Hospital York-Hanover, PA

York Hospital

York Hospital in York, PA publishes cash prices for 367 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the Pennsylvania median for 184 of 366 procedures and above it for 167. By typical cash price it ranks #45 of 88 Pennsylvania hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

1001 South George Street, York, PA 17403 Collected Sep 27, 2026 Source price file (717) 851-2345

Acute care hospital Emergency department CMS star rating 4 of 5 CCN 390046 · CMS hospital register

CMS price transparency record

The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 1 action for a hospital named York Hospital in York, PA:

Mar 24, 2025 Met requirements

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

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 Pennsylvania	Off list
Ankle X-ray, complete, 3 or more views CPT 73610 X-Ray of Ankle, Minimum of 3 Views	$291.20	$364.00	$23.41–$531.43	14% below	20%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 X-Ray of Ankle, Minimum of 3 Views	$291.20	$364.00	$207.33–$345.80	—	20%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Ultrasound Study of Arm and Leg Arteries	$443.20	$554.00	$46.39–$778.01	11% above	20%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Ultrasound Study of Arm and Leg Arteries	$443.20	$554.00	$315.56–$526.30	—	20%
Barium swallow (esophagus X-ray with contrast) CPT 74220 Single Contrast X-Ray of Esophagus	$236.80	$296.00	$28.13–$1,074.45	45% below	20%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 Single Contrast X-Ray of Esophagus	$236.80	$296.00	$168.60–$281.20	—	20%
Bone scan, whole body (nuclear medicine) CPT 78306 Nuclear Medicine Study of Bone and/or Joint Whole Body	$1,713.60	$2,142.00	$76.88–$2,425.32	39% above	20%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Nuclear Medicine Study of Bone and/or Joint Whole Body	$1,713.60	$2,142.00	$1,220.08–$2,034.90	—	20%
Breast ultrasound, complete, one breast CPT 76641 Complete Ultrasound Scan of 1 Breast	$540.80	$676.00	$103.61–$642.20	5% above	20%
Breast ultrasound, complete, one breast inpatient CPT 76641 Complete Ultrasound Scan of 1 Breast	$540.80	$676.00	$385.05–$642.20	—	20%
Breast ultrasound, limited (one breast or one area) CPT 76642 Limited Ultrasound Scan of 1 Breast	$492.00	$615.00	$51.17–$584.25	25% above	20%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 Limited Ultrasound Scan of 1 Breast	$492.00	$615.00	$350.30–$584.25	—	20%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Scan of Blood Vessels of Chest With Contrast	$531.50	$2,649.00	$174.30–$2,516.55	63% below	80%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT Scan of Blood Vessels of Chest With Contrast	$531.50	$2,649.00	$1,508.87–$2,516.55	—	80%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT Scan of Blood Vessels and Grafts of Heart With Contrast	$407.00	$2,107.00	$258.84–$2,155.51	61% below	81%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT Scan of Blood Vessels and Grafts of Heart With Contrast	$407.00	$2,107.00	$1,200.15–$2,001.65	—	81%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT Scan of Heart With Evaluation of Blood Vessel Calcium	$85.50	$135.00	$43.48–$531.43	29% below	37%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT Scan of Heart With Evaluation of Blood Vessel Calcium	$85.50	$135.00	$76.90–$128.25	—	37%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Scan of Abdomen and Pelvis Without Contrast	$242.50	$2,322.00	$126.34–$2,205.90	84% below	90%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Scan of Abdomen and Pelvis Without Contrast	$242.50	$2,322.00	$1,322.61–$2,205.90	—	90%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Scan of Abdomen and Pelvis With Contrast	$437.50	$2,896.00	$240.91–$2,751.20	82% below	85%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Scan of Abdomen and Pelvis With Contrast	$437.50	$2,896.00	$1,649.56–$2,751.20	—	85%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Scan of Abdomen and Pelvis Before and After Contrast	$525.00	$3,065.00	$318.38–$2,911.75	80% below	83%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Scan of Abdomen and Pelvis Before and After Contrast	$525.00	$3,065.00	$1,745.82–$2,911.75	—	83%
CT scan of the abdomen with contrast CPT 74160 CT Scan of Abdomen With Contrast	$468.50	$2,362.00	$112.50–$2,243.90	67% below	80%
CT scan of the abdomen with contrast inpatient CPT 74160 CT Scan of Abdomen With Contrast	$468.50	$2,362.00	$1,345.40–$2,243.90	—	80%
CT scan of the abdomen without contrast CPT 74150 CT Scan of Abdomen Without Contrast	$273.50	$1,462.00	$96.88–$1,388.90	75% below	81%
CT scan of the abdomen without contrast inpatient CPT 74150 CT Scan of Abdomen Without Contrast	$273.50	$1,462.00	$832.76–$1,388.90	—	81%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT Scan of Face Without Contrast	$295.00	$1,462.00	$96.88–$1,388.90	69% below	80%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Scan of Face Without Contrast	$295.00	$1,462.00	$832.76–$1,388.90	—	80%
CT scan of the head or brain, no contrast dye CPT 70450 CT Scan Head or Brain Without Contrast	$296.00	$1,462.00	$96.88–$1,388.90	66% below	80%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Scan Head or Brain Without Contrast	$296.00	$1,462.00	$832.76–$1,388.90	—	80%
CT scan of the head with contrast CPT 70460 CT Scan Head or Brain With Contrast	$478.00	$2,362.00	$100.00–$2,243.90	63% below	80%
CT scan of the head with contrast inpatient CPT 70460 CT Scan Head or Brain With Contrast	$478.00	$2,362.00	$1,345.40–$2,243.90	—	80%
CT scan of the head without and with contrast CPT 70470 CT Scan of Head or Brain Before and After Contrast	$569.00	$2,645.00	$125.00–$2,512.75	56% below	78%
CT scan of the head without and with contrast inpatient CPT 70470 CT Scan of Head or Brain Before and After Contrast	$569.00	$2,645.00	$1,506.59–$2,512.75	—	78%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT Scan of Lower Spine Without Contrast	$286.00	$1,462.00	$104.12–$1,388.90	72% below	80%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT Scan of Lower Spine Without Contrast	$286.00	$1,462.00	$832.76–$1,388.90	—	80%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT Scan of Upper Spine Without Contrast	$282.00	$1,462.00	$103.88–$1,388.90	71% below	81%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT Scan of Upper Spine Without Contrast	$282.00	$1,462.00	$832.76–$1,388.90	—	81%
CT scan of the pelvis, with contrast dye CPT 72193 CT Scan of Pelvis With Contrast	$475.50	$2,362.00	$108.13–$2,243.90	67% below	80%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Scan of Pelvis With Contrast	$475.50	$2,362.00	$1,345.40–$2,243.90	—	80%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Ultrasound of Both Sides of Head and Neck Blood Flow	$1,321.60	$1,652.00	$149.17–$1,569.40	33% above	20%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 Ultrasound of Both Sides of Head and Neck Blood Flow	$1,321.60	$1,652.00	$940.98–$1,569.40	—	20%
Chest X-ray, 2 views CPT 71046 X-Ray of Chest, 2 Views	$322.40	$403.00	$18.57–$531.43	40% above	20%
Chest X-ray, 2 views inpatient CPT 71046 X-Ray of Chest, 2 Views	$322.40	$403.00	$229.55–$382.85	—	20%
Chest X-ray, single view CPT 71045 X-Ray of Chest, 1 View	$292.80	$366.00	$10.14–$531.43	88% above	20%
Chest X-ray, single view inpatient CPT 71045 X-Ray of Chest, 1 View	$292.80	$366.00	$208.47–$347.70	—	20%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Complete Ultrasound Scan Behind Abdominal Cavity	$772.80	$966.00	$61.25–$917.70	15% above	20%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Complete Ultrasound Scan Behind Abdominal Cavity	$772.80	$966.00	$550.23–$917.70	—	20%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA Bone Density Measurement of Hip, Pelvis, Spine	$237.00	$627.00	$64.92–$641.84	10% below	62%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DXA Bone Density Measurement of Hip, Pelvis, Spine	$237.00	$627.00	$357.14–$595.65	—	62%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA Bone Density Measurement of Forearm, Finger, Hand, or Foot	$323.20	$404.00	$22.10–$531.43	81% above	20%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DXA Bone Density Measurement of Forearm, Finger, Hand, or Foot	$323.20	$404.00	$230.12–$383.80	—	20%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 Ultrasound of Pregnant Uterus W Anatomic Detail, Single/1st Fetus	$1,104.80	$1,381.00	$114.27–$1,458.93	35% above	20%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 Ultrasound of Pregnant Uterus W Anatomic Detail, Single/1st Fetus	$1,104.80	$1,381.00	$786.62–$1,311.95	—	20%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Scan of Chest Without Contrast	$285.00	$1,462.00	$103.88–$1,388.90	73% below	81%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Scan of Chest Without Contrast	$285.00	$1,462.00	$832.76–$1,388.90	—	81%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Scan of Chest With Contrast	$470.00	$2,362.00	$109.38–$2,243.90	64% below	80%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Scan of Chest With Contrast	$470.00	$2,362.00	$1,345.40–$2,243.90	—	80%
Diagnostic mammogram, both breasts CPT 77066 Diagnostic Mammography of Both Breasts	$208.00	$449.00	$100.45–$632.62	33% below	54%
Diagnostic mammogram, both breasts inpatient CPT 77066 Diagnostic Mammography of Both Breasts	$208.00	$449.00	$255.75–$426.55	—	54%
Diagnostic mammogram, one breast CPT 77065 Diagnostic Mammography of 1 Breast	$222.00	$449.00	$78.86–$493.29	12% below	51%
Diagnostic mammogram, one breast inpatient CPT 77065 Diagnostic Mammography of 1 Breast	$222.00	$449.00	$255.75–$426.55	—	51%
Duplex ultrasound of the leg arteries, both legs CPT 93925 Ultrasound of Leg Arteries or Artery Grafts	$989.60	$1,237.00	$149.17–$1,458.93	20% above	20%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 Ultrasound of Leg Arteries or Artery Grafts	$989.60	$1,237.00	$704.60–$1,175.15	—	20%
Duplex ultrasound of the leg veins, both legs CPT 93970 Ultrasound Study of Arm or Leg Veins With Compression and Maneuvers	$869.60	$1,087.00	$142.75–$1,458.93	at median	20%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 Ultrasound Study of Arm or Leg Veins With Compression and Maneuvers	$869.60	$1,087.00	$619.16–$1,032.65	—	20%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Ultrasound of Heart W Blood Flow, Rate, Direction and Valve Function	$3,666.40	$4,583.00	$122.67–$4,768.53	96% above	20%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Ultrasound of Heart With Blood Flow, Rate, Direction and Valve Function	$3,666.40	$4,583.00	$122.67–$4,353.85	96% above	20%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Ultrasound of Heart With Blood Flow, Rate, Direction and Valve Function	$3,666.40	$4,583.00	$2,610.48–$4,353.85	—	20%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Ultrasound of Heart W Blood Flow, Rate, Direction and Valve Function	$3,666.40	$4,583.00	$2,610.48–$4,353.85	—	20%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Nuclear Medicine Study of Liver and Bile Duct System	$1,713.60	$2,142.00	$268.09–$2,425.32	39% above	20%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Nuclear Medicine Study of Liver and Bile Duct System	$1,713.60	$2,142.00	$1,220.08–$2,034.90	—	20%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Sleep Study Including Heart Rate, Breathing, Airflow, and Effort	$375.20	$469.00	$66.84–$944.32	30% below	20%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 Sleep Study Including Heart Rate, Breathing, Airflow, and Effort	$375.20	$469.00	$267.14–$445.55	—	20%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Sleep Study in Sleep Lab With Continuous Airway Pressure (6 Years or Older)	$4,164.80	$5,206.00	$647.09–$6,140.67	38% above	20%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Sleep Study in Sleep Lab With Continuous Airway Pressure (6 Years or Older)	$4,164.80	$5,206.00	$2,965.34–$4,945.70	—	20%
Knee X-ray, 3 views CPT 73562 X-Ray of Knee, 3 Views	$333.60	$417.00	$20.63–$531.43	at median	20%
Knee X-ray, 3 views inpatient CPT 73562 X-Ray of Knee, 3 Views	$333.60	$417.00	$237.52–$396.15	—	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Limited Ultrasound Scan of Abdomen	$910.40	$1,138.00	$46.88–$1,081.10	65% above	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Limited Ultrasound Scan of Abdomen	$910.40	$1,138.00	$648.20–$1,081.10	—	20%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Low Dose CT Scan of Chest for Lung Cancer Screening	$266.00	$1,206.00	$91.73–$1,145.70	5% above	78%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 Low Dose CT Scan of Chest for Lung Cancer Screening	$266.00	$1,206.00	$686.94–$1,145.70	—	78%
MRI of both breasts, without and then with contrast dye CPT 77049 MRI Scan of Both Breasts	$705.34	$2,600.00	$274.33–$2,470.00	at median	73%
MRI of both breasts, without and then with contrast dye inpatient CPT 77049 MRI Scan of Both Breasts	$705.34	$2,600.00	$1,480.96–$2,470.00	—	73%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI Scan of Leg Joint Without Contrast	$462.00	$2,225.00	$236.67–$2,113.75	72% below	79%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI Scan of Leg Joint Without Contrast	$462.00	$2,225.00	$1,267.36–$2,113.75	—	79%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI Scan of Leg Joint Before and After Contrast	$712.50	$2,646.00	$349.67–$2,513.70	73% below	73%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI Scan of Leg Joint Before and After Contrast	$712.50	$2,646.00	$1,507.16–$2,513.70	—	73%
MRI of the abdomen without contrast CPT 74181 MRI Scan of Abdomen Without Contrast	$457.00	$2,225.00	$236.67–$2,113.75	73% below	79%
MRI of the abdomen without contrast inpatient CPT 74181 MRI Scan of Abdomen Without Contrast	$457.00	$2,225.00	$1,267.36–$2,113.75	—	79%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Scan of Abdomen Before and After Contrast	$706.00	$2,646.00	$349.67–$2,513.70	74% below	73%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI Scan of Abdomen Before and After Contrast	$706.00	$2,646.00	$1,507.16–$2,513.70	—	73%
MRI of the brain, no contrast dye CPT 70551 MRI Scan of Brain Without Contrast	$455.00	$2,225.00	$236.67–$2,113.75	66% below	80%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI Scan of Brain Without Contrast	$455.00	$2,225.00	$1,267.36–$2,113.75	—	80%
MRI of the brain, with and without contrast dye CPT 70553 MRI Scan of Brain Before and After Contrast	$701.50	$2,646.00	$336.25–$2,513.70	74% below	73%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Scan of Brain Before and After Contrast	$701.50	$2,646.00	$1,507.16–$2,513.70	—	73%
MRI of the lower back, no contrast dye CPT 72148 MRI Scan of Lower Spinal Canal Without Contrast	$454.00	$2,225.00	$234.00–$2,113.75	73% below	80%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Scan of Lower Spinal Canal Without Contrast	$454.00	$2,225.00	$1,267.36–$2,113.75	—	80%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI Scan of Lower Spinal Canal Before and After Contrast	$700.50	$2,646.00	$336.25–$2,513.70	74% below	74%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI Scan of Lower Spinal Canal Before and After Contrast	$700.50	$2,646.00	$1,507.16–$2,513.70	—	74%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI Scan of Middle Spinal Canal Without Contrast	$454.00	$2,225.00	$234.00–$2,113.75	74% below	80%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI Scan of Middle Spinal Canal Without Contrast	$454.00	$2,225.00	$1,267.36–$2,113.75	—	80%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI Scan of Upper Spinal Canal Before and After Contrast	$701.50	$2,646.00	$336.25–$2,513.70	73% below	73%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI Scan of Upper Spinal Canal Before and After Contrast	$701.50	$2,646.00	$1,507.16–$2,513.70	—	73%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Scan of Upper Spinal Canal Without Contrast	$454.00	$2,225.00	$236.67–$2,113.75	74% below	80%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI Scan of Upper Spinal Canal Without Contrast	$454.00	$2,225.00	$1,267.36–$2,113.75	—	80%
MRI of the pelvis without and with contrast CPT 72197 MRI Scan of Pelvis Before and After Contrast	$706.00	$2,646.00	$349.67–$2,513.70	74% below	73%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI Scan of Pelvis Before and After Contrast	$706.00	$2,646.00	$1,507.16–$2,513.70	—	73%
MRI of the pelvis, no contrast dye CPT 72195 MRI Scan of Pelvis Without Contrast	$455.50	$2,225.00	$236.67–$2,113.75	74% below	80%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI Scan of Pelvis Without Contrast	$455.50	$2,225.00	$1,267.36–$2,113.75	—	80%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI Scan of Arm Joint Without Contrast	$461.50	$2,225.00	$236.67–$2,113.75	77% below	79%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI Scan of Arm Joint Without Contrast	$461.50	$2,225.00	$1,267.36–$2,113.75	—	79%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Nuclear Medicine Studies of Heart Muscle at Rest and With Stress and Spect	$6,240.00	$7,800.00	$347.92–$7,879.46	66% above	20%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Nuclear Medicine Studies of Heart Muscle at Rest and With Stress and Spect	$6,240.00	$7,800.00	$4,442.88–$7,410.00	—	20%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 Nuclear Medicine Study From Skull Base to Mid-Thigh With CT Scan	$6,880.00	$8,600.00	$1,428.13–$8,803.56	18% above	20%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Nuclear Medicine Study From Skull Base to Mid-Thigh With CT Scan	$6,880.00	$8,600.00	$4,898.56–$8,170.00	—	20%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Limited Ultrasound Scan of Pelvis	$468.00	$585.00	$23.75–$641.84	17% above	20%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Limited Ultrasound Scan of Pelvis	$468.00	$585.00	$333.22–$555.75	—	20%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Complete Ultrasound Scan of Pelvis	$517.60	$647.00	$58.13–$641.84	at median	20%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Complete Ultrasound Scan of Pelvis	$517.60	$647.00	$368.53–$614.65	—	20%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Ultrasound Scan of Pregnant Uterus (14 Weeks or More), Single or 1st Fetus	$888.80	$1,111.00	$58.13–$1,055.45	58% above	20%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Ultrasound Scan of Pregnant Uterus (14 Weeks or More), Single or 1st Fetus	$888.80	$1,111.00	$632.83–$1,055.45	—	20%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Ultrasound of Pregnant Uterus (Less Than 14 Weeks), Single/1st Fetus	$840.00	$1,050.00	$47.99–$997.50	77% above	20%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 Ultrasound of Pregnant Uterus (Less Than 14 Weeks), Single/1st Fetus	$840.00	$1,050.00	$598.08–$997.50	—	20%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Limited Ultrasound of Pregnant Uterus	$544.00	$680.00	$48.75–$646.00	26% above	20%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Limited Ultrasound of Pregnant Uterus	$544.00	$680.00	$387.33–$646.00	—	20%
Screening mammogram, both breasts CPT 77067 Screening Mammography	$225.00	$427.00	$83.06–$521.53	8% below	47%
Screening mammogram, both breasts inpatient CPT 77067 Screening Mammography	$225.00	$427.00	$243.22–$405.65	—	47%
Shoulder X-ray, complete, 2 or more views CPT 73030 X-Ray of Shoulder, Minimum of 2 Views	$330.40	$413.00	$20.63–$531.43	at median	20%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 X-Ray of Shoulder, Minimum of 2 Views	$330.40	$413.00	$235.24–$392.35	—	20%
Sleep study in a lab (polysomnography) CPT 95810 Sleep Study in Sleep Lab (6 Years or Older)	$3,935.20	$4,919.00	$433.20–$6,140.67	25% above	20%
Sleep study in a lab (polysomnography) inpatient CPT 95810 Sleep Study in Sleep Lab (6 Years or Older)	$3,935.20	$4,919.00	$2,801.86–$4,673.05	—	20%
Swallow study (modified barium swallow, video X-ray) CPT 74230 Imaging for Evaluation of Swallowing Function	$590.40	$738.00	$35.00–$1,074.45	34% above	20%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Imaging for Evaluation of Swallowing Function	$590.40	$738.00	$420.36–$701.10	—	20%
Transvaginal pelvic ultrasound CPT 76830 Ultrasound of Uterus, Ovaries, Tubes, Cervix and Pelvic Area Through Vagina	$592.00	$740.00	$58.13–$703.00	50% above	20%
Transvaginal pelvic ultrasound inpatient CPT 76830 Ultrasound of Uterus, Ovaries, Tubes, Cervix and Pelvic Area Through Vagina	$592.00	$740.00	$421.50–$703.00	—	20%
Transvaginal ultrasound during pregnancy CPT 76817 Vaginal Ultrasound of Pregnant Uterus	$652.80	$816.00	$66.28–$775.20	31% above	20%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 Vaginal Ultrasound of Pregnant Uterus	$652.80	$816.00	$464.79–$775.20	—	20%
Ultrasound of the abdomen, complete CPT 76700 Complete Ultrasound Scan of Abdomen	$1,272.00	$1,590.00	$71.88–$1,510.50	94% above	20%
Ultrasound of the abdomen, complete inpatient CPT 76700 Complete Ultrasound Scan of Abdomen	$1,272.00	$1,590.00	$905.66–$1,510.50	—	20%
Ultrasound of the scrotum and testicles CPT 76870 Ultrasound Scan of Scrotum	$617.60	$772.00	$55.00–$733.40	10% above	20%
Ultrasound of the scrotum and testicles inpatient CPT 76870 Ultrasound Scan of Scrotum	$617.60	$772.00	$439.73–$733.40	—	20%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Ultrasound Scan of Head and Neck Soft Tissue	$583.20	$729.00	$63.73–$692.55	44% above	20%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Ultrasound Scan of Head and Neck Soft Tissue	$583.20	$729.00	$415.24–$692.55	—	20%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Single Contrast X-Ray of Upper Digestive Tract	$811.20	$1,014.00	$48.75–$1,074.45	44% above	20%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Single Contrast X-Ray of Upper Digestive Tract	$811.20	$1,014.00	$577.57–$963.30	—	20%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Ultrasound Study of One Arm or Leg Veins With Compression and Maneuvers	$605.60	$757.00	$98.25–$719.15	at median	20%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 Ultrasound Study of One Arm or Leg Veins With Compression and Maneuvers	$605.60	$757.00	$431.19–$719.15	—	20%
Wrist X-ray, complete, 3 or more views CPT 73110 X-Ray of Wrist, Minimum of 3 Views	$315.20	$394.00	$14.38–$531.43	at median	20%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 X-Ray of Wrist, Minimum of 3 Views	$315.20	$394.00	$224.42–$374.30	—	20%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-Ray of Hip, 2-3 Views	$344.80	$431.00	$27.95–$531.43	3% above	20%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 X-Ray of Hip, 2-3 Views	$344.80	$431.00	$245.50–$409.45	—	20%
X-ray of the abdomen, 1 view CPT 74018 X-Ray of Abdomen, 1 View	$292.80	$366.00	$17.22–$531.43	24% above	20%
X-ray of the abdomen, 1 view inpatient CPT 74018 X-Ray of Abdomen, 1 View	$292.80	$366.00	$208.47–$347.70	—	20%
X-ray of the abdomen, 1 view inpatient CPT 74018 X-ray of abdomen, 1 view	$403.20	$504.00	$287.08–$478.80	—	20%
X-ray of the ankle, 2 views CPT 73600 X-Ray of Ankle, 2 Views	$248.80	$311.00	$14.38–$531.43	23% below	20%
X-ray of the ankle, 2 views inpatient CPT 73600 X-Ray of Ankle, 2 Views	$248.80	$311.00	$177.15–$295.45	—	20%
X-ray of the finger(s), 2 or more views CPT 73140 X-Ray of Finger, Minimum of 2 Views	$231.20	$289.00	$11.25–$531.43	20% above	20%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 X-Ray of Finger, Minimum of 2 Views	$231.20	$289.00	$164.61–$274.55	—	20%
X-ray of the foot, 2 views CPT 73620 X-Ray of Foot, 2 Views	$221.60	$277.00	$12.50–$531.43	26% below	20%
X-ray of the foot, 2 views inpatient CPT 73620 X-Ray of Foot, 2 Views	$221.60	$277.00	$157.78–$263.15	—	20%
X-ray of the foot, complete, 3 or more views CPT 73630 X-Ray of Foot, Minimum of 3 Views	$290.40	$363.00	$14.38–$531.43	17% below	20%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 X-Ray of Foot, Minimum of 3 Views	$290.40	$363.00	$206.76–$344.85	—	20%
X-ray of the hand, 3 or more views CPT 73130 X-Ray of Hand, Minimum of 3 Views	$296.80	$371.00	$14.38–$531.43	at median	20%
X-ray of the hand, 3 or more views inpatient CPT 73130 X-Ray of Hand, Minimum of 3 Views	$296.80	$371.00	$211.32–$352.45	—	20%
X-ray of the knee, 1 or 2 views CPT 73560 X-Ray of Knee, 1-2 Views	$262.40	$328.00	$20.63–$531.43	at median	20%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 X-Ray of Knee, 1-2 Views	$262.40	$328.00	$186.83–$311.60	—	20%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-Ray of Lower and Sacral Spine, 2-3 Views	$339.20	$424.00	$28.13–$641.84	29% above	20%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 X-Ray of Lower and Sacral Spine, 2-3 Views	$339.20	$424.00	$241.51–$402.80	—	20%
X-ray of the lower back, 4 or more views CPT 72110 X-Ray of Lower and Sacral Spine, Minimum of 4 Views	$526.40	$658.00	$28.13–$641.84	52% above	20%
X-ray of the lower back, 4 or more views inpatient CPT 72110 X-Ray of Lower and Sacral Spine, Minimum of 4 Views	$526.40	$658.00	$374.80–$625.10	—	20%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-Ray of Middle Spine, 2 Views	$200.00	$250.00	$25.24–$641.84	44% below	20%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 X-Ray of Middle Spine, 2 Views	$200.00	$250.00	$142.40–$237.50	—	20%
X-ray of the nasal bones, 3 or more views CPT 70160 X-Ray of Nose Bones, Minimum of 3 Views	$289.60	$362.00	$14.38–$531.43	12% above	20%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 X-Ray of Nose Bones, Minimum of 3 Views	$289.60	$362.00	$206.20–$343.90	—	20%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-Ray of Upper Spine, 2-3 Views	$155.20	$194.00	$20.63–$531.43	45% below	20%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 X-Ray of Upper Spine, 2-3 Views	$155.20	$194.00	$110.50–$184.30	—	20%
X-ray of the pelvis, 1 or 2 views CPT 72170 X-Ray of Pelvis, 1-2 Views	$294.40	$368.00	$12.50–$641.84	12% above	20%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 X-Ray of Pelvis, 1-2 Views	$294.40	$368.00	$209.61–$349.60	—	20%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-Ray of Sacrum and Tailbone, Minimum of 2 Views	$308.00	$385.00	$20.63–$531.43	8% above	20%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 X-Ray of Sacrum and Tailbone, Minimum of 2 Views	$308.00	$385.00	$219.30–$365.75	—	20%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Pennsylvania	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Liver Enzyme (Sgpt), Level	$22.40	$28.00	$5.30–$32.67	28% below	20%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Liver Enzyme (Sgpt), Level	$22.40	$28.00	$15.95–$26.60	—	20%
AST (aspartate aminotransferase) enzyme test CPT 84450 Liver Enzyme (Sgot), Level	$21.60	$27.00	$5.18–$31.93	27% below	20%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Liver Enzyme (Sgot), Level	$21.60	$27.00	$15.38–$25.65	—	20%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute Hepatitis Panel	$198.40	$248.00	$47.63–$293.61	36% below	20%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Acute Hepatitis Panel	$198.40	$248.00	$141.26–$235.60	—	20%
Allergy blood test, specific IgE, per allergen CPT 86003 Measure of Antibody to Allergic Substance	$21.60	$27.00	$5.22–$32.18	28% below	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Measure of Antibody to Allergic Substance	$21.60	$27.00	$15.38–$25.65	—	20%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Measurement of Antibody for Rheumatoid Arthritis Assessment	$54.40	$68.00	$12.95–$79.83	25% below	20%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Measurement of Antibody for Rheumatoid Arthritis Assessment	$54.40	$68.00	$38.73–$64.60	—	20%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Screening Test for Autoimmune Disorder	$49.60	$62.00	$12.09–$74.53	24% below	20%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Screening Test for Autoimmune Disorder	$49.60	$62.00	$35.32–$58.90	—	20%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Natriuretic Peptide (Heart and Blood Vessel Protein) Level	$80.00	$240.00	$37.94–$242.01	50% below	67%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Natriuretic Peptide (Heart and Blood Vessel Protein) Level	$80.00	$240.00	$136.70–$228.00	—	67%
Basic metabolic panel (blood test) CPT 80048 Blood Test, Basic Group of Blood Chemicals (Calcium, Total)	$20.00	$69.00	$8.46–$65.55	75% below	71%
Basic metabolic panel (blood test) inpatient CPT 80048 Blood Test, Basic Group of Blood Chemicals (Calcium, Total)	$20.00	$69.00	$39.30–$65.55	—	71%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Pathology Examination of Tissue Using a Microscope, Intermediate Complexity	$218.40	$273.00	$11.25–$322.46	34% above	20%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Pathology Examination of Tissue Using a Microscope, Intermediate Complexity	$218.40	$273.00	$155.50–$259.35	—	20%
Blood culture for bacteria CPT 87040 Bacterial Blood Culture	$42.40	$53.00	$10.32–$63.62	50% below	20%
Blood culture for bacteria inpatient CPT 87040 Bacterial Blood Culture	$42.40	$53.00	$30.19–$50.35	—	20%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Insertion of Needle Into Vein for Collection of Blood Sample	$5.00	$15.00	$2.70–$26.49	57% below	67%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Insertion of Needle Into Vein for Collection of Blood Sample	$5.00	$15.00	$8.54–$14.25	—	67%
Blood glucose (sugar) test CPT 82947 Blood Glucose (Sugar) Level	$15.00	$20.00	$3.93–$24.23	38% below	25%
Blood glucose (sugar) test inpatient CPT 82947 Blood Glucose (Sugar) Level	$15.00	$20.00	$11.39–$19.00	—	25%
Blood lead test CPT 83655 Lead Level	$50.40	$63.00	$10.00–$74.65	21% below	20%
Blood lead test inpatient CPT 83655 Lead Level	$50.40	$63.00	$35.88–$59.85	—	20%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Gonadotropin (Reproductive Hormone) Analysis	$31.20	$39.00	$7.52–$46.36	30% below	20%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Gonadotropin (Reproductive Hormone) Analysis	$31.20	$39.00	$22.21–$37.05	—	20%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood Group Typing (Abo)	$146.00	$242.00	$4.12–$778.01	96% above	40%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Blood Group Typing (Abo)	$146.00	$242.00	$137.84–$229.90	—	40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Measurement C-Reactive Protein for Detection of Infection or Inflammation	$20.00	$27.00	$3.00–$31.93	40% below	26%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 Measurement C-Reactive Protein for Detection of Infection or Inflammation	$20.00	$27.00	$15.38–$25.65	—	26%
C. difficile toxin gene test (stool PCR) CPT 87493 Detect for Clostridium Difficile, Amplified Probe	$152.00	$190.00	$37.27–$229.75	10% below	20%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Detect for Clostridium Difficile, Amplified Probe	$152.00	$190.00	$108.22–$180.50	—	20%
CA 19-9 blood test (tumor marker) CPT 86301 Immunologic Analysis for Detection of Tumor Antigen, Quantitative; Ca 19-9	$85.00	$108.00	$20.81–$128.28	27% below	21%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 Immunologic Analysis for Detection of Tumor Antigen, Quantitative; Ca 19-9	$85.00	$108.00	$61.52–$102.60	—	21%
CA-125 blood test (ovarian cancer marker) CPT 86304 Immunologic Analysis for Detection of Tumor Antigen, Quantitative; Ca 125	$85.00	$108.00	$20.81–$128.28	33% below	21%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Immunologic Analysis for Detection of Tumor Antigen, Quantitative; Ca 125	$85.00	$108.00	$61.52–$102.60	—	21%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Amplifed Dna or Rna Probe Detect of Coronavirus 2 (Covid-19) Antigen	$100.00	$192.00	$35.49–$316.30	33% above	48%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Amplifed Dna or Rna Probe Detect of Coronavirus 2 (Covid-19) Antigen	$100.00	$192.00	$109.36–$182.40	—	48%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Detect for Chlamydia Trachomatis, Amplified Probe	$147.20	$184.00	$23.19–$216.31	9% below	20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Detect for Chlamydia Trachomatis, Amplified Probe	$147.20	$184.00	$104.81–$174.80	—	20%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Blood Test, Lipids (Cholesterol and Triglycerides)	$40.00	$100.00	$13.39–$95.00	54% below	60%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Blood Test, Lipids (Cholesterol and Triglycerides)	$40.00	$100.00	$56.96–$95.00	—	60%
Complete blood count (CBC) with differential CPT 85025 Complete Blood Cell Count, With Diff	$15.00	$55.00	$6.00–$52.25	64% below	73%
Complete blood count (CBC) with differential inpatient CPT 85025 Complete Blood Cell Count, With Diff	$15.00	$55.00	$31.33–$52.25	—	73%
Complete blood count (CBC), no differential CPT 85027 Complete Blood Cell Count, W/O Diff	$15.00	$45.00	$6.47–$42.75	57% below	67%
Complete blood count (CBC), no differential inpatient CPT 85027 Complete Blood Cell Count, W/O Diff	$15.00	$45.00	$25.63–$42.75	—	67%
Comprehensive metabolic panel (blood test) CPT 80053 Blood Test, Comprehensive Group of Blood Chemicals	$25.00	$88.00	$10.56–$83.60	74% below	72%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Blood Test, Comprehensive Group of Blood Chemicals	$25.00	$88.00	$50.12–$83.60	—	72%
D-dimer blood test (blood clot marker) CPT 85379 Coagulation Function Measurement, D-Dimer; Quantitative	$50.40	$63.00	$10.18–$62.75	18% below	20%
D-dimer blood test (blood clot marker) inpatient CPT 85379 Coagulation Function Measurement, D-Dimer; Quantitative	$50.40	$63.00	$35.88–$59.85	—	20%
DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone (Dhea-S) Hormone Level	$92.00	$115.00	$21.00–$137.03	18% below	20%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dehydroepiandrosterone (Dhea-S) Hormone Level	$92.00	$115.00	$65.50–$109.25	—	20%
Estradiol blood test CPT 82670 Measurement of Total Estradiol (Hormone)	$114.40	$143.00	$21.50–$172.23	20% below	20%
Estradiol blood test inpatient CPT 82670 Measurement of Total Estradiol (Hormone)	$114.40	$143.00	$81.45–$135.85	—	20%
FSH (follicle-stimulating hormone) test CPT 83001 Gonadotropin, Follicle Stimulating (Reproductive Hormone) Level	$77.60	$97.00	$17.50–$114.53	23% below	20%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Gonadotropin, Follicle Stimulating (Reproductive Hormone) Level	$77.60	$97.00	$55.25–$92.15	—	20%
Fecal calprotectin (stool inflammation test) CPT 83993 Stool Calprotectin (Protein) Level	$80.00	$100.00	$19.63–$121.01	23% below	20%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Stool Calprotectin (Protein) Level	$80.00	$100.00	$56.96–$95.00	—	20%
Ferritin blood test (iron stores) CPT 82728 Ferritin (Blood Protein) Level	$40.00	$71.00	$12.00–$84.02	50% below	44%
Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin (Blood Protein) Level	$40.00	$71.00	$40.44–$67.45	—	44%
Folate (folic acid) blood test CPT 82746 Folic Acid Level, Serum	$45.00	$77.00	$12.00–$90.62	40% below	42%
Folate (folic acid) blood test inpatient CPT 82746 Folic Acid Level, Serum	$45.00	$77.00	$43.86–$73.15	—	42%
Free T3 thyroid hormone test CPT 84481 Thyroid Hormone, T3 Measurement, Free	$70.40	$88.00	$16.94–$104.42	26% below	20%
Free T3 thyroid hormone test inpatient CPT 84481 Thyroid Hormone, T3 Measurement, Free	$70.40	$88.00	$50.12–$83.60	—	20%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine (Thyroid Chemical), Free	$35.00	$46.00	$8.00–$55.60	33% below	24%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Thyroxine (Thyroid Chemical), Free	$35.00	$46.00	$26.20–$43.70	—	24%
Free testosterone test CPT 84402 Testosterone (Hormone) Level, Free	$105.60	$132.00	$25.47–$157.01	18% below	20%
Free testosterone test inpatient CPT 84402 Testosterone (Hormone) Level, Free	$105.60	$132.00	$75.19–$125.40	—	20%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General Health Panel	$70.00	$239.00	$43.89–$227.05	43% below	71%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 General Health Panel	$70.00	$239.00	$136.13–$227.05	—	71%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Blood Glucose (Sugar) Level After Receiving Dose of Glucose	$20.00	$25.00	$4.75–$29.28	46% below	20%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Blood Glucose (Sugar) Level After Receiving Dose of Glucose	$20.00	$25.00	$14.24–$23.75	—	20%
Glucose tolerance test, 3 samples CPT 82951 Blood Glucose (Sugar) Tolerance Test, 3 Specimens	$52.00	$65.00	$12.50–$79.34	32% below	20%
Glucose tolerance test, 3 samples inpatient CPT 82951 Blood Glucose (Sugar) Tolerance Test, 3 Specimens	$52.00	$65.00	$37.02–$61.75	—	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Detect for Neisseria Gonorrhoeae (Gonorrhoeae Bacteria), Amplified Probe	$147.20	$184.00	$23.19–$216.31	at median	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Detect for Neisseria Gonorrhoeae (Gonorrhoeae Bacteria), Amplified Probe	$147.20	$184.00	$104.81–$174.80	—	20%
H. pylori stool antigen test CPT 87338 Detect Test for Helicobacter Pylori in Stool, Multiple-Step Method	$60.00	$75.00	$12.18–$88.64	27% below	20%
H. pylori stool antigen test inpatient CPT 87338 Detect Test for Helicobacter Pylori in Stool, Multiple-Step Method	$60.00	$75.00	$42.72–$71.25	—	20%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Detection Test by Nucleic Acid for Hiv-1 Virus, Quantification	$354.40	$443.00	$85.10–$524.59	22% below	20%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Detection Test by Nucleic Acid for Hiv-1 Virus, Quantification	$354.40	$443.00	$252.33–$420.85	—	20%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Detection Test by Immunoassay Technique for Hiv-1 and Hiv-2	$97.60	$122.00	$24.08–$148.44	21% below	20%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Detection Test by Immunoassay Technique for Hiv-1 and Hiv-2	$97.60	$122.00	$69.49–$115.90	—	20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c Level	$25.00	$75.00	$7.00–$71.25	47% below	67%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1c Level	$25.00	$75.00	$42.72–$71.25	—	67%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Antibody Measurement	$44.80	$56.00	$10.74–$66.21	25% below	20%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis B Surface Antibody Measurement	$44.80	$56.00	$31.90–$53.20	—	20%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Detection Test by Immunoassay Technique for Hepatitis B Surface Antigen	$42.40	$53.00	$10.33–$63.68	27% below	20%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Detection Test by Immunoassay Technique for Hepatitis B Surface Antigen	$42.40	$53.00	$30.19–$50.35	—	20%
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Antibody Measurement	$55.00	$74.00	$14.27–$87.97	42% below	26%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C Antibody Measurement	$55.00	$74.00	$42.15–$70.30	—	26%
Hepatitis C viral load (HCV RNA) test CPT 87522 Detection Test by Nucleic Acid for Hepatitis C Virus, Quantification	$178.40	$223.00	$39.65–$264.08	25% below	20%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Detection Test by Nucleic Acid for Hepatitis C Virus, Quantification	$178.40	$223.00	$127.02–$211.85	—	20%
Herpes blood test, HSV-1 antibody CPT 86695 Analysis for Antibody to Herpes Simplex Virus, Type 1	$55.20	$69.00	$13.19–$81.31	25% below	20%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Analysis for Antibody to Herpes Simplex Virus, Type 1	$55.20	$69.00	$39.30–$65.55	—	20%
Herpes blood test, HSV-2 antibody CPT 86696 Analysis for Antibody to Herpes Simplex Virus, Type 2	$80.80	$101.00	$19.35–$119.28	10% below	20%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Analysis for Antibody to Herpes Simplex Virus, Type 2	$80.80	$101.00	$57.53–$95.95	—	20%
High-sensitivity CRP (hs-CRP) test CPT 86141 Measure C-Reactive Protein for Detect of Infection/Inflammation	$54.40	$68.00	$10.53–$79.83	23% below	20%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 Measure C-Reactive Protein for Detect of Infection/Inflammation	$54.40	$68.00	$38.73–$64.60	—	20%
Homocysteine blood test CPT 83090 Homocysteine (Amino Acid) Level	$73.60	$92.00	$17.92–$110.47	26% below	20%
Homocysteine blood test inpatient CPT 83090 Homocysteine (Amino Acid) Level	$73.60	$92.00	$52.40–$87.40	—	20%
Insulin blood test CPT 83525 Insulin Measurement, Total	$47.20	$59.00	$11.00–$70.46	18% below	20%
Insulin blood test inpatient CPT 83525 Insulin Measurement, Total	$47.20	$59.00	$33.61–$56.05	—	20%
Iron blood test (serum iron) CPT 83540 Iron Level	$20.00	$33.00	$6.47–$39.88	56% below	39%
Iron blood test (serum iron) inpatient CPT 83540 Iron Level	$20.00	$33.00	$18.80–$31.35	—	39%
Kidney function blood test panel CPT 80069 Kidney Function Blood Test Panel	$36.00	$45.00	$8.68–$53.51	47% below	20%
Kidney function blood test panel inpatient CPT 80069 Kidney Function Blood Test Panel	$36.00	$45.00	$25.63–$42.75	—	20%
LH (luteinizing hormone) test CPT 83002 Gonadotropin, Luteinizing (Reproductive Hormone) Level	$77.60	$97.00	$17.00–$114.16	23% below	20%
LH (luteinizing hormone) test inpatient CPT 83002 Gonadotropin, Luteinizing (Reproductive Hormone) Level	$77.60	$97.00	$55.25–$92.15	—	20%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase (Fat Enzyme) Level	$28.00	$35.00	$5.00–$42.47	33% below	20%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase (Fat Enzyme) Level	$28.00	$35.00	$19.94–$33.25	—	20%
Liver function blood test panel CPT 80076 Liver Function Blood Test Panel	$25.00	$42.00	$8.17–$50.36	68% below	40%
Liver function blood test panel inpatient CPT 80076 Liver Function Blood Test Panel	$25.00	$42.00	$23.92–$39.90	—	40%
Lyme disease antibody test CPT 86618 Analysis for Antibody Borrelia Burgdorferi (Lyme Disease Bacteria)	$70.40	$88.00	$17.03–$104.98	16% below	20%
Lyme disease antibody test inpatient CPT 86618 Analysis for Antibody Borrelia Burgdorferi (Lyme Disease Bacteria)	$70.40	$88.00	$50.12–$83.60	—	20%
Magnesium blood test CPT 83735 Magnesium Level	$30.00	$46.00	$6.70–$43.70	11% below	35%
Magnesium blood test inpatient CPT 83735 Magnesium Level	$30.00	$46.00	$26.20–$43.70	—	35%
Measles (rubeola) antibody test CPT 86765 Analysis for Antibody to Rubeola (Measles Virus)	$53.60	$67.00	$11.80–$79.40	26% below	20%
Measles (rubeola) antibody test inpatient CPT 86765 Analysis for Antibody to Rubeola (Measles Virus)	$53.60	$67.00	$38.16–$63.65	—	20%
Mono test (heterophile antibody, Monospot) CPT 86308 Screening Test for Mononucleosis (Mono)	$21.60	$27.00	$5.18–$31.93	44% below	20%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Screening Test for Mononucleosis (Mono)	$21.60	$27.00	$15.38–$25.65	—	20%
Obstetric blood test panel CPT 80055 Obstetric Blood Test Panel	$190.00	$249.00	$12.00–$294.72	11% below	24%
Obstetric blood test panel inpatient CPT 80055 Obstetric Blood Test Panel	$190.00	$249.00	$141.83–$236.55	—	24%
PSA (prostate-specific antigen) blood test, free CPT 84154 Psa (Prostate Specific Antigen) Measurement, Free	$45.00	$96.00	$18.39–$113.36	51% below	53%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Psa (Prostate Specific Antigen) Measurement, Free	$45.00	$96.00	$54.68–$91.20	—	53%
PSA (prostate-specific antigen) blood test, total CPT 84153 Psa (Prostate Specific Antigen) Measurement, Total	$45.00	$96.00	$18.39–$113.36	50% below	53%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Psa (Prostate Specific Antigen) Measurement, Total	$45.00	$96.00	$54.68–$91.20	—	53%
Pap test (liquid-based, automated screening with review) CPT 88175 Pap Test, Automated Thin Layer Preparation and Manual Rescreening	$112.00	$140.00	$26.49–$163.29	44% above	20%
Pap test (liquid-based, automated screening with review) CPT 88175 Pap Test, Automated Thin Layer Preparation; and Manual Rescreening	$112.00	$140.00	$26.61–$164.03	44% above	20%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Pap Test, Automated Thin Layer Preparation; and Manual Rescreening	$112.00	$140.00	$79.74–$133.00	—	20%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Pap Test, Automated Thin Layer Preparation and Manual Rescreening	$112.00	$140.00	$79.74–$133.00	—	20%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Pap Test, Manual Screening	$82.40	$103.00	$16.00–$124.89	35% above	20%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Pap Test, Manual Screening	$82.40	$103.00	$16.00–$124.89	35% above	20%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Pap Test, Manual Screening	$82.40	$103.00	$58.67–$97.85	—	20%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Pap Test, Manual Screening	$82.40	$103.00	$58.67–$97.85	—	20%
Parathyroid hormone (PTH) blood test CPT 83970 Parathormone (Parathyroid Hormone) Level	$168.00	$210.00	$41.28–$254.47	17% below	20%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathormone (Parathyroid Hormone) Level	$168.00	$210.00	$119.62–$199.50	—	20%
Partial thromboplastin time (PTT) clotting test CPT 85730 Coagulation Assessment Blood Test, Plasma or Whole Blood	$30.00	$40.00	$6.01–$38.00	27% below	25%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Coagulation Assessment Blood Test, Plasma or Whole Blood	$30.00	$40.00	$22.78–$38.00	—	25%
Progesterone blood test CPT 84144 Progesterone (Reproductive Hormone) Level	$84.80	$106.00	$17.00–$128.59	27% below	20%
Progesterone blood test inpatient CPT 84144 Progesterone (Reproductive Hormone) Level	$84.80	$106.00	$60.38–$100.70	—	20%
Prolactin blood test CPT 84146 Prolactin (Milk Producing Hormone) Level	$80.80	$101.00	$19.38–$119.47	23% below	20%
Prolactin blood test inpatient CPT 84146 Prolactin (Milk Producing Hormone) Level	$80.80	$101.00	$57.53–$95.95	—	20%
Prothrombin time (PT/INR) clotting test CPT 85610 Blood Test, Clotting Time	$15.00	$34.00	$4.00–$32.30	37% below	56%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Blood Test, Clotting Time	$15.00	$34.00	$19.37–$32.30	—	56%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Level	$23.20	$29.00	$5.67–$34.95	41% below	20%
Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor Level	$23.20	$29.00	$16.52–$27.55	—	20%
Rubella antibody test (immunity check) CPT 86762 Analysis for Antibody to Rubella (German Measles Virus)	$60.00	$75.00	$14.39–$88.71	25% below	20%
Rubella antibody test (immunity check) inpatient CPT 86762 Analysis for Antibody to Rubella (German Measles Virus)	$60.00	$75.00	$42.72–$71.25	—	20%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Red Blood Cell Sedimentation Rate, to Detect Inflammation, Automated	$20.00	$54.00	$2.70–$51.30	3% below	63%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 Red Blood Cell Sedimentation Rate, to Detect Inflammation, Automated	$20.00	$54.00	$30.76–$51.30	—	63%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 Semen Evaluation Volume, Sperm Count, Motility and Analysis	$50.40	$63.00	$9.23–$75.88	43% below	20%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 Semen Evaluation Volume, Sperm Count, Motility and Analysis	$50.40	$63.00	$35.88–$59.85	—	20%
Stool ova and parasites exam CPT 87177 Smear for Parasites	$37.60	$47.00	$7.50–$54.86	24% below	20%
Stool ova and parasites exam inpatient CPT 87177 Smear for Parasites	$37.60	$47.00	$26.77–$44.65	—	20%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Stool Analysis for Blood to Screen for Colon Tumors	$15.00	$22.00	$3.47–$27.00	26% below	32%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Stool Analysis for Blood to Screen for Colon Tumors	$15.00	$22.00	$12.53–$20.90	—	32%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Stool Analysis for Blood, by Fecal Hemoglobin Determination by Immunoassay	$36.00	$65.00	$18.05–$111.27	at median	45%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Stool Analysis for Blood, by Fecal Hemoglobin Determination by Immunoassay	$36.00	$65.00	$37.02–$61.75	—	45%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Syphilis Detection Test	$17.60	$22.00	$4.00–$26.32	35% below	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Syphilis Detection Test	$17.60	$22.00	$12.53–$20.90	—	20%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tuberculosis Test, Gamma Interferon	$257.60	$322.00	$61.98–$382.07	at median	20%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Tuberculosis Test, Gamma Interferon	$257.60	$322.00	$183.41–$305.90	—	20%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone (Hormone) Level, Total	$105.60	$132.00	$25.81–$159.10	28% below	20%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone (Hormone) Level, Total	$105.60	$132.00	$75.19–$125.40	—	20%
Thyroid peroxidase (TPO) antibody test CPT 86376 Microsomal Antibodies (Autoantibody) Measurement	$60.80	$76.00	$7.91–$89.69	13% below	20%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Microsomal Antibodies (Autoantibody) Measurement	$60.80	$76.00	$43.29–$72.20	—	20%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Blood Test, Thyroid Stimulating Hormone (Tsh)	$40.00	$112.00	$16.80–$106.40	54% below	64%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Blood Test, Thyroid Stimulating Hormone (Tsh)	$40.00	$112.00	$63.80–$106.40	—	64%
Trichomonas test (NAAT) CPT 87661 Detect for Trichomonas Vaginalis (Genital Parasite), Amplified Probe	$140.00	$175.00	$35.09–$216.31	7% below	20%
Trichomonas test (NAAT) inpatient CPT 87661 Detect for Trichomonas Vaginalis (Genital Parasite), Amplified Probe	$140.00	$175.00	$99.68–$166.25	—	20%
Uric acid blood test CPT 84550 Uric Acid Level, Blood	$15.00	$24.00	$4.52–$27.86	48% below	38%
Uric acid blood test inpatient CPT 84550 Uric Acid Level, Blood	$15.00	$24.00	$13.67–$22.80	—	38%
Urinalysis with microscope exam, automated CPT 81001 Manual Urinalysis Test With Examination Using Microscope, Automated	$10.00	$20.00	$3.00–$19.54	66% below	50%
Urinalysis with microscope exam, automated inpatient CPT 81001 Manual Urinalysis Test With Examination Using Microscope, Automated	$10.00	$20.00	$11.39–$19.00	—	50%
Urinalysis without microscope exam, automated CPT 81003 Automated Urinalysis Test	$10.00	$11.00	$2.25–$13.87	43% below	9%
Urinalysis without microscope exam, automated inpatient CPT 81003 Automated Urinalysis Test	$10.00	$11.00	$6.27–$10.45	—	9%
Urinalysis without microscope exam, manual CPT 81002 Urinalysis, Manual Test	$13.60	$17.00	$3.48–$21.45	23% below	20%
Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis, Manual Test	$13.60	$17.00	$9.68–$16.15	—	20%
Urine culture for bacteria, with colony count CPT 87086 Bacterial Colony Count, Urine	$25.00	$41.00	$8.00–$49.75	53% below	39%
Urine culture for bacteria, with colony count inpatient CPT 87086 Bacterial Colony Count, Urine	$25.00	$41.00	$23.35–$38.95	—	39%
Urine pregnancy test, read by color change CPT 81025 Urine Pregnancy Test	$35.20	$44.00	$4.00–$53.08	7% above	20%
Urine pregnancy test, read by color change inpatient CPT 81025 Urine Pregnancy Test	$35.20	$44.00	$25.06–$41.80	—	20%
Vitamin B12 (cobalamin) blood test CPT 82607 Cyanocobalamin (Vitamin B-12) Level	$40.00	$77.00	$13.00–$92.96	48% below	48%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Cyanocobalamin (Vitamin B-12) Level	$40.00	$77.00	$43.86–$73.15	—	48%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D-3 Level	$100.00	$151.00	$29.60–$182.47	30% below	34%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D-3 Level	$100.00	$151.00	$86.01–$143.45	—	34%
Zinc blood test CPT 84630 Zinc Level	$47.20	$59.00	$11.39–$70.21	18% below	20%
Zinc blood test inpatient CPT 84630 Zinc Level	$47.20	$59.00	$33.61–$56.05	—	20%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Gonadotropin, Chorionic (Reproductive Hormone) Level	$55.00	$77.00	$15.05–$92.77	27% below	29%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Gonadotropin, Chorionic (Reproductive Hormone) Level	$55.00	$77.00	$43.86–$73.15	—	29%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Pennsylvania	Off list
Adenoid removal (adenoidectomy), child under 12 CPT 42830 Primary removal of adenoids (younger than 12 years)	$16,239.00	—	$775.00–$19,574.13	166% above	—
Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	$66,694.16	—	$970.00–$77,660.10	1841% above	—
Arthroscopic rotator cuff repair of the shoulder CPT 29827 Arthroscopy, shoulder, surgical; with rotator cuff repair	$50,185.89	—	$970.00–$43,117.33	768% above	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Biopsy Breast/Placement Locating Device Using X-Ray With Needle 1st Growth	$1,493.60	$1,867.00	$185.38–$9,779.27	58% below	20%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 Biopsy Breast/Placement Locating Device Using X-Ray With Needle 1st Growth	$1,493.60	$1,867.00	$1,063.44–$1,773.65	—	20%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Closed Treatment of Broken Outside Lower Leg Bone at Ankle	$621.60	$777.00	$148.13–$1,447.83	7% above	20%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 Closed Treatment of Broken Outside Lower Leg Bone at Ankle	$621.60	$777.00	$442.58–$738.15	—	20%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Closed Treatment of Broken Bone in Forefoot or Midfoot	$608.00	$760.00	$105.63–$1,447.83	21% above	20%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 Closed Treatment of Broken Bone in Forefoot or Midfoot	$608.00	$760.00	$432.90–$722.00	—	20%
Cardiac catheterization with coronary angiogram one side CPT 93458 Insert Tube in Left Lower Heart Chamber and Coronary Artery	$12,967.20	$16,209.00	$2,412.31–$19,413.24	61% above	20%
Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 Insert Tube in Left Lower Heart Chamber and Coronary Artery	$12,967.20	$16,209.00	$9,232.65–$15,398.55	—	20%
Cardioversion, elective (restoring heart rhythm) CPT 92960 External Shock to Heart to Regulate Heart Beat	$1,464.80	$1,831.00	$108.75–$3,949.65	18% above	20%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 External Shock to Heart to Regulate Heart Beat	$1,464.80	$1,831.00	$1,042.94–$1,739.45	—	20%
Carpal tunnel release, open surgery CPT 64721 Release and/or relocation of hand nerve	$13,139.80	—	$830.00–$11,786.33	244% above	—
Catheter ablation for atrial fibrillation CPT 93656 Insert Catheters for Recording, Pacing, and Destruct Tissue	$54,731.20	$68,414.00	$1,093.13–$148,069.32	77% above	20%
Catheter ablation for atrial fibrillation inpatient CPT 93656 Insert Catheters for Recording, Pacing, and Destruct Tissue	$54,731.20	$68,414.00	$38,968.61–$64,993.30	—	20%
Cervical biopsy CPT 57500 Biopsy of Cervix or Removal of Growth	$209.60	$262.00	$82.65–$5,255.52	87% below	20%
Cervical biopsy CPT 57500 Biopsy of cervix or removal of growth	$16,149.40	—	$653.53–$6,420.00	880% above	—
Cervical biopsy inpatient CPT 57500 Biopsy of Cervix or Removal of Growth	$209.60	$262.00	$149.24–$248.90	—	20%
Cesarean delivery, including prenatal and postpartum care CPT 59510 Cesarean Delivery With Care Before and After Delivery	$3,029.60	$3,787.00	$681.66–$15,544.40	34% below	20%
Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 Cesarean Delivery With Care Before and After Delivery	$3,029.60	$3,787.00	$2,157.08–$3,597.65	—	20%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 Removal of foreskin (older than 28 days)	$19,833.60	—	$768.75–$12,364.18	361% above	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Removal of Foreskin Using Clamp or Device	$392.80	$491.00	$98.75–$12,364.18	68% below	20%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 Removal of Foreskin Using Clamp or Device	$392.80	$491.00	$279.67–$466.45	—	20%
Circumcision, surgical, older than a newborn CPT 54160 Removal of Foreskin (28 Days or Younger)	$433.60	$542.00	$160.00–$4,028.62	11% below	20%
Circumcision, surgical, older than a newborn inpatient CPT 54160 Removal of Foreskin (28 Days or Younger)	$433.60	$542.00	$308.72–$514.90	—	20%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Closed Treatment Broken Forearm, Wrist Area, Thumb Side Wrist Without Manip	$689.60	$862.00	$143.13–$1,447.83	36% above	20%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 Closed Treatment Broken Forearm, Wrist Area, Thumb Side Wrist Without Manip	$689.60	$862.00	$491.00–$818.90	—	20%
Colonoscopy with polyp removal CPT 45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	$6,560.80	—	$475.00–$7,116.55	165% above	—
Colonoscopy with tissue sample CPT 45380 Biopsy of large bowel using a flexible endoscope	$6,560.80	—	$475.00–$6,420.00	229% above	—
Colonoscopy, diagnostic CPT 45378 Diagnostic exam of large bowel using a flexible endoscope	$4,976.40	—	$446.34–$6,420.00	232% above	—
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Biopsy and Scraping of Cervix Using an Endoscope	$434.40	—	$132.42–$6,420.00	24% above	—
Coronary stent placement, one artery CPT 92928 Insert Stents W Balloon, Coronary Artery/, Single Artery/	$30,761.60	$38,452.00	$602.38–$68,448.14	87% above	20%
Coronary stent placement, one artery inpatient CPT 92928 Insert Stents W Balloon, Coronary Artery/, Single Artery/	$30,761.60	$38,452.00	$21,902.26–$36,529.40	—	20%
Cystoscopy with ureteral stent placement CPT 52332 Insertion of stent in ureter using an endoscope	$21,082.61	—	$970.00–$20,816.93	393% above	—
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Diagnostic Exam of Bladder and Urethra Using an Endoscope	$1,134.40	$1,418.00	$93.75–$4,028.62	26% below	20%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 Diagnostic Exam of Bladder and Urethra Using an Endoscope	$1,134.40	$1,418.00	$807.69–$1,347.10	—	20%
D&C (dilation and curettage), not related to pregnancy CPT 58120 Dilation and scraping of uterus	$14,446.80	—	$907.50–$19,190.64	180% above	—
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 Incision of eardrum with placement of eardrum tube under general anesthesia	$9,379.80	—	$642.50–$8,940.54	210% above	—
Earwax removal by irrigation (rinsing), one ear CPT 69209 Removal of Impacted Ear Wax by Washing	$114.40	$143.00	$12.00–$358.52	2% below	20%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 Removal of Impacted Ear Wax by Washing	$114.40	$143.00	$81.45–$135.85	—	20%
Earwax removal with instruments, one ear CPT 69210 Removal of Impacted Ear Wax	$194.40	$243.00	$25.00–$358.52	61% above	20%
Earwax removal with instruments, one ear inpatient CPT 69210 Removal of Impacted Ear Wax	$194.40	$243.00	$138.41–$230.85	—	20%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Biopsy of Lining of Uterus	$529.60	$662.00	$63.75–$1,214.20	69% above	20%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 Biopsy of Lining of Uterus	$529.60	$662.00	$377.08–$628.90	—	20%
Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 Removal of nasal sinus using an endoscope	$33,044.37	—	$970.00–$41,781.87	164% above	—
Endoscopic sinus surgery: opening the frontal sinus CPT 31276 Exploration of nasal sinus using an endoscope	$55,146.36	—	$970.00–$41,781.87	340% above	—
Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 Incision of nasal sinus using an endoscope	$59,938.86	—	$970.00–$41,781.87	829% above	—
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 Removal of nasal sinus tissue using an endoscope	$29,435.50	—	$970.00–$41,781.87	135% above	—
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Inject Substance Into Middle/Upper Spine Canal W Image Guide	$2,290.40	$2,863.00	$111.50–$4,179.83	12% above	20%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Inject Substance Into Middle/Upper Spine Canal W Image Guide	$2,290.40	$2,863.00	$1,630.76–$2,719.85	—	20%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Inject Lower or Sacral Spine Facet Joint W Image Guide, Single Level	$1,440.80	$1,801.00	$90.01–$5,373.51	13% below	20%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Inject Lower or Sacral Spine Facet Joint W Image Guide, Single Level	$1,440.80	$1,801.00	$1,025.85–$1,710.95	—	20%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 Initial repair of sliding hernia of abdomen, 3-10 cm in length	$50,803.80	—	$970.00–$37,661.16	499% above	—
First repair of a front abdominal hernia larger than 10 cm CPT 49595 Initial repair of sliding hernia of abdomen, more than 10 cm in length	$70,506.03	—	$970.00–$37,661.16	898% above	—
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 Initial repair of sliding hernia of abdomen, less than 3 cm in length	$33,904.47	—	$970.00–$21,300.28	467% above	—
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Diagnostic exam of lower portion of large bowel using a flexible endoscope	$4,685.40	—	$421.25–$6,420.00	565% above	—
Gallbladder removal, laparoscopic CPT 47562 Removal of gallbladder using an endoscope	$37,408.60	—	$970.00–$35,214.38	391% above	—
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 Removal of gallbladder with X-ray study of bile ducts using an endoscope	$29,652.60	—	$970.00–$35,214.38	227% above	—
Hammertoe correction surgery CPT 28285 Correction of toe joint deformity	$51,338.60	—	$970.00–$43,117.33	919% above	—
Hemorrhoidectomy (internal and external), one area CPT 46255 Removal of single external and internal hemorrhoid group	$26,316.92	—	$970.00–$16,552.22	507% above	—
Hysterectomy through an abdominal incision (total) CPT 58150 Removal of uterus and cervix through abdomen	$72,789.93	—	$961.23–$6,420.00	2424% above	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Insert Tube/Introduction of Contrast for X-Ray of Uterus/Fallopian Tubes	$380.00	$475.00	$65.00–$451.25	15% above	20%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 Insert Tube/Introduction of Contrast for X-Ray of Uterus/Fallopian Tubes	$380.00	$475.00	$270.56–$451.25	—	20%
Hysteroscopy with endometrial ablation CPT 58563 Exam of Uterus With Destruction of Lining of Uterus Using an Endoscope	$454.40	$568.00	$394.88–$29,794.89	95% below	20%
Hysteroscopy with endometrial ablation CPT 58563 Exam of uterus with destruction of lining of uterus using an endoscope	$18,921.66	—	$970.00–$29,794.89	119% above	—
Hysteroscopy with endometrial ablation inpatient CPT 58563 Exam of Uterus With Destruction of Lining of Uterus Using an Endoscope	$454.40	$568.00	$323.53–$539.60	—	20%
IUD insertion (the device itself billed separately) CPT 58300 Insertion of Iud for Pregnancy Prevention	$126.40	$158.00	$21.56–$150.10	50% below	20%
IUD insertion (the device itself billed separately) inpatient CPT 58300 Insertion of Iud for Pregnancy Prevention	$126.40	$158.00	$90.00–$150.10	—	20%
Incision and drainage of a simple or single skin abscess CPT 10060 Simple or Single Drainage of Skin Abscess	$333.60	$417.00	$29.38–$1,199.28	8% below	20%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Simple or Single Drainage of Skin Abscess	$333.60	$417.00	$237.52–$396.15	—	20%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 Repair of groin hernia (5 years or older)	$31,043.54	—	$970.00–$21,300.28	883% above	—
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Injection Into Tendon or Ligament	$406.40	$508.00	$40.00–$1,781.70	40% below	20%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Injection Into Tendon or Ligament	$406.40	$508.00	$289.36–$482.60	—	20%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Aspiration and/or Injection of Fluid From Large Joint	$660.00	$825.00	$29.38–$1,781.70	45% above	20%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Aspiration and/or Injection of Fluid From Large Joint	$660.00	$825.00	$469.92–$783.75	—	20%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insertion of Drug Delivery Implant Into Tissue	$192.80	$241.00	$94.66–$778.01	12% below	20%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 Insertion of Drug Delivery Implant Into Tissue	$192.80	$241.00	$137.27–$228.95	—	20%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Aspiration and/or Injection of Fluid From Medium Joint	$560.80	$701.00	$26.88–$1,781.70	51% above	20%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Aspiration and/or Injection of Fluid From Medium Joint	$560.80	$701.00	$399.29–$665.95	—	20%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Aspiration and/or Injection of Fluid From Small Joint	$526.40	$658.00	$22.50–$1,781.70	21% above	20%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Aspiration and/or Injection of Fluid From Small Joint	$526.40	$658.00	$374.80–$625.10	—	20%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 Removal or shaving of knee joint cartilage using an endoscope	$14,644.00	—	$970.00–$19,583.44	389% above	—
Laparoscopic Roux-en-Y gastric bypass, standard limb length CPT 43644 Bypass of stomach using an endoscope	$69,504.22	—	$970.00–$10,101.42	2847% above	—
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 Removal of appendix using an endoscope	$4,170.00	—	$970.00–$35,214.38	18% below	—
Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 Strengthening of muscle between esophagus and stomach by wrapping part of stomach around esophagus using an endoscope	$55,551.64	—	$970.00–$62,838.85	1350% above	—
Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 Removal of uterus through abdomen using an endoscope, 250.0 g or less	$53,037.22	—	$970.00–$62,838.85	414% above	—
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 Remove Uterus/Tubes/Ovaries Through Abdomen With Endoscope, 250.0g or Less	$1,074.40	$1,343.00	$537.20–$62,838.85	79% below	20%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries inpatient CPT 58571 Remove Uterus/Tubes/Ovaries Through Abdomen With Endoscope, 250.0g or Less	$1,074.40	$1,343.00	$764.97–$1,275.85	—	20%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 Repair of groin hernia using an endoscope	$43,875.74	—	$970.00–$62,838.85	729% above	—
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 Repair of recurrent groin hernia using an endoscope	$45,565.47	—	$970.00–$62,838.85	666% above	—
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 Removal of Ovaries and/or Tubes Using an Endoscope	$762.40	$953.00	$381.20–$35,214.38	89% below	20%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 Removal of ovaries and/or tubes using an endoscope	$43,524.33	—	$970.00–$35,214.38	515% above	—
Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 Removal of Ovaries and/or Tubes Using an Endoscope	$762.40	$953.00	$542.83–$905.35	—	20%
Laparoscopic sleeve gastrectomy for weight loss CPT 43775 Partial removal of stomach for weight loss	$48,795.67	—	$970.00–$6,425.77	813% above	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Intermediate Repair Wound Scalp/Underarm/Trunk/Arm/Leg 2.5 Cm or Less	$560.80	$701.00	$30.63–$2,411.45	16% above	20%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Intermediate Repair Wound Scalp/Underarm/Trunk/Arm/Leg 2.5 Cm or Less	$560.80	$701.00	$399.29–$665.95	—	20%
Left heart catheterization, diagnostic one side CPT 93452 Insert Tube in Left Heart Chambers for Diagnosis W Review by Radiologist	$7,477.60	$9,347.00	$1,682.46–$19,413.24	32% above	20%
Left heart catheterization, diagnostic inpatient one side CPT 93452 Insert Tube in Left Heart Chambers for Diagnosis W Review by Radiologist	$7,477.60	$9,347.00	$5,324.05–$8,879.65	—	20%
Lower-back epidural injection, with imaging guidance CPT 62323 Injection of Substance Into Lower Spine Canal Using Imaging Guidance	$2,104.00	$2,630.00	$101.65–$4,179.83	3% above	20%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Injection of Substance Into Lower Spine Canal Using Imaging Guidance	$2,104.00	$2,630.00	$1,498.05–$2,498.50	—	20%
Lower-back epidural injection, without imaging guidance CPT 62322 Injection of Substance Into Lower Spine Canal	$1,940.80	$2,426.00	$88.94–$5,373.51	11% above	20%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Injection of Substance Into Lower Spine Canal	$1,940.80	$2,426.00	$1,381.85–$2,304.70	—	20%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Inject Anesthetic/Steroid Sacral Spine Nerve W Image Guide, Single Level	$1,632.00	$2,040.00	$118.80–$5,373.51	35% below	20%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Inject Anesthetic/Steroid Sacral Spine Nerve W Image Guide, Single Level	$1,632.00	$2,040.00	$1,161.98–$1,938.00	—	20%
Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 Partial removal of spine bone with release of lower spinal cord or nerves and/or removal of disc	$39,439.44	—	$970.00–$43,117.33	209% above	—
Lumbar laminectomy (spinal decompression), one level both sides CPT 63047 Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s], [eg, spinal or lateral recess stenosis]), single vertebral segment; lumbar	$113,275.86	—	$970.00–$110,996.62	—	—
Lumbar spinal fusion (posterior), one level CPT 22612 Fusion of spine in lower back	$122,776.86	—	$970.00–$110,996.62	8526% above	—
Lumpectomy (partial mastectomy) CPT 19301 Partial removal of breast	$44,201.52	—	$970.00–$39,361.48	635% above	—
Mastectomy (total removal of the breast) CPT 19303 Simple complete removal of breast	$57,284.61	—	$970.00–$39,361.48	744% above	—
Miscarriage treatment with D&C, first trimester CPT 59820 Treatment of Miscarriage During First Trimester	$616.00	$770.00	$242.50–$19,190.64	89% below	20%
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 Treatment of Miscarriage During First Trimester	$616.00	$770.00	$438.59–$731.50	—	20%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Removal of Noncancer Skin Growth of Body, Arms, or Legs, 0.5 Cm or Less	$1,127.20	$1,409.00	$46.88–$4,246.66	at median	20%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Removal of noncancer skin growth of body, arms, or legs, 0.5 cm or less	$13,822.20	—	$688.90–$6,420.00	1126% above	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Removal of Noncancer Skin Growth of Body, Arms, or Legs, 0.5 Cm or Less	$1,127.20	$1,409.00	$802.57–$1,338.55	—	20%
Nail removal (partial or complete), one nail CPT 11730 Simple Separation of Fingernail or Toenail From Nail Bed, First Nail	$201.60	$252.00	$32.19–$2,638.40	35% below	20%
Nail removal (partial or complete), one nail inpatient CPT 11730 Simple Separation of Fingernail or Toenail From Nail Bed, First Nail	$201.60	$252.00	$143.54–$239.40	—	20%
Occipital nerve block (injection for headaches) CPT 64405 Inject Anesthetic/Steroid in Upper Neck and Back of Head Nerve	$1,019.20	$1,274.00	$43.75–$1,781.70	74% above	20%
Occipital nerve block (injection for headaches) inpatient CPT 64405 Inject Anesthetic/Steroid in Upper Neck and Back of Head Nerve	$1,019.20	$1,274.00	$725.67–$1,210.30	—	20%
Pacemaker implant (dual chamber) CPT 33208 Insertion of Pacemaker and Upper and Lower Heart Chamber Electrode	$6,147.20	$7,684.00	$578.84–$63,165.44	62% below	20%
Pacemaker implant (dual chamber) inpatient CPT 33208 Insertion of Pacemaker and Upper and Lower Heart Chamber Electrode	$6,147.20	$7,684.00	$4,376.81–$7,299.80	—	20%
Paracentesis with imaging guidance CPT 49083 Drainage of Fluid From Abdominal Cavity Using Imaging Guidance	$1,440.80	$1,801.00	$105.41–$5,658.80	15% below	20%
Paracentesis with imaging guidance inpatient CPT 49083 Drainage of Fluid From Abdominal Cavity Using Imaging Guidance	$1,440.80	$1,801.00	$1,025.85–$1,710.95	—	20%
Partial knee replacement (one compartment) CPT 27446 Replacement of knee joint on side of knee	$72,105.20	—	$970.00–$77,660.10	1233% above	—
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Permanent Removal Fingernail or Toenail	$796.00	$995.00	$125.00–$2,411.45	34% above	20%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Permanent Removal Fingernail or Toenail	$796.00	$995.00	$566.75–$945.25	—	20%
Prostate biopsy CPT 55700 Biopsy of Prostate Gland	$2,347.20	$2,934.00	$111.88–$12,364.18	19% below	20%
Prostate biopsy inpatient CPT 55700 Biopsy of Prostate Gland	$2,347.20	$2,934.00	$1,671.21–$2,787.30	—	20%
Prostate removal (prostatectomy), laparoscopic CPT 55866 Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed	$117,413.62	—	$970.00–$62,838.85	498% above	—
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Destruct Lower or Sacral Spine Nerve Joint W Image Guide, Single Joint	$2,811.20	$3,514.00	$224.17–$11,786.33	12% below	20%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 Destruct Lower or Sacral Spine Nerve Joint W Image Guide, Single Joint	$2,811.20	$3,514.00	$2,001.57–$3,338.30	—	20%
Removal of a foreign object under the skin, simple CPT 10120 Removal of Foreign Body From Tissue, Accessed Beneath the Skin, Simple	$333.60	$417.00	$38.13–$2,411.45	32% below	20%
Removal of a foreign object under the skin, simple inpatient CPT 10120 Removal of Foreign Body From Tissue, Accessed Beneath the Skin, Simple	$333.60	$417.00	$237.52–$396.15	—	20%
Removal of one lobe of the thyroid (lobectomy) CPT 60220 Removal of thyroid lobe on side of neck	$49,889.69	—	$970.00–$35,214.38	673% above	—
Septoplasty to straighten the nasal septum CPT 30520 Reshaping of nasal cartilage	$27,961.58	—	$970.00–$19,574.13	757% above	—
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 Shock wave crushing of kidney stones	$37,029.00	—	$970.00–$20,816.93	463% above	—
Short arm cast (elbow to hand) CPT 29075 Application of Elbow to Finger Cast	$458.40	$573.00	$56.88–$1,602.93	24% above	20%
Short arm cast (elbow to hand) inpatient CPT 29075 Application of Elbow to Finger Cast	$458.40	$573.00	$326.38–$544.35	—	20%
Short arm splint (forearm and hand) CPT 29125 Application of Nonmoveable Forearm to Hand Splint	$375.20	$469.00	$32.50–$778.01	25% above	20%
Short arm splint (forearm and hand) inpatient CPT 29125 Application of Nonmoveable Forearm to Hand Splint	$375.20	$469.00	$267.14–$445.55	—	20%
Short leg cast (below the knee) CPT 29405 Application of Short Leg Cast	$449.60	$562.00	$63.13–$1,602.93	23% above	20%
Short leg cast (below the knee) inpatient CPT 29405 Application of Short Leg Cast	$544.00	$680.00	$387.33–$646.00	—	20%
Short leg splint (calf to foot) CPT 29515 Application of Short Leg Splint From Calf to Foot	$375.20	$469.00	$43.75–$952.40	15% above	20%
Short leg splint (calf to foot) inpatient CPT 29515 Application of Short Leg Splint From Calf to Foot	$375.20	$469.00	$267.14–$445.55	—	20%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simple Repair Surface Wound Scalp/Neck/Underarm/Trunk/Arm/Leg 2.5cm or Less	$535.20	$669.00	$30.63–$1,199.28	12% above	20%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Simple Repair Surface Wound Scalp/Neck/Underarm/Trunk/Arm/Leg 2.5cm or Less	$535.20	$669.00	$381.06–$635.55	—	20%
Skin biopsy, punch, one lesion CPT 11104 Punch Biopsy, First Skin Growth	$560.00	$700.00	$50.53–$2,411.45	19% below	20%
Skin biopsy, punch, one lesion inpatient CPT 11104 Punch Biopsy, First Skin Growth	$560.00	$700.00	$398.72–$665.00	—	20%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Removal of cancer skin growth of body, arms, or legs, 0.5 cm or less	$29,779.20	—	$688.90–$6,420.00	4707% above	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 Remove Cerebrospinal Fluid With Lower Back Spinal Tap for Diagnostic Test	$1,053.60	$1,317.00	$52.50–$4,179.83	24% below	20%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Remove Cerebrospinal Fluid With Lower Back Spinal Tap for Diagnostic Test	$1,053.60	$1,317.00	$750.16–$1,251.15	—	20%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Simple Repair Surface Wound Scalp/Neck/Underarm/Trunk/Arm/Leg 2.6-7.5 Cm	$723.20	$904.00	$44.38–$1,199.28	60% above	20%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Simple Repair Surface Wound Scalp/Neck/Underarm/Trunk/Arm/Leg 2.6-7.5 Cm	$723.20	$904.00	$514.92–$858.80	—	20%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Simple Repair Surface Wound of Face/Ear/Eyelid/Nose/Lip/Mouth 2.5cm or Less	$535.20	$669.00	$39.38–$1,199.28	12% above	20%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Simple Repair Surface Wound of Face/Ear/Eyelid/Nose/Lip/Mouth 2.5cm or Less	$535.20	$669.00	$381.06–$635.55	—	20%
TURP (transurethral resection of the prostate) CPT 52601 Removal of prostate gland using an electrocautery knife through urethra with control of bleeding using an endoscope	$40,905.50	—	$970.00–$30,683.12	376% above	—
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Biopsy of related skin growth, first growth	$44,469.50	—	$97.28–$6,420.00	7966% above	—
Thoracentesis with imaging guidance CPT 32555 Aspiration of Fluid From Chest Cavity Using Imaging Guidance	$1,186.40	$1,483.00	$110.88–$3,731.62	14% below	20%
Thoracentesis with imaging guidance inpatient CPT 32555 Aspiration of Fluid From Chest Cavity Using Imaging Guidance	$1,186.40	$1,483.00	$844.72–$1,408.85	—	20%
Tonsil and adenoid removal, age 12 or older CPT 42821 Removal of tonsils and adenoid glands (12 years or older)	$18,085.20	—	$875.00–$19,574.13	184% above	—
Tonsil and adenoid removal, child under 12 CPT 42820 Removal of tonsils and adenoid glands (younger than 12 years)	$16,152.20	—	$970.00–$35,705.07	68% above	—
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 Removal of tonsils (12 years or older)	$17,582.20	—	$875.00–$19,574.13	176% above	—
Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 Removal of tonsils (younger than 12 years)	$15,899.40	—	$970.00–$35,705.07	95% above	—
Total hip replacement CPT 27130 Replacement of thigh bone and hip joint with prosthesis	$87,169.12	—	$970.00–$77,660.10	691% above	—
Total knee replacement CPT 27447 Replacement of knee joint, both sides of knee	$111,972.34	—	$970.00–$77,660.10	962% above	—
Total shoulder replacement CPT 23472 Prosthetic repair of shoulder joint, total shoulder	$119,187.04	—	$970.00–$110,996.62	565% above	—
Total thyroid removal (thyroidectomy) CPT 60240 Removal of thyroid	$53,333.19	—	$970.00–$35,705.07	489% above	—
Trigger finger release surgery CPT 26055 Incision of tendon covering of finger	$12,693.60	—	$803.75–$9,659.55	252% above	—
Trigger point injections, 1 or 2 muscles CPT 20552 Injection of Trigger Points, 1-2 Muscles	$548.80	$686.00	$38.83–$1,781.70	at median	20%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Injection of Trigger Points, 1-2 Muscles	$548.80	$686.00	$390.75–$651.70	—	20%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Biopsy Breast Place Locating Device Using Ultrasound, First Growth	$1,553.60	$1,942.00	$173.61–$9,779.27	51% below	20%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Biopsy Breast Place Locating Device Using Ultrasound, First Growth	$1,553.60	$1,942.00	$1,106.16–$1,844.90	—	20%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm	$6,518.24	—	$970.00–$11,449.63	91% above	—
Upper endoscopy (EGD) with biopsy CPT 43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	$6,073.40	—	$351.25–$6,420.00	185% above	—
Upper endoscopy (EGD) with injection into the lining CPT 43236 Injection of esophagus, stomach, and/or upper small bowel using a flexible endoscope	$9,699.40	—	$458.99–$6,420.00	247% above	—
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare	$7,201.90	—	$970.00–$11,449.63	127% above	—
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	$5,869.00	—	$917.98–$6,420.00	136% above	—
Upper endoscopy (EGD), diagnostic CPT 43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	$3,952.20	—	$357.50–$6,420.00	111% above	—
Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 Drainage of fluid collection of esophagus, stomach, and/or upper small bowel using a flexible endoscope	$25,237.42	—	$351.25–$35,929.33	185% above	—
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 Crushing of stone of ureter using an endoscope	$41,518.08	—	$970.00–$55,812.91	341% above	—
Ureteroscopy with laser stone breaking and stent placement CPT 52356 Crushing of stone of ureter with insertion of stent using an endoscope	$27,298.98	—	$970.00–$30,683.12	190% above	—
Vaginal delivery, including prenatal and postpartum care CPT 59400 Vaginal Delivery With Care Before and After Delivery	$2,675.20	$3,344.00	$601.92–$13,994.67	30% below	20%
Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 Vaginal Delivery With Care Before and After Delivery	$2,675.20	$3,344.00	$1,904.74–$3,176.80	—	20%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 Removal of sperm duct	$20,396.00	—	$970.00–$12,364.18	693% above	—
Vein ablation, radiofrequency, first vein CPT 36475 Destruct 1st Incompetent Vein Arm/Leg Using Radiofrequency and Image Guide	$2,862.40	$3,578.00	$362.23–$18,997.32	67% below	20%
Vein ablation, radiofrequency, first vein inpatient CPT 36475 Destruct 1st Incompetent Vein Arm/Leg Using Radiofrequency and Image Guide	$2,862.40	$3,578.00	$2,038.03–$3,399.10	—	20%
Wart removal, up to 14 warts CPT 17110 Destruction of Skin Growth, 1-14 Growths	$317.60	$397.00	$61.25–$1,199.28	3% above	20%
Wart removal, up to 14 warts inpatient CPT 17110 Destruction of Skin Growth, 1-14 Growths	$317.60	$397.00	$226.13–$377.15	—	20%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Removal of Skin and Tissue, 20.0 Sq Cm or Less	$342.40	$428.00	$41.25–$2,411.45	69% below	20%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Removal of Skin and Tissue, 20.0 Sq Cm or Less	$342.40	$428.00	$243.79–$406.60	—	20%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 Open treatment of distal radial extra-articular fracture or epiphyseal separation, with internal fixation	$23,454.60	—	$970.00–$43,117.33	222% above	—

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Pennsylvania	Off list
Blood transfusion (giving blood or blood components) CPT 36430 Transfollowupsion of Blood or Blood Products	$1,714.40	$2,143.00	$34.80–$2,638.67	92% above	20%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Transfollowupsion of Blood or Blood Products	$1,714.40	$2,143.00	$1,220.65–$2,035.85	—	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Inhalation Treatment for Airway Obstruction or Sputum Production	$239.20	$299.00	$53.82–$1,227.58	53% above	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Inhalation Treatment for Airway Obstruction or Sputum Production	$239.20	$299.00	$170.31–$284.05	—	20%
Chemotherapy IV infusion, first hour CPT 96413 Administration of Chemotherapy Into Vein, 1 Hour or Less	$292.00	$365.00	$156.00–$2,001.95	55% below	20%
Chemotherapy IV infusion, first hour inpatient CPT 96413 Administration of Chemotherapy Into Vein, 1 Hour or Less	$292.00	$365.00	$207.90–$346.75	—	20%
Critical care, first 30 to 74 minutes CPT 99291 Critical Care, First 30-74 Minutes	$6,340.80	$7,926.00	$189.53–$7,529.70	253% above	20%
Critical care, first 30 to 74 minutes inpatient CPT 99291 Critical Care, First 30-74 Minutes	$6,340.80	$7,926.00	$4,514.65–$7,529.70	—	20%
EEG (brain wave test), awake and drowsy, routine CPT 95816 Measurement of Brain Wave Activity (Eeg), Awake and Drowsy	$749.60	$937.00	$16.88–$1,879.53	3% above	20%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Measurement of Brain Wave Activity (Eeg), Awake and Drowsy	$749.60	$937.00	$533.72–$890.15	—	20%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Routine Electrocardiogram (Ecg) Using at Least 12 Leads With Tracing	$314.40	$393.00	$13.08–$373.35	94% above	20%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Routine Electrocardiogram (Ecg) Using at Least 12 Leads With Tracing	$314.40	$393.00	$223.85–$373.35	—	20%
Electroconvulsive therapy (ECT), one session CPT 90870 Therapy Using Electrical Currents	$531.20	$664.00	$56.25–$3,202.53	52% below	20%
Electroconvulsive therapy (ECT), one session inpatient CPT 90870 Therapy Using Electrical Currents	$531.20	$664.00	$378.21–$630.80	—	20%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency Department Visit for Problem of Mild Severity	$511.20	$639.00	$26.25–$3,820.00	114% above	20%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Emergency Department Visit for Problem of Mild Severity	$511.20	$639.00	$363.97–$607.05	—	20%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency Department Visit for Problem of Mild to Moderate Severity	$781.60	$977.00	$43.75–$3,820.00	92% above	20%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Emergency Department Visit for Problem of Mild to Moderate Severity	$781.60	$977.00	$556.50–$928.15	—	20%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency Dept Visit With Low Level Medical Decision Making	$99.20	$124.00	$70.81–$3,100.00	82% below	20%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency Department Visit for Problem of Moderate Severity	$1,740.80	$2,176.00	$98.75–$3,820.00	207% above	20%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Emergency Dept Visit With Low Level Medical Decision Making	$99.20	$124.00	$70.63–$117.80	—	20%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Emergency Department Visit for Problem of Moderate Severity	$1,740.80	$2,176.00	$1,239.45–$2,067.20	—	20%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency Department Visit for Problem of High Severity	$2,678.40	$3,348.00	$153.75–$3,820.00	187% above	20%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Emergency Department Visit for Problem of High Severity	$2,678.40	$3,348.00	$1,907.02–$3,180.60	—	20%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency Dept Visit With High Level Medical Decision Making	$277.60	$347.00	$173.43–$3,700.49	78% below	20%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency Department Visit for Life Threatening or Functioning Severity	$2,981.60	$3,727.00	$200.00–$3,820.00	132% above	20%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Emergency Dept Visit With High Level Medical Decision Making	$277.60	$347.00	$197.65–$329.65	—	20%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Emergency Department Visit for Life Threatening or Functioning Severity	$2,981.60	$3,727.00	$2,122.90–$3,540.65	—	20%
Exercise stress test, tracing only, the hospital charge CPT 93017 Exercise or Drug-Induced Heart Stress Test With Electrocardiogram (Ecg)	$705.60	$882.00	$58.13–$1,879.53	14% below	20%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Exercise or Drug-Induced Heart Stress Test With Electrocardiogram (Ecg)	$705.60	$882.00	$502.39–$837.90	—	20%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Infollowupsion Into a Vein for Hydration, 31-60 Minutes	$448.00	$560.00	$39.53–$1,271.65	6% above	20%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Infollowupsion Into a Vein for Hydration, 31-60 Minutes	$448.00	$560.00	$318.98–$532.00	—	20%
IV infusion of a medicine, first hour CPT 96365 Infusion Into a Vein for Therapy, Prevention, or Diagnosis, 1 Hour or Less	$448.00	$560.00	$49.13–$1,271.65	3% above	20%
IV infusion of a medicine, first hour inpatient CPT 96365 Infusion Into a Vein for Therapy, Prevention, or Diagnosis, 1 Hour or Less	$448.00	$560.00	$318.98–$532.00	—	20%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection of Drug or Substance Under Skin or Into Muscle	$113.60	$142.00	$15.88–$429.54	15% below	20%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Injection of Drug or Substance Under Skin or Into Muscle	$113.60	$142.00	$80.88–$134.90	—	20%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 Nerve Conduction, 7-8 Studies	$1,476.00	$1,845.00	$174.83–$1,879.53	103% above	20%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 Nerve Conduction, 7-8 Studies	$1,476.00	$1,845.00	$1,050.91–$1,752.75	—	20%
Neuromuscular re-education, 15 minutes CPT 97112 Occupational Therapy Nueromuscular Reeducation, Each 15 Minutes	$118.40	$148.00	$30.87–$190.30	24% above	20%
Neuromuscular re-education, 15 minutes CPT 97112 Physical Therapy Nueromuscular Reeducation, Each 15 Minutes	$118.40	$148.00	$30.87–$190.30	24% above	20%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Occupational Therapy Nueromuscular Reeducation, Each 15 Minutes	$118.40	$148.00	$84.30–$140.60	—	20%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Physical Therapy Nueromuscular Reeducation, Each 15 Minutes	$118.40	$148.00	$84.30–$140.60	—	20%
New patient office visit, about 30 minutes CPT 99203 OB Resident New Patient Visit Level 3	$124.00	$155.00	$67.44–$476.08	39% below	20%
New patient office visit, about 30 minutes CPT 99203 New Outpatient Visit Level 3 or Over 30 Minutes	$202.40	$253.00	$50.00–$777.82	1% below	20%
New patient office visit, about 30 minutes CPT 99203 Pediatric New Patient Visit 3 to 5 Hours	$600.00	$750.00	$50.00–$777.82	193% above	20%
New patient office visit, about 30 minutes inpatient CPT 99203 OB Resident New Patient Visit Level 3	$124.00	$155.00	$88.29–$147.25	—	20%
New patient office visit, about 30 minutes inpatient CPT 99203 New Outpatient Visit Level 3 or Over 30 Minutes	$202.40	$253.00	$144.11–$240.35	—	20%
New patient office visit, about 30 minutes inpatient CPT 99203 Pediatric New Patient Visit 3 to 5 Hours	$600.00	$750.00	$427.20–$712.50	—	20%
New patient office visit, about 45 minutes CPT 99204 New Patient Level 4 or Over 45 Minutes	$170.40	$213.00	$67.44–$775.23	37% below	20%
New patient office visit, about 45 minutes CPT 99204 New Outpatient Visit Level 4 or Over 45 Minutes	$267.20	$334.00	$50.00–$777.82	2% below	20%
New patient office visit, about 45 minutes inpatient CPT 99204 New Patient Level 4 or Over 45 Minutes	$170.40	$213.00	$121.32–$202.35	—	20%
New patient office visit, about 45 minutes inpatient CPT 99204 New Outpatient Visit Level 4 or Over 45 Minutes	$267.20	$334.00	$190.25–$317.30	—	20%
New patient office visit, about 60 minutes CPT 99205 New Outpatient Visit Level 5 or Over 60 Minutes	$318.40	$398.00	$50.00–$777.82	11% below	20%
New patient office visit, about 60 minutes inpatient CPT 99205 New Outpatient Visit Level 5 or Over 60 Minutes	$318.40	$398.00	$226.70–$378.10	—	20%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 New Patient Level 2 or Over 15 Minutes	$75.20	$94.00	$44.16–$272.28	33% below	20%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 New Outpatient Visit Level 2 or Over 15 Minutes	$150.40	$188.00	$50.00–$777.82	33% above	20%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 New Patient Level 2 or Over 15 Minutes	$75.20	$94.00	$53.54–$89.30	—	20%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 New Outpatient Visit Level 2 or Over 15 Minutes	$150.40	$188.00	$107.08–$178.60	—	20%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Therapy Procedure for Nutrition Management, Each 15 Minutes	$36.00	$45.00	$8.10–$187.03	17% below	20%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Therapy Procedure for Nutrition Management, Each 15 Minutes	$36.00	$45.00	$25.63–$42.75	—	20%
Occupational therapy evaluation, low complexity CPT 97165 Evaluation for Occupational Therapy, Typically 30 Minutes	$335.20	$419.00	$56.80–$597.27	38% above	20%
Occupational therapy evaluation, low complexity inpatient CPT 97165 Evaluation for Occupational Therapy, Typically 30 Minutes	$335.20	$419.00	$238.66–$398.05	—	20%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Evaluation for Physical Therapy, Typically 45 Minutes	$333.60	$417.00	$56.80–$582.47	11% above	20%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Evaluation for Physical Therapy, Typically 45 Minutes	$333.60	$417.00	$237.52–$396.15	—	20%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Evaluation for Physical Therapy, Typically 20 Minutes	$292.80	$366.00	$56.80–$582.47	13% above	20%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Evaluation for Physical Therapy, Typically 20 Minutes	$292.80	$366.00	$208.47–$347.70	—	20%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Evaluation for Physical Therapy, Typically 30 Minutes	$312.80	$391.00	$56.80–$582.47	11% above	20%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Evaluation for Physical Therapy, Typically 30 Minutes	$312.80	$391.00	$222.71–$371.45	—	20%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Therapy Procedure Using Manual Technique, Each 15 Minutes	$118.40	$148.00	$26.20–$161.51	15% above	20%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Therapy Procedure Using Manual Technique, Each 15 Minutes	$118.40	$148.00	$84.30–$140.60	—	20%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Occupational Therapy, Each 15 Minutes	$118.40	$148.00	$27.75–$171.06	23% above	20%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Physical Therapy, Each 15 Minutes	$118.40	$148.00	$27.75–$171.06	23% above	20%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Occupational Therapy, Each 15 Minutes	$118.40	$148.00	$84.30–$140.60	—	20%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Physical Therapy, Each 15 Minutes	$118.40	$148.00	$84.30–$140.60	—	20%
Preventive checkup, returning patient aged 18–39 CPT 99395 Established Patient Periodic Preventive Medicine Examination (18-39 Years)	$122.40	$153.00	$45.90–$145.35	65% above	20%
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 Established Patient Periodic Preventive Medicine Examination (18-39 Years)	$122.40	$153.00	$87.15–$145.35	—	20%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Smoking and Tobacco Use Intensive Counseling, 4-10 Minutes	$56.80	$71.00	$12.78–$179.82	75% above	20%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Smoking and Tobacco Use Intensive Counseling, 4-10 Minutes	$56.80	$71.00	$40.44–$67.45	—	20%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Est Outpatient Visit Level 5 or Over 40 Minutes	$206.40	$258.00	$50.00–$777.82	at median	20%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Lc Est Patient Visit Level 5	$242.40	$303.00	$50.00–$777.82	17% above	20%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Maternity Triage 7+ Hrs	$865.60	$1,082.00	$50.00–$1,027.90	319% above	20%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Est Outpatient Visit Level 5 or Over 40 Minutes	$206.40	$258.00	$146.96–$245.10	—	20%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Lc Est Patient Visit Level 5	$242.40	$303.00	$172.59–$287.85	—	20%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Maternity Triage 7+ Hrs	$865.60	$1,082.00	$616.31–$1,027.90	—	20%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Est Outpatient Visit Level 3 or Over 20 Minutes	$113.60	$142.00	$42.60–$777.82	25% below	20%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Lc Est Patient Visit Level 3	$122.40	$153.00	$45.90–$777.82	19% below	20%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Maternity Triage 3-5 Hrs	$672.80	$841.00	$50.00–$798.95	345% above	20%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Est Outpatient Visit Level 3 or Over 20 Minutes	$113.60	$142.00	$80.88–$134.90	—	20%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Lc Est Patient Visit Level 3	$122.40	$153.00	$87.15–$145.35	—	20%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Maternity Triage 3-5 Hrs	$672.80	$841.00	$479.03–$798.95	—	20%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Est Outpatient Visit Level 4 or Over 30 Minutes	$168.00	$210.00	$50.00–$777.82	at median	20%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Lc Est Patient Visit Level 4	$184.00	$230.00	$50.00–$777.82	10% above	20%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Maternity Triage 5-7 Hrs	$769.60	$962.00	$50.00–$913.90	358% above	20%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Est Outpatient Visit Level 4 or Over 30 Minutes	$168.00	$210.00	$119.62–$199.50	—	20%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Lc Est Patient Visit Level 4	$184.00	$230.00	$131.01–$218.50	—	20%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Maternity Triage 5-7 Hrs	$769.60	$962.00	$547.96–$913.90	—	20%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Est Outpatient Visit Level 2 or Over 10 Minutes	$104.00	$130.00	$39.00–$777.82	at median	20%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Lc Est Patient Visit Level 2	$104.00	$130.00	$39.00–$777.82	at median	20%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Maternity Triage 1-3 Hrs	$576.80	$721.00	$50.00–$777.82	452% above	20%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Pediatric Established Patient Visit 1 to 3 Hours	$600.00	$750.00	$50.00–$777.82	475% above	20%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Lc Est Patient Visit Level 2	$104.00	$130.00	$74.05–$123.50	—	20%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Est Outpatient Visit Level 2 or Over 10 Minutes	$104.00	$130.00	$74.05–$123.50	—	20%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Maternity Triage 1-3 Hrs	$576.80	$721.00	$410.68–$684.95	—	20%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Pediatric Established Patient Visit 1 to 3 Hours	$600.00	$750.00	$427.20–$712.50	—	20%
Specialist consultation, low complexity or 30+ minutes CPT 99243 Office Consultation, Typically 40 Minutes	$162.40	$203.00	$60.90–$236.16	12% below	20%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 Office Consultation, Typically 40 Minutes	$162.40	$203.00	$115.63–$192.85	—	20%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Office Consultation, Typically 1 Hour	$240.80	$301.00	$90.30–$360.20	10% below	20%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 Office Consultation, Typically 1 Hour	$240.80	$301.00	$171.45–$285.95	—	20%
Speech and language evaluation CPT 92523 Evaluate Speech/Sound Production W Language Comprehension and Expression	$384.80	$481.00	$50.00–$1,333.11	5% below	20%
Speech and language evaluation inpatient CPT 92523 Evaluate Speech/Sound Production W Language Comprehension and Expression	$384.80	$481.00	$273.98–$456.95	—	20%
Speech therapy session, individual CPT 92507 Treat Speech/Language/Voice/Communication/Hearing Processing Disorder	$270.40	$338.00	$27.13–$447.72	1% above	20%
Speech therapy session, individual inpatient CPT 92507 Treat Speech/Language/Voice/Communication/Hearing Processing Disorder	$270.40	$338.00	$192.52–$321.10	—	20%
Spirometry before and after a bronchodilator CPT 94060 Test to Measure Expiratory Airflow Before/After Medication Administration	$841.60	$1,052.00	$14.25–$1,879.53	42% above	20%
Spirometry before and after a bronchodilator inpatient CPT 94060 Test to Measure Expiratory Airflow Before/After Medication Administration	$841.60	$1,052.00	$599.22–$999.40	—	20%
Therapeutic activities (functional training), 15 minutes CPT 97530 Therapy Procedure Using Functional Activities	$118.40	$148.00	$33.12–$204.16	7% above	20%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Therapy Procedure Using Functional Activities	$118.40	$148.00	$84.30–$140.60	—	20%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Drawing of Blood for a Medical Problem	$110.00	$270.00	$12.50–$778.01	49% below	59%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Drawing of Blood for a Medical Problem	$110.00	$270.00	$153.79–$256.50	—	59%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Pennsylvania	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 Influenza Vaccine Inactivated	$98.40	$123.00	$27.06–$28.53	41% below	20%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 FLU VACC 2025-26(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE	$531.80	$664.75	$12.50–$631.51	218% above	20%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 Influenza Vaccine Inactivated	$98.40	$123.00	$70.06–$116.85	—	20%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 FLU VACC 2025-26(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE	$531.80	$664.75	$378.64–$631.51	—	20%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 Sars Cov 2 Pfizer Monovalent Vaccine 12 Yrs and Older	$110.40	$138.00	$30.36–$32.01	32% below	20%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 COVID VACC 2025-2026 (12 YRS UP) (PFIZER)(PF) 30 MCG/0.3 ML IM SYRINGE	$942.00	$1,177.50	$50.00–$1,118.63	478% above	20%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 Sars Cov 2 Pfizer Monovalent Vaccine 12 Yrs and Older	$110.40	$138.00	$78.60–$131.10	—	20%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 COVID VACC 2025-2026 (12 YRS UP) (PFIZER)(PF) 30 MCG/0.3 ML IM SYRINGE	$942.00	$1,177.50	$670.70–$1,118.63	—	20%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Influenza Vaccine 0.5ml	$41.60	$52.00	$11.44–$77.35	4% below	20%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACC TS2025-26 (36 MOS UP)(PF)45 MCG (15 MCG X3)/0.5 ML IM SYRINGE	$119.60	$149.50	$12.50–$142.03	176% above	20%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Influenza Vaccine 0.5ml	$41.60	$52.00	$29.62–$49.40	—	20%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VACC TS2025-26 (36 MOS UP)(PF)45 MCG (15 MCG X3)/0.5 ML IM SYRINGE	$119.60	$149.50	$85.16–$142.03	—	20%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE	$690.40	$863.00	$12.50–$819.85	965% above	20%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE	$690.40	$863.00	$491.56–$819.85	—	20%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Influenza Vaccine Split Virus, Preservative Free	$36.00	$45.00	$9.90–$298.41	66% below	20%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 Influenza Vaccine Split Virus, Preservative Free	$36.00	$45.00	$25.63–$42.75	—	20%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT	$199.00	$248.75	$12.50–$373.17	269% above	20%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT	$199.00	$248.75	$141.69–$236.31	—	20%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Pneumococcal Vaccine (Prevnar) 0.5ml	$652.80	$816.00	$179.52–$189.30	57% above	20%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE	$1,742.00	$2,177.50	$12.50–$2,068.63	320% above	20%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 Pneumococcal Vaccine (Prevnar) 0.5ml	$652.80	$816.00	$464.79–$775.20	—	20%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE	$1,742.00	$2,177.50	$1,240.30–$2,068.63	—	20%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE	$750.80	$938.50	$12.50–$2,180.05	16% below	20%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE	$750.80	$938.50	$534.57–$891.58	—	20%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 Rsv Vaccine Pref Bivalent Intramuscular Use	$327.20	$409.00	$12.50–$1,202.67	35% below	20%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 Rsv Vaccine Pref Bivalent Intramuscular Use	$327.20	$409.00	$232.97–$388.55	—	20%
Rabies vaccine, one dose CPT 90675 Rabies Vaccine	$200.00	$250.00	$12.50–$1,933.65	67% below	20%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION	$1,222.20	$1,527.75	$12.50–$1,933.65	104% above	20%
Rabies vaccine, one dose inpatient CPT 90675 Rabies Vaccine	$200.00	$250.00	$142.40–$237.50	—	20%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION	$1,222.20	$1,527.75	$870.21–$1,451.36	—	20%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Diphtheria and Tetanus Vaccine	$102.40	$128.00	$12.50–$158.03	84% above	20%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Diphtheria and Tetanus Vaccine	$102.40	$128.00	$72.91–$121.60	—	20%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUS(AC)TETANUS(PF)2 LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SYRINGE	$385.80	$482.25	$12.50–$458.14	614% above	20%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH,PERTUS(AC)TETANUS(PF)2 LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SYRINGE	$385.80	$482.25	$274.69–$458.14	—	20%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Administration of Vaccine	$25.60	$32.00	$12.50–$429.54	39% below	20%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Administration of Vaccine	$25.60	$32.00	$18.23–$30.40	—	20%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Administration of Vaccine, Each Additional Vaccine	$25.60	$32.00	$12.50–$34.00	30% above	20%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Administration of Vaccine, Each Additional Vaccine	$25.60	$32.00	$18.23–$30.40	—	20%

Source file: https://content.wellspan.org/MRF/231352222_york-hospital_standardcharges.csv