Hospital Birmingham, AL

UAB Medical West

UAB Medical West in Bessemer, AL publishes cash prices for 385 common procedures listed here, from its own machine-readable price file updated Jun 22, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Alabama median for 266 of 360 procedures and above it for 86. By typical cash price it ranks #5 of 39 Alabama hospitals and #1 of 7 hospitals in the Birmingham, AL area, cheapest first. Click a procedure to compare it with other hospitals nearby.

995 9TH Avenue Southwest, Bessemer, AL 35022 Collected Sep 27, 2026 Source price file (205) 481-7000

Acute care hospital Emergency department CMS star rating 3 of 5 CCN 010114 · 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 3 actions for a hospital named UAB Medical West in Bessemer, AL:

Feb 24, 2026 Warning notice
Jun 8, 2026 Corrective action plan requested
Jun 26, 2026 Case closed

Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. Case closed: CMS closed the case after the hospital addressed the problems.

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

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Alabama	Off list
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 Ankle/Brachial Indicies Bilat	$117.75	$157.00	$38.47–$167.34	—	25%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 Ankle/Brachial Indicies Bilat	$117.75	$157.00	$97.34–$141.30	—	25%
Barium swallow (esophagus X-ray with contrast) CPT 74220 Esophagram/Ba Swallow	$657.75	$877.00	$158.84–$789.30	86% above	25%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 Esophagram/Ba Swallow	$657.75	$877.00	$543.74–$789.30	—	25%
Bone scan, whole body (nuclear medicine) CPT 78306 NM Bone Scan Whole Body	$1,654.50	$2,206.00	$362.01–$3,951.00	25% above	25%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM Bone Scan Whole Body	$1,654.50	$2,206.00	$1,367.72–$1,985.40	—	25%
Breast ultrasound, complete, one breast CPT 76641 Alabama Breast Prog-Breast Us	$47.52	$63.36	$15.52–$493.00	82% below	25%
Breast ultrasound, complete, one breast inpatient CPT 76641 Alabama Breast Prog-Breast Us	$47.52	$63.36	$39.28–$57.02	—	25%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Unilateral	$579.00	$772.00	$78.80–$694.80	121% above	25%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Unilateral	$579.00	$772.00	$478.64–$694.80	—	25%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA of Thoracic Aorta w/wo	$651.75	$869.00	$158.84–$902.00	58% below	25%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA of Thoracic Aorta w/wo	$651.75	$869.00	$538.78–$782.10	—	25%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CCTA Grafts	$240.75	$321.00	$78.64–$902.00	84% below	25%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT Angio Hrt W/3D Image	$477.75	$637.00	$156.06–$573.30	68% below	25%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CCTA Grafts	$240.75	$321.00	$199.02–$288.90	—	25%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT Angio Hrt W/3D Image	$477.75	$637.00	$394.94–$573.30	—	25%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CTCA Scoring	$109.50	$146.00	$35.77–$902.00	53% below	25%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT Hrt W/O Dye W/Ca Test	$144.75	$193.00	$47.28–$173.70	38% below	25%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CTCA Scoring	$109.50	$146.00	$90.52–$131.40	—	25%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT Hrt W/O Dye W/Ca Test	$144.75	$193.00	$119.66–$173.70	—	25%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abd & Pelvis Wo/Contrast	$3,324.75	$4,433.00	$216.07–$3,989.70	59% above	25%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Abd & Pelvis Wo/Contrast	$3,324.75	$4,433.00	$2,748.46–$3,989.70	—	25%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abd & Pelvis w/Contrast	$3,961.50	$5,282.00	$315.92–$4,753.80	51% above	25%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abd & Pelvis w/Contrast	$3,961.50	$5,282.00	$3,274.84–$4,753.80	—	25%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abd & Pelvis w/wo Contrast	$3,645.00	$4,860.00	$315.92–$4,374.00	18% above	25%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abd & Pelvis w/wo Contrast	$3,645.00	$4,860.00	$3,013.20–$4,374.00	—	25%
CT scan of the abdomen with contrast CPT 74160 Abd-Thin Cuts w/Contrast	$2,234.25	$2,979.00	$158.84–$2,681.10	24% above	25%
CT scan of the abdomen with contrast CPT 74160 Abdomen w/Contrast	$2,234.25	$2,979.00	$158.84–$2,681.10	24% above	25%
CT scan of the abdomen with contrast inpatient CPT 74160 Abd-Thin Cuts w/Contrast	$2,234.25	$2,979.00	$1,846.98–$2,681.10	—	25%
CT scan of the abdomen with contrast inpatient CPT 74160 Abdomen w/Contrast	$2,234.25	$2,979.00	$1,846.98–$2,681.10	—	25%
CT scan of the abdomen without contrast CPT 74150 CT Abdomen Wo 2of2	$1,872.00	$2,496.00	$94.67–$2,246.40	28% above	25%
CT scan of the abdomen without contrast CPT 74150 Abd-Thin Cuts w/o Contrast	$1,872.00	$2,496.00	$94.67–$2,246.40	28% above	25%
CT scan of the abdomen without contrast inpatient CPT 74150 Abd-Thin Cuts w/o Contrast	$1,872.00	$2,496.00	$1,547.52–$2,246.40	—	25%
CT scan of the abdomen without contrast inpatient CPT 74150 CT Abdomen Wo 2of2	$1,872.00	$2,496.00	$1,547.52–$2,246.40	—	25%
CT scan of the face and sinuses, no contrast dye CPT 70486 Sinus/Fac Bones w/o Contrast	$1,473.75	$1,965.00	$94.67–$1,768.50	10% below	25%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 Sinus/Fac Bones w/o Contrast	$1,473.75	$1,965.00	$1,218.30–$1,768.50	—	25%
CT scan of the head or brain, no contrast dye CPT 70450 Head-Thin Cuts wo/Co	$1,473.75	$1,965.00	$94.67–$1,768.50	11% above	25%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 Head-Thin Cuts wo/Co	$1,473.75	$1,965.00	$1,218.30–$1,768.50	—	25%
CT scan of the head with contrast CPT 70460 Head-Thin Cuts Pos Fossa w/Con	$849.75	$1,133.00	$158.84–$1,019.70	41% below	25%
CT scan of the head with contrast inpatient CPT 70460 Head-Thin Cuts Pos Fossa w/Con	$849.75	$1,133.00	$702.46–$1,019.70	—	25%
CT scan of the head without and with contrast CPT 70470 Head-Thin Cuts w&w/o	$2,199.75	$2,933.00	$158.84–$2,639.70	9% above	25%
CT scan of the head without and with contrast inpatient CPT 70470 Head-Thin Cuts w&w/o	$2,199.75	$2,933.00	$1,818.46–$2,639.70	—	25%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 L Spine w/o Contrast	$1,839.00	$2,452.00	$94.67–$2,206.80	17% above	25%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 L Spine w/o Contrast	$1,839.00	$2,452.00	$1,520.24–$2,206.80	—	25%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 C Spine w/o Contrast	$1,839.00	$2,452.00	$94.67–$2,206.80	4% above	25%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 C Spine w/o Contrast	$1,839.00	$2,452.00	$1,520.24–$2,206.80	—	25%
CT scan of the pelvis, with contrast dye CPT 72193 Pelvis w/Contrast	$2,126.25	$2,835.00	$158.84–$2,551.50	25% above	25%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 Pelvis w/Contrast	$2,126.25	$2,835.00	$1,757.70–$2,551.50	—	25%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Duplex Extrachranial Artere Bi	$881.25	$1,175.00	$216.07–$1,057.50	—	25%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 Duplex Extrachranial Artere Bi	$881.25	$1,175.00	$728.50–$1,057.50	—	25%
Chest X-ray, 2 views CPT 71046 Xray Exam Chest 2 Views	$931.50	$1,242.00	$78.80–$1,117.80	309% above	25%
Chest X-ray, 2 views inpatient CPT 71046 Xray Exam Chest 2 Views	$931.50	$1,242.00	$770.04–$1,117.80	—	25%
Chest X-ray, single view CPT 71045 Chest Portable AP	$270.00	$360.00	$78.80–$493.00	61% above	25%
Chest X-ray, single view CPT 71045 Chest AP (or) PA	$270.00	$360.00	$78.80–$493.00	61% above	25%
Chest X-ray, single view CPT 71045 Chest Portable (Nursing Home)	$274.50	$366.00	$78.80–$493.00	63% above	25%
Chest X-ray, single view CPT 71045 Chest PA & Lat Nursery	$348.75	$465.00	$78.80–$493.00	107% above	25%
Chest X-ray, single view CPT 71045 Chest 1 V PA or AP & Lat	$348.75	$465.00	$78.80–$493.00	107% above	25%
Chest X-ray, single view inpatient CPT 71045 Chest AP (or) PA	$270.00	$360.00	$223.20–$324.00	—	25%
Chest X-ray, single view inpatient CPT 71045 Chest Portable AP	$270.00	$360.00	$223.20–$324.00	—	25%
Chest X-ray, single view inpatient CPT 71045 Chest Portable (Nursing Home)	$274.50	$366.00	$226.92–$329.40	—	25%
Chest X-ray, single view inpatient CPT 71045 Chest 1 V PA or AP & Lat	$348.75	$465.00	$288.30–$418.50	—	25%
Chest X-ray, single view inpatient CPT 71045 Chest PA & Lat Nursery	$348.75	$465.00	$288.30–$418.50	—	25%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Renal Complete	$779.25	$1,039.00	$94.67–$935.10	99% above	25%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US Renal Complete	$779.25	$1,039.00	$644.18–$935.10	—	25%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 Dxa Absorptiometry Bone Densit	$121.50	$162.00	$39.69–$145.80	65% below	25%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 Dexascan 2 Sites	$171.75	$229.00	$56.10–$493.00	50% below	25%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 US Dexascan Spine/Hip	$181.50	$242.00	$59.29–$493.00	47% below	25%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Dxa Absorptiometry Bone Densit	$121.50	$162.00	$100.44–$145.80	—	25%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Dexascan 2 Sites	$171.75	$229.00	$141.98–$206.10	—	25%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 US Dexascan Spine/Hip	$181.50	$242.00	$150.04–$217.80	—	25%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Dexascan 1 Site	$88.50	$118.00	$28.91–$274.00	8% below	25%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 US Dexascan Peripheral	$93.75	$125.00	$30.62–$274.00	3% below	25%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 Dexascan 1 Site	$88.50	$118.00	$73.16–$106.20	—	25%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 US Dexascan Peripheral	$93.75	$125.00	$77.50–$112.50	—	25%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US Pregnant Uterus Realtime W/	$144.00	$192.00	$47.04–$300.09	58% below	25%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US OB 2nd or 3Rd Trimester	$192.75	$257.00	$62.97–$300.09	44% below	25%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US Pregnant Uterus Realtime W/	$144.00	$192.00	$119.04–$172.80	—	25%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US OB 2nd or 3Rd Trimester	$192.75	$257.00	$159.34–$231.30	—	25%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 Chest w/o Contrast	$886.50	$1,182.00	$94.67–$1,063.80	27% below	25%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest Wo 1of3	$886.50	$1,182.00	$94.67–$1,063.80	27% below	25%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Chest Wo 1of3	$886.50	$1,182.00	$732.84–$1,063.80	—	25%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 Chest w/o Contrast	$886.50	$1,182.00	$732.84–$1,063.80	—	25%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 Chest w/Contrast	$2,199.75	$2,933.00	$158.84–$2,639.70	29% above	25%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 Chest w/Contrast	$2,199.75	$2,933.00	$1,818.46–$2,639.70	—	25%
Diagnostic mammogram, both breasts both sides CPT 77066 Dx Mammo Incl Cad Bi	$149.25	$199.00	$48.76–$219.00	—	25%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 Dx Mammo Incl Cad Bi	$149.25	$199.00	$123.38–$179.10	—	25%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Dupl Scan Low/Ext Art/Graft Bi	$439.50	$586.00	$143.57–$714.00	—	25%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 Dupl Scan Low/Ext Art/Graft Bi	$439.50	$586.00	$363.32–$527.40	—	25%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Duplex Scan Lower Ext Veins Bi	$997.50	$1,330.00	$216.07–$1,197.00	—	25%
Duplex ultrasound of the leg veins, both legs CPT 93970 Dupl Scan Upper Ext Veins Bila	$997.50	$1,330.00	$216.07–$1,197.00	44% above	25%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Duplex Scan Lower Ext Veins Bi	$997.50	$1,330.00	$824.60–$1,197.00	—	25%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 Dupl Scan Upper Ext Veins Bila	$997.50	$1,330.00	$824.60–$1,197.00	—	25%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echo Tranthorac,Realtime w/Im	$172.50	$230.00	$56.35–$687.23	85% below	25%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echo, Doppler, Cf	$2,288.25	$3,051.00	$494.80–$2,745.90	95% above	25%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Echo Tranthorac,Realtime w/Im	$172.50	$230.00	$142.60–$207.00	—	25%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Echo, Doppler, Cf	$2,288.25	$3,051.00	$1,891.62–$2,745.90	—	25%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM H.I.D.A. Scan	$1,414.50	$1,886.00	$362.01–$3,951.00	25% above	25%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM H.I.D.A. Scan	$1,414.50	$1,886.00	$1,169.32–$1,697.40	—	25%
In-lab sleep study with CPAP or bilevel titration, age 6 and older both sides CPT 95811 C-Pap/Bi Pap/Split Night Study	$3,478.50	$4,638.00	$286.00–$4,174.20	—	25%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Polysmngphy 6/>Yrs Cpap 4/>Par	$862.50	$1,150.00	$281.75–$1,080.04	69% below	25%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient both sides CPT 95811 C-Pap/Bi Pap/Split Night Study	$3,478.50	$4,638.00	$2,875.56–$4,174.20	—	25%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Polysmngphy 6/>Yrs Cpap 4/>Par	$862.50	$1,150.00	$713.00–$1,035.00	—	25%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us Abdomen Limited	$89.25	$119.00	$29.16–$131.49	75% below	25%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen Limited	$89.25	$119.00	$29.16–$274.00	75% below	25%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abdomen Limited	$89.25	$119.00	$73.78–$107.10	—	25%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Us Abdomen Limited	$89.25	$119.00	$73.78–$107.10	—	25%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Low Dose CT Lung Screening	$138.75	$185.00	$45.33–$902.00	35% below	25%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 Low Dose CT Lung Screening	$138.75	$185.00	$114.70–$166.50	—	25%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI Low Ext w/wo Cont Uni	$2,748.00	$3,664.00	$315.92–$3,297.60	14% above	25%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI Low Ext w/wo Cont Uni	$2,748.00	$3,664.00	$2,271.68–$3,297.60	—	25%
MRI of the abdomen without contrast CPT 74181 MRI Abdomen wo/Cont	$2,203.50	$2,938.00	$216.07–$2,644.20	46% above	25%
MRI of the abdomen without contrast inpatient CPT 74181 MRI Abdomen wo/Cont	$2,203.50	$2,938.00	$1,821.56–$2,644.20	—	25%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Abdomen w/wo Cont	$3,306.00	$4,408.00	$315.92–$3,967.20	54% above	25%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI Abdomen w/wo Cont	$3,306.00	$4,408.00	$2,732.96–$3,967.20	—	25%
MRI of the brain, no contrast dye CPT 70551 MRI Brain wo/Cont	$2,203.50	$2,938.00	$216.07–$2,644.20	19% above	25%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain wo/Cont	$2,203.50	$2,938.00	$1,821.56–$2,644.20	—	25%
MRI of the brain, with and without contrast dye CPT 70553 MRI Brain w/wo Cont	$3,306.00	$4,408.00	$315.92–$3,967.20	34% above	25%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain w/wo Cont	$3,306.00	$4,408.00	$2,732.96–$3,967.20	—	25%
MRI of the lower back, no contrast dye CPT 72148 MRI L-Spine wo/Cont	$2,203.50	$2,938.00	$216.07–$2,644.20	21% above	25%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI L-Spine wo/Cont	$2,203.50	$2,938.00	$1,821.56–$2,644.20	—	25%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI L-Spine w/wo Cont	$3,306.00	$4,408.00	$315.92–$3,967.20	30% above	25%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI L-Spine w/wo Cont	$3,306.00	$4,408.00	$2,732.96–$3,967.20	—	25%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T-Spine wo/Cont	$2,203.50	$2,938.00	$216.07–$2,644.20	43% above	25%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI T-Spine wo/Cont	$2,203.50	$2,938.00	$1,821.56–$2,644.20	—	25%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C-Spine w/wo Cont	$3,306.00	$4,408.00	$315.92–$3,967.20	30% above	25%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI C-Spine w/wo Cont	$3,306.00	$4,408.00	$2,732.96–$3,967.20	—	25%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C-Spine wo/Cont	$2,203.50	$2,938.00	$216.07–$2,644.20	18% above	25%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI C-Spine wo/Cont	$2,203.50	$2,938.00	$1,821.56–$2,644.20	—	25%
MRI of the pelvis without and with contrast CPT 72197 MRI Prostate w/wo contrast	$1,110.75	$1,481.00	$315.92–$1,538.00	49% below	25%
MRI of the pelvis without and with contrast CPT 72197 MRI Pelvis w/wo Cont	$3,306.00	$4,408.00	$315.92–$3,967.20	52% above	25%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI Prostate w/wo contrast	$1,110.75	$1,481.00	$918.22–$1,332.90	—	25%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI Pelvis w/wo Cont	$3,306.00	$4,408.00	$2,732.96–$3,967.20	—	25%
MRI of the pelvis, no contrast dye CPT 72195 MRI Pelvis wo/Cont	$2,203.50	$2,938.00	$216.07–$2,644.20	32% above	25%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI Pelvis wo/Cont	$2,203.50	$2,938.00	$1,821.56–$2,644.20	—	25%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI Low Ext w/wo Cont Uni	$2,748.00	$3,664.00	$216.07–$3,297.60	29% above	25%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI Low Ext w/wo Cont Uni	$2,748.00	$3,664.00	$2,271.68–$3,297.60	—	25%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Multi Studies,At Rest/Stress E	$450.00	$600.00	$147.00–$1,628.28	80% below	25%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Multi Studies At Rest/Stress E	$450.00	$600.00	$147.00–$1,628.28	80% below	25%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Myocardial Perf Spect Multi	$4,288.50	$5,718.00	$1,172.36–$5,146.20	92% above	25%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Multi Studies,At Rest/Stress E	$450.00	$600.00	$372.00–$540.00	—	25%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Multi Studies At Rest/Stress E	$450.00	$600.00	$372.00–$540.00	—	25%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM Myocardial Perf Spect Multi	$4,288.50	$5,718.00	$3,545.16–$5,146.20	—	25%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Pelvic Limited Follow Up	$69.00	$92.00	$22.54–$274.00	66% below	25%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Pelvic Limited Follow Up	$69.00	$92.00	$57.04–$82.80	—	25%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvic Transabdominal	$151.50	$202.00	$49.49–$274.00	70% below	25%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US Pelvic Transabdominal	$151.50	$202.00	$125.24–$181.80	—	25%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB 2nd or 3Rd Trimester	$192.75	$257.00	$62.97–$274.00	56% below	25%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB2/3 Tri>14Wk Transabd	$192.75	$257.00	$62.97–$274.00	56% below	25%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB 2nd or 3Rd Trimester	$192.75	$257.00	$159.34–$231.30	—	25%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB2/3 Tri>14Wk Transabd	$192.75	$257.00	$159.34–$231.30	—	25%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB 1/Tri<14 Weeks Transabd	$168.75	$225.00	$55.12–$274.00	49% below	25%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB 1st Trimester 1of2	$168.75	$225.00	$55.12–$274.00	49% below	25%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB 1st Trimester 1of2	$168.75	$225.00	$139.50–$202.50	—	25%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB 1/Tri<14 Weeks Transabd	$168.75	$225.00	$139.50–$202.50	—	25%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB Lmtd 1ormore Fetus 76815	$117.00	$156.00	$38.22–$274.00	54% below	25%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB Lmtd 1ormore Fetus 76815	$117.00	$156.00	$96.72–$140.40	—	25%
Screening mammogram, both breasts both sides CPT 77067 Scr Mammo Bi Incl Cad	$120.00	$160.00	$39.20–$219.00	—	25%
Screening mammogram, both breasts both sides CPT 77067 Scr Mammo Bi Incl Cad 1of2	$120.00	$160.00	$39.20–$219.00	—	25%
Screening mammogram, both breasts inpatient both sides CPT 77067 Scr Mammo Bi Incl Cad	$120.00	$160.00	$99.20–$144.00	—	25%
Screening mammogram, both breasts inpatient both sides CPT 77067 Scr Mammo Bi Incl Cad 1of2	$120.00	$160.00	$99.20–$144.00	—	25%
Sleep study in a lab (polysomnography) CPT 95810 Polysomnography 6/>Yrs 4/> Par	$824.25	$1,099.00	$269.25–$1,080.04	72% below	25%
Sleep study in a lab (polysomnography) CPT 95810 Diagnostic Study (Psg)	$3,274.50	$4,366.00	$286.00–$3,929.40	12% above	25%
Sleep study in a lab (polysomnography) inpatient CPT 95810 Polysomnography 6/>Yrs 4/> Par	$824.25	$1,099.00	$681.38–$989.10	—	25%
Sleep study in a lab (polysomnography) inpatient CPT 95810 Diagnostic Study (Psg)	$3,274.50	$4,366.00	$2,706.92–$3,929.40	—	25%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Stress TTE Complete	$319.50	$426.00	$104.37–$687.23	63% below	25%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Echo Stress Tte 1of2	$648.00	$864.00	$211.68–$777.60	26% below	25%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 Stress TTE Complete	$319.50	$426.00	$264.12–$383.40	—	25%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 Echo Stress Tte 1of2	$648.00	$864.00	$535.68–$777.60	—	25%
Swallow study (modified barium swallow, video X-ray) CPT 74230 Swallowing Func Cine A/O Video	$353.25	$471.00	$115.39–$493.00	8% below	25%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Swallowing Func Cine A/O Video	$353.25	$471.00	$292.02–$423.90	—	25%
Transvaginal pelvic ultrasound CPT 76830 US Transvaginal	$171.00	$228.00	$55.86–$274.00	59% below	25%
Transvaginal pelvic ultrasound inpatient CPT 76830 US Transvaginal	$171.00	$228.00	$141.36–$205.20	—	25%
Transvaginal ultrasound during pregnancy CPT 76817 US Transvaginal Ob	$133.50	$178.00	$43.61–$274.00	64% below	25%
Transvaginal ultrasound during pregnancy CPT 76817 US OB Transvaginal Only	$133.50	$178.00	$43.61–$274.00	64% below	25%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB Transvaginal Only	$133.50	$178.00	$110.36–$160.20	—	25%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US Transvaginal Ob	$133.50	$178.00	$110.36–$160.20	—	25%
Ultrasound of the abdomen, complete CPT 76700 US Abdomen	$119.25	$159.00	$38.95–$274.00	77% below	25%
Ultrasound of the abdomen, complete CPT 76700 Us Abdomen	$119.25	$159.00	$38.95–$143.10	77% below	25%
Ultrasound of the abdomen, complete inpatient CPT 76700 Us Abdomen	$119.25	$159.00	$98.58–$143.10	—	25%
Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdomen	$119.25	$159.00	$98.58–$143.10	—	25%
Ultrasound of the scrotum and testicles CPT 76870 US Scrotal	$839.25	$1,119.00	$94.67–$1,007.10	97% above	25%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US Scrotal	$839.25	$1,119.00	$693.78–$1,007.10	—	25%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us Thyroid/Parathyroid	$124.50	$166.00	$40.67–$149.40	67% below	25%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Thyroid/Parathyroid	$124.50	$166.00	$40.67–$274.00	67% below	25%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Neck	$124.50	$166.00	$40.67–$274.00	67% below	25%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Us Thyroid/Parathyroid	$124.50	$166.00	$102.92–$149.40	—	25%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Thyroid/Parathyroid	$124.50	$166.00	$102.92–$149.40	—	25%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Neck	$124.50	$166.00	$102.92–$149.40	—	25%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI w/Kub	$832.50	$1,110.00	$158.84–$999.00	118% above	25%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Upr GI w/o Kub	$832.50	$1,110.00	$158.84–$999.00	118% above	25%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UGI w/Kub	$832.50	$1,110.00	$688.20–$999.00	—	25%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Upr GI w/o Kub	$832.50	$1,110.00	$688.20–$999.00	—	25%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US Dup Scan Ext Vein Uni/Lmtd	$497.25	$663.00	$94.67–$714.00	54% above	25%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US Dup Scan Ext Vein Uni/Lmtd	$497.25	$663.00	$411.06–$596.70	—	25%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 Pelvis/Hip 2or3Vw	$239.25	$319.00	$78.16–$493.00	3% above	25%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 Pelvis/Hip 2or3Vw	$239.25	$319.00	$197.78–$287.10	—	25%
X-ray of the abdomen, 1 view CPT 74018 Abdomen Kub Nursery 1 View	$62.25	$83.00	$20.34–$493.00	64% below	25%
X-ray of the abdomen, 1 view CPT 74018 Xray abdomen w decubitus	$146.25	$195.00	$47.77–$493.00	15% below	25%
X-ray of the abdomen, 1 view inpatient CPT 74018 Abdomen Kub Nursery 1 View	$62.25	$83.00	$51.46–$74.70	—	25%
X-ray of the abdomen, 1 view inpatient CPT 74018 Xray abdomen w decubitus	$146.25	$195.00	$120.90–$175.50	—	25%
X-ray of the finger(s), 2 or more views CPT 73140 Finger(S) 2 or + Views	$241.50	$322.00	$78.80–$493.00	18% above	25%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 Finger(S) 2 or + Views	$241.50	$322.00	$199.64–$289.80	—	25%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Obliques of L-Spine Only	$377.25	$503.00	$94.67–$493.00	15% above	25%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Spine Lumbosacral 2 or 3 Views	$377.25	$503.00	$94.67–$493.00	15% above	25%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 Spine Lumbosacral 2 or 3 Views	$377.25	$503.00	$311.86–$452.70	—	25%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 Obliques of L-Spine Only	$377.25	$503.00	$311.86–$452.70	—	25%
X-ray of the lower back, 4 or more views CPT 72110 Spine Lumbar Comp w/Obl Views	$249.00	$332.00	$81.34–$493.00	23% below	25%
X-ray of the lower back, 4 or more views inpatient CPT 72110 Spine Lumbar Comp w/Obl Views	$249.00	$332.00	$205.84–$298.80	—	25%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 Spine Thoracic Ap & Lat	$178.50	$238.00	$58.31–$493.00	18% below	25%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 Spine Thoracic Ap & Lat	$178.50	$238.00	$147.56–$214.20	—	25%
X-ray of the nasal bones, 3 or more views CPT 70160 Nasal Bones Comp 3 Or + VPF	$39.75	$53.00	$12.98–$109.45	85% below	25%
X-ray of the nasal bones, 3 or more views CPT 70160 Nasal Bones Comp 3 or + Views	$297.00	$396.00	$78.80–$493.00	8% above	25%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 Nasal Bones Comp 3 Or + VPF	$39.75	$53.00	$32.86–$47.70	—	25%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 Nasal Bones Comp 3 or + Views	$297.00	$396.00	$245.52–$356.40	—	25%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Spine Cervical 3 Views or Less	$165.00	$220.00	$53.90–$493.00	25% below	25%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 Spine Cervical 3 Views or Less	$165.00	$220.00	$136.40–$198.00	—	25%
X-ray of the pelvis, 1 or 2 views CPT 72170 Pelvis 1 or 2 Views	$297.00	$396.00	$94.67–$493.00	46% above	25%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 Pelvis 1 or 2 Views	$297.00	$396.00	$245.52–$356.40	—	25%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Sacrum & Coccyx 2 or + Views	$322.50	$430.00	$78.80–$493.00	38% above	25%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 Sacrum & Coccyx 2 or + Views	$322.50	$430.00	$266.60–$387.00	—	25%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Alabama	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alt (Sgpt) Serum	$9.00	$12.00	$2.94–$10.80	77% below	25%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Compreh Metabolic Panel 12of14	$12.00	$16.00	$3.92–$14.40	69% below	25%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Hepatic Function Panel 6of7	$12.75	$17.00	$4.17–$15.30	67% below	25%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Ash Fibrosure 9of10	$37.50	$50.00	$5.25–$45.00	4% below	25%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Fibrosur Hepatitis C Virus6of6	$37.50	$50.00	$5.25–$45.00	4% below	25%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Nash Fibrosure 9of10	$37.50	$50.00	$5.25–$45.00	4% below	25%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alt (Sgpt) Serum	$9.00	$12.00	$7.44–$10.80	—	25%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Compreh Metabolic Panel 12of14	$12.00	$16.00	$9.92–$14.40	—	25%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Hepatic Function Panel 6of7	$12.75	$17.00	$10.54–$15.30	—	25%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Fibrosur Hepatitis C Virus6of6	$37.50	$50.00	$31.00–$45.00	—	25%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Ash Fibrosure 9of10	$37.50	$50.00	$31.00–$45.00	—	25%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Nash Fibrosure 9of10	$37.50	$50.00	$31.00–$45.00	—	25%
AST (aspartate aminotransferase) enzyme test CPT 84450 Compreh Metabolic Panel 13of14	$12.00	$16.00	$3.92–$14.40	68% below	25%
AST (aspartate aminotransferase) enzyme test CPT 84450 Hepatic Function Panel 7of7	$12.75	$17.00	$4.17–$15.30	66% below	25%
AST (aspartate aminotransferase) enzyme test CPT 84450 Uric Acid Serum	$21.75	$29.00	$5.13–$26.10	41% below	25%
AST (aspartate aminotransferase) enzyme test CPT 84450 Ast (Sgot) Serum	$25.22	$33.63	$5.13–$30.27	32% below	25%
AST (aspartate aminotransferase) enzyme test CPT 84450 Nash Fibrosure 8of10	$37.50	$50.00	$5.13–$45.00	1% above	25%
AST (aspartate aminotransferase) enzyme test CPT 84450 Ash Fibrosure 8of10	$37.50	$50.00	$5.13–$45.00	1% above	25%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Compreh Metabolic Panel 13of14	$12.00	$16.00	$9.92–$14.40	—	25%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Hepatic Function Panel 7of7	$12.75	$17.00	$10.54–$15.30	—	25%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Uric Acid Serum	$21.75	$29.00	$17.98–$26.10	—	25%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Ast (Sgot) Serum	$25.22	$33.63	$20.85–$30.27	—	25%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Ash Fibrosure 8of10	$37.50	$50.00	$31.00–$45.00	—	25%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Nash Fibrosure 8of10	$37.50	$50.00	$31.00–$45.00	—	25%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute Hepatitis Panel Main	$796.50	$1,062.00	$47.15–$955.80	164% above	25%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Acute Hepatitis Panel Main	$796.50	$1,062.00	$658.44–$955.80	—	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Gluten	$12.75	$17.00	$4.17–$15.30	46% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Ibuprofen	$12.75	$17.00	$4.17–$15.30	46% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Mold Allergen Profile 1of13	$21.00	$28.00	$5.17–$25.20	11% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Mold Allergen Profile 4of13	$21.00	$28.00	$5.17–$25.20	11% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Mold Allergen Profile 3of13	$21.00	$28.00	$5.17–$25.20	11% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Mold Allergen Profile 2of13	$21.00	$28.00	$5.17–$25.20	11% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Mold Allergen Profile 6of13	$21.75	$29.00	$5.17–$26.10	8% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Mold Allergen Profile 8of13	$21.75	$29.00	$5.17–$26.10	8% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Mold Allergen Profile 9of13	$21.75	$29.00	$5.17–$26.10	8% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Mold Allergen Profile 10of13	$21.75	$29.00	$5.17–$26.10	8% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Mold Allergen Profile 11of13	$21.75	$29.00	$5.17–$26.10	8% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Mold Allergen Profile 12of13	$21.75	$29.00	$5.17–$26.10	8% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Mold Allergen Profile 13of13	$21.75	$29.00	$5.17–$26.10	8% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Mold Allergen Profile 7of13	$21.75	$29.00	$5.17–$26.10	8% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Mold Allergen Profile 5of13	$21.75	$29.00	$5.17–$26.10	8% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergens (7) 1of2	$22.50	$30.00	$5.17–$27.00	5% below	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergens Prof,Basic Food 1of9	$24.00	$32.00	$5.17–$28.80	2% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergens Prof,Basic Food 9of9	$24.00	$32.00	$5.17–$28.80	2% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergens Prof,Basic Food 8of9	$24.00	$32.00	$5.17–$28.80	2% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergens Prof,Basic Food 7of9	$24.00	$32.00	$5.17–$28.80	2% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergens Prof,Basic Food 6of9	$24.00	$32.00	$5.17–$28.80	2% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergens Prof,Basic Food 5of9	$24.00	$32.00	$5.17–$28.80	2% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergens Prof,Basic Food 4of9	$24.00	$32.00	$5.17–$28.80	2% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergens Prof,Basic Food 3of9	$24.00	$32.00	$5.17–$28.80	2% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergens Prof,Basic Food 2of9	$24.00	$32.00	$5.17–$28.80	2% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE XTRC EA	$26.25	$35.00	$5.17–$31.50	11% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Red Snapper	$27.75	$37.00	$5.17–$33.30	18% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Avocado	$27.75	$37.00	$5.17–$33.30	18% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Ovomucoid	$27.75	$37.00	$5.17–$33.30	18% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Herring	$27.75	$37.00	$5.17–$33.30	18% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Cuttlefish (Squid)	$27.75	$37.00	$5.17–$33.30	18% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Flounder	$27.75	$37.00	$5.17–$33.30	18% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Aspergillus Fumigatus Ige	$27.75	$37.00	$5.17–$33.30	18% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Schistosoma	$27.75	$37.00	$5.17–$33.30	18% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Whitefish	$27.75	$37.00	$5.17–$33.30	18% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Walnut	$27.75	$37.00	$5.17–$33.30	18% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Sole	$27.75	$37.00	$5.17–$33.30	18% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Swordfish	$27.75	$37.00	$5.17–$33.30	18% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Wasp, Paper	$34.50	$46.00	$5.17–$41.40	46% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Onions	$35.25	$47.00	$5.17–$42.30	49% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Novocaine\Procaine	$35.25	$47.00	$5.17–$42.30	49% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Lidocaine	$35.25	$47.00	$5.17–$42.30	49% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Allg Spec Ige Crude Xtrc 1of2	$39.75	$53.00	$5.17–$47.70	69% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 House Dust	$63.75	$85.00	$5.17–$76.50	170% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Isocyanates Profile	$70.50	$94.00	$5.17–$84.60	199% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Food Allergen (Berry)	$77.25	$103.00	$5.17–$92.70	227% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Food Allergens (6) Grain	$79.50	$106.00	$5.17–$95.40	237% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Food Allergens (7) Vegetables	$91.50	$122.00	$5.17–$109.80	288% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Food Allergens (7) Fish	$91.50	$122.00	$5.17–$109.80	288% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Carmine Red Dye IGE	$96.00	$128.00	$5.17–$115.20	307% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Quinoline Yellow Ige	$96.00	$128.00	$5.17–$115.20	307% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Food Panel(Rast)-Asst Ea Aller	$97.50	$130.00	$5.17–$117.00	313% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Panel 6	$117.75	$157.00	$5.17–$141.30	399% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spc Ige Crude Xtrc Ea	$121.88	$162.50	$5.17–$146.25	417% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Food Allergen (Nut)	$126.00	$168.00	$5.17–$151.20	434% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Food Allergen (Citrus)	$126.00	$168.00	$5.17–$151.20	434% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Rat,Urine Proein	$145.50	$194.00	$5.17–$174.60	517% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Mouse Urine	$145.50	$194.00	$5.17–$174.60	517% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Hymenoptera Profile 2	$150.75	$201.00	$5.17–$180.90	539% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Food Allergen (Fruit)	$151.50	$202.00	$5.17–$181.80	542% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Milk (Rast)	$185.25	$247.00	$5.17–$222.30	685% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Rast 5 Panel	$216.75	$289.00	$5.17–$260.10	819% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Gillilands Allergens	$227.25	$303.00	$5.17–$272.70	863% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Latex Specific Ige,Qn	$264.75	$353.00	$5.17–$317.70	1022% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Food Allergens Panel 22 (M-P)	$282.75	$377.00	$5.17–$339.30	1099% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Childrens Foods Ea Allergen	$283.50	$378.00	$5.17–$340.20	1102% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Food Allergens Panel 26 (R-Z)	$345.75	$461.00	$5.17–$414.90	1366% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Food Allergens Panel 30 (A-C)	$382.50	$510.00	$5.17–$459.00	1521% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Rast Panel 8	$387.00	$516.00	$5.17–$464.40	1541% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Ala Reg Rast Serum Ea Allergen	$506.25	$675.00	$5.17–$607.50	2046% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Rast, Seafood Each Allergen	$519.00	$692.00	$5.17–$622.80	2100% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Rast Gen. # 2 Ea Allergen	$541.50	$722.00	$5.17–$649.80	2195% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Mold Allergen Profile Panel 12	$555.75	$741.00	$5.17–$666.90	2256% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Adult Aller Scr & IGA Ea Aller	$589.50	$786.00	$5.17–$707.40	2399% above	25%
Allergy blood test, specific IgE, per allergen CPT 86003 Rast Gen.Food #1 Ea Allergen	$619.50	$826.00	$5.17–$743.40	2526% above	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Gluten	$12.75	$17.00	$10.54–$15.30	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ibuprofen	$12.75	$17.00	$10.54–$15.30	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mold Allergen Profile 1of13	$21.00	$28.00	$17.36–$25.20	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mold Allergen Profile 4of13	$21.00	$28.00	$17.36–$25.20	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mold Allergen Profile 3of13	$21.00	$28.00	$17.36–$25.20	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mold Allergen Profile 2of13	$21.00	$28.00	$17.36–$25.20	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mold Allergen Profile 13of13	$21.75	$29.00	$17.98–$26.10	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mold Allergen Profile 5of13	$21.75	$29.00	$17.98–$26.10	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mold Allergen Profile 6of13	$21.75	$29.00	$17.98–$26.10	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mold Allergen Profile 7of13	$21.75	$29.00	$17.98–$26.10	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mold Allergen Profile 8of13	$21.75	$29.00	$17.98–$26.10	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mold Allergen Profile 9of13	$21.75	$29.00	$17.98–$26.10	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mold Allergen Profile 10of13	$21.75	$29.00	$17.98–$26.10	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mold Allergen Profile 11of13	$21.75	$29.00	$17.98–$26.10	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mold Allergen Profile 12of13	$21.75	$29.00	$17.98–$26.10	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergens (7) 1of2	$22.50	$30.00	$18.60–$27.00	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergens Prof,Basic Food 6of9	$24.00	$32.00	$19.84–$28.80	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergens Prof,Basic Food 8of9	$24.00	$32.00	$19.84–$28.80	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergens Prof,Basic Food 1of9	$24.00	$32.00	$19.84–$28.80	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergens Prof,Basic Food 5of9	$24.00	$32.00	$19.84–$28.80	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergens Prof,Basic Food 9of9	$24.00	$32.00	$19.84–$28.80	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergens Prof,Basic Food 7of9	$24.00	$32.00	$19.84–$28.80	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergens Prof,Basic Food 3of9	$24.00	$32.00	$19.84–$28.80	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergens Prof,Basic Food 4of9	$24.00	$32.00	$19.84–$28.80	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergens Prof,Basic Food 2of9	$24.00	$32.00	$19.84–$28.80	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG SPEC IGE CRUDE XTRC EA	$26.25	$35.00	$21.70–$31.50	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Red Snapper	$27.75	$37.00	$22.94–$33.30	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aspergillus Fumigatus Ige	$27.75	$37.00	$22.94–$33.30	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Whitefish	$27.75	$37.00	$22.94–$33.30	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Walnut	$27.75	$37.00	$22.94–$33.30	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Sole	$27.75	$37.00	$22.94–$33.30	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Avocado	$27.75	$37.00	$22.94–$33.30	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Swordfish	$27.75	$37.00	$22.94–$33.30	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ovomucoid	$27.75	$37.00	$22.94–$33.30	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Herring	$27.75	$37.00	$22.94–$33.30	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cuttlefish (Squid)	$27.75	$37.00	$22.94–$33.30	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Flounder	$27.75	$37.00	$22.94–$33.30	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Schistosoma	$27.75	$37.00	$22.94–$33.30	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Wasp, Paper	$34.50	$46.00	$28.52–$41.40	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Novocaine\Procaine	$35.25	$47.00	$29.14–$42.30	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Lidocaine	$35.25	$47.00	$29.14–$42.30	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Onions	$35.25	$47.00	$29.14–$42.30	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allg Spec Ige Crude Xtrc 1of2	$39.75	$53.00	$32.86–$47.70	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 House Dust	$63.75	$85.00	$52.70–$76.50	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Isocyanates Profile	$70.50	$94.00	$58.28–$84.60	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Food Allergen (Berry)	$77.25	$103.00	$63.86–$92.70	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Food Allergens (6) Grain	$79.50	$106.00	$65.72–$95.40	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Food Allergens (7) Vegetables	$91.50	$122.00	$75.64–$109.80	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Food Allergens (7) Fish	$91.50	$122.00	$75.64–$109.80	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Quinoline Yellow Ige	$96.00	$128.00	$79.36–$115.20	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Carmine Red Dye IGE	$96.00	$128.00	$79.36–$115.20	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Food Panel(Rast)-Asst Ea Aller	$97.50	$130.00	$80.60–$117.00	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Panel 6	$117.75	$157.00	$97.34–$141.30	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spc Ige Crude Xtrc Ea	$121.88	$162.50	$100.75–$146.25	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Food Allergen (Citrus)	$126.00	$168.00	$104.16–$151.20	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Food Allergen (Nut)	$126.00	$168.00	$104.16–$151.20	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rat,Urine Proein	$145.50	$194.00	$120.28–$174.60	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mouse Urine	$145.50	$194.00	$120.28–$174.60	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hymenoptera Profile 2	$150.75	$201.00	$124.62–$180.90	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Food Allergen (Fruit)	$151.50	$202.00	$125.24–$181.80	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Milk (Rast)	$185.25	$247.00	$153.14–$222.30	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rast 5 Panel	$216.75	$289.00	$179.18–$260.10	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Gillilands Allergens	$227.25	$303.00	$187.86–$272.70	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Latex Specific Ige,Qn	$264.75	$353.00	$218.86–$317.70	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Food Allergens Panel 22 (M-P)	$282.75	$377.00	$233.74–$339.30	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Childrens Foods Ea Allergen	$283.50	$378.00	$234.36–$340.20	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Food Allergens Panel 26 (R-Z)	$345.75	$461.00	$285.82–$414.90	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Food Allergens Panel 30 (A-C)	$382.50	$510.00	$316.20–$459.00	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rast Panel 8	$387.00	$516.00	$319.92–$464.40	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ala Reg Rast Serum Ea Allergen	$506.25	$675.00	$418.50–$607.50	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rast, Seafood Each Allergen	$519.00	$692.00	$429.04–$622.80	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rast Gen. # 2 Ea Allergen	$541.50	$722.00	$447.64–$649.80	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mold Allergen Profile Panel 12	$555.75	$741.00	$459.42–$666.90	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Adult Aller Scr & IGA Ea Aller	$589.50	$786.00	$487.32–$707.40	—	25%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rast Gen.Food #1 Ea Allergen	$619.50	$826.00	$512.12–$743.40	—	25%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP, IgG	$108.75	$145.00	$12.82–$130.50	118% above	25%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP, IgG	$108.75	$145.00	$89.90–$130.50	—	25%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA Body Fluid	$42.75	$57.00	$11.97–$51.30	3% above	25%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Ana	$57.75	$77.00	$11.97–$69.30	39% above	25%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Ana, Reflex To Multiple Tests	$161.25	$215.00	$11.97–$193.50	288% above	25%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA Body Fluid	$42.75	$57.00	$35.34–$51.30	—	25%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Ana	$57.75	$77.00	$47.74–$69.30	—	25%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Ana, Reflex To Multiple Tests	$161.25	$215.00	$133.30–$193.50	—	25%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Brain Naturetic Peptide	$153.00	$204.00	$38.87–$183.60	51% above	25%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Brain Naturetic Peptide	$153.00	$204.00	$126.48–$183.60	—	25%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Nerve Biopsy	$503.25	$671.00	$47.19–$603.90	198% above	25%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Muscle Biopsy	$2,061.00	$2,748.00	$47.19–$2,473.20	1119% above	25%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Nerve Biopsy	$503.25	$671.00	$416.02–$603.90	—	25%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Muscle Biopsy	$2,061.00	$2,748.00	$1,703.76–$2,473.20	—	25%
Blood culture for bacteria CPT 87040 Culture Blood	$111.75	$149.00	$10.22–$134.10	8% above	25%
Blood culture for bacteria inpatient CPT 87040 Culture Blood	$111.75	$149.00	$92.38–$134.10	—	25%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture Finger/Heel Stick	$5.25	$7.00	$1.72–$12.84	29% below	25%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Collection Of Venous Blood	$9.79	$13.05	$3.00–$12.84	32% above	25%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Veni-Puncture	$13.50	$18.00	$3.00–$16.20	82% above	25%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Chain of Custody Collect Fee	$19.50	$26.00	$3.00–$23.40	164% above	25%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture	$22.50	$30.00	$3.00–$27.00	204% above	25%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Venipuncture Finger/Heel Stick	$5.25	$7.00	$4.34–$6.30	—	25%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Collection Of Venous Blood	$9.79	$13.05	$8.09–$11.74	—	25%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Veni-Puncture	$13.50	$18.00	$11.16–$16.20	—	25%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Chain of Custody Collect Fee	$19.50	$26.00	$16.12–$23.40	—	25%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Venipuncture	$22.50	$30.00	$18.60–$27.00	—	25%
Blood glucose (sugar) test CPT 82947 Glucose, Plasma	$11.25	$15.00	$3.67–$13.50	62% below	25%
Blood glucose (sugar) test CPT 82947 Compreh Metabolic Panel 7of14	$12.00	$16.00	$3.89–$14.40	59% below	25%
Blood glucose (sugar) test CPT 82947 Basic Metabolic Panel T 5of8	$14.25	$19.00	$3.89–$17.10	51% below	25%
Blood glucose (sugar) test CPT 82947 Glucose 2 Hr Pp	$21.00	$28.00	$3.89–$25.20	28% below	25%
Blood glucose (sugar) test CPT 82947 Ash Fibrosure 4of10	$37.50	$50.00	$3.89–$45.00	28% above	25%
Blood glucose (sugar) test CPT 82947 Nash Fibrosure 4of10	$37.50	$50.00	$3.89–$45.00	28% above	25%
Blood glucose (sugar) test CPT 82947 Glucose, Blood Quant	$45.00	$60.00	$3.89–$54.00	54% above	25%
Blood glucose (sugar) test CPT 82947 Renal Function Panel 6of10	$57.00	$76.00	$3.89–$68.40	95% above	25%
Blood glucose (sugar) test inpatient CPT 82947 Glucose, Plasma	$11.25	$15.00	$9.30–$13.50	—	25%
Blood glucose (sugar) test inpatient CPT 82947 Compreh Metabolic Panel 7of14	$12.00	$16.00	$9.92–$14.40	—	25%
Blood glucose (sugar) test inpatient CPT 82947 Basic Metabolic Panel T 5of8	$14.25	$19.00	$11.78–$17.10	—	25%
Blood glucose (sugar) test inpatient CPT 82947 Glucose 2 Hr Pp	$21.00	$28.00	$17.36–$25.20	—	25%
Blood glucose (sugar) test inpatient CPT 82947 Nash Fibrosure 4of10	$37.50	$50.00	$31.00–$45.00	—	25%
Blood glucose (sugar) test inpatient CPT 82947 Ash Fibrosure 4of10	$37.50	$50.00	$31.00–$45.00	—	25%
Blood glucose (sugar) test inpatient CPT 82947 Glucose, Blood Quant	$45.00	$60.00	$37.20–$54.00	—	25%
Blood glucose (sugar) test inpatient CPT 82947 Renal Function Panel 6of10	$57.00	$76.00	$47.12–$68.40	—	25%
Blood lead test CPT 83655 Lead, U	$22.50	$30.00	$7.35–$27.00	40% below	25%
Blood lead test CPT 83655 Xylene Panel, Blood 2of3	$22.50	$30.00	$7.35–$27.00	40% below	25%
Blood lead test CPT 83655 Lead, Blood 1of3	$39.00	$52.00	$11.99–$46.80	4% above	25%
Blood lead test CPT 83655 Profile,Heavy Metals Urine3of4	$84.00	$112.00	$11.99–$100.80	123% above	25%
Blood lead test CPT 83655 Lead Urine 2of2	$116.25	$155.00	$11.99–$139.50	209% above	25%
Blood lead test CPT 83655 Heavy Metal Profile II,Bld1of4	$123.00	$164.00	$11.99–$147.60	227% above	25%
Blood lead test CPT 83655 Lead Blood Pediatric	$180.75	$241.00	$11.99–$216.90	381% above	25%
Blood lead test inpatient CPT 83655 Xylene Panel, Blood 2of3	$22.50	$30.00	$18.60–$27.00	—	25%
Blood lead test inpatient CPT 83655 Lead, U	$22.50	$30.00	$18.60–$27.00	—	25%
Blood lead test inpatient CPT 83655 Lead, Blood 1of3	$39.00	$52.00	$32.24–$46.80	—	25%
Blood lead test inpatient CPT 83655 Profile,Heavy Metals Urine3of4	$84.00	$112.00	$69.44–$100.80	—	25%
Blood lead test inpatient CPT 83655 Lead Urine 2of2	$116.25	$155.00	$96.10–$139.50	—	25%
Blood lead test inpatient CPT 83655 Heavy Metal Profile II,Bld1of4	$123.00	$164.00	$101.68–$147.60	—	25%
Blood lead test inpatient CPT 83655 Lead Blood Pediatric	$180.75	$241.00	$149.42–$216.90	—	25%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Pregnancy Test, Urine	$69.75	$93.00	$7.44–$83.70	9% above	25%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Pregnancy Test, Serum	$69.75	$93.00	$7.44–$83.70	9% above	25%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Pregnancy Test, Urine	$69.75	$93.00	$57.66–$83.70	—	25%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Pregnancy Test, Serum	$69.75	$93.00	$57.66–$83.70	—	25%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood Typing Abo	$19.50	$26.00	$2.96–$23.40	67% below	25%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Reference Abo	$32.25	$43.00	$2.96–$38.70	46% below	25%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Blood Typing Abo	$19.50	$26.00	$16.12–$23.40	—	25%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Reference Abo	$32.25	$43.00	$26.66–$38.70	—	25%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 IBD SGI 3of6	$16.50	$22.00	$5.13–$19.80	63% below	25%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-Reactive Protein	$17.25	$23.00	$5.13–$20.70	62% below	25%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 IBD SGI 3of6	$16.50	$22.00	$13.64–$19.80	—	25%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-Reactive Protein	$17.25	$23.00	$14.26–$20.70	—	25%
CA 19-9 blood test (tumor marker) CPT 86301 Carbohydrate Ag, 19-9	$283.50	$378.00	$20.60–$340.20	172% above	25%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 Carbohydrate Ag, 19-9	$283.50	$378.00	$234.36–$340.20	—	25%
CA-125 blood test (ovarian cancer marker) CPT 86304 Ca 125 (Serial Monitor)	$30.00	$40.00	$9.80–$36.00	70% below	25%
CA-125 blood test (ovarian cancer marker) CPT 86304 Ca 125-Cancer Antigen 125	$237.00	$316.00	$20.60–$284.40	135% above	25%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Ca 125 (Serial Monitor)	$30.00	$40.00	$24.80–$36.00	—	25%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Ca 125-Cancer Antigen 125	$237.00	$316.00	$195.92–$284.40	—	25%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Sars-Cov-2 Covid-19 Amp Prb	$112.50	$150.00	$36.75–$135.00	105% above	25%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Sars-Cov-2 Covid-19	$150.00	$200.00	$49.00–$180.00	173% above	25%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Sars-Cov-2 Covid-19 Amp Prb	$112.50	$150.00	$93.00–$135.00	—	25%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Sars-Cov-2 Covid-19	$150.00	$200.00	$124.00–$180.00	—	25%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia By Amp(Urine/Swab)	$136.50	$182.00	$34.74–$163.80	110% above	25%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Inf Agt Detect Nuc Adid Chlamy	$168.00	$224.00	$34.74–$201.60	158% above	25%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia By Amp(Urine/Swab)	$136.50	$182.00	$112.84–$163.80	—	25%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Inf Agt Detect Nuc Adid Chlamy	$168.00	$224.00	$138.88–$201.60	—	25%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 NMR Lipoprofile (Op) 1of2	$20.25	$27.00	$6.62–$24.30	61% below	25%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 NMR Lipoprofile 1of2	$73.50	$98.00	$13.26–$88.20	40% above	25%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 NMR Lipoprofile (Op) 1of2	$20.25	$27.00	$16.74–$24.30	—	25%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 NMR Lipoprofile 1of2	$73.50	$98.00	$60.76–$88.20	—	25%
Complete blood count (CBC) with differential CPT 85025 Complete CBC	$19.41	$25.88	$6.34–$23.29	50% below	25%
Complete blood count (CBC) with differential CPT 85025 Scan Differential	$35.25	$47.00	$7.69–$42.30	8% below	25%
Complete blood count (CBC) with differential CPT 85025 Manual Differential	$44.25	$59.00	$7.69–$53.10	15% above	25%
Complete blood count (CBC) with differential CPT 85025 CBC w/Diff & Plt	$68.25	$91.00	$7.69–$81.90	77% above	25%
Complete blood count (CBC) with differential CPT 85025 CBC No Diff	$77.25	$103.00	$7.69–$92.70	101% above	25%
Complete blood count (CBC) with differential inpatient CPT 85025 Complete CBC	$19.41	$25.88	$16.05–$23.29	—	25%
Complete blood count (CBC) with differential inpatient CPT 85025 Scan Differential	$35.25	$47.00	$29.14–$42.30	—	25%
Complete blood count (CBC) with differential inpatient CPT 85025 Manual Differential	$44.25	$59.00	$36.58–$53.10	—	25%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC w/Diff & Plt	$68.25	$91.00	$56.42–$81.90	—	25%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC No Diff	$77.25	$103.00	$63.86–$92.70	—	25%
Complete blood count (CBC), no differential CPT 85027 Automated Hemogram	$61.50	$82.00	$6.41–$73.80	91% above	25%
Complete blood count (CBC), no differential inpatient CPT 85027 Automated Hemogram	$61.50	$82.00	$50.84–$73.80	—	25%
Comprehensive metabolic panel (blood test) CPT 80053 Compreh Metabolic Panel Main	$264.75	$353.00	$10.45–$317.70	197% above	25%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Compreh Metabolic Panel Main	$264.75	$353.00	$218.86–$317.70	—	25%
D-dimer blood test (blood clot marker) CPT 85379 D-Dimer (Uab)	$112.50	$150.00	$10.08–$135.00	62% above	25%
D-dimer blood test (blood clot marker) CPT 85379 D-Dimer (Dic)	$165.75	$221.00	$10.08–$198.90	139% above	25%
D-dimer blood test (blood clot marker) CPT 85379 D-Dimer (Dtv/Pe)	$165.75	$221.00	$10.08–$198.90	139% above	25%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-Dimer (Uab)	$112.50	$150.00	$93.00–$135.00	—	25%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-Dimer (Dic)	$165.75	$221.00	$137.02–$198.90	—	25%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-Dimer (Dtv/Pe)	$165.75	$221.00	$137.02–$198.90	—	25%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S	$36.75	$49.00	$12.01–$44.10	68% below	25%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-S	$36.75	$49.00	$30.38–$44.10	—	25%
Estradiol blood test CPT 82670 Estradiol, Serum	$39.00	$52.00	$12.74–$46.80	65% below	25%
Estradiol blood test inpatient CPT 82670 Estradiol, Serum	$39.00	$52.00	$32.24–$46.80	—	25%
FSH (follicle-stimulating hormone) test CPT 83001 Amenorrhea Profile 1of3	$24.75	$33.00	$8.09–$29.70	75% below	25%
FSH (follicle-stimulating hormone) test CPT 83001 Fsh-Follicle Stim Hormone	$63.00	$84.00	$18.39–$75.60	36% below	25%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Amenorrhea Profile 1of3	$24.75	$33.00	$20.46–$29.70	—	25%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Fsh-Follicle Stim Hormone	$63.00	$84.00	$52.08–$75.60	—	25%
Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, Fecal	$30.00	$40.00	$9.80–$36.00	85% below	25%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Calprotectin, Fecal	$30.00	$40.00	$24.80–$36.00	—	25%
Ferritin blood test (iron stores) CPT 82728 Ferritin, Serum	$84.75	$113.00	$13.49–$101.70	29% above	25%
Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin, Serum	$84.75	$113.00	$70.06–$101.70	—	25%
Folate (folic acid) blood test CPT 82746 Folic Acid	$72.75	$97.00	$14.55–$87.30	11% above	25%
Folate (folic acid) blood test inpatient CPT 82746 Folic Acid	$72.75	$97.00	$60.14–$87.30	—	25%
Free T3 thyroid hormone test CPT 84481 T3, Free	$195.75	$261.00	$16.77–$234.90	139% above	25%
Free T3 thyroid hormone test inpatient CPT 84481 T3, Free	$195.75	$261.00	$161.82–$234.90	—	25%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Free T4	$84.00	$112.00	$8.93–$100.80	35% above	25%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T-4 By Ria	$84.75	$113.00	$8.93–$101.70	36% above	25%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Free T4	$84.00	$112.00	$69.44–$100.80	—	25%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T-4 By Ria	$84.75	$113.00	$70.06–$101.70	—	25%
Free testosterone test CPT 84402 Testosterone, Free	$54.00	$72.00	$17.64–$64.80	27% below	25%
Free testosterone test CPT 84402 Testosterone,Free/Wkly/Bou1of2	$196.50	$262.00	$25.22–$235.80	165% above	25%
Free testosterone test inpatient CPT 84402 Testosterone, Free	$54.00	$72.00	$44.64–$64.80	—	25%
Free testosterone test inpatient CPT 84402 Testosterone,Free/Wkly/Bou1of2	$196.50	$262.00	$162.44–$235.80	—	25%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Post Glucose Dose	$67.30	$89.73	$4.70–$80.76	10% above	25%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 24Hr Urine Glucose Profile2of2	$73.50	$98.00	$4.70–$88.20	21% above	25%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Post Glucose Dose	$67.30	$89.73	$55.63–$80.76	—	25%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 24Hr Urine Glucose Profile2of2	$73.50	$98.00	$60.76–$88.20	—	25%
Glucose tolerance test, 3 samples CPT 82951 Gtt 3 Specimens + 6 Addl 1of2	$18.00	$24.00	$5.88–$21.60	70% below	25%
Glucose tolerance test, 3 samples CPT 82951 Gtt 3 Specimens	$18.00	$24.00	$5.88–$21.60	70% below	25%
Glucose tolerance test, 3 samples CPT 82951 Gtt 3 Specimens + 1 Addl 1of2	$18.00	$24.00	$5.88–$21.60	70% below	25%
Glucose tolerance test, 3 samples CPT 82951 Gtt 3 Specimens + 4 Addl 1of2	$18.00	$24.00	$5.88–$21.60	70% below	25%
Glucose tolerance test, 3 samples CPT 82951 Gtt 3 Specimens + 5 Addl 1of2	$18.00	$24.00	$5.88–$21.60	70% below	25%
Glucose tolerance test, 3 samples CPT 82951 Gtt 3 Specimens + 2 Addl 1of2	$18.00	$24.00	$5.88–$21.60	70% below	25%
Glucose tolerance test, 3 samples CPT 82951 Gtt 3 Specimens + 3 Addl 1of2	$18.00	$24.00	$5.88–$21.60	70% below	25%
Glucose tolerance test, 3 samples CPT 82951 Lactose Tolerance 50gms 1of2	$54.00	$72.00	$12.74–$64.80	11% below	25%
Glucose tolerance test, 3 samples inpatient CPT 82951 Gtt 3 Specimens + 6 Addl 1of2	$18.00	$24.00	$14.88–$21.60	—	25%
Glucose tolerance test, 3 samples inpatient CPT 82951 Gtt 3 Specimens	$18.00	$24.00	$14.88–$21.60	—	25%
Glucose tolerance test, 3 samples inpatient CPT 82951 Gtt 3 Specimens + 1 Addl 1of2	$18.00	$24.00	$14.88–$21.60	—	25%
Glucose tolerance test, 3 samples inpatient CPT 82951 Gtt 3 Specimens + 2 Addl 1of2	$18.00	$24.00	$14.88–$21.60	—	25%
Glucose tolerance test, 3 samples inpatient CPT 82951 Gtt 3 Specimens + 3 Addl 1of2	$18.00	$24.00	$14.88–$21.60	—	25%
Glucose tolerance test, 3 samples inpatient CPT 82951 Gtt 3 Specimens + 4 Addl 1of2	$18.00	$24.00	$14.88–$21.60	—	25%
Glucose tolerance test, 3 samples inpatient CPT 82951 Gtt 3 Specimens + 5 Addl 1of2	$18.00	$24.00	$14.88–$21.60	—	25%
Glucose tolerance test, 3 samples inpatient CPT 82951 Lactose Tolerance 50gms 1of2	$54.00	$72.00	$44.64–$64.80	—	25%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Gonococcus By Amp(Urine/Swab)	$136.50	$182.00	$34.74–$163.80	110% above	25%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Inf Agt Detect Nuc Acid Neisse	$168.00	$224.00	$34.74–$201.60	158% above	25%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Gonococcus By Amp(Urine/Swab)	$136.50	$182.00	$112.84–$163.80	—	25%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Inf Agt Detect Nuc Acid Neisse	$168.00	$224.00	$138.88–$201.60	—	25%
H. pylori antibody blood test CPT 86677 Antb Helicobacer Pylori	$36.00	$48.00	$11.76–$43.20	at median	25%
H. pylori antibody blood test CPT 86677 Helicobact, Pylori Urease (Tis	$69.75	$93.00	$16.68–$83.70	94% above	25%
H. pylori antibody blood test CPT 86677 Helicabactor Pylori, IgG	$75.75	$101.00	$16.68–$90.90	110% above	25%
H. pylori antibody blood test CPT 86677 Helicobactor Pylori, Iga	$161.25	$215.00	$16.68–$193.50	348% above	25%
H. pylori antibody blood test CPT 86677 Helicobact. Pylori IgM	$196.50	$262.00	$16.68–$235.80	446% above	25%
H. pylori antibody blood test CPT 86677 Heliocobact,Pylori,IgG,A,M3of3	$201.75	$269.00	$16.68–$242.10	460% above	25%
H. pylori antibody blood test CPT 86677 Heliocobact,Pylori,IgG,A,M2of3	$202.50	$270.00	$16.68–$243.00	462% above	25%
H. pylori antibody blood test CPT 86677 Heliocobact,Pylori,IgG,A,M1of3	$202.50	$270.00	$16.68–$243.00	462% above	25%
H. pylori antibody blood test CPT 86677 Helicobact,Antigen (Stool)	$243.00	$324.00	$16.68–$291.60	575% above	25%
H. pylori antibody blood test inpatient CPT 86677 Antb Helicobacer Pylori	$36.00	$48.00	$29.76–$43.20	—	25%
H. pylori antibody blood test inpatient CPT 86677 Helicobact, Pylori Urease (Tis	$69.75	$93.00	$57.66–$83.70	—	25%
H. pylori antibody blood test inpatient CPT 86677 Helicabactor Pylori, IgG	$75.75	$101.00	$62.62–$90.90	—	25%
H. pylori antibody blood test inpatient CPT 86677 Helicobactor Pylori, Iga	$161.25	$215.00	$133.30–$193.50	—	25%
H. pylori antibody blood test inpatient CPT 86677 Helicobact. Pylori IgM	$196.50	$262.00	$162.44–$235.80	—	25%
H. pylori antibody blood test inpatient CPT 86677 Heliocobact,Pylori,IgG,A,M3of3	$201.75	$269.00	$166.78–$242.10	—	25%
H. pylori antibody blood test inpatient CPT 86677 Heliocobact,Pylori,IgG,A,M1of3	$202.50	$270.00	$167.40–$243.00	—	25%
H. pylori antibody blood test inpatient CPT 86677 Heliocobact,Pylori,IgG,A,M2of3	$202.50	$270.00	$167.40–$243.00	—	25%
H. pylori antibody blood test inpatient CPT 86677 Helicobact,Antigen (Stool)	$243.00	$324.00	$200.88–$291.60	—	25%
H. pylori stool antigen test CPT 87338 H Pylori Stool Antigen	$67.50	$90.00	$14.24–$81.00	13% below	25%
H. pylori stool antigen test inpatient CPT 87338 H Pylori Stool Antigen	$67.50	$90.00	$55.80–$81.00	—	25%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV PCR	$147.00	$196.00	$48.02–$176.40	36% below	25%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV PCR	$147.00	$196.00	$121.52–$176.40	—	25%
HIV-1 and HIV-2 antibody test CPT 86703 HIV (1/2) Screen	$50.25	$67.00	$13.57–$60.30	59% above	25%
HIV-1 and HIV-2 antibody test CPT 86703 HIV - Ab, Elisa	$444.00	$592.00	$13.57–$532.80	1303% above	25%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV (1/2) Screen	$50.25	$67.00	$41.54–$60.30	—	25%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV - Ab, Elisa	$444.00	$592.00	$367.04–$532.80	—	25%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV Screen 4Th Gen w/Reflex	$49.50	$66.00	$16.17–$59.40	25% below	25%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV Screen 4Th Gen w/Reflex	$49.50	$66.00	$40.92–$59.40	—	25%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 A1C - In House	$19.50	$26.00	$6.37–$23.40	35% below	25%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 A1C (Glycosylated HQB)	$32.25	$43.00	$9.61–$38.70	8% above	25%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 A1C - In House	$19.50	$26.00	$16.12–$23.40	—	25%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 A1C (Glycosylated HQB)	$32.25	$43.00	$26.66–$38.70	—	25%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis A/B Profile VII 3of7	$12.75	$17.00	$4.17–$15.30	82% below	25%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis Pro VIII Bconly 3of7	$12.75	$17.00	$4.17–$15.30	82% below	25%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Profile Vi 2of6	$20.25	$27.00	$6.62–$24.30	71% below	25%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hbv Vaccine Follow Up Xi	$36.75	$49.00	$10.63–$44.10	48% below	25%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Antibody	$102.00	$136.00	$10.63–$122.40	46% above	25%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis A/B Profile VII 3of7	$12.75	$17.00	$10.54–$15.30	—	25%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis Pro VIII Bconly 3of7	$12.75	$17.00	$10.54–$15.30	—	25%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis B Profile Vi 2of6	$20.25	$27.00	$16.74–$24.30	—	25%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hbv Vaccine Follow Up Xi	$36.75	$49.00	$30.38–$44.10	—	25%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis B Surface Antibody	$102.00	$136.00	$84.32–$122.40	—	25%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis Pro VIII Bconly 6of7	$12.75	$17.00	$4.17–$15.30	57% below	25%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis A/B Profile VII 7of8	$12.75	$17.00	$4.17–$15.30	57% below	25%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hep B Surface Antigen	$19.50	$26.00	$6.37–$23.40	34% below	25%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Profile Vi 3of6	$20.25	$27.00	$6.62–$24.30	32% below	25%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Acute Hepatitis Panel 3of4	$200.25	$267.00	$10.23–$240.30	574% above	25%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis A/B Profile VII 7of8	$12.75	$17.00	$10.54–$15.30	—	25%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis Pro VIII Bconly 6of7	$12.75	$17.00	$10.54–$15.30	—	25%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hep B Surface Antigen	$19.50	$26.00	$16.12–$23.40	—	25%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Profile Vi 3of6	$20.25	$27.00	$16.74–$24.30	—	25%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Acute Hepatitis Panel 3of4	$200.25	$267.00	$165.54–$240.30	—	25%
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis Pro VIII Bconly 5of7	$12.75	$17.00	$4.17–$19.62	82% below	25%
Hepatitis C antibody blood test (screening) CPT 86803 Hcv Antibody	$17.25	$23.00	$5.63–$20.70	75% below	25%
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Ab	$166.50	$222.00	$14.13–$199.80	140% above	25%
Hepatitis C antibody blood test (screening) CPT 86803 Acute Hepatitis Panel 4of4	$200.25	$267.00	$14.13–$240.30	188% above	25%
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Riba II	$662.25	$883.00	$14.13–$794.70	854% above	25%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis Pro VIII Bconly 5of7	$12.75	$17.00	$10.54–$15.30	—	25%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hcv Antibody	$17.25	$23.00	$14.26–$20.70	—	25%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C Ab	$166.50	$222.00	$137.64–$199.80	—	25%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Acute Hepatitis Panel 4of4	$200.25	$267.00	$165.54–$240.30	—	25%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C Riba II	$662.25	$883.00	$547.46–$794.70	—	25%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hep C Virus Quant Rn A Plus	$195.00	$260.00	$42.41–$234.00	5% above	25%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hep C Virus Rna/Pcr w/Genotype	$267.00	$356.00	$42.41–$320.40	44% above	25%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hcv Superquant (Viral Load)	$369.75	$493.00	$42.41–$443.70	99% above	25%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hcv Quantasure Plus(Non-Graph)	$407.25	$543.00	$42.41–$488.70	119% above	25%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hcv Rna, By Pce, Qn Rfx Geno	$495.75	$661.00	$42.41–$594.90	167% above	25%
Hepatitis C viral load (HCV RNA) test CPT 87522 NGI Hcv Quantasure	$603.75	$805.00	$42.41–$724.50	225% above	25%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hep C Virus Quant Rn A Plus	$195.00	$260.00	$161.20–$234.00	—	25%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hep C Virus Rna/Pcr w/Genotype	$267.00	$356.00	$220.72–$320.40	—	25%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hcv Superquant (Viral Load)	$369.75	$493.00	$305.66–$443.70	—	25%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hcv Quantasure Plus(Non-Graph)	$407.25	$543.00	$336.66–$488.70	—	25%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hcv Rna, By Pce, Qn Rfx Geno	$495.75	$661.00	$409.82–$594.90	—	25%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 NGI Hcv Quantasure	$603.75	$805.00	$499.10–$724.50	—	25%
Herpes blood test, HSV-1 antibody CPT 86695 Antibody Herpes Simplex 1	$48.75	$65.00	$13.06–$58.50	17% below	25%
Herpes blood test, HSV-1 antibody CPT 86695 HSV1E1	$180.75	$241.00	$13.06–$216.90	207% above	25%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Antibody Herpes Simplex 1	$48.75	$65.00	$40.30–$58.50	—	25%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV1E1	$180.75	$241.00	$149.42–$216.90	—	25%
Herpes blood test, HSV-2 antibody CPT 86696 HSV Type 2-Specific Ab,IgG	$41.25	$55.00	$13.47–$49.50	43% below	25%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV Type 2-Specific Ab,IgG	$41.25	$55.00	$34.10–$49.50	—	25%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-Reactive Protein (High Sens)	$78.00	$104.00	$12.82–$93.60	33% above	25%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-Reactive Protein (High Sens)	$78.00	$104.00	$64.48–$93.60	—	25%
Homocysteine blood test CPT 83090 Homocysteine, Urine	$228.00	$304.00	$17.74–$273.60	72% above	25%
Homocysteine blood test CPT 83090 Homocysteine, Bld	$252.75	$337.00	$17.74–$303.30	90% above	25%
Homocysteine blood test inpatient CPT 83090 Homocysteine, Urine	$228.00	$304.00	$188.48–$273.60	—	25%
Homocysteine blood test inpatient CPT 83090 Homocysteine, Bld	$252.75	$337.00	$208.94–$303.30	—	25%
Insulin blood test CPT 83525 Insulin, Free & Total (1of2)	$49.50	$66.00	$11.32–$59.40	29% below	25%
Insulin blood test CPT 83525 Insulin,Serum	$63.75	$85.00	$11.32–$76.50	8% below	25%
Insulin blood test CPT 83525 Insulin & C-Pephide Panel 1of2	$97.50	$130.00	$11.32–$117.00	40% above	25%
Insulin blood test inpatient CPT 83525 Insulin, Free & Total (1of2)	$49.50	$66.00	$40.92–$59.40	—	25%
Insulin blood test inpatient CPT 83525 Insulin,Serum	$63.75	$85.00	$52.70–$76.50	—	25%
Insulin blood test inpatient CPT 83525 Insulin & C-Pephide Panel 1of2	$97.50	$130.00	$80.60–$117.00	—	25%
Iron blood test (serum iron) CPT 83540 Iron,Total Serum	$21.75	$29.00	$6.41–$26.10	26% below	25%
Iron blood test (serum iron) CPT 83540 Iron, Liver Tissue	$186.75	$249.00	$6.41–$224.10	535% above	25%
Iron blood test (serum iron) inpatient CPT 83540 Iron,Total Serum	$21.75	$29.00	$17.98–$26.10	—	25%
Iron blood test (serum iron) inpatient CPT 83540 Iron, Liver Tissue	$186.75	$249.00	$154.38–$224.10	—	25%
Iron-binding capacity (TIBC) test CPT 83550 Iron Binding Capacity	$27.00	$36.00	$8.65–$32.40	6% below	25%
Iron-binding capacity (TIBC) test inpatient CPT 83550 Iron Binding Capacity	$27.00	$36.00	$22.32–$32.40	—	25%
Kidney function blood test panel CPT 80069 Renal Function Panel Main	$667.50	$890.00	$8.59–$801.00	676% above	25%
Kidney function blood test panel inpatient CPT 80069 Renal Function Panel Main	$667.50	$890.00	$551.80–$801.00	—	25%
LH (luteinizing hormone) test CPT 83002 Amenorrhea Profile 2of3	$24.75	$33.00	$8.09–$29.70	78% below	25%
LH (luteinizing hormone) test CPT 83002 LH Luteinizing Hormone	$54.75	$73.00	$17.89–$65.70	52% below	25%
LH (luteinizing hormone) test inpatient CPT 83002 Amenorrhea Profile 2of3	$24.75	$33.00	$20.46–$29.70	—	25%
LH (luteinizing hormone) test inpatient CPT 83002 LH Luteinizing Hormone	$54.75	$73.00	$45.26–$65.70	—	25%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase Serum	$67.50	$90.00	$6.82–$81.00	19% above	25%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase Serum	$67.50	$90.00	$55.80–$81.00	—	25%
Liver function blood test panel CPT 80076 Hepatic Function Panel Main	$86.25	$115.00	$8.09–$103.50	8% above	25%
Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel Main	$86.25	$115.00	$71.30–$103.50	—	25%
Lyme disease antibody test CPT 86618 Lyme Disease Ifa	$112.50	$150.00	$16.86–$135.00	at median	25%
Lyme disease antibody test CPT 86618 Lyme Disease, Quan., IgM	$115.50	$154.00	$16.86–$138.60	3% above	25%
Lyme disease antibody test CPT 86618 Lyme Disease Ab, Total	$138.75	$185.00	$16.86–$166.50	23% above	25%
Lyme disease antibody test CPT 86618 Lyme/Syphilis Ab Diff	$150.75	$201.00	$16.86–$180.90	34% above	25%
Lyme disease antibody test CPT 86618 Lyme Ab/Western Blot Refl 2of2	$192.75	$257.00	$16.86–$231.30	71% above	25%
Lyme disease antibody test CPT 86618 Lyme Ab/Western Blot Refl 1of2	$192.75	$257.00	$16.86–$231.30	71% above	25%
Lyme disease antibody test inpatient CPT 86618 Lyme Disease Ifa	$112.50	$150.00	$93.00–$135.00	—	25%
Lyme disease antibody test inpatient CPT 86618 Lyme Disease, Quan., IgM	$115.50	$154.00	$95.48–$138.60	—	25%
Lyme disease antibody test inpatient CPT 86618 Lyme Disease Ab, Total	$138.75	$185.00	$114.70–$166.50	—	25%
Lyme disease antibody test inpatient CPT 86618 Lyme/Syphilis Ab Diff	$150.75	$201.00	$124.62–$180.90	—	25%
Lyme disease antibody test inpatient CPT 86618 Lyme Ab/Western Blot Refl 2of2	$192.75	$257.00	$159.34–$231.30	—	25%
Lyme disease antibody test inpatient CPT 86618 Lyme Ab/Western Blot Refl 1of2	$192.75	$257.00	$159.34–$231.30	—	25%
Magnesium blood test CPT 83735 Magnesium, Spot Urine	$36.00	$48.00	$6.63–$43.20	9% above	25%
Magnesium blood test CPT 83735 Magnesium Serum	$36.00	$48.00	$6.63–$43.20	9% above	25%
Magnesium blood test CPT 83735 Laxative Screen, Stool (6of7)	$38.25	$51.00	$6.63–$45.90	16% above	25%
Magnesium blood test CPT 83735 Magnesium, 24Hr Urine 1 Random	$50.25	$67.00	$6.63–$60.30	53% above	25%
Magnesium blood test CPT 83735 Kidney Stone Prevent Pro 6of12	$92.25	$123.00	$6.63–$110.70	180% above	25%
Magnesium blood test CPT 83735 Laxative Scren,Stool(Cath)1of2	$150.75	$201.00	$6.63–$180.90	358% above	25%
Magnesium blood test inpatient CPT 83735 Magnesium, Spot Urine	$36.00	$48.00	$29.76–$43.20	—	25%
Magnesium blood test inpatient CPT 83735 Magnesium Serum	$36.00	$48.00	$29.76–$43.20	—	25%
Magnesium blood test inpatient CPT 83735 Laxative Screen, Stool (6of7)	$38.25	$51.00	$31.62–$45.90	—	25%
Magnesium blood test inpatient CPT 83735 Magnesium, 24Hr Urine 1 Random	$50.25	$67.00	$41.54–$60.30	—	25%
Magnesium blood test inpatient CPT 83735 Kidney Stone Prevent Pro 6of12	$92.25	$123.00	$76.26–$110.70	—	25%
Magnesium blood test inpatient CPT 83735 Laxative Scren,Stool(Cath)1of2	$150.75	$201.00	$124.62–$180.90	—	25%
Measles (rubeola) antibody test CPT 86765 Measles/Mumps/Rubella Imm 1of3	$74.25	$99.00	$12.75–$89.10	92% above	25%
Measles (rubeola) antibody test CPT 86765 Measles/Mumps/Rubella 2of3	$93.75	$125.00	$12.75–$112.50	142% above	25%
Measles (rubeola) antibody test CPT 86765 Rubeola Ab IgM	$402.75	$537.00	$12.75–$483.30	940% above	25%
Measles (rubeola) antibody test CPT 86765 Rubeola Ab IgG	$402.75	$537.00	$12.75–$483.30	940% above	25%
Measles (rubeola) antibody test inpatient CPT 86765 Measles/Mumps/Rubella Imm 1of3	$74.25	$99.00	$61.38–$89.10	—	25%
Measles (rubeola) antibody test inpatient CPT 86765 Measles/Mumps/Rubella 2of3	$93.75	$125.00	$77.50–$112.50	—	25%
Measles (rubeola) antibody test inpatient CPT 86765 Rubeola Ab IgM	$402.75	$537.00	$332.94–$483.30	—	25%
Measles (rubeola) antibody test inpatient CPT 86765 Rubeola Ab IgG	$402.75	$537.00	$332.94–$483.30	—	25%
Mono test (heterophile antibody, Monospot) CPT 86308 Monospot	$20.40	$27.20	$5.13–$24.48	72% below	25%
Mono test (heterophile antibody, Monospot) CPT 86308 Mono, Qn (Heterophile)	$42.75	$57.00	$5.13–$51.30	41% below	25%
Mono test (heterophile antibody, Monospot) CPT 86308 Infectious Mononucleosis	$144.00	$192.00	$5.13–$172.80	97% above	25%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Monospot	$20.40	$27.20	$16.86–$24.48	—	25%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Mono, Qn (Heterophile)	$42.75	$57.00	$35.34–$51.30	—	25%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Infectious Mononucleosis	$144.00	$192.00	$119.04–$172.80	—	25%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA Free	$36.00	$48.00	$11.76–$43.20	58% below	25%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA Free	$36.00	$48.00	$29.76–$43.20	—	25%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Total	$36.00	$48.00	$11.76–$43.20	61% below	25%
PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate Antigen,Tot Diagnosti	$75.00	$100.00	$18.21–$90.00	18% below	25%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Free/Total Ratio	$195.00	$260.00	$18.21–$234.00	113% above	25%
PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate Antigen,Tot Screening	$385.50	$514.00	$18.21–$462.60	321% above	25%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA Total	$36.00	$48.00	$29.76–$43.20	—	25%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostate Antigen,Tot Diagnosti	$75.00	$100.00	$62.00–$90.00	—	25%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA Free/Total Ratio	$195.00	$260.00	$161.20–$234.00	—	25%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostate Antigen,Tot Screening	$385.50	$514.00	$318.68–$462.60	—	25%
Parathyroid hormone (PTH) blood test CPT 83970 Pth, Intact	$162.75	$217.00	$40.87–$195.30	19% above	25%
Parathyroid hormone (PTH) blood test CPT 83970 Parathormone Assay 1of4	$163.50	$218.00	$40.87–$196.20	20% above	25%
Parathyroid hormone (PTH) blood test CPT 83970 Pth Irma Terminal	$351.00	$468.00	$40.87–$421.20	157% above	25%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Pth, Intact	$162.75	$217.00	$134.54–$195.30	—	25%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathormone Assay 1of4	$163.50	$218.00	$135.16–$196.20	—	25%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Pth Irma Terminal	$351.00	$468.00	$290.16–$421.20	—	25%
Partial thromboplastin time (PTT) clotting test CPT 85730 Ptt -Partial Thromboplast Time	$67.50	$90.00	$5.95–$81.00	66% above	25%
Partial thromboplastin time (PTT) clotting test CPT 85730 Ptt Mixing Study (1of2)	$72.75	$97.00	$5.95–$87.30	79% above	25%
Partial thromboplastin time (PTT) clotting test CPT 85730 Lupus Anticoag Comp Prof 4of7	$82.50	$110.00	$5.95–$99.00	103% above	25%
Partial thromboplastin time (PTT) clotting test CPT 85730 Partial Thromoplastn Time 2of3	$105.00	$140.00	$5.95–$126.00	158% above	25%
Partial thromboplastin time (PTT) clotting test CPT 85730 Hexagonal Phase Phospholip2of2	$121.50	$162.00	$5.95–$145.80	199% above	25%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Ptt -Partial Thromboplast Time	$67.50	$90.00	$55.80–$81.00	—	25%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Ptt Mixing Study (1of2)	$72.75	$97.00	$60.14–$87.30	—	25%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Lupus Anticoag Comp Prof 4of7	$82.50	$110.00	$68.20–$99.00	—	25%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Partial Thromoplastn Time 2of3	$105.00	$140.00	$86.80–$126.00	—	25%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Hexagonal Phase Phospholip2of2	$121.50	$162.00	$100.44–$145.80	—	25%
Progesterone blood test CPT 84144 Progesterone, Serum	$34.50	$46.00	$11.27–$41.40	69% below	25%
Progesterone blood test inpatient CPT 84144 Progesterone, Serum	$34.50	$46.00	$28.52–$41.40	—	25%
Prolactin blood test CPT 84146 Amenorrhea Profile 3of3	$24.75	$33.00	$8.09–$29.70	77% below	25%
Prolactin blood test CPT 84146 Prolactin, Serum	$136.50	$182.00	$19.19–$163.80	29% above	25%
Prolactin blood test inpatient CPT 84146 Amenorrhea Profile 3of3	$24.75	$33.00	$20.46–$29.70	—	25%
Prolactin blood test inpatient CPT 84146 Prolactin, Serum	$136.50	$182.00	$112.84–$163.80	—	25%
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time	$21.10	$28.13	$4.25–$25.32	8% below	25%
Prothrombin time (PT/INR) clotting test CPT 85610 Pt Prothromboin Time	$34.50	$46.00	$4.25–$41.40	51% above	25%
Prothrombin time (PT/INR) clotting test CPT 85610 Pt Mixing Study (1of2)	$59.25	$79.00	$4.25–$71.10	159% above	25%
Prothrombin time (PT/INR) clotting test CPT 85610 Lupus Anticoag Comp Prof 1of7	$79.50	$106.00	$4.25–$95.40	247% above	25%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time	$21.10	$28.13	$17.44–$25.32	—	25%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Pt Prothromboin Time	$34.50	$46.00	$28.52–$41.40	—	25%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Pt Mixing Study (1of2)	$59.25	$79.00	$48.98–$71.10	—	25%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Lupus Anticoag Comp Prof 1of7	$79.50	$106.00	$65.72–$95.40	—	25%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Drug test,Read Direct Obser Op	$22.50	$30.00	$7.35–$27.00	52% below	25%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Drug test,Read Direct Obser Op	$22.50	$30.00	$18.60–$27.00	—	25%
Rapid flu test (influenza antigen) CPT 87804 Rapid Influenza Test (A&B)	$24.00	$32.00	$7.84–$28.80	4% above	25%
Rapid flu test (influenza antigen) CPT 87804 Rapid Influenza Test	$24.00	$32.00	$7.84–$28.80	4% above	25%
Rapid flu test (influenza antigen) CPT 87804 Rapid Influenza A & B 2of2	$33.75	$45.00	$11.03–$40.50	46% above	25%
Rapid flu test (influenza antigen) CPT 87804 Rapid Influenza A & B 1of2	$33.75	$45.00	$11.03–$40.50	46% above	25%
Rapid flu test (influenza antigen) inpatient CPT 87804 Rapid Influenza Test (A&B)	$24.00	$32.00	$19.84–$28.80	—	25%
Rapid flu test (influenza antigen) inpatient CPT 87804 Rapid Influenza Test	$24.00	$32.00	$19.84–$28.80	—	25%
Rapid flu test (influenza antigen) inpatient CPT 87804 Rapid Influenza A & B 1of2	$33.75	$45.00	$27.90–$40.50	—	25%
Rapid flu test (influenza antigen) inpatient CPT 87804 Rapid Influenza A & B 2of2	$33.75	$45.00	$27.90–$40.50	—	25%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep A Test Rapid	$27.00	$36.00	$8.82–$32.40	39% below	25%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Strep A Test Rapid	$27.00	$36.00	$22.32–$32.40	—	25%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor (Rf)	$36.75	$49.00	$5.61–$44.10	19% below	25%
Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor (Rf)	$36.75	$49.00	$30.38–$44.10	—	25%
Rubella antibody test (immunity check) CPT 86762 Rubella	$19.50	$26.00	$6.37–$23.40	49% below	25%
Rubella antibody test (immunity check) CPT 86762 Measles/Mumps/Rubella Imm 3of3	$77.25	$103.00	$14.25–$92.70	103% above	25%
Rubella antibody test (immunity check) CPT 86762 Rubella Ab IgG 3of3	$93.75	$125.00	$14.25–$112.50	147% above	25%
Rubella antibody test (immunity check) CPT 86762 Rubella Ab,IgM	$231.00	$308.00	$14.25–$277.20	508% above	25%
Rubella antibody test (immunity check) CPT 86762 Rubeola Ab IgG	$402.75	$537.00	$14.25–$483.30	960% above	25%
Rubella antibody test (immunity check) CPT 86762 Rubeola Ab IgM	$402.75	$537.00	$14.25–$483.30	960% above	25%
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella	$19.50	$26.00	$16.12–$23.40	—	25%
Rubella antibody test (immunity check) inpatient CPT 86762 Measles/Mumps/Rubella Imm 3of3	$77.25	$103.00	$63.86–$92.70	—	25%
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Ab IgG 3of3	$93.75	$125.00	$77.50–$112.50	—	25%
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Ab,IgM	$231.00	$308.00	$190.96–$277.20	—	25%
Rubella antibody test (immunity check) inpatient CPT 86762 Rubeola Ab IgG	$402.75	$537.00	$332.94–$483.30	—	25%
Rubella antibody test (immunity check) inpatient CPT 86762 Rubeola Ab IgM	$402.75	$537.00	$332.94–$483.30	—	25%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Sed Rate Automated	$21.00	$28.00	$2.67–$25.20	11% above	25%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Toxoplasma IgG	$119.25	$159.00	$2.67–$143.10	528% above	25%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 Sed Rate Automated	$21.00	$28.00	$17.36–$25.20	—	25%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 Toxoplasma IgG	$119.25	$159.00	$98.58–$143.10	—	25%
Stool ova and parasites exam CPT 87177 Ova & Parasites,Dir Smears,Con	$22.50	$30.00	$7.35–$27.00	61% below	25%
Stool ova and parasites exam CPT 87177 Ova & Parasites 1of2	$22.50	$30.00	$7.35–$27.00	61% below	25%
Stool ova and parasites exam CPT 87177 Parasite Identification	$131.25	$175.00	$8.81–$157.50	130% above	25%
Stool ova and parasites exam inpatient CPT 87177 Ova & Parasites 1of2	$22.50	$30.00	$18.60–$27.00	—	25%
Stool ova and parasites exam inpatient CPT 87177 Ova & Parasites,Dir Smears,Con	$22.50	$30.00	$18.60–$27.00	—	25%
Stool ova and parasites exam inpatient CPT 87177 Parasite Identification	$131.25	$175.00	$108.50–$157.50	—	25%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood-Stool	$37.50	$50.00	$4.34–$45.00	235% above	25%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Hemoccult	$50.25	$67.00	$4.34–$60.30	349% above	25%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Blood Occult 1-3 Determination	$67.30	$89.73	$4.34–$80.76	501% above	25%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Occult Blood-Stool	$37.50	$50.00	$31.00–$45.00	—	25%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Hemoccult	$50.25	$67.00	$41.54–$60.30	—	25%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Blood Occult 1-3 Determination	$67.30	$89.73	$55.63–$80.76	—	25%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR	$27.00	$36.00	$4.23–$32.40	2% below	25%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL-CSF	$34.50	$46.00	$4.23–$41.40	25% above	25%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Lyme/Syphilis Ab Diff	$150.75	$201.00	$4.23–$180.90	448% above	25%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR	$27.00	$36.00	$22.32–$32.40	—	25%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL-CSF	$34.50	$46.00	$28.52–$41.40	—	25%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Lyme/Syphilis Ab Diff	$150.75	$201.00	$124.62–$180.90	—	25%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon Tb Gold (In Tube)	$103.31	$137.74	$33.75–$123.97	4% below	25%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Quantiferon Tb Gold (In Tube)	$103.31	$137.74	$85.40–$123.97	—	25%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone, Serum	$85.50	$114.00	$25.55–$102.60	at median	25%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone,Free/Wkly/Bou2of2	$197.25	$263.00	$25.55–$236.70	131% above	25%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone, Serum	$85.50	$114.00	$70.68–$102.60	—	25%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone,Free/Wkly/Bou2of2	$197.25	$263.00	$163.06–$236.70	—	25%
Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Antimicrosomal	$27.00	$36.00	$8.82–$32.40	61% below	25%
Thyroid peroxidase (TPO) antibody test CPT 86376 Anti-Thyroid Antibodies 1of2	$33.00	$44.00	$10.78–$39.60	53% below	25%
Thyroid peroxidase (TPO) antibody test CPT 86376 Anti Liver/Kidney Ab	$88.50	$118.00	$14.40–$106.20	26% above	25%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroid Antimicrosomal	$27.00	$36.00	$22.32–$32.40	—	25%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Anti-Thyroid Antibodies 1of2	$33.00	$44.00	$27.28–$39.60	—	25%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Anti Liver/Kidney Ab	$88.50	$118.00	$73.16–$106.20	—	25%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Profile 4of4	$25.50	$34.00	$8.33–$30.60	70% below	25%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Tsh Receptor	$89.25	$119.00	$16.63–$107.10	6% above	25%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Tsh,Serum Thyroid Stim Hormone	$108.75	$145.00	$16.63–$130.50	29% above	25%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Profile/Tsh 1of3	$150.00	$200.00	$16.63–$180.00	78% above	25%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Profile 4of4	$25.50	$34.00	$21.08–$30.60	—	25%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Tsh Receptor	$89.25	$119.00	$73.78–$107.10	—	25%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Tsh,Serum Thyroid Stim Hormone	$108.75	$145.00	$89.90–$130.50	—	25%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Profile/Tsh 1of3	$150.00	$200.00	$124.00–$180.00	—	25%
Uric acid blood test CPT 84550 Uric Acid Serum	$21.75	$29.00	$4.47–$26.10	40% below	25%
Uric acid blood test inpatient CPT 84550 Uric Acid Serum	$21.75	$29.00	$17.98–$26.10	—	25%
Urinalysis with microscope exam, automated CPT 81001 Urinalysis,M Auto w/Scope	$67.30	$89.73	$3.14–$80.76	110% above	25%
Urinalysis with microscope exam, automated CPT 81001 Urinalysis Routine Complete	$108.75	$145.00	$3.14–$130.50	240% above	25%
Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis,M Auto w/Scope	$67.30	$89.73	$55.63–$80.76	—	25%
Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis Routine Complete	$108.75	$145.00	$89.90–$130.50	—	25%
Urinalysis without microscope exam, automated CPT 81003 Urine Dipstick Only	$24.00	$32.00	$2.23–$28.80	at median	25%
Urinalysis without microscope exam, automated inpatient CPT 81003 Urine Dipstick Only	$24.00	$32.00	$19.84–$28.80	—	25%
Urinalysis without microscope exam, manual CPT 81002 Specific Gravity Urine	$10.50	$14.00	$3.43–$12.60	5% below	25%
Urinalysis without microscope exam, manual CPT 81002 Ph, Urine	$15.75	$21.00	$3.45–$18.90	43% above	25%
Urinalysis without microscope exam, manual CPT 81002 Urnls Dip Stick/Tablet Rgh Non	$67.30	$89.73	$3.45–$80.76	510% above	25%
Urinalysis without microscope exam, manual CPT 81002 Fecal, Reducing Subst.	$69.00	$92.00	$3.45–$82.80	525% above	25%
Urinalysis without microscope exam, manual inpatient CPT 81002 Specific Gravity Urine	$10.50	$14.00	$8.68–$12.60	—	25%
Urinalysis without microscope exam, manual inpatient CPT 81002 Ph, Urine	$15.75	$21.00	$13.02–$18.90	—	25%
Urinalysis without microscope exam, manual inpatient CPT 81002 Urnls Dip Stick/Tablet Rgh Non	$67.30	$89.73	$55.63–$80.76	—	25%
Urinalysis without microscope exam, manual inpatient CPT 81002 Fecal, Reducing Subst.	$69.00	$92.00	$57.04–$82.80	—	25%
Urine culture for bacteria, with colony count CPT 87086 Cult Bact Urine Quant Col Ct	$62.25	$83.00	$7.99–$74.70	1% above	25%
Urine culture for bacteria, with colony count CPT 87086 C & S Urine	$126.00	$168.00	$7.99–$151.20	104% above	25%
Urine culture for bacteria, with colony count inpatient CPT 87086 Cult Bact Urine Quant Col Ct	$62.25	$83.00	$51.46–$74.70	—	25%
Urine culture for bacteria, with colony count inpatient CPT 87086 C & S Urine	$126.00	$168.00	$104.16–$151.20	—	25%
Urine pregnancy test, read by color change CPT 81025 Urine Pregnancy Test	$67.30	$89.73	$8.52–$80.76	28% above	25%
Urine pregnancy test, read by color change inpatient CPT 81025 Urine Pregnancy Test	$67.30	$89.73	$55.63–$80.76	—	25%
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12	$45.00	$60.00	$14.70–$54.00	21% below	25%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B12	$45.00	$60.00	$37.20–$54.00	—	25%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vit D 25-Hydro	$97.50	$130.00	$29.30–$117.00	at median	25%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vit D 25-Hydro	$97.50	$130.00	$80.60–$117.00	—	25%
Zinc blood test CPT 84630 Zinc Serum	$72.00	$96.00	$11.28–$86.40	3% below	25%
Zinc blood test CPT 84630 Zinc, Urine	$104.25	$139.00	$11.28–$125.10	40% above	25%
Zinc blood test CPT 84630 Zinc,Urine(Random)	$334.50	$446.00	$11.28–$401.40	349% above	25%
Zinc blood test inpatient CPT 84630 Zinc Serum	$72.00	$96.00	$59.52–$86.40	—	25%
Zinc blood test inpatient CPT 84630 Zinc, Urine	$104.25	$139.00	$86.18–$125.10	—	25%
Zinc blood test inpatient CPT 84630 Zinc,Urine(Random)	$334.50	$446.00	$276.52–$401.40	—	25%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hcg,Tumor Marker	$36.75	$49.00	$12.01–$44.10	38% below	25%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hcg,Quan	$40.50	$54.00	$13.23–$48.60	32% below	25%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Afp Tetra 3of4	$47.25	$63.00	$14.90–$56.70	21% below	25%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hcg, Beta Subunit, Qnt, Serum	$108.75	$145.00	$14.90–$130.50	82% above	25%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Hcg,Tumor Marker	$36.75	$49.00	$30.38–$44.10	—	25%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Hcg,Quan	$40.50	$54.00	$33.48–$48.60	—	25%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Afp Tetra 3of4	$47.25	$63.00	$39.06–$56.70	—	25%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Hcg, Beta Subunit, Qnt, Serum	$108.75	$145.00	$89.90–$130.50	—	25%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Alabama	Off list
Adenoid removal (adenoidectomy), child under 12 CPT 42830 Removal Of Adenoids	$306.00	$408.00	$99.96–$4,169.85	95% below	25%
Adenoid removal (adenoidectomy), child under 12 inpatient CPT 42830 Removal Of Adenoids	$306.00	$408.00	$252.96–$367.20	—	25%
Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 Anthrodesis, Anter Interbody B	$2,853.00	$3,804.00	$931.98–$16,147.23	83% below	25%
Anterior cervical discectomy and fusion (ACDF), one level inpatient CPT 22551 Anthrodesis, Anter Interbody B	$2,853.00	$3,804.00	$2,358.48–$3,423.60	—	25%
Appendectomy for a ruptured appendix with abscess or peritonitis CPT 44960 Appendectomy,Ruptured W/Absces	$1,074.00	$1,432.00	$234.85–$1,288.80	—	25%
Appendectomy for a ruptured appendix with abscess or peritonitis inpatient CPT 44960 Appendectomy,Ruptured W/Absces	$1,074.00	$1,432.00	$887.84–$1,288.80	—	25%
Appendectomy, open surgery CPT 44950 Appendectomy	$891.75	$1,189.00	$291.31–$8,142.13	64% below	25%
Appendectomy, open surgery inpatient CPT 44950 Appendectomy	$891.75	$1,189.00	$737.18–$1,070.10	—	25%
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 Athro Ant Cruciate Ligamen Rep	$5,976.39	$7,968.52	$1,952.29–$9,126.15	53% below	25%
Arthroscopic ACL reconstruction or repair of the knee inpatient CPT 29888 Athro Ant Cruciate Ligamen Rep	$5,976.39	$7,968.52	$4,940.48–$7,171.67	—	25%
Arthroscopic rotator cuff repair of the shoulder CPT 29827 Arthroscopy,Shoulder,Distal Cl	$3,955.61	$5,274.15	$1,292.17–$9,126.15	66% below	25%
Arthroscopic rotator cuff repair of the shoulder inpatient CPT 29827 Arthroscopy,Shoulder,Distal Cl	$3,955.61	$5,274.15	$3,269.97–$4,746.73	—	25%
Balloon dilation of the maxillary sinus opening, one side CPT 31295 Nasal/Sinus Ndsc Surg W/Dilat	$2,748.75	$3,665.00	$897.92–$8,876.17	85% below	25%
Balloon dilation of the maxillary sinus opening, one side inpatient CPT 31295 Nasal/Sinus Ndsc Surg W/Dilat	$2,748.75	$3,665.00	$2,272.30–$3,298.50	—	25%
Botox injections for chronic migraine CPT 64615 Chemodervate Facial/Trigem/Cer	$204.00	$272.00	$66.64–$386.06	57% below	25%
Botox injections for chronic migraine inpatient CPT 64615 Chemodervate Facial/Trigem/Cer	$204.00	$272.00	$168.64–$244.80	—	25%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Bx Breast 1st Lesion Strtctc	$661.50	$882.00	$216.09–$2,724.00	76% below	25%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 Bx Breast 1st Lesion Strtctc	$661.50	$882.00	$546.84–$793.80	—	25%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Clos Tmt Distal Fibular Fx	$378.75	$505.00	$123.72–$454.50	13% above	25%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 Clos Tmt Distal Fibular Fx	$378.75	$505.00	$313.10–$454.50	—	25%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Closed Trt Metatarsal Fxwomanp	$214.42	$285.89	$70.04–$310.23	3% below	25%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 Closed Trt Metatarsal Fxwomanp	$214.42	$285.89	$177.25–$257.30	—	25%
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 Corr Complex Bunion-Mitchell	$999.00	$1,332.00	$326.34–$4,115.20	87% below	25%
Bunion correction with a bone cut near the head of the first metatarsal inpatient CPT 28296 Corr Complex Bunion-Mitchell	$999.00	$1,332.00	$825.84–$1,198.80	—	25%
Bunion correction with removal of part of the big toe joint CPT 28292 Correct Bunion-Keller,Mcb,Mayo	$867.00	$1,156.00	$283.22–$4,115.20	84% below	25%
Bunion correction with removal of part of the big toe joint inpatient CPT 28292 Correct Bunion-Keller,Mcb,Mayo	$867.00	$1,156.00	$716.72–$1,040.40	—	25%
Cardiac catheterization with coronary angiogram CPT 93458 Lhc	$990.75	$1,321.00	$323.64–$4,077.38	85% below	25%
Cardiac catheterization with coronary angiogram one side CPT 93458 Coronary Angi w/Lt Heart Cath	$6,156.00	$8,208.00	$2,010.96–$8,628.00	6% below	25%
Cardiac catheterization with coronary angiogram inpatient CPT 93458 Lhc	$990.75	$1,321.00	$819.02–$1,188.90	—	25%
Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 Coronary Angi w/Lt Heart Cath	$6,156.00	$8,208.00	$5,088.96–$7,387.20	—	25%
Cardioversion, elective (restoring heart rhythm) CPT 92960 I.C.N. Cardioversion	$169.50	$226.00	$55.37–$1,425.00	80% below	25%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion	$369.00	$492.00	$120.54–$8,628.00	56% below	25%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion Elective	$407.45	$543.27	$133.10–$8,628.00	51% below	25%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 I.C.N. Cardioversion	$169.50	$226.00	$140.12–$203.40	—	25%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion	$369.00	$492.00	$305.04–$442.80	—	25%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion Elective	$407.45	$543.27	$336.83–$488.94	—	25%
Carpal tunnel release, open surgery CPT 64721 Neuroplasty Median Nerve/Carp	$1,370.85	$1,827.80	$447.81–$2,455.94	74% below	25%
Carpal tunnel release, open surgery inpatient CPT 64721 Neuroplasty Median Nerve/Carp	$1,370.85	$1,827.80	$1,133.24–$1,645.02	—	25%
Cataract surgery with lens implant CPT 66984 Extracapsular Cataract Removal	$1,764.09	$2,352.12	$576.27–$2,902.56	29% below	25%
Cataract surgery with lens implant inpatient CPT 66984 Extracapsular Cataract Removal	$1,764.09	$2,352.12	$1,458.31–$2,116.91	—	25%
Cervical biopsy CPT 57500 Biopsy/Excision Lesion Cervix	$507.79	$677.05	$165.88–$1,158.41	79% below	25%
Cervical biopsy inpatient CPT 57500 Biopsy/Excision Lesion Cervix	$507.79	$677.05	$419.77–$609.35	—	25%
Cesarean delivery, including prenatal and postpartum care CPT 59510 Routine Ob Care/C-Section	$2,357.54	$3,143.39	$515.52–$2,829.05	—	25%
Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 Routine Ob Care/C-Section	$2,357.54	$3,143.39	$1,948.90–$2,829.05	—	25%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 Circumcision,Surgical	$403.50	$538.00	$131.81–$2,629.08	88% below	25%
Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 Circumcision,Surgical	$403.50	$538.00	$333.56–$484.20	—	25%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision	$308.25	$411.00	$100.69–$2,629.08	89% below	25%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision,Clamp,Newborn	$1,729.81	$2,306.41	$565.07–$2,629.08	40% below	25%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 Circumcision	$308.25	$411.00	$254.82–$369.90	—	25%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 Circumcision,Clamp,Newborn	$1,729.81	$2,306.41	$1,429.97–$2,075.77	—	25%
Circumcision, surgical, older than a newborn CPT 54160 Circumcision,Surgical,Newborn	$75.75	$101.00	$24.75–$876.99	93% below	25%
Circumcision, surgical, older than a newborn inpatient CPT 54160 Circumcision,Surgical,Newborn	$75.75	$101.00	$62.62–$90.90	—	25%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Closed Trt Fx Rad/Ulna Wo/Manp	$320.17	$426.89	$104.59–$384.20	4% above	25%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 Closed Trt Fx Rad/Ulna Wo/Manp	$320.17	$426.89	$264.67–$384.20	—	25%
Colonoscopy with polyp removal CPT 45385 Gi-Colonoscopy W/Snare	$594.75	$793.00	$194.28–$1,505.02	84% below	25%
Colonoscopy with polyp removal inpatient CPT 45385 Gi-Colonoscopy W/Snare	$594.75	$793.00	$491.66–$713.70	—	25%
Colonoscopy with tissue sample CPT 45380 Gi-Colonoscopy W/Bx	$562.50	$750.00	$183.75–$1,505.02	79% below	25%
Colonoscopy with tissue sample inpatient CPT 45380 Gi-Colonoscopy W/Bx	$562.50	$750.00	$465.00–$675.00	—	25%
Colonoscopy, diagnostic CPT 45378 Gi-Colonoscopy Dx	$441.00	$588.00	$144.06–$1,169.60	82% below	25%
Colonoscopy, diagnostic inpatient CPT 45378 Gi-Colonoscopy Dx	$441.00	$588.00	$364.56–$529.20	—	25%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 Colposcopy w/Excision Cervix	$1,482.81	$1,977.08	$484.38–$4,071.33	83% below	25%
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 Colposcopy w/Excision Cervix	$1,482.81	$1,977.08	$1,225.79–$1,779.37	—	25%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Colposcopy w/Biopsy Cervix/End	$238.64	$318.18	$77.95–$383.25	71% below	25%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 Colposcopy w/Biopsy Cervix/End	$238.64	$318.18	$197.27–$286.36	—	25%
Complex cataract surgery with lens implant CPT 66982 Cataract Surgery, Complex	$1,764.09	$2,352.12	$576.27–$2,902.56	29% below	25%
Complex cataract surgery with lens implant inpatient CPT 66982 Cataract Surgery, Complex	$1,764.09	$2,352.12	$1,458.31–$2,116.91	—	25%
Coronary stent placement, one artery CPT 92928 Prq Stent w/Ang 1 Vsl	$13,999.50	$18,666.00	$4,573.17–$16,799.40	at median	25%
Coronary stent placement, one artery inpatient CPT 92928 Prq Stent w/Ang 1 Vsl	$13,999.50	$18,666.00	$11,572.92–$16,799.40	—	25%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystourethroscopy	$123.75	$165.00	$40.42–$876.99	94% below	25%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 Cystourethroscopy	$123.75	$165.00	$102.30–$148.50	—	25%
D&C (dilation and curettage), not related to pregnancy CPT 58120 D & C Nonobstetrical	$1,482.81	$1,977.08	$484.38–$4,071.33	77% below	25%
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 D & C Nonobstetrical	$1,482.81	$1,977.08	$1,225.79–$1,779.37	—	25%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destroy Benign/Premal Lesion	$72.93	$97.24	$23.82–$252.34	71% below	25%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 *Destroy Benign/Premal Lesion	$108.39	$144.52	$35.41–$252.34	57% below	25%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 Destroy Benign/Premal Lesion	$72.93	$97.24	$60.29–$87.52	—	25%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 *Destroy Benign/Premal Lesion	$108.39	$144.52	$89.60–$130.07	—	25%
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 Tympanostomy General Anesthesi	$225.75	$301.00	$73.75–$1,951.43	95% below	25%
Ear tube placement (tympanostomy) under general anesthesia, one ear inpatient CPT 69436 Tympanostomy General Anesthesi	$225.75	$301.00	$186.62–$270.90	—	25%
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 Tympa w/Ins Vent Tube Loc/Top	$279.75	$373.00	$91.39–$678.32	—	25%
Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 Tympa w/Ins Vent Tube Loc/Top	$279.75	$373.00	$231.26–$335.70	—	25%
Earwax removal by irrigation (rinsing), one ear CPT 69209 *Removal Impacted Cerumen Irri	$26.89	$35.85	$8.78–$74.19	73% below	25%
Earwax removal by irrigation (rinsing), one ear CPT 69209 Removal Impacted Cerumen Irri	$41.37	$55.16	$13.51–$74.19	59% below	25%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 *Removal Impacted Cerumen Irri	$26.89	$35.85	$22.23–$32.27	—	25%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 Removal Impacted Cerumen Irri	$41.37	$55.16	$34.20–$49.64	—	25%
Earwax removal with instruments, one ear CPT 69210 *Remove Impacted Cerumen	$71.63	$95.51	$23.40–$85.96	27% below	25%
Earwax removal with instruments, one ear CPT 69210 Ear Wax Impaction Removal Once	$101.25	$135.00	$33.08–$604.00	3% above	25%
Earwax removal with instruments, one ear CPT 69210 Remove Impacted Cerumen	$110.21	$146.94	$36.00–$132.25	12% above	25%
Earwax removal with instruments, one ear CPT 69210 Cerumen Removal	$183.75	$245.00	$53.42–$3,830.00	88% above	25%
Earwax removal with instruments, one ear inpatient CPT 69210 *Remove Impacted Cerumen	$71.63	$95.51	$59.22–$85.96	—	25%
Earwax removal with instruments, one ear inpatient CPT 69210 Ear Wax Impaction Removal Once	$101.25	$135.00	$83.70–$121.50	—	25%
Earwax removal with instruments, one ear inpatient CPT 69210 Remove Impacted Cerumen	$110.21	$146.94	$91.10–$132.25	—	25%
Earwax removal with instruments, one ear inpatient CPT 69210 Cerumen Removal	$183.75	$245.00	$151.90–$220.50	—	25%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Endometrial Biopsy	$120.86	$161.15	$39.48–$254.26	78% below	25%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 Endometrial Biopsy	$120.86	$161.15	$99.91–$145.03	—	25%
Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 Nasal/Sinus Endo W/Ethmoidect	$571.50	$762.00	$186.69–$8,876.17	95% below	25%
Endoscopic sinus surgery: full ethmoid sinus opening inpatient CPT 31255 Nasal/Sinus Endo W/Ethmoidect	$571.50	$762.00	$472.44–$685.80	—	25%
Endoscopic sinus surgery: opening the frontal sinus CPT 31276 Sinus Endoscopy Surgical	$720.75	$961.00	$235.44–$8,876.17	93% below	25%
Endoscopic sinus surgery: opening the frontal sinus inpatient CPT 31276 Sinus Endoscopy Surgical	$720.75	$961.00	$595.82–$864.90	—	25%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 Nasal/Sinus Endo W/Maxillary A	$282.00	$376.00	$92.12–$4,689.15	98% below	25%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus inpatient CPT 31256 Nasal/Sinus Endo W/Maxillary A	$282.00	$376.00	$233.12–$338.40	—	25%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 Endoscopy Maxillary Sinus	$453.00	$604.00	$147.98–$8,876.17	95% below	25%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue inpatient CPT 31267 Endoscopy Maxillary Sinus	$453.00	$604.00	$374.48–$543.60	—	25%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 Rpr AA HRN 1st 3-10 RDC	$774.00	$1,032.00	$252.84–$8,142.13	94% below	25%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm inpatient CPT 49593 Rpr AA HRN 1st 3-10 RDC	$774.00	$1,032.00	$639.84–$928.80	—	25%
First repair of a front abdominal hernia larger than 10 cm CPT 49595 Rpr AA HRN 1st>10 RDC	$1,041.75	$1,389.00	$340.31–$8,142.13	91% below	25%
First repair of a front abdominal hernia larger than 10 cm inpatient CPT 49595 Rpr AA HRN 1st>10 RDC	$1,041.75	$1,389.00	$861.18–$1,250.10	—	25%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 Rpr AA Hrn 1st < 3 cm Rdc	$462.00	$616.00	$150.92–$4,503.07	92% below	25%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 Rpr AA Hrn 1st < 3 cm Rdc	$462.00	$616.00	$381.92–$554.40	—	25%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Gi-Sigmoidoscopy Diagnostic	$228.75	$305.00	$74.72–$1,169.60	80% below	25%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 Gi-Sigmoidoscopy Diagnostic	$228.75	$305.00	$189.10–$274.50	—	25%
Gallbladder removal, laparoscopic CPT 47562 Laparoscopic Cholecystectomy	$1,474.50	$1,966.00	$481.67–$9,412.00	83% below	25%
Gallbladder removal, laparoscopic inpatient CPT 47562 Laparoscopic Cholecystectomy	$1,474.50	$1,966.00	$1,218.92–$1,769.40	—	25%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 Laparo Cholecystectomy/Graph	$1,269.00	$1,692.00	$414.54–$9,412.00	82% below	25%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 Laparo Cholecystectomy/Graph	$1,269.00	$1,692.00	$1,049.04–$1,522.80	—	25%
Gallbladder removal, open surgery through a larger incision CPT 47600 Cholecystectomy	$1,474.50	$1,966.00	$322.42–$1,769.40	—	25%
Gallbladder removal, open surgery through a larger incision inpatient CPT 47600 Cholecystectomy	$1,474.50	$1,966.00	$1,218.92–$1,769.40	—	25%
Hammertoe correction surgery CPT 28285 Repair Of Hammertoe	$545.25	$727.00	$178.12–$4,115.20	87% below	25%
Hammertoe correction surgery inpatient CPT 28285 Repair Of Hammertoe	$545.25	$727.00	$450.74–$654.30	—	25%
Hemorrhoid banding (rubber band ligation) CPT 46221 Hemorrhoidectomy,Internal,By R	$373.50	$498.00	$122.01–$1,169.60	80% below	25%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 Hemorrhoidectomy,Internal,By R	$373.50	$498.00	$308.76–$448.20	—	25%
Hemorrhoidectomy (internal and external), one area CPT 46255 Rem Int/Ext Hem 1 Group	$698.25	$931.00	$228.09–$3,490.95	89% below	25%
Hemorrhoidectomy (internal and external), one area CPT 46255 Hemorrhoidectomy Simple	$720.75	$961.00	$235.44–$3,490.95	89% below	25%
Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 Rem Int/Ext Hem 1 Group	$698.25	$931.00	$577.22–$837.90	—	25%
Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 Hemorrhoidectomy Simple	$720.75	$961.00	$595.82–$864.90	—	25%
Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 Tha Revision	$4,539.75	$6,053.00	$1,482.98–$16,147.23	57% below	25%
Hip replacement after an earlier hip surgery (conversion to total hip) inpatient CPT 27132 Tha Revision	$4,539.75	$6,053.00	$3,752.86–$5,447.70	—	25%
Hysterectomy through an abdominal incision (total) CPT 58150 Total Abd Hysterectomy	$1,239.00	$1,652.00	$270.93–$1,486.80	90% below	25%
Hysterectomy through an abdominal incision (total) inpatient CPT 58150 Total Abd Hysterectomy	$1,239.00	$1,652.00	$1,024.24–$1,486.80	—	25%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Inj For Hysterosalpingogram	$99.00	$132.00	$21.65–$3,830.00	63% below	25%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Catheter For Hysterography	$103.50	$138.00	$22.63–$124.20	62% below	25%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 Inj For Hysterosalpingogram	$99.00	$132.00	$81.84–$118.80	—	25%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 Catheter For Hysterography	$103.50	$138.00	$85.56–$124.20	—	25%
Hysteroscopy with endometrial ablation CPT 58563 Hyster w/Endometrial Ablation	$2,728.07	$3,637.43	$891.17–$6,291.59	59% below	25%
Hysteroscopy with endometrial ablation inpatient CPT 58563 Hyster w/Endometrial Ablation	$2,728.07	$3,637.43	$2,255.21–$3,273.69	—	25%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 Hysteroscopy, Biopsy	$1,714.74	$2,286.32	$560.15–$4,071.33	77% below	25%
Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 Hysteroscopy, Biopsy	$1,714.74	$2,286.32	$1,417.52–$2,057.69	—	25%
IUD insertion (the device itself billed separately) CPT 58300 Insert Intrauterine Device	$1,269.65	$1,692.87	$94.61–$1,523.58	74% below	25%
IUD insertion (the device itself billed separately) inpatient CPT 58300 Insert Intrauterine Device	$1,269.65	$1,692.87	$1,049.58–$1,523.58	—	25%
Incision and drainage of a simple or single skin abscess CPT 10060 *I&D Abscess-Single	$111.32	$148.42	$36.36–$3,830.00	68% below	25%
Incision and drainage of a simple or single skin abscess CPT 10060 *Drainage of Skin Abscess	$206.73	$275.64	$67.53–$252.34	40% below	25%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D Abscess-Single	$318.05	$424.06	$103.89–$3,830.00	8% below	25%
Incision and drainage of a simple or single skin abscess CPT 10060 Drainage of Skin Abscess	$318.05	$424.06	$103.89–$381.65	8% below	25%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 *I&D Abscess-Single	$111.32	$148.42	$92.02–$133.58	—	25%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 *Drainage of Skin Abscess	$206.73	$275.64	$170.90–$248.08	—	25%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D Abscess-Single	$318.05	$424.06	$262.92–$381.65	—	25%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Drainage of Skin Abscess	$318.05	$424.06	$262.92–$381.65	—	25%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 Repair Inguinal Hernia	$737.25	$983.00	$240.84–$4,503.07	80% below	25%
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 Repair Inguinal Hernia	$737.25	$983.00	$609.46–$884.70	—	25%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 *Inj Single Tendon Sheath,Liga	$86.26	$115.01	$28.18–$386.06	79% below	25%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj Single Tendon Sheath,Liga,	$132.71	$176.94	$43.35–$386.06	68% below	25%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj Single Sheath/Ligament	$363.00	$484.00	$118.58–$1,777.00	12% below	25%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 *Inj Single Tendon Sheath,Liga	$86.26	$115.01	$71.31–$103.51	—	25%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Inj Single Tendon Sheath,Liga,	$132.71	$176.94	$109.70–$159.25	—	25%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Inj Single Sheath/Ligament	$363.00	$484.00	$300.08–$435.60	—	25%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Inj Major Joint or Bursa	$60.00	$80.00	$19.60–$1,777.00	85% below	25%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 CT Guided Arthcentesis Maj Jnt	$84.75	$113.00	$27.68–$1,777.00	79% below	25%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 *Drain/Inject,Major Joint/Burs	$97.87	$130.49	$31.97–$386.06	75% below	25%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Drain/Inject,Major Joint/Bursa	$150.57	$200.76	$49.19–$386.06	62% below	25%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Major Joint Bursa inj	$263.25	$351.00	$86.00–$1,777.00	34% below	25%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Inj Major Joint or Bursa	$60.00	$80.00	$49.60–$72.00	—	25%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 CT Guided Arthcentesis Maj Jnt	$84.75	$113.00	$70.06–$101.70	—	25%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 *Drain/Inject,Major Joint/Burs	$97.87	$130.49	$80.90–$117.44	—	25%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Drain/Inject,Major Joint/Bursa	$150.57	$200.76	$124.47–$180.68	—	25%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Major Joint Bursa inj	$263.25	$351.00	$217.62–$315.90	—	25%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insert Contraceptive Cap	$175.50	$234.00	$57.33–$210.60	37% below	25%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 Insert Contraceptive Cap	$175.50	$234.00	$145.08–$210.60	—	25%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 CT Guided Arthrocent Interm Jn	$66.75	$89.00	$21.80–$1,777.00	83% below	25%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 *Drain/Inject,Inter Joint/Burs	$81.90	$109.20	$26.75–$386.06	79% below	25%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Drain/Inject,Inter Joint/Bursa	$126.00	$168.00	$41.16–$386.06	67% below	25%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Intermediate Joint Bursa inj	$263.25	$351.00	$86.00–$1,777.00	32% below	25%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 CT Guided Arthrocent Interm Jn	$66.75	$89.00	$55.18–$80.10	—	25%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 *Drain/Inject,Inter Joint/Burs	$81.90	$109.20	$67.70–$98.28	—	25%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Drain/Inject,Inter Joint/Bursa	$126.00	$168.00	$104.16–$151.20	—	25%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Intermediate Joint Bursa inj	$263.25	$351.00	$217.62–$315.90	—	25%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 *Drain/Inject,Small Joint/Burs	$79.76	$106.35	$26.06–$386.06	79% below	25%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Drain/Inject,Small Joint/Bursa	$122.72	$163.62	$40.09–$386.06	68% below	25%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 *Drain/Inject,Small Joint/Burs	$79.76	$106.35	$65.94–$95.72	—	25%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Drain/Inject,Small Joint/Bursa	$122.72	$163.62	$101.44–$147.26	—	25%
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 Athroscop/Meniscus Repair	$2,152.65	$2,870.20	$703.20–$4,115.20	82% below	25%
Knee arthroscopy with meniscus repair (one side of the knee) inpatient CPT 29882 Athroscop/Meniscus Repair	$2,152.65	$2,870.20	$1,779.52–$2,583.18	—	25%
Knee arthroscopy with meniscus trim CPT 29881 Athroscop/Meniscectomy Med/Lat	$2,152.65	$2,870.20	$703.20–$4,115.20	70% below	25%
Knee arthroscopy with meniscus trim inpatient CPT 29881 Athroscop/Meniscectomy Med/Lat	$2,152.65	$2,870.20	$1,779.52–$2,583.18	—	25%
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 Athroscop/Meniscectomy Med&Lat	$2,152.65	$2,870.20	$703.20–$4,115.20	73% below	25%
Knee arthroscopy with removal of both torn meniscus parts inpatient CPT 29880 Athroscop/Meniscectomy Med&Lat	$2,152.65	$2,870.20	$1,779.52–$2,583.18	—	25%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 Knee Arthroscopy/Surgery-Debri	$2,152.65	$2,870.20	$703.20–$4,115.20	68% below	25%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) inpatient CPT 29877 Knee Arthroscopy/Surgery-Debri	$2,152.65	$2,870.20	$1,779.52–$2,583.18	—	25%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 Laparoscopy, Appendectomy	$3,554.90	$4,739.87	$1,161.27–$7,603.46	70% below	25%
Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 Laparoscopy, Appendectomy	$3,554.90	$4,739.87	$2,938.72–$4,265.88	—	25%
Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 Laparoscopy, Fundoplasty	$1,769.25	$2,359.00	$577.96–$13,369.15	88% below	25%
Laparoscopic fundoplication (anti-reflux surgery) inpatient CPT 43280 Laparoscopy, Fundoplasty	$1,769.25	$2,359.00	$1,462.58–$2,123.10	—	25%
Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 Laparoscopy W/Tot Hysterectomy	$1,275.00	$1,700.00	$416.50–$13,369.15	91% below	25%
Laparoscopic hysterectomy (uterus 250 g or less) inpatient CPT 58570 Laparoscopy W/Tot Hysterectomy	$1,275.00	$1,700.00	$1,054.00–$1,530.00	—	25%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 Laparoscopy W/Hyster & W/Rem T	$771.00	$1,028.00	$251.86–$13,369.15	94% below	25%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries inpatient CPT 58571 Laparoscopy W/Hyster & W/Rem T	$771.00	$1,028.00	$637.36–$925.20	—	25%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 Laproscopy,Surg Repair Inguina	$593.25	$791.00	$193.79–$7,603.46	93% below	25%
Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 Laproscopy,Surg Repair Inguina	$593.25	$791.00	$490.42–$711.90	—	25%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 Lap Ing Hernia Repair Recur	$766.50	$1,022.00	$250.39–$7,603.46	92% below	25%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia inpatient CPT 49651 Lap Ing Hernia Repair Recur	$766.50	$1,022.00	$633.64–$919.80	—	25%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 Laparoscopy, Remove Adnexa	$3,554.90	$4,739.87	$1,161.27–$7,603.46	66% below	25%
Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 Laparoscopy, Remove Adnexa	$3,554.90	$4,739.87	$2,938.72–$4,265.88	—	25%
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 Cataract Laser Surgery	$418.77	$558.36	$136.80–$691.74	15% below	25%
Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 Cataract Laser Surgery	$418.77	$558.36	$346.18–$502.52	—	25%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Layer Closure Of Wound 2.5	$105.00	$140.00	$34.30–$511.28	74% below	25%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Layer Closure Of Wound 2.5	$105.00	$140.00	$86.80–$126.00	—	25%
Left heart catheterization, diagnostic one side CPT 93452 Heart Cath, Left w/Super&Intep	$6,156.00	$8,208.00	$2,010.96–$8,628.00	32% above	25%
Left heart catheterization, diagnostic inpatient one side CPT 93452 Heart Cath, Left w/Super&Intep	$6,156.00	$8,208.00	$5,088.96–$7,387.20	—	25%
Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 Mld Lumbar One Level	$1,617.00	$2,156.00	$528.22–$9,126.15	87% below	25%
Lumbar discectomy or laminotomy to free a nerve root, one level inpatient CPT 63030 Mld Lumbar One Level	$1,617.00	$2,156.00	$1,336.72–$1,940.40	—	25%
Lumbar laminectomy (spinal decompression), one level CPT 63047 Laminectomy,Factectomy &Forami	$1,518.00	$2,024.00	$495.88–$9,126.15	90% below	25%
Lumbar laminectomy (spinal decompression), one level inpatient CPT 63047 Laminectomy,Factectomy &Forami	$1,518.00	$2,024.00	$1,254.88–$1,821.60	—	25%
Lumbar spinal fusion (posterior), one level CPT 22612 Lumbar Spine Fusion	$4,020.75	$5,361.00	$1,313.44–$22,052.31	82% below	25%
Lumbar spinal fusion (posterior), one level inpatient CPT 22612 Lumbar Spine Fusion	$4,020.75	$5,361.00	$3,323.82–$4,824.90	—	25%
Lumpectomy (partial mastectomy) CPT 19301 Mastectomy - Partial	$606.00	$808.00	$197.96–$4,924.44	90% below	25%
Lumpectomy (partial mastectomy) inpatient CPT 19301 Mastectomy - Partial	$606.00	$808.00	$500.96–$727.20	—	25%
Mastectomy (total removal of the breast) CPT 19303 Mastectomy, Simple, Complete	$875.25	$1,167.00	$285.92–$8,351.35	92% below	25%
Mastectomy (total removal of the breast) inpatient CPT 19303 Mastectomy, Simple, Complete	$875.25	$1,167.00	$723.54–$1,050.30	—	25%
Miscarriage treatment with D&C, first trimester CPT 59820 Surgical Tmt Missed Ab/1st Tri	$1,482.81	$1,977.08	$484.38–$4,071.33	67% below	25%
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 Surgical Tmt Missed Ab/1st Tri	$1,482.81	$1,977.08	$1,225.79–$1,779.37	—	25%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc Benign Lesion .5 or Less	$342.92	$457.22	$112.02–$890.62	61% below	25%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Exc Benign Lesion .5 or Less	$342.92	$457.22	$283.48–$411.50	—	25%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Exc Benign Lesion .5 or Less	$342.92	$457.22	$112.02–$890.62	58% below	25%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 Exc Benign Lesion .5 or Less	$342.92	$457.22	$283.48–$411.50	—	25%
Nail removal (partial or complete), one nail CPT 11730 *Removal of Nail Plate	$149.92	$199.89	$48.97–$252.34	36% below	25%
Nail removal (partial or complete), one nail CPT 11730 Removal of Nail Plate	$230.64	$307.52	$75.34–$276.77	2% below	25%
Nail removal (partial or complete), one nail CPT 11730 Avulsion of Nail Plate - 1	$257.25	$343.00	$84.03–$3,830.00	9% above	25%
Nail removal (partial or complete), one nail inpatient CPT 11730 *Removal of Nail Plate	$149.92	$199.89	$123.93–$179.90	—	25%
Nail removal (partial or complete), one nail inpatient CPT 11730 Removal of Nail Plate	$230.64	$307.52	$190.66–$276.77	—	25%
Nail removal (partial or complete), one nail inpatient CPT 11730 Avulsion of Nail Plate - 1	$257.25	$343.00	$212.66–$308.70	—	25%
Occipital nerve block (injection for headaches) CPT 64405 Greater Occipital Nerve Block	$297.41	$396.54	$97.15–$386.06	36% below	25%
Occipital nerve block (injection for headaches) inpatient CPT 64405 Greater Occipital Nerve Block	$297.41	$396.54	$245.85–$356.89	—	25%
Pacemaker implant (dual chamber) CPT 33208 Insert Pacemaker Dual	$1,298.25	$1,731.00	$424.10–$16,472.00	90% below	25%
Pacemaker implant (dual chamber) CPT 33208 Pacemaker Implant Dual	$10,384.51	$13,846.01	$3,392.27–$13,145.48	22% below	25%
Pacemaker implant (dual chamber) inpatient CPT 33208 Insert Pacemaker Dual	$1,298.25	$1,731.00	$1,073.22–$1,557.90	—	25%
Pacemaker implant (dual chamber) inpatient CPT 33208 Pacemaker Implant Dual	$10,384.51	$13,846.01	$8,584.53–$12,461.41	—	25%
Paracentesis with imaging guidance CPT 49083 Abd Paracentesis	$345.75	$461.00	$112.94–$1,777.00	59% below	25%
Paracentesis with imaging guidance CPT 49083 Gi-Abd Paracentesis W/Imaging	$408.75	$545.00	$133.53–$1,140.71	51% below	25%
Paracentesis with imaging guidance CPT 49083 US Guid Paracentesis	$1,059.00	$1,412.00	$345.94–$1,777.00	26% above	25%
Paracentesis with imaging guidance inpatient CPT 49083 Abd Paracentesis	$345.75	$461.00	$285.82–$414.90	—	25%
Paracentesis with imaging guidance inpatient CPT 49083 Gi-Abd Paracentesis W/Imaging	$408.75	$545.00	$337.90–$490.50	—	25%
Paracentesis with imaging guidance inpatient CPT 49083 US Guid Paracentesis	$1,059.00	$1,412.00	$875.44–$1,270.80	—	25%
Partial knee replacement (one compartment) CPT 27446 Arthroplasty,Knee,Condyle&Plat	$1,500.00	$2,000.00	$490.00–$16,147.23	91% below	25%
Partial knee replacement (one compartment) inpatient CPT 27446 Arthroplasty,Knee,Condyle&Plat	$1,500.00	$2,000.00	$1,240.00–$1,800.00	—	25%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Removal Of Nail Bed	$303.75	$405.00	$99.22–$511.28	46% below	25%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Exc Nail-Partial or Complete	$1,393.50	$1,858.00	$368.12–$1,777.00	146% above	25%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Removal Of Nail Bed	$303.75	$405.00	$251.10–$364.50	—	25%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Exc Nail-Partial or Complete	$1,393.50	$1,858.00	$1,151.96–$1,672.20	—	25%
Prostate biopsy CPT 55700 US Guid Biopz Prostate	$599.25	$799.00	$131.04–$2,379.00	78% below	25%
Prostate biopsy CPT 55700 US Guid Biopsy Prostate	$1,103.25	$1,471.00	$241.24–$2,379.00	60% below	25%
Prostate biopsy inpatient CPT 55700 US Guid Biopz Prostate	$599.25	$799.00	$495.38–$719.10	—	25%
Prostate biopsy inpatient CPT 55700 US Guid Biopsy Prostate	$1,103.25	$1,471.00	$912.02–$1,323.90	—	25%
Removal of a breast lump, open surgery CPT 19120 Removal of Breast Lesion 1+	$699.75	$933.00	$228.59–$4,924.44	82% below	25%
Removal of a breast lump, open surgery inpatient CPT 19120 Removal of Breast Lesion 1+	$699.75	$933.00	$578.46–$839.70	—	25%
Removal of a foreign object under the skin, simple CPT 10120 *Remove Foreign Body,Simple	$226.94	$302.59	$74.13–$511.28	56% below	25%
Removal of a foreign object under the skin, simple CPT 10120 Remove Foreign Body,Simple	$349.14	$465.52	$114.05–$511.28	32% below	25%
Removal of a foreign object under the skin, simple CPT 10120 Removal Foreign Body-Simple	$752.25	$1,003.00	$245.74–$3,830.00	46% above	25%
Removal of a foreign object under the skin, simple inpatient CPT 10120 *Remove Foreign Body,Simple	$226.94	$302.59	$187.61–$272.33	—	25%
Removal of a foreign object under the skin, simple inpatient CPT 10120 Remove Foreign Body,Simple	$349.14	$465.52	$288.62–$418.97	—	25%
Removal of a foreign object under the skin, simple inpatient CPT 10120 Removal Foreign Body-Simple	$752.25	$1,003.00	$621.86–$902.70	—	25%
Removal of one lobe of the thyroid (lobectomy) CPT 60220 Total Thyroid Lobectomy	$1,275.00	$1,700.00	$416.50–$7,603.46	88% below	25%
Removal of one lobe of the thyroid (lobectomy) inpatient CPT 60220 Total Thyroid Lobectomy	$1,275.00	$1,700.00	$1,054.00–$1,530.00	—	25%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Gi-Screen Colonoscopy Average	$441.00	$588.00	$144.06–$1,169.60	81% below	25%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 Gi-Screen Colonoscopy Average	$441.00	$588.00	$364.56–$529.20	—	25%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Gi-Screem Colonoscopy High Ris	$441.00	$588.00	$144.06–$1,169.60	71% below	25%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 Gi-Screem Colonoscopy High Ris	$441.00	$588.00	$364.56–$529.20	—	25%
Septoplasty to straighten the nasal septum CPT 30520 Septoplasty/Submucous Resectw/	$867.75	$1,157.00	$283.46–$4,169.85	83% below	25%
Septoplasty to straighten the nasal septum inpatient CPT 30520 Septoplasty/Submucous Resectw/	$867.75	$1,157.00	$717.34–$1,041.30	—	25%
Short arm cast (elbow to hand) CPT 29075 Applicat Elbow To Finger Cast	$192.82	$257.09	$62.99–$351.77	24% below	25%
Short arm cast (elbow to hand) inpatient CPT 29075 Applicat Elbow To Finger Cast	$192.82	$257.09	$159.40–$231.38	—	25%
Short arm splint (forearm and hand) CPT 29125 Apply Forearm Splint	$96.38	$128.50	$31.48–$167.34	39% below	25%
Short arm splint (forearm and hand) CPT 29125 *PT Appl Shrt Arm Spl ForearmH	$111.38	$148.50	$24.35–$213.00	29% below	25%
Short arm splint (forearm and hand) inpatient CPT 29125 Apply Forearm Splint	$96.38	$128.50	$79.67–$115.65	—	25%
Short arm splint (forearm and hand) inpatient CPT 29125 *PT Appl Shrt Arm Spl ForearmH	$111.38	$148.50	$92.07–$133.65	—	25%
Short leg cast (below the knee) CPT 29405 Apply Short Leg Cast	$192.82	$257.09	$62.99–$351.77	12% below	25%
Short leg cast (below the knee) inpatient CPT 29405 Apply Short Leg Cast	$192.82	$257.09	$159.40–$231.38	—	25%
Short leg splint (calf to foot) CPT 29515 Application Lower Leg Splint	$96.38	$128.50	$31.48–$204.38	34% below	25%
Short leg splint (calf to foot) inpatient CPT 29515 Application Lower Leg Splint	$96.38	$128.50	$79.67–$115.65	—	25%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 Endoscopy/Arthroscopy	$2,152.65	$2,870.20	$703.20–$4,115.20	83% below	25%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) inpatient CPT 29824 Endoscopy/Arthroscopy	$2,152.65	$2,870.20	$1,779.52–$2,583.18	—	25%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Decompress Subacromial Space	$2,152.65	$2,870.20	$470.71–$2,583.18	83% below	25%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 Decompress Subacromial Space	$2,152.65	$2,870.20	$1,779.52–$2,583.18	—	25%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Laceration Repair 2.5 or less	$87.41	$116.55	$28.55–$252.34	66% below	25%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simple Rpr Wnd 2.5cm or less	$241.50	$322.00	$78.89–$3,830.00	5% below	25%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Laceration Repair 2.5 or less	$87.41	$116.55	$72.26–$104.89	—	25%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Simple Rpr Wnd 2.5cm or less	$241.50	$322.00	$199.64–$289.80	—	25%
Skin biopsy, punch, one lesion CPT 11104 *Biopsy Punch Skin Sgl Lesion	$150.41	$200.54	$49.13–$511.28	58% below	25%
Skin biopsy, punch, one lesion CPT 11104 Biopsy Punch Skin Sgl Lesion	$231.39	$308.52	$75.59–$511.28	36% below	25%
Skin biopsy, punch, one lesion inpatient CPT 11104 *Biopsy Punch Skin Sgl Lesion	$150.41	$200.54	$124.33–$180.49	—	25%
Skin biopsy, punch, one lesion inpatient CPT 11104 Biopsy Punch Skin Sgl Lesion	$231.39	$308.52	$191.28–$277.67	—	25%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Exc Malig Les-Trk,Arm,Leg .5<	$126.75	$169.00	$41.41–$890.62	77% below	25%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 Exc Malig Les-Trk,Arm,Leg .5<	$126.75	$169.00	$104.78–$152.10	—	25%
Skin tag removal, up to 15 tags CPT 11200 *Removal of Skin Tags Up To 15	$149.10	$198.80	$48.71–$252.34	53% below	25%
Skin tag removal, up to 15 tags CPT 11200 Removal of Skin Tags Up To 15	$229.38	$305.84	$74.93–$275.26	28% below	25%
Skin tag removal, up to 15 tags CPT 11200 Removal Skin Tags < w/15 les	$241.50	$322.00	$78.89–$3,830.00	25% below	25%
Skin tag removal, up to 15 tags inpatient CPT 11200 *Removal of Skin Tags Up To 15	$149.10	$198.80	$123.26–$178.92	—	25%
Skin tag removal, up to 15 tags inpatient CPT 11200 Removal of Skin Tags Up To 15	$229.38	$305.84	$189.62–$275.26	—	25%
Skin tag removal, up to 15 tags inpatient CPT 11200 Removal Skin Tags < w/15 les	$241.50	$322.00	$199.64–$289.80	—	25%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Spinal Puncture,Lumbar,Diagnos	$179.25	$239.00	$58.55–$1,777.00	76% below	25%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Spinal Puncture,Lumbar,Diagnos	$179.25	$239.00	$148.18–$215.10	—	25%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Laceration Repair 2.6-7.5	$91.50	$122.00	$29.89–$252.34	59% below	25%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Laceration Repair 2.6-7.5	$91.50	$122.00	$75.64–$109.80	—	25%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Lac Repair Facial Area To 2.5	$87.41	$116.55	$28.55–$252.34	61% below	25%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Lac Repair Facial Area To 2.5	$87.41	$116.55	$72.26–$104.89	—	25%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangential Bx Skin Sgl Lesion	$233.25	$311.00	$76.19–$511.28	26% below	25%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Tangential Bx Skin Sgl Lesion	$233.25	$311.00	$192.82–$279.90	—	25%
Thoracentesis with imaging guidance CPT 32555 Thoracenthesis, Needleorcath W	$166.50	$222.00	$54.39–$788.96	85% below	25%
Thoracentesis with imaging guidance CPT 32555 CT Thoracentesis w/Tube Placem	$1,128.00	$1,504.00	$368.48–$1,777.00	1% above	25%
Thoracentesis with imaging guidance inpatient CPT 32555 Thoracenthesis, Needleorcath W	$166.50	$222.00	$137.64–$199.80	—	25%
Thoracentesis with imaging guidance inpatient CPT 32555 CT Thoracentesis w/Tube Placem	$1,128.00	$1,504.00	$932.48–$1,353.60	—	25%
Tonsil and adenoid removal, age 12 or older CPT 42821 Tonsilectomy & Adenoidectomy A	$423.75	$565.00	$138.43–$4,169.85	94% below	25%
Tonsil and adenoid removal, age 12 or older inpatient CPT 42821 Tonsilectomy & Adenoidectomy A	$423.75	$565.00	$350.30–$508.50	—	25%
Tonsil and adenoid removal, child under 12 CPT 42820 Tonsillectomy & Adenoidectomy	$404.25	$539.00	$132.06–$7,445.38	93% below	25%
Tonsil and adenoid removal, child under 12 inpatient CPT 42820 Tonsillectomy & Adenoidectomy	$404.25	$539.00	$334.18–$485.10	—	25%
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 Tonsillectomy,Primary/Secondar	$358.50	$478.00	$117.11–$4,169.85	95% below	25%
Tonsil removal (tonsillectomy) only, age 12 or older inpatient CPT 42826 Tonsillectomy,Primary/Secondar	$358.50	$478.00	$296.36–$430.20	—	25%
Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 Romoval Of Tonsils	$381.00	$508.00	$124.46–$7,445.38	93% below	25%
Tonsil removal (tonsillectomy) only, child under 12 inpatient CPT 42825 Romoval Of Tonsils	$381.00	$508.00	$314.96–$457.20	—	25%
Total hip replacement CPT 27130 Total Hip Arthroplasty	$1,726.50	$2,302.00	$563.99–$16,147.23	90% below	25%
Total hip replacement inpatient CPT 27130 Total Hip Arthroplasty	$1,726.50	$2,302.00	$1,427.24–$2,071.80	—	25%
Total knee replacement CPT 27447 Arthroplasty Knee	$1,725.75	$2,301.00	$563.75–$16,147.23	90% below	25%
Total knee replacement inpatient CPT 27447 Arthroplasty Knee	$1,725.75	$2,301.00	$1,426.62–$2,070.90	—	25%
Total shoulder replacement CPT 23472 Reconstruct Total Shoulder	$1,853.25	$2,471.00	$605.39–$22,052.31	92% below	25%
Total shoulder replacement inpatient CPT 23472 Reconstruct Total Shoulder	$1,853.25	$2,471.00	$1,532.02–$2,223.90	—	25%
Total thyroid removal (thyroidectomy) CPT 60240 Thyroidectomy, Total	$1,577.25	$2,103.00	$515.24–$7,603.46	87% below	25%
Total thyroid removal (thyroidectomy) inpatient CPT 60240 Thyroidectomy, Total	$1,577.25	$2,103.00	$1,303.86–$1,892.70	—	25%
Trigger finger release surgery CPT 26055 Incision Finger Tendon Sheath	$1,208.48	$1,611.30	$394.77–$2,022.38	27% below	25%
Trigger finger release surgery inpatient CPT 26055 Incision Finger Tendon Sheath	$1,208.48	$1,611.30	$999.01–$1,450.17	—	25%
Trigger point injections, 1 or 2 muscles CPT 20552 *Inj Singleormultiple Trigger	$79.67	$106.22	$26.02–$386.06	74% below	25%
Trigger point injections, 1 or 2 muscles CPT 20552 Inj Singleormultiple Trigger P	$122.57	$163.42	$40.04–$386.06	60% below	25%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 *Inj Singleormultiple Trigger	$79.67	$106.22	$65.86–$95.60	—	25%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Inj Singleormultiple Trigger P	$122.57	$163.42	$101.32–$147.08	—	25%
Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 Laparoscopy, Tubal Cautery	$851.25	$1,135.00	$278.07–$7,603.46	90% below	25%
Tubal ligation, laparoscopic (tubes sealed by cautery) inpatient CPT 58670 Laparoscopy, Tubal Cautery	$851.25	$1,135.00	$703.70–$1,021.50	—	25%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Bx Breast 1st Lesion US Imag	$2,104.50	$2,806.00	$687.47–$2,724.00	13% below	25%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Ultrasound Guided Breast Biops	$2,104.50	$2,806.00	$274.00–$2,525.40	13% below	25%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Ultrasound Guided Breast Biops	$2,104.50	$2,806.00	$1,739.72–$2,525.40	—	25%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Bx Breast 1st Lesion US Imag	$2,104.50	$2,806.00	$1,739.72–$2,525.40	—	25%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Gi-Egd W/Balloon Dilation	$1,387.50	$1,850.00	$453.25–$2,413.41	58% below	25%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 Gi-Egd W/Balloon Dilation	$1,387.50	$1,850.00	$1,147.00–$1,665.00	—	25%
Upper endoscopy (EGD) with biopsy CPT 43239 Gi-Egd W/Bx, Single Or Multipl	$474.00	$632.00	$154.84–$1,140.71	88% below	25%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Gi-Egd W/Bx, Single Or Multipl	$474.00	$632.00	$391.84–$568.80	—	25%
Upper endoscopy (EGD) with injection into the lining CPT 43236 Gi-Egd W/Inj	$455.25	$607.00	$148.72–$1,140.71	90% below	25%
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 Gi-Egd W/Inj	$455.25	$607.00	$376.34–$546.30	—	25%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Gi-Egd W/Rem Lesion By Snare	$610.50	$814.00	$199.43–$2,413.41	83% below	25%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 Gi-Egd W/Rem Lesion By Snare	$610.50	$814.00	$504.68–$732.60	—	25%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 Gi-Egd W/Gw Dilation	$486.00	$648.00	$158.76–$1,140.71	80% below	25%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 Gi-Egd W/Gw Dilation	$486.00	$648.00	$401.76–$583.20	—	25%
Upper endoscopy (EGD), diagnostic CPT 43235 Gi-Egd Dx	$355.50	$474.00	$116.13–$1,140.71	84% below	25%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Gi-Egd Dx	$355.50	$474.00	$293.88–$426.60	—	25%
Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 Gi-Egd W/Transmural Drainagae	$578.25	$771.00	$188.90–$7,635.38	89% below	25%
Upper endoscopy with drainage of a pseudocyst through the stomach wall inpatient CPT 43240 Gi-Egd W/Transmural Drainagae	$578.25	$771.00	$478.02–$693.90	—	25%
Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 Routine Ob Care After Prev Cea	$1,965.00	$2,620.00	$429.68–$2,358.00	—	25%
Vaginal birth after cesarean (VBAC), including prenatal and postpartum care inpatient CPT 59610 Routine Ob Care After Prev Cea	$1,965.00	$2,620.00	$1,624.40–$2,358.00	—	25%
Vaginal delivery, including prenatal and postpartum care CPT 59400 Routine Obstetrical Care	$2,135.87	$2,847.83	$467.04–$2,563.05	—	25%
Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 Routine Obstetrical Care	$2,135.87	$2,847.83	$1,765.65–$2,563.05	—	25%
Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 Vasectomy, Uni/Bilateral	$276.00	$368.00	$90.16–$2,629.08	—	25%
Vasectomy, one or both sides, including follow-up semen testing inpatient both sides CPT 55250 Vasectomy, Uni/Bilateral	$276.00	$368.00	$228.16–$331.20	—	25%
Wart removal, up to 14 warts CPT 17110 *Destruct Lesion-Warts 1-14	$159.74	$212.99	$52.18–$252.34	56% below	25%
Wart removal, up to 14 warts CPT 17110 Destruct Lesion-Warts 1-14	$245.76	$327.68	$80.28–$294.91	32% below	25%
Wart removal, up to 14 warts inpatient CPT 17110 *Destruct Lesion-Warts 1-14	$159.74	$212.99	$132.05–$191.69	—	25%
Wart removal, up to 14 warts inpatient CPT 17110 Destruct Lesion-Warts 1-14	$245.76	$327.68	$203.16–$294.91	—	25%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 *Debridement, Skin/Subcutaneou	$167.15	$222.87	$54.60–$511.28	70% below	25%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debridement, Skin/Subcutaneous	$257.16	$342.88	$84.01–$511.28	54% below	25%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Excl Debride Subq 20Sqcmorless	$1,092.75	$1,457.00	$356.96–$2,379.00	95% above	25%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 *Debridement, Skin/Subcutaneou	$167.15	$222.87	$138.18–$200.58	—	25%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Debridement, Skin/Subcutaneous	$257.16	$342.88	$212.59–$308.59	—	25%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Excl Debride Subq 20Sqcmorless	$1,092.75	$1,457.00	$903.34–$1,311.30	—	25%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 Open Treat Distal Radial Fract	$5,138.24	$6,850.98	$1,678.49–$9,126.15	50% below	25%
Wrist fracture surgery (plate and screws), distal radius inpatient CPT 25607 Open Treat Distal Radial Fract	$5,138.24	$6,850.98	$4,247.61–$6,165.88	—	25%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Alabama	Off list
Blood transfusion (giving blood or blood components) CPT 36430 OP Transf Blood or Comp 2 Unit	$76.50	$102.00	$24.99–$554.87	80% below	25%
Blood transfusion (giving blood or blood components) CPT 36430 OP Transf Blood or Comp 3 Unit	$87.75	$117.00	$28.66–$554.87	77% below	25%
Blood transfusion (giving blood or blood components) CPT 36430 OP Transf Blood or Comp 4 Unit	$96.75	$129.00	$31.61–$554.87	75% below	25%
Blood transfusion (giving blood or blood components) CPT 36430 Fresh Frozen Plasma	$132.75	$177.00	$43.37–$554.87	65% below	25%
Blood transfusion (giving blood or blood components) CPT 36430 Cryoprepitate	$201.00	$268.00	$65.66–$554.87	48% below	25%
Blood transfusion (giving blood or blood components) CPT 36430 Packed Cells	$283.50	$378.00	$92.61–$554.87	26% below	25%
Blood transfusion (giving blood or blood components) CPT 36430 Transfuse Blood 1 Unit	$311.25	$415.00	$101.67–$554.87	19% below	25%
Blood transfusion (giving blood or blood components) CPT 36430 Transfuse Blood 2 Units	$328.50	$438.00	$107.31–$554.87	14% below	25%
Blood transfusion (giving blood or blood components) CPT 36430 Transfuse Blood 3 Units	$346.50	$462.00	$113.19–$554.87	10% below	25%
Blood transfusion (giving blood or blood components) CPT 36430 Transfuse Blood 4 Units	$363.00	$484.00	$118.58–$554.87	6% below	25%
Blood transfusion (giving blood or blood components) CPT 36430 OP Infus Blood Products(S)/Day	$413.25	$551.00	$135.00–$554.87	8% above	25%
Blood transfusion (giving blood or blood components) CPT 36430 Infus Blood Products-Once Only	$454.50	$606.00	$148.47–$554.87	18% above	25%
Blood transfusion (giving blood or blood components) CPT 36430 Leukocyte Depeleted Pc	$784.50	$1,046.00	$256.27–$941.40	104% above	25%
Blood transfusion (giving blood or blood components) CPT 36430 Platelet Pher Leuko-Reduced	$2,434.50	$3,246.00	$399.50–$2,921.40	534% above	25%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 OP Transf Blood or Comp 2 Unit	$76.50	$102.00	$63.24–$91.80	—	25%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 OP Transf Blood or Comp 3 Unit	$87.75	$117.00	$72.54–$105.30	—	25%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 OP Transf Blood or Comp 4 Unit	$96.75	$129.00	$79.98–$116.10	—	25%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Fresh Frozen Plasma	$132.75	$177.00	$109.74–$159.30	—	25%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Cryoprepitate	$201.00	$268.00	$166.16–$241.20	—	25%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Packed Cells	$283.50	$378.00	$234.36–$340.20	—	25%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Transfuse Blood 1 Unit	$311.25	$415.00	$257.30–$373.50	—	25%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Transfuse Blood 2 Units	$328.50	$438.00	$271.56–$394.20	—	25%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Transfuse Blood 3 Units	$346.50	$462.00	$286.44–$415.80	—	25%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Transfuse Blood 4 Units	$363.00	$484.00	$300.08–$435.60	—	25%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 OP Infus Blood Products(S)/Day	$413.25	$551.00	$341.62–$495.90	—	25%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Infus Blood Products-Once Only	$454.50	$606.00	$375.72–$545.40	—	25%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Leukocyte Depeleted Pc	$784.50	$1,046.00	$648.52–$941.40	—	25%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Platelet Pher Leuko-Reduced	$2,434.50	$3,246.00	$2,012.52–$2,921.40	—	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Ipv Nebulizer-Initial	$125.25	$167.00	$40.91–$275.41	14% above	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPV Nebulizer-Initial	$125.25	$167.00	$40.91–$275.41	14% above	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Initial	$125.25	$167.00	$40.91–$275.41	14% above	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Meter-Dose-Initial Inhal Setup	$170.25	$227.00	$55.62–$275.41	55% above	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Nebulizer Initial	$170.25	$227.00	$55.62–$275.41	55% above	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Nebulizer Treatment	$170.25	$227.00	$55.62–$275.41	55% above	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Meter-Dose-Initial Inhalr Setu	$170.25	$227.00	$55.62–$275.41	55% above	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Initial	$125.25	$167.00	$103.54–$150.30	—	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 IPV Nebulizer-Initial	$125.25	$167.00	$103.54–$150.30	—	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Ipv Nebulizer-Initial	$125.25	$167.00	$103.54–$150.30	—	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Meter-Dose-Initial Inhalr Setu	$170.25	$227.00	$140.74–$204.30	—	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Nebulizer Initial	$170.25	$227.00	$140.74–$204.30	—	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Meter-Dose-Initial Inhal Setup	$170.25	$227.00	$140.74–$204.30	—	25%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Nebulizer Treatment	$170.25	$227.00	$140.74–$204.30	—	25%
Chemotherapy IV infusion, first hour CPT 96413 Chemo Infus Inital 1st Hr	$268.50	$358.00	$87.71–$1,035.00	40% below	25%
Chemotherapy IV infusion, first hour inpatient CPT 96413 Chemo Infus Inital 1st Hr	$268.50	$358.00	$221.96–$322.20	—	25%
Comprehensive eye exam by an eye doctor, new patient CPT 92004 Ophthalmological Comp-New Pt	$66.00	$88.00	$21.56–$167.45	—	25%
Comprehensive eye exam by an eye doctor, new patient inpatient CPT 92004 Ophthalmological Comp-New Pt	$66.00	$88.00	$54.56–$79.20	—	25%
Comprehensive eye exam, returning patient CPT 92014 Ophthalmological Comp-Estab Pt	$61.50	$82.00	$20.09–$167.45	—	25%
Comprehensive eye exam, returning patient inpatient CPT 92014 Ophthalmological Comp-Estab Pt	$61.50	$82.00	$50.84–$73.80	—	25%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 Comprehensive Audiometry	$56.25	$75.00	$18.38–$161.84	63% below	25%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 Comprehensive Hearing Test	$56.25	$75.00	$18.38–$274.00	63% below	25%
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 Comprehensive Hearing Test	$56.25	$75.00	$46.50–$67.50	—	25%
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 Comprehensive Audiometry	$56.25	$75.00	$46.50–$67.50	—	25%
Critical care, first 30 to 74 minutes CPT 99291 ER Critical Care Level 30 Min	$1,277.25	$1,703.00	$417.24–$2,198.00	17% above	25%
Critical care, first 30 to 74 minutes inpatient CPT 99291 ER Critical Care Level 30 Min	$1,277.25	$1,703.00	$1,055.86–$1,532.70	—	25%
EEG (brain wave test), awake and drowsy, routine CPT 95816 Eeg Including Recording Awake	$393.75	$525.00	$128.62–$472.50	38% below	25%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG Awake & Drowsy	$453.75	$605.00	$148.22–$1,097.00	29% below	25%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Eeg Including Recording Awake	$393.75	$525.00	$325.50–$472.50	—	25%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG Awake & Drowsy	$453.75	$605.00	$375.10–$544.50	—	25%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Electrocardiogram, Complete	$21.00	$28.00	$4.59–$274.00	at median	25%
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 Electrocardiogram, Complete	$21.00	$28.00	$17.36–$25.20	—	25%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG Tracing Only (Clinic)	$35.25	$47.00	$11.52–$274.00	72% below	25%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG Tracing Only (MW EKG)	$293.25	$391.00	$53.42–$351.90	131% above	25%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG Tracing Only (ER Tracing)	$293.25	$391.00	$53.42–$351.90	131% above	25%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG Tracing Only (Cath Lab)	$293.25	$391.00	$53.42–$351.90	131% above	25%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG Tracing Only (Clinic)	$35.25	$47.00	$29.14–$42.30	—	25%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG Tracing Only (Cath Lab)	$293.25	$391.00	$242.42–$351.90	—	25%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG Tracing Only (MW EKG)	$293.25	$391.00	$242.42–$351.90	—	25%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG Tracing Only (ER Tracing)	$293.25	$391.00	$242.42–$351.90	—	25%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Er Visit-Level I	$36.00	$48.00	$11.76–$106.05	73% below	25%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER Level I	$264.00	$352.00	$76.36–$604.00	97% above	25%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Er Visit-Level I	$36.00	$48.00	$29.76–$43.20	—	25%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER Level I	$264.00	$352.00	$218.24–$316.80	—	25%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Er Visit-Level Ii	$46.50	$62.00	$15.19–$193.12	76% below	25%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER Level II	$324.75	$433.00	$106.08–$604.00	70% above	25%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Er Visit-Level Ii	$46.50	$62.00	$38.44–$55.80	—	25%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER Level II	$324.75	$433.00	$268.46–$389.70	—	25%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Er Visit-Level Iii	$64.50	$86.00	$21.07–$343.32	79% below	25%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER Level III	$410.25	$547.00	$134.01–$767.00	34% above	25%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Er Visit-Level Iii	$64.50	$86.00	$53.32–$77.40	—	25%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER Level III	$410.25	$547.00	$339.14–$492.30	—	25%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER Level IV	$666.75	$889.00	$217.81–$1,425.00	33% above	25%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER Level IV	$666.75	$889.00	$551.18–$800.10	—	25%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER Level V	$807.00	$1,076.00	$263.62–$1,425.00	24% above	25%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER Level V	$807.00	$1,076.00	$667.12–$968.40	—	25%
Exercise stress test, tracing only, the hospital charge CPT 93017 Cardiovas Stress Test Tracing	$158.25	$211.00	$51.70–$271.56	74% below	25%
Exercise stress test, tracing only, the hospital charge CPT 93017 Gxt Tracing Only	$1,242.75	$1,657.00	$195.53–$1,491.30	104% above	25%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Cardiovas Stress Test Tracing	$158.25	$211.00	$130.82–$189.90	—	25%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Gxt Tracing Only	$1,242.75	$1,657.00	$1,027.34–$1,491.30	—	25%
Eye exam, returning patient, intermediate CPT 92012 Ophthalmological Exam-Estab Pt	$43.50	$58.00	$14.21–$167.45	—	25%
Eye exam, returning patient, intermediate inpatient CPT 92012 Ophthalmological Exam-Estab Pt	$43.50	$58.00	$35.96–$52.20	—	25%
Family therapy with the patient, 50 minutes CPT 90847 Family Psychotherapy W/Patient	$139.50	$186.00	$45.57–$223.23	20% below	25%
Family therapy with the patient, 50 minutes inpatient CPT 90847 Family Psychotherapy W/Patient	$139.50	$186.00	$115.32–$167.40	—	25%
Family therapy without the patient, 50 minutes CPT 90846 Family Psychotherapy Wo/Patien	$134.25	$179.00	$29.36–$223.23	15% below	25%
Family therapy without the patient, 50 minutes inpatient CPT 90846 Family Psychotherapy Wo/Patien	$134.25	$179.00	$110.98–$161.10	—	25%
Group psychotherapy session CPT 90853 Group Psycho Therapy	$37.50	$50.00	$12.25–$127.77	71% below	25%
Group psychotherapy session inpatient CPT 90853 Group Psycho Therapy	$37.50	$50.00	$31.00–$45.00	—	25%
Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 EKG Monitor/Report, 24 Hrs	$112.50	$150.00	$24.60–$135.00	—	25%
Holter monitor, heart rhythm recording up to 48 hours, with report inpatient CPT 93224 EKG Monitor/Report, 24 Hrs	$112.50	$150.00	$93.00–$135.00	—	25%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV Fluids Ea Initial Site 1	$325.50	$434.00	$106.33–$604.00	4% above	25%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV Fluids Ea Initial Site 1	$325.50	$434.00	$269.08–$390.60	—	25%
IV infusion of a medicine, first hour CPT 96365 *Infusion Md Sup. Up to 1 hr	$107.08	$142.77	$34.98–$267.52	67% below	25%
IV infusion of a medicine, first hour CPT 96365 Infusion Md Sup. Up to 1 hr	$164.73	$219.64	$53.81–$267.52	49% below	25%
IV infusion of a medicine, first hour CPT 96365 IV Infusion 1st Hour	$325.50	$434.00	$106.33–$604.00	1% above	25%
IV infusion of a medicine, first hour CPT 96365 IV Therapy Up To 1 Hour	$510.75	$681.00	$166.84–$3,830.00	59% above	25%
IV infusion of a medicine, first hour inpatient CPT 96365 *Infusion Md Sup. Up to 1 hr	$107.08	$142.77	$88.52–$128.49	—	25%
IV infusion of a medicine, first hour inpatient CPT 96365 Infusion Md Sup. Up to 1 hr	$164.73	$219.64	$136.18–$197.68	—	25%
IV infusion of a medicine, first hour inpatient CPT 96365 IV Infusion 1st Hour	$325.50	$434.00	$269.08–$390.60	—	25%
IV infusion of a medicine, first hour inpatient CPT 96365 IV Therapy Up To 1 Hour	$510.75	$681.00	$422.22–$612.90	—	25%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Inj Therapeutic Prophylactic I	$16.50	$22.00	$5.39–$90.56	80% below	25%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Inj-Sub Q/Im (Non-Chemo)	$35.25	$47.00	$11.52–$1,035.00	58% below	25%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 OP inj, IM or Sub Q	$46.50	$62.00	$15.19–$90.56	45% below	25%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection, IM or Sub Q	$58.50	$78.00	$19.11–$3,830.00	30% below	25%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 1st Antibiotic IM	$65.25	$87.00	$21.32–$604.00	22% below	25%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection Im/Sq	$65.25	$87.00	$21.32–$604.00	22% below	25%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Therapeutic,Prophlacticordxinj	$96.75	$129.00	$31.61–$3,830.00	15% above	25%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Inj Therapeutic Prophylactic I	$16.50	$22.00	$13.64–$19.80	—	25%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Inj-Sub Q/Im (Non-Chemo)	$35.25	$47.00	$29.14–$42.30	—	25%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 OP inj, IM or Sub Q	$46.50	$62.00	$38.44–$55.80	—	25%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Injection, IM or Sub Q	$58.50	$78.00	$48.36–$70.20	—	25%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 1st Antibiotic IM	$65.25	$87.00	$53.94–$78.30	—	25%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Injection Im/Sq	$65.25	$87.00	$53.94–$78.30	—	25%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Therapeutic,Prophlacticordxinj	$96.75	$129.00	$79.98–$116.10	—	25%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 Nerve Conduction 7-8 Studies	$1,088.25	$1,451.00	$337.91–$1,305.90	17% below	25%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 Nerve Conduction 7-8 Studies	$1,088.25	$1,451.00	$899.62–$1,305.90	—	25%
Neuromuscular re-education, 15 minutes CPT 97112 *PT Ther PX 1/>Areas 15m Neuro	$45.75	$61.00	$10.00–$213.00	53% below	25%
Neuromuscular re-education, 15 minutes CPT 97112 PT-Neuro Re-Ed Ea 15 Min	$117.00	$156.00	$25.58–$213.00	21% above	25%
Neuromuscular re-education, 15 minutes CPT 97112 OT-Neuro Re-Ed Ea 15 Min	$117.00	$156.00	$25.58–$213.00	21% above	25%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 *PT Ther PX 1/>Areas 15m Neuro	$45.75	$61.00	$37.82–$54.90	—	25%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT-Neuro Re-Ed Ea 15 Min	$117.00	$156.00	$96.72–$140.40	—	25%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT-Neuro Re-Ed Ea 15 Min	$117.00	$156.00	$96.72–$140.40	—	25%
New patient office visit, about 30 minutes CPT 99203 E&M Office L3-New OP	$83.25	$111.00	$18.20–$99.90	63% below	25%
New patient office visit, about 30 minutes CPT 99203 E&M Level 3-New OP (XRY)	$102.75	$137.00	$22.47–$123.30	54% below	25%
New patient office visit, about 30 minutes CPT 99203 Level 3-New Pt-OP Women Ctr	$201.75	$269.00	$44.12–$242.10	10% below	25%
New patient office visit, about 30 minutes CPT 99203 Level 3-New Pt-OP WCARE	$396.75	$529.00	$76.72–$3,830.00	78% above	25%
New patient office visit, about 30 minutes inpatient CPT 99203 E&M Office L3-New OP	$83.25	$111.00	$68.82–$99.90	—	25%
New patient office visit, about 30 minutes inpatient CPT 99203 E&M Level 3-New OP (XRY)	$102.75	$137.00	$84.94–$123.30	—	25%
New patient office visit, about 30 minutes inpatient CPT 99203 Level 3-New Pt-OP Women Ctr	$201.75	$269.00	$166.78–$242.10	—	25%
New patient office visit, about 30 minutes inpatient CPT 99203 Level 3-New Pt-OP WCARE	$396.75	$529.00	$327.98–$476.10	—	25%
New patient office visit, about 45 minutes CPT 99204 E&M Office L4-New OP	$129.00	$172.00	$28.21–$154.80	57% below	25%
New patient office visit, about 45 minutes CPT 99204 E&M Level 4-New OP (XRY)	$141.75	$189.00	$31.00–$170.10	52% below	25%
New patient office visit, about 45 minutes CPT 99204 Level 4-New Pt-OP Women Ctr	$282.00	$376.00	$61.66–$338.40	5% below	25%
New patient office visit, about 45 minutes CPT 99204 Level 4-New Pt-OP WCARE	$510.75	$681.00	$111.68–$3,830.00	72% above	25%
New patient office visit, about 45 minutes inpatient CPT 99204 E&M Office L4-New OP	$129.00	$172.00	$106.64–$154.80	—	25%
New patient office visit, about 45 minutes inpatient CPT 99204 E&M Level 4-New OP (XRY)	$141.75	$189.00	$117.18–$170.10	—	25%
New patient office visit, about 45 minutes inpatient CPT 99204 Level 4-New Pt-OP Women Ctr	$282.00	$376.00	$233.12–$338.40	—	25%
New patient office visit, about 45 minutes inpatient CPT 99204 Level 4-New Pt-OP WCARE	$510.75	$681.00	$422.22–$612.90	—	25%
New patient office visit, about 60 minutes CPT 99205 E&M Office L5-New OP	$145.50	$194.00	$31.82–$174.60	61% below	25%
New patient office visit, about 60 minutes CPT 99205 E&M Level 5-New OP (XRY)	$188.25	$251.00	$41.16–$225.90	50% below	25%
New patient office visit, about 60 minutes CPT 99205 Level 5-New Pt-OP Women Ctr	$377.25	$503.00	$82.49–$452.70	at median	25%
New patient office visit, about 60 minutes CPT 99205 Level 5-New Pt-OP WCARE	$672.00	$896.00	$146.94–$3,830.00	79% above	25%
New patient office visit, about 60 minutes inpatient CPT 99205 E&M Office L5-New OP	$145.50	$194.00	$120.28–$174.60	—	25%
New patient office visit, about 60 minutes inpatient CPT 99205 E&M Level 5-New OP (XRY)	$188.25	$251.00	$155.62–$225.90	—	25%
New patient office visit, about 60 minutes inpatient CPT 99205 Level 5-New Pt-OP Women Ctr	$377.25	$503.00	$311.86–$452.70	—	25%
New patient office visit, about 60 minutes inpatient CPT 99205 Level 5-New Pt-OP WCARE	$672.00	$896.00	$555.52–$806.40	—	25%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 E&M Office L2-New OP	$55.50	$74.00	$12.14–$66.60	66% below	25%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 E&M Level 2-New OP (XRY)	$60.75	$81.00	$13.28–$72.90	63% below	25%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Level 2-New Pt-OP Women Ctr	$111.75	$149.00	$24.44–$134.10	32% below	25%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Level 2-New Pt-OP WCARE	$299.25	$399.00	$44.12–$3,830.00	82% above	25%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 E&M Office L2-New OP	$55.50	$74.00	$45.88–$66.60	—	25%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 E&M Level 2-New OP (XRY)	$60.75	$81.00	$50.22–$72.90	—	25%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Level 2-New Pt-OP Women Ctr	$111.75	$149.00	$92.38–$134.10	—	25%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Level 2-New Pt-OP WCARE	$299.25	$399.00	$247.38–$359.10	—	25%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Medical Nutrition Therapy Init	$21.75	$29.00	$4.76–$30.45	58% below	25%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 OP Counseling Initial Ea 15Min	$27.75	$37.00	$6.07–$116.00	46% below	25%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Medical Nutrition Therapy Init	$21.75	$29.00	$17.98–$26.10	—	25%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 OP Counseling Initial Ea 15Min	$27.75	$37.00	$22.94–$33.30	—	25%
Occupational therapy evaluation, low complexity CPT 97165 *OT Eval Low Complex 30 Min	$114.75	$153.00	$25.09–$213.00	59% below	25%
Occupational therapy evaluation, low complexity CPT 97165 OT Eval Low Complex 30 min	$181.50	$242.00	$39.69–$217.80	35% below	25%
Occupational therapy evaluation, low complexity inpatient CPT 97165 *OT Eval Low Complex 30 Min	$114.75	$153.00	$94.86–$137.70	—	25%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT Eval Low Complex 30 min	$181.50	$242.00	$150.04–$217.80	—	25%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 *PT Eval High Complex 45 Mins	$153.00	$204.00	$33.46–$213.00	42% below	25%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT Eval High Complex	$181.50	$242.00	$39.69–$217.80	31% below	25%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 *PT Eval High Complex 45 Mins	$153.00	$204.00	$126.48–$183.60	—	25%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT Eval High Complex	$181.50	$242.00	$150.04–$217.80	—	25%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 *PT Eval Low Complex 20 Mins	$102.00	$136.00	$22.30–$213.00	47% below	25%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT Eval Low Complex 20 min	$171.00	$228.00	$37.39–$213.00	10% below	25%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 *PT Eval Low Complex 20 Mins	$102.00	$136.00	$84.32–$122.40	—	25%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT Eval Low Complex 20 min	$171.00	$228.00	$141.36–$205.20	—	25%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 *PT Eval Mod Complex 30 Mins	$122.25	$163.00	$26.73–$213.00	46% below	25%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT Eval Mod Complex	$171.00	$228.00	$37.39–$213.00	24% below	25%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 *PT Eval Mod Complex 30 Mins	$122.25	$163.00	$101.06–$146.70	—	25%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT Eval Mod Complex	$171.00	$228.00	$141.36–$205.20	—	25%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 *PT Man Ther TQS 1/> Reg 15m	$41.25	$55.00	$9.02–$213.00	64% below	25%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 *PT Man Ther TQS 1/> Reg 15m	$41.25	$55.00	$34.10–$49.50	—	25%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 *PT Thera PX 1/>Areas 15m Exer	$45.00	$60.00	$9.84–$213.00	61% below	25%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 *PT Thera PX 1/>Areas 15m Exer	$45.00	$60.00	$37.20–$54.00	—	25%
Preventive checkup, new patient aged 18–39 CPT 99385 Prevent. Care Age 18-39 - New	$81.75	$109.00	$17.88–$113.54	—	25%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 Prevent. Care Age 18-39 - New	$81.75	$109.00	$67.58–$98.10	—	25%
Preventive checkup, new patient aged 40–64 CPT 99386 Prevent. Care Age 40-64 - New	$86.25	$115.00	$18.86–$130.71	—	25%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 Prevent. Care Age 40-64 - New	$86.25	$115.00	$71.30–$103.50	—	25%
Preventive checkup, new patient aged 65 or older CPT 99387 Prevent. Care Age 65+ New	$93.00	$124.00	$20.34–$142.07	—	25%
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 Prevent. Care Age 65+ New	$93.00	$124.00	$76.88–$111.60	—	25%
Preventive checkup, returning patient aged 18–39 CPT 99395 Prevent. Care Age 18-39 - Esta	$94.34	$125.78	$20.63–$113.20	—	25%
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 Prevent. Care Age 18-39 - Esta	$94.34	$125.78	$77.98–$113.20	—	25%
Preventive checkup, returning patient aged 40–64 CPT 99396 Prevent. Care Age 40-64 - Esta	$94.34	$125.78	$20.63–$113.20	—	25%
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 Prevent. Care Age 40-64 - Esta	$94.34	$125.78	$77.98–$113.20	—	25%
Preventive checkup, returning patient aged 65 or older CPT 99397 Prevent. Care Age 65+ Establis	$94.34	$125.78	$20.63–$117.32	—	25%
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 Prevent. Care Age 65+ Establis	$94.34	$125.78	$77.98–$113.20	—	25%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Smoking&Tobacco Use Cessation	$18.00	$24.00	$5.88–$47.12	48% below	25%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Smoking&Tobacco Use Cessation	$18.00	$24.00	$14.88–$21.60	—	25%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 E&M Office-L5 Estab OP	$111.75	$149.00	$24.44–$135.03	55% below	25%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 E&M Level 5-Estab OP (XRY)	$188.25	$251.00	$41.16–$225.90	24% below	25%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Level 5-Estab Pt-OP Women Ctr	$251.25	$335.00	$54.94–$301.50	1% above	25%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Level 5-Estab Pt-OP WCARE	$511.50	$682.00	$111.85–$3,830.00	106% above	25%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 E&M Office-L5 Estab OP	$111.75	$149.00	$92.38–$134.10	—	25%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 E&M Level 5-Estab OP (XRY)	$188.25	$251.00	$155.62–$225.90	—	25%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Level 5-Estab Pt-OP Women Ctr	$251.25	$335.00	$207.70–$301.50	—	25%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Level 5-Estab Pt-OP WCARE	$511.50	$682.00	$422.84–$613.80	—	25%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 E&M Office-L3 Estab OP	$56.25	$75.00	$12.30–$67.50	69% below	25%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 E&M Level 3-Estab OP (XRY)	$102.75	$137.00	$22.47–$123.30	43% below	25%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Level 3-Estab Pt-OP Women Ctr	$141.75	$189.00	$31.00–$170.10	21% below	25%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Level 3-Estab Pt-OP WCARE	$299.25	$399.00	$62.03–$3,830.00	66% above	25%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 E&M Office-L3 Estab OP	$56.25	$75.00	$46.50–$67.50	—	25%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 E&M Level 3-Estab OP (XRY)	$102.75	$137.00	$84.94–$123.30	—	25%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Level 3-Estab Pt-OP Women Ctr	$141.75	$189.00	$117.18–$170.10	—	25%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Level 3-Estab Pt-OP WCARE	$299.25	$399.00	$247.38–$359.10	—	25%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 E&M Office-L4 Estab OP	$90.00	$120.00	$19.68–$108.00	66% below	25%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 E&M Level 4-Estab OP (XRY)	$141.75	$189.00	$31.00–$170.10	47% below	25%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Level 4-Estab Pt-OP Women Ctr	$192.00	$256.00	$41.98–$230.40	28% below	25%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Level 4-Estab Pt-OP WCARE	$396.75	$529.00	$86.76–$3,830.00	50% above	25%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 E&M Office-L4 Estab OP	$90.00	$120.00	$74.40–$108.00	—	25%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 E&M Level 4-Estab OP (XRY)	$141.75	$189.00	$117.18–$170.10	—	25%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Level 4-Estab Pt-OP Women Ctr	$192.00	$256.00	$158.72–$230.40	—	25%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Level 4-Estab Pt-OP WCARE	$396.75	$529.00	$327.98–$476.10	—	25%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 E&M Office-L2 Estab OP	$38.25	$51.00	$8.36–$45.90	54% below	25%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 E&M Level 1-Estab O/P	$60.75	$81.00	$13.28–$72.90	26% below	25%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Level 2-Estab Pt-OP Women Ctr	$81.75	$109.00	$17.88–$98.10	1% below	25%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Level 2-Estab Pt-OP WCARE	$299.25	$399.00	$33.13–$3,830.00	262% above	25%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 E&M Office-L2 Estab OP	$38.25	$51.00	$31.62–$45.90	—	25%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 E&M Level 1-Estab O/P	$60.75	$81.00	$50.22–$72.90	—	25%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Level 2-Estab Pt-OP Women Ctr	$81.75	$109.00	$67.58–$98.10	—	25%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Level 2-Estab Pt-OP WCARE	$299.25	$399.00	$247.38–$359.10	—	25%
Specialist consultation, low complexity or 30+ minutes CPT 99243 Office Consult-New or Estab Pt	$105.75	$141.00	$23.12–$126.90	62% below	25%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 Office Consult-New or Estab Pt	$105.75	$141.00	$87.42–$126.90	—	25%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Office Consult-New or Estab Pt	$136.50	$182.00	$29.85–$163.80	33% below	25%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 Office Consult-New or Estab Pt	$136.50	$182.00	$112.84–$163.80	—	25%
Speech and language evaluation CPT 92523 *ST Eval SP Sound Prod LangCom	$206.25	$275.00	$45.10–$247.50	53% below	25%
Speech and language evaluation inpatient CPT 92523 *ST Eval SP Sound Prod LangCom	$206.25	$275.00	$170.50–$247.50	—	25%
Speech therapy session, individual CPT 92507 *ST TX Sp Lang Voice CommJ/Aud	$110.70	$147.60	$24.21–$213.00	2% above	25%
Speech therapy session, individual inpatient CPT 92507 *ST TX Sp Lang Voice CommJ/Aud	$110.70	$147.60	$91.51–$132.84	—	25%
Spirometry (breathing test) CPT 94010 Spirometry	$64.10	$85.46	$20.94–$636.00	68% below	25%
Spirometry (breathing test) CPT 94010 Spiro Simple Incl Tot Timed Vi	$88.50	$118.00	$28.91–$636.00	56% below	25%
Spirometry (breathing test) inpatient CPT 94010 Spirometry	$64.10	$85.46	$52.99–$76.91	—	25%
Spirometry (breathing test) inpatient CPT 94010 Spiro Simple Incl Tot Timed Vi	$88.50	$118.00	$73.16–$106.20	—	25%
Spirometry before and after a bronchodilator CPT 94060 Spirometry Before & After	$102.90	$137.20	$33.61–$636.00	73% below	25%
Spirometry before and after a bronchodilator inpatient CPT 94060 Spirometry Before & After	$102.90	$137.20	$85.06–$123.48	—	25%
Therapeutic activities (functional training), 15 minutes CPT 97530 *PT Ther Act Dir PT Cont 15m	$47.25	$63.00	$10.33–$213.00	42% below	25%
Therapeutic activities (functional training), 15 minutes CPT 97530 OT-Thera Act Ea 15 Min	$101.25	$135.00	$22.14–$213.00	24% above	25%
Therapeutic activities (functional training), 15 minutes CPT 97530 PT-Thera Act Ea 15 Min	$101.25	$135.00	$22.14–$213.00	24% above	25%
Therapeutic activities (functional training), 15 minutes one side CPT 97530 Psy/Rt Exercise 1 Ea 15 Min	$219.75	$293.00	$32.96–$263.70	170% above	25%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 *PT Ther Act Dir PT Cont 15m	$47.25	$63.00	$39.06–$56.70	—	25%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT-Thera Act Ea 15 Min	$101.25	$135.00	$83.70–$121.50	—	25%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT-Thera Act Ea 15 Min	$101.25	$135.00	$83.70–$121.50	—	25%
Therapeutic activities (functional training), 15 minutes inpatient one side CPT 97530 Psy/Rt Exercise 1 Ea 15 Min	$219.75	$293.00	$181.66–$263.70	—	25%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy	$71.25	$95.00	$23.27–$1,035.00	41% below	25%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Therapeutic Phlebotomy	$116.25	$155.00	$37.98–$167.34	4% below	25%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Phlebotomy	$71.25	$95.00	$58.90–$85.50	—	25%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Therapeutic Phlebotomy	$116.25	$155.00	$96.10–$139.50	—	25%
Treadmill or drug stress test with ECG, supervision and report CPT 93015 Cardiovascular Stress Test	$158.25	$211.00	$34.60–$189.90	91% below	25%
Treadmill or drug stress test with ECG, supervision and report inpatient CPT 93015 Cardiovascular Stress Test	$158.25	$211.00	$130.82–$189.90	—	25%
Visual field test, extended CPT 92083 Visual Field Exam Extended	$81.00	$108.00	$26.46–$167.34	—	25%
Visual field test, extended inpatient CPT 92083 Visual Field Exam Extended	$81.00	$108.00	$66.96–$97.20	—	25%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Alabama	Off list
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 Sarscov2 Vac 50mcg/0.5ml Im	$152.25	$203.00	$33.29–$182.70	16% above	25%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 Sarscov2 Vac 50mcg/0.5ml Im	$152.25	$203.00	$125.86–$182.70	—	25%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Varicella Vaccine	$94.50	$126.00	$20.66–$167.32	72% below	25%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 Varicella Vaccine	$94.50	$126.00	$78.12–$113.40	—	25%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Influenza Injection- Age 3 Yrs	$15.75	$21.00	$3.44–$20.50	71% below	25%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Trivalent InfluenzaInj-Age3Yrs	$49.73	$66.30	$10.87–$59.67	8% below	25%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Influenza Injection- Age 3 Yrs	$15.75	$21.00	$13.02–$18.90	—	25%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Trivalent InfluenzaInj-Age3Yrs	$49.73	$66.30	$41.11–$59.67	—	25%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 Hepatitis A & B Vaccine	$67.50	$90.00	$14.76–$120.39	—	25%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 Hepatitis A & B Vaccine	$67.50	$90.00	$55.80–$81.00	—	25%
Hepatitis A vaccine, adult dose CPT 90632 Hep A Vaccine, Adult Im	$64.50	$86.00	$14.10–$77.40	58% below	25%
Hepatitis A vaccine, adult dose inpatient CPT 90632 Hep A Vaccine, Adult Im	$64.50	$86.00	$53.32–$77.40	—	25%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hep B Vaccine, Adult, Im	$65.25	$87.00	$14.27–$78.30	50% below	25%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Hep B Vaccine, Adult, Im	$65.25	$87.00	$53.94–$78.30	—	25%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Vac Influenza Llv No Prsv Im	$75.75	$101.00	$16.56–$90.90	30% below	25%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 Vac Influenza Llv No Prsv Im	$75.75	$101.00	$62.62–$90.90	—	25%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR Vaccine, Live	$53.25	$71.00	$11.64–$89.53	64% below	25%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MMR Vaccine, Live	$53.25	$71.00	$44.02–$63.90	—	25%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Menigccal Conj Serog C Y&W-135	$99.75	$133.00	$21.81–$153.79	70% below	25%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 Menigccal Conj Serog C Y&W-135	$99.75	$133.00	$82.46–$119.70	—	25%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Menb RP w/OMV Vaccne IM 2 Dose	$1,070.81	$1,427.75	$197.48–$1,284.97	at median	25%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 Menb RP w/OMV Vaccne IM 2 Dose	$1,070.81	$1,427.75	$885.21–$1,284.97	—	25%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PCV 20 Vaccine Im	$222.00	$296.00	$48.54–$266.40	73% below	25%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PCV 20 Vaccine Im	$222.00	$296.00	$183.52–$266.40	—	25%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumococcal Vacc, Adult/Ill	$314.25	$419.00	$68.72–$377.10	96% above	25%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Pneumococcal Vacc, Adult/Ill	$314.25	$419.00	$259.78–$377.10	—	25%
Rabies vaccine, one dose CPT 90675 Rabies Vaccine, Im	$147.75	$197.00	$48.27–$439.66	77% below	25%
Rabies vaccine, one dose CPT 90675 Imovax (Rabies Vaccine) Id	$197.25	$263.00	$64.44–$439.66	70% below	25%
Rabies vaccine, one dose inpatient CPT 90675 Rabies Vaccine, Im	$147.75	$197.00	$122.14–$177.30	—	25%
Rabies vaccine, one dose inpatient CPT 90675 Imovax (Rabies Vaccine) Id	$197.25	$263.00	$163.06–$236.70	—	25%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 HZV Zoster VSCC Recomb Adj MJX	$172.50	$230.00	$37.72–$207.00	76% below	25%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 HZV Zoster VSCC Recomb Adj MJX	$172.50	$230.00	$142.60–$207.00	—	25%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Td Adsorbed Prsrv Fr 7 Yr/> Im	$21.75	$29.00	$4.76–$86.00	56% below	25%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD Adsorbed Prsrv Fr 7 Yr/> IM	$21.75	$29.00	$4.76–$26.10	56% below	25%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Td Adsorbed Prsrv Fr 7 Yr/> Im	$21.75	$29.00	$17.98–$26.10	—	25%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TD Adsorbed Prsrv Fr 7 Yr/> IM	$21.75	$29.00	$17.98–$26.10	—	25%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tetanus, Diptheria, Pertussis	$63.75	$85.00	$13.94–$76.50	52% below	25%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tetanus, Diptheria, Pertussis	$63.75	$85.00	$52.70–$76.50	—	25%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 Typhoid Vac Vi Capsular Polysa	$47.25	$63.00	$10.33–$142.20	—	25%
Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 Typhoid Vac Vi Capsular Polysa	$47.25	$63.00	$39.06–$56.70	—	25%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VFC Immunization Admin	$14.84	$19.79	$4.85–$90.56	77% below	25%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization Administration	$30.00	$40.00	$9.80–$90.56	53% below	25%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admin 1st Immunization	$44.25	$59.00	$14.46–$90.56	31% below	25%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Inj Vaccine/Toxoid	$65.25	$87.00	$21.32–$604.00	2% above	25%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VFC Immunization Admin	$14.84	$19.79	$12.27–$17.81	—	25%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Immunization Administration	$30.00	$40.00	$24.80–$36.00	—	25%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Admin 1st Immunization	$44.25	$59.00	$36.58–$53.10	—	25%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Inj Vaccine/Toxoid	$65.25	$87.00	$53.94–$78.30	—	25%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 VFC Admin Add'l Vac Aft Init T	$14.84	$19.79	$3.25–$17.81	72% below	25%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Admin Add'l Vaccine Aft Init T	$15.75	$21.00	$3.44–$18.90	71% below	25%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Adm Add'T Vaccine After Init T	$27.53	$36.71	$6.02–$86.00	49% below	25%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Admin Each Add'L Immunization	$44.25	$59.00	$9.68–$86.00	17% below	25%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 2nd Immunization	$65.25	$87.00	$14.27–$604.00	22% above	25%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 VFC Admin Add'l Vac Aft Init T	$14.84	$19.79	$12.27–$17.81	—	25%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Admin Add'l Vaccine Aft Init T	$15.75	$21.00	$13.02–$18.90	—	25%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Adm Add'T Vaccine After Init T	$27.53	$36.71	$22.76–$33.04	—	25%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Admin Each Add'L Immunization	$44.25	$59.00	$36.58–$53.10	—	25%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 2nd Immunization	$65.25	$87.00	$53.94–$78.30	—	25%

Source file: https://medicalwesthospital.org/wp-content/uploads/2026/06/721608375_uab-medical-west_standardcharges.csv