SelfPayRates
Hospital

Lakewood Health Center

Lakewood Health Center in Baudette, MN publishes cash prices for 242 common procedures listed here, from its own machine-readable price file updated Feb 28, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Minnesota median for 134 of 239 procedures and above it for 104. By typical cash price it ranks #35 of 79 Minnesota hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

600 Main Avenue, Baudette, MN 56623 Collected Sep 27, 2026 Source price file (218) 634-2120

Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 241301 · CMS hospital register

Scans and imaging

ProcedureCash price List priceInsurers payvs MinnesotaOff list
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 CV ANKLE BRACHIAL INDEX (ABI) $354.42 $537.00 $204.06–$526.26 4% below 34%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 CV ANKLE BRACHIAL INDEX (ABI) $354.42 $537.00 $204.06–$526.26 — 34%
Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGUS $462.66 $701.00 $266.38–$686.98 58% above 34%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 ESOPHAGUS $462.66 $701.00 $266.38–$686.98 — 34%
Bone scan, whole body (nuclear medicine) CPT 78306 BONE SCAN WHOLE BODY $1,628.22 $2,467.00 $937.46–$2,417.66 33% above 34%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 BONE SCAN WHOLE BODY $1,628.22 $2,467.00 $937.46–$2,417.66 — 34%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 ANG CHEST $1,665.84 $2,524.00 $454.64–$2,473.52 1% above 34%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 ANG CHEST $1,665.84 $2,524.00 $959.12–$2,473.52 — 34%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 ABDOMEN PELVIS WO CONT $2,954.16 $4,476.00 $588.45–$4,386.48 55% above 34%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 ABDOMEN PELVIS WO CONT $2,954.16 $4,476.00 $1,700.88–$4,386.48 — 34%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 ABDOMEN PELVIS W CONT $3,486.12 $5,282.00 $618.69–$5,176.36 42% above 34%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 ABDOMEN PELVIS W CONT $3,486.12 $5,282.00 $2,007.16–$5,176.36 — 34%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 ABDOMEN PELVIS W WO CONT $4,726.26 $7,161.00 $618.69–$7,017.78 84% above 34%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 ABDOMEN PELVIS W WO CONT $4,726.26 $7,161.00 $2,721.18–$7,017.78 — 34%
CT scan of the abdomen with contrast CPT 74160 ABDOMEN W CONT $1,634.82 $2,477.00 $454.64–$2,427.46 12% above 34%
CT scan of the abdomen with contrast inpatient CPT 74160 ABDOMEN W CONT $1,634.82 $2,477.00 $941.26–$2,427.46 — 34%
CT scan of the abdomen without contrast CPT 74150 ABDOMEN WO CONT $1,381.38 $2,093.00 $358.90–$2,051.14 17% above 34%
CT scan of the abdomen without contrast inpatient CPT 74150 ABDOMEN WO CONT $1,381.38 $2,093.00 $795.34–$2,051.14 — 34%
CT scan of the face and sinuses, no contrast dye CPT 70486 MAX FACIAL SINUS WO CONT $1,249.38 $1,893.00 $358.90–$1,855.14 at median 34%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 MAX FACIAL SINUS WO CONT $1,249.38 $1,893.00 $719.34–$1,855.14 — 34%
CT scan of the head or brain, no contrast dye CPT 70450 HEAD WO CONT $1,469.16 $2,226.00 $478.71–$2,181.48 17% above 34%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HEAD WO CONT $1,469.16 $2,226.00 $845.88–$2,181.48 — 34%
CT scan of the head with contrast CPT 70460 HEAD W CONT $1,895.52 $2,872.00 $454.64–$2,814.56 46% above 34%
CT scan of the head with contrast inpatient CPT 70460 HEAD W CONT $1,895.52 $2,872.00 $1,091.36–$2,814.56 — 34%
CT scan of the head without and with contrast CPT 70470 HEAD W WO CONT $2,159.52 $3,272.00 $454.64–$3,206.56 36% above 34%
CT scan of the head without and with contrast inpatient CPT 70470 HEAD W WO CONT $2,159.52 $3,272.00 $1,243.36–$3,206.56 — 34%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 LUMBAR SPINE WO CONT $1,379.40 $2,090.00 $358.90–$2,048.20 1% above 34%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 LUMBAR SPINE WO CONT $1,379.40 $2,090.00 $794.20–$2,048.20 — 34%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CERVICAL SPINE WO CONT $1,473.78 $2,233.00 $358.90–$2,188.34 9% above 34%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CERVICAL SPINE WO CONT $1,473.78 $2,233.00 $848.54–$2,188.34 — 34%
CT scan of the pelvis, with contrast dye CPT 72193 PELVIS W CONT $1,594.56 $2,416.00 $454.64–$2,367.68 8% above 34%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 PELVIS W CONT $1,594.56 $2,416.00 $918.08–$2,367.68 — 34%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 CV CAROTID DUPLEX COMP $988.02 $1,497.00 $568.86–$1,467.06 20% above 34%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 CAROTID COMP $1,007.82 $1,527.00 $580.26–$1,496.46 22% above 34%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 CV CAROTID DUPLEX COMP $988.02 $1,497.00 $568.86–$1,467.06 — 34%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 CAROTID COMP $1,007.82 $1,527.00 $580.26–$1,496.46 — 34%
Chest X-ray, 2 views both sides CPT 71046 CHEST DECUBITUS BI $387.42 $587.00 $120.38–$575.26 — 34%
Chest X-ray, 2 views CPT 71046 CHEST 2V $415.80 $630.00 $120.38–$617.40 80% above 34%
Chest X-ray, 2 views inpatient both sides CPT 71046 CHEST DECUBITUS BI $387.42 $587.00 $223.06–$575.26 — 34%
Chest X-ray, 2 views inpatient CPT 71046 CHEST 2V $415.80 $630.00 $239.40–$617.40 — 34%
Chest X-ray, single view CPT 71045 CHEST 1V FRONTAL $396.00 $600.00 $228.00–$588.00 123% above 34%
Chest X-ray, single view inpatient CPT 71045 CHEST 1V FRONTAL $396.00 $600.00 $228.00–$588.00 — 34%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 AORTA COMP DUPLEX $588.06 $891.00 $338.58–$873.18 13% above 34%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 RENAL COMP $602.58 $913.00 $346.94–$894.74 16% above 34%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 AORTA COMP DUPLEX $588.06 $891.00 $338.58–$873.18 — 34%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 RENAL COMP $602.58 $913.00 $346.94–$894.74 — 34%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA BONE DENSITY BODY $450.78 $683.00 $259.54–$669.34 44% above 34%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DEXA BONE DENSITY BODY $450.78 $683.00 $259.54–$669.34 — 34%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DEXA BONE DENSITY PERIPHERAL** $441.54 $669.00 $254.22–$655.62 129% above 34%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DEXA BONE DENSITY PERIPHERAL** $441.54 $669.00 $254.22–$655.62 — 34%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CHEST WO CONT $1,448.70 $2,195.00 $358.90–$2,151.10 16% above 34%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CHEST WO CONT $1,448.70 $2,195.00 $834.10–$2,151.10 — 34%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CHEST W CONT $2,028.18 $3,073.00 $454.64–$3,011.54 36% above 34%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CHEST W CONT $2,028.18 $3,073.00 $1,167.74–$3,011.54 — 34%
Diagnostic mammogram, both breasts both sides CPT 77066 DIAGNOSTIC MAMMO DIGITAL BI $347.16 $526.00 $199.88–$515.48 — 34%
Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO DIAG DIG IMPLANTS BI $506.88 $768.00 $291.84–$752.64 — 34%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DIAGNOSTIC MAMMO DIGITAL BI $347.16 $526.00 $199.88–$515.48 — 34%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMMO DIAG DIG IMPLANTS BI $506.88 $768.00 $291.84–$752.64 — 34%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 VL DUPLEX LWR EXT ART COMP BI $1,041.48 $1,578.00 $599.64–$1,546.44 — 34%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 VL DUPLEX LWR EXT ART COMP BI $1,041.48 $1,578.00 $599.64–$1,546.44 — 34%
Duplex ultrasound of the leg veins, both legs CPT 93970 VL DUPLEX LWR EXT VEINS COMP $1,007.16 $1,526.00 $579.88–$1,495.48 13% above 34%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 VL DUPLEX LWR EXT VEINS COMP $1,007.16 $1,526.00 $579.88–$1,495.48 — 34%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO PEDIATRIC COMP WO CONT $1,342.44 $2,034.00 $865.05–$1,993.32 6% above 34%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO COMP WO CONT $1,370.16 $2,076.00 $865.05–$2,034.48 9% above 34%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO PEDIATRIC COMP WO CONT $1,342.44 $2,034.00 $772.92–$1,993.32 — 34%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO COMP WO CONT $1,370.16 $2,076.00 $788.88–$2,034.48 — 34%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 CHOLESCINTIGRAPHY $1,246.74 $1,889.00 $717.82–$1,851.22 7% below 34%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 CHOLESCINTIGRAPHY $1,246.74 $1,889.00 $717.82–$1,851.22 — 34%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SLEEP STUDY W BIPAP OR CPAP $2,569.38 $3,893.00 $1,479.34–$3,815.14 26% below 34%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOMNOGRAPHY $2,569.38 $3,893.00 $1,479.34–$3,815.14 26% below 34%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SLEEP STUDY FULL POLY W/CPAP $2,648.58 $4,013.00 $1,524.94–$3,932.74 24% below 34%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 SLEEP STUDY W BIPAP OR CPAP $2,569.38 $3,893.00 $1,479.34–$3,815.14 — 34%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 POLYSOMNOGRAPHY $2,569.38 $3,893.00 $1,479.34–$3,815.14 — 34%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 SLEEP STUDY FULL POLY W/CPAP $2,648.58 $4,013.00 $1,524.94–$3,932.74 — 34%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ABDOMEN LTD $425.04 $644.00 $244.72–$631.12 2% above 34%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ABDOMEN LTD $425.04 $644.00 $244.72–$631.12 — 34%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LUNG SCREEN PROTOCOL $501.60 $760.00 $288.80–$744.80 13% below 34%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 LUNG SCREEN PROTOCOL $501.60 $760.00 $288.80–$744.80 — 34%
MRI of the abdomen without contrast CPT 74181 ABDOMEN WO CONT $2,871.00 $4,350.00 $588.45–$4,263.00 32% above 34%
MRI of the abdomen without contrast inpatient CPT 74181 ABDOMEN WO CONT $2,871.00 $4,350.00 $1,653.00–$4,263.00 — 34%
MRI of the abdomen, without and then with contrast dye CPT 74183 ABDOMEN W WO CONT $3,430.02 $5,197.00 $618.69–$5,093.06 16% above 34%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 ABDOMEN W WO CONT $3,430.02 $5,197.00 $1,974.86–$5,093.06 — 34%
MRI of the brain, no contrast dye CPT 70551 BRAIN WO CONT $3,305.28 $5,008.00 $588.45–$4,907.84 62% above 34%
MRI of the brain, no contrast dye inpatient CPT 70551 BRAIN WO CONT $3,305.28 $5,008.00 $1,903.04–$4,907.84 — 34%
MRI of the brain, with and without contrast dye CPT 70553 BRAIN W WO CONT $4,032.60 $6,110.00 $618.69–$5,987.80 49% above 34%
MRI of the brain, with and without contrast dye inpatient CPT 70553 BRAIN W WO CONT $4,032.60 $6,110.00 $2,321.80–$5,987.80 — 34%
MRI of the lower back, no contrast dye CPT 72148 LUMBAR SPINE COMP WO CONT $3,086.82 $4,677.00 $588.45–$4,583.46 47% above 34%
MRI of the lower back, no contrast dye inpatient CPT 72148 LUMBAR SPINE COMP WO CONT $3,086.82 $4,677.00 $1,777.26–$4,583.46 — 34%
MRI of the lower back, without and then with contrast dye CPT 72158 LUMBAR SPINE COMP W WO CONT $3,765.96 $5,706.00 $618.69–$5,591.88 47% above 34%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 LUMBAR SPINE COMP W WO CONT $3,765.96 $5,706.00 $2,168.28–$5,591.88 — 34%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 THORACIC SPINE COMP WO CONT $2,943.60 $4,460.00 $588.45–$4,370.80 39% above 34%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 THORACIC SPINE COMP WO CONT $2,943.60 $4,460.00 $1,694.80–$4,370.80 — 34%
MRI of the neck (cervical spine) without and with contrast CPT 72156 CERVICAL SPINE COMP W WO CONT $3,565.32 $5,402.00 $618.69–$5,293.96 43% above 34%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 CERVICAL SPINE COMP W WO CONT $3,565.32 $5,402.00 $2,052.76–$5,293.96 — 34%
MRI of the neck (cervical spine), no contrast dye CPT 72141 CERVICAL SPINE COMP WO CONT $3,100.02 $4,697.00 $588.45–$4,603.06 46% above 34%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 CERVICAL SPINE COMP WO CONT $3,100.02 $4,697.00 $1,784.86–$4,603.06 — 34%
MRI of the pelvis without and with contrast CPT 72197 PELVIS W WO CONT $3,183.18 $4,823.00 $618.69–$4,726.54 20% above 34%
MRI of the pelvis without and with contrast inpatient CPT 72197 PELVIS W WO CONT $3,183.18 $4,823.00 $1,832.74–$4,726.54 — 34%
MRI of the pelvis, no contrast dye CPT 72195 PELVIS WO CONT $2,871.00 $4,350.00 $588.45–$4,263.00 36% above 34%
MRI of the pelvis, no contrast dye inpatient CPT 72195 PELVIS WO CONT $2,871.00 $4,350.00 $1,653.00–$4,263.00 — 34%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 MYOCARDIAL PERF SPECT MULTI $3,350.16 $5,076.00 $1,584.52–$4,974.48 18% above 34%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 MYOCARDIAL PERF SPECT MULTI $3,350.16 $5,076.00 $1,928.88–$4,974.48 — 34%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 PELVIS NON OB LTD $644.16 $976.00 $370.88–$956.48 111% above 34%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 PELVIS NON OB LTD $644.16 $976.00 $370.88–$956.48 — 34%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 PELVIS NON OB COMP $731.94 $1,109.00 $421.42–$1,086.82 56% above 34%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 PELVIS NON OB COMP $731.94 $1,109.00 $421.42–$1,086.82 — 34%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB 2 OR 3 TRI SGL 1ST GEST $729.96 $1,106.00 $420.28–$1,083.88 53% above 34%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 OB 2 OR 3 TRI SGL 1ST GEST $729.96 $1,106.00 $420.28–$1,083.88 — 34%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB 1ST TRI SGL 1ST GEST $565.62 $857.00 $325.66–$839.86 35% above 34%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 OB 1ST TRI SGL 1ST GEST $565.62 $857.00 $325.66–$839.86 — 34%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 AMNIO FLUID INDEX $465.96 $706.00 $268.28–$691.88 45% above 34%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 AMNIO FLUID INDEX $465.96 $706.00 $268.28–$691.88 — 34%
Screening mammogram, both breasts both sides CPT 77067 SCREENING MAMMO DIGITAL BI $347.16 $526.00 $91.61–$515.48 — 34%
Screening mammogram, both breasts both sides CPT 77067 MAMMO SCREEN DIG IMPLANT BI $506.88 $768.00 $91.61–$752.64 — 34%
Screening mammogram, both breasts inpatient both sides CPT 77067 SCREENING MAMMO DIGITAL BI $347.16 $526.00 $199.88–$515.48 — 34%
Screening mammogram, both breasts inpatient both sides CPT 77067 MAMMO SCREEN DIG IMPLANT BI $506.88 $768.00 $291.84–$752.64 — 34%
Sleep study in a lab (polysomnography) CPT 95810 SLEEP STUDY W MIN 4 PARAMETERS $2,436.72 $3,692.00 $1,402.96–$3,618.16 21% below 34%
Sleep study in a lab (polysomnography) CPT 95810 SLEEP STUDY FULLY POLY $2,490.18 $3,773.00 $1,433.74–$3,697.54 19% below 34%
Sleep study in a lab (polysomnography) inpatient CPT 95810 SLEEP STUDY W MIN 4 PARAMETERS $2,436.72 $3,692.00 $1,402.96–$3,618.16 — 34%
Sleep study in a lab (polysomnography) inpatient CPT 95810 SLEEP STUDY FULLY POLY $2,490.18 $3,773.00 $1,433.74–$3,697.54 — 34%
Swallow study (modified barium swallow, video X-ray) CPT 74230 SWALLOWING FUNCTION W VIDEO $171.60 $260.00 $98.80–$254.80 42% below 34%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 SWALLOWING FUNCTION W VIDEO $171.60 $260.00 $98.80–$254.80 — 34%
Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL NON OB $555.72 $842.00 $319.96–$825.16 43% above 34%
Transvaginal pelvic ultrasound inpatient CPT 76830 TRANSVAGINAL NON OB $555.72 $842.00 $319.96–$825.16 — 34%
Transvaginal ultrasound during pregnancy CPT 76817 OB TRANSVAGINAL $518.76 $786.00 $298.68–$770.28 55% above 34%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 OB TRANSVAGINAL $518.76 $786.00 $298.68–$770.28 — 34%
Ultrasound of the abdomen, complete CPT 76700 ABDOMEN COMP $731.94 $1,109.00 $421.42–$1,086.82 25% above 34%
Ultrasound of the abdomen, complete inpatient CPT 76700 ABDOMEN COMP $731.94 $1,109.00 $421.42–$1,086.82 — 34%
Ultrasound of the scrotum and testicles CPT 76870 SCROTUM AND CONTENTS $518.76 $786.00 $298.68–$770.28 13% above 34%
Ultrasound of the scrotum and testicles inpatient CPT 76870 SCROTUM AND CONTENTS $518.76 $786.00 $298.68–$770.28 — 34%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HEAD NECK SOFT TISSUE $206.58 $313.00 $118.94–$306.74 55% below 34%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HEAD NECK SOFT TISSUE $206.58 $313.00 $118.94–$306.74 — 34%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI $471.24 $714.00 $271.32–$699.72 47% above 34%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI WO KUB $620.40 $940.00 $357.20–$921.20 94% above 34%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UGI $471.24 $714.00 $271.32–$699.72 — 34%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UGI WO KUB $620.40 $940.00 $357.20–$921.20 — 34%
X-ray of the abdomen, 1 view CPT 74018 ABDOMEN 1V CROSS TABLE LATERAL $426.36 $646.00 $245.48–$633.08 102% above 34%
X-ray of the abdomen, 1 view CPT 74018 ABDOMEN 1V DECUBITIS $439.56 $666.00 $253.08–$652.68 109% above 34%
X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN 1V CROSS TABLE LATERAL $426.36 $646.00 $245.48–$633.08 — 34%
X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN 1V DECUBITIS $439.56 $666.00 $253.08–$652.68 — 34%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LUMBAR SPINE 2 OR 3V $556.38 $843.00 $320.34–$826.14 112% above 34%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 LUMBAR SPINE 2 OR 3V $556.38 $843.00 $320.34–$826.14 — 34%
X-ray of the lower back, 4 or more views CPT 72110 LUMBAR SPINE MIN 4V $717.42 $1,087.00 $413.06–$1,065.26 110% above 34%
X-ray of the lower back, 4 or more views inpatient CPT 72110 LUMBAR SPINE MIN 4V $717.42 $1,087.00 $413.06–$1,065.26 — 34%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 THORACIC SPINE 2V $417.12 $632.00 $240.16–$619.36 69% above 34%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 THORACIC SPINE 2V $417.12 $632.00 $240.16–$619.36 — 34%
X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONE MIN 3V $354.42 $537.00 $204.06–$526.26 62% above 34%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONE MIN 3V $354.42 $537.00 $204.06–$526.26 — 34%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERVICAL SPINE 2V OR 3V $495.00 $750.00 $285.00–$735.00 99% above 34%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 CERVICAL SPINE 2V OR 3V $495.00 $750.00 $285.00–$735.00 — 34%
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1V OR 2V $511.50 $775.00 $294.50–$759.50 156% above 34%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS 1V OR 2V $511.50 $775.00 $294.50–$759.50 — 34%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM COCCYX MIN 2V $376.86 $571.00 $216.98–$559.58 66% above 34%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM COCCYX MIN 2V $376.86 $571.00 $216.98–$559.58 — 34%

Lab tests

ProcedureCash price List priceInsurers payvs MinnesotaOff list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT $43.56 $66.00 $5.30–$64.68 3% below 34%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT $43.56 $66.00 $25.08–$64.68 — 34%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST $43.56 $66.00 $5.18–$64.68 3% below 34%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST $43.56 $66.00 $25.08–$64.68 — 34%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS ACUTE W HCV NAA RFL $94.31 $142.89 $47.63–$140.04 60% below 34%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL ACUTE REFLEX $335.28 $508.00 $47.63–$497.84 44% above 34%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS ACUTE W HCV NAA RFL $94.31 $142.89 $54.30–$140.04 — 34%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PANEL ACUTE REFLEX $335.28 $508.00 $193.04–$497.84 — 34%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE EGG WHITE $6.05 $9.16 $3.49–$8.98 60% below 34%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE SESAME SEED $6.10 $9.24 $3.52–$9.06 60% below 34%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN ALMOND IGE $9.24 $14.00 $5.22–$13.72 39% below 34%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN CAT DANDER IGE $9.90 $15.00 $5.22–$14.70 35% below 34%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN HORMODENDRUM $10.34 $15.66 $5.22–$15.35 32% below 34%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN ALTERN TENUIS IGE $18.48 $28.00 $5.22–$27.44 22% above 34%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN APPLE IGE $20.46 $31.00 $5.22–$30.38 35% above 34%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS DUST/MITE PROFILE 4 $42.24 $64.00 $5.22–$62.72 178% above 34%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN D. PTERONYSSINUS $44.22 $67.00 $5.22–$65.66 191% above 34%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN GLUTEN IGE $48.84 $74.00 $5.22–$72.52 221% above 34%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS MOLD PROFILE 5 $50.82 $77.00 $5.22–$75.46 234% above 34%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS (5) $56.10 $85.00 $5.22–$83.30 269% above 34%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN BETA-LACTOGLOB IGE $57.42 $87.00 $5.22–$85.26 278% above 34%
Allergy blood test, specific IgE, per allergen CPT 86003 CATFISH AB IGE $73.92 $112.00 $5.22–$109.76 386% above 34%
Allergy blood test, specific IgE, per allergen CPT 86003 BLACK BEAN AB IGE $81.84 $124.00 $5.22–$121.52 438% above 34%
Allergy blood test, specific IgE, per allergen CPT 86003 FLAXSEED/LINSEED $87.12 $132.00 $5.22–$129.36 473% above 34%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE ASPERGILLUS FUMIGATUS $91.08 $138.00 $5.22–$135.24 499% above 34%
Allergy blood test, specific IgE, per allergen CPT 86003 PEANUT WHOLE W/COMP.X 5 $94.38 $143.00 $5.22–$140.14 521% above 34%
Allergy blood test, specific IgE, per allergen CPT 86003 QUINOA AB IGE $95.70 $145.00 $5.22–$142.10 530% above 34%
Allergy blood test, specific IgE, per allergen CPT 86003 FOOD ALLERGY PROFILE 12 X 11 $102.96 $156.00 $5.22–$152.88 577% above 34%
Allergy blood test, specific IgE, per allergen CPT 86003 CHILDHOOD ALLERGY 15 X14 $120.12 $182.00 $5.22–$178.36 690% above 34%
Allergy blood test, specific IgE, per allergen CPT 86003 ADULT COMP FOOD PROFILE X34 $302.94 $459.00 $5.22–$449.82 1893% above 34%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE EGG WHITE $6.05 $9.16 $3.49–$8.98 — 34%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE SESAME SEED $6.10 $9.24 $3.52–$9.06 — 34%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN ALMOND IGE $9.24 $14.00 $5.32–$13.72 — 34%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN CAT DANDER IGE $9.90 $15.00 $5.70–$14.70 — 34%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN HORMODENDRUM $10.34 $15.66 $5.96–$15.35 — 34%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN ALTERN TENUIS IGE $18.48 $28.00 $10.64–$27.44 — 34%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN APPLE IGE $20.46 $31.00 $11.78–$30.38 — 34%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGENS DUST/MITE PROFILE 4 $42.24 $64.00 $24.32–$62.72 — 34%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN D. PTERONYSSINUS $44.22 $67.00 $25.46–$65.66 — 34%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN GLUTEN IGE $48.84 $74.00 $28.12–$72.52 — 34%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGENS MOLD PROFILE 5 $50.82 $77.00 $29.26–$75.46 — 34%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGENS (5) $56.10 $85.00 $32.30–$83.30 — 34%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN BETA-LACTOGLOB IGE $57.42 $87.00 $33.06–$85.26 — 34%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CATFISH AB IGE $73.92 $112.00 $42.56–$109.76 — 34%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BLACK BEAN AB IGE $81.84 $124.00 $47.12–$121.52 — 34%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FLAXSEED/LINSEED $87.12 $132.00 $50.16–$129.36 — 34%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE ASPERGILLUS FUMIGATUS $91.08 $138.00 $52.44–$135.24 — 34%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEANUT WHOLE W/COMP.X 5 $94.38 $143.00 $54.34–$140.14 — 34%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 QUINOA AB IGE $95.70 $145.00 $55.10–$142.10 — 34%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FOOD ALLERGY PROFILE 12 X 11 $102.96 $156.00 $59.28–$152.88 — 34%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHILDHOOD ALLERGY 15 X14 $120.12 $182.00 $69.16–$178.36 — 34%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ADULT COMP FOOD PROFILE X34 $302.94 $459.00 $174.42–$449.82 — 34%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINAT PEPTIDEIGG $25.65 $38.85 $12.95–$38.08 39% below 34%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CTD CCP $104.94 $159.00 $12.95–$155.82 151% above 34%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATE PEP AB IGG $107.58 $163.00 $12.95–$159.74 157% above 34%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINAT PEPTIDEIGG $25.65 $38.85 $14.77–$38.08 — 34%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CTD CCP $104.94 $159.00 $60.42–$155.82 — 34%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINATE PEP AB IGG $107.58 $163.00 $61.94–$159.74 — 34%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANAIGG ELISA RFLX ANAIGG IFA $23.94 $36.27 $12.09–$35.55 47% below 34%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA MULTIPLEX W/ REFLEX $38.94 $59.00 $12.09–$57.82 14% below 34%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES IFA $43.56 $66.00 $12.09–$64.68 3% below 34%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTI-NUC AB (ANA) EIA (REF) $126.06 $191.00 $12.09–$187.18 180% above 34%
Antinuclear antibody (ANA) blood test, screen CPT 86038 CTD ANA $127.38 $193.00 $12.09–$189.14 183% above 34%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA SCREEN (REFLEXIVE) $130.68 $198.00 $12.09–$194.04 190% above 34%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTI-NUCLEAR AB (ANA) BY EIA $132.66 $201.00 $12.09–$196.98 195% above 34%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANAIGG ELISA RFLX ANAIGG IFA $23.94 $36.27 $13.79–$35.55 — 34%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA MULTIPLEX W/ REFLEX $38.94 $59.00 $22.42–$57.82 — 34%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES IFA $43.56 $66.00 $25.08–$64.68 — 34%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTI-NUC AB (ANA) EIA (REF) $126.06 $191.00 $72.58–$187.18 — 34%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 CTD ANA $127.38 $193.00 $73.34–$189.14 — 34%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA SCREEN (REFLEXIVE) $130.68 $198.00 $75.24–$194.04 — 34%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTI-NUCLEAR AB (ANA) BY EIA $132.66 $201.00 $76.38–$196.98 — 34%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP $342.54 $519.00 $39.26–$508.62 154% above 34%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP $342.54 $519.00 $197.22–$508.62 — 34%
Basic metabolic panel (blood test) CPT 80048 BMP $288.42 $437.00 $8.46–$428.26 223% above 34%
Basic metabolic panel (blood test) inpatient CPT 80048 BMP $288.42 $437.00 $166.06–$428.26 — 34%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATHOLOGIST $102.23 $154.89 $81.19–$162.37 2% below 34%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG PATH GROSS/MICRO L4 $256.08 $388.00 $81.19–$380.24 145% above 34%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 TISSUE EXAM BY PATHOLOGIST $102.23 $154.89 $58.86–$151.80 — 34%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURG PATH GROSS/MICRO L4 $256.08 $388.00 $147.44–$380.24 — 34%
Blood culture for bacteria CPT 87040 BLOOD CULTURE ROUTINE $48.18 $73.00 $10.32–$71.54 56% below 34%
Blood culture for bacteria CPT 87040 CULT BLOOD AEROBIC $253.44 $384.00 $10.32–$376.32 130% above 34%
Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE ROUTINE $48.18 $73.00 $27.74–$71.54 — 34%
Blood culture for bacteria inpatient CPT 87040 CULT BLOOD AEROBIC $253.44 $384.00 $145.92–$376.32 — 34%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE $25.74 $39.00 $8.83–$39.19 24% above 34%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE $25.74 $39.00 $14.82–$38.22 — 34%
Blood glucose (sugar) test CPT 82947 MHPAN GLUCOSE $13.86 $21.00 $3.93–$20.58 69% below 34%
Blood glucose (sugar) test CPT 82947 GLUCOSE $40.92 $62.00 $3.93–$60.76 8% below 34%
Blood glucose (sugar) test CPT 82947 HRTMTB GLUCOSE $48.18 $73.00 $3.93–$71.54 8% above 34%
Blood glucose (sugar) test CPT 82947 GLUCOMETER NOVA $83.82 $127.00 $3.93–$124.46 89% above 34%
Blood glucose (sugar) test inpatient CPT 82947 MHPAN GLUCOSE $13.86 $21.00 $7.98–$20.58 — 34%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE $40.92 $62.00 $23.56–$60.76 — 34%
Blood glucose (sugar) test inpatient CPT 82947 HRTMTB GLUCOSE $48.18 $73.00 $27.74–$71.54 — 34%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOMETER NOVA $83.82 $127.00 $48.26–$124.46 — 34%
Blood lead test CPT 83655 LEAD BLOOD (VENOUS) $23.98 $36.33 $12.11–$35.61 23% below 34%
Blood lead test CPT 83655 LEAD URINE 24 HR $47.52 $72.00 $12.11–$70.56 52% above 34%
Blood lead test CPT 83655 LEAD WHOLE BLOOD $50.82 $77.00 $12.11–$75.46 63% above 34%
Blood lead test CPT 83655 LEAD $52.14 $79.00 $12.11–$77.42 67% above 34%
Blood lead test inpatient CPT 83655 LEAD BLOOD (VENOUS) $23.98 $36.33 $13.81–$35.61 — 34%
Blood lead test inpatient CPT 83655 LEAD URINE 24 HR $47.52 $72.00 $27.36–$70.56 — 34%
Blood lead test inpatient CPT 83655 LEAD WHOLE BLOOD $50.82 $77.00 $29.26–$75.46 — 34%
Blood lead test inpatient CPT 83655 LEAD $52.14 $79.00 $30.02–$77.42 — 34%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUAL. SERUM $60.72 $92.00 $7.52–$90.16 12% below 34%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG QUAL. SERUM $60.72 $92.00 $34.96–$90.16 — 34%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 OBPAN2 ABO $17.16 $26.00 $2.99–$25.48 68% below 34%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 OBPAN1 ABO $18.48 $28.00 $2.99–$27.44 65% below 34%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO $161.70 $245.00 $2.99–$240.10 206% above 34%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 OBPAN2 ABO $17.16 $26.00 $9.88–$25.48 — 34%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 OBPAN1 ABO $18.48 $28.00 $10.64–$27.44 — 34%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO $161.70 $245.00 $93.10–$240.10 — 34%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN $10.26 $15.54 $5.18–$15.23 81% below 34%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP $77.88 $118.00 $5.18–$115.64 43% above 34%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN $10.26 $15.54 $5.91–$15.23 — 34%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP $77.88 $118.00 $44.84–$115.64 — 34%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF TOXIN B GENE TCDBRTPCR $73.80 $111.81 $37.27–$109.58 44% below 34%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED $213.18 $323.00 $37.27–$316.54 61% above 34%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF TOXIN B GENE TCDBRTPCR $73.80 $111.81 $42.49–$109.58 — 34%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF AMPLIFIED $213.18 $323.00 $122.74–$316.54 — 34%
CA 19-9 blood test (tumor marker) CPT 86301 CANCER ANTIGEN-GI (CA 19-9) $41.21 $62.43 $20.81–$61.19 59% below 34%
CA 19-9 blood test (tumor marker) CPT 86301 CA-19-9 $265.98 $403.00 $20.81–$394.94 162% above 34%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CANCER ANTIGEN-GI (CA 19-9) $41.21 $62.43 $23.73–$61.19 — 34%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA-19-9 $265.98 $403.00 $153.14–$394.94 — 34%
CA-125 blood test (ovarian cancer marker) CPT 86304 CANCER ANTIGEN 125 $41.21 $62.43 $20.81–$61.19 59% below 34%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 $265.98 $403.00 $20.81–$394.94 162% above 34%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CANCER ANTIGEN 125 $41.21 $62.43 $23.73–$61.19 — 34%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125 $265.98 $403.00 $153.14–$394.94 — 34%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2/2019-NCOV MN HLTH $28.38 $43.00 $23.65–$134.38 76% below 34%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2/2019-NCOV INHOUSE C $66.00 $100.00 $51.31–$134.38 45% below 34%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2/2019-NCOV MN HLTH $28.38 $43.00 $16.34–$42.14 — 34%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2/2019-NCOV INHOUSE C $66.00 $100.00 $38.00–$98.00 — 34%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 SHPANM CHLAMYDIA DNA $15.84 $24.00 $9.12–$24.00 83% below 34%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 SHPANF CHLAMYDIA DNA $20.46 $31.00 $11.78–$31.00 78% below 34%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C TRACHOMATIS BY TMA $69.30 $105.00 $35.09–$102.90 26% below 34%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C. TRACHOMATIS BY TMA $69.48 $105.27 $35.09–$103.17 26% below 34%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS DNA PRO $81.84 $124.00 $35.09–$121.52 13% below 34%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 APTCG CHLAMYDIA $83.16 $126.00 $35.09–$123.48 12% below 34%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 SHPANM CHLAMYDIA DNA $15.84 $24.00 $9.12–$23.52 — 34%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 SHPANF CHLAMYDIA DNA $20.46 $31.00 $11.78–$30.38 — 34%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 C TRACHOMATIS BY TMA $69.30 $105.00 $39.90–$102.90 — 34%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 C. TRACHOMATIS BY TMA $69.48 $105.27 $40.01–$103.17 — 34%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS DNA PRO $81.84 $124.00 $47.12–$121.52 — 34%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 APTCG CHLAMYDIA $83.16 $126.00 $47.88–$123.48 — 34%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 BHPAN LIPID $15.18 $23.00 $12.65–$95.18 84% below 34%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HRTADV LIPREF $24.42 $37.00 $13.39–$95.18 74% below 34%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HRTMON HRT LIPID PNL $28.38 $43.00 $13.39–$95.18 69% below 34%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PNL $40.26 $61.00 $13.39–$95.18 56% below 34%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HRTMTB LIPID PNL $48.84 $74.00 $13.39–$95.18 47% below 34%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HEART LIPID PANEL (RFLX) $50.82 $77.00 $13.39–$95.18 45% below 34%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE $193.38 $293.00 $13.39–$287.14 109% above 34%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 BHPAN LIPID $15.18 $23.00 $8.74–$22.54 — 34%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HRTADV LIPREF $24.42 $37.00 $14.06–$36.26 — 34%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HRTMON HRT LIPID PNL $28.38 $43.00 $16.34–$42.14 — 34%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PNL $40.26 $61.00 $23.18–$59.78 — 34%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HRTMTB LIPID PNL $48.84 $74.00 $28.12–$72.52 — 34%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HEART LIPID PANEL (RFLX) $50.82 $77.00 $29.26–$75.46 — 34%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE $193.38 $293.00 $111.34–$287.14 — 34%
Complete blood count (CBC) with differential CPT 85025 BHPAN CBC W/D $13.20 $20.00 $7.77–$83.99 84% below 34%
Complete blood count (CBC) with differential CPT 85025 OBPAN1 CBC $38.94 $59.00 $7.77–$83.99 53% below 34%
Complete blood count (CBC) with differential CPT 85025 CBC W/MANUAL DIFF $132.00 $200.00 $7.77–$196.00 59% above 34%
Complete blood count (CBC) with differential inpatient CPT 85025 BHPAN CBC W/D $13.20 $20.00 $7.60–$19.60 — 34%
Complete blood count (CBC) with differential inpatient CPT 85025 OBPAN1 CBC $38.94 $59.00 $22.42–$57.82 — 34%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/MANUAL DIFF $132.00 $200.00 $76.00–$196.00 — 34%
Complete blood count (CBC), no differential CPT 85027 CBC W/O DIFF $132.00 $200.00 $6.47–$196.00 101% above 34%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC W/O DIFF $132.00 $200.00 $76.00–$196.00 — 34%
Comprehensive metabolic panel (blood test) CPT 80053 BHPAN CMP $14.52 $22.00 $10.56–$151.17 85% below 34%
Comprehensive metabolic panel (blood test) CPT 80053 CMP $501.60 $760.00 $10.56–$744.80 431% above 34%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 BHPAN CMP $14.52 $22.00 $8.36–$21.56 — 34%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 CMP $501.60 $760.00 $288.80–$744.80 — 34%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUANT $199.98 $303.00 $10.18–$296.94 102% above 34%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER QUANT $199.98 $303.00 $115.14–$296.94 — 34%
DHEA sulfate (DHEA-S) blood test CPT 82627 WHOPAM DEHYDRO. $11.88 $18.00 $6.84–$18.00 79% below 34%
DHEA sulfate (DHEA-S) blood test CPT 82627 MHOPAN DEHYPORO $15.84 $24.00 $9.12–$23.52 73% below 34%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATESERUM $44.02 $66.69 $22.23–$65.36 24% below 34%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-SO4 $143.22 $217.00 $22.23–$212.66 148% above 34%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 WHOPAM DEHYDRO. $11.88 $18.00 $6.84–$17.64 — 34%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 MHOPAN DEHYPORO $15.84 $24.00 $9.12–$23.52 — 34%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATESERUM $44.02 $66.69 $25.35–$65.36 — 34%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-SO4 $143.22 $217.00 $82.46–$212.66 — 34%
Estradiol blood test CPT 82670 WHOPAM ESTRADIOL $11.88 $18.00 $6.84–$18.00 82% below 34%
Estradiol blood test CPT 82670 MHOPAN ESTRADIOL $14.52 $22.00 $8.36–$22.00 78% below 34%
Estradiol blood test CPT 82670 ESTRADIOL BY LC-MS/MS $46.86 $71.00 $26.98–$69.58 29% below 34%
Estradiol blood test CPT 82670 ESTRADIOL BY IMMUNOASSAY $55.33 $83.82 $27.94–$82.15 16% below 34%
Estradiol blood test CPT 82670 ESTRADIOL $70.62 $107.00 $27.94–$104.86 7% above 34%
Estradiol blood test inpatient CPT 82670 WHOPAM ESTRADIOL $11.88 $18.00 $6.84–$17.64 — 34%
Estradiol blood test inpatient CPT 82670 MHOPAN ESTRADIOL $14.52 $22.00 $8.36–$21.56 — 34%
Estradiol blood test inpatient CPT 82670 ESTRADIOL BY LC-MS/MS $46.86 $71.00 $26.98–$69.58 — 34%
Estradiol blood test inpatient CPT 82670 ESTRADIOL BY IMMUNOASSAY $55.33 $83.82 $31.86–$82.15 — 34%
Estradiol blood test inpatient CPT 82670 ESTRADIOL $70.62 $107.00 $40.66–$104.86 — 34%
FSH (follicle-stimulating hormone) test CPT 83001 WHOPAM FSH $11.88 $18.00 $6.84–$18.00 83% below 34%
FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIMULATING HORMONE $36.79 $55.74 $18.58–$54.63 48% below 34%
FSH (follicle-stimulating hormone) test CPT 83001 FSH PITUITARY $106.26 $161.00 $18.58–$157.78 50% above 34%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 WHOPAM FSH $11.88 $18.00 $6.84–$17.64 — 34%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIMULATING HORMONE $36.79 $55.74 $21.19–$54.63 — 34%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH PITUITARY $106.26 $161.00 $61.18–$157.78 — 34%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTINFECAL IMMUNOASSAY $38.87 $58.89 $19.63–$57.72 54% below 34%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL ARUP $166.98 $253.00 $19.63–$247.94 99% above 34%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTINFECAL IMMUNOASSAY $38.87 $58.89 $22.38–$57.72 — 34%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN FECAL ARUP $166.98 $253.00 $96.14–$247.94 — 34%
Ferritin blood test (iron stores) CPT 82728 FERRITIN $26.99 $40.89 $13.63–$40.08 70% below 34%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN $26.99 $40.89 $15.54–$40.08 — 34%
Folate (folic acid) blood test CPT 82746 FOLATESERUM $29.11 $44.10 $14.70–$43.22 64% below 34%
Folate (folic acid) blood test CPT 82746 FOLATE $155.76 $236.00 $14.70–$231.28 95% above 34%
Folate (folic acid) blood test inpatient CPT 82746 FOLATESERUM $29.11 $44.10 $16.76–$43.22 — 34%
Folate (folic acid) blood test inpatient CPT 82746 FOLATE $155.76 $236.00 $89.68–$231.28 — 34%
Free T3 thyroid hormone test CPT 84481 THPAN FREE T3 $25.08 $38.00 $14.44–$37.24 76% below 34%
Free T3 thyroid hormone test CPT 84481 TRIIODOTHYRONINEFREE FREE T3 $33.55 $50.82 $16.94–$49.81 67% below 34%
Free T3 thyroid hormone test CPT 84481 FREE T-3 $142.56 $216.00 $16.94–$211.68 39% above 34%
Free T3 thyroid hormone test inpatient CPT 84481 THPAN FREE T3 $25.08 $38.00 $14.44–$37.24 — 34%
Free T3 thyroid hormone test inpatient CPT 84481 TRIIODOTHYRONINEFREE FREE T3 $33.55 $50.82 $19.32–$49.81 — 34%
Free T3 thyroid hormone test inpatient CPT 84481 FREE T-3 $142.56 $216.00 $82.08–$211.68 — 34%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE FREE $17.86 $27.06 $9.02–$26.52 74% below 34%
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T-4 $84.48 $128.00 $9.02–$125.44 24% above 34%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE EQUIL DIALY TMS $85.80 $130.00 $9.02–$127.40 26% above 34%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE FREE $17.86 $27.06 $10.29–$26.52 — 34%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T-4 $84.48 $128.00 $48.64–$125.44 — 34%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE EQUIL DIALY TMS $85.80 $130.00 $49.40–$127.40 — 34%
Free testosterone test CPT 84402 TESTOSTERONE FREE SERUM $19.80 $30.00 $11.40–$29.40 68% below 34%
Free testosterone test CPT 84402 TESTOSTERONE FREE ADULT MALES $39.60 $60.00 $22.80–$58.80 37% below 34%
Free testosterone test CPT 84402 TESTOSTERONEFREE $50.44 $76.41 $25.47–$74.89 19% below 34%
Free testosterone test CPT 84402 PTTMXS. PTT PATIENT $104.28 $158.00 $25.47–$154.84 67% above 34%
Free testosterone test CPT 84402 TSTFM TESTOSTERONE $114.18 $173.00 $25.47–$169.54 83% above 34%
Free testosterone test CPT 84402 TESTOSTERONE $117.48 $178.00 $25.47–$174.44 88% above 34%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE SERUM $19.80 $30.00 $11.40–$29.40 — 34%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE ADULT MALES $39.60 $60.00 $22.80–$58.80 — 34%
Free testosterone test inpatient CPT 84402 TESTOSTERONEFREE $50.44 $76.41 $29.04–$74.89 — 34%
Free testosterone test inpatient CPT 84402 PTTMXS. PTT PATIENT $104.28 $158.00 $60.04–$154.84 — 34%
Free testosterone test inpatient CPT 84402 TSTFM TESTOSTERONE $114.18 $173.00 $65.74–$169.54 — 34%
Free testosterone test inpatient CPT 84402 TESTOSTERONE $117.48 $178.00 $67.64–$174.44 — 34%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL $650.10 $985.00 $374.30–$965.30 162% above 34%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL $650.10 $985.00 $374.30–$965.30 — 34%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 2 HR $72.60 $110.00 $4.75–$107.80 72% above 34%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE GESTATIONAL $74.58 $113.00 $4.75–$110.74 77% above 34%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE 2 HR $72.60 $110.00 $41.80–$107.80 — 34%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE GESTATIONAL $74.58 $113.00 $42.94–$110.74 — 34%
Glucose tolerance test, 3 samples CPT 82951 GLU 3HR GESTATIONAL $157.08 $238.00 $12.87–$233.24 64% above 34%
Glucose tolerance test, 3 samples CPT 82951 GTT2 $158.40 $240.00 $12.87–$235.20 65% above 34%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLU 3HR GESTATIONAL $157.08 $238.00 $90.44–$233.24 — 34%
Glucose tolerance test, 3 samples inpatient CPT 82951 GTT2 $158.40 $240.00 $91.20–$235.20 — 34%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 SHPANM N. GON. DNA $15.84 $24.00 $9.12–$24.00 81% below 34%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 SHPANF N.GON. DNA $20.46 $31.00 $11.78–$31.00 76% below 34%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N. GONORRHOEAE BY TMA $69.48 $105.27 $35.09–$103.17 18% below 34%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE DNA PRO $81.84 $124.00 $35.09–$121.52 3% below 34%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 APTCG GC $83.16 $126.00 $35.09–$123.48 2% below 34%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 SHPANM N. GON. DNA $15.84 $24.00 $9.12–$23.52 — 34%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 SHPANF N.GON. DNA $20.46 $31.00 $11.78–$30.38 — 34%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N. GONORRHOEAE BY TMA $69.48 $105.27 $40.01–$103.17 — 34%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHOEAE DNA PRO $81.84 $124.00 $47.12–$121.52 — 34%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 APTCG GC $83.16 $126.00 $47.88–$123.48 — 34%
H. pylori antibody blood test CPT 86677 HELI PYLORI AB IGG & IGG $25.08 $38.00 $14.44–$37.24 79% below 34%
H. pylori antibody blood test CPT 86677 H.PYLORI AB IGA $27.06 $41.00 $15.58–$40.18 77% below 34%
H. pylori antibody blood test CPT 86677 HELICOBACTER AB IGG $89.10 $135.00 $16.85–$132.30 24% below 34%
H. pylori antibody blood test inpatient CPT 86677 HELI PYLORI AB IGG & IGG $25.08 $38.00 $14.44–$37.24 — 34%
H. pylori antibody blood test inpatient CPT 86677 H.PYLORI AB IGA $27.06 $41.00 $15.58–$40.18 — 34%
H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER AB IGG $89.10 $135.00 $51.30–$132.30 — 34%
H. pylori stool antigen test CPT 87338 HELICOBACT PYLORI AGFECAL EIA $28.48 $43.14 $14.38–$42.28 74% below 34%
H. pylori stool antigen test CPT 87338 HELI PYLORI ANTIGEN STOOL $151.80 $230.00 $14.38–$225.40 40% above 34%
H. pylori stool antigen test inpatient CPT 87338 HELICOBACT PYLORI AGFECAL EIA $28.48 $43.14 $16.40–$42.28 — 34%
H. pylori stool antigen test inpatient CPT 87338 HELI PYLORI ANTIGEN STOOL $151.80 $230.00 $87.40–$225.40 — 34%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QUANTITATIVE NAATPLASMA $168.50 $255.30 $85.10–$250.20 47% above 34%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 ULTRA SENS VIRAL BY PCR $194.04 $294.00 $85.10–$288.12 69% above 34%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 QUANTITATIVE NAATPLASMA $168.50 $255.30 $97.02–$250.20 — 34%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 ULTRA SENS VIRAL BY PCR $194.04 $294.00 $111.72–$288.12 — 34%
HIV-1 and HIV-2 antibody test CPT 86703 HIV 1&2 ANTIBODY (REFLEXIVE) $248.16 $376.00 $13.71–$368.48 274% above 34%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV 1&2 ANTIBODY (REFLEXIVE) $248.16 $376.00 $142.88–$368.48 — 34%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 SHPANM HIV1&2 $14.52 $22.00 $8.36–$22.00 77% below 34%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 SHPANF HIV 1&2 $17.82 $27.00 $10.26–$26.46 72% below 34%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-12 COMBO AG/ABRFLX PNL $47.68 $72.24 $24.08–$70.80 25% below 34%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1/2 AG/AB RFX TO MULTISPOT $153.78 $233.00 $24.08–$228.34 143% above 34%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 SHPANM HIV1&2 $14.52 $22.00 $8.36–$21.56 — 34%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 SHPANF HIV 1&2 $17.82 $27.00 $10.26–$26.46 — 34%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV-12 COMBO AG/ABRFLX PNL $47.68 $72.24 $27.46–$70.80 — 34%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1/2 AG/AB RFX TO MULTISPOT $153.78 $233.00 $88.54–$228.34 — 34%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV NUCLEIC ACID AMPLIFICATION $69.48 $105.27 $35.09–$103.17 46% below 34%
HPV test for high-risk types, one combined (pooled) result CPT 87624 BILL ONLY HPV HIGH RISK REFLEX $80.52 $122.00 $35.09–$119.56 38% below 34%
HPV test for high-risk types, one combined (pooled) result CPT 87624 PRIMARY HRHPV W/ PAP RFLX $213.18 $323.00 $35.09–$316.54 65% above 34%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV NUCLEIC ACID AMPLIFICATION $69.48 $105.27 $40.01–$103.17 — 34%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 BILL ONLY HPV HIGH RISK REFLEX $80.52 $122.00 $46.36–$119.56 — 34%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 PRIMARY HRHPV W/ PAP RFLX $213.18 $323.00 $122.74–$316.54 — 34%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 MHPAN GLYCO HGB $15.18 $23.00 $9.71–$78.39 74% below 34%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HRTMTB GLYCO HGB $48.18 $73.00 $9.71–$78.39 16% below 34%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCO HGB $111.54 $169.00 $9.71–$165.62 93% above 34%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 MHPAN GLYCO HGB $15.18 $23.00 $8.74–$22.54 — 34%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HRTMTB GLYCO HGB $48.18 $73.00 $27.74–$71.54 — 34%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCO HGB $111.54 $169.00 $64.22–$165.62 — 34%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B VIRUS SURFACE AB $21.27 $32.22 $10.74–$31.58 68% below 34%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HB SURFACE AB $48.18 $73.00 $10.74–$71.54 27% below 34%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B VIRUS SURFACE AB $21.27 $32.22 $12.25–$31.58 — 34%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HB SURFACE AB $48.18 $73.00 $27.74–$71.54 — 34%
Hepatitis B surface antigen (HBsAg) test CPT 87340 SHPANM HBSAG $13.20 $20.00 $7.60–$19.60 75% below 34%
Hepatitis B surface antigen (HBsAg) test CPT 87340 SHPANF HBSAG $16.50 $25.00 $9.50–$24.50 69% below 34%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HBV SURFACE AG W/RFLX TO CONF $20.46 $30.99 $10.33–$30.38 62% below 34%
Hepatitis B surface antigen (HBsAg) test CPT 87340 OBPAN2 HBSAG $42.90 $65.00 $10.33–$63.70 20% below 34%
Hepatitis B surface antigen (HBsAg) test CPT 87340 OBPAN1 HBSAG $43.56 $66.00 $10.33–$64.68 18% below 34%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HB SURFACE ANTIGEN REFLEXIVE $92.40 $140.00 $10.33–$137.20 73% above 34%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 SHPANM HBSAG $13.20 $20.00 $7.60–$19.60 — 34%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 SHPANF HBSAG $16.50 $25.00 $9.50–$24.50 — 34%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HBV SURFACE AG W/RFLX TO CONF $20.46 $30.99 $11.78–$30.38 — 34%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 OBPAN2 HBSAG $42.90 $65.00 $24.70–$63.70 — 34%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 OBPAN1 HBSAG $43.56 $66.00 $25.08–$64.68 — 34%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HB SURFACE ANTIGEN REFLEXIVE $92.40 $140.00 $53.20–$137.20 — 34%
Hepatitis C antibody blood test (screening) CPT 86803 SHPANM HCV $13.20 $20.00 $7.60–$19.60 83% below 34%
Hepatitis C antibody blood test (screening) CPT 86803 SHPANF HCV $18.48 $28.00 $10.64–$27.44 77% below 34%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C VIRUS ANTIBODY CIA $28.26 $42.81 $14.27–$41.96 65% below 34%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C $153.12 $232.00 $14.27–$227.36 92% above 34%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 SHPANM HCV $13.20 $20.00 $7.60–$19.60 — 34%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 SHPANF HCV $18.48 $28.00 $10.64–$27.44 — 34%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C VIRUS ANTIBODY CIA $28.26 $42.81 $16.27–$41.96 — 34%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C $153.12 $232.00 $88.16–$227.36 — 34%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV BY QUANTITATIVE NAAT $84.83 $128.52 $42.84–$125.95 32% below 34%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV GENOTYPE BY PCR/LIPA REF $165.00 $250.00 $42.84–$245.00 33% above 34%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C VIRAL RNA QT BDNA $246.18 $373.00 $42.84–$365.54 99% above 34%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C VIRUS RNA QT PCR $252.78 $383.00 $42.84–$375.34 104% above 34%
Hepatitis C viral load (HCV RNA) test one side CPT 87522 HCV RT PCR QNT REFLEX $423.72 $642.00 $42.84–$629.16 242% above 34%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV BY QUANTITATIVE NAAT $84.83 $128.52 $48.84–$125.95 — 34%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV GENOTYPE BY PCR/LIPA REF $165.00 $250.00 $95.00–$245.00 — 34%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C VIRAL RNA QT BDNA $246.18 $373.00 $141.74–$365.54 — 34%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C VIRUS RNA QT PCR $252.78 $383.00 $145.54–$375.34 — 34%
Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 HCV RT PCR QNT REFLEX $423.72 $642.00 $243.96–$629.16 — 34%
Herpes blood test, HSV-1 antibody CPT 86695 SHPANM HS1 $13.20 $20.00 $7.60–$19.60 72% below 34%
Herpes blood test, HSV-1 antibody CPT 86695 SHPANF HS1 $16.50 $25.00 $9.50–$24.50 64% below 34%
Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 GLYCOPROTEIN G AB IGG $26.12 $39.57 $13.19–$38.78 44% below 34%
Herpes blood test, HSV-1 antibody CPT 86695 HSV TYPE 1 G SPECIFIC IGG $26.40 $40.00 $13.19–$39.20 43% below 34%
Herpes blood test, HSV-1 antibody CPT 86695 HSV TYPE I IGG $124.08 $188.00 $13.19–$184.24 168% above 34%
Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 TYPE-SPECIFIC IGG AB $234.30 $355.00 $13.19–$347.90 406% above 34%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 SHPANM HS1 $13.20 $20.00 $7.60–$19.60 — 34%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 SHPANF HS1 $16.50 $25.00 $9.50–$24.50 — 34%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 GLYCOPROTEIN G AB IGG $26.12 $39.57 $15.04–$38.78 — 34%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV TYPE 1 G SPECIFIC IGG $26.40 $40.00 $15.20–$39.20 — 34%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV TYPE I IGG $124.08 $188.00 $71.44–$184.24 — 34%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 TYPE-SPECIFIC IGG AB $234.30 $355.00 $134.90–$347.90 — 34%
Herpes blood test, HSV-2 antibody CPT 86696 SHPANM HS2 $12.54 $19.00 $7.22–$19.00 78% below 34%
Herpes blood test, HSV-2 antibody CPT 86696 SHPANF HS2 $15.84 $24.00 $9.12–$23.52 73% below 34%
Herpes blood test, HSV-2 antibody CPT 86696 HSV TYPE 2 G SPECIFIC IGG $38.28 $58.00 $19.35–$56.84 34% below 34%
Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 GLYCOPROTEIN G AB IGG $38.32 $58.05 $19.35–$56.89 34% below 34%
Herpes blood test, HSV-2 antibody CPT 86696 HSV-2 IGG SUPPLEMENTAL CHG $91.74 $139.00 $19.35–$136.22 59% above 34%
Herpes blood test, HSV-2 antibody CPT 86696 HSV TYPE 2 IGG $124.08 $188.00 $19.35–$184.24 115% above 34%
Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 TYPE-SPECIFIC IGG AB $240.24 $364.00 $19.35–$356.72 317% above 34%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 SHPANM HS2 $12.54 $19.00 $7.22–$18.62 — 34%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 SHPANF HS2 $15.84 $24.00 $9.12–$23.52 — 34%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV TYPE 2 G SPECIFIC IGG $38.28 $58.00 $22.04–$56.84 — 34%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 GLYCOPROTEIN G AB IGG $38.32 $58.05 $22.06–$56.89 — 34%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV-2 IGG SUPPLEMENTAL CHG $91.74 $139.00 $52.82–$136.22 — 34%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV TYPE 2 IGG $124.08 $188.00 $71.44–$184.24 — 34%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 TYPE-SPECIFIC IGG AB $240.24 $364.00 $138.32–$356.72 — 34%
High-sensitivity CRP (hs-CRP) test CPT 86141 CHPAN CRPHS $23.76 $36.00 $12.95–$35.28 67% below 34%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRPHIGH SENSITIVITY $25.65 $38.85 $12.95–$38.08 64% below 34%
High-sensitivity CRP (hs-CRP) test CPT 86141 HRTINF HCRP $29.70 $45.00 $12.95–$44.10 58% below 34%
High-sensitivity CRP (hs-CRP) test CPT 86141 HIGH SENSITIVITY CRP $107.58 $163.00 $12.95–$159.74 52% above 34%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP-HS $111.54 $169.00 $12.95–$165.62 57% above 34%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CHPAN CRPHS $23.76 $36.00 $13.68–$35.28 — 34%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRPHIGH SENSITIVITY $25.65 $38.85 $14.77–$38.08 — 34%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HRTINF HCRP $29.70 $45.00 $17.10–$44.10 — 34%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HIGH SENSITIVITY CRP $107.58 $163.00 $61.94–$159.74 — 34%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP-HS $111.54 $169.00 $64.22–$165.62 — 34%
Homocysteine blood test CPT 83090 CHPAN HOMCY $21.12 $32.00 $12.16–$31.36 76% below 34%
Homocysteine blood test CPT 83090 HOMOCYSTEINETOTAL $35.49 $53.76 $17.92–$52.69 60% below 34%
Homocysteine blood test CPT 83090 HOMOCYSTEINE CARDIAC RISK $350.46 $531.00 $17.92–$520.38 290% above 34%
Homocysteine blood test inpatient CPT 83090 CHPAN HOMCY $21.12 $32.00 $12.16–$31.36 — 34%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINETOTAL $35.49 $53.76 $20.43–$52.69 — 34%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE CARDIAC RISK $350.46 $531.00 $201.78–$520.38 — 34%
Insulin blood test CPT 83525 INSULINFASTING $22.64 $34.29 $11.43–$33.61 59% below 34%
Insulin blood test CPT 83525 INSULIN ASSAY $201.30 $305.00 $11.43–$298.90 267% above 34%
Insulin blood test inpatient CPT 83525 INSULINFASTING $22.64 $34.29 $13.04–$33.61 — 34%
Insulin blood test inpatient CPT 83525 INSULIN ASSAY $201.30 $305.00 $115.90–$298.90 — 34%
Iron blood test (serum iron) CPT 83540 IRONPLASMA OR SERUM $12.82 $19.41 $6.47–$19.03 75% below 34%
Iron blood test (serum iron) CPT 83540 IRON $54.78 $83.00 $6.47–$81.34 7% above 34%
Iron blood test (serum iron) CPT 83540 IRON TOTAL $56.76 $86.00 $6.47–$84.28 10% above 34%
Iron blood test (serum iron) inpatient CPT 83540 IRONPLASMA OR SERUM $12.82 $19.41 $7.38–$19.03 — 34%
Iron blood test (serum iron) inpatient CPT 83540 IRON $54.78 $83.00 $31.54–$81.34 — 34%
Iron blood test (serum iron) inpatient CPT 83540 IRON TOTAL $56.76 $86.00 $32.68–$84.28 — 34%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY TOTAL $17.31 $26.22 $8.74–$25.70 73% below 34%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY $56.76 $86.00 $8.74–$84.28 12% below 34%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY TOTAL $17.31 $26.22 $9.97–$25.70 — 34%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY $56.76 $86.00 $32.68–$84.28 — 34%
Kidney function blood test panel CPT 80069 RENAL PROFILE $388.74 $589.00 $8.68–$577.22 268% above 34%
Kidney function blood test panel inpatient CPT 80069 RENAL PROFILE $388.74 $589.00 $223.82–$577.22 — 34%
LH (luteinizing hormone) test CPT 83002 WHOPAM LH $11.88 $18.00 $6.84–$18.00 85% below 34%
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONESERUM $36.67 $55.56 $18.52–$54.45 55% below 34%
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE (LH) $114.84 $174.00 $18.52–$170.52 41% above 34%
LH (luteinizing hormone) test inpatient CPT 83002 WHOPAM LH $11.88 $18.00 $6.84–$17.64 — 34%
LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONESERUM $36.67 $55.56 $21.12–$54.45 — 34%
LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE (LH) $114.84 $174.00 $66.12–$170.52 — 34%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE SERUM OR PLASMA $13.65 $20.67 $6.89–$20.26 77% below 34%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE $94.38 $143.00 $6.89–$140.14 60% above 34%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE SERUM OR PLASMA $13.65 $20.67 $7.86–$20.26 — 34%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE $94.38 $143.00 $54.34–$140.14 — 34%
Liver function blood test panel CPT 80076 LHPAN HFP $27.06 $41.00 $8.17–$40.18 73% below 34%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION $250.80 $380.00 $8.17–$372.40 146% above 34%
Liver function blood test panel inpatient CPT 80076 LHPAN HFP $27.06 $41.00 $15.58–$40.18 — 34%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION $250.80 $380.00 $144.40–$372.40 — 34%
Lyme disease antibody test CPT 86618 LYME DISEASE ACUTE REFLEXIVE $33.72 $51.09 $17.03–$50.07 48% below 34%
Lyme disease antibody test CPT 86618 LYME IGG CIA $57.42 $87.00 $17.03–$85.26 11% below 34%
Lyme disease antibody test CPT 86618 LYME IGG/IGM AB $136.62 $207.00 $17.03–$202.86 111% above 34%
Lyme disease antibody test CPT 86618 LYME DISEASE TOTAL AB/REFLEX $141.90 $215.00 $17.03–$210.70 120% above 34%
Lyme disease antibody test CPT 86618 LYME(B.BURGDO ABIGG/IGM) $288.42 $437.00 $17.03–$428.26 346% above 34%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE ACUTE REFLEXIVE $33.72 $51.09 $19.42–$50.07 — 34%
Lyme disease antibody test inpatient CPT 86618 LYME IGG CIA $57.42 $87.00 $33.06–$85.26 — 34%
Lyme disease antibody test inpatient CPT 86618 LYME IGG/IGM AB $136.62 $207.00 $78.66–$202.86 — 34%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE TOTAL AB/REFLEX $141.90 $215.00 $81.70–$210.70 — 34%
Lyme disease antibody test inpatient CPT 86618 LYME(B.BURGDO ABIGG/IGM) $288.42 $437.00 $166.06–$428.26 — 34%
Magnesium blood test CPT 83735 MAGNESIUM URINE $9.24 $14.00 $5.32–$13.72 70% below 34%
Magnesium blood test CPT 83735 MAGNESIUM RBC $13.27 $20.10 $6.70–$19.70 57% below 34%
Magnesium blood test CPT 83735 MAGNESIUM URINE (RANDOM) $73.92 $112.00 $6.70–$109.76 137% above 34%
Magnesium blood test CPT 83735 MAGNESIUM $109.56 $166.00 $6.70–$162.68 251% above 34%
Magnesium blood test inpatient CPT 83735 MAGNESIUM URINE $9.24 $14.00 $5.32–$13.72 — 34%
Magnesium blood test inpatient CPT 83735 MAGNESIUM RBC $13.27 $20.10 $7.64–$19.70 — 34%
Magnesium blood test inpatient CPT 83735 MAGNESIUM URINE (RANDOM) $73.92 $112.00 $42.56–$109.76 — 34%
Magnesium blood test inpatient CPT 83735 MAGNESIUM $109.56 $166.00 $63.08–$162.68 — 34%
Measles (rubeola) antibody test CPT 86765 MEASLES (RUBEOLA) ABIGG $25.51 $38.64 $12.88–$37.87 30% below 34%
Measles (rubeola) antibody test CPT 86765 RUBEOLA IGM $54.78 $83.00 $12.88–$81.34 50% above 34%
Measles (rubeola) antibody test CPT 86765 RUBEOLA $56.10 $85.00 $12.88–$83.30 54% above 34%
Measles (rubeola) antibody test inpatient CPT 86765 MEASLES (RUBEOLA) ABIGG $25.51 $38.64 $14.69–$37.87 — 34%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA IGM $54.78 $83.00 $31.54–$81.34 — 34%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA $56.10 $85.00 $32.30–$83.30 — 34%
Mono test (heterophile antibody, Monospot) CPT 86308 MONO TEST $99.66 $151.00 $5.18–$147.98 95% above 34%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO TEST $99.66 $151.00 $57.38–$147.98 — 34%
PSA (prostate-specific antigen) blood test, free CPT 84154 PROSTATE SPECIFIC AG FREE $36.42 $55.17 $18.39–$54.07 1% above 34%
PSA (prostate-specific antigen) blood test, free CPT 84154 RATPSA PSA FREE $128.04 $194.00 $18.39–$190.12 256% above 34%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PROSTATE SPECIFIC AG FREE $36.42 $55.17 $20.97–$54.07 — 34%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 RATPSA PSA FREE $128.04 $194.00 $73.72–$190.12 — 34%
PSA (prostate-specific antigen) blood test, total CPT 84153 MHOPAN PSA $16.50 $25.00 $9.50–$24.50 80% below 34%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC ANTIGEN $36.42 $55.17 $18.39–$54.07 55% below 34%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATIC SPEC AG (WITH REF) $43.56 $66.00 $18.39–$64.68 46% below 34%
PSA (prostate-specific antigen) blood test, total CPT 84153 RATPSA PSA TOTAL $138.60 $210.00 $18.39–$205.80 72% above 34%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA DIAGNOSITC $153.78 $233.00 $18.39–$228.34 90% above 34%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 MHOPAN PSA $16.50 $25.00 $9.50–$24.50 — 34%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPECIFIC ANTIGEN $36.42 $55.17 $20.97–$54.07 — 34%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATIC SPEC AG (WITH REF) $43.56 $66.00 $25.08–$64.68 — 34%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 RATPSA PSA TOTAL $138.60 $210.00 $79.80–$205.80 — 34%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA DIAGNOSITC $153.78 $233.00 $88.54–$228.34 — 34%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOLOGYTHINPREP PAP W/ HPV $40.12 $60.78 $20.26–$59.57 48% below 34%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATH CER/VAG IN OR B $84.48 $128.00 $20.26–$125.44 9% above 34%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CYTOLOGYTHINPREP PAP W/ HPV $40.12 $60.78 $23.10–$59.57 — 34%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CYTOPATH CER/VAG IN OR B $84.48 $128.00 $48.64–$125.44 — 34%
Parathyroid hormone (PTH) blood test CPT 83970 MBHPAN PTH $18.48 $28.00 $10.64–$28.00 84% below 34%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE INTACT $81.74 $123.84 $41.28–$121.37 30% below 34%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE C-TERMINAL $264.66 $401.00 $41.28–$392.98 126% above 34%
Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT NO CALCIUM $271.26 $411.00 $41.28–$402.78 131% above 34%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 MBHPAN PTH $18.48 $28.00 $10.64–$27.44 — 34%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE INTACT $81.74 $123.84 $47.06–$121.37 — 34%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHORMONE C-TERMINAL $264.66 $401.00 $152.38–$392.98 — 34%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH INTACT NO CALCIUM $271.26 $411.00 $156.18–$402.78 — 34%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT-LA SCREEN (PTT-D) $11.90 $18.03 $6.01–$17.67 80% below 34%
Partial thromboplastin time (PTT) clotting test CPT 85730 APP1R PTT $14.52 $22.00 $6.01–$21.56 75% below 34%
Partial thromboplastin time (PTT) clotting test CPT 85730 LAP - (PTT) ACTIVATED $34.98 $53.00 $6.01–$51.94 41% below 34%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT $35.64 $54.00 $6.01–$52.92 39% below 34%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT-LA SCREEN (PTT-D) $11.90 $18.03 $6.86–$17.67 — 34%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 APP1R PTT $14.52 $22.00 $8.36–$21.56 — 34%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 LAP - (PTT) ACTIVATED $34.98 $53.00 $20.14–$51.94 — 34%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT $35.64 $54.00 $20.52–$52.92 — 34%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 PRENATAL ANEUPLOIDY $861.96 $1,306.00 $496.28–$1,279.88 37% below 34%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 NON INV PRENATAL SCREENING $1,502.92 $2,277.15 $759.05–$2,231.61 9% above 34%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 PRENATAL ANEUPLOIDY $861.96 $1,306.00 $496.28–$1,279.88 — 34%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 NON INV PRENATAL SCREENING $1,502.92 $2,277.15 $865.32–$2,231.61 — 34%
Progesterone blood test CPT 84144 WHOPAM PROGESTERONE $11.88 $18.00 $6.84–$18.00 85% below 34%
Progesterone blood test CPT 84144 MHOPAN PROGESTERONE $14.52 $22.00 $8.36–$21.56 82% below 34%
Progesterone blood test CPT 84144 PROGESTERONE QUANTSER/PLAS $41.31 $62.58 $20.86–$61.33 49% below 34%
Progesterone blood test CPT 84144 PROGESTERONE $171.60 $260.00 $20.86–$254.80 113% above 34%
Progesterone blood test inpatient CPT 84144 WHOPAM PROGESTERONE $11.88 $18.00 $6.84–$17.64 — 34%
Progesterone blood test inpatient CPT 84144 MHOPAN PROGESTERONE $14.52 $22.00 $8.36–$21.56 — 34%
Progesterone blood test inpatient CPT 84144 PROGESTERONE QUANTSER/PLAS $41.31 $62.58 $23.79–$61.33 — 34%
Progesterone blood test inpatient CPT 84144 PROGESTERONE $171.60 $260.00 $98.80–$254.80 — 34%
Prolactin blood test CPT 84146 PROLACTIN $38.38 $58.14 $19.38–$56.98 41% below 34%
Prolactin blood test CPT 84146 MONOMERIC PROLACTIN $38.94 $59.00 $19.38–$57.82 40% below 34%
Prolactin blood test CPT 84146 PROLACTIN SERUM $142.56 $216.00 $19.38–$211.68 118% above 34%
Prolactin blood test inpatient CPT 84146 PROLACTIN $38.38 $58.14 $22.10–$56.98 — 34%
Prolactin blood test inpatient CPT 84146 MONOMERIC PROLACTIN $38.94 $59.00 $22.42–$57.82 — 34%
Prolactin blood test inpatient CPT 84146 PROLACTIN SERUM $142.56 $216.00 $82.08–$211.68 — 34%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME $8.50 $12.87 $4.29–$12.62 72% below 34%
Prothrombin time (PT/INR) clotting test CPT 85610 APP1R PT $14.52 $22.00 $4.29–$21.56 52% below 34%
Prothrombin time (PT/INR) clotting test CPT 85610 LAP - PROTHROMBIN TIME (PT) $35.64 $54.00 $4.29–$52.92 18% above 34%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME/INR $99.66 $151.00 $4.29–$147.98 229% above 34%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME $8.50 $12.87 $4.90–$12.62 — 34%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 APP1R PT $14.52 $22.00 $8.36–$21.56 — 34%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 LAP - PROTHROMBIN TIME (PT) $35.64 $54.00 $20.52–$52.92 — 34%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME/INR $99.66 $151.00 $57.38–$147.98 — 34%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A AG $108.90 $165.00 $16.55–$161.70 95% above 34%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A AG SOFIA $116.82 $177.00 $16.55–$173.46 109% above 34%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A AG $108.90 $165.00 $62.70–$161.70 — 34%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A AG SOFIA $116.82 $177.00 $67.26–$173.46 — 34%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR $11.23 $17.01 $5.67–$16.67 77% below 34%
Rheumatoid factor (RF) test CPT 86431 RHEUMA FACT (IGG IGA IGM) X1 $52.80 $80.00 $5.67–$78.40 9% above 34%
Rheumatoid factor (RF) test CPT 86431 RHEUMA FACT (IGG IGA IGM) X2 $102.30 $155.00 $5.67–$151.90 111% above 34%
Rheumatoid factor (RF) test CPT 86431 CTD RA $118.80 $180.00 $5.67–$176.40 145% above 34%
Rheumatoid factor (RF) test CPT 86431 RHEUMA FACTOR BODY FLUID $120.12 $182.00 $5.67–$178.36 148% above 34%
Rheumatoid factor (RF) test CPT 86431 RA SERUM $121.44 $184.00 $5.67–$180.32 151% above 34%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR $11.23 $17.01 $6.47–$16.67 — 34%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMA FACT (IGG IGA IGM) X1 $52.80 $80.00 $30.40–$78.40 — 34%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMA FACT (IGG IGA IGM) X2 $102.30 $155.00 $58.90–$151.90 — 34%
Rheumatoid factor (RF) test inpatient CPT 86431 CTD RA $118.80 $180.00 $68.40–$176.40 — 34%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMA FACTOR BODY FLUID $120.12 $182.00 $69.16–$178.36 — 34%
Rheumatoid factor (RF) test inpatient CPT 86431 RA SERUM $121.44 $184.00 $69.92–$180.32 — 34%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODYIGG $28.50 $43.17 $14.39–$42.31 40% below 34%
Rubella antibody test (immunity check) CPT 86762 OBPAN2 RUBELLA $54.78 $83.00 $14.39–$81.34 16% above 34%
Rubella antibody test (immunity check) CPT 86762 OBPAN1 RUBELLA $56.10 $85.00 $14.39–$83.30 19% above 34%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODYIGG $28.50 $43.17 $16.41–$42.31 — 34%
Rubella antibody test (immunity check) inpatient CPT 86762 OBPAN2 RUBELLA $54.78 $83.00 $31.54–$81.34 — 34%
Rubella antibody test (immunity check) inpatient CPT 86762 OBPAN1 RUBELLA $56.10 $85.00 $32.30–$83.30 — 34%
Stool ova and parasites exam CPT 87177 OVA AND PARASITES SMEARS $17.63 $26.70 $8.90–$26.17 50% below 34%
Stool ova and parasites exam CPT 87177 O/PCONCENTRATION $126.72 $192.00 $8.90–$188.16 260% above 34%
Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITES SMEARS $17.63 $26.70 $10.15–$26.17 — 34%
Stool ova and parasites exam inpatient CPT 87177 O/PCONCENTRATION $126.72 $192.00 $72.96–$188.16 — 34%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD SCREEN $41.58 $63.00 $4.38–$61.74 18% above 34%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD SCREEN $41.58 $63.00 $23.94–$61.74 — 34%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 FECAL OCCULT BLOOD BY IA $31.53 $47.76 $15.92–$46.81 45% below 34%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 FERN TEST $74.58 $113.00 $15.92–$110.74 29% above 34%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLOOD IMMUNOASSAY-DIAG. $112.20 $170.00 $15.92–$166.60 95% above 34%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 FECAL OCCULT BLOOD BY IA $31.53 $47.76 $18.15–$46.81 — 34%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 FERN TEST $74.58 $113.00 $42.94–$110.74 — 34%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 OCCULT BLOOD IMMUNOASSAY-DIAG. $112.20 $170.00 $64.60–$166.60 — 34%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR WITH REFLEX TO TITER $8.46 $12.81 $4.27–$12.56 71% below 34%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 TREPONEMAL CONFIRM PROF (REF) $37.62 $57.00 $4.27–$55.86 27% above 34%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR $87.12 $132.00 $4.27–$129.36 194% above 34%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR WITH REFLEX TO TITER $8.46 $12.81 $4.87–$12.56 — 34%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 TREPONEMAL CONFIRM PROF (REF) $37.62 $57.00 $21.66–$55.86 — 34%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR $87.12 $132.00 $50.16–$129.36 — 34%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON-TB GOLD PLUS 4TUBE $122.73 $185.94 $61.98–$182.23 1% below 34%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD IN-TUBE $207.24 $314.00 $61.98–$307.72 68% above 34%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON-TB GOLD PLUS 4TUBE $122.73 $185.94 $70.66–$182.23 — 34%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON TB GOLD IN-TUBE $207.24 $314.00 $119.32–$307.72 — 34%
Testosterone blood test, total (not free testosterone) CPT 84403 WHOPAM TESTOSTERONE $13.86 $21.00 $7.98–$21.00 78% below 34%
Testosterone blood test, total (not free testosterone) CPT 84403 MHOPAN TOTAL TEST. $17.82 $27.00 $10.26–$26.46 72% below 34%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL SERUM $19.80 $30.00 $11.40–$29.40 68% below 34%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE BY IMMUNOASSAY $51.11 $77.43 $25.81–$75.89 18% below 34%
Testosterone blood test, total (not free testosterone) CPT 84403 QDSCR AFP $116.82 $177.00 $25.81–$173.46 87% above 34%
Testosterone blood test, total (not free testosterone) CPT 84403 TSTFM TOTAL TESTOSTERONE $126.06 $191.00 $25.81–$187.18 102% above 34%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL ADULT MALES $130.68 $198.00 $25.81–$194.04 109% above 34%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOST BY LCMS/MS FEM&CHILD $134.64 $204.00 $25.81–$199.92 115% above 34%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 WHOPAM TESTOSTERONE $13.86 $21.00 $7.98–$20.58 — 34%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 MHOPAN TOTAL TEST. $17.82 $27.00 $10.26–$26.46 — 34%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL SERUM $19.80 $30.00 $11.40–$29.40 — 34%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE BY IMMUNOASSAY $51.11 $77.43 $29.43–$75.89 — 34%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 QDSCR AFP $116.82 $177.00 $67.26–$173.46 — 34%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TSTFM TOTAL TESTOSTERONE $126.06 $191.00 $72.58–$187.18 — 34%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL ADULT MALES $130.68 $198.00 $75.24–$194.04 — 34%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOST BY LCMS/MS FEM&CHILD $134.64 $204.00 $77.52–$199.92 — 34%
Thyroid peroxidase (TPO) antibody test CPT 86376 TTA - THYROID ANTIBODIES $14.50 $21.96 $8.35–$21.53 73% below 34%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE (TPO) AB $28.81 $43.65 $14.55–$42.78 45% below 34%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE AB $108.90 $165.00 $14.55–$161.70 106% above 34%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 TTA - THYROID ANTIBODIES $14.50 $21.96 $8.35–$21.53 — 34%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE (TPO) AB $28.81 $43.65 $16.59–$42.78 — 34%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE AB $108.90 $165.00 $62.70–$161.70 — 34%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TTA - TSH $14.52 $22.00 $12.10–$100.78 85% below 34%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 CONG HYPOTHYROIDISM $25.08 $38.00 $16.80–$100.78 73% below 34%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE $33.27 $50.40 $16.80–$100.78 65% below 34%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH $106.26 $161.00 $16.80–$157.78 13% above 34%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH (WITH REFLEX) $113.52 $172.00 $16.80–$168.56 21% above 34%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TTA - TSH $14.52 $22.00 $8.36–$21.56 — 34%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 CONG HYPOTHYROIDISM $25.08 $38.00 $14.44–$37.24 — 34%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMONE $33.27 $50.40 $19.16–$49.40 — 34%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH $106.26 $161.00 $61.18–$157.78 — 34%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH (WITH REFLEX) $113.52 $172.00 $65.36–$168.56 — 34%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS DNA PRO $58.74 $89.00 $33.82–$87.22 17% above 34%
Trichomonas test (NAAT) CPT 87661 TRICHAMONAS VAG AMP DET(TMA) $62.04 $94.00 $35.09–$92.12 24% above 34%
Trichomonas test (NAAT) CPT 87661 T. VAGINALIS BY TMA $69.48 $105.27 $35.09–$103.17 39% above 34%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS DNA PRO $58.74 $89.00 $33.82–$87.22 — 34%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHAMONAS VAG AMP DET(TMA) $62.04 $94.00 $35.72–$92.12 — 34%
Trichomonas test (NAAT) inpatient CPT 87661 T. VAGINALIS BY TMA $69.48 $105.27 $40.01–$103.17 — 34%
Uric acid blood test CPT 84550 URIC ACID $58.74 $89.00 $4.52–$87.22 35% above 34%
Uric acid blood test inpatient CPT 84550 URIC ACID $58.74 $89.00 $33.82–$87.22 — 34%
Urinalysis with microscope exam, automated CPT 81001 BHPAN UA $13.20 $20.00 $3.17–$19.60 73% below 34%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS W/MICROSCOPIC $77.88 $118.00 $3.17–$115.64 57% above 34%
Urinalysis with microscope exam, automated inpatient CPT 81001 BHPAN UA $13.20 $20.00 $7.60–$19.60 — 34%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS W/MICROSCOPIC $77.88 $118.00 $44.84–$115.64 — 34%
Urinalysis without microscope exam, automated CPT 81003 SPECIFIC GRAVITY URINE $40.92 $62.00 $2.25–$60.76 60% above 34%
Urinalysis without microscope exam, automated CPT 81003 KETONES URINE $45.54 $69.00 $2.25–$67.62 78% above 34%
Urinalysis without microscope exam, automated CPT 81003 UA W/O MICROSCOPIC $56.10 $85.00 $2.25–$83.30 119% above 34%
Urinalysis without microscope exam, automated inpatient CPT 81003 SPECIFIC GRAVITY URINE $40.92 $62.00 $23.56–$60.76 — 34%
Urinalysis without microscope exam, automated inpatient CPT 81003 KETONES URINE $45.54 $69.00 $26.22–$67.62 — 34%
Urinalysis without microscope exam, automated inpatient CPT 81003 UA W/O MICROSCOPIC $56.10 $85.00 $32.30–$83.30 — 34%
Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE (NO SMEAR) REF $57.42 $87.00 $8.07–$85.26 4% above 34%
Urine culture for bacteria, with colony count CPT 87086 CULT URINE $128.70 $195.00 $8.07–$191.10 134% above 34%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE URINE (NO SMEAR) REF $57.42 $87.00 $33.06–$85.26 — 34%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULT URINE $128.70 $195.00 $74.10–$191.10 — 34%
Urine pregnancy test, read by color change CPT 81025 HCG QUAL URINE $65.34 $99.00 $8.61–$97.02 68% above 34%
Urine pregnancy test, read by color change inpatient CPT 81025 HCG QUAL URINE $65.34 $99.00 $37.62–$97.02 — 34%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 $29.86 $45.24 $15.08–$44.34 66% below 34%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 REFLEX $59.40 $90.00 $15.08–$88.20 33% below 34%
Vitamin B12 (cobalamin) blood test CPT 82607 B 12 ASSAY $174.90 $265.00 $15.08–$259.70 97% above 34%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 $29.86 $45.24 $17.20–$44.34 — 34%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 REFLEX $59.40 $90.00 $34.20–$88.20 — 34%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 B 12 ASSAY $174.90 $265.00 $100.70–$259.70 — 34%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 MBHPAN VDHYDROXY $19.80 $30.00 $11.40–$29.60 80% below 34%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D25-HYDROXY $58.61 $88.80 $29.60–$87.03 40% below 34%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 BIO25D VD25HY $58.74 $89.00 $29.60–$87.22 40% below 34%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25-HYDROXY $182.16 $276.00 $29.60–$270.48 88% above 34%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 MBHPAN VDHYDROXY $19.80 $30.00 $11.40–$29.40 — 34%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D25-HYDROXY $58.61 $88.80 $33.75–$87.03 — 34%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 BIO25D VD25HY $58.74 $89.00 $33.82–$87.22 — 34%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25-HYDROXY $182.16 $276.00 $104.88–$270.48 — 34%
Zinc blood test CPT 84630 ZINCSERUM OR PLASMA $22.56 $34.17 $11.39–$33.49 25% below 34%
Zinc blood test CPT 84630 ZINC RBC $66.00 $100.00 $11.39–$98.00 119% above 34%
Zinc blood test CPT 84630 ZINC SERUM/PLASMA $87.78 $133.00 $11.39–$130.34 192% above 34%
Zinc blood test inpatient CPT 84630 ZINCSERUM OR PLASMA $22.56 $34.17 $12.99–$33.49 — 34%
Zinc blood test inpatient CPT 84630 ZINC RBC $66.00 $100.00 $38.00–$98.00 — 34%
Zinc blood test inpatient CPT 84630 ZINC SERUM/PLASMA $87.78 $133.00 $50.54–$130.34 — 34%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG TUMOR MARKER $29.80 $45.15 $15.05–$44.25 68% below 34%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 ITG1 HCG $44.88 $68.00 $15.05–$66.64 51% below 34%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 QDSCR HCG QUANT $54.78 $83.00 $15.05–$81.34 41% below 34%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 FTSNT HCG $62.04 $94.00 $15.05–$92.12 33% below 34%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG QUANTITATIVE $120.78 $183.00 $15.05–$179.34 31% above 34%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANT SERUM $123.42 $187.00 $15.05–$183.26 34% above 34%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG TUMOR MARKER $29.80 $45.15 $17.16–$44.25 — 34%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 ITG1 HCG $44.88 $68.00 $25.84–$66.64 — 34%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 QDSCR HCG QUANT $54.78 $83.00 $31.54–$81.34 — 34%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 FTSNT HCG $62.04 $94.00 $35.72–$92.12 — 34%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA HCG QUANTITATIVE $120.78 $183.00 $69.54–$179.34 — 34%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANT SERUM $123.42 $187.00 $71.06–$183.26 — 34%

Surgery and procedures

ProcedureCash price List priceInsurers payvs MinnesotaOff list
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION EXTERNAL ER PF $499.62 $757.00 $287.66–$741.86 51% below 34%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION IP HOSP $514.80 $780.00 $296.40–$764.40 50% below 34%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION OP CLI HOSP $514.80 $780.00 $296.40–$764.40 50% below 34%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION EXTERNAL ER $739.86 $1,121.00 $425.98–$1,098.58 28% below 34%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION EXTERNAL $807.18 $1,223.00 $464.74–$1,198.54 22% below 34%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION EXTERNAL ER PF $499.62 $757.00 $287.66–$741.86 — 34%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION IP HOSP $514.80 $780.00 $296.40–$764.40 — 34%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION OP CLI HOSP $514.80 $780.00 $296.40–$764.40 — 34%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION EXTERNAL ER $739.86 $1,121.00 $425.98–$1,098.58 — 34%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION EXTERNAL $807.18 $1,223.00 $464.74–$1,198.54 — 34%
Carpal tunnel release, open surgery CPT 64721 CARPAL TUNNEL SURGERY PF $841.50 $1,275.00 $484.50–$1,249.50 42% below 34%
Carpal tunnel release, open surgery inpatient CPT 64721 CARPAL TUNNEL SURGERY PF $841.50 $1,275.00 $484.50–$1,249.50 — 34%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION $253.44 $384.00 $145.92–$376.32 4% above 34%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION $253.44 $384.00 $145.92–$376.32 — 34%
Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W LESION REM PF $838.86 $1,271.00 $699.05–$2,425.49 33% below 34%
Colonoscopy with polyp removal inpatient CPT 45385 COLONOSCOPY W LESION REM PF $838.86 $1,271.00 $482.98–$1,245.58 — 34%
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY AND BIOPSY PF $801.90 $1,215.00 $668.25–$2,425.49 36% below 34%
Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY AND BIOPSY PF $801.90 $1,215.00 $461.70–$1,190.70 — 34%
Colonoscopy, diagnostic CPT 45378 SCREEN COLON-HI RISK PF $630.96 $956.00 $525.80–$2,791.66 48% below 34%
Colonoscopy, diagnostic inpatient CPT 45378 SCREEN COLON-HI RISK PF $630.96 $956.00 $363.28–$936.88 — 34%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DEST LESION PREMALIG 1ST ER PF $50.82 $77.00 $29.26–$75.46 72% below 34%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DEST LESION PREMALIG 1ST ER $64.68 $98.00 $37.24–$96.04 64% below 34%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DEST LESION PREMALIG 1ST ER PF $50.82 $77.00 $29.26–$75.46 — 34%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DEST LESION PREMALIG 1ST ER $64.68 $98.00 $37.24–$96.04 — 34%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX ER $65.34 $99.00 $37.62–$97.02 16% below 34%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REMOVE IMPACTED EAR WAX ER $65.34 $99.00 $37.62–$97.02 — 34%
Earwax removal with instruments, one ear CPT 69210 REM IMPACTED EAR WAX UNI ER PF $89.10 $135.00 $51.30–$132.30 28% below 34%
Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX UNI ER $137.94 $209.00 $79.42–$204.82 12% above 34%
Earwax removal with instruments, one ear inpatient CPT 69210 REM IMPACTED EAR WAX UNI ER PF $89.10 $135.00 $51.30–$132.30 — 34%
Earwax removal with instruments, one ear inpatient CPT 69210 REMOVE IMPACTED EAR WAX UNI ER $137.94 $209.00 $79.42–$204.82 — 34%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INJ EPID CERV/THORA W IMAG $1,701.48 $2,578.00 $979.64–$2,526.44 69% above 34%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 INJ EPID CERV/THORA W IMAG $1,701.48 $2,578.00 $979.64–$2,526.44 — 34%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 RAD INJECT FACET L/S FLURO $1,029.60 $1,560.00 $592.80–$1,528.80 26% below 34%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 RAD INJECT FACET L/S CT GUIDE $2,135.76 $3,236.00 $1,229.68–$3,171.28 54% above 34%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 RAD INJECT FACET L/S FLURO $1,029.60 $1,560.00 $592.80–$1,528.80 — 34%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 RAD INJECT FACET L/S CT GUIDE $2,135.76 $3,236.00 $1,229.68–$3,171.28 — 34%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 RPR AA HRN 1ST3-10 RDC PF $1,012.44 $1,534.00 $582.92–$1,503.32 35% below 34%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm inpatient CPT 49593 RPR AA HRN 1ST3-10 RDC PF $1,012.44 $1,534.00 $582.92–$1,503.32 — 34%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 RPR AA HRN 1ST<3CM RDC PF $606.54 $919.00 $349.22–$900.62 60% below 34%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 RPR AA HRN 1ST<3CM RDC PF $606.54 $919.00 $349.22–$900.62 — 34%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 FLEX SIGMOIDOSCOPY $1,403.16 $2,126.00 $807.88–$2,083.48 64% above 34%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 FLEX SIGMOIDOSCOPY $1,403.16 $2,126.00 $807.88–$2,083.48 — 34%
Gallbladder removal, laparoscopic CPT 47562 LAP CHOLE ASSIST PF $1,189.32 $1,802.00 $684.76–$1,765.96 28% below 34%
Gallbladder removal, laparoscopic inpatient CPT 47562 LAP CHOLE ASSIST PF $1,189.32 $1,802.00 $684.76–$1,765.96 — 34%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE ER PF $225.72 $342.00 $129.96–$335.16 22% below 34%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE ER $304.92 $462.00 $175.56–$452.76 6% above 34%
Incision and drainage of a simple or single skin abscess CPT 10060 I & D WOUND $311.52 $472.00 $179.36–$462.56 8% above 34%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SIMPLE ER PF $225.72 $342.00 $129.96–$335.16 — 34%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SIMPLE ER $304.92 $462.00 $175.56–$452.76 — 34%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I & D WOUND $311.52 $472.00 $179.36–$462.56 — 34%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHEATH LIGA ER $291.72 $442.00 $167.96–$433.16 21% below 34%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ TENDON SHEATH LIGA ER $291.72 $442.00 $167.96–$433.16 — 34%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASP/INJ JNT MAJOR WO US ER PF $170.28 $258.00 $98.04–$252.84 53% below 34%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASP/INJ JOINT MAJOR WO US ER $361.68 $548.00 $208.24–$537.04 1% below 34%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 RAD INJECT HIP JOINT FLURO $1,029.60 $1,560.00 $592.80–$1,528.80 183% above 34%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 RAD INJECT HIP JOINT CT GUIDE $2,135.76 $3,236.00 $1,229.68–$3,171.28 487% above 34%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ASP/INJ JNT MAJOR WO US ER PF $170.28 $258.00 $98.04–$252.84 — 34%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ASP/INJ JOINT MAJOR WO US ER $361.68 $548.00 $208.24–$537.04 — 34%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 RAD INJECT HIP JOINT FLURO $1,029.60 $1,560.00 $592.80–$1,528.80 — 34%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 RAD INJECT HIP JOINT CT GUIDE $2,135.76 $3,236.00 $1,229.68–$3,171.28 — 34%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ASP/INJ INTR JNT/BUR WO US ERP $153.78 $233.00 $88.54–$228.34 50% below 34%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ASP/INJ INTR JNT/BUR WO US ER $251.46 $381.00 $144.78–$373.38 18% below 34%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ASP/INJ INTR JNT/BUR WO US ERP $153.78 $233.00 $88.54–$228.34 — 34%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ASP/INJ INTR JNT/BUR WO US ER $251.46 $381.00 $144.78–$373.38 — 34%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ASP/INJ SMALL JOINT ER PF $149.16 $226.00 $85.88–$221.48 54% below 34%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ASP/INJ SMALL JOINT ER PF $149.16 $226.00 $85.88–$221.48 — 34%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 RPR LAC INT SCLP AXIL <2.5C ER $286.44 $434.00 $164.92–$425.32 37% below 34%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 RPR LAC INT SCLP AXIL<2.5ER PF $477.18 $723.00 $274.74–$708.54 5% above 34%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 RPR LAC INT SCLP AXIL <2.5C ER $286.44 $434.00 $164.92–$425.32 — 34%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 RPR LAC INT SCLP AXIL<2.5ER PF $477.18 $723.00 $274.74–$708.54 — 34%
Lower-back epidural injection, with imaging guidance CPT 62323 INJ EPIDURAL LUM/SAC W IMAG $1,718.64 $2,604.00 $989.52–$2,551.92 76% above 34%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJ EPIDURAL LUM/SAC W IMAG $1,718.64 $2,604.00 $989.52–$2,551.92 — 34%
Lower-back epidural injection, without imaging guidance CPT 62322 INJ EPIDURAL LUM/SAC W/O IMAG $1,134.54 $1,719.00 $653.22–$1,684.62 9% above 34%
Lower-back epidural injection, without imaging guidance CPT 62322 RAD EPIDURAL L/S CT GUIDE $2,285.58 $3,463.00 $1,315.94–$3,393.74 119% above 34%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 INJ EPIDURAL LUM/SAC W/O IMAG $1,134.54 $1,719.00 $653.22–$1,684.62 — 34%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 RAD EPIDURAL L/S CT GUIDE $2,285.58 $3,463.00 $1,315.94–$3,393.74 — 34%
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE SINGLE ER $191.40 $290.00 $110.20–$284.20 32% below 34%
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE SGL ER PF $254.10 $385.00 $146.30–$377.30 9% below 34%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAIL PLATE SINGLE ER $191.40 $290.00 $110.20–$284.20 — 34%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAIL PLATE SGL ER PF $254.10 $385.00 $146.30–$377.30 — 34%
Occipital nerve block (injection for headaches) CPT 64405 INJ ANES NERVE GR OCCIP ER PF $296.34 $449.00 $170.62–$440.02 51% below 34%
Occipital nerve block (injection for headaches) CPT 64405 INJ ANES NERVE GR OCCIP ER $434.94 $659.00 $250.42–$645.82 28% below 34%
Occipital nerve block (injection for headaches) inpatient CPT 64405 INJ ANES NERVE GR OCCIP ER PF $296.34 $449.00 $170.62–$440.02 — 34%
Occipital nerve block (injection for headaches) inpatient CPT 64405 INJ ANES NERVE GR OCCIP ER $434.94 $659.00 $250.42–$645.82 — 34%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W GUIDE ER $151.80 $230.00 $87.40–$225.40 83% below 34%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W GUIDE ER PF $426.36 $646.00 $245.48–$633.08 51% below 34%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W GUIDE SUR $722.70 $1,095.00 $416.10–$1,073.10 17% below 34%
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W GUIDE ER $151.80 $230.00 $87.40–$225.40 — 34%
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W GUIDE ER PF $426.36 $646.00 $245.48–$633.08 — 34%
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W GUIDE SUR $722.70 $1,095.00 $416.10–$1,073.10 — 34%
Removal of a foreign object under the skin, simple CPT 10120 INCISION/REM FB SIMPLE ER PF $375.54 $569.00 $216.22–$557.62 6% below 34%
Removal of a foreign object under the skin, simple CPT 10120 INCISION/REM FB SIMPLE ER $421.74 $639.00 $242.82–$626.22 5% above 34%
Removal of a foreign object under the skin, simple inpatient CPT 10120 INCISION/REM FB SIMPLE ER PF $375.54 $569.00 $216.22–$557.62 — 34%
Removal of a foreign object under the skin, simple inpatient CPT 10120 INCISION/REM FB SIMPLE ER $421.74 $639.00 $242.82–$626.22 — 34%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 SCREEN COLON-NON HI RISK PF $631.62 $957.00 $526.35–$2,326.94 42% below 34%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 SCREEN COLON-NON HI RISK PF $631.62 $957.00 $363.66–$937.86 — 34%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 SCREEN COLON-HI RISK PF $630.96 $956.00 $525.80–$2,326.94 46% below 34%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 SCREEN COLON-HI RISK PF $630.96 $956.00 $363.28–$936.88 — 34%
Short arm cast (elbow to hand) CPT 29075 APPLICATION CAST SHORT ARM ER $203.28 $308.00 $117.04–$301.84 14% below 34%
Short arm cast (elbow to hand) CPT 29075 APPLICAT CAST SHORT ARM ER PF $223.74 $339.00 $128.82–$332.22 5% below 34%
Short arm cast (elbow to hand) inpatient CPT 29075 APPLICATION CAST SHORT ARM ER $203.28 $308.00 $117.04–$301.84 — 34%
Short arm cast (elbow to hand) inpatient CPT 29075 APPLICAT CAST SHORT ARM ER PF $223.74 $339.00 $128.82–$332.22 — 34%
Short arm splint (forearm and hand) CPT 29125 APPL SPLINT SHORT ARM ER $234.30 $355.00 $134.90–$347.90 18% above 34%
Short arm splint (forearm and hand) CPT 29125 APPL SPLINT SHORT ARM ER PF $236.94 $359.00 $136.42–$351.82 19% above 34%
Short arm splint (forearm and hand) inpatient CPT 29125 APPL SPLINT SHORT ARM ER $234.30 $355.00 $134.90–$347.90 — 34%
Short arm splint (forearm and hand) inpatient CPT 29125 APPL SPLINT SHORT ARM ER PF $236.94 $359.00 $136.42–$351.82 — 34%
Short leg cast (below the knee) CPT 29405 APPL CAST SHORT LEG ER PF $95.70 $145.00 $55.10–$142.10 65% below 34%
Short leg cast (below the knee) CPT 29405 APPL CAST SHORT LEG ER $248.82 $377.00 $143.26–$369.46 9% below 34%
Short leg cast (below the knee) inpatient CPT 29405 APPL CAST SHORT LEG ER PF $95.70 $145.00 $55.10–$142.10 — 34%
Short leg cast (below the knee) inpatient CPT 29405 APPL CAST SHORT LEG ER $248.82 $377.00 $143.26–$369.46 — 34%
Short leg splint (calf to foot) CPT 29515 APPL SPLINT SHORT LEG ER $195.36 $296.00 $112.48–$290.08 12% below 34%
Short leg splint (calf to foot) CPT 29515 APPL SPLINT SHORT LEG ER PF $196.02 $297.00 $112.86–$291.06 12% below 34%
Short leg splint (calf to foot) inpatient CPT 29515 APPL SPLINT SHORT LEG ER $195.36 $296.00 $112.48–$290.08 — 34%
Short leg splint (calf to foot) inpatient CPT 29515 APPL SPLINT SHORT LEG ER PF $196.02 $297.00 $112.86–$291.06 — 34%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 RPR LAC SMP SCALP <2.5CM ER $353.10 $535.00 $203.30–$524.30 31% above 34%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 RPR LAC SMP SCALP <2.5CM ER PF $422.40 $640.00 $243.20–$627.20 56% above 34%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 RPR LAC SMP SCALP <2.5CM ER $353.10 $535.00 $203.30–$524.30 — 34%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 RPR LAC SMP SCALP <2.5CM ER PF $422.40 $640.00 $243.20–$627.20 — 34%
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE DIAG ER PF $185.46 $281.00 $106.78–$275.38 74% below 34%
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE DIAG $557.04 $844.00 $320.72–$827.12 23% below 34%
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE DIAGNOSTIC ER $557.70 $845.00 $321.10–$828.10 23% below 34%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE DIAG ER PF $185.46 $281.00 $106.78–$275.38 — 34%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE DIAG $557.04 $844.00 $320.72–$827.12 — 34%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE DIAGNOSTIC ER $557.70 $845.00 $321.10–$828.10 — 34%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 RPR LAC SMP SCALP 2.6-7.5CM ER $381.48 $578.00 $219.64–$566.44 24% above 34%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 RPR LAC SMP SCLP 2.6-7.5 ER PF $448.14 $679.00 $258.02–$665.42 46% above 34%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 RPR LAC SMP SCALP 2.6-7.5CM ER $381.48 $578.00 $219.64–$566.44 — 34%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 RPR LAC SMP SCLP 2.6-7.5 ER PF $448.14 $679.00 $258.02–$665.42 — 34%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 RPR LAC SMP FACE <2.5CM ER PF $50.82 $77.00 $29.26–$75.46 81% below 34%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 RPR LAC SMP FACE <2.5CM ER $233.64 $354.00 $134.52–$346.92 15% below 34%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 RPR LAC SMP FACE <2.5CM ER PF $50.82 $77.00 $29.26–$75.46 — 34%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 RPR LAC SMP FACE <2.5CM ER $233.64 $354.00 $134.52–$346.92 — 34%
Thoracentesis with imaging guidance CPT 32555 THORCENTESIS W IMAGING ER $149.16 $226.00 $85.88–$221.48 83% below 34%
Thoracentesis with imaging guidance CPT 32555 THORCENTESIS W IMAGING ER PF $446.16 $676.00 $256.88–$662.48 50% below 34%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W IMAGING SUR $877.80 $1,330.00 $505.40–$1,303.40 2% below 34%
Thoracentesis with imaging guidance inpatient CPT 32555 THORCENTESIS W IMAGING ER $149.16 $226.00 $85.88–$221.48 — 34%
Thoracentesis with imaging guidance inpatient CPT 32555 THORCENTESIS W IMAGING ER PF $446.16 $676.00 $256.88–$662.48 — 34%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W IMAGING SUR $877.80 $1,330.00 $505.40–$1,303.40 — 34%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER PT 1-2 MUSC ER PF $179.52 $272.00 $103.36–$266.56 42% below 34%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER PT 1-2 MUSC ER $363.00 $550.00 $209.00–$539.00 17% above 34%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIGGER PT 1-2 MUSC ER PF $179.52 $272.00 $103.36–$266.56 — 34%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIGGER PT 1-2 MUSC ER $363.00 $550.00 $209.00–$539.00 — 34%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 ESPOH EGD DIALATION <30MM $1,566.18 $2,373.00 $975.35–$2,325.54 13% below 34%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 ESPOH EGD DIALATION <30MM $1,566.18 $2,373.00 $901.74–$2,325.54 — 34%
Upper endoscopy (EGD) with biopsy CPT 43239 EGD BIOPSY SING/MULT PF $694.98 $1,053.00 $579.15–$2,311.27 34% below 34%
Upper endoscopy (EGD) with biopsy CPT 43239 EGD BIOPSY SINGLE/MULTIPLE $1,566.18 $2,373.00 $1,155.63–$2,325.54 48% above 34%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD BIOPSY SING/MULT PF $694.98 $1,053.00 $400.14–$1,031.94 — 34%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD BIOPSY SINGLE/MULTIPLE $1,566.18 $2,373.00 $901.74–$2,325.54 — 34%
Upper endoscopy (EGD), diagnostic CPT 43235 EGD DIAG BRUSH WASH $1,640.76 $2,486.00 $1,155.63–$2,436.28 71% above 34%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 EGD DIAG BRUSH WASH $1,640.76 $2,486.00 $944.68–$2,436.28 — 34%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBR SKIN/SUBQ TISS<20SQ ER PF $259.38 $393.00 $149.34–$385.14 42% below 34%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBR SKIN/SUBQ TISS<20SQCM ER $780.78 $1,183.00 $449.54–$1,159.34 75% above 34%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBR SKIN/SUBQ TISS<20SQ ER PF $259.38 $393.00 $149.34–$385.14 — 34%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBR SKIN/SUBQ TISS<20SQCM ER $780.78 $1,183.00 $449.54–$1,159.34 — 34%

Doctor visits and therapy

ProcedureCash price List priceInsurers payvs MinnesotaOff list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION $194.70 $295.00 $112.10–$289.10 73% below 34%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMINISTRATION $194.70 $295.00 $112.10–$289.10 — 34%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI/NEBULIZER SMALL VOL ACU $68.64 $104.00 $39.52–$101.92 41% below 34%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI/NEBULIZER SMALL VOL NUR $70.62 $107.00 $40.66–$104.86 40% below 34%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER SMALL VOL ER $82.50 $125.00 $47.50–$122.50 30% below 34%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI/NEBULIZER SMALL VOL ACU $68.64 $104.00 $39.52–$101.92 — 34%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI/NEBULIZER SMALL VOL NUR $70.62 $107.00 $40.66–$104.86 — 34%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEBULIZER SMALL VOL ER $82.50 $125.00 $47.50–$122.50 — 34%
Chemotherapy IV infusion, first hour CPT 96413 IV INF CHEMO 16-90M AMB $654.06 $991.00 $376.58–$971.18 28% above 34%
Chemotherapy IV infusion, first hour inpatient CPT 96413 IV INF CHEMO 16-90M AMB $654.06 $991.00 $376.58–$971.18 — 34%
Critical care, first 30 to 74 minutes CPT 99291 CRIT CARE 1ST 30-74 MIN ER PF $529.98 $803.00 $305.14–$786.94 66% below 34%
Critical care, first 30 to 74 minutes CPT 99291 IP CRIT CARE 30-74 MIN HOSP $530.64 $804.00 $305.52–$787.92 66% below 34%
Critical care, first 30 to 74 minutes CPT 99291 CRIT CARE 1ST 30-74 MIN-25 ER $1,448.70 $2,195.00 $834.10–$2,151.10 6% below 34%
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRIT CARE 1ST 30-74 MIN ER PF $529.98 $803.00 $305.14–$786.94 — 34%
Critical care, first 30 to 74 minutes inpatient CPT 99291 IP CRIT CARE 30-74 MIN HOSP $530.64 $804.00 $305.52–$787.92 — 34%
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRIT CARE 1ST 30-74 MIN-25 ER $1,448.70 $2,195.00 $834.10–$2,151.10 — 34%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG 12 LEAD TRACE $326.70 $495.00 $81.19–$485.10 90% above 34%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG 12 LEAD TRACE $326.70 $495.00 $188.10–$485.10 — 34%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 LEVEL 1 ER PF $89.76 $136.00 $51.68–$133.28 54% below 34%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 LEVEL 1 ER $189.42 $287.00 $109.06–$281.26 2% below 34%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 LEVEL 1 ER PF $89.76 $136.00 $51.68–$133.28 — 34%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 LEVEL 1 ER $189.42 $287.00 $109.06–$281.26 — 34%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 LEVEL 2 ER PF $119.46 $181.00 $68.78–$177.38 52% below 34%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 LEVEL 2 ER $295.02 $447.00 $169.86–$438.06 19% above 34%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 LEVEL 2 ER PF $119.46 $181.00 $68.78–$177.38 — 34%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 LEVEL 2 ER $295.02 $447.00 $169.86–$438.06 — 34%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 LEVEL 3 ER PF $180.84 $274.00 $104.12–$268.52 57% below 34%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 LEVEL 3 ER $478.50 $725.00 $275.50–$710.50 15% above 34%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 LEVEL 3 ER PF $180.84 $274.00 $104.12–$268.52 — 34%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 LEVEL 3 ER $478.50 $725.00 $275.50–$710.50 — 34%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 LEVEL 4 ER PF $269.28 $408.00 $155.04–$399.84 58% below 34%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 LEVEL 4 ER $793.98 $1,203.00 $457.14–$1,178.94 25% above 34%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 LEVEL 4 ER PF $269.28 $408.00 $155.04–$399.84 — 34%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 LEVEL 4 ER $793.98 $1,203.00 $457.14–$1,178.94 — 34%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 LEVEL 5 ER PF $399.96 $606.00 $230.28–$593.88 58% below 34%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 LEVEL 5 ER $1,061.28 $1,608.00 $611.04–$1,575.84 12% above 34%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 LEVEL 5 ER PF $399.96 $606.00 $230.28–$593.88 — 34%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 LEVEL 5 ER $1,061.28 $1,608.00 $611.04–$1,575.84 — 34%
Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIAC STRESS TEST TRACING $1,028.94 $1,559.00 $592.42–$1,527.82 43% above 34%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CARDIAC STRESS TEST TRACING $1,028.94 $1,559.00 $592.42–$1,527.82 — 34%
Family therapy with the patient, 50 minutes CPT 90847 FAM PSYTX W PT 50 MIN FAC $59.40 $90.00 $34.20–$88.20 69% below 34%
Family therapy with the patient, 50 minutes CPT 90847 FAM PSYTX W PT 50 MIN PF $165.66 $251.00 $95.38–$245.98 15% below 34%
Family therapy with the patient, 50 minutes CPT 90847 FAM PSYTX W PT 50 MIN SLS $244.20 $370.00 $140.60–$362.60 26% above 34%
Family therapy with the patient, 50 minutes inpatient CPT 90847 FAM PSYTX W PT 50 MIN FAC $59.40 $90.00 $34.20–$88.20 — 34%
Family therapy with the patient, 50 minutes inpatient CPT 90847 FAM PSYTX W PT 50 MIN PF $165.66 $251.00 $95.38–$245.98 — 34%
Family therapy with the patient, 50 minutes inpatient CPT 90847 FAM PSYTX W PT 50 MIN SLS $244.20 $370.00 $140.60–$362.60 — 34%
Family therapy without the patient, 50 minutes CPT 90846 BH FAM PSYTX WO PT 50 MIN FAC $59.40 $90.00 $34.20–$88.20 68% below 34%
Family therapy without the patient, 50 minutes CPT 90846 FAM PSYTX WO PT 50 MIN PF $160.38 $243.00 $92.34–$238.14 12% below 34%
Family therapy without the patient, 50 minutes CPT 90846 FAM PSYTX W/O PT 50 MIN SLS $235.62 $357.00 $135.66–$349.86 29% above 34%
Family therapy without the patient, 50 minutes inpatient CPT 90846 BH FAM PSYTX WO PT 50 MIN FAC $59.40 $90.00 $34.20–$88.20 — 34%
Family therapy without the patient, 50 minutes inpatient CPT 90846 FAM PSYTX WO PT 50 MIN PF $160.38 $243.00 $92.34–$238.14 — 34%
Family therapy without the patient, 50 minutes inpatient CPT 90846 FAM PSYTX W/O PT 50 MIN SLS $235.62 $357.00 $135.66–$349.86 — 34%
Group psychotherapy session CPT 90853 GROUP PSYTX SLS $840.84 $1,274.00 $484.12–$1,248.52 977% above 34%
Group psychotherapy session inpatient CPT 90853 GROUP PSYTX SLS $840.84 $1,274.00 $484.12–$1,248.52 — 34%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYD 1ST HR (31-90M) AMB $306.24 $464.00 $176.32–$454.72 12% above 34%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYD 1ST HR (31-90M) MS $306.24 $464.00 $176.32–$454.72 12% above 34%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYD 1ST HR (31-90M) ER $306.24 $464.00 $176.32–$454.72 12% above 34%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYD 1ST HR (31-90M) MS $306.24 $464.00 $176.32–$454.72 — 34%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYD 1ST HR (31-90M) AMB $306.24 $464.00 $176.32–$454.72 — 34%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYD 1ST HR (31-90M) ER $306.24 $464.00 $176.32–$454.72 — 34%
IV infusion of a medicine, first hour CPT 96365 IV INF TX/DX 1ST 16-90M AMB $318.78 $483.00 $183.54–$473.34 3% below 34%
IV infusion of a medicine, first hour CPT 96365 IV INF TX/DX 1ST 16-90M ER $318.78 $483.00 $183.54–$473.34 3% below 34%
IV infusion of a medicine, first hour CPT 96365 IV INF TX/DX 1ST 16-90M MS $318.78 $483.00 $183.54–$473.34 3% below 34%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INF TX/DX 1ST 16-90M ER $318.78 $483.00 $183.54–$473.34 — 34%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INF TX/DX 1ST 16-90M AMB $318.78 $483.00 $183.54–$473.34 — 34%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INF TX/DX 1ST 16-90M MS $318.78 $483.00 $183.54–$473.34 — 34%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ SUBQ/IM ACU $63.36 $96.00 $36.48–$94.08 18% below 34%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ SUBQ/IM ER $63.36 $96.00 $36.48–$94.08 18% below 34%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ SUBQ/IM ACU $63.36 $96.00 $36.48–$94.08 — 34%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ SUBQ/IM ER $63.36 $96.00 $36.48–$94.08 — 34%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 BH DIAGNOTIC EVAL $133.32 $202.00 $76.76–$197.96 48% below 34%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 BH DIAGNOTIC EVAL PF $276.54 $419.00 $159.22–$410.62 8% above 34%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 BH DIAGNOTIC EVAL $133.32 $202.00 $76.76–$197.96 — 34%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 BH DIAGNOTIC EVAL PF $276.54 $419.00 $159.22–$410.62 — 34%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 DIETARY CONSULT 15 MIN $66.00 $100.00 $26.78–$98.00 6% above 34%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 DIETARY CONSULT 15 MIN $66.00 $100.00 $38.00–$98.00 — 34%
Occupational therapy evaluation, low complexity CPT 97165 EVAL LOW COMPLEX OT WC $163.68 $248.00 $94.24–$243.04 3% below 34%
Occupational therapy evaluation, low complexity inpatient CPT 97165 EVAL LOW COMPLEX OT WC $163.68 $248.00 $94.24–$243.04 — 34%
Psychotherapy session, 30 minutes CPT 90832 BH THERAPY 30 MIN $38.28 $58.00 $22.04–$56.84 66% below 34%
Psychotherapy session, 30 minutes CPT 90832 BH THERAPY 30 MIN PF $102.30 $155.00 $58.90–$151.90 10% below 34%
Psychotherapy session, 30 minutes CPT 90832 BH IND THER 16-37 MIN SLS $184.80 $280.00 $106.40–$274.40 62% above 34%
Psychotherapy session, 30 minutes inpatient CPT 90832 BH THERAPY 30 MIN $38.28 $58.00 $22.04–$56.84 — 34%
Psychotherapy session, 30 minutes inpatient CPT 90832 BH THERAPY 30 MIN PF $102.30 $155.00 $58.90–$151.90 — 34%
Psychotherapy session, 30 minutes inpatient CPT 90832 BH IND THER 16-37 MIN SLS $184.80 $280.00 $106.40–$274.40 — 34%
Psychotherapy session, 45 minutes CPT 90834 BH THERAPY 45 MIN $58.74 $89.00 $33.82–$87.22 61% below 34%
Psychotherapy session, 45 minutes CPT 90834 BH THERAPY 45 MIN PF $158.40 $240.00 $91.20–$235.20 6% above 34%
Psychotherapy session, 45 minutes CPT 90834 BH IND THER 38-52 MIN SLS $246.18 $373.00 $141.74–$365.54 65% above 34%
Psychotherapy session, 45 minutes inpatient CPT 90834 BH THERAPY 45 MIN $58.74 $89.00 $33.82–$87.22 — 34%
Psychotherapy session, 45 minutes inpatient CPT 90834 BH THERAPY 45 MIN PF $158.40 $240.00 $91.20–$235.20 — 34%
Psychotherapy session, 45 minutes inpatient CPT 90834 BH IND THER 38-52 MIN SLS $246.18 $373.00 $141.74–$365.54 — 34%
Psychotherapy session, 60 minutes CPT 90837 BH THERAPY 60 MIN $93.06 $141.00 $53.58–$138.18 49% below 34%
Psychotherapy session, 60 minutes CPT 90837 BH THERAPY 60 MIN PF $246.18 $373.00 $141.74–$365.54 36% above 34%
Psychotherapy session, 60 minutes CPT 90837 BH IND THER 53-67 MIN SLS $362.34 $549.00 $208.62–$538.02 100% above 34%
Psychotherapy session, 60 minutes inpatient CPT 90837 BH THERAPY 60 MIN $93.06 $141.00 $53.58–$138.18 — 34%
Psychotherapy session, 60 minutes inpatient CPT 90837 BH THERAPY 60 MIN PF $246.18 $373.00 $141.74–$365.54 — 34%
Psychotherapy session, 60 minutes inpatient CPT 90837 BH IND THER 53-67 MIN SLS $362.34 $549.00 $208.62–$538.02 — 34%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPUTIC PHLEBOTOMY $271.92 $412.00 $156.56–$403.76 29% above 34%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 THERAPUTIC PHLEBOTOMY $271.92 $412.00 $156.56–$403.76 — 34%

Vaccines

ProcedureCash price List priceInsurers payvs MinnesotaOff list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 FL FLUAD TRI 24-25 (65UP) 0.5M $203.01 $307.59 $116.89–$301.44 164% above 34%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 FL FLUAD TRI 24-25 (65UP) 0.5M $203.01 $307.59 $116.89–$301.44 — 34%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VACLIVE1350 U/.5ML $421.01 $637.88 $242.40–$625.13 77% above 34%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VACLIVE1350 U/.5ML $421.01 $637.88 $242.40–$625.13 — 34%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUARIX TRIV24-25 6M+ 0.5M SY $54.35 $82.34 $31.29–$80.70 145% above 34%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLUARIX TRIV24-25 6M+ 0.5M SY $54.35 $82.34 $31.29–$80.70 — 34%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEP B VIRUS VAC PF 20 MCG/ML $165.15 $250.22 $95.09–$245.22 47% above 34%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEP B VIRUS VAC PF 20 MCG/ML $165.15 $250.22 $95.09–$245.22 — 34%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES MU & RUB VAC.5 ML $214.72 $325.33 $123.63–$318.83 72% above 34%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES MU & RUB VAC.5 ML $214.72 $325.33 $123.63–$318.83 — 34%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL VACC 4MCG/0.5ML $341.88 $518.00 $196.84–$507.64 75% above 34%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL VACC 4MCG/0.5ML $341.88 $518.00 $196.84–$507.64 — 34%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOL 20-VAL CONJUG 0.5 ML $652.49 $988.61 $375.68–$968.84 62% above 34%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOL 20-VAL CONJUG 0.5 ML $652.49 $988.61 $375.68–$968.84 — 34%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEU 23-VAL P-SAC VAC 0.5ML $270.46 $409.78 $155.72–$401.59 105% above 34%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEU 23-VAL P-SAC VAC 2.5ML $835.99 $1,266.65 $481.33–$1,241.32 533% above 34%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEU 23-VAL P-SAC VAC 0.5ML $270.46 $409.78 $155.72–$401.59 — 34%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEU 23-VAL P-SAC VAC 2.5ML $835.99 $1,266.65 $481.33–$1,241.32 — 34%
Rabies vaccine, one dose CPT 90675 RABIES VAC HUM DIPLOID PF2.5 $1,002.11 $1,518.34 $576.97–$1,487.98 82% above 34%
Rabies vaccine, one dose CPT 90675 RABIES VAC (AVIAN) 2.5 INJ KIT $1,147.36 $1,738.42 $660.60–$1,703.66 108% above 34%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VAC HUM DIPLOID PF2.5 $1,002.11 $1,518.34 $576.97–$1,487.98 — 34%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VAC (AVIAN) 2.5 INJ KIT $1,147.36 $1,738.42 $660.60–$1,703.66 — 34%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TET/DIP TOXOIDSADULT TD0.5ML $102.15 $154.77 $58.82–$151.68 64% above 34%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TET/DIP TOXOIDSADULT TD0.5ML $102.15 $154.77 $58.82–$151.68 — 34%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPPERT(ACELL)TET VAC .5 ML $107.42 $162.75 $61.85–$159.50 37% above 34%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPPERT(ACELL)TET VAC. 5 ML $108.46 $164.33 $62.45–$161.05 38% above 34%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP 10+YRS 0.5ML SYRNG $126.69 $191.94 $72.94–$188.11 62% above 34%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPPERT(ACELL)TET VAC .5 ML $107.42 $162.75 $61.85–$159.50 — 34%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPPERT(ACELL)TET VAC. 5 ML $108.46 $164.33 $62.45–$161.05 — 34%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP 10+YRS 0.5ML SYRNG $126.69 $191.94 $72.94–$188.11 — 34%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYP VI POLY VACC 25 MCG/0.5ML $338.58 $513.00 $194.94–$502.74 132% above 34%
Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 TYP VI POLY VACC 25 MCG/0.5ML $338.58 $513.00 $194.94–$502.74 — 34%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMIN HEP B ACU $29.70 $45.00 $17.10–$44.10 27% below 34%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE ADMIN HEP B ACU $29.70 $45.00 $17.10–$44.10 — 34%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 VACCINE ADMIN ADDL EACH ACU $29.70 $45.00 $17.10–$44.10 18% above 34%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 VACCINE ADMIN ADDL EACH ACU $29.70 $45.00 $17.10–$44.10 — 34%

Source file: https://chilakewoodhealth.com/410758434-1922072776_lakewood-health-center_standardcharges.csv