Hospital Warren, PA

Warren General Hospital

Warren General Hospital in Warren, PA publishes cash prices for 338 common procedures listed here, from its own machine-readable price file updated Sep 24, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Pennsylvania median for 220 of 331 procedures and above it for 106. By typical cash price it ranks #24 of 88 Pennsylvania hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

2 W Crescent Park, Warren, PA, 16365 Collected Sep 27, 2026 Source price file (814) 723-4973

Acute care hospital Emergency department CMS star rating 3 of 5 CCN 390146 · CMS hospital register

The price file shows no self-pay discount

For 1414 of the 1414 prices listed here, the cash price in Warren General Hospital's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing.

CMS price transparency record

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

Jul 1, 2026 Warning notice

Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules.

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

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Pennsylvania	Off list
Ankle X-ray, complete, 3 or more views CPT 73610 Radex Ankle Compl Minimum 3 Vi	$106.00	$106.00	$37.10–$79.50	69% below	—
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 Radex Ankle Compl Minimum 3 Vi	$106.00	$106.00	$37.10–$72.08	—	—
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Non-Invas Physiologic Std Extr	$311.00	$311.00	$108.85–$233.25	22% below	—
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 SEGMENTAL DOP ARTERIAL-LIMITED	$370.00	$370.00	$110.15–$277.50	8% below	—
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Non-Invas Physiologic Std Extr	$311.00	$311.00	$108.85–$211.48	—	—
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 SEGMENTAL DOP ARTERIAL-LIMITED	$370.00	$370.00	$129.50–$251.60	—	—
Barium swallow (esophagus X-ray with contrast) CPT 74220 PF XR ESOPHAGUS, SINGLE CON	$86.00	$86.00	$30.10–$179.26	80% below	—
Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGUS, SINGLE CONTRAST	$261.00	$261.00	$91.35–$195.75	39% below	—
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 PF XR ESOPHAGUS, SINGLE CON	$86.00	$86.00	$30.10–$58.48	—	—
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 ESOPHAGUS, SINGLE CONTRAST	$261.00	$261.00	$91.35–$177.48	—	—
Bone scan, whole body (nuclear medicine) CPT 78306 BONE SCAN WO FLOW	$1,054.00	$1,054.00	$330.98–$790.50	14% below	—
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 BONE SCAN WO FLOW	$1,054.00	$1,054.00	$368.90–$716.72	—	—
Breast ultrasound, complete, one breast CPT 76641 PF US BREAST COMPLETE	$104.00	$104.00	$36.40–$330.75	80% below	—
Breast ultrasound, complete, one breast CPT 76641 US BREAST COMPLETE	$489.00	$489.00	$86.56–$366.75	5% below	—
Breast ultrasound, complete, one breast inpatient CPT 76641 PF US BREAST COMPLETE	$104.00	$104.00	$36.40–$70.72	—	—
Breast ultrasound, complete, one breast inpatient CPT 76641 US BREAST COMPLETE	$489.00	$489.00	$171.15–$332.52	—	—
Breast ultrasound, limited (one breast or one area) CPT 76642 PF US BREAST, LIMITED	$97.00	$97.00	$33.95–$146.92	75% below	—
Breast ultrasound, limited (one breast or one area) CPT 76642 US BREAST LIMITED	$489.00	$489.00	$72.05–$366.75	24% above	—
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 PF US BREAST, LIMITED	$97.00	$97.00	$33.95–$65.96	—	—
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 US BREAST LIMITED	$489.00	$489.00	$171.15–$332.52	—	—
CT scan of the pelvis, with contrast dye CPT 72193 PF CT PELVIS W CON	$163.00	$163.00	$57.05–$863.39	89% below	—
CT scan of the pelvis, with contrast dye inpatient CPT 72193 PF CT PELVIS W CON	$163.00	$163.00	$57.05–$110.84	—	—
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Dup-Scan Xtrc Art Compl Bi Std	$595.00	$595.00	$197.55–$446.25	—	—
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 Dup-Scan Xtrc Art Compl Bi Std	$595.00	$595.00	$208.25–$404.60	—	—
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 PF XR DEXA BONE DENSITY, LIM	$29.00	$29.00	$10.15–$104.65	84% below	—
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 PF XR DEXA BONE DENSITY, LIM	$29.00	$29.00	$10.15–$19.72	—	—
Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO DIAG BILATERAL 77066	$326.00	$326.00	$86.28–$504.99	—	—
Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO DIAGNOSTIC BILATERAL	$488.00	$488.00	$86.28–$504.99	—	—
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMMO DIAG BILATERAL 77066	$326.00	$326.00	$114.10–$221.68	—	—
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMMO DIAGNOSTIC BILATERAL	$488.00	$488.00	$170.80–$331.84	—	—
Diagnostic mammogram, one breast one side CPT 77065 MAMMOGRAPHY UNILATERAL	$259.00	$259.00	$67.25–$272.60	3% above	—
Diagnostic mammogram, one breast one side CPT 77065 MAMMOGRAPHY UNILATERAL 77065	$259.00	$259.00	$67.25–$272.60	3% above	—
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMOGRAPHY UNILATERAL	$259.00	$259.00	$90.65–$176.12	—	—
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMOGRAPHY UNILATERAL 77065	$259.00	$259.00	$90.65–$176.12	—	—
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US PVDOP LOW EX ART COMP BI	$1,295.00	$1,295.00	$197.55–$971.25	—	—
Duplex ultrasound of the leg arteries, both legs CPT 93925 PF US P/V DOP ARTRY BIL LW EXT	$110.00	$110.00	$38.50–$323.67	87% below	—
Duplex ultrasound of the leg arteries, both legs CPT 93925 US P/V DOPLER ARTERIES	$1,295.00	$1,295.00	$197.55–$971.25	57% above	—
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US PVDOP LOW EX ART COMP BI	$1,295.00	$1,295.00	$453.25–$880.60	—	—
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 PF US P/V DOP ARTRY BIL LW EXT	$110.00	$110.00	$38.50–$74.80	—	—
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 US P/V DOPLER ARTERIES	$1,295.00	$1,295.00	$453.25–$880.60	—	—
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Dup-Scan Xtr Veins Compl Bi St	$891.00	$891.00	$197.55–$668.25	—	—
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Dup-Scan Xtr Veins Compl Bi St	$891.00	$891.00	$311.85–$605.88	—	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echo Tthrc R-T 2d -+m-Mode Com	$193.00	$193.00	$67.55–$658.15	90% below	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 PF US ECHOCARDIOGRAM+DOPPLER	$200.00	$200.00	$70.00–$658.15	89% below	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US ECHOCARD DOPLER	$1,400.00	$1,400.00	$452.39–$1,050.00	25% below	—
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Echo Tthrc R-T 2d -+m-Mode Com	$193.00	$193.00	$67.55–$131.24	—	—
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 PF US ECHOCARDIOGRAM+DOPPLER	$200.00	$200.00	$70.00–$136.00	—	—
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US ECHOCARD DOPLER	$1,400.00	$1,400.00	$490.00–$952.00	—	—
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 POLYSOMNOGRAPHY; 6 YR & > HST	$447.00	$447.00	$156.45–$947.14	17% below	—
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 POLYSOMNOGRAPHY; 6 YR & > HST	$447.00	$447.00	$156.45–$303.96	—	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOMNOGRAPHY; 6 YR & > CPAP	$2,989.00	$2,989.00	$710.97–$2,241.75	1% below	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 POLYSOMNOGRAPHY; 6 YR & > CPAP	$2,989.00	$2,989.00	$1,046.15–$2,032.52	—	—
Knee X-ray, 3 views CPT 73562 Radex Kne 3 Views	$125.00	$125.00	$43.75–$93.75	63% below	—
Knee X-ray, 3 views inpatient CPT 73562 Radex Kne 3 Views	$125.00	$125.00	$43.75–$85.00	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Ultrasound Abdominal R-T W/Ima	$316.00	$316.00	$86.56–$237.00	43% below	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Ultrasound Abdominal R-T W/Ima	$316.00	$316.00	$110.60–$214.88	—	—
MRI of both breasts, without and then with contrast dye both sides CPT 77049 PF MRI BREAST W/WO, BILATERAL	$324.00	$324.00	$113.40–$526.02	—	—
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 PF MRI BREAST W/WO, BILATERAL	$324.00	$324.00	$113.40–$220.32	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 PF MRI ANK/HIP/KNEE W/WO CON	$303.00	$303.00	$106.05–$1,944.89	88% below	—
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 PF MRI ANK/HIP/KNEE W/WO CON	$303.00	$303.00	$106.05–$206.04	—	—
OCT scan of the retina (optical coherence tomography) CPT 92134 Computerized Ophthalmic Imagin	$120.00	$120.00	$42.00–$90.00	21% below	—
OCT scan of the retina (optical coherence tomography) inpatient CPT 92134 Computerized Ophthalmic Imagin	$120.00	$120.00	$42.00–$81.60	—	—
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET/CT SINGLE PULMONARY NODULE	$5,842.00	$5,842.00	$1,183.89–$4,381.50	at median	—
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET/CT SKULL-THIGH SUBSEQ	$5,842.00	$5,842.00	$1,183.89–$4,381.50	at median	—
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET/CT OVARIAN RESTAGING	$5,842.00	$5,842.00	$1,183.89–$4,381.50	at median	—
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET/CT LUNG NON SMALL CELL STA	$5,842.00	$5,842.00	$1,183.89–$4,381.50	at median	—
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET/CT LUNG NONSMALL CELL REST	$5,842.00	$5,842.00	$1,183.89–$4,381.50	at median	—
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET/CT COLORECTAL DIAGNOSIS	$5,842.00	$5,842.00	$1,183.89–$4,381.50	at median	—
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET/CT - COLORECTAL STAGING	$5,842.00	$5,842.00	$1,183.89–$4,381.50	at median	—
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET/CT - COLORECTAL RESTAGING	$5,842.00	$5,842.00	$1,183.89–$4,381.50	at median	—
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET/CT - LYMPHOMA DIAGNOSIS	$5,842.00	$5,842.00	$1,183.89–$4,381.50	at median	—
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET/CT - LYMPHOMA STAGING	$5,842.00	$5,842.00	$1,183.89–$4,381.50	at median	—
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET/CT - LYMPHOMA RESTAGING	$5,842.00	$5,842.00	$1,183.89–$4,381.50	at median	—
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET/CT-BREAST EVAL OF TREATMNT	$5,842.00	$5,842.00	$1,183.89–$4,381.50	at median	—
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET/CT - HEAD & NECK DIAGNOSIS	$5,842.00	$5,842.00	$1,183.89–$4,381.50	at median	—
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET/CT - BREAST STAGE/RESTAGE	$5,842.00	$5,842.00	$1,183.89–$4,381.50	at median	—
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET/CT - BREAST INITIAL DX	$5,842.00	$5,842.00	$1,183.89–$4,381.50	at median	—
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET/CT - ESOPHAGEAL RESTAGING	$5,842.00	$5,842.00	$1,183.89–$4,381.50	at median	—
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET/CT - ESOPHAGEAL STAGING	$5,842.00	$5,842.00	$1,183.89–$4,381.50	at median	—
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET/CT - ESOPHAGEAL DIAGNOSIS	$5,842.00	$5,842.00	$1,183.89–$4,381.50	at median	—
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET/CT - HEAD AND NECK RESTAGE	$5,842.00	$5,842.00	$1,183.89–$4,381.50	at median	—
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET/CT - HEAD AND NECK DX	$5,842.00	$5,842.00	$1,183.89–$4,381.50	at median	—
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET/CT SINGLE PULMONARY NODULE	$5,842.00	$5,842.00	$2,044.70–$3,972.56	—	—
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET/CT - LYMPHOMA DIAGNOSIS	$5,842.00	$5,842.00	$2,044.70–$3,972.56	—	—
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET/CT - LYMPHOMA STAGING	$5,842.00	$5,842.00	$2,044.70–$3,972.56	—	—
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET/CT - COLORECTAL RESTAGING	$5,842.00	$5,842.00	$2,044.70–$3,972.56	—	—
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET/CT - COLORECTAL STAGING	$5,842.00	$5,842.00	$2,044.70–$3,972.56	—	—
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET/CT - ESOPHAGEAL RESTAGING	$5,842.00	$5,842.00	$2,044.70–$3,972.56	—	—
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET/CT - BREAST INITIAL DX	$5,842.00	$5,842.00	$2,044.70–$3,972.56	—	—
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET/CT - HEAD & NECK DIAGNOSIS	$5,842.00	$5,842.00	$2,044.70–$3,972.56	—	—
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET/CT - BREAST STAGE/RESTAGE	$5,842.00	$5,842.00	$2,044.70–$3,972.56	—	—
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET/CT COLORECTAL DIAGNOSIS	$5,842.00	$5,842.00	$2,044.70–$3,972.56	—	—
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET/CT - ESOPHAGEAL DIAGNOSIS	$5,842.00	$5,842.00	$2,044.70–$3,972.56	—	—
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET/CT SKULL-THIGH SUBSEQ	$5,842.00	$5,842.00	$2,044.70–$3,972.56	—	—
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET/CT - LYMPHOMA RESTAGING	$5,842.00	$5,842.00	$2,044.70–$3,972.56	—	—
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET/CT OVARIAN RESTAGING	$5,842.00	$5,842.00	$2,044.70–$3,972.56	—	—
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET/CT-BREAST EVAL OF TREATMNT	$5,842.00	$5,842.00	$2,044.70–$3,972.56	—	—
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET/CT - ESOPHAGEAL STAGING	$5,842.00	$5,842.00	$2,044.70–$3,972.56	—	—
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET/CT - HEAD AND NECK RESTAGE	$5,842.00	$5,842.00	$2,044.70–$3,972.56	—	—
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET/CT LUNG NONSMALL CELL REST	$5,842.00	$5,842.00	$2,044.70–$3,972.56	—	—
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET/CT LUNG NON SMALL CELL STA	$5,842.00	$5,842.00	$2,044.70–$3,972.56	—	—
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET/CT - HEAD AND NECK DX	$5,842.00	$5,842.00	$2,044.70–$3,972.56	—	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US BLADDER	$334.00	$334.00	$86.56–$250.50	17% below	—
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US BLADDER	$334.00	$334.00	$116.90–$227.12	—	—
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 PF US PREGNANCY COM (OB)>14WKS	$140.00	$140.00	$49.00–$364.31	75% below	—
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG. > 14 wks	$754.00	$754.00	$86.56–$565.50	34% above	—
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 PF US PREGNANCY COM (OB)>14WKS	$140.00	$140.00	$49.00–$95.20	—	—
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US PREG. > 14 wks	$754.00	$754.00	$263.90–$512.72	—	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREG < 14 WKS	$754.00	$754.00	$86.56–$565.50	59% above	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US PREG < 14 WKS	$754.00	$754.00	$263.90–$512.72	—	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREGNANCY LIMITED	$399.00	$399.00	$86.56–$299.25	8% below	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US PREGNANCY LIMITED	$399.00	$399.00	$139.65–$271.32	—	—
Screening mammogram, both breasts both sides CPT 77067 MAMMO SCREEN, BILATERAL 77067	$393.00	$393.00	$71.16–$412.53	—	—
Screening mammogram, both breasts both sides CPT 77067 MAMMOGRAPHY SCREEN, BILATERAL	$393.00	$393.00	$71.16–$412.53	—	—
Screening mammogram, both breasts inpatient both sides CPT 77067 MAMMO SCREEN, BILATERAL 77067	$393.00	$393.00	$137.55–$267.24	—	—
Screening mammogram, both breasts inpatient both sides CPT 77067 MAMMOGRAPHY SCREEN, BILATERAL	$393.00	$393.00	$137.55–$267.24	—	—
Shoulder X-ray, complete, 2 or more views CPT 73030 Radex Sho Compl Minimum 2 View	$115.00	$115.00	$40.25–$86.25	65% below	—
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 Radex Sho Compl Minimum 2 View	$115.00	$115.00	$40.25–$78.20	—	—
Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY; 6 YRS & >	$2,989.00	$2,989.00	$706.37–$2,241.75	5% below	—
Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOMNOGRAPHY; 6 YRS & >	$2,989.00	$2,989.00	$1,046.15–$2,032.52	—	—
Swallow study (modified barium swallow, video X-ray) CPT 74230 PF XR COOKIE SWALLOW	$76.00	$76.00	$26.60–$204.53	83% below	—
Swallow study (modified barium swallow, video X-ray) CPT 74230 SWALLOWING FUNCTION/VIDEO	$297.00	$297.00	$103.95–$222.75	33% below	—
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 PF XR COOKIE SWALLOW	$76.00	$76.00	$26.60–$51.68	—	—
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 SWALLOWING FUNCTION/VIDEO	$297.00	$297.00	$103.95–$201.96	—	—
Transvaginal pelvic ultrasound CPT 76830 ULTRA-TRANSVAGINAL	$479.00	$479.00	$86.56–$359.25	21% above	—
Transvaginal pelvic ultrasound inpatient CPT 76830 ULTRA-TRANSVAGINAL	$479.00	$479.00	$167.65–$325.72	—	—
Ultrasound of the scrotum and testicles CPT 76870 Us Scrotum&cnts	$200.00	$200.00	$70.00–$241.52	64% below	—
Ultrasound of the scrotum and testicles inpatient CPT 76870 Us Scrotum&cnts	$200.00	$200.00	$70.00–$136.00	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Dup-Scan Xtr Veins Uni/Lmtd St	$773.00	$773.00	$86.56–$579.75	28% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 Dup-Scan Xtr Veins Uni/Lmtd St	$773.00	$773.00	$270.55–$525.64	—	—
Wrist X-ray, complete, 3 or more views CPT 73110 Radex Wrst Compl Minimum 3 Vie	$106.00	$106.00	$37.10–$83.33	66% below	—
Wrist X-ray, complete, 3 or more views CPT 73110 WRIST,COMPLETE MIN 3 VIEWS-MCR	$198.00	$198.00	$69.30–$148.50	37% below	—
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 Radex Wrst Compl Minimum 3 Vie	$106.00	$106.00	$37.10–$72.08	—	—
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 WRIST,COMPLETE MIN 3 VIEWS-MCR	$198.00	$198.00	$69.30–$134.64	—	—
X-ray of the abdomen, 1 view CPT 74018 CHOLANGIOGRAM-SCOUT OR	$119.00	$119.00	$41.65–$177.30	50% below	—
X-ray of the abdomen, 1 view inpatient CPT 74018 CHOLANGIOGRAM-SCOUT OR	$119.00	$119.00	$41.65–$80.92	—	—
X-ray of the ankle, 2 views CPT 73600 Radex Ankle 2 Views	$71.00	$71.00	$24.85–$66.86	78% below	—
X-ray of the ankle, 2 views inpatient CPT 73600 Radex Ankle 2 Views	$71.00	$71.00	$24.85–$48.28	—	—
X-ray of the finger(s), 2 or more views CPT 73140 Radex Fngr Minimum 2 Views	$84.00	$84.00	$29.40–$68.37	56% below	—
X-ray of the finger(s), 2 or more views inpatient CPT 73140 Radex Fngr Minimum 2 Views	$84.00	$84.00	$29.40–$57.12	—	—
X-ray of the foot, 2 views CPT 73620 Radex Foot 2 Views	$71.00	$71.00	$24.85–$77.46	76% below	—
X-ray of the foot, 2 views inpatient CPT 73620 Radex Foot 2 Views	$71.00	$71.00	$24.85–$48.28	—	—
X-ray of the foot, complete, 3 or more views CPT 73630 Radex Foot Compl Minimum 3 Vie	$99.00	$99.00	$34.65–$84.21	72% below	—
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 Radex Foot Compl Minimum 3 Vie	$99.00	$99.00	$34.65–$67.32	—	—
X-ray of the hand, 3 or more views CPT 73130 Radex Hand Minimum 3 Views	$106.00	$106.00	$37.10–$79.50	64% below	—
X-ray of the hand, 3 or more views inpatient CPT 73130 Radex Hand Minimum 3 Views	$106.00	$106.00	$37.10–$72.08	—	—
X-ray of the knee, 1 or 2 views CPT 73560 Radex Kne 1/2 Views	$97.00	$97.00	$33.95–$81.32	63% below	—
X-ray of the knee, 1 or 2 views inpatient CPT 73560 Radex Kne 1/2 Views	$97.00	$97.00	$33.95–$65.96	—	—
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Radex Spi Lumbosac 2/3 Views	$132.00	$132.00	$46.20–$99.00	50% below	—
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 Radex Spi Lumbosac 2/3 Views	$132.00	$132.00	$46.20–$89.76	—	—
X-ray of the lower back, 4 or more views CPT 72110 Radex Spi Lumbosac Minimum 4 V	$164.00	$164.00	$57.40–$143.65	52% below	—
X-ray of the lower back, 4 or more views inpatient CPT 72110 Radex Spi Lumbosac Minimum 4 V	$164.00	$164.00	$57.40–$111.52	—	—
X-ray of the mid back (thoracic spine), 2 views CPT 72070 Radex Spi Thrc 2 Views	$115.00	$115.00	$40.25–$103.69	68% below	—
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 Radex Spi Thrc 2 Views	$115.00	$115.00	$40.25–$78.20	—	—
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Radex Spi Crv 2/3 Views	$106.00	$106.00	$37.10–$98.79	63% below	—
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 C-SPINE, FLEXION EXT, NEUT LAT	$241.00	$241.00	$72.05–$180.75	15% below	—
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 Radex Spi Crv 2/3 Views	$106.00	$106.00	$37.10–$72.08	—	—
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 C-SPINE, FLEXION EXT, NEUT LAT	$241.00	$241.00	$84.35–$163.88	—	—
X-ray of the pelvis, 1 or 2 views CPT 72170 Radex Pelvis 1/2 Views	$99.00	$99.00	$34.65–$82.78	62% below	—
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 Radex Pelvis 1/2 Views	$99.00	$99.00	$34.65–$67.32	—	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Radex Sacrum&coccyx Minimum 2	$106.00	$106.00	$37.10–$90.78	63% below	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 Radex Sacrum&coccyx Minimum 2	$106.00	$106.00	$37.10–$72.08	—	—

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Pennsylvania	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT	$73.00	$73.00	$4.18–$54.75	135% above	—
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT	$73.00	$73.00	$25.55–$49.64	—	—
AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT	$76.00	$76.00	$4.09–$57.00	155% above	—
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT	$76.00	$76.00	$26.60–$51.68	—	—
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL	$529.00	$529.00	$37.57–$396.75	71% above	—
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL	$529.00	$529.00	$185.15–$359.72	—	—
Allergy blood test, specific IgE, per allergen CPT 86003 RAST,PER ALLERGEN	$62.00	$62.00	$4.11–$46.50	107% above	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST,PER ALLERGEN	$62.00	$62.00	$21.70–$42.16	—	—
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINE PEPTIDE	$132.00	$132.00	$10.22–$99.00	82% above	—
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINE PEPTIDE	$132.00	$132.00	$46.20–$89.76	—	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA	$64.00	$64.00	$9.54–$48.00	2% below	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA	$64.00	$64.00	$22.40–$43.52	—	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-TYPE NATRIURETIC PEPTIDE-BNP	$175.00	$175.00	$30.97–$131.25	9% above	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B-TYPE NATRIURETIC PEPTIDE-BNP	$175.00	$175.00	$61.25–$119.00	—	—
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL	$48.00	$48.00	$6.67–$41.10	40% below	—
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL	$48.00	$48.00	$16.80–$32.64	—	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 MICRO COMPLEX(PATH)	$163.00	$163.00	$43.15–$122.25	at median	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 BONE MARROW BIOPSY PREP	$163.00	$163.00	$43.15–$122.25	at median	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 BONE MARROW BIOPSY PREP	$163.00	$163.00	$57.05–$110.84	—	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 MICRO COMPLEX(PATH)	$163.00	$163.00	$57.05–$110.84	—	—
Blood culture for bacteria CPT 87040 CULTURE BLOOD X 1 W/PRESUMP ID	$93.00	$93.00	$8.14–$69.75	10% above	—
Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD X 1 W/PRESUMP ID	$93.00	$93.00	$32.55–$63.24	—	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE COLLECTION-HOSP	$21.00	$21.00	$4.52–$25.68	79% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE	$21.00	$21.00	$4.52–$25.68	79% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE COLLECTION-RESP	$21.00	$21.00	$4.52–$25.68	79% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Collj Ven Bld Vnpnxr	$28.00	$28.00	$4.52–$25.68	139% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE- MCR	$30.00	$30.00	$4.52–$25.68	156% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE/SHIPPING	$47.00	$47.00	$4.52–$35.25	302% above	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE COLLECTION-HOSP	$21.00	$21.00	$7.35–$14.28	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE	$21.00	$21.00	$7.35–$14.28	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE COLLECTION-RESP	$21.00	$21.00	$7.35–$14.28	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Collj Ven Bld Vnpnxr	$28.00	$28.00	$9.80–$19.04	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE- MCR	$30.00	$30.00	$10.50–$20.40	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE/SHIPPING	$47.00	$47.00	$16.45–$31.96	—	—
Blood glucose (sugar) test CPT 82947 Gluc Quan Bld	$10.00	$10.00	$3.10–$22.71	59% below	—
Blood glucose (sugar) test CPT 82947 GLUCOSE QUANTITATIVE BLOOD-MCR	$15.00	$15.00	$3.10–$22.71	38% below	—
Blood glucose (sugar) test CPT 82947 GLUCOSE QUANTITATIVE BLOOD	$15.00	$15.00	$3.10–$22.71	38% below	—
Blood glucose (sugar) test CPT 82947 GLUCOSE	$23.00	$23.00	$3.10–$22.71	6% below	—
Blood glucose (sugar) test inpatient CPT 82947 Gluc Quan Bld	$10.00	$10.00	$3.50–$6.80	—	—
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE QUANTITATIVE BLOOD-MCR	$15.00	$15.00	$5.25–$10.20	—	—
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE QUANTITATIVE BLOOD	$15.00	$15.00	$5.25–$10.20	—	—
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE	$23.00	$23.00	$8.05–$15.64	—	—
Blood lead test CPT 83655 Lead	$35.00	$35.00	$9.55–$57.10	45% below	—
Blood lead test CPT 83655 LEAD	$36.00	$36.00	$9.55–$57.10	43% below	—
Blood lead test CPT 83655 LEAD,SERUM	$63.00	$63.00	$9.55–$57.10	1% below	—
Blood lead test inpatient CPT 83655 Lead	$35.00	$35.00	$12.25–$23.80	—	—
Blood lead test inpatient CPT 83655 LEAD	$36.00	$36.00	$12.60–$24.48	—	—
Blood lead test inpatient CPT 83655 LEAD,SERUM	$63.00	$63.00	$22.05–$42.84	—	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Gonad Chornc Qual	$23.00	$23.00	$5.93–$24.21	48% below	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY TEST,SERUM	$118.00	$118.00	$5.93–$88.50	166% above	—
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Gonad Chornc Qual	$23.00	$23.00	$8.05–$15.64	—	—
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREGNANCY TEST,SERUM	$118.00	$118.00	$41.30–$80.24	—	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO	$54.00	$54.00	$17.47–$40.50	28% below	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO	$54.00	$54.00	$18.90–$36.72	—	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP	$53.00	$53.00	$4.09–$39.75	58% above	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP	$53.00	$53.00	$18.55–$36.04	—	—
C. difficile toxin gene test (stool PCR) CPT 87493 C Diff Amplified Probe	$144.00	$144.00	$29.40–$111.10	15% below	—
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C Diff Amplified Probe	$144.00	$144.00	$50.40–$97.92	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19 AMP PRB	$150.00	$150.00	$40.48–$141.10	100% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2 COVID-19 AMP PRB	$150.00	$150.00	$52.50–$102.00	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD,LCRUR	$323.00	$323.00	$27.68–$242.25	100% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLMYD,LCRUR	$323.00	$323.00	$113.05–$219.64	—	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 WOMENS HEALTH SCREEN	$55.00	$55.00	$10.57–$52.66	37% below	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 INDUSTRIAL SCREEN	$63.00	$63.00	$10.57–$52.66	28% below	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE	$68.00	$68.00	$10.57–$52.66	22% below	—
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 WOMENS HEALTH SCREEN	$55.00	$55.00	$19.25–$37.40	—	—
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 INDUSTRIAL SCREEN	$63.00	$63.00	$22.05–$42.84	—	—
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE	$68.00	$68.00	$23.80–$46.24	—	—
Complete blood count (CBC) with differential CPT 85025 CBC,AUTOMATED DIFFERENTIAL	$57.00	$57.00	$6.13–$42.75	38% above	—
Complete blood count (CBC) with differential inpatient CPT 85025 CBC,AUTOMATED DIFFERENTIAL	$57.00	$57.00	$19.95–$38.76	—	—
Complete blood count (CBC), no differential CPT 85027 CBC	$53.00	$53.00	$5.10–$39.75	51% above	—
Complete blood count (CBC), no differential inpatient CPT 85027 CBC	$53.00	$53.00	$18.55–$36.04	—	—
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL	$68.00	$68.00	$8.33–$53.92	30% below	—
Comprehensive metabolic panel (blood test) CPT 80053 CHEM 25	$81.00	$81.00	$8.33–$60.75	16% below	—
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL	$68.00	$68.00	$23.80–$46.24	—	—
Comprehensive metabolic panel (blood test) inpatient CPT 80053 CHEM 25	$81.00	$81.00	$28.35–$55.08	—	—
D-dimer blood test (blood clot marker) CPT 85379 D_DIMER, QUANT	$170.00	$170.00	$8.03–$127.50	175% above	—
D-dimer blood test (blood clot marker) inpatient CPT 85379 D_DIMER, QUANT	$170.00	$170.00	$59.50–$115.60	—	—
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE	$130.00	$130.00	$17.54–$97.50	15% above	—
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATE	$130.00	$130.00	$45.50–$88.40	—	—
Estradiol blood test CPT 82670 ESTRADIOL,SERUM	$137.00	$137.00	$22.04–$122.96	4% below	—
Estradiol blood test inpatient CPT 82670 ESTRADIOL,SERUM	$137.00	$137.00	$47.95–$93.16	—	—
FSH (follicle-stimulating hormone) test CPT 83001 FSH	$93.00	$93.00	$14.65–$71.89	7% below	—
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH	$93.00	$93.00	$32.55–$63.24	—	—
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN,STOOL	$80.00	$80.00	$15.49–$77.34	23% below	—
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN,STOOL	$80.00	$80.00	$28.00–$54.40	—	—
Ferritin blood test (iron stores) CPT 82728 FERRITIN LEVEL	$130.00	$130.00	$10.75–$97.50	62% above	—
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN LEVEL	$130.00	$130.00	$45.50–$88.40	—	—
Folate (folic acid) blood test CPT 82746 FOLATE LEVEL	$133.00	$133.00	$11.59–$99.75	76% above	—
Folate (folic acid) blood test inpatient CPT 82746 FOLATE LEVEL	$133.00	$133.00	$46.55–$90.44	—	—
Free T3 thyroid hormone test CPT 84481 FREE T3	$99.00	$99.00	$13.36–$75.95	4% above	—
Free T3 thyroid hormone test inpatient CPT 84481 FREE T3	$99.00	$99.00	$34.65–$67.32	—	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4	$138.00	$138.00	$7.11–$103.50	162% above	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T4	$138.00	$138.00	$48.30–$93.84	—	—
Free testosterone test CPT 84402 TESTOSTERONE,FREE SERUM	$166.00	$166.00	$20.09–$124.50	29% above	—
Free testosterone test inpatient CPT 84402 TESTOSTERONE,FREE SERUM	$166.00	$166.00	$58.10–$112.88	—	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE,1HR POST GLUCOLA	$51.00	$51.00	$3.75–$38.25	37% above	—
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE,1HR POST GLUCOLA	$51.00	$51.00	$17.85–$34.68	—	—
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOL 3 SPEC	$81.00	$81.00	$10.15–$60.75	6% above	—
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOL 3 SPEC	$81.00	$81.00	$28.35–$55.08	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC,LCRUR	$323.00	$323.00	$27.68–$242.25	119% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC,LCRUR	$323.00	$323.00	$113.05–$219.64	—	—
H. pylori antibody blood test CPT 86677 HELICOBACTER ANTIBODY	$157.00	$157.00	$13.29–$117.75	56% above	—
H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER ANTIBODY	$157.00	$157.00	$54.95–$106.76	—	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV RNA 2ND GEN	$446.00	$446.00	$67.12–$488.82	2% below	—
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV RNA 2ND GEN	$446.00	$446.00	$156.10–$303.28	—	—
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1-2	$98.00	$98.00	$19.00–$73.50	21% below	—
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1-2	$98.00	$98.00	$34.30–$66.64	—	—
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV AMPLIFIED PROBE HI RISK	$140.00	$140.00	$27.68–$237.87	27% below	—
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV AMPLIFIED PROBE HI RISK	$140.00	$140.00	$49.00–$95.20	—	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOHEMOGLOBIN	$51.00	$51.00	$7.66–$50.86	8% above	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOHEMOGLOBIN	$51.00	$51.00	$17.85–$34.68	—	—
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE AB	$138.00	$138.00	$8.47–$103.50	130% above	—
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE AB	$138.00	$138.00	$48.30–$93.84	—	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG (HBsAg)	$138.00	$138.00	$8.15–$103.50	137% above	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE AG (HBsAg)	$138.00	$138.00	$48.30–$93.84	—	—
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY	$140.00	$140.00	$11.25–$105.00	46% above	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY	$140.00	$140.00	$49.00–$95.20	—	—
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C BY PCR	$365.00	$365.00	$33.80–$273.75	53% above	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C BY PCR	$365.00	$365.00	$127.75–$248.20	—	—
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 IGG	$80.00	$80.00	$10.40–$60.62	8% above	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX TYPE 1 IGG	$80.00	$80.00	$28.00–$54.40	—	—
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE II	$79.00	$79.00	$15.27–$67.24	12% below	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX TYPE II	$79.00	$79.00	$27.65–$53.72	—	—
High-sensitivity CRP (hs-CRP) test CPT 86141 HIGH SENSITIVITY CRP	$87.00	$87.00	$10.22–$65.25	23% above	—
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HIGH SENSITIVITY CRP	$87.00	$87.00	$30.45–$59.16	—	—
Insulin blood test CPT 83525 INSULIN LEVEL	$59.00	$59.00	$9.02–$44.25	2% above	—
Insulin blood test inpatient CPT 83525 INSULIN LEVEL	$59.00	$59.00	$20.65–$40.12	—	—
Iron blood test (serum iron) CPT 83540 IRON	$78.00	$78.00	$5.10–$58.50	71% above	—
Iron blood test (serum iron) inpatient CPT 83540 IRON	$78.00	$78.00	$27.30–$53.04	—	—
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY	$98.00	$98.00	$6.89–$73.50	70% above	—
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY	$98.00	$98.00	$34.30–$66.64	—	—
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$55.00	$55.00	$6.85–$55.09	20% below	—
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$55.00	$55.00	$19.25–$37.40	—	—
LH (luteinizing hormone) test CPT 83002 LH	$93.00	$93.00	$14.61–$71.60	7% below	—
LH (luteinizing hormone) test inpatient CPT 83002 LH	$93.00	$93.00	$32.55–$63.24	—	—
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$84.00	$84.00	$5.43–$63.00	100% above	—
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$84.00	$84.00	$29.40–$57.12	—	—
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$45.00	$45.00	$6.44–$41.01	43% below	—
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL	$45.00	$45.00	$15.75–$30.60	—	—
Lyme disease antibody test CPT 86618 LYMES TEST,ELISA	$108.00	$108.00	$13.43–$81.00	28% above	—
Lyme disease antibody test inpatient CPT 86618 LYMES TEST,ELISA	$108.00	$108.00	$37.80–$73.44	—	—
Magnesium blood test CPT 83735 MAGNESIUM URINE	$32.00	$32.00	$5.29–$24.00	5% below	—
Magnesium blood test CPT 83735 MAGNESIUM,SERUM	$54.00	$54.00	$5.29–$40.50	60% above	—
Magnesium blood test inpatient CPT 83735 MAGNESIUM URINE	$32.00	$32.00	$11.20–$21.76	—	—
Magnesium blood test inpatient CPT 83735 MAGNESIUM,SERUM	$54.00	$54.00	$18.90–$36.72	—	—
Measles (rubeola) antibody test CPT 86765 MEASLES TITER,IGG	$88.00	$88.00	$10.16–$66.00	22% above	—
Measles (rubeola) antibody test inpatient CPT 86765 MEASLES TITER,IGG	$88.00	$88.00	$30.80–$59.84	—	—
Mono test (heterophile antibody, Monospot) CPT 86308 MONO TEST	$70.00	$70.00	$4.09–$52.50	82% above	—
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO TEST	$70.00	$70.00	$24.50–$47.60	—	—
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA, FREE (INCL TOTAL)	$130.00	$130.00	$14.51–$99.75	42% above	—
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA, FREE (INCL TOTAL)	$130.00	$130.00	$45.50–$88.40	—	—
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL (POST TREATMENT)	$102.00	$102.00	$14.51–$76.50	14% above	—
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL SCREEN	$102.00	$102.00	$14.51–$76.50	14% above	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL SCREEN	$102.00	$102.00	$35.70–$69.36	—	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL (POST TREATMENT)	$102.00	$102.00	$35.70–$69.36	—	—
Pap test (liquid-based, automated screening with review) CPT 88175 Pap test, automated thin layer	$80.00	$80.00	$20.99–$81.27	3% above	—
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Pap test, automated thin layer	$80.00	$80.00	$28.00–$54.40	—	—
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Cytp C/V Flu Auto Thin Mnl Phy	$51.00	$51.00	$15.98–$101.22	17% below	—
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 THIN PREP PAP TEST DIAGNOSTIC	$95.00	$95.00	$15.98–$101.22	55% above	—
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Cytp C/V Flu Auto Thin Mnl Phy	$51.00	$51.00	$17.85–$34.68	—	—
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 THIN PREP PAP TEST DIAGNOSTIC	$95.00	$95.00	$33.25–$64.60	—	—
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE,C-TERMINAL	$199.00	$199.00	$32.56–$167.70	2% below	—
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE,N-TERMINAL	$199.00	$199.00	$32.56–$167.70	2% below	—
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE,N-TERMINAL	$199.00	$199.00	$69.65–$135.32	—	—
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE,C-TERMINAL	$199.00	$199.00	$69.65–$135.32	—	—
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT	$32.00	$32.00	$4.74–$24.00	22% below	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT	$32.00	$32.00	$11.20–$21.76	—	—
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 FETAL CHROMOSOMAL ANEUPLOIDY	$2,407.00	$2,407.00	$645.19–$2,775.65	16% above	—
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 FETAL CHROMOSOMAL ANEUPLOIDY	$2,407.00	$2,407.00	$842.45–$1,636.76	—	—
Progesterone blood test CPT 84144 PROGESTERONE LEVEL	$102.00	$102.00	$16.46–$80.31	13% below	—
Progesterone blood test inpatient CPT 84144 PROGESTERONE LEVEL	$102.00	$102.00	$35.70–$69.36	—	—
Prolactin blood test CPT 84146 PROLACTIN	$96.00	$96.00	$15.28–$86.80	9% below	—
Prolactin blood test inpatient CPT 84146 PROLACTIN	$96.00	$96.00	$33.60–$65.28	—	—
Prothrombin time (PT/INR) clotting test CPT 85610 PT	$24.00	$24.00	$3.38–$18.00	at median	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT	$24.00	$24.00	$8.40–$16.32	—	—
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA AG TESTING A/B	$105.00	$105.00	$13.06–$78.75	201% above	—
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA AG TESTING A/B	$105.00	$105.00	$36.75–$71.40	—	—
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Iaadiadoo Streptococcus Grp	$22.00	$22.00	$7.70–$45.46	58% below	—
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP TEST, GROUP A	$48.00	$48.00	$13.04–$45.46	8% below	—
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A ASSAY W/OPTIC-MCR	$48.00	$48.00	$13.04–$45.46	8% below	—
Rapid strep A antigen test from a throat swab, read visually CPT 87880 RAPID STREPT ANTIGEN TEST	$81.00	$81.00	$13.04–$60.75	55% above	—
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Iaadiadoo Streptococcus Grp	$22.00	$22.00	$7.70–$14.96	—	—
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP TEST, GROUP A	$48.00	$48.00	$16.80–$32.64	—	—
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP A ASSAY W/OPTIC-MCR	$48.00	$48.00	$16.80–$32.64	—	—
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 RAPID STREPT ANTIGEN TEST	$81.00	$81.00	$28.35–$55.08	—	—
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT	$22.00	$22.00	$4.47–$29.54	44% below	—
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QUANT	$22.00	$22.00	$7.70–$14.96	—	—
Rubella antibody test (immunity check) CPT 86762 RUBELLA	$104.00	$104.00	$11.35–$78.00	29% above	—
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA	$104.00	$104.00	$36.40–$70.72	—	—
Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS, BASIC	$79.00	$79.00	$9.71–$59.25	11% below	—
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 SEMEN ANALYSIS, BASIC	$79.00	$79.00	$27.65–$53.72	—	—
Stool ova and parasites exam CPT 87177 O&P SMR CONC ID	$88.00	$88.00	$7.02–$66.00	79% above	—
Stool ova and parasites exam CPT 87177 OVA/PARASITES	$101.00	$101.00	$7.02–$75.75	105% above	—
Stool ova and parasites exam inpatient CPT 87177 O&P SMR CONC ID	$88.00	$88.00	$30.80–$59.84	—	—
Stool ova and parasites exam inpatient CPT 87177 OVA/PARASITES	$101.00	$101.00	$35.35–$68.68	—	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD	$13.00	$13.00	$3.39–$12.04	36% below	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 BLOOD OCCULT (GUAIAC)	$13.00	$13.00	$3.39–$12.04	36% below	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 BLOOD OCCULT (GUAIAC)-MCR	$13.00	$13.00	$3.39–$12.04	36% below	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 Bld Oclt Proxidase Actv Qual F	$28.00	$28.00	$3.39–$21.00	37% above	—
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD	$13.00	$13.00	$4.55–$8.84	—	—
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 BLOOD OCCULT (GUAIAC)-MCR	$13.00	$13.00	$4.55–$8.84	—	—
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 BLOOD OCCULT (GUAIAC)	$13.00	$13.00	$4.55–$8.84	—	—
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Bld Oclt Proxidase Actv Qual F	$28.00	$28.00	$9.80–$19.04	—	—
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Assay test for blood fecal	$48.00	$48.00	$12.55–$43.78	33% above	—
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Assay test for blood fecal	$48.00	$48.00	$16.80–$32.64	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR, QUALITATIVE	$30.00	$30.00	$3.37–$22.50	10% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR, QUALITATIVE	$30.00	$30.00	$10.50–$20.40	—	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tb Cell Mediated Antign Respns	$179.00	$179.00	$48.89–$269.00	31% below	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON GOLD TB	$254.00	$254.00	$48.89–$269.00	1% below	—
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Tb Cell Mediated Antign Respns	$179.00	$179.00	$62.65–$121.72	—	—
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON GOLD TB	$254.00	$254.00	$88.90–$172.72	—	—
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE,TOTAL SERUM	$128.00	$128.00	$20.36–$102.77	13% below	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE,TOTAL SERUM	$128.00	$128.00	$44.80–$87.04	—	—
Thyroid peroxidase (TPO) antibody test CPT 86376 ANTIMICROSOMAL-AB	$43.00	$43.00	$11.48–$43.99	39% below	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTIMICROSOMAL-AB	$43.00	$43.00	$15.05–$29.24	—	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH	$85.00	$85.00	$13.25–$75.79	2% below	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH	$85.00	$85.00	$29.75–$57.80	—	—
Trichomonas test (NAAT) CPT 87661 TRICOMONAS VAG AMP PROB TECH	$143.00	$143.00	$27.68–$251.62	5% below	—
Trichomonas test (NAAT) inpatient CPT 87661 TRICOMONAS VAG AMP PROB TECH	$143.00	$143.00	$50.05–$97.24	—	—
Uric acid blood test CPT 84550 URIC ACID,SERUM	$64.00	$64.00	$3.56–$48.00	122% above	—
Uric acid blood test inpatient CPT 84550 URIC ACID,SERUM	$64.00	$64.00	$22.40–$43.52	—	—
Urinalysis with microscope exam, manual CPT 81000 URINALYSIS R&M	$24.00	$24.00	$3.17–$18.00	14% above	—
Urinalysis with microscope exam, manual inpatient CPT 81000 URINALYSIS R&M	$24.00	$24.00	$8.40–$16.32	—	—
Urinalysis without microscope exam, automated CPT 81003 Urnls Dip Stick/Tablet Rgnt Au	$10.00	$10.00	$1.78–$18.01	43% below	—
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTOMTD W/O MIC-MCR	$14.00	$14.00	$1.78–$18.01	20% below	—
Urinalysis without microscope exam, automated inpatient CPT 81003 Urnls Dip Stick/Tablet Rgnt Au	$10.00	$10.00	$3.50–$6.80	—	—
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS AUTOMTD W/O MIC-MCR	$14.00	$14.00	$4.90–$9.52	—	—
Urinalysis without microscope exam, manual CPT 81002 Urnls Dip Stick/Tablet Rgnt No	$10.00	$10.00	$2.75–$19.65	43% below	—
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NON-AUTOMATED	$15.00	$15.00	$2.75–$19.65	15% below	—
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NON-AUTOMATED-MCR	$15.00	$15.00	$2.75–$19.65	15% below	—
Urinalysis without microscope exam, manual CPT 81002 URINE W/OUT MICRO	$16.00	$16.00	$2.75–$19.65	9% below	—
Urinalysis without microscope exam, manual CPT 81002 ALBUMIN	$20.00	$20.00	$2.75–$19.65	14% above	—
Urinalysis without microscope exam, manual CPT 81002 ALBUSTIX	$57.00	$57.00	$2.75–$42.75	224% above	—
Urinalysis without microscope exam, manual inpatient CPT 81002 Urnls Dip Stick/Tablet Rgnt No	$10.00	$10.00	$3.50–$6.80	—	—
Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS NON-AUTOMATED-MCR	$15.00	$15.00	$5.25–$10.20	—	—
Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS NON-AUTOMATED	$15.00	$15.00	$5.25–$10.20	—	—
Urinalysis without microscope exam, manual inpatient CPT 81002 URINE W/OUT MICRO	$16.00	$16.00	$5.60–$10.88	—	—
Urinalysis without microscope exam, manual inpatient CPT 81002 ALBUMIN	$20.00	$20.00	$7.00–$13.60	—	—
Urinalysis without microscope exam, manual inpatient CPT 81002 ALBUSTIX	$57.00	$57.00	$19.95–$38.76	—	—
Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE W/QNT COL CT-MCR	$39.00	$39.00	$6.37–$36.99	27% below	—
Urine culture for bacteria, with colony count CPT 87086 CULTURE, URINE W/QUANT COL CT	$39.00	$39.00	$6.37–$36.99	27% below	—
Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE, URINE W/QUANT COL CT	$39.00	$39.00	$13.65–$26.52	—	—
Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE URINE W/QNT COL CT-MCR	$39.00	$39.00	$13.65–$26.52	—	—
Urine pregnancy test, read by color change CPT 81025 Urine Pregnancy Tst Vis Color	$28.00	$28.00	$6.79–$41.64	15% below	—
Urine pregnancy test, read by color change CPT 81025 PREGNANCY TEST URINE-MCR	$30.00	$30.00	$6.79–$41.64	8% below	—
Urine pregnancy test, read by color change CPT 81025 PREGNANCY TEST - URINE	$119.00	$119.00	$6.79–$89.25	263% above	—
Urine pregnancy test, read by color change CPT 81025 PREGNANCY TEST--URINE	$121.00	$121.00	$6.79–$90.75	269% above	—
Urine pregnancy test, read by color change inpatient CPT 81025 Urine Pregnancy Tst Vis Color	$28.00	$28.00	$9.80–$19.04	—	—
Urine pregnancy test, read by color change inpatient CPT 81025 PREGNANCY TEST URINE-MCR	$30.00	$30.00	$10.50–$20.40	—	—
Urine pregnancy test, read by color change inpatient CPT 81025 PREGNANCY TEST - URINE	$119.00	$119.00	$41.65–$80.92	—	—
Urine pregnancy test, read by color change inpatient CPT 81025 PREGNANCY TEST--URINE	$121.00	$121.00	$42.35–$82.28	—	—
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12	$131.00	$131.00	$11.89–$98.25	71% above	—
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12	$131.00	$131.00	$45.85–$89.08	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25, OH	$102.00	$102.00	$23.35–$130.33	29% below	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25, OH	$102.00	$102.00	$35.70–$69.36	—	—
Zinc blood test CPT 84630 ZINC,SERUM	$72.00	$72.00	$8.98–$54.00	25% above	—
Zinc blood test inpatient CPT 84630 ZINC,SERUM	$72.00	$72.00	$25.20–$48.96	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG QUANTITATIVE	$217.00	$217.00	$11.87–$162.75	187% above	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA HCG QUANTITATIVE	$217.00	$217.00	$75.95–$147.56	—	—

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Pennsylvania	Off list
Appendectomy for a ruptured appendix with abscess or peritonitis CPT 44960 Appendec Rptd Appendix Absc/Pr	$2,760.00	$2,760.00	$966.00–$2,346.00	330% above	—
Appendectomy for a ruptured appendix with abscess or peritonitis inpatient CPT 44960 Appendec Rptd Appendix Absc/Pr	$2,760.00	$2,760.00	$966.00–$1,876.80	—	—
Appendectomy, open surgery CPT 44950 Appendec	$1,856.00	$1,856.00	$649.60–$3,853.37	113% above	—
Appendectomy, open surgery inpatient CPT 44950 Appendec	$1,856.00	$1,856.00	$649.60–$1,262.08	—	—
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 Arthrs Aided Ant Cruciate Ligm	$4,329.00	$4,329.00	$1,515.15–$3,679.65	46% below	—
Arthroscopic ACL reconstruction or repair of the knee inpatient CPT 29888 Arthrs Aided Ant Cruciate Ligm	$4,329.00	$4,329.00	$1,515.15–$2,943.72	—	—
Arthroscopic rotator cuff repair of the shoulder CPT 29827 Arths Shld Rotator Cuff Repair	$3,340.00	$3,340.00	$1,169.00–$2,695.08	42% below	—
Arthroscopic rotator cuff repair of the shoulder inpatient CPT 29827 Arths Shld Rotator Cuff Repair	$3,340.00	$3,340.00	$1,169.00–$2,271.20	—	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 STEREOTACTIC BREAST BX	$3,619.00	$3,619.00	$1,266.65–$2,714.25	2% above	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 STEREOTACTIC BREAST BX	$3,619.00	$3,619.00	$1,266.65–$2,460.92	—	—
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CLOSED TX FIBULA FX-MCR	$642.00	$642.00	$204.22–$1,295.78	11% above	—
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CLOSED TX FIBULA FX	$642.00	$642.00	$204.22–$1,295.78	11% above	—
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Cltx Dstl Fibular Fx Lat Malls	$683.00	$683.00	$204.22–$1,295.78	18% above	—
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CLSD RX DISTAL FIBULAR FX W/O	$688.00	$688.00	$204.22–$1,295.78	19% above	—
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 CLOSED TX FIBULA FX-MCR	$642.00	$642.00	$224.70–$436.56	—	—
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 CLOSED TX FIBULA FX	$642.00	$642.00	$224.70–$436.56	—	—
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 Cltx Dstl Fibular Fx Lat Malls	$683.00	$683.00	$239.05–$464.44	—	—
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 CLSD RX DISTAL FIBULAR FX W/O	$688.00	$688.00	$240.80–$467.84	—	—
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 CLOSED TX METATARSAL FX W/O MA	$266.00	$266.00	$93.10–$314.12	47% below	—
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Closed Tx Metatarsal Fracture	$541.00	$541.00	$189.35–$405.75	8% above	—
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 CL TX METATARSL FX W/O MAN-MCR	$642.00	$642.00	$204.22–$481.50	28% above	—
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 CLOSED TX METATARSAL FX W/O MA	$266.00	$266.00	$93.10–$180.88	—	—
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 Closed Tx Metatarsal Fracture	$541.00	$541.00	$189.35–$367.88	—	—
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 CL TX METATARSL FX W/O MAN-MCR	$642.00	$642.00	$224.70–$436.56	—	—
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 Corrj Hallux Valgus +-Sesmdc W	$1,554.00	$1,554.00	$543.90–$1,973.84	54% below	—
Bunion correction with a bone cut near the head of the first metatarsal inpatient CPT 28296 Corrj Hallux Valgus +-Sesmdc W	$1,554.00	$1,554.00	$543.90–$1,056.72	—	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION (ELEC) BY RN	$811.00	$811.00	$283.85–$793.98	35% below	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION (ELEC) BY RN	$811.00	$811.00	$283.85–$551.48	—	—
Carpal tunnel release, open surgery CPT 64721 Neurp&/Trpos Median Nrv Carpl	$1,487.00	$1,487.00	$520.45–$1,720.04	61% below	—
Carpal tunnel release, open surgery inpatient CPT 64721 Neurp&/Trpos Median Nrv Carpl	$1,487.00	$1,487.00	$520.45–$1,011.16	—	—
Cataract surgery with lens implant CPT 66984 Cataract Removal Insertion Of	$1,619.00	$1,619.00	$566.65–$3,857.31	11% below	—
Cataract surgery with lens implant inpatient CPT 66984 Cataract Removal Insertion Of	$1,619.00	$1,619.00	$566.65–$1,100.92	—	—
Cervical biopsy CPT 57500 Biopsy Cervix 1/Mlt Or Excisio	$222.00	$222.00	$77.70–$3,183.06	87% below	—
Cervical biopsy inpatient CPT 57500 Biopsy Cervix 1/Mlt Or Excisio	$222.00	$222.00	$77.70–$150.96	—	—
Cesarean delivery, including prenatal and postpartum care CPT 59510 Ob Antepartum Care C Dlvr&post	$6,916.00	$6,916.00	$2,420.60–$5,878.60	50% above	—
Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 Ob Antepartum Care C Dlvr&post	$6,916.00	$6,916.00	$2,420.60–$4,702.88	—	—
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 Circumcision >28 Days	$704.00	$704.00	$246.40–$1,720.38	84% below	—
Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 Circumcision >28 Days	$704.00	$704.00	$246.40–$478.72	—	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision W/Clamp/Oth Dev W	$303.00	$303.00	$106.05–$300.09	75% below	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION (OUTPATIENT)	$474.00	$474.00	$165.90–$355.50	61% below	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 Circumcision W/Clamp/Oth Dev W	$303.00	$303.00	$106.05–$206.04	—	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION (OUTPATIENT)	$474.00	$474.00	$165.90–$322.32	—	—
Circumcision, surgical, older than a newborn CPT 54160 Circumcision Neonate	$541.00	$541.00	$189.35–$405.75	11% above	—
Circumcision, surgical, older than a newborn inpatient CPT 54160 Circumcision Neonate	$541.00	$541.00	$189.35–$367.88	—	—
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Cltx Dstl Radial Fx/Epiphysl S	$584.00	$584.00	$204.22–$438.00	16% above	—
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLD TX DISTAL RADIUS FX WO MAN	$642.00	$642.00	$204.22–$481.50	27% above	—
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CL TX DSTL RADL FX W/O MAN-MCR	$642.00	$642.00	$204.22–$481.50	27% above	—
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 Cltx Dstl Radial Fx/Epiphysl S	$584.00	$584.00	$204.40–$397.12	—	—
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 CLD TX DISTAL RADIUS FX WO MAN	$642.00	$642.00	$224.70–$436.56	—	—
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 CL TX DSTL RADL FX W/O MAN-MCR	$642.00	$642.00	$224.70–$436.56	—	—
Colonoscopy with polyp removal CPT 45385 Colsc Flx Prox Splenic Flxr Rm	$1,190.00	$1,190.00	$416.50–$1,718.79	52% below	—
Colonoscopy with polyp removal inpatient CPT 45385 Colsc Flx Prox Splenic Flxr Rm	$1,190.00	$1,190.00	$416.50–$809.20	—	—
Colonoscopy with tissue sample CPT 45380 Scope Of Colon With Biopsy	$725.00	$725.00	$253.75–$1,719.87	64% below	—
Colonoscopy with tissue sample inpatient CPT 45380 Scope Of Colon With Biopsy	$725.00	$725.00	$253.75–$493.00	—	—
Colonoscopy, diagnostic CPT 45378 Scope Of Colon For Diagnosis	$650.00	$650.00	$227.50–$1,732.32	57% below	—
Colonoscopy, diagnostic inpatient CPT 45378 Scope Of Colon For Diagnosis	$650.00	$650.00	$227.50–$442.00	—	—
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 Bx of cervix w/scope leep	$463.00	$463.00	$162.05–$3,866.02	91% below	—
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 Bx of cervix w/scope leep	$463.00	$463.00	$162.05–$314.84	—	—
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Colposcopy Cervix Bx Cervix&en	$206.00	$206.00	$72.10–$312.45	41% below	—
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 BX/CURETT OF CERVIX W/SCPE-MCR	$223.00	$223.00	$78.05–$312.45	36% below	—
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 Colposcopy Cervix Bx Cervix&en	$206.00	$206.00	$72.10–$140.08	—	—
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 BX/CURETT OF CERVIX W/SCPE-MCR	$223.00	$223.00	$78.05–$151.64	—	—
Complex cataract surgery with lens implant CPT 66982 Xcapsl Ctrc Rmvl Insj Lens Pro	$2,130.00	$2,130.00	$745.50–$2,233.45	24% below	—
Complex cataract surgery with lens implant inpatient CPT 66982 Xcapsl Ctrc Rmvl Insj Lens Pro	$2,130.00	$2,130.00	$745.50–$1,448.40	—	—
Cystoscopy with ureteral stent placement CPT 52332 CYSTOSCOPY AND TREATMENT	$866.00	$866.00	$303.10–$1,733.24	80% below	—
Cystoscopy with ureteral stent placement CPT 52332 CYSTO W/INS INDWL UR STNT-MCR	$6,255.00	$6,255.00	$1,733.24–$4,691.25	46% above	—
Cystoscopy with ureteral stent placement inpatient CPT 52332 CYSTOSCOPY AND TREATMENT	$866.00	$866.00	$303.10–$588.88	—	—
Cystoscopy with ureteral stent placement inpatient CPT 52332 CYSTO W/INS INDWL UR STNT-MCR	$6,255.00	$6,255.00	$2,189.25–$4,253.40	—	—
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystourethroscopy	$541.00	$541.00	$189.35–$1,283.13	64% below	—
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystourethroscopy in Endo	$541.00	$541.00	$189.35–$1,283.13	64% below	—
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSOURETHROSCOPY W/IR&EVAC-MCR	$1,645.00	$1,645.00	$575.75–$1,283.13	8% above	—
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystoscopy w/biopsy(s)	$5,822.00	$5,822.00	$577.31–$4,366.50	282% above	—
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 Cystourethroscopy in Endo	$541.00	$541.00	$189.35–$367.88	—	—
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 Cystourethroscopy	$541.00	$541.00	$189.35–$367.88	—	—
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSOURETHROSCOPY W/IR&EVAC-MCR	$1,645.00	$1,645.00	$575.75–$1,118.60	—	—
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 Cystoscopy w/biopsy(s)	$5,822.00	$5,822.00	$2,037.70–$3,958.96	—	—
D&C (dilation and curettage), not related to pregnancy CPT 58120 D&c Dx&/Ther	$699.00	$699.00	$244.65–$1,719.83	86% below	—
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 D&c Dx&/Ther	$699.00	$699.00	$244.65–$475.32	—	—
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruction Premalignant Lesio	$108.00	$108.00	$37.80–$312.53	44% below	—
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTR BENIGN LESION SNGL-MCR	$438.00	$438.00	$153.30–$328.50	127% above	—
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 Destruction Premalignant Lesio	$108.00	$108.00	$37.80–$73.44	—	—
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DESTR BENIGN LESION SNGL-MCR	$438.00	$438.00	$153.30–$297.84	—	—
Earwax removal by irrigation (rinsing), one ear CPT 69209 Removal of Imp Cerumen irrigat	$36.00	$36.00	$12.60–$120.15	69% below	—
Earwax removal by irrigation (rinsing), one ear CPT 69209 REM IMPACTED EAR WAX UNI-MCR	$165.00	$165.00	$48.84–$123.75	41% above	—
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 Removal of Imp Cerumen irrigat	$36.00	$36.00	$12.60–$24.48	—	—
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REM IMPACTED EAR WAX UNI-MCR	$165.00	$165.00	$57.75–$112.20	—	—
Earwax removal with instruments, one ear CPT 69210 Rmvl Impacted Cerumen Spx 1/Bt	$75.00	$75.00	$26.25–$56.25	38% below	—
Earwax removal with instruments, one ear CPT 69210 REMOVAL IMPACTED CERUMEN	$129.00	$129.00	$36.49–$96.75	7% above	—
Earwax removal with instruments, one ear CPT 69210 REM IMPACT CERUMEN W/INSTRU UN	$157.00	$157.00	$36.49–$117.75	30% above	—
Earwax removal with instruments, one ear CPT 69210 REM IMPACTED CERUMEN-MCR	$159.00	$159.00	$36.49–$119.25	32% above	—
Earwax removal with instruments, one ear inpatient CPT 69210 Rmvl Impacted Cerumen Spx 1/Bt	$75.00	$75.00	$26.25–$51.00	—	—
Earwax removal with instruments, one ear inpatient CPT 69210 REMOVAL IMPACTED CERUMEN	$129.00	$129.00	$45.15–$87.72	—	—
Earwax removal with instruments, one ear inpatient CPT 69210 REM IMPACT CERUMEN W/INSTRU UN	$157.00	$157.00	$54.95–$106.76	—	—
Earwax removal with instruments, one ear inpatient CPT 69210 REM IMPACTED CERUMEN-MCR	$159.00	$159.00	$55.65–$108.12	—	—
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Endometrial Bx +-Endocrv Bx W/	$146.00	$146.00	$51.10–$797.08	53% below	—
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 ENDOMETRIAL BIOPSY-MCR	$160.00	$160.00	$56.00–$797.08	49% below	—
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 Endometrial Bx +-Endocrv Bx W/	$146.00	$146.00	$51.10–$99.28	—	—
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 ENDOMETRIAL BIOPSY-MCR	$160.00	$160.00	$56.00–$108.80	—	—
Eye injection into the vitreous (intravitreal injection) CPT 67028 Intravitreal Njx Pharmacologic	$420.00	$420.00	$147.00–$658.15	18% below	—
Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 Intravitreal Njx Pharmacologic	$420.00	$420.00	$147.00–$285.60	—	—
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 RPR AA Hernia 1st 3-10cm Reduc	$1,680.00	$1,680.00	$588.00–$3,173.81	80% below	—
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm inpatient CPT 49593 RPR AA Hernia 1st 3-10cm Reduc	$1,680.00	$1,680.00	$588.00–$1,142.40	—	—
First repair of a front abdominal hernia larger than 10 cm CPT 49595 RPR AA Hernia 1st <10cm Reduci	$2,265.00	$2,265.00	$792.75–$3,173.81	68% below	—
First repair of a front abdominal hernia larger than 10 cm inpatient CPT 49595 RPR AA Hernia 1st <10cm Reduci	$2,265.00	$2,265.00	$792.75–$1,540.20	—	—
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 RPR AA Hernia 1st <3cm Reduc	$1,005.00	$1,005.00	$351.75–$3,173.81	83% below	—
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 RPR AA Hernia 1st <3cm Reduc	$1,005.00	$1,005.00	$351.75–$683.40	—	—
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Scope Of Sigmoid Colon Only Fo	$271.00	$271.00	$94.85–$783.42	62% below	—
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 Scope Of Sigmoid Colon Only Fo	$271.00	$271.00	$94.85–$184.28	—	—
Gallbladder removal, laparoscopic CPT 47562 Laps Surg Cholecstc	$2,124.00	$2,124.00	$743.40–$3,853.03	72% below	—
Gallbladder removal, laparoscopic inpatient CPT 47562 Laps Surg Cholecstc	$2,124.00	$2,124.00	$743.40–$1,444.32	—	—
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 Laps Surg Cholecstc W/Cholangr	$2,775.00	$2,775.00	$971.25–$3,865.48	69% below	—
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 Laps Surg Cholecstc W/Cholangr	$2,775.00	$2,775.00	$971.25–$1,887.00	—	—
Gallbladder removal, open surgery through a larger incision CPT 47600 Cholecstc	$3,434.00	$3,434.00	$924.99–$3,866.73	121% above	—
Gallbladder removal, open surgery through a larger incision inpatient CPT 47600 Cholecstc	$3,434.00	$3,434.00	$1,201.90–$2,335.12	—	—
Hemorrhoid banding (rubber band ligation) CPT 46221 Hemorrhoidectomy Internal Rubb	$577.00	$577.00	$201.95–$1,731.73	at median	—
Hemorrhoid banding (rubber band ligation) CPT 46221 HEMRRHOIDCTMY INT RUB BAND-MCR	$1,329.00	$1,329.00	$465.15–$1,731.73	130% above	—
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 Hemorrhoidectomy Internal Rubb	$577.00	$577.00	$201.95–$392.36	—	—
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HEMRRHOIDCTMY INT RUB BAND-MCR	$1,329.00	$1,329.00	$465.15–$903.72	—	—
Hemorrhoidectomy (internal and external), one area CPT 46255 Hemorrhoidectomy Ntrnl & Xtrnl	$1,096.00	$1,096.00	$383.60–$1,972.87	75% below	—
Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 Hemorrhoidectomy Ntrnl & Xtrnl	$1,096.00	$1,096.00	$383.60–$745.28	—	—
Hysterectomy through an abdominal incision (total) CPT 58150 Tah +-Rmvl Tube +-Rmvl Ovary	$3,853.00	$3,853.00	$1,348.55–$6,739.00	34% above	—
Hysterectomy through an abdominal incision (total) inpatient CPT 58150 Tah +-Rmvl Tube +-Rmvl Ovary	$3,853.00	$3,853.00	$1,348.55–$2,620.04	—	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Cathj&intro Saline Nfs Shg/Hsg	$168.00	$168.00	$58.80–$313.74	49% below	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 CATHETER FOR HYSTEROGRAPHY	$667.00	$667.00	$233.45–$566.95	102% above	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 Cathj&intro Saline Nfs Shg/Hsg	$168.00	$168.00	$58.80–$114.24	—	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 CATHETER FOR HYSTEROGRAPHY	$667.00	$667.00	$233.45–$453.56	—	—
Hysteroscopy with endometrial ablation CPT 58563 Hystsc Endometrial Abltj	$731.00	$731.00	$255.85–$1,972.45	92% below	—
Hysteroscopy with endometrial ablation inpatient CPT 58563 Hystsc Endometrial Abltj	$731.00	$731.00	$255.85–$497.08	—	—
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 Hystsc Bx Endometrium&/Polypc	$686.00	$686.00	$240.10–$999.55	78% below	—
Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 Hystsc Bx Endometrium&/Polypc	$686.00	$686.00	$240.10–$466.48	—	—
IUD insertion (the device itself billed separately) CPT 58300 Insj Intrauterine Dev	$364.00	$364.00	$36.52–$273.00	43% above	—
IUD insertion (the device itself billed separately) inpatient CPT 58300 Insj Intrauterine Dev	$364.00	$364.00	$127.40–$247.52	—	—
Incision and drainage of a simple or single skin abscess CPT 10060 Inc & Drn Abscess Simple/Singl	$300.00	$300.00	$105.00–$300.84	17% below	—
Incision and drainage of a simple or single skin abscess CPT 10060 I & D ABCESS SIMPLE OR SINGLE	$529.00	$529.00	$166.11–$396.75	47% above	—
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABCESS SIMPLE	$529.00	$529.00	$166.11–$396.75	47% above	—
Incision and drainage of a simple or single skin abscess CPT 10060 DRAINAGE OF SKIN ABSCESS SINGL	$529.00	$529.00	$166.11–$396.75	47% above	—
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE/SINGLE-MCR	$529.00	$529.00	$166.11–$396.75	47% above	—
Incision and drainage of a simple or single skin abscess CPT 10060 DRAINAGE OF SKIN ABSCESS	$529.00	$529.00	$166.11–$396.75	47% above	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Inc & Drn Abscess Simple/Singl	$300.00	$300.00	$105.00–$204.00	—	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SIMPLE/SINGLE-MCR	$529.00	$529.00	$185.15–$359.72	—	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I & D ABCESS SIMPLE OR SINGLE	$529.00	$529.00	$185.15–$359.72	—	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABCESS SIMPLE	$529.00	$529.00	$185.15–$359.72	—	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 DRAINAGE OF SKIN ABSCESS SINGL	$529.00	$529.00	$185.15–$359.72	—	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 DRAINAGE OF SKIN ABSCESS	$529.00	$529.00	$185.15–$359.72	—	—
Inguinal (groin) hernia repair, age 5 or older CPT 49505 Rpr 1st Ingun Hrna Age 5 Yrs/>	$1,158.00	$1,158.00	$405.30–$2,431.78	63% below	—
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 Rpr 1st Ingun Hrna Age 5 Yrs/>	$1,158.00	$1,158.00	$405.30–$787.44	—	—
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Injection 1 Tendon Sheath/Liga	$103.00	$103.00	$36.05–$489.45	85% below	—
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 PF US-INJ TENDON SHEATH/LGMNT	$169.00	$169.00	$59.15–$489.45	75% below	—
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECT TENDON/TRIGGER POINT	$259.00	$259.00	$90.65–$489.45	62% below	—
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 US INJ TENDON SHEATH/LIGAMENT	$595.00	$595.00	$208.25–$489.45	13% below	—
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHEATH-MCR	$633.00	$633.00	$221.55–$489.45	7% below	—
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECT/S SINGLE TENDON SHEATH	$634.00	$634.00	$221.90–$489.45	7% below	—
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Injection 1 Tendon Sheath/Liga	$103.00	$103.00	$36.05–$70.04	—	—
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 PF US-INJ TENDON SHEATH/LGMNT	$169.00	$169.00	$59.15–$114.92	—	—
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJECT TENDON/TRIGGER POINT	$259.00	$259.00	$90.65–$176.12	—	—
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 US INJ TENDON SHEATH/LIGAMENT	$595.00	$595.00	$208.25–$404.60	—	—
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ TENDON SHEATH-MCR	$633.00	$633.00	$221.55–$430.44	—	—
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJECT/S SINGLE TENDON SHEATH	$634.00	$634.00	$221.90–$431.12	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocentesis Asp&/Inj Maj Jt	$124.00	$124.00	$43.40–$93.00	73% below	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 PF XR HIP ASPIRATION	$188.00	$188.00	$49.73–$141.00	59% below	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 INJ/ASP, MAJOR JT W/O US GUIDE	$633.00	$633.00	$49.73–$474.75	39% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASPIR MAJ JOINT BURSA	$633.00	$633.00	$49.73–$474.75	39% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN BURSA MAJOR JOINT	$633.00	$633.00	$49.73–$474.75	39% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Arthrocentesis Asp&/Inj Maj Jt	$124.00	$124.00	$43.40–$84.32	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 PF XR HIP ASPIRATION	$188.00	$188.00	$65.80–$127.84	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ASPIR MAJ JOINT BURSA	$633.00	$633.00	$221.55–$430.44	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN BURSA MAJOR JOINT	$633.00	$633.00	$221.55–$430.44	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 INJ/ASP, MAJOR JT W/O US GUIDE	$633.00	$633.00	$221.55–$430.44	—	—
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insj Non-Biodeg Drug Del Imp	$432.00	$432.00	$110.15–$2,100.27	98% above	—
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 Insj Non-Biodeg Drug Del Imp	$432.00	$432.00	$151.20–$293.76	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arthrocentesis Asp&/Inj Int J	$108.00	$108.00	$37.80–$81.00	71% below	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN BURSA WRIST/ELBOW	$259.00	$259.00	$48.72–$194.25	30% below	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ASPIR OR INJ INTERM JNT-MCR	$633.00	$633.00	$48.72–$474.75	71% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ASPIR OR INJ INTERMED JOINT	$633.00	$633.00	$48.72–$474.75	71% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Arthrocentesis Asp&/Inj Int J	$108.00	$108.00	$37.80–$73.44	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN BURSA WRIST/ELBOW	$259.00	$259.00	$90.65–$176.12	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ASPIR OR INJ INTERMED JOINT	$633.00	$633.00	$221.55–$430.44	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ASPIR OR INJ INTERM JNT-MCR	$633.00	$633.00	$221.55–$430.44	—	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Arthrocentesis Asp&/Inj Sm Jt	$103.00	$103.00	$36.05–$123.75	76% below	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENT,ASPIR,INJ SM JOINT	$198.00	$198.00	$69.30–$148.50	54% below	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHRCNT,ASPIR,INJ SM JNT-MCR	$800.00	$800.00	$123.75–$600.00	84% above	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Arthrocentesis Asp&/Inj Sm Jt	$103.00	$103.00	$36.05–$70.04	—	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCENT,ASPIR,INJ SM JOINT	$198.00	$198.00	$69.30–$134.64	—	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHRCNT,ASPIR,INJ SM JNT-MCR	$800.00	$800.00	$280.00–$544.00	—	—
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 Arths Knee W/Meniscus Rpr Medi	$2,973.00	$2,973.00	$1,040.55–$2,229.75	11% below	—
Knee arthroscopy with meniscus repair (one side of the knee) inpatient CPT 29882 Arths Knee W/Meniscus Rpr Medi	$2,973.00	$2,973.00	$1,040.55–$2,021.64	—	—
Knee arthroscopy with meniscus trim CPT 29881 Arthrs Kne Surg W/Meniscectomy	$2,772.00	$2,772.00	$970.20–$2,431.57	17% below	—
Knee arthroscopy with meniscus trim inpatient CPT 29881 Arthrs Kne Surg W/Meniscectomy	$2,772.00	$2,772.00	$970.20–$1,884.96	—	—
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 Arthrs Knee W/Meniscectomy Med	$2,389.00	$2,389.00	$836.15–$2,445.81	29% below	—
Knee arthroscopy with removal of both torn meniscus parts inpatient CPT 29880 Arthrs Knee W/Meniscectomy Med	$2,389.00	$2,389.00	$836.15–$1,624.52	—	—
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 Arthrs Knee Debrd/Shaving Artc	$2,772.00	$2,772.00	$970.20–$2,433.16	7% below	—
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) inpatient CPT 29877 Arthrs Knee Debrd/Shaving Artc	$2,772.00	$2,772.00	$970.20–$1,884.96	—	—
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 Laps Surg Appendec	$1,898.00	$1,898.00	$664.30–$3,867.28	62% below	—
Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 Laps Surg Appendec	$1,898.00	$1,898.00	$664.30–$1,290.64	—	—
Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 Laps Surg Esopg/Gstr Fundoplas	$3,832.00	$3,832.00	$1,341.20–$3,490.86	at median	—
Laparoscopic fundoplication (anti-reflux surgery) inpatient CPT 43280 Laps Surg Esopg/Gstr Fundoplas	$3,832.00	$3,832.00	$1,341.20–$2,605.76	—	—
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 Laps Total Hysterectomy 250 G/	$2,713.00	$2,713.00	$949.55–$4,502.60	46% below	—
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries inpatient CPT 58571 Laps Total Hysterectomy 250 G/	$2,713.00	$2,713.00	$949.55–$1,844.84	—	—
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 Laps Surg Rpr 1st Ingun Hrna	$1,623.00	$1,623.00	$568.05–$2,444.68	69% below	—
Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 Laps Surg Rpr 1st Ingun Hrna	$1,623.00	$1,623.00	$568.05–$1,103.64	—	—
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 Laps Surg Rpr Recrt Ingun Hrna	$1,575.00	$1,575.00	$551.25–$3,866.02	74% below	—
Laparoscopic inguinal (groin) hernia repair, recurrent hernia inpatient CPT 49651 Laps Surg Rpr Recrt Ingun Hrna	$1,575.00	$1,575.00	$551.25–$1,071.00	—	—
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 Laps Rmvl Adnexal Struxs	$2,050.00	$2,050.00	$717.50–$2,923.66	71% below	—
Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 Laps Rmvl Adnexal Struxs	$2,050.00	$2,050.00	$717.50–$1,394.00	—	—
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 Post-Cataract Laser Surgery	$918.00	$918.00	$321.30–$1,732.28	4% above	—
Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 Post-Cataract Laser Surgery	$918.00	$918.00	$321.30–$624.24	—	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Repair Intermediate S/A/T/E 2.	$464.00	$464.00	$162.40–$348.00	4% below	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAYERED CLSR SCALP .6-1CM-MCR	$660.00	$660.00	$231.00–$495.00	37% above	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAYERED CLOSURE SCALP 0-2.5CM	$660.00	$660.00	$231.00–$495.00	37% above	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Repair Intermediate S/A/T/E 2.	$464.00	$464.00	$162.40–$315.52	—	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LAYERED CLSR SCALP .6-1CM-MCR	$660.00	$660.00	$231.00–$448.80	—	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LAYERED CLOSURE SCALP 0-2.5CM	$660.00	$660.00	$231.00–$448.80	—	—
Lumpectomy (partial mastectomy) CPT 19301 Mastectomy Partial	$2,093.00	$2,093.00	$732.55–$3,170.12	65% below	—
Lumpectomy (partial mastectomy) inpatient CPT 19301 Mastectomy Partial	$2,093.00	$2,093.00	$732.55–$1,423.24	—	—
Mastectomy (total removal of the breast) CPT 19303 Mastectomy Simple Complete	$3,154.00	$3,154.00	$1,025.82–$2,365.50	54% below	—
Mastectomy (total removal of the breast) inpatient CPT 19303 Mastectomy Simple Complete	$3,154.00	$3,154.00	$1,103.90–$2,144.72	—	—
Miscarriage treatment with D&C, first trimester CPT 59820 Tx Missed Ab Compld Surgly 1st	$1,110.00	$1,110.00	$388.50–$3,183.82	79% below	—
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 Tx Missed Ab Compld Surgly 1st	$1,110.00	$1,110.00	$388.50–$754.80	—	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc B9 Les Mrgn Xcp Sk Tg T/A/	$241.00	$241.00	$84.35–$796.74	79% below	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EX BENIGH LESION <0.5 CM-MCR	$1,136.00	$1,136.00	$397.60–$852.00	1% above	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Exc B9 Les Mrgn Xcp Sk Tg T/A/	$241.00	$241.00	$84.35–$163.88	—	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EX BENIGH LESION <0.5 CM-MCR	$1,136.00	$1,136.00	$397.60–$772.48	—	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Exc B9 Les Mrgn Xcp Sk Tg F/E/	$307.00	$307.00	$107.45–$1,294.40	58% below	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXCIS,BENIGN LES .5 CM <-MCR	$1,137.00	$1,137.00	$397.95–$1,294.40	57% above	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 Exc B9 Les Mrgn Xcp Sk Tg F/E/	$307.00	$307.00	$107.45–$208.76	—	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXCIS,BENIGN LES .5 CM <-MCR	$1,137.00	$1,137.00	$397.95–$773.16	—	—
Nail removal (partial or complete), one nail CPT 11730 Avulsion Nail Plt Prt/Cmp Sim	$113.00	$113.00	$39.55–$314.41	63% below	—
Nail removal (partial or complete), one nail CPT 11730 AVULSION/REMOVAL NAIL PLATE	$114.00	$114.00	$39.90–$314.41	63% below	—
Nail removal (partial or complete), one nail CPT 11730 REMOVAL SINGLE NAIL-MCR	$125.00	$125.00	$43.75–$314.41	60% below	—
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE SINGLE/SIM	$210.00	$210.00	$73.50–$314.41	32% below	—
Nail removal (partial or complete), one nail inpatient CPT 11730 Avulsion Nail Plt Prt/Cmp Sim	$113.00	$113.00	$39.55–$76.84	—	—
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION/REMOVAL NAIL PLATE	$114.00	$114.00	$39.90–$77.52	—	—
Nail removal (partial or complete), one nail inpatient CPT 11730 REMOVAL SINGLE NAIL-MCR	$125.00	$125.00	$43.75–$85.00	—	—
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAIL PLATE SINGLE/SIM	$210.00	$210.00	$73.50–$142.80	—	—
Occipital nerve block (injection for headaches) CPT 64405 OCCIPITAL NERVE BLOCK	$178.00	$178.00	$62.30–$783.38	70% below	—
Occipital nerve block (injection for headaches) inpatient CPT 64405 OCCIPITAL NERVE BLOCK	$178.00	$178.00	$62.30–$121.04	—	—
Pacemaker implant (dual chamber) CPT 33208 Insj/Rplcmt Prm Pm W/Transvns	$1,611.00	$1,611.00	$563.85–$6,161.69	90% below	—
Pacemaker implant (dual chamber) inpatient CPT 33208 Insj/Rplcmt Prm Pm W/Transvns	$1,611.00	$1,611.00	$563.85–$1,095.48	—	—
Paracentesis with imaging guidance CPT 49083 Abdominal paracentesisw/imagin	$330.00	$330.00	$115.50–$2,320.63	80% below	—
Paracentesis with imaging guidance CPT 49083 PF CT GUIDED PARACENTESIS	$853.00	$853.00	$298.55–$2,320.63	49% below	—
Paracentesis with imaging guidance CPT 49083 PF US PARACENTESIS- IMAGING	$853.00	$853.00	$298.55–$2,320.63	49% below	—
Paracentesis with imaging guidance CPT 49083 PARACENTESIS W/IMAGE GUIDANCE	$1,486.00	$1,486.00	$520.10–$2,320.63	12% below	—
Paracentesis with imaging guidance CPT 49083 PARACENTESIS WITH IMAGE GUIDE	$1,758.00	$1,758.00	$615.30–$2,320.63	4% above	—
Paracentesis with imaging guidance inpatient CPT 49083 Abdominal paracentesisw/imagin	$330.00	$330.00	$115.50–$224.40	—	—
Paracentesis with imaging guidance inpatient CPT 49083 PF US PARACENTESIS- IMAGING	$853.00	$853.00	$298.55–$580.04	—	—
Paracentesis with imaging guidance inpatient CPT 49083 PF CT GUIDED PARACENTESIS	$853.00	$853.00	$298.55–$580.04	—	—
Paracentesis with imaging guidance inpatient CPT 49083 PARACENTESIS W/IMAGE GUIDANCE	$1,486.00	$1,486.00	$520.10–$1,010.48	—	—
Paracentesis with imaging guidance inpatient CPT 49083 PARACENTESIS WITH IMAGE GUIDE	$1,758.00	$1,758.00	$615.30–$1,195.44	—	—
Partial knee replacement (one compartment) CPT 27446 Arthrp Knee Condyle&plateau Me	$5,410.00	$5,410.00	$1,893.50–$4,598.50	at median	—
Partial knee replacement (one compartment) inpatient CPT 27446 Arthrp Knee Condyle&plateau Me	$5,410.00	$5,410.00	$1,893.50–$3,678.80	—	—
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Excision Nail Matrix Permanent	$184.00	$184.00	$64.40–$783.59	69% below	—
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION NAIL PART OR COMP-MCR	$1,137.00	$1,137.00	$336.57–$852.75	91% above	—
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Excision Nail Matrix Permanent	$184.00	$184.00	$64.40–$125.12	—	—
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXCISION NAIL PART OR COMP-MCR	$1,137.00	$1,137.00	$397.95–$773.16	—	—
Prostate biopsy CPT 55700 Prostate Needle Biopsy Any App	$733.00	$733.00	$256.55–$1,733.20	75% below	—
Prostate biopsy CPT 55700 BX PROSTATE NEEDLE/PUNCH-MCR	$4,385.00	$4,385.00	$1,534.75–$3,727.25	52% above	—
Prostate biopsy inpatient CPT 55700 Prostate Needle Biopsy Any App	$733.00	$733.00	$256.55–$498.44	—	—
Prostate biopsy inpatient CPT 55700 BX PROSTATE NEEDLE/PUNCH-MCR	$4,385.00	$4,385.00	$1,534.75–$2,981.80	—	—
Prostate removal (prostatectomy), laparoscopic CPT 55866 Laps Prstect Retropubic Rad W/	$5,564.00	$5,564.00	$1,947.40–$18,204.83	72% below	—
Prostate removal (prostatectomy), laparoscopic inpatient CPT 55866 Laps Prstect Retropubic Rad W/	$5,564.00	$5,564.00	$1,947.40–$3,783.52	—	—
Removal of a breast lump, open surgery CPT 19120 Exc Cyst/Aberrant Breast Tissu	$1,235.00	$1,235.00	$432.25–$1,986.11	80% below	—
Removal of a breast lump, open surgery CPT 19120 REMOVAL OF BREAST LESION-MCR	$9,675.00	$9,675.00	$1,986.11–$7,256.25	56% above	—
Removal of a breast lump, open surgery inpatient CPT 19120 Exc Cyst/Aberrant Breast Tissu	$1,235.00	$1,235.00	$432.25–$839.80	—	—
Removal of a breast lump, open surgery inpatient CPT 19120 REMOVAL OF BREAST LESION-MCR	$9,675.00	$9,675.00	$3,386.25–$6,579.00	—	—
Removal of a foreign object under the skin, simple CPT 10120 Incision&removal Foreign Body	$162.00	$162.00	$56.70–$313.16	67% below	—
Removal of a foreign object under the skin, simple CPT 10120 INC&REM FGN BDY SIMPLE-MCR	$849.00	$849.00	$297.15–$636.75	74% above	—
Removal of a foreign object under the skin, simple CPT 10120 INC & REM FOREIGN BODY SIMPLE	$849.00	$849.00	$297.15–$636.75	74% above	—
Removal of a foreign object under the skin, simple CPT 10120 REMOVE FOREIGN BODY	$932.00	$932.00	$313.16–$699.00	91% above	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 Incision&removal Foreign Body	$162.00	$162.00	$56.70–$110.16	—	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 INC&REM FGN BDY SIMPLE-MCR	$849.00	$849.00	$297.15–$577.32	—	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 INC & REM FOREIGN BODY SIMPLE	$849.00	$849.00	$297.15–$577.32	—	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 REMOVE FOREIGN BODY	$932.00	$932.00	$326.20–$633.76	—	—
Removal of one lobe of the thyroid (lobectomy) CPT 60220 Tot Thyr Lobec Uni +-Isthmusec	$2,197.00	$2,197.00	$768.95–$1,719.79	66% below	—
Removal of one lobe of the thyroid (lobectomy) inpatient CPT 60220 Tot Thyr Lobec Uni +-Isthmusec	$2,197.00	$2,197.00	$768.95–$1,493.96	—	—
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Colorectal Ca Scrn	$705.00	$705.00	$246.75–$1,632.94	54% below	—
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 Colorectal Ca Scrn	$705.00	$705.00	$246.75–$479.40	—	—
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Colorectal Ca Screen	$692.00	$692.00	$242.20–$1,677.14	58% below	—
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 Colorectal Ca Screen	$692.00	$692.00	$242.20–$470.56	—	—
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 Lithotrp Xtrcorp Shock Wave	$1,731.00	$1,731.00	$605.85–$3,852.45	74% below	—
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 Lithotrp Xtrcorp Shock Wave	$1,731.00	$1,731.00	$605.85–$1,177.08	—	—
Short arm cast (elbow to hand) CPT 29075 Application Cast Elbow Finger	$201.00	$201.00	$70.35–$225.93	46% below	—
Short arm cast (elbow to hand) CPT 29075 CAST ELBOW-FINGER SHRT ARM-MCR	$572.00	$572.00	$200.20–$429.00	54% above	—
Short arm cast (elbow to hand) inpatient CPT 29075 Application Cast Elbow Finger	$201.00	$201.00	$70.35–$136.68	—	—
Short arm cast (elbow to hand) inpatient CPT 29075 CAST ELBOW-FINGER SHRT ARM-MCR	$572.00	$572.00	$200.20–$388.96	—	—
Short arm splint (forearm and hand) CPT 29125 Application Short Arm Splint F	$108.00	$108.00	$37.80–$225.68	64% below	—
Short arm splint (forearm and hand) CPT 29125 SHORT ARM SPLINT APPLICATION	$213.00	$213.00	$74.55–$225.68	29% below	—
Short arm splint (forearm and hand) CPT 29125 APP SHORT ARM SP FRARM HND-MCR	$393.00	$393.00	$110.15–$294.75	31% above	—
Short arm splint (forearm and hand) inpatient CPT 29125 Application Short Arm Splint F	$108.00	$108.00	$37.80–$73.44	—	—
Short arm splint (forearm and hand) inpatient CPT 29125 SHORT ARM SPLINT APPLICATION	$213.00	$213.00	$74.55–$144.84	—	—
Short arm splint (forearm and hand) inpatient CPT 29125 APP SHORT ARM SP FRARM HND-MCR	$393.00	$393.00	$137.55–$267.24	—	—
Short leg cast (below the knee) CPT 29405 Application Short Leg Cast Bel	$195.00	$195.00	$68.25–$300.25	47% below	—
Short leg cast (below the knee) CPT 29405 APPLICATION SHORT LEG CAST	$672.00	$672.00	$231.57–$504.00	83% above	—
Short leg cast (below the knee) CPT 29405 APPLICATION SHORT LEG CAST-MCR	$672.00	$672.00	$231.57–$504.00	83% above	—
Short leg cast (below the knee) inpatient CPT 29405 Application Short Leg Cast Bel	$195.00	$195.00	$68.25–$132.60	—	—
Short leg cast (below the knee) inpatient CPT 29405 APPLICATION SHORT LEG CAST-MCR	$672.00	$672.00	$235.20–$456.96	—	—
Short leg cast (below the knee) inpatient CPT 29405 APPLICATION SHORT LEG CAST	$672.00	$672.00	$235.20–$456.96	—	—
Short leg splint (calf to foot) CPT 29515 APPLICATION SHORT LEG SPLINT	$134.00	$134.00	$46.90–$299.42	59% below	—
Short leg splint (calf to foot) CPT 29515 Application Short Leg Splint C	$200.00	$200.00	$70.00–$299.42	39% below	—
Short leg splint (calf to foot) inpatient CPT 29515 APPLICATION SHORT LEG SPLINT	$134.00	$134.00	$46.90–$91.12	—	—
Short leg splint (calf to foot) inpatient CPT 29515 Application Short Leg Splint C	$200.00	$200.00	$70.00–$136.00	—	—
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 Arths Shld Distal Claviculecto	$1,792.00	$1,792.00	$627.20–$1,864.32	17% above	—
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) inpatient CPT 29824 Arths Shld Distal Claviculecto	$1,792.00	$1,792.00	$627.20–$1,218.56	—	—
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Shoulder Scope Bone Shaving	$1,902.00	$1,902.00	$665.70–$1,986.66	9% above	—
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 Shoulder Scope Bone Shaving	$1,902.00	$1,902.00	$665.70–$1,293.36	—	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simple Repair Scalp/Neck/Ax/Ge	$156.00	$156.00	$54.60–$313.33	67% below	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REPAIR SIMPLE LAC 0-2.5CM	$297.00	$297.00	$103.95–$313.33	38% below	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 LAC SIMPLE 2.5 CM OR <-MCR	$297.00	$297.00	$103.95–$313.33	38% below	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Simple Repair Scalp/Neck/Ax/Ge	$156.00	$156.00	$54.60–$106.08	—	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 REPAIR SIMPLE LAC 0-2.5CM	$297.00	$297.00	$103.95–$201.96	—	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 LAC SIMPLE 2.5 CM OR <-MCR	$297.00	$297.00	$103.95–$201.96	—	—
Skin biopsy, punch, one lesion CPT 11104 Punch bx skin Single Lesion	$330.00	$330.00	$115.50–$495.06	52% below	—
Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESN-MCR	$932.00	$932.00	$326.20–$699.00	35% above	—
Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION	$932.00	$932.00	$326.20–$699.00	35% above	—
Skin biopsy, punch, one lesion inpatient CPT 11104 Punch bx skin Single Lesion	$330.00	$330.00	$115.50–$224.40	—	—
Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX SKIN SINGLE LESION	$932.00	$932.00	$326.20–$633.76	—	—
Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX SKIN SINGLE LESN-MCR	$932.00	$932.00	$326.20–$633.76	—	—
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EX MAL LES .5<A,L,T-MCR	$190.00	$190.00	$66.50–$1,295.11	69% below	—
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Exc Mal Lns Tnk/Arm/Leg 0.5 Cm	$354.00	$354.00	$123.90–$1,295.11	43% below	—
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXCIS MALIG LESION 0.5CM OR <	$739.00	$739.00	$258.65–$1,295.11	19% above	—
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 EX MAL LES .5<A,L,T-MCR	$190.00	$190.00	$66.50–$129.20	—	—
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 Exc Mal Lns Tnk/Arm/Leg 0.5 Cm	$354.00	$354.00	$123.90–$240.72	—	—
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 EXCIS MALIG LESION 0.5CM OR <	$739.00	$739.00	$258.65–$502.52	—	—
Skin tag removal, up to 15 tags CPT 11200 Removal Sk Tgs Mlt Fibrq Tags	$207.00	$207.00	$72.45–$488.36	45% below	—
Skin tag removal, up to 15 tags CPT 11200 REMOVAL SKIN TAGS LESS THAN 16	$539.00	$539.00	$166.11–$488.36	43% above	—
Skin tag removal, up to 15 tags CPT 11200 REM SKIN TAGS <16-MCR	$539.00	$539.00	$166.11–$488.36	43% above	—
Skin tag removal, up to 15 tags inpatient CPT 11200 Removal Sk Tgs Mlt Fibrq Tags	$207.00	$207.00	$72.45–$140.76	—	—
Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVAL SKIN TAGS LESS THAN 16	$539.00	$539.00	$188.65–$366.52	—	—
Skin tag removal, up to 15 tags inpatient CPT 11200 REM SKIN TAGS <16-MCR	$539.00	$539.00	$188.65–$366.52	—	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 Spi Pnxr Lmbr Dx	$271.00	$271.00	$94.85–$1,281.29	81% below	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL TAP DIAGNOSTIC	$895.00	$895.00	$313.25–$1,281.29	36% below	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE	$908.00	$908.00	$317.80–$1,281.29	35% below	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE	$1,522.00	$1,522.00	$532.70–$1,281.29	9% above	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Spi Pnxr Lmbr Dx	$271.00	$271.00	$94.85–$184.28	—	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL TAP DIAGNOSTIC	$895.00	$895.00	$313.25–$608.60	—	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE	$908.00	$908.00	$317.80–$617.44	—	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE	$1,522.00	$1,522.00	$532.70–$1,034.96	—	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Smpl Rep Sclp/Nk/Ax/Gen/Tnk 2	$168.00	$168.00	$58.80–$312.53	63% below	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 LAC SIMPLE 2.6 - 7.5 CM-MCR	$183.00	$183.00	$64.05–$312.53	60% below	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 REPAIR SIMPLE LAC 2.6-7.5CM	$295.00	$295.00	$103.25–$312.53	35% below	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 REPAIR SMPLE LAC 2.6-7.5	$315.00	$315.00	$110.25–$312.53	30% below	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Smpl Rep Sclp/Nk/Ax/Gen/Tnk 2	$168.00	$168.00	$58.80–$114.24	—	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 LAC SIMPLE 2.6 - 7.5 CM-MCR	$183.00	$183.00	$64.05–$124.44	—	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 REPAIR SIMPLE LAC 2.6-7.5CM	$295.00	$295.00	$103.25–$200.60	—	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 REPAIR SMPLE LAC 2.6-7.5	$315.00	$315.00	$110.25–$214.20	—	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Simple Repair F/E/E/N/L/M 2.5c	$173.00	$173.00	$60.55–$314.41	64% below	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE REPAIR FACE 0-2.5CM	$295.00	$295.00	$103.25–$314.41	38% below	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Simple Repair F/E/E/N/L/M 2.5c	$173.00	$173.00	$60.55–$117.64	—	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SIMPLE REPAIR FACE 0-2.5CM	$295.00	$295.00	$103.25–$200.60	—	—
TURP (transurethral resection of the prostate) CPT 52601 Trurl Electrosurg Rescj Prst8	$2,114.00	$2,114.00	$739.90–$2,431.70	75% below	—
TURP (transurethral resection of the prostate) CPT 52601 TRANSRE ELECTR RESECT PROS-MCR	$9,342.00	$9,342.00	$2,431.70–$7,006.50	9% above	—
TURP (transurethral resection of the prostate) inpatient CPT 52601 Trurl Electrosurg Rescj Prst8	$2,114.00	$2,114.00	$739.90–$1,437.52	—	—
TURP (transurethral resection of the prostate) inpatient CPT 52601 TRANSRE ELECTR RESECT PROS-MCR	$9,342.00	$9,342.00	$3,269.70–$6,352.56	—	—
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangntl bx skin single les	$121.00	$121.00	$42.35–$451.99	78% below	—
Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LES-MCR	$923.00	$923.00	$323.05–$692.25	67% above	—
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Tangntl bx skin single les	$121.00	$121.00	$42.35–$82.28	—	—
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TANGNTL BX SKIN SINGLE LES-MCR	$923.00	$923.00	$323.05–$627.64	—	—
Thoracentesis with imaging guidance CPT 32555 Thoracentesis Puncture Pleural	$340.00	$340.00	$119.00–$913.83	75% below	—
Thoracentesis with imaging guidance CPT 32555 PF CT GUIDED THORACENTESIS	$915.00	$915.00	$320.25–$913.83	34% below	—
Thoracentesis with imaging guidance CPT 32555 PF US THORACENTESIS W/US GUID	$915.00	$915.00	$320.25–$913.83	34% below	—
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W/US GUIDANCE	$1,470.00	$1,470.00	$514.50–$1,102.50	7% above	—
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W/IMAGE GUIDANCE	$1,486.00	$1,486.00	$519.36–$1,114.50	8% above	—
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W/GUIDANCE	$2,052.00	$2,052.00	$519.36–$1,539.00	49% above	—
Thoracentesis with imaging guidance inpatient CPT 32555 Thoracentesis Puncture Pleural	$340.00	$340.00	$119.00–$231.20	—	—
Thoracentesis with imaging guidance inpatient CPT 32555 PF US THORACENTESIS W/US GUID	$915.00	$915.00	$320.25–$622.20	—	—
Thoracentesis with imaging guidance inpatient CPT 32555 PF CT GUIDED THORACENTESIS	$915.00	$915.00	$320.25–$622.20	—	—
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W/US GUIDANCE	$1,470.00	$1,470.00	$514.50–$999.60	—	—
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W/IMAGE GUIDANCE	$1,486.00	$1,486.00	$520.10–$1,010.48	—	—
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W/GUIDANCE	$2,052.00	$2,052.00	$718.20–$1,395.36	—	—
Total hip replacement CPT 27130 Arthrp Acetblr/Prox Fem Prostc	$6,409.00	$6,409.00	$2,243.15–$5,447.65	42% below	—
Total hip replacement inpatient CPT 27130 Arthrp Acetblr/Prox Fem Prostc	$6,409.00	$6,409.00	$2,243.15–$4,358.12	—	—
Total knee replacement CPT 27447 Arthrp Kne Condyle&platu Media	$6,767.00	$6,767.00	$2,368.45–$11,137.86	36% below	—
Total knee replacement inpatient CPT 27447 Arthrp Kne Condyle&platu Media	$6,767.00	$6,767.00	$2,368.45–$4,601.56	—	—
Total shoulder replacement CPT 23472 Arthroplasty Glenohumeral Join	$4,386.00	$4,386.00	$1,535.10–$5,214.84	76% below	—
Total shoulder replacement inpatient CPT 23472 Arthroplasty Glenohumeral Join	$4,386.00	$4,386.00	$1,535.10–$2,982.48	—	—
Total thyroid removal (thyroidectomy) CPT 60240 Trdec Tot/Compl	$2,794.00	$2,794.00	$977.90–$3,690.44	69% below	—
Total thyroid removal (thyroidectomy) inpatient CPT 60240 Trdec Tot/Compl	$2,794.00	$2,794.00	$977.90–$1,899.92	—	—
Trigger finger release surgery CPT 26055 Tendon Sheath Incision	$1,082.00	$1,082.00	$378.70–$1,720.34	70% below	—
Trigger finger release surgery inpatient CPT 26055 Tendon Sheath Incision	$1,082.00	$1,082.00	$378.70–$735.76	—	—
Trigger point injections, 1 or 2 muscles CPT 20552 TRIG PNT INJ 1 OR 2 MUSLE GRP	$54.00	$54.00	$18.90–$164.60	90% below	—
Trigger point injections, 1 or 2 muscles CPT 20552 PF CT TRIGGER POINT INJECTION	$154.00	$154.00	$53.90–$164.60	72% below	—
Trigger point injections, 1 or 2 muscles CPT 20552 Inj Sin/Mlt Trigger Pnt 1/2 M	$195.00	$195.00	$68.25–$164.60	64% below	—
Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER POINT INJ >1-MCR	$633.00	$633.00	$164.60–$474.75	15% above	—
Trigger point injections, 1 or 2 muscles CPT 20552 CT GUIDED TRIGGER POINT INJECT	$742.00	$742.00	$164.60–$556.50	35% above	—
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 TRIG PNT INJ 1 OR 2 MUSLE GRP	$54.00	$54.00	$18.90–$36.72	—	—
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 PF CT TRIGGER POINT INJECTION	$154.00	$154.00	$53.90–$104.72	—	—
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Inj Sin/Mlt Trigger Pnt 1/2 M	$195.00	$195.00	$68.25–$132.60	—	—
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 TRIGGER POINT INJ >1-MCR	$633.00	$633.00	$221.55–$430.44	—	—
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 CT GUIDED TRIGGER POINT INJECT	$742.00	$742.00	$259.70–$504.56	—	—
Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 Laps Fulg Oviduxs	$1,114.00	$1,114.00	$389.90–$1,986.95	6% above	—
Tubal ligation, laparoscopic (tubes sealed by cautery) inpatient CPT 58670 Laps Fulg Oviduxs	$1,114.00	$1,114.00	$389.90–$757.52	—	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 PF US BREAST BIOPSY	$1,460.00	$1,460.00	$511.00–$1,606.05	54% below	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 US BX BREAST PERCUT W/ DEVICE	$3,626.00	$3,626.00	$1,269.10–$2,719.50	15% above	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 PF US BREAST BIOPSY	$1,460.00	$1,460.00	$511.00–$992.80	—	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 US BX BREAST PERCUT W/ DEVICE	$3,626.00	$3,626.00	$1,269.10–$2,465.68	—	—
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Upr Gi Ndsc Balo Dilat Esoph <	$571.00	$571.00	$199.85–$1,718.87	83% below	—
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 Upr Gi Ndsc Balo Dilat Esoph <	$571.00	$571.00	$199.85–$388.28	—	—
Upper endoscopy (EGD) with biopsy CPT 43239 Upper Stomach-Intestine Scope	$622.00	$622.00	$217.70–$1,732.99	71% below	—
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Upper Stomach-Intestine Scope	$622.00	$622.00	$217.70–$422.96	—	—
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Upr Gi Ndsc Rmvl Tum Polyp/Oth	$758.00	$758.00	$265.30–$1,733.07	76% below	—
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 Upr Gi Ndsc Rmvl Tum Polyp/Oth	$758.00	$758.00	$265.30–$515.44	—	—
Upper endoscopy (EGD), diagnostic CPT 43235 Upper Stomach-Intestine Scope	$595.00	$595.00	$208.25–$1,281.83	68% below	—
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Upper Stomach-Intestine Scope	$595.00	$595.00	$208.25–$404.60	—	—
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 Scope Bladder & Ureter Break U	$899.00	$899.00	$314.65–$2,423.94	90% below	—
Ureteroscopy with laser stone breaking (lithotripsy) inpatient CPT 52353 Scope Bladder & Ureter Break U	$899.00	$899.00	$314.65–$611.32	—	—
Ureteroscopy with laser stone breaking and stent placement CPT 52356 Cyso/uretero w/lithrotripsy w/	$1,668.00	$1,668.00	$583.80–$5,478.77	82% below	—
Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 Cyso/uretero w/lithrotripsy w/	$1,668.00	$1,668.00	$583.80–$1,134.24	—	—
Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 Vbac delivery	$7,134.00	$7,134.00	$2,496.90–$6,063.90	80% above	—
Vaginal birth after cesarean (VBAC), including prenatal and postpartum care inpatient CPT 59610 Vbac delivery	$7,134.00	$7,134.00	$2,496.90–$4,851.12	—	—
Vaginal delivery, including prenatal and postpartum care CPT 59400 Ob Care Antepartum Vag Dlvr&po	$7,111.00	$7,111.00	$2,003.92–$5,333.25	86% above	—
Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 Ob Care Antepartum Vag Dlvr&po	$7,111.00	$7,111.00	$2,488.85–$4,835.48	—	—
Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 Vasect Uni/Bi Spx W/Po Semen X	$758.00	$758.00	$265.30–$1,986.53	—	—
Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 VASECTOMY UNILAT OR BILAT-MCR	$5,436.00	$5,436.00	$1,730.69–$4,077.00	—	—
Vasectomy, one or both sides, including follow-up semen testing inpatient both sides CPT 55250 Vasect Uni/Bi Spx W/Po Semen X	$758.00	$758.00	$265.30–$515.44	—	—
Vasectomy, one or both sides, including follow-up semen testing inpatient both sides CPT 55250 VASECTOMY UNILAT OR BILAT-MCR	$5,436.00	$5,436.00	$1,902.60–$3,696.48	—	—
Vein ablation, radiofrequency, first vein CPT 36475 Endoven Abltj Incmptnt Vein Xt	$1,528.00	$1,528.00	$534.80–$7,590.61	83% below	—
Vein ablation, radiofrequency, first vein inpatient CPT 36475 Endoven Abltj Incmptnt Vein Xt	$1,528.00	$1,528.00	$534.80–$1,039.04	—	—
Wart removal, up to 14 warts CPT 17110 Destruction Benign Lesions Up	$124.00	$124.00	$43.40–$300.09	60% below	—
Wart removal, up to 14 warts CPT 17110 DESTR BENIGN LES >14-MCR	$297.00	$297.00	$103.95–$300.09	4% below	—
Wart removal, up to 14 warts CPT 17110 DESTRUCT BENIGN LESIONS UP 14	$297.00	$297.00	$103.95–$300.09	4% below	—
Wart removal, up to 14 warts inpatient CPT 17110 Destruction Benign Lesions Up	$124.00	$124.00	$43.40–$84.32	—	—
Wart removal, up to 14 warts inpatient CPT 17110 DESTR BENIGN LES >14-MCR	$297.00	$297.00	$103.95–$201.96	—	—
Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCT BENIGN LESIONS UP 14	$297.00	$297.00	$103.95–$201.96	—	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debridement Subc Tiss 20 Sq Cm	$390.00	$390.00	$136.50–$1,733.62	65% below	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRI SQ TISSUE 1ST 20SQ CM	$849.00	$849.00	$297.15–$1,733.62	24% below	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBR SQ TISSUE 1ST 20SQ CM-MCR	$849.00	$849.00	$297.15–$1,733.62	24% below	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEB SUBQ TISSUE 20 SQ CM/<	$932.00	$932.00	$326.20–$1,733.62	17% below	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Debridement Subc Tiss 20 Sq Cm	$390.00	$390.00	$136.50–$265.20	—	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBR SQ TISSUE 1ST 20SQ CM-MCR	$849.00	$849.00	$297.15–$577.32	—	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRI SQ TISSUE 1ST 20SQ CM	$849.00	$849.00	$297.15–$577.32	—	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEB SUBQ TISSUE 20 SQ CM/<	$932.00	$932.00	$326.20–$633.76	—	—
Wrist fracture surgery (plate and screws), distal radius CPT 25607 Optx Dstl Radl X-Artic Fx/Epip	$2,196.00	$2,196.00	$768.60–$3,374.23	70% below	—
Wrist fracture surgery (plate and screws), distal radius inpatient CPT 25607 Optx Dstl Radl X-Artic Fx/Epip	$2,196.00	$2,196.00	$768.60–$1,493.28	—	—

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Pennsylvania	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION	$891.00	$891.00	$299.84–$668.25	at median	—
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION	$1,047.00	$1,047.00	$299.84–$785.25	17% above	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION	$891.00	$891.00	$311.85–$605.88	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMINISTRATION	$1,047.00	$1,047.00	$366.45–$711.96	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Pressurized/Nonpressurized Inh	$43.00	$43.00	$15.05–$49.56	73% below	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AERO/NEB TREATMENT, SUB	$86.00	$86.00	$30.10–$64.50	45% below	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 CONT. INHALATION RX INITIAL	$448.00	$448.00	$49.56–$336.00	186% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEB TREATMENT INITIAL	$448.00	$448.00	$49.56–$336.00	186% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL RX STAT	$448.00	$448.00	$49.56–$336.00	186% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INHALATION TREATMENT NEBULIZER	$495.00	$495.00	$49.56–$371.25	216% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INHALATION TRTMT NEBULIZER-MCR	$495.00	$495.00	$49.56–$371.25	216% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Pressurized/Nonpressurized Inh	$43.00	$43.00	$15.05–$29.24	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AERO/NEB TREATMENT, SUB	$86.00	$86.00	$30.10–$58.48	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL RX STAT	$448.00	$448.00	$156.80–$304.64	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEB TREATMENT INITIAL	$448.00	$448.00	$156.80–$304.64	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 CONT. INHALATION RX INITIAL	$448.00	$448.00	$156.80–$304.64	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALATION TRTMT NEBULIZER-MCR	$495.00	$495.00	$173.25–$336.60	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALATION TREATMENT NEBULIZER	$495.00	$495.00	$173.25–$336.60	—	—
Chemotherapy IV infusion, first hour CPT 96413 CHEMO ADM,IV INF 1ST HR	$840.00	$840.00	$273.47–$630.00	29% above	—
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO ADM,IV INF 1ST HR	$840.00	$840.00	$294.00–$571.20	—	—
Comprehensive eye exam by an eye doctor, new patient CPT 92004 Oph Medical Xm&eval Compre New	$269.00	$269.00	$94.15–$201.75	76% above	—
Comprehensive eye exam by an eye doctor, new patient inpatient CPT 92004 Oph Medical Xm&eval Compre New	$269.00	$269.00	$94.15–$182.92	—	—
Comprehensive eye exam, returning patient CPT 92014 Oph Medical Xm&eval Compre Est	$230.00	$230.00	$47.84–$172.50	88% above	—
Comprehensive eye exam, returning patient inpatient CPT 92014 Oph Medical Xm&eval Compre Est	$230.00	$230.00	$80.50–$156.40	—	—
Critical care, first 30 to 74 minutes CPT 99291 Cc E/M Critically Ill/Injured	$314.00	$314.00	$109.90–$435.45	83% below	—
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE E&M 30-74 MIN	$495.00	$495.00	$173.25–$435.45	72% below	—
Critical care, first 30 to 74 minutes CPT 99291 CCU CARE FIRST 30-74 MINUTES	$495.00	$495.00	$173.25–$435.45	72% below	—
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE TIME 1ST HOUR	$993.00	$993.00	$347.55–$744.75	45% below	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 Cc E/M Critically Ill/Injured	$314.00	$314.00	$109.90–$213.52	—	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 CCU CARE FIRST 30-74 MINUTES	$495.00	$495.00	$173.25–$336.60	—	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE E&M 30-74 MIN	$495.00	$495.00	$173.25–$336.60	—	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE TIME 1ST HOUR	$993.00	$993.00	$347.55–$675.24	—	—
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE & DROWSY, ROUTINE	$848.00	$848.00	$178.77–$636.00	17% above	—
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE & DROWSY, ROUTINE	$848.00	$848.00	$296.80–$576.64	—	—
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Ecg Routine Ecg W/Least 12 Lds	$81.00	$81.00	$12.39–$60.75	25% above	—
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 ECG W/INTERPRETATION MCR	$89.00	$89.00	$12.39–$66.75	37% above	—
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 Ecg Routine Ecg W/Least 12 Lds	$81.00	$81.00	$28.35–$55.08	—	—
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 ECG W/INTERPRETATION MCR	$89.00	$89.00	$31.15–$60.52	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ecg Routine Ecg W/Least 12 Lds	$33.00	$33.00	$11.55–$44.99	80% below	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG	$234.00	$234.00	$44.99–$175.50	45% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TECH COMPONENT	$234.00	$234.00	$44.99–$175.50	45% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Ecg Routine Ecg W/Least 12 Lds	$33.00	$33.00	$11.55–$22.44	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG	$234.00	$234.00	$81.90–$159.12	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG TECH COMPONENT	$234.00	$234.00	$81.90–$159.12	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emer Dept Self Limited/Minor	$136.00	$136.00	$47.60–$132.18	43% below	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERG RM-I	$153.00	$153.00	$53.55–$132.18	36% below	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Emer Dept Self Limited/Minor	$136.00	$136.00	$47.60–$92.48	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 EMERG RM-I	$153.00	$153.00	$53.55–$104.04	—	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emer Dept Low To Moderate Seve	$168.00	$168.00	$58.80–$197.78	59% below	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERG RM-II	$245.00	$245.00	$85.75–$197.78	40% below	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Emer Dept Low To Moderate Seve	$168.00	$168.00	$58.80–$114.24	—	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 EMERG RM-II	$245.00	$245.00	$85.75–$166.60	—	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emer Dept Moderate Severity	$189.00	$189.00	$66.15–$265.65	67% below	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERG RM-III	$541.00	$541.00	$189.35–$405.75	4% below	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Emer Dept Moderate Severity	$189.00	$189.00	$66.15–$128.52	—	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 EMERG RM-III	$541.00	$541.00	$189.35–$367.88	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emer Dept Hi Severity&urgent E	$244.00	$244.00	$85.40–$335.53	74% below	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERG RM-IV	$635.00	$635.00	$222.25–$476.25	32% below	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Emer Dept Hi Severity&urgent E	$244.00	$244.00	$85.40–$165.92	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 EMERG RM-IV	$635.00	$635.00	$222.25–$431.80	—	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emer Dept High Severity&threat	$271.00	$271.00	$94.85–$409.22	79% below	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERG RM-V	$818.00	$818.00	$286.30–$613.50	36% below	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Emer Dept High Severity&threat	$271.00	$271.00	$94.85–$184.28	—	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 EMERG RM-V	$818.00	$818.00	$286.30–$556.24	—	—
Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST, TREADMILL	$704.00	$704.00	$118.81–$528.00	14% below	—
Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST,PHARMACOLOGIC	$850.00	$850.00	$118.81–$637.50	4% above	—
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 STRESS TEST, TREADMILL	$704.00	$704.00	$246.40–$478.72	—	—
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 STRESS TEST,PHARMACOLOGIC	$850.00	$850.00	$297.50–$578.00	—	—
Eye exam, returning patient, intermediate CPT 92012 Oph Medical Xm&eval Intrm Est	$155.00	$155.00	$54.25–$116.25	92% above	—
Eye exam, returning patient, intermediate inpatient CPT 92012 Oph Medical Xm&eval Intrm Est	$155.00	$155.00	$54.25–$105.40	—	—
Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYCH THERAPY	$476.00	$476.00	$146.96–$357.00	130% above	—
Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY PSYCH THERAPY	$476.00	$476.00	$166.60–$323.68	—	—
Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY	$142.00	$142.00	$49.70–$242.06	38% above	—
Group psychotherapy session inpatient CPT 90853 GROUP PSYCHOTHERAPY	$142.00	$142.00	$49.70–$96.56	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Iv Infusion Hydration Initial	$166.00	$166.00	$58.10–$142.44	61% below	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUS HYDRATION UP TO 1 HR	$186.00	$186.00	$65.10–$142.44	56% below	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INT INFUSION HYDRA INITIAL 31	$186.00	$186.00	$65.10–$142.44	56% below	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUS HYDRATION 31 MIN-1 HR	$277.00	$277.00	$96.95–$207.75	34% below	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Iv Infusion Hydration Initial	$166.00	$166.00	$58.10–$112.88	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INFUS HYDRATION UP TO 1 HR	$186.00	$186.00	$65.10–$126.48	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 INT INFUSION HYDRA INITIAL 31	$186.00	$186.00	$65.10–$126.48	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INFUS HYDRATION 31 MIN-1 HR	$277.00	$277.00	$96.95–$188.36	—	—
IV infusion of a medicine, first hour CPT 96365 IV INFUSION INITIAL UP TO 1 HR	$325.00	$325.00	$113.75–$243.75	25% below	—
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION INITIAL UP TO 1 HR	$325.00	$325.00	$113.75–$221.00	—	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Therapeutic Prophylactic/Dx In	$40.00	$40.00	$14.00–$42.73	70% below	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC INJECTN SQ/IM-MCR	$141.00	$141.00	$42.73–$105.75	5% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM OR SQ INJECTION	$141.00	$141.00	$42.73–$105.75	5% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM OR SUBQ INJECTION	$141.00	$141.00	$42.73–$105.75	5% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC INJ W/ CHEMO	$141.00	$141.00	$42.73–$105.75	5% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER INJ ESA NOT DUE TO CH/XRT	$141.00	$141.00	$42.73–$105.75	5% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER INJ ESA ANTI-CA RADIATION	$141.00	$141.00	$42.73–$105.75	5% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM INJ OF ANTIBIOTICS	$141.00	$141.00	$42.73–$105.75	5% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER INJ ESA ANTI-CA CHEMO	$141.00	$141.00	$42.73–$105.75	5% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION SUBCUT/INTRAMUSCULAR	$141.00	$141.00	$42.73–$105.75	5% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC INJ (SQ/IM)	$141.00	$141.00	$42.73–$105.75	5% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC INJECTION SQ/IM	$141.00	$141.00	$42.73–$105.75	5% above	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Therapeutic Prophylactic/Dx In	$40.00	$40.00	$14.00–$27.20	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC INJECTN SQ/IM-MCR	$141.00	$141.00	$49.35–$95.88	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM OR SQ INJECTION	$141.00	$141.00	$49.35–$95.88	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION SUBCUT/INTRAMUSCULAR	$141.00	$141.00	$49.35–$95.88	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC INJ W/ CHEMO	$141.00	$141.00	$49.35–$95.88	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER INJ ESA NOT DUE TO CH/XRT	$141.00	$141.00	$49.35–$95.88	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER INJ ESA ANTI-CA RADIATION	$141.00	$141.00	$49.35–$95.88	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER INJ ESA ANTI-CA CHEMO	$141.00	$141.00	$49.35–$95.88	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC INJ (SQ/IM)	$141.00	$141.00	$49.35–$95.88	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC INJECTION SQ/IM	$141.00	$141.00	$49.35–$95.88	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM OR SUBQ INJECTION	$141.00	$141.00	$49.35–$95.88	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM INJ OF ANTIBIOTICS	$141.00	$141.00	$49.35–$95.88	—	—
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH EVALUATION/HR	$149.00	$149.00	$52.15–$111.75	16% below	—
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH CONSULT-OFF UNIT	$572.00	$572.00	$146.96–$429.00	224% above	—
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCH EVALUATION/HR	$149.00	$149.00	$52.15–$101.32	—	—
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCH CONSULT-OFF UNIT	$572.00	$572.00	$200.20–$388.96	—	—
Neuromuscular re-education, 15 minutes CPT 97112 BF TRNG ANY MODALITY	$75.00	$75.00	$26.25–$86.43	21% below	—
Neuromuscular re-education, 15 minutes CPT 97112 NEURO MUSC REEDUCT 15 MIN	$129.00	$129.00	$26.71–$96.75	36% above	—
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSC REEDUCT 15 MIN	$129.00	$129.00	$26.71–$96.75	36% above	—
Neuromuscular re-education, 15 minutes inpatient CPT 97112 BF TRNG ANY MODALITY	$75.00	$75.00	$26.25–$51.00	—	—
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEURO MUSC REEDUCT 15 MIN	$129.00	$129.00	$45.15–$87.72	—	—
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSC REEDUCT 15 MIN	$129.00	$129.00	$45.15–$87.72	—	—
New patient office visit, about 30 minutes CPT 99203 OFFICE OUTPATIENT VISIT NEW	$104.00	$104.00	$36.40–$216.38	49% below	—
New patient office visit, about 30 minutes CPT 99203 OFFICE/OP VISIT/NEW/30 MIN BC	$113.00	$113.00	$39.55–$216.38	45% below	—
New patient office visit, about 30 minutes CPT 99203 OFFICE/OP VISIT NEW PT	$120.00	$120.00	$42.00–$216.38	41% below	—
New patient office visit, about 30 minutes CPT 99203 PNC OFFICE VISIT, NEW	$147.00	$147.00	$51.45–$216.38	28% below	—
New patient office visit, about 30 minutes CPT 99203 OFFICE/OP VISIT, NEW PT DETAIL	$147.00	$147.00	$51.45–$216.38	28% below	—
New patient office visit, about 30 minutes CPT 99203 OFFICE/OP VISIT/NEW PT/30 MIN	$189.00	$189.00	$66.15–$216.38	8% below	—
New patient office visit, about 30 minutes CPT 99203 CLINIC VISIT NEW PT 30 MIN	$195.00	$195.00	$68.25–$216.38	5% below	—
New patient office visit, about 30 minutes CPT 99203 New Pt Level 3-Component	$195.00	$195.00	$68.25–$216.38	5% below	—
New patient office visit, about 30 minutes CPT 99203 OFFICE/OUTPATIENT VISIT NEW 30	$195.00	$195.00	$68.25–$216.38	5% below	—
New patient office visit, about 30 minutes CPT 99203 CONVERSION CLINIC 99203	$210.00	$210.00	$73.50–$216.38	3% above	—
New patient office visit, about 30 minutes CPT 99203 Office Outpt New Level 3	$225.00	$225.00	$78.75–$216.38	10% above	—
New patient office visit, about 30 minutes CPT 99203 New Pt Level 3-PRO	$225.00	$225.00	$78.75–$216.38	10% above	—
New patient office visit, about 30 minutes CPT 99203 LEVEL 3 INITIAL VISIT	$229.00	$229.00	$80.15–$216.38	12% above	—
New patient office visit, about 30 minutes CPT 99203 MCH OUTPATIENT VISIT NEW 3	$233.00	$233.00	$81.55–$216.38	14% above	—
New patient office visit, about 30 minutes CPT 99203 New Pt Level 3-TC	$300.00	$300.00	$105.00–$255.00	47% above	—
New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE OUTPATIENT VISIT NEW	$104.00	$104.00	$36.40–$70.72	—	—
New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE/OP VISIT/NEW/30 MIN BC	$113.00	$113.00	$39.55–$76.84	—	—
New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE/OP VISIT NEW PT	$120.00	$120.00	$42.00–$81.60	—	—
New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE/OP VISIT, NEW PT DETAIL	$147.00	$147.00	$51.45–$99.96	—	—
New patient office visit, about 30 minutes inpatient CPT 99203 PNC OFFICE VISIT, NEW	$147.00	$147.00	$51.45–$99.96	—	—
New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE/OP VISIT/NEW PT/30 MIN	$189.00	$189.00	$66.15–$128.52	—	—
New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE/OUTPATIENT VISIT NEW 30	$195.00	$195.00	$68.25–$132.60	—	—
New patient office visit, about 30 minutes inpatient CPT 99203 CLINIC VISIT NEW PT 30 MIN	$195.00	$195.00	$68.25–$132.60	—	—
New patient office visit, about 30 minutes inpatient CPT 99203 New Pt Level 3-Component	$195.00	$195.00	$68.25–$132.60	—	—
New patient office visit, about 30 minutes inpatient CPT 99203 CONVERSION CLINIC 99203	$210.00	$210.00	$73.50–$142.80	—	—
New patient office visit, about 30 minutes inpatient CPT 99203 Office Outpt New Level 3	$225.00	$225.00	$78.75–$153.00	—	—
New patient office visit, about 30 minutes inpatient CPT 99203 New Pt Level 3-PRO	$225.00	$225.00	$78.75–$153.00	—	—
New patient office visit, about 30 minutes inpatient CPT 99203 LEVEL 3 INITIAL VISIT	$229.00	$229.00	$80.15–$155.72	—	—
New patient office visit, about 30 minutes inpatient CPT 99203 MCH OUTPATIENT VISIT NEW 3	$233.00	$233.00	$81.55–$158.44	—	—
New patient office visit, about 30 minutes inpatient CPT 99203 New Pt Level 3-TC	$300.00	$300.00	$105.00–$204.00	—	—
New patient office visit, about 45 minutes CPT 99204 OFFICE OUTPATIENT VISIT NEW	$119.00	$119.00	$41.65–$277.59	56% below	—
New patient office visit, about 45 minutes CPT 99204 OFFICE/OP VISIT NEW PT	$153.00	$153.00	$53.55–$277.59	44% below	—
New patient office visit, about 45 minutes CPT 99204 OFFICE/OP VISIT NEW 45 MIN BC	$175.00	$175.00	$61.25–$277.59	36% below	—
New patient office visit, about 45 minutes CPT 99204 OFFICE/OP VISIT NEW PT 45 MIN	$202.00	$202.00	$70.70–$277.59	26% below	—
New patient office visit, about 45 minutes CPT 99204 OFFICE VISIT-NEW PAT-4	$202.00	$202.00	$70.70–$277.59	26% below	—
New patient office visit, about 45 minutes CPT 99204 CONVERSION CLINIC 99204	$210.00	$210.00	$73.50–$277.59	23% below	—
New patient office visit, about 45 minutes CPT 99204 OFFICE/OP VISIT NEW PT/ 45 MIN	$258.00	$258.00	$90.30–$277.59	5% below	—
New patient office visit, about 45 minutes CPT 99204 CLINIC VISIT NEW PT 45 MIN	$259.00	$259.00	$90.65–$277.59	5% below	—
New patient office visit, about 45 minutes CPT 99204 OFFICE/OUTPATIENT VISIT NEW 45	$259.00	$259.00	$90.65–$277.59	5% below	—
New patient office visit, about 45 minutes CPT 99204 New Pt Level 4-Component	$271.00	$271.00	$94.85–$277.59	at median	—
New patient office visit, about 45 minutes CPT 99204 New Pt Level 4-TC	$300.00	$300.00	$105.00–$277.59	10% above	—
New patient office visit, about 45 minutes CPT 99204 Office Outpt New Level 4	$341.00	$341.00	$119.35–$289.85	25% above	—
New patient office visit, about 45 minutes CPT 99204 New Pt Level 4-PRO	$341.00	$341.00	$119.35–$289.85	25% above	—
New patient office visit, about 45 minutes CPT 99204 LEVEL 4 INITIAL VISIT	$387.00	$387.00	$135.45–$328.95	42% above	—
New patient office visit, about 45 minutes CPT 99204 MCH OUTPATIENT VISIT NEW 4	$391.00	$391.00	$136.85–$332.35	44% above	—
New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE OUTPATIENT VISIT NEW	$119.00	$119.00	$41.65–$80.92	—	—
New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE/OP VISIT NEW PT	$153.00	$153.00	$53.55–$104.04	—	—
New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE/OP VISIT NEW 45 MIN BC	$175.00	$175.00	$61.25–$119.00	—	—
New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE/OP VISIT NEW PT 45 MIN	$202.00	$202.00	$70.70–$137.36	—	—
New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE VISIT-NEW PAT-4	$202.00	$202.00	$70.70–$137.36	—	—
New patient office visit, about 45 minutes inpatient CPT 99204 CONVERSION CLINIC 99204	$210.00	$210.00	$73.50–$142.80	—	—
New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE/OP VISIT NEW PT/ 45 MIN	$258.00	$258.00	$90.30–$175.44	—	—
New patient office visit, about 45 minutes inpatient CPT 99204 CLINIC VISIT NEW PT 45 MIN	$259.00	$259.00	$90.65–$176.12	—	—
New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE/OUTPATIENT VISIT NEW 45	$259.00	$259.00	$90.65–$176.12	—	—
New patient office visit, about 45 minutes inpatient CPT 99204 New Pt Level 4-Component	$271.00	$271.00	$94.85–$184.28	—	—
New patient office visit, about 45 minutes inpatient CPT 99204 New Pt Level 4-TC	$300.00	$300.00	$105.00–$204.00	—	—
New patient office visit, about 45 minutes inpatient CPT 99204 New Pt Level 4-PRO	$341.00	$341.00	$119.35–$231.88	—	—
New patient office visit, about 45 minutes inpatient CPT 99204 Office Outpt New Level 4	$341.00	$341.00	$119.35–$231.88	—	—
New patient office visit, about 45 minutes inpatient CPT 99204 LEVEL 4 INITIAL VISIT	$387.00	$387.00	$135.45–$263.16	—	—
New patient office visit, about 45 minutes inpatient CPT 99204 MCH OUTPATIENT VISIT NEW 4	$391.00	$391.00	$136.85–$265.88	—	—
New patient office visit, about 60 minutes CPT 99205 OFFICE OUTPATIENT VISIT NEW	$166.00	$166.00	$58.10–$338.67	53% below	—
New patient office visit, about 60 minutes CPT 99205 OFFICE/OP VISIT NEW PT	$197.00	$197.00	$68.95–$338.67	45% below	—
New patient office visit, about 60 minutes CPT 99205 OFFICE/OP VISIT NEW 60 MIN BC	$204.00	$204.00	$71.40–$338.67	43% below	—
New patient office visit, about 60 minutes CPT 99205 CONVERSION CLINIC 99205	$210.00	$210.00	$73.50–$338.67	41% below	—
New patient office visit, about 60 minutes CPT 99205 OFFICE/OP VISIT NEW PT 60 MIN	$251.00	$251.00	$87.85–$338.67	29% below	—
New patient office visit, about 60 minutes CPT 99205 OFFICE VISIT-NEW PAT-5	$251.00	$251.00	$87.85–$338.67	29% below	—
New patient office visit, about 60 minutes CPT 99205 OFFICE/OUTPATIENT VISIT NEW 60	$259.00	$259.00	$90.65–$338.67	27% below	—
New patient office visit, about 60 minutes CPT 99205 CLINIC VISIT NEW PT 60 MIN	$259.00	$259.00	$90.65–$338.67	27% below	—
New patient office visit, about 60 minutes CPT 99205 OFFICE/OP VISIT NEW PT/ 60 MIN	$292.00	$292.00	$102.20–$338.67	18% below	—
New patient office visit, about 60 minutes CPT 99205 New Pt Level 5-TC	$300.00	$300.00	$105.00–$338.67	16% below	—
New patient office visit, about 60 minutes CPT 99205 New Pt Level 5-Component	$347.00	$347.00	$121.45–$338.67	2% below	—
New patient office visit, about 60 minutes CPT 99205 New Pt Level 5-PRO	$455.00	$455.00	$159.25–$386.75	28% above	—
New patient office visit, about 60 minutes CPT 99205 Office Outpt New Level 5	$455.00	$455.00	$159.25–$386.75	28% above	—
New patient office visit, about 60 minutes CPT 99205 MCH OUTPATIENT VISIT NEW 5	$502.00	$502.00	$175.70–$426.70	41% above	—
New patient office visit, about 60 minutes CPT 99205 LEVEL 5 INITIAL VISIT	$505.00	$505.00	$176.75–$429.25	42% above	—
New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE OUTPATIENT VISIT NEW	$166.00	$166.00	$58.10–$112.88	—	—
New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE/OP VISIT NEW PT	$197.00	$197.00	$68.95–$133.96	—	—
New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE/OP VISIT NEW 60 MIN BC	$204.00	$204.00	$71.40–$138.72	—	—
New patient office visit, about 60 minutes inpatient CPT 99205 CONVERSION CLINIC 99205	$210.00	$210.00	$73.50–$142.80	—	—
New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE VISIT-NEW PAT-5	$251.00	$251.00	$87.85–$170.68	—	—
New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE/OP VISIT NEW PT 60 MIN	$251.00	$251.00	$87.85–$170.68	—	—
New patient office visit, about 60 minutes inpatient CPT 99205 CLINIC VISIT NEW PT 60 MIN	$259.00	$259.00	$90.65–$176.12	—	—
New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE/OUTPATIENT VISIT NEW 60	$259.00	$259.00	$90.65–$176.12	—	—
New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE/OP VISIT NEW PT/ 60 MIN	$292.00	$292.00	$102.20–$198.56	—	—
New patient office visit, about 60 minutes inpatient CPT 99205 New Pt Level 5-TC	$300.00	$300.00	$105.00–$204.00	—	—
New patient office visit, about 60 minutes inpatient CPT 99205 New Pt Level 5-Component	$347.00	$347.00	$121.45–$235.96	—	—
New patient office visit, about 60 minutes inpatient CPT 99205 Office Outpt New Level 5	$455.00	$455.00	$159.25–$309.40	—	—
New patient office visit, about 60 minutes inpatient CPT 99205 New Pt Level 5-PRO	$455.00	$455.00	$159.25–$309.40	—	—
New patient office visit, about 60 minutes inpatient CPT 99205 MCH OUTPATIENT VISIT NEW 5	$502.00	$502.00	$175.70–$341.36	—	—
New patient office visit, about 60 minutes inpatient CPT 99205 LEVEL 5 INITIAL VISIT	$505.00	$505.00	$176.75–$343.40	—	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE OUTPATIENT VISIT NEW	$73.00	$73.00	$25.55–$178.38	35% below	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE/OP VISIT/NEW/20 MIN BC	$89.00	$89.00	$31.15–$178.38	21% below	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE/OP VISIT NEW PT	$91.00	$91.00	$31.85–$178.38	19% below	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OP VISIT, NEW EXPANDED 20 MIN	$116.00	$116.00	$40.60–$178.38	3% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE/OUTPATIENT VISIT NEW 20	$116.00	$116.00	$40.60–$178.38	3% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OP VISIT, NEW LEVEL 2 EXPANDED	$116.00	$116.00	$40.60–$178.38	3% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 CLINIC VISIT - NEW PT 20 MIN	$132.00	$132.00	$46.20–$178.38	17% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 New Pt Level 2-Component	$141.00	$141.00	$49.35–$178.38	25% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 LEVEL 2 INITIAL VISIT	$152.00	$152.00	$53.20–$178.38	35% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 MCH OUTPATIENT VISIT NEW 2	$154.00	$154.00	$53.90–$178.38	37% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE/OP VISIT/NEW PT/20 MIN	$155.00	$155.00	$54.25–$178.38	37% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 New Pt Level 2-PRO	$165.00	$165.00	$57.75–$178.38	46% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Office Outpt New Level 2	$165.00	$165.00	$57.75–$178.38	46% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 CONVERSION CLINIC 99202	$210.00	$210.00	$73.50–$178.50	86% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 New Pt Level 2-TC	$300.00	$300.00	$105.00–$255.00	166% above	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OFFICE OUTPATIENT VISIT NEW	$73.00	$73.00	$25.55–$49.64	—	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OFFICE/OP VISIT/NEW/20 MIN BC	$89.00	$89.00	$31.15–$60.52	—	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OFFICE/OP VISIT NEW PT	$91.00	$91.00	$31.85–$61.88	—	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OFFICE/OUTPATIENT VISIT NEW 20	$116.00	$116.00	$40.60–$78.88	—	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OP VISIT, NEW EXPANDED 20 MIN	$116.00	$116.00	$40.60–$78.88	—	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OP VISIT, NEW LEVEL 2 EXPANDED	$116.00	$116.00	$40.60–$78.88	—	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 CLINIC VISIT - NEW PT 20 MIN	$132.00	$132.00	$46.20–$89.76	—	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 New Pt Level 2-Component	$141.00	$141.00	$49.35–$95.88	—	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 LEVEL 2 INITIAL VISIT	$152.00	$152.00	$53.20–$103.36	—	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 MCH OUTPATIENT VISIT NEW 2	$154.00	$154.00	$53.90–$104.72	—	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OFFICE/OP VISIT/NEW PT/20 MIN	$155.00	$155.00	$54.25–$105.40	—	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 New Pt Level 2-PRO	$165.00	$165.00	$57.75–$112.20	—	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Office Outpt New Level 2	$165.00	$165.00	$57.75–$112.20	—	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 CONVERSION CLINIC 99202	$210.00	$210.00	$73.50–$142.80	—	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 New Pt Level 2-TC	$300.00	$300.00	$105.00–$204.00	—	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 INITIAL ASSESS INDIV EA 15 MIN	$26.00	$26.00	$9.10–$71.50	40% below	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 INITIAL ASSESS INDIV EA 15 MIN	$26.00	$26.00	$9.10–$17.68	—	—
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW-COMPLEXITY	$213.00	$213.00	$74.55–$265.43	12% below	—
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW-COMPLEXITY	$213.00	$213.00	$74.55–$144.84	—	—
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH-COMPLEXITY	$161.00	$161.00	$56.35–$258.69	46% below	—
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH-COMPLEXITY	$161.00	$161.00	$56.35–$109.48	—	—
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVALUATION LOW COMPLEXITY	$161.00	$161.00	$56.35–$258.69	38% below	—
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVALUATION LOW COMPLEXITY	$161.00	$161.00	$56.35–$109.48	—	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MODERATE-COMPLEXITY	$161.00	$161.00	$56.35–$258.69	43% below	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MODERATE-COMPLEXITY	$161.00	$161.00	$56.35–$109.48	—	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THER TECH 15 MIN	$100.00	$100.00	$22.64–$75.00	2% below	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THER TECH 15 MIN OT	$100.00	$100.00	$22.64–$75.00	2% below	—
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THER TECH 15 MIN OT	$100.00	$100.00	$35.00–$68.00	—	—
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THER TECH 15 MIN	$100.00	$100.00	$35.00–$68.00	—	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER PROC, 1 OR MORE AREA-MCR	$96.00	$96.00	$23.73–$76.78	1% below	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER EXERCISES / 15 MIN	$125.00	$125.00	$23.73–$93.75	29% above	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER EXERCISE /15 MIN	$125.00	$125.00	$23.73–$93.75	29% above	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 SPEECH THER EXERCISE/15 MIN	$134.00	$134.00	$23.73–$100.50	39% above	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THER PROC, 1 OR MORE AREA-MCR	$96.00	$96.00	$33.60–$65.28	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THER EXERCISES / 15 MIN	$125.00	$125.00	$43.75–$85.00	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THER EXERCISE /15 MIN	$125.00	$125.00	$43.75–$85.00	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 SPEECH THER EXERCISE/15 MIN	$134.00	$134.00	$46.90–$91.12	—	—
Preventive checkup, new patient aged 18–39 CPT 99385 1st Prev Med New Pt 18-39 yrs	$146.00	$146.00	$51.10–$128.49	22% above	—
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 1st Prev Med New Pt 18-39 yrs	$146.00	$146.00	$51.10–$99.28	—	—
Preventive checkup, new patient aged 40–64 CPT 99386 1st Prev Med New Pt 40-64 yrs	$166.00	$166.00	$58.10–$127.78	38% above	—
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 1st Prev Med New Pt 40-64 yrs	$166.00	$166.00	$58.10–$112.88	—	—
Preventive checkup, new patient aged 65 or older CPT 99387 1st Prev Med New Pt 65+ yrs	$176.00	$176.00	$61.60–$132.00	25% above	—
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 1st Prev Med New Pt 65+ yrs	$176.00	$176.00	$61.60–$119.68	—	—
Preventive checkup, returning patient aged 18–39 CPT 99395 Periodic Prev Med Est Pt 18-39	$155.00	$155.00	$54.25–$116.25	109% above	—
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 Periodic Prev Med Est Pt 18-39	$155.00	$155.00	$54.25–$105.40	—	—
Preventive checkup, returning patient aged 40–64 CPT 99396 WELL EXAM 40-64 YEARS-MCR	$165.00	$165.00	$57.75–$123.75	90% above	—
Preventive checkup, returning patient aged 40–64 CPT 99396 Periodic Prev Med Est Pt 40-64	$186.00	$186.00	$65.10–$139.50	114% above	—
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 WELL EXAM 40-64 YEARS-MCR	$165.00	$165.00	$57.75–$112.20	—	—
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 Periodic Prev Med Est Pt 40-64	$186.00	$186.00	$65.10–$126.48	—	—
Preventive checkup, returning patient aged 65 or older CPT 99397 Periodic Prev Med Est Pt 65+	$175.00	$175.00	$61.25–$131.25	47% above	—
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 Periodic Prev Med Est Pt 65+	$175.00	$175.00	$61.25–$119.00	—	—
Psychiatric evaluation with medical services CPT 90792 DX INTERVIEW 1 HR W/MED	$429.00	$429.00	$146.96–$321.75	72% above	—
Psychiatric evaluation with medical services CPT 90792 DX INTERVIEW 1 HR W/MEDICAL	$429.00	$429.00	$146.96–$321.75	72% above	—
Psychiatric evaluation with medical services inpatient CPT 90792 DX INTERVIEW 1 HR W/MEDICAL	$429.00	$429.00	$150.15–$291.72	—	—
Psychiatric evaluation with medical services inpatient CPT 90792 DX INTERVIEW 1 HR W/MED	$429.00	$429.00	$150.15–$291.72	—	—
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Tobacco Use Cessation Intermed	$26.00	$26.00	$9.10–$27.61	20% below	—
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Behav chng smoking 3-10 min	$78.00	$78.00	$27.30–$58.50	141% above	—
Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKING 3-10MIN-MCR	$91.00	$91.00	$27.61–$68.25	181% above	—
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Tobacco Use Cessation Intermed	$26.00	$26.00	$9.10–$17.68	—	—
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Behav chng smoking 3-10 min	$78.00	$78.00	$27.30–$53.04	—	—
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 BEHAV CHNG SMOKING 3-10MIN-MCR	$91.00	$91.00	$31.85–$61.88	—	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE VISIT-EST PAT-LEVEL 5	$129.00	$129.00	$45.15–$162.42	38% below	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE/OP VISIT EST 40 MIN BC	$155.00	$155.00	$54.25–$162.42	25% below	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 CONVERSION CLINIC 99215	$210.00	$210.00	$73.50–$178.50	2% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE/OP VISIT EST PT 40 MIN	$211.00	$211.00	$73.85–$179.35	2% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE VISIT-EST.PAT.-LEVEL 5	$214.00	$214.00	$74.90–$181.90	4% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE VISIT EST PT 40 MIN	$214.00	$214.00	$74.90–$181.90	4% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Est Pt Level 5-Component	$249.00	$249.00	$87.15–$211.65	21% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE VISIT - COMPREHENSIVE	$297.00	$297.00	$103.95–$252.45	44% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE/OUTPATIENT VISIT EST 40	$297.00	$297.00	$103.95–$252.45	44% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Est Pt Level 5-TC	$300.00	$300.00	$105.00–$255.00	45% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 MCH OUTPATIENT VISIT EST 5	$331.00	$331.00	$115.85–$281.35	60% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 LEVEL 5 FOLLOW-UP VISIT	$333.00	$333.00	$116.55–$283.05	61% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Est Pt Level 5-PRO	$370.00	$370.00	$129.50–$314.50	79% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Office Outpt Est Level 5	$370.00	$370.00	$129.50–$314.50	79% above	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OFFICE VISIT-EST PAT-LEVEL 5	$129.00	$129.00	$45.15–$87.72	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OFFICE/OP VISIT EST 40 MIN BC	$155.00	$155.00	$54.25–$105.40	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 CONVERSION CLINIC 99215	$210.00	$210.00	$73.50–$142.80	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OFFICE/OP VISIT EST PT 40 MIN	$211.00	$211.00	$73.85–$143.48	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OFFICE VISIT EST PT 40 MIN	$214.00	$214.00	$74.90–$145.52	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OFFICE VISIT-EST.PAT.-LEVEL 5	$214.00	$214.00	$74.90–$145.52	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Est Pt Level 5-Component	$249.00	$249.00	$87.15–$169.32	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OFFICE VISIT - COMPREHENSIVE	$297.00	$297.00	$103.95–$201.96	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OFFICE/OUTPATIENT VISIT EST 40	$297.00	$297.00	$103.95–$201.96	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Est Pt Level 5-TC	$300.00	$300.00	$105.00–$204.00	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 MCH OUTPATIENT VISIT EST 5	$331.00	$331.00	$115.85–$225.08	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 LEVEL 5 FOLLOW-UP VISIT	$333.00	$333.00	$116.55–$226.44	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Office Outpt Est Level 5	$370.00	$370.00	$129.50–$251.60	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Est Pt Level 5-PRO	$370.00	$370.00	$129.50–$251.60	—	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE/OP VISIT EST 15 MIN BC	$72.00	$72.00	$25.20–$116.59	52% below	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE VISIT-EST PAT-LEVEL 3	$81.00	$81.00	$28.35–$116.59	46% below	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE VISIT-EST.PAT.-LEVEL 3	$93.00	$93.00	$32.55–$116.59	38% below	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE VISIT EST PT 15 MIN	$93.00	$93.00	$32.55–$116.59	38% below	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE/OP VISIT EST PT 15 MIN	$100.00	$100.00	$35.00–$116.59	34% below	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Est Pt Level 3-Component	$131.00	$131.00	$45.85–$116.59	13% below	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE VISIT - MODERATE	$150.00	$150.00	$52.50–$127.50	1% below	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE/OUTPATIENT VISIT EST 15	$150.00	$150.00	$52.50–$127.50	1% below	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 MCH OUTPATIENT VISIT EST 3	$156.00	$156.00	$54.60–$132.60	3% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Est Pt Level 3-PRO	$183.00	$183.00	$64.05–$155.55	21% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Office Outpt Est Level 3	$183.00	$183.00	$64.05–$155.55	21% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 CONVERSION CLINIC 99213	$210.00	$210.00	$73.50–$178.50	39% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 LEVEL 3 FOLLOW-UP VISIT	$236.00	$236.00	$82.60–$200.60	56% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Est Pt Level 3-TC	$300.00	$300.00	$105.00–$255.00	99% above	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OFFICE/OP VISIT EST 15 MIN BC	$72.00	$72.00	$25.20–$48.96	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OFFICE VISIT-EST PAT-LEVEL 3	$81.00	$81.00	$28.35–$55.08	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OFFICE VISIT EST PT 15 MIN	$93.00	$93.00	$32.55–$63.24	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OFFICE VISIT-EST.PAT.-LEVEL 3	$93.00	$93.00	$32.55–$63.24	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OFFICE/OP VISIT EST PT 15 MIN	$100.00	$100.00	$35.00–$68.00	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Est Pt Level 3-Component	$131.00	$131.00	$45.85–$89.08	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OFFICE/OUTPATIENT VISIT EST 15	$150.00	$150.00	$52.50–$102.00	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OFFICE VISIT - MODERATE	$150.00	$150.00	$52.50–$102.00	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 MCH OUTPATIENT VISIT EST 3	$156.00	$156.00	$54.60–$106.08	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Office Outpt Est Level 3	$183.00	$183.00	$64.05–$124.44	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Est Pt Level 3-PRO	$183.00	$183.00	$64.05–$124.44	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 CONVERSION CLINIC 99213	$210.00	$210.00	$73.50–$142.80	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 LEVEL 3 FOLLOW-UP VISIT	$236.00	$236.00	$82.60–$160.48	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Est Pt Level 3-TC	$300.00	$300.00	$105.00–$204.00	—	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE VISIT-EST PAT-LEVEL 4	$101.00	$101.00	$35.35–$138.46	40% below	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE/OP VISIT EST 25 MIN BC	$106.00	$106.00	$37.10–$138.46	37% below	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE VISIT-EST.PAT.-LEVEL 4	$137.00	$137.00	$47.95–$138.46	18% below	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE VISIT EST PT 25 MIN	$137.00	$137.00	$47.95–$138.46	18% below	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE/OP VISIT EST PT 25 MIN	$140.00	$140.00	$49.00–$138.46	17% below	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Est Pt Level 4-Component	$185.00	$185.00	$64.75–$157.25	10% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 CONVERSION CLINIC 99214	$210.00	$210.00	$73.50–$178.50	25% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE VISIT - EXTENDED	$225.00	$225.00	$78.75–$191.25	34% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE/OUTPATIENT VISIT EST 25	$225.00	$225.00	$78.75–$191.25	34% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 LEVEL 4 FOLLOW-UP VISIT	$236.00	$236.00	$82.60–$200.60	40% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 MCH OUTPATIENT VISIT EST 4	$237.00	$237.00	$82.95–$201.45	41% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Office Outpt Est Level 4	$260.00	$260.00	$91.00–$221.00	55% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Est Pt Level 4-PRO	$260.00	$260.00	$91.00–$221.00	55% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Est Pt Level 4-TC	$300.00	$300.00	$105.00–$255.00	79% above	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFFICE VISIT-EST PAT-LEVEL 4	$101.00	$101.00	$35.35–$68.68	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFFICE/OP VISIT EST 25 MIN BC	$106.00	$106.00	$37.10–$72.08	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFFICE VISIT-EST.PAT.-LEVEL 4	$137.00	$137.00	$47.95–$93.16	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFFICE VISIT EST PT 25 MIN	$137.00	$137.00	$47.95–$93.16	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFFICE/OP VISIT EST PT 25 MIN	$140.00	$140.00	$49.00–$95.20	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Est Pt Level 4-Component	$185.00	$185.00	$64.75–$125.80	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 CONVERSION CLINIC 99214	$210.00	$210.00	$73.50–$142.80	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFFICE/OUTPATIENT VISIT EST 25	$225.00	$225.00	$78.75–$153.00	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFFICE VISIT - EXTENDED	$225.00	$225.00	$78.75–$153.00	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 LEVEL 4 FOLLOW-UP VISIT	$236.00	$236.00	$82.60–$160.48	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 MCH OUTPATIENT VISIT EST 4	$237.00	$237.00	$82.95–$161.16	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Office Outpt Est Level 4	$260.00	$260.00	$91.00–$176.80	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Est Pt Level 4-PRO	$260.00	$260.00	$91.00–$176.80	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Est Pt Level 4-TC	$300.00	$300.00	$105.00–$204.00	—	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE/OP VISIT-EST 10 MIN BC	$55.00	$55.00	$19.25–$99.58	47% below	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE VISIT-EST.PAT.-LEVEL 2	$63.00	$63.00	$22.05–$99.58	40% below	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE VISIT EST PT 10 MIN	$63.00	$63.00	$22.05–$99.58	40% below	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE OUTPATIENT VISIT NEW	$73.00	$73.00	$25.55–$99.58	30% below	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE/OP VISIT-EST PT 10 MIN	$79.00	$79.00	$27.65–$99.58	24% below	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 MCH OUTPATIENT VISIT EST 2	$80.00	$80.00	$28.00–$99.58	23% below	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE VISIT-EST PAT-LEVEL 2	$81.00	$81.00	$28.35–$99.58	22% below	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 LEVEL 2 FOLLOW-UP VISIT	$103.00	$103.00	$36.05–$99.58	1% below	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Est Pt Level 2-Component	$106.00	$106.00	$37.10–$99.58	2% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE VISIT - INTERMEDIATE	$122.00	$122.00	$42.70–$103.70	17% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE/OUTPATIENT VISIT EST 10	$122.00	$122.00	$42.70–$103.70	17% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Est Pt Level 2-PRO	$170.00	$170.00	$59.50–$144.50	63% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office Outpt Est Level 2	$170.00	$170.00	$59.50–$144.50	63% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 CONVERSION CLINIC 99212	$210.00	$210.00	$73.50–$178.50	101% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Est Pt Level 2-TC	$300.00	$300.00	$99.58–$255.00	187% above	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE/OP VISIT-EST 10 MIN BC	$55.00	$55.00	$19.25–$37.40	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE VISIT-EST.PAT.-LEVEL 2	$63.00	$63.00	$22.05–$42.84	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE VISIT EST PT 10 MIN	$63.00	$63.00	$22.05–$42.84	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE OUTPATIENT VISIT NEW	$73.00	$73.00	$25.55–$49.64	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE/OP VISIT-EST PT 10 MIN	$79.00	$79.00	$27.65–$53.72	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 MCH OUTPATIENT VISIT EST 2	$80.00	$80.00	$28.00–$54.40	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE VISIT-EST PAT-LEVEL 2	$81.00	$81.00	$28.35–$55.08	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 LEVEL 2 FOLLOW-UP VISIT	$103.00	$103.00	$36.05–$70.04	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Est Pt Level 2-Component	$106.00	$106.00	$37.10–$72.08	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE/OUTPATIENT VISIT EST 10	$122.00	$122.00	$42.70–$82.96	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE VISIT - INTERMEDIATE	$122.00	$122.00	$42.70–$82.96	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Est Pt Level 2-PRO	$170.00	$170.00	$59.50–$115.60	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Office Outpt Est Level 2	$170.00	$170.00	$59.50–$115.60	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 CONVERSION CLINIC 99212	$210.00	$210.00	$73.50–$142.80	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Est Pt Level 2-TC	$300.00	$300.00	$105.00–$204.00	—	—
Specialist consultation, low complexity or 30+ minutes CPT 99243 OFFICE CONSULT EXPANDED 30 MIN	$214.00	$214.00	$74.90–$189.91	16% above	—
Specialist consultation, low complexity or 30+ minutes CPT 99243 OP OFFICE CONSULT-LEVEL 3	$214.00	$214.00	$74.90–$189.91	16% above	—
Specialist consultation, low complexity or 30+ minutes CPT 99243 Office Consult Level 3	$405.00	$405.00	$141.75–$344.25	119% above	—
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 OP OFFICE CONSULT-LEVEL 3	$214.00	$214.00	$74.90–$145.52	—	—
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 OFFICE CONSULT EXPANDED 30 MIN	$214.00	$214.00	$74.90–$145.52	—	—
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 Office Consult Level 3	$405.00	$405.00	$141.75–$275.40	—	—
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OFFICE CONSULT COMPREHE 60 MIN	$318.00	$318.00	$111.30–$319.36	19% above	—
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OP OFFICE CONSULT-LEVEL 4	$318.00	$318.00	$111.30–$319.36	19% above	—
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Office Consult Level 4	$590.00	$590.00	$206.50–$501.50	120% above	—
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 OFFICE CONSULT COMPREHE 60 MIN	$318.00	$318.00	$111.30–$216.24	—	—
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 OP OFFICE CONSULT-LEVEL 4	$318.00	$318.00	$111.30–$216.24	—	—
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 Office Consult Level 4	$590.00	$590.00	$206.50–$401.20	—	—
Speech and language evaluation CPT 92523 SPEECH EVAL SOUND/LANG COMP	$294.00	$294.00	$102.90–$600.63	27% below	—
Speech and language evaluation inpatient CPT 92523 SPEECH EVAL SOUND/LANG COMP	$294.00	$294.00	$102.90–$199.92	—	—
Speech therapy session, individual CPT 92507 SPEECH THERAPY PER SESSION	$165.00	$165.00	$57.75–$202.07	38% below	—
Speech therapy session, individual inpatient CPT 92507 SPEECH THERAPY PER SESSION	$165.00	$165.00	$57.75–$112.20	—	—
Spirometry (breathing test) CPT 94010 INC SPIRO SET UP	$57.00	$57.00	$19.95–$55.76	77% below	—
Spirometry (breathing test) CPT 94010 Spmtry W/Vc Expiratory Flo +-M	$70.00	$70.00	$24.50–$55.76	71% below	—
Spirometry (breathing test) CPT 94010 PFS-SIMPLE W/O PRO FEE	$255.00	$255.00	$55.76–$191.25	4% above	—
Spirometry (breathing test) CPT 94010 PFS-SIMPLE	$255.00	$255.00	$55.76–$191.25	4% above	—
Spirometry (breathing test) inpatient CPT 94010 INC SPIRO SET UP	$57.00	$57.00	$19.95–$38.76	—	—
Spirometry (breathing test) inpatient CPT 94010 Spmtry W/Vc Expiratory Flo +-M	$70.00	$70.00	$24.50–$47.60	—	—
Spirometry (breathing test) inpatient CPT 94010 PFS-SIMPLE	$255.00	$255.00	$89.25–$173.40	—	—
Spirometry (breathing test) inpatient CPT 94010 PFS-SIMPLE W/O PRO FEE	$255.00	$255.00	$89.25–$173.40	—	—
Spirometry before and after a bronchodilator CPT 94060 Brncdilat Rspse Spmtry Pre&pos	$75.00	$75.00	$26.25–$105.57	87% below	—
Spirometry before and after a bronchodilator CPT 94060 PFS-BEFORE/AFTER W/O PRO FEE	$429.00	$429.00	$105.57–$321.75	28% below	—
Spirometry before and after a bronchodilator CPT 94060 PFS-BEFORE/AFTER	$429.00	$429.00	$105.57–$321.75	28% below	—
Spirometry before and after a bronchodilator inpatient CPT 94060 Brncdilat Rspse Spmtry Pre&pos	$75.00	$75.00	$26.25–$51.00	—	—
Spirometry before and after a bronchodilator inpatient CPT 94060 PFS-BEFORE/AFTER	$429.00	$429.00	$150.15–$291.72	—	—
Spirometry before and after a bronchodilator inpatient CPT 94060 PFS-BEFORE/AFTER W/O PRO FEE	$429.00	$429.00	$150.15–$291.72	—	—
Therapeutic activities (functional training), 15 minutes CPT 97530 THER ACTIVIT DIR 15 MIN	$103.00	$103.00	$28.40–$91.88	7% below	—
Therapeutic activities (functional training), 15 minutes CPT 97530 THER-ACTIV DIRECTED 15 MIN	$103.00	$103.00	$28.40–$91.88	7% below	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THER ACTIVIT DIR 15 MIN	$103.00	$103.00	$36.05–$70.04	—	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THER-ACTIV DIRECTED 15 MIN	$103.00	$103.00	$36.05–$70.04	—	—
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY,THERAPEUTIC	$168.00	$168.00	$58.80–$126.00	22% below	—
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy Ther Spx	$250.00	$250.00	$87.50–$187.50	16% above	—
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY,THERAPEUTIC	$168.00	$168.00	$58.80–$114.24	—	—
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Phlebotomy Ther Spx	$250.00	$250.00	$87.50–$170.00	—	—
Visual field test, extended both sides CPT 92083 Vis Fld Xm Uni/Bi I&r Extnd Xm	$184.00	$184.00	$64.40–$138.00	—	—
Visual field test, extended inpatient both sides CPT 92083 Vis Fld Xm Uni/Bi I&r Extnd Xm	$184.00	$184.00	$64.40–$125.12	—	—

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Pennsylvania	Off list
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 SARSCOV2 VAC 50 MCG/0.5ML IM	$438.00	$438.00	$55.84–$328.50	120% above	—
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 SARSCOV2 VAC 50 MCG/0.5ML IM	$438.00	$438.00	$153.30–$297.84	—	—
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Varicella Virus Vaccine Live S	$434.00	$434.00	$48.47–$325.50	53% above	—
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 Varicella Virus Vaccine Live S	$434.00	$434.00	$151.90–$295.12	—	—
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Influenza Fluzone Vacc 2024/25	$23.00	$23.00	$2.93–$31.73	47% below	—
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Influenza Fluzone Vacc 2025/26	$24.00	$24.00	$3.06–$31.73	45% below	—
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Influenza Fluzone Vacc 2024/25	$23.00	$23.00	$8.05–$15.64	—	—
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Influenza Fluzone Vacc 2025/26	$24.00	$24.00	$8.40–$16.32	—	—
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HPV Vaccine	$615.00	$615.00	$165.98–$461.25	83% above	—
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HPV Vaccine	$615.00	$615.00	$215.25–$418.20	—	—
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 Hepatitis A & B Vaccine Hepa-H	$369.00	$369.00	$97.15–$276.75	214% above	—
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEP A/HEP B VACCINE-MCR	$382.00	$382.00	$97.15–$286.50	225% above	—
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 Hepatitis A & B Vaccine Hepa-H	$369.00	$369.00	$129.15–$250.92	—	—
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HEP A/HEP B VACCINE-MCR	$382.00	$382.00	$133.70–$259.76	—	—
Hepatitis A vaccine, adult dose CPT 90632 Hepatitis A Vaccine Adult For	$81.00	$81.00	$28.35–$93.15	28% below	—
Hepatitis A vaccine, adult dose CPT 90632 HEP A VACCINE ADULT-MCR	$86.00	$86.00	$30.10–$93.15	23% below	—
Hepatitis A vaccine, adult dose inpatient CPT 90632 Hepatitis A Vaccine Adult For	$81.00	$81.00	$28.35–$55.08	—	—
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEP A VACCINE ADULT-MCR	$86.00	$86.00	$30.10–$58.48	—	—
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepatitis B Vaccine Adult Dosa	$93.00	$93.00	$11.86–$92.43	44% above	—
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEP B ADULT VACCINE-MCR	$100.00	$100.00	$12.75–$92.43	54% above	—
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Hepatitis B Vaccine Adult Dosa	$93.00	$93.00	$32.55–$63.24	—	—
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEP B ADULT VACCINE-MCR	$100.00	$100.00	$35.00–$68.00	—	—
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Influenza Fluzone High-Dose	$99.00	$99.00	$12.62–$120.74	6% below	—
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLUENZA VIRUS VACC SPLIT-MCR	$100.00	$100.00	$12.75–$120.74	5% below	—
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 Influenza Fluzone High-Dose	$99.00	$99.00	$34.65–$67.32	—	—
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 INFLUENZA VIRUS VACC SPLIT-MCR	$100.00	$100.00	$35.00–$68.00	—	—
MMR vaccine (measles, mumps and rubella), live CPT 90707 Measles Mumps Rubella Virus Va	$65.00	$65.00	$22.75–$65.98	20% above	—
MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR VIRUS VACCINE LIVE SQ-MCR	$72.00	$72.00	$25.20–$65.98	33% above	—
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 Measles Mumps Rubella Virus Va	$65.00	$65.00	$22.75–$44.20	—	—
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MMR VIRUS VACCINE LIVE SQ-MCR	$72.00	$72.00	$25.20–$48.96	—	—
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCL POLYSACCA VAC-MCR	$135.00	$135.00	$47.25–$101.25	39% above	—
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Meningococcal Conj Vacc ACYW	$293.00	$293.00	$64.52–$219.75	201% above	—
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCL POLYSACCA VAC-MCR	$135.00	$135.00	$47.25–$91.80	—	—
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 Meningococcal Conj Vacc ACYW	$293.00	$293.00	$102.55–$199.24	—	—
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Meningococcal recomb Gp B 2dos	$798.00	$798.00	$163.47–$598.50	316% above	—
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 Meningococcal recomb Gp B 2dos	$798.00	$798.00	$279.30–$542.64	—	—
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Pneumococcal conjugate vaccine	$900.00	$900.00	$114.75–$675.00	117% above	—
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL PCV20 VAC IM-MCR	$900.00	$900.00	$114.75–$675.00	117% above	—
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 Pneumococcal conjugate vaccine	$900.00	$900.00	$315.00–$612.00	—	—
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL PCV20 VAC IM-MCR	$900.00	$900.00	$315.00–$612.00	—	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumococcal Polysac Vaccine 2	$151.00	$151.00	$19.25–$164.17	18% above	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMONIA VACCINE	$270.00	$270.00	$34.42–$202.50	110% above	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVAX VACCINE-MCR	$270.00	$270.00	$34.42–$202.50	110% above	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Pneumococcal Polysac Vaccine 2	$151.00	$151.00	$52.85–$102.68	—	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOVAX VACCINE-MCR	$270.00	$270.00	$94.50–$183.60	—	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMONIA VACCINE	$270.00	$270.00	$94.50–$183.60	—	—
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 RSV Vacci Nirsevimab/Beyfortus	$1,960.00	$1,960.00	$536.15–$1,470.00	119% above	—
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 RSV Vacci Nirsevimab/Beyfortus	$1,960.00	$1,960.00	$686.00–$1,332.80	—	—
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 Rsv vacc Abrysvo im	$810.00	$810.00	$283.50–$607.50	61% above	—
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 Rsv vacc Abrysvo im	$810.00	$810.00	$283.50–$550.80	—	—
RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 Rsv vacc Arexvy im	$776.00	$776.00	$271.60–$582.00	at median	—
RSV vaccine with adjuvant (Arexvy), one dose for older adults inpatient CPT 90679 Rsv vacc Arexvy im	$776.00	$776.00	$271.60–$527.68	—	—
Rabies vaccine, one dose CPT 90675 Rabies Vaccine Intramuscular	$226.00	$226.00	$79.10–$408.33	62% below	—
Rabies vaccine, one dose CPT 90675 RABIES VACCINE	$236.00	$236.00	$82.60–$408.33	61% below	—
Rabies vaccine, one dose inpatient CPT 90675 Rabies Vaccine Intramuscular	$226.00	$226.00	$79.10–$153.68	—	—
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE	$236.00	$236.00	$82.60–$160.48	—	—
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Zoster(shingles) Vaccine HZV	$557.00	$557.00	$112.19–$417.75	114% above	—
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 ZOSTER(SHINGLES) VACC(HZV)	$557.00	$557.00	$112.19–$417.75	114% above	—
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Shringrix (shingles) Vacc HZV	$557.00	$557.00	$112.19–$417.75	114% above	—
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 ZOSTER(SHINGLES) VACC(HZV)	$557.00	$557.00	$194.95–$378.76	—	—
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 Shringrix (shingles) Vacc HZV	$557.00	$557.00	$194.95–$378.76	—	—
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 Zoster(shingles) Vaccine HZV	$557.00	$557.00	$194.95–$378.76	—	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 DT VACCINE > 7 YEARS-MCR	$25.00	$25.00	$8.75–$50.02	55% below	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Td Toxoids Adsorbed Prsrv Fr 7	$38.00	$38.00	$13.30–$50.02	32% below	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD VACC NO PRESV 7 YRS+IM-MCR	$44.00	$44.00	$15.40–$50.02	21% below	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 DIPTHERIA/TETANUS	$46.00	$46.00	$16.10–$50.02	18% below	—
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 DT VACCINE > 7 YEARS-MCR	$25.00	$25.00	$8.75–$17.00	—	—
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Td Toxoids Adsorbed Prsrv Fr 7	$38.00	$38.00	$13.30–$25.84	—	—
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TD VACC NO PRESV 7 YRS+IM-MCR	$44.00	$44.00	$15.40–$29.92	—	—
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 DIPTHERIA/TETANUS	$46.00	$46.00	$16.10–$31.28	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap Vaccine 7 Yr + Im	$55.00	$55.00	$19.25–$49.56	2% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP-BOOSTRIX-MCR	$60.00	$60.00	$21.00–$51.00	11% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tdap Vaccine 7 Yr + Im	$55.00	$55.00	$19.25–$37.40	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP-BOOSTRIX-MCR	$60.00	$60.00	$21.00–$40.80	—	—
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 Typhoid vaccine im-MCR	$52.00	$52.00	$18.20–$44.20	32% below	—
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 Typhoid Vaccine Vi Capsular Po	$120.00	$120.00	$42.00–$102.00	57% above	—
Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 Typhoid vaccine im-MCR	$52.00	$52.00	$18.20–$35.36	—	—
Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 Typhoid Vaccine Vi Capsular Po	$120.00	$120.00	$42.00–$81.60	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMINISTRATION	$13.00	$13.00	$0.88–$9.75	69% below	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN OF HEP B VACCINE	$27.00	$27.00	$0.88–$20.25	36% below	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN OF HEP B VACCINE-MCR	$27.00	$27.00	$0.88–$20.25	36% below	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMIN OCC MED	$28.00	$28.00	$0.88–$21.00	33% below	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Administration Of Hepatitis B	$29.00	$29.00	$0.88–$21.75	31% below	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION OR ROUTINE INJ	$30.00	$30.00	$0.88–$22.50	29% below	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Administration Of Pneumococcal	$32.00	$32.00	$0.88–$24.00	24% below	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 FLU SHOT ADMIN CLINIC	$32.00	$32.00	$0.88–$24.00	24% below	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 PNEUMO ADMIN CLINIC	$32.00	$32.00	$0.88–$24.00	24% below	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 SHOT ADMINISTRATION	$32.00	$32.00	$0.88–$24.00	24% below	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 PNEUMOCCAL SHOT ADMINISTRATION	$32.00	$32.00	$0.88–$24.00	24% below	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Administration Of Influenza Vi	$33.00	$33.00	$0.88–$24.75	21% below	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Imadm Prq Id Subq/Im Njxs 1 Va	$35.00	$35.00	$0.88–$26.25	17% below	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMUNIZATION /ROUTINE INJ	$35.00	$35.00	$0.88–$26.25	17% below	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN SUBCUT/INTR	$82.00	$82.00	$0.88–$61.50	95% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMIN	$160.00	$160.00	$0.88–$120.00	281% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMINISTRATION	$160.00	$160.00	$0.88–$120.00	281% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMINISTRATION	$13.00	$13.00	$4.55–$8.84	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN OF HEP B VACCINE	$27.00	$27.00	$9.45–$18.36	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN OF HEP B VACCINE-MCR	$27.00	$27.00	$9.45–$18.36	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE ADMIN OCC MED	$28.00	$28.00	$9.80–$19.04	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Administration Of Hepatitis B	$29.00	$29.00	$10.15–$19.72	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION OR ROUTINE INJ	$30.00	$30.00	$10.50–$20.40	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 SHOT ADMINISTRATION	$32.00	$32.00	$11.20–$21.76	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Administration Of Pneumococcal	$32.00	$32.00	$11.20–$21.76	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 PNEUMOCCAL SHOT ADMINISTRATION	$32.00	$32.00	$11.20–$21.76	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 FLU SHOT ADMIN CLINIC	$32.00	$32.00	$11.20–$21.76	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 PNEUMO ADMIN CLINIC	$32.00	$32.00	$11.20–$21.76	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Administration Of Influenza Vi	$33.00	$33.00	$11.55–$22.44	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMUNIZATION /ROUTINE INJ	$35.00	$35.00	$12.25–$23.80	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Imadm Prq Id Subq/Im Njxs 1 Va	$35.00	$35.00	$12.25–$23.80	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN SUBCUT/INTR	$82.00	$82.00	$28.70–$55.76	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE ADMINISTRATION	$160.00	$160.00	$56.00–$108.80	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE ADMIN	$160.00	$160.00	$56.00–$108.80	—	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMIN EACH ADD'L VACCINE	$14.00	$14.00	$0.42–$11.90	29% below	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Imadm Prq Id Subq/Im Njxs Ea V	$15.00	$15.00	$0.42–$12.75	24% below	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 EACH ADDITIONAL VACCINE	$15.00	$15.00	$0.42–$12.75	24% below	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION VACC ADDTNL-MCR	$20.00	$20.00	$0.42–$17.00	2% above	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 EACH ADD VACCINE ADM	$82.00	$82.00	$0.42–$69.70	317% above	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ADMIN EACH ADD'L VACCINE	$14.00	$14.00	$4.90–$9.52	—	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Imadm Prq Id Subq/Im Njxs Ea V	$15.00	$15.00	$5.25–$10.20	—	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 EACH ADDITIONAL VACCINE	$15.00	$15.00	$5.25–$10.20	—	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION VACC ADDTNL-MCR	$20.00	$20.00	$7.00–$13.60	—	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 EACH ADD VACCINE ADM	$82.00	$82.00	$28.70–$55.76	—	—

Source file: https://pub-dd9ed2ce8da741aba680475ac31af6a3.r2.dev/250965598-1659360220_warren-general-hospital_standardcharges.csv