SelfPayRates
Hospital

St. Joseph's Area Health Services

St. Joseph's Area Health Services in Park Rapids, MN publishes cash prices for 185 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 110 of 182 procedures and above it for 69. By typical cash price it ranks #33 of 79 Minnesota hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

600 Pleasant Avenue S, Park Rapids, MN 56470 Collected Sep 27, 2026 Source price file (218) 732-3311

Critical access hospital (rural, 25 beds or fewer) Emergency department CMS star rating 3 of 5 CCN 241380 · 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) $282.15 $513.00 $174.37–$487.35 24% below 45%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 CV ANKLE BRACHIAL INDEX (ABI) $282.15 $513.00 $138.51–$487.35 — 45%
Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHOGRAM $517.00 $940.00 $319.51–$893.00 77% above 45%
Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGUS $527.45 $959.00 $325.97–$911.05 80% above 45%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 ESOPHOGRAM $517.00 $940.00 $253.80–$893.00 — 45%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 ESOPHAGUS $527.45 $959.00 $258.93–$911.05 — 45%
Bone scan, whole body (nuclear medicine) CPT 78306 BONE SCAN WHOLE BODY $1,177.55 $2,141.00 $727.73–$2,033.95 4% below 45%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 BONE SCAN WHOLE BODY $1,177.55 $2,141.00 $578.07–$2,033.95 — 45%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 ANG CHEST $1,645.05 $2,991.00 $454.64–$2,841.45 1% below 45%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 ANG CHEST $1,645.05 $2,991.00 $807.57–$2,841.45 — 45%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 ABDOMEN PELVIS WO CONT $882.20 $1,604.00 $545.20–$1,523.80 54% below 45%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 ABDOMEN PELVIS WO CONT $882.20 $1,604.00 $433.08–$1,523.80 — 45%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 ABDOMEN PELVIS W CONT $2,320.45 $4,219.00 $618.69–$4,008.05 6% below 45%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 ABDOMEN PELVIS W CONT $2,320.45 $4,219.00 $1,139.13–$4,008.05 — 45%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 UROGRAM $1,717.65 $3,123.00 $618.69–$2,966.85 33% below 45%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 ABDOMEN PELVIS W WO CONT $2,552.00 $4,640.00 $618.69–$4,408.00 1% below 45%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 UROGRAM $1,717.65 $3,123.00 $843.21–$2,966.85 — 45%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 ABDOMEN PELVIS W WO CONT $2,552.00 $4,640.00 $1,252.80–$4,408.00 — 45%
CT scan of the abdomen with contrast CPT 74160 ABDOMEN W CONT $1,549.90 $2,818.00 $454.64–$2,677.10 6% above 45%
CT scan of the abdomen with contrast inpatient CPT 74160 ABDOMEN W CONT $1,549.90 $2,818.00 $760.86–$2,677.10 — 45%
CT scan of the abdomen without contrast CPT 74150 ABDOMEN WO CONT $1,549.90 $2,818.00 $358.90–$2,677.10 31% above 45%
CT scan of the abdomen without contrast inpatient CPT 74150 ABDOMEN WO CONT $1,549.90 $2,818.00 $760.86–$2,677.10 — 45%
CT scan of the face and sinuses, no contrast dye CPT 70486 MAX FACIAL SINUS WO CONT $1,331.55 $2,421.00 $358.90–$2,299.95 7% above 45%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 MAX FACIAL SINUS WO CONT $1,331.55 $2,421.00 $653.67–$2,299.95 — 45%
CT scan of the head or brain, no contrast dye CPT 70450 HEAD WO CONT $1,423.95 $2,589.00 $478.71–$2,459.55 13% above 45%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HEAD WO CONT $1,423.95 $2,589.00 $699.03–$2,459.55 — 45%
CT scan of the head with contrast CPT 70460 HEAD W CONT $1,423.95 $2,589.00 $454.64–$2,459.55 10% above 45%
CT scan of the head with contrast inpatient CPT 70460 HEAD W CONT $1,423.95 $2,589.00 $699.03–$2,459.55 — 45%
CT scan of the head without and with contrast CPT 70470 HEAD W WO CONT $1,566.40 $2,848.00 $454.64–$2,705.60 1% below 45%
CT scan of the head without and with contrast inpatient CPT 70470 HEAD W WO CONT $1,566.40 $2,848.00 $768.96–$2,705.60 — 45%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 LUMBAR SPINE WO CONT $1,409.65 $2,563.00 $358.90–$2,434.85 4% above 45%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 LUMBAR SPINE WO CONT $1,409.65 $2,563.00 $692.01–$2,434.85 — 45%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CERVICAL SPINE WO CONT $1,450.35 $2,637.00 $358.90–$2,505.15 7% above 45%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CERVICAL SPINE WO CONT $1,450.35 $2,637.00 $711.99–$2,505.15 — 45%
CT scan of the pelvis, with contrast dye CPT 72193 PELVIS W CONT $1,474.00 $2,680.00 $454.64–$2,546.00 at median 45%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 PELVIS W CONT $1,474.00 $2,680.00 $723.60–$2,546.00 — 45%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 CV CAROTID DUPLEX COMP $859.10 $1,562.00 $530.93–$1,483.90 4% above 45%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 CAROTID COMP $876.70 $1,594.00 $541.81–$1,514.30 6% above 45%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 CV CAROTID DUPLEX COMP $859.10 $1,562.00 $421.74–$1,483.90 — 45%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 CAROTID COMP $876.70 $1,594.00 $430.38–$1,514.30 — 45%
Chest X-ray, 2 views both sides CPT 71046 CHEST DECUBITUS BI $180.95 $329.00 $111.83–$312.55 — 45%
Chest X-ray, 2 views CPT 71046 CHEST 2V $251.90 $458.00 $120.38–$435.10 9% above 45%
Chest X-ray, 2 views inpatient both sides CPT 71046 CHEST DECUBITUS BI $180.95 $329.00 $88.83–$312.55 — 45%
Chest X-ray, 2 views inpatient CPT 71046 CHEST 2V $251.90 $458.00 $123.66–$435.10 — 45%
Chest X-ray, single view CPT 71045 CHEST SPECIAL 1V $177.65 $323.00 $109.79–$306.85 at median 45%
Chest X-ray, single view CPT 71045 CHEST 1V FRONTAL $265.65 $483.00 $164.18–$458.85 50% above 45%
Chest X-ray, single view inpatient CPT 71045 CHEST SPECIAL 1V $177.65 $323.00 $87.21–$306.85 — 45%
Chest X-ray, single view inpatient CPT 71045 CHEST 1V FRONTAL $265.65 $483.00 $130.41–$458.85 — 45%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 AORTA COMP DUPLEX $525.25 $955.00 $324.61–$907.25 1% above 45%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 RENAL COMP $536.25 $975.00 $331.41–$926.25 3% above 45%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 AORTA COMP DUPLEX $525.25 $955.00 $257.85–$907.25 — 45%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 RENAL COMP $536.25 $975.00 $263.25–$926.25 — 45%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA BONE DENSITY BODY $282.70 $514.00 $174.71–$488.30 10% below 45%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DEXA BONE DENSITY BODY $282.70 $514.00 $138.78–$488.30 — 45%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DEXA BONE DENSITY PERIPHERAL** $144.65 $263.00 $89.40–$249.85 25% below 45%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DEXA BONE DENSITY PERIPHERAL** $144.65 $263.00 $71.01–$249.85 — 45%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CHEST WO CONT $1,495.45 $2,719.00 $358.90–$2,583.05 19% above 45%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CHEST WO CONT $1,495.45 $2,719.00 $734.13–$2,583.05 — 45%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CHEST W CONT $1,495.45 $2,719.00 $454.64–$2,583.05 at median 45%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CHEST W CONT $1,495.45 $2,719.00 $734.13–$2,583.05 — 45%
Diagnostic mammogram, both breasts both sides CPT 77066 DIAGNOSTIC MAMMO DIGITAL BI $322.30 $586.00 $199.19–$556.70 — 45%
Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO DIAG DIG IMPLANTS BI $484.00 $880.00 $299.12–$836.00 — 45%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DIAGNOSTIC MAMMO DIGITAL BI $322.30 $586.00 $158.22–$556.70 — 45%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMMO DIAG DIG IMPLANTS BI $484.00 $880.00 $237.60–$836.00 — 45%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 VL DUPLEX LWR EXT ART COMP BI $726.00 $1,320.00 $448.67–$1,254.00 — 45%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 VL DUPLEX LWR EXT ART COMP BI $726.00 $1,320.00 $356.40–$1,254.00 — 45%
Duplex ultrasound of the leg veins, both legs CPT 93970 VL DUPLEX LWR EXT VEINS COMP $548.35 $997.00 $338.89–$947.15 38% below 45%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 VL DUPLEX LWR EXT VEINS COMP $548.35 $997.00 $269.19–$947.15 — 45%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO PEDIATRIC COMP WO CONT $1,755.60 $3,192.00 $865.05–$3,032.40 39% above 45%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO COMP WO CONT $1,791.35 $3,257.00 $865.05–$3,094.15 42% above 45%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO PEDIATRIC COMP WO CONT $1,755.60 $3,192.00 $861.84–$3,032.40 — 45%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO COMP WO CONT $1,791.35 $3,257.00 $879.39–$3,094.15 — 45%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 CHOLESCINTIGRAPHY $443.30 $806.00 $273.96–$765.70 67% below 45%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 CHOLESCINTIGRAPHY $443.30 $806.00 $217.62–$765.70 — 45%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOMNOGRAPHY $2,055.35 $3,737.00 $1,270.21–$3,550.15 41% below 45%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SLEEP STUDY W CPAP LTD $2,290.75 $4,165.00 $1,415.69–$3,956.75 34% below 45%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SLEEP STUDY W BIPAP OR CPAP $2,376.55 $4,321.00 $1,468.71–$4,104.95 31% below 45%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 POLYSOMNOGRAPHY $2,055.35 $3,737.00 $1,008.99–$3,550.15 — 45%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 SLEEP STUDY W CPAP LTD $2,290.75 $4,165.00 $1,124.55–$3,956.75 — 45%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 SLEEP STUDY W BIPAP OR CPAP $2,376.55 $4,321.00 $1,166.67–$4,104.95 — 45%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ABDOMEN LTD $549.45 $999.00 $339.57–$949.05 32% above 45%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ABDOMEN LTD $549.45 $999.00 $269.73–$949.05 — 45%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LUNG SCREEN PROTOCOL ANNUAL FU $403.70 $734.00 $249.49–$1,521.00 30% below 45%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LUNG SCREEN PROTOCOL $404.25 $735.00 $249.83–$1,521.00 30% below 45%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 LUNG SCREEN PROTOCOL ANNUAL FU $403.70 $734.00 $198.18–$697.30 — 45%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 LUNG SCREEN PROTOCOL $404.25 $735.00 $198.45–$698.25 — 45%
MRI of the abdomen without contrast CPT 74181 ABDOMEN WO CONT $640.75 $1,165.00 $395.99–$1,993.00 71% below 45%
MRI of the abdomen without contrast inpatient CPT 74181 ABDOMEN WO CONT $640.75 $1,165.00 $314.55–$1,106.75 — 45%
MRI of the abdomen, without and then with contrast dye CPT 74183 ABDOMEN W WO CONT $2,562.45 $4,659.00 $618.69–$4,426.05 13% below 45%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 ABDOMEN W WO CONT $2,562.45 $4,659.00 $1,257.93–$4,426.05 — 45%
MRI of the brain, no contrast dye CPT 70551 BRAIN WO CONT $1,991.55 $3,621.00 $588.45–$3,439.95 2% below 45%
MRI of the brain, no contrast dye inpatient CPT 70551 BRAIN WO CONT $1,991.55 $3,621.00 $977.67–$3,439.95 — 45%
MRI of the brain, with and without contrast dye CPT 70553 BRAIN W WO CONT $2,805.00 $5,100.00 $618.69–$4,845.00 4% above 45%
MRI of the brain, with and without contrast dye inpatient CPT 70553 BRAIN W WO CONT $2,805.00 $5,100.00 $1,377.00–$4,845.00 — 45%
MRI of the lower back, no contrast dye CPT 72148 LUMBAR SPINE COMP WO CONT $1,882.65 $3,423.00 $588.45–$3,251.85 10% below 45%
MRI of the lower back, no contrast dye inpatient CPT 72148 LUMBAR SPINE COMP WO CONT $1,882.65 $3,423.00 $924.21–$3,251.85 — 45%
MRI of the lower back, without and then with contrast dye CPT 72158 LUMBAR SPINE COMP W WO CONT $2,579.50 $4,690.00 $618.69–$4,455.50 1% above 45%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 LUMBAR SPINE COMP W WO CONT $2,579.50 $4,690.00 $1,266.30–$4,455.50 — 45%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 THORACIC SPINE COMP WO CONT $1,865.60 $3,392.00 $588.45–$3,222.40 12% below 45%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 THORACIC SPINE COMP WO CONT $1,865.60 $3,392.00 $915.84–$3,222.40 — 45%
MRI of the neck (cervical spine) without and with contrast CPT 72156 CERVICAL SPINE COMP W WO CONT $2,617.45 $4,759.00 $618.69–$4,521.05 5% above 45%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 CERVICAL SPINE COMP W WO CONT $2,617.45 $4,759.00 $1,284.93–$4,521.05 — 45%
MRI of the neck (cervical spine), no contrast dye CPT 72141 CERVICAL SPINE COMP WO CONT $1,924.45 $3,499.00 $588.45–$3,324.05 9% below 45%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 CERVICAL SPINE COMP WO CONT $1,924.45 $3,499.00 $944.73–$3,324.05 — 45%
MRI of the pelvis without and with contrast CPT 72197 SACRUM COMP W WO CONT $2,314.95 $4,209.00 $618.69–$3,998.55 13% below 45%
MRI of the pelvis without and with contrast CPT 72197 PELVIS W WO CONT $2,351.80 $4,276.00 $618.69–$4,062.20 12% below 45%
MRI of the pelvis without and with contrast inpatient CPT 72197 SACRUM COMP W WO CONT $2,314.95 $4,209.00 $1,136.43–$3,998.55 — 45%
MRI of the pelvis without and with contrast inpatient CPT 72197 PELVIS W WO CONT $2,351.80 $4,276.00 $1,154.52–$4,062.20 — 45%
MRI of the pelvis, no contrast dye CPT 72195 SACRUM COMP WO CONT $1,815.00 $3,300.00 $588.45–$3,135.00 14% below 45%
MRI of the pelvis, no contrast dye CPT 72195 PELVIS WO CONT $1,851.85 $3,367.00 $588.45–$3,198.65 12% below 45%
MRI of the pelvis, no contrast dye inpatient CPT 72195 SACRUM COMP WO CONT $1,815.00 $3,300.00 $891.00–$3,135.00 — 45%
MRI of the pelvis, no contrast dye inpatient CPT 72195 PELVIS WO CONT $1,851.85 $3,367.00 $909.09–$3,198.65 — 45%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 MYOCARDIAL PERF SPECT MULTI $2,115.85 $3,847.00 $1,307.60–$3,654.65 25% below 45%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 MYOCARDIAL PERF SPECT MULTI $2,115.85 $3,847.00 $1,038.69–$3,654.65 — 45%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 PELVIS NON OB LTD $539.00 $980.00 $333.11–$931.00 76% above 45%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 PELVIS NON OB LTD $539.00 $980.00 $264.60–$931.00 — 45%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 PELVIS NON OB COMP $539.00 $980.00 $333.11–$931.00 15% above 45%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 PELVIS NON OB COMP $539.00 $980.00 $264.60–$931.00 — 45%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB 2 OR 3 TRI SGL 1ST GEST $536.25 $975.00 $331.41–$926.25 12% above 45%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 OB 2 OR 3 TRI SGL 1ST GEST $536.25 $975.00 $263.25–$926.25 — 45%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB 1ST TRI SGL 1ST GEST $630.85 $1,147.00 $389.87–$1,089.65 51% above 45%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 OB 1ST TRI SGL 1ST GEST $630.85 $1,147.00 $309.69–$1,089.65 — 45%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 AMNIO FLUID INDEX $538.45 $979.00 $332.77–$930.05 68% above 45%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB LTD 1 OR MORE FETUS $549.45 $999.00 $339.57–$949.05 71% above 45%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 AMNIO FLUID INDEX $538.45 $979.00 $264.33–$930.05 — 45%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 OB LTD 1 OR MORE FETUS $549.45 $999.00 $269.73–$949.05 — 45%
Screening mammogram, both breasts both sides CPT 77067 MAMMO SCREEN DIG IMPLANT BI $176.00 $320.00 $91.61–$335.94 — 45%
Screening mammogram, both breasts both sides CPT 77067 SCREENING MAMMO DIGITAL BI $266.20 $484.00 $91.61–$459.80 — 45%
Screening mammogram, both breasts inpatient both sides CPT 77067 MAMMO SCREEN DIG IMPLANT BI $176.00 $320.00 $86.40–$304.00 — 45%
Screening mammogram, both breasts inpatient both sides CPT 77067 SCREENING MAMMO DIGITAL BI $266.20 $484.00 $130.68–$459.80 — 45%
Sleep study in a lab (polysomnography) CPT 95810 SLEEP STUDY W MIN 4 PARAMETERS $2,012.45 $3,659.00 $1,243.70–$3,476.05 35% below 45%
Sleep study in a lab (polysomnography) inpatient CPT 95810 SLEEP STUDY W MIN 4 PARAMETERS $2,012.45 $3,659.00 $987.93–$3,476.05 — 45%
Swallow study (modified barium swallow, video X-ray) CPT 74230 SWALLOWING FUNCTION W VIDEO $194.70 $354.00 $120.33–$336.30 34% below 45%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 SWALLOWING FUNCTION W VIDEO $194.70 $354.00 $95.58–$336.30 — 45%
Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL NON OB $448.80 $816.00 $277.36–$775.20 16% above 45%
Transvaginal pelvic ultrasound inpatient CPT 76830 TRANSVAGINAL NON OB $448.80 $816.00 $220.32–$775.20 — 45%
Transvaginal ultrasound during pregnancy CPT 76817 OB TRANSVAGINAL $549.45 $999.00 $339.57–$949.05 64% above 45%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 OB TRANSVAGINAL $549.45 $999.00 $269.73–$949.05 — 45%
Ultrasound of the abdomen, complete CPT 76700 ABDOMEN COMP $549.45 $999.00 $339.57–$949.05 7% below 45%
Ultrasound of the abdomen, complete inpatient CPT 76700 ABDOMEN COMP $549.45 $999.00 $269.73–$949.05 — 45%
Ultrasound of the scrotum and testicles CPT 76870 SCROTUM AND CONTENTS $539.00 $980.00 $333.11–$931.00 18% above 45%
Ultrasound of the scrotum and testicles inpatient CPT 76870 SCROTUM AND CONTENTS $539.00 $980.00 $264.60–$931.00 — 45%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HEAD NECK SOFT TISSUE $176.00 $320.00 $108.77–$304.00 61% below 45%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HEAD NECK SOFT TISSUE $176.00 $320.00 $86.40–$304.00 — 45%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI $424.60 $772.00 $262.41–$733.40 33% above 45%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI WO KUB $560.45 $1,019.00 $346.36–$968.05 75% above 45%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UGI $424.60 $772.00 $208.44–$733.40 — 45%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UGI WO KUB $560.45 $1,019.00 $275.13–$968.05 — 45%
X-ray of the abdomen, 1 view CPT 74018 ABDOMEN 1V CROSS TABLE LATERAL $235.95 $429.00 $145.82–$407.55 12% above 45%
X-ray of the abdomen, 1 view CPT 74018 ABDOMEN 1V DECUBITIS $244.20 $444.00 $150.92–$421.80 16% above 45%
X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN 1V CROSS TABLE LATERAL $235.95 $429.00 $115.83–$407.55 — 45%
X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN 1V DECUBITIS $244.20 $444.00 $119.88–$421.80 — 45%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LUMBAR SPINE 2 OR 3V $135.85 $247.00 $83.96–$234.65 48% below 45%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 LUMBAR SPINE 2 OR 3V $135.85 $247.00 $66.69–$234.65 — 45%
X-ray of the lower back, 4 or more views CPT 72110 LUMBAR SPINE MIN 4V $484.55 $881.00 $299.46–$836.95 42% above 45%
X-ray of the lower back, 4 or more views inpatient CPT 72110 LUMBAR SPINE MIN 4V $484.55 $881.00 $237.87–$836.95 — 45%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 THORACIC SPINE 2V $315.70 $574.00 $195.11–$545.30 28% above 45%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 THORACIC SPINE 2V $315.70 $574.00 $154.98–$545.30 — 45%
X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONE MIN 3V $244.20 $444.00 $150.92–$421.80 12% above 45%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONE MIN 3V $244.20 $444.00 $119.88–$421.80 — 45%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERVICAL SPINE 2V OR 3V $281.60 $512.00 $174.03–$486.40 13% above 45%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 CERVICAL SPINE 2V OR 3V $281.60 $512.00 $138.24–$486.40 — 45%
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1V OR 2V $233.20 $424.00 $144.12–$402.80 17% above 45%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS 1V OR 2V $233.20 $424.00 $114.48–$402.80 — 45%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM COCCYX MIN 2V $244.75 $445.00 $151.26–$422.75 8% above 45%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM COCCYX MIN 2V $244.75 $445.00 $120.15–$422.75 — 45%

Lab tests

ProcedureCash price List priceInsurers payvs MinnesotaOff list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT $53.35 $97.00 $5.30–$92.15 18% above 45%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT $53.35 $97.00 $26.19–$92.15 — 45%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST $51.70 $94.00 $5.18–$89.30 15% above 45%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST $51.70 $94.00 $25.38–$89.30 — 45%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS ACUTE W HCV NAA RFL $78.59 $142.89 $28.58–$135.75 66% below 45%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL ACUTE REFLEX $111.65 $203.00 $40.60–$192.85 52% below 45%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS ACUTE W HCV NAA RFL $78.59 $142.89 $38.59–$135.75 — 45%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PANEL ACUTE REFLEX $111.65 $203.00 $54.81–$192.85 — 45%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLER CHILD PNL15 FOOD/ENV $6.60 $12.00 $2.40–$11.40 57% below 45%
Allergy blood test, specific IgE, per allergen CPT 86003 CHILDHOOD ALLERGY 15 X1 $7.15 $13.00 $2.60–$12.35 53% below 45%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLER PEDIATRIC PROFILE 11 $7.70 $14.00 $2.80–$13.30 49% below 45%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN HORMODENDRUM $8.62 $15.66 $3.14–$14.88 43% below 45%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLER ADULT FOOD PROFILE 22 $9.35 $17.00 $3.40–$16.15 38% below 45%
Allergy blood test, specific IgE, per allergen CPT 86003 PEANUT WHOLE W/COMP.X1 $14.30 $26.00 $5.20–$24.70 6% below 45%
Allergy blood test, specific IgE, per allergen CPT 86003 HYPEXT ALLERGEN IGE $15.40 $28.00 $5.22–$26.60 1% above 45%
Allergy blood test, specific IgE, per allergen CPT 86003 RESP PNL N MIDWEST ST RGN 7 $18.70 $34.00 $5.22–$32.30 23% above 45%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE ASPERGILLUS FUMIGATUS $19.25 $35.00 $5.22–$33.25 27% above 45%
Allergy blood test, specific IgE, per allergen CPT 86003 EGG WHITE W/COMPONENTS $24.75 $45.00 $5.22–$42.75 63% above 45%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS CEREAL PROFILE 5 $26.40 $48.00 $5.22–$45.60 74% above 45%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN D. PTERONYSSINUS $36.85 $67.00 $5.22–$63.65 142% above 45%
Allergy blood test, specific IgE, per allergen CPT 86003 CATFISH AB IGE $37.40 $68.00 $5.22–$64.60 146% above 45%
Allergy blood test, specific IgE, per allergen CPT 86003 CEDAR RED AB IGE $45.10 $82.00 $5.22–$77.90 197% above 45%
Allergy blood test, specific IgE, per allergen CPT 86003 FLAXSEED/LINSEED $45.65 $83.00 $5.22–$78.85 200% above 45%
Allergy blood test, specific IgE, per allergen CPT 86003 BLACK BEAN AB IGE $47.85 $87.00 $5.22–$82.65 215% above 45%
Allergy blood test, specific IgE, per allergen CPT 86003 QUINOA AB IGE $57.75 $105.00 $5.22–$99.75 280% above 45%
Allergy blood test, specific IgE, per allergen CPT 86003 PEANUT WHOLE W/COMP.X 5 $62.70 $114.00 $5.22–$108.30 312% above 45%
Allergy blood test, specific IgE, per allergen CPT 86003 FOOD ALLERGY PROFILE 12 X 11 $70.40 $128.00 $5.22–$121.60 363% above 45%
Allergy blood test, specific IgE, per allergen CPT 86003 CHILDHOOD ALLERGY 15 X14 $80.85 $147.00 $5.22–$139.65 432% above 45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLER CHILD PNL15 FOOD/ENV $6.60 $12.00 $3.24–$11.40 — 45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHILDHOOD ALLERGY 15 X1 $7.15 $13.00 $3.51–$12.35 — 45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLER PEDIATRIC PROFILE 11 $7.70 $14.00 $3.78–$13.30 — 45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN HORMODENDRUM $8.62 $15.66 $4.23–$14.88 — 45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLER ADULT FOOD PROFILE 22 $9.35 $17.00 $4.59–$16.15 — 45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEANUT WHOLE W/COMP.X1 $14.30 $26.00 $7.02–$24.70 — 45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HYPEXT ALLERGEN IGE $15.40 $28.00 $7.56–$26.60 — 45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RESP PNL N MIDWEST ST RGN 7 $18.70 $34.00 $9.18–$32.30 — 45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE ASPERGILLUS FUMIGATUS $19.25 $35.00 $9.45–$33.25 — 45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG WHITE W/COMPONENTS $24.75 $45.00 $12.15–$42.75 — 45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGENS CEREAL PROFILE 5 $26.40 $48.00 $12.96–$45.60 — 45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN D. PTERONYSSINUS $36.85 $67.00 $18.09–$63.65 — 45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CATFISH AB IGE $37.40 $68.00 $18.36–$64.60 — 45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CEDAR RED AB IGE $45.10 $82.00 $22.14–$77.90 — 45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FLAXSEED/LINSEED $45.65 $83.00 $22.41–$78.85 — 45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BLACK BEAN AB IGE $47.85 $87.00 $23.49–$82.65 — 45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 QUINOA AB IGE $57.75 $105.00 $28.35–$99.75 — 45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEANUT WHOLE W/COMP.X 5 $62.70 $114.00 $30.78–$108.30 — 45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FOOD ALLERGY PROFILE 12 X 11 $70.40 $128.00 $34.56–$121.60 — 45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHILDHOOD ALLERGY 15 X14 $80.85 $147.00 $39.69–$139.65 — 45%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINAT PEPTIDEIGG $21.37 $38.85 $7.77–$36.91 49% below 45%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 ANTI-CCP AB $53.90 $98.00 $12.95–$93.10 29% above 45%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATE PEP AB IGG $82.50 $150.00 $12.95–$142.50 97% above 45%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINAT PEPTIDEIGG $21.37 $38.85 $10.49–$36.91 — 45%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 ANTI-CCP AB $53.90 $98.00 $26.46–$93.10 — 45%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINATE PEP AB IGG $82.50 $150.00 $40.50–$142.50 — 45%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA $9.90 $18.00 $3.60–$17.10 78% below 45%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANCAME ANA $11.55 $21.00 $4.20–$19.95 74% below 45%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES IFA $17.05 $31.00 $6.20–$29.45 62% below 45%
Antinuclear antibody (ANA) blood test, screen CPT 86038 C-ANCA (IFA-ETOH) $18.70 $34.00 $6.80–$32.30 58% below 45%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANAIGG ELISA RFLX ANAIGG IFA $19.95 $36.27 $7.26–$34.46 56% below 45%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTI-NUCLEAR AB (ANA) BY EIA $23.10 $42.00 $8.40–$39.90 49% below 45%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA SCREEN (REFLEXIVE) $99.55 $181.00 $12.09–$171.95 121% above 45%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA $9.90 $18.00 $4.86–$17.10 — 45%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANCAME ANA $11.55 $21.00 $5.67–$19.95 — 45%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES IFA $17.05 $31.00 $8.37–$29.45 — 45%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 C-ANCA (IFA-ETOH) $18.70 $34.00 $9.18–$32.30 — 45%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANAIGG ELISA RFLX ANAIGG IFA $19.95 $36.27 $9.80–$34.46 — 45%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTI-NUCLEAR AB (ANA) BY EIA $23.10 $42.00 $11.34–$39.90 — 45%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA SCREEN (REFLEXIVE) $99.55 $181.00 $48.87–$171.95 — 45%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP $178.75 $325.00 $39.26–$308.75 33% above 45%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP $178.75 $325.00 $87.75–$308.75 — 45%
Basic metabolic panel (blood test) CPT 80048 BMP $95.70 $174.00 $8.46–$165.30 7% above 45%
Basic metabolic panel (blood test) inpatient CPT 80048 BMP $95.70 $174.00 $46.98–$165.30 — 45%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATHOLOGIST $85.19 $154.89 $30.98–$162.37 19% below 45%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG PATH GROSS/MICRO L4 $219.45 $399.00 $79.80–$379.05 110% above 45%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 TISSUE EXAM BY PATHOLOGIST $85.19 $154.89 $41.83–$147.15 — 45%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURG PATH GROSS/MICRO L4 $219.45 $399.00 $107.73–$379.05 — 45%
Blood culture for bacteria CPT 87040 CULT BLOOD AEROBIC $118.80 $216.00 $10.32–$205.20 8% above 45%
Blood culture for bacteria inpatient CPT 87040 CULT BLOOD AEROBIC $118.80 $216.00 $58.32–$205.20 — 45%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE $22.55 $41.00 $8.20–$39.19 8% above 45%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE $22.55 $41.00 $11.07–$38.95 — 45%
Blood glucose (sugar) test CPT 82947 GLUCOSE FASTING $7.15 $13.00 $2.60–$12.35 84% below 45%
Blood glucose (sugar) test CPT 82947 HRTMTB GLUCOSE $34.10 $62.00 $3.93–$58.90 23% below 45%
Blood glucose (sugar) test CPT 82947 GLUCOSE $40.70 $74.00 $3.93–$70.30 8% below 45%
Blood glucose (sugar) test CPT 82947 GLUCOMETER NOVA $51.70 $94.00 $3.93–$89.30 16% above 45%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE FASTING $7.15 $13.00 $3.51–$12.35 — 45%
Blood glucose (sugar) test inpatient CPT 82947 HRTMTB GLUCOSE $34.10 $62.00 $16.74–$58.90 — 45%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE $40.70 $74.00 $19.98–$70.30 — 45%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOMETER NOVA $51.70 $94.00 $25.38–$89.30 — 45%
Blood lead test CPT 83655 LEAD WHOLE BLOOD $13.20 $24.00 $4.80–$22.80 58% below 45%
Blood lead test CPT 83655 LEAD BLOOD (VENOUS) $19.99 $36.33 $7.27–$34.52 36% below 45%
Blood lead test inpatient CPT 83655 LEAD WHOLE BLOOD $13.20 $24.00 $6.48–$22.80 — 45%
Blood lead test inpatient CPT 83655 LEAD BLOOD (VENOUS) $19.99 $36.33 $9.81–$34.52 — 45%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUAL. SERUM $84.70 $154.00 $7.52–$146.30 22% above 45%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG QUAL. SERUM $84.70 $154.00 $41.58–$146.30 — 45%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO $52.25 $95.00 $2.99–$90.25 1% below 45%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO - SO $69.85 $127.00 $2.99–$120.65 32% above 45%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO $52.25 $95.00 $25.65–$90.25 — 45%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO - SO $69.85 $127.00 $34.29–$120.65 — 45%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN $8.55 $15.54 $3.11–$14.77 84% below 45%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP $82.50 $150.00 $5.18–$142.50 51% above 45%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN $8.55 $15.54 $4.20–$14.77 — 45%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP $82.50 $150.00 $40.50–$142.50 — 45%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF TOXIN B GENE TCDBRTPCR $61.50 $111.81 $22.37–$106.22 54% below 45%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED $100.65 $183.00 $36.60–$173.85 24% below 45%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF TOXIN B GENE TCDBRTPCR $61.50 $111.81 $30.19–$106.22 — 45%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF AMPLIFIED $100.65 $183.00 $49.41–$173.85 — 45%
CA 19-9 blood test (tumor marker) CPT 86301 CANCER ANTIGEN-GI (CA 19-9) $34.34 $62.43 $12.49–$59.31 66% below 45%
CA 19-9 blood test (tumor marker) CPT 86301 CA-19-9 $57.75 $105.00 $20.81–$99.75 43% below 45%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CANCER ANTIGEN-GI (CA 19-9) $34.34 $62.43 $16.86–$59.31 — 45%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA-19-9 $57.75 $105.00 $28.35–$99.75 — 45%
CA-125 blood test (ovarian cancer marker) CPT 86304 CANCER ANTIGEN 125 $34.34 $62.43 $12.49–$59.31 66% below 45%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 $140.25 $255.00 $20.81–$242.25 38% above 45%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CANCER ANTIGEN 125 $34.34 $62.43 $16.86–$59.31 — 45%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125 $140.25 $255.00 $68.85–$242.25 — 45%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 (COVID-19) BY NAA $84.67 $153.93 $30.79–$146.24 30% below 45%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2 (COVID-19) BY NAA $84.67 $153.93 $41.57–$146.24 — 45%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 SHPANF CHLAMYDIA DNA $15.95 $29.00 $5.80–$30.45 83% below 45%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA NAA $18.70 $34.00 $6.80–$35.70 80% below 45%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CNT - CHLAMYDIA NAA $19.80 $36.00 $7.20–$36.84 79% below 45%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C TRACHOMATIS BY TMA $57.75 $105.00 $21.00–$99.75 39% below 45%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C. TRACHOMATIS BY TMA $57.90 $105.27 $21.06–$100.01 38% below 45%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 VIPCG CHL TRACH DNA AMP PROBE $79.75 $145.00 $29.00–$137.75 15% below 45%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 APTCG CHLAMYDIA $81.40 $148.00 $29.60–$140.60 13% below 45%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 SHPANF CHLAMYDIA DNA $15.95 $29.00 $7.83–$27.55 — 45%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA NAA $18.70 $34.00 $9.18–$32.30 — 45%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CNT - CHLAMYDIA NAA $19.80 $36.00 $9.72–$34.20 — 45%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 C TRACHOMATIS BY TMA $57.75 $105.00 $28.35–$99.75 — 45%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 C. TRACHOMATIS BY TMA $57.90 $105.27 $28.43–$100.01 — 45%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 VIPCG CHL TRACH DNA AMP PROBE $79.75 $145.00 $39.15–$137.75 — 45%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 APTCG CHLAMYDIA $81.40 $148.00 $39.96–$140.60 — 45%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 BHPAN LIPID $8.80 $16.00 $3.20–$95.18 90% below 45%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HDL/LIPID PROFILE $11.00 $20.00 $4.00–$95.18 88% below 45%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HRTMON HRT LIPID PNL $17.05 $31.00 $6.20–$95.18 82% below 45%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HRTADV LIPREF $18.70 $34.00 $6.80–$95.18 80% below 45%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HEART LIPID PANEL (RFLX) $22.00 $40.00 $8.00–$95.18 76% below 45%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PNL $33.55 $61.00 $12.20–$95.18 64% below 45%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HRTMTB LIPID PNL $35.75 $65.00 $13.00–$95.18 61% below 45%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE $154.55 $281.00 $13.39–$266.95 67% above 45%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 BHPAN LIPID $8.80 $16.00 $4.32–$15.20 — 45%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HDL/LIPID PROFILE $11.00 $20.00 $5.40–$19.00 — 45%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HRTMON HRT LIPID PNL $17.05 $31.00 $8.37–$29.45 — 45%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HRTADV LIPREF $18.70 $34.00 $9.18–$32.30 — 45%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HEART LIPID PANEL (RFLX) $22.00 $40.00 $10.80–$38.00 — 45%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PNL $33.55 $61.00 $16.47–$57.95 — 45%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HRTMTB LIPID PNL $35.75 $65.00 $17.55–$61.75 — 45%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE $154.55 $281.00 $75.87–$266.95 — 45%
Complete blood count (CBC) with differential CPT 85025 BHPAN CBC W/D $8.25 $15.00 $3.00–$83.99 90% below 45%
Complete blood count (CBC) with differential CPT 85025 CBC W/MANUAL DIFF $85.25 $155.00 $7.77–$147.25 2% above 45%
Complete blood count (CBC) with differential CPT 85025 CBC W/AUTO DIFF $88.00 $160.00 $7.77–$152.00 6% above 45%
Complete blood count (CBC) with differential inpatient CPT 85025 BHPAN CBC W/D $8.25 $15.00 $4.05–$14.25 — 45%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/MANUAL DIFF $85.25 $155.00 $41.85–$147.25 — 45%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/AUTO DIFF $88.00 $160.00 $43.20–$152.00 — 45%
Complete blood count (CBC), no differential CPT 85027 CBC W/O DIFF $73.70 $134.00 $6.47–$127.30 12% above 45%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC W/O DIFF $73.70 $134.00 $36.18–$127.30 — 45%
Comprehensive metabolic panel (blood test) CPT 80053 CMP $122.65 $223.00 $10.56–$211.85 30% above 45%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 CMP $122.65 $223.00 $60.21–$211.85 — 45%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUANT $99.00 $180.00 $10.18–$171.00 at median 45%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER QUANT $99.00 $180.00 $48.60–$171.00 — 45%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATESERUM $36.68 $66.69 $13.34–$63.36 36% below 45%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-SO4 $47.30 $86.00 $17.20–$81.70 18% below 45%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATESERUM $36.68 $66.69 $18.01–$63.36 — 45%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-SO4 $47.30 $86.00 $23.22–$81.70 — 45%
Estradiol blood test CPT 82670 ESTRADIOL BY IMMUNOASSAY $46.11 $83.82 $16.77–$79.63 30% below 45%
Estradiol blood test CPT 82670 ESTRADIOL $59.95 $109.00 $21.80–$103.55 9% below 45%
Estradiol blood test inpatient CPT 82670 ESTRADIOL BY IMMUNOASSAY $46.11 $83.82 $22.64–$79.63 — 45%
Estradiol blood test inpatient CPT 82670 ESTRADIOL $59.95 $109.00 $29.43–$103.55 — 45%
FSH (follicle-stimulating hormone) test CPT 83001 FSH PITUITARY $22.00 $40.00 $8.00–$38.00 69% below 45%
FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIMULATING HORMONE $30.66 $55.74 $11.15–$52.96 57% below 45%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH PITUITARY $22.00 $40.00 $10.80–$38.00 — 45%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIMULATING HORMONE $30.66 $55.74 $15.05–$52.96 — 45%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTINFECAL IMMUNOASSAY $32.39 $58.89 $11.78–$55.95 61% below 45%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL ARUP $133.10 $242.00 $19.63–$229.90 58% above 45%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTINFECAL IMMUNOASSAY $32.39 $58.89 $15.91–$55.95 — 45%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN FECAL ARUP $133.10 $242.00 $65.34–$229.90 — 45%
Ferritin blood test (iron stores) CPT 82728 FERRITIN $22.49 $40.89 $8.18–$38.85 75% below 45%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN $22.49 $40.89 $11.05–$38.85 — 45%
Folate (folic acid) blood test CPT 82746 FOLATESERUM $24.26 $44.10 $8.82–$41.90 70% below 45%
Folate (folic acid) blood test CPT 82746 FOLIC ACID $51.70 $94.00 $14.70–$89.30 35% below 45%
Folate (folic acid) blood test CPT 82746 FOLATE $53.35 $97.00 $14.70–$92.15 33% below 45%
Folate (folic acid) blood test inpatient CPT 82746 FOLATESERUM $24.26 $44.10 $11.91–$41.90 — 45%
Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID $51.70 $94.00 $25.38–$89.30 — 45%
Folate (folic acid) blood test inpatient CPT 82746 FOLATE $53.35 $97.00 $26.19–$92.15 — 45%
Free T3 thyroid hormone test CPT 84481 THPAN FREE T3 $13.20 $24.00 $4.80–$22.80 87% below 45%
Free T3 thyroid hormone test CPT 84481 TRIIODOTHYRONINEFREE FREE T3 $27.96 $50.82 $10.17–$48.28 73% below 45%
Free T3 thyroid hormone test CPT 84481 T3 FREE $152.90 $278.00 $16.94–$264.10 49% above 45%
Free T3 thyroid hormone test inpatient CPT 84481 THPAN FREE T3 $13.20 $24.00 $6.48–$22.80 — 45%
Free T3 thyroid hormone test inpatient CPT 84481 TRIIODOTHYRONINEFREE FREE T3 $27.96 $50.82 $13.73–$48.28 — 45%
Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE $152.90 $278.00 $75.06–$264.10 — 45%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE FREE $14.89 $27.06 $5.42–$25.71 78% below 45%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE $103.40 $188.00 $9.02–$178.60 52% above 45%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE FREE $14.89 $27.06 $7.31–$25.71 — 45%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE $103.40 $188.00 $50.76–$178.60 — 45%
Free testosterone test CPT 84402 TSTFM TESTOSTERONE $26.40 $48.00 $9.60–$45.60 58% below 45%
Free testosterone test CPT 84402 TESTOSTERONEFREE $42.03 $76.41 $15.29–$72.59 33% below 45%
Free testosterone test CPT 84402 TESTOSTERONE FREE SERUM $42.35 $77.00 $15.40–$73.15 32% below 45%
Free testosterone test CPT 84402 TESTOSTERONE $48.40 $88.00 $17.60–$83.60 22% below 45%
Free testosterone test CPT 84402 PTTMXS. PTT PATIENT $80.30 $146.00 $25.47–$138.70 29% above 45%
Free testosterone test inpatient CPT 84402 TSTFM TESTOSTERONE $26.40 $48.00 $12.96–$45.60 — 45%
Free testosterone test inpatient CPT 84402 TESTOSTERONEFREE $42.03 $76.41 $20.64–$72.59 — 45%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE SERUM $42.35 $77.00 $20.79–$73.15 — 45%
Free testosterone test inpatient CPT 84402 TESTOSTERONE $48.40 $88.00 $23.76–$83.60 — 45%
Free testosterone test inpatient CPT 84402 PTTMXS. PTT PATIENT $80.30 $146.00 $39.42–$138.70 — 45%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL $228.80 $416.00 $83.20–$395.20 8% below 45%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL $228.80 $416.00 $112.32–$395.20 — 45%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE GESTATIONAL $66.00 $120.00 $4.75–$114.00 57% above 45%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE GESTATIONAL $66.00 $120.00 $32.40–$114.00 — 45%
Glucose tolerance test, 3 samples CPT 82951 GTT2 $211.20 $384.00 $12.87–$364.80 120% above 45%
Glucose tolerance test, 3 samples CPT 82951 GTT3 $310.75 $565.00 $12.87–$536.75 224% above 45%
Glucose tolerance test, 3 samples inpatient CPT 82951 GTT2 $211.20 $384.00 $103.68–$364.80 — 45%
Glucose tolerance test, 3 samples inpatient CPT 82951 GTT3 $310.75 $565.00 $152.55–$536.75 — 45%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 SHPANM N. GON. DNA $11.55 $21.00 $4.20–$22.05 86% below 45%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 SHPANF N.GON. DNA $15.95 $29.00 $5.80–$30.45 81% below 45%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC NAA $18.70 $34.00 $6.80–$35.70 78% below 45%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 CNT - GC NAA $19.80 $36.00 $7.20–$36.84 77% below 45%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N. GONORRHOEAE BY TMA $57.90 $105.27 $21.06–$100.01 32% below 45%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 VIPCG NG DNA AMP PROBE $79.75 $145.00 $29.00–$137.75 6% below 45%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 APTCG GC $81.40 $148.00 $29.60–$140.60 4% below 45%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 SHPANM N. GON. DNA $11.55 $21.00 $5.67–$19.95 — 45%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 SHPANF N.GON. DNA $15.95 $29.00 $7.83–$27.55 — 45%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC NAA $18.70 $34.00 $9.18–$32.30 — 45%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 CNT - GC NAA $19.80 $36.00 $9.72–$34.20 — 45%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N. GONORRHOEAE BY TMA $57.90 $105.27 $28.43–$100.01 — 45%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 VIPCG NG DNA AMP PROBE $79.75 $145.00 $39.15–$137.75 — 45%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 APTCG GC $81.40 $148.00 $39.96–$140.60 — 45%
H. pylori antibody blood test CPT 86677 H.PYLORI AB IGA $17.05 $31.00 $6.20–$29.45 85% below 45%
H. pylori antibody blood test CPT 86677 HELI PYLORI AB IGG & IGG $25.30 $46.00 $9.20–$43.70 78% below 45%
H. pylori antibody blood test CPT 86677 HELICOBACTER AB IGG $199.65 $363.00 $16.85–$344.85 70% above 45%
H. pylori antibody blood test inpatient CPT 86677 H.PYLORI AB IGA $17.05 $31.00 $8.37–$29.45 — 45%
H. pylori antibody blood test inpatient CPT 86677 HELI PYLORI AB IGG & IGG $25.30 $46.00 $12.42–$43.70 — 45%
H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER AB IGG $199.65 $363.00 $98.01–$344.85 — 45%
H. pylori stool antigen test CPT 87338 HELICOBACT PYLORI AGFECAL EIA $23.73 $43.14 $8.63–$40.99 78% below 45%
H. pylori stool antigen test CPT 87338 HELI PYLORI ANTIGEN STOOL $154.00 $280.00 $14.38–$266.00 42% above 45%
H. pylori stool antigen test inpatient CPT 87338 HELICOBACT PYLORI AGFECAL EIA $23.73 $43.14 $11.65–$40.99 — 45%
H. pylori stool antigen test inpatient CPT 87338 HELI PYLORI ANTIGEN STOOL $154.00 $280.00 $75.60–$266.00 — 45%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 ULTRA SENS VIRAL BY PCR $103.95 $189.00 $37.80–$179.55 10% below 45%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QUANTITATIVE NAATPLASMA $140.42 $255.30 $51.06–$242.54 22% above 45%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 ULTRA SENS VIRAL BY PCR $103.95 $189.00 $51.03–$179.55 — 45%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 QUANTITATIVE NAATPLASMA $140.42 $255.30 $68.94–$242.54 — 45%
HIV-1 and HIV-2 antibody test CPT 86703 HIV 1&2 ANTIBODY (REFLEXIVE) $120.45 $219.00 $13.71–$208.05 81% above 45%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV 1&2 ANTIBODY (REFLEXIVE) $120.45 $219.00 $59.13–$208.05 — 45%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 SHPANM HIV1&2 $9.35 $17.00 $3.40–$17.85 85% below 45%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 SHPANF HIV 1&2 $12.10 $22.00 $4.40–$23.10 81% below 45%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1/2 AG/AB RFX TO MULTISPOT $25.85 $47.00 $9.40–$44.65 59% below 45%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-12 COMBO AG/ABRFLX PNL $39.74 $72.24 $14.45–$68.63 37% below 45%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 SHPANM HIV1&2 $9.35 $17.00 $4.59–$16.15 — 45%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 SHPANF HIV 1&2 $12.10 $22.00 $5.94–$20.90 — 45%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1/2 AG/AB RFX TO MULTISPOT $25.85 $47.00 $12.69–$44.65 — 45%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV-12 COMBO AG/ABRFLX PNL $39.74 $72.24 $19.51–$68.63 — 45%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV NUCLEIC ACID AMPLIFICATION $57.90 $105.27 $21.06–$100.01 55% below 45%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV NUCLEIC ACID AMPLIFICATION $57.90 $105.27 $28.43–$100.01 — 45%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 MHPAN GLYCO HGB $8.80 $16.00 $3.20–$78.39 85% below 45%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HRTMTB GLYCO HGB $40.70 $74.00 $9.71–$78.39 29% below 45%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C (GLYCOHEMO) $51.70 $94.00 $9.71–$89.30 10% below 45%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCO HGB $52.80 $96.00 $9.71–$91.20 8% below 45%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 MHPAN GLYCO HGB $8.80 $16.00 $4.32–$15.20 — 45%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HRTMTB GLYCO HGB $40.70 $74.00 $19.98–$70.30 — 45%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C (GLYCOHEMO) $51.70 $94.00 $25.38–$89.30 — 45%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCO HGB $52.80 $96.00 $25.92–$91.20 — 45%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B VIRUS SURFACE AB $17.73 $32.22 $6.45–$30.61 73% below 45%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HB SURFACE AB $38.50 $70.00 $10.74–$66.50 42% below 45%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B VIRUS SURFACE AB $17.73 $32.22 $8.70–$30.61 — 45%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HB SURFACE AB $38.50 $70.00 $18.90–$66.50 — 45%
Hepatitis B surface antigen (HBsAg) test CPT 87340 SHPANM HBSAG $9.35 $17.00 $3.40–$16.15 82% below 45%
Hepatitis B surface antigen (HBsAg) test CPT 87340 SHPANF HBSAG $12.10 $22.00 $4.40–$20.90 77% below 45%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HBV SURFACE AG W/RFLX TO CONF $17.05 $30.99 $6.20–$29.45 68% below 45%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HB SURFACE ANTIGEN REFLEXIVE $40.70 $74.00 $10.33–$70.30 24% below 45%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 SHPANM HBSAG $9.35 $17.00 $4.59–$16.15 — 45%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 SHPANF HBSAG $12.10 $22.00 $5.94–$20.90 — 45%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HBV SURFACE AG W/RFLX TO CONF $17.05 $30.99 $8.37–$29.45 — 45%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HB SURFACE ANTIGEN REFLEXIVE $40.70 $74.00 $19.98–$70.30 — 45%
Hepatitis C antibody blood test (screening) CPT 86803 SHPANM HCV $8.80 $16.00 $3.20–$15.20 89% below 45%
Hepatitis C antibody blood test (screening) CPT 86803 SHPANF HCV $13.20 $24.00 $4.80–$22.80 83% below 45%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C VIRUS ANTIBODY CIA $23.55 $42.81 $8.57–$40.67 71% below 45%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C $145.75 $265.00 $14.27–$251.75 82% above 45%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 SHPANM HCV $8.80 $16.00 $4.32–$15.20 — 45%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 SHPANF HCV $13.20 $24.00 $6.48–$22.80 — 45%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C VIRUS ANTIBODY CIA $23.55 $42.81 $11.56–$40.67 — 45%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C $145.75 $265.00 $71.55–$251.75 — 45%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C QUANTITATIVE PCR REFLEX $61.60 $112.00 $22.40–$106.40 50% below 45%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV BY QUANTITATIVE NAAT $70.69 $128.52 $25.71–$122.10 43% below 45%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA QUANT BY PCR RELFGENO $91.30 $166.00 $33.20–$157.70 26% below 45%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV GENOTYPE BY PCR/LIPA REF $118.80 $216.00 $42.84–$205.20 4% below 45%
Hepatitis C viral load (HCV RNA) test one side CPT 87522 HCV RT PCR QNT REFLEX $66.00 $120.00 $24.00–$114.00 47% below 45%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C QUANTITATIVE PCR REFLEX $61.60 $112.00 $30.24–$106.40 — 45%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV BY QUANTITATIVE NAAT $70.69 $128.52 $34.71–$122.10 — 45%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA QUANT BY PCR RELFGENO $91.30 $166.00 $44.82–$157.70 — 45%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV GENOTYPE BY PCR/LIPA REF $118.80 $216.00 $58.32–$205.20 — 45%
Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 HCV RT PCR QNT REFLEX $66.00 $120.00 $32.40–$114.00 — 45%
Herpes blood test, HSV-1 antibody CPT 86695 SHPANM HS1 $9.35 $17.00 $3.40–$16.15 80% below 45%
Herpes blood test, HSV-1 antibody CPT 86695 HSV TYPE I IGG $12.10 $22.00 $4.40–$20.90 74% below 45%
Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 GLYCOPROTEIN G AB IGG $21.77 $39.57 $7.92–$37.60 53% below 45%
Herpes blood test, HSV-1 antibody CPT 86695 HSV TYPE 1 G SPECIFIC IGG $22.00 $40.00 $8.00–$38.00 53% below 45%
Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 TYPE-SPECIFIC IGG AB $24.75 $45.00 $9.00–$42.75 47% below 45%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 SHPANM HS1 $9.35 $17.00 $4.59–$16.15 — 45%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV TYPE I IGG $12.10 $22.00 $5.94–$20.90 — 45%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 GLYCOPROTEIN G AB IGG $21.77 $39.57 $10.69–$37.60 — 45%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV TYPE 1 G SPECIFIC IGG $22.00 $40.00 $10.80–$38.00 — 45%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 TYPE-SPECIFIC IGG AB $24.75 $45.00 $12.15–$42.75 — 45%
Herpes blood test, HSV-2 antibody CPT 86696 SHPANM HS2 $8.80 $16.00 $3.20–$16.80 85% below 45%
Herpes blood test, HSV-2 antibody CPT 86696 HSV TYPE 2 IGG $12.10 $22.00 $4.40–$20.90 79% below 45%
Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 TYPE-SPECIFIC IGG AB $25.30 $46.00 $9.20–$43.70 56% below 45%
Herpes blood test, HSV-2 antibody CPT 86696 HSV TYPE 2 G SPECIFIC IGG $31.90 $58.00 $11.60–$55.10 45% below 45%
Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 GLYCOPROTEIN G AB IGG $31.93 $58.05 $11.61–$55.15 45% below 45%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 SHPANM HS2 $8.80 $16.00 $4.32–$15.20 — 45%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV TYPE 2 IGG $12.10 $22.00 $5.94–$20.90 — 45%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 TYPE-SPECIFIC IGG AB $25.30 $46.00 $12.42–$43.70 — 45%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV TYPE 2 G SPECIFIC IGG $31.90 $58.00 $15.66–$55.10 — 45%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 GLYCOPROTEIN G AB IGG $31.93 $58.05 $15.68–$55.15 — 45%
High-sensitivity CRP (hs-CRP) test CPT 86141 HIGH SENSITIVITY CRP $9.35 $17.00 $3.40–$16.15 87% below 45%
High-sensitivity CRP (hs-CRP) test CPT 86141 CHPAN CRPHS $13.20 $24.00 $4.80–$22.80 81% below 45%
High-sensitivity CRP (hs-CRP) test CPT 86141 HRTMON HCRP $15.95 $29.00 $5.80–$27.55 78% below 45%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRPHIGH SENSITIVITY $21.37 $38.85 $7.77–$36.91 70% below 45%
High-sensitivity CRP (hs-CRP) test CPT 86141 HRTINF HCRP $22.00 $40.00 $8.00–$38.00 69% below 45%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HIGH SENSITIVITY CRP $9.35 $17.00 $4.59–$16.15 — 45%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CHPAN CRPHS $13.20 $24.00 $6.48–$22.80 — 45%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HRTMON HCRP $15.95 $29.00 $7.83–$27.55 — 45%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRPHIGH SENSITIVITY $21.37 $38.85 $10.49–$36.91 — 45%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HRTINF HCRP $22.00 $40.00 $10.80–$38.00 — 45%
Homocysteine blood test CPT 83090 CHPAN HOMCY $13.20 $24.00 $4.80–$22.80 85% below 45%
Homocysteine blood test CPT 83090 HOMOCYSTEINETOTAL $29.57 $53.76 $10.76–$51.08 67% below 45%
Homocysteine blood test inpatient CPT 83090 CHPAN HOMCY $13.20 $24.00 $6.48–$22.80 — 45%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINETOTAL $29.57 $53.76 $14.52–$51.08 — 45%
Insulin blood test CPT 83525 INSULINFASTING $18.86 $34.29 $6.86–$32.58 66% below 45%
Insulin blood test CPT 83525 INSULIN ASSAY $48.95 $89.00 $11.43–$84.55 11% below 45%
Insulin blood test inpatient CPT 83525 INSULINFASTING $18.86 $34.29 $9.26–$32.58 — 45%
Insulin blood test inpatient CPT 83525 INSULIN ASSAY $48.95 $89.00 $24.03–$84.55 — 45%
Iron blood test (serum iron) CPT 83540 IRONPLASMA OR SERUM $10.68 $19.41 $3.89–$18.44 79% below 45%
Iron blood test (serum iron) CPT 83540 IRON TOTAL $40.15 $73.00 $6.47–$69.35 22% below 45%
Iron blood test (serum iron) CPT 83540 IRON LIVER $57.20 $104.00 $6.47–$98.80 11% above 45%
Iron blood test (serum iron) CPT 83540 IRON $60.50 $110.00 $6.47–$104.50 18% above 45%
Iron blood test (serum iron) CPT 83540 IRON TISSUE $63.80 $116.00 $6.47–$110.20 24% above 45%
Iron blood test (serum iron) inpatient CPT 83540 IRONPLASMA OR SERUM $10.68 $19.41 $5.25–$18.44 — 45%
Iron blood test (serum iron) inpatient CPT 83540 IRON TOTAL $40.15 $73.00 $19.71–$69.35 — 45%
Iron blood test (serum iron) inpatient CPT 83540 IRON LIVER $57.20 $104.00 $28.08–$98.80 — 45%
Iron blood test (serum iron) inpatient CPT 83540 IRON $60.50 $110.00 $29.70–$104.50 — 45%
Iron blood test (serum iron) inpatient CPT 83540 IRON TISSUE $63.80 $116.00 $31.32–$110.20 — 45%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY TOTAL $14.43 $26.22 $5.25–$24.91 78% below 45%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY $42.90 $78.00 $8.74–$74.10 34% below 45%
Iron-binding capacity (TIBC) test CPT 83550 IRON PROFILE $85.25 $155.00 $8.74–$147.25 32% above 45%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY TOTAL $14.43 $26.22 $7.08–$24.91 — 45%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY $42.90 $78.00 $21.06–$74.10 — 45%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON PROFILE $85.25 $155.00 $41.85–$147.25 — 45%
Kidney function blood test panel CPT 80069 RENAL PROFILE $86.90 $158.00 $8.68–$150.10 18% below 45%
Kidney function blood test panel inpatient CPT 80069 RENAL PROFILE $86.90 $158.00 $42.66–$150.10 — 45%
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE (LH) $22.00 $40.00 $8.00–$38.00 73% below 45%
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONESERUM $30.56 $55.56 $11.12–$52.79 62% below 45%
LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE (LH) $22.00 $40.00 $10.80–$38.00 — 45%
LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONESERUM $30.56 $55.56 $15.01–$52.79 — 45%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE SERUM OR PLASMA $11.37 $20.67 $4.14–$19.64 81% below 45%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE $71.50 $130.00 $6.89–$123.50 21% above 45%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE SERUM OR PLASMA $11.37 $20.67 $5.59–$19.64 — 45%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE $71.50 $130.00 $35.10–$123.50 — 45%
Liver function blood test panel CPT 80076 LHPAN HFP $15.40 $28.00 $5.60–$26.60 85% below 45%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION $83.60 $152.00 $8.17–$144.40 18% below 45%
Liver function blood test panel inpatient CPT 80076 LHPAN HFP $15.40 $28.00 $7.56–$26.60 — 45%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION $83.60 $152.00 $41.04–$144.40 — 45%
Lyme disease antibody test CPT 86618 LYME AB IGG $16.50 $30.00 $6.00–$28.50 74% below 45%
Lyme disease antibody test CPT 86618 LYME DISEASE ACUTE REFLEXIVE $28.10 $51.09 $10.22–$48.54 57% below 45%
Lyme disease antibody test CPT 86618 LYME IGG/IGM AB $57.20 $104.00 $17.03–$98.80 11% below 45%
Lyme disease antibody test CPT 86618 LYME(B.BURGDO ABIGG/IGM) $130.90 $238.00 $17.03–$226.10 103% above 45%
Lyme disease antibody test inpatient CPT 86618 LYME AB IGG $16.50 $30.00 $8.10–$28.50 — 45%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE ACUTE REFLEXIVE $28.10 $51.09 $13.80–$48.54 — 45%
Lyme disease antibody test inpatient CPT 86618 LYME IGG/IGM AB $57.20 $104.00 $28.08–$98.80 — 45%
Lyme disease antibody test inpatient CPT 86618 LYME(B.BURGDO ABIGG/IGM) $130.90 $238.00 $64.26–$226.10 — 45%
Magnesium blood test CPT 83735 MAGNESIUM URINE $7.70 $14.00 $2.80–$13.30 75% below 45%
Magnesium blood test CPT 83735 MAGNESIUM RBC $11.06 $20.10 $4.02–$19.10 65% below 45%
Magnesium blood test CPT 83735 MAGNESIUM $64.90 $118.00 $6.70–$112.10 108% above 45%
Magnesium blood test inpatient CPT 83735 MAGNESIUM URINE $7.70 $14.00 $3.78–$13.30 — 45%
Magnesium blood test inpatient CPT 83735 MAGNESIUM RBC $11.06 $20.10 $5.43–$19.10 — 45%
Magnesium blood test inpatient CPT 83735 MAGNESIUM $64.90 $118.00 $31.86–$112.10 — 45%
Measles (rubeola) antibody test CPT 86765 RUBEOLA IGM $20.35 $37.00 $7.40–$35.15 44% below 45%
Measles (rubeola) antibody test CPT 86765 MEASLES (RUBEOLA) ABIGG $21.26 $38.64 $7.73–$36.71 42% below 45%
Measles (rubeola) antibody test CPT 86765 RUBEOLA $41.80 $76.00 $12.88–$72.20 15% above 45%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA IGM $20.35 $37.00 $9.99–$35.15 — 45%
Measles (rubeola) antibody test inpatient CPT 86765 MEASLES (RUBEOLA) ABIGG $21.26 $38.64 $10.44–$36.71 — 45%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA $41.80 $76.00 $20.52–$72.20 — 45%
Mono test (heterophile antibody, Monospot) CPT 86308 MONO TEST $58.30 $106.00 $5.18–$100.70 14% above 45%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO TEST $58.30 $106.00 $28.62–$100.70 — 45%
PSA (prostate-specific antigen) blood test, free CPT 84154 PROSTATE SPECIFIC AG FREE $30.35 $55.17 $11.04–$52.42 16% below 45%
PSA (prostate-specific antigen) blood test, free CPT 84154 RATPSA PSA FREE $114.40 $208.00 $18.39–$197.60 218% above 45%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PROSTATE SPECIFIC AG FREE $30.35 $55.17 $14.90–$52.42 — 45%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 RATPSA PSA FREE $114.40 $208.00 $56.16–$197.60 — 45%
PSA (prostate-specific antigen) blood test, total CPT 84153 MHOPAN PSA $9.90 $18.00 $3.60–$18.90 88% below 45%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATIC SPEC AG (WITH REF) $21.45 $39.00 $7.80–$37.05 73% below 45%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC ANTIGEN $30.35 $55.17 $11.04–$52.42 62% below 45%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATIC SPECIFIC AG $98.45 $179.00 $18.39–$170.05 22% above 45%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA DIAGNOSITC $101.75 $185.00 $18.39–$175.75 26% above 45%
PSA (prostate-specific antigen) blood test, total CPT 84153 RATPSA PSA TOTAL $114.40 $208.00 $18.39–$197.60 42% above 45%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 MHOPAN PSA $9.90 $18.00 $4.86–$17.10 — 45%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATIC SPEC AG (WITH REF) $21.45 $39.00 $10.53–$37.05 — 45%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPECIFIC ANTIGEN $30.35 $55.17 $14.90–$52.42 — 45%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATIC SPECIFIC AG $98.45 $179.00 $48.33–$170.05 — 45%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA DIAGNOSITC $101.75 $185.00 $49.95–$175.75 — 45%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 RATPSA PSA TOTAL $114.40 $208.00 $56.16–$197.60 — 45%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOLOGYTHINPREP PAP W/ HPV $33.43 $60.78 $12.16–$57.75 57% below 45%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATH CER/VAG IN OR B $58.30 $106.00 $20.26–$100.70 25% below 45%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CYTOLOGYTHINPREP PAP W/ HPV $33.43 $60.78 $16.42–$57.75 — 45%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CYTOPATH CER/VAG IN OR B $58.30 $106.00 $28.62–$100.70 — 45%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE INTACT $68.12 $123.84 $24.77–$117.65 42% below 45%
Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT NO CALCIUM $160.60 $292.00 $41.28–$277.40 37% above 45%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE INTACT $68.12 $123.84 $33.44–$117.65 — 45%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH INTACT NO CALCIUM $160.60 $292.00 $78.84–$277.40 — 45%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT-LA SCREEN (PTT-D) $9.92 $18.03 $3.61–$17.13 83% below 45%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT (PAML) $28.05 $51.00 $6.01–$48.45 52% below 45%
Partial thromboplastin time (PTT) clotting test CPT 85730 LAP - (PTT) ACTIVATED $33.00 $60.00 $6.01–$57.00 44% below 45%
Partial thromboplastin time (PTT) clotting test CPT 85730 ACTLP APTT $39.05 $71.00 $6.01–$67.45 34% below 45%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT $61.05 $111.00 $6.01–$105.45 4% above 45%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT-LA SCREEN (PTT-D) $9.92 $18.03 $4.87–$17.13 — 45%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT (PAML) $28.05 $51.00 $13.77–$48.45 — 45%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 LAP - (PTT) ACTIVATED $33.00 $60.00 $16.20–$57.00 — 45%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 ACTLP APTT $39.05 $71.00 $19.17–$67.45 — 45%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT $61.05 $111.00 $29.97–$105.45 — 45%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 PRENATAL ANEUPLOIDY $639.65 $1,163.00 $232.60–$1,104.85 54% below 45%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 NON INV PRENATAL SCREENING $1,252.44 $2,277.15 $455.43–$2,163.30 9% below 45%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 PRENATAL ANEUPLOIDY $639.65 $1,163.00 $314.01–$1,104.85 — 45%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 NON INV PRENATAL SCREENING $1,252.44 $2,277.15 $614.84–$2,163.30 — 45%
Progesterone blood test CPT 84144 PROGESTERONE QUANTSER/PLAS $34.42 $62.58 $12.52–$59.46 57% below 45%
Progesterone blood test CPT 84144 PROGESTERONE $42.90 $78.00 $15.60–$74.10 47% below 45%
Progesterone blood test inpatient CPT 84144 PROGESTERONE QUANTSER/PLAS $34.42 $62.58 $16.90–$59.46 — 45%
Progesterone blood test inpatient CPT 84144 PROGESTERONE $42.90 $78.00 $21.06–$74.10 — 45%
Prolactin blood test CPT 84146 PROLACTIN $31.98 $58.14 $11.63–$55.24 51% below 45%
Prolactin blood test CPT 84146 MONOMERIC PROLACTIN $32.45 $59.00 $11.80–$56.05 50% below 45%
Prolactin blood test CPT 84146 PROLACTIN SERUM $41.25 $75.00 $15.00–$71.25 37% below 45%
Prolactin blood test inpatient CPT 84146 PROLACTIN $31.98 $58.14 $15.70–$55.24 — 45%
Prolactin blood test inpatient CPT 84146 MONOMERIC PROLACTIN $32.45 $59.00 $15.93–$56.05 — 45%
Prolactin blood test inpatient CPT 84146 PROLACTIN SERUM $41.25 $75.00 $20.25–$71.25 — 45%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME $7.08 $12.87 $2.58–$12.23 77% below 45%
Prothrombin time (PT/INR) clotting test CPT 85610 PRO TIME (PAML) $28.05 $51.00 $4.29–$48.45 7% below 45%
Prothrombin time (PT/INR) clotting test CPT 85610 LAP - PROTHROMBIN TIME (PT) $33.55 $61.00 $4.29–$57.95 11% above 45%
Prothrombin time (PT/INR) clotting test CPT 85610 ACTLP PT $39.60 $72.00 $4.29–$68.40 31% above 45%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME/INR $40.70 $74.00 $4.29–$70.30 34% above 45%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME $7.08 $12.87 $3.48–$12.23 — 45%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PRO TIME (PAML) $28.05 $51.00 $13.77–$48.45 — 45%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 LAP - PROTHROMBIN TIME (PT) $33.55 $61.00 $16.47–$57.95 — 45%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 ACTLP PT $39.60 $72.00 $19.44–$68.40 — 45%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME/INR $40.70 $74.00 $19.98–$70.30 — 45%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A AG $112.20 $204.00 $16.55–$193.80 101% above 45%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A AG SOFIA $115.50 $210.00 $16.55–$199.50 107% above 45%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A AG $112.20 $204.00 $55.08–$193.80 — 45%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A AG SOFIA $115.50 $210.00 $56.70–$199.50 — 45%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR $9.36 $17.01 $3.41–$16.16 81% below 45%
Rheumatoid factor (RF) test CPT 86431 RHEUMA FACT (IGG IGA IGM) X1 $20.35 $37.00 $5.67–$35.15 58% below 45%
Rheumatoid factor (RF) test CPT 86431 RHEUMA FACT (IGG IGA IGM) X2 $42.35 $77.00 $5.67–$73.15 13% below 45%
Rheumatoid factor (RF) test CPT 86431 RHEUM FACTOR BY TURBIDITY $53.90 $98.00 $5.67–$93.10 11% above 45%
Rheumatoid factor (RF) test CPT 86431 RA SERUM $65.45 $119.00 $5.67–$113.05 35% above 45%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR $9.36 $17.01 $4.60–$16.16 — 45%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMA FACT (IGG IGA IGM) X1 $20.35 $37.00 $9.99–$35.15 — 45%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMA FACT (IGG IGA IGM) X2 $42.35 $77.00 $20.79–$73.15 — 45%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUM FACTOR BY TURBIDITY $53.90 $98.00 $26.46–$93.10 — 45%
Rheumatoid factor (RF) test inpatient CPT 86431 RA SERUM $65.45 $119.00 $32.13–$113.05 — 45%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODYIGG $23.75 $43.17 $8.64–$41.02 50% below 45%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IGM (REFLEXIVE) $81.95 $149.00 $14.39–$141.55 73% above 45%
Rubella antibody test (immunity check) CPT 86762 RUBELLA SCREEN $86.90 $158.00 $14.39–$150.10 84% above 45%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODYIGG $23.75 $43.17 $11.66–$41.02 — 45%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IGM (REFLEXIVE) $81.95 $149.00 $40.23–$141.55 — 45%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA SCREEN $86.90 $158.00 $42.66–$150.10 — 45%
Stool ova and parasites exam CPT 87177 OVA AND PARASITES SMEARS $14.69 $26.70 $5.34–$25.37 58% below 45%
Stool ova and parasites exam CPT 87177 O/PCONCENTRATION $52.25 $95.00 $8.90–$90.25 48% above 45%
Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITES SMEARS $14.69 $26.70 $7.21–$25.37 — 45%
Stool ova and parasites exam inpatient CPT 87177 O/PCONCENTRATION $52.25 $95.00 $25.65–$90.25 — 45%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD SCREEN $30.80 $56.00 $4.38–$53.20 13% below 45%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD SCREEN $30.80 $56.00 $15.12–$53.20 — 45%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 FECAL OCCULT BLOOD BY IA $26.27 $47.76 $9.56–$45.38 54% below 45%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 FECAL OCCULT BLOOD BY IA $26.27 $47.76 $12.90–$45.38 — 45%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR WITH REFLEX TO TITER $7.05 $12.81 $2.57–$12.17 76% below 45%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR QUALITATIVE $19.80 $36.00 $4.27–$34.20 33% below 45%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 TREPONEMAL CONFIRM PROF (REF) $22.00 $40.00 $4.27–$38.00 26% below 45%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR $44.00 $80.00 $4.27–$76.00 49% above 45%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR WITH REFLEX TO TITER $7.05 $12.81 $3.46–$12.17 — 45%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR QUALITATIVE $19.80 $36.00 $9.72–$34.20 — 45%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 TREPONEMAL CONFIRM PROF (REF) $22.00 $40.00 $10.80–$38.00 — 45%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR $44.00 $80.00 $21.60–$76.00 — 45%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON-TB GOLD PLUS 4TUBE $102.27 $185.94 $37.19–$176.65 17% below 45%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD IN-TUBE $152.90 $278.00 $55.60–$264.10 24% above 45%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON-TB GOLD PLUS 4TUBE $102.27 $185.94 $50.21–$176.65 — 45%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON TB GOLD IN-TUBE $152.90 $278.00 $75.06–$264.10 — 45%
Testosterone blood test, total (not free testosterone) CPT 84403 MHOPAN TOTAL TEST. $9.90 $18.00 $3.60–$18.90 84% below 45%
Testosterone blood test, total (not free testosterone) CPT 84403 TSTFM TOTAL TESTOSTERONE $26.40 $48.00 $9.60–$45.60 58% below 45%
Testosterone blood test, total (not free testosterone) CPT 84403 PTT $36.85 $67.00 $13.40–$63.65 41% below 45%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL ADULT MALES $39.60 $72.00 $14.40–$68.40 37% below 45%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL SERUM $42.35 $77.00 $15.40–$73.15 32% below 45%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE BY IMMUNOASSAY $42.59 $77.43 $15.49–$73.56 32% below 45%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL $48.40 $88.00 $17.60–$83.60 23% below 45%
Testosterone blood test, total (not free testosterone) CPT 84403 QDSCR AFP $80.30 $146.00 $25.81–$138.70 28% above 45%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 MHOPAN TOTAL TEST. $9.90 $18.00 $4.86–$17.10 — 45%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TSTFM TOTAL TESTOSTERONE $26.40 $48.00 $12.96–$45.60 — 45%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 PTT $36.85 $67.00 $18.09–$63.65 — 45%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL ADULT MALES $39.60 $72.00 $19.44–$68.40 — 45%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL SERUM $42.35 $77.00 $20.79–$73.15 — 45%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE BY IMMUNOASSAY $42.59 $77.43 $20.91–$73.56 — 45%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL $48.40 $88.00 $23.76–$83.60 — 45%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 QDSCR AFP $80.30 $146.00 $39.42–$138.70 — 45%
Thyroid peroxidase (TPO) antibody test CPT 86376 TTA - THYROID ANTIBODIES $7.70 $14.00 $2.80–$14.70 85% below 45%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE (TPO) AB $24.01 $43.65 $8.73–$41.47 55% below 45%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE AB $106.15 $193.00 $14.55–$183.35 101% above 45%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 TTA - THYROID ANTIBODIES $7.70 $14.00 $3.78–$13.30 — 45%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE (TPO) AB $24.01 $43.65 $11.79–$41.47 — 45%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE AB $106.15 $193.00 $52.11–$183.35 — 45%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 CONG HYPOTHYROIDISM $19.25 $35.00 $7.00–$100.78 79% below 45%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE $27.72 $50.40 $10.08–$100.78 70% below 45%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH $118.25 $215.00 $16.80–$204.25 26% above 45%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 CONG HYPOTHYROIDISM $19.25 $35.00 $9.45–$33.25 — 45%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMONE $27.72 $50.40 $13.61–$47.88 — 45%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH $118.25 $215.00 $58.05–$204.25 — 45%
Trichomonas test (NAAT) CPT 87661 CNT - TRICH VAG BY NAA $15.95 $29.00 $5.80–$30.45 68% below 45%
Trichomonas test (NAAT) CPT 87661 T. VAGINALIS BY TMA $57.90 $105.27 $21.06–$100.01 15% above 45%
Trichomonas test (NAAT) inpatient CPT 87661 CNT - TRICH VAG BY NAA $15.95 $29.00 $7.83–$27.55 — 45%
Trichomonas test (NAAT) inpatient CPT 87661 T. VAGINALIS BY TMA $57.90 $105.27 $28.43–$100.01 — 45%
Uric acid blood test CPT 84550 URIC ACID $47.85 $87.00 $4.52–$82.65 10% above 45%
Uric acid blood test inpatient CPT 84550 URIC ACID $47.85 $87.00 $23.49–$82.65 — 45%
Urinalysis with microscope exam, automated CPT 81001 BHPAN UA $11.00 $20.00 $3.17–$19.00 78% below 45%
Urinalysis with microscope exam, automated CPT 81001 UA MICROSCOPIC $45.10 $82.00 $3.17–$77.90 9% below 45%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS W/MICROSCOPIC $47.30 $86.00 $3.17–$81.70 5% below 45%
Urinalysis with microscope exam, automated inpatient CPT 81001 BHPAN UA $11.00 $20.00 $5.40–$19.00 — 45%
Urinalysis with microscope exam, automated inpatient CPT 81001 UA MICROSCOPIC $45.10 $82.00 $22.14–$77.90 — 45%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS W/MICROSCOPIC $47.30 $86.00 $23.22–$81.70 — 45%
Urinalysis without microscope exam, automated CPT 81003 PH URINE $26.95 $49.00 $2.25–$46.55 5% above 45%
Urinalysis without microscope exam, automated CPT 81003 UA W/O MICROSCOPIC $34.10 $62.00 $2.25–$58.90 33% above 45%
Urinalysis without microscope exam, automated CPT 81003 KETONES URINE $48.40 $88.00 $2.25–$83.60 89% above 45%
Urinalysis without microscope exam, automated inpatient CPT 81003 PH URINE $26.95 $49.00 $13.23–$46.55 — 45%
Urinalysis without microscope exam, automated inpatient CPT 81003 UA W/O MICROSCOPIC $34.10 $62.00 $16.74–$58.90 — 45%
Urinalysis without microscope exam, automated inpatient CPT 81003 KETONES URINE $48.40 $88.00 $23.76–$83.60 — 45%
Urine culture for bacteria, with colony count CPT 87086 CULT URINE $74.25 $135.00 $8.07–$128.25 35% above 45%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULT URINE $74.25 $135.00 $36.45–$128.25 — 45%
Urine pregnancy test, read by color change CPT 81025 HCG QUAL URINE $84.70 $154.00 $8.61–$146.30 118% above 45%
Urine pregnancy test, read by color change inpatient CPT 81025 HCG QUAL URINE $84.70 $154.00 $41.58–$146.30 — 45%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 $24.89 $45.24 $9.05–$42.98 72% below 45%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 REFLEX $35.20 $64.00 $12.80–$60.80 60% below 45%
Vitamin B12 (cobalamin) blood test CPT 82607 B 12 ASSAY $52.25 $95.00 $15.08–$90.25 41% below 45%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 $24.89 $45.24 $12.22–$42.98 — 45%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 REFLEX $35.20 $64.00 $17.28–$60.80 — 45%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 B 12 ASSAY $52.25 $95.00 $25.65–$90.25 — 45%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 MBHPAN VDHYDROXY $12.10 $22.00 $4.40–$23.10 88% below 45%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D25-HYDROXY $48.84 $88.80 $17.76–$84.36 50% below 45%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 BIO25D VD25HY $52.25 $95.00 $19.00–$90.25 46% below 45%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25-HYDROXY $100.10 $182.00 $29.60–$172.90 3% above 45%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 MBHPAN VDHYDROXY $12.10 $22.00 $5.94–$20.90 — 45%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D25-HYDROXY $48.84 $88.80 $23.98–$84.36 — 45%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 BIO25D VD25HY $52.25 $95.00 $25.65–$90.25 — 45%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25-HYDROXY $100.10 $182.00 $49.14–$172.90 — 45%
Zinc blood test CPT 84630 ZINCSERUM OR PLASMA $18.80 $34.17 $6.84–$32.47 38% below 45%
Zinc blood test CPT 84630 ZINC SERUM/PLASMA $92.95 $169.00 $11.39–$160.55 209% above 45%
Zinc blood test inpatient CPT 84630 ZINCSERUM OR PLASMA $18.80 $34.17 $9.23–$32.47 — 45%
Zinc blood test inpatient CPT 84630 ZINC SERUM/PLASMA $92.95 $169.00 $45.63–$160.55 — 45%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG TUMOR MARKER $24.84 $45.15 $9.03–$42.90 73% below 45%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 ITG1 HCG $33.55 $61.00 $12.20–$57.95 64% below 45%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 FTSNT HCG $42.35 $77.00 $15.05–$73.15 54% below 45%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANT SERUM $220.55 $401.00 $15.05–$380.95 139% above 45%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG TUMOR MARKER $24.84 $45.15 $12.20–$42.90 — 45%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 ITG1 HCG $33.55 $61.00 $16.47–$57.95 — 45%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 FTSNT HCG $42.35 $77.00 $20.79–$73.15 — 45%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANT SERUM $220.55 $401.00 $108.27–$380.95 — 45%

Surgery and procedures

ProcedureCash price List priceInsurers payvs MinnesotaOff list
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 LUMBAR FACET INJECTION $157.85 $287.00 $97.56–$272.65 89% below 45%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 LUMBAR FACET INJECTION $157.85 $287.00 $77.49–$272.65 — 45%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON/LIGAMENT $48.95 $89.00 $30.26–$84.55 87% below 45%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ TENDON/LIGAMENT $48.95 $89.00 $24.03–$84.55 — 45%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS MAJOR JOINT L $90.75 $165.00 $56.09–$156.75 75% below 45%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS MAJOR JOINT B $93.50 $170.00 $57.79–$161.50 74% below 45%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESIS MAJOR JOINT L $90.75 $165.00 $44.55–$156.75 — 45%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESIS MAJOR JOINT B $93.50 $170.00 $45.90–$161.50 — 45%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ASP/INJ SMALL JOINT $211.20 $384.00 $130.53–$364.80 35% below 45%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ASP/INJ SMALL JOINT $211.20 $384.00 $103.68–$364.80 — 45%
Lower-back epidural injection, with imaging guidance CPT 62323 EPIDURAL STEROID INJ W GUID $1,102.75 $2,005.00 $681.50–$1,904.75 16% above 45%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 EPIDURAL STEROID INJ W GUID $1,102.75 $2,005.00 $541.35–$1,904.75 — 45%
Paracentesis with imaging guidance CPT 49083 PARACENTESIS INITIAL $460.90 $838.00 $284.84–$796.10 47% below 45%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W GUIDE US $517.55 $941.00 $319.85–$893.95 41% below 45%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W GUIDE RAD $719.40 $1,308.00 $444.59–$1,242.60 18% below 45%
Paracentesis with imaging guidance inpatient CPT 49083 PARACENTESIS INITIAL $460.90 $838.00 $226.26–$796.10 — 45%
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W GUIDE US $517.55 $941.00 $254.07–$893.95 — 45%
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W GUIDE RAD $719.40 $1,308.00 $353.16–$1,242.60 — 45%
Prostate biopsy CPT 55700 BIOPSY PROSTATE $1,872.20 $3,404.00 $1,157.02–$3,233.80 27% above 45%
Prostate biopsy inpatient CPT 55700 BIOPSY PROSTATE $1,872.20 $3,404.00 $919.08–$3,233.80 — 45%
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE DIAG $475.75 $865.00 $294.02–$821.75 34% below 45%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE DIAG $475.75 $865.00 $233.55–$821.75 — 45%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W IMAGING PF $239.25 $435.00 $147.86–$413.25 73% below 45%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W IMAGING US $897.05 $1,631.00 $554.38–$1,549.45 at median 45%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W IMAGING PF $239.25 $435.00 $117.45–$413.25 — 45%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W IMAGING US $897.05 $1,631.00 $440.37–$1,549.45 — 45%

Doctor visits and therapy

ProcedureCash price List priceInsurers payvs MinnesotaOff list
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG 12 LEAD TRACE $200.20 $364.00 $81.19–$345.80 16% above 45%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG 12 LEAD TRACE $200.20 $364.00 $98.28–$345.80 — 45%
Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIAC STRESS TEST TRACING $875.60 $1,592.00 $541.13–$1,512.40 21% above 45%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CARDIAC STRESS TEST TRACING $875.60 $1,592.00 $429.84–$1,512.40 — 45%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPUTIC PHLEBOTOMY $271.15 $493.00 $98.60–$468.35 28% above 45%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 THERAPUTIC PHLEBOTOMY $271.15 $493.00 $133.11–$468.35 — 45%

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 $169.18 $307.59 $104.55–$292.22 120% above 45%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 FL FLUAD TRI 24-25 (65UP) 0.5M $169.18 $307.59 $83.05–$292.22 — 45%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VACLIVE1350 U/.5ML $350.84 $637.88 $216.82–$605.99 47% above 45%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VACLIVE1350 U/.5ML $350.84 $637.88 $172.23–$605.99 — 45%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUARIX TRIV24-25 6M+ 0.5M SY $45.29 $82.34 $27.99–$78.23 104% above 45%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLUARIX TRIV24-25 6M+ 0.5M SY $45.29 $82.34 $22.24–$78.23 — 45%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEP B VIRUS VAC PF 20 MCG/ML $137.63 $250.22 $85.05–$237.71 23% above 45%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEP B VIRUS VAC PF 20 MCG/ML $137.63 $250.22 $67.56–$237.71 — 45%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES MU & RUB VAC.5 ML $178.94 $325.33 $110.58–$309.07 43% above 45%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES MU & RUB VAC.5 ML $178.94 $325.33 $87.84–$309.07 — 45%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL VACC 4MCG/0.5ML $284.90 $518.00 $176.07–$492.10 46% above 45%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL VACC 4MCG/0.5ML $284.90 $518.00 $139.86–$492.10 — 45%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOL 20-VAL CONJUG 0.5 ML $543.74 $988.61 $336.03–$939.18 35% above 45%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOL 20-VAL CONJUG 0.5 ML $543.74 $988.61 $266.93–$939.18 — 45%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEU 23-VAL P-SAC VAC 0.5ML $225.38 $409.78 $139.29–$389.30 71% above 45%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEU 23-VAL P-SAC VAC 2.5ML $696.66 $1,266.65 $430.54–$1,203.32 428% above 45%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEU 23-VAL P-SAC VAC 0.5ML $225.38 $409.78 $110.65–$389.30 — 45%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEU 23-VAL P-SAC VAC 2.5ML $696.66 $1,266.65 $342.00–$1,203.32 — 45%
Rabies vaccine, one dose CPT 90675 RABIES VAC HUM DIPLOID PF2.5 $835.09 $1,518.34 $516.09–$1,442.43 52% above 45%
Rabies vaccine, one dose CPT 90675 RABIES VAC (AVIAN) 2.5 INJ KIT $956.14 $1,738.42 $590.89–$1,651.50 74% above 45%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VAC HUM DIPLOID PF2.5 $835.09 $1,518.34 $409.96–$1,442.43 — 45%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VAC (AVIAN) 2.5 INJ KIT $956.14 $1,738.42 $469.38–$1,651.50 — 45%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TET/DIP TOXOIDSADULT TD0.5ML $85.13 $154.77 $52.61–$147.04 36% above 45%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TET/DIP TOXOIDSADULT TD0.5ML $85.13 $154.77 $41.79–$147.04 — 45%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPPERT(ACELL)TET VAC .5 ML $89.52 $162.75 $55.32–$154.62 14% above 45%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPPERT(ACELL)TET VAC. 5 ML $90.39 $164.33 $55.86–$156.12 15% above 45%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP 10+YRS 0.5ML SYRNG $105.57 $191.94 $65.25–$182.35 35% above 45%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPPERT(ACELL)TET VAC .5 ML $89.52 $162.75 $43.95–$154.62 — 45%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPPERT(ACELL)TET VAC. 5 ML $90.39 $164.33 $44.37–$156.12 — 45%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP 10+YRS 0.5ML SYRNG $105.57 $191.94 $51.83–$182.35 — 45%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYP VI POLY VACC 25 MCG/0.5ML $282.15 $513.00 $174.37–$487.35 93% above 45%
Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 TYP VI POLY VACC 25 MCG/0.5ML $282.15 $513.00 $138.51–$487.35 — 45%

Source file: https://chisjh.org/410695603-1023086055_st-josephs-area-health-services_standardcharges.csv