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Hospital Syracuse, NY

Community Memorial Hospital

Community Memorial Hospital in Hamilton, NY publishes cash prices for 139 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the New York median for 84 of 137 procedures and above it for 53. By typical cash price it ranks #34 of 93 New York hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

150 Broad Street, Hamilton, NY, 13346-9575 Collected Sep 27, 2026 Source price file (315) 824-1100

Critical access hospital (rural, 25 beds or fewer) Emergency department CMS star rating 4 of 5 CCN 331316 · CMS hospital register

CMS price transparency record

The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 2 actions for a hospital named Community Memorial Hospital in Hamilton, NY:

  • Feb 18, 2026 Warning notice
  • May 20, 2026 Case closed

Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Case closed: CMS closed the case after the hospital addressed the problems.

A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.

Scans and imaging

ProcedureCash price List priceInsurers payvs New YorkOff list
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 CM Bilat. ABI w/o Imaging $425.18 $531.48 $77.42–$398.61 — 20%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 CM Bilat. ABI w/o Imaging $425.18 $531.48 $77.42–$398.61 — 20%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 CM MRI Breast BILAT wo/w/ GAD, wo/ or w CAD $4,706.10 $5,882.63 $318.62–$4,411.97 — 20%
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 CM MRI Breast BILAT wo/w/ GAD, wo/ or w CAD $4,706.10 $5,882.63 $318.62–$4,411.97 — 20%

Lab tests

ProcedureCash price List priceInsurers payvs New YorkOff list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 CM HCV FIBROSURE $4.90 $6.12 $1.53–$11.43 79% below 20%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 84460 Transferase Alanine Amino Alt Sgpt_01 $31.84 $39.80 $5.19–$29.85 36% above 20%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 CM NASH FibroSure(R) Plus 550960 . $67.62 $84.52 $5.19–$63.39 189% above 20%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 84460 Transferase Alanine Amino Alt Sgpt_02 $143.28 $179.10 $5.19–$134.32 513% above 20%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 CM HCV FIBROSURE $4.90 $6.12 $1.53–$11.43 — 20%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 84460 Transferase Alanine Amino Alt Sgpt_01 $31.84 $39.80 $5.19–$29.85 — 20%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 CM NASH FibroSure(R) Plus 550960 . $67.62 $84.52 $5.19–$63.39 — 20%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 84460 Transferase Alanine Amino Alt Sgpt_02 $143.28 $179.10 $5.19–$134.32 — 20%
AST (aspartate aminotransferase) enzyme test CPT 84450 CM AST $6.03 $7.54 $1.88–$11.43 76% below 20%
AST (aspartate aminotransferase) enzyme test CPT 84450 CM NASH FibroSure(R) Plus 550960/ $68.30 $85.37 $5.08–$64.03 172% above 20%
AST (aspartate aminotransferase) enzyme test CPT 84450 84450 Transferase Aspartate Amino Ast Sgot_01 $143.28 $179.10 $5.08–$134.32 471% above 20%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 CM AST $6.03 $7.54 $1.88–$11.43 — 20%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 CM NASH FibroSure(R) Plus 550960/ $68.30 $85.37 $5.08–$64.03 — 20%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 84450 Transferase Aspartate Amino Ast Sgot_01 $143.28 $179.10 $5.08–$134.32 — 20%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 80074 Acute Hepatitis Panel_01 $786.89 $983.61 $46.68–$737.71 356% above 20%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 80074 Acute Hepatitis Panel_01 $786.89 $983.61 $46.68–$737.71 — 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM Allergen Profile W TIgE, Respiratory-Area9 602639. $4.10 $5.13 $1.28–$8.30 74% below 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM 86003 Milk $4.60 $5.75 $1.44–$8.30 71% below 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CINNAMON $5.71 $7.14 $1.78–$8.30 64% below 20%
Allergy blood test, specific IgE, per allergen CPT 86003 FESCUE, MEADOW $5.71 $7.14 $1.78–$8.30 64% below 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM 86003 MULBERRY, WHITE $5.71 $7.14 $1.78–$8.30 64% below 20%
Allergy blood test, specific IgE, per allergen CPT 86003 JOHNSON GRASS $5.71 $7.14 $1.78–$8.30 64% below 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM HAZELNUT ALLG SPEC IGE $5.71 $7.14 $1.78–$8.30 64% below 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM IGE MILK W/COMPONENT RFX $5.71 $7.14 $1.78–$8.30 64% below 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM WATERMELON ALLG SPEC IGE $5.71 $7.14 $1.78–$8.30 64% below 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM Isocyanates Profile 630988 $6.33 $7.91 $1.98–$8.30 60% below 20%
Allergy blood test, specific IgE, per allergen CPT 86003 86003 STACHYBOTRYS ATRA IGE $6.53 $8.16 $2.04–$8.30 59% below 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM COCKROACH, GERMAN IGE $6.53 $8.16 $2.04–$8.30 59% below 20%
Allergy blood test, specific IgE, per allergen CPT 86003 86003 MANGO $6.53 $8.16 $2.04–$8.30 59% below 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM 86003 Childhood allergy Profile_3 $8.17 $10.21 $2.55–$8.30 49% below 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM 86003 Childhood allergy Profile_18 $8.17 $10.21 $2.55–$8.30 49% below 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM 86003 Childhood allergy Profile_17 $8.17 $10.21 $2.55–$8.30 49% below 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM 86003 Childhood allergy Profile_16 $8.17 $10.21 $2.55–$8.30 49% below 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM 86003 Childhood allergy Profile_15 $8.17 $10.21 $2.55–$8.30 49% below 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM 86003 Childhood allergy Profile_14 $8.17 $10.21 $2.55–$8.30 49% below 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM 86003 Childhood allergy Profile_13 $8.17 $10.21 $2.55–$8.30 49% below 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM 86003 Childhood allergy Profile_12 $8.17 $10.21 $2.55–$8.30 49% below 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM 86003 Childhood allergy Profile_2 $8.17 $10.21 $2.55–$8.30 49% below 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM 86003 Childhood allergy Profile_11 $8.17 $10.21 $2.55–$8.30 49% below 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM 86003 Childhood allergy Profile_10 $8.17 $10.21 $2.55–$8.30 49% below 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM 86003 Childhood allergy Profile_4 $8.17 $10.21 $2.55–$8.30 49% below 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM 86003 Childhood allergy Profile_9 $8.17 $10.21 $2.55–$8.30 49% below 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM 86003 Childhood allergy Profile_5 $8.17 $10.21 $2.55–$8.30 49% below 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM 86003 Childhood allergy Profile_6 $8.17 $10.21 $2.55–$8.30 49% below 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM 86003 Childhood allergy Profile_7 $8.17 $10.21 $2.55–$8.30 49% below 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM 86003 Childhood allergy Profile_8 $8.17 $10.21 $2.55–$8.30 49% below 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM PEANUT IGE W/COMP RFLX $8.61 $10.76 $2.69–$8.30 46% below 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM CARMINE RED DYE IGE $9.00 $11.25 $2.81–$8.44 44% below 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM Acacia Gum IgE 602851 $9.19 $11.49 $2.87–$8.62 43% below 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM Kiwi Fruit IgE 602734 $9.19 $11.49 $2.87–$8.62 43% below 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM Pork IgE 602498 $9.19 $11.49 $2.87–$8.62 43% below 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM Goat Epithelium 602697 $9.19 $11.49 $2.87–$8.62 43% below 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM Lamb 602738 $9.19 $11.49 $2.87–$8.62 43% below 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM Strawberry IGE 602513 $9.19 $11.49 $2.87–$8.62 43% below 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM Penicilloyl V 602647 $9.19 $11.49 $2.87–$8.62 43% below 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM Peach 602744 $9.19 $11.49 $2.87–$8.62 43% below 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM Mushroom IgE 602773 $9.19 $11.49 $2.87–$8.62 43% below 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM CM Oat IgE 602553 $9.19 $11.49 $2.87–$8.62 43% below 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM Beef 602509 $9.29 $11.61 $2.90–$8.71 42% below 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM Allergen Profile, Food-Fish 601013. $9.29 $11.61 $2.90–$8.71 42% below 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM Allergen Profile, Food-Vegetable II 601823 $9.29 $11.61 $2.90–$8.71 42% below 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM Allergen Profile, Food-Berry 600973 $9.29 $11.61 $2.90–$8.71 42% below 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM Paprika/Sweet Pepper 602779 $9.29 $11.61 $2.90–$8.71 42% below 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM Allergen Profile, Food-Legume 600999 $9.29 $11.61 $2.90–$8.71 42% below 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM Allergen Profile, Food-Fruit 601872 $9.29 $11.61 $2.90–$8.71 42% below 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM Allergen Profile, Food-Fruit 601872, $9.29 $11.61 $2.90–$8.71 42% below 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM Allergen Profile, Food-Fish 601013 $9.29 $11.61 $2.90–$8.71 42% below 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM Allergen Profile, Food-Vegetable I 601831/ $9.29 $11.61 $2.90–$8.71 42% below 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM Allergen Profile, Food-Vegetable II 601823. $9.29 $11.61 $2.90–$8.71 42% below 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM Allergen Profile, Food-Vegetable I 601831 $9.29 $11.61 $2.90–$8.71 42% below 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM Allergen Pro, Peds, IgE W Component RFLX 608035. $12.56 $15.70 $3.92–$11.78 22% below 20%
Allergy blood test, specific IgE, per allergen CPT 86003 86003 Allergen Specific Ige Quan/Semiquan Ea Allergen_28 $13.06 $16.32 $4.08–$12.24 18% below 20%
Allergy blood test, specific IgE, per allergen CPT 86003 86003 Allergen Specific Ige Quan/Semiquan Ea Allergen_27 $13.06 $16.32 $4.08–$12.24 18% below 20%
Allergy blood test, specific IgE, per allergen CPT 86003 86003 Allergen specific IgE; quantitative or semiquantitative, each allergen_53 $17.94 $22.43 $5.12–$16.82 12% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM 86003 Hazelnut $27.90 $34.87 $5.12–$26.15 74% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM 86003 Cashew $27.90 $34.87 $5.12–$26.15 74% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM 86003 Walnut $27.90 $34.87 $5.12–$26.15 74% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM Hymenoptera Venom Allergy(HVA)w/cProfile,II606895. $28.74 $35.93 $5.12–$26.95 80% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM 86003 M202-IgE Acremonium Kiliense $28.82 $36.02 $5.12–$27.02 80% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM 86003 Allergens 14 $28.82 $36.02 $5.12–$27.02 80% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM 86003 Flounder $29.65 $37.06 $5.12–$27.80 85% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM 86003 Mackeral $29.65 $37.06 $5.12–$27.80 85% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM 86003 Cat Fish $29.65 $37.06 $5.12–$27.80 85% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM 86003 Sardine $29.65 $37.06 $5.12–$27.80 85% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM 86003 Pollock White IgE $29.65 $37.06 $5.12–$27.80 85% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM 86003 Allergens 4_2 $30.25 $37.81 $5.12–$28.36 89% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM 86003 Allergens 4_1 $30.25 $37.81 $5.12–$28.36 89% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM 86003 Allergens 4_4 $30.25 $37.81 $5.12–$28.36 89% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM 86003 Allergens 4_3 $30.25 $37.81 $5.12–$28.36 89% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM 86003 Penicillin Panel $30.30 $37.87 $5.12–$28.40 89% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM 86003 Allergen 7_2 $31.52 $39.40 $5.12–$29.55 97% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM 86003 Hymenoptera Venom Allergy II_5 $41.29 $51.61 $5.12–$38.71 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM 86003 Hymenoptera Venom Allergy II_6 $41.29 $51.61 $5.12–$38.71 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM 86003 Hymenoptera Venom Allergy II_2 $41.29 $51.61 $5.12–$38.71 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM 86003 Hymenoptera Venom Allergy II_3 $41.29 $51.61 $5.12–$38.71 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM 86003 Hymenoptera Venom Allergy II_7 $41.30 $51.63 $5.12–$38.72 158% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM 86003 Pomegranate IgE $60.51 $75.64 $5.12–$56.73 278% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM Wheat, IgE With Components Reflex 607950 $74.65 $93.31 $5.12–$69.98 367% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM 86003 Amoxicillin IGE $79.22 $99.02 $5.12–$74.26 395% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 CM 86003 Ampicillin IGE $79.22 $99.02 $5.12–$74.26 395% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 86003 Allergen Specific Ige Quan/Semiquan Ea Allergen_29 $143.28 $179.10 $5.12–$134.32 796% above 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM Allergen Profile W TIgE, Respiratory-Area9 602639. $4.10 $5.13 $1.28–$8.30 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM 86003 Milk $4.60 $5.75 $1.44–$8.30 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CINNAMON $5.71 $7.14 $1.78–$8.30 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM 86003 MULBERRY, WHITE $5.71 $7.14 $1.78–$8.30 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM IGE MILK W/COMPONENT RFX $5.71 $7.14 $1.78–$8.30 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM WATERMELON ALLG SPEC IGE $5.71 $7.14 $1.78–$8.30 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM HAZELNUT ALLG SPEC IGE $5.71 $7.14 $1.78–$8.30 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FESCUE, MEADOW $5.71 $7.14 $1.78–$8.30 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 JOHNSON GRASS $5.71 $7.14 $1.78–$8.30 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM Isocyanates Profile 630988 $6.33 $7.91 $1.98–$8.30 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM COCKROACH, GERMAN IGE $6.53 $8.16 $2.04–$8.30 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 MANGO $6.53 $8.16 $2.04–$8.30 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 STACHYBOTRYS ATRA IGE $6.53 $8.16 $2.04–$8.30 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM 86003 Childhood allergy Profile_3 $8.17 $10.21 $2.55–$8.30 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM 86003 Childhood allergy Profile_7 $8.17 $10.21 $2.55–$8.30 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM 86003 Childhood allergy Profile_8 $8.17 $10.21 $2.55–$8.30 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM 86003 Childhood allergy Profile_6 $8.17 $10.21 $2.55–$8.30 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM 86003 Childhood allergy Profile_5 $8.17 $10.21 $2.55–$8.30 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM 86003 Childhood allergy Profile_4 $8.17 $10.21 $2.55–$8.30 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM 86003 Childhood allergy Profile_9 $8.17 $10.21 $2.55–$8.30 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM 86003 Childhood allergy Profile_10 $8.17 $10.21 $2.55–$8.30 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM 86003 Childhood allergy Profile_2 $8.17 $10.21 $2.55–$8.30 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM 86003 Childhood allergy Profile_11 $8.17 $10.21 $2.55–$8.30 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM 86003 Childhood allergy Profile_12 $8.17 $10.21 $2.55–$8.30 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM 86003 Childhood allergy Profile_13 $8.17 $10.21 $2.55–$8.30 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM 86003 Childhood allergy Profile_14 $8.17 $10.21 $2.55–$8.30 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM 86003 Childhood allergy Profile_15 $8.17 $10.21 $2.55–$8.30 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM 86003 Childhood allergy Profile_16 $8.17 $10.21 $2.55–$8.30 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM 86003 Childhood allergy Profile_17 $8.17 $10.21 $2.55–$8.30 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM 86003 Childhood allergy Profile_18 $8.17 $10.21 $2.55–$8.30 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM PEANUT IGE W/COMP RFLX $8.61 $10.76 $2.69–$8.30 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM CARMINE RED DYE IGE $9.00 $11.25 $2.81–$8.44 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM Peach 602744 $9.19 $11.49 $2.87–$8.62 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM Lamb 602738 $9.19 $11.49 $2.87–$8.62 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM Pork IgE 602498 $9.19 $11.49 $2.87–$8.62 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM Goat Epithelium 602697 $9.19 $11.49 $2.87–$8.62 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM Mushroom IgE 602773 $9.19 $11.49 $2.87–$8.62 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM Acacia Gum IgE 602851 $9.19 $11.49 $2.87–$8.62 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM Penicilloyl V 602647 $9.19 $11.49 $2.87–$8.62 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM Kiwi Fruit IgE 602734 $9.19 $11.49 $2.87–$8.62 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM Strawberry IGE 602513 $9.19 $11.49 $2.87–$8.62 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM CM Oat IgE 602553 $9.19 $11.49 $2.87–$8.62 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM Allergen Profile, Food-Fruit 601872 $9.29 $11.61 $2.90–$8.71 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM Allergen Profile, Food-Fish 601013. $9.29 $11.61 $2.90–$8.71 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM Allergen Profile, Food-Vegetable II 601823 $9.29 $11.61 $2.90–$8.71 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM Allergen Profile, Food-Legume 600999 $9.29 $11.61 $2.90–$8.71 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM Paprika/Sweet Pepper 602779 $9.29 $11.61 $2.90–$8.71 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM Allergen Profile, Food-Vegetable II 601823. $9.29 $11.61 $2.90–$8.71 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM Allergen Profile, Food-Vegetable I 601831/ $9.29 $11.61 $2.90–$8.71 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM Allergen Profile, Food-Fruit 601872, $9.29 $11.61 $2.90–$8.71 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM Allergen Profile, Food-Berry 600973 $9.29 $11.61 $2.90–$8.71 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM Allergen Profile, Food-Vegetable I 601831 $9.29 $11.61 $2.90–$8.71 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM Beef 602509 $9.29 $11.61 $2.90–$8.71 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM Allergen Profile, Food-Fish 601013 $9.29 $11.61 $2.90–$8.71 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM Allergen Pro, Peds, IgE W Component RFLX 608035. $12.56 $15.70 $3.92–$11.78 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 Allergen Specific Ige Quan/Semiquan Ea Allergen_28 $13.06 $16.32 $4.08–$12.24 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 Allergen Specific Ige Quan/Semiquan Ea Allergen_27 $13.06 $16.32 $4.08–$12.24 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 Allergen specific IgE; quantitative or semiquantitative, each allergen_53 $17.94 $22.43 $5.12–$16.82 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM 86003 Walnut $27.90 $34.87 $5.12–$26.15 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM 86003 Cashew $27.90 $34.87 $5.12–$26.15 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM 86003 Hazelnut $27.90 $34.87 $5.12–$26.15 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM Hymenoptera Venom Allergy(HVA)w/cProfile,II606895. $28.74 $35.93 $5.12–$26.95 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM 86003 Allergens 14 $28.82 $36.02 $5.12–$27.02 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM 86003 M202-IgE Acremonium Kiliense $28.82 $36.02 $5.12–$27.02 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM 86003 Pollock White IgE $29.65 $37.06 $5.12–$27.80 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM 86003 Flounder $29.65 $37.06 $5.12–$27.80 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM 86003 Sardine $29.65 $37.06 $5.12–$27.80 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM 86003 Cat Fish $29.65 $37.06 $5.12–$27.80 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM 86003 Mackeral $29.65 $37.06 $5.12–$27.80 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM 86003 Allergens 4_4 $30.25 $37.81 $5.12–$28.36 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM 86003 Allergens 4_3 $30.25 $37.81 $5.12–$28.36 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM 86003 Allergens 4_2 $30.25 $37.81 $5.12–$28.36 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM 86003 Allergens 4_1 $30.25 $37.81 $5.12–$28.36 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM 86003 Penicillin Panel $30.30 $37.87 $5.12–$28.40 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM 86003 Allergen 7_2 $31.52 $39.40 $5.12–$29.55 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM 86003 Hymenoptera Venom Allergy II_2 $41.29 $51.61 $5.12–$38.71 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM 86003 Hymenoptera Venom Allergy II_6 $41.29 $51.61 $5.12–$38.71 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM 86003 Hymenoptera Venom Allergy II_3 $41.29 $51.61 $5.12–$38.71 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM 86003 Hymenoptera Venom Allergy II_5 $41.29 $51.61 $5.12–$38.71 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM 86003 Hymenoptera Venom Allergy II_7 $41.30 $51.63 $5.12–$38.72 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM 86003 Pomegranate IgE $60.51 $75.64 $5.12–$56.73 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM Wheat, IgE With Components Reflex 607950 $74.65 $93.31 $5.12–$69.98 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM 86003 Amoxicillin IGE $79.22 $99.02 $5.12–$74.26 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CM 86003 Ampicillin IGE $79.22 $99.02 $5.12–$74.26 — 20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 Allergen Specific Ige Quan/Semiquan Ea Allergen_29 $143.28 $179.10 $5.12–$134.32 — 20%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CM 86200 Anti-CCP Ab, IgG + IgA (RDL) $74.98 $93.73 $12.69–$70.30 60% above 20%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CM 86200 ANA Neg Reflex_1 $98.55 $123.19 $12.69–$92.39 110% above 20%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 86200 Cyclic Citrullinated Peptide Antibody_01 $150.10 $187.62 $12.69–$140.72 220% above 20%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CM 86200 Anti-CCP Ab, IgG + IgA (RDL) $74.98 $93.73 $12.69–$70.30 — 20%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CM 86200 ANA Neg Reflex_1 $98.55 $123.19 $12.69–$92.39 — 20%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 86200 Cyclic Citrullinated Peptide Antibody_01 $150.10 $187.62 $12.69–$140.72 — 20%
Antinuclear antibody (ANA) blood test, screen CPT 86038 CM ANA IFA reflex $8.61 $10.76 $2.69–$11.81 80% below 20%
Antinuclear antibody (ANA) blood test, screen CPT 86038 CM ANA, Multiplex qual $11.54 $14.42 $3.60–$11.85 74% below 20%
Antinuclear antibody (ANA) blood test, screen CPT 86038 CM Autoimmune Profile 006981 $13.34 $16.68 $4.17–$12.51 70% below 20%
Antinuclear antibody (ANA) blood test, screen CPT 86038 CM ANA w/Reflex ENA 382965 $47.76 $59.70 $11.81–$44.78 9% above 20%
Antinuclear antibody (ANA) blood test, screen CPT 86038 CM 86038 Autoimmune Profile_1 $81.57 $101.96 $11.81–$76.47 86% above 20%
Antinuclear antibody (ANA) blood test, screen CPT 86038 CM 86038 ANA w/ reflex $98.65 $123.31 $11.81–$92.48 126% above 20%
Antinuclear antibody (ANA) blood test, screen CPT 86038 CM 86038 CTD Cascade $103.54 $129.42 $11.81–$97.06 137% above 20%
Antinuclear antibody (ANA) blood test, screen CPT 86038 CM 86038 Connective Tissue Disease (CTD) Cascade $103.54 $129.42 $11.81–$97.06 137% above 20%
Antinuclear antibody (ANA) blood test, screen CPT 86038 CM Lupus Diagnostic Profile 520342 $133.34 $166.67 $11.81–$125.00 205% above 20%
Antinuclear antibody (ANA) blood test, screen CPT 86038 86038 Antinuclear Antibodies Ana_01 $188.76 $235.95 $11.81–$176.96 332% above 20%
Antinuclear antibody (ANA) blood test, screen CPT 86038 CM ANA+ENA+DNA/DS+Sjogre 218131 $203.81 $254.76 $11.81–$191.07 366% above 20%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 CM ANA IFA reflex $8.61 $10.76 $2.69–$11.81 — 20%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 CM ANA, Multiplex qual $11.54 $14.42 $3.60–$11.85 — 20%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 CM Autoimmune Profile 006981 $13.34 $16.68 $4.17–$12.51 — 20%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 CM ANA w/Reflex ENA 382965 $47.76 $59.70 $11.81–$44.78 — 20%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 CM 86038 Autoimmune Profile_1 $81.57 $101.96 $11.81–$76.47 — 20%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 CM 86038 ANA w/ reflex $98.65 $123.31 $11.81–$92.48 — 20%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 CM 86038 Connective Tissue Disease (CTD) Cascade $103.54 $129.42 $11.81–$97.06 — 20%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 CM 86038 CTD Cascade $103.54 $129.42 $11.81–$97.06 — 20%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 CM Lupus Diagnostic Profile 520342 $133.34 $166.67 $11.81–$125.00 — 20%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 86038 Antinuclear Antibodies Ana_01 $188.76 $235.95 $11.81–$176.96 — 20%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 CM ANA+ENA+DNA/DS+Sjogre 218131 $203.81 $254.76 $11.81–$191.07 — 20%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 83880 Natriuretic Peptide_01 $91.37 $114.21 $28.55–$85.66 26% below 20%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 83880 B-TYPE NATRIURETIC PEPTID $197.02 $246.27 $38.47–$184.70 60% above 20%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 83880 Natriuretic Peptide_03 $302.47 $378.09 $38.47–$283.57 146% above 20%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 83880 Natriuretic Peptide_01 $91.37 $114.21 $28.55–$85.66 — 20%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 83880 B-TYPE NATRIURETIC PEPTID $197.02 $246.27 $38.47–$184.70 — 20%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 83880 Natriuretic Peptide_03 $302.47 $378.09 $38.47–$283.57 — 20%
Basic metabolic panel (blood test) CPT 80048 80048 Basic Metabolic Panel Calcium Total_01 $188.76 $235.95 $8.29–$176.96 204% above 20%
Basic metabolic panel (blood test) inpatient CPT 80048 80048 Basic Metabolic Panel Calcium Total_01 $188.76 $235.95 $8.29–$176.96 — 20%
Blood culture for bacteria CPT 87040 87040 Culture Bacterial Blood Aerobic W/Id Isolates_05 $276.70 $345.88 $10.11–$259.41 296% above 20%
Blood culture for bacteria inpatient CPT 87040 87040 Culture Bacterial Blood Aerobic W/Id Isolates_05 $276.70 $345.88 $10.11–$259.41 — 20%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 CH 36415 Collection Venous Blood Venipuncture_01 $20.00 $25.00 $6.25–$18.75 27% above 20%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 CH 36415 Collection Venous Blood Venipuncture_01 $20.00 $25.00 $6.25–$18.75 — 20%
Blood glucose (sugar) test CPT 82947 CM GLUCOSE, SERUM $4.90 $6.12 $1.53–$8.84 73% below 20%
Blood glucose (sugar) test CPT 82947 CM NASH FibroSure(R) Plus 550960- $68.30 $85.37 $3.85–$64.03 279% above 20%
Blood glucose (sugar) test CPT 82947 82947 Glucose Quantitative Blood Xcpt Reagent Strip_01 $143.28 $179.10 $3.85–$134.32 696% above 20%
Blood glucose (sugar) test inpatient CPT 82947 CM GLUCOSE, SERUM $4.90 $6.12 $1.53–$8.84 — 20%
Blood glucose (sugar) test inpatient CPT 82947 CM NASH FibroSure(R) Plus 550960- $68.30 $85.37 $3.85–$64.03 — 20%
Blood glucose (sugar) test inpatient CPT 82947 82947 Glucose Quantitative Blood Xcpt Reagent Strip_01 $143.28 $179.10 $3.85–$134.32 — 20%
Blood lead test CPT 83655 83655 Assay Of Lead_02 $238.79 $298.49 $11.87–$223.87 455% above 20%
Blood lead test inpatient CPT 83655 83655 Assay Of Lead_02 $238.79 $298.49 $11.87–$223.87 — 20%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 84703 Gonadotropin Chorionic Qualitative_01 $172.84 $216.05 $4.54–$162.04 387% above 20%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 84703 Gonadotropin Chorionic Qualitative_01 $172.84 $216.05 $4.54–$162.04 — 20%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 86900 Blood Typing Abo_01 $113.71 $142.14 $2.93–$106.60 25% below 20%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 86900 Blood Typing Abo_01 $113.71 $142.14 $2.93–$106.60 — 20%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 86140 C-Reactive Protein_02 $109.16 $136.45 $5.08–$102.34 270% above 20%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 86140 C-Reactive Protein_02 $109.16 $136.45 $5.08–$102.34 — 20%
CA 19-9 blood test (tumor marker) CPT 86301 CM CA 19-9 (Serial Monitor) 480053 $134.81 $168.51 $20.39–$126.38 79% above 20%
CA 19-9 blood test (tumor marker) CPT 86301 CARBOHYDRATE AG 19-9 $191.70 $239.63 $20.39–$179.72 154% above 20%
CA 19-9 blood test (tumor marker) CPT 86301 86301 Immunoassay Tumor Antigen Quantitative Ca 19-9_01 $334.31 $417.89 $20.39–$313.42 344% above 20%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CM CA 19-9 (Serial Monitor) 480053 $134.81 $168.51 $20.39–$126.38 — 20%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CARBOHYDRATE AG 19-9 $191.70 $239.63 $20.39–$179.72 — 20%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 86301 Immunoassay Tumor Antigen Quantitative Ca 19-9_01 $334.31 $417.89 $20.39–$313.42 — 20%
CA-125 blood test (ovarian cancer marker) CPT 86304 CM 86304 CA 125 $24.15 $30.19 $7.55–$46.82 71% below 20%
CA-125 blood test (ovarian cancer marker) CPT 86304 CM Cancer Antigen (CA) 125 (Serial Monitor) 480061 $38.61 $48.26 $12.06–$46.82 53% below 20%
CA-125 blood test (ovarian cancer marker) CPT 86304 86304 Immunoassay Tumor Antigen Quantitative Ca 125_01 $138.68 $173.35 $20.39–$130.01 68% above 20%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CM 86304 CA 125 $24.15 $30.19 $7.55–$46.82 — 20%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CM Cancer Antigen (CA) 125 (Serial Monitor) 480061 $38.61 $48.26 $12.06–$46.82 — 20%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 86304 Immunoassay Tumor Antigen Quantitative Ca 125_01 $138.68 $173.35 $20.39–$130.01 — 20%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 87635 CM ACCULA SARS-COV-2 $98.88 $123.60 $30.90–$92.70 14% below 20%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 CM 87635 CORONAVIRUS (SARS-COV-2),NAA $128.89 $161.11 $40.28–$120.83 12% above 20%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 CM 87635 COVID 19 CURBSIDE TESTING $128.89 $161.11 $40.28–$120.83 12% above 20%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 CM 87635 COVID 19 $130.61 $163.26 $40.82–$122.44 13% above 20%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 87635 CM ACCULA SARS-COV-2 $98.88 $123.60 $30.90–$92.70 — 20%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 CM 87635 COVID 19 CURBSIDE TESTING $128.89 $161.11 $40.28–$120.83 — 20%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 CM 87635 CORONAVIRUS (SARS-COV-2),NAA $128.89 $161.11 $40.28–$120.83 — 20%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 CM 87635 COVID 19 $130.61 $163.26 $40.82–$122.44 — 20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CM 87491 IGP, CtNg, AptimaHPV_1 $25.26 $31.57 $7.89–$48.69 71% below 20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CM Chlamydia/Gonococcus, Rectal Swab, NAA 188672 $27.60 $34.50 $8.62–$48.69 68% below 20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CM CG/GC/Myco Profile, NAA, Swab 180093 $34.08 $42.60 $10.65–$48.69 61% below 20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 87491 NUSWAB VG+, HSV_1 $34.26 $42.83 $10.71–$48.69 60% below 20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CM Pap IG, Ct-Ng 196402 $39.12 $48.90 $12.22–$48.69 55% below 20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CM CHLAMYDIA CONJUNCTIVE,NAA $41.60 $52.00 $13.00–$48.69 52% below 20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 87491 Iadna Chlamydia Trachomatis Amplified Probe Tq_03 $42.42 $53.02 $13.26–$48.69 51% below 20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 87491 Iadna Chlamydia Trachomatis Amplified Probe Tq_04 $42.42 $53.02 $13.26–$48.69 51% below 20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CM PAP IG CG/GC/Trich NAA witp HPV 16,18,45 199334; $47.22 $59.02 $14.76–$48.69 45% below 20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CM G-Pap Test IG,LQ and Chl/Gono/Trich, NAA199328 $81.26 $101.58 $25.40–$76.18 6% below 20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 87491 Iadna Chlamydia Trachomatis Amplified Probe Tq_02 $90.55 $113.19 $28.30–$84.89 5% above 20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 87491 Iadna Chlamydia Trachomatis Amplified Probe Tq_01 $118.26 $147.83 $34.39–$110.87 37% above 20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CM 87591 Ct/GC NAA, Pharyngeal_2 $135.14 $168.92 $34.39–$126.69 56% above 20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CM 87491 Ct/GC NAA, Pharyngeal_1 $135.14 $168.92 $34.39–$126.69 56% above 20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CMVaginitisPlus(VG+)WCandida(6Species)NuSwab180068 $137.83 $172.29 $34.39–$129.22 59% above 20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CM VG+HSV, GC/CHL PCR 180066 $140.84 $176.05 $34.39–$132.04 63% above 20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 87491 Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique $386.62 $483.28 $34.39–$362.46 347% above 20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CM 87491 IGP, CtNg, AptimaHPV_1 $25.26 $31.57 $7.89–$48.69 — 20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CM Chlamydia/Gonococcus, Rectal Swab, NAA 188672 $27.60 $34.50 $8.62–$48.69 — 20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CM CG/GC/Myco Profile, NAA, Swab 180093 $34.08 $42.60 $10.65–$48.69 — 20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 87491 NUSWAB VG+, HSV_1 $34.26 $42.83 $10.71–$48.69 — 20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CM Pap IG, Ct-Ng 196402 $39.12 $48.90 $12.22–$48.69 — 20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CM CHLAMYDIA CONJUNCTIVE,NAA $41.60 $52.00 $13.00–$48.69 — 20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 87491 Iadna Chlamydia Trachomatis Amplified Probe Tq_04 $42.42 $53.02 $13.26–$48.69 — 20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 87491 Iadna Chlamydia Trachomatis Amplified Probe Tq_03 $42.42 $53.02 $13.26–$48.69 — 20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CM PAP IG CG/GC/Trich NAA witp HPV 16,18,45 199334; $47.22 $59.02 $14.76–$48.69 — 20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CM G-Pap Test IG,LQ and Chl/Gono/Trich, NAA199328 $81.26 $101.58 $25.40–$76.18 — 20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 87491 Iadna Chlamydia Trachomatis Amplified Probe Tq_02 $90.55 $113.19 $28.30–$84.89 — 20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 87491 Iadna Chlamydia Trachomatis Amplified Probe Tq_01 $118.26 $147.83 $34.39–$110.87 — 20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CM 87591 Ct/GC NAA, Pharyngeal_2 $135.14 $168.92 $34.39–$126.69 — 20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CM 87491 Ct/GC NAA, Pharyngeal_1 $135.14 $168.92 $34.39–$126.69 — 20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CMVaginitisPlus(VG+)WCandida(6Species)NuSwab180068 $137.83 $172.29 $34.39–$129.22 — 20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CM VG+HSV, GC/CHL PCR 180066 $140.84 $176.05 $34.39–$132.04 — 20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 87491 Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique $386.62 $483.28 $34.39–$362.46 — 20%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 CM Lipid Cascade With Reflex 361946 $10.46 $13.08 $3.27–$13.72 86% below 20%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 CM Lipid Panel II $48.94 $61.18 $13.12–$45.88 33% below 20%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 CM 80061 LP+LIPOEL PANEL_1 $56.90 $71.12 $13.12–$53.34 22% below 20%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 CM Lipid Panel With GlycA (Inflammation) 123510 $116.01 $145.01 $13.12–$108.76 59% above 20%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Cm LP+Non-HDL Cholesterol 340764 $194.04 $242.55 $13.12–$181.91 166% above 20%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 80061 Lipid Panel_01 $195.58 $244.48 $13.12–$183.36 168% above 20%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 CM Lipid Cascade With Reflex 361946 $10.46 $13.08 $3.27–$13.72 — 20%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 CM Lipid Panel II $48.94 $61.18 $13.12–$45.88 — 20%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 CM 80061 LP+LIPOEL PANEL_1 $56.90 $71.12 $13.12–$53.34 — 20%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 CM Lipid Panel With GlycA (Inflammation) 123510 $116.01 $145.01 $13.12–$108.76 — 20%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Cm LP+Non-HDL Cholesterol 340764 $194.04 $242.55 $13.12–$181.91 — 20%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 80061 Lipid Panel_01 $195.58 $244.48 $13.12–$183.36 — 20%
Complete blood count (CBC) with differential CPT 85025 CM CBC with DIFF Reflex to PBSR to LCA 005009 $8.33 $10.41 $2.60–$7.81 80% below 20%
Complete blood count (CBC) with differential CPT 85025 CM CBC with Diff, reflex to PBSR 005009 $8.33 $10.41 $2.60–$7.81 80% below 20%
Complete blood count (CBC) with differential CPT 85025 85025 Blood Count Complete Auto&Auto Difrntl Wbc_01 $86.42 $108.03 $7.20–$81.02 108% above 20%
Complete blood count (CBC) with differential inpatient CPT 85025 CM CBC with DIFF Reflex to PBSR to LCA 005009 $8.33 $10.41 $2.60–$7.81 — 20%
Complete blood count (CBC) with differential inpatient CPT 85025 CM CBC with Diff, reflex to PBSR 005009 $8.33 $10.41 $2.60–$7.81 — 20%
Complete blood count (CBC) with differential inpatient CPT 85025 85025 Blood Count Complete Auto&Auto Difrntl Wbc_01 $86.42 $108.03 $7.20–$81.02 — 20%
Complete blood count (CBC), no differential CPT 85027 85027 Blood Count Complete Automated_01 $81.87 $102.34 $6.34–$76.76 164% above 20%
Complete blood count (CBC), no differential CPT 85027 CM HGB Frac Cascade With Reflex a-Thalassemia 121363, $155.06 $193.83 $6.34–$145.37 400% above 20%
Complete blood count (CBC), no differential inpatient CPT 85027 85027 Blood Count Complete Automated_01 $81.87 $102.34 $6.34–$76.76 — 20%
Complete blood count (CBC), no differential inpatient CPT 85027 CM HGB Frac Cascade With Reflex a-Thalassemia 121363, $155.06 $193.83 $6.34–$145.37 — 20%
Comprehensive metabolic panel (blood test) CPT 80053 80053 Comprehensive Metabolic Panel_01 $243.34 $304.18 $10.35–$228.14 158% above 20%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 80053 Comprehensive Metabolic Panel_01 $243.34 $304.18 $10.35–$228.14 — 20%
D-dimer blood test (blood clot marker) CPT 85379 85379 Fibrin Dgradj Products D-Dimer Quantitative_01 $316.12 $395.15 $9.98–$296.36 754% above 20%
D-dimer blood test (blood clot marker) inpatient CPT 85379 85379 Fibrin Dgradj Products D-Dimer Quantitative_01 $316.12 $395.15 $9.98–$296.36 — 20%
DHEA sulfate (DHEA-S) blood test CPT 82627 CM FSH+LH+DHEA S+Prog+E2+Estrogen 367058 $23.85 $29.81 $7.45–$50.02 75% below 20%
DHEA sulfate (DHEA-S) blood test CPT 82627 82627 Dehydroepiandrosterone-Sulfate_01 $441.20 $551.50 $21.79–$413.62 355% above 20%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 CM FSH+LH+DHEA S+Prog+E2+Estrogen 367058 $23.85 $29.81 $7.45–$50.02 — 20%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 82627 Dehydroepiandrosterone-Sulfate_01 $441.20 $551.50 $21.79–$413.62 — 20%
Estradiol blood test CPT 82670 CM FSH+LH+DHEA S+Prog+E2+Estrogen 367058. $23.85 $29.81 $7.45–$62.86 76% below 20%
Estradiol blood test CPT 82670 CM HRT Female Post Pellet Thyroid Rx 248645 $71.77 $89.71 $22.43–$67.28 29% below 20%
Estradiol blood test CPT 82670 82670 Assay Of Estradiol_01 $72.60 $90.75 $22.69–$68.06 28% below 20%
Estradiol blood test CPT 82670 82670 Assay Of Estradiol_02 $209.23 $261.54 $27.38–$196.16 107% above 20%
Estradiol blood test inpatient CPT 82670 CM FSH+LH+DHEA S+Prog+E2+Estrogen 367058. $23.85 $29.81 $7.45–$62.86 — 20%
Estradiol blood test inpatient CPT 82670 CM HRT Female Post Pellet Thyroid Rx 248645 $71.77 $89.71 $22.43–$67.28 — 20%
Estradiol blood test inpatient CPT 82670 82670 Assay Of Estradiol_01 $72.60 $90.75 $22.69–$68.06 — 20%
Estradiol blood test inpatient CPT 82670 82670 Assay Of Estradiol_02 $209.23 $261.54 $27.38–$196.16 — 20%
FSH (follicle-stimulating hormone) test CPT 83001 CM FSH+LH+DHEA S+Prog+E2+Estrogen 367058' $23.85 $29.81 $7.45–$41.80 69% below 20%
FSH (follicle-stimulating hormone) test CPT 83001 83001 Gonadotropin Follicle Stimulating Hormone_02 $35.90 $44.87 $11.22–$41.80 53% below 20%
FSH (follicle-stimulating hormone) test CPT 83001 CM HRT Female Post Pellet Thyroid Rx 248645. $71.77 $89.71 $18.21–$67.28 6% below 20%
FSH (follicle-stimulating hormone) test CPT 83001 83001 Gonadotropin Follicle Stimulating Hormone_01 $291.10 $363.88 $18.21–$272.91 283% above 20%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 CM FSH+LH+DHEA S+Prog+E2+Estrogen 367058' $23.85 $29.81 $7.45–$41.80 — 20%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 83001 Gonadotropin Follicle Stimulating Hormone_02 $35.90 $44.87 $11.22–$41.80 — 20%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 CM HRT Female Post Pellet Thyroid Rx 248645. $71.77 $89.71 $18.21–$67.28 — 20%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 83001 Gonadotropin Follicle Stimulating Hormone_01 $291.10 $363.88 $18.21–$272.91 — 20%
Fecal calprotectin (stool inflammation test) CPT 83993 83993 Assay Of Calprotectin Fecal_01 $134.18 $167.73 $19.24–$125.80 25% above 20%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 83993 Assay Of Calprotectin Fecal_01 $134.18 $167.73 $19.24–$125.80 — 20%
Ferritin blood test (iron stores) CPT 82728 CM HGB Frac Cascade With Reflex a-Thalassemia 121363 $155.06 $193.83 $13.36–$145.37 131% above 20%
Ferritin blood test (iron stores) CPT 82728 82728 Assay Of Ferritin_01 $286.55 $358.19 $13.36–$268.64 327% above 20%
Ferritin blood test (iron stores) inpatient CPT 82728 CM HGB Frac Cascade With Reflex a-Thalassemia 121363 $155.06 $193.83 $13.36–$145.37 — 20%
Ferritin blood test (iron stores) inpatient CPT 82728 82728 Assay Of Ferritin_01 $286.55 $358.19 $13.36–$268.64 — 20%
Folate (folic acid) blood test CPT 82746 82746 Assay Of Folic Acid Serum_01 $234.25 $292.81 $14.41–$219.61 282% above 20%
Folate (folic acid) blood test inpatient CPT 82746 82746 Assay Of Folic Acid Serum_01 $234.25 $292.81 $14.41–$219.61 — 20%
Free T3 thyroid hormone test CPT 84481 CM TSH+T4+T3H+T4F+T3F 302315' $53.93 $67.41 $16.60–$50.56 40% below 20%
Free T3 thyroid hormone test CPT 84481 CM HRT Female Post Pellet Thyroid Rx 248645; $71.77 $89.71 $16.60–$67.28 20% below 20%
Free T3 thyroid hormone test CPT 84481 84481 Assay Of Triiodothyronine T3 Free_01 $677.72 $847.15 $16.60–$635.36 660% above 20%
Free T3 thyroid hormone test inpatient CPT 84481 CM TSH+T4+T3H+T4F+T3F 302315' $53.93 $67.41 $16.60–$50.56 — 20%
Free T3 thyroid hormone test inpatient CPT 84481 CM HRT Female Post Pellet Thyroid Rx 248645; $71.77 $89.71 $16.60–$67.28 — 20%
Free T3 thyroid hormone test inpatient CPT 84481 84481 Assay Of Triiodothyronine T3 Free_01 $677.72 $847.15 $16.60–$635.36 — 20%
Free T4 (free thyroxine) thyroid blood test CPT 84439 84439 Assay Of Free Thyroxine_01 $22.02 $27.53 $6.88–$20.65 65% below 20%
Free T4 (free thyroxine) thyroid blood test CPT 84439 84439 Assay Of Free Thyroxine_02 $53.02 $66.28 $8.84–$49.71 16% below 20%
Free T4 (free thyroxine) thyroid blood test CPT 84439 CM TSH+T4+T3H+T4F+T3F 302315. $53.93 $67.41 $8.84–$50.56 15% below 20%
Free T4 (free thyroxine) thyroid blood test CPT 84439 CM HRT Female Post Pellet Thyroid Rx 248645- $71.77 $89.71 $8.84–$67.28 14% above 20%
Free T4 (free thyroxine) thyroid blood test CPT 84439 CM 84439 Assay Of Free Thyroxine_03 $295.65 $369.56 $8.84–$277.17 368% above 20%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 84439 Assay Of Free Thyroxine_01 $22.02 $27.53 $6.88–$20.65 — 20%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 84439 Assay Of Free Thyroxine_02 $53.02 $66.28 $8.84–$49.71 — 20%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 CM TSH+T4+T3H+T4F+T3F 302315. $53.93 $67.41 $8.84–$50.56 — 20%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 CM HRT Female Post Pellet Thyroid Rx 248645- $71.77 $89.71 $8.84–$67.28 — 20%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 CM 84439 Assay Of Free Thyroxine_03 $295.65 $369.56 $8.84–$277.17 — 20%
Free testosterone test CPT 84402 84402 Assay Of Testosterone Free_01 $409.36 $511.70 $24.96–$383.78 344% above 20%
Free testosterone test inpatient CPT 84402 84402 Assay Of Testosterone Free_01 $409.36 $511.70 $24.96–$383.78 — 20%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 82950 Glucose Post Glucose Dose_01 $120.54 $150.67 $4.66–$113.00 466% above 20%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 82950 Glucose Post Glucose Dose_01 $120.54 $150.67 $4.66–$113.00 — 20%
Glucose tolerance test, 3 samples CPT 82951 CM 82951 .GLUCOSE/INSULIN RESP (5 SPEC)_1 $18.88 $23.60 $5.90–$17.70 69% below 20%
Glucose tolerance test, 3 samples CPT 82951 82951 Glucose Tolerance Test Gtt 3 Specimens_01 $186.49 $233.11 $12.61–$174.83 211% above 20%
Glucose tolerance test, 3 samples inpatient CPT 82951 CM 82951 .GLUCOSE/INSULIN RESP (5 SPEC)_1 $18.88 $23.60 $5.90–$17.70 — 20%
Glucose tolerance test, 3 samples inpatient CPT 82951 82951 Glucose Tolerance Test Gtt 3 Specimens_01 $186.49 $233.11 $12.61–$174.83 — 20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 CM 87591 IGP, CtNg, AptimaHPV_2 $25.30 $31.62 $7.90–$48.69 75% below 20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 CM Chlamydia/Gonococcus, Rectal Swab, NAA 188672, $27.60 $34.50 $8.62–$48.69 73% below 20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 CM CG/GC/Myco Profile, NAA, Swab 180093, $34.08 $42.60 $10.65–$48.69 66% below 20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 NUSWAB VG+, HSV_4 $34.26 $42.83 $10.71–$48.69 66% below 20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 CM Pap IG, Ct-Ng 196402. $39.12 $48.90 $12.22–$48.69 61% below 20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 Iadna Neisseria Gonorrhoeae Amplified Probe Tq_03 $42.42 $53.02 $13.26–$48.69 58% below 20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 Iadna Neisseria Gonorrhoeae Amplified Probe Tq_02 $42.42 $53.02 $13.26–$48.69 58% below 20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 CM PAP IG CG/GC/Trich NAA witp HPV 16,18,45 199334. $47.22 $59.02 $14.76–$48.69 53% below 20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 CM G-Pap Test IG,LQ and Chl/Gono/Trich, NAA199328. $81.26 $101.58 $25.40–$76.18 19% below 20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 Iadna Neisseria Gonorrhoeae Amplified Probe Tq_01 $118.26 $147.83 $34.39–$110.87 17% above 20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 CMVaginitisPlus(VG+)WCandida(6Species)NuSwab180068. $137.83 $172.29 $34.39–$129.22 37% above 20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 CM VG+HSV, GC/CHL PCR 180066, $140.84 $176.05 $34.39–$132.04 40% above 20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 Iadna Neisseria Gonorrhoeae Amplified Probe Tq_04 $386.62 $483.28 $34.39–$362.46 283% above 20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 CM 87591 IGP, CtNg, AptimaHPV_2 $25.30 $31.62 $7.90–$48.69 — 20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 CM Chlamydia/Gonococcus, Rectal Swab, NAA 188672, $27.60 $34.50 $8.62–$48.69 — 20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 CM CG/GC/Myco Profile, NAA, Swab 180093, $34.08 $42.60 $10.65–$48.69 — 20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 87591 NUSWAB VG+, HSV_4 $34.26 $42.83 $10.71–$48.69 — 20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 CM Pap IG, Ct-Ng 196402. $39.12 $48.90 $12.22–$48.69 — 20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 87591 Iadna Neisseria Gonorrhoeae Amplified Probe Tq_03 $42.42 $53.02 $13.26–$48.69 — 20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 87591 Iadna Neisseria Gonorrhoeae Amplified Probe Tq_02 $42.42 $53.02 $13.26–$48.69 — 20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 CM PAP IG CG/GC/Trich NAA witp HPV 16,18,45 199334. $47.22 $59.02 $14.76–$48.69 — 20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 CM G-Pap Test IG,LQ and Chl/Gono/Trich, NAA199328. $81.26 $101.58 $25.40–$76.18 — 20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 87591 Iadna Neisseria Gonorrhoeae Amplified Probe Tq_01 $118.26 $147.83 $34.39–$110.87 — 20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 CMVaginitisPlus(VG+)WCandida(6Species)NuSwab180068. $137.83 $172.29 $34.39–$129.22 — 20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 CM VG+HSV, GC/CHL PCR 180066, $140.84 $176.05 $34.39–$132.04 — 20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 87591 Iadna Neisseria Gonorrhoeae Amplified Probe Tq_04 $386.62 $483.28 $34.39–$362.46 — 20%
H. pylori antibody blood test CPT 86677 86677 Antibody Helicobacter Pylori_01 $171.31 $214.14 $16.51–$160.60 226% above 20%
H. pylori antibody blood test inpatient CPT 86677 86677 Antibody Helicobacter Pylori_01 $171.31 $214.14 $16.51–$160.60 — 20%
H. pylori stool antigen test CPT 87338 87338 Iaad Eia Hpylori Stool_01 $636.78 $795.98 $14.09–$596.98 916% above 20%
H. pylori stool antigen test inpatient CPT 87338 87338 Iaad Eia Hpylori Stool_01 $636.78 $795.98 $14.09–$596.98 — 20%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 87536 Iadna Hiv-1 Quant & Reverse Transcription_02 $92.18 $115.23 $28.81–$191.48 61% below 20%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 CM 87536 HIV-1 QUANT PCR W/RFX GENO $97.02 $121.28 $30.32–$191.48 59% below 20%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 87536 Iadna Hiv-1 Quant & Reverse Transcription_01 $428.27 $535.34 $83.40–$401.50 83% above 20%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 CM RNA,PCR(NONGRAPH)RFX/GEN $517.47 $646.84 $83.40–$485.13 121% above 20%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 CM Quant, RNA PCR 551319 $888.29 $1,110.36 $83.40–$832.77 280% above 20%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 CM HIV-1 QUANT PCR W/RFX GENO 550920 $971.78 $1,214.73 $83.40–$911.05 315% above 20%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 87536 Iadna Hiv-1 Quant & Reverse Transcription_02 $92.18 $115.23 $28.81–$191.48 — 20%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 CM 87536 HIV-1 QUANT PCR W/RFX GENO $97.02 $121.28 $30.32–$191.48 — 20%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 87536 Iadna Hiv-1 Quant & Reverse Transcription_01 $428.27 $535.34 $83.40–$401.50 — 20%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 CM RNA,PCR(NONGRAPH)RFX/GEN $517.47 $646.84 $83.40–$485.13 — 20%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 CM Quant, RNA PCR 551319 $888.29 $1,110.36 $83.40–$832.77 — 20%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 CM HIV-1 QUANT PCR W/RFX GENO 550920 $971.78 $1,214.73 $83.40–$911.05 — 20%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 87389 Detection test for HIV-1 and HIV-2_02 $129.63 $162.04 $23.60–$121.53 59% above 20%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 87389 Detection test for HIV-1 and HIV-2_02 $129.63 $162.04 $23.60–$121.53 — 20%
HPV test for high-risk types, one combined (pooled) result CPT 87624 CM PAP IG CG/GC/Trich NAA witp HPV 16,18,45 199334, $47.22 $59.02 $14.76–$63.29 47% below 20%
HPV test for high-risk types, one combined (pooled) result CPT 87624 CM G-Pap Test IG,LQ and Chl/Gono/Trich, NAA199328, $81.26 $101.58 $25.40–$76.18 9% below 20%
HPV test for high-risk types, one combined (pooled) result CPT 87624 87624 Iadna Papillomavirus Human Amplified Probe Tq_01 $523.07 $653.84 $34.39–$490.38 488% above 20%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 CM PAP IG CG/GC/Trich NAA witp HPV 16,18,45 199334, $47.22 $59.02 $14.76–$63.29 — 20%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 CM G-Pap Test IG,LQ and Chl/Gono/Trich, NAA199328, $81.26 $101.58 $25.40–$76.18 — 20%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 87624 Iadna Papillomavirus Human Amplified Probe Tq_01 $523.07 $653.84 $34.39–$490.38 — 20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 83036 Hemoglobin Glycosylated A1C_01 $266.09 $332.61 $9.52–$249.46 546% above 20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 83036 Hemoglobin Glycosylated A1C_01 $266.09 $332.61 $9.52–$249.46 — 20%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 CM CM HEPATITIS PROFILE IV_2 $10.11 $12.64 $3.16–$22.95 77% below 20%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 CM HEPATITIS B VIRUS-PROF VI 3 $10.61 $13.26 $3.32–$22.95 75% below 20%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 CM HBcAb+HBsAb+Ag 037184_ $10.70 $13.37 $3.34–$22.95 75% below 20%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 CM 86706 HBcAb+Hbsab+Ag_2 $75.58 $94.47 $10.53–$70.85 76% above 20%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 86706 Hepatitis B Surf Antibody Hbsab_01 $200.14 $250.17 $10.53–$187.63 365% above 20%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 CM CM HEPATITIS PROFILE IV_2 $10.11 $12.64 $3.16–$22.95 — 20%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 CM HEPATITIS B VIRUS-PROF VI 3 $10.61 $13.26 $3.32–$22.95 — 20%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 CM HBcAb+HBsAb+Ag 037184_ $10.70 $13.37 $3.34–$22.95 — 20%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 CM 86706 HBcAb+Hbsab+Ag_2 $75.58 $94.47 $10.53–$70.85 — 20%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 86706 Hepatitis B Surf Antibody Hbsab_01 $200.14 $250.17 $10.53–$187.63 — 20%
Hepatitis B surface antigen (HBsAg) test CPT 87340 CM HBsAg RFLX HBcIgM, HBcAb, and HBsAb 371086 $8.34 $10.42 $2.60–$23.24 78% below 20%
Hepatitis B surface antigen (HBsAg) test CPT 87340 CM HEPATITIS B VIRUS-PROF VI 4 $10.61 $13.26 $3.32–$23.24 72% below 20%
Hepatitis B surface antigen (HBsAg) test CPT 87340 CM HBcAb+HBsAb+Ag 037184. $10.70 $13.37 $3.34–$23.24 71% below 20%
Hepatitis B surface antigen (HBsAg) test CPT 87340 CM 87340 HBcAb+Hbsab+Ag_3 $75.58 $94.47 $10.12–$70.85 102% above 20%
Hepatitis B surface antigen (HBsAg) test CPT 87340 87340 Iaad Eia Hepatitis B Surface Antigen_01 $218.33 $272.91 $10.12–$204.68 484% above 20%
Hepatitis B surface antigen (HBsAg) test CPT 87340 CM Pre-Biologic Screening Profile 144441; $244.06 $305.08 $10.12–$228.81 553% above 20%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 CM HBsAg RFLX HBcIgM, HBcAb, and HBsAb 371086 $8.34 $10.42 $2.60–$23.24 — 20%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 CM HEPATITIS B VIRUS-PROF VI 4 $10.61 $13.26 $3.32–$23.24 — 20%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 CM HBcAb+HBsAb+Ag 037184. $10.70 $13.37 $3.34–$23.24 — 20%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 CM 87340 HBcAb+Hbsab+Ag_3 $75.58 $94.47 $10.12–$70.85 — 20%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 87340 Iaad Eia Hepatitis B Surface Antigen_01 $218.33 $272.91 $10.12–$204.68 — 20%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 CM Pre-Biologic Screening Profile 144441; $244.06 $305.08 $10.12–$228.81 — 20%
Hepatitis C antibody blood test (screening) CPT 86803 HCV AB W/RFLX $9.06 $11.33 $2.83–$22.72 85% below 20%
Hepatitis C antibody blood test (screening) CPT 86803 CM 86803 HEPATITIS C SCREENING $11.57 $14.46 $3.62–$22.72 81% below 20%
Hepatitis C antibody blood test (screening) CPT 86803 CM HEPCVIRUS(HCV)AB CASCADE TO QUATPCR/GENO 144127 $56.26 $70.32 $13.98–$52.74 6% below 20%
Hepatitis C antibody blood test (screening) CPT 86803 CM Pre-Biologic Screening Profile 144441' $244.06 $305.08 $13.98–$228.81 310% above 20%
Hepatitis C antibody blood test (screening) CPT 86803 86803 Hepatitis C Antibody_01 $247.90 $309.87 $13.98–$232.40 316% above 20%
Hepatitis C antibody blood test (screening) one side CPT 86803 CM HCVAb rfx HCV RT-PCR 140158 $46.49 $58.11 $13.98–$43.58 22% below 20%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCV AB W/RFLX $9.06 $11.33 $2.83–$22.72 — 20%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 CM 86803 HEPATITIS C SCREENING $11.57 $14.46 $3.62–$22.72 — 20%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 CM HEPCVIRUS(HCV)AB CASCADE TO QUATPCR/GENO 144127 $56.26 $70.32 $13.98–$52.74 — 20%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 CM Pre-Biologic Screening Profile 144441' $244.06 $305.08 $13.98–$228.81 — 20%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 86803 Hepatitis C Antibody_01 $247.90 $309.87 $13.98–$232.40 — 20%
Hepatitis C antibody blood test (screening) inpatient one side CPT 86803 CM HCVAb rfx HCV RT-PCR 140158 $46.49 $58.11 $13.98–$43.58 — 20%
Hepatitis C viral load (HCV RNA) test CPT 87522 87522 Iadna Hepatitis C Quant & Reverse Transcription_02 $115.02 $143.78 $35.94–$107.84 13% below 20%
Hepatitis C viral load (HCV RNA) test CPT 87522 CM HCV RNA PCR QN(Graph) $128.49 $160.61 $40.15–$120.46 3% below 20%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA PCR QN(GRAPH) $180.28 $225.35 $41.98–$169.01 36% above 20%
Hepatitis C viral load (HCV RNA) test CPT 87522 CM HCV Quant PCR Graphical 550070 $267.53 $334.41 $41.98–$250.81 102% above 20%
Hepatitis C viral load (HCV RNA) test CPT 87522 87522 Iadna Hepatitis C Quant & Reverse Transcription_01 $320.66 $400.83 $41.98–$300.62 142% above 20%
Hepatitis C viral load (HCV RNA) test CPT 87522 87522 Iadna Hepatitis C Quant & Reverse Transcription_03 $359.75 $449.69 $41.98–$337.27 172% above 20%
Hepatitis C viral load (HCV RNA) test CPT 87522 CM 87522 HCV REALTIME,PCR QUANT 551300 $1,490.66 $1,863.32 $41.98–$1,397.49 1025% above 20%
Hepatitis C viral load (HCV RNA) test one side CPT 87522 CM HCVAb rfx HCV RT-PCR (Nongraphical) 550080 $267.45 $334.31 $41.98–$250.73 102% above 20%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 87522 Iadna Hepatitis C Quant & Reverse Transcription_02 $115.02 $143.78 $35.94–$107.84 — 20%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 CM HCV RNA PCR QN(Graph) $128.49 $160.61 $40.15–$120.46 — 20%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA PCR QN(GRAPH) $180.28 $225.35 $41.98–$169.01 — 20%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 CM HCV Quant PCR Graphical 550070 $267.53 $334.41 $41.98–$250.81 — 20%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 87522 Iadna Hepatitis C Quant & Reverse Transcription_01 $320.66 $400.83 $41.98–$300.62 — 20%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 87522 Iadna Hepatitis C Quant & Reverse Transcription_03 $359.75 $449.69 $41.98–$337.27 — 20%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 CM 87522 HCV REALTIME,PCR QUANT 551300 $1,490.66 $1,863.32 $41.98–$1,397.49 — 20%
Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 CM HCVAb rfx HCV RT-PCR (Nongraphical) 550080 $267.45 $334.31 $41.98–$250.73 — 20%
Herpes blood test, HSV-1 antibody CPT 86695 CM Prenatal Infectious Disease Antibodies, Qualitativ $14.25 $17.81 $4.45–$13.36 64% below 20%
Herpes blood test, HSV-1 antibody CPT 86695 86695 Antibody Herpes Smplx Type 1_03 $28.55 $35.69 $8.92–$26.77 28% below 20%
Herpes blood test, HSV-1 antibody CPT 86695 86695 Antibody Herpes Smplx Type 1_02 $28.55 $35.69 $8.92–$26.77 28% below 20%
Herpes blood test, HSV-1 antibody CPT 86695 CM Herpes Simplex Virus (HSV) Types 1 and 2-Specific $30.00 $37.50 $9.38–$28.12 24% below 20%
Herpes blood test, HSV-1 antibody CPT 86695 86695 Antibody Herpes Smplx Type 1_01 $101.97 $127.46 $12.93–$95.60 157% above 20%
Herpes blood test, HSV-1 antibody CPT 86695 CM HSV 1+2 SPEC AB,IGG W/RFX (1) $116.66 $145.82 $12.93–$109.36 194% above 20%
Herpes blood test, HSV-1 antibody CPT 86695 CM HSV 1 AND 2 IGM ABS,INDIR $123.99 $154.99 $12.93–$116.24 213% above 20%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 CM Prenatal Infectious Disease Antibodies, Qualitativ $14.25 $17.81 $4.45–$13.36 — 20%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 86695 Antibody Herpes Smplx Type 1_03 $28.55 $35.69 $8.92–$26.77 — 20%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 86695 Antibody Herpes Smplx Type 1_02 $28.55 $35.69 $8.92–$26.77 — 20%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 CM Herpes Simplex Virus (HSV) Types 1 and 2-Specific $30.00 $37.50 $9.38–$28.12 — 20%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 86695 Antibody Herpes Smplx Type 1_01 $101.97 $127.46 $12.93–$95.60 — 20%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 CM HSV 1+2 SPEC AB,IGG W/RFX (1) $116.66 $145.82 $12.93–$109.36 — 20%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 CM HSV 1 AND 2 IGM ABS,INDIR $123.99 $154.99 $12.93–$116.24 — 20%
Herpes blood test, HSV-2 antibody CPT 86696 CM Prenatal Infectious Disease Antibodies, Qualitativ. $14.25 $17.81 $4.45–$32.94 76% below 20%
Herpes blood test, HSV-2 antibody CPT 86696 86696 HSV 2 TYPE SPEC,IGG W/RFX $28.55 $35.69 $8.92–$32.94 52% below 20%
Herpes blood test, HSV-2 antibody CPT 86696 CM Herpes Simplex Virus Type 2 (HSV-2), Type-specific $30.00 $37.50 $9.38–$32.94 49% below 20%
Herpes blood test, HSV-2 antibody CPT 86696 CM Herpes Simplex Virus (HSV) Types 1 and 2-Specific. $30.00 $37.50 $9.38–$32.94 49% below 20%
Herpes blood test, HSV-2 antibody CPT 86696 CM HSV 1+2 SPEC AB,IGG W/RFX (2) $116.66 $145.82 $18.96–$109.36 96% above 20%
Herpes blood test, HSV-2 antibody CPT 86696 86696 Antibody Herpes Smplx Type 2_01 $172.94 $216.18 $18.96–$162.14 191% above 20%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 CM Prenatal Infectious Disease Antibodies, Qualitativ. $14.25 $17.81 $4.45–$32.94 — 20%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 86696 HSV 2 TYPE SPEC,IGG W/RFX $28.55 $35.69 $8.92–$32.94 — 20%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 CM Herpes Simplex Virus (HSV) Types 1 and 2-Specific. $30.00 $37.50 $9.38–$32.94 — 20%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 CM Herpes Simplex Virus Type 2 (HSV-2), Type-specific $30.00 $37.50 $9.38–$32.94 — 20%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 CM HSV 1+2 SPEC AB,IGG W/RFX (2) $116.66 $145.82 $18.96–$109.36 — 20%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 86696 Antibody Herpes Smplx Type 2_01 $172.94 $216.18 $18.96–$162.14 — 20%
High-sensitivity CRP (hs-CRP) test CPT 86141 CM Heart Disease and Stroke Risk Profile 500140' $49.62 $62.02 $12.69–$46.52 5% above 20%
High-sensitivity CRP (hs-CRP) test CPT 86141 86141 C-Reactive Protein High Sensitivity_01 $131.90 $164.88 $12.69–$123.66 178% above 20%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CM Heart Disease and Stroke Risk Profile 500140' $49.62 $62.02 $12.69–$46.52 — 20%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 86141 C-Reactive Protein High Sensitivity_01 $131.90 $164.88 $12.69–$123.66 — 20%
Homocysteine blood test CPT 83090 CM 83090 THROMBOTIC RISK PROFILE I_2 $96.36 $120.45 $17.56–$90.34 26% above 20%
Homocysteine blood test CPT 83090 CM 83090 ThrombAssue Enhanced_3 $110.54 $138.18 $17.56–$103.64 44% above 20%
Homocysteine blood test CPT 83090 CM 83090 Venous Thrombosis Profile_2 $119.49 $149.36 $17.56–$112.02 56% above 20%
Homocysteine blood test CPT 83090 83090 Assay Of Homocysteine_02 $127.36 $159.20 $17.56–$119.40 66% above 20%
Homocysteine blood test CPT 83090 83090 Assay Of Homocysteine_01 $209.65 $262.06 $17.56–$196.54 173% above 20%
Homocysteine blood test CPT 83090 CM Thrombotic Risk Assessment 117720. $392.10 $490.12 $17.56–$367.59 411% above 20%
Homocysteine blood test inpatient CPT 83090 CM 83090 THROMBOTIC RISK PROFILE I_2 $96.36 $120.45 $17.56–$90.34 — 20%
Homocysteine blood test inpatient CPT 83090 CM 83090 ThrombAssue Enhanced_3 $110.54 $138.18 $17.56–$103.64 — 20%
Homocysteine blood test inpatient CPT 83090 CM 83090 Venous Thrombosis Profile_2 $119.49 $149.36 $17.56–$112.02 — 20%
Homocysteine blood test inpatient CPT 83090 83090 Assay Of Homocysteine_02 $127.36 $159.20 $17.56–$119.40 — 20%
Homocysteine blood test inpatient CPT 83090 83090 Assay Of Homocysteine_01 $209.65 $262.06 $17.56–$196.54 — 20%
Homocysteine blood test inpatient CPT 83090 CM Thrombotic Risk Assessment 117720. $392.10 $490.12 $17.56–$367.59 — 20%
Insulin blood test CPT 83525 CM 83525 .GLUCOSE/INSULIN RESP (5 SPEC)_8 $6.53 $8.16 $2.04–$25.72 86% below 20%
Insulin blood test CPT 83525 CM 83525 .GLUCOSE/INSULIN RESP (5 SPEC)_5 $6.53 $8.16 $2.04–$25.72 86% below 20%
Insulin blood test CPT 83525 CM 83525 .GLUCOSE/INSULIN RESP (5 SPEC)_4 $6.53 $8.16 $2.04–$25.72 86% below 20%
Insulin blood test CPT 83525 CM 83525 .GLUCOSE/INSULIN RESP (5 SPEC)_6 $6.53 $8.16 $2.04–$25.72 86% below 20%
Insulin blood test CPT 83525 CM 83525 .GLUCOSE/INSULIN RESP (5 SPEC)_7 $6.53 $8.16 $2.04–$25.72 86% below 20%
Insulin blood test CPT 83525 83525 INSULIN (2 SPECIMENS)_1 $8.35 $10.44 $2.61–$25.72 82% below 20%
Insulin blood test CPT 83525 83525 INSULIN (2 SPECIMENS)_2 $8.35 $10.44 $2.61–$25.72 82% below 20%
Insulin blood test CPT 83525 83525 Assay Of Insulin Total_01 $195.58 $244.48 $11.20–$183.36 318% above 20%
Insulin blood test inpatient CPT 83525 CM 83525 .GLUCOSE/INSULIN RESP (5 SPEC)_5 $6.53 $8.16 $2.04–$25.72 — 20%
Insulin blood test inpatient CPT 83525 CM 83525 .GLUCOSE/INSULIN RESP (5 SPEC)_8 $6.53 $8.16 $2.04–$25.72 — 20%
Insulin blood test inpatient CPT 83525 CM 83525 .GLUCOSE/INSULIN RESP (5 SPEC)_4 $6.53 $8.16 $2.04–$25.72 — 20%
Insulin blood test inpatient CPT 83525 CM 83525 .GLUCOSE/INSULIN RESP (5 SPEC)_6 $6.53 $8.16 $2.04–$25.72 — 20%
Insulin blood test inpatient CPT 83525 CM 83525 .GLUCOSE/INSULIN RESP (5 SPEC)_7 $6.53 $8.16 $2.04–$25.72 — 20%
Insulin blood test inpatient CPT 83525 83525 INSULIN (2 SPECIMENS)_2 $8.35 $10.44 $2.61–$25.72 — 20%
Insulin blood test inpatient CPT 83525 83525 INSULIN (2 SPECIMENS)_1 $8.35 $10.44 $2.61–$25.72 — 20%
Insulin blood test inpatient CPT 83525 83525 Assay Of Insulin Total_01 $195.58 $244.48 $11.20–$183.36 — 20%
Iron blood test (serum iron) CPT 83540 83540 Assay Of Iron_02 $12.24 $15.30 $3.82–$11.48 60% below 20%
Iron blood test (serum iron) CPT 83540 83540 Assay Of Iron_01 $70.50 $88.13 $6.34–$66.10 130% above 20%
Iron blood test (serum iron) CPT 83540 CM Iron, 24 Hour Urine 087238 $170.40 $213.00 $6.34–$159.75 457% above 20%
Iron blood test (serum iron) inpatient CPT 83540 83540 Assay Of Iron_02 $12.24 $15.30 $3.82–$11.48 — 20%
Iron blood test (serum iron) inpatient CPT 83540 83540 Assay Of Iron_01 $70.50 $88.13 $6.34–$66.10 — 20%
Iron blood test (serum iron) inpatient CPT 83540 CM Iron, 24 Hour Urine 087238 $170.40 $213.00 $6.34–$159.75 — 20%
Iron-binding capacity (TIBC) test CPT 83550 83550 Iron Binding Capacity_01 $70.50 $88.13 $8.57–$66.10 69% above 20%
Iron-binding capacity (TIBC) test inpatient CPT 83550 83550 Iron Binding Capacity_01 $70.50 $88.13 $8.57–$66.10 — 20%
Kidney function blood test panel CPT 80069 80069 Renal Function Panel_01 $186.49 $233.11 $8.51–$174.83 183% above 20%
Kidney function blood test panel inpatient CPT 80069 80069 Renal Function Panel_01 $186.49 $233.11 $8.51–$174.83 — 20%
LH (luteinizing hormone) test CPT 83002 CM FSH+LH+DHEA S+Prog+E2+Estrogen 367058; $23.85 $29.81 $7.45–$41.67 69% below 20%
LH (luteinizing hormone) test CPT 83002 83002 Gonadotropin Luteinizing Hormone_01 $108.50 $135.62 $18.15–$101.72 41% above 20%
LH (luteinizing hormone) test inpatient CPT 83002 CM FSH+LH+DHEA S+Prog+E2+Estrogen 367058; $23.85 $29.81 $7.45–$41.67 — 20%
LH (luteinizing hormone) test inpatient CPT 83002 83002 Gonadotropin Luteinizing Hormone_01 $108.50 $135.62 $18.15–$101.72 — 20%
Lipase blood test (pancreas enzyme) CPT 83690 83690 Assay Of Lipase_02 $16.31 $20.39 $5.10–$15.29 52% below 20%
Lipase blood test (pancreas enzyme) CPT 83690 83690 Assay Of Lipase_03 $112.58 $140.72 $6.75–$105.54 231% above 20%
Lipase blood test (pancreas enzyme) CPT 83690 83690 Assay Of Lipase_01 $172.84 $216.05 $6.75–$162.04 408% above 20%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 83690 Assay Of Lipase_02 $16.31 $20.39 $5.10–$15.29 — 20%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 83690 Assay Of Lipase_03 $112.58 $140.72 $6.75–$105.54 — 20%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 83690 Assay Of Lipase_01 $172.84 $216.05 $6.75–$162.04 — 20%
Liver function blood test panel CPT 80076 80076 Hepatic Function Panel_01 $195.58 $244.48 $8.01–$183.36 164% above 20%
Liver function blood test panel inpatient CPT 80076 80076 Hepatic Function Panel_01 $195.58 $244.48 $8.01–$183.36 — 20%
Lyme disease antibody test CPT 86618 86618 Antibody Borrelia Burgdorferi Lyme Disease_01 $33.45 $41.81 $10.45–$38.32 27% below 20%
Lyme disease antibody test CPT 86618 86618 Antibody Borrelia Burgdorferi Lyme Disease_03 $137.05 $171.31 $16.69–$128.48 198% above 20%
Lyme disease antibody test CPT 86618 CM 86618 Tick-borne Disease Ab Profile Lyme IgG/IgM_1 $153.17 $191.46 $16.69–$143.60 233% above 20%
Lyme disease antibody test CPT 86618 CM B. burgdorferi IgG Antibody 829531 $153.60 $192.00 $16.69–$144.00 234% above 20%
Lyme disease antibody test CPT 86618 86618 Antibody Borrelia Burgdorferi Lyme Disease_02 $382.07 $477.59 $16.69–$358.19 732% above 20%
Lyme disease antibody test inpatient CPT 86618 86618 Antibody Borrelia Burgdorferi Lyme Disease_01 $33.45 $41.81 $10.45–$38.32 — 20%
Lyme disease antibody test inpatient CPT 86618 86618 Antibody Borrelia Burgdorferi Lyme Disease_03 $137.05 $171.31 $16.69–$128.48 — 20%
Lyme disease antibody test inpatient CPT 86618 CM 86618 Tick-borne Disease Ab Profile Lyme IgG/IgM_1 $153.17 $191.46 $16.69–$143.60 — 20%
Lyme disease antibody test inpatient CPT 86618 CM B. burgdorferi IgG Antibody 829531 $153.60 $192.00 $16.69–$144.00 — 20%
Lyme disease antibody test inpatient CPT 86618 86618 Antibody Borrelia Burgdorferi Lyme Disease_02 $382.07 $477.59 $16.69–$358.19 — 20%
Magnesium blood test CPT 83735 83735 Assay Of Magnesium_02 $17.13 $21.41 $5.35–$16.06 41% below 20%
Magnesium blood test CPT 83735 83735 Assay Of Magnesium_04 $17.94 $22.43 $5.61–$16.82 39% below 20%
Magnesium blood test CPT 83735 83735 Assay Of Magnesium_03 $51.39 $64.24 $6.57–$48.18 76% above 20%
Magnesium blood test CPT 83735 CM 83735 Magnesium, Fecal $71.10 $88.88 $6.57–$66.66 144% above 20%
Magnesium blood test CPT 83735 CM Magnesium, RBC 080283 $81.78 $102.23 $6.57–$76.67 180% above 20%
Magnesium blood test CPT 83735 CM Magnesium, Fecal 820604 $104.54 $130.68 $6.57–$98.01 258% above 20%
Magnesium blood test CPT 83735 83735 Assay Of Magnesium_01 $143.28 $179.10 $6.57–$134.32 391% above 20%
Magnesium blood test inpatient CPT 83735 83735 Assay Of Magnesium_02 $17.13 $21.41 $5.35–$16.06 — 20%
Magnesium blood test inpatient CPT 83735 83735 Assay Of Magnesium_04 $17.94 $22.43 $5.61–$16.82 — 20%
Magnesium blood test inpatient CPT 83735 83735 Assay Of Magnesium_03 $51.39 $64.24 $6.57–$48.18 — 20%
Magnesium blood test inpatient CPT 83735 CM 83735 Magnesium, Fecal $71.10 $88.88 $6.57–$66.66 — 20%
Magnesium blood test inpatient CPT 83735 CM Magnesium, RBC 080283 $81.78 $102.23 $6.57–$76.67 — 20%
Magnesium blood test inpatient CPT 83735 CM Magnesium, Fecal 820604 $104.54 $130.68 $6.57–$98.01 — 20%
Magnesium blood test inpatient CPT 83735 83735 Assay Of Magnesium_01 $143.28 $179.10 $6.57–$134.32 — 20%
Measles (rubeola) antibody test CPT 86765 CM Measles (Rubeola) AB, IgM 160178 $75.79 $94.74 $12.62–$71.06 67% above 20%
Measles (rubeola) antibody test CPT 86765 86765 Antibody Rubeola_01 $295.65 $369.56 $12.62–$277.17 552% above 20%
Measles (rubeola) antibody test inpatient CPT 86765 CM Measles (Rubeola) AB, IgM 160178 $75.79 $94.74 $12.62–$71.06 — 20%
Measles (rubeola) antibody test inpatient CPT 86765 86765 Antibody Rubeola_01 $295.65 $369.56 $12.62–$277.17 — 20%
Mono test (heterophile antibody, Monospot) CPT 86308 CM MONONUCLEOSIS TEST,QUAL $6.53 $8.16 $2.04–$10.76 83% below 20%
Mono test (heterophile antibody, Monospot) CPT 86308 86308 Heterophile Antibodies Screen_01 $109.16 $136.45 $5.08–$102.34 191% above 20%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 CM MONONUCLEOSIS TEST,QUAL $6.53 $8.16 $2.04–$10.76 — 20%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 86308 Heterophile Antibodies Screen_01 $109.16 $136.45 $5.08–$102.34 — 20%
PSA (prostate-specific antigen) blood test, free CPT 84154 84154 Assay Of Prostate Specific Antigen Free_01 $334.31 $417.89 $18.02–$313.42 465% above 20%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 84154 Assay Of Prostate Specific Antigen Free_01 $334.31 $417.89 $18.02–$313.42 — 20%
PSA (prostate-specific antigen) blood test, total CPT 84153 CM PSA, Ultrasens w/o Serial $38.54 $48.18 $12.04–$41.38 41% below 20%
PSA (prostate-specific antigen) blood test, total CPT 84153 84153 Prostate Cancer Screening; Prostate Specific Antigen Test (Psa)_01 $334.31 $417.89 $18.02–$313.42 410% above 20%
PSA (prostate-specific antigen) blood test, total CPT 84153 84153 Assay Of Prostate Specific Antigen Total_03 $334.31 $417.89 $18.02–$313.42 410% above 20%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 CM PSA, Ultrasens w/o Serial $38.54 $48.18 $12.04–$41.38 — 20%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 84153 Prostate Cancer Screening; Prostate Specific Antigen Test (Psa)_01 $334.31 $417.89 $18.02–$313.42 — 20%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 84153 Assay Of Prostate Specific Antigen Total_03 $334.31 $417.89 $18.02–$313.42 — 20%
Pap test (liquid-based, automated screening with review) CPT 88175 CM 88175 IGP, CtNg, AptimaHPV_4 $25.37 $31.71 $7.93–$59.87 61% below 20%
Pap test (liquid-based, automated screening with review) CPT 88175 CM Pap IG, Ct-Ng 196402, $39.12 $48.90 $12.22–$59.87 39% below 20%
Pap test (liquid-based, automated screening with review) CPT 88175 CM PAP IG CG/GC/Trich NAA witp HPV 16,18,45 199334 $47.22 $59.02 $14.76–$59.87 27% below 20%
Pap test (liquid-based, automated screening with review) CPT 88175 CM G-Pap Test IG,LQ and Chl/Gono/Trich, NAA199328/ $81.26 $101.58 $25.40–$76.18 26% above 20%
Pap test (liquid-based, automated screening with review) CPT 88175 88175 Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys_01 $161.47 $201.84 $26.08–$151.38 151% above 20%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 CM 88175 IGP, CtNg, AptimaHPV_4 $25.37 $31.71 $7.93–$59.87 — 20%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 CM Pap IG, Ct-Ng 196402, $39.12 $48.90 $12.22–$59.87 — 20%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 CM PAP IG CG/GC/Trich NAA witp HPV 16,18,45 199334 $47.22 $59.02 $14.76–$59.87 — 20%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 CM G-Pap Test IG,LQ and Chl/Gono/Trich, NAA199328/ $81.26 $101.58 $25.40–$76.18 — 20%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 88175 Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys_01 $161.47 $201.84 $26.08–$151.38 — 20%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CM Gynecologic Pap Test, Liquid-based Prep 192005 $44.16 $55.20 $13.80–$45.58 40% below 20%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 88142 Cytp Cerv/Vag Auto Thin Layer Prep Mnl Screen_01 $47.31 $59.14 $14.78–$45.58 35% below 20%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CM Gynecologic Pap Test, Liquid-based Prep 192005 $44.16 $55.20 $13.80–$45.58 — 20%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 88142 Cytp Cerv/Vag Auto Thin Layer Prep Mnl Screen_01 $47.31 $59.14 $14.78–$45.58 — 20%
Parathyroid hormone (PTH) blood test CPT 83970 83970 Assay Of Parathormone_01 $232.49 $290.61 $40.45–$217.96 72% above 20%
Parathyroid hormone (PTH) blood test CPT 83970 83970 Assay Of Parathormone_02 $579.93 $724.91 $40.45–$543.68 328% above 20%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 83970 Assay Of Parathormone_01 $232.49 $290.61 $40.45–$217.96 — 20%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 83970 Assay Of Parathormone_02 $579.93 $724.91 $40.45–$543.68 — 20%
Partial thromboplastin time (PTT) clotting test CPT 85730 85730 Thromboplastin Time Partial Plasma/Whole Blood_02 $13.86 $17.33 $4.33–$13.52 53% below 20%
Partial thromboplastin time (PTT) clotting test CPT 85730 CM ANTIPHOSPHOLIPID SYNDROME (5) $34.71 $43.39 $5.89–$32.54 17% above 20%
Partial thromboplastin time (PTT) clotting test CPT 85730 CM VONWILLEBRAND FACTOR SCRN (4) $80.30 $100.38 $5.89–$75.28 170% above 20%
Partial thromboplastin time (PTT) clotting test CPT 85730 CM 85730 FACTOR V INHIBITOR PANEL_6 $86.47 $108.09 $5.89–$81.07 190% above 20%
Partial thromboplastin time (PTT) clotting test CPT 85730 CM Factor II Inhibitor Profile, Comprehensive 500500; $87.17 $108.96 $5.89–$81.72 193% above 20%
Partial thromboplastin time (PTT) clotting test CPT 85730 CM 85730 ThrombAssue Enhanced_9 $110.54 $138.18 $5.89–$103.64 271% above 20%
Partial thromboplastin time (PTT) clotting test CPT 85730 ANTIPHOSPHOLIPID 5 $117.47 $146.84 $5.89–$110.13 294% above 20%
Partial thromboplastin time (PTT) clotting test CPT 85730 CM 85730 Venous Thrombosis Profile_10 $119.49 $149.36 $5.89–$112.02 301% above 20%
Partial thromboplastin time (PTT) clotting test CPT 85730 85730 Thromboplastin Time Partial Plasma/Whole Blood_01 $122.81 $153.51 $5.89–$115.13 312% above 20%
Partial thromboplastin time (PTT) clotting test CPT 85730 CM Antiphospholipid Syndrome, Comprehensive 504400' $133.22 $166.53 $5.89–$124.90 347% above 20%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 85730 Thromboplastin Time Partial Plasma/Whole Blood_02 $13.86 $17.33 $4.33–$13.52 — 20%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 CM ANTIPHOSPHOLIPID SYNDROME (5) $34.71 $43.39 $5.89–$32.54 — 20%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 CM VONWILLEBRAND FACTOR SCRN (4) $80.30 $100.38 $5.89–$75.28 — 20%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 CM 85730 FACTOR V INHIBITOR PANEL_6 $86.47 $108.09 $5.89–$81.07 — 20%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 CM Factor II Inhibitor Profile, Comprehensive 500500; $87.17 $108.96 $5.89–$81.72 — 20%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 CM 85730 ThrombAssue Enhanced_9 $110.54 $138.18 $5.89–$103.64 — 20%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 ANTIPHOSPHOLIPID 5 $117.47 $146.84 $5.89–$110.13 — 20%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 CM 85730 Venous Thrombosis Profile_10 $119.49 $149.36 $5.89–$112.02 — 20%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 85730 Thromboplastin Time Partial Plasma/Whole Blood_01 $122.81 $153.51 $5.89–$115.13 — 20%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 CM Antiphospholipid Syndrome, Comprehensive 504400' $133.22 $166.53 $5.89–$124.90 — 20%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 81420 MATERNIT21 PLUS CORE+SCA $1,021.43 $1,276.79 $319.20–$957.59 7% above 20%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 CM MaterniT21 PLUS Core (chr21,18,13,sex) 451927 $1,829.52 $2,286.90 $571.72–$1,715.18 91% above 20%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 CM MaterniT21 PLUS Core + SCA 451934 $1,829.52 $2,286.90 $571.72–$1,715.18 91% above 20%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 81420 MATERNIT21 PLUS CORE+SCA $1,021.43 $1,276.79 $319.20–$957.59 — 20%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 CM MaterniT21 PLUS Core + SCA 451934 $1,829.52 $2,286.90 $571.72–$1,715.18 — 20%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 CM MaterniT21 PLUS Core (chr21,18,13,sex) 451927 $1,829.52 $2,286.90 $571.72–$1,715.18 — 20%
Progesterone blood test CPT 84144 CM FSH+LH+DHEA S+Prog+E2+Estrogen 367058" $23.85 $29.81 $7.45–$46.94 73% below 20%
Progesterone blood test CPT 84144 84144 Assay Of Progesterone_01 $286.55 $358.19 $20.44–$268.64 225% above 20%
Progesterone blood test inpatient CPT 84144 CM FSH+LH+DHEA S+Prog+E2+Estrogen 367058" $23.85 $29.81 $7.45–$46.94 — 20%
Progesterone blood test inpatient CPT 84144 84144 Assay Of Progesterone_01 $286.55 $358.19 $20.44–$268.64 — 20%
Prolactin blood test CPT 84146 CM Macroprolactin 500324 $184.33 $230.41 $18.99–$172.81 158% above 20%
Prolactin blood test CPT 84146 84146 Assay Of Prolactin_01 $361.61 $452.01 $18.99–$339.01 406% above 20%
Prolactin blood test inpatient CPT 84146 CM Macroprolactin 500324 $184.33 $230.41 $18.99–$172.81 — 20%
Prolactin blood test inpatient CPT 84146 84146 Assay Of Prolactin_01 $361.61 $452.01 $18.99–$339.01 — 20%
Prothrombin time (PT/INR) clotting test CPT 85610 CM ANTIPHOSPHOLIPID SYNDROME (2) $34.71 $43.39 $4.20–$32.54 83% above 20%
Prothrombin time (PT/INR) clotting test CPT 85610 CM Prothrombin Time (PT) Mixing Study 117028 $71.30 $89.13 $4.20–$66.85 276% above 20%
Prothrombin time (PT/INR) clotting test CPT 85610 CM 85610 FACTOR V INHIBITOR PANEL_4 $86.47 $108.09 $4.20–$81.07 356% above 20%
Prothrombin time (PT/INR) clotting test CPT 85610 CM Factor II Inhibitor Profile, Comprehensive 500500, $87.17 $108.96 $4.20–$81.72 359% above 20%
Prothrombin time (PT/INR) clotting test CPT 85610 85610 Prothrombin Time_02 $95.52 $119.40 $4.20–$89.55 403% above 20%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 CM ANTIPHOSPHOLIPID SYNDROME (2) $34.71 $43.39 $4.20–$32.54 — 20%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 CM Prothrombin Time (PT) Mixing Study 117028 $71.30 $89.13 $4.20–$66.85 — 20%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 CM 85610 FACTOR V INHIBITOR PANEL_4 $86.47 $108.09 $4.20–$81.07 — 20%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 CM Factor II Inhibitor Profile, Comprehensive 500500, $87.17 $108.96 $4.20–$81.72 — 20%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 85610 Prothrombin Time_02 $95.52 $119.40 $4.20–$89.55 — 20%
Rapid flu test (influenza antigen) CPT 87804 87804 Iaadiadoo Influenza_01 $31.00 $38.75 $9.69–$32.94 24% below 20%
Rapid flu test (influenza antigen) CPT 87804 87804 Iaadiadoo Influenza_rapid $31.00 $38.75 $9.69–$32.94 24% below 20%
Rapid flu test (influenza antigen) inpatient CPT 87804 87804 Iaadiadoo Influenza_rapid $31.00 $38.75 $9.69–$32.94 — 20%
Rapid flu test (influenza antigen) inpatient CPT 87804 87804 Iaadiadoo Influenza_01 $31.00 $38.75 $9.69–$32.94 — 20%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 87880 Iaadiadoo Streptococcus Group A_01 $88.70 $110.87 $8.53–$83.15 123% above 20%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 87880 Iaadiadoo Streptococcus Group A_01 $88.70 $110.87 $8.53–$83.15 — 20%
Rheumatoid factor (RF) test CPT 86431 86431 Rheumatoid Factor Quantitative_01 $6.53 $8.16 $2.04–$11.81 76% below 20%
Rheumatoid factor (RF) test CPT 86431 86431 Rheumatoid Factor Quantitative_02 $32.63 $40.79 $5.56–$30.59 19% above 20%
Rheumatoid factor (RF) test CPT 86431 CM 86431 ANA Neg Reflex_3 $98.55 $123.19 $5.56–$92.39 258% above 20%
Rheumatoid factor (RF) test CPT 86431 CM Rheumatoid Factor, IgA by EIA (RDL) 520101 $201.60 $252.00 $5.56–$189.00 633% above 20%
Rheumatoid factor (RF) test inpatient CPT 86431 86431 Rheumatoid Factor Quantitative_01 $6.53 $8.16 $2.04–$11.81 — 20%
Rheumatoid factor (RF) test inpatient CPT 86431 86431 Rheumatoid Factor Quantitative_02 $32.63 $40.79 $5.56–$30.59 — 20%
Rheumatoid factor (RF) test inpatient CPT 86431 CM 86431 ANA Neg Reflex_3 $98.55 $123.19 $5.56–$92.39 — 20%
Rheumatoid factor (RF) test inpatient CPT 86431 CM Rheumatoid Factor, IgA by EIA (RDL) 520101 $201.60 $252.00 $5.56–$189.00 — 20%
Rubella antibody test (immunity check) CPT 86762 CM Prenatal Infectious Disease Antibodies, Qualitativ, $14.25 $17.81 $4.45–$32.38 66% below 20%
Rubella antibody test (immunity check) CPT 86762 86762 Antibody Rubella_01 $70.50 $88.13 $14.10–$66.10 66% above 20%
Rubella antibody test (immunity check) CPT 86762 86762 Antibody Rubella_02 $295.65 $369.56 $14.10–$277.17 596% above 20%
Rubella antibody test (immunity check) inpatient CPT 86762 CM Prenatal Infectious Disease Antibodies, Qualitativ, $14.25 $17.81 $4.45–$32.38 — 20%
Rubella antibody test (immunity check) inpatient CPT 86762 86762 Antibody Rubella_01 $70.50 $88.13 $14.10–$66.10 — 20%
Rubella antibody test (immunity check) inpatient CPT 86762 86762 Antibody Rubella_02 $295.65 $369.56 $14.10–$277.17 — 20%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 85652 Sedimentation Rate Rbc Automated_01 $86.42 $108.03 $2.65–$81.02 249% above 20%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 85652 Sedimentation Rate Rbc Automated_01 $86.42 $108.03 $2.65–$81.02 — 20%
Stool ova and parasites exam CPT 87177 87177 .OVA+PARASITES EXAM $19.28 $24.10 $6.02–$20.02 50% below 20%
Stool ova and parasites exam CPT 87177 CM Ova/Parasites Exam, Urine 008629 $31.75 $39.69 $8.72–$29.77 18% below 20%
Stool ova and parasites exam CPT 87177 CM 87177 O + P + stool culture Comprehen_3 $66.23 $82.79 $8.72–$62.09 71% above 20%
Stool ova and parasites exam CPT 87177 87177 Ova&Parasites Direct Smears Concentration & Id_02 $770.97 $963.71 $8.72–$722.78 1889% above 20%
Stool ova and parasites exam inpatient CPT 87177 87177 .OVA+PARASITES EXAM $19.28 $24.10 $6.02–$20.02 — 20%
Stool ova and parasites exam inpatient CPT 87177 CM Ova/Parasites Exam, Urine 008629 $31.75 $39.69 $8.72–$29.77 — 20%
Stool ova and parasites exam inpatient CPT 87177 CM 87177 O + P + stool culture Comprehen_3 $66.23 $82.79 $8.72–$62.09 — 20%
Stool ova and parasites exam inpatient CPT 87177 87177 Ova&Parasites Direct Smears Concentration & Id_02 $770.97 $963.71 $8.72–$722.78 — 20%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 82274 Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3_01 $95.52 $119.40 $7.72–$89.55 112% above 20%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 82274 Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3_01 $95.52 $119.40 $7.72–$89.55 — 20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 86592 Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) $13.65 $17.06 $4.18–$12.80 26% below 20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 86592 Syphilis Test Non-Treponemal Antibody Qual_01 $100.06 $125.08 $4.18–$93.81 443% above 20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 86592 Syphilis Test Non-Treponemal Antibody Qual_02 $122.81 $153.51 $4.18–$115.13 566% above 20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 86592 Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) $13.65 $17.06 $4.18–$12.80 — 20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 86592 Syphilis Test Non-Treponemal Antibody Qual_01 $100.06 $125.08 $4.18–$93.81 — 20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 86592 Syphilis Test Non-Treponemal Antibody Qual_02 $122.81 $153.51 $4.18–$115.13 — 20%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 86480 Tb Cell Mediated Antign Respnse Gamma Interferon_01 $62.82 $78.52 $19.63–$113.62 58% below 20%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 CM QUANTIFERON IN TUBE $66.90 $83.62 $20.90–$113.62 55% below 20%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 86480 Quantiferon TB Gold Plus $179.66 $224.58 $56.14–$168.44 20% above 20%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 CM Pre-Biologic Screening Profile 144441. $244.06 $305.08 $60.74–$228.81 63% above 20%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 86480 Tb Cell Mediated Antign Respnse Gamma Interferon_01 $62.82 $78.52 $19.63–$113.62 — 20%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 CM QUANTIFERON IN TUBE $66.90 $83.62 $20.90–$113.62 — 20%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 86480 Quantiferon TB Gold Plus $179.66 $224.58 $56.14–$168.44 — 20%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 CM Pre-Biologic Screening Profile 144441. $244.06 $305.08 $60.74–$228.81 — 20%
Testosterone blood test, total (not free testosterone) CPT 84403 84403 Assay Of Testosterone Total_05 $48.13 $60.16 $15.04–$58.07 45% below 20%
Testosterone blood test, total (not free testosterone) CPT 84403 CM HRT Female Post Pellet Thyroid Rx 248645, $71.77 $89.71 $22.43–$67.28 17% below 20%
Testosterone blood test, total (not free testosterone) CPT 84403 84403 Assay Of Testosterone Total_04 $809.63 $1,012.04 $25.29–$759.03 832% above 20%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 84403 Assay Of Testosterone Total_05 $48.13 $60.16 $15.04–$58.07 — 20%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 CM HRT Female Post Pellet Thyroid Rx 248645, $71.77 $89.71 $22.43–$67.28 — 20%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 84403 Assay Of Testosterone Total_04 $809.63 $1,012.04 $25.29–$759.03 — 20%
Thyroid peroxidase (TPO) antibody test CPT 86376 CM HRT Female Post Pellet Thyroid Rx 248645' $71.77 $89.71 $14.26–$67.28 43% above 20%
Thyroid peroxidase (TPO) antibody test CPT 86376 CM 86376 Thyroid Antibodies_1 $93.86 $117.33 $14.26–$88.00 87% above 20%
Thyroid peroxidase (TPO) antibody test CPT 86376 86376 Microsomal Antibodies Each_03 $104.62 $130.77 $14.26–$98.08 108% above 20%
Thyroid peroxidase (TPO) antibody test CPT 86376 86376 Microsomal Antibodies Each_02 $109.16 $136.45 $14.26–$102.34 117% above 20%
Thyroid peroxidase (TPO) antibody test CPT 86376 CM Anti-TPO Ab (RDL) 520018 $166.32 $207.90 $14.26–$155.92 231% above 20%
Thyroid peroxidase (TPO) antibody test CPT 86376 CM Liver Cytosol Type 1 Abs 831680 $178.20 $222.75 $14.26–$167.06 254% above 20%
Thyroid peroxidase (TPO) antibody test CPT 86376 86376 Microsomal Antibodies Each_01 $286.55 $358.19 $14.26–$268.64 470% above 20%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 CM HRT Female Post Pellet Thyroid Rx 248645' $71.77 $89.71 $14.26–$67.28 — 20%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 CM 86376 Thyroid Antibodies_1 $93.86 $117.33 $14.26–$88.00 — 20%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 86376 Microsomal Antibodies Each_03 $104.62 $130.77 $14.26–$98.08 — 20%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 86376 Microsomal Antibodies Each_02 $109.16 $136.45 $14.26–$102.34 — 20%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 CM Anti-TPO Ab (RDL) 520018 $166.32 $207.90 $14.26–$155.92 — 20%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 CM Liver Cytosol Type 1 Abs 831680 $178.20 $222.75 $14.26–$167.06 — 20%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 86376 Microsomal Antibodies Each_01 $286.55 $358.19 $14.26–$268.64 — 20%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 CM .TSH PANEL $17.94 $22.43 $5.61–$20.45 77% below 20%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 CM HRT Female Post Pellet Thyroid Rx 248645/ $71.77 $89.71 $16.46–$67.28 9% below 20%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 84443 Assay Of Thyroid Stimulating Hormone Tsh_02 $295.65 $369.56 $16.46–$277.17 275% above 20%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 CM .TSH PANEL $17.94 $22.43 $5.61–$20.45 — 20%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 CM HRT Female Post Pellet Thyroid Rx 248645/ $71.77 $89.71 $16.46–$67.28 — 20%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 84443 Assay Of Thyroid Stimulating Hormone Tsh_02 $295.65 $369.56 $16.46–$277.17 — 20%
Trichomonas test (NAAT) CPT 87661 87661 NUSWAB VG+, HSV_5 $34.26 $42.83 $10.71–$48.69 53% below 20%
Trichomonas test (NAAT) CPT 87661 CM PAP IG CG/GC/Trich NAA witp HPV 16,18,45 199334/ $47.22 $59.02 $14.76–$48.69 36% below 20%
Trichomonas test (NAAT) CPT 87661 CM G-Pap Test IG,LQ and Chl/Gono/Trich, NAA199328- $81.26 $101.58 $25.40–$76.18 11% above 20%
Trichomonas test (NAAT) CPT 87661 CMVaginitisPlus(VG+)WCandida(6Species)NuSwab180068, $137.83 $172.29 $34.39–$129.22 88% above 20%
Trichomonas test (NAAT) CPT 87661 CM VG+HSV, GC/CHL PCR 180066/ $140.84 $176.05 $34.39–$132.04 92% above 20%
Trichomonas test (NAAT) CPT 87661 CM 87661 NuSwab VG, HSV 3 $146.33 $182.91 $34.39–$137.18 99% above 20%
Trichomonas test (NAAT) CPT 87661 CM Vaginitis (VG) W Candida (6 Spec), NuSwab 180042 $181.92 $227.40 $34.39–$170.55 148% above 20%
Trichomonas test (NAAT) CPT 87661 87661 Iadna Trichomonas Vaginalis Amplified Probe Tech_01 $386.62 $483.28 $34.39–$362.46 427% above 20%
Trichomonas test (NAAT) inpatient CPT 87661 87661 NUSWAB VG+, HSV_5 $34.26 $42.83 $10.71–$48.69 — 20%
Trichomonas test (NAAT) inpatient CPT 87661 CM PAP IG CG/GC/Trich NAA witp HPV 16,18,45 199334/ $47.22 $59.02 $14.76–$48.69 — 20%
Trichomonas test (NAAT) inpatient CPT 87661 CM G-Pap Test IG,LQ and Chl/Gono/Trich, NAA199328- $81.26 $101.58 $25.40–$76.18 — 20%
Trichomonas test (NAAT) inpatient CPT 87661 CMVaginitisPlus(VG+)WCandida(6Species)NuSwab180068, $137.83 $172.29 $34.39–$129.22 — 20%
Trichomonas test (NAAT) inpatient CPT 87661 CM VG+HSV, GC/CHL PCR 180066/ $140.84 $176.05 $34.39–$132.04 — 20%
Trichomonas test (NAAT) inpatient CPT 87661 CM 87661 NuSwab VG, HSV 3 $146.33 $182.91 $34.39–$137.18 — 20%
Trichomonas test (NAAT) inpatient CPT 87661 CM Vaginitis (VG) W Candida (6 Spec), NuSwab 180042 $181.92 $227.40 $34.39–$170.55 — 20%
Trichomonas test (NAAT) inpatient CPT 87661 87661 Iadna Trichomonas Vaginalis Amplified Probe Tech_01 $386.62 $483.28 $34.39–$362.46 — 20%
Uric acid blood test CPT 84550 84550 Assay Of Blood/Uric Acid_01 $143.28 $179.10 $4.43–$134.32 509% above 20%
Uric acid blood test inpatient CPT 84550 84550 Assay Of Blood/Uric Acid_01 $143.28 $179.10 $4.43–$134.32 — 20%
Urinalysis with microscope exam, automated CPT 81001 81001 Urnls Dip Stick/Tablet Reagent Auto Microscopy $13.06 $16.32 $3.11–$12.24 56% below 20%
Urinalysis with microscope exam, automated inpatient CPT 81001 81001 Urnls Dip Stick/Tablet Reagent Auto Microscopy $13.06 $16.32 $3.11–$12.24 — 20%
Urinalysis without microscope exam, automated CPT 81003 81003 Urnls Dip Stick/Tablet Rgnt Auto W/O Microscopy_01 $5.74 $7.18 $1.80–$5.38 66% below 20%
Urinalysis without microscope exam, automated CPT 81003 CM Specific Gravity, Urine 131888 $8.06 $10.07 $2.20–$7.55 53% below 20%
Urinalysis without microscope exam, automated CPT 81003 81003 Urnls Dip Stick/Tablet Rgnt Auto W/O Microscopy_02 $68.22 $85.28 $2.20–$63.96 301% above 20%
Urinalysis without microscope exam, automated inpatient CPT 81003 81003 Urnls Dip Stick/Tablet Rgnt Auto W/O Microscopy_01 $5.74 $7.18 $1.80–$5.38 — 20%
Urinalysis without microscope exam, automated inpatient CPT 81003 CM Specific Gravity, Urine 131888 $8.06 $10.07 $2.20–$7.55 — 20%
Urinalysis without microscope exam, automated inpatient CPT 81003 81003 Urnls Dip Stick/Tablet Rgnt Auto W/O Microscopy_02 $68.22 $85.28 $2.20–$63.96 — 20%
Urinalysis without microscope exam, manual CPT 81002 81002 Urnls Dip Stick/Tablet Rgnt Non-Auto W/O Micrscp_01 $18.46 $23.07 $3.41–$17.30 57% above 20%
Urinalysis without microscope exam, manual inpatient CPT 81002 81002 Urnls Dip Stick/Tablet Rgnt Non-Auto W/O Micrscp_01 $18.46 $23.07 $3.41–$17.30 — 20%
Urine culture for bacteria, with colony count CPT 87086 87086 Culture Bacterial Quanttative Colony Count Urine_01 $188.76 $235.95 $7.91–$176.96 346% above 20%
Urine culture for bacteria, with colony count inpatient CPT 87086 87086 Culture Bacterial Quanttative Colony Count Urine_01 $188.76 $235.95 $7.91–$176.96 — 20%
Urine pregnancy test, read by color change CPT 81025 81025 Urine Pregnancy Test Visual Color Cmprsn Meths_01 $131.90 $164.88 $4.54–$123.66 325% above 20%
Urine pregnancy test, read by color change inpatient CPT 81025 81025 Urine Pregnancy Test Visual Color Cmprsn Meths_01 $131.90 $164.88 $4.54–$123.66 — 20%
Vitamin B12 (cobalamin) blood test CPT 82607 82607 Cyanocobalamin Vitamin B-12_01 $229.70 $287.12 $14.78–$215.34 257% above 20%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 82607 Cyanocobalamin Vitamin B-12_01 $229.70 $287.12 $14.78–$215.34 — 20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 82306 25 Hydroxy Includes Fractions If Performed_02 $115.98 $144.98 $29.01–$108.74 30% above 20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 82306 25 Hydroxy Includes Fractions If Performed_01 $218.33 $272.91 $29.01–$204.68 145% above 20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 82306 25 Hydroxy Includes Fractions If Performed_02 $115.98 $144.98 $29.01–$108.74 — 20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 82306 25 Hydroxy Includes Fractions If Performed_01 $218.33 $272.91 $29.01–$204.68 — 20%
Zinc blood test CPT 84630 ZINC, RBC $11.70 $14.63 $3.66–$17.96 66% below 20%
Zinc blood test CPT 84630 84630 Assay Of Zinc_02 $26.10 $32.63 $8.16–$24.47 25% below 20%
Zinc blood test CPT 84630 84630 Assay Of Zinc_01 $156.92 $196.15 $11.16–$147.11 354% above 20%
Zinc blood test inpatient CPT 84630 ZINC, RBC $11.70 $14.63 $3.66–$17.96 — 20%
Zinc blood test inpatient CPT 84630 84630 Assay Of Zinc_02 $26.10 $32.63 $8.16–$24.47 — 20%
Zinc blood test inpatient CPT 84630 84630 Assay Of Zinc_01 $156.92 $196.15 $11.16–$147.11 — 20%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 84702 Gonadotropin, chorionic (hCG); quantitative $33.45 $41.81 $10.45–$31.36 45% below 20%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 84702 Gonadotropin Chorionic Quantitative_02 $113.71 $142.14 $14.75–$106.60 86% above 20%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 84702 Gonadotropin Chorionic Quantitative_01 $295.65 $369.56 $14.75–$277.17 384% above 20%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 84702 Gonadotropin, chorionic (hCG); quantitative $33.45 $41.81 $10.45–$31.36 — 20%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 84702 Gonadotropin Chorionic Quantitative_02 $113.71 $142.14 $14.75–$106.60 — 20%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 84702 Gonadotropin Chorionic Quantitative_01 $295.65 $369.56 $14.75–$277.17 — 20%

Surgery and procedures

ProcedureCash price List priceInsurers payvs New YorkOff list
Cardioversion, elective (restoring heart rhythm) CPT 92960 CM 92960 CARDIOVERSION, ELECTIVE, EXTERNAL $253.45 $316.81 $79.20–$237.61 74% below 20%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CM 92960 CARDIOVERSION, ELECTIVE, EXTERNAL $253.45 $316.81 $79.20–$237.61 — 20%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVAL OF CERUMEN - IRRIGATION $46.80 $58.50 $14.62–$584.34 54% below 20%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REMOVAL OF CERUMEN - IRRIGATION $46.80 $58.50 $14.62–$584.34 — 20%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 CM Biopsy of uterus lining $466.08 $582.60 $91.66–$436.95 7% above 20%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 CM Biopsy of uterus lining $466.08 $582.60 $91.66–$436.95 — 20%
Gallbladder removal, laparoscopic CPT 47562 CM 47562 LAPA CHOLECYSTECTOMY $842.56 $1,053.20 $263.30–$789.90 59% below 20%
Gallbladder removal, laparoscopic inpatient CPT 47562 CM 47562 LAPA CHOLECYSTECTOMY $842.56 $1,053.20 $263.30–$789.90 — 20%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 CM Catherization w/ saline for SIS or hystero $423.46 $529.33 $132.33–$397.00 65% above 20%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 CM Catherization w/ saline for SIS or hystero $423.46 $529.33 $132.33–$397.00 — 20%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 CM 49505 REPAIR HERNIA INGUINAL 5YRS, RE $584.75 $730.94 $182.74–$548.20 85% below 20%
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 CM 49505 REPAIR HERNIA INGUINAL 5YRS, RE $584.75 $730.94 $182.74–$548.20 — 20%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 CM Arthogram, finger or toe w/o sono $1,851.33 $2,314.16 $52.65–$1,735.62 430% above 20%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 CM Arthogram, finger or toe w/o sono $1,851.33 $2,314.16 $52.65–$1,735.62 — 20%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 CM 44970 LAPAROSCOPY, SURG, APPENDECTOMY $674.66 $843.33 $210.83–$632.50 81% below 20%
Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 CM 44970 LAPAROSCOPY, SURG, APPENDECTOMY $674.66 $843.33 $210.83–$632.50 — 20%
Paracentesis with imaging guidance CPT 49083 CM 49083 PARACENTESIS W/IMAGING GUIDANCE $1,789.23 $2,236.54 $266.12–$1,677.40 44% above 20%
Paracentesis with imaging guidance inpatient CPT 49083 CM 49083 PARACENTESIS W/IMAGING GUIDANCE $1,789.23 $2,236.54 $266.12–$1,677.40 — 20%
Prostate biopsy CPT 55700 CM 55700 BIOPSY OF PROSTATE $969.02 $1,211.28 $218.94–$823.67 58% below 20%
Prostate biopsy inpatient CPT 55700 CM 55700 BIOPSY OF PROSTATE $969.02 $1,211.28 $218.94–$823.67 — 20%
Spinal tap (lumbar puncture), diagnostic CPT 62270 CM OP TX-LUMBAR PUNCTURE $87.80 $109.75 $27.44–$107.56 91% below 20%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 CM OP TX-LUMBAR PUNCTURE $87.80 $109.75 $27.44–$107.56 — 20%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 CM Biopsy ,breast,place & specimen imaging w Sono 1st $350.35 $437.94 $109.48–$429.18 87% below 20%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 CM Biopsy ,breast,place & specimen imaging w Sono 1st $350.35 $437.94 $109.48–$429.18 — 20%

Doctor visits and therapy

ProcedureCash price List priceInsurers payvs New YorkOff list
Blood transfusion (giving blood or blood components) CPT 36430 36430 Transfusion Blood/Blood Components_01 $2,768.00 $3,460.00 $43.91–$2,595.00 279% above 20%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 36430 Transfusion Blood/Blood Components_01 $2,768.00 $3,460.00 $43.91–$2,595.00 — 20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640 Pressurized/Nonpressurized Inhalation Treatment_02 $28.84 $36.05 $8.01–$27.04 87% below 20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640 Pressurized/Nonpressurized Inhalation Treatment_01 $28.84 $36.05 $8.01–$27.04 87% below 20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640 Pressurized/Nonpressurized Inhalation Treatment_15 $28.84 $36.05 $8.01–$27.04 87% below 20%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 94640 Pressurized/Nonpressurized Inhalation Treatment_15 $28.84 $36.05 $8.01–$27.04 — 20%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 94640 Pressurized/Nonpressurized Inhalation Treatment_01 $28.84 $36.05 $8.01–$27.04 — 20%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 94640 Pressurized/Nonpressurized Inhalation Treatment_02 $28.84 $36.05 $8.01–$27.04 — 20%
Critical care, first 30 to 74 minutes CPT 99291 99291 Critical Care Ill/Injured Patient Init 30-74 Min_01 $249.53 $311.91 $77.98–$584.34 84% below 20%
Critical care, first 30 to 74 minutes inpatient CPT 99291 99291 Critical Care Ill/Injured Patient Init 30-74 Min_01 $249.53 $311.91 $77.98–$584.34 — 20%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 CM 93000 ELECTROCARDIOGRAM COMPLETE $30.98 $38.73 $9.68–$29.05 38% below 20%
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 CM 93000 ELECTROCARDIOGRAM COMPLETE $30.98 $38.73 $9.68–$29.05 — 20%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 CM 93005 ELECTROCARDIOGRAM,WOUT INTERPRETATION AND REPORT $22.46 $28.08 $6.45–$21.06 84% below 20%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 93005 Ecg Routine Ecg W/Least 12 Lds Trcg Only W/O I&R_01 $139.26 $174.07 $6.45–$130.55 3% below 20%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 CM 93005 ELECTROCARDIOGRAM,WOUT INTERPRETATION AND REPORT $22.46 $28.08 $6.45–$21.06 — 20%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 93005 Ecg Routine Ecg W/Least 12 Lds Trcg Only W/O I&R_01 $139.26 $174.07 $6.45–$130.55 — 20%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 99281 Emergency Department Visit Limited/Minor Prob_01 $89.94 $112.42 $10.43–$584.34 38% below 20%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 99281 Emergency Department Visit Limited/Minor Prob_01 $89.94 $112.42 $10.43–$584.34 — 20%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 99282 Emergency Department Visit Low/Moder Severity_01 $278.86 $348.58 $38.26–$584.34 11% below 20%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 99282 Emergency Department Visit Low/Moder Severity_01 $278.86 $348.58 $38.26–$584.34 — 20%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 99283 Emergency Department Visit Moderate Severity_01 $433.42 $541.78 $65.68–$584.34 5% below 20%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 99283 Emergency Department Visit Moderate Severity_01 $433.42 $541.78 $65.68–$584.34 — 20%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284 Emergency Department Visit High/Urgent Severity_01 $606.46 $758.08 $111.74–$584.34 9% below 20%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 99284 Emergency Department Visit High/Urgent Severity_01 $606.46 $758.08 $111.74–$584.34 — 20%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 99285 Emergency Dept Visit High Severity&Threat Funcj_01 $779.50 $974.38 $162.19–$584.34 9% below 20%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 99285 Emergency Dept Visit High Severity&Threat Funcj_01 $779.50 $974.38 $162.19–$584.34 — 20%
Exercise stress test, tracing only, the hospital charge CPT 93017 93017 SESTIMIBI STRESS $298.21 $372.76 $36.22–$279.57 48% below 20%
Exercise stress test, tracing only, the hospital charge CPT 93017 CM HBC CARDIAC STRESS TEST $317.87 $397.34 $36.22–$298.00 45% below 20%
Exercise stress test, tracing only, the hospital charge CPT 93017 93017 CARDIAC STRESS TEST $318.06 $397.58 $36.22–$298.18 45% below 20%
Exercise stress test, tracing only, the hospital charge CPT 93017 93017 LEXISCAN NUCLEAR STRESS $318.06 $397.58 $36.22–$298.18 45% below 20%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 93017 SESTIMIBI STRESS $298.21 $372.76 $36.22–$279.57 — 20%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CM HBC CARDIAC STRESS TEST $317.87 $397.34 $36.22–$298.00 — 20%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 93017 LEXISCAN NUCLEAR STRESS $318.06 $397.58 $36.22–$298.18 — 20%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 93017 CARDIAC STRESS TEST $318.06 $397.58 $36.22–$298.18 — 20%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 Iv Infusion Hydration Initial 31 Min-1 Hour_02 $66.66 $83.33 $20.83–$62.50 81% below 20%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 Iv Infusion Hydration Initial 31 Min-1 Hour_01 $84.15 $105.19 $26.30–$78.89 76% below 20%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360 Iv Infusion Hydration Initial 31 Min-1 Hour_02 $66.66 $83.33 $20.83–$62.50 — 20%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360 Iv Infusion Hydration Initial 31 Min-1 Hour_01 $84.15 $105.19 $26.30–$78.89 — 20%
IV infusion of a medicine, first hour CPT 96365 96365 Iv Infusion Therapy/Prophylaxis /Dx 1St To 1 Hr_02 $118.63 $148.29 $37.07–$111.22 68% below 20%
IV infusion of a medicine, first hour CPT 96365 96365 Iv Infusion Therapy/Prophylaxis /Dx 1St To 1 Hr_01 $186.22 $232.78 $58.20–$174.58 50% below 20%
IV infusion of a medicine, first hour inpatient CPT 96365 96365 Iv Infusion Therapy/Prophylaxis /Dx 1St To 1 Hr_02 $118.63 $148.29 $37.07–$111.22 — 20%
IV infusion of a medicine, first hour inpatient CPT 96365 96365 Iv Infusion Therapy/Prophylaxis /Dx 1St To 1 Hr_01 $186.22 $232.78 $58.20–$174.58 — 20%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 Therapeutic Prophylactic/Dx Injection Subq/Im_02 $44.82 $56.03 $14.01–$42.02 47% below 20%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 Therapeutic Prophylactic/Dx Injection Subq/Im_01 $56.86 $71.07 $14.50–$53.30 32% below 20%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 Therapeutic Prophylactic/Dx Injection Subq/Im_02 $44.82 $56.03 $14.01–$42.02 — 20%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 Therapeutic Prophylactic/Dx Injection Subq/Im_01 $56.86 $71.07 $14.50–$53.30 — 20%
New patient office visit, about 30 minutes CPT 99203 CM 99203 OFFICE/OUTPATIENT NEW LOW MDM 30-44 MINUTES $165.91 $207.39 $51.85–$155.54 16% below 20%
New patient office visit, about 30 minutes inpatient CPT 99203 CM 99203 OFFICE/OUTPATIENT NEW LOW MDM 30-44 MINUTES $165.91 $207.39 $51.85–$155.54 — 20%
New patient office visit, about 45 minutes CPT 99204 CM 99204 OFFICE/OUTPATIENT NEW MODERATE MDM 45-59 MINUTES $248.06 $310.07 $77.52–$232.55 14% below 20%
New patient office visit, about 45 minutes inpatient CPT 99204 CM 99204 OFFICE/OUTPATIENT NEW MODERATE MDM 45-59 MINUTES $248.06 $310.07 $77.52–$232.55 — 20%
New patient office visit, about 60 minutes CPT 99205 CM 99205 OFFICE/OUTPATIENT NEW HIGH MDM 60-74 MINUTES $327.75 $409.69 $102.42–$307.27 17% above 20%
New patient office visit, about 60 minutes inpatient CPT 99205 CM 99205 OFFICE/OUTPATIENT NEW HIGH MDM 60-74 MINUTES $327.75 $409.69 $102.42–$307.27 — 20%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 CM 99202 OFFICE O/P NEW SF 15-29 MIN $108.17 $135.21 $33.80–$101.41 31% below 20%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 CM 99202 OFFICE O/P NEW SF 15-29 MIN $108.17 $135.21 $33.80–$101.41 — 20%
Psychotherapy for crisis, first 60 minutes CPT 90839 CM 90839 Psychotherapy Crisis Services and Procedure $200.00 $250.00 $62.50–$187.50 16% below 20%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 CM 90839 Psychotherapy Crisis Services and Procedure $200.00 $250.00 $62.50–$187.50 — 20%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 CM 99215 OFFICE/OUTPATIENT ESTABLISHED HIGH MDM 40-54 On Campus-Outpatient Hospital $285.04 $356.30 $89.08–$267.22 21% above 20%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 CM 99215 OFFICE/OUTPATIENT ESTABLISHED HIGH MDM 40-54 On Campus-Outpatient Hospital $285.04 $356.30 $89.08–$267.22 — 20%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 CM 99213 OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20-29 MOn Campus-Outpatient Hospital $93.53 $116.91 $29.23–$90.02 45% below 20%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 CM 99213 OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20-29 MOn Campus-Outpatient Hospital $93.53 $116.91 $29.23–$90.02 — 20%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 CM 99214 OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30-39 MOn Campus-Outpatient Hospital $201.98 $252.48 $63.12–$189.36 5% above 20%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 CM 99214 OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30-39 MOn Campus-Outpatient Hospital $201.98 $252.48 $63.12–$189.36 — 20%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 CM 99212 OFFICE/OUTPATIENT ESTABLISHED SF MDM 10-19 MIOn Campus-Outpatient Hospital $69.13 $86.41 $21.60–$64.81 46% below 20%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 CM OUTPT-FACILITY CHG $184.46 $230.58 $56.01–$172.94 43% above 20%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 CM 99212 OFFICE/OUTPATIENT ESTABLISHED SF MDM 10-19 MIOn Campus-Outpatient Hospital $69.13 $86.41 $21.60–$64.81 — 20%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 CM OUTPT-FACILITY CHG $184.46 $230.58 $56.01–$172.94 — 20%
Speech and language evaluation CPT 92523 CM 92523 SPEECH SOUND LANG COMPREHEN $538.99 $673.74 $168.44–$505.30 37% above 20%
Speech and language evaluation inpatient CPT 92523 CM 92523 SPEECH SOUND LANG COMPREHEN $538.99 $673.74 $168.44–$505.30 — 20%
Speech therapy session, individual CPT 92507 CM 92507 TX SPEECH/LANG/VOICE AUDIO TX IND $180.91 $226.14 $56.54–$169.60 at median 20%
Speech therapy session, individual inpatient CPT 92507 CM 92507 TX SPEECH/LANG/VOICE AUDIO TX IND $180.91 $226.14 $56.54–$169.60 — 20%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 99195 Phlebotomy Therapeutic Separate Procedure_01 $87.67 $109.59 $27.40–$91.02 59% below 20%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 99195 Phlebotomy Therapeutic Separate Procedure_01 $87.67 $109.59 $27.40–$91.02 — 20%
Treadmill or drug stress test with ECG, supervision and report CPT 93015 CM 93015 EXERCISE STRESS TEST $106.11 $132.64 $33.16–$99.48 69% below 20%
Treadmill or drug stress test with ECG, supervision and report inpatient CPT 93015 CM 93015 EXERCISE STRESS TEST $106.11 $132.64 $33.16–$99.48 — 20%

Vaccines

ProcedureCash price List priceInsurers payvs New YorkOff list
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 CM fluzone vaccine 2024-2025 $38.66 $48.33 $12.08–$36.25 24% above 20%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 CM fluzone vaccine 2024-2025 $38.66 $48.33 $12.08–$36.25 — 20%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 CM Fluzone High Dose 2024-2025 $139.70 $174.63 $43.66–$130.97 25% above 20%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 CM Fluzone High Dose 2024-2025 $139.70 $174.63 $43.66–$130.97 — 20%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 G0008 Administration Of Influenza Virus Vaccine_02 $15.82 $19.78 $4.94–$19.38 79% below 20%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 Imadm Prq Id Subq/Im Njxs 1 Vaccine_01 $29.54 $36.92 $9.23–$27.69 60% below 20%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 G0008 Administration Of Influenza Virus Vaccine_02 $15.82 $19.78 $4.94–$19.38 — 20%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 Imadm Prq Id Subq/Im Njxs 1 Vaccine_01 $29.54 $36.92 $9.23–$27.69 — 20%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 Imadm Prq Id Subq/Im Njxs Ea Vaccine_01 $15.82 $19.78 $4.94–$15.09 50% below 20%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472 Imadm Prq Id Subq/Im Njxs Ea Vaccine_01 $15.82 $19.78 $4.94–$15.09 — 20%

Source file: https://communitymemorial.org/wp-content/uploads/2026/03/150548010_community-memorial-hospital_standardcharges.csv