | 40% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE, ROUTINE | $10.80 | $18.00 | $3.00–$10.91 | 19% below | 40% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCTURE | $12.00 | $20.00 | $3.00–$10.91 | 10% below | 40% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE (CBG) | $13.80 | $23.00 | $3.00–$10.91 | 4% above | 40% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $13.80 | $23.00 | $8.91–$10.00 | 4% above | 40% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 PHLEBOTOMY | $9.00 | $15.00 | $11.25–$12.75 | — | 40% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE, ROUTINE | $10.80 | $18.00 | $13.50–$15.30 | — | 40% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ROUTINE VENIPUNCTURE | $12.00 | $20.00 | $15.00–$17.00 | — | 40% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE (CBG) | $13.80 | $23.00 | $17.25–$19.55 | — | 40% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE | $13.80 | $23.00 | $17.25–$19.55 | — | 40% |
| Blood glucose (sugar) test CPT 82947 GLU FSTG W/RFX HGB A1C,GLU>110MG/DL | $25.80 | $43.00 | $3.85–$9.97 | 30% below | 40% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE RF HA1C AT 110 | $25.80 | $43.00 | $3.85–$9.97 | 30% below | 40% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE,FASTING | $25.80 | $43.00 | $3.85–$9.97 | 30% below | 40% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE, QUAN | $25.80 | $43.00 | $3.85–$9.97 | 30% below | 40% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE | $27.00 | $45.00 | $3.85–$9.97 | 26% below | 40% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE, 2HR POST PRANDIAL | $27.00 | $45.00 | $3.85–$9.97 | 26% below | 40% |
| Blood glucose (sugar) test CPT 82947 POCT GLUCOSE, BLOOD QUANTITATIVE | $145.20 | $242.00 | $3.85–$9.97 | 297% above | 40% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE RF HA1C AT 110 | $25.80 | $43.00 | $32.25–$36.55 | — | 40% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE,FASTING | $25.80 | $43.00 | $32.25–$36.55 | — | 40% |
| Blood glucose (sugar) test inpatient CPT 82947 GLU FSTG W/RFX HGB A1C,GLU>110MG/DL | $25.80 | $43.00 | $32.25–$36.55 | — | 40% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE, QUAN | $25.80 | $43.00 | $32.25–$36.55 | — | 40% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE | $27.00 | $45.00 | $33.75–$38.25 | — | 40% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE, 2HR POST PRANDIAL | $27.00 | $45.00 | $33.75–$38.25 | — | 40% |
| Blood glucose (sugar) test inpatient CPT 82947 POCT GLUCOSE, BLOOD QUANTITATIVE | $145.20 | $242.00 | $181.50–$205.70 | — | 40% |
| Blood lead test CPT 83655 LEAD | $16.80 | $28.00 | $11.87–$13.32 | 85% below | 40% |
| Blood lead test CPT 83655 LEAD, URINE QUANTITATIVE | $30.00 | $50.00 | $11.87–$30.73 | 73% below | 40% |
| Blood lead test CPT 83655 LEAD, BLOOD QUANTITATIVE | $30.60 | $51.00 | $11.87–$30.73 | 73% below | 40% |
| Blood lead test CPT 83655 QUANTITATIVE INDUCTIVELY COUPLED PLASMA-MASS SPECTROMETRY | $31.20 | $52.00 | $11.87–$30.73 | 72% below | 40% |
| Blood lead test CPT 83655 LEAD BLOOD (VENOUS) | $33.60 | $56.00 | $11.87–$30.73 | 70% below | 40% |
| Blood lead test CPT 83655 LEAD, URINE | $33.60 | $56.00 | $11.87–$30.73 | 70% below | 40% |
| Blood lead test CPT 83655 LEAD BLOOD (CAPILLARY) | $33.60 | $56.00 | $11.87–$30.73 | 70% below | 40% |
| Blood lead test inpatient CPT 83655 LEAD | $16.80 | $28.00 | $21.00–$23.80 | — | 40% |
| Blood lead test inpatient CPT 83655 LEAD, URINE QUANTITATIVE | $30.00 | $50.00 | $37.50–$42.50 | — | 40% |
| Blood lead test inpatient CPT 83655 LEAD, BLOOD QUANTITATIVE | $30.60 | $51.00 | $38.25–$43.35 | — | 40% |
| Blood lead test inpatient CPT 83655 QUANTITATIVE INDUCTIVELY COUPLED PLASMA-MASS SPECTROMETRY | $31.20 | $52.00 | $39.00–$44.20 | — | 40% |
| Blood lead test inpatient CPT 83655 LEAD, URINE | $33.60 | $56.00 | $42.00–$47.60 | — | 40% |
| Blood lead test inpatient CPT 83655 LEAD BLOOD (CAPILLARY) | $33.60 | $56.00 | $42.00–$47.60 | — | 40% |
| Blood lead test inpatient CPT 83655 LEAD BLOOD (VENOUS) | $33.60 | $56.00 | $42.00–$47.60 | — | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG, QUAL (PREGNANCY TEST) | $50.40 | $84.00 | $7.37–$8.27 | 36% below | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUAL, URINE PREGNANCY | $54.00 | $90.00 | $7.37–$8.27 | 32% below | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUAL, BLOOD | $54.00 | $90.00 | $7.37–$8.27 | 32% below | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG, QUAL (PREGNANCY TEST) | $50.40 | $84.00 | $63.00–$71.40 | — | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG QUAL, BLOOD | $54.00 | $90.00 | $67.50–$76.50 | — | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG QUAL, URINE PREGNANCY | $54.00 | $90.00 | $67.50–$76.50 | — | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 AUTOLOGOUS ABO | $27.60 | $46.00 | $3.59–$149.74 | 74% below | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO BLOOD GROUP SEROLOGIC | $27.60 | $46.00 | $3.59–$149.74 | 74% below | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 PSBC ABO | $27.60 | $46.00 | $3.59–$149.74 | 74% below | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO GROUP SEROLOGIC | $28.20 | $47.00 | $126.32–$168.08 | 74% below | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING SEROLOGIC ABO | $28.20 | $47.00 | $3.59–$149.74 | 74% below | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING,SEROLOGIC ABO | $43.20 | $72.00 | $3.59–$149.74 | 60% below | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO BLOOD GROUP SEROLOGIC | $27.60 | $46.00 | $34.50–$39.10 | — | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 PSBC ABO | $27.60 | $46.00 | $34.50–$39.10 | — | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 AUTOLOGOUS ABO | $27.60 | $46.00 | $34.50–$39.10 | — | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO GROUP SEROLOGIC | $28.20 | $47.00 | $35.25–$39.95 | — | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING SEROLOGIC ABO | $28.20 | $47.00 | $35.25–$39.95 | — | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING,SEROLOGIC ABO | $43.20 | $72.00 | $54.00–$61.20 | — | 40% |
| Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN,B | $24.60 | $41.00 | $3.87–$4.35 | 35% below | 40% |
| Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN, FLUID | $24.60 | $41.00 | $3.87–$10.03 | 35% below | 40% |
| Blood urea nitrogen (BUN) test CPT 84520 BUN (BLOOD UREA NITROGEN) | $25.20 | $42.00 | $3.87–$10.03 | 33% below | 40% |
| Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN QUANT(BUN) POST DIALYSIS | $25.20 | $42.00 | $3.87–$4.35 | 33% below | 40% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 UREA NITROGEN,B | $24.60 | $41.00 | $30.75–$34.85 | — | 40% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 UREA NITROGEN, FLUID | $24.60 | $41.00 | $30.75–$34.85 | — | 40% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 UREA NITROGEN QUANT(BUN) POST DIALYSIS | $25.20 | $42.00 | $31.50–$35.70 | — | 40% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN (BLOOD UREA NITROGEN) | $25.20 | $42.00 | $31.50–$35.70 | — | 40% |
| C-peptide blood test CPT 84681 C-PEPTIDE, URINE | $28.20 | $47.00 | $20.39–$52.82 | 82% below | 40% |
| C-peptide blood test CPT 84681 C-PEPTIDE | $57.60 | $96.00 | $20.39–$52.82 | 64% below | 40% |
| C-peptide blood test inpatient CPT 84681 C-PEPTIDE, URINE | $28.20 | $47.00 | $35.25–$39.95 | — | 40% |
| C-peptide blood test inpatient CPT 84681 C-PEPTIDE | $57.60 | $96.00 | $72.00–$81.60 | — | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN | $19.20 | $32.00 | $5.08–$13.14 | 39% below | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP (C-REACTIVE PROTEIN), BLOOD | $34.20 | $57.00 | $5.08–$13.14 | 9% above | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C REACTIVE PROTEIN | $19.20 | $32.00 | $24.00–$27.20 | — | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP (C-REACTIVE PROTEIN), BLOOD | $34.20 | $57.00 | $42.75–$48.45 | — | 40% |
| C. difficile toxin gene test (stool PCR) CPT 87493 INF AGNT DETCT NUCLEIC ACID CLOSTRIDM AMP PROBE | $169.20 | $282.00 | $36.52–$41.00 | 44% below | 40% |
| C. difficile toxin gene test (stool PCR) CPT 87493 CLOSTRIDIUM DIFFICILE,TOXIN GENE;RT PCR | $169.20 | $282.00 | $36.52–$89.06 | 44% below | 40% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 INF AGNT DETCT NUCLEIC ACID CLOSTRIDM AMP PROBE | $169.20 | $282.00 | $211.50–$239.70 | — | 40% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 CLOSTRIDIUM DIFFICILE,TOXIN GENE;RT PCR | $169.20 | $282.00 | $211.50–$239.70 | — | 40% |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 (CANCER ANTIGEN GI) | $129.60 | $216.00 | $20.39–$52.82 | 13% below | 40% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 (CANCER ANTIGEN GI) | $129.60 | $216.00 | $162.00–$183.60 | — | 40% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CANCER ANTIGEN 125 | $102.00 | $170.00 | $20.39–$22.89 | 30% below | 40% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CANCER ANTIGEN 125 | $102.00 | $170.00 | $127.50–$144.50 | — | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 CORONAVIRUS (COVID-19),NAA | $81.00 | $135.00 | $50.28–$61.57 | 8% above | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 ID NOW (RAPID INAAT) | $84.00 | $140.00 | $50.28–$61.57 | 12% above | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV2- NAAT | $84.00 | $140.00 | $50.28–$61.57 | 12% above | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS COV2 RNA PCR (DLS) | $87.60 | $146.00 | $50.28–$61.57 | 17% above | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 RTPCR (SRL) | $87.60 | $146.00 | $50.28–$61.57 | 17% above | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 SARS-COV2 RT-PCR CPH | $75.00 | $125.00 | $50.28–$61.57 | at median | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 SARS-COV2 RT-PCR | $84.00 | $140.00 | $50.28–$61.57 | 12% above | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 CORONAVIRUS (COVID-19),NAA | $81.00 | $135.00 | $101.25–$114.75 | — | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 ID NOW (RAPID INAAT) | $84.00 | $140.00 | $105.00–$119.00 | — | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV2- NAAT | $84.00 | $140.00 | $105.00–$119.00 | — | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS COV2 RNA PCR (DLS) | $87.60 | $146.00 | $109.50–$124.10 | — | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2 RTPCR (SRL) | $87.60 | $146.00 | $109.50–$124.10 | — | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient one side CPT 87635 SARS-COV2 RT-PCR CPH | $75.00 | $125.00 | $93.75–$106.25 | — | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient one side CPT 87635 SARS-COV2 RT-PCR | $84.00 | $140.00 | $105.00–$119.00 | — | 40% |
| Calcium blood test, total CPT 82310 CALCIUM, TOT | $31.20 | $52.00 | $5.06–$5.68 | 38% below | 40% |
| Calcium blood test, total CPT 82310 CALCIUM, TOTAL | $31.20 | $52.00 | $5.06–$13.10 | 38% below | 40% |
| Calcium blood test, total CPT 82310 CALCIUM, FLUID | $31.20 | $52.00 | $5.06–$13.10 | 38% below | 40% |
| Calcium blood test, total CPT 82310 CALCIUM, URINE, RANDOM | $32.40 | $54.00 | $5.06–$5.68 | 36% below | 40% |
| Calcium blood test, total CPT 82310 CALCIUM | $32.40 | $54.00 | $5.06–$13.10 | 36% below | 40% |
| Calcium blood test, total inpatient CPT 82310 CALCIUM, TOTAL | $31.20 | $52.00 | $39.00–$44.20 | — | 40% |
| Calcium blood test, total inpatient CPT 82310 CALCIUM, FLUID | $31.20 | $52.00 | $39.00–$44.20 | — | 40% |
| Calcium blood test, total inpatient CPT 82310 CALCIUM, TOT | $31.20 | $52.00 | $39.00–$44.20 | — | 40% |
| Calcium blood test, total inpatient CPT 82310 CALCIUM | $32.40 | $54.00 | $40.50–$45.90 | — | 40% |
| Calcium blood test, total inpatient CPT 82310 CALCIUM, URINE, RANDOM | $32.40 | $54.00 | $40.50–$45.90 | — | 40% |
| Carcinoembryonic antigen (CEA) test CPT 82378 FLUID CEA | $93.60 | $156.00 | $18.58–$20.86 | 29% below | 40% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CEA (CARCINOEMBRYONIC ANTIGEN) | $93.60 | $156.00 | $18.58–$48.12 | 29% below | 40% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA (CARCINOEMBRYONIC ANTIGEN) | $93.60 | $156.00 | $117.00–$132.60 | — | 40% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 FLUID CEA | $93.60 | $156.00 | $117.00–$132.60 | — | 40% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER IGM | $33.00 | $55.00 | $12.62–$32.69 | 66% below | 40% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER, IGG | $88.20 | $147.00 | $12.62–$32.69 | 10% below | 40% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER IGM | $33.00 | $55.00 | $41.25–$46.75 | — | 40% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER, IGG | $88.20 | $147.00 | $110.25–$124.95 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA DNA PROBE | $63.00 | $105.00 | $34.39–$38.60 | 43% below | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMITIS TMA SWAB | $63.00 | $105.00 | $34.39–$89.06 | 43% below | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRANSCRIPTION MEDIATED AMP (TMA) | $81.00 | $135.00 | $34.39–$38.60 | 27% below | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TMA SUREPATH | $81.00 | $135.00 | $34.39–$38.60 | 27% below | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA T. NAT THROAT | $174.60 | $291.00 | $34.39–$38.60 | 58% above | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA T. NAT URINE | $174.60 | $291.00 | $34.39–$38.60 | 58% above | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA T. NAT VAG | $174.60 | $291.00 | $34.39–$38.60 | 58% above | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA T. NAT CERVIX | $174.60 | $291.00 | $34.39–$38.60 | 58% above | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA T. NAT ANAL | $174.60 | $291.00 | $34.39–$38.60 | 58% above | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA DNA BY PCR | $182.40 | $304.00 | $34.39–$89.06 | 65% above | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA DNA BY AMP PROBE | $182.40 | $304.00 | $34.39–$89.06 | 65% above | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMITIS TMA SWAB | $63.00 | $105.00 | $78.75–$89.25 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA DNA PROBE | $63.00 | $105.00 | $78.75–$89.25 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRANSCRIPTION MEDIATED AMP (TMA) | $81.00 | $135.00 | $101.25–$114.75 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TMA SUREPATH | $81.00 | $135.00 | $101.25–$114.75 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA T. NAT THROAT | $174.60 | $291.00 | $218.25–$247.35 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA T. NAT URINE | $174.60 | $291.00 | $218.25–$247.35 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA T. NAT VAG | $174.60 | $291.00 | $218.25–$247.35 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA T. NAT CERVIX | $174.60 | $291.00 | $218.25–$247.35 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA T. NAT ANAL | $174.60 | $291.00 | $218.25–$247.35 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA DNA BY AMP PROBE | $182.40 | $304.00 | $228.00–$258.40 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA DNA BY PCR | $182.40 | $304.00 | $228.00–$258.40 | — | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL 2 W/RFX DLDL | $91.20 | $152.00 | $13.12–$33.98 | 22% below | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE PANEL | $95.40 | $159.00 | $13.12–$33.98 | 18% below | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL, SPECTROPHOTOMETRY | $28.20 | $47.00 | $13.10–$39.95 | — | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $34.20 | $57.00 | $15.89–$48.45 | — | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL 2 W/RFX DLDL | $91.20 | $152.00 | $114.00–$129.20 | — | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE PANEL | $95.40 | $159.00 | $119.25–$135.15 | — | 40% |
| Complete blood count (CBC) with differential CPT 85025 CBC FOR FLOW CYTOMETRY | $42.60 | $71.00 | $7.61–$19.72 | 31% below | 40% |
| Complete blood count (CBC) with differential CPT 85025 CBC AUTO W/PLATELET,AUTO DIFF | $42.60 | $71.00 | $7.61–$8.55 | 31% below | 40% |
| Complete blood count (CBC) with differential CPT 85025 CBC PLT W/AUTO DIFF | $44.40 | $74.00 | $7.61–$19.72 | 28% below | 40% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC FOR FLOW CYTOMETRY | $42.60 | $71.00 | $53.25–$60.35 | — | 40% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC AUTO W/PLATELET,AUTO DIFF | $42.60 | $71.00 | $53.25–$60.35 | — | 40% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC PLT W/AUTO DIFF | $44.40 | $74.00 | $55.50–$62.90 | — | 40% |
| Complete blood count (CBC), no differential CPT 85027 HPC CELL COUNT | $31.20 | $52.00 | $6.34–$7.12 | 34% below | 40% |
| Complete blood count (CBC), no differential CPT 85027 CBC/PLT AUTO W/O DIFF | $36.60 | $61.00 | $6.34–$16.41 | 23% below | 40% |
| Complete blood count (CBC), no differential CPT 85027 CBC AUTO | $36.60 | $61.00 | $6.34–$16.41 | 23% below | 40% |
| Complete blood count (CBC), no differential CPT 85027 CBC/PLT W/O DIFF/HEMOGRAM | $38.40 | $64.00 | $6.34–$16.41 | 19% below | 40% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HPC CELL COUNT | $31.20 | $52.00 | $39.00–$44.20 | — | 40% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC AUTO | $36.60 | $61.00 | $45.75–$51.85 | — | 40% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC/PLT AUTO W/O DIFF | $36.60 | $61.00 | $45.75–$51.85 | — | 40% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC/PLT W/O DIFF/HEMOGRAM | $38.40 | $64.00 | $48.00–$54.40 | — | 40% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL | $68.40 | $114.00 | $10.35–$26.81 | 29% below | 40% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METABOLIC PANEL | $68.40 | $114.00 | $85.50–$96.90 | — | 40% |
| Cortisol blood test, total CPT 82533 CORTISOL TO END | $55.80 | $93.00 | $15.97–$41.37 | 59% below | 40% |
| Cortisol blood test, total CPT 82533 CORTISOL, SALIVA | $79.80 | $133.00 | $15.97–$41.37 | 42% below | 40% |
| Cortisol blood test, total CPT 82533 CORTISOL, TIMED | $83.40 | $139.00 | $15.97–$41.37 | 39% below | 40% |
| Cortisol blood test, total CPT 82533 CORTISOL STIMULATION, EA ADDL CORTISOL | $97.20 | $162.00 | $15.97–$41.37 | 29% below | 40% |
| Cortisol blood test, total CPT 82533 CORTISOL, TOTAL, RANDOM | $100.80 | $168.00 | $15.97–$41.37 | 26% below | 40% |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL TO END | $55.80 | $93.00 | $69.75–$79.05 | — | 40% |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL, SALIVA | $79.80 | $133.00 | $99.75–$113.05 | — | 40% |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL, TIMED | $83.40 | $139.00 | $104.25–$118.15 | — | 40% |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL STIMULATION, EA ADDL CORTISOL | $97.20 | $162.00 | $121.50–$137.70 | — | 40% |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL, TOTAL, RANDOM | $100.80 | $168.00 | $126.00–$142.80 | — | 40% |
| Creatine kinase (CK) blood test, total CPT 82550 CK(CPK) TOTAL | $16.80 | $28.00 | $6.38–$7.16 | 75% below | 40% |
| Creatine kinase (CK) blood test, total CPT 82550 CK (CPK), TOTAL | $41.40 | $69.00 | $6.38–$16.52 | 39% below | 40% |
| Creatine kinase (CK) blood test, total CPT 82550 CK (CKMB IF ELEVATED) | $41.40 | $69.00 | $6.38–$16.52 | 39% below | 40% |
| Creatine kinase (CK) blood test, total CPT 82550 CK W/REFLEX MB,TROPONIN | $41.40 | $69.00 | $6.38–$16.52 | 39% below | 40% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 CK(CPK) TOTAL | $16.80 | $28.00 | $21.00–$23.80 | — | 40% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 CK (CPK), TOTAL | $41.40 | $69.00 | $51.75–$58.65 | — | 40% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 CK W/REFLEX MB,TROPONIN | $41.40 | $69.00 | $51.75–$58.65 | — | 40% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 CK (CKMB IF ELEVATED) | $41.40 | $69.00 | $51.75–$58.65 | — | 40% |
| Creatinine blood test CPT 82565 CREATININE | $25.20 | $42.00 | $5.02–$13.01 | 28% below | 40% |
| Creatinine blood test inpatient CPT 82565 CREATININE | $25.20 | $42.00 | $31.50–$35.70 | — | 40% |
| Cytomegalovirus (CMV) antibody test CPT 86644 DONOR CMV ANTIBODY | $53.40 | $89.00 | $14.10–$15.83 | 57% below | 40% |
| Cytomegalovirus (CMV) antibody test CPT 86644 DONOR CMV TOTAL ANTIBODY | $53.40 | $89.00 | $14.10–$15.83 | 57% below | 40% |
| Cytomegalovirus (CMV) antibody test CPT 86644 CMV SCREEN PER UNIT (BBH) | $85.80 | $143.00 | $14.10–$36.52 | 31% below | 40% |
| Cytomegalovirus (CMV) antibody test CPT 86644 CMV ANTIBODY | $90.00 | $150.00 | $14.10–$15.83 | 28% below | 40% |
| Cytomegalovirus (CMV) antibody test CPT 86644 ANTI-CMV IGG | $90.00 | $150.00 | $14.10–$36.52 | 28% below | 40% |
| Cytomegalovirus (CMV) antibody test CPT 86644 CMV ANTIBODY IGG BY ELISA | $142.20 | $237.00 | $14.10–$36.52 | 14% above | 40% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 DONOR CMV TOTAL ANTIBODY | $53.40 | $89.00 | $66.75–$75.65 | — | 40% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 DONOR CMV ANTIBODY | $53.40 | $89.00 | $66.75–$75.65 | — | 40% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV SCREEN PER UNIT (BBH) | $85.80 | $143.00 | $107.25–$121.55 | — | 40% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 ANTI-CMV IGG | $90.00 | $150.00 | $112.50–$127.50 | — | 40% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV ANTIBODY | $90.00 | $150.00 | $112.50–$127.50 | — | 40% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV ANTIBODY IGG BY ELISA | $142.20 | $237.00 | $177.75–$201.45 | — | 40% |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER SENSITIVE (DVT/PE) | $100.80 | $168.00 | $9.98–$25.83 | 5% below | 40% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER SENSITIVE (DVT/PE) | $100.80 | $168.00 | $126.00–$142.80 | — | 40% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE | $71.40 | $119.00 | $21.79–$24.45 | 58% below | 40% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATE | $71.40 | $119.00 | $89.25–$101.15 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 METHAQUALONE SCREEN,URINE | $30.00 | $50.00 | $47.89–$152.64 | 68% below | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 SYTHCS SYN THC SCRN,URINE RFLX CNFRM | $46.80 | $78.00 | $47.89–$152.64 | 51% below | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 ALCOHOL,URINE SCREEN (UALCS) | $74.40 | $124.00 | $47.89–$152.64 | 22% below | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 OXYCODONE,URINE SCREEN (UOXYS) | $74.40 | $124.00 | $47.89–$152.64 | 22% below | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 BARBITURATES,URINE SCREEN (UBARBS) | $74.40 | $124.00 | $47.89–$152.64 | 22% below | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 CANNABINOIDS,URINE SCREEN (UTHCS) | $74.40 | $124.00 | $47.89–$152.64 | 22% below | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 PROPOXYPHENE,URINE SCREEN | $74.40 | $124.00 | $47.89–$152.64 | 22% below | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 METHADONE SCREEN,URINE FORENSIC | $74.40 | $124.00 | $47.89–$152.64 | 22% below | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 ALCOHOL,(ETHANOL)SCREEN URINE | $85.80 | $143.00 | $60.90–$68.35 | 10% below | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 METHAQUALONE SCREEN,URINE FORENSIC | $85.80 | $143.00 | $47.89–$152.64 | 10% below | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 OXYCODONE SCRN,URINE RFLX CONFIRMATION | $85.80 | $143.00 | $47.89–$152.64 | 10% below | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 BARBITURATES SCREEN,URINE | $85.80 | $143.00 | $60.90–$68.35 | 10% below | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 BENZODIAZEPINES SCREEN,CLINICAL URINE | $85.80 | $143.00 | $60.90–$68.35 | 10% below | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 AMPHETAMINE SCREEN,URINE | $85.80 | $143.00 | $60.90–$68.35 | 10% below | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 METHADONE SCREEN,URINE | $85.80 | $143.00 | $47.89–$152.64 | 10% below | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 OXYCODONE LEVEL SCREEN ,URINE | $86.40 | $144.00 | $47.89–$152.64 | 9% below | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 OPIATES SCREEN,CLINICAL URINE | $86.40 | $144.00 | $60.90–$68.35 | 9% below | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 EDDP, UR SCREEN | $86.40 | $144.00 | $47.89–$152.64 | 9% below | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 CANNABINOID SCREEN,URINE | $86.40 | $144.00 | $60.90–$68.35 | 9% below | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 PHENCYCLIDINE,URINE SCREEN | $86.40 | $144.00 | $47.89–$152.64 | 9% below | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 COCAINE,URINE SCREEN | $86.40 | $144.00 | $47.89–$152.64 | 9% below | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 KRATOM,UR QT | $116.40 | $194.00 | $60.90–$68.35 | 22% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 ALCOHOL,(ETHYL)SCREEN URINE | $121.20 | $202.00 | $47.89–$152.64 | 27% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 GHB URINE SCRN CONFIRM | $121.20 | $202.00 | $47.89–$152.64 | 27% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 NICOTINE COTININE RFL CONFIRM | $121.20 | $202.00 | $47.89–$152.64 | 27% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 FENTANYL,URINE SCREEN WITH REFLEX TO QUANT | $124.80 | $208.00 | $60.90–$68.35 | 31% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 ACETAMINOPHEN,RANDOM | $126.00 | $210.00 | $47.89–$152.64 | 32% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 MECONIUM DRUG SCREEN (MECST5) | $144.00 | $240.00 | $47.89–$152.64 | 51% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 TRAMADOL UR RX QT | $150.00 | $250.00 | $47.89–$152.64 | 58% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 BUPRENORPHINE UR RX | $150.00 | $250.00 | $47.89–$152.64 | 58% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 NICOTINE,URINE SCREEN (UNICE) | $171.00 | $285.00 | $47.89–$152.64 | 80% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 MEDTOX URINE DRUG SCREEN (MEDTU) | $171.60 | $286.00 | $47.89–$152.64 | 80% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 URINE DRUG SCREEN 7 (SATC) | $178.20 | $297.00 | $47.89–$152.64 | 87% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 THC REFLEX | $183.60 | $306.00 | $47.89–$152.64 | 93% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 OPIATES REFLEX | $183.60 | $306.00 | $47.89–$152.64 | 93% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 GABAPENTIN REFLEX | $183.60 | $306.00 | $47.89–$152.64 | 93% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 CARISOPRODOL REFLEX | $183.60 | $306.00 | $47.89–$152.64 | 93% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 BENZODIAZEPINES REFLEX | $183.60 | $306.00 | $47.89–$152.64 | 93% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 COMP BLOOD DRG SCRN, RX CNF | $183.60 | $306.00 | $47.89–$152.64 | 93% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 ETHYL ALCOHOL REFLEX | $183.60 | $306.00 | $47.89–$152.64 | 93% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 METHADONE REFLEX | $183.60 | $306.00 | $47.89–$152.64 | 93% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 BARBITURATES REFLEX | $183.60 | $306.00 | $47.89–$152.64 | 93% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 COCAINE REFLEX | $183.60 | $306.00 | $47.89–$152.64 | 93% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 PHENCYCLIDINE REFLEX | $183.60 | $306.00 | $47.89–$152.64 | 93% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 ACETAMINOPHEN REFLEX | $183.60 | $306.00 | $47.89–$152.64 | 93% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 OXYCODONES REFLEX | $183.60 | $306.00 | $47.89–$152.64 | 93% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 SYMPATHOMIMETICS REFLEX | $183.60 | $306.00 | $47.89–$152.64 | 93% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 FENTANYL REFLEX | $183.60 | $306.00 | $47.89–$152.64 | 93% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 BUPRENORPHINE REFLEX | $183.60 | $306.00 | $47.89–$152.64 | 93% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 PROPOXYPHENE REFLEX | $183.60 | $306.00 | $47.89–$152.64 | 93% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 MEPERIDINE REFLEX | $183.60 | $306.00 | $47.89–$152.64 | 93% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 TRAMADOL REFLEX | $183.60 | $306.00 | $47.89–$152.64 | 93% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 CLINICAL URINE DRUG SCREEN (CLD10A) | $268.20 | $447.00 | $47.89–$152.64 | 182% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 ACETAMINOPHEN LEVEL (TYLENOL) | $325.20 | $542.00 | $47.89–$152.64 | 242% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 ALCOHOL,(ETHYL) SCREEN BLOOD | $325.20 | $542.00 | $47.89–$152.64 | 242% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 SALICYLATE LEVEL | $325.20 | $542.00 | $47.89–$152.64 | 242% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 PAIN MGMT URINE DRUG SCRN PANEL W/OXYCODONE | $328.80 | $548.00 | $47.89–$152.64 | 245% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 PAIN MGMT URIN DRUG SCRN W/OXYCDNE RFLX CNFM | $328.80 | $548.00 | $47.89–$152.64 | 245% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 CLINICAL DRUG SCREEN,W/REFLEX (CHLDRX) | $333.00 | $555.00 | $47.89–$152.64 | 250% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 URINE DRUG ABUSE SCRN | $361.20 | $602.00 | $60.90–$68.35 | 279% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN URINE PANEL (SATC) | $394.80 | $658.00 | $47.89–$152.64 | 315% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 ETG AND ETS UR W/CONF | $409.80 | $683.00 | $47.89–$152.64 | 330% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 ROHYPNOL URINE | $411.60 | $686.00 | $47.89–$152.64 | 332% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 URINE SUB ABUSE 5PNL(UAMPE,UCOCE,UOPE,UTHCE&UPCPE) | $417.00 | $695.00 | $47.89–$152.64 | 338% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN, UR REFLEX (UCDRGX) | $460.20 | $767.00 | $47.89–$152.64 | 383% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN,URINE PANEL (XUDRUG) | $460.20 | $767.00 | $47.89–$152.64 | 383% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 CLINICAL DRUG SCREEN,URINE (CHLDRG) | $484.80 | $808.00 | $47.89–$152.64 | 409% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 CLINIC DRUG REFLEX AMPHETAMINE/COCAINE | $484.80 | $808.00 | $47.89–$152.64 | 409% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN URINE PANEL (KUDRG) | $484.80 | $808.00 | $47.89–$152.64 | 409% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 UR SUBSTANCE ABUSE 10 | $693.00 | $1,155.00 | $47.89–$152.64 | 628% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 PAIN MGMT URINE DRUG SCRN OXYCODONE/ALCOHOL | $830.40 | $1,384.00 | $47.89–$152.64 | 772% above | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 METHAQUALONE SCREEN,URINE | $30.00 | $50.00 | $37.50–$42.50 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 SYTHCS SYN THC SCRN,URINE RFLX CNFRM | $46.80 | $78.00 | $58.50–$66.30 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 PROPOXYPHENE,URINE SCREEN | $74.40 | $124.00 | $93.00–$105.40 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 BARBITURATES,URINE SCREEN (UBARBS) | $74.40 | $124.00 | $93.00–$105.40 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 OXYCODONE,URINE SCREEN (UOXYS) | $74.40 | $124.00 | $93.00–$105.40 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ALCOHOL,URINE SCREEN (UALCS) | $74.40 | $124.00 | $93.00–$105.40 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CANNABINOIDS,URINE SCREEN (UTHCS) | $74.40 | $124.00 | $93.00–$105.40 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 METHADONE SCREEN,URINE FORENSIC | $74.40 | $124.00 | $93.00–$105.40 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 AMPHETAMINE SCREEN,URINE | $85.80 | $143.00 | $107.25–$121.55 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 METHADONE SCREEN,URINE | $85.80 | $143.00 | $107.25–$121.55 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 OXYCODONE SCRN,URINE RFLX CONFIRMATION | $85.80 | $143.00 | $107.25–$121.55 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 BENZODIAZEPINES SCREEN,CLINICAL URINE | $85.80 | $143.00 | $107.25–$121.55 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ALCOHOL,(ETHANOL)SCREEN URINE | $85.80 | $143.00 | $107.25–$121.55 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 METHAQUALONE SCREEN,URINE FORENSIC | $85.80 | $143.00 | $107.25–$121.55 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 BARBITURATES SCREEN,URINE | $85.80 | $143.00 | $107.25–$121.55 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 COCAINE,URINE SCREEN | $86.40 | $144.00 | $108.00–$122.40 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 PHENCYCLIDINE,URINE SCREEN | $86.40 | $144.00 | $108.00–$122.40 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 OXYCODONE LEVEL SCREEN ,URINE | $86.40 | $144.00 | $108.00–$122.40 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CANNABINOID SCREEN,URINE | $86.40 | $144.00 | $108.00–$122.40 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 EDDP, UR SCREEN | $86.40 | $144.00 | $108.00–$122.40 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 OPIATES SCREEN,CLINICAL URINE | $86.40 | $144.00 | $108.00–$122.40 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 KRATOM,UR QT | $116.40 | $194.00 | $145.50–$164.90 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 GHB URINE SCRN CONFIRM | $121.20 | $202.00 | $151.50–$171.70 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 NICOTINE COTININE RFL CONFIRM | $121.20 | $202.00 | $151.50–$171.70 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ALCOHOL,(ETHYL)SCREEN URINE | $121.20 | $202.00 | $151.50–$171.70 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 FENTANYL,URINE SCREEN WITH REFLEX TO QUANT | $124.80 | $208.00 | $156.00–$176.80 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ACETAMINOPHEN,RANDOM | $126.00 | $210.00 | $157.50–$178.50 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 MECONIUM DRUG SCREEN (MECST5) | $144.00 | $240.00 | $180.00–$204.00 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 TRAMADOL UR RX QT | $150.00 | $250.00 | $187.50–$212.50 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 BUPRENORPHINE UR RX | $150.00 | $250.00 | $187.50–$212.50 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 NICOTINE,URINE SCREEN (UNICE) | $171.00 | $285.00 | $213.75–$242.25 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 MEDTOX URINE DRUG SCREEN (MEDTU) | $171.60 | $286.00 | $214.50–$243.10 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 URINE DRUG SCREEN 7 (SATC) | $178.20 | $297.00 | $222.75–$252.45 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 BENZODIAZEPINES REFLEX | $183.60 | $306.00 | $229.50–$260.10 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 GABAPENTIN REFLEX | $183.60 | $306.00 | $229.50–$260.10 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 TRAMADOL REFLEX | $183.60 | $306.00 | $229.50–$260.10 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 MEPERIDINE REFLEX | $183.60 | $306.00 | $229.50–$260.10 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 PROPOXYPHENE REFLEX | $183.60 | $306.00 | $229.50–$260.10 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 BUPRENORPHINE REFLEX | $183.60 | $306.00 | $229.50–$260.10 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 FENTANYL REFLEX | $183.60 | $306.00 | $229.50–$260.10 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 SYMPATHOMIMETICS REFLEX | $183.60 | $306.00 | $229.50–$260.10 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CARISOPRODOL REFLEX | $183.60 | $306.00 | $229.50–$260.10 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ACETAMINOPHEN REFLEX | $183.60 | $306.00 | $229.50–$260.10 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 OPIATES REFLEX | $183.60 | $306.00 | $229.50–$260.10 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 THC REFLEX | $183.60 | $306.00 | $229.50–$260.10 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 PHENCYCLIDINE REFLEX | $183.60 | $306.00 | $229.50–$260.10 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 COCAINE REFLEX | $183.60 | $306.00 | $229.50–$260.10 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 BARBITURATES REFLEX | $183.60 | $306.00 | $229.50–$260.10 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 METHADONE REFLEX | $183.60 | $306.00 | $229.50–$260.10 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ETHYL ALCOHOL REFLEX | $183.60 | $306.00 | $229.50–$260.10 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 OXYCODONES REFLEX | $183.60 | $306.00 | $229.50–$260.10 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 COMP BLOOD DRG SCRN, RX CNF | $183.60 | $306.00 | $229.50–$260.10 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CLINICAL URINE DRUG SCREEN (CLD10A) | $268.20 | $447.00 | $335.25–$379.95 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 SALICYLATE LEVEL | $325.20 | $542.00 | $406.50–$460.70 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ACETAMINOPHEN LEVEL (TYLENOL) | $325.20 | $542.00 | $406.50–$460.70 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ALCOHOL,(ETHYL) SCREEN BLOOD | $325.20 | $542.00 | $406.50–$460.70 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 PAIN MGMT URIN DRUG SCRN W/OXYCDNE RFLX CNFM | $328.80 | $548.00 | $411.00–$465.80 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 PAIN MGMT URINE DRUG SCRN PANEL W/OXYCODONE | $328.80 | $548.00 | $411.00–$465.80 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CLINICAL DRUG SCREEN,W/REFLEX (CHLDRX) | $333.00 | $555.00 | $416.25–$471.75 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 URINE DRUG ABUSE SCRN | $361.20 | $602.00 | $451.50–$511.70 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN URINE PANEL (SATC) | $394.80 | $658.00 | $493.50–$559.30 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ETG AND ETS UR W/CONF | $409.80 | $683.00 | $512.25–$580.55 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ROHYPNOL URINE | $411.60 | $686.00 | $514.50–$583.10 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 URINE SUB ABUSE 5PNL(UAMPE,UCOCE,UOPE,UTHCE&UPCPE) | $417.00 | $695.00 | $521.25–$590.75 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN, UR REFLEX (UCDRGX) | $460.20 | $767.00 | $575.25–$651.95 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN,URINE PANEL (XUDRUG) | $460.20 | $767.00 | $575.25–$651.95 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CLINICAL DRUG SCREEN,URINE (CHLDRG) | $484.80 | $808.00 | $606.00–$686.80 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN URINE PANEL (KUDRG) | $484.80 | $808.00 | $606.00–$686.80 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CLINIC DRUG REFLEX AMPHETAMINE/COCAINE | $484.80 | $808.00 | $606.00–$686.80 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UR SUBSTANCE ABUSE 10 | $693.00 | $1,155.00 | $866.25–$981.75 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 PAIN MGMT URINE DRUG SCRN OXYCODONE/ALCOHOL | $830.40 | $1,384.00 | $1,038.00–$1,176.40 | — | 40% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL | $46.80 | $78.00 | $6.87–$17.80 | 27% below | 40% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTE PANEL | $46.80 | $78.00 | $58.50–$66.30 | — | 40% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EBV VIRAL CAPSID (VCA) AB 1 | $46.80 | $78.00 | $17.78–$46.05 | 66% below | 40% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EB VIRAL CAPSID AG IGM | $46.80 | $78.00 | $17.78–$46.05 | 66% below | 40% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EB VIRAL CAPSID AG IGG | $46.80 | $78.00 | $17.78–$46.05 | 66% below | 40% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EB VIRAL CAPSID AG IGG | $46.80 | $78.00 | $58.50–$66.30 | — | 40% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV VIRAL CAPSID (VCA) AB 2 | $46.80 | $78.00 | $21.75–$66.30 | — | 40% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV VIRAL CAPSID (VCA) AB 1 | $46.80 | $78.00 | $58.50–$66.30 | — | 40% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EB VIRAL CAPSID AG IGM | $46.80 | $78.00 | $58.50–$66.30 | — | 40% |
| Estradiol blood test CPT 82670 ESTRADIOL, TOTAL | $47.40 | $79.00 | $27.38–$70.89 | 78% below | 40% |
| Estradiol blood test CPT 82670 ESTRADIOL TOTAL | $174.00 | $290.00 | $27.38–$70.89 | 18% below | 40% |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL, TOTAL | $47.40 | $79.00 | $59.25–$67.15 | — | 40% |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL TOTAL | $174.00 | $290.00 | $217.50–$246.50 | — | 40% |
| FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIM HORMONE | $48.00 | $80.00 | $18.21–$20.44 | 63% below | 40% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH(FOLLICLE STIM HORMONE)BLOOD | $115.20 | $192.00 | $18.21–$47.16 | 11% below | 40% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIM HORMONE | $48.00 | $80.00 | $60.00–$68.00 | — | 40% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH(FOLLICLE STIM HORMONE)BLOOD | $115.20 | $192.00 | $144.00–$163.20 | — | 40% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN,FECAL | $93.60 | $156.00 | $19.24–$21.59 | 22% below | 40% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN,FECAL | $93.60 | $156.00 | $117.00–$132.60 | — | 40% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $58.20 | $97.00 | $13.36–$29.01 | 52% below | 40% |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN | $58.20 | $97.00 | $72.75–$82.45 | — | 40% |
| Fibrinogen blood test CPT 85384 FIBRINOGEN, QUANTITATIVE | $54.00 | $90.00 | $9.53–$21.55 | 33% below | 40% |
| Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN, QUANTITATIVE | $54.00 | $90.00 | $67.50–$76.50 | — | 40% |
| Folate (folic acid) blood test CPT 82746 FOLATE, SERUM | $73.20 | $122.00 | $14.41–$37.31 | 45% below | 40% |
| Folate (folic acid) blood test inpatient CPT 82746 FOLATE, SERUM | $73.20 | $122.00 | $91.50–$103.70 | — | 40% |
| Free T3 thyroid hormone test CPT 84481 T3 FREE | $103.80 | $173.00 | $16.60–$42.99 | 29% below | 40% |
| Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE | $103.80 | $173.00 | $129.75–$147.05 | — | 40% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T-4 | $44.40 | $74.00 | $8.84–$22.88 | 44% below | 40% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 (THYROXINE), FREE | $46.20 | $77.00 | $8.84–$22.88 | 42% below | 40% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4,FREE, TO END SCI | $156.60 | $261.00 | $8.84–$22.88 | 98% above | 40% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T-4 | $44.40 | $74.00 | $55.50–$62.90 | — | 40% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 (THYROXINE), FREE | $46.20 | $77.00 | $57.75–$65.45 | — | 40% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4,FREE, TO END SCI | $156.60 | $261.00 | $195.75–$221.85 | — | 40% |
| Free testosterone test CPT 84402 TESTOSTERONE; FREE | $59.40 | $99.00 | $24.96–$64.64 | 69% below | 40% |
| Free testosterone test CPT 84402 TESTOSTERONE,FREE | $66.60 | $111.00 | $24.96–$64.64 | 66% below | 40% |
| Free testosterone test CPT 84402 TESTOSTERONE, FREE | $81.00 | $135.00 | $24.96–$64.64 | 58% below | 40% |
| Free testosterone test inpatient CPT 84402 TESTOSTERONE; FREE | $59.40 | $99.00 | $74.25–$84.15 | — | 40% |
| Free testosterone test inpatient CPT 84402 TESTOSTERONE,FREE | $66.60 | $111.00 | $83.25–$94.35 | — | 40% |
| Free testosterone test inpatient CPT 84402 TESTOSTERONE, FREE | $81.00 | $135.00 | $101.25–$114.75 | — | 40% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT, FLUID | $42.60 | $71.00 | $7.06–$18.28 | 33% below | 40% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGTP (GAMMA GLUTAMYLTRANSFERASE) | $44.40 | $74.00 | $7.06–$18.28 | 30% below | 40% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT, FLUID | $42.60 | $71.00 | $53.25–$60.35 | — | 40% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGTP (GAMMA GLUTAMYLTRANSFERASE) | $44.40 | $74.00 | $55.50–$62.90 | — | 40% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL | $208.20 | $347.00 | $41.19–$75.39 | at median | 40% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL | $208.20 | $347.00 | $102.71–$294.95 | — | 40% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE, 2HR POST 75GM GLUCOLA | $31.20 | $52.00 | $4.66–$5.23 | 8% below | 40% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE, 1 HR POST 50GM GLUCOLA | $31.20 | $52.00 | $4.66–$12.04 | 8% below | 40% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE, 1 HR POST 50GM GLUCOLA | $31.20 | $52.00 | $39.00–$44.20 | — | 40% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE, 2HR POST 75GM GLUCOLA | $31.20 | $52.00 | $39.00–$44.20 | — | 40% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE,TOLERANCE(GTT),3 SPEC | $81.60 | $136.00 | $12.61–$14.16 | 30% below | 40% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE,TOL(GTT),3 SPEC | $81.60 | $136.00 | $12.61–$14.16 | 30% below | 40% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE FASTING, 1HR,2HR(75GM GLUCOLA) | $104.40 | $174.00 | $12.61–$14.16 | 11% below | 40% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE,TOLERANCE(GTT),3 SPEC | $81.60 | $136.00 | $102.00–$115.60 | — | 40% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE,TOL(GTT),3 SPEC | $81.60 | $136.00 | $102.00–$115.60 | — | 40% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE FASTING, 1HR,2HR(75GM GLUCOLA) | $104.40 | $174.00 | $130.50–$147.90 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC DNA PROBE | $63.00 | $105.00 | $34.39–$89.06 | 43% below | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHEAE TMA SWAB | $63.00 | $105.00 | $34.39–$89.06 | 43% below | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GONORRHEA TMA SUREPATH | $81.00 | $135.00 | $34.39–$38.60 | 27% below | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC DNA CONFIRM FEE | $172.20 | $287.00 | $34.39–$38.60 | 56% above | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N. GONORRHEAE NAT ANAL | $174.60 | $291.00 | $34.39–$38.60 | 58% above | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N. GONORRHEAE NAT CERVIX | $174.60 | $291.00 | $34.39–$38.60 | 58% above | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N. GONORRHEAE NAT URINE | $174.60 | $291.00 | $34.39–$38.60 | 58% above | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N. GONORRHEAE NAT VAG | $174.60 | $291.00 | $34.39–$38.60 | 58% above | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N. GONORRHEAE NAT THROAT | $174.60 | $291.00 | $34.39–$38.60 | 58% above | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC DNA BY AMP PROBE | $182.40 | $304.00 | $34.39–$89.06 | 65% above | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GCDNA GONORRHEAE BY AMP PROBE | $182.40 | $304.00 | $34.39–$89.06 | 65% above | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHEAE TMA SWAB | $63.00 | $105.00 | $78.75–$89.25 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC DNA PROBE | $63.00 | $105.00 | $78.75–$89.25 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GONORRHEA TRANSCRIPTION MEDIATED AMP (TMA) | $81.00 | $135.00 | $37.64–$114.75 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GONORRHEA TMA SUREPATH | $81.00 | $135.00 | $101.25–$114.75 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC DNA CONFIRM FEE | $172.20 | $287.00 | $215.25–$243.95 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N. GONORRHEAE NAT CERVIX | $174.60 | $291.00 | $218.25–$247.35 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N. GONORRHEAE NAT URINE | $174.60 | $291.00 | $218.25–$247.35 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N. GONORRHEAE NAT ANAL | $174.60 | $291.00 | $218.25–$247.35 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N. GONORRHEAE NAT THROAT | $174.60 | $291.00 | $218.25–$247.35 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N. GONORRHEAE NAT VAG | $174.60 | $291.00 | $218.25–$247.35 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC DNA BY AMP PROBE | $182.40 | $304.00 | $228.00–$258.40 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GCDNA GONORRHEAE BY AMP PROBE | $182.40 | $304.00 | $228.00–$258.40 | — | 40% |
| H. pylori stool antigen test CPT 87338 H PYLORI STOOL ANTIGEN | $85.80 | $143.00 | $14.09–$30.45 | 15% below | 40% |
| H. pylori stool antigen test inpatient CPT 87338 H PYLORI STOOL ANTIGEN | $85.80 | $143.00 | $107.25–$121.55 | — | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QUANTITATIVE PCR | $232.20 | $387.00 | $83.40–$215.95 | 63% below | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 QUANTITATIVE PCR | $232.20 | $387.00 | $290.25–$328.95 | — | 40% |
| HIV-1 and HIV-2 antibody test CPT 86703 DONOR HIV 1/2 AB | $53.40 | $89.00 | $13.44–$15.08 | 16% below | 40% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV-1,HIV-2 | $54.00 | $90.00 | $13.44–$34.78 | 15% below | 40% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV-1,2 BILL ONLY | $54.00 | $90.00 | $13.44–$34.78 | 15% below | 40% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 DONOR HIV 1/2 AB | $53.40 | $89.00 | $66.75–$75.65 | — | 40% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV-1,2 BILL ONLY | $54.00 | $90.00 | $67.50–$76.50 | — | 40% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV-1,HIV-2 | $54.00 | $90.00 | $67.50–$76.50 | — | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 PERINATAL HIV12 COMBO | $185.40 | $309.00 | $23.60–$61.11 | 5% below | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV12 AG/AB COMBO | $185.40 | $309.00 | $23.60–$61.11 | 5% below | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV12C W/REFLEX WBLOT | $185.40 | $309.00 | $23.60–$61.11 | 5% below | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV12C W/REFLEX WBLOT | $185.40 | $309.00 | $231.75–$262.65 | — | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 PERINATAL HIV12 COMBO | $185.40 | $309.00 | $231.75–$262.65 | — | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV12 AG/AB COMBO | $185.40 | $309.00 | $231.75–$262.65 | — | 40% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH RISK GENOTYPE POOLED RESULTS | $49.80 | $83.00 | $28.68–$89.06 | 75% below | 40% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV E6/E7 RX 16, 18/45 | $60.00 | $100.00 | $28.68–$89.06 | 70% below | 40% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH RISK TYPES POOLED RESULTS | $75.60 | $126.00 | $28.68–$89.06 | 62% below | 40% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV DX HIGH RISK TYPES POOLED RESULTS | $75.60 | $126.00 | $28.68–$89.06 | 62% below | 40% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH RISK,CERVICAL POOLED RESULTS | $138.60 | $231.00 | $28.68–$89.06 | 30% below | 40% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV PROVIDER COL, VAG | $172.80 | $288.00 | $34.39–$38.60 | 12% below | 40% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV SELF COLLECT, VAG | $172.80 | $288.00 | $34.39–$38.60 | 12% below | 40% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV HIGH RISK GENOTYPE POOLED RESULTS | $49.80 | $83.00 | $62.25–$70.55 | — | 40% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV E6/E7 RX 16, 18/45 | $60.00 | $100.00 | $75.00–$85.00 | — | 40% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV DX HIGH RISK TYPES POOLED RESULTS | $75.60 | $126.00 | $94.50–$107.10 | — | 40% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV HIGH RISK TYPES POOLED RESULTS | $75.60 | $126.00 | $94.50–$107.10 | — | 40% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV HIGH RISK,CERVICAL POOLED RESULTS | $138.60 | $231.00 | $173.25–$196.35 | — | 40% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV SELF COLLECT, VAG | $172.80 | $288.00 | $216.00–$244.80 | — | 40% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV PROVIDER COL, VAG | $172.80 | $288.00 | $216.00–$244.80 | — | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C / GLYCOHEMOGLOBIN | $21.60 | $36.00 | $9.52–$24.64 | 76% below | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C AND EAG | $48.00 | $80.00 | $9.52–$24.64 | 47% below | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN; GLYCATED | $51.00 | $85.00 | $9.52–$24.64 | 44% below | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C / GLYCOHEMOGLOBIN | $21.60 | $36.00 | $27.00–$30.60 | — | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C AND EAG | $48.00 | $80.00 | $60.00–$68.00 | — | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN; GLYCATED | $51.00 | $85.00 | $63.75–$72.25 | — | 40% |
| Hemoglobin blood test CPT 85018 CELL SAVER H & H | $15.00 | $25.00 | $2.32–$6.01 | 42% below | 40% |
| Hemoglobin blood test CPT 85018 HEMOGLOBIN | $16.20 | $27.00 | $2.32–$6.01 | 37% below | 40% |
| Hemoglobin blood test CPT 85018 POCT CO-OXIMETER ANALYSIS | $145.20 | $242.00 | $2.32–$2.61 | 461% above | 40% |
| Hemoglobin blood test inpatient CPT 85018 CELL SAVER H & H | $15.00 | $25.00 | $18.75–$21.25 | — | 40% |
| Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN | $16.20 | $27.00 | $20.25–$22.95 | — | 40% |
| Hemoglobin blood test inpatient CPT 85018 POCT CO-OXIMETER ANALYSIS | $145.20 | $242.00 | $181.50–$205.70 | — | 40% |
| Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE ANTIBODY TOTAL | $30.00 | $50.00 | $11.81–$13.26 | 72% below | 40% |
| Hepatitis B core antibody test (total) CPT 86704 DONOR HEP B CORE AB | $53.40 | $89.00 | $11.81–$13.26 | 50% below | 40% |
| Hepatitis B core antibody test (total) CPT 86704 PSBC ANTI-HBC | $73.20 | $122.00 | $11.81–$30.58 | 31% below | 40% |
| Hepatitis B core antibody test (total) CPT 86704 HEP B CORE AB | $73.20 | $122.00 | $11.81–$13.26 | 31% below | 40% |
| Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE AB, TOTAL | $75.60 | $126.00 | $11.81–$13.26 | 29% below | 40% |
| Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B COR TOTAL RFX HBDNA | $102.00 | $170.00 | $11.81–$30.58 | 4% below | 40% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE ANTIBODY TOTAL | $30.00 | $50.00 | $37.50–$42.50 | — | 40% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 DONOR HEP B CORE AB | $53.40 | $89.00 | $66.75–$75.65 | — | 40% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 PSBC ANTI-HBC | $73.20 | $122.00 | $91.50–$103.70 | — | 40% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HEP B CORE AB | $73.20 | $122.00 | $91.50–$103.70 | — | 40% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE AB, TOTAL | $75.60 | $126.00 | $94.50–$107.10 | — | 40% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B COR TOTAL RFX HBDNA | $102.00 | $170.00 | $127.50–$144.50 | — | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY (HBSAB) | $59.40 | $99.00 | $10.53–$11.81 | 40% below | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B ANTIBODY,QUANTITATIVE | $78.00 | $130.00 | $10.53–$11.81 | 21% below | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE ANTIBODY (HBSAB) | $59.40 | $99.00 | $74.25–$84.15 | — | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B ANTIBODY,QUANTITATIVE | $78.00 | $130.00 | $97.50–$110.50 | — | 40% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HBSAG W/ RFX CONFIRM | $27.00 | $45.00 | $10.12–$26.21 | 74% below | 40% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 DONOR HEP B SURFACE AG | $53.40 | $89.00 | $10.12–$11.36 | 48% below | 40% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 PSBC HBS AG | $57.00 | $95.00 | $10.12–$26.21 | 44% below | 40% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURFACE AG | $57.00 | $95.00 | $10.12–$26.21 | 44% below | 40% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIGEN (HBSAG) | $59.40 | $99.00 | $10.12–$11.36 | 42% below | 40% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HBSAG W/ RFX CONFIRM | $27.00 | $45.00 | $33.75–$38.25 | — | 40% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 DONOR HEP B SURFACE AG | $53.40 | $89.00 | $66.75–$75.65 | — | 40% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEP B SURFACE AG | $57.00 | $95.00 | $71.25–$80.75 | — | 40% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 PSBC HBS AG | $57.00 | $95.00 | $71.25–$80.75 | — | 40% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE ANTIGEN (HBSAG) | $59.40 | $99.00 | $74.25–$84.15 | — | 40% |
| Hepatitis C antibody blood test (screening) CPT 86803 DONOR HEP C VIRUS AB | $58.80 | $98.00 | $13.98–$15.70 | 55% below | 40% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB | $90.00 | $150.00 | $13.98–$36.20 | 31% below | 40% |
| Hepatitis C antibody blood test (screening) CPT 86803 PSBC ANTI-HCV | $103.20 | $172.00 | $13.98–$36.20 | 21% below | 40% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEP C AB RFX QUANT | $108.00 | $180.00 | $13.98–$15.70 | 17% below | 40% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY | $108.00 | $180.00 | $13.98–$15.70 | 17% below | 40% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEP C AB RX QNT RX GEN | $108.00 | $180.00 | $13.98–$36.20 | 17% below | 40% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 DONOR HEP C VIRUS AB | $58.80 | $98.00 | $73.50–$83.30 | — | 40% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB | $90.00 | $150.00 | $112.50–$127.50 | — | 40% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 PSBC ANTI-HCV | $103.20 | $172.00 | $129.00–$146.20 | — | 40% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEP C AB RFX QUANT | $108.00 | $180.00 | $135.00–$153.00 | — | 40% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY | $108.00 | $180.00 | $135.00–$153.00 | — | 40% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEP C AB RX QNT RX GEN | $108.00 | $180.00 | $135.00–$153.00 | — | 40% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA PCR QUAL, QUANT | $112.20 | $187.00 | $41.98–$47.12 | 67% below | 40% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV QUANTITATIVE PCR REFLEX GENOTYPE | $112.20 | $187.00 | $41.98–$47.12 | 67% below | 40% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C VIRAL RNA QUANT | $316.80 | $528.00 | $41.98–$108.71 | 6% below | 40% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA PCR QUAL, QUANT | $112.20 | $187.00 | $140.25–$158.95 | — | 40% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV QUANTITATIVE PCR REFLEX GENOTYPE | $112.20 | $187.00 | $140.25–$158.95 | — | 40% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C VIRAL RNA QUANT | $316.80 | $528.00 | $396.00–$448.80 | — | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX 1 IGG | $34.80 | $58.00 | $12.93–$33.47 | 63% below | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 IGG | $34.80 | $58.00 | $12.93–$33.47 | 63% below | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV1 IGM TITER, REFLEX | $64.80 | $108.00 | $12.93–$33.47 | 32% below | 40% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX 1 IGG | $34.80 | $58.00 | $43.50–$49.30 | — | 40% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX TYPE 1 IGG | $34.80 | $58.00 | $43.50–$49.30 | — | 40% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV1 IGM TITER, REFLEX | $64.80 | $108.00 | $81.00–$91.80 | — | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX 2 IGG | $49.80 | $83.00 | $18.96–$49.12 | 60% below | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 IGG | $49.80 | $83.00 | $18.96–$49.12 | 60% below | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV2 IGM TITER, REFLEX | $64.80 | $108.00 | $18.96–$49.12 | 47% below | 40% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX 2 IGG | $49.80 | $83.00 | $62.25–$70.55 | — | 40% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX TYPE 2 IGG | $49.80 | $83.00 | $62.25–$70.55 | — | 40% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV2 IGM TITER, REFLEX | $64.80 | $108.00 | $81.00–$91.80 | — | 40% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 CRP, HIGHLY SENSITIVE | $108.00 | $180.00 | $12.69–$14.25 | 6% above | 40% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP, HIGHLY SENSITIVE | $108.00 | $180.00 | $135.00–$153.00 | — | 40% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE, TOTAL | $155.40 | $259.00 | $17.56–$19.71 | at median | 40% |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE, TOTAL | $155.40 | $259.00 | $194.25–$220.15 | — | 40% |
| Insulin blood test CPT 83525 INSULIN, TOTAL | $51.60 | $86.00 | $11.20–$29.01 | 41% below | 40% |
| Insulin blood test CPT 83525 INSULIN, TIMED | $68.40 | $114.00 | $11.20–$29.01 | 21% below | 40% |
| Insulin blood test CPT 83525 INSULIN, TIMED 120 MIN | $72.60 | $121.00 | $11.20–$12.57 | 17% below | 40% |
| Insulin blood test CPT 83525 INSULIN LEVEL, 90 MINUTES | $72.60 | $121.00 | $11.20–$12.57 | 17% below | 40% |
| Insulin blood test CPT 83525 INSULIN LEVEL, 60 MINUTES | $72.60 | $121.00 | $11.20–$29.01 | 17% below | 40% |
| Insulin blood test CPT 83525 INSULIN TOTAL | $72.60 | $121.00 | $11.20–$29.01 | 17% below | 40% |
| Insulin blood test CPT 83525 INSULIN LEVEL, 30 MINUTES | $72.60 | $121.00 | $11.20–$12.57 | 17% below | 40% |
| Insulin blood test inpatient CPT 83525 INSULIN, TOTAL | $51.60 | $86.00 | $64.50–$73.10 | — | 40% |
| Insulin blood test inpatient CPT 83525 INSULIN, TIMED | $68.40 | $114.00 | $85.50–$96.90 | — | 40% |
| Insulin blood test inpatient CPT 83525 INSULIN TOTAL | $72.60 | $121.00 | $90.75–$102.85 | — | 40% |
| Insulin blood test inpatient CPT 83525 INSULIN LEVEL, 90 MINUTES | $72.60 | $121.00 | $90.75–$102.85 | — | 40% |
| Insulin blood test inpatient CPT 83525 INSULIN LEVEL, 60 MINUTES | $72.60 | $121.00 | $90.75–$102.85 | — | 40% |
| Insulin blood test inpatient CPT 83525 INSULIN LEVEL, 30 MINUTES | $72.60 | $121.00 | $90.75–$102.85 | — | 40% |
| Insulin blood test inpatient CPT 83525 INSULIN, TIMED 120 MIN | $72.60 | $121.00 | $90.75–$102.85 | — | 40% |
| Iron blood test (serum iron) CPT 83540 IRON, BLOOD | $33.00 | $55.00 | $6.34–$16.43 | 16% below | 40% |
| Iron blood test (serum iron) CPT 83540 IRON | $33.00 | $55.00 | $6.34–$16.43 | 16% below | 40% |
| Iron blood test (serum iron) CPT 83540 IRON LIVER TISSUE | $334.80 | $558.00 | $6.34–$16.43 | 754% above | 40% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON, BLOOD | $33.00 | $55.00 | $41.25–$46.75 | — | 40% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON | $33.00 | $55.00 | $41.25–$46.75 | — | 40% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON LIVER TISSUE | $334.80 | $558.00 | $418.50–$474.30 | — | 40% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY | $54.00 | $90.00 | $8.57–$22.18 | 41% below | 40% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY | $54.00 | $90.00 | $67.50–$76.50 | — | 40% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $56.40 | $94.00 | $8.51–$22.03 | 19% below | 40% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL | $56.40 | $94.00 | $70.50–$79.90 | — | 40% |
| LH (luteinizing hormone) test CPT 83002 LH(LUTEINIZING HORMONE), BLOOD | $115.20 | $192.00 | $18.15–$20.37 | 18% below | 40% |
| LH (luteinizing hormone) test inpatient CPT 83002 LH(LUTEINIZING HORMONE), BLOOD | $115.20 | $192.00 | $144.00–$163.20 | — | 40% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID FLUID | $64.20 | $107.00 | $11.34–$27.10 | 35% below | 40% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID, CSF | $64.20 | $107.00 | $11.34–$27.10 | 35% below | 40% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID | $66.60 | $111.00 | $11.34–$12.73 | 33% below | 40% |
| Lactate (lactic acid) blood test CPT 83605 LACTATE (ISTAT) | $66.60 | $111.00 | $11.34–$12.73 | 33% below | 40% |
| Lactate (lactic acid) blood test CPT 83605 POCT LACTATE | $181.80 | $303.00 | $11.34–$27.10 | 84% above | 40% |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID, CSF | $64.20 | $107.00 | $80.25–$90.95 | — | 40% |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID FLUID | $64.20 | $107.00 | $80.25–$90.95 | — | 40% |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID | $66.60 | $111.00 | $83.25–$94.35 | — | 40% |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTATE (ISTAT) | $66.60 | $111.00 | $83.25–$94.35 | — | 40% |
| Lactate (lactic acid) blood test inpatient CPT 83605 POCT LACTATE | $181.80 | $303.00 | $227.25–$257.55 | — | 40% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LD, CSF | $36.60 | $61.00 | $5.92–$15.32 | 37% below | 40% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LD (LDH) | $38.40 | $64.00 | $5.92–$6.64 | 34% below | 40% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LD, FLUID | $38.40 | $64.00 | $5.92–$15.32 | 34% below | 40% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LD, CSF | $36.60 | $61.00 | $45.75–$51.85 | — | 40% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LD (LDH) | $38.40 | $64.00 | $48.00–$54.40 | — | 40% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LD, FLUID | $38.40 | $64.00 | $48.00–$54.40 | — | 40% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE, FLUID | $42.00 | $70.00 | $6.75–$17.48 | 42% below | 40% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $43.20 | $72.00 | $6.75–$17.48 | 41% below | 40% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE, FLUID | $42.00 | $70.00 | $52.50–$59.50 | — | 40% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE | $43.20 | $72.00 | $54.00–$61.20 | — | 40% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $54.00 | $90.00 | $8.01–$20.74 | 20% below | 40% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL | $54.00 | $90.00 | $67.50–$76.50 | — | 40% |
| Lyme disease antibody test CPT 86618 LYME DISEASE/BORRELIA ANTIBODY TOT RFX IGG,IGM | $43.20 | $72.00 | $16.69–$43.22 | 69% below | 40% |
| Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODY TOTAL, CSF | $43.80 | $73.00 | $16.69–$18.73 | 69% below | 40% |
| Lyme disease antibody test inpatient CPT 86618 LYME DISEASE/BORRELIA ANTIBODY TOT RFX IGG,IGM | $43.20 | $72.00 | $54.00–$61.20 | — | 40% |
| Lyme disease antibody test inpatient CPT 86618 LYME DISEASE ANTIBODY TOTAL, CSF | $43.80 | $73.00 | $54.75–$62.05 | — | 40% |
| Magnesium blood test CPT 83735 ASSAY OF MAGNESIUM | $13.20 | $22.00 | $6.57–$17.00 | 79% below | 40% |
| Magnesium blood test CPT 83735 MAGNESIUM URINE | $13.20 | $22.00 | $6.57–$7.37 | 79% below | 40% |
| Magnesium blood test CPT 83735 MAGNESIUM, RBC | $24.60 | $41.00 | $6.57–$17.00 | 61% below | 40% |
| Magnesium blood test CPT 83735 MAGNESIUM LEVEL, FLUID | $42.00 | $70.00 | $6.57–$17.00 | 33% below | 40% |
| Magnesium blood test CPT 83735 MAGNESIUM, URINE, TIMED | $43.20 | $72.00 | $6.57–$17.00 | 31% below | 40% |
| Magnesium blood test CPT 83735 MAGNESIUM, URINE, RANDOM | $43.20 | $72.00 | $6.57–$17.00 | 31% below | 40% |
| Magnesium blood test CPT 83735 MAGNESIUM | $43.20 | $72.00 | $6.57–$7.37 | 31% below | 40% |
| Magnesium blood test CPT 83735 MAGNESIUM LEVEL | $43.20 | $72.00 | $6.57–$7.37 | 31% below | 40% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM URINE | $13.20 | $22.00 | $16.50–$18.70 | — | 40% |
| Magnesium blood test inpatient CPT 83735 ASSAY OF MAGNESIUM | $13.20 | $22.00 | $16.50–$18.70 | — | 40% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM, RBC | $24.60 | $41.00 | $30.75–$34.85 | — | 40% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM LEVEL, FLUID | $42.00 | $70.00 | $52.50–$59.50 | — | 40% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM LEVEL | $43.20 | $72.00 | $54.00–$61.20 | — | 40% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM | $43.20 | $72.00 | $54.00–$61.20 | — | 40% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM, URINE, TIMED | $43.20 | $72.00 | $54.00–$61.20 | — | 40% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM, URINE, RANDOM | $43.20 | $72.00 | $54.00–$61.20 | — | 40% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY, IGM | $32.40 | $54.00 | $12.62–$32.69 | 60% below | 40% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA (MEASLES) AB, IGG | $81.00 | $135.00 | $12.62–$32.69 | at median | 40% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA, IGG | $81.60 | $136.00 | $12.62–$14.17 | 1% above | 40% |
| Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA ANTIBODY, IGM | $32.40 | $54.00 | $40.50–$45.90 | — | 40% |
| Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA (MEASLES) AB, IGG | $81.00 | $135.00 | $101.25–$114.75 | — | 40% |
| Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA, IGG | $81.60 | $136.00 | $102.00–$115.60 | — | 40% |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONO TEST | $34.20 | $57.00 | $5.08–$13.14 | 38% below | 40% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO TEST | $34.20 | $57.00 | $42.75–$48.45 | — | 40% |
| Mumps immunity blood test CPT 86735 MUMPS ANTIBODY, IGM | $32.40 | $54.00 | $12.79–$14.36 | 58% below | 40% |
| Mumps immunity blood test CPT 86735 MUMPS ANTIBODY, IGG | $90.00 | $150.00 | $12.79–$14.36 | 18% above | 40% |
| Mumps immunity blood test inpatient CPT 86735 MUMPS ANTIBODY, IGM | $32.40 | $54.00 | $40.50–$45.90 | — | 40% |
| Mumps immunity blood test inpatient CPT 86735 MUMPS ANTIBODY, IGG | $90.00 | $150.00 | $112.50–$127.50 | — | 40% |
| Obstetric blood test panel CPT 80055 OB PANEL | $393.00 | $655.00 | $21.14–$128.72 | 36% above | 40% |
| Obstetric blood test panel inpatient CPT 80055 OB PANEL | $393.00 | $655.00 | $491.25–$556.75 | — | 40% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA, FREE | $69.60 | $116.00 | $18.02–$46.68 | 45% below | 40% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA, FREE | $69.60 | $116.00 | $87.00–$98.60 | — | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPEC AG, ULTRASENSATIVE | $51.00 | $85.00 | $18.02–$46.68 | 55% below | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA, TOTAL | $66.60 | $111.00 | $18.02–$46.68 | 41% below | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC ANTIGEN-DX | $66.60 | $111.00 | $18.02–$46.68 | 41% below | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPEC AG W/RFLX FREE PSA | $66.60 | $111.00 | $18.02–$46.68 | 41% below | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC ANTIGEN, FREE | $66.60 | $111.00 | $18.02–$46.68 | 41% below | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPEC ANTIGEN-SCREENING | $66.60 | $111.00 | $18.02–$46.68 | 41% below | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPEC AG, ULTRASENSATIVE | $51.00 | $85.00 | $63.75–$72.25 | — | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPEC AG W/RFLX FREE PSA | $66.60 | $111.00 | $83.25–$94.35 | — | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPECIFIC ANTIGEN, FREE | $66.60 | $111.00 | $83.25–$94.35 | — | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPEC ANTIGEN-SCREENING | $66.60 | $111.00 | $83.25–$94.35 | — | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA, TOTAL | $66.60 | $111.00 | $83.25–$94.35 | — | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPECIFIC ANTIGEN-DX | $66.60 | $111.00 | $83.25–$94.35 | — | 40% |
| Pap test (liquid-based, automated screening with review) CPT 88175 CYTOPATHOLOGY THIN PREP AUTO SCREEN | $134.40 | $224.00 | $26.08–$29.27 | 31% below | 40% |
| Pap test (liquid-based, automated screening with review) CPT 88175 CYTOPATHOLOGY DX CERV/VAG THIN PREP AUTO SCRN | $134.40 | $224.00 | $26.08–$29.27 | 31% below | 40% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 CYTOPATHOLOGY THIN PREP AUTO SCREEN | $134.40 | $224.00 | $168.00–$190.40 | — | 40% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 CYTOPATHOLOGY DX CERV/VAG THIN PREP AUTO SCRN | $134.40 | $224.00 | $168.00–$190.40 | — | 40% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 THIN PREP DIAGNOSTIC MEDICARE | $66.60 | $111.00 | $19.85–$51.41 | 15% below | 40% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 THIN PREP | $66.60 | $111.00 | $19.85–$51.41 | 15% below | 40% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 THIN PREP (WAIVE) | $76.20 | $127.00 | $19.85–$51.41 | 3% below | 40% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 THIN PREP | $66.60 | $111.00 | $83.25–$94.35 | — | 40% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 THIN PREP DIAGNOSTIC MEDICARE | $66.60 | $111.00 | $83.25–$94.35 | — | 40% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 THIN PREP (WAIVE) | $76.20 | $127.00 | $95.25–$107.95 | — | 40% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE (PTC-INTACT) | $126.00 | $210.00 | $40.45–$45.41 | 67% below | 40% |
| Parathyroid hormone (PTH) blood test CPT 83970 INTRAOPERATIVE PTH | $194.40 | $324.00 | $40.45–$45.41 | 48% below | 40% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH WITHOUT CALCIUM | $204.60 | $341.00 | $40.45–$104.75 | 46% below | 40% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT | $204.60 | $341.00 | $40.45–$104.75 | 46% below | 40% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHORMONE (PTC-INTACT) | $126.00 | $210.00 | $157.50–$178.50 | — | 40% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 INTRAOPERATIVE PTH | $194.40 | $324.00 | $243.00–$275.40 | — | 40% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH INTACT | $204.60 | $341.00 | $255.75–$289.85 | — | 40% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH WITHOUT CALCIUM | $204.60 | $341.00 | $255.75–$289.85 | — | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $15.60 | $26.00 | $5.89–$15.24 | 67% below | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME, PTT;PLASMA/WHOLE BLD | $22.80 | $38.00 | $5.89–$15.24 | 52% below | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 LUPUS ANTICOAGULANT | $24.60 | $41.00 | $5.89–$15.24 | 48% below | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT, PLASMA/WHOLE BLD | $27.60 | $46.00 | $5.89–$6.61 | 42% below | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT (PARTIAL THROMBOPLASTIN) | $38.40 | $64.00 | $5.89–$15.24 | 19% below | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME,PTT;PLASMA/WHOLE BLD | $38.40 | $64.00 | $5.89–$6.61 | 19% below | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PART THROMB TIME (PTT) | $39.60 | $66.00 | $5.89–$15.24 | 17% below | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT | $15.60 | $26.00 | $19.50–$22.10 | — | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME, PTT;PLASMA/WHOLE BLD | $22.80 | $38.00 | $28.50–$32.30 | — | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 LUPUS ANTICOAGULANT | $24.60 | $41.00 | $30.75–$34.85 | — | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT, PLASMA/WHOLE BLD | $27.60 | $46.00 | $34.50–$39.10 | — | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT (PARTIAL THROMBOPLASTIN) | $38.40 | $64.00 | $48.00–$54.40 | — | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME,PTT;PLASMA/WHOLE BLD | $38.40 | $64.00 | $48.00–$54.40 | — | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PART THROMB TIME (PTT) | $39.60 | $66.00 | $49.50–$56.10 | — | 40% |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS, FLUID | $28.20 | $47.00 | $4.65–$12.03 | 36% below | 40% |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS BLOOD | $31.20 | $52.00 | $4.65–$5.21 | 30% below | 40% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS, FLUID | $28.20 | $47.00 | $35.25–$39.95 | — | 40% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS BLOOD | $31.20 | $52.00 | $39.00–$44.20 | — | 40% |
| Potassium blood test CPT 84132 POTASSIUM, SERUM | $28.20 | $47.00 | $4.66–$5.24 | 41% below | 40% |
| Potassium blood test CPT 84132 POTASSIUM LEVEL, SERUM | $31.20 | $52.00 | $4.66–$5.24 | 34% below | 40% |
| Potassium blood test CPT 84132 POCT POTASSIUM | $145.20 | $242.00 | $4.66–$5.24 | 205% above | 40% |
| Potassium blood test inpatient CPT 84132 POTASSIUM, SERUM | $28.20 | $47.00 | $35.25–$39.95 | — | 40% |
| Potassium blood test inpatient CPT 84132 POTASSIUM LEVEL, SERUM | $31.20 | $52.00 | $39.00–$44.20 | — | 40% |
| Potassium blood test inpatient CPT 84132 POCT POTASSIUM | $145.20 | $242.00 | $181.50–$205.70 | — | 40% |
| Progesterone blood test CPT 84144 PROGESTERONE | $149.40 | $249.00 | $20.44–$22.95 | 6% below | 40% |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE | $149.40 | $249.00 | $186.75–$211.65 | — | 40% |
| Prolactin blood test CPT 84146 PROLACTIN | $120.60 | $201.00 | $18.99–$21.32 | 33% below | 40% |
| Prolactin blood test inpatient CPT 84146 PROLACTIN | $120.60 | $201.00 | $150.75–$170.85 | — | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME | $11.40 | $19.00 | $4.20–$9.97 | 69% below | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $30.60 | $51.00 | $4.20–$9.97 | 16% below | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT (PROTIME) | $32.40 | $54.00 | $4.20–$9.97 | 11% below | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME | $11.40 | $19.00 | $14.25–$16.15 | — | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME | $30.60 | $51.00 | $38.25–$43.35 | — | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT (PROTIME) | $32.40 | $54.00 | $40.50–$45.90 | — | 40% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCRN DIRECT OPTIC IMMUN, URINE | $89.40 | $149.00 | $8.98–$27.68 | at median | 40% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HPH DRUG SCREEN URINE REFLEX | $107.40 | $179.00 | $12.35–$13.86 | 20% above | 40% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG SCRN DIRECT OPTIC IMMUN, URINE | $89.40 | $149.00 | $111.75–$126.65 | — | 40% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 HPH DRUG SCREEN URINE REFLEX | $107.40 | $179.00 | $134.25–$152.15 | — | 40% |
| Renin blood test CPT 84244 RENIN | $61.20 | $102.00 | $21.55–$55.81 | 57% below | 40% |
| Renin blood test CPT 84244 RENIN, PLASMA ACTIVITY | $89.40 | $149.00 | $21.55–$55.81 | 37% below | 40% |
| Renin blood test inpatient CPT 84244 RENIN | $61.20 | $102.00 | $76.50–$86.70 | — | 40% |
| Renin blood test inpatient CPT 84244 RENIN, PLASMA ACTIVITY | $89.40 | $149.00 | $111.75–$126.65 | — | 40% |
| Rh blood typing CPT 86901 PSBC RH | $37.20 | $62.00 | $3.59–$45.60 | 24% below | 40% |
| Rh blood typing CPT 86901 AUTOLOGOUS RH | $37.20 | $62.00 | $3.59–$45.60 | 24% below | 40% |
| Rh blood typing CPT 86901 BLOOD TYPING,SEROLOGIC RH (D) | $37.20 | $62.00 | $38.47–$51.18 | 24% below | 40% |
| Rh blood typing CPT 86901 BLOOD TYPING SEROLOGIC RH(D) | $39.60 | $66.00 | $3.59–$45.60 | 19% below | 40% |
| Rh blood typing CPT 86901 BLOOD TYPING,SEROLOGIC RH | $40.20 | $67.00 | $38.47–$51.18 | 18% below | 40% |
| Rh blood typing inpatient CPT 86901 PSBC RH | $37.20 | $62.00 | $46.50–$52.70 | — | 40% |
| Rh blood typing inpatient CPT 86901 BLOOD TYPING,SEROLOGIC RH (D) | $37.20 | $62.00 | $46.50–$52.70 | — | 40% |
| Rh blood typing inpatient CPT 86901 AUTOLOGOUS RH | $37.20 | $62.00 | $46.50–$52.70 | — | 40% |
| Rh blood typing inpatient CPT 86901 BLOOD TYPING SEROLOGIC RH(D) | $39.60 | $66.00 | $49.50–$56.10 | — | 40% |
| Rh blood typing inpatient CPT 86901 BLOOD TYPING,SEROLOGIC RH | $40.20 | $67.00 | $50.25–$56.95 | — | 40% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR, QUANT | $18.60 | $31.00 | $5.56–$6.24 | 69% below | 40% |
| Rheumatoid factor (RF) test CPT 86431 ANA /RF W/REFLEX | $28.80 | $48.00 | $5.56–$14.39 | 52% below | 40% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR-QUANTITATIVE | $28.80 | $48.00 | $5.56–$14.39 | 52% below | 40% |
| Rheumatoid factor (RF) test CPT 86431 ANTINUCLEAR AB & RHEUMATOID FACTOR W/RFLX | $28.80 | $48.00 | $5.56–$14.39 | 52% below | 40% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR, QUANT | $18.60 | $31.00 | $23.25–$26.35 | — | 40% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR-QUANTITATIVE | $28.80 | $48.00 | $36.00–$40.80 | — | 40% |
| Rheumatoid factor (RF) test inpatient CPT 86431 ANA /RF W/REFLEX | $28.80 | $48.00 | $36.00–$40.80 | — | 40% |
| Rheumatoid factor (RF) test inpatient CPT 86431 ANTINUCLEAR AB & RHEUMATOID FACTOR W/RFLX | $28.80 | $48.00 | $36.00–$40.80 | — | 40% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY, IGM | $49.20 | $82.00 | $14.10–$15.83 | 36% below | 40% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA AB, IGG QUANT | $91.80 | $153.00 | $14.10–$36.52 | 19% above | 40% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG | $91.80 | $153.00 | $14.10–$15.83 | 19% above | 40% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY, IGM | $49.20 | $82.00 | $61.50–$69.70 | — | 40% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IGG | $91.80 | $153.00 | $114.75–$130.05 | — | 40% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA AB, IGG QUANT | $91.80 | $153.00 | $114.75–$130.05 | — | 40% |
| Sodium blood test CPT 84295 SODIUM, SERUM | $28.20 | $47.00 | $4.71–$5.29 | 38% below | 40% |
| Sodium blood test CPT 84295 SODIUM LEVEL | $31.20 | $52.00 | $4.71–$12.21 | 31% below | 40% |
| Sodium blood test CPT 84295 POCT SODIUM | $145.20 | $242.00 | $4.71–$5.29 | 221% above | 40% |
| Sodium blood test inpatient CPT 84295 SODIUM, SERUM | $28.20 | $47.00 | $35.25–$39.95 | — | 40% |
| Sodium blood test inpatient CPT 84295 SODIUM LEVEL | $31.20 | $52.00 | $39.00–$44.20 | — | 40% |
| Sodium blood test inpatient CPT 84295 POCT SODIUM | $145.20 | $242.00 | $181.50–$205.70 | — | 40% |
| Stool ova and parasites exam CPT 87177 OVA AND PARASITE DIRECT | $56.40 | $94.00 | $8.72–$22.59 | 38% below | 40% |
| Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITE DIRECT | $56.40 | $94.00 | $70.50–$79.90 | — | 40% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLD,COLORECTAL CANCER SCRN | $22.20 | $37.00 | $4.29–$8.25 | 28% below | 40% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLD,COLORECTAL CANCER SCRN | $22.20 | $37.00 | $27.75–$31.45 | — | 40% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLOOD, FECAL, ICT | $95.40 | $159.00 | $15.60–$17.51 | at median | 40% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 OCCULT BLOOD, FECAL, ICT | $95.40 | $159.00 | $119.25–$135.15 | — | 40% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 T.PALLIDUM AB BY TP PA | $33.60 | $56.00 | $12.98–$33.60 | 68% below | 40% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 FTA-ABS | $34.20 | $57.00 | $12.98–$33.60 | 68% below | 40% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 T.PALLIDUM AB BY TP PA | $33.60 | $56.00 | $42.00–$47.60 | — | 40% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 FTA-ABS | $34.20 | $57.00 | $42.75–$48.45 | — | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL, SERUM REFLEX TITER | $12.60 | $21.00 | $4.18–$4.70 | 66% below | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL, CSF REFLEX TITER | $12.60 | $21.00 | $4.18–$10.84 | 66% below | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL TITER | $36.00 | $60.00 | $4.18–$4.70 | 3% below | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL, CSF TITER | $36.00 | $60.00 | $4.18–$10.84 | 3% below | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 PSBC RPR | $37.20 | $62.00 | $4.18–$10.84 | at median | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR REFLEX TO TITER | $39.60 | $66.00 | $4.18–$10.84 | 7% above | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 DONOR STS | $49.80 | $83.00 | $4.18–$4.70 | 34% above | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL, CSF REFLEX TITER | $12.60 | $21.00 | $15.75–$17.85 | — | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL, SERUM REFLEX TITER | $12.60 | $21.00 | $15.75–$17.85 | — | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL TITER | $36.00 | $60.00 | $45.00–$51.00 | — | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL, CSF TITER | $36.00 | $60.00 | $45.00–$51.00 | — | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 PSBC RPR | $37.20 | $62.00 | $46.50–$52.70 | — | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR REFLEX TO TITER | $39.60 | $66.00 | $49.50–$56.10 | — | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 DONOR STS | $49.80 | $83.00 | $62.25–$70.55 | — | 40% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTF TB GOLD PLUS | $277.20 | $462.00 | $51.95–$157.29 | at median | 40% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTF TB GOLD PLUS | $277.20 | $462.00 | $346.50–$392.70 | — | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE/ESOTERIX | $30.00 | $50.00 | $25.29–$65.51 | 85% below | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE; TOTAL | $59.40 | $99.00 | $25.29–$65.51 | 70% below | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE,TOTAL | $69.60 | $116.00 | $25.29–$65.51 | 65% below | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL TO CLINICAL PATH LAB | $71.40 | $119.00 | $25.29–$65.51 | 64% below | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, TOTAL | $81.00 | $135.00 | $25.29–$65.51 | 59% below | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TO ESOTERIX | $84.00 | $140.00 | $25.29–$28.39 | 57% below | 40% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE/ESOTERIX | $30.00 | $50.00 | $37.50–$42.50 | — | 40% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE; TOTAL | $59.40 | $99.00 | $74.25–$84.15 | — | 40% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE,TOTAL | $69.60 | $116.00 | $87.00–$98.60 | — | 40% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL TO CLINICAL PATH LAB | $71.40 | $119.00 | $89.25–$101.15 | — | 40% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE, TOTAL | $81.00 | $135.00 | $101.25–$114.75 | — | 40% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TO ESOTERIX | $84.00 | $140.00 | $105.00–$119.00 | — | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LIV-KIDNEY MICROS1 IGG | $37.20 | $62.00 | $14.26–$36.93 | 67% below | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE AB | $40.20 | $67.00 | $14.26–$16.01 | 64% below | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE ANTIBODY | $48.00 | $80.00 | $14.26–$36.93 | 57% below | 40% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIV-KIDNEY MICROS1 IGG | $37.20 | $62.00 | $46.50–$52.70 | — | 40% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE AB | $40.20 | $67.00 | $50.25–$56.95 | — | 40% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE ANTIBODY | $48.00 | $80.00 | $60.00–$68.00 | — | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH TO ESOTERIX | $63.60 | $106.00 | $16.46–$18.48 | 50% below | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE | $79.20 | $132.00 | $16.46–$42.64 | 38% below | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH WITH REFLEX FT4 | $82.80 | $138.00 | $16.46–$42.64 | 35% below | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH TO ESOTERIX | $63.60 | $106.00 | $79.50–$90.10 | — | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMONE | $79.20 | $132.00 | $99.00–$112.20 | — | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH WITH REFLEX FT4 | $82.80 | $138.00 | $103.50–$117.30 | — | 40% |
| Total IgE blood test CPT 82785 IGE,SERUM-TOTAL | $26.40 | $44.00 | $16.13–$41.77 | 83% below | 40% |
| Total IgE blood test CPT 82785 IMMUNOGLOBULIN E IGE | $43.20 | $72.00 | $16.13–$41.77 | 72% below | 40% |
| Total IgE blood test CPT 82785 IMMUNOGLOBULIN E, IGE | $45.00 | $75.00 | $16.13–$18.11 | 71% below | 40% |
| Total IgE blood test inpatient CPT 82785 IGE,SERUM-TOTAL | $26.40 | $44.00 | $33.00–$37.40 | — | 40% |
| Total IgE blood test inpatient CPT 82785 IMMUNOGLOBULIN E IGE | $43.20 | $72.00 | $54.00–$61.20 | — | 40% |
| Total IgE blood test inpatient CPT 82785 IMMUNOGLOBULIN E, IGE | $45.00 | $75.00 | $56.25–$63.75 | — | 40% |
| Total cholesterol blood test CPT 82465 CHOLESTEROL, SERUM OR WHOLE BLOOD,TOTAL | $13.20 | $22.00 | $4.26–$11.04 | 65% below | 40% |
| Total cholesterol blood test CPT 82465 CHOLESTEROL FLUID | $27.60 | $46.00 | $4.26–$11.04 | 27% below | 40% |
| Total cholesterol blood test CPT 82465 CHOLESTEROL | $28.20 | $47.00 | $4.26–$11.04 | 25% below | 40% |
| Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL, SERUM OR WHOLE BLOOD,TOTAL | $13.20 | $22.00 | $16.50–$18.70 | — | 40% |
| Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL FLUID | $27.60 | $46.00 | $34.50–$39.10 | — | 40% |
| Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL | $28.20 | $47.00 | $35.25–$39.95 | — | 40% |
| Total thyroxine (T4) blood test CPT 84436 T4, TOTAL | $29.40 | $49.00 | $6.73–$17.43 | 51% below | 40% |
| Total thyroxine (T4) blood test CPT 84436 THYROXINE, TOTAL (T4) | $43.20 | $72.00 | $6.73–$17.43 | 28% below | 40% |
| Total thyroxine (T4) blood test inpatient CPT 84436 T4, TOTAL | $29.40 | $49.00 | $36.75–$41.65 | — | 40% |
| Total thyroxine (T4) blood test inpatient CPT 84436 THYROXINE, TOTAL (T4) | $43.20 | $72.00 | $54.00–$61.20 | — | 40% |
| Total triiodothyronine (T3) blood test CPT 84480 T3, TOTAL | $100.80 | $168.00 | $13.90–$35.98 | 24% below | 40% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 T3, TOTAL | $100.80 | $168.00 | $126.00–$142.80 | — | 40% |
| Transferrin blood test CPT 84466 TRANSFERRIN | $33.60 | $56.00 | $12.50–$32.39 | 60% below | 40% |
| Transferrin blood test inpatient CPT 84466 TRANSFERRIN | $33.60 | $56.00 | $42.00–$47.60 | — | 40% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS MALE URINE | $90.60 | $151.00 | $28.72–$89.06 | 40% below | 40% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS FEMALE URINE | $90.60 | $151.00 | $28.72–$89.06 | 40% below | 40% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS DNA/RNA, AMP PROBE | $96.60 | $161.00 | $34.39–$38.60 | 36% below | 40% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS, AMP PROBE | $96.60 | $161.00 | $28.72–$89.06 | 36% below | 40% |
| Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS MALE URINE | $90.60 | $151.00 | $113.25–$128.35 | — | 40% |
| Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS FEMALE URINE | $90.60 | $151.00 | $113.25–$128.35 | — | 40% |
| Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS, AMP PROBE | $96.60 | $161.00 | $120.75–$136.85 | — | 40% |
| Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS DNA/RNA, AMP PROBE | $96.60 | $161.00 | $120.75–$136.85 | — | 40% |
| Triglycerides blood test CPT 84478 TROGLYCERIDES | $15.00 | $25.00 | $5.63–$14.58 | 68% below | 40% |
| Triglycerides blood test CPT 84478 TRIGLYCERIDES, FLUID | $34.20 | $57.00 | $5.63–$14.58 | 28% below | 40% |
| Triglycerides blood test CPT 84478 TRIGLYCERIDES CHARGE | $34.20 | $57.00 | $5.63–$14.58 | 28% below | 40% |
| Triglycerides blood test CPT 84478 TRIGLYCERIDES | $36.00 | $60.00 | $5.63–$14.58 | 24% below | 40% |
| Triglycerides blood test CPT 84478 TRIGLYCERIDE | $36.00 | $60.00 | $5.63–$14.58 | 24% below | 40% |
| Triglycerides blood test inpatient CPT 84478 TROGLYCERIDES | $15.00 | $25.00 | $18.75–$21.25 | — | 40% |
| Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES, FLUID | $34.20 | $57.00 | $42.75–$48.45 | — | 40% |
| Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES CHARGE | $34.20 | $57.00 | $42.75–$48.45 | — | 40% |
| Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDE | $36.00 | $60.00 | $45.00–$51.00 | — | 40% |
| Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES | $36.00 | $60.00 | $45.00–$51.00 | — | 40% |
| Troponin test, quantitative CPT 84484 TROPONIN I NG/ML | $91.80 | $153.00 | $12.22–$24.98 | at median | 40% |
| Troponin test, quantitative CPT 84484 TROPONIN T GEN5 NG/L | $91.80 | $153.00 | $12.22–$13.72 | at median | 40% |
| Troponin test, quantitative CPT 84484 POCT TROPONIN | $100.20 | $167.00 | $12.22–$24.98 | 9% above | 40% |
| Troponin test, quantitative inpatient CPT 84484 TROPONIN I NG/ML | $91.80 | $153.00 | $114.75–$130.05 | — | 40% |
| Troponin test, quantitative inpatient CPT 84484 TROPONIN T GEN5 NG/L | $91.80 | $153.00 | $114.75–$130.05 | — | 40% |
| Troponin test, quantitative inpatient CPT 84484 POCT TROPONIN | $100.20 | $167.00 | $125.25–$141.95 | — | 40% |
| Uric acid blood test CPT 84550 URIC ACID, DRUG F/U | $27.00 | $45.00 | $4.43–$11.47 | 43% below | 40% |
| Uric acid blood test CPT 84550 URIC ACID | $28.20 | $47.00 | $4.43–$11.47 | 41% below | 40% |
| Uric acid blood test inpatient CPT 84550 URIC ACID, DRUG F/U | $27.00 | $45.00 | $33.75–$38.25 | — | 40% |
| Uric acid blood test inpatient CPT 84550 URIC ACID | $28.20 | $47.00 | $35.25–$39.95 | — | 40% |
| Urinalysis with microscope exam, automated CPT 81001 URINE DIPSTICK, AUTOMATED W/MICROSCOPY | $6.60 | $11.00 | $3.11–$3.49 | 81% below | 40% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS MICRO, REFLEXED | $19.80 | $33.00 | $3.11–$8.05 | 42% below | 40% |
| Urinalysis with microscope exam, automated CPT 81001 URINE MICRO RFX CULTURE | $19.80 | $33.00 | $3.11–$8.05 | 42% below | 40% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS, COMPLETE | $22.20 | $37.00 | $3.11–$8.05 | 35% below | 40% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/REFLEX TO CULTURE AND SEN | $22.20 | $37.00 | $3.11–$8.05 | 35% below | 40% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINE DIPSTICK, AUTOMATED W/MICROSCOPY | $6.60 | $11.00 | $8.25–$9.35 | — | 40% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS MICRO, REFLEXED | $19.80 | $33.00 | $24.75–$28.05 | — | 40% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINE MICRO RFX CULTURE | $19.80 | $33.00 | $24.75–$28.05 | — | 40% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS, COMPLETE | $22.20 | $37.00 | $27.75–$31.45 | — | 40% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS AUTO W/REFLEX TO CULTURE AND SEN | $22.20 | $37.00 | $27.75–$31.45 | — | 40% |
| Urinalysis with microscope exam, manual CPT 81000 URINALYSIS ROUTINE (MANUAL) | $19.20 | $32.00 | $3.94–$8.05 | at median | 40% |
| Urinalysis with microscope exam, manual CPT 81000 URINALYSIS W/REFLEX MANUAL | $19.20 | $32.00 | $3.94–$4.42 | at median | 40% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 URINALYSIS W/REFLEX MANUAL | $19.20 | $32.00 | $24.00–$27.20 | — | 40% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 URINALYSIS ROUTINE (MANUAL) | $19.20 | $32.00 | $24.00–$27.20 | — | 40% |
| Urinalysis without microscope exam, automated CPT 81003 URINE MACRO CHARGE | $15.00 | $25.00 | $2.21–$5.70 | 38% below | 40% |
| Urinalysis without microscope exam, automated CPT 81003 URINE MACROSCOPIC ONLY | $16.20 | $27.00 | $2.21–$5.70 | 33% below | 40% |
| Urinalysis without microscope exam, automated CPT 81003 SPECIFIC GRAVITY, URINE, MANUAL | $18.00 | $30.00 | $2.21–$5.70 | 25% below | 40% |
| Urinalysis without microscope exam, automated CPT 81003 POCT URINE DIPSTICK,AUTOMATED W/O MICROSCOPY | $25.20 | $42.00 | $2.21–$5.70 | 5% above | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINE MACRO CHARGE | $15.00 | $25.00 | $18.75–$21.25 | — | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINE MACROSCOPIC ONLY | $16.20 | $27.00 | $20.25–$22.95 | — | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 SPECIFIC GRAVITY, URINE, MANUAL | $18.00 | $30.00 | $22.50–$25.50 | — | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 POCT URINE DIPSTICK,AUTOMATED W/O MICROSCOPY | $25.20 | $42.00 | $31.50–$35.70 | — | 40% |
| Urinalysis without microscope exam, manual CPT 81002 MANUAL URINE MACRO BILL ONLY | $16.20 | $27.00 | $3.41–$6.48 | 11% below | 40% |
| Urinalysis without microscope exam, manual CPT 81002 NITRITE, URINE, QUALITATIVE | $43.80 | $73.00 | $3.41–$6.48 | 141% above | 40% |
| Urinalysis without microscope exam, manual CPT 81002 PH, URINE, QUALITATIVE | $43.80 | $73.00 | $3.41–$3.83 | 141% above | 40% |
| Urinalysis without microscope exam, manual CPT 81002 GLUCOSE, URINE,QUALITATIVE | $43.80 | $73.00 | $3.41–$3.83 | 141% above | 40% |
| Urinalysis without microscope exam, manual CPT 81002 KETONE, URINE, QUAL | $43.80 | $73.00 | $3.41–$6.48 | 141% above | 40% |
| Urinalysis without microscope exam, manual CPT 81002 PROTEIN, URINE, QUALITATIVE | $43.80 | $73.00 | $3.41–$6.48 | 141% above | 40% |
| Urinalysis without microscope exam, manual CPT 81002 BILIRUBIN,URINE QUALITATIVE | $43.80 | $73.00 | $3.41–$6.48 | 141% above | 40% |
| Urinalysis without microscope exam, manual CPT 81002 OCCULT BLOOD,URINE QUALITATIVE | $43.80 | $73.00 | $3.41–$6.48 | 141% above | 40% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 MANUAL URINE MACRO BILL ONLY | $16.20 | $27.00 | $20.25–$22.95 | — | 40% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 OCCULT BLOOD,URINE QUALITATIVE | $43.80 | $73.00 | $54.75–$62.05 | — | 40% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 PROTEIN, URINE, QUALITATIVE | $43.80 | $73.00 | $54.75–$62.05 | — | 40% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 BILIRUBIN,URINE QUALITATIVE | $43.80 | $73.00 | $54.75–$62.05 | — | 40% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 GLUCOSE, URINE,QUALITATIVE | $43.80 | $73.00 | $54.75–$62.05 | — | 40% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 KETONE, URINE, QUAL | $43.80 | $73.00 | $54.75–$62.05 | — | 40% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 NITRITE, URINE, QUALITATIVE | $43.80 | $73.00 | $54.75–$62.05 | — | 40% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 PH, URINE, QUALITATIVE | $43.80 | $73.00 | $54.75–$62.05 | — | 40% |
| Urine culture for bacteria, with colony count CPT 87086 URINE COLONY COUNT | $48.00 | $80.00 | $7.91–$20.48 | 35% below | 40% |
| Urine culture for bacteria, with colony count CPT 87086 CULTURE,URINE,RFLX SENS | $50.40 | $84.00 | $7.91–$20.48 | 32% below | 40% |
| Urine culture for bacteria, with colony count CPT 87086 CULT,URINE,RFX SENS | $50.40 | $84.00 | $7.91–$8.88 | 32% below | 40% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 URINE COLONY COUNT | $48.00 | $80.00 | $60.00–$68.00 | — | 40% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE,URINE,RFLX SENS | $50.40 | $84.00 | $63.00–$71.40 | — | 40% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 CULT,URINE,RFX SENS | $50.40 | $84.00 | $63.00–$71.40 | — | 40% |
| Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN RND UR QUANT | $15.00 | $25.00 | $5.66–$14.67 | 72% below | 40% |
| Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN/CREAT (ACR), UR QUANT | $41.40 | $69.00 | $5.66–$14.67 | 23% below | 40% |
| Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN QUANTITATIVE, URINE | $41.40 | $69.00 | $5.66–$14.67 | 23% below | 40% |
| Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN RND UR QUANT | $15.00 | $25.00 | $18.75–$21.25 | — | 40% |
| Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN/CREAT (ACR), UR QUANT | $41.40 | $69.00 | $51.75–$58.65 | — | 40% |
| Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN QUANTITATIVE, URINE | $41.40 | $69.00 | $51.75–$58.65 | — | 40% |
| Urine pregnancy test, read by color change CPT 81025 PREGNANCY TEST, URINE | $39.60 | $66.00 | $8.44–$9.47 | at median | 40% |
| Urine pregnancy test, read by color change inpatient CPT 81025 PREGNANCY TEST, URINE | $39.60 | $66.00 | $49.50–$56.10 | — | 40% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 | $75.60 | $126.00 | $14.78–$38.26 | 45% below | 40% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 | $75.60 | $126.00 | $94.50–$107.10 | — | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D,25HYDROXY D2,D3 REFLEX | $81.00 | $135.00 | $29.01–$75.13 | 65% below | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D TOTAL 25-OH | $187.20 | $312.00 | $29.01–$75.13 | 19% below | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D,25HYDROXY D2,D3 REFLEX | $81.00 | $135.00 | $101.25–$114.75 | — | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D TOTAL 25-OH | $187.20 | $312.00 | $234.00–$265.20 | — | 40% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D, 1,25-DIHYDROXY | $106.20 | $177.00 | $37.73–$97.70 | 67% below | 40% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VITAMIN D, 1,25-DIHYDROXY | $106.20 | $177.00 | $132.75–$150.45 | — | 40% |
| Zinc blood test CPT 84630 ZINC, URINE | $28.20 | $47.00 | $11.16–$28.90 | 67% below | 40% |
| Zinc blood test CPT 84630 ZINC, URINE 24HR | $30.00 | $50.00 | $11.16–$28.90 | 65% below | 40% |
| Zinc blood test CPT 84630 ZINC, SERUM OR PLASMA | $31.20 | $52.00 | $11.16–$28.90 | 64% below | 40% |
| Zinc blood test CPT 84630 ZINC, RED BLOOD CELLS | $108.60 | $181.00 | $11.16–$28.90 | 26% above | 40% |
| Zinc blood test inpatient CPT 84630 ZINC, URINE | $28.20 | $47.00 | $35.25–$39.95 | — | 40% |
| Zinc blood test inpatient CPT 84630 ZINC, URINE 24HR | $30.00 | $50.00 | $37.50–$42.50 | — | 40% |
| Zinc blood test inpatient CPT 84630 ZINC, SERUM OR PLASMA | $31.20 | $52.00 | $39.00–$44.20 | — | 40% |
| Zinc blood test inpatient CPT 84630 ZINC, RED BLOOD CELLS | $108.60 | $181.00 | $135.75–$153.85 | — | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANT | $40.80 | $68.00 | $14.75–$16.56 | at median | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 CHORIONIC GONADOTROPIN TEST | $40.80 | $68.00 | $14.75–$38.20 | at median | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG B-SUBUNIT QUANT TUMOR | $52.80 | $88.00 | $14.75–$38.20 | 29% above | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN, CHRONIC (HCG, QUANT) | $61.20 | $102.00 | $14.75–$16.56 | 50% above | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN, CHORIONIC (HCG); QUANT | $70.80 | $118.00 | $14.75–$16.56 | 74% above | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG B SUB QUAN | $97.20 | $162.00 | $14.75–$16.56 | 138% above | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG, BLOOD QUANTITATIVE (FOR PREGNANCY) | $100.80 | $168.00 | $14.75–$16.56 | 147% above | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 CHORION GONADOTROPIN,B SUB-CSF | $343.20 | $572.00 | $14.75–$38.20 | 741% above | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANT | $40.80 | $68.00 | $51.00–$57.80 | — | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 CHORIONIC GONADOTROPIN TEST | $40.80 | $68.00 | $51.00–$57.80 | — | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG B-SUBUNIT QUANT TUMOR | $52.80 | $88.00 | $66.00–$74.80 | — | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 GONADOTROPIN, CHRONIC (HCG, QUANT) | $61.20 | $102.00 | $76.50–$86.70 | — | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 GONADOTROPIN, CHORIONIC (HCG); QUANT | $70.80 | $118.00 | $88.50–$100.30 | — | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG B SUB QUAN | $97.20 | $162.00 | $121.50–$137.70 | — | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG, BLOOD QUANTITATIVE (FOR PREGNANCY) | $100.80 | $168.00 | $126.00–$142.80 | — | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 CHORION GONADOTROPIN,B SUB-CSF | $343.20 | $572.00 | $429.00–$486.20 | — | 40% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Hawaii | Off list |
|---|---|---|---|---|---|
| Botox injections for chronic migraine CPT 64615 CHEMODENERVATION;MUSC(CHRONIC MIGRAINE)BI-TC | $630.00 | $1,050.00 | $289.29–$2,798.00 | 5% below | 40% |
| Botox injections for chronic migraine inpatient CPT 64615 CHEMODENERVATION;MUSC(CHRONIC MIGRAINE)BI-TC | $630.00 | $1,050.00 | $787.50–$892.50 | — | 40% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX(BREAST);NO DEV NO IMG 1ST LES W/STEREO-TC | $1,297.20 | $2,162.00 | $393.00–$5,681.00 | 53% below | 40% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX(BREAST);NO DEV BX IMG 1ST LES W/STEREO-TC | $1,347.60 | $2,246.00 | $393.00–$5,681.00 | 52% below | 40% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX(BREAST);DEV NO BX IMG 1ST LESN STEREO-TC | $1,408.80 | $2,348.00 | $393.00–$5,681.00 | 49% below | 40% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX(BREAST);PLC DEV BX IMG 1ST LES W/STERE-TC | $1,582.20 | $2,637.00 | $393.00–$5,681.00 | 43% below | 40% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 BX(BREAST);NO DEV NO IMG 1ST LES W/STEREO-TC | $1,297.20 | $2,162.00 | $1,621.50–$1,837.70 | — | 40% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 BX(BREAST);NO DEV BX IMG 1ST LES W/STEREO-TC | $1,347.60 | $2,246.00 | $1,684.50–$1,909.10 | — | 40% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 BX(BREAST);DEV NO BX IMG 1ST LESN STEREO-TC | $1,408.80 | $2,348.00 | $1,761.00–$1,995.80 | — | 40% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 BX(BREAST);PLC DEV BX IMG 1ST LES W/STERE-TC | $1,582.20 | $2,637.00 | $1,977.75–$2,241.45 | — | 40% |
| Cardiac catheterization with coronary angiogram one side CPT 93458 LEFT HEART ARTERY/VENTRICLE ANGIO - TECH | $6,432.00 | $10,720.00 | $663.89–$12,953.00 | at median | 40% |
| Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 LEFT HEART ARTERY/VENTRICLE ANGIO - TECH | $6,432.00 | $10,720.00 | $8,040.00–$9,112.00 | — | 40% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION,ELECTIVE | $1,183.20 | $1,972.00 | $495.00–$5,092.00 | at median | 40% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION,EXTERNAL - TECH | $1,200.00 | $2,000.00 | $495.00–$5,092.00 | 2% above | 40% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION,ELECTIVE | $1,183.20 | $1,972.00 | $1,479.00–$1,676.20 | — | 40% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION,EXTERNAL - TECH | $1,200.00 | $2,000.00 | $1,500.00–$1,700.00 | — | 40% |
| Catheter ablation for atrial fibrillation CPT 93656 COMP EP EVAL W/TXMT ATRIAL FIB PULM VEIN ISOL-TC | $21,110.40 | $35,184.00 | $657.09–$29,080.59 | 7% below | 40% |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 COMP EP EVAL W/TXMT ATRIAL FIB PULM VEIN ISOL-TC | $21,110.40 | $35,184.00 | $26,388.00–$29,906.40 | — | 40% |
| Cervical biopsy inpatient CPT 57500 BX 1/MX LOCAL EXC LES (SEPART PROC) | $181.80 | $303.00 | $84.48–$257.55 | — | 40% |
| Coronary stent placement, one artery CPT 92928 PCI TRANSCATH INTRA STENT(S);SINGL ART/& OR BRNCH(ES)1LESION-TEC | $16,731.60 | $27,886.00 | $360.43–$13,443.11 | 7% below | 40% |
| Coronary stent placement, one artery CPT 92928 PCI TRANSCATH INTRA(D.ELUT)STENT(S);SINGL ART/& OR BRNCH(ES)1LES | $17,005.80 | $28,343.00 | $360.43–$13,443.11 | 6% below | 40% |
| Coronary stent placement, one artery inpatient CPT 92928 PCI TRANSCATH INTRA STENT(S);SINGL ART/& OR BRNCH(ES)1LESION-TEC | $16,731.60 | $27,886.00 | $20,914.50–$23,703.10 | — | 40% |
| Coronary stent placement, one artery inpatient CPT 92928 PCI TRANSCATH INTRA(D.ELUT)STENT(S);SINGL ART/& OR BRNCH(ES)1LES | $17,005.80 | $28,343.00 | $21,257.25–$24,091.55 | — | 40% |
| Cystoscopy with ureteral stent placement CPT 52332 SC CYSTOURTHRSCPY,INDWL STNT INSRT | $2,583.60 | $4,306.00 | $469.71–$7,638.00 | 38% below | 40% |
| Cystoscopy with ureteral stent placement inpatient CPT 52332 SC CYSTOURTHRSCPY,INDWL STNT INSRT | $2,583.60 | $4,306.00 | $3,229.50–$3,660.10 | — | 40% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 ENDOMET BX W/WO ENDOCERV BX (SEPAR) | $87.60 | $146.00 | $40.70–$124.10 | — | 40% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INJ DX/THERA EPI/SUBARACH CERV/THORAC W/IMAGE | $439.80 | $733.00 | $393.00–$2,798.00 | 76% below | 40% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 INJ DX/THERA EPI/SUBARACH CERV/THORAC W/IMAGE | $439.80 | $733.00 | $549.75–$623.05 | — | 40% |
| Eye injection into the vitreous (intravitreal injection) CPT 67028 INJECTION,INTRAVITREAL W/PHARMACOLOGIC AGENT | $490.80 | $818.00 | $325.06–$1,460.00 | 79% below | 40% |
| Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 INJECTION,INTRAVITREAL W/PHARMACOLOGIC AGENT | $490.80 | $818.00 | $400.82–$695.30 | — | 40% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ FACETJNT LUMB/SAC 1 LVL W/IMAGE UNI-TECH | $1,665.60 | $2,776.00 | $393.00–$4,233.00 | 8% above | 40% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 INJ FACETJNT LUMB/SAC 1 LVL W/IMAGE UNI-TECH | $1,665.60 | $2,776.00 | $2,082.00–$2,359.60 | — | 40% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 SC INTRO NACL/CNTRST,SIS/HYSTRSLPN - TECH | $290.40 | $484.00 | $393.00–$2,798.00 | at median | 40% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 SC INTRO NACL/CNTRST,SIS/HYSTRSLPN - TECH | $290.40 | $484.00 | $143.26–$411.40 | — | 40% |
| Incision and drainage of a simple or single skin abscess CPT 10060 INCISION & DRAINAGE ABSCESS;SIMPLE/SINGLE | $341.40 | $569.00 | $194.73–$683.00 | at median | 40% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 INCISION & DRAINAGE ABSCESS;SIMPLE/SINGLE | $341.40 | $569.00 | $426.75–$483.65 | — | 40% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 SC INJ TENDN SHEATH OR LIG - TECH | $522.60 | $871.00 | $289.29–$683.00 | 20% below | 40% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 SC INJ TENDN SHEATH OR LIG - TECH | $522.60 | $871.00 | $653.25–$740.35 | — | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS,MAJOR JNT INJ W/O US-TECH | $597.00 | $995.00 | $289.29–$4,233.00 | at median | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESIS,MAJOR JNT INJ W/O US-TECH | $597.00 | $995.00 | $746.25–$845.75 | — | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS,INTERM JNT INJ W/O US -TECH | $462.60 | $771.00 | $289.29–$4,233.00 | 33% below | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCENTESIS,INTERM JNT INJ W/O US -TECH | $462.60 | $771.00 | $578.25–$655.35 | — | 40% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS,SM JOINT INJ W/O US-TECH | $455.40 | $759.00 | $289.29–$683.00 | 35% below | 40% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS,SM JOINT INJ W/O US | $455.40 | $759.00 | $289.29–$683.00 | 35% below | 40% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCENTESIS,SM JOINT INJ W/O US | $455.40 | $759.00 | $569.25–$645.15 | — | 40% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCENTESIS,SM JOINT INJ W/O US-TECH | $455.40 | $759.00 | $569.25–$645.15 | — | 40% |
| Left heart catheterization, diagnostic one side CPT 93452 LEFT HEART CATH WITH VENTRICULOGRAPHY - TECH | $4,191.00 | $6,985.00 | $663.89–$11,429.00 | 13% below | 40% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 LEFT HEART CATH WITH VENTRICULOGRAPHY - TECH | $4,191.00 | $6,985.00 | $5,238.75–$5,937.25 | — | 40% |
| Lower-back epidural injection, with imaging guidance CPT 62323 INJ DX/THERA EPI/SUBARACH LUMBR/SACRL W/IMG | $444.00 | $740.00 | $393.00–$2,798.00 | 32% below | 40% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJ DX/THERA EPI/SUBARACH LUMBR/SACRL W/IMG | $444.00 | $740.00 | $555.00–$629.00 | — | 40% |
| Lower-back epidural injection, without imaging guidance CPT 62322 INJ DX/THERA EPI/SUBARACH LUMBR/SACRL WO IMG | $176.40 | $294.00 | $393.00–$2,798.00 | 85% below | 40% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 INJ DX/THERA EPI/SUBARACH LUMBR/SACRL WO IMG | $176.40 | $294.00 | $220.50–$249.90 | — | 40% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ ANES;LUMBAR/SACRAL,1 LEVEL W/IMAGING-TECH | $1,187.40 | $1,979.00 | $350.39–$4,233.00 | 1% below | 40% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 INJ ANES;LUMBAR/SACRAL,1 LEVEL W/IMAGING-TECH | $1,187.40 | $1,979.00 | $1,484.25–$1,682.15 | — | 40% |
| Occipital nerve block (injection for headaches) CPT 64405 INJ ANESTH AGENT/STEROID OCCIPTL NERVE-TC | $454.80 | $758.00 | $289.29–$683.00 | 69% below | 40% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 INJ ANESTH AGENT/STEROID OCCIPTL NERVE-TC | $454.80 | $758.00 | $568.50–$644.30 | — | 40% |
| Pacemaker implant (dual chamber) CPT 33208 ATRIAL/VENTRIC-INSRT NEW/REPLACE PERM PMKR-TECH | $10,420.80 | $17,368.00 | $663.89–$13,646.16 | 56% above | 40% |
| Pacemaker implant (dual chamber) inpatient CPT 33208 ATRIAL/VENTRIC-INSRT NEW/REPLACE PERM PMKR-TECH | $10,420.80 | $17,368.00 | $13,026.00–$14,762.80 | — | 40% |
| Paracentesis with imaging guidance CPT 49083 CT PARACENTESIS,ABD;W/IMAGE GUIDANCE-TECH | $978.60 | $1,631.00 | $393.00–$4,233.00 | 21% below | 40% |
| Paracentesis with imaging guidance CPT 49083 US PARACENTESIS,ABD;W/IMAGE GUIDANCE-TECH | $991.80 | $1,653.00 | $393.00–$4,233.00 | 20% below | 40% |
| Paracentesis with imaging guidance inpatient CPT 49083 CT PARACENTESIS,ABD;W/IMAGE GUIDANCE-TECH | $978.60 | $1,631.00 | $1,223.25–$1,386.35 | — | 40% |
| Paracentesis with imaging guidance inpatient CPT 49083 US PARACENTESIS,ABD;W/IMAGE GUIDANCE-TECH | $991.80 | $1,653.00 | $1,239.75–$1,405.05 | — | 40% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 SC DSTR FACET JNT NRV;W/IMG L/S;SNGLE-TECH | $1,240.20 | $2,067.00 | $393.00–$4,233.00 | at median | 40% |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 SC DSTR FACET JNT NRV;W/IMG L/S;SNGLE-TECH | $1,240.20 | $2,067.00 | $1,550.25–$1,756.95 | — | 40% |
| Short arm splint (forearm and hand) inpatient CPT 29125 OT SPLINTING,FOREARM-HAND STATIC,SMALL | $174.00 | $290.00 | $80.85–$246.50 | — | 40% |
| Short arm splint (forearm and hand) inpatient CPT 29125 OT SPLINTING,FOREARM-HAND STATIC,MED | $216.60 | $361.00 | $100.65–$306.85 | — | 40% |
| Short arm splint (forearm and hand) inpatient CPT 29125 OT SPLINTING,FOREARM-HAND STATIC,LARGE | $257.40 | $429.00 | $119.61–$364.65 | — | 40% |
| Skin biopsy, punch, one lesion CPT 11104 BIOPSY PUNCH SKIN W/CLOSURE SINGLE LESION | $399.60 | $666.00 | $391.54–$683.00 | 33% below | 40% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 BIOPSY PUNCH SKIN W/CLOSURE SINGLE LESION | $399.60 | $666.00 | $499.50–$566.10 | — | 40% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC-TECH | $1,187.40 | $1,979.00 | $361.00–$3,650.00 | 7% below | 40% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 DX SPINAL PUNCTURE LUMBAR | $1,187.40 | $1,979.00 | $350.39–$4,233.00 | 7% below | 40% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 DX SPINAL PUNCTURE LUMBAR | $1,187.40 | $1,979.00 | $1,484.25–$1,682.15 | — | 40% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC-TECH | $1,187.40 | $1,979.00 | $1,484.25–$1,682.15 | — | 40% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 BIOPSY TANGENTIAL SKIN SINGLE LESION | $424.20 | $707.00 | $194.73–$683.00 | 16% below | 40% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 BIOPSY TANGENTIAL SKIN SINGLE LESION | $424.20 | $707.00 | $530.25–$600.95 | — | 40% |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS,PLEURAL WITH IMAGING GUIDANCE | $925.80 | $1,543.00 | $393.00–$4,233.00 | 35% below | 40% |
| Thoracentesis with imaging guidance CPT 32555 FL THORACENTESIS,PLEURAL W/IMAGE GUIDE-TECH | $925.80 | $1,543.00 | $393.00–$4,233.00 | 35% below | 40% |
| Thoracentesis with imaging guidance CPT 32555 CT THORACENTESIS,PLEURAL W/IMAGE GUIDE-TECH | $925.80 | $1,543.00 | $393.00–$4,233.00 | 35% below | 40% |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS,PLEURAL W/IMAGING GUIDANCE-TECH | $938.40 | $1,564.00 | $393.00–$4,233.00 | 35% below | 40% |
| Thoracentesis with imaging guidance CPT 32555 US THORACENTESIS,PLEURAL W/IMAGE GUIDE-TECH | $938.40 | $1,564.00 | $393.00–$4,233.00 | 35% below | 40% |
| Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS,PLEURAL WITH IMAGING GUIDANCE | $925.80 | $1,543.00 | $1,157.25–$1,311.55 | — | 40% |
| Thoracentesis with imaging guidance inpatient CPT 32555 CT THORACENTESIS,PLEURAL W/IMAGE GUIDE-TECH | $925.80 | $1,543.00 | $1,157.25–$1,311.55 | — | 40% |
| Thoracentesis with imaging guidance inpatient CPT 32555 FL THORACENTESIS,PLEURAL W/IMAGE GUIDE-TECH | $925.80 | $1,543.00 | $1,157.25–$1,311.55 | — | 40% |
| Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS,PLEURAL W/IMAGING GUIDANCE-TECH | $938.40 | $1,564.00 | $1,173.00–$1,329.40 | — | 40% |
| Thoracentesis with imaging guidance inpatient CPT 32555 US THORACENTESIS,PLEURAL W/IMAGE GUIDE-TECH | $938.40 | $1,564.00 | $1,173.00–$1,329.40 | — | 40% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJECTION,TRIGGER POINT(S) SNGL/MULT-TECH | $455.40 | $759.00 | $289.29–$4,233.00 | 51% below | 40% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJECTION,TRIGGER POINT(S) SNGL/MULT-TECH | $455.40 | $759.00 | $569.25–$645.15 | — | 40% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX(BREAST);NO DEV NO IMG 1ST LES W/US-TC | $1,297.20 | $2,162.00 | $393.00–$5,681.00 | 41% below | 40% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX(BREAST);NO DEV BX IMG 1ST LESN W/US-TC | $1,347.60 | $2,246.00 | $393.00–$5,681.00 | 39% below | 40% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX(BREAST);DEV NO BX IMG 1ST LES W/US-TC | $1,408.80 | $2,348.00 | $393.00–$5,681.00 | 36% below | 40% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX(BREAST);PLC DEV BX IMG 1ST LES W/US-TC | $1,434.00 | $2,390.00 | $393.00–$5,681.00 | 35% below | 40% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 BX(BREAST);NO DEV NO IMG 1ST LES W/US-TC | $1,297.20 | $2,162.00 | $1,621.50–$1,837.70 | — | 40% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 BX(BREAST);NO DEV BX IMG 1ST LESN W/US-TC | $1,347.60 | $2,246.00 | $1,684.50–$1,909.10 | — | 40% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 BX(BREAST);DEV NO BX IMG 1ST LES W/US-TC | $1,408.80 | $2,348.00 | $1,761.00–$1,995.80 | — | 40% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 BX(BREAST);PLC DEV BX IMG 1ST LES W/US-TC | $1,434.00 | $2,390.00 | $1,792.50–$2,031.50 | — | 40% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT,SUBQ 20SQ CM OR LESS | $423.60 | $706.00 | $391.54–$5,681.00 | 45% below | 40% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDEMENT,SUBQ 20SQ CM OR LESS | $423.60 | $706.00 | $529.50–$600.10 | — | 40% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Hawaii | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD/BLD COMPNT(MASSVE TRNSFSN PROTCOL) | $700.20 | $1,167.00 | $393.00–$2,798.00 | 26% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSN,BLOOD COMPONENT<3HRS | $706.80 | $1,178.00 | $33.38–$518.23 | 25% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFSN,BLOOD COMPONENT 3-5HR | $1,011.00 | $1,685.00 | $33.38–$518.23 | 8% above | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSN,BLOOD COMPONENT>5HRS | $1,084.20 | $1,807.00 | $33.38–$518.23 | 15% above | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD/BLD COMPNT(MASSVE TRNSFSN PROTCOL) | $700.20 | $1,167.00 | $583.50–$991.95 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSN,BLOOD COMPONENT<3HRS | $706.80 | $1,178.00 | $589.00–$1,001.30 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFSN,BLOOD COMPONENT 3-5HR | $1,011.00 | $1,685.00 | $842.50–$1,432.25 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSN,BLOOD COMPONENT>5HRS | $1,084.20 | $1,807.00 | $903.50–$1,535.95 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 VOLARA NEB TX, INITIAL W/O SUPPLIES | $78.60 | $131.00 | $199.32–$2,798.00 | 57% below | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 VOLARA NEB TX, INITIAL W/SUPPLIES | $139.20 | $232.00 | $199.32–$2,798.00 | 23% below | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 PRESSURIZD/NONPRESSRZD INHALATION TX-ER(MAX1) | $173.40 | $289.00 | $199.32–$2,798.00 | 4% below | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SPUTM INDUCT AERO, DX INITIAL | $207.60 | $346.00 | $199.32–$2,798.00 | 14% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROGEN NEB TX, INITIAL W/O SUPPLIES | $207.60 | $346.00 | $199.32–$2,798.00 | 14% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL TX, INITIAL | $211.80 | $353.00 | $199.32–$2,798.00 | 17% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROGEN NEB TX, INITIAL W/SUPPLIES | $264.00 | $440.00 | $9.25–$241.10 | 46% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 VOLARA NEB TX, INITIAL W/O SUPPLIES | $78.60 | $131.00 | $98.25–$111.35 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 VOLARA NEB TX, SUBSEQUENT | $132.00 | $220.00 | $61.34–$187.00 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 VOLARA NEB TX, INITIAL W/SUPPLIES | $139.20 | $232.00 | $174.00–$197.20 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 PRESSURIZD/NONPRESSRZD INHALATION TX-ER(MAX1) | $173.40 | $289.00 | $216.75–$245.65 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SPUTM INDUCT AERO, DX SUB | $197.40 | $329.00 | $91.73–$279.65 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL TX, SUBSEQUENT | $201.60 | $336.00 | $93.68–$285.60 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROGEN NEB TX, INITIAL W/O SUPPLIES | $207.60 | $346.00 | $259.50–$294.10 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SPUTM INDUCT AERO, DX INITIAL | $207.60 | $346.00 | $259.50–$294.10 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL TX, INITIAL | $211.80 | $353.00 | $264.75–$300.05 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROGEN NEB TX, SUBSEQUENT | $246.60 | $411.00 | $114.59–$349.35 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROGEN NEB TX, INITIAL W/SUPPLIES | $264.00 | $440.00 | $330.00–$374.00 | — | 40% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO INFUSION,INITIAL 1ST HR (16-90 MINS) | $708.00 | $1,180.00 | $325.06–$432.50 | 6% below | 40% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO INFUSION,INITIAL 1ST HR (16-90 MINS) | $708.00 | $1,180.00 | $885.00–$1,003.00 | — | 40% |
| Critical care, first 30 to 74 minutes CPT 99291 ED CRITICAL CARE VI | $3,713.40 | $6,189.00 | $3,032.61–$5,260.65 | 16% below | 40% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 ED CRITICAL CARE VI | $3,713.40 | $6,189.00 | $3,032.61–$5,260.65 | — | 40% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG RECORD AWAKE AND DROWSY (OS TECH) | $510.00 | $850.00 | $305.17–$406.05 | 39% below | 40% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG RECORD AWAKE AND DROWSY (OS TECH) | $510.00 | $850.00 | $637.50–$722.50 | — | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG/ECG 12 LEAD,TRACING ONLY,W/O INT/RPT-TECH | $238.80 | $398.00 | $58.21–$77.45 | 5% below | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG ROUTNE 12 LEAD W/O INT/RPT | $243.00 | $405.00 | $58.21–$77.45 | 3% below | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG/ECG 12 LEAD,TRACING ONLY,W/O INT/RPT-TECH | $238.80 | $398.00 | $298.50–$338.30 | — | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG ROUTNE 12 LEAD W/O INT/RPT | $243.00 | $405.00 | $303.75–$344.25 | — | 40% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED FACILITY I | $286.20 | $477.00 | $233.73–$405.45 | 24% below | 40% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ED FACILITY I | $286.20 | $477.00 | $233.73–$405.45 | — | 40% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED FACILITY II | $474.60 | $791.00 | $387.59–$672.35 | 28% below | 40% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ED FACILITY II | $474.60 | $791.00 | $387.59–$672.35 | — | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED FACILITY III | $1,029.00 | $1,715.00 | $840.35–$1,457.75 | 22% below | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ED FACILITY III | $1,029.00 | $1,715.00 | $840.35–$1,457.75 | — | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED FACILITY IV | $1,576.80 | $2,628.00 | $1,287.72–$2,233.80 | 23% below | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ED FACILITY IV | $1,576.80 | $2,628.00 | $1,287.72–$2,233.80 | — | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED FACILITY V | $2,260.80 | $3,768.00 | $1,846.32–$3,202.80 | 16% below | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ED FACILITY V | $2,260.80 | $3,768.00 | $1,846.32–$3,202.80 | — | 40% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIAC STRESS TEST (PHARMACOLOGIC) - TECH | $487.80 | $813.00 | $305.17–$406.05 | 40% below | 40% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIAC STRESS TEST,TRACING ONLY W/O I&R-TECH | $487.80 | $813.00 | $305.17–$406.05 | 40% below | 40% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIAC STRESS TEST (TREADMILL) - TECH | $487.80 | $813.00 | $305.17–$406.05 | 40% below | 40% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CARDIAC STRESS TEST,TRACING ONLY W/O I&R-TECH | $487.80 | $813.00 | $609.75–$691.05 | — | 40% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CARDIAC STRESS TEST (PHARMACOLOGIC) - TECH | $487.80 | $813.00 | $609.75–$691.05 | — | 40% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CARDIAC STRESS TEST (TREADMILL) - TECH | $487.80 | $813.00 | $609.75–$691.05 | — | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INFUSION, HYDRATN INITIAL 1ST HR (31-90 MINS) | $418.20 | $697.00 | $22.29–$249.75 | 9% below | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 INFUSION, HYDRATN INITIAL 1ST HR (31-90 MINS) | $418.20 | $697.00 | $522.75–$592.45 | — | 40% |
| IV infusion of a medicine, first hour CPT 96365 INFUSION, INITIAL 1ST HR (16-90 MINS) | $413.40 | $689.00 | $43.31–$249.75 | 11% below | 40% |
| IV infusion of a medicine, first hour inpatient CPT 96365 INFUSION, INITIAL 1ST HR (16-90 MINS) | $413.40 | $689.00 | $516.75–$585.65 | — | 40% |
| IV push of a medicine, first drug CPT 96374 INJECTION,IV PUSH INITIAL | $216.60 | $361.00 | $206.48–$274.73 | 42% below | 40% |
| IV push of a medicine, first drug inpatient CPT 96374 INJECTION,IV PUSH INITIAL | $216.60 | $361.00 | $270.75–$306.85 | — | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION, IM/SQ | $101.40 | $169.00 | $69.75–$92.80 | 33% below | 40% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION, IM/SQ | $101.40 | $169.00 | $126.75–$143.65 | — | 40% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 NV CONDUC STUDY;7-8 STUDIES-TECH | $521.40 | $869.00 | $305.17–$406.05 | 1% above | 40% |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 NV CONDUC STUDY;7-8 STUDIES-TECH | $521.40 | $869.00 | $651.75–$738.65 | — | 40% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT NEUROMUSC RE-EDUCATION,15 MIN | $107.40 | $179.00 | $49.91–$152.15 | — | 40% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT NEUROMUSC RE-EDUCATION,15 MIN | $107.40 | $179.00 | $49.91–$152.15 | — | 40% |
| New patient office visit, about 30 minutes CPT 99203 OFFICE/OP CONSULT LOW LVL MDM 30+MINS | $75.00 | $125.00 | $68.82–$87.20 | 72% below | 40% |
| New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE/OP CONSULT LOW LVL MDM 30+MINS | $75.00 | $125.00 | $37.00–$106.25 | — | 40% |
| New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE/OP E&M NEW LOW LEVEL 30+MINS | $87.60 | $146.00 | $40.70–$124.10 | — | 40% |
| New patient office visit, about 45 minutes CPT 99204 OFFICE/OUTPT CONSULT MOD LVL MDM 40+MINS | $101.40 | $169.00 | $99.17–$142.31 | 64% below | 40% |
| New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE/OUTPT CONSULT MOD LVL MDM 40+MINS | $101.40 | $169.00 | $50.02–$143.65 | — | 40% |
| New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE/OP E&M NEW MODERATE VISIT 45+MINS | $115.20 | $192.00 | $53.53–$163.20 | — | 40% |
| New patient office visit, about 60 minutes CPT 99205 OFFICE/OUTPT CONSULT HIGH LVL MDM 55+MINS | $117.00 | $195.00 | $122.28–$193.68 | 65% below | 40% |
| New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE/OUTPT CONSULT HIGH LVL MDM 55+MINS | $117.00 | $195.00 | $57.72–$165.75 | — | 40% |
| New patient office visit, about 60 minutes inpatient CPT 99205 TELEHEALTH-OFFICE/OP E&M NEW HIGH LVL 60+MINS | $143.40 | $239.00 | $66.63–$203.15 | — | 40% |
| New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE/OP E&M NEW HIGH LEVEL 60+MINS | $144.60 | $241.00 | $67.19–$204.85 | — | 40% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OFFICE/OP E&M NEW STRA FORWARD VISIT 15+MINS | $62.40 | $104.00 | $29.00–$88.40 | — | 40% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 NUTRITION ASSESSMENT INIT, EA 15 MIN | $42.00 | $70.00 | $19.52–$59.50 | at median | 40% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 NUTRITION ASSESSMENT INIT, EA 15 MIN | $42.00 | $70.00 | $19.52–$59.50 | — | 40% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVALUATION LOW COMPLEXITY | $201.60 | $336.00 | $93.68–$285.60 | — | 40% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVALUATION HIGH COMPLEXITY | $289.20 | $482.00 | $134.38–$409.70 | — | 40% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVALUATION LOW COMPLEXITY | $211.20 | $352.00 | $98.14–$299.20 | — | 40% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVALUATION MODERATE COMPLEXITY | $218.40 | $364.00 | $101.48–$309.40 | — | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT MANUAL THERA TECHNIQUE,1+ REGIONS EA 15MIN | $108.60 | $181.00 | $50.46–$153.85 | — | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT MANUAL THERA TECHNIQUE,1+ REGIONS EA 15MIN | $129.00 | $215.00 | $59.94–$182.75 | — | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT THERAPEUTIC EXERCISE,EA 15 MIN | $93.60 | $156.00 | $43.49–$132.60 | — | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT THERAPEUTIC EXERCISE,EA 15 MIN | $93.60 | $156.00 | $43.49–$132.60 | — | 40% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING CESSATION, COUNSELING 3-10MIN | $63.60 | $106.00 | $9.63–$35.31 | 19% above | 40% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKING CESSATION, COUNSELING 3-10MIN | $63.60 | $106.00 | $79.50–$90.10 | — | 40% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OFFICE/OP E&M ESTAB HIGH LEVEL VISIT 40+MINS | $129.60 | $216.00 | $60.22–$183.60 | — | 40% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 TELEHEALTH-OFFICE/OP E&M EST HIGH LVL 40+MINS | $129.60 | $216.00 | $60.22–$183.60 | — | 40% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 INFUSION VISIT,LVL3?(20MINS/+) | $259.20 | $432.00 | $36.31–$70.55 | 2% above | 40% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 TELEHEALTH-OFFIC/OP E&M ESTAB LOW LVL 20+MINS | $72.00 | $120.00 | $33.46–$102.00 | — | 40% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OFFICE/OP E&M ESTAB LOW LEVEL VISIT 20+MINS | $72.00 | $120.00 | $33.46–$102.00 | — | 40% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 INFUSION VISIT,LVL3?MOD 25 (20MINS/+) | $259.20 | $432.00 | $120.44–$367.20 | — | 40% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 INFUSION VISIT,LVL3?(20MINS/+) | $259.20 | $432.00 | $127.87–$367.20 | — | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 TELE-OFFICE/OP E&M EST MOD LVL 30+MINS | $96.60 | $161.00 | $44.89–$136.85 | — | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFFICE/OP E&M ESTAB MODERATE LEVEL 30+MINS | $96.60 | $161.00 | $44.89–$136.85 | — | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 INFUSION VISIT,LVL2?(10MINS/+) | $202.20 | $337.00 | $24.13–$37.64 | at median | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 TELEHEALTH-OFF/OP E&M ESTAB STRAFRWRD 10+MINS | $61.80 | $103.00 | $28.72–$87.55 | — | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE/OP E&M ESTAB STRAFRWRD VISIT 10+MINS | $61.80 | $103.00 | $28.72–$87.55 | — | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 INFUSION VISIT,LVL2 MOD 25 (10MINS/+) | $202.20 | $337.00 | $93.96–$286.45 | — | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 INFUSION VISIT,LVL2?(10MINS/+) | $202.20 | $337.00 | $99.75–$286.45 | — | 40% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 OFFICE/OP CONSULT LOW LVL MDM 30+MINS | $75.00 | $125.00 | $34.85–$106.25 | — | 40% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 OFF/OP CONSULT LOW LVL MDM 30MINS/+_NO ALT | $75.00 | $125.00 | $34.85–$106.25 | — | 40% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 OFFICE/OUTPT CONSULT MOD LVL MDM 40+MINS | $101.40 | $169.00 | $47.12–$143.65 | — | 40% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 OFF/OP CONSULT MOD LVL MDM 40MINS/+_NO ALT | $101.40 | $169.00 | $47.12–$143.65 | — | 40% |
| Speech and language evaluation inpatient CPT 92523 SP EVAL SPEECH SOUND PRODUC W/COMPREHENSION | $256.80 | $428.00 | $119.33–$363.80 | — | 40% |
| Speech therapy session, individual inpatient CPT 92507 SP THERAPY | $155.40 | $259.00 | $72.21–$220.15 | — | 40% |
| Spirometry (breathing test) CPT 94010 SPIROMTRY W/RECRD-VC-EXPIR FLO RATE-TECH | $83.40 | $139.00 | $153.33–$204.01 | 72% below | 40% |
| Spirometry (breathing test) CPT 94010 PFT-SPIROMETRY | $258.60 | $431.00 | $153.33–$204.01 | 13% below | 40% |
| Spirometry (breathing test) CPT 94010 PFT-SPIROMETRY, INHALED INSULIN | $264.60 | $441.00 | $153.33–$204.01 | 11% below | 40% |
| Spirometry (breathing test) inpatient CPT 94010 SPIROMTRY W/RECRD-VC-EXPIR FLO RATE-TECH | $83.40 | $139.00 | $104.25–$118.15 | — | 40% |
| Spirometry (breathing test) inpatient CPT 94010 PFT-SPIROMETRY | $258.60 | $431.00 | $323.25–$366.35 | — | 40% |
| Spirometry (breathing test) inpatient CPT 94010 PFT-SPIROMETRY, INHALED INSULIN | $264.60 | $441.00 | $330.75–$374.85 | — | 40% |
| Spirometry before and after a bronchodilator CPT 94060 BRONCHOSPASM EVAL: SPIRO-BRONCHO-TECH | $62.40 | $104.00 | $31.20–$369.13 | 83% below | 40% |
| Spirometry before and after a bronchodilator CPT 94060 PFT-SPIROMETRY PRE/POST BRONCH | $402.00 | $670.00 | $305.17–$406.05 | 11% above | 40% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 BRONCHOSPASM EVAL: SPIRO-BRONCHO-TECH | $62.40 | $104.00 | $78.00–$88.40 | — | 40% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 PFT-SPIROMETRY PRE/POST BRONCH | $402.00 | $670.00 | $502.50–$569.50 | — | 40% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT THER ACT,DIRECT DYNAMIC EA 15 MIN | $104.40 | $174.00 | $48.51–$147.90 | — | 40% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT THER ACT,DIRECT DYNAMIC EA 15MIN | $104.40 | $174.00 | $48.51–$147.90 | — | 40% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY,THERAPEUTIC | $262.20 | $437.00 | $126.32–$168.08 | 26% below | 40% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY,THERAPEUTIC | $262.20 | $437.00 | $327.75–$371.45 | — | 40% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Hawaii | Off list |
|---|---|---|---|---|---|
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 VACCINE,SARS-COV-2(COVID-19)50MCG IM(MODERNA) | $177.00 | $295.00 | $87.32–$250.75 | 19% below | 40% |
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 VACCINE,SARS-COV-2(COVID-19)50MCG IM(MODERNA) | $177.00 | $295.00 | $87.32–$250.75 | 19% below | 40% |
| COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 VACCINE,SARS-COV-2(COVID-19)50MCG IM(MODERNA) | $177.00 | $295.00 | $87.32–$250.75 | — | 40% |
| COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 VACCINE,SARS-COV-2(COVID-19)50MCG IM(MODERNA) | $177.00 | $295.00 | $87.32–$250.75 | — | 40% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 VACCINE,SARS-COV-2(COVID-19)30MCG IM(PFIZER) | $184.80 | $308.00 | $91.17–$261.80 | 8% below | 40% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 VACCINE,SARS-COV-2(COVID-19)30MCG IM(PFIZER) | $184.80 | $308.00 | $91.17–$261.80 | 8% below | 40% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 VACCINE,SARS-COV-2(COVID-19)30MCG IM(PFIZER) | $184.80 | $308.00 | $91.17–$261.80 | — | 40% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 VACCINE,SARS-COV-2(COVID-19)30MCG IM(PFIZER) | $184.80 | $308.00 | $91.17–$261.80 | — | 40% |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 DTAP-IPV VACC,(DTAP-IPV)4-6YRS IM | $79.80 | $133.00 | $39.37–$113.05 | 13% below | 40% |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 DTAP-IPV VACC,(DTAP-IPV)4-6YRS IM | $79.80 | $133.00 | $39.37–$113.05 | 13% below | 40% |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 DTAP-IPV VACC,(DTAP-IPV)4-6YRS IM | $79.80 | $133.00 | $39.37–$113.05 | — | 40% |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 DTAP-IPV VACC,(DTAP-IPV)4-6YRS IM | $79.80 | $133.00 | $39.37–$113.05 | — | 40% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPH/TET/ACELL PERTUS VACCINE <7YRS IM | $45.00 | $75.00 | $22.20–$63.75 | 7% below | 40% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPH/TET/ACELL PERTUS VACCINE <7YRS IM | $45.00 | $75.00 | $22.20–$63.75 | 7% below | 40% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPH/TET/ACELL PERTUS VACCINE <7YRS IM | $45.00 | $75.00 | $22.20–$63.75 | — | 40% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPH/TET/ACELL PERTUS VACCINE <7YRS IM | $45.00 | $75.00 | $22.20–$63.75 | — | 40% |
| DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 DTAP/HIB/INACTIVATED IPV VACCINE IM | $149.40 | $249.00 | $73.70–$211.65 | 13% below | 40% |
| DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 DTAP/HIB/INACTIVATED IPV VACCINE IM | $149.40 | $249.00 | $73.70–$211.65 | 13% below | 40% |
| DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 DTAP/HIB/INACTIVATED IPV VACCINE IM | $149.40 | $249.00 | $73.70–$211.65 | — | 40% |
| DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 DTAP/HIB/INACTIVATED IPV VACCINE IM | $149.40 | $249.00 | $73.70–$211.65 | — | 40% |
| DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 DTAP-IPV-HIB-HEPB VACCINE IM | $195.00 | $325.00 | $96.20–$276.25 | at median | 40% |
| DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 DTAP-IPV-HIB-HEPB VACCINE IM | $195.00 | $325.00 | $96.20–$276.25 | at median | 40% |
| DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) inpatient CPT 90697 DTAP-IPV-HIB-HEPB VACCINE IM | $195.00 | $325.00 | $96.20–$276.25 | — | 40% |
| DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) inpatient CPT 90697 DTAP-IPV-HIB-HEPB VACCINE IM | $195.00 | $325.00 | $96.20–$276.25 | — | 40% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLU VACC,TRIV(IIV3)SPLT NOPRS(FLULAVAL)0.5ML IM | $30.60 | $51.00 | $15.10–$43.35 | 3% below | 40% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLU VACC,TRIV(IIV3)SPLT NOPRS(FLULAVAL)0.5ML IM | $30.60 | $51.00 | $15.10–$43.35 | 3% below | 40% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLU VACC,IIV3 NOPRSRV 0.5ML IM(FLUZONE) | $31.20 | $52.00 | $15.39–$44.20 | 1% below | 40% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLU VACC,IIV3 NOPRSRV 0.5ML IM(FLUZONE) | $31.20 | $52.00 | $15.39–$44.20 | 1% below | 40% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLU VACC,TRIV(IIV3)SPLT NOPRS(FLULAVAL)0.5ML IM | $30.60 | $51.00 | $15.10–$43.35 | — | 40% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLU VACC,TRIV(IIV3)SPLT NOPRS(FLULAVAL)0.5ML IM | $30.60 | $51.00 | $15.10–$43.35 | — | 40% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLU VACC,IIV3 NOPRSRV 0.5ML IM(FLUZONE) | $31.20 | $52.00 | $15.39–$44.20 | — | 40% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLU VACC,IIV3 NOPRSRV 0.5ML IM(FLUZONE) | $31.20 | $52.00 | $15.39–$44.20 | — | 40% |
| Hepatitis A vaccine, adult dose CPT 90632 Hepatitis A Vaccine Inj Susp 1440 EL Unit/ML | $258.28 | $430.47 | $127.42–$365.90 | 49% above | 40% |
| Hepatitis A vaccine, adult dose CPT 90632 Hepatitis A Vaccine Inj Susp 1440 EL Unit/ML | $258.28 | $430.47 | $127.42–$365.90 | 49% above | 40% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 Hepatitis A Vaccine Inj Susp 1440 EL Unit/ML | $258.28 | $430.47 | $127.42–$365.90 | — | 40% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 Hepatitis A Vaccine Inj Susp 1440 EL Unit/ML | $258.28 | $430.47 | $127.42–$365.90 | — | 40% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 Hepatitis A Vaccine Inj Susp 720 EL Unit/0.5ML | $139.00 | $231.66 | $68.57–$196.91 | 119% above | 40% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 Hepatitis A Vaccine Inj Susp 720 EL Unit/0.5ML | $139.00 | $231.66 | $68.57–$196.91 | 119% above | 40% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 Hepatitis A Vaccine Inj Susp 720 EL Unit/0.5ML | $139.00 | $231.66 | $68.57–$196.91 | — | 40% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 Hepatitis A Vaccine Inj Susp 720 EL Unit/0.5ML | $139.00 | $231.66 | $68.57–$196.91 | — | 40% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepatitis B Vaccine (Recombinant) Susp 10 MCG/ML | $230.66 | $384.43 | $113.79–$326.77 | 87% above | 40% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepatitis B Vaccine (Recombinant) Susp 10 MCG/ML | $230.66 | $384.43 | $113.79–$326.77 | 87% above | 40% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepatitis B Vaccine (Recombinant) Susp Pref Syr 20 MCG/ML | $252.34 | $420.57 | $124.49–$357.48 | 105% above | 40% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepatitis B Vaccine (Recombinant) Susp 20 MCG/ML | $252.34 | $420.57 | $124.49–$357.48 | 105% above | 40% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepatitis B Vaccine (Recombinant) Susp 20 MCG/ML | $252.34 | $420.57 | $124.49–$357.48 | 105% above | 40% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepatitis B Vaccine (Recombinant) Susp Pref Syr 20 MCG/ML | $252.34 | $420.57 | $124.49–$357.48 | 105% above | 40% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Hepatitis B Vaccine (Recombinant) Susp 10 MCG/ML | $230.66 | $384.43 | $113.79–$326.77 | — | 40% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Hepatitis B Vaccine (Recombinant) Susp 10 MCG/ML | $230.66 | $384.43 | $113.79–$326.77 | — | 40% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Hepatitis B Vaccine (Recombinant) Susp 20 MCG/ML | $252.34 | $420.57 | $124.49–$357.48 | — | 40% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Hepatitis B Vaccine (Recombinant) Susp Pref Syr 20 MCG/ML | $252.34 | $420.57 | $124.49–$357.48 | — | 40% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Hepatitis B Vaccine (Recombinant) Susp Pref Syr 20 MCG/ML | $252.34 | $420.57 | $124.49–$357.48 | — | 40% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Hepatitis B Vaccine (Recombinant) Susp 20 MCG/ML | $252.34 | $420.57 | $124.49–$357.48 | — | 40% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HIB VACC(HIB)PRP-T CONJ 4DOSE SCH IM | $19.80 | $33.00 | $9.77–$28.05 | 33% below | 40% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HIB VACC(HIB)PRP-T CONJ 4DOSE SCH IM | $19.80 | $33.00 | $9.77–$28.05 | 33% below | 40% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HIB VACC(HIB)PRP-T CONJ 4DOSE SCH IM | $19.80 | $33.00 | $9.77–$28.05 | — | 40% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HIB VACC(HIB)PRP-T CONJ 4DOSE SCH IM | $19.80 | $33.00 | $9.77–$28.05 | — | 40% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLU VACC,(IIV)NOPRSV ENHNC IMM(HD-FLUZN)IM | $99.00 | $165.00 | $48.84–$140.25 | 19% below | 40% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLU VACC,(IIV)NOPRSV ENHNC IMM(HD-FLUZN)IM | $99.00 | $165.00 | $48.84–$140.25 | 19% below | 40% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 INFLU VACC,(IIV)NOPRSV ENHNC IMM(HD-FLUZN)IM | $99.00 | $165.00 | $48.84–$140.25 | — | 40% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 INFLU VACC,(IIV)NOPRSV ENHNC IMM(HD-FLUZN)IM | $99.00 | $165.00 | $48.84–$140.25 | — | 40% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 Measles-Mumps-Rubella Virus Vaccines For Inj Soln | $293.08 | $488.47 | $144.59–$415.20 | 62% above | 40% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 Measles-Mumps-Rubella Virus Vaccines For Inj Soln | $293.08 | $488.47 | $144.59–$415.20 | 62% above | 40% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 Measles-Mumps-Rubella Virus Vaccines For Inj Soln | $293.08 | $488.47 | $144.59–$415.20 | — | 40% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 Measles-Mumps-Rubella Virus Vaccines For Inj Soln | $293.08 | $488.47 | $144.59–$415.20 | — | 40% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 Meningococcal (A C Y and W-135) Oligo Conj Vac IM Soln | $500.26 | $833.77 | $246.80–$708.70 | 60% above | 40% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 Meningococcal (A C Y and W-135) Oligo Conj Vac IM Soln | $500.26 | $833.77 | $246.80–$708.70 | 60% above | 40% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 Meningococcal (A C Y and W-135) Oligo Conj Vac For Inj | $500.27 | $833.78 | $246.80–$708.71 | 60% above | 40% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 Meningococcal (A C Y and W-135) Oligo Conj Vac For Inj | $500.27 | $833.78 | $246.80–$708.71 | 60% above | 40% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 Meningococcal (A C Y and W-135) Oligo Conj Vac IM Soln | $500.26 | $833.77 | $246.80–$708.70 | — | 40% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 Meningococcal (A C Y and W-135) Oligo Conj Vac IM Soln | $500.26 | $833.77 | $246.80–$708.70 | — | 40% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 Meningococcal (A C Y and W-135) Oligo Conj Vac For Inj | $500.27 | $833.78 | $246.80–$708.71 | — | 40% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 Meningococcal (A C Y and W-135) Oligo Conj Vac For Inj | $500.27 | $833.78 | $246.80–$708.71 | — | 40% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Meningococcal Vac B (Recomb OMV Adjuv) Inj Prefilled Syringe | $592.12 | $986.87 | $292.11–$838.84 | 53% above | 40% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Meningococcal Vac B (Recomb OMV Adjuv) Inj Prefilled Syringe | $592.12 | $986.87 | $292.11–$838.84 | 53% above | 40% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 Meningococcal Vac B (Recomb OMV Adjuv) Inj Prefilled Syringe | $592.12 | $986.87 | $292.11–$838.84 | — | 40% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 Meningococcal Vac B (Recomb OMV Adjuv) Inj Prefilled Syringe | $592.12 | $986.87 | $292.11–$838.84 | — | 40% |
| Nasal spray flu vaccine, live (FluMist) CPT 90660 INFLU VACC,TRVLNT LIVE(LAIV3)INTRNASAL(FLUMIST) | $39.00 | $65.00 | $19.24–$55.25 | at median | 40% |
| Nasal spray flu vaccine, live (FluMist) CPT 90660 INFLU VACC,TRVLNT LIVE(LAIV3)INTRNASAL(FLUMIST) | $39.00 | $65.00 | $19.24–$55.25 | at median | 40% |
| Nasal spray flu vaccine, live (FluMist) inpatient CPT 90660 INFLU VACC,TRVLNT LIVE(LAIV3)INTRNASAL(FLUMIST) | $39.00 | $65.00 | $19.24–$55.25 | — | 40% |
| Nasal spray flu vaccine, live (FluMist) inpatient CPT 90660 INFLU VACC,TRVLNT LIVE(LAIV3)INTRNASAL(FLUMIST) | $39.00 | $65.00 | $19.24–$55.25 | — | 40% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Pneumococcal 20-Valent Conjugate Vaccine Sus Pref Syr 0.5 ML | $707.26 | $1,178.76 | $348.91–$1,001.95 | 1% above | 40% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Pneumococcal 20-Valent Conjugate Vaccine Sus Pref Syr 0.5 ML | $707.26 | $1,178.76 | $348.91–$1,001.95 | 1% above | 40% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 Pneumococcal 20-Valent Conjugate Vaccine Sus Pref Syr 0.5 ML | $707.26 | $1,178.76 | $348.91–$1,001.95 | — | 40% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 Pneumococcal 20-Valent Conjugate Vaccine Sus Pref Syr 0.5 ML | $707.26 | $1,178.76 | $348.91–$1,001.95 | — | 40% |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 Nirsevimab-alip IM Soln Prefilled Syringe 100 MG/ML | $1,253.30 | $2,088.84 | $582.37–$1,775.51 | at median | 40% |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 Nirsevimab-alip IM Soln Prefilled Syringe 100 MG/ML | $1,253.30 | $2,088.84 | $582.37–$1,775.51 | at median | 40% |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 Nirsevimab-alip IM Soln Prefilled Syringe 100 MG/ML | $1,253.30 | $2,088.84 | $582.37–$1,775.51 | — | 40% |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 Nirsevimab-alip IM Soln Prefilled Syringe 100 MG/ML | $1,253.30 | $2,088.84 | $582.37–$1,775.51 | — | 40% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 Nirsevimab-alip IM Soln Prefilled Syringe 50 MG/0.5ML | $1,253.30 | $2,088.84 | $582.37–$1,775.51 | 31% above | 40% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 Nirsevimab-alip IM Soln Prefilled Syringe 50 MG/0.5ML | $1,253.30 | $2,088.84 | $582.37–$1,775.51 | 31% above | 40% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 Nirsevimab-alip IM Soln Prefilled Syringe 50 MG/0.5ML | $1,253.30 | $2,088.84 | $582.37–$1,775.51 | — | 40% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 Nirsevimab-alip IM Soln Prefilled Syringe 50 MG/0.5ML | $1,253.30 | $2,088.84 | $582.37–$1,775.51 | — | 40% |
| Rabies vaccine, one dose CPT 90675 Rabies Vaccine PCEC For Inj | $979.43 | $1,632.39 | $910.22–$1,387.53 | at median | 40% |
| Rabies vaccine, one dose CPT 90675 Rabies Vaccine PCEC For Inj | $979.43 | $1,632.39 | $910.22–$1,387.53 | at median | 40% |
| Rabies vaccine, one dose inpatient CPT 90675 Rabies Vaccine PCEC For Inj | $979.43 | $1,632.39 | $910.22–$1,387.53 | — | 40% |
| Rabies vaccine, one dose inpatient CPT 90675 Rabies Vaccine PCEC For Inj | $979.43 | $1,632.39 | $910.22–$1,387.53 | — | 40% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tetanus-Diphtheria Toxoids (Td) Inj 5-2 LFU | $146.95 | $244.92 | $72.50–$208.18 | 155% above | 40% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tetanus-Diphtheria Toxoids (Td) Inj 5-2 LFU | $146.95 | $244.92 | $72.50–$208.18 | 155% above | 40% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Tetanus-Diphtheria Toxoids (Td) Inj 5-2 LFU | $146.95 | $244.92 | $72.50–$208.18 | — | 40% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Tetanus-Diphtheria Toxoids (Td) Inj 5-2 LFU | $146.95 | $244.92 | $72.50–$208.18 | — | 40% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tet Tox-Diph-Acell Pertuss Ad Inj 5-2.5-18.5 LF-LF-MCG/0.5ML | $145.23 | $242.05 | $71.65–$205.74 | 55% above | 40% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tet Tox-Diph-Acell Pertuss Ad Inj 5-2.5-18.5 LF-LF-MCG/0.5ML | $145.23 | $242.05 | $71.65–$205.74 | 55% above | 40% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tet Tox-Diph-Acell Pertuss Ad Inj 5-2.5-18.5 LF-LF-MCG/0.5ML | $145.23 | $242.05 | $71.65–$205.74 | — | 40% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tet Tox-Diph-Acell Pertuss Ad Inj 5-2.5-18.5 LF-LF-MCG/0.5ML | $145.23 | $242.05 | $71.65–$205.74 | — | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN,ONE VAC | $67.20 | $112.00 | $69.75–$92.80 | 44% below | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZ ADMIN;INFLUENZA VACC | $72.60 | $121.00 | $69.75–$92.80 | 39% below | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZ ADMIN;PNEUMOCOCCAL VACC | $72.60 | $121.00 | $69.75–$92.80 | 39% below | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN,ONE VAC | $67.20 | $112.00 | $31.23–$95.20 | — | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZ ADMIN;PNEUMOCOCCAL VACC | $72.60 | $121.00 | $33.73–$102.85 | — | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZ ADMIN;INFLUENZA VACC | $72.60 | $121.00 | $33.73–$102.85 | — | 40% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN,EA ADDL VAC | $34.80 | $58.00 | $16.17–$49.30 | 43% below | 40% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADMIN,EA ADDL VAC | $34.80 | $58.00 | $16.17–$49.30 | — | 40% |
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.
Source file: https://hph.pt.panaceainc.com/MRFDownload/hph/palimomi/990274038_Pali-Momi-Medical-Center_standardcharges.csv