Hospital

Manchester Memorial Hospital

Manchester Memorial Hospital in Manchester, CT publishes cash prices for 308 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 above the Connecticut median for 216 of 299 procedures and below it for 69. By typical cash price it ranks #17 of 18 Connecticut hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

71 Haynes St, Manchester, CT 06040 Collected Sep 27, 2026 Source price file (860) 647-4780

Acute care hospital Emergency department CMS star rating 4 of 5 CCN 070027 · CMS hospital register NPI 1881564664

The price file shows no self-pay discount

For 850 of the 850 prices listed here, the cash price in Manchester Memorial Hospital's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.

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 3 actions for a hospital named Manchester Memorial Hospital in Manchester, CT:

Aug 20, 2024 Met requirements
Apr 22, 2026 Warning notice
Jul 15, 2026 Case closed

Met requirements: CMS reviewed the hospital and found it met the requirements, so no further action was taken. 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

Procedure	Cash price	List price	Insurers pay	vs Connecticut	Off list
Ankle X-ray, complete, 3 or more views CPT 73610 ANKLE COMP MIN 3 VIEWS	$310.57	$310.57	$56.60–$441.42	at median	—
Ankle X-ray, complete, 3 or more views CPT 73610 ANKLE COMP MIN 3 V	$310.57	$310.57	$56.60–$441.42	at median	—
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 ANKLE COMP MIN 3 VIEWS	$310.57	$310.57	—	—	—
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 ANKLE COMP MIN 3 V	$310.57	$310.57	—	—	—
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 PVR UPR/LWR EXT 1 LVL BILAT	$1,023.05	$1,023.05	$154.10–$942.02	—	—
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 PVR UPR/LWR EXT 1 LVL BILAT	$1,023.05	$1,023.05	—	—	—
Barium swallow (esophagus X-ray with contrast) CPT 74220 BARIUM SWALLOW-RAD EXAM ESOPH	$644.66	$644.66	$149.00–$892.46	2% above	—
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 BARIUM SWALLOW-RAD EXAM ESOPH	$644.66	$644.66	—	—	—
Bone scan, whole body (nuclear medicine) CPT 78306 BONE/JT IMAGE, WHOLE BODY	$1,582.96	$1,582.96	$480.38–$1,457.59	5% below	—
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 BONE/JT IMAGE, WHOLE BODY	$1,582.96	$1,582.96	—	—	—
Breast ultrasound, complete, one breast CPT 76641 US BREAST	$385.81	$385.81	$120.00–$533.11	19% above	—
Breast ultrasound, complete, one breast CPT 76641 ULTRA SOUND BREAST	$385.81	$385.81	$120.00–$533.11	19% above	—
Breast ultrasound, complete, one breast inpatient CPT 76641 ULTRA SOUND BREAST	$385.81	$385.81	—	—	—
Breast ultrasound, complete, one breast inpatient CPT 76641 US BREAST	$385.81	$385.81	—	—	—
Breast ultrasound, limited (one breast or one area) CPT 76642 ULTRA SOUND BREAST, LIMITED	$375.21	$375.21	$105.26–$441.42	50% above	—
Breast ultrasound, limited (one breast or one area) CPT 76642 US BREAST, LIMITED	$375.21	$375.21	$105.26–$441.42	50% above	—
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 US BREAST, LIMITED	$375.21	$375.21	—	—	—
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 ULTRA SOUND BREAST, LIMITED	$375.21	$375.21	—	—	—
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST WO/W CONTRAST	$3,438.72	$3,438.72	$212.82–$2,939.42	94% above	—
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST WO/W CONTRAST	$3,438.72	$3,438.72	—	—	—
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT ANGIO HRT W/3D IMAGE	$650.46	$650.46	$172.94–$542.87	54% below	—
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT ANGIO HRT W/3D IMAGE	$650.46	$650.46	—	—	—
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HRT W/O DYE W/CA TEST	$180.00	$180.00	$41.80–$166.37	5% above	—
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT HRT W/O DYE W/CA TEST	$180.00	$180.00	—	—	—
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD/PELVIS W/OUT CONTRAST	$3,663.19	$3,663.19	$288.97–$3,131.29	187% above	—
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD/PELVIS W/O CONT	$3,663.19	$3,663.19	$288.97–$3,131.29	187% above	—
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD/PELVIS W/OUT CONTRAST	$3,663.19	$3,663.19	—	—	—
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD/PELVIS W/O CONT	$3,663.19	$3,663.19	—	—	—
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD/PELVIS W/CONT	$3,897.00	$3,897.00	$426.94–$3,331.16	73% above	—
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD/PELVIS W/CONTRAST	$3,897.00	$3,897.00	$426.94–$3,331.16	73% above	—
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD/PELVIS W/CONT	$3,897.00	$3,897.00	—	—	—
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD/PELVIS W/CONTRAST	$3,897.00	$3,897.00	—	—	—
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD/PELVIS WO&W/CONT	$4,052.88	$4,052.88	$426.94–$3,464.40	29% above	—
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD/PELVIS W/O & W/CONTRAST	$4,052.88	$4,052.88	$426.94–$3,464.40	29% above	—
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD/PELVIS W/O & W/CONTRAST	$4,052.88	$4,052.88	—	—	—
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD/PELVIS WO&W/CONT	$4,052.88	$4,052.88	—	—	—
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONT	$2,257.14	$2,257.14	$212.82–$1,929.40	46% above	—
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W/CONT	$2,257.14	$2,257.14	—	—	—
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN WO CONT	$1,831.60	$1,831.60	$127.13–$1,565.65	79% above	—
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN WO CONT	$1,831.60	$1,831.60	—	—	—
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL WO CONTRAST	$1,831.60	$1,831.60	$127.13–$1,565.65	67% above	—
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILOFACIAL WO CONT	$1,831.60	$1,831.60	$127.13–$1,565.65	67% above	—
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILOFACIAL WO CONT	$1,831.60	$1,831.60	—	—	—
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL WO CONTRAST	$1,831.60	$1,831.60	—	—	—
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN WO CONT	$1,831.60	$1,831.60	$127.13–$1,565.65	121% above	—
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD/BRAIN WO CONT	$1,831.60	$1,831.60	—	—	—
CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W/CONT	$1,948.50	$1,948.50	$212.82–$1,665.58	62% above	—
CT scan of the head with contrast inpatient CPT 70460 CT HEAD/BRAIN W/CONT	$1,929.21	$1,929.21	—	—	—
CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN WO&W/CONT	$2,163.63	$2,163.63	$212.82–$1,849.47	55% above	—
CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN WO & W/CONT	$2,163.63	$2,163.63	$212.82–$1,849.47	55% above	—
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD/BRAIN WO & W/CONT	$2,163.63	$2,163.63	—	—	—
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD/BRAIN WO&W/CONT	$2,163.63	$2,163.63	—	—	—
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE WO CONT	$1,831.60	$1,831.60	$127.13–$1,565.65	77% above	—
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SP WO CONT	$1,831.60	$1,831.60	$127.13–$1,565.65	77% above	—
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR SP WO CONT	$1,831.60	$1,831.60	—	—	—
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR SPINE WO CONT	$1,831.60	$1,831.60	—	—	—
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT C-SPINE WO CONT	$1,831.60	$1,831.60	$127.13–$1,565.65	75% above	—
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT C-SPINE WO CONT	$1,831.60	$1,831.60	—	—	—
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONT	$2,079.43	$2,079.43	$212.82–$1,777.50	at median	—
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/CONT	$2,079.43	$2,079.43	—	—	—
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 DUPLX EXTRACRANIAL ART COMP BI	$1,674.05	$1,674.05	$288.97–$1,541.47	—	—
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 DUPLX EXTCRANIAL ART COMP BILT	$1,674.05	$1,674.05	$288.97–$1,541.47	at median	—
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 DUPLX EXTRACRANIAL ART COMP BI	$1,674.05	$1,674.05	—	—	—
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 DUPLX EXTCRANIAL ART COMP BILT	$1,674.05	$1,674.05	—	—	—
Chest X-ray, 2 views CPT 71046 CHEST XRAY 2 VIEWS	$310.57	$310.57	$52.26–$441.42	10% below	—
Chest X-ray, 2 views inpatient CPT 71046 CHEST XRAY 2 VIEWS	$310.57	$310.57	—	—	—
Chest X-ray, single view CPT 71045 CHEST XRAY 1 VIEW	$310.57	$310.57	$40.35–$441.42	9% above	—
Chest X-ray, single view inpatient CPT 71045 CHEST XRAY 1 VIEW	$310.57	$310.57	—	—	—
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEUM COMP	$718.61	$718.61	$120.00–$574.89	80% above	—
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEUM COMP	$718.61	$718.61	—	—	—
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY AXIAL	$385.81	$385.81	$61.22–$533.11	50% above	—
DEXA bone density scan of the hip, pelvis or spine CPT 77080 BONE DENSITY DEXA AXIAL SKELTN	$385.81	$385.81	$61.22–$533.11	50% above	—
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DXA BONE DENSITY AXIAL	$385.81	$385.81	—	—	—
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 BONE DENSITY DEXA AXIAL SKELTN	$385.81	$385.81	—	—	—
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 BONE DENSITY APPENDICULAR SKEL	$310.57	$310.57	$49.71–$441.42	59% above	—
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 BONE DENSITY APPENDICULAR SKEL	$310.57	$310.57	—	—	—
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX (CHEST) WO CONT	$1,831.60	$1,831.60	$127.13–$1,565.65	8% above	—
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX (CHEST) WO CONT	$1,831.60	$1,831.60	—	—	—
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX (CHEST) W/CONTRAST	$2,179.20	$2,179.20	$212.82–$1,862.78	54% above	—
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX (CHEST) W/CONT	$2,179.20	$2,179.20	$212.82–$1,862.78	54% above	—
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT THORAX (CHEST) W/CONT	$2,179.20	$2,179.20	—	—	—
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT THORAX (CHEST) W/CONTRAST	$2,179.20	$2,179.20	—	—	—
Diagnostic mammogram, both breasts both sides CPT 77066 DIAG MAMMO, BILATERAL	$401.27	$401.27	$165.62–$694.53	—	—
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DIAG MAMMO, BILATERAL	$401.27	$401.27	—	—	—
Diagnostic mammogram, one breast one side CPT 77065 DIAG MAMMO, UNILATERAL	$316.39	$316.39	$131.46–$551.28	22% below	—
Diagnostic mammogram, one breast inpatient one side CPT 77065 DIAG MAMMO, UNILATERAL	$316.39	$316.39	—	—	—
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 DUPLEX LE ART OR GRAFT BILAT	$1,332.20	$1,332.20	$288.97–$1,226.69	—	—
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 DUPLEX LE ART OR GRAFT BILAT	$1,332.20	$1,332.20	—	—	—
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 DUPLEX EXT VEINS W/COMP BILAT	$1,380.28	$1,380.28	$288.97–$1,270.96	—	—
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 DUPLEX EXT VEINS W/COMP BILAT	$1,380.28	$1,380.28	—	—	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO TTE, COMPLETE	$1,798.60	$1,798.60	$655.48–$2,808.08	7% below	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO TTE, COMPLETE, W/CON	$1,908.25	$1,908.25	$655.48–$4,046.24	1% below	—
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO TTE, COMPLETE	$1,798.60	$1,798.60	—	—	—
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO TTE, COMPLETE, W/CON	$1,908.25	$1,908.25	—	—	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY W/GB IF PRESENT	$1,311.13	$1,311.13	$480.38–$1,207.29	at median	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HEPATOBILIARY W/GB IF PRESENT	$1,311.13	$1,311.13	—	—	—
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY UNATTENDED	$5,708.45	$5,708.45	$187.04–$4,988.39	362% above	—
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 SLEEP STUDY UNATTENDED	$5,708.45	$5,708.45	—	—	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older both sides CPT 95811 POLYSOMNOGRAPHY 4+ W/ CPAP/BI	$5,708.45	$5,708.45	$1,216.27–$4,988.39	—	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient both sides CPT 95811 POLYSOMNOGRAPHY 4+ W/ CPAP/BI	$5,708.45	$5,708.45	—	—	—
Knee X-ray, 3 views CPT 73562 KNEE 3 VIEWS	$310.57	$310.57	$63.38–$441.42	at median	—
Knee X-ray, 3 views inpatient CPT 73562 KNEE 3 VIEWS	$310.57	$310.57	—	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LTD	$718.61	$718.61	$120.00–$574.89	107% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN LTD	$718.61	$718.61	—	—	—
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT THORAX LUNG CANCER SCR C-	$1,831.60	$1,831.60	$127.13–$1,565.65	171% above	—
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT THORAX LUNG CANCER SCR C-	$1,831.60	$1,831.60	—	—	—
MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI BREAST C-+ W/CAD BI	$3,117.59	$3,117.59	$362.84–$2,664.92	—	—
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 MRI BREAST C-+ W/CAD BI	$3,117.59	$3,117.59	—	—	—
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LOWER EXT JT WO CONT	$2,182.32	$2,182.32	$288.97–$2,117.75	35% above	—
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LOWER EXT JT W/O CONT	$2,182.32	$2,182.32	$288.97–$2,117.75	35% above	—
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI LOWER EXT JT W/O CONT	$2,182.32	$2,182.32	—	—	—
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI LOWER EXT JT WO CONT	$2,182.32	$2,182.32	—	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LOWER EXT JT WO&W/CONT	$3,273.48	$3,273.48	$426.94–$2,798.17	3% below	—
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LOWER EXT JT W/O & W/CONT	$3,273.48	$3,273.48	$426.94–$2,798.17	3% below	—
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI LOWER EXT JT WO&W/CONT	$3,273.48	$3,273.48	—	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI LOWER EXT JT W/O & W/CONT	$3,273.48	$3,273.48	—	—	—
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONTRAST	$2,264.02	$2,264.02	$288.97–$2,117.75	55% above	—
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN WO CONT	$2,264.02	$2,264.02	$288.97–$2,117.75	55% above	—
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN WO CONT	$2,264.02	$2,264.02	—	—	—
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN W/O CONTRAST	$2,264.02	$2,264.02	—	—	—
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN WO & W/CONT	$4,413.02	$4,413.02	$426.94–$3,772.25	56% above	—
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN WO&W/CONT	$4,413.02	$4,413.02	$426.94–$3,772.25	56% above	—
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN WO & W/CONT	$4,413.02	$4,413.02	—	—	—
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN WO&W/CONT	$4,413.02	$4,413.02	—	—	—
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO CONTRAST	$2,182.32	$2,182.32	$288.97–$2,117.75	47% above	—
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO CONT	$2,182.32	$2,182.32	$288.97–$2,117.75	47% above	—
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN WO CONT	$2,182.32	$2,182.32	—	—	—
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN WO CONTRAST	$2,182.32	$2,182.32	—	—	—
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN WO&W/CONT	$3,117.59	$3,117.59	$426.94–$2,664.92	25% above	—
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN WO & W/CONTRAST	$3,117.59	$3,117.59	$426.94–$2,664.92	25% above	—
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN WO & W/CONTRAST	$3,117.59	$3,117.59	—	—	—
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN WO&W/CONT	$3,117.59	$3,117.59	—	—	—
MRI of the lower back, no contrast dye CPT 72148 MRI SPINAL CANAL LUMB WO CONT	$2,182.32	$2,182.32	$288.97–$2,117.75	48% above	—
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI SPINAL CANAL LUMB WO CONT	$2,182.32	$2,182.32	—	—	—
MRI of the lower back, without and then with contrast dye CPT 72158 MRI SPINAL CANAL LUMB WO/W CO	$3,117.59	$3,117.59	$426.94–$2,664.92	23% above	—
MRI of the lower back, without and then with contrast dye CPT 72158 MRI SPINAL CANAL LUMB WO&W/CON	$3,117.59	$3,117.59	$426.94–$2,664.92	23% above	—
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI SPINAL CANAL LUMB WO&W/CON	$3,117.59	$3,117.59	—	—	—
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI SPINAL CANAL LUMB WO/W CO	$3,117.59	$3,117.59	—	—	—
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI SPINAL CANAL THOR WO CONT	$2,182.32	$2,182.32	$288.97–$2,117.75	48% above	—
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI SPINAL CANAL THORC WO CONT	$2,182.32	$2,182.32	$288.97–$2,117.75	48% above	—
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI SPINAL CANAL THOR WO CONT	$2,182.32	$2,182.32	—	—	—
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI SPINAL CANAL THORC WO CONT	$2,182.32	$2,182.32	—	—	—
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI SPINAL CANAL CERV WO&W/CON	$3,117.59	$3,117.59	$426.94–$2,664.92	23% above	—
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI SPINAL CANAL CERV WO/W CON	$3,117.59	$3,117.59	$426.94–$2,664.92	23% above	—
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI SPINAL CANAL CERV WO&W/CON	$3,117.59	$3,117.59	—	—	—
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI SPINAL CANAL CERV WO/W CON	$3,117.59	$3,117.59	—	—	—
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI SPINAL CANAL CERV WO CONT	$2,182.32	$2,182.32	$288.97–$2,117.75	48% above	—
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI SPINAL CANAL CERV WO CONT	$2,182.32	$2,182.32	—	—	—
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS WO&W/CONT	$3,273.48	$3,273.48	$426.94–$2,798.17	16% above	—
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/O & W/CONTRAST	$3,273.48	$3,273.48	$426.94–$2,798.17	16% above	—
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W/O & W/CONTRAST	$3,273.48	$3,273.48	—	—	—
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS WO&W/CONT	$3,273.48	$3,273.48	—	—	—
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONTRAST	$2,182.32	$2,182.32	$288.97–$2,117.75	36% above	—
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS WO CONT	$2,182.32	$2,182.32	$288.97–$2,117.75	36% above	—
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS WO CONT	$2,182.32	$2,182.32	—	—	—
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS W/O CONTRAST	$2,182.32	$2,182.32	—	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI UPPER EXT JT WO CONT	$2,182.32	$2,182.32	$288.97–$2,117.75	35% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI UPPER EXTREMITY JT WO CONT	$2,182.32	$2,182.32	$288.97–$2,117.75	35% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI UPPER EXTREMITY JT WO CONT	$2,182.32	$2,182.32	—	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI UPPER EXT JT WO CONT	$2,182.32	$2,182.32	—	—	—
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 MYOCARDIAL PERF SPECT MULTIPLE	$4,327.93	$4,327.93	$1,560.68–$3,985.16	19% above	—
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 MYOCARDIAL PERF SPECT MULTIPLE	$4,327.93	$4,327.93	—	—	—
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET W/CT SKULL BASE TO MID THI	$7,222.84	$7,222.84	$1,743.72–$7,312.27	1% below	—
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PROSTATE CANCER PET SCAN	$23,248.35	$23,248.35	$1,743.72–$19,872.69	220% above	—
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET W/CT SKULL BASE TO MID THI	$7,222.84	$7,222.84	—	—	—
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PROSTATE CANCER PET SCAN	$23,248.35	$23,248.35	—	—	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC NON OB LTD/FUP	$467.64	$467.64	$120.00–$533.11	86% above	—
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIC NON OB LTD/FUP	$467.64	$467.64	—	—	—
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC NON OB COMPLETE	$467.64	$467.64	$120.00–$533.11	34% above	—
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC NON OB COMPLETE	$467.64	$467.64	—	—	—
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG UTERUS >14 WKS	$598.58	$598.58	$120.00–$533.11	43% above	—
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US PREG UTERUS >14 WKS	$598.58	$598.58	—	—	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREG UTERUS <14wks 1st GEST	$385.81	$385.81	$120.00–$533.11	15% above	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US PREG UTERUS <14wks 1st GEST	$385.81	$385.81	—	—	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREG UTERUS LTD	$385.81	$385.81	$120.00–$533.11	61% above	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US PREG UTERUS LTD	$385.81	$385.81	—	—	—
Screening mammogram, both breasts CPT 77067 SCREENING MAMMO	$347.25	$347.25	$134.36–$563.43	12% above	—
Screening mammogram, both breasts inpatient CPT 77067 SCREENING MAMMO	$347.25	$347.25	—	—	—
Shoulder X-ray, complete, 2 or more views CPT 73030 SHOULDER COMP MIN 2 VIEWS	$310.57	$310.57	$53.95–$441.42	5% above	—
Shoulder X-ray, complete, 2 or more views CPT 73030 SHOULDER COMP MIN 2V	$310.57	$310.57	$53.95–$441.42	5% above	—
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 SHOULDER COMP MIN 2 VIEWS	$310.57	$310.57	—	—	—
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 SHOULDER COMP MIN 2V	$310.57	$310.57	—	—	—
Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY 4+ PARAMS	$5,708.45	$5,708.45	$1,216.27–$4,988.39	8% above	—
Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOMNOGRAPHY 4+ PARAMS	$5,708.45	$5,708.45	—	—	—
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 ECHO TTE, STRESS W/EKG	$3,508.88	$3,508.88	$532.48–$2,999.39	221% above	—
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 ECHO TTE, STRESS W/EKG	$3,508.88	$3,508.88	—	—	—
Swallow study (modified barium swallow, video X-ray) CPT 74230 MODIFIED BARIUM SWALLOW	$644.66	$644.66	$189.54–$892.46	3% below	—
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 MODIFIED BARIUM SWALLOW	$644.66	$644.66	—	—	—
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL	$411.52	$411.52	$120.00–$533.11	at median	—
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL	$411.52	$411.52	—	—	—
Transvaginal ultrasound during pregnancy CPT 76817 US PREG UTERUS TRANSVAG	$385.81	$385.81	$120.00–$533.11	42% above	—
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US PREG UTERUS TRANSVAG	$385.81	$385.81	—	—	—
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE	$718.61	$718.61	$120.00–$574.89	80% above	—
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN COMPLETE	$718.61	$718.61	—	—	—
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM & CONTENTS	$389.70	$389.70	$120.00–$533.11	at median	—
Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM & CONTENTS	$389.70	$389.70	—	—	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE HEAD/NECK/THY	$438.03	$438.03	$120.00–$533.11	8% above	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISU HEAD/THYROID/NECK	$438.03	$438.03	$120.00–$533.11	8% above	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US SOFT TISU HEAD/THYROID/NECK	$438.03	$438.03	—	—	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US SOFT TISSUE HEAD/NECK/THY	$438.03	$438.03	—	—	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI WO KUB	$838.41	$838.41	$187.12–$892.46	17% above	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UGI WO KUB	$838.41	$838.41	—	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 DUPLEX EXT VEINS W/COMP UNI	$1,035.17	$1,035.17	$127.13–$953.18	36% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 DUPLEX EXT VEINS W/COMP UNI	$1,035.17	$1,035.17	—	—	—
Wrist X-ray, complete, 3 or more views CPT 73110 WRIST COMP MIN 3V	$310.57	$310.57	$64.46–$441.42	5% below	—
Wrist X-ray, complete, 3 or more views CPT 73110 WRIST COMP MIN 3 VIEWS	$310.57	$310.57	$64.46–$441.42	5% below	—
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 WRIST COMP MIN 3V	$310.57	$310.57	—	—	—
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 WRIST COMP MIN 3 VIEWS	$310.57	$310.57	—	—	—
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP/PELVIS 2-3 VIEWS UNILAT	$310.57	$310.57	$74.24–$441.42	17% below	—
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP/PELVIS 2-3 VIEWS UNILAT	$310.57	$310.57	—	—	—
X-ray of the abdomen, 1 view CPT 74018 ABDOMINAL XRAY 1 VIEW	$310.57	$310.57	$46.62–$441.42	at median	—
X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMINAL XRAY 1 VIEW	$310.57	$310.57	—	—	—
X-ray of the ankle, 2 views CPT 73600 ANKLE 2 VIEWS	$310.57	$310.57	$49.84–$441.42	20% above	—
X-ray of the ankle, 2 views inpatient CPT 73600 ANKLE 2 VIEWS	$310.57	$310.57	—	—	—
X-ray of the finger(s), 2 or more views CPT 73140 FINGER(S) MIN 2 VIEWS	$310.57	$310.57	$59.88–$441.42	at median	—
X-ray of the finger(s), 2 or more views inpatient CPT 73140 FINGER(S) MIN 2 VIEWS	$310.57	$310.57	—	—	—
X-ray of the foot, 2 views CPT 73620 FOOT 2 VIEWS	$310.57	$310.57	$44.07–$441.42	22% above	—
X-ray of the foot, 2 views inpatient CPT 73620 FOOT 2 VIEWS	$310.57	$310.57	—	—	—
X-ray of the foot, complete, 3 or more views CPT 73630 FOOT COMP MIN 3 VIEWS	$310.57	$310.57	$52.94–$441.42	1% above	—
X-ray of the foot, complete, 3 or more views CPT 73630 FOOT COMP MIN 3 V	$310.57	$310.57	$52.94–$441.42	1% above	—
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 FOOT COMP MIN 3 V	$310.57	$310.57	—	—	—
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 FOOT COMP MIN 3 VIEWS	$310.57	$310.57	—	—	—
X-ray of the hand, 3 or more views CPT 73130 HAND MIN 3 VIEWS	$310.57	$310.57	$58.18–$441.42	6% below	—
X-ray of the hand, 3 or more views inpatient CPT 73130 HAND MIN 3 VIEWS	$310.57	$310.57	—	—	—
X-ray of the knee, 1 or 2 views CPT 73560 KNEE 1 OR 2 VIEWS	$310.57	$310.57	$52.97–$441.42	4% above	—
X-ray of the knee, 1 or 2 views inpatient CPT 73560 KNEE 1 OR 2 VIEWS	$310.57	$310.57	—	—	—
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LUMBAR SPINE 2 OR 3 VIEWS	$385.81	$385.81	$61.68–$533.11	at median	—
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 LUMBAR SPINE 2 OR 3 VIEWS	$385.81	$385.81	—	—	—
X-ray of the lower back, 4 or more views CPT 72110 L/S SPINE MIN 4 VIEWS	$385.81	$385.81	$80.91–$533.11	5% below	—
X-ray of the lower back, 4 or more views inpatient CPT 72110 L/S SPINE MIN 4 VIEWS	$385.81	$385.81	—	—	—
X-ray of the mid back (thoracic spine), 2 views CPT 72070 THORACIC SPINE 2 VIEWS	$385.81	$385.81	$51.28–$533.11	18% above	—
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 THORACIC SPINE 2 VIEWS	$385.81	$385.81	—	—	—
X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES MIN 3V COMP	$310.57	$310.57	$58.69–$441.42	8% above	—
X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES MIN 3 V COMPLETE	$310.57	$310.57	$58.69–$441.42	8% above	—
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONES MIN 3V COMP	$310.57	$310.57	—	—	—
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONES MIN 3 V COMPLETE	$310.57	$310.57	—	—	—
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERVICAL SPINE 2-3 VIEWS	$310.57	$310.57	$61.68–$441.42	7% below	—
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 CERVICAL SPINE 2-3 VIEWS	$310.57	$310.57	—	—	—
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1 OR 2 VIEWS	$385.81	$385.81	$43.52–$533.11	25% above	—
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS 1 OR 2 VIEWS	$385.81	$385.81	—	—	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM & COCCYX MIN 2 VIEWS	$310.57	$310.57	$50.85–$441.42	4% below	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM & COCCYX MIN 2V	$310.57	$310.57	$50.85–$441.42	4% below	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM & COCCYX MIN 2V	$310.57	$310.57	—	—	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM & COCCYX MIN 2 VIEWS	$310.57	$310.57	—	—	—

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Connecticut	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT	$24.70	$24.70	$5.30–$19.76	4% above	—
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT	$24.70	$24.70	—	—	—
AST (aspartate aminotransferase) enzyme test CPT 84450 AST	$24.70	$24.70	$5.18–$19.76	4% above	—
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST	$24.70	$24.70	—	—	—
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL	$319.48	$319.48	$47.63–$255.58	34% above	—
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PANEL	$319.48	$319.48	—	—	—
Allergy blood test, specific IgE, per allergen CPT 86003 RAST TEST IND ALLERGEN	$32.41	$32.41	$5.22–$25.93	44% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 RAST TEST INDIV ALLERGEN	$32.41	$32.41	$5.22–$25.93	44% above	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST TEST INDIV ALLERGEN	$32.41	$32.41	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST TEST IND ALLERGEN	$32.41	$32.41	—	—	—
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY	$61.74	$61.74	$12.95–$49.39	35% above	—
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP ANTIBODY	$61.74	$61.74	—	—	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA	$154.34	$154.34	$12.09–$123.47	295% above	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA	$154.34	$154.34	—	—	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE-BNP	$192.92	$192.92	$39.26–$154.34	29% above	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NATRIURETIC PEPTIDE-BNP	$192.92	$192.92	—	—	—
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL	$288.60	$288.60	$8.46–$230.88	106% above	—
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL	$288.60	$288.60	—	—	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATHOLOGIST	$227.62	$227.62	$63.87–$206.63	4% above	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 BONE MARROW NEEDLE BIOPSY	$339.54	$339.54	$63.87–$271.63	56% above	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 LEVEL IV GROSS & MICRO EXAM	$631.57	$631.57	$63.87–$505.26	189% above	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Level IV Gross&Micro Prostate	$1,233.51	$1,233.51	$63.87–$1,054.68	465% above	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 TISSUE EXAM BY PATHOLOGIST	$227.62	$227.62	—	—	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 BONE MARROW NEEDLE BIOPSY	$339.54	$339.54	—	—	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 LEVEL IV GROSS & MICRO EXAM	$631.57	$631.57	—	—	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Level IV Gross&Micro Prostate	$1,233.51	$1,233.51	—	—	—
Blood culture for bacteria CPT 87040 CULTURE BLOOD	$154.34	$154.34	$10.32–$123.47	132% above	—
Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD	$154.34	$154.34	—	—	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE	$25.47	$25.47	$9.09–$20.38	70% above	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE	$25.47	$25.47	—	—	—
Blood glucose (sugar) test CPT 82947 GLUCOSE	$43.22	$43.22	$3.93–$34.58	90% above	—
Blood glucose (sugar) test CPT 82947 GLUCOSE-2HR PC	$43.22	$43.22	$3.93–$34.58	90% above	—
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE	$43.22	$43.22	—	—	—
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE-2HR PC	$43.22	$43.22	—	—	—
Blood lead test CPT 83655 LEAD LEVEL	$38.87	$38.87	$12.11–$31.10	13% below	—
Blood lead test CPT 83655 LEAD	$49.95	$49.95	$12.11–$39.96	11% above	—
Blood lead test inpatient CPT 83655 LEAD LEVEL	$38.87	$38.87	—	—	—
Blood lead test inpatient CPT 83655 LEAD	$49.95	$49.95	—	—	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUALITATIVE	$47.85	$47.85	$7.52–$38.28	at median	—
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG QUALITATIVE	$47.85	$47.85	—	—	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO TYPING	$415.05	$415.05	$4.07–$332.04	1629% above	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO TYPING	$415.05	$415.05	—	—	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN	$32.41	$32.41	$7.78–$8.10	25% below	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN	$32.41	$32.41	—	—	—
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFFICILE AMP PROBE	$171.33	$171.33	$37.27–$137.06	17% above	—
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFFICILE AMP PROBE	$171.33	$171.33	—	—	—
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9	$123.48	$123.48	$20.81–$98.78	24% above	—
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9	$123.48	$123.48	—	—	—
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125	$135.82	$135.82	$20.81–$108.66	6% above	—
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125	$135.82	$135.82	—	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 URGENT CARE COVID-19 PCR TEST	$164.71	$164.71	$51.31–$131.77	34% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 TEST IN-HOUSE PCR	$164.71	$164.71	$51.31–$131.77	34% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 NON-CDC METHOD	$202.35	$202.35	$51.31–$161.88	65% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 TEST IN-HOUSE PCR	$164.71	$164.71	—	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 URGENT CARE COVID-19 PCR TEST	$164.71	$164.71	—	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 NON-CDC METHOD	$202.35	$202.35	—	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA AMPLIFIED PROBE	$151.24	$151.24	$35.09–$120.99	51% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA AMPLIFIED PROBE	$151.24	$151.24	—	—	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$96.80	$96.80	$13.39–$77.44	13% above	—
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL	$96.80	$96.80	—	—	—
Complete blood count (CBC) with differential CPT 85025 CBC AUTO W. AUTO DIFF	$74.08	$74.08	$7.77–$59.26	58% above	—
Complete blood count (CBC) with differential inpatient CPT 85025 CBC AUTO W. AUTO DIFF	$74.08	$74.08	—	—	—
Complete blood count (CBC), no differential CPT 85027 CBC AUTOMATED (NO DIFF)	$63.29	$63.29	$6.47–$50.63	74% above	—
Complete blood count (CBC), no differential inpatient CPT 85027 CBC AUTOMATED (NO DIFF)	$63.29	$63.29	—	—	—
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL	$362.12	$362.12	$10.56–$289.70	29% above	—
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL	$362.12	$362.12	—	—	—
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUANT	$84.88	$84.88	$10.18–$67.90	55% above	—
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER QUANT	$84.88	$84.88	—	—	—
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S SALIVA	$108.04	$108.04	$22.23–$86.43	31% above	—
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE	$131.19	$131.19	$22.23–$104.95	59% above	—
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-S SALIVA	$108.04	$108.04	—	—	—
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATE	$131.19	$131.19	—	—	—
Estradiol blood test CPT 82670 ESTRADIOL SALIVA	$120.39	$120.39	$27.94–$96.31	11% below	—
Estradiol blood test CPT 82670 ESTRADIOL	$131.19	$131.19	$27.94–$104.95	3% below	—
Estradiol blood test inpatient CPT 82670 ESTRADIOL SALIVA	$120.39	$120.39	—	—	—
Estradiol blood test inpatient CPT 82670 ESTRADIOL	$131.19	$131.19	—	—	—
FSH (follicle-stimulating hormone) test CPT 83001 FSH GONADOTROPIN	$97.24	$97.24	$18.58–$77.79	11% above	—
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH GONADOTROPIN	$97.24	$97.24	—	—	—
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN, STOOL	$308.68	$308.68	$19.63–$246.94	89% above	—
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN, STOOL	$308.68	$308.68	—	—	—
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$69.45	$69.45	$13.63–$55.56	10% below	—
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$69.45	$69.45	—	—	—
Folate (folic acid) blood test CPT 82746 FOLATE	$92.60	$92.60	$14.70–$74.08	50% above	—
Folate (folic acid) blood test inpatient CPT 82746 FOLATE	$92.60	$92.60	—	—	—
Free T3 thyroid hormone test CPT 84481 T3 FREE	$100.31	$100.31	$16.94–$80.25	59% above	—
Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE	$100.31	$100.31	—	—	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE DIALYSIS	$50.93	$50.93	$9.02–$40.74	8% below	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE	$60.19	$60.19	$9.02–$48.15	8% above	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE DIALYSIS	$50.93	$50.93	—	—	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE	$60.19	$60.19	—	—	—
Free testosterone test CPT 84402 TESTOSTERONE SALIVA	$108.04	$108.04	$25.47–$86.43	11% above	—
Free testosterone test CPT 84402 TESTOSTERONE FREE	$108.04	$108.04	$25.47–$86.43	11% above	—
Free testosterone test inpatient CPT 84402 TESTOSTERONE SALIVA	$108.04	$108.04	—	—	—
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE	$108.04	$108.04	—	—	—
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GEN HLTH PANEL CMP CBC TSH	$536.51	$536.51	$312.57–$498.95	8% above	—
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GEN HLTH PANEL CMP CBC TSH	$536.51	$536.51	—	—	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE-2 HR PST GLUC DOSE(G2P	$30.86	$30.86	$4.75–$24.69	50% above	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUC 1 HR NON FASTING	$30.86	$30.86	$4.75–$24.69	50% above	—
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUC 1 HR NON FASTING	$30.86	$30.86	—	—	—
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE-2 HR PST GLUC DOSE(G2P	$30.86	$30.86	—	—	—
Glucose tolerance test, 3 samples CPT 82951 GTT 3 SPECIMENS	$83.33	$83.33	$12.87–$66.66	85% above	—
Glucose tolerance test, 3 samples inpatient CPT 82951 GTT 3 SPECIMENS	$83.33	$83.33	—	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC AMPLIFIED PROBE	$151.24	$151.24	$35.09–$120.99	51% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC AMPLIFIED PROBE	$151.24	$151.24	—	—	—
H. pylori stool antigen test CPT 87338 STOOL FOR H. PYLORI	$115.74	$115.74	$14.38–$92.59	46% above	—
H. pylori stool antigen test inpatient CPT 87338 STOOL FOR H. PYLORI	$115.74	$115.74	—	—	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QUANT AMP PROBE TECH	$273.17	$273.17	$85.10–$218.54	7% below	—
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 QUANT AMP PROBE TECH	$273.17	$273.17	—	—	—
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV IMMUNODEFICNCY VIRUS AG/AB	$77.30	$77.30	$24.08–$61.84	19% below	—
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV IMMUNODEFICNCY VIRUS AG/AB	$77.30	$77.30	—	—	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOSYLATED HEMOGLOBIN TEST	$35.37	$35.37	$9.71–$28.30	15% below	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOLATED HEMOGLOBIN A1C	$66.36	$66.36	$9.71–$53.09	59% above	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOSYLATED HEMOGLOBIN TEST	$35.37	$35.37	—	—	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOLATED HEMOGLOBIN A1C	$66.36	$66.36	—	—	—
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE AB	$85.60	$85.60	$10.74–$68.48	53% above	—
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE AB	$85.60	$85.60	—	—	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG IA	$37.63	$37.63	$15.51–$16.16	33% below	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG	$85.60	$85.60	$10.33–$68.48	53% above	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE AG IA	$37.63	$37.63	—	—	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE AG	$85.60	$85.60	—	—	—
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY	$92.60	$92.60	$14.27–$92.52	59% above	—
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB TEST	$102.52	$102.52	$21.43–$22.33	76% above	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY	$92.60	$92.60	—	—	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB TEST	$102.52	$102.52	—	—	—
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C RNA QUANTITATIVE	$231.51	$231.51	$42.84–$185.21	26% above	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C RNA QUANTITATIVE	$231.51	$231.51	—	—	—
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 IgG/IgM	$192.92	$192.92	$13.19–$154.34	273% above	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX TYPE 1 IgG/IgM	$192.92	$192.92	—	—	—
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 IgG/IgM	$192.92	$192.92	$19.35–$154.34	188% above	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX TYPE 2 IgG/IgM	$192.92	$192.92	—	—	—
High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HS	$47.18	$47.18	$12.95–$37.74	at median	—
High-sensitivity CRP (hs-CRP) test CPT 86141 HIGH SENSITIV C REACTIVE PROTE	$84.88	$84.88	$12.95–$67.90	79% above	—
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-REACTIVE PROTEIN HS	$47.18	$47.18	—	—	—
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HIGH SENSITIV C REACTIVE PROTE	$84.88	$84.88	—	—	—
Homocysteine blood test CPT 83090 HOMOCYSTEINE (SERUM)	$397.80	$397.80	$17.92–$318.24	469% above	—
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE (SERUM)	$397.80	$397.80	—	—	—
Insulin blood test CPT 83525 INSULIN	$84.88	$84.88	$11.43–$67.90	54% above	—
Insulin blood test inpatient CPT 83525 INSULIN	$84.88	$84.88	—	—	—
Iron blood test (serum iron) CPT 83540 IRON	$41.67	$41.67	$6.47–$33.34	46% above	—
Iron blood test (serum iron) inpatient CPT 83540 IRON	$41.67	$41.67	—	—	—
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY	$55.58	$55.58	$8.74–$44.46	53% above	—
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY	$55.58	$55.58	—	—	—
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$344.18	$344.18	$13.04–$13.58	141% above	—
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$344.18	$344.18	—	—	—
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE (LH)	$92.60	$92.60	$18.52–$74.08	1% above	—
LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE (LH)	$92.60	$92.60	—	—	—
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$64.82	$64.82	$6.89–$51.86	46% above	—
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$64.82	$64.82	—	—	—
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$197.56	$197.56	$12.27–$12.78	46% above	—
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL	$197.56	$197.56	—	—	—
Lyme disease antibody test CPT 86618 LYME DISEASE QUAL	$77.17	$77.17	$17.03–$61.74	12% above	—
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE QUAL	$77.17	$77.17	—	—	—
Magnesium blood test CPT 83735 MAGNESIUM	$41.67	$41.67	$6.70–$33.34	19% above	—
Magnesium blood test CPT 83735 MAGNESIUM RBC	$46.30	$46.30	$6.70–$37.04	32% above	—
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$41.67	$41.67	—	—	—
Magnesium blood test inpatient CPT 83735 MAGNESIUM RBC	$46.30	$46.30	—	—	—
Measles (rubeola) antibody test CPT 86765 RUBEOLA AB	$83.33	$83.33	$12.88–$66.66	92% above	—
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA AB	$83.33	$83.33	—	—	—
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE AB SCREEN (MONO)	$33.96	$33.96	$5.18–$27.17	5% below	—
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILE AB SCREEN (MONO)	$33.96	$33.96	—	—	—
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE	$92.60	$92.60	$18.39–$74.08	29% above	—
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE	$92.60	$92.60	—	—	—
PSA (prostate-specific antigen) blood test, total CPT 84153 ASSAY OF PSA TOTAL	$66.99	$66.99	$18.39–$53.59	18% below	—
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL DIAGNOSTIC	$80.26	$80.26	$18.39–$64.21	2% below	—
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL	$92.60	$92.60	$27.62–$28.77	13% above	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 ASSAY OF PSA TOTAL	$66.99	$66.99	—	—	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL DIAGNOSTIC	$80.26	$80.26	—	—	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL	$92.60	$92.60	—	—	—
Pap test (liquid-based, automated screening with review) CPT 88175 CYTO CX/VAG AUTO SCRN W/MANUAL	$138.91	$138.91	$26.49–$111.13	18% above	—
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 CYTO CX/VAG AUTO SCRN W/MANUAL	$138.91	$138.91	—	—	—
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTO,GYN,TLP,DX, SCREEN	$85.28	$85.28	$18.19–$68.22	8% below	—
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTO,GYN,TLP,SC/MC, SCREEN	$108.04	$108.04	$20.26–$86.43	17% above	—
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CYTO,GYN,TLP,DX, SCREEN	$85.28	$85.28	—	—	—
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CYTO,GYN,TLP,SC/MC, SCREEN	$108.04	$108.04	—	—	—
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORM INTACT	$178.03	$178.03	$41.28–$142.42	2% below	—
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORM INTACT	$178.03	$178.03	—	—	—
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT	$43.22	$43.22	$6.01–$34.58	9% above	—
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL	$236.21	$236.21	$6.01–$188.97	496% above	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT	$43.22	$43.22	—	—	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME PARTIAL	$236.21	$236.21	—	—	—
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 FETAL CHRMOML ANEUPLOIDY	$6,403.95	$6,403.95	$759.05–$5,123.16	—	—
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 FETAL CHRMOML ANEUPLOIDY	$6,403.95	$6,403.95	—	—	—
Progesterone blood test CPT 84144 PROGESTERONE SALIVA	$108.04	$108.04	$20.86–$86.43	13% above	—
Progesterone blood test CPT 84144 PROGESTERONE	$115.74	$115.74	$20.86–$92.59	21% above	—
Progesterone blood test inpatient CPT 84144 PROGESTERONE SALIVA	$108.04	$108.04	—	—	—
Progesterone blood test inpatient CPT 84144 PROGESTERONE	$115.74	$115.74	—	—	—
Prolactin blood test CPT 84146 PROLACTIN	$83.33	$83.33	$19.38–$66.66	14% below	—
Prolactin blood test inpatient CPT 84146 PROLACTIN	$83.33	$83.33	—	—	—
Prothrombin time (PT/INR) clotting test CPT 85610 PT/INR	$38.58	$38.58	$4.29–$30.86	69% above	—
Prothrombin time (PT/INR) clotting test CPT 85610 PT/INR POC TESTING	$38.58	$38.58	$4.29–$30.86	69% above	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT/INR POC TESTING	$38.58	$38.58	—	—	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT/INR	$38.58	$38.58	—	—	—
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA ANTIGEN	$50.94	$50.94	$16.55–$40.75	20% above	—
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA AG.1	$53.13	$53.13	$16.55–$42.50	25% above	—
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA AG.2	$53.13	$53.13	$16.55–$42.50	25% above	—
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA ANTIGEN	$50.94	$50.94	—	—	—
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA AG.2	$53.13	$53.13	—	—	—
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA AG.1	$53.13	$53.13	—	—	—
Rapid strep A antigen test from a throat swab, read visually CPT 87880 RAPID STREP GROUP A	$52.45	$52.45	$16.53–$41.96	27% above	—
Rapid strep A antigen test from a throat swab, read visually CPT 87880 RAPID STREP-GROUP A	$54.02	$54.02	$16.53–$43.22	31% above	—
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 RAPID STREP GROUP A	$52.45	$52.45	—	—	—
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 RAPID STREP-GROUP A	$54.02	$54.02	—	—	—
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT	$55.58	$55.58	$5.67–$44.46	22% above	—
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QUANT	$55.58	$55.58	—	—	—
Rubella antibody test (immunity check) CPT 86762 Rubella antibody	$67.90	$67.90	$14.39–$54.32	17% above	—
Rubella antibody test (immunity check) CPT 86762 RUBELLA SCREEN AB	$67.90	$67.90	$14.39–$54.32	17% above	—
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella antibody	$67.90	$67.90	—	—	—
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA SCREEN AB	$67.90	$67.90	—	—	—
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE AUTOMATED	$27.79	$27.79	$2.70–$22.23	at median	—
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SED RATE AUTOMATED	$27.79	$27.79	—	—	—
Semen analysis: volume, sperm count, motility and morphology CPT 89320 SPERM ANALYSIS COMPLETE	$95.69	$95.69	$12.31–$76.55	—	—
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 SPERM ANALYSIS COMPLETE	$95.69	$95.69	—	—	—
Stool ova and parasites exam CPT 87177 OVA AND PARASITES FECAL	$46.30	$46.30	$8.90–$37.04	14% above	—
Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITES FECAL	$46.30	$46.30	—	—	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 FECAL OCCULT BLD-HEMOCCULT	$17.98	$17.98	$4.38–$14.38	5% above	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 FECAL OCCULT BLOOD-HEMOCCULT	$18.51	$18.51	$4.38–$14.81	8% above	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD FECES	$18.51	$18.51	$4.38–$14.81	8% above	—
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 FECAL OCCULT BLD-HEMOCCULT	$17.98	$17.98	—	—	—
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD FECES	$18.51	$18.51	—	—	—
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 FECAL OCCULT BLOOD-HEMOCCULT	$18.51	$18.51	—	—	—
Stool test for hidden blood by immunoassay (FIT) CPT 82274 ASSAY TEST FOR BLOOD FECAL	$77.04	$77.04	$15.92–$61.63	59% above	—
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 ASSAY TEST FOR BLOOD FECAL	$77.04	$77.04	—	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL CSF	$30.86	$30.86	$4.27–$24.69	at median	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR QUAL (SYPHILIS TEST)	$38.58	$38.58	$4.27–$30.86	25% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL CSF	$30.86	$30.86	—	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR QUAL (SYPHILIS TEST)	$38.58	$38.58	—	—	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST CELL MED IMMUNTY MSRMT	$308.68	$308.68	$61.98–$246.94	55% above	—
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB TEST CELL MED IMMUNTY MSRMT	$308.68	$308.68	—	—	—
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL	$123.48	$123.48	$25.81–$98.78	7% above	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL	$123.48	$123.48	—	—	—
Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI THYROID MICROSOMAL AB	$84.88	$84.88	$14.55–$67.90	6% below	—
Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI LIVER KIDNEY MICROSOME/AB	$197.28	$197.28	$14.55–$157.82	119% above	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTI THYROID MICROSOMAL AB	$84.88	$84.88	—	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTI LIVER KIDNEY MICROSOME/AB	$197.28	$197.28	—	—	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH	$100.31	$100.31	$16.80–$80.25	27% above	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH	$100.31	$100.31	—	—	—
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPLIF	$252.95	$252.95	$35.09–$202.36	286% above	—
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS AMPLIF	$252.95	$252.95	—	—	—
Uric acid blood test CPT 84550 URIC ACID	$30.86	$30.86	$4.52–$24.69	29% above	—
Uric acid blood test inpatient CPT 84550 URIC ACID	$30.86	$30.86	—	—	—
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/MICROSCOPIC	$44.76	$44.76	$3.17–$35.81	83% above	—
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS AUTO W/MICROSCOPIC	$44.76	$44.76	—	—	—
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O MICRO	$30.86	$30.86	$2.25–$24.69	68% above	—
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS AUTO W/O MICRO	$30.86	$30.86	—	—	—
Urinalysis without microscope exam, manual CPT 81002 URINE DIPSTICK	$21.40	$21.40	$3.48–$17.12	7% above	—
Urinalysis without microscope exam, manual inpatient CPT 81002 URINE DIPSTICK	$21.40	$21.40	—	—	—
Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE	$84.88	$84.88	$8.07–$67.90	91% above	—
Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE URINE	$84.88	$84.88	—	—	—
Urine pregnancy test, read by color change CPT 81025 PREGNANCY TEST URINE	$49.44	$49.44	$8.61–$39.55	19% above	—
Urine pregnancy test, read by color change inpatient CPT 81025 PREGNANCY TEST URINE	$50.93	$50.93	—	—	—
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12	$166.67	$166.67	$15.08–$133.34	148% above	—
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12	$166.67	$166.67	—	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIM D 25 HYDROXY	$138.91	$138.91	$29.60–$111.13	16% above	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25-HYDROXYVITAMIN D2/D3 SERUM	$308.68	$308.68	$29.60–$246.94	157% above	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIM D 25 HYDROXY	$138.91	$138.91	—	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 25-HYDROXYVITAMIN D2/D3 SERUM	$308.68	$308.68	—	—	—
Zinc blood test CPT 84630 ZINC	$104.47	$104.47	$11.39–$83.58	105% above	—
Zinc blood test inpatient CPT 84630 ZINC	$104.47	$104.47	—	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG QUANT MALE	$74.08	$74.08	$15.05–$59.26	at median	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANT	$74.08	$74.08	$15.05–$59.26	at median	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA HCG QUANT MALE	$74.08	$74.08	—	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANT	$74.08	$74.08	—	—	—

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Connecticut	Off list
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BREAST BX 1ST LESION STEREO	$5,360.57	$5,360.57	$1,936.96–$7,497.00	at median	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 BREAST BX 1ST LESION STEREO	$5,360.57	$5,360.57	—	—	—
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 TREAT METATARSAL FRACTURE	$740.00	$740.00	$286.77–$5,296.98	81% above	—
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 TREAT METATARSAL FRACTURE	$740.00	$740.00	—	—	—
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 CORRECTION HALLUX VALGUS	$10,640.93	$10,640.93	$3,878.87–$10,192.00	—	—
Bunion correction with a bone cut near the head of the first metatarsal inpatient CPT 28296 CORRECTION HALLUX VALGUS	$10,640.93	$10,640.93	—	—	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION EXTERNAL	$2,959.18	$2,959.18	$243.55–$2,367.34	111% above	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION EXTERNAL	$2,959.18	$2,959.18	—	—	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION-CLAMP/DVC W/BLOCK	$6,630.80	$6,630.80	$217.99–$6,105.64	618% above	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION-CLAMP/DVC W/BLOCK	$6,630.80	$6,630.80	—	—	—
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CL TRT DIST RAD FX WO MANIP	$740.00	$740.00	$286.77–$1,541.00	6% below	—
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 CL TRT DIST RAD FX WO MANIP	$740.00	$740.00	—	—	—
Colonoscopy with polyp removal CPT 45385 COLON W/PLP/TMR/LSN RMVL SNARE	$4,494.00	$4,494.00	$1,409.57–$7,108.00	7% above	—
Colonoscopy with polyp removal inpatient CPT 45385 COLON W/PLP/TMR/LSN RMVL SNARE	$4,494.00	$4,494.00	—	—	—
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY W SNGL/MULTI BX	$4,494.00	$4,494.00	$1,409.57–$7,108.00	7% above	—
Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY W SNGL/MULTI BX	$4,494.00	$4,494.00	—	—	—
Colonoscopy, diagnostic CPT 45378 COLONOSCOPY	$4,494.00	$4,494.00	$1,089.93–$7,108.00	39% above	—
Colonoscopy, diagnostic inpatient CPT 45378 COLONOSCOPY	$4,494.00	$4,494.00	—	—	—
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 COLPOSCOPY W/BIOPSY & ECC	$1,043.70	$1,043.70	$307.45–$961.04	9% below	—
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 COLPOSCOPY W/BIOPSY & ECC	$1,043.70	$1,043.70	—	—	—
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY	$3,260.37	$3,260.37	$181.63–$2,608.30	133% above	—
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSTOURETHROSCOPY	$3,260.37	$3,260.37	—	—	—
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 REM IMPCT CERUMN LAVAGE UNILAT	$465.81	$465.81	$36.99–$1,541.00	302% above	—
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 REM IMPCT CERUMN LAVAGE UNILAT	$465.81	$465.81	—	—	—
Earwax removal with instruments, one ear one side CPT 69210 REM IMPCT CERUMN INSTRU UNILAT	$465.81	$465.81	$71.01–$1,541.00	173% above	—
Earwax removal with instruments, one ear inpatient one side CPT 69210 REM IMPCT CERUMN INSTRU UNILAT	$205.47	$205.47	—	—	—
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 CERV/THOR STER INJ W/GUIDANCE	$5,350.00	$5,350.00	$827.89–$7,497.00	57% above	—
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 CERV/THOR STER INJ W/GUIDANCE	$5,350.00	$5,350.00	—	—	—
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L/S SNG LVL	$3,046.35	$3,046.35	$1,064.32–$7,497.00	16% above	—
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 INJ PARAVERT F JNT L/S SNG LVL	$3,046.35	$3,046.35	—	—	—
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 SIGMOIDOSCOPY DIAGNOSTIC	$3,210.55	$3,210.55	$1,089.93–$5,909.00	at median	—
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 SIGMOIDOSCOPY DIAGNOSTIC	$3,210.55	$3,210.55	—	—	—
Hammertoe correction surgery CPT 28285 REPAIR OF HAMMERTOE	$10,640.93	$10,640.93	$3,878.87–$10,192.00	369% above	—
Hammertoe correction surgery inpatient CPT 28285 REPAIR OF HAMMERTOE	$10,640.93	$10,640.93	—	—	—
Hemorrhoid banding (rubber band ligation) CPT 46221 HEMORRHOIDECTOMY SMPL LIGATION	$2,970.79	$2,970.79	$453.93–$5,524.00	8% below	—
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HEMORRHOIDECTOMY SMPL LIGATION	$2,970.79	$2,970.79	—	—	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 INJ HYSTEROSALPINGOGRAM	$733.57	$733.57	$244.92–$7,497.00	73% above	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 INJ HYSTEROSALPINGOGRAM	$733.57	$733.57	—	—	—
IUD insertion (the device itself billed separately) CPT 58300 INSERT INTRAUTERINE DEVICE	$1,660.82	$1,660.82	$112.81–$1,544.56	152% above	—
IUD insertion (the device itself billed separately) inpatient CPT 58300 INSERT INTRAUTERINE DEVICE	$1,660.82	$1,660.82	—	—	—
Incision and drainage of a simple or single skin abscess CPT 10060 DRAINAGE OF SKIN ABSCESS	$645.53	$645.53	$237.54–$5,296.98	52% above	—
Incision and drainage of a simple or single skin abscess CPT 10060 I & D ABSCESS SMPL/SNGL	$645.53	$645.53	$237.54–$516.42	52% above	—
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SMPL/SNGL	$828.58	$828.58	$237.54–$5,296.98	96% above	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 DRAINAGE OF SKIN ABSCESS	$645.53	$645.53	—	—	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I & D ABSCESS SMPL/SNGL	$645.53	$645.53	—	—	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SMPL/SNGL	$828.58	$828.58	—	—	—
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHEATH/LIGAMENT	$971.96	$971.96	$89.01–$2,833.36	20% above	—
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ TENDON SHEATH/LIGAMENT	$971.96	$971.96	—	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHR ASP&/INJ MAJ JT/BUR/CYST	$1,053.65	$1,053.65	$103.99–$1,541.00	47% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHR ASP&/INJ MAJ JT/BURSA	$5,287.22	$5,287.22	$352.89–$7,497.00	638% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHR ASP&/INJ MAJ JT/BURSA	$1,053.65	$1,053.65	—	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHR ASP&/INJ MAJ JT/BUR/CYST	$1,053.65	$1,053.65	—	—	—
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERT DRUG IMPLANT DEVICE	$501.69	$501.69	$154.10–$7,497.00	23% above	—
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 INSERT DRUG IMPLANT DEVICE	$501.69	$501.69	—	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ JOINT/BURSA W/O US	$971.96	$971.96	$83.69–$2,833.36	54% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHR ASP&/INJ INT JT/BUR/CYST	$971.96	$971.96	$83.69–$777.57	54% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTH ASP&/INJ INT JT/BURSA	$4,126.62	$4,126.62	$352.89–$7,497.00	555% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN/INJ JOINT/BURSA W/O US	$971.96	$971.96	—	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTH ASP&/INJ INT JT/BURSA	$4,126.62	$4,126.62	—	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHR ASP&/INJ INT JT/BUR/CYST	$5,409.20	$5,409.20	—	—	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJ JOINT/BURSA W/O US	$971.96	$971.96	$81.44–$2,833.36	13% above	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTH ASP&/INJ SM JT/BURSA	$2,916.96	$2,916.96	$352.89–$7,497.00	240% above	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTH ASP&/INJ SM JT/BURSA/CYST	$4,902.09	$4,902.09	$81.44–$3,921.67	471% above	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 DRAIN/INJ JOINT/BURSA W/O US	$971.96	$971.96	—	—	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTH ASP&/INJ SM JT/BURSA	$2,916.96	$2,916.96	—	—	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTH ASP&/INJ SM JT/BURSA/CYST	$4,902.09	$4,902.09	—	—	—
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 POST-CATARACT LASER SURGERY	$1,994.72	$1,994.72	$655.84–$7,497.00	at median	—
Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 POST-CATARACT LASER SURGERY	$1,994.72	$1,994.72	—	—	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAYER CL SC/AX/TRK/EXT 2.5 OR	$1,333.66	$1,333.66	$351.03–$1,541.00	82% above	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LAYER CL SC/AX/TRK/EXT 2.5 OR	$1,333.66	$1,333.66	—	—	—
Lower-back epidural injection, with imaging guidance CPT 62323 LUM/SAC STER INJ W/GUIDANCE	$2,375.39	$2,375.39	$827.89–$7,497.00	18% below	—
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 LUM/SAC STER INJ W/GUIDANCE	$5,350.00	$5,350.00	—	—	—
Lower-back epidural injection, without imaging guidance CPT 62322 LUM/SAC STER INJ NO GUIDANCE	$3,182.59	$3,182.59	$1,064.32–$7,497.00	71% above	—
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 LUM/SAC STER INJ NO GUIDANCE	$3,182.59	$3,182.59	—	—	—
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ ANES TRANSFOR EPI L/S 1 LV	$3,046.35	$3,046.35	$1,064.32–$7,497.00	24% above	—
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 INJ ANES TRANSFOR EPI L/S 1 LV	$3,046.35	$3,046.35	—	—	—
Nail removal (partial or complete), one nail CPT 11730 AVULS NAIL PLATE SMPL SINGL	$645.53	$645.53	$121.91–$1,541.00	59% above	—
Nail removal (partial or complete), one nail CPT 11730 AVULSE NAIL PLATE SMPL SNGL	$645.53	$645.53	$121.91–$5,296.98	59% above	—
Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE	$645.53	$645.53	$121.91–$5,296.98	59% above	—
Nail removal (partial or complete), one nail inpatient CPT 11730 REMOVAL OF NAIL PLATE	$645.53	$645.53	—	—	—
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSE NAIL PLATE SMPL SNGL	$645.53	$645.53	—	—	—
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULS NAIL PLATE SMPL SINGL	$645.53	$645.53	—	—	—
Occipital nerve block (injection for headaches) CPT 64405 GREATER OCCIPITAL NERVE BLOCK	$1,053.65	$1,053.65	$352.89–$7,497.00	31% above	—
Occipital nerve block (injection for headaches) CPT 64405 OCCIPITAL NERVE	$1,630.56	$1,630.56	$122.06–$1,541.00	103% above	—
Occipital nerve block (injection for headaches) inpatient CPT 64405 GREATER OCCIPITAL NERVE BLOCK	$1,053.65	$1,053.65	—	—	—
Occipital nerve block (injection for headaches) inpatient CPT 64405 OCCIPITAL NERVE	$1,630.56	$1,630.56	—	—	—
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING	$2,951.02	$2,951.02	$239.16–$2,360.82	45% above	—
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W/IMAGING	$2,951.02	$2,951.02	—	—	—
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXC NAIL/MATRIX	$1,333.66	$1,333.66	$234.38–$1,066.93	61% above	—
Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED	$1,333.66	$1,333.66	$234.38–$2,833.36	61% above	—
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXC NAIL/MATRIX	$1,333.66	$1,333.66	—	—	—
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 REMOVAL OF NAIL BED	$1,936.63	$1,936.63	—	—	—
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTROY LUMB/SACRAL FACET JT	$6,576.29	$6,576.29	$2,334.50–$8,054.00	10% above	—
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 DESTROY LUMB/SACRAL FACET JT	$6,576.29	$6,576.29	—	—	—
Removal of a foreign object under the skin, simple CPT 10120 REMOVE FOREIGN BODY	$1,333.66	$1,333.66	$246.55–$5,296.98	108% above	—
Removal of a foreign object under the skin, simple CPT 10120 I & R FB SUBC TISS SMPL	$1,358.12	$1,358.12	$246.55–$1,086.50	112% above	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 REMOVE FOREIGN BODY	$1,333.66	$1,333.66	—	—	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 I & R FB SUBC TISS SMPL	$1,358.12	$1,358.12	—	—	—
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLONOSCOPY SCRN NOT HIGH RISK	$4,117.95	$4,117.95	$418.72–$6,203.08	28% above	—
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 COLONOSCOPY SCRN NOT HIGH RISK	$4,117.95	$4,117.95	—	—	—
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLONOSCPY SCREEN HIGH RISK PT	$4,117.95	$4,117.95	$417.85–$6,203.08	28% above	—
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 COLONOSCPY SCREEN HIGH RISK PT	$4,117.95	$4,117.95	—	—	—
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 LITHOTRIPSY	$11,457.61	$11,457.61	$4,123.17–$12,217.99	19% below	—
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 LITHOTRIPSY	$11,457.61	$11,457.61	—	—	—
Short arm splint (forearm and hand) CPT 29125 APPLY SHORT ARM SPLINT	$535.77	$535.77	$94.80–$1,541.00	92% above	—
Short arm splint (forearm and hand) inpatient CPT 29125 APPLY SHORT ARM SPLINT	$415.05	$415.05	—	—	—
Short leg cast (below the knee) CPT 29405 APPLY SHORT LEG CAST	$857.62	$857.62	$88.87–$92.57	42% above	—
Short leg cast (below the knee) inpatient CPT 29405 APPLY SHORT LEG CAST	$857.62	$857.62	—	—	—
Short leg splint (calf to foot) CPT 29515 APPLICATION LOWER LEG SPLINT	$521.05	$521.05	$116.77–$5,296.98	20% above	—
Short leg splint (calf to foot) CPT 29515 APPLY SHORT LEG SPLINT	$521.05	$521.05	$116.77–$474.00	20% above	—
Short leg splint (calf to foot) inpatient CPT 29515 APPLICATION LOWER LEG SPLINT	$521.05	$521.05	—	—	—
Short leg splint (calf to foot) inpatient CPT 29515 APPLY SHORT LEG SPLINT	$590.09	$590.09	—	—	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REPAIR SUP WOUND 2.5CM OR LESS	$645.53	$645.53	$237.54–$7,497.00	63% above	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REP SMPL LAC SNAGTE 2.5 OR <	$664.15	$664.15	$102.41–$1,541.00	67% above	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 REPAIR SUP WOUND 2.5CM OR LESS	$645.53	$645.53	—	—	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 REP SMPL LAC SNAGTE 2.5 OR <	$645.53	$645.53	—	—	—
Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION	$1,333.66	$1,333.66	$106.68–$5,296.98	216% above	—
Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX SKIN SINGLE LESION	$1,333.66	$1,333.66	—	—	—
Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAGS	$645.53	$645.53	$179.62–$5,296.98	125% above	—
Skin tag removal, up to 15 tags CPT 11200 REMOVAL SKIN TAGS <16 LESIONS	$645.53	$645.53	$179.62–$1,541.00	125% above	—
Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVAL OF SKIN TAGS	$645.53	$645.53	—	—	—
Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVAL SKIN TAGS <16 LESIONS	$645.53	$645.53	—	—	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 DX LMBR SPI PNXR	$2,467.92	$2,467.92	$98.55–$2,572.68	115% above	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNC DX	$2,467.92	$2,467.92	$147.88–$1,974.34	115% above	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE DIAGNOSTIC	$2,467.92	$2,467.92	$827.89–$7,497.00	115% above	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNC DX	$2,467.92	$2,467.92	—	—	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE DIAGNOSTIC	$2,467.92	$2,467.92	—	—	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 DX LMBR SPI PNXR	$2,467.92	$2,467.92	—	—	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 REP SMPL LAC SNAGTE 2.6-7.5	$1,083.02	$1,083.02	$134.42–$1,541.00	216% above	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 REP SMPL LAC SNAGTE 2.6-7.5	$645.53	$645.53	—	—	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REP SMPL LAC FEENLM 2.5 OR <	$645.53	$645.53	$127.61–$1,541.00	55% above	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 REP SMPL LAC FEENLM 2.5 OR <	$645.53	$645.53	—	—	—
Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LES	$804.05	$804.05	$4,775.03–$4,973.99	99% above	—
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TANGNTL BX SKIN SINGLE LES	$804.05	$804.05	—	—	—
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS ASP PLEURA W/IMG	$2,068.01	$2,068.01	$739.12–$7,497.00	62% above	—
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS ASP PLEURA W/IMG	$2,068.01	$2,068.01	—	—	—
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER PT(S) 1-2 MUSCLES	$5,490.32	$5,490.32	$82.93–$4,392.26	756% above	—
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIGGER PT(S) 1-2 MUSCLES	$1,053.65	$1,053.65	—	—	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BREAST BX 1ST LESION US GUIDE	$5,360.57	$5,360.57	$1,936.96–$7,497.00	3% below	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 BREAST BX 1ST LESION US GUIDE	$5,360.57	$5,360.57	—	—	—
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 ESOPH ENDO W/BAL DILTN <30MM	$6,225.80	$6,225.80	$2,267.81–$7,108.00	6% below	—
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 ESOPH ENDO W/BAL DILTN <30MM	$6,225.80	$6,225.80	—	—	—
Upper endoscopy (EGD) with biopsy CPT 43239 UGI ENDO W/BX, SNGL OR MULTI	$4,494.00	$4,494.00	$1,120.83–$7,108.00	37% above	—
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 UGI ENDO W/BX, SNGL OR MULTI	$4,494.00	$4,494.00	—	—	—
Upper endoscopy (EGD) with injection into the lining CPT 43236 UGI ENDO W/DIR SUBMUCOSAL INJS	$3,583.33	$3,583.33	$1,120.83–$7,108.00	9% above	—
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 UGI ENDO W/DIR SUBMUCOSAL INJS	$3,583.33	$3,583.33	—	—	—
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 ENDO W/RMVL TUMOR/POLYP SNARE	$6,225.80	$6,225.80	$2,267.81–$7,108.00	6% below	—
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 ENDO W/RMVL TUMOR/POLYP SNARE	$6,225.80	$6,225.80	—	—	—
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 UGI ENDO GUIDEWIRE INSERTION	$2,951.02	$2,951.02	$1,120.83–$7,108.00	10% below	—
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 UGI ENDO GUIDEWIRE INSERTION	$2,951.02	$2,951.02	—	—	—
Upper endoscopy (EGD), diagnostic CPT 43235 UGI ENDO DX W/WO SPEC WSH/BRSH	$3,583.33	$3,583.33	$1,120.83–$7,108.00	9% above	—
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 UGI ENDO DX W/WO SPEC WSH/BRSH	$3,583.33	$3,583.33	—	—	—
Vein ablation, radiofrequency, first vein CPT 36475 ENDOVEIN ABLAT TX EXT 1ST VEIN	$10,856.66	$10,856.66	$3,762.77–$12,217.99	19% above	—
Vein ablation, radiofrequency, first vein inpatient CPT 36475 ENDOVEIN ABLAT TX EXT 1ST VEIN	$10,856.66	$10,856.66	—	—	—
Wart removal, up to 14 warts CPT 17110 DESTRUCT B9 LESION 1-14	$645.53	$645.53	$161.19–$5,296.98	at median	—
Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCT B9 LESION 1-14	$645.53	$645.53	—	—	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEB SUBQ TISSUE 20 SQ CM/<	$1,333.66	$1,333.66	$139.02–$3,798.59	54% above	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SUBQ TISSUE 1ST 20SQCM	$2,675.00	$2,675.00	$139.02–$3,798.59	210% above	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEB SUBQ TISSUE 20 SQ CM/<	$1,333.66	$1,333.66	—	—	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE SUBQ TISSUE 1ST 20SQCM	$2,675.00	$2,675.00	—	—	—

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Connecticut	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION	$2,085.34	$2,085.34	$101.59–$1,920.18	74% above	—
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLD OR BLD COMPNT	$2,085.34	$2,085.34	$101.59–$1,668.27	74% above	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION	$2,085.34	$2,085.34	—	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLD OR BLD COMPNT	$2,085.34	$2,085.34	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INHALE TMT OBSTRCT/SPTM IND DX	$684.56	$684.56	$18.94–$1,541.00	218% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INHALE TX AIRWAY OBSTRCT/SPTM	$684.56	$684.56	$18.94–$547.65	218% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALE TX AIRWAY OBSTRCT/SPTM	$684.56	$684.56	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALE TMT OBSTRCT/SPTM IND DX	$684.56	$684.56	—	—	—
Chemotherapy IV infusion, first hour CPT 96413 IV INFUSION 1ST HR CHEME	$1,671.03	$1,671.03	$288.95–$1,538.68	51% above	—
Chemotherapy IV infusion, first hour inpatient CPT 96413 IV INFUSION 1ST HR CHEME	$1,671.03	$1,671.03	—	—	—
Critical care, first 30 to 74 minutes CPT 99291 ED LEVEL 6 - CRITICAL CARE	$3,959.00	$3,959.00	$1,007.32–$6,530.00	70% above	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 ED LEVEL 6 - CRITICAL CARE	$3,959.00	$3,959.00	—	—	—
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE AND DROWSY	$1,001.17	$1,001.17	$372.27–$1,135.03	20% below	—
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE AND DROWSY	$1,001.17	$1,001.17	—	—	—
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 ELECTROCARDIOGRAM COMPLETE	$315.30	$315.30	$14.87–$290.33	76% above	—
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 ELECTROCARDIOGRAM COMPLETE	$315.30	$315.30	—	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM TRACING	$252.23	$252.23	$15.00–$232.25	25% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ELECTROCARDIOGRAM TRACING	$252.23	$252.23	—	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED VISIT LEVEL I	$268.42	$268.42	$100.50–$3,865.00	46% below	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ED VISIT LEVEL I	$268.42	$268.42	—	—	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED VISIT LEVEL II	$561.75	$561.75	$132.29–$3,865.00	34% below	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ED VISIT LEVEL II	$561.75	$561.75	—	—	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED VISIT LEVEL III	$1,337.50	$1,337.50	$223.06–$3,865.00	10% below	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ED VISIT LEVEL III	$1,337.50	$1,337.50	—	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED VISIT LEVEL IV	$2,140.00	$2,140.00	$341.37–$3,865.00	10% below	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ED VISIT LEVEL IV	$2,140.00	$2,140.00	—	—	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED VISIT LEVEL V	$3,745.00	$3,745.00	$482.84–$3,865.00	1% below	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ED VISIT LEVEL V	$3,745.00	$3,745.00	—	—	—
Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST TRACING	$1,001.17	$1,001.17	$90.50–$1,594.82	9% below	—
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 STRESS TEST TRACING	$1,001.17	$1,001.17	—	—	—
Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYTX W/PT 50 MIN	$852.26	$852.26	$158.36–$164.96	169% above	—
Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY PSYTX W/PT 50 MIN	$852.26	$852.26	—	—	—
Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYTX W/O PT 50 MIN	$838.64	$838.64	$120.00–$772.22	222% above	—
Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY PSYTX W/O PT 50 MIN	$838.64	$838.64	—	—	—
Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY	$349.18	$349.18	$106.64–$321.52	120% above	—
Group psychotherapy session inpatient CPT 90853 GROUP PSYCHOTHERAPY	$349.18	$349.18	—	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFSN HYDRATION 31-60 MINS	$738.43	$738.43	$72.29–$590.74	49% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INFSN HYDRATION 31-60 MINS	$793.70	$793.70	—	—	—
IV infusion of a medicine, first hour CPT 96365 IV INFUSION 1ST HR NON CHEMO	$738.43	$738.43	$139.89–$679.95	10% above	—
IV infusion of a medicine, first hour CPT 96365 IV INFUSION 1ST HR	$793.70	$793.70	$139.89–$730.84	18% above	—
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION 1ST HR NON CHEMO	$738.43	$738.43	—	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION 1ST HR	$1,073.15	$1,073.15	—	—	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 TX/PROPHYL/DX INJ SUBQ/IM	$241.20	$241.20	$33.01–$222.10	18% above	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 TX/PROPHYL/DX INJ SUBQ/IM	$241.20	$241.20	—	—	—
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DX EVAL-NO MEDICAL SVCS	$605.35	$605.35	$120.00–$557.41	83% above	—
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCH DX EVAL-NO MEDICAL SVCS	$605.35	$605.35	—	—	—
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR RE-ED EA 15	$120.90	$120.90	$33.86–$410.00	10% below	—
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR RE-ED EA 15	$120.90	$120.90	—	—	—
New patient office visit, about 30 minutes CPT 99203 NEW PT DETAILED VIS GRANT III	$169.79	$169.79	$98.92–$232.29	17% below	—
New patient office visit, about 30 minutes CPT 99203 NEW PT VISIT W/O WISEWOMAN	$189.78	$189.78	$110.57–$232.29	7% below	—
New patient office visit, about 30 minutes CPT 99203 OFFICE O/P NEW LOW 30-44 MIN	$284.86	$284.86	$115.96–$262.30	39% above	—
New patient office visit, about 30 minutes CPT 99203 URG CARE NEW O/P LOW COMPLEX	$470.80	$470.80	$115.96–$474.00	130% above	—
New patient office visit, about 30 minutes CPT 99203 NEW PATIENT VISIT LEVEL 3	$475.17	$475.17	$115.96–$5,296.98	132% above	—
New patient office visit, about 30 minutes inpatient CPT 99203 NEW PT DETAILED VIS GRANT III	$169.79	$169.79	—	—	—
New patient office visit, about 30 minutes inpatient CPT 99203 NEW PT VISIT W/O WISEWOMAN	$189.78	$189.78	—	—	—
New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE O/P NEW LOW 30-44 MIN	$284.86	$284.86	—	—	—
New patient office visit, about 30 minutes inpatient CPT 99203 URG CARE NEW O/P LOW COMPLEX	$470.80	$470.80	—	—	—
New patient office visit, about 30 minutes inpatient CPT 99203 NEW PATIENT VISIT LEVEL 3	$475.17	$475.17	—	—	—
New patient office visit, about 45 minutes CPT 99204 OFFICE O/P NEW MOD 45-59 MIN	$461.76	$461.76	$173.31–$5,296.98	38% above	—
New patient office visit, about 45 minutes CPT 99204 URG CARE NEW O/P MOD COMPLEX	$500.23	$500.23	$154.06–$474.00	49% above	—
New patient office visit, about 45 minutes CPT 99204 NEW PATIENT VISIT LEVEL 4	$629.64	$629.64	$154.06–$5,296.98	88% above	—
New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE O/P NEW MOD 45-59 MIN	$461.76	$461.76	—	—	—
New patient office visit, about 45 minutes inpatient CPT 99204 URG CARE NEW O/P MOD COMPLEX	$500.23	$500.23	—	—	—
New patient office visit, about 45 minutes inpatient CPT 99204 NEW PATIENT VISIT LEVEL 4	$629.64	$629.64	—	—	—
New patient office visit, about 60 minutes CPT 99205 URG CARE NEW O/P HIGH COMPLEX	$529.65	$529.65	$154.06–$514.96	16% above	—
New patient office visit, about 60 minutes CPT 99205 NEW PATIENT VISIT LEVEL 5	$818.54	$818.54	$154.06–$5,296.98	80% above	—
New patient office visit, about 60 minutes inpatient CPT 99205 URG CARE NEW O/P HIGH COMPLEX	$529.65	$529.65	—	—	—
New patient office visit, about 60 minutes inpatient CPT 99205 NEW PATIENT VISIT LEVEL 5	$818.54	$818.54	—	—	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PT EXPANDED VIS GRANT II	$117.55	$117.55	$68.48–$154.06	2% below	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PT VISIT LEVEL II	$141.60	$141.60	$74.41–$154.06	18% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE O/P NEW SF 15-29 MIN	$167.21	$167.21	$74.41–$153.97	39% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 URG CARE NEW O/P SF COMPLEX	$353.10	$353.10	$74.41–$474.00	194% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENT VISIT LEVEL 2	$361.07	$361.07	$74.41–$5,296.98	201% above	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PT EXPANDED VIS GRANT II	$117.55	$117.55	—	—	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PT VISIT LEVEL II	$141.60	$141.60	—	—	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OFFICE O/P NEW SF 15-29 MIN	$167.21	$167.21	—	—	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 URG CARE NEW O/P SF COMPLEX	$353.10	$353.10	—	—	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PATIENT VISIT LEVEL 2	$361.07	$361.07	—	—	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 NUTRITION TX 1ST ASSESS/15MINS	$40.13	$40.13	$23.38–$92.06	46% below	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 NUTRITION TX 1ST ASSESS/15 MIN	$40.13	$40.13	$23.38–$92.06	46% below	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 60 MIN INITIAL - EMP RATE	$53.50	$53.50	$31.17–$92.06	27% below	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 60 MIN INITIAL - EMPLOYEE RATE	$53.50	$53.50	$31.17–$92.06	27% below	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 NUTRITION TX 1ST ASSESS/15MINS	$40.13	$40.13	—	—	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 60 MIN INITIAL - EMP RATE	$53.50	$53.50	—	—	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 60 MIN INITIAL - EMPLOYEE RATE	$53.50	$53.50	—	—	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 NUTRITION TX 1ST ASSESS/15 MIN	$110.18	$110.18	—	—	—
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL - LOW COMPLEXITY	$385.84	$385.84	$99.73–$410.00	2% below	—
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL - LOW COMPLEXITY	$385.84	$385.84	—	—	—
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL - HIGH COMPLEXITY	$385.84	$385.84	$99.73–$410.00	6% below	—
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL - HIGH COMPLEXITY	$385.84	$385.84	—	—	—
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL - LOW COMPLEXITY	$385.84	$385.84	$99.73–$410.00	3% below	—
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL - LOW COMPLEXITY	$385.84	$385.84	—	—	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL - MOD COMPLEXITY	$385.84	$385.84	$99.73–$410.00	3% below	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL - MOD COMPLEXITY	$385.84	$385.84	—	—	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY TECH EA 15	$120.90	$120.90	$28.72–$410.00	1% below	—
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY TECH EA 15	$120.90	$120.90	—	—	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISE EA 15	$112.25	$112.25	$30.44–$410.00	9% below	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISE EA 15	$112.25	$112.25	—	—	—
Psychiatric evaluation with medical services CPT 90792 PSYCH DX EVAL (W/MEDICAL SVCS)	$636.83	$636.83	$120.00–$586.39	86% above	—
Psychiatric evaluation with medical services inpatient CPT 90792 PSYCH DX EVAL (W/MEDICAL SVCS)	$636.83	$636.83	—	—	—
Psychotherapy session, 30 minutes CPT 90832 PSYTX W PT 30 MINUTES	$742.34	$742.34	$120.00–$683.55	302% above	—
Psychotherapy session, 30 minutes inpatient CPT 90832 PSYTX W PT 30 MINUTES	$742.34	$742.34	—	—	—
Psychotherapy session, 45 minutes CPT 90834 PSYTX W PT 45 MINUTES	$814.76	$814.76	$120.00–$750.23	214% above	—
Psychotherapy session, 45 minutes inpatient CPT 90834 PSYTX W PT 45 MINUTES	$814.76	$814.76	—	—	—
Psychotherapy session, 60 minutes CPT 90837 PSYTX W PT 60 MINUTES	$952.57	$952.57	$208.13–$216.81	164% above	—
Psychotherapy session, 60 minutes inpatient CPT 90837 PSYTX W PT 60 MINUTES	$952.57	$952.57	—	—	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE O/P EST HI 40-54 MIN	$481.50	$481.50	$154.06–$443.37	36% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 URGENT CARE ESTAB O/P LEVEL 5	$481.50	$481.50	$154.06–$474.00	36% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST PATIENT VISIT LEVEL 5	$861.48	$861.48	$154.06–$5,296.98	144% above	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 URGENT CARE ESTAB O/P LEVEL 5	$481.50	$481.50	—	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OFFICE O/P EST HI 40-54 MIN	$481.50	$481.50	—	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 EST PATIENT VISIT LEVEL 5	$861.48	$861.48	—	—	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST PT EXPANDED VIS GRANT III	$114.84	$114.84	$66.91–$186.41	32% below	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE O/P EST LOW 20-29 MIN	$228.20	$228.20	$94.52–$5,296.98	34% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 URGENT CARE ESTAB O/P LEVEL 3	$428.00	$428.00	$94.52–$474.00	152% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST PATIENT VISIT LEVEL 3	$475.17	$475.17	$94.52–$5,296.98	180% above	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 EST PT EXPANDED VIS GRANT III	$114.84	$114.84	—	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OFFICE O/P EST LOW 20-29 MIN	$214.00	$214.00	—	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 URGENT CARE ESTAB O/P LEVEL 3	$428.00	$428.00	—	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 EST PATIENT VISIT LEVEL 3	$475.17	$475.17	—	—	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE O/P EST MOD 30-39 MIN	$347.75	$347.75	$132.85–$320.21	50% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 URGENT CARE ESTAB O/P LEVEL 4	$454.75	$454.75	$132.85–$474.00	96% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EST PATIENT VISIT LEVEL 4	$629.64	$629.64	$132.85–$5,296.98	171% above	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFFICE O/P EST MOD 30-39 MIN	$335.09	$335.09	—	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 URGENT CARE ESTAB O/P LEVEL 4	$454.75	$454.75	—	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 EST PATIENT VISIT LEVEL 4	$629.64	$629.64	—	—	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EST PT BASIC VIS GRANT II	$69.06	$69.06	$40.23–$154.06	31% below	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE O/P EST SF 10-19 MIN	$160.50	$160.50	$58.62–$154.06	60% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 URGENT CARE ESTAB O/P LEVEL 2	$321.00	$321.00	$58.62–$474.00	221% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EST PATIENT VISIT LEVEL 2	$361.07	$361.07	$58.62–$5,296.98	261% above	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 EST PT BASIC VIS GRANT II	$69.06	$69.06	—	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE O/P EST SF 10-19 MIN	$123.78	$123.78	—	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 URGENT CARE ESTAB O/P LEVEL 2	$321.00	$321.00	—	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 EST PATIENT VISIT LEVEL 2	$361.07	$361.07	—	—	—
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 INDIV CONSULT LEVEL IV BC/BS	$254.24	$254.24	$148.12–$236.44	49% below	—
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 INDIV CONSULT LEVEL IV BC/BS	$254.24	$254.24	—	—	—
Speech and language evaluation CPT 92523 EVAL SOUND/LANGUAGE/EXPRESSION	$382.03	$382.03	$99.73–$410.00	44% below	—
Speech and language evaluation inpatient CPT 92523 EVAL SOUND/LANGUAGE/EXPRESSION	$382.03	$382.03	—	—	—
Speech therapy session, individual CPT 92507 SPEECH TREATMENT INDIVIDUAL	$302.23	$302.23	$79.08–$410.00	36% above	—
Speech therapy session, individual inpatient CPT 92507 SPEECH TREATMENT INDIVIDUAL	$302.23	$302.23	—	—	—
Spirometry (breathing test) CPT 94010 SPIROMETRY SMPL W/GRAPH RECORD	$548.16	$548.16	$63.72–$504.75	72% above	—
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY SMPL W/GRAPH RECORD	$548.16	$548.16	—	—	—
Spirometry before and after a bronchodilator CPT 94060 BRONCHODILTN RESPONSE PRE/POST	$1,001.17	$1,001.17	$90.97–$921.88	70% above	—
Spirometry before and after a bronchodilator inpatient CPT 94060 BRONCHODILTN RESPONSE PRE/POST	$1,001.17	$1,001.17	—	—	—
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES EA 15	$112.25	$112.25	$36.82–$410.00	8% below	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITIES EA 15	$112.25	$112.25	—	—	—
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY - THERAPEUTIC	$580.98	$580.98	$154.10–$534.97	123% above	—
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY - THERAPEUTIC	$580.98	$580.98	—	—	—

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Connecticut	Off list
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VIRUS QUAD 0.5ML	$56.21	$56.21	$23.22–$48.37	9% below	—
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VIRUS QUAD 0.5ML	$56.21	$56.21	—	—	—
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HPV 9 VACCINE	$907.95	$907.95	$528.97–$776.12	53% above	—
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HPV 9 VACCINE	$907.95	$907.95	—	—	—
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VACCINE 20 MCG/ML	$199.04	$199.04	$70.38–$170.14	86% above	—
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VACCINE 20 MCG/ML	$199.04	$199.04	—	—	—
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B VACC 0.5 ML	$79.21	$79.21	$21.95–$67.71	103% above	—
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B VACC 0.5 ML	$79.21	$79.21	—	—	—
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLUENZA A VIRUS QUAD 0.7ML	$237.66	$237.66	$98.16–$204.47	19% above	—
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 INFLUENZA A VIRUS QUAD 0.7ML	$237.66	$237.66	—	—	—
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES,MUMPS&RUBELLA VAC DOSE	$269.42	$269.42	$156.96–$230.30	39% above	—
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES,MUMPS&RUBELLA VAC DOSE	$269.42	$269.42	—	—	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VACCINE 0.5 ML	$323.15	$323.15	$133.47–$278.02	1% below	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL VACCINE 0.5 ML	$323.15	$323.15	—	—	—
Rabies vaccine, one dose CPT 90675 RABIES VACCINE, HUMAN 2.5UNITS	$1,199.52	$1,199.52	$313.68–$1,025.35	172% above	—
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, HUMAN 2.5UNITS	$1,199.52	$1,199.52	—	—	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS Td TOXOID ADULT 0.5ML	$47.30	$47.30	$27.56–$81.17	63% below	—
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS Td TOXOID ADULT 0.5ML	$47.30	$47.30	—	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TET DIP PERTUSSIS 0.5ML (Tdap)	$133.52	$133.52	$66.14–$114.13	1% below	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TET DIP PERTUSSIS 0.5ML (Tdap)	$239.96	$239.96	—	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN	$239.95	$239.95	$47.94–$220.95	191% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN 1ST VACCINE	$241.20	$241.20	$47.94–$222.10	193% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN PNEUMOCOCCAL VACCINE	$241.20	$241.20	$47.94–$222.10	193% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN INFLUENZA VACCINE	$241.20	$241.20	$47.94–$222.10	193% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN-1 VACCINE	$241.20	$241.20	$47.94–$222.10	193% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN	$239.95	$239.95	—	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN PNEUMOCOCCAL VACCINE	$241.20	$241.20	—	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN 1ST VACCINE	$241.20	$241.20	—	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN INFLUENZA VACCINE	$241.20	$241.20	—	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN-1 VACCINE	$241.20	$241.20	—	—	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN EA ADDL	$49.95	$49.95	$15.23–$45.99	121% above	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMIN IMMUNIZATION EA ADD'L	$50.45	$50.45	$15.23–$46.45	123% above	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZ ADMIN EA ADD'L VACCINE	$50.45	$50.45	$15.23–$46.45	123% above	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADMIN EA ADDL	$49.95	$49.95	—	—	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZ ADMIN EA ADD'L VACCINE	$50.45	$50.45	—	—	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ADMIN IMMUNIZATION EA ADD'L	$50.45	$50.45	—	—	—

Source file: https://hartfordhealthcare.org/file%20library/price%20data/393859332_manchester-memorial-hospital_standardcharges.csv