Hospital Bangor, ME

Penobscot Valley Hospital

Penobscot Valley Hospital in Lincoln, ME publishes cash prices for 367 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the Maine median for 188 of 352 procedures and above it for 149. By typical cash price it ranks #13 of 27 Maine hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

7 Transalpine Rd, PO Box 368, Lincoln, ME, 04457 Collected Sep 27, 2026 Source price file (207) 794-3321

Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 201303 · CMS hospital register

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Maine	Off list
Ankle X-ray, complete, 3 or more views CPT 73610 PRO FEE ANKLE 2 VIEW	$46.24	$57.80	$7.96–$55.49	81% below	20%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 PRO FEE ANKLE 2 VIEW	$46.24	$57.80	$7.96–$55.49	—	20%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US ABI WITHOUT STRESS	$410.77	$513.46	$75.13–$492.92	35% above	20%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US ABI WITHOUT STRESS	$410.77	$513.46	$75.13–$492.92	—	20%
Barium swallow (esophagus X-ray with contrast) CPT 74220 PRO FEE ESOPHAGUS	$122.80	$153.50	$26.51–$147.36	75% below	20%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 PRO FEE ESOPHAGUS	$122.80	$153.50	$26.51–$147.36	—	20%
Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE SCAN WHOLE BODY AND/OR JOINT	$1,382.93	$1,728.66	$235.10–$1,659.51	at median	20%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM BONE SCAN WHOLE BODY AND/OR JOINT	$1,382.93	$1,728.66	$235.10–$1,659.51	—	20%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST UNILATERAL COMPLETE	$480.84	$601.05	$91.72–$577.01	4% below	20%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST UNILATERAL COMPLETE	$480.84	$601.05	$91.72–$577.01	—	20%
Breast ultrasound, limited (one breast or one area) both sides CPT 76642 US BREAST BILATERAL LTD	$751.04	$938.80	$76.53–$901.25	—	20%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST UNILATERAL LTD	$404.93	$506.16	$76.53–$485.91	13% above	20%
Breast ultrasound, limited (one breast or one area) inpatient both sides CPT 76642 US BREAST BILATERAL LTD	$751.04	$938.80	$76.53–$901.25	—	20%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST UNILATERAL LTD	$404.93	$506.16	$76.53–$485.91	—	20%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIOGRAPHY, CHEST W/CONTRAST	$2,228.83	$2,786.04	$256.23–$2,674.60	14% above	20%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT ANGIOGRAPHY, CHEST W/CONTRAST	$2,228.83	$2,786.04	$256.23–$2,674.60	—	20%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT SCAN ABDOMEN/PELVIS W/O CONTRAST	$2,666.08	$3,332.60	$168.40–$3,199.30	101% above	20%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT SCAN ABDOMEN/PELVIS W/O CONTRAST	$2,666.08	$3,332.60	$168.40–$3,199.30	—	20%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT SCAN ABDOMEN/PELVIS W/CONTRAST	$3,466.31	$4,332.89	$274.10–$4,159.57	89% above	20%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT SCAN ABDOMEN/PELVIS W/CONTRAST	$3,466.31	$4,332.89	$274.10–$4,159.57	—	20%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT SCAN ABDOMEN/PELVIS W&W/O CONTRAST	$4,156.81	$5,196.01	$308.43–$4,988.17	89% above	20%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT SCAN ABDOMEN/PELVIS W&W/O CONTRAST	$4,156.81	$5,196.01	$308.43–$4,988.17	—	20%
CT scan of the abdomen with contrast CPT 74160 CT SCAN ABD W/CON	$2,115.61	$2,644.51	$209.86–$2,538.73	56% above	20%
CT scan of the abdomen with contrast inpatient CPT 74160 CT SCAN ABD W/CON	$2,115.61	$2,644.51	$209.86–$2,538.73	—	20%
CT scan of the abdomen without contrast CPT 74150 CT SCAN ABD W/O CONTRAST	$1,009.96	$1,262.45	$125.13–$1,211.95	8% above	20%
CT scan of the abdomen without contrast inpatient CPT 74150 CT SCAN ABD W/O CONTRAST	$1,009.96	$1,262.45	$125.13–$1,211.95	—	20%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SCAN SINUS/MAXILLOFACIAL WO CONTRAST	$1,466.61	$1,833.26	$117.23–$1,759.93	44% above	20%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT SCAN SINUS/MAXILLOFACIAL WO CONTRAST	$1,466.61	$1,833.26	$117.23–$1,759.93	—	20%
CT scan of the head or brain, no contrast dye CPT 70450 CT SCAN HEAD W/O CON	$1,242.97	$1,553.71	$97.66–$1,491.56	6% above	20%
CT scan of the head or brain, no contrast dye CPT 70450 CT SCAN HEAD STROKE PROTOCOL	$1,242.97	$1,553.71	$97.66–$1,491.56	6% above	20%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT SCAN HEAD W/O CON	$1,242.97	$1,553.71	$97.66–$1,491.56	—	20%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT SCAN HEAD STROKE PROTOCOL	$1,242.97	$1,553.71	$97.66–$1,491.56	—	20%
CT scan of the head with contrast CPT 70460 CT SCAN HEAD W/CON	$2,201.66	$2,752.08	$135.71–$2,642.00	33% above	20%
CT scan of the head with contrast inpatient CPT 70460 CT SCAN HEAD W/CON	$2,201.66	$2,752.08	$135.71–$2,642.00	—	20%
CT scan of the head without and with contrast CPT 70470 CT SCAN HD W&W/O CON	$2,264.65	$2,830.81	$158.36–$2,717.58	38% above	20%
CT scan of the head without and with contrast inpatient CPT 70470 CT SCAN HD W&W/O CON	$2,264.65	$2,830.81	$158.36–$2,717.58	—	20%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SCAN LUMBAR SPINE W/O CONTRAST	$1,639.70	$2,049.63	$119.03–$1,967.64	29% above	20%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT SCAN LUMBAR SPINE W/O CONTRAST	$1,639.70	$2,049.63	$119.03–$1,967.64	—	20%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SCAN CERVICAL SPINE W/O CONTRAST	$1,675.18	$2,093.98	$119.63–$2,010.22	58% above	20%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL SPINE W/O CONTRAST	$1,675.18	$2,093.98	$119.63–$2,010.22	58% above	20%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERVICAL SPINE W/O CONTRAST	$1,675.18	$2,093.98	$119.63–$2,010.22	—	20%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT SCAN CERVICAL SPINE W/O CONTRAST	$1,675.18	$2,093.98	$119.63–$2,010.22	—	20%
CT scan of the pelvis, with contrast dye CPT 72193 CT SCAN PELVIS W/CONTRAST	$2,228.96	$2,786.20	$205.65–$2,674.75	72% above	20%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT SCAN PELVIS W/CONTRAST	$2,228.96	$2,786.20	$205.65–$2,674.75	—	20%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US CAROTID ARTERY DOPPLER DUPLEX, BILAT	$1,160.16	$1,450.20	$171.51–$1,392.19	—	20%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 PRO FEE EXTRACRANIAL STUDY	$162.59	$203.24	$35.44–$195.11	83% below	20%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US CAROTID ARTERY DOPPLER DUPLEX, BILAT	$1,160.16	$1,450.20	$171.51–$1,392.19	—	20%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 PRO FEE EXTRACRANIAL STUDY	$162.59	$203.24	$35.44–$195.11	—	20%
Chest X-ray, 2 views CPT 71046 OH Chest X-Ray, 2-View	$112.32	$140.40	$30.16–$134.78	45% below	20%
Chest X-ray, 2 views CPT 71046 CHEST 2 V FRONTAL & LATERAL	$256.14	$320.17	$30.16–$307.36	25% above	20%
Chest X-ray, 2 views inpatient CPT 71046 CHEST 2 V FRONTAL & LATERAL	$256.14	$320.17	$30.16–$307.36	—	20%
Chest X-ray, single view CPT 71045 PORTABLE CHEST 1 VIEW	$173.77	$217.21	$23.17–$208.52	5% below	20%
Chest X-ray, single view CPT 71045 CHEST 1 VIEW	$222.35	$277.94	$23.17–$266.82	21% above	20%
Chest X-ray, single view inpatient CPT 71045 PORTABLE CHEST 1 VIEW	$173.77	$217.21	$23.17–$208.52	—	20%
Chest X-ray, single view inpatient CPT 71045 CHEST 1 VIEW	$222.35	$277.94	$23.17–$266.82	—	20%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 PRO FEE US ABDOMEN BACK WALL	$195.93	$244.91	$32.54–$235.11	64% below	20%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RENAL & BLADDER COMPLETE	$737.08	$921.35	$97.16–$884.50	35% above	20%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 PRO FEE US ABDOMEN BACK WALL	$195.93	$244.91	$32.54–$235.11	—	20%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RENAL & BLADDER COMPLETE	$737.08	$921.35	$97.16–$884.50	—	20%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 BONE DENSITOMETRY(DXA) ONE OR MORE SITES	$403.35	$504.19	$35.87–$484.02	15% above	20%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 BONE DENSITOMETRY(DXA) ONE OR MORE SITES	$403.35	$504.19	$35.87–$484.02	—	20%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 BONE DENSITOMETRY(DXA) WRIST	$403.35	$504.19	$28.94–$484.02	127% above	20%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 BONE DENSITOMETRY(DXA) WRIST	$403.35	$504.19	$28.94–$484.02	—	20%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT SCAN THORAX W/O CONTRAST	$1,641.44	$2,051.80	$121.62–$1,969.73	75% above	20%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT SCAN THORAX W/O CONTRAST	$1,641.44	$2,051.80	$121.62–$1,969.73	—	20%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT SCAN THORAX W/CONTRAST	$1,844.78	$2,305.97	$152.35–$2,213.73	58% above	20%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT SCAN THORAX W/CONTRAST	$1,844.78	$2,305.97	$152.35–$2,213.73	—	20%
Diagnostic mammogram, both breasts both sides CPT 77066 MM DIAGNOSTIC MAMMO DIRECT DIGITAL BILAT	$342.77	$428.46	$143.32–$411.32	—	20%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MM DIAGNOSTIC MAMMO DIRECT DIGITAL BILAT	$342.77	$428.46	$143.32–$411.32	—	20%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US ARTERIAL DOPP DUPLEX LEG BILAT	$601.23	$751.54	$215.08–$721.48	—	20%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US ARTERIAL DOPP DUPLEX LEG BILAT	$601.23	$751.54	$215.08–$721.48	—	20%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 PRO FEE EXTREMITY COMPLETE BILATERAL	$186.43	$233.04	$30.41–$223.72	—	20%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VENOUS DOPP DUPLEX EXTR BILAT	$1,035.47	$1,294.34	$166.84–$1,242.57	—	20%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 PRO FEE EXTREMITY COMPLETE BILATERAL	$186.43	$233.04	$30.41–$223.72	—	20%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US VENOUS DOPP DUPLEX EXTR BILAT	$1,035.47	$1,294.34	$166.84–$1,242.57	—	20%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US ECHOCARDIOGRAM COMPLETE	$1,567.40	$1,959.25	$180.31–$1,880.88	at median	20%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US ECHOCARDIOGRAM COMPLETE	$1,567.40	$1,959.25	$180.31–$1,880.88	—	20%
Knee X-ray, 3 views CPT 73562 PRO FEE KNEE 3 VIEWS	$47.88	$59.85	$8.90–$57.46	82% below	20%
Knee X-ray, 3 views inpatient CPT 73562 PRO FEE KNEE 3 VIEWS	$47.88	$59.85	$8.90–$57.46	—	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 PRO FEE US ABDOMEN LIMITED FOLLOW UP	$156.22	$195.27	$26.18–$187.46	55% below	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US SPLEEN/LUQ	$420.87	$526.09	$78.82–$505.05	21% above	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US APPENDIX/RLQ	$488.23	$610.29	$78.82–$585.88	40% above	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LIMITED/MISC/RPT	$495.18	$618.97	$78.82–$594.21	42% above	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US GALLBLADER RUQ	$496.33	$620.41	$78.82–$595.59	42% above	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 PRO FEE US ABDOMEN LIMITED FOLLOW UP	$156.22	$195.27	$26.18–$187.46	—	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US SPLEEN/LUQ	$420.87	$526.09	$78.82–$505.05	—	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US APPENDIX/RLQ	$488.23	$610.29	$78.82–$585.88	—	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN LIMITED/MISC/RPT	$495.18	$618.97	$78.82–$594.21	—	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US GALLBLADER RUQ	$496.33	$620.41	$78.82–$595.59	—	20%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT SCAN SCREENING LUNG CT	$903.26	$1,129.08	$124.83–$1,083.92	358% above	20%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT SCAN SCREENING LUNG CT	$903.26	$1,129.08	$124.83–$1,083.92	—	20%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LOWER EXTREMITY JOINT WO CONTRAST	$2,192.11	$2,740.14	$186.88–$2,630.53	33% above	20%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI LOWER EXTREMITY JOINT WO CONTRAST	$2,192.11	$2,740.14	$186.88–$2,630.53	—	20%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LOWER EXTREMITY JOINT W/WO CONTRAST	$3,734.25	$4,667.81	$347.94–$4,481.10	19% above	20%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI LOWER EXTREMITY JOINT W/WO CONTRAST	$3,734.25	$4,667.81	$347.94–$4,481.10	—	20%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN WO CONTRAST	$2,069.51	$2,586.89	$177.51–$2,483.41	19% above	20%
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN WO CONTRAST	$2,069.51	$2,586.89	$177.51–$2,483.41	—	20%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W/WO CONTRAST	$3,671.82	$4,589.77	$307.01–$4,406.18	20% above	20%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN W/WO CONTRAST	$3,671.82	$4,589.77	$307.01–$4,406.18	—	20%
MRI of the brain, no contrast dye CPT 70551 MRI HEAD WO CONTRAST	$2,259.47	$2,824.34	$178.97–$2,711.37	50% above	20%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI HEAD WO CONTRAST	$2,259.47	$2,824.34	$178.97–$2,711.37	—	20%
MRI of the brain, with and without contrast dye CPT 70553 MRI HEAD W/WO CONTRAST	$3,198.07	$3,997.59	$290.06–$3,837.69	24% above	20%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI HEAD W/WO CONTRAST	$3,198.07	$3,997.59	$290.06–$3,837.69	—	20%
MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE WO CONTRAST	$2,196.82	$2,746.03	$175.66–$2,636.19	52% above	20%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LUMBAR SPINE WO CONTRAST	$2,196.82	$2,746.03	$175.66–$2,636.19	—	20%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE W/WO CONTRAST	$3,314.46	$4,143.07	$291.27–$3,977.35	11% above	20%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI LUMBAR SPINE W/WO CONTRAST	$3,314.46	$4,143.07	$291.27–$3,977.35	—	20%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI THORACIC SPINE WO CONTRAST	$2,198.55	$2,748.19	$174.45–$2,638.26	19% above	20%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI THORACIC SPINE WO CONTRAST	$2,198.55	$2,748.19	$174.45–$2,638.26	—	20%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C-SPINE W/WO CONTRAST	$2,082.97	$2,603.71	$290.96–$2,499.56	5% below	20%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI C-SPINE W/WO CONTRAST	$2,082.97	$2,603.71	$290.96–$2,499.56	—	20%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C-SPINE W/O CONTRAST	$2,082.97	$2,603.71	$174.74–$2,499.56	44% above	20%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI C-SPINE W/O CONTRAST	$2,082.97	$2,603.71	$174.74–$2,499.56	—	20%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/WO CONTRAST	$3,861.75	$4,827.19	$305.52–$4,634.10	58% above	20%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W/WO CONTRAST	$3,861.75	$4,827.19	$305.52–$4,634.10	—	20%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS WO CONTRAST	$2,244.09	$2,805.11	$207.92–$2,692.91	22% above	20%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS WO CONTRAST	$2,244.09	$2,805.11	$207.92–$2,692.91	—	20%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI UPPER EXTREMITY JOINT WO CONTRAST	$2,164.18	$2,705.23	$187.48–$2,597.02	35% above	20%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI UPPER EXTREMITY JOINT WO CONTRAST	$2,164.18	$2,705.23	$187.48–$2,597.02	—	20%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM SPECT MULTIPLE STUDY REST OR STRESS	$2,791.14	$3,488.92	$388.63–$3,349.36	1% above	20%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM SPECT MULTIPLE STUDY REST OR STRESS	$2,791.14	$3,488.92	$388.63–$3,349.36	—	20%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIS GYN LTD/FOLLICLE MEASURMENTS	$140.63	$175.79	$46.97–$168.76	19% above	20%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIS GYN LTD/FOLLICLE MEASUREMENT	$146.26	$182.82	$46.97–$175.51	24% above	20%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIS LTD OR FOLLOW UP	$345.04	$431.30	$46.97–$414.05	192% above	20%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIS GYN LTD/FOLLICLE MEASURMENTS	$140.63	$175.79	$46.97–$168.76	—	20%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIS GYN LTD/FOLLICLE MEASUREMENT	$146.26	$182.82	$46.97–$175.51	—	20%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIS LTD OR FOLLOW UP	$345.04	$431.30	$46.97–$414.05	—	20%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 PRO FEE US PELVIC COMPLETE	$184.91	$231.14	$30.88–$221.89	55% below	20%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS GYN COMPLETE	$588.70	$735.88	$96.13–$706.44	43% above	20%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 PRO FEE US PELVIC COMPLETE	$184.91	$231.14	$30.88–$221.89	—	20%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIS GYN COMPLETE	$588.70	$735.88	$96.13–$706.44	—	20%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 PRO FEE US PREGNANCY UTERUS AFTER 1ST TR	$266.13	$332.66	$44.95–$319.35	32% below	20%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB INITIAL COMPLETE 2ND TRIMESTER	$590.74	$738.43	$124.42–$708.89	50% above	20%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 PRO FEE US PREGNANCY UTERUS AFTER 1ST TR	$266.13	$332.66	$44.95–$319.35	—	20%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB INITIAL COMPLETE 2ND TRIMESTER	$590.74	$738.43	$124.42–$708.89	—	20%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 PRO FEE US PREGNANCY UTERUS 1ST TRIMESTE	$266.13	$332.66	$44.35–$319.35	20% below	20%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB INITIAL 1ST TRIMESTER	$590.74	$738.43	$107.36–$708.89	78% above	20%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 PRO FEE US PREGNANCY UTERUS 1ST TRIMESTE	$266.13	$332.66	$44.35–$319.35	—	20%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB INITIAL 1ST TRIMESTER	$590.74	$738.43	$107.36–$708.89	—	20%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 PRO FEE US UTERUS LIMITED	$176.86	$221.07	$29.26–$212.23	11% above	20%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LTD	$230.38	$287.98	$74.64–$276.46	44% above	20%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 PRO FEE US UTERUS LIMITED	$176.86	$221.07	$29.26–$212.23	—	20%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB LTD	$230.38	$287.98	$74.64–$276.46	—	20%
Screening mammogram, both breasts both sides CPT 77067 MM SCREENING MAMMO DIRECT DIGITAL BILAT	$308.13	$385.16	$82.11–$369.75	—	20%
Screening mammogram, both breasts one side CPT 77067 MM SCREENING MAMMOGRAM UNILATERAL RT	$169.11	$211.39	$82.11–$202.93	11% below	20%
Screening mammogram, both breasts one side CPT 77067 MM SCREENING MAMMOGRAM UNILATERAL LT	$169.11	$211.39	$82.11–$202.93	11% below	20%
Screening mammogram, both breasts inpatient both sides CPT 77067 MM SCREENING MAMMO DIRECT DIGITAL BILAT	$308.13	$385.16	$82.11–$369.75	—	20%
Screening mammogram, both breasts inpatient one side CPT 77067 MM SCREENING MAMMOGRAM UNILATERAL LT	$169.11	$211.39	$82.11–$202.93	—	20%
Screening mammogram, both breasts inpatient one side CPT 77067 MM SCREENING MAMMOGRAM UNILATERAL RT	$169.11	$211.39	$82.11–$202.93	—	20%
Shoulder X-ray, complete, 2 or more views CPT 73030 PRO FEE SHOULDER 2 VIEWSW	$47.88	$59.85	$8.59–$57.46	79% below	20%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 PRO FEE SHOULDER 2 VIEWSW	$47.88	$59.85	$8.59–$57.46	—	20%
Swallow study (modified barium swallow, video X-ray) CPT 74230 SWALLOWING FUNCTION WITH CINE/VIDEO RADI	$630.06	$787.57	$109.39–$756.07	25% above	20%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 SWALLOWING FUNCTION WITH CINE/VIDEO RADI	$630.06	$787.57	$109.39–$756.07	—	20%
Transvaginal pelvic ultrasound CPT 76830 PRO FEE US TRANSVAGINAL	$184.91	$231.14	$30.88–$221.89	11% below	20%
Transvaginal pelvic ultrasound CPT 76830 US PELVIS GYN TRANSVAGINAL	$493.40	$616.75	$107.17–$592.08	137% above	20%
Transvaginal pelvic ultrasound inpatient CPT 76830 PRO FEE US TRANSVAGINAL	$184.91	$231.14	$30.88–$221.89	—	20%
Transvaginal pelvic ultrasound inpatient CPT 76830 US PELVIS GYN TRANSVAGINAL	$493.40	$616.75	$107.17–$592.08	—	20%
Transvaginal ultrasound during pregnancy CPT 76817 US PREGNANT UTERUS TRANSVAGINAL	$480.82	$601.03	$85.14–$576.99	138% above	20%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US PREGNANT UTERUS TRANSVAGINAL	$480.82	$601.03	$85.14–$576.99	—	20%
Ultrasound of the abdomen, complete CPT 76700 PRO FEE US ABDOMEN COMPLETE	$216.70	$270.88	$35.76–$260.04	70% below	20%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE	$716.85	$896.06	$104.48–$860.22	2% below	20%
Ultrasound of the abdomen, complete inpatient CPT 76700 PRO FEE US ABDOMEN COMPLETE	$216.70	$270.88	$35.76–$260.04	—	20%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN COMPLETE	$716.85	$896.06	$104.48–$860.22	—	20%
Ultrasound of the scrotum and testicles CPT 76870 PRO FEE US SCROTUM	$170.55	$213.19	$28.32–$204.66	50% below	20%
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM & CONTENTS	$581.97	$727.46	$89.97–$698.36	69% above	20%
Ultrasound of the scrotum and testicles inpatient CPT 76870 PRO FEE US SCROTUM	$170.55	$213.19	$28.32–$204.66	—	20%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM & CONTENTS	$581.97	$727.46	$89.97–$698.36	—	20%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 PRO FEE US HEAD AND OR NECK	$148.18	$185.22	$25.19–$177.81	25% below	20%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US NECK & HEAD SOFT TISSUE	$492.10	$615.13	$98.92–$590.52	150% above	20%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID	$492.10	$615.13	$98.92–$590.52	150% above	20%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 PRO FEE US HEAD AND OR NECK	$148.18	$185.22	$25.19–$177.81	—	20%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US NECK & HEAD SOFT TISSUE	$492.10	$615.13	$98.92–$590.52	—	20%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US THYROID	$492.10	$615.13	$98.92–$590.52	—	20%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI WITHOUT KUB	$770.56	$963.20	$111.48–$924.67	9% above	20%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI SINGLE CONTRAST	$770.56	$963.20	$111.48–$924.67	9% above	20%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI W/SMALL BOWEL W/MULTI SERIAL FILMS	$1,128.75	$1,410.94	$111.48–$1,354.50	60% above	20%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UGI SINGLE CONTRAST	$770.56	$963.20	$111.48–$924.67	—	20%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UGI WITHOUT KUB	$770.56	$963.20	$111.48–$924.67	—	20%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UGI W/SMALL BOWEL W/MULTI SERIAL FILMS	$1,128.75	$1,410.94	$111.48–$1,354.50	—	20%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 PRO FEE EXTREMITY STUDY UNILATERAL LIMIT	$121.02	$151.27	$19.42–$145.22	81% below	20%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS DOPPLER EXTREMITY UNILAT/LTD	$550.34	$687.92	$105.46–$660.40	12% below	20%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 PRO FEE EXTREMITY STUDY UNILATERAL LIMIT	$121.02	$151.27	$19.42–$145.22	—	20%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VENOUS DOPPLER EXTREMITY UNILAT/LTD	$550.34	$687.92	$105.46–$660.40	—	20%
Wrist X-ray, complete, 3 or more views CPT 73110 PRO FEE WRIST 3 VIEW	$46.24	$57.80	$8.25–$55.49	83% below	20%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 PRO FEE WRIST 3 VIEW	$46.24	$57.80	$8.25–$55.49	—	20%
X-ray of the abdomen, 1 view CPT 74018 KUB (ABDOMEN 1 VIEW)	$240.12	$300.15	$27.08–$288.14	11% above	20%
X-ray of the abdomen, 1 view inpatient CPT 74018 KUB (ABDOMEN 1 VIEW)	$240.12	$300.15	$27.08–$288.14	—	20%
X-ray of the ankle, 2 views CPT 73600 PRO FEE ANKLE 2 VIEW	$35.07	$43.84	$7.62–$42.09	83% below	20%
X-ray of the ankle, 2 views inpatient CPT 73600 PRO FEE ANKLE 2 VIEW	$35.07	$43.84	$7.62–$42.09	—	20%
X-ray of the finger(s), 2 or more views CPT 73140 PRO FEE FINGER	$35.07	$43.84	$6.32–$42.09	84% below	20%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 PRO FEE FINGER	$35.07	$43.84	$6.32–$42.09	—	20%
X-ray of the foot, complete, 3 or more views CPT 73630 PRO FEE FOOT 3 VIEW	$46.24	$57.80	$7.65–$55.49	80% below	20%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 PRO FEE FOOT 3 VIEW	$46.24	$57.80	$7.65–$55.49	—	20%
X-ray of the hand, 3 or more views CPT 73130 PRO FEE HAND	$46.24	$57.80	$8.25–$55.49	79% below	20%
X-ray of the hand, 3 or more views inpatient CPT 73130 PRO FEE HAND	$46.24	$57.80	$8.25–$55.49	—	20%
X-ray of the knee, 1 or 2 views CPT 73560 PRO FEE KNEE 1 OR 2 VIEWS	$46.24	$57.80	$7.62–$55.49	79% below	20%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 PRO FEE KNEE 1 OR 2 VIEWS	$46.24	$57.80	$7.62–$55.49	—	20%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 PRO FEE LOWER SPINE 2 OR 3 VIEWS	$58.96	$73.70	$10.18–$70.75	78% below	20%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 PRO FEE THORACIC SPINE 2 OR 3 VIEWS	$58.96	$73.70	$10.18–$70.75	78% below	20%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LUMBAR SPINE 2 OR 3 VIEWS	$482.82	$603.53	$36.79–$579.39	83% above	20%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 PRO FEE THORACIC SPINE 2 OR 3 VIEWS	$58.96	$73.70	$10.18–$70.75	—	20%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 PRO FEE LOWER SPINE 2 OR 3 VIEWS	$58.96	$73.70	$10.18–$70.75	—	20%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 LUMBAR SPINE 2 OR 3 VIEWS	$482.82	$603.53	$36.79–$579.39	—	20%
X-ray of the lower back, 4 or more views CPT 72110 PRO FEE LOWER SPINE 4 VIEWS	$81.29	$101.61	$12.02–$97.55	75% below	20%
X-ray of the lower back, 4 or more views CPT 72110 LUMBAR SPINE MINIMUM 4 VIEWS	$611.57	$764.46	$48.55–$733.88	90% above	20%
X-ray of the lower back, 4 or more views inpatient CPT 72110 PRO FEE LOWER SPINE 4 VIEWS	$81.29	$101.61	$12.02–$97.55	—	20%
X-ray of the lower back, 4 or more views inpatient CPT 72110 LUMBAR SPINE MINIMUM 4 VIEWS	$611.57	$764.46	$48.55–$733.88	—	20%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 PRO FEE THORACIC SPINE 2 VIEWS	$58.96	$73.70	$9.25–$70.75	75% below	20%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 THORACIC SPINE AP&LATERAL	$398.03	$497.54	$30.14–$477.64	66% above	20%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 PRO FEE THORACIC SPINE 2 VIEWS	$58.96	$73.70	$9.25–$70.75	—	20%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 THORACIC SPINE AP&LATERAL	$398.03	$497.54	$30.14–$477.64	—	20%
X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES COMPLETE MINIMUM 3 VIEWS	$308.30	$385.37	$33.98–$369.96	11% above	20%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONES COMPLETE MINIMUM 3 VIEWS	$308.30	$385.37	$33.98–$369.96	—	20%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 PRO FEE NECK SPINE 2 OR 3 VIEWS	$58.96	$73.70	$9.89–$70.75	79% below	20%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERVICAL SPINE 2 OR 3 VIEWS	$327.62	$409.53	$36.19–$393.15	16% above	20%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 PRO FEE NECK SPINE 2 OR 3 VIEWS	$58.96	$73.70	$9.89–$70.75	—	20%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 CERVICAL SPINE 2 OR 3 VIEWS	$327.62	$409.53	$36.19–$393.15	—	20%
X-ray of the pelvis, 1 or 2 views CPT 72170 PRO FEE PELVIS	$46.24	$57.80	$7.96–$55.49	78% below	20%
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1 OR 2 VIEWS	$247.38	$309.23	$25.55–$296.86	18% above	20%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PRO FEE PELVIS	$46.24	$57.80	$7.96–$55.49	—	20%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS 1 OR 2 VIEWS	$247.38	$309.23	$25.55–$296.86	—	20%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM & COCCYX MINIMUM 2 VIEWS	$291.14	$363.92	$29.16–$349.36	10% above	20%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM & COCCYX MINIMUM 2 VIEWS	$291.14	$363.92	$29.16–$349.36	—	20%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Maine	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT (ALT)	$68.10	$85.12	$5.19–$81.72	107% above	20%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT (ALT)	$68.10	$85.12	$5.19–$81.72	—	20%
AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT (AST)	$68.10	$85.12	$5.08–$81.72	132% above	20%
AST (aspartate aminotransferase) enzyme test CPT 84450 Liver Fibrosis - FibroMeter ALI (ARUP)	$157.92	$197.40	$5.08–$189.50	438% above	20%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT (AST)	$68.10	$85.12	$5.08–$81.72	—	20%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Liver Fibrosis - FibroMeter ALI (ARUP)	$157.92	$197.40	$5.08–$189.50	—	20%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hep Acute Profile 10306 Quest*	$57.97	$72.46	$33.38–$69.56	61% below	20%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hep Panel Chronic TC 18475	$61.57	$76.96	$35.45–$73.88	59% below	20%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hep Profile #26 Quest TC 46912	$68.64	$85.80	$39.52–$82.37	54% below	20%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ?EP PANEL ACUTE 10306F QUEST	$336.31	$420.39	$46.68–$403.57	123% above	20%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hep Acute Profile 10306 Quest*	$57.97	$72.46	$33.38–$69.56	—	20%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hep Panel Chronic TC 18475	$61.57	$76.96	$35.45–$73.88	—	20%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hep Profile #26 Quest TC 46912	$68.64	$85.80	$39.52–$82.37	—	20%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ?EP PANEL ACUTE 10306F QUEST	$336.31	$420.39	$46.68–$403.57	—	20%
Allergy blood test, specific IgE, per allergen CPT 86003 ?LLERGY PANEL, NORTHEAST RASTNE1 QUEST_	$31.84	$39.80	$5.12–$38.21	67% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 Stachybotrys chart/atra IgE 91137 Quest	$32.27	$40.34	$5.12–$38.73	69% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 Cat Dander (10564) Quest	$32.89	$41.11	$5.12–$39.47	72% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 Gluten IgE 28548	$35.57	$44.46	$5.12–$42.68	86% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 ?USHROOM (RF212) 8931X QUEST	$36.68	$45.85	$5.12–$44.02	92% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 Yeast IgE 28459	$40.01	$50.01	$5.12–$48.01	110% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen IgE Each ALI*	$44.39	$55.49	$5.12–$53.27	133% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 Cow's milk (f2) IgE w/ref TC 37900	$45.88	$57.35	$5.12–$55.06	140% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 Cow's milk (f2) IgE TC 28028	$45.88	$57.35	$5.12–$55.06	140% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 ?AST LATEX 67280A QUEST	$46.33	$57.91	$5.12–$55.59	143% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 Cashew Nut IgE Allergen TC 26088	$47.71	$59.64	$5.12–$57.25	150% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 Egg White IgE Allergen TC 28018	$47.71	$59.64	$5.12–$57.25	150% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen IgE Each Quest*	$49.05	$61.31	$5.12–$58.86	157% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen House Dust IgE (TC 2711)	$49.62	$62.03	$5.12–$59.55	160% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 Wheat (f4) IgE TC 28048	$57.86	$72.32	$5.12–$69.43	203% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Nut Panel 2 TC 116862 Quest	$62.98	$78.73	$5.12–$75.58	230% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Panel 13, stinging insect group	$62.98	$78.73	$5.12–$75.58	230% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Shellfish #1 Quest	$64.05	$80.06	$5.12–$76.86	236% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 ?enicillin Profile 2 17606X Quest_*	$67.42	$84.28	$5.12–$80.91	253% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Seafood #19 Quest TC 7919X	$69.94	$87.43	$5.12–$83.93	267% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 Mold Allergy Panel #3 (131752) Quest	$76.18	$95.23	$5.12–$91.42	299% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 Alpha-gal Panel TC 10555 Quest	$93.87	$117.34	$5.12–$112.65	392% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Common Food ALI	$110.05	$137.56	$5.12–$132.06	477% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 Food/Nut Allergy Panel (36763) w/ref Qu	$114.30	$142.88	$5.12–$137.16	499% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 Food /Nut Panel w/o ref (36762)	$118.86	$148.58	$5.12–$142.64	523% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Panel Food TC 10715	$221.13	$276.41	$5.12–$265.35	1059% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Panel #1 NE TC 43062	$327.00	$408.75	$5.12–$392.40	1614% above	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ?LLERGY PANEL, NORTHEAST RASTNE1 QUEST_	$31.84	$39.80	$5.12–$38.21	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Stachybotrys chart/atra IgE 91137 Quest	$32.27	$40.34	$5.12–$38.73	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cat Dander (10564) Quest	$32.89	$41.11	$5.12–$39.47	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Gluten IgE 28548	$35.57	$44.46	$5.12–$42.68	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ?USHROOM (RF212) 8931X QUEST	$36.68	$45.85	$5.12–$44.02	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Yeast IgE 28459	$40.01	$50.01	$5.12–$48.01	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen IgE Each ALI*	$44.39	$55.49	$5.12–$53.27	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cow's milk (f2) IgE w/ref TC 37900	$45.88	$57.35	$5.12–$55.06	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cow's milk (f2) IgE TC 28028	$45.88	$57.35	$5.12–$55.06	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ?AST LATEX 67280A QUEST	$46.33	$57.91	$5.12–$55.59	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cashew Nut IgE Allergen TC 26088	$47.71	$59.64	$5.12–$57.25	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Egg White IgE Allergen TC 28018	$47.71	$59.64	$5.12–$57.25	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen IgE Each Quest*	$49.05	$61.31	$5.12–$58.86	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen House Dust IgE (TC 2711)	$49.62	$62.03	$5.12–$59.55	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Wheat (f4) IgE TC 28048	$57.86	$72.32	$5.12–$69.43	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Nut Panel 2 TC 116862 Quest	$62.98	$78.73	$5.12–$75.58	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Panel 13, stinging insect group	$62.98	$78.73	$5.12–$75.58	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Shellfish #1 Quest	$64.05	$80.06	$5.12–$76.86	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ?enicillin Profile 2 17606X Quest_*	$67.42	$84.28	$5.12–$80.91	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Seafood #19 Quest TC 7919X	$69.94	$87.43	$5.12–$83.93	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mold Allergy Panel #3 (131752) Quest	$76.18	$95.23	$5.12–$91.42	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Alpha-gal Panel TC 10555 Quest	$93.87	$117.34	$5.12–$112.65	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Common Food ALI	$110.05	$137.56	$5.12–$132.06	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Food/Nut Allergy Panel (36763) w/ref Qu	$114.30	$142.88	$5.12–$137.16	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Food /Nut Panel w/o ref (36762)	$118.86	$148.58	$5.12–$142.64	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Panel Food TC 10715	$221.13	$276.41	$5.12–$265.35	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Panel #1 NE TC 43062	$327.00	$408.75	$5.12–$392.40	—	20%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic Citrulline Pep Ab 11173 Quest	$45.54	$56.93	$12.69–$54.65	32% below	20%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Cyclic Citrulline Pep Ab 11173 Quest	$45.54	$56.93	$12.69–$54.65	—	20%
Antinuclear antibody (ANA) blood test, screen CPT 86038 SLE Comp. Panel 19881	$17.46	$21.83	$10.05–$20.96	63% below	20%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA w/ Reflex To Titer 249 Quest	$37.58	$46.97	$11.85–$45.09	20% below	20%
Antinuclear antibody (ANA) blood test, screen CPT 86038 _190446-2	$53.15	$66.44	$11.85–$63.78	12% above	20%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ?196156-3	$76.74	$95.93	$11.85–$92.09	62% above	20%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ?ENTROMERE AB SCR W/ REFLEX 86769N QUEST	$105.05	$131.31	$11.85–$126.06	122% above	20%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ?196225-2	$128.05	$160.06	$11.85–$153.66	171% above	20%
Antinuclear antibody (ANA) blood test, screen CPT 86038 _PT 2 CONNECT ALI ANA	$138.50	$173.12	$11.85–$166.20	193% above	20%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Lupus panel 3 w/ANA w/ Reflex Quest	$150.02	$187.53	$11.85–$180.03	218% above	20%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ?ANA BLOCK FBR 191021	$185.84	$232.30	$11.85–$223.01	293% above	20%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA, IFA w/ref titer/pattern, Crithidia	$382.27	$477.84	$11.85–$458.73	709% above	20%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 SLE Comp. Panel 19881	$17.46	$21.83	$10.05–$20.96	—	20%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA w/ Reflex To Titer 249 Quest	$37.58	$46.97	$11.85–$45.09	—	20%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 _190446-2	$53.15	$66.44	$11.85–$63.78	—	20%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ?196156-3	$76.74	$95.93	$11.85–$92.09	—	20%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ?ENTROMERE AB SCR W/ REFLEX 86769N QUEST	$105.05	$131.31	$11.85–$126.06	—	20%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ?196225-2	$128.05	$160.06	$11.85–$153.66	—	20%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 _PT 2 CONNECT ALI ANA	$138.50	$173.12	$11.85–$166.20	—	20%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Lupus panel 3 w/ANA w/ Reflex Quest	$150.02	$187.53	$11.85–$180.03	—	20%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ?ANA BLOCK FBR 191021	$185.84	$232.30	$11.85–$223.01	—	20%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA, IFA w/ref titer/pattern, Crithidia	$382.27	$477.84	$11.85–$458.73	—	20%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BN Peptide*	$104.57	$130.71	$38.47–$125.48	15% below	20%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NT PRO-BNP ALI	$104.57	$130.71	$38.47–$125.48	15% below	20%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 _190548-4	$149.23	$186.54	$38.47–$179.08	21% above	20%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NT-proBNP PVH	$191.43	$239.29	$38.47–$229.72	56% above	20%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 ?RO BNP N TERMINAL 11188 QUEST	$216.11	$270.14	$38.47–$259.33	76% above	20%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 ?BN PEPTIDE 37386N QUEST	$264.10	$330.12	$38.47–$316.92	115% above	20%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BN Peptide*	$104.57	$130.71	$38.47–$125.48	—	20%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NT PRO-BNP ALI	$104.57	$130.71	$38.47–$125.48	—	20%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 _190548-4	$149.23	$186.54	$38.47–$179.08	—	20%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NT-proBNP PVH	$191.43	$239.29	$38.47–$229.72	—	20%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 ?RO BNP N TERMINAL 11188 QUEST	$216.11	$270.14	$38.47–$259.33	—	20%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 ?BN PEPTIDE 37386N QUEST	$264.10	$330.12	$38.47–$316.92	—	20%
Basic metabolic panel (blood test) CPT 80048 **i-STAT BMP	$41.60	$52.00	$8.29–$49.92	48% below	20%
Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel	$128.09	$160.11	$8.29–$153.71	60% above	20%
Basic metabolic panel (blood test) inpatient CPT 80048 **i-STAT BMP	$41.60	$52.00	$8.29–$49.92	—	20%
Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel	$128.09	$160.11	$8.29–$153.71	—	20%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Micro Biopsy 88305 DCDS Level Iv	$157.91	$197.39	$64.95–$189.49	10% above	20%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Bone Marrow Clot DCDS	$233.16	$291.45	$64.95–$279.79	63% above	20%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Cell Block 88305Cb DCDS	$233.16	$291.45	$64.95–$279.79	63% above	20%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Bone Marrow Biopsy DCDS	$233.16	$291.45	$64.95–$279.79	63% above	20%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Micro Biopsy 88305 DCDS Level Iv	$157.91	$197.39	$64.95–$189.49	—	20%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Bone Marrow Biopsy DCDS	$233.16	$291.45	$64.95–$279.79	—	20%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Bone Marrow Clot DCDS	$233.16	$291.45	$64.95–$279.79	—	20%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Cell Block 88305Cb DCDS	$233.16	$291.45	$64.95–$279.79	—	20%
Blood culture for bacteria CPT 87040 Blood Culture Peds Marlboro Quest	$52.19	$65.24	$10.11–$62.63	40% below	20%
Blood culture for bacteria CPT 87040 _190269-2	$67.01	$83.76	$10.11–$80.41	24% below	20%
Blood culture for bacteria CPT 87040 Blood culture ALI_	$96.33	$120.41	$10.11–$115.59	10% above	20%
Blood culture for bacteria CPT 87040 Blood Culture Marlboro Quest	$103.49	$129.36	$10.11–$124.19	18% above	20%
Blood culture for bacteria CPT 87040 Culture Blood	$185.98	$232.47	$10.11–$223.17	112% above	20%
Blood culture for bacteria inpatient CPT 87040 Blood Culture Peds Marlboro Quest	$52.19	$65.24	$10.11–$62.63	—	20%
Blood culture for bacteria inpatient CPT 87040 _190269-2	$67.01	$83.76	$10.11–$80.41	—	20%
Blood culture for bacteria inpatient CPT 87040 Blood culture ALI_	$96.33	$120.41	$10.11–$115.59	—	20%
Blood culture for bacteria inpatient CPT 87040 Blood Culture Marlboro Quest	$103.49	$129.36	$10.11–$124.19	—	20%
Blood culture for bacteria inpatient CPT 87040 Culture Blood	$185.98	$232.47	$10.11–$223.17	—	20%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 IM BLOOD DRAW	$10.33	$12.91	$5.95–$12.39	16% below	20%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 PVPC VENIPUNCTURE	$10.84	$13.55	$6.24–$13.01	12% below	20%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 .Venipuncture	$15.05	$18.81	$8.66–$18.06	22% above	20%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 .Specimen Collection Fee	$15.05	$18.81	$8.66–$18.06	22% above	20%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 OH Blood Draw Fee, Per Person	$16.64	$20.80	$9.15–$19.97	35% above	20%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 IM BLOOD DRAW	$10.33	$12.91	$5.95–$12.39	—	20%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 .Venipuncture	$15.05	$18.81	$8.66–$18.06	—	20%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 .Specimen Collection Fee	$15.05	$18.81	$8.66–$18.06	—	20%
Blood glucose (sugar) test CPT 82947 CSF GLUCOSE PVH	$44.01	$55.01	$3.85–$52.81	89% above	20%
Blood glucose (sugar) test CPT 82947 Glucose*	$44.01	$55.01	$3.85–$52.81	89% above	20%
Blood glucose (sugar) test CPT 82947 Glucose Monitor Check*	$44.01	$55.01	$3.85–$52.81	89% above	20%
Blood glucose (sugar) test inpatient CPT 82947 Glucose*	$44.01	$55.01	$3.85–$52.81	—	20%
Blood glucose (sugar) test inpatient CPT 82947 Glucose Monitor Check*	$44.01	$55.01	$3.85–$52.81	—	20%
Blood glucose (sugar) test inpatient CPT 82947 CSF GLUCOSE PVH	$44.01	$55.01	$3.85–$52.81	—	20%
Blood lead test CPT 83655 Lead Adult 599X Quest	$38.98	$48.73	$11.87–$46.78	11% below	20%
Blood lead test CPT 83655 PART 1 360006	$39.34	$49.17	$11.87–$47.20	11% below	20%
Blood lead test CPT 83655 ?EAD URINE 56762P QUEST_	$43.50	$54.37	$11.87–$52.20	1% below	20%
Blood lead test CPT 83655 IM LEAD BLOOD 3058X QUEST	$47.83	$59.79	$11.87–$57.40	9% above	20%
Blood lead test CPT 83655 _196741-2	$53.62	$67.02	$11.87–$64.34	22% above	20%
Blood lead test CPT 83655 LEAD/ZPP (OSHA EVAL) TC 22996	$53.65	$67.06	$11.87–$64.38	22% above	20%
Blood lead test CPT 83655 ?PT 1 360005	$129.34	$161.68	$11.87–$155.21	194% above	20%
Blood lead test inpatient CPT 83655 Lead Adult 599X Quest	$38.98	$48.73	$11.87–$46.78	—	20%
Blood lead test inpatient CPT 83655 PART 1 360006	$39.34	$49.17	$11.87–$47.20	—	20%
Blood lead test inpatient CPT 83655 ?EAD URINE 56762P QUEST_	$43.50	$54.37	$11.87–$52.20	—	20%
Blood lead test inpatient CPT 83655 IM LEAD BLOOD 3058X QUEST	$47.83	$59.79	$11.87–$57.40	—	20%
Blood lead test inpatient CPT 83655 _196741-2	$53.62	$67.02	$11.87–$64.34	—	20%
Blood lead test inpatient CPT 83655 LEAD/ZPP (OSHA EVAL) TC 22996	$53.65	$67.06	$11.87–$64.38	—	20%
Blood lead test inpatient CPT 83655 ?PT 1 360005	$129.34	$161.68	$11.87–$155.21	—	20%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Hcg Serum Qual 8435X Quest	$39.29	$49.11	$7.37–$47.15	5% below	20%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Hcg Serum Qual PVH	$60.74	$75.93	$7.37–$72.89	47% above	20%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Hcg Serum Qual ALI	$64.27	$80.34	$7.37–$77.13	56% above	20%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Hcg Serum Qual 8435X Quest	$39.29	$49.11	$7.37–$47.15	—	20%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Hcg Serum Qual PVH	$60.74	$75.93	$7.37–$72.89	—	20%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Hcg Serum Qual ALI	$64.27	$80.34	$7.37–$77.13	—	20%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO Group	$27.08	$33.85	$2.93–$32.50	45% below	20%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 EXFAC Blood Typing ABO	$38.31	$47.89	$2.93–$45.97	22% below	20%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood Typing ABO St Joes	$51.62	$64.52	$2.93–$61.94	5% above	20%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO Group	$27.08	$33.85	$2.93–$32.50	—	20%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 EXFAC Blood Typing ABO	$38.31	$47.89	$2.93–$45.97	—	20%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Blood Typing ABO St Joes	$51.62	$64.52	$2.93–$61.94	—	20%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP	$32.49	$40.61	$5.08–$38.99	8% below	20%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-Reactive Protein Quest	$35.23	$44.04	$5.08–$42.28	1% below	20%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 ?CRP FBR 191021	$42.98	$53.73	$5.08–$51.58	21% above	20%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP ALI Stat	$49.79	$62.24	$5.08–$59.75	40% above	20%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 ?onnective Tissue Part 2 P1035A Quest	$64.07	$80.09	$5.08–$76.89	80% above	20%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 _PT 3 CONNECT ALI CRP	$69.30	$86.62	$5.08–$83.16	95% above	20%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP 4420X Quest	$163.98	$204.98	$5.08–$196.78	362% above	20%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 IBD diagnostic panel prometheus ALI	$631.94	$789.93	$5.08–$758.33	1680% above	20%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP	$32.49	$40.61	$5.08–$38.99	—	20%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-Reactive Protein Quest	$35.23	$44.04	$5.08–$42.28	—	20%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 ?CRP FBR 191021	$42.98	$53.73	$5.08–$51.58	—	20%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP ALI Stat	$49.79	$62.24	$5.08–$59.75	—	20%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 ?onnective Tissue Part 2 P1035A Quest	$64.07	$80.09	$5.08–$76.89	—	20%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 _PT 3 CONNECT ALI CRP	$69.30	$86.62	$5.08–$83.16	—	20%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP 4420X Quest	$163.98	$204.98	$5.08–$196.78	—	20%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 IBD diagnostic panel prometheus ALI	$631.94	$789.93	$5.08–$758.33	—	20%
C. difficile toxin gene test (stool PCR) CPT 87493 C Difficile Toxin PCR (Ag Confirm) ALI*	$102.47	$128.09	$36.52–$122.97	16% above	20%
C. difficile toxin gene test (stool PCR) CPT 87493 C Difficile Toxin PCR Ag Quest 16377 TC	$102.47	$128.09	$36.52–$122.97	16% above	20%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C Difficile Toxin PCR Ag Quest 16377 TC	$102.47	$128.09	$36.52–$122.97	—	20%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C Difficile Toxin PCR (Ag Confirm) ALI*	$102.47	$128.09	$36.52–$122.97	—	20%
CA 19-9 blood test (tumor marker) CPT 86301 Ca 19-9 4698 Quest*	$43.26	$54.08	$20.39–$51.92	2% below	20%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 Ca 19-9 4698 Quest*	$43.26	$54.08	$20.39–$51.92	—	20%
CA-125 blood test (ovarian cancer marker) CPT 86304 Ca 125 29256X Quest*	$43.26	$54.08	$20.39–$51.92	50% below	20%
CA-125 blood test (ovarian cancer marker) CPT 86304 ?A 125 REBASELINING 17631X QUEST	$120.83	$151.04	$20.39–$145.00	41% above	20%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Ca 125 29256X Quest*	$43.26	$54.08	$20.39–$51.92	—	20%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 ?A 125 REBASELINING 17631X QUEST	$120.83	$151.04	$20.39–$145.00	—	20%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 CoVid 19 ALI	$87.59	$109.49	$50.28–$105.11	56% above	20%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 CoV-2 PVH Employee Only	$187.18	$233.97	$50.28–$224.61	234% above	20%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 CoVid 19 ALI	$87.59	$109.49	$50.28–$105.11	—	20%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 CoV-2 PVH Employee Only	$187.18	$233.97	$50.28–$224.61	—	20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia Aptima TMA 11361 Quest	$47.98	$59.97	$27.63–$57.57	28% below	20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia ProbeTec Chlmdfa ALI	$55.59	$69.49	$32.01–$66.71	17% below	20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia/NG Aptima 11363 Quest_	$57.12	$71.40	$32.89–$68.54	15% below	20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 STD Tri Panel ALI	$81.87	$102.34	$34.39–$98.25	23% above	20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia GC Aptima Throat 70051 Quest_	$114.55	$143.19	$34.39–$137.46	71% above	20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlam / N. Gono DNA Sda 17305 Quest_	$118.34	$147.93	$34.39–$142.01	77% above	20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 STD Panel Quest TC 36963	$190.36	$237.95	$34.39–$228.43	185% above	20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 ?HLAMYDIA PCR (CSHC) 10236F QUEST	$205.95	$257.44	$34.39–$247.14	208% above	20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia Aptima TMA 11361 Quest	$47.98	$59.97	$27.63–$57.57	—	20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia ProbeTec Chlmdfa ALI	$55.59	$69.49	$32.01–$66.71	—	20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia/NG Aptima 11363 Quest_	$57.12	$71.40	$32.89–$68.54	—	20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 STD Tri Panel ALI	$81.87	$102.34	$34.39–$98.25	—	20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia GC Aptima Throat 70051 Quest_	$114.55	$143.19	$34.39–$137.46	—	20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlam / N. Gono DNA Sda 17305 Quest_	$118.34	$147.93	$34.39–$142.01	—	20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 STD Panel Quest TC 36963	$190.36	$237.95	$34.39–$228.43	—	20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 ?HLAMYDIA PCR (CSHC) 10236F QUEST	$205.95	$257.44	$34.39–$247.14	—	20%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 ?IPOPR FRAC ION MOB W/ REF 16129X QUEST_	$63.38	$79.23	$13.12–$76.06	8% below	20%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 ?ipoprotein Frac 16129X Quest_*	$65.90	$82.38	$13.12–$79.08	5% below	20%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 OH Lipid Panel	$70.72	$88.40	$13.12–$84.86	2% above	20%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Advanced Lipid Panel Cardio IQ	$90.42	$113.02	$13.12–$108.50	31% above	20%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Cardio IQ Adv Lipid Panel 92145 Quest_*	$97.79	$122.24	$13.12–$117.35	41% above	20%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 NMR LipoProfile LabCorp	$133.21	$166.51	$13.12–$159.85	92% above	20%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel	$141.68	$177.10	$13.12–$170.02	105% above	20%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 ?IPOPR FRAC ION MOB W/ REF 16129X QUEST_	$63.38	$79.23	$13.12–$76.06	—	20%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 ?ipoprotein Frac 16129X Quest_*	$65.90	$82.38	$13.12–$79.08	—	20%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Advanced Lipid Panel Cardio IQ	$90.42	$113.02	$13.12–$108.50	—	20%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Cardio IQ Adv Lipid Panel 92145 Quest_*	$97.79	$122.24	$13.12–$117.35	—	20%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 NMR LipoProfile LabCorp	$133.21	$166.51	$13.12–$159.85	—	20%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel	$141.68	$177.10	$13.12–$170.02	—	20%
Complete blood count (CBC) with differential CPT 85025 CBC w/Auto Diff	$78.95	$98.69	$7.61–$94.74	87% above	20%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC w/Auto Diff	$78.95	$98.69	$7.61–$94.74	—	20%
Complete blood count (CBC), no differential CPT 85027 OH CBC	$29.95	$37.44	$6.34–$35.94	3% below	20%
Complete blood count (CBC), no differential CPT 85027 Hemogram (CBC w/o Diff)	$64.92	$81.15	$6.34–$77.90	111% above	20%
Complete blood count (CBC), no differential inpatient CPT 85027 Hemogram (CBC w/o Diff)	$64.92	$81.15	$6.34–$77.90	—	20%
Comprehensive metabolic panel (blood test) CPT 80053 OH CMP	$29.95	$37.44	$10.35–$35.94	73% below	20%
Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel	$153.62	$192.02	$10.35–$184.34	37% above	20%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive Metabolic Panel	$153.62	$192.02	$10.35–$184.34	—	20%
D-dimer blood test (blood clot marker) CPT 85379 D-Dimer Innovance	$77.16	$96.45	$9.98–$92.59	15% above	20%
D-dimer blood test (blood clot marker) CPT 85379 ?-DIMER QUANT ALI	$112.89	$141.11	$9.98–$135.47	69% above	20%
D-dimer blood test (blood clot marker) CPT 85379 ?-DIMER 32466P QUEST	$112.89	$141.11	$9.98–$135.47	69% above	20%
D-dimer blood test (blood clot marker) CPT 85379 D-Dimer Quant	$122.10	$152.62	$9.98–$146.52	83% above	20%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-Dimer Innovance	$77.16	$96.45	$9.98–$92.59	—	20%
D-dimer blood test (blood clot marker) inpatient CPT 85379 ?-DIMER QUANT ALI	$112.89	$141.11	$9.98–$135.47	—	20%
D-dimer blood test (blood clot marker) inpatient CPT 85379 ?-DIMER 32466P QUEST	$112.89	$141.11	$9.98–$135.47	—	20%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-Dimer Quant	$122.10	$152.62	$9.98–$146.52	—	20%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA Sulfate 1452 Quest	$47.59	$59.49	$21.79–$57.11	45% below	20%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA Sulfate 500120 Esoterix	$212.88	$266.10	$21.79–$255.46	148% above	20%
DHEA sulfate (DHEA-S) blood test CPT 82627 ?PT 2 193908	$250.42	$313.02	$21.79–$300.50	192% above	20%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA Sulfate 1452 Quest	$47.59	$59.49	$21.79–$57.11	—	20%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA Sulfate 500120 Esoterix	$212.88	$266.10	$21.79–$255.46	—	20%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 ?PT 2 193908	$250.42	$313.02	$21.79–$300.50	—	20%
Estradiol blood test CPT 82670 Estradiol Serum 4021 Quest	$49.09	$61.36	$27.38–$58.91	50% below	20%
Estradiol blood test CPT 82670 Estradiol ESTR ALI	$99.44	$124.30	$27.38–$119.33	2% above	20%
Estradiol blood test CPT 82670 Estradiol Free 36169 Quest	$198.82	$248.52	$27.38–$238.58	103% above	20%
Estradiol blood test CPT 82670 Estradiol Serum 156 Endocrine Science	$233.75	$292.19	$27.38–$280.50	139% above	20%
Estradiol blood test CPT 82670 ?STRADIOL (FERTILITY MONITORING)ALI	$247.34	$309.18	$27.38–$296.81	153% above	20%
Estradiol blood test inpatient CPT 82670 Estradiol Serum 4021 Quest	$49.09	$61.36	$27.38–$58.91	—	20%
Estradiol blood test inpatient CPT 82670 Estradiol ESTR ALI	$99.44	$124.30	$27.38–$119.33	—	20%
Estradiol blood test inpatient CPT 82670 Estradiol Free 36169 Quest	$198.82	$248.52	$27.38–$238.58	—	20%
Estradiol blood test inpatient CPT 82670 Estradiol Serum 156 Endocrine Science	$233.75	$292.19	$27.38–$280.50	—	20%
Estradiol blood test inpatient CPT 82670 ?STRADIOL (FERTILITY MONITORING)ALI	$247.34	$309.18	$27.38–$296.81	—	20%
FSH (follicle-stimulating hormone) test CPT 83001 FSH 470 Quest	$45.76	$57.20	$18.21–$54.91	42% below	20%
FSH (follicle-stimulating hormone) test CPT 83001 ?SH Pediatric 36087 Quest	$108.75	$135.94	$18.21–$130.50	37% above	20%
FSH (follicle-stimulating hormone) test CPT 83001 FSH 192 Endo Sci	$177.99	$222.49	$18.21–$213.59	125% above	20%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH 470 Quest	$45.76	$57.20	$18.21–$54.91	—	20%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 ?SH Pediatric 36087 Quest	$108.75	$135.94	$18.21–$130.50	—	20%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH 192 Endo Sci	$177.99	$222.49	$18.21–$213.59	—	20%
Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin Stool 16796 Quest	$136.64	$170.80	$19.24–$163.97	10% below	20%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Calprotectin Stool 16796 Quest	$136.64	$170.80	$19.24–$163.97	—	20%
Ferritin blood test (iron stores) CPT 82728 Ferritin PVH	$76.85	$96.06	$13.36–$92.22	10% above	20%
Ferritin blood test (iron stores) CPT 82728 Ferritin 457X Quest*	$169.91	$212.39	$13.36–$203.89	144% above	20%
Ferritin blood test (iron stores) CPT 82728 .Ferritin Anemia Panel*	$169.91	$212.39	$13.36–$203.89	144% above	20%
Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin PVH	$76.85	$96.06	$13.36–$92.22	—	20%
Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin 457X Quest*	$169.91	$212.39	$13.36–$203.89	—	20%
Ferritin blood test (iron stores) inpatient CPT 82728 .Ferritin Anemia Panel*	$169.91	$212.39	$13.36–$203.89	—	20%
Folate (folic acid) blood test CPT 82746 Folate PVH	$82.94	$103.67	$14.41–$99.52	22% above	20%
Folate (folic acid) blood test CPT 82746 ?Folic Acid Anemia Panel	$109.11	$136.39	$14.41–$130.93	60% above	20%
Folate (folic acid) blood test CPT 82746 Folic Acid 466 Quest	$118.02	$147.52	$14.41–$141.62	73% above	20%
Folate (folic acid) blood test inpatient CPT 82746 Folate PVH	$82.94	$103.67	$14.41–$99.52	—	20%
Folate (folic acid) blood test inpatient CPT 82746 ?Folic Acid Anemia Panel	$109.11	$136.39	$14.41–$130.93	—	20%
Folate (folic acid) blood test inpatient CPT 82746 Folic Acid 466 Quest	$118.02	$147.52	$14.41–$141.62	—	20%
Free T3 thyroid hormone test CPT 84481 T3 Free 34429 Quest	$45.79	$57.24	$16.60–$54.95	40% below	20%
Free T3 thyroid hormone test CPT 84481 ?196548-2	$80.17	$100.21	$16.60–$96.20	6% above	20%
Free T3 thyroid hormone test inpatient CPT 84481 T3 Free 34429 Quest	$45.79	$57.24	$16.60–$54.95	—	20%
Free T3 thyroid hormone test inpatient CPT 84481 ?196548-2	$80.17	$100.21	$16.60–$96.20	—	20%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 Free Direct Dialysis 35167 Quest*	$57.05	$71.31	$8.84–$68.46	4% above	20%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Free Thyroxine / Ft4	$65.94	$82.43	$8.84–$79.13	20% above	20%
Free T4 (free thyroxine) thyroid blood test CPT 84439 ?hyroxine Free 500314 Esoterix*	$79.94	$99.93	$8.84–$95.93	45% above	20%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine Free 866 Quest*	$92.58	$115.73	$8.84–$111.10	68% above	20%
Free T4 (free thyroxine) thyroid blood test CPT 84439 ?4 FREE (REFLEXED) PVH	$95.56	$119.45	$8.84–$114.67	74% above	20%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 Free Direct Dialysis 35167 Quest*	$57.05	$71.31	$8.84–$68.46	—	20%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Free Thyroxine / Ft4	$65.94	$82.43	$8.84–$79.13	—	20%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 ?hyroxine Free 500314 Esoterix*	$79.94	$99.93	$8.84–$95.93	—	20%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Thyroxine Free 866 Quest*	$92.58	$115.73	$8.84–$111.10	—	20%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 ?4 FREE (REFLEXED) PVH	$95.56	$119.45	$8.84–$114.67	—	20%
Free testosterone test CPT 84402 Testerone Free Quest 18944	$43.73	$54.66	$24.96–$52.47	47% below	20%
Free testosterone test CPT 84402 Testosterone Free/Tot 36170 Quest_	$47.83	$59.79	$24.96–$57.40	42% below	20%
Free testosterone test CPT 84402 ?190411-2	$106.92	$133.65	$24.96–$128.30	29% above	20%
Free testosterone test CPT 84402 ?ESTOSTERONE BIOEVAL 288 ESOTERIX_	$224.58	$280.73	$24.96–$269.50	170% above	20%
Free testosterone test CPT 84402 ?ESTOSTERONE FREE 29918W QUEST	$260.90	$326.12	$24.96–$313.08	214% above	20%
Free testosterone test inpatient CPT 84402 Testerone Free Quest 18944	$43.73	$54.66	$24.96–$52.47	—	20%
Free testosterone test inpatient CPT 84402 Testosterone Free/Tot 36170 Quest_	$47.83	$59.79	$24.96–$57.40	—	20%
Free testosterone test inpatient CPT 84402 ?190411-2	$106.92	$133.65	$24.96–$128.30	—	20%
Free testosterone test inpatient CPT 84402 ?ESTOSTERONE BIOEVAL 288 ESOTERIX_	$224.58	$280.73	$24.96–$269.50	—	20%
Free testosterone test inpatient CPT 84402 ?ESTOSTERONE FREE 29918W QUEST	$260.90	$326.12	$24.96–$313.08	—	20%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General Health Profile PVH	$370.74	$463.42	$213.45–$444.88	7% below	20%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 General Health Profile PVH	$370.74	$463.42	$213.45–$444.88	—	20%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 ..GTT 2 Hour	$31.24	$39.05	$4.66–$37.49	15% below	20%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose 2 Hour PP	$44.37	$55.46	$4.66–$53.24	21% above	20%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose 1Hr Post Dose	$55.22	$69.02	$4.66–$66.26	50% above	20%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 ..GTT 2 Hour	$31.24	$39.05	$4.66–$37.49	—	20%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose 2 Hour PP	$44.37	$55.46	$4.66–$53.24	—	20%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose 1Hr Post Dose	$55.22	$69.02	$4.66–$66.26	—	20%
Glucose tolerance test, 3 samples CPT 82951 LacTOSE Tolerance Test 7675 Quest_	$44.01	$55.01	$12.61–$52.81	31% below	20%
Glucose tolerance test, 3 samples CPT 82951 ?ACTOSE TOL 1271A QUEST_	$113.98	$142.48	$12.61–$136.78	78% above	20%
Glucose tolerance test, 3 samples CPT 82951 GTT 3 Hour	$236.80	$296.00	$12.61–$284.16	270% above	20%
Glucose tolerance test, 3 samples inpatient CPT 82951 LacTOSE Tolerance Test 7675 Quest_	$44.01	$55.01	$12.61–$52.81	—	20%
Glucose tolerance test, 3 samples inpatient CPT 82951 ?ACTOSE TOL 1271A QUEST_	$113.98	$142.48	$12.61–$136.78	—	20%
Glucose tolerance test, 3 samples inpatient CPT 82951 GTT 3 Hour	$236.80	$296.00	$12.61–$284.16	—	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria Aptima TMA 11362 Quest	$47.98	$59.97	$27.63–$57.57	12% below	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 _190583-2	$114.55	$143.19	$34.39–$137.46	109% above	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 _190120-2	$118.34	$147.93	$34.39–$142.01	116% above	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 ?C PCR (CSHC) 10237T QUEST	$205.95	$257.44	$34.39–$247.14	276% above	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria ProbeTec C Gc Dir ALI	$258.94	$323.67	$34.39–$310.72	373% above	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Neisseria Aptima TMA 11362 Quest	$47.98	$59.97	$27.63–$57.57	—	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 _190583-2	$114.55	$143.19	$34.39–$137.46	—	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 _190120-2	$118.34	$147.93	$34.39–$142.01	—	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 ?C PCR (CSHC) 10237T QUEST	$205.95	$257.44	$34.39–$247.14	—	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Neisseria ProbeTec C Gc Dir ALI	$258.94	$323.67	$34.39–$310.72	—	20%
H. pylori antibody blood test CPT 86677 H Pylori IgG Ab 29407 Quest	$36.03	$45.04	$16.51–$43.24	51% below	20%
H. pylori antibody blood test CPT 86677 H Pylori IGG ALI	$66.01	$82.51	$16.51–$79.21	10% below	20%
H. pylori antibody blood test CPT 86677 H Pylori IgA Ab 34122 Quest	$119.34	$149.18	$16.51–$143.21	62% above	20%
H. pylori antibody blood test CPT 86677 Clo Test H Pylori	$126.10	$157.63	$16.51–$151.32	71% above	20%
H. pylori antibody blood test CPT 86677 H Pylori IgM Ab 34123X Quest	$143.91	$179.89	$16.51–$172.69	95% above	20%
H. pylori antibody blood test inpatient CPT 86677 H Pylori IgG Ab 29407 Quest	$36.03	$45.04	$16.51–$43.24	—	20%
H. pylori antibody blood test inpatient CPT 86677 H Pylori IGG ALI	$66.01	$82.51	$16.51–$79.21	—	20%
H. pylori antibody blood test inpatient CPT 86677 H Pylori IgA Ab 34122 Quest	$119.34	$149.18	$16.51–$143.21	—	20%
H. pylori antibody blood test inpatient CPT 86677 Clo Test H Pylori	$126.10	$157.63	$16.51–$151.32	—	20%
H. pylori antibody blood test inpatient CPT 86677 H Pylori IgM Ab 34123X Quest	$143.91	$179.89	$16.51–$172.69	—	20%
H. pylori stool antigen test CPT 87338 H Pylori Stool Ag 34838 Quest	$45.54	$56.93	$14.09–$54.65	60% below	20%
H. pylori stool antigen test inpatient CPT 87338 H Pylori Stool Ag 34838 Quest	$45.54	$56.93	$14.09–$54.65	—	20%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA PCR 40085 Quest*	$104.01	$130.01	$59.88–$124.81	45% below	20%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA Quant Realtime PCR ALI*	$143.80	$179.75	$82.79–$172.56	24% below	20%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 ?IV-1 RNA PCR ULTRA 106823P QUEST	$265.90	$332.37	$83.40–$319.08	41% above	20%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 ?IV-1 RNA bDNA 55335N QUEST	$342.09	$427.61	$83.40–$410.51	81% above	20%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 ?IV-1 RNA PCR 103515P QUEST	$348.24	$435.30	$83.40–$417.89	85% above	20%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA Quant bDNA 29273X Quest*	$370.00	$462.50	$83.40–$444.00	96% above	20%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 RNA PCR 40085 Quest*	$104.01	$130.01	$59.88–$124.81	—	20%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 RNA Quant Realtime PCR ALI*	$143.80	$179.75	$82.79–$172.56	—	20%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 ?IV-1 RNA PCR ULTRA 106823P QUEST	$265.90	$332.37	$83.40–$319.08	—	20%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 ?IV-1 RNA bDNA 55335N QUEST	$342.09	$427.61	$83.40–$410.51	—	20%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 ?IV-1 RNA PCR 103515P QUEST	$348.24	$435.30	$83.40–$417.89	—	20%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 RNA Quant bDNA 29273X Quest*	$370.00	$462.50	$83.40–$444.00	—	20%
HIV-1 and HIV-2 antibody test CPT 86703 HIV Exp. Source only ALI	$58.95	$73.69	$13.44–$70.74	72% above	20%
HIV-1 and HIV-2 antibody test CPT 86703 ?IV 1/2 Eia Ab w/ Reflex 19728 Quest*	$71.38	$89.22	$13.44–$85.65	108% above	20%
HIV-1 and HIV-2 antibody test CPT 86703 Serology Screen State*	$88.05	$110.06	$13.44–$105.66	156% above	20%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV Exp. Source only ALI	$58.95	$73.69	$13.44–$70.74	—	20%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 ?IV 1/2 Eia Ab w/ Reflex 19728 Quest*	$71.38	$89.22	$13.44–$85.65	—	20%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 Serology Screen State*	$88.05	$110.06	$13.44–$105.66	—	20%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1/2 Eia Ab w/ Reflex 91431 Quest	$54.82	$68.52	$23.60–$65.78	43% above	20%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1/2 Eia Ab w/ Reflex 91431 Quest	$54.82	$68.52	$23.60–$65.78	—	20%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV DNA assay, DCDS	$83.12	$103.90	$34.39–$99.74	17% above	20%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV High risk separate DCDS	$117.31	$146.64	$34.39–$140.77	65% above	20%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV DNA assay, DCDS	$83.12	$103.90	$34.39–$99.74	—	20%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV High risk separate DCDS	$117.31	$146.64	$34.39–$140.77	—	20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1C Quest	$69.81	$87.26	$9.52–$83.77	72% above	20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 ?LYCATED HEMOGLOBIN 45484R QUEST	$85.54	$106.93	$9.52–$102.65	111% above	20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Glycated Hemoglobin A1C* PVH	$102.66	$128.33	$9.52–$123.20	154% above	20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1C Quest	$69.81	$87.26	$9.52–$83.77	—	20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 ?LYCATED HEMOGLOBIN 45484R QUEST	$85.54	$106.93	$9.52–$102.65	—	20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Glycated Hemoglobin A1C* PVH	$102.66	$128.33	$9.52–$123.20	—	20%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 IM HEP B SURF AB 8475X QUEST	$39.85	$49.81	$10.53–$47.82	10% below	20%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hep B Surf Ab Immunity Quant 8475 Quest	$41.27	$51.59	$10.53–$49.53	6% below	20%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 _190426-3	$45.99	$57.49	$10.53–$55.19	4% above	20%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 ?PART 2 195690 HBsAb	$70.51	$88.14	$10.53–$84.61	60% above	20%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 ?195705-3	$76.58	$95.72	$10.53–$91.89	74% above	20%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 ?ep B Surf Ab ALI*	$131.33	$164.16	$10.53–$157.59	198% above	20%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 IM HEP B SURF AB 8475X QUEST	$39.85	$49.81	$10.53–$47.82	—	20%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hep B Surf Ab Immunity Quant 8475 Quest	$41.27	$51.59	$10.53–$49.53	—	20%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 _190426-3	$45.99	$57.49	$10.53–$55.19	—	20%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 ?PART 2 195690 HBsAb	$70.51	$88.14	$10.53–$84.61	—	20%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 ?195705-3	$76.58	$95.72	$10.53–$91.89	—	20%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 ?ep B Surf Ab ALI*	$131.33	$164.16	$10.53–$157.59	—	20%
Hepatitis B surface antigen (HBsAg) test CPT 87340 _190426-7	$45.38	$56.72	$10.12–$54.45	3% below	20%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hep B Surf Ag ALI	$54.57	$68.21	$10.12–$65.48	17% above	20%
Hepatitis B surface antigen (HBsAg) test CPT 87340 _195700-1	$65.43	$81.79	$10.12–$78.52	40% above	20%
Hepatitis B surface antigen (HBsAg) test CPT 87340 ?195696-3	$70.33	$87.91	$10.12–$84.39	51% above	20%
Hepatitis B surface antigen (HBsAg) test CPT 87340 ?PART 1 195690 HBsAg	$70.51	$88.14	$10.12–$84.61	51% above	20%
Hepatitis B surface antigen (HBsAg) test CPT 87340 ?195705-1	$76.58	$95.72	$10.12–$91.89	64% above	20%
Hepatitis B surface antigen (HBsAg) test CPT 87340 ?EP B SURF AG ALI	$109.58	$136.97	$10.12–$131.49	135% above	20%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 _190426-7	$45.38	$56.72	$10.12–$54.45	—	20%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hep B Surf Ag ALI	$54.57	$68.21	$10.12–$65.48	—	20%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 _195700-1	$65.43	$81.79	$10.12–$78.52	—	20%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 ?195696-3	$70.33	$87.91	$10.12–$84.39	—	20%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 ?PART 1 195690 HBsAg	$70.51	$88.14	$10.12–$84.61	—	20%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 ?195705-1	$76.58	$95.72	$10.12–$91.89	—	20%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 ?EP B SURF AG ALI	$109.58	$136.97	$10.12–$131.49	—	20%
Hepatitis C antibody blood test (screening) CPT 86803 Hep C Ab w/reflex 8472 Quest	$39.85	$49.81	$13.98–$47.82	41% below	20%
Hepatitis C antibody blood test (screening) CPT 86803 _195700-2	$65.43	$81.79	$13.98–$78.52	4% below	20%
Hepatitis C antibody blood test (screening) CPT 86803 Hep C Ab ALI	$69.46	$86.82	$13.98–$83.35	2% above	20%
Hepatitis C antibody blood test (screening) CPT 86803 ?195705-2	$76.58	$95.72	$13.98–$91.89	13% above	20%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hep C Ab w/reflex 8472 Quest	$39.85	$49.81	$13.98–$47.82	—	20%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 _195700-2	$65.43	$81.79	$13.98–$78.52	—	20%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hep C Ab ALI	$69.46	$86.82	$13.98–$83.35	—	20%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 ?195705-2	$76.58	$95.72	$13.98–$91.89	—	20%
Hepatitis C viral load (HCV RNA) test CPT 87522 ..HEP C RNA, REFLEX 902095	$112.72	$140.90	$41.98–$135.26	35% below	20%
Hepatitis C viral load (HCV RNA) test CPT 87522 ..Hep C RNA PCR Quant 902095 Quest	$112.72	$140.90	$41.98–$135.26	35% below	20%
Hepatitis C viral load (HCV RNA) test CPT 87522 ?REFLEX HEP C QUANT PCR 35645 QUEST	$202.66	$253.32	$41.98–$243.19	18% above	20%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hepatitis C RNA Quant by PCR HCVQ ALI	$216.34	$270.43	$41.98–$259.61	26% above	20%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hep C RNA Quant bDNA 29271X Quest	$287.16	$358.95	$41.98–$344.59	67% above	20%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hep C Vir RNA PCR Refl Lipa 11348 Quest	$352.18	$440.23	$41.98–$422.62	104% above	20%
Hepatitis C viral load (HCV RNA) test one side CPT 87522 Hep C RNA RT PCR 35645 Quan Quest	$104.22	$130.27	$41.98–$125.06	39% below	20%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 ..HEP C RNA, REFLEX 902095	$112.72	$140.90	$41.98–$135.26	—	20%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 ..Hep C RNA PCR Quant 902095 Quest	$112.72	$140.90	$41.98–$135.26	—	20%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 ?REFLEX HEP C QUANT PCR 35645 QUEST	$202.66	$253.32	$41.98–$243.19	—	20%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hepatitis C RNA Quant by PCR HCVQ ALI	$216.34	$270.43	$41.98–$259.61	—	20%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hep C RNA Quant bDNA 29271X Quest	$287.16	$358.95	$41.98–$344.59	—	20%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hep C Vir RNA PCR Refl Lipa 11348 Quest	$352.18	$440.23	$41.98–$422.62	—	20%
Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 Hep C RNA RT PCR 35645 Quan Quest	$104.22	$130.27	$41.98–$125.06	—	20%
Herpes blood test, HSV-1 antibody CPT 86695 HSV 1&2 IgG 6447 No reflex Quest_	$41.76	$52.20	$12.93–$50.11	10% below	20%
Herpes blood test, HSV-1 antibody CPT 86695 HSV Ab IgG w/ Ref HSV2 Inhib 17169 Quest	$42.10	$52.63	$12.93–$50.52	10% below	20%
Herpes blood test, HSV-1 antibody CPT 86695 Herpes 1/2 IgM Ab w/ Reflex 90849 Quest_	$43.79	$54.74	$12.93–$52.55	6% below	20%
Herpes blood test, HSV-1 antibody CPT 86695 _196769-5	$58.47	$73.09	$12.93–$70.17	25% above	20%
Herpes blood test, HSV-1 antibody CPT 86695 ?PT 5 196064	$73.05	$91.31	$12.93–$87.66	57% above	20%
Herpes blood test, HSV-1 antibody CPT 86695 .Reflex Herpes IgM-1 Titer 900972 Quest	$74.32	$92.90	$12.93–$89.18	59% above	20%
Herpes blood test, HSV-1 antibody CPT 86695 ?ERPES SIMPLEX IGG 1&2 6447X QUEST_	$81.65	$102.06	$12.93–$97.98	75% above	20%
Herpes blood test, HSV-1 antibody CPT 86695 ?ERPES SIMPLEX IGM 1&2 SO3220 QUEST_	$81.65	$102.06	$12.93–$97.98	75% above	20%
Herpes blood test, HSV-1 antibody CPT 86695 ?PT 9 195972	$134.86	$168.57	$12.93–$161.83	189% above	20%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1&2 IgG 6447 No reflex Quest_	$41.76	$52.20	$12.93–$50.11	—	20%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV Ab IgG w/ Ref HSV2 Inhib 17169 Quest	$42.10	$52.63	$12.93–$50.52	—	20%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Herpes 1/2 IgM Ab w/ Reflex 90849 Quest_	$43.79	$54.74	$12.93–$52.55	—	20%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 _196769-5	$58.47	$73.09	$12.93–$70.17	—	20%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 ?PT 5 196064	$73.05	$91.31	$12.93–$87.66	—	20%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 .Reflex Herpes IgM-1 Titer 900972 Quest	$74.32	$92.90	$12.93–$89.18	—	20%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 ?ERPES SIMPLEX IGG 1&2 6447X QUEST_	$81.65	$102.06	$12.93–$97.98	—	20%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 ?ERPES SIMPLEX IGM 1&2 SO3220 QUEST_	$81.65	$102.06	$12.93–$97.98	—	20%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 ?PT 9 195972	$134.86	$168.57	$12.93–$161.83	—	20%
Herpes blood test, HSV-2 antibody CPT 86696 Herpes Simplex Virus 2 (IgG) 3640 Quest	$37.94	$47.43	$18.96–$45.53	39% below	20%
Herpes blood test, HSV-2 antibody CPT 86696 .Reflex Herpes IgM-2 Titer 900973 Quest	$74.32	$92.90	$18.96–$89.18	20% above	20%
Herpes blood test, HSV-2 antibody CPT 86696 _196769-6	$85.75	$107.19	$18.96–$102.90	38% above	20%
Herpes blood test, HSV-2 antibody CPT 86696 ?PT 6 196064	$107.10	$133.88	$18.96–$128.52	73% above	20%
Herpes blood test, HSV-2 antibody CPT 86696 ?PT 2 195884	$120.01	$150.01	$18.96–$144.01	93% above	20%
Herpes blood test, HSV-2 antibody CPT 86696 ?PT 2 195882	$120.01	$150.01	$18.96–$144.01	93% above	20%
Herpes blood test, HSV-2 antibody CPT 86696 ?PT 2 195973	$134.86	$168.57	$18.96–$161.83	117% above	20%
Herpes blood test, HSV-2 antibody CPT 86696 HSV Ab IgG w/ Ref HSV2 Inhib 17171 Quest	$300.69	$375.86	$18.96–$360.83	384% above	20%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Herpes Simplex Virus 2 (IgG) 3640 Quest	$37.94	$47.43	$18.96–$45.53	—	20%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 .Reflex Herpes IgM-2 Titer 900973 Quest	$74.32	$92.90	$18.96–$89.18	—	20%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 _196769-6	$85.75	$107.19	$18.96–$102.90	—	20%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 ?PT 6 196064	$107.10	$133.88	$18.96–$128.52	—	20%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 ?PT 2 195882	$120.01	$150.01	$18.96–$144.01	—	20%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 ?PT 2 195884	$120.01	$150.01	$18.96–$144.01	—	20%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 ?PT 2 195973	$134.86	$168.57	$18.96–$161.83	—	20%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV Ab IgG w/ Ref HSV2 Inhib 17171 Quest	$300.69	$375.86	$18.96–$360.83	—	20%
High-sensitivity CRP (hs-CRP) test CPT 86141 Cardio CRP 10124 Quest*	$47.83	$59.79	$12.69–$57.40	2% below	20%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 Cardio CRP 10124 Quest*	$47.83	$59.79	$12.69–$57.40	—	20%
Homocysteine blood test CPT 83090 Homocysteine 31789 Quest*	$47.71	$59.64	$17.56–$57.25	29% below	20%
Homocysteine blood test CPT 83090 ?YPERHOMOCYSTEINEMIA PANEL ALI_	$57.78	$72.22	$17.56–$69.33	14% below	20%
Homocysteine blood test CPT 83090 _Homocysteine ALI	$65.53	$81.91	$17.56–$78.63	2% below	20%
Homocysteine blood test CPT 83090 ?OMOCYSTEINE URINE 26318 QUEST_	$123.38	$154.22	$17.56–$148.05	84% above	20%
Homocysteine blood test inpatient CPT 83090 Homocysteine 31789 Quest*	$47.71	$59.64	$17.56–$57.25	—	20%
Homocysteine blood test inpatient CPT 83090 ?YPERHOMOCYSTEINEMIA PANEL ALI_	$57.78	$72.22	$17.56–$69.33	—	20%
Homocysteine blood test inpatient CPT 83090 _Homocysteine ALI	$65.53	$81.91	$17.56–$78.63	—	20%
Homocysteine blood test inpatient CPT 83090 ?OMOCYSTEINE URINE 26318 QUEST_	$123.38	$154.22	$17.56–$148.05	—	20%
Insulin blood test CPT 83525 Insulin 561 Quest	$41.57	$51.96	$11.20–$49.88	16% below	20%
Insulin blood test CPT 83525 Insulin Random ALI	$58.18	$72.73	$11.20–$69.82	18% above	20%
Insulin blood test inpatient CPT 83525 Insulin 561 Quest	$41.57	$51.96	$11.20–$49.88	—	20%
Insulin blood test inpatient CPT 83525 Insulin Random ALI	$58.18	$72.73	$11.20–$69.82	—	20%
Iron blood test (serum iron) CPT 83540 _BLOCK III 83540	$7.65	$9.56	$4.40–$9.18	76% below	20%
Iron blood test (serum iron) CPT 83540 Iron 571 Quest*	$17.41	$21.76	$6.34–$20.89	46% below	20%
Iron blood test (serum iron) CPT 83540 ?IRON FBR 191812	$31.24	$39.05	$6.34–$37.49	4% below	20%
Iron blood test (serum iron) CPT 83540 Iron PVH	$36.51	$45.64	$6.34–$43.81	12% above	20%
Iron blood test (serum iron) CPT 83540 _195477-1	$39.67	$49.59	$6.34–$47.61	22% above	20%
Iron blood test (serum iron) inpatient CPT 83540 _BLOCK III 83540	$7.65	$9.56	$4.40–$9.18	—	20%
Iron blood test (serum iron) inpatient CPT 83540 Iron 571 Quest*	$17.41	$21.76	$6.34–$20.89	—	20%
Iron blood test (serum iron) inpatient CPT 83540 ?IRON FBR 191812	$31.24	$39.05	$6.34–$37.49	—	20%
Iron blood test (serum iron) inpatient CPT 83540 Iron PVH	$36.51	$45.64	$6.34–$43.81	—	20%
Iron blood test (serum iron) inpatient CPT 83540 _195477-1	$39.67	$49.59	$6.34–$47.61	—	20%
Iron-binding capacity (TIBC) test CPT 83550 _195478-2	$39.67	$49.59	$8.57–$47.61	2% above	20%
Iron-binding capacity (TIBC) test CPT 83550 TIBC PVH	$49.32	$61.65	$8.57–$59.18	27% above	20%
Iron-binding capacity (TIBC) test CPT 83550 ?ron Binding Capacity, Tot 7573X Quest_*	$66.50	$83.13	$8.57–$79.80	71% above	20%
Iron-binding capacity (TIBC) test inpatient CPT 83550 _195478-2	$39.67	$49.59	$8.57–$47.61	—	20%
Iron-binding capacity (TIBC) test inpatient CPT 83550 TIBC PVH	$49.32	$61.65	$8.57–$59.18	—	20%
Iron-binding capacity (TIBC) test inpatient CPT 83550 ?ron Binding Capacity, Tot 7573X Quest_*	$66.50	$83.13	$8.57–$79.80	—	20%
Kidney function blood test panel CPT 80069 Renal Panel	$54.96	$68.70	$8.51–$65.95	18% below	20%
Kidney function blood test panel inpatient CPT 80069 Renal Panel	$54.96	$68.70	$8.51–$65.95	—	20%
LH (luteinizing hormone) test CPT 83002 LH 615 Quest	$45.76	$57.20	$18.15–$54.91	45% below	20%
LH (luteinizing hormone) test CPT 83002 LH 234 Endo Sci	$112.58	$140.73	$18.15–$135.10	36% above	20%
LH (luteinizing hormone) test CPT 83002 ..LH - Pediatric 36086 Quest	$117.24	$146.55	$18.15–$140.69	41% above	20%
LH (luteinizing hormone) test CPT 83002 Luteneizing Hormone 500234 Esoterix	$120.19	$150.24	$18.15–$144.23	45% above	20%
LH (luteinizing hormone) test inpatient CPT 83002 LH 615 Quest	$45.76	$57.20	$18.15–$54.91	—	20%
LH (luteinizing hormone) test inpatient CPT 83002 LH 234 Endo Sci	$112.58	$140.73	$18.15–$135.10	—	20%
LH (luteinizing hormone) test inpatient CPT 83002 ..LH - Pediatric 36086 Quest	$117.24	$146.55	$18.15–$140.69	—	20%
LH (luteinizing hormone) test inpatient CPT 83002 Luteneizing Hormone 500234 Esoterix	$120.19	$150.24	$18.15–$144.23	—	20%
Lipase blood test (pancreas enzyme) CPT 83690 ?ipase Rua 731X	$42.34	$52.92	$6.75–$50.80	4% below	20%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase-DO NOT ORDER	$65.12	$81.40	$6.75–$78.14	48% above	20%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase	$70.44	$88.05	$6.75–$84.53	60% above	20%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE NEW	$70.44	$88.05	$6.75–$84.53	60% above	20%
Lipase blood test (pancreas enzyme) CPT 83690 ?IPASE 30403E QUEST	$100.74	$125.93	$6.75–$120.89	129% above	20%
Lipase blood test (pancreas enzyme) CPT 83690 ?LIPASE ALI	$200.26	$250.32	$6.75–$240.31	355% above	20%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 ?ipase Rua 731X	$42.34	$52.92	$6.75–$50.80	—	20%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase-DO NOT ORDER	$65.12	$81.40	$6.75–$78.14	—	20%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase	$70.44	$88.05	$6.75–$84.53	—	20%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE NEW	$70.44	$88.05	$6.75–$84.53	—	20%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 ?IPASE 30403E QUEST	$100.74	$125.93	$6.75–$120.89	—	20%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 ?LIPASE ALI	$200.26	$250.32	$6.75–$240.31	—	20%
Liver function blood test panel CPT 80076 Hepatic Function Panel	$124.26	$155.33	$8.01–$149.12	49% above	20%
Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel	$124.26	$155.33	$8.01–$149.12	—	20%
Lyme disease antibody test CPT 86618 Lyme Screen 6646 Quest	$41.57	$51.96	$16.69–$49.88	42% below	20%
Lyme disease antibody test CPT 86618 CSF Lyme ALI	$50.76	$63.45	$16.69–$60.91	29% below	20%
Lyme disease antibody test CPT 86618 ?LYME IGG IGM ELISA ALI	$90.02	$112.53	$16.69–$108.03	26% above	20%
Lyme disease antibody test CPT 86618 ?-6 LYME ELISA 10672X QUEST	$108.58	$135.73	$16.69–$130.30	52% above	20%
Lyme disease antibody test CPT 86618 ?Lyme IgG/IgM IFA (CSF) 34880X Quest_	$113.00	$141.25	$16.69–$135.60	58% above	20%
Lyme disease antibody test CPT 86618 ?YME SEROLOGY ELISA REMOVE THIS ONE	$266.39	$332.99	$16.69–$319.67	272% above	20%
Lyme disease antibody test inpatient CPT 86618 Lyme Screen 6646 Quest	$41.57	$51.96	$16.69–$49.88	—	20%
Lyme disease antibody test inpatient CPT 86618 CSF Lyme ALI	$50.76	$63.45	$16.69–$60.91	—	20%
Lyme disease antibody test inpatient CPT 86618 ?LYME IGG IGM ELISA ALI	$90.02	$112.53	$16.69–$108.03	—	20%
Lyme disease antibody test inpatient CPT 86618 ?-6 LYME ELISA 10672X QUEST	$108.58	$135.73	$16.69–$130.30	—	20%
Lyme disease antibody test inpatient CPT 86618 ?Lyme IgG/IgM IFA (CSF) 34880X Quest_	$113.00	$141.25	$16.69–$135.60	—	20%
Lyme disease antibody test inpatient CPT 86618 ?YME SEROLOGY ELISA REMOVE THIS ONE	$266.39	$332.99	$16.69–$319.67	—	20%
Magnesium blood test CPT 83735 Magnesium RBC 623 Quest*	$42.39	$52.99	$6.57–$50.87	6% above	20%
Magnesium blood test CPT 83735 Magnesium*	$50.26	$62.83	$6.57–$60.32	25% above	20%
Magnesium blood test CPT 83735 Magnesium 24H Urine*	$55.10	$68.87	$6.57–$66.12	37% above	20%
Magnesium blood test CPT 83735 Magnesium Urine Random PVH	$55.10	$68.87	$6.57–$66.12	37% above	20%
Magnesium blood test CPT 83735 ?PT 5 195973	$134.86	$168.57	$6.57–$161.83	236% above	20%
Magnesium blood test inpatient CPT 83735 Magnesium RBC 623 Quest*	$42.39	$52.99	$6.57–$50.87	—	20%
Magnesium blood test inpatient CPT 83735 Magnesium*	$50.26	$62.83	$6.57–$60.32	—	20%
Magnesium blood test inpatient CPT 83735 Magnesium Urine Random PVH	$55.10	$68.87	$6.57–$66.12	—	20%
Magnesium blood test inpatient CPT 83735 Magnesium 24H Urine*	$55.10	$68.87	$6.57–$66.12	—	20%
Magnesium blood test inpatient CPT 83735 ?PT 5 195973	$134.86	$168.57	$6.57–$161.83	—	20%
Measles (rubeola) antibody test CPT 86765 _363285-1	$22.25	$27.81	$12.62–$26.70	30% below	20%
Measles (rubeola) antibody test CPT 86765 Rubeola (Measles) IgG 964 Quest	$37.86	$47.33	$12.62–$45.44	19% above	20%
Measles (rubeola) antibody test CPT 86765 IM RUBEOLA (MEASLES) IGG 52449W QUEST	$39.85	$49.81	$12.62–$47.82	25% above	20%
Measles (rubeola) antibody test CPT 86765 Measles Abs (IgG, IgM), Diagnostic	$60.54	$75.67	$12.62–$72.64	90% above	20%
Measles (rubeola) antibody test CPT 86765 ?UBEOLA (MEASLES) STATE	$65.45	$81.81	$12.62–$78.54	106% above	20%
Measles (rubeola) antibody test CPT 86765 Rubeola (Measles) IgM 34256 Quest	$74.85	$93.56	$12.62–$89.82	135% above	20%
Measles (rubeola) antibody test CPT 86765 ?PT 6 195973	$134.86	$168.57	$12.62–$161.83	324% above	20%
Measles (rubeola) antibody test inpatient CPT 86765 _363285-1	$22.25	$27.81	$12.62–$26.70	—	20%
Measles (rubeola) antibody test inpatient CPT 86765 Rubeola (Measles) IgG 964 Quest	$37.86	$47.33	$12.62–$45.44	—	20%
Measles (rubeola) antibody test inpatient CPT 86765 IM RUBEOLA (MEASLES) IGG 52449W QUEST	$39.85	$49.81	$12.62–$47.82	—	20%
Measles (rubeola) antibody test inpatient CPT 86765 Measles Abs (IgG, IgM), Diagnostic	$60.54	$75.67	$12.62–$72.64	—	20%
Measles (rubeola) antibody test inpatient CPT 86765 ?UBEOLA (MEASLES) STATE	$65.45	$81.81	$12.62–$78.54	—	20%
Measles (rubeola) antibody test inpatient CPT 86765 Rubeola (Measles) IgM 34256 Quest	$74.85	$93.56	$12.62–$89.82	—	20%
Measles (rubeola) antibody test inpatient CPT 86765 ?PT 6 195973	$134.86	$168.57	$12.62–$161.83	—	20%
Mono test (heterophile antibody, Monospot) CPT 86308 ?eterophile Mono Screen 654X Quest	$31.84	$39.80	$5.08–$38.21	8% below	20%
Mono test (heterophile antibody, Monospot) CPT 86308 Mono Test	$56.99	$71.24	$5.08–$68.39	64% above	20%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 ?eterophile Mono Screen 654X Quest	$31.84	$39.80	$5.08–$38.21	—	20%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Mono Test	$56.99	$71.24	$5.08–$68.39	—	20%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Free/Total 31348 Quest_*	$45.54	$56.93	$18.02–$54.65	25% below	20%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Reflex ALI (PSAR)	$48.66	$60.83	$18.02–$58.40	20% below	20%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA total w/reflex Free PSA ALI	$63.08	$78.85	$18.02–$75.70	4% above	20%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Free/Total ALI	$79.00	$98.75	$18.02–$94.80	30% above	20%
PSA (prostate-specific antigen) blood test, total CPT 84153 ?SA PVH	$87.65	$109.56	$18.02–$105.18	44% above	20%
PSA (prostate-specific antigen) blood test, total CPT 84153 ?PSA 28571E QUEST	$105.18	$131.48	$18.02–$126.22	73% above	20%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Diagnostic*	$134.46	$168.08	$18.02–$161.36	122% above	20%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA Free/Total 31348 Quest_*	$45.54	$56.93	$18.02–$54.65	—	20%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA Reflex ALI (PSAR)	$48.66	$60.83	$18.02–$58.40	—	20%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA total w/reflex Free PSA ALI	$63.08	$78.85	$18.02–$75.70	—	20%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA Free/Total ALI	$79.00	$98.75	$18.02–$94.80	—	20%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 ?SA PVH	$87.65	$109.56	$18.02–$105.18	—	20%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 ?PSA 28571E QUEST	$105.18	$131.48	$18.02–$126.22	—	20%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA Diagnostic*	$134.46	$168.08	$18.02–$161.36	—	20%
Pap test (liquid-based, automated screening with review) CPT 88175 Thin prep Pap Smear 88175 DCDS	$76.90	$96.12	$26.08–$92.28	18% above	20%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Thin prep Pap Smear 88175 DCDS	$76.90	$96.12	$26.08–$92.28	—	20%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Surepath Pap 88142 DCDS	$91.50	$114.37	$19.85–$109.80	35% above	20%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Surepath Pap 88142 DCDS	$91.50	$114.37	$19.85–$109.80	—	20%
Parathyroid hormone (PTH) blood test CPT 83970 .PTH Intact w/o Calcium Quest 35202	$43.07	$53.84	$24.79–$51.69	53% below	20%
Parathyroid hormone (PTH) blood test CPT 83970 PTH w/ Ca 8837 Quest*	$54.03	$67.54	$31.11–$64.84	41% below	20%
Parathyroid hormone (PTH) blood test CPT 83970 ?TH MIDREGION W/ CA 250 ESOTERIX	$211.28	$264.10	$40.45–$253.54	132% above	20%
Parathyroid hormone (PTH) blood test CPT 83970 ?PTH BIOINTACT SO5110 QUEST_	$213.22	$266.52	$40.45–$255.86	134% above	20%
Parathyroid hormone (PTH) blood test CPT 83970 PTH Intact 35202X Quest*	$230.62	$288.27	$40.45–$276.74	153% above	20%
Parathyroid hormone (PTH) blood test CPT 83970 PTH Intact w/ Ca 246 Esoterix*	$276.78	$345.97	$40.45–$332.13	204% above	20%
Parathyroid hormone (PTH) blood test CPT 83970 ?TH IRMA TO ARUP 95611 ALI	$296.98	$371.22	$40.45–$356.37	226% above	20%
Parathyroid hormone (PTH) blood test CPT 83970 ?TH INTACT W/O CA++ ALI	$320.09	$400.11	$40.45–$384.11	251% above	20%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 .PTH Intact w/o Calcium Quest 35202	$43.07	$53.84	$24.79–$51.69	—	20%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH w/ Ca 8837 Quest*	$54.03	$67.54	$31.11–$64.84	—	20%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 ?TH MIDREGION W/ CA 250 ESOTERIX	$211.28	$264.10	$40.45–$253.54	—	20%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 ?PTH BIOINTACT SO5110 QUEST_	$213.22	$266.52	$40.45–$255.86	—	20%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH Intact 35202X Quest*	$230.62	$288.27	$40.45–$276.74	—	20%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH Intact w/ Ca 246 Esoterix*	$276.78	$345.97	$40.45–$332.13	—	20%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 ?TH IRMA TO ARUP 95611 ALI	$296.98	$371.22	$40.45–$356.37	—	20%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 ?TH INTACT W/O CA++ ALI	$320.09	$400.11	$40.45–$384.11	—	20%
Partial thromboplastin time (PTT) clotting test CPT 85730 ?196416-2	$29.54	$36.92	$5.89–$35.44	24% below	20%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT-LA w/ Reflex to Hex Con 17408 Quest*	$34.89	$43.61	$5.89–$41.87	10% below	20%
Partial thromboplastin time (PTT) clotting test CPT 85730 ?TT Mixing Study ALI_*	$36.84	$46.05	$5.89–$44.21	5% below	20%
Partial thromboplastin time (PTT) clotting test CPT 85730 ?196617-2	$36.84	$46.05	$5.89–$44.21	5% below	20%
Partial thromboplastin time (PTT) clotting test CPT 85730 Silica Clotting Time ALI	$52.82	$66.03	$5.89–$63.39	36% above	20%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT Mixing Study TC 8922 Quest	$59.42	$74.27	$5.89–$71.30	54% above	20%
Partial thromboplastin time (PTT) clotting test CPT 85730 Lupus Anticoagulant Eval 7079 Quest_*	$62.05	$77.56	$5.89–$74.46	60% above	20%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT	$65.74	$82.17	$5.89–$78.88	70% above	20%
Partial thromboplastin time (PTT) clotting test CPT 85730 Von Willebrand Panel Comp 19790 Quest_*	$249.86	$312.33	$5.89–$299.84	546% above	20%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 ?196416-2	$29.54	$36.92	$5.89–$35.44	—	20%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT-LA w/ Reflex to Hex Con 17408 Quest*	$34.89	$43.61	$5.89–$41.87	—	20%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 ?196617-2	$36.84	$46.05	$5.89–$44.21	—	20%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 ?TT Mixing Study ALI_*	$36.84	$46.05	$5.89–$44.21	—	20%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Silica Clotting Time ALI	$52.82	$66.03	$5.89–$63.39	—	20%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT Mixing Study TC 8922 Quest	$59.42	$74.27	$5.89–$71.30	—	20%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Lupus Anticoagulant Eval 7079 Quest_*	$62.05	$77.56	$5.89–$74.46	—	20%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT	$65.74	$82.17	$5.89–$78.88	—	20%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Von Willebrand Panel Comp 19790 Quest_*	$249.86	$312.33	$5.89–$299.84	—	20%
Progesterone blood test CPT 84144 Progesterone 745 Quest	$43.26	$54.08	$20.44–$51.92	50% below	20%
Progesterone blood test CPT 84144 Progesterone ALI	$80.02	$100.02	$20.44–$96.02	8% below	20%
Progesterone blood test CPT 84144 _190361-6	$94.73	$118.41	$20.44–$113.67	9% above	20%
Progesterone blood test inpatient CPT 84144 Progesterone 745 Quest	$43.26	$54.08	$20.44–$51.92	—	20%
Progesterone blood test inpatient CPT 84144 Progesterone ALI	$80.02	$100.02	$20.44–$96.02	—	20%
Progesterone blood test inpatient CPT 84144 _190361-6	$94.73	$118.41	$20.44–$113.67	—	20%
Prolactin blood test CPT 84146 Prolactin 746 Quest	$46.59	$58.24	$18.99–$55.91	37% below	20%
Prolactin blood test CPT 84146 _190975-2	$76.87	$96.09	$18.99–$92.25	5% above	20%
Prolactin blood test CPT 84146 PROLACTIN, TOTAL & MONOMERIC	$76.87	$96.09	$18.99–$92.25	5% above	20%
Prolactin blood test CPT 84146 Prolactin PROL ALI STAT	$76.91	$96.14	$18.99–$92.29	5% above	20%
Prolactin blood test CPT 84146 Prolactin Dilution Study Quest 40049	$93.59	$116.99	$18.99–$112.31	27% above	20%
Prolactin blood test CPT 84146 Prolactin Endocrine Sciences	$185.65	$232.06	$18.99–$222.78	153% above	20%
Prolactin blood test inpatient CPT 84146 Prolactin 746 Quest	$46.59	$58.24	$18.99–$55.91	—	20%
Prolactin blood test inpatient CPT 84146 _190975-2	$76.87	$96.09	$18.99–$92.25	—	20%
Prolactin blood test inpatient CPT 84146 PROLACTIN, TOTAL & MONOMERIC	$76.87	$96.09	$18.99–$92.25	—	20%
Prolactin blood test inpatient CPT 84146 Prolactin PROL ALI STAT	$76.91	$96.14	$18.99–$92.29	—	20%
Prolactin blood test inpatient CPT 84146 Prolactin Dilution Study Quest 40049	$93.59	$116.99	$18.99–$112.31	—	20%
Prolactin blood test inpatient CPT 84146 Prolactin Endocrine Sciences	$185.65	$232.06	$18.99–$222.78	—	20%
Prothrombin time (PT/INR) clotting test CPT 85610 ?196416-4	$19.33	$24.16	$4.20–$23.19	31% below	20%
Prothrombin time (PT/INR) clotting test CPT 85610 ?196617-3	$24.10	$30.13	$4.20–$28.92	14% below	20%
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time / INR*	$55.46	$69.33	$4.20–$66.56	98% above	20%
Prothrombin time (PT/INR) clotting test CPT 85610 _PT ALI	$65.53	$81.91	$4.20–$78.63	134% above	20%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 ?196416-4	$19.33	$24.16	$4.20–$23.19	—	20%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 ?196617-3	$24.10	$30.13	$4.20–$28.92	—	20%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time / INR*	$55.46	$69.33	$4.20–$66.56	—	20%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 _PT ALI	$65.53	$81.91	$4.20–$78.63	—	20%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Drug Screen TOX/See RUA	$104.68	$130.85	$12.35–$125.62	220% above	20%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Drug Screen TOX/See RUA	$104.68	$130.85	$12.35–$125.62	—	20%
Rapid flu test (influenza antigen) CPT 87804 Influenza Screen A&B	$126.84	$158.55	$16.22–$152.21	114% above	20%
Rapid flu test (influenza antigen) CPT 87804 Influenza A&B PCR PVH	$140.38	$175.48	$16.22–$168.46	137% above	20%
Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza Screen A&B	$126.84	$158.55	$16.22–$152.21	—	20%
Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza A&B PCR PVH	$140.38	$175.48	$16.22–$168.46	—	20%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 PVPC RAPID STREP	$43.36	$54.20	$16.20–$52.03	9% above	20%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Rapid Strep Screen	$121.15	$151.44	$16.20–$145.38	206% above	20%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Rapid Strep Screen	$121.15	$151.44	$16.20–$145.38	—	20%
Rheumatoid factor (RF) test CPT 86431 _BLOCK III 86431	$7.65	$9.56	$4.40–$9.18	76% below	20%
Rheumatoid factor (RF) test CPT 86431 ?RF BLOCK FBR 191021	$23.54	$29.42	$5.56–$28.24	27% below	20%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor 4418 Quest	$36.90	$46.13	$5.56–$44.28	15% above	20%
Rheumatoid factor (RF) test CPT 86431 Connective Tissue Panel 900983 Quest_	$45.78	$57.22	$5.56–$54.93	43% above	20%
Rheumatoid factor (RF) test CPT 86431 ?HEUMATOID FACTOR BODY FLUID 68239W QUES	$52.30	$65.37	$5.56–$62.76	63% above	20%
Rheumatoid factor (RF) test CPT 86431 Connective Tissue Panel ALI	$56.00	$70.00	$5.56–$67.20	75% above	20%
Rheumatoid factor (RF) test CPT 86431 ?heum Factor Titer Synovial 770X Quest	$63.66	$79.58	$5.56–$76.40	99% above	20%
Rheumatoid factor (RF) test CPT 86431 ?196156-8	$76.74	$95.93	$5.56–$92.09	139% above	20%
Rheumatoid factor (RF) test CPT 86431 ?onnective Tissue Panel R1035A Quest_	$87.02	$108.77	$5.56–$104.42	171% above	20%
Rheumatoid factor (RF) test CPT 86431 _PT 1 CONNECT ALI RF	$94.11	$117.64	$5.56–$112.93	194% above	20%
Rheumatoid factor (RF) test CPT 86431 ?HEUMATOID FACTOR PVH	$107.93	$134.91	$5.56–$129.51	237% above	20%
Rheumatoid factor (RF) test inpatient CPT 86431 _BLOCK III 86431	$7.65	$9.56	$4.40–$9.18	—	20%
Rheumatoid factor (RF) test inpatient CPT 86431 ?RF BLOCK FBR 191021	$23.54	$29.42	$5.56–$28.24	—	20%
Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor 4418 Quest	$36.90	$46.13	$5.56–$44.28	—	20%
Rheumatoid factor (RF) test inpatient CPT 86431 Connective Tissue Panel 900983 Quest_	$45.78	$57.22	$5.56–$54.93	—	20%
Rheumatoid factor (RF) test inpatient CPT 86431 ?HEUMATOID FACTOR BODY FLUID 68239W QUES	$52.30	$65.37	$5.56–$62.76	—	20%
Rheumatoid factor (RF) test inpatient CPT 86431 Connective Tissue Panel ALI	$56.00	$70.00	$5.56–$67.20	—	20%
Rheumatoid factor (RF) test inpatient CPT 86431 ?heum Factor Titer Synovial 770X Quest	$63.66	$79.58	$5.56–$76.40	—	20%
Rheumatoid factor (RF) test inpatient CPT 86431 ?196156-8	$76.74	$95.93	$5.56–$92.09	—	20%
Rheumatoid factor (RF) test inpatient CPT 86431 ?onnective Tissue Panel R1035A Quest_	$87.02	$108.77	$5.56–$104.42	—	20%
Rheumatoid factor (RF) test inpatient CPT 86431 _PT 1 CONNECT ALI RF	$94.11	$117.64	$5.56–$112.93	—	20%
Rheumatoid factor (RF) test inpatient CPT 86431 ?HEUMATOID FACTOR PVH	$107.93	$134.91	$5.56–$129.51	—	20%
Rubella antibody test (immunity check) CPT 86762 _363285-2	$23.98	$29.97	$13.81–$28.77	34% below	20%
Rubella antibody test (immunity check) CPT 86762 Rubella Immune Status IgG 802 Quest	$38.70	$48.38	$14.10–$46.44	7% above	20%
Rubella antibody test (immunity check) CPT 86762 IM RUBELLA IGG 53348W QUEST	$39.85	$49.81	$14.10–$47.82	10% above	20%
Rubella antibody test (immunity check) CPT 86762 ?UBELLA STATE	$59.90	$74.87	$14.10–$71.88	65% above	20%
Rubella antibody test (immunity check) CPT 86762 _196769-7	$63.74	$79.68	$14.10–$76.49	76% above	20%
Rubella antibody test (immunity check) CPT 86762 ?PT 2 196064	$79.64	$99.55	$14.10–$95.57	120% above	20%
Rubella antibody test (immunity check) CPT 86762 Rubella Ab IgM 4422 Quest	$137.76	$172.20	$14.10–$165.31	280% above	20%
Rubella antibody test (immunity check) inpatient CPT 86762 _363285-2	$23.98	$29.97	$13.81–$28.77	—	20%
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Immune Status IgG 802 Quest	$38.70	$48.38	$14.10–$46.44	—	20%
Rubella antibody test (immunity check) inpatient CPT 86762 IM RUBELLA IGG 53348W QUEST	$39.85	$49.81	$14.10–$47.82	—	20%
Rubella antibody test (immunity check) inpatient CPT 86762 ?UBELLA STATE	$59.90	$74.87	$14.10–$71.88	—	20%
Rubella antibody test (immunity check) inpatient CPT 86762 _196769-7	$63.74	$79.68	$14.10–$76.49	—	20%
Rubella antibody test (immunity check) inpatient CPT 86762 ?PT 2 196064	$79.64	$99.55	$14.10–$95.57	—	20%
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Ab IgM 4422 Quest	$137.76	$172.20	$14.10–$165.31	—	20%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 _Semen Analysis Complete	$200.53	$250.66	$12.06–$240.63	157% above	20%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 _Semen Analysis Complete	$200.53	$250.66	$12.06–$240.63	—	20%
Stool ova and parasites exam CPT 87177 ..Ova & Parasite 21218, Quest	$42.02	$52.52	$8.72–$50.42	33% above	20%
Stool ova and parasites exam CPT 87177 ?OVA & PARASITES W/ STN 1099T QUEST_	$54.18	$67.72	$8.72–$65.01	72% above	20%
Stool ova and parasites exam CPT 87177 ?OVA & PARA X 1 W/ GIARD AG 7526F QUEST_	$54.18	$67.72	$8.72–$65.01	72% above	20%
Stool ova and parasites exam CPT 87177 ?OVA & PARASITES X 3 W/ STN 2071A QUES_	$54.18	$67.72	$8.72–$65.01	72% above	20%
Stool ova and parasites exam CPT 87177 .Ova & Parasite Exam 21218 Quest	$57.71	$72.14	$8.72–$69.25	83% above	20%
Stool ova and parasites exam CPT 87177 .Ova/Parasites w/ Travel Hx ALI_	$80.78	$100.97	$8.72–$96.93	156% above	20%
Stool ova and parasites exam CPT 87177 Ova & Parasites Quest 17488 TC	$89.99	$112.49	$8.72–$107.99	186% above	20%
Stool ova and parasites exam CPT 87177 ..O/P Concentrate w/ Smear 2679 Quest_	$164.14	$205.18	$8.72–$196.97	421% above	20%
Stool ova and parasites exam inpatient CPT 87177 ..Ova & Parasite 21218, Quest	$42.02	$52.52	$8.72–$50.42	—	20%
Stool ova and parasites exam inpatient CPT 87177 ?OVA & PARASITES X 3 W/ STN 2071A QUES_	$54.18	$67.72	$8.72–$65.01	—	20%
Stool ova and parasites exam inpatient CPT 87177 ?OVA & PARA X 1 W/ GIARD AG 7526F QUEST_	$54.18	$67.72	$8.72–$65.01	—	20%
Stool ova and parasites exam inpatient CPT 87177 ?OVA & PARASITES W/ STN 1099T QUEST_	$54.18	$67.72	$8.72–$65.01	—	20%
Stool ova and parasites exam inpatient CPT 87177 .Ova & Parasite Exam 21218 Quest	$57.71	$72.14	$8.72–$69.25	—	20%
Stool ova and parasites exam inpatient CPT 87177 .Ova/Parasites w/ Travel Hx ALI_	$80.78	$100.97	$8.72–$96.93	—	20%
Stool ova and parasites exam inpatient CPT 87177 Ova & Parasites Quest 17488 TC	$89.99	$112.49	$8.72–$107.99	—	20%
Stool ova and parasites exam inpatient CPT 87177 ..O/P Concentrate w/ Smear 2679 Quest_	$164.14	$205.18	$8.72–$196.97	—	20%
Stool test for hidden blood (guaiac FOBT) CPT 82270 PVPC HEMOCULT	$21.68	$27.10	$4.29–$26.02	18% above	20%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood Colorectal Neoplasm Screen*	$50.16	$62.70	$4.29–$60.19	173% above	20%
Stool test for hidden blood (guaiac FOBT) CPT 82270 ?CCULT BLOOD	$51.77	$64.71	$4.29–$62.12	181% above	20%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Occult Blood Colorectal Neoplasm Screen*	$50.16	$62.70	$4.29–$60.19	—	20%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 ?CCULT BLOOD	$51.77	$64.71	$4.29–$62.12	—	20%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Occult Blood iFOB	$61.29	$76.61	$15.60–$73.55	35% above	20%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Occult Blood iFOB	$61.29	$76.61	$15.60–$73.55	—	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL CSF 4128X Quest	$36.47	$45.59	$4.18–$43.77	26% above	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR W Reflex To Titer 799 Quest	$36.98	$46.23	$4.18–$44.38	28% above	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL, serum 30509	$39.85	$49.81	$4.18–$47.82	38% above	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL CSF 4128X Quest	$36.47	$45.59	$4.18–$43.77	—	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR W Reflex To Titer 799 Quest	$36.98	$46.23	$4.18–$44.38	—	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL, serum 30509	$39.85	$49.81	$4.18–$47.82	—	20%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon gold, 4 spec 36971	$70.06	$87.58	$40.34–$84.08	34% below	20%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 ...Quantiferon Gold 16603	$72.86	$91.08	$41.95–$87.44	32% below	20%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 ?uantiferon-TB Gold 16603 Quest	$371.67	$464.59	$60.74–$446.01	249% above	20%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Quantiferon gold, 4 spec 36971	$70.06	$87.58	$40.34–$84.08	—	20%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 ...Quantiferon Gold 16603	$72.86	$91.08	$41.95–$87.44	—	20%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 ?uantiferon-TB Gold 16603 Quest	$371.67	$464.59	$60.74–$446.01	—	20%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Total 15983 Quest	$43.26	$54.08	$24.91–$51.92	45% below	20%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone, Free/Tot/Bio 14966 Quest_	$63.30	$79.13	$25.29–$75.96	19% below	20%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Total, ALI	$68.71	$85.89	$25.29–$82.45	12% below	20%
Testosterone blood test, total (not free testosterone) CPT 84403 ?esticular Func Eval 500990 Esoterix_	$108.39	$135.49	$25.29–$130.07	39% above	20%
Testosterone blood test, total (not free testosterone) CPT 84403 _190361-8	$117.24	$146.55	$25.29–$140.69	50% above	20%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone 286 Endo Sci	$247.25	$309.06	$25.29–$296.70	216% above	20%
Testosterone blood test, total (not free testosterone) CPT 84403 ?PT 3 193908	$336.41	$420.51	$25.29–$403.69	330% above	20%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone Total 15983 Quest	$43.26	$54.08	$24.91–$51.92	—	20%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone, Free/Tot/Bio 14966 Quest_	$63.30	$79.13	$25.29–$75.96	—	20%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone Total, ALI	$68.71	$85.89	$25.29–$82.45	—	20%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 ?esticular Func Eval 500990 Esoterix_	$108.39	$135.49	$25.29–$130.07	—	20%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 _190361-8	$117.24	$146.55	$25.29–$140.69	—	20%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone 286 Endo Sci	$247.25	$309.06	$25.29–$296.70	—	20%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 ?PT 3 193908	$336.41	$420.51	$25.29–$403.69	—	20%
Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Perox Ab 5081 Quest	$43.25	$54.06	$14.26–$51.90	42% below	20%
Thyroid peroxidase (TPO) antibody test CPT 86376 LKM-1 Ab IgG 15038 Quest	$65.84	$82.30	$14.26–$79.01	11% below	20%
Thyroid peroxidase (TPO) antibody test CPT 86376 ?196156-7	$76.74	$95.93	$14.26–$92.09	4% above	20%
Thyroid peroxidase (TPO) antibody test CPT 86376 ...Thyroid Peroxidase Ab Quest	$82.50	$103.13	$14.26–$99.00	12% above	20%
Thyroid peroxidase (TPO) antibody test CPT 86376 ?hyroglobulin Ab 7002 Quest_	$92.06	$115.07	$14.26–$110.47	24% above	20%
Thyroid peroxidase (TPO) antibody test CPT 86376 ?HYROID PEROXIDASE AB 042 ESOTERIX	$102.28	$127.85	$14.26–$122.74	38% above	20%
Thyroid peroxidase (TPO) antibody test CPT 86376 ?hyroid Antibodies Labcorp_	$104.99	$131.24	$14.26–$125.99	42% above	20%
Thyroid peroxidase (TPO) antibody test CPT 86376 ?PT 1 193402	$119.78	$149.72	$14.26–$143.73	62% above	20%
Thyroid peroxidase (TPO) antibody test CPT 86376 Liver Cytosolic Ab Type 1 Ab, IgG 13554	$207.66	$259.58	$14.26–$249.20	181% above	20%
Thyroid peroxidase (TPO) antibody test CPT 86376 _190446-5	$215.54	$269.42	$14.26–$258.64	191% above	20%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroid Perox Ab 5081 Quest	$43.25	$54.06	$14.26–$51.90	—	20%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LKM-1 Ab IgG 15038 Quest	$65.84	$82.30	$14.26–$79.01	—	20%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ?196156-7	$76.74	$95.93	$14.26–$92.09	—	20%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ...Thyroid Peroxidase Ab Quest	$82.50	$103.13	$14.26–$99.00	—	20%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ?hyroglobulin Ab 7002 Quest_	$92.06	$115.07	$14.26–$110.47	—	20%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ?HYROID PEROXIDASE AB 042 ESOTERIX	$102.28	$127.85	$14.26–$122.74	—	20%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ?hyroid Antibodies Labcorp_	$104.99	$131.24	$14.26–$125.99	—	20%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ?PT 1 193402	$119.78	$149.72	$14.26–$143.73	—	20%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Liver Cytosolic Ab Type 1 Ab, IgG 13554	$207.66	$259.58	$14.26–$249.20	—	20%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 _190446-5	$215.54	$269.42	$14.26–$258.64	—	20%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH Thyd Stim Horm*	$138.18	$172.72	$16.46–$165.81	94% above	20%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 ?SH 39463X QUEST WITH REFLEX TO FT4	$148.73	$185.91	$16.46–$178.47	108% above	20%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 ?SH 500305 ESOTERIX	$148.73	$185.91	$16.46–$178.47	108% above	20%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH Thyd Stim Horm*	$138.18	$172.72	$16.46–$165.81	—	20%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 ?SH 39463X QUEST WITH REFLEX TO FT4	$148.73	$185.91	$16.46–$178.47	—	20%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 ?SH 500305 ESOTERIX	$148.73	$185.91	$16.46–$178.47	—	20%
Trichomonas test (NAAT) CPT 87661 Trich Male Urine 90801 Quest	$136.64	$170.80	$34.39–$163.97	61% above	20%
Trichomonas test (NAAT) CPT 87661 Trich female urine 19550 Quest	$136.64	$170.80	$34.39–$163.97	61% above	20%
Trichomonas test (NAAT) inpatient CPT 87661 Trich female urine 19550 Quest	$136.64	$170.80	$34.39–$163.97	—	20%
Trichomonas test (NAAT) inpatient CPT 87661 Trich Male Urine 90801 Quest	$136.64	$170.80	$34.39–$163.97	—	20%
Uric acid blood test CPT 84550 Uric Acid	$57.05	$71.31	$4.43–$68.46	100% above	20%
Uric acid blood test inpatient CPT 84550 Uric Acid	$57.05	$71.31	$4.43–$68.46	—	20%
Urinalysis with microscope exam, automated CPT 81001 .Urinalysis w/ Micro	$65.60	$82.00	$3.11–$78.72	94% above	20%
Urinalysis with microscope exam, automated inpatient CPT 81001 .Urinalysis w/ Micro	$65.60	$82.00	$3.11–$78.72	—	20%
Urinalysis with microscope exam, manual CPT 81000 OH Urinalysis	$24.96	$31.20	$3.94–$29.95	7% above	20%
Urinalysis with microscope exam, manual CPT 81000 IM URINALYSIS ROUTINE	$35.20	$44.00	$3.94–$42.24	50% above	20%
Urinalysis with microscope exam, manual inpatient CPT 81000 IM URINALYSIS ROUTINE	$35.20	$44.00	$3.94–$42.24	—	20%
Urinalysis without microscope exam, automated CPT 81003 Specific Gravity	$25.06	$31.32	$2.20–$30.07	32% above	20%
Urinalysis without microscope exam, automated CPT 81003 Dipstick Urine Blood Only	$32.80	$41.00	$2.20–$39.36	73% above	20%
Urinalysis without microscope exam, automated CPT 81003 Dipstick Urine Protein Only	$32.80	$41.00	$2.20–$39.36	73% above	20%
Urinalysis without microscope exam, automated CPT 81003 Dipstick Only Urine	$32.80	$41.00	$2.20–$39.36	73% above	20%
Urinalysis without microscope exam, automated CPT 81003 .Urinalysis w/o Micro	$56.99	$71.24	$2.20–$68.39	200% above	20%
Urinalysis without microscope exam, automated inpatient CPT 81003 Specific Gravity	$25.06	$31.32	$2.20–$30.07	—	20%
Urinalysis without microscope exam, automated inpatient CPT 81003 Dipstick Only Urine	$32.80	$41.00	$2.20–$39.36	—	20%
Urinalysis without microscope exam, automated inpatient CPT 81003 Dipstick Urine Protein Only	$32.80	$41.00	$2.20–$39.36	—	20%
Urinalysis without microscope exam, automated inpatient CPT 81003 Dipstick Urine Blood Only	$32.80	$41.00	$2.20–$39.36	—	20%
Urinalysis without microscope exam, automated inpatient CPT 81003 .Urinalysis w/o Micro	$56.99	$71.24	$2.20–$68.39	—	20%
Urinalysis without microscope exam, manual CPT 81002 IM URINE DIPSTICK	$15.95	$19.94	$3.41–$19.14	1% above	20%
Urinalysis without microscope exam, manual CPT 81002 OH Urine Dip	$16.64	$20.80	$3.41–$19.97	5% above	20%
Urinalysis without microscope exam, manual CPT 81002 ?yoglobin Screen Urine	$20.18	$25.22	$3.41–$24.21	28% above	20%
Urinalysis without microscope exam, manual CPT 81002 PVPC URINALYSIS DIP ONLY	$21.68	$27.10	$3.41–$26.02	37% above	20%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS DIP ONLY FIREMAN PHYSICAL	$23.45	$29.31	$3.41–$28.14	49% above	20%
Urinalysis without microscope exam, manual inpatient CPT 81002 IM URINE DIPSTICK	$15.95	$19.94	$3.41–$19.14	—	20%
Urinalysis without microscope exam, manual inpatient CPT 81002 ?yoglobin Screen Urine	$20.18	$25.22	$3.41–$24.21	—	20%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS DIP ONLY FIREMAN PHYSICAL	$23.45	$29.31	$3.41–$28.14	—	20%
Urine culture for bacteria, with colony count CPT 87086 Culture Urine w/ Colony Count*	$85.36	$106.70	$7.91–$102.43	46% above	20%
Urine culture for bacteria, with colony count CPT 87086 _190925-2	$85.36	$106.70	$7.91–$102.43	46% above	20%
Urine culture for bacteria, with colony count inpatient CPT 87086 _190925-2	$85.36	$106.70	$7.91–$102.43	—	20%
Urine culture for bacteria, with colony count inpatient CPT 87086 Culture Urine w/ Colony Count*	$85.36	$106.70	$7.91–$102.43	—	20%
Urine pregnancy test, read by color change CPT 81025 PVPC PREGNANCY TEST	$21.68	$27.10	$8.44–$26.02	23% below	20%
Urine pregnancy test, read by color change CPT 81025 Hcg Urine *	$56.93	$71.16	$8.44–$68.31	103% above	20%
Urine pregnancy test, read by color change CPT 81025 ?CG SERUM QUAL	$71.38	$89.22	$8.44–$85.65	154% above	20%
Urine pregnancy test, read by color change inpatient CPT 81025 Hcg Urine *	$56.93	$71.16	$8.44–$68.31	—	20%
Urine pregnancy test, read by color change inpatient CPT 81025 ?CG SERUM QUAL	$71.38	$89.22	$8.44–$85.65	—	20%
Vitamin B12 (cobalamin) blood test CPT 82607 Vit B12 PVH	$84.38	$105.48	$14.78–$101.26	4% above	20%
Vitamin B12 (cobalamin) blood test CPT 82607 ?Vit B12 Anemia Panel	$104.41	$130.51	$14.78–$125.29	29% above	20%
Vitamin B12 (cobalamin) blood test CPT 82607 Vit B12 927 Quest	$112.93	$141.16	$14.78–$135.51	39% above	20%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vit B12 PVH	$84.38	$105.48	$14.78–$101.26	—	20%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 ?Vit B12 Anemia Panel	$104.41	$130.51	$14.78–$125.29	—	20%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vit B12 927 Quest	$112.93	$141.16	$14.78–$135.51	—	20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 ..?it D 25-Hydroxy 17306 Quest	$42.50	$53.12	$24.47–$51.00	58% below	20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Questassure 25Hydroxyvit D 92888 Quest	$44.39	$55.49	$25.56–$53.27	56% below	20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vit D Total PVH	$71.15	$88.94	$29.01–$85.38	30% below	20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 ?5-Hydroxyvtmn D2/D3,S 83670 Mayo_	$125.08	$156.35	$29.01–$150.10	24% above	20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25 Hydroxy Vitamin D 500338 Esoterix	$185.92	$232.40	$29.01–$223.10	84% above	20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 ?IT D 25 HYDROXY ALI	$208.08	$260.10	$29.01–$249.70	106% above	20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 ?IT D 25-HYDROXY 338 ENDO SCI	$262.14	$327.67	$29.01–$314.56	159% above	20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 ..?it D 25-Hydroxy 17306 Quest	$42.50	$53.12	$24.47–$51.00	—	20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Questassure 25Hydroxyvit D 92888 Quest	$44.39	$55.49	$25.56–$53.27	—	20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vit D Total PVH	$71.15	$88.94	$29.01–$85.38	—	20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 ?5-Hydroxyvtmn D2/D3,S 83670 Mayo_	$125.08	$156.35	$29.01–$150.10	—	20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 25 Hydroxy Vitamin D 500338 Esoterix	$185.92	$232.40	$29.01–$223.10	—	20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 ?IT D 25 HYDROXY ALI	$208.08	$260.10	$29.01–$249.70	—	20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 ?IT D 25-HYDROXY 338 ENDO SCI	$262.14	$327.67	$29.01–$314.56	—	20%
Zinc blood test CPT 84630 Zinc Plasma 945 Quest	$44.70	$55.87	$11.16–$53.64	21% above	20%
Zinc blood test CPT 84630 Zinc, RBC 6354 Quest*	$113.32	$141.65	$11.16–$135.98	207% above	20%
Zinc blood test CPT 84630 ?INC, SERUM 945X QUEST	$113.41	$141.76	$11.16–$136.09	207% above	20%
Zinc blood test inpatient CPT 84630 Zinc Plasma 945 Quest	$44.70	$55.87	$11.16–$53.64	—	20%
Zinc blood test inpatient CPT 84630 Zinc, RBC 6354 Quest*	$113.32	$141.65	$11.16–$135.98	—	20%
Zinc blood test inpatient CPT 84630 ?INC, SERUM 945X QUEST	$113.41	$141.76	$11.16–$136.09	—	20%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 _190872-3	$28.75	$35.94	$14.75–$34.50	56% below	20%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 190961 2	$30.17	$37.71	$14.75–$36.20	54% below	20%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG, Total Quant 8396 Quest	$39.85	$49.81	$14.75–$47.82	40% below	20%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG Quantitative ALI	$61.09	$76.36	$14.75–$73.31	7% below	20%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 ?.HCG FBR PT OF AEH PROFILE	$68.91	$86.14	$14.75–$82.69	4% above	20%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 ?INHIBIN PT 4 OF AFP4 FBR 195366	$89.06	$111.33	$14.75–$106.88	35% above	20%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 MS SEQ PT 1 ALI	$103.62	$129.53	$14.75–$124.35	57% above	20%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hcg Quantitative*	$176.68	$220.85	$14.75–$212.02	168% above	20%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 _190872-3	$28.75	$35.94	$14.75–$34.50	—	20%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 190961 2	$30.17	$37.71	$14.75–$36.20	—	20%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG, Total Quant 8396 Quest	$39.85	$49.81	$14.75–$47.82	—	20%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG Quantitative ALI	$61.09	$76.36	$14.75–$73.31	—	20%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 ?.HCG FBR PT OF AEH PROFILE	$68.91	$86.14	$14.75–$82.69	—	20%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 ?INHIBIN PT 4 OF AFP4 FBR 195366	$89.06	$111.33	$14.75–$106.88	—	20%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 MS SEQ PT 1 ALI	$103.62	$129.53	$14.75–$124.35	—	20%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Hcg Quantitative*	$176.68	$220.85	$14.75–$212.02	—	20%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Maine	Off list
Adenoid removal (adenoidectomy), child under 12 CPT 42830 ADENOIDECTOMY UNDER AGE 12	$529.19	$661.49	$179.22–$635.03	—	20%
Adenoid removal (adenoidectomy), child under 12 inpatient CPT 42830 ADENOIDECTOMY UNDER AGE 12	$529.19	$661.49	$179.22–$635.03	—	20%
Appendectomy for a ruptured appendix with abscess or peritonitis CPT 44960 APPENDECTOMY FOR RUPTURED APPENDIX	$2,284.38	$2,855.47	$744.96–$2,741.25	at median	20%
Appendectomy for a ruptured appendix with abscess or peritonitis inpatient CPT 44960 APPENDECTOMY FOR RUPTURED APPENDIX	$2,284.38	$2,855.47	$744.96–$2,741.25	—	20%
Appendectomy, open surgery CPT 44950 APPENDECTOMY	$1,694.14	$2,117.68	$547.58–$2,032.97	at median	20%
Appendectomy, open surgery inpatient CPT 44950 APPENDECTOMY	$1,694.14	$2,117.68	$547.58–$2,032.97	—	20%
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 TOTAL KNEE ARTHROPLASTY	$2,384.92	$2,981.15	$811.71–$2,861.90	15% below	20%
Arthroscopic ACL reconstruction or repair of the knee inpatient CPT 29888 TOTAL KNEE ARTHROPLASTY	$2,384.92	$2,981.15	$811.71–$2,861.90	—	20%
Arthroscopic rotator cuff repair of the shoulder CPT 29827 OPEN ROTAR CUFF REPAIR	$2,597.30	$3,246.62	$890.29–$3,116.76	23% above	20%
Arthroscopic rotator cuff repair of the shoulder inpatient CPT 29827 OPEN ROTAR CUFF REPAIR	$2,597.30	$3,246.62	$890.29–$3,116.76	—	20%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 MAMMOGRAPHIC GUIDANCE FOR NEEDLE PLACEME	$556.73	$695.91	$320.54–$668.07	77% below	20%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 MAMMOGRAPHIC GUIDANCE FOR NEEDLE PLACEME	$556.73	$695.91	$320.54–$668.07	—	20%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CLSD TX DISTAL FIB FX INT MALLEOLUS WO/M	$667.35	$834.19	$269.81–$800.82	142% above	20%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 LATERAL MULLEOLUS	$677.38	$846.73	$269.81–$812.86	145% above	20%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 CLSD TX DISTAL FIB FX INT MALLEOLUS WO/M	$667.35	$834.19	$269.81–$800.82	—	20%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 LATERAL MULLEOLUS	$677.38	$846.73	$269.81–$812.86	—	20%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 FX CARE METATARSAL EACH W/O MANIPULATION	$449.04	$561.30	$192.47–$538.85	93% above	20%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 METATARSAL SINGLE	$455.79	$569.74	$192.47–$546.95	96% above	20%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 FX CARE METATARSAL EACH W/O MANIPULATION	$449.04	$561.30	$192.47–$538.85	—	20%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 METATARSAL SINGLE	$455.79	$569.74	$192.47–$546.95	—	20%
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 BUNIONECTOMY W/ DIST META OSTEO (OR)	$999.34	$1,249.18	$454.21–$1,199.21	39% below	20%
Bunion correction with a bone cut near the head of the first metatarsal inpatient CPT 28296 BUNIONECTOMY W/ DIST META OSTEO (OR)	$999.34	$1,249.18	$454.21–$1,199.21	—	20%
Bunion correction with removal of part of the big toe joint CPT 28292 BUNIONECTOMY W/ PHALANX RESECT (OR)	$943.45	$1,179.31	$430.31–$1,132.14	—	20%
Bunion correction with removal of part of the big toe joint inpatient CPT 28292 BUNIONECTOMY W/ PHALANX RESECT (OR)	$943.45	$1,179.31	$430.31–$1,132.14	—	20%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTIVE ELECTRICAL CONV	$330.28	$412.85	$90.06–$396.34	30% below	20%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTIVE ELECTRICAL CONV	$330.28	$412.85	$90.06–$396.34	—	20%
Carpal tunnel release, open surgery CPT 64721 NEUROSPLASTY MEDIAL NERVE CARPAL	$662.93	$828.66	$388.43–$795.51	34% below	20%
Carpal tunnel release, open surgery inpatient CPT 64721 NEUROSPLASTY MEDIAL NERVE CARPAL	$662.93	$828.66	$388.43–$795.51	—	20%
Cesarean delivery, including prenatal and postpartum care CPT 59510 CESAREAN DELIVERY INCL ANTE/DEL/POST CAR	$3,488.83	$4,361.04	$2,049.69–$4,186.60	4% below	20%
Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 CESAREAN DELIVERY INCL ANTE/DEL/POST CAR	$3,488.83	$4,361.04	$2,049.69–$4,186.60	—	20%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUMCISION EXCEPT NEWBORN SURGICAL	$606.62	$758.27	$167.61–$727.94	24% below	20%
Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 CIRCUMCISION EXCEPT NEWBORN SURGICAL	$606.62	$758.27	$167.61–$727.94	—	20%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION ADULT	$223.67	$279.59	$79.17–$268.41	21% below	20%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION	$358.45	$448.06	$139.52–$430.14	26% above	20%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION USING CLAMP EXCEPT NEWBORN	$442.39	$552.99	$79.17–$530.87	56% above	20%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION ADULT	$223.67	$279.59	$79.17–$268.41	—	20%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION	$358.45	$448.06	$139.52–$430.14	—	20%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION USING CLAMP EXCEPT NEWBORN	$442.39	$552.99	$79.17–$530.87	—	20%
Circumcision, surgical, older than a newborn CPT 54160 CIRCUMCISION SURGICAL CHILD NEONATEL	$227.28	$284.10	$123.72–$272.74	at median	20%
Circumcision, surgical, older than a newborn inpatient CPT 54160 CIRCUMCISION SURGICAL CHILD NEONATEL	$227.28	$284.10	$123.72–$272.74	—	20%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 REDUCTION FX DISTAL RADIUS W/O MANIPULAT	$641.26	$801.58	$349.25–$769.52	146% above	20%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 RADIUS DISTAL +/- ULNA	$706.07	$882.59	$313.20–$847.29	171% above	20%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 REDUCTION FX DISTAL RADIUS W/O MANIPULAT	$641.26	$801.58	$349.25–$769.52	—	20%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 RADIUS DISTAL +/- ULNA	$706.07	$882.59	$313.20–$847.29	—	20%
Colonoscopy with polyp removal CPT 45385 COLONOSCOPY FLEX W/TUMOR/POLYP RMVL SNAR	$1,652.37	$2,065.46	$210.25–$1,982.84	14% above	20%
Colonoscopy with polyp removal inpatient CPT 45385 COLONOSCOPY FLEX W/TUMOR/POLYP RMVL SNAR	$1,652.37	$2,065.46	$210.25–$1,982.84	—	20%
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY FLEX PROX SPLEN W/BIOPSY(IES	$1,458.42	$1,823.02	$166.85–$1,750.10	at median	20%
Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY FLEX PROX SPLEN W/BIOPSY(IES	$1,458.42	$1,823.02	$166.85–$1,750.10	—	20%
Colonoscopy, diagnostic CPT 45378 COLONOSCOPY FLEX DIAGNOSTIC W/WO SPECIMN	$1,328.55	$1,660.69	$154.32–$1,594.26	17% above	20%
Colonoscopy, diagnostic inpatient CPT 45378 COLONOSCOPY FLEX DIAGNOSTIC W/WO SPECIMN	$1,328.55	$1,660.69	$154.32–$1,594.26	—	20%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 BIOPSY OF CERVIX W/SCOPE LEEP	$450.10	$562.62	$131.54–$540.12	33% below	20%
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 BIOPSY OF CERVIX W/SCOPE LEEP	$450.10	$562.62	$131.54–$540.12	—	20%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 BIOPSY/CURRETT OF CERVIX W/SCOPE	$376.19	$470.24	$110.34–$451.43	88% above	20%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 BIOPSY/CURRETT OF CERVIX W/SCOPE	$376.19	$470.24	$110.34–$451.43	—	20%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOSCOPY/URETHROSCOPY	$291.42	$364.27	$66.75–$349.70	37% below	20%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSTOSCOPY/URETHROSCOPY	$291.42	$364.27	$66.75–$349.70	—	20%
D&C (dilation and curettage), not related to pregnancy CPT 58120 BIOPSY SKIN MUCOUS MEMBRANE ADDT'L LESIO	$602.90	$753.63	$193.86–$723.48	62% below	20%
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 BIOPSY SKIN MUCOUS MEMBRANE ADDT'L LESIO	$602.90	$753.63	$193.86–$723.48	—	20%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCTION OF PREMALIGNANT LESIONS	$116.94	$146.17	$44.46–$140.32	27% above	20%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCTION BENIGN PRE MAL LESION ONE	$201.14	$251.42	$44.46–$241.36	119% above	20%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DESTRUCTION OF PREMALIGNANT LESIONS	$116.94	$146.17	$44.46–$140.32	—	20%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DESTRUCTION BENIGN PRE MAL LESION ONE	$201.14	$251.42	$44.46–$241.36	—	20%
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 EARDRUM OPENING	$362.90	$453.62	$132.80–$435.48	—	20%
Ear tube placement (tympanostomy) under general anesthesia, one ear inpatient CPT 69436 EARDRUM OPENING	$362.90	$453.62	$132.80–$435.48	—	20%
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 TYMPANOSTOMY M&T	$313.02	$391.27	$110.87–$375.62	9% below	20%
Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 TYMPANOSTOMY M&T	$313.02	$391.27	$110.87–$375.62	—	20%
Earwax removal by irrigation (rinsing), one ear CPT 69209 PVPC REMOVAL IMPACTED EAR WAX UNI	$30.87	$38.59	$15.26–$37.05	31% below	20%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVAL IMPACTED CERUMEN IRRIG, UNI	$31.35	$39.19	$15.26–$37.62	30% below	20%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REMOVAL IMPACTED CERUMEN IRRIG, UNI	$31.35	$39.19	$15.26–$37.62	—	20%
Earwax removal with instruments, one ear CPT 69210 REMOVAL IMPACTED CERUMEN	$25.51	$31.89	$14.69–$31.25	55% below	20%
Earwax removal with instruments, one ear CPT 69210 PVPC REMOVAL CERUMEN	$54.22	$67.78	$31.22–$65.07	4% below	20%
Earwax removal with instruments, one ear CPT 69210 CERUMEN REMOVAL	$81.25	$101.56	$43.92–$97.50	44% above	20%
Earwax removal with instruments, one ear inpatient CPT 69210 REMOVAL IMPACTED CERUMEN	$25.51	$31.89	$14.69–$31.25	—	20%
Earwax removal with instruments, one ear inpatient CPT 69210 CERUMEN REMOVAL	$81.25	$101.56	$43.92–$97.50	—	20%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BIOPSY OF UTERUS LINING	$242.35	$302.94	$51.24–$290.82	36% above	20%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 BIOPSY OF UTERUS LINING	$242.35	$302.94	$51.24–$290.82	—	20%
Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 NASAL SINUS ENDOSCOPY SURG W TOT ETHMOID	$1,040.54	$1,300.67	$253.03–$1,248.64	—	20%
Endoscopic sinus surgery: full ethmoid sinus opening inpatient CPT 31255 NASAL SINUS ENDOSCOPY SURG W TOT ETHMOID	$1,040.54	$1,300.67	$253.03–$1,248.64	—	20%
Endoscopic sinus surgery: opening the frontal sinus CPT 31276 NASAL SINUS END SURG W FRONT SIN EXPLORA	$1,311.64	$1,639.55	$294.56–$1,573.97	—	20%
Endoscopic sinus surgery: opening the frontal sinus inpatient CPT 31276 NASAL SINUS END SURG W FRONT SIN EXPLORA	$1,311.64	$1,639.55	$294.56–$1,573.97	—	20%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 NASAL SINUS ENDOSCOPY SURG W MAX ANTROST	$510.62	$638.27	$141.36–$612.74	—	20%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus inpatient CPT 31256 NASAL SINUS ENDOSCOPY SURG W MAX ANTROST	$510.62	$638.27	$141.36–$612.74	—	20%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 NASAL SINUS END SURG W MAX ANTRO TIS REM	$876.94	$1,096.17	$207.57–$1,052.32	—	20%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue inpatient CPT 31267 NASAL SINUS END SURG W MAX ANTRO TIS REM	$876.94	$1,096.17	$207.57–$1,052.32	—	20%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INJECT THERAPEUTIC SUBSTANCES W/IMAGING	$304.31	$380.39	$90.24–$365.17	62% below	20%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 INJECT THERAPEUTIC SUBSTANCES W/IMAGING	$304.31	$380.39	$90.24–$365.17	—	20%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJECTION DIAGNOSTIC AGENT PARA FACET LU	$319.52	$399.40	$76.75–$383.42	64% below	20%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 INJECTION DIAGNOSTIC AGENT PARA FACET LU	$319.52	$399.40	$76.75–$383.42	—	20%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 REP ANT ABD HERNIA 1ST 3-10 RDC	$1,253.62	$1,567.02	$474.12–$1,504.34	20% below	20%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm inpatient CPT 49593 REP ANT ABD HERNIA 1ST 3-10 RDC	$1,253.62	$1,567.02	$474.12–$1,504.34	—	20%
First repair of a front abdominal hernia larger than 10 cm CPT 49595 REP ANT ABD HERNIA 1ST >10 rdc	$1,686.14	$2,107.68	$636.85–$2,023.37	at median	20%
First repair of a front abdominal hernia larger than 10 cm inpatient CPT 49595 REP ANT ABD HERNIA 1ST >10 rdc	$1,686.14	$2,107.68	$636.85–$2,023.37	—	20%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 REP ANT ABD HERNIA <3CM RED	$747.58	$934.48	$285.26–$897.10	15% below	20%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 REP ANT ABD HERNIA <3CM RED	$747.58	$934.48	$285.26–$897.10	—	20%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 SIGMOIDOSCOPY FLEX DX BRUSHING OR WASHIN	$226.06	$282.57	$49.95–$271.27	48% below	20%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 SIGMOIDOSCOPY FLEX DX BRUSHING OR WASHIN	$226.06	$282.57	$49.95–$271.27	—	20%
Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY	$1,818.38	$2,272.98	$570.46–$2,182.06	19% below	20%
Gallbladder removal, laparoscopic inpatient CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY	$1,818.38	$2,272.98	$570.46–$2,182.06	—	20%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 CHOLECYSTECTOMY W/CHOLANGIOGRAPHY	$1,643.79	$2,054.74	$617.64–$1,972.55	at median	20%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 CHOLECYSTECTOMY W/CHOLANGIOGRAPHY	$1,643.79	$2,054.74	$617.64–$1,972.55	—	20%
Gallbladder removal, open surgery through a larger incision CPT 47600 CHOLECYSTECTOMY	$2,260.79	$2,825.99	$913.14–$2,712.95	13% below	20%
Gallbladder removal, open surgery through a larger incision inpatient CPT 47600 CHOLECYSTECTOMY	$2,260.79	$2,825.99	$913.14–$2,712.95	—	20%
Hammertoe correction surgery CPT 28285 HAMMERTOE CORRECTION (OR)	$752.05	$940.06	$346.00–$902.46	22% below	20%
Hammertoe correction surgery inpatient CPT 28285 HAMMERTOE CORRECTION (OR)	$752.05	$940.06	$346.00–$902.46	—	20%
Hemorrhoid banding (rubber band ligation) CPT 46221 EXCISION HEMORRHOIDECTOMY SIMPLE LIGATUR	$365.65	$457.06	$181.99–$438.78	51% below	20%
Hemorrhoid banding (rubber band ligation) CPT 46221 HEMORRHOID LIGATION	$448.65	$560.81	$181.99–$538.38	40% below	20%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 EXCISION HEMORRHOIDECTOMY SIMPLE LIGATUR	$365.65	$457.06	$181.99–$438.78	—	20%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HEMORRHOID LIGATION	$448.65	$560.81	$181.99–$538.38	—	20%
Hemorrhoidectomy (internal and external), one area CPT 46255 HEMORRHOIDECTOMY IN/EXTERNAL SIMPLE	$753.62	$942.02	$323.20–$904.34	39% below	20%
Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 HEMORRHOIDECTOMY IN/EXTERNAL SIMPLE	$753.62	$942.02	$323.20–$904.34	—	20%
Hysterectomy through an abdominal incision (total) CPT 58150 HYSTERECTOMY TOTAL ABDOMINAL W/WO REM AT	$2,796.35	$3,495.44	$852.34–$3,355.62	28% above	20%
Hysterectomy through an abdominal incision (total) inpatient CPT 58150 HYSTERECTOMY TOTAL ABDOMINAL W/WO REM AT	$2,796.35	$3,495.44	$852.34–$3,355.62	—	20%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 INTRO OF SALINE/CONTRAST FOR HYSTERO	$231.37	$289.21	$133.21–$277.64	at median	20%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HSG INTRO OF CONTRAST MEDIA	$234.55	$293.19	$135.04–$281.46	1% above	20%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 INJECTION HYSTEROSALPIINOGRAM	$240.62	$300.78	$138.54–$288.75	4% above	20%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 INTRO OF SALINE/CONTRAST FOR HYSTERO	$231.37	$289.21	$133.21–$277.64	—	20%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HSG INTRO OF CONTRAST MEDIA	$234.55	$293.19	$135.04–$281.46	—	20%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 INJECTION HYSTEROSALPIINOGRAM	$240.62	$300.78	$138.54–$288.75	—	20%
Hysteroscopy with endometrial ablation CPT 58563 HYSTEROSCOPY ABLATION	$665.57	$831.96	$201.55–$815.32	62% below	20%
Hysteroscopy with endometrial ablation inpatient CPT 58563 HYSTEROSCOPY ABLATION	$665.57	$831.96	$201.55–$815.32	—	20%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTEROSCOPY BIOPSY	$651.65	$814.56	$189.82–$798.27	41% below	20%
Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 HYSTEROSCOPY BIOPSY	$651.65	$814.56	$189.82–$798.27	—	20%
IUD insertion (the device itself billed separately) CPT 58300 INSERT INTRAUTERINE DEVICE	$256.06	$320.08	$150.44–$307.28	233% above	20%
IUD insertion (the device itself billed separately) inpatient CPT 58300 INSERT INTRAUTERINE DEVICE	$256.06	$320.08	$150.44–$307.28	—	20%
Incision and drainage of a simple or single skin abscess CPT 10060 INCISION & DRAINAGE OF ABSCESS	$125.57	$156.96	$73.77–$150.68	17% below	20%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE	$219.57	$274.46	$93.41–$263.48	46% above	20%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSESS SIMPLE	$228.57	$285.71	$93.41–$274.28	52% above	20%
Incision and drainage of a simple or single skin abscess CPT 10060 INCISION & DRAINAGE OF ABSCESS SIMP/SING	$308.47	$385.59	$93.41–$370.17	105% above	20%
Incision and drainage of a simple or single skin abscess CPT 10060 I/D ABSCESS SIMPLE	$391.42	$489.27	$93.41–$469.70	160% above	20%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 INCISION & DRAINAGE OF ABSCESS	$125.57	$156.96	$73.77–$150.68	—	20%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SIMPLE	$219.57	$274.46	$93.41–$263.48	—	20%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSESS SIMPLE	$228.57	$285.71	$93.41–$274.28	—	20%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 INCISION & DRAINAGE OF ABSCESS SIMP/SING	$308.47	$385.59	$93.41–$370.17	—	20%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I/D ABSCESS SIMPLE	$391.42	$489.27	$93.41–$469.70	—	20%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 REPAIR INIT INGUINAL HERNIA >5 REDUCIBLE	$1,342.57	$1,678.21	$458.37–$1,611.08	at median	20%
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 REPAIR INIT INGUINAL HERNIA >5 REDUCIBLE	$1,342.57	$1,678.21	$458.37–$1,611.08	—	20%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ SINGLE TENDON SHEATH/LIG/APONEUROSIS	$74.49	$93.11	$31.46–$89.39	55% below	20%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECTION TENDON SHEATH	$93.62	$117.03	$31.46–$112.35	44% below	20%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECT TENDON SHEET	$271.28	$339.10	$31.46–$325.54	63% above	20%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ SINGLE TENDON SHEATH/LIG/APONEUROSIS	$74.49	$93.11	$31.46–$89.39	—	20%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJECTION TENDON SHEATH	$93.62	$117.03	$31.46–$112.35	—	20%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJECT TENDON SHEET	$271.28	$339.10	$31.46–$325.54	—	20%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 PVPC DRAIN INJ MAJ JT SHOULDER HIP KNEE	$86.76	$108.45	$49.95–$104.11	54% below	20%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 INJECTION SHOULDER KNEE HIP	$120.58	$150.72	$36.95–$144.69	37% below	20%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS INJ MAJOR W/O ULTRASOUND	$227.04	$283.80	$36.95–$272.45	19% above	20%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 INJECTION MAJOR JOINT OR BURSA	$279.90	$349.88	$36.95–$335.88	47% above	20%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 INJECTION OF SHOULDER-RT	$282.73	$353.41	$62.78–$339.27	48% above	20%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 INJECTION OF SHOULDER-LT	$282.73	$353.41	$62.78–$339.27	48% above	20%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 INJECTION OF HIP-LT	$282.73	$353.41	$62.78–$339.27	48% above	20%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 INJECTION OF HIP-RT	$282.73	$353.41	$62.78–$339.27	48% above	20%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 INJECTION SHOULDER KNEE HIP	$120.58	$150.72	$36.95–$144.69	—	20%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESIS INJ MAJOR W/O ULTRASOUND	$227.04	$283.80	$36.95–$272.45	—	20%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 INJECTION MAJOR JOINT OR BURSA	$279.90	$349.88	$36.95–$335.88	—	20%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 INJECTION OF HIP-RT	$282.73	$353.41	$62.78–$339.27	—	20%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 INJECTION OF SHOULDER-LT	$282.73	$353.41	$62.78–$339.27	—	20%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 INJECTION OF HIP-LT	$282.73	$353.41	$62.78–$339.27	—	20%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 INJECTION OF SHOULDER-RT	$282.73	$353.41	$62.78–$339.27	—	20%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERTION DRUG IMPLANT	$186.37	$232.96	$50.74–$223.64	69% above	20%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 INSERTION DRUG IMPLANT	$186.37	$232.96	$50.74–$223.64	—	20%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 PVPC DRAIN INJ MED JT WRIST ELBOW ANKLE	$65.06	$81.32	$37.46–$78.07	64% below	20%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 INJECTION WRIST ELBOW ANKLE	$98.94	$123.68	$30.15–$118.73	45% below	20%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 PLACEMENT NEEDLE INTER JOINT BURSA	$101.50	$126.87	$30.15–$121.80	44% below	20%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS INJ INTERMED W/O ULTRASOU	$199.35	$249.19	$30.15–$239.22	10% above	20%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS INJECTION MAJOR	$211.95	$264.94	$30.15–$254.34	17% above	20%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 INJECTION WRIST ELBOW ANKLE	$98.94	$123.68	$30.15–$118.73	—	20%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 PLACEMENT NEEDLE INTER JOINT BURSA	$101.50	$126.87	$30.15–$121.80	—	20%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCENTESIS INJ INTERMED W/O ULTRASOU	$199.35	$249.19	$30.15–$239.22	—	20%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCENTESIS INJECTION MAJOR	$211.95	$264.94	$30.15–$254.34	—	20%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 INJECTION FINGER OR TOE	$47.16	$58.95	$27.71–$56.59	77% below	20%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 PVPC DRAIN INJ SMALL JOINT FNGER TOE	$65.06	$81.32	$37.46–$78.07	68% below	20%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS INJ SM JOINT W/O ULTRASOU	$184.55	$230.69	$29.50–$221.46	8% below	20%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 INJECTION FINGER OR TOE	$47.16	$58.95	$27.71–$56.59	—	20%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCENTESIS INJ SM JOINT W/O ULTRASOU	$184.55	$230.69	$29.50–$221.46	—	20%
Knee arthroscopy with meniscus trim CPT 29881 ARTHOSCOPY OF KNEE WITH MENISECTOMY	$1,319.09	$1,648.86	$469.24–$1,582.91	at median	20%
Knee arthroscopy with meniscus trim inpatient CPT 29881 ARTHOSCOPY OF KNEE WITH MENISECTOMY	$1,319.09	$1,648.86	$469.24–$1,582.91	—	20%
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 KNEE ARTHROSCOPY SURGERY	$1,541.36	$1,926.70	$485.17–$1,849.63	15% above	20%
Knee arthroscopy with removal of both torn meniscus parts inpatient CPT 29880 KNEE ARTHROSCOPY SURGERY	$1,541.36	$1,926.70	$485.17–$1,849.63	—	20%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 KNEE ARTHROSCOPY SURGERY	$1,766.91	$2,208.64	$534.10–$2,120.29	3% below	20%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) inpatient CPT 29877 KNEE ARTHROSCOPY SURGERY	$1,766.91	$2,208.64	$534.10–$2,120.29	—	20%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPAROSCOPY SURGICAL APPENDECTOMY	$1,443.02	$1,803.77	$522.18–$1,731.62	20% below	20%
Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 LAPAROSCOPY SURGICAL APPENDECTOMY	$1,443.02	$1,803.77	$522.18–$1,731.62	—	20%
Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 LAPROSCOPIC FUNDOPLASTY	$2,382.58	$2,978.23	$913.81–$2,859.10	21% above	20%
Laparoscopic fundoplication (anti-reflux surgery) inpatient CPT 43280 LAPROSCOPIC FUNDOPLASTY	$2,382.58	$2,978.23	$913.81–$2,859.10	—	20%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 LAPARASCOPY SURGICAL REPAIR INITIAL HERN	$915.11	$1,143.89	$382.79–$1,098.13	5% below	20%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 LAPRASCOPY SURG REPAIR INGUINIAL HERNIA	$917.46	$1,146.82	$382.79–$1,100.95	5% below	20%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 LAP SURG REPAIR INGUINAL HERNIA	$959.54	$1,199.43	$382.79–$1,151.45	1% below	20%
Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 LAPARASCOPY SURGICAL REPAIR INITIAL HERN	$915.11	$1,143.89	$382.79–$1,098.13	—	20%
Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 LAPRASCOPY SURG REPAIR INGUINIAL HERNIA	$917.46	$1,146.82	$382.79–$1,100.95	—	20%
Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 LAP SURG REPAIR INGUINAL HERNIA	$959.54	$1,199.43	$382.79–$1,151.45	—	20%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 LAPAROSCOPY REPAIR RECURRENT ING HERNIA	$1,030.42	$1,288.02	$496.40–$1,236.50	24% below	20%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia inpatient CPT 49651 LAPAROSCOPY REPAIR RECURRENT ING HERNIA	$1,030.42	$1,288.02	$496.40–$1,236.50	—	20%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAPAROSCOPY REMOVE ADNEXA	$1,463.71	$1,829.64	$536.72–$1,756.45	16% below	20%
Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 LAPAROSCOPY REMOVE ADNEXA	$1,463.71	$1,829.64	$536.72–$1,756.45	—	20%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTERMED LAC UP TO 2.5CM NON-FACIAL	$288.19	$360.24	$165.92–$345.83	at median	20%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAYER CLOSURE WOUND SCLP TRK EXT <2.5 CM	$337.84	$422.30	$124.25–$405.41	17% above	20%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 INTERMED LAC UP TO 2.5CM NON-FACIAL	$288.19	$360.24	$165.92–$345.83	—	20%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LAYER CLOSURE WOUND SCLP TRK EXT <2.5 CM	$337.84	$422.30	$124.25–$405.41	—	20%
Lower-back epidural injection, with imaging guidance CPT 62323 INJECTION LUMBAR OR SACRAL W/FLUROSCOPY	$314.55	$393.19	$84.19–$377.46	65% below	20%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJECTION LUMBAR OR SACRAL W/FLUROSCOPY	$314.55	$393.19	$84.19–$377.46	—	20%
Lower-back epidural injection, without imaging guidance CPT 62322 INJECTION LUMBAR OR SACRAL	$421.14	$526.42	$70.04–$505.36	42% below	20%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 INJECTION LUMBAR OR SACRAL	$421.14	$526.42	$70.04–$505.36	—	20%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJECTION LUMBAR OR SACRAL SINGLE LEVEL	$354.52	$443.15	$93.85–$425.42	59% below	20%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 INJECTION LUMBAR OR SACRAL SINGLE LEVEL	$354.52	$443.15	$93.85–$425.42	—	20%
Lumpectomy (partial mastectomy) CPT 19301 MASTECTOMY PARTIAL	$1,003.22	$1,254.02	$571.46–$1,203.86	7% below	20%
Lumpectomy (partial mastectomy) inpatient CPT 19301 MASTECTOMY PARTIAL	$1,003.22	$1,254.02	$571.46–$1,203.86	—	20%
Miscarriage treatment with D&C, first trimester CPT 59820 TX MISSED ABORT 1ST TRIMESTER	$438.14	$547.68	$257.41–$525.77	73% below	20%
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 TX MISSED ABORT 1ST TRIMESTER	$438.14	$547.68	$257.41–$525.77	—	20%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXCISION BENIGN LESION TRUNK 5CM OR LESS	$171.01	$213.76	$70.90–$205.21	14% above	20%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC BEN LESION .5 CM OR LESS	$179.73	$224.66	$70.90–$215.67	20% above	20%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXCISION BENIGN LESION TRUNK EXTRM<.5CMS	$277.74	$347.18	$70.90–$333.29	85% above	20%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXCISION BENIGN LESION TRUNK 5CM OR LESS	$171.01	$213.76	$70.90–$205.21	—	20%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXC BEN LESION .5 CM OR LESS	$179.73	$224.66	$70.90–$215.67	—	20%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXCISION BENIGN LESION TRUNK EXTRM<.5CMS	$277.74	$347.18	$70.90–$333.29	—	20%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXCISION BENIGN LESION .05CM OR LESS	$230.02	$287.52	$90.74–$276.02	5% below	20%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXCISION BENIGN LESION FACE .5CM OR LESS	$236.94	$296.18	$90.74–$284.33	2% below	20%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXCISION BENIGN LESION FACE EARS < .5CM	$365.65	$457.06	$90.74–$438.78	51% above	20%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXCISION BENIGN LESION .05CM OR LESS	$230.02	$287.52	$90.74–$276.02	—	20%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXCISION BENIGN LESION FACE .5CM OR LESS	$236.94	$296.18	$90.74–$284.33	—	20%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXCISION BENIGN LESION FACE EARS < .5CM	$365.65	$457.06	$90.74–$438.78	—	20%
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE PAR OR COMP SINGLE	$103.62	$129.53	$46.31–$124.35	12% below	20%
Nail removal (partial or complete), one nail CPT 11730 AVULSION OF NAIL PLATE	$103.62	$129.53	$59.66–$124.35	12% below	20%
Nail removal (partial or complete), one nail CPT 11730 AVULSION OF NAILPLATE	$383.50	$479.37	$46.31–$460.20	225% above	20%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAIL PLATE PAR OR COMP SINGLE	$103.62	$129.53	$46.31–$124.35	—	20%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION OF NAIL PLATE	$103.62	$129.53	$59.66–$124.35	—	20%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION OF NAILPLATE	$383.50	$479.37	$46.31–$460.20	—	20%
Occipital nerve block (injection for headaches) CPT 64405 NERVE BLOCK INJECTION OCCIPITAL	$313.00	$391.25	$42.34–$375.60	35% above	20%
Occipital nerve block (injection for headaches) inpatient CPT 64405 NERVE BLOCK INJECTION OCCIPITAL	$313.00	$391.25	$42.34–$375.60	—	20%
Paracentesis with imaging guidance CPT 49083 ABDOMINAL PARACENTESIS WITH IMAGING	$174.74	$218.42	$87.65–$214.05	77% below	20%
Paracentesis with imaging guidance CPT 49083 DIAGNOSTIC PARACENTESIS W/ IMAGING	$278.81	$348.51	$87.65–$334.57	64% below	20%
Paracentesis with imaging guidance inpatient CPT 49083 ABDOMINAL PARACENTESIS WITH IMAGING	$174.74	$218.42	$87.65–$214.05	—	20%
Paracentesis with imaging guidance inpatient CPT 49083 DIAGNOSTIC PARACENTESIS W/ IMAGING	$278.81	$348.51	$87.65–$334.57	—	20%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION NAIL+MATRIX, PARTIAL/COMPLETE	$195.52	$244.40	$88.46–$234.62	30% below	20%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL NAIL & MATRIX PART OR COMP	$419.78	$524.73	$88.46–$503.74	49% above	20%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXCISION NAIL+MATRIX, PARTIAL/COMPLETE	$195.52	$244.40	$88.46–$234.62	—	20%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 REMOVAL NAIL & MATRIX PART OR COMP	$419.78	$524.73	$88.46–$503.74	—	20%
Prostate biopsy CPT 55700 PROSTATE NEEDLE BIOPSY	$309.51	$386.89	$117.36–$371.41	58% below	20%
Prostate biopsy inpatient CPT 55700 PROSTATE NEEDLE BIOPSY	$309.51	$386.89	$117.36–$371.41	—	20%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTRUCTION PARA FACET JOINT BY NEURO AG	$349.88	$437.35	$163.27–$424.85	80% below	20%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 DESTRUCTION PARA FACET JOINT BY NEURO AG	$349.88	$437.35	$163.27–$424.85	—	20%
Removal of a breast lump, open surgery CPT 19120 EXCISION BREAST LESION TUMOR	$1,183.42	$1,479.28	$372.34–$1,420.11	2% below	20%
Removal of a breast lump, open surgery inpatient CPT 19120 EXCISION BREAST LESION TUMOR	$1,183.42	$1,479.28	$372.34–$1,420.11	—	20%
Removal of a foreign object under the skin, simple CPT 10120 FACILITY INCISION/REMOVAL FB SIMPLE	$201.06	$251.32	$115.76–$241.27	15% above	20%
Removal of a foreign object under the skin, simple CPT 10120 REMOVAL FOREIGN BODY SUPERFIC W/INCISION	$262.09	$327.61	$94.84–$314.51	49% above	20%
Removal of a foreign object under the skin, simple CPT 10120 INCISION & REMOVAL OF fOREIGN BODY SIMPL	$309.15	$386.44	$94.84–$370.98	76% above	20%
Removal of a foreign object under the skin, simple inpatient CPT 10120 FACILITY INCISION/REMOVAL FB SIMPLE	$201.06	$251.32	$115.76–$241.27	—	20%
Removal of a foreign object under the skin, simple inpatient CPT 10120 REMOVAL FOREIGN BODY SUPERFIC W/INCISION	$262.09	$327.61	$94.84–$314.51	—	20%
Removal of a foreign object under the skin, simple inpatient CPT 10120 INCISION & REMOVAL OF fOREIGN BODY SIMPL	$309.15	$386.44	$94.84–$370.98	—	20%
Removal of one lobe of the thyroid (lobectomy) CPT 60220 TOTAL THYROID LOBECTOMY UNI W/WO ISTHMUS	$1,831.73	$2,289.66	$585.08–$2,198.07	53% above	20%
Removal of one lobe of the thyroid (lobectomy) inpatient CPT 60220 TOTAL THYROID LOBECTOMY UNI W/WO ISTHMUS	$1,831.73	$2,289.66	$585.08–$2,198.07	—	20%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLONOSCOPY MEDICARE LOW RISK SCREENING	$1,328.55	$1,660.69	$154.53–$1,594.26	46% above	20%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 COLONOSCOPY MEDICARE LOW RISK SCREENING	$1,328.55	$1,660.69	$154.53–$1,594.26	—	20%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLONOSCOPY MEDICARE HIGH RISK SCREENING	$1,328.55	$1,660.69	$154.32–$1,594.26	39% above	20%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 COLONOSCOPY MEDICARE HIGH RISK SCREENING	$1,328.55	$1,660.69	$154.32–$1,594.26	—	20%
Septoplasty to straighten the nasal septum CPT 30520 SEPTOPLASTY SUBMUCCOUS RESECTON	$1,397.95	$1,747.44	$560.93–$1,677.54	at median	20%
Septoplasty to straighten the nasal septum inpatient CPT 30520 SEPTOPLASTY SUBMUCCOUS RESECTON	$1,397.95	$1,747.44	$560.93–$1,677.54	—	20%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 LITHOTRIPSY	$7,286.61	$9,108.26	$698.36–$8,743.93	197% above	20%
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 LITHOTRIPSY	$7,286.61	$9,108.26	$698.36–$8,743.93	—	20%
Short arm cast (elbow to hand) CPT 29075 APPLICATION FOREARM CAST	$120.22	$150.28	$69.22–$144.27	34% below	20%
Short arm cast (elbow to hand) CPT 29075 SHORT ARM CAST	$149.46	$186.83	$54.14–$179.36	18% below	20%
Short arm cast (elbow to hand) CPT 29075 CASTING SHORT UPPER EXT	$292.84	$366.05	$54.14–$351.41	60% above	20%
Short arm cast (elbow to hand) inpatient CPT 29075 APPLICATION FOREARM CAST	$120.22	$150.28	$69.22–$144.27	—	20%
Short arm cast (elbow to hand) inpatient CPT 29075 SHORT ARM CAST	$149.46	$186.83	$54.14–$179.36	—	20%
Short arm cast (elbow to hand) inpatient CPT 29075 CASTING SHORT UPPER EXT	$292.84	$366.05	$54.14–$351.41	—	20%
Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT	$77.07	$96.34	$44.37–$92.49	24% below	20%
Short arm splint (forearm and hand) CPT 29125 SHORT ARM SPLINT	$94.23	$117.79	$37.82–$113.08	7% below	20%
Short arm splint (forearm and hand) CPT 29125 SPLINTING SHORT UPPER EXT	$205.30	$256.62	$37.82–$246.36	102% above	20%
Short arm splint (forearm and hand) inpatient CPT 29125 APPLY FOREARM SPLINT	$77.07	$96.34	$44.37–$92.49	—	20%
Short arm splint (forearm and hand) inpatient CPT 29125 SHORT ARM SPLINT	$94.23	$117.79	$37.82–$113.08	—	20%
Short arm splint (forearm and hand) inpatient CPT 29125 SPLINTING SHORT UPPER EXT	$205.30	$256.62	$37.82–$246.36	—	20%
Short leg cast (below the knee) CPT 29405 SHORT LEG CAST	$144.74	$180.92	$51.58–$173.68	18% below	20%
Short leg cast (below the knee) CPT 29405 APPLICATION SHORT LEG CAST	$144.74	$180.92	$51.58–$173.68	18% below	20%
Short leg cast (below the knee) inpatient CPT 29405 APPLICATION SHORT LEG CAST	$144.74	$180.92	$51.58–$173.68	—	20%
Short leg cast (below the knee) inpatient CPT 29405 SHORT LEG CAST	$144.74	$180.92	$51.58–$173.68	—	20%
Short leg splint (calf to foot) CPT 29515 SPLINTING SHORT LOWER EXTREM	$95.51	$119.39	$54.99–$114.61	5% below	20%
Short leg splint (calf to foot) CPT 29515 SPLINTING SHORT LOWER EXT	$95.51	$119.39	$54.99–$114.61	5% below	20%
Short leg splint (calf to foot) CPT 29515 SHORT LEG SPLINT	$151.71	$189.64	$46.01–$182.05	51% above	20%
Short leg splint (calf to foot) inpatient CPT 29515 SPLINTING SHORT LOWER EXTREM	$95.51	$119.39	$54.99–$114.61	—	20%
Short leg splint (calf to foot) inpatient CPT 29515 SPLINTING SHORT LOWER EXT	$95.51	$119.39	$54.99–$114.61	—	20%
Short leg splint (calf to foot) inpatient CPT 29515 SHORT LEG SPLINT	$151.71	$189.64	$46.01–$182.05	—	20%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 DISTAL CLAVICULECTOMY (MUMFORD)	$1,626.26	$2,032.83	$581.86–$1,951.52	23% above	20%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) inpatient CPT 29824 DISTAL CLAVICULECTOMY (MUMFORD)	$1,626.26	$2,032.83	$581.86–$1,951.52	—	20%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 SUBACROMIAL DECOMPRESSION	$432.20	$540.25	$135.12–$518.64	27% below	20%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 SUBACROMIAL DECOMPRESSION	$432.20	$540.25	$135.12–$518.64	—	20%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 FAC LACERATION REPAIR SIMPLE <2.5 CM	$84.41	$105.51	$48.60–$103.08	36% below	20%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 WOUND REPAIR SIMPLE	$112.55	$140.69	$40.54–$135.06	14% below	20%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE LAC UP TO 2.5 CM NON FACIAL	$372.78	$465.98	$40.54–$447.34	183% above	20%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 FAC LACERATION REPAIR SIMPLE <2.5 CM	$84.41	$105.51	$48.60–$103.08	—	20%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 WOUND REPAIR SIMPLE	$112.55	$140.69	$40.54–$135.06	—	20%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SIMPLE LAC UP TO 2.5 CM NON FACIAL	$372.78	$465.98	$40.54–$447.34	—	20%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY	$89.09	$111.36	$35.93–$109.13	59% below	20%
Skin biopsy, punch, one lesion CPT 11104 PUNCH SKIN SINGLE LESION	$107.68	$134.60	$35.93–$129.22	51% below	20%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SINGLE LESION	$125.17	$156.46	$35.93–$150.20	43% below	20%
Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BIOPSY	$89.09	$111.36	$35.93–$109.13	—	20%
Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH SKIN SINGLE LESION	$107.68	$134.60	$35.93–$129.22	—	20%
Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX SINGLE LESION	$125.17	$156.46	$35.93–$150.20	—	20%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXCISION MALIG LESION TRUNK EXTRM <.5CM	$326.20	$407.75	$100.99–$391.44	7% above	20%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 EXCISION MALIG LESION TRUNK EXTRM <.5CM	$326.20	$407.75	$100.99–$391.44	—	20%
Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAG	$162.24	$202.80	$64.29–$194.69	40% above	20%
Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAGS UP TO 15	$219.17	$273.96	$64.29–$263.00	89% above	20%
Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVAL OF SKIN TAG	$162.24	$202.80	$64.29–$194.69	—	20%
Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVAL OF SKIN TAGS UP TO 15	$219.17	$273.96	$64.29–$263.00	—	20%
Spinal tap (lumbar puncture), diagnostic CPT 62270 DIAGNOSTIC LUMBAR	$200.84	$251.05	$115.63–$241.01	55% below	20%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC	$717.02	$896.28	$149.05–$860.43	59% above	20%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 DIAGNOSTIC LUMBAR	$200.84	$251.05	$115.63–$241.01	—	20%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC	$717.02	$896.28	$149.05–$860.43	—	20%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMPLE LACERATION 2.6CM-7.5CM NON-FACIAL	$568.68	$710.85	$52.88–$682.42	244% above	20%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SIMPLE LACERATION 2.6CM-7.5CM NON-FACIAL	$568.68	$710.85	$52.88–$682.42	—	20%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE REPAIR ARTIFICIAL WOUND 2.5 OR LE	$223.32	$279.15	$50.07–$267.98	46% above	20%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE LAC UP TO 2.5CM FACIAL	$240.32	$300.40	$126.36–$288.38	57% above	20%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE LAC up to 2.5cm FACIAL	$248.78	$310.97	$50.07–$298.53	63% above	20%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SIMPLE REPAIR ARTIFICIAL WOUND 2.5 OR LE	$223.32	$279.15	$50.07–$267.98	—	20%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SIMPLE LAC UP TO 2.5CM FACIAL	$240.32	$300.40	$126.36–$288.38	—	20%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SIMPLE LAC up to 2.5cm FACIAL	$248.78	$310.97	$50.07–$298.53	—	20%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGRIFF BX SKIN SINGLE LESION	$94.70	$118.38	$28.48–$113.64	45% below	20%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TANGRIFF BX SKIN SINGLE LESION	$94.70	$118.38	$28.48–$113.64	—	20%
Thoracentesis with imaging guidance CPT 32555 DIAGNOSTIC THORACENTESIS W/GUIDANCE	$196.11	$245.14	$89.14–$240.24	70% below	20%
Thoracentesis with imaging guidance CPT 32555 PLACEMENT INTESTINAL DEVICE WITH IMAGING	$534.60	$668.25	$89.14–$641.52	17% below	20%
Thoracentesis with imaging guidance inpatient CPT 32555 DIAGNOSTIC THORACENTESIS W/GUIDANCE	$196.11	$245.14	$89.14–$240.24	—	20%
Thoracentesis with imaging guidance inpatient CPT 32555 PLACEMENT INTESTINAL DEVICE WITH IMAGING	$534.60	$668.25	$89.14–$641.52	—	20%
Tonsil and adenoid removal, age 12 or older CPT 42821 TONSILLECTOMY & ADENOID AGE 12 OR OVER	$659.83	$824.79	$250.61–$791.80	—	20%
Tonsil and adenoid removal, age 12 or older inpatient CPT 42821 TONSILLECTOMY & ADENOID AGE 12 OR OVER	$659.83	$824.79	$250.61–$791.80	—	20%
Tonsil and adenoid removal, child under 12 CPT 42820 TONSILLECTOMY & ADENOID UNDER AGE 12	$657.52	$821.90	$240.20–$789.02	—	20%
Tonsil and adenoid removal, child under 12 inpatient CPT 42820 TONSILLECTOMY & ADENOID UNDER AGE 12	$657.52	$821.90	$240.20–$789.02	—	20%
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 TONSILLECTOMY 12 AND OVER	$604.26	$755.32	$212.81–$725.11	—	20%
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 TONSILLECTOMY AGE 12 AND OVER	$696.14	$870.18	$212.81–$835.37	—	20%
Tonsil removal (tonsillectomy) only, age 12 or older inpatient CPT 42826 TONSILLECTOMY 12 AND OVER	$604.26	$755.32	$212.81–$725.11	—	20%
Tonsil removal (tonsillectomy) only, age 12 or older inpatient CPT 42826 TONSILLECTOMY AGE 12 AND OVER	$696.14	$870.18	$212.81–$835.37	—	20%
Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 TONSILLECTOMY PRIME OR SECOND < AGE 12	$650.14	$812.67	$223.80–$780.16	—	20%
Tonsil removal (tonsillectomy) only, child under 12 inpatient CPT 42825 TONSILLECTOMY PRIME OR SECOND < AGE 12	$650.14	$812.67	$223.80–$780.16	—	20%
Total hip replacement CPT 27130 ARTHROPLASTY TOTAL HIP W/WO AUTOGRAFT	$3,480.86	$4,351.07	$1,058.21–$4,177.03	38% above	20%
Total hip replacement inpatient CPT 27130 ARTHROPLASTY TOTAL HIP W/WO AUTOGRAFT	$3,480.86	$4,351.07	$1,058.21–$4,177.03	—	20%
Total knee replacement CPT 27447 TOTAL KNEE ARTHROPLASTY ASSIST	$3,718.60	$4,648.25	$1,056.10–$4,462.32	16% above	20%
Total knee replacement inpatient CPT 27447 TOTAL KNEE ARTHROPLASTY ASSIST	$3,718.60	$4,648.25	$1,056.10–$4,462.32	—	20%
Total shoulder replacement CPT 23472 TOTAL SHOULDER ARTHROPLASTY	$3,610.62	$4,513.27	$1,186.33–$4,332.74	44% above	20%
Total shoulder replacement inpatient CPT 23472 TOTAL SHOULDER ARTHROPLASTY	$3,610.62	$4,513.27	$1,186.33–$4,332.74	—	20%
Total thyroid removal (thyroidectomy) CPT 60240 THYROIDECTOMY TOTAL OR COMPLETE	$2,342.89	$2,928.61	$756.87–$2,811.47	at median	20%
Total thyroid removal (thyroidectomy) inpatient CPT 60240 THYROIDECTOMY TOTAL OR COMPLETE	$2,342.89	$2,928.61	$756.87–$2,811.47	—	20%
Trigger finger release surgery CPT 26055 INCISION FINGER TENDON SHEATH	$870.94	$1,088.68	$264.18–$1,045.13	10% below	20%
Trigger finger release surgery inpatient CPT 26055 INCISION FINGER TENDON SHEATH	$870.94	$1,088.68	$264.18–$1,045.13	—	20%
Trigger point injections, 1 or 2 muscles CPT 20552 PVPC DRAIN INJ TRIGGER POINT	$65.06	$81.32	$37.46–$78.07	52% below	20%
Trigger point injections, 1 or 2 muscles CPT 20552 INJECTION SINGLE OR MULTIPLE TRIGGER POI	$81.67	$102.09	$33.55–$98.01	40% below	20%
Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGERPOINT INJECTION 1 OR 2 MUSCLES	$89.72	$112.15	$33.55–$107.66	34% below	20%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJECTION SINGLE OR MULTIPLE TRIGGER POI	$81.67	$102.09	$33.55–$98.01	—	20%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 TRIGGERPOINT INJECTION 1 OR 2 MUSCLES	$89.72	$112.15	$33.55–$107.66	—	20%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 UPPER GI ENDOSCOPY W/BALLOON DIL < 30MM	$386.54	$483.17	$128.01–$473.51	65% below	20%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 UPPER GI ENDOSCOPY W/BALLOON DIL < 30MM	$386.54	$483.17	$128.01–$473.51	—	20%
Upper endoscopy (EGD) with biopsy CPT 43239 UPPER GI ENDOSCOPY DIAGNOSTIC W/BIOPSY	$1,025.74	$1,282.17	$116.04–$1,230.88	17% above	20%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 UPPER GI ENDOSCOPY DIAGNOSTIC W/BIOPSY	$1,025.74	$1,282.17	$116.04–$1,230.88	—	20%
Upper endoscopy (EGD) with injection into the lining CPT 43236 UPPER GASTRO ENDOSCOPY W/DIRECTED INJECT	$345.10	$431.38	$116.04–$414.12	63% below	20%
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 UPPER GASTRO ENDOSCOPY W/DIRECTED INJECT	$345.10	$431.38	$116.04–$414.12	—	20%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 REMOVAL TUMOR LESION SNARE TECHNIQUE	$483.43	$604.29	$162.65–$580.12	38% below	20%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 REMOVAL TUMOR LESION SNARE TECHNIQUE	$483.43	$604.29	$162.65–$580.12	—	20%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 EGD GUIDE WIRE INSERTION	$408.27	$510.34	$138.90–$489.93	14% below	20%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 EGD GUIDE WIRE INSERTION	$408.27	$510.34	$138.90–$489.93	—	20%
Upper endoscopy (EGD), diagnostic CPT 43235 UPPER GI ENDOSCOPY DIAGNOSTIC	$928.06	$1,160.07	$103.70–$1,113.67	24% above	20%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 UPPER GI ENDOSCOPY DIAGNOSTIC	$928.06	$1,160.07	$103.70–$1,113.67	—	20%
Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 UPPER GI WITH TRANSMURAL DRAINAGE OF PSE	$982.67	$1,228.34	$318.91–$1,179.21	—	20%
Upper endoscopy with drainage of a pseudocyst through the stomach wall inpatient CPT 43240 UPPER GI WITH TRANSMURAL DRAINAGE OF PSE	$982.67	$1,228.34	$318.91–$1,179.21	—	20%
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 CYSTOURETHROSCOPY WITH LITHOTRIPSY	$632.77	$790.96	$319.95–$759.32	32% below	20%
Ureteroscopy with laser stone breaking (lithotripsy) inpatient CPT 52353 CYSTOURETHROSCOPY WITH LITHOTRIPSY	$632.77	$790.96	$319.95–$759.32	—	20%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 CYSTOURETH WITH LITHOTRIPSY INC INSERTIO	$949.71	$1,187.14	$339.63–$1,139.65	13% below	20%
Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 CYSTOURETH WITH LITHOTRIPSY INC INSERTIO	$949.71	$1,187.14	$339.63–$1,139.65	—	20%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 VASCECTOMY	$507.02	$633.78	$203.17–$608.43	at median	20%
Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 VASCECTOMY	$507.02	$633.78	$203.17–$608.43	—	20%
Wart removal, up to 14 warts CPT 17110 PVPC DESTRUCTION UP TO 14	$119.26	$149.08	$68.67–$143.12	1% below	20%
Wart removal, up to 14 warts CPT 17110 DESTRUCTION UP TO 14 BENIGN LESIONS	$121.19	$151.49	$57.99–$145.43	1% above	20%
Wart removal, up to 14 warts CPT 17110 DESTRUCTION BENIGN LESIONS <=14 LESIONS	$131.42	$164.27	$57.99–$157.70	9% above	20%
Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCTION UP TO 14 BENIGN LESIONS	$121.19	$151.49	$57.99–$145.43	—	20%
Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCTION BENIGN LESIONS <=14 LESIONS	$131.42	$164.27	$57.99–$157.70	—	20%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 OPEN TXT DISTAL RADIAL EXTR ARTICULAR FX	$2,141.06	$2,676.33	$634.85–$2,569.28	36% above	20%
Wrist fracture surgery (plate and screws), distal radius inpatient CPT 25607 OPEN TXT DISTAL RADIAL EXTR ARTICULAR FX	$2,141.06	$2,676.33	$634.85–$2,569.28	—	20%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Maine	Off list
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION OF PACKED CELLS 99.04	$79.05	$98.81	$42.47–$94.86	84% below	20%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION WHOLE BLOOD 99.03	$79.05	$98.81	$42.47–$94.86	84% below	20%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION COAGULATION FACTORS 99.06	$79.05	$98.81	$42.47–$94.86	84% below	20%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION OF OTHER SERUM 99.07	$79.05	$98.81	$42.47–$94.86	84% below	20%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION PREV COL AUTOLOGOUS 99.02	$79.05	$98.81	$42.47–$94.86	84% below	20%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION OF PLATELETS 99.05	$79.05	$98.81	$42.47–$94.86	84% below	20%
Blood transfusion (giving blood or blood components) CPT 36430 Transfusion Blood Or Blood Components	$674.18	$842.73	$42.47–$809.02	37% above	20%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD/PRODUCTS x1 per day	$701.15	$876.44	$42.47–$841.38	43% above	20%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION OF PLATELETS 99.05	$79.05	$98.81	$42.47–$94.86	—	20%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION OF PACKED CELLS 99.04	$79.05	$98.81	$42.47–$94.86	—	20%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION PREV COL AUTOLOGOUS 99.02	$79.05	$98.81	$42.47–$94.86	—	20%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION WHOLE BLOOD 99.03	$79.05	$98.81	$42.47–$94.86	—	20%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION COAGULATION FACTORS 99.06	$79.05	$98.81	$42.47–$94.86	—	20%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION OF OTHER SERUM 99.07	$79.05	$98.81	$42.47–$94.86	—	20%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Transfusion Blood Or Blood Components	$674.18	$842.73	$42.47–$809.02	—	20%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD/PRODUCTS x1 per day	$701.15	$876.44	$42.47–$841.38	—	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 OXYGEN 8 HR	$84.71	$105.89	$7.73–$101.65	55% below	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HUMID TENT INSTALL	$91.30	$114.13	$7.73–$109.56	52% below	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 OXYGEN INSTALL	$97.34	$121.67	$7.73–$116.80	49% below	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER TREATMENT INITIAL	$105.58	$131.98	$7.73–$126.70	44% below	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 CBNT	$108.97	$136.21	$7.73–$130.76	42% below	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SECOND NEBULIZER TREATMENT	$125.80	$157.25	$7.73–$150.96	33% below	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER TREATMENT	$126.33	$157.91	$7.73–$151.59	33% below	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 OXYGEN 8 HR	$84.71	$105.89	$7.73–$101.65	—	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HUMID TENT INSTALL	$91.30	$114.13	$7.73–$109.56	—	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 OXYGEN INSTALL	$97.34	$121.67	$7.73–$116.80	—	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEBULIZER TREATMENT INITIAL	$105.58	$131.98	$7.73–$126.70	—	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 CBNT	$108.97	$136.21	$7.73–$130.76	—	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SECOND NEBULIZER TREATMENT	$125.80	$157.25	$7.73–$150.96	—	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEBULIZER TREATMENT	$126.33	$157.91	$7.73–$151.59	—	20%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 COMPREHENSIVE AUDIOMETRY THRESH EVAL	$136.70	$170.88	$24.90–$164.04	9% above	20%
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 COMPREHENSIVE AUDIOMETRY THRESH EVAL	$136.70	$170.88	$24.90–$164.04	—	20%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE 30 - 74 MINUTES 99291	$482.65	$603.31	$188.65–$603.31	50% below	20%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE 30 - 74 MINUTES 99291	$482.65	$603.31	$277.89–$579.18	50% below	20%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE FIRST 30-74 MINS	$662.94	$828.67	$188.65–$828.67	32% below	20%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE 1st 30-74min	$737.74	$922.18	$285.86–$922.18	24% below	20%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE	$1,203.69	$1,504.61	$188.65–$1,504.61	24% above	20%
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE 30 - 74 MINUTES 99291	$482.65	$603.31	$277.89–$579.18	—	20%
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE FIRST 30-74 MINS	$662.94	$828.67	$188.65–$828.67	—	20%
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE	$1,203.69	$1,504.61	$188.65–$1,504.61	—	20%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 OH Electrocardiogram CPT	$62.40	$78.00	$14.10–$74.88	27% below	20%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HEALTHWORKS EKG	$52.55	$65.69	$6.22–$63.06	51% below	20%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG & RHYTHM STRIP ROUTINE RHC	$96.44	$120.55	$6.22–$115.73	10% below	20%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG & RHYTHM STRIP ROUTINE	$100.30	$125.37	$6.22–$120.36	6% below	20%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG & RHYTHM STRIP STAT	$116.96	$146.20	$6.22–$140.35	9% above	20%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HEALTHWORKS EKG	$52.55	$65.69	$6.22–$63.06	—	20%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ECG & RHYTHM STRIP ROUTINE RHC	$96.44	$120.55	$6.22–$115.73	—	20%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ECG & RHYTHM STRIP ROUTINE	$100.30	$125.37	$6.22–$120.36	—	20%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ECG & RHYTHM STRIP STAT	$116.96	$146.20	$6.22–$140.35	—	20%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED TRIAGE ONLY	$50.26	$62.83	$10.30–$62.83	45% below	20%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER ROOM LEVEL 1	$66.78	$83.47	$10.30–$83.47	27% below	20%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 MINIMAL EXAM	$76.51	$95.64	$10.30–$95.64	16% below	20%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 FOLLOW UP - RECHECK	$94.32	$117.90	$10.30–$117.90	4% above	20%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 BRIEF EXAM	$115.85	$144.81	$10.30–$144.81	27% above	20%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 MINIMAL EXAM	$76.51	$95.64	$10.30–$95.64	—	20%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 FOLLOW UP - RECHECK	$94.32	$117.90	$10.30–$117.90	—	20%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 BRIEF EXAM	$115.85	$144.81	$10.30–$144.81	—	20%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER ROOM LEVEL 2	$151.86	$189.83	$37.80–$189.83	14% below	20%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 PROBLEM FOCUSED EXAM	$210.41	$263.01	$37.80–$263.01	19% above	20%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 PROBLEM FOCUSED EXAM	$210.41	$263.01	$37.80–$263.01	—	20%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER ROOM LEVEL 3	$335.69	$419.61	$64.88–$419.61	at median	20%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EXPANDED PROBLEM FOCUSED	$428.96	$536.20	$64.88–$536.20	28% above	20%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 EXPANDED PROBLEM FOCUSED	$428.96	$536.20	$64.88–$536.20	—	20%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER ROOM LEVEL 4	$428.76	$535.95	$110.37–$535.95	29% below	20%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 DETAILED EXAM	$541.69	$677.11	$110.37–$677.11	11% below	20%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 DETAILED EXAM	$541.69	$677.11	$110.37–$677.11	—	20%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER ROOM LEVEL 5	$639.43	$799.29	$160.28–$799.29	35% below	20%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 COMPREHENSIVE EXAM	$1,039.89	$1,299.86	$160.28–$1,299.86	5% above	20%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 COMPREHENSIVE EXAM	$1,039.89	$1,299.86	$160.28–$1,299.86	—	20%
Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS/LEXI SCAN	$653.20	$816.50	$35.04–$783.84	16% above	20%
Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST REGULAR	$653.20	$816.50	$35.04–$783.84	16% above	20%
Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS/SPECT/CARDIOLITE/SESTAMIBI	$653.20	$816.50	$35.04–$783.84	16% above	20%
Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS/PERSANTINE SESTAMIBI	$653.20	$816.50	$35.04–$783.84	16% above	20%
Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS/DOBUTAMINE	$653.20	$816.50	$35.04–$783.84	16% above	20%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 STRESS TEST REGULAR	$653.20	$816.50	$35.04–$783.84	—	20%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 STRESS/DOBUTAMINE	$653.20	$816.50	$35.04–$783.84	—	20%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 STRESS/LEXI SCAN	$653.20	$816.50	$35.04–$783.84	—	20%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 STRESS/PERSANTINE SESTAMIBI	$653.20	$816.50	$35.04–$783.84	—	20%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 STRESS/SPECT/CARDIOLITE/SESTAMIBI	$653.20	$816.50	$35.04–$783.84	—	20%
Family therapy with the patient, 50 minutes CPT 90847 PSY TX FAM W/ PT 50 MIN	$218.90	$273.62	$106.07–$262.68	34% above	20%
Family therapy without the patient, 50 minutes CPT 90846 PSY TX FAM W/O PT 50 MIN	$209.90	$262.37	$102.34–$251.88	56% above	20%
Group psychotherapy session CPT 90853 PSY TX GROUP PSYCH THERAPY	$51.50	$64.38	$29.06–$61.80	15% below	20%
Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 HOLTER MONITOR WITH PHYS INTERPRETATION	$553.52	$691.90	$64.24–$664.22	216% above	20%
Holter monitor, heart rhythm recording up to 48 hours, with report inpatient CPT 93224 HOLTER MONITOR WITH PHYS INTERPRETATION	$553.52	$691.90	$64.24–$664.22	—	20%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INITIAL HYDRATION UP TO 1 HOUR	$112.68	$140.85	$30.46–$135.22	45% below	20%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INITIAL HYDRATION 31 min-1 HOUR	$304.70	$380.87	$30.46–$365.64	48% above	20%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 INITIAL HYDRATION UP TO 1 HOUR	$112.68	$140.85	$30.46–$135.22	—	20%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 INITIAL HYDRATION 31 min-1 HOUR	$304.70	$380.87	$30.46–$365.64	—	20%
IV infusion of a medicine, first hour CPT 96365 INITIAL INFUSION INJECTION UP TO 1 HR	$141.10	$176.38	$60.69–$169.32	56% below	20%
IV infusion of a medicine, first hour inpatient CPT 96365 INITIAL INFUSION INJECTION UP TO 1 HR	$141.10	$176.38	$60.69–$169.32	—	20%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 PVPC INJ IM/SUB Q	$21.68	$27.10	$12.49–$26.02	68% below	20%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION NON EMERGENT	$33.27	$41.59	$14.20–$39.93	50% below	20%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 NON CHEMO SQ/IM INJ	$33.27	$41.59	$14.20–$39.93	50% below	20%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM/SQ INJECTION	$45.53	$56.91	$14.20–$54.63	32% below	20%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC INJECTION	$53.92	$67.40	$14.20–$64.70	20% below	20%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/M	$57.95	$72.44	$14.20–$69.54	14% below	20%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 NON CHEMO SQ/IM INJ	$33.27	$41.59	$14.20–$39.93	—	20%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION NON EMERGENT	$33.27	$41.59	$14.20–$39.93	—	20%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM/SQ INJECTION	$45.53	$56.91	$14.20–$54.63	—	20%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC INJECTION	$53.92	$67.40	$14.20–$64.70	—	20%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER/PROPH/DIAG INJ SC/M	$57.95	$72.44	$14.20–$69.54	—	20%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DIAGNOSTIC EVAL	$332.90	$416.12	$166.15–$399.48	89% above	20%
Neuromuscular re-education, 15 minutes CPT 97112 PT NEUROMUSCULAR REEDUCATION	$99.06	$123.83	$30.72–$118.88	2% above	20%
Neuromuscular re-education, 15 minutes CPT 97112 OT STROKE REHAB /.25 HR	$110.27	$137.84	$30.72–$132.33	13% above	20%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT NEUROMUSCULAR REEDUCATION	$99.06	$123.83	$30.72–$118.88	—	20%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT STROKE REHAB /.25 HR	$110.27	$137.84	$30.72–$132.33	—	20%
New patient office visit, about 30 minutes CPT 99203 NEW PATIENT LEVEL 3	$23.22	$29.03	$13.37–$28.45	78% below	20%
New patient office visit, about 30 minutes CPT 99203 NEW PATIENT LEVEL 3	$85.06	$106.33	$48.98–$104.20	21% below	20%
New patient office visit, about 30 minutes CPT 99203 EMERGENCY ROOM VISIT LEVEL 3 CONSULT	$114.58	$143.22	$67.31–$137.49	7% above	20%
New patient office visit, about 30 minutes CPT 99203 NEW PATIENT (LEVEL 3) - POD PROF	$157.04	$196.30	$67.74–$188.45	46% above	20%
New patient office visit, about 30 minutes CPT 99203 NEW PATIENT (LEVEL 3) - POD CLINIC	$157.04	$196.30	$90.41–$188.45	46% above	20%
New patient office visit, about 30 minutes CPT 99203 OH New Patient Level 3	$167.23	$209.04	$67.74–$200.68	56% above	20%
New patient office visit, about 30 minutes CPT 99203 OFFICE VISIT NEW PATIENT LEVEL 3	$167.45	$209.31	$67.74–$200.94	56% above	20%
New patient office visit, about 30 minutes CPT 99203 PVPC NEW PATIENT INTERMEDIATE	$188.54	$235.67	$108.54–$226.24	76% above	20%
New patient office visit, about 30 minutes CPT 99203 CONSULTANT OUTPATIENT NEW LEVEL 3	$210.40	$263.00	$108.63–$252.48	96% above	20%
New patient office visit, about 30 minutes CPT 99203 NEW PATIENT PAIN MANAGEMENT LEVEL 3	$210.40	$263.00	$108.63–$252.48	96% above	20%
New patient office visit, about 30 minutes CPT 99203 NEW PATIENT UROLOGY LEVEL 3	$210.41	$263.01	$108.63–$252.49	96% above	20%
New patient office visit, about 30 minutes CPT 99203 NEW PATIENT LEVEL 3 ORTHO	$218.82	$273.52	$108.63–$262.58	104% above	20%
New patient office visit, about 30 minutes CPT 99203 FOLEY INSERTION/CHANGE/STRAIGHT CATH	$223.10	$278.88	$108.63–$267.72	108% above	20%
New patient office visit, about 30 minutes CPT 99203 WOUND VAC DRESSING CHANGE	$223.10	$278.88	$108.63–$267.72	108% above	20%
New patient office visit, about 30 minutes CPT 99203 OFFICE CONSULT NEW PAT LEVEL 3	$223.53	$279.41	$67.74–$268.23	108% above	20%
New patient office visit, about 30 minutes CPT 99203 OFFICE CONSULT NEW DETAILED	$223.53	$279.41	$67.74–$268.23	108% above	20%
New patient office visit, about 30 minutes CPT 99203 OFFICE CONSULT NEW PAT LEVEL 3 ORTHO	$223.53	$279.41	$67.74–$268.23	108% above	20%
New patient office visit, about 30 minutes CPT 99203 OFFICE CONSULT NEW DETAILED UROLOGY	$223.53	$279.41	$67.74–$268.23	108% above	20%
New patient office visit, about 30 minutes CPT 99203 NEW PATIENT INTERMEDIATE	$224.07	$280.09	$108.63–$268.89	109% above	20%
New patient office visit, about 30 minutes CPT 99203 NEW PATIENT INTERMEDIATE PAIN MANAGMENT	$224.07	$280.09	$108.63–$268.89	109% above	20%
New patient office visit, about 30 minutes CPT 99203 NEW PATIENT INTERMEDIATE UROLOGY	$224.07	$280.09	$67.74–$268.89	109% above	20%
New patient office visit, about 30 minutes CPT 99203 OFFICE CONSULT NEW DETAILED PAIN MANAGME	$224.07	$280.09	$67.74–$268.89	109% above	20%
New patient office visit, about 30 minutes CPT 99203 NEW PATIENT INTERMEDIATE UROLOGY	$224.07	$280.09	$108.63–$268.89	109% above	20%
New patient office visit, about 30 minutes CPT 99203 OFFICE VISIT NEW PATIENT LEVEL 3 ORTHO	$224.07	$280.09	$67.74–$268.89	109% above	20%
New patient office visit, about 30 minutes CPT 99203 NEW PATIENT INTERMEDIATE PAIN MANAGMENT	$224.07	$280.09	$67.74–$268.89	109% above	20%
New patient office visit, about 30 minutes CPT 99203 NEW PATIENT INTERMEDIATE	$224.07	$280.09	$67.74–$268.89	109% above	20%
New patient office visit, about 30 minutes CPT 99203 OFFICE CONSULT NEW LEVEL 3	$233.56	$291.95	$108.63–$280.27	118% above	20%
New patient office visit, about 30 minutes CPT 99203 GASTROSCOPY TUBE REPLACEMENT	$276.80	$346.00	$108.63–$332.16	158% above	20%
New patient office visit, about 30 minutes CPT 99203 NEW PATIENT INTER UROLOGY ANTHEM POST VO	$476.04	$595.05	$108.63–$571.25	344% above	20%
New patient office visit, about 30 minutes CPT 99203 NEW PATIENT INTER UROLOGY ANTHEM POST VO	$476.04	$595.05	$67.74–$571.25	344% above	20%
New patient office visit, about 30 minutes inpatient CPT 99203 NEW PATIENT LEVEL 3	$85.06	$106.33	$48.98–$104.20	—	20%
New patient office visit, about 30 minutes inpatient CPT 99203 EMERGENCY ROOM VISIT LEVEL 3 CONSULT	$114.58	$143.22	$67.31–$137.49	—	20%
New patient office visit, about 30 minutes inpatient CPT 99203 NEW PATIENT PAIN MANAGEMENT LEVEL 3	$210.40	$263.00	$108.63–$252.48	—	20%
New patient office visit, about 30 minutes inpatient CPT 99203 NEW PATIENT UROLOGY LEVEL 3	$210.41	$263.01	$108.63–$252.49	—	20%
New patient office visit, about 30 minutes inpatient CPT 99203 FOLEY INSERTION/CHANGE/STRAIGHT CATH	$223.10	$278.88	$108.63–$267.72	—	20%
New patient office visit, about 30 minutes inpatient CPT 99203 WOUND VAC DRESSING CHANGE	$223.10	$278.88	$108.63–$267.72	—	20%
New patient office visit, about 30 minutes inpatient CPT 99203 NEW PATIENT INTERMEDIATE UROLOGY	$224.07	$280.09	$67.74–$268.89	—	20%
New patient office visit, about 30 minutes inpatient CPT 99203 NEW PATIENT INTERMEDIATE	$224.07	$280.09	$67.74–$268.89	—	20%
New patient office visit, about 30 minutes inpatient CPT 99203 NEW PATIENT INTERMEDIATE PAIN MANAGMENT	$224.07	$280.09	$67.74–$268.89	—	20%
New patient office visit, about 30 minutes inpatient CPT 99203 GASTROSCOPY TUBE REPLACEMENT	$276.80	$346.00	$108.63–$332.16	—	20%
New patient office visit, about 30 minutes inpatient CPT 99203 NEW PATIENT INTER UROLOGY ANTHEM POST VO	$476.04	$595.05	$67.74–$571.25	—	20%
New patient office visit, about 45 minutes CPT 99204 NEW PATIENT LEVEL 4	$23.22	$29.03	$13.37–$28.45	86% below	20%
New patient office visit, about 45 minutes CPT 99204 NEW PATIENT LEVEL 4	$85.06	$106.33	$48.98–$104.20	48% below	20%
New patient office visit, about 45 minutes CPT 99204 EMERGENCY ROOM VISIT LEVEL 4 CONSULT	$178.50	$223.12	$104.87–$214.20	10% above	20%
New patient office visit, about 45 minutes CPT 99204 EMERGENCY ROOM VISIT LEVEL 4 CONSULT	$178.50	$223.12	$102.77–$236.21	10% above	20%
New patient office visit, about 45 minutes CPT 99204 OFFICE VISIT NEW PATIENT LEVEL 4	$244.22	$305.27	$110.97–$293.06	50% above	20%
New patient office visit, about 45 minutes CPT 99204 OH New Patient Level 4	$250.60	$313.25	$110.97–$300.72	54% above	20%
New patient office visit, about 45 minutes CPT 99204 NEW PATIENT (LEVEL 4) - POD CLINIC	$256.07	$320.09	$147.43–$307.29	57% above	20%
New patient office visit, about 45 minutes CPT 99204 NEW PATIENT (LEVEL 4) - POD PROF	$256.07	$320.09	$110.97–$307.29	57% above	20%
New patient office visit, about 45 minutes CPT 99204 NEW PATIENT UROLOGY LEVEL 4	$298.01	$372.51	$164.38–$357.61	83% above	20%
New patient office visit, about 45 minutes CPT 99204 NEW PATIENT PAIN MANAGEMENT LEVEL 4	$298.01	$372.51	$164.38–$357.61	83% above	20%
New patient office visit, about 45 minutes CPT 99204 CONSULTANT OUTPATIENT NEW LEVEL 4	$298.01	$372.51	$164.38–$357.61	83% above	20%
New patient office visit, about 45 minutes CPT 99204 NEW PATIENT LEVEL 4 ORTHO	$312.22	$390.27	$164.38–$374.66	92% above	20%
New patient office visit, about 45 minutes CPT 99204 PVPC NEW PATIENT EXTENDED	$319.21	$399.01	$164.38–$383.05	96% above	20%
New patient office visit, about 45 minutes CPT 99204 OFFICE CONSULT NEW LEVEL 4	$321.16	$401.45	$164.38–$385.39	97% above	20%
New patient office visit, about 45 minutes CPT 99204 OFFICE CONSULT NEW PAT LEVEL 4	$342.78	$428.47	$110.97–$411.33	111% above	20%
New patient office visit, about 45 minutes CPT 99204 OFFICE CONSULT NEW MOD COMP	$342.78	$428.47	$110.97–$411.33	111% above	20%
New patient office visit, about 45 minutes CPT 99204 NEW PATIENT EXTENDED UROLOGY	$342.78	$428.47	$110.97–$411.33	111% above	20%
New patient office visit, about 45 minutes CPT 99204 NEW PATIENT EXTENDED UROLOGY	$342.78	$428.47	$164.38–$411.33	111% above	20%
New patient office visit, about 45 minutes CPT 99204 OFFICE CONSULT NEW MOD COMP UROLOGY	$342.78	$428.47	$110.97–$411.33	111% above	20%
New patient office visit, about 45 minutes CPT 99204 OFFICE VISIT NEW PATIENT LEVEL 4 ORTHO	$342.78	$428.47	$110.97–$411.33	111% above	20%
New patient office visit, about 45 minutes CPT 99204 NEW PATIENT EXTENDED	$342.78	$428.47	$164.38–$411.33	111% above	20%
New patient office visit, about 45 minutes CPT 99204 NEW PATIENT EXTENDED	$342.78	$428.47	$110.97–$411.33	111% above	20%
New patient office visit, about 45 minutes CPT 99204 NEW PATIENT EXTENDED PAIN MANAGMENT	$342.78	$428.47	$164.38–$411.33	111% above	20%
New patient office visit, about 45 minutes CPT 99204 NEW PATIENT EXTENDED PAIN MANAGMENT	$342.78	$428.47	$110.97–$411.33	111% above	20%
New patient office visit, about 45 minutes CPT 99204 OFFICE CONSULT NEW MOD COMP PAIN MANAGEM	$342.78	$428.47	$110.97–$411.33	111% above	20%
New patient office visit, about 45 minutes CPT 99204 NEW PATIENT EXT UROLOGY ANTHEM POST VOID	$682.32	$852.90	$164.38–$818.78	319% above	20%
New patient office visit, about 45 minutes CPT 99204 NEW PATIENT EXT UROLOGY ANTHEM POST VOID	$682.32	$852.90	$110.97–$818.78	319% above	20%
New patient office visit, about 45 minutes inpatient CPT 99204 NEW PATIENT LEVEL 4	$85.06	$106.33	$48.98–$104.20	—	20%
New patient office visit, about 45 minutes inpatient CPT 99204 EMERGENCY ROOM VISIT LEVEL 4 CONSULT	$178.50	$223.12	$102.77–$236.21	—	20%
New patient office visit, about 45 minutes inpatient CPT 99204 NEW PATIENT PAIN MANAGEMENT LEVEL 4	$298.01	$372.51	$164.38–$357.61	—	20%
New patient office visit, about 45 minutes inpatient CPT 99204 NEW PATIENT UROLOGY LEVEL 4	$298.01	$372.51	$164.38–$357.61	—	20%
New patient office visit, about 45 minutes inpatient CPT 99204 NEW PATIENT EXTENDED	$342.78	$428.47	$110.97–$411.33	—	20%
New patient office visit, about 45 minutes inpatient CPT 99204 NEW PATIENT EXTENDED PAIN MANAGMENT	$342.78	$428.47	$110.97–$411.33	—	20%
New patient office visit, about 45 minutes inpatient CPT 99204 NEW PATIENT EXTENDED UROLOGY	$342.78	$428.47	$110.97–$411.33	—	20%
New patient office visit, about 45 minutes inpatient CPT 99204 NEW PATIENT EXT UROLOGY ANTHEM POST VOID	$682.32	$852.90	$110.97–$818.78	—	20%
New patient office visit, about 60 minutes CPT 99205 NEW PATIENT LEVEL 5	$85.06	$106.33	$48.98–$104.20	65% below	20%
New patient office visit, about 60 minutes CPT 99205 EMERGENCY ROOM VISIT LEVEL 5 CONSULT	$278.67	$348.34	$160.45–$334.41	14% above	20%
New patient office visit, about 60 minutes CPT 99205 EMERGENCY ROOM VISIT LEVEL 5 CONSULT	$278.67	$348.34	$151.70–$334.41	14% above	20%
New patient office visit, about 60 minutes CPT 99205 OFFICE VISIT NEW PATIENT LEVEL 5	$307.04	$383.80	$151.70–$368.45	25% above	20%
New patient office visit, about 60 minutes CPT 99205 NEW PATIENT (LEVEL 5) - POD CLINIC	$348.02	$435.03	$200.37–$417.63	42% above	20%
New patient office visit, about 60 minutes CPT 99205 NEW PATIENT (LEVEL 5) - POD PROF	$348.02	$435.03	$151.70–$417.63	42% above	20%
New patient office visit, about 60 minutes CPT 99205 NEW PATIENT UROLOGY LEVEL 5	$374.62	$468.28	$215.69–$449.55	53% above	20%
New patient office visit, about 60 minutes CPT 99205 CONSULTANT OUTPATIENT NEW LEVEL 5	$374.62	$468.28	$215.69–$449.55	53% above	20%
New patient office visit, about 60 minutes CPT 99205 NEW PATIENT PAIN MANAGEMENT LEVEL 5	$374.62	$468.28	$215.69–$449.55	53% above	20%
New patient office visit, about 60 minutes CPT 99205 NEW PATIENT LEVEL 5 ORTHO	$388.88	$486.10	$219.17–$466.66	59% above	20%
New patient office visit, about 60 minutes CPT 99205 OFFICE CONSULT NEW LEVEL 5	$397.78	$497.23	$219.17–$477.34	63% above	20%
New patient office visit, about 60 minutes CPT 99205 PVPC NEW PATIENT COMPREHENSIVE	$416.57	$520.71	$219.17–$499.88	70% above	20%
New patient office visit, about 60 minutes CPT 99205 NEW PATIENT COMPREHENSIVE	$431.42	$539.27	$151.70–$517.70	76% above	20%
New patient office visit, about 60 minutes CPT 99205 NEW PATIENT COMPREHENSIVE	$431.42	$539.27	$219.17–$517.70	76% above	20%
New patient office visit, about 60 minutes CPT 99205 OFFICE CONSULT NEW PAT LEVEL 5 ORTHO	$431.42	$539.27	$151.70–$517.70	76% above	20%
New patient office visit, about 60 minutes CPT 99205 OFFICE CONSULT NEW HIGH COMP UROLOGY	$431.42	$539.27	$151.70–$517.70	76% above	20%
New patient office visit, about 60 minutes CPT 99205 OFFICE VISIT NEW PATIENT LEVEL 5 ORTHO	$431.42	$539.27	$151.70–$517.70	76% above	20%
New patient office visit, about 60 minutes CPT 99205 OFFICE CONSULT NEW HIGH COMP	$431.42	$539.27	$151.70–$517.70	76% above	20%
New patient office visit, about 60 minutes CPT 99205 OFFICE CONSULT NEW HIGH COMP PAIN MANAGE	$431.42	$539.27	$151.70–$517.70	76% above	20%
New patient office visit, about 60 minutes CPT 99205 NEW PATIENT COMPREHENSIVE PAIN MNGT	$431.42	$539.27	$219.17–$517.70	76% above	20%
New patient office visit, about 60 minutes CPT 99205 NEW PATIENT COMPREHENSIVE PAIN MNGT	$431.42	$539.27	$151.70–$517.70	76% above	20%
New patient office visit, about 60 minutes CPT 99205 NEW PATIENT COMP ANTHEM POST VOID	$847.61	$1,059.51	$151.70–$1,017.13	246% above	20%
New patient office visit, about 60 minutes CPT 99205 NEW PATIENT COMP ANTHEM POST VOID	$847.61	$1,059.51	$219.17–$1,017.13	246% above	20%
New patient office visit, about 60 minutes inpatient CPT 99205 NEW PATIENT LEVEL 5	$85.06	$106.33	$48.98–$104.20	—	20%
New patient office visit, about 60 minutes inpatient CPT 99205 EMERGENCY ROOM VISIT LEVEL 5 CONSULT	$278.67	$348.34	$160.45–$334.41	—	20%
New patient office visit, about 60 minutes inpatient CPT 99205 NEW PATIENT UROLOGY LEVEL 5	$374.62	$468.28	$215.69–$449.55	—	20%
New patient office visit, about 60 minutes inpatient CPT 99205 NEW PATIENT PAIN MANAGEMENT LEVEL 5	$374.62	$468.28	$215.69–$449.55	—	20%
New patient office visit, about 60 minutes inpatient CPT 99205 NEW PATIENT COMPREHENSIVE	$431.42	$539.27	$151.70–$517.70	—	20%
New patient office visit, about 60 minutes inpatient CPT 99205 NEW PATIENT COMPREHENSIVE PAIN MNGT	$431.42	$539.27	$151.70–$517.70	—	20%
New patient office visit, about 60 minutes inpatient CPT 99205 NEW PATIENT COMP ANTHEM POST VOID	$847.61	$1,059.51	$151.70–$1,017.13	—	20%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENT LEVEL 2	$23.22	$29.03	$13.37–$28.45	64% below	20%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 CONSULTANT OUTPATIENT NE LEVEL 2	$23.22	$29.03	$13.37–$28.45	64% below	20%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 EMERGENCY ROOM VISIT LEVEL 2 CONSULT	$48.88	$61.10	$28.72–$59.88	25% below	20%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 EMERGENCY ROOM VISIT LEVEL 2 CONSULT	$50.83	$63.54	$29.26–$106.44	22% below	20%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENT LEVEL 2	$85.06	$106.33	$48.98–$102.08	30% above	20%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENT (LEVEL 2) - POD PROF	$90.22	$112.77	$39.18–$108.26	38% above	20%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENT (LEVEL 2) - POD CLINIC	$90.22	$112.77	$51.94–$108.26	38% above	20%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OH New Patient Level 2	$108.33	$135.41	$39.18–$129.99	66% above	20%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE VISIT NEW PATIENT LEVEL 2	$111.65	$139.56	$39.18–$133.98	71% above	20%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 PVPC NEW PATIENT LIMITED	$125.41	$156.76	$69.51–$150.49	92% above	20%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENT UROLOGY LEVEL 2	$137.55	$171.94	$69.51–$165.06	111% above	20%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENT PAIN MANAGEMENT LEVEL 2	$137.55	$171.94	$69.51–$165.06	111% above	20%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 CONSULTANT OUTPATIENT NEW LEVEL 2	$137.55	$171.94	$69.51–$165.06	111% above	20%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENT LEVEL 2 ORTHO	$143.06	$178.82	$69.51–$171.67	119% above	20%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENT LIMITED PAIN MANAGEMENT	$156.02	$195.03	$69.51–$187.23	139% above	20%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENT LIMITED	$156.02	$195.03	$39.18–$187.23	139% above	20%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENT LIMITED PAIN MANAGEMENT	$156.02	$195.03	$39.18–$187.23	139% above	20%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE CONSULT NEW EXPANDED UROLOGY	$156.02	$195.03	$39.18–$187.23	139% above	20%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE CONSULT NEW EXPANDED	$156.02	$195.03	$39.18–$187.23	139% above	20%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE VISIT NEW PATIENT LEVEL 2 ORTHO	$156.02	$195.03	$39.18–$187.23	139% above	20%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENT LIMITED UROLOGY	$156.02	$195.03	$69.51–$187.23	139% above	20%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE CONSULT NEW EXPANDED PAIN MANAGME	$156.02	$195.03	$39.18–$187.23	139% above	20%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE CONSULT NEW PAT LEVEL 2 ORTHO	$156.02	$195.03	$39.18–$187.23	139% above	20%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENT LIMITED UROLOGY	$156.02	$195.03	$39.18–$187.23	139% above	20%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENT LIMITED	$156.02	$195.03	$69.51–$187.23	139% above	20%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE CONSULT NEW PAT LEVEL 2	$160.46	$200.58	$39.18–$192.56	146% above	20%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE CONSULT NEW LEVEL 2	$160.71	$200.89	$69.51–$192.85	146% above	20%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 EXTENSIVE DRESSING CHANGE OVER 1 HOUR	$267.71	$334.64	$69.51–$321.25	310% above	20%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENT LTD UROLOGY ANTHEM POST VOID	$335.12	$418.90	$39.18–$402.14	413% above	20%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENT LTD UROLOGY ANTHEM POST VOID	$335.12	$418.90	$69.51–$402.14	413% above	20%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 EMERGENCY ROOM VISIT LEVEL 2 CONSULT	$50.83	$63.54	$29.26–$106.44	—	20%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PATIENT LEVEL 2	$85.06	$106.33	$48.98–$102.08	—	20%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PATIENT UROLOGY LEVEL 2	$137.55	$171.94	$69.51–$165.06	—	20%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PATIENT PAIN MANAGEMENT LEVEL 2	$137.55	$171.94	$69.51–$165.06	—	20%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PATIENT LIMITED	$156.02	$195.03	$39.18–$187.23	—	20%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PATIENT LIMITED UROLOGY	$156.02	$195.03	$39.18–$187.23	—	20%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PATIENT LIMITED PAIN MANAGEMENT	$156.02	$195.03	$39.18–$187.23	—	20%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 EXTENSIVE DRESSING CHANGE OVER 1 HOUR	$267.71	$334.64	$69.51–$321.25	—	20%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PATIENT LTD UROLOGY ANTHEM POST VOID	$335.12	$418.90	$39.18–$402.14	—	20%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 DIET CONSULT INITIAL MNT PER 15 MINUTES	$31.37	$39.21	$18.06–$37.64	32% below	20%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INITIAL ASSESSMENT PER 15 MINS	$33.95	$42.44	$19.55–$40.74	27% below	20%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 DIET CONSULT INITIAL MNT PER 15 MINUTES	$31.37	$39.21	$18.06–$37.64	—	20%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MNT INITIAL ASSESSMENT PER 15 MINS	$33.95	$42.44	$19.55–$40.74	—	20%
Occupational therapy evaluation, low complexity CPT 97165 OT EVALUATION LOW COMPLEXITY	$289.87	$362.34	$94.58–$347.85	30% above	20%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVALUATION LOW COMPLEXITY	$289.87	$362.34	$94.58–$347.85	—	20%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVALUATION HIGH COMPLEXITY	$325.98	$407.47	$92.17–$391.17	28% above	20%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVALUATION HIGH COMPLEXITY	$325.98	$407.47	$92.17–$391.17	—	20%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVALUATION LOW COMPLEXITY	$289.87	$362.34	$92.17–$347.85	30% above	20%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVALUATION LOW COMPLEXITY	$289.87	$362.34	$92.17–$347.85	—	20%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVALUATION MODERATE COMPLEXITY	$309.17	$386.46	$92.17–$371.00	18% above	20%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVALUATION MODERATE COMPLEXITY	$309.17	$386.46	$92.17–$371.00	—	20%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT JOINT MOBILIZATION/.25 HR	$94.08	$117.60	$26.02–$112.90	7% above	20%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT SOFT TISSUE MOBILIZATION	$94.08	$117.60	$26.02–$112.90	7% above	20%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT MANUAL THERAPY/.25 HR	$103.86	$129.82	$26.02–$124.63	19% above	20%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT MANUAL THERAPY/.25 HR	$103.86	$129.82	$26.02–$124.63	19% above	20%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT SOFT TISSUE MOBILIZATION	$94.08	$117.60	$26.02–$112.90	—	20%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT JOINT MOBILIZATION/.25 HR	$94.08	$117.60	$26.02–$112.90	—	20%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT MANUAL THERAPY/.25 HR	$103.86	$129.82	$26.02–$124.63	—	20%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT MANUAL THERAPY/.25 HR	$103.86	$129.82	$26.02–$124.63	—	20%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT PEDIATRIC REHAB/.25 HR	$32.84	$41.05	$18.90–$39.41	47% below	20%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THER. EXER. I/.25 HR	$45.30	$56.63	$26.09–$54.36	27% below	20%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THER EXERCISE .25 HR	$84.91	$106.14	$27.28–$101.89	37% above	20%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT PEDIATRIC REHAB/.25 HR	$32.84	$41.05	$18.90–$39.41	—	20%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT THER. EXER. I/.25 HR	$45.30	$56.63	$26.09–$54.36	—	20%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT THER EXERCISE .25 HR	$84.91	$106.14	$27.28–$101.89	—	20%
Preventive checkup, new patient aged 18–39 CPT 99385 PVPC PREVENTIVE MED NEW PT 18-39 H&P	$162.65	$203.31	$93.65–$195.18	49% above	20%
Preventive checkup, new patient aged 18–39 CPT 99385 INITIALPREVENTATIVE NEW PATIENT 18-39 YO	$164.23	$205.29	$96.49–$197.08	50% above	20%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 INITIALPREVENTATIVE NEW PATIENT 18-39 YO	$164.23	$205.29	$96.49–$197.08	—	20%
Preventive checkup, new patient aged 40–64 CPT 99386 PVPC PREVENTIVE MED NEW PT 40-64 H&P	$184.33	$230.41	$106.12–$221.19	34% above	20%
Preventive checkup, new patient aged 40–64 CPT 99386 INITIALPREVENTATIVE NEW PATIENT 40-64 YO	$191.60	$239.50	$112.56–$229.92	39% above	20%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 INITIALPREVENTATIVE NEW PATIENT 40-64 YO	$191.60	$239.50	$112.56–$229.92	—	20%
Preventive checkup, new patient aged 65 or older CPT 99387 PVPC PREVENTIVE MED NEW PT OVER 65 H&P	$184.33	$230.41	$106.12–$221.19	82% above	20%
Preventive checkup, returning patient aged 18–39 CPT 99395 PVPC PREVENTIVE MED EST PT 18-39 H&P	$162.65	$203.31	$95.56–$195.18	56% above	20%
Preventive checkup, returning patient aged 18–39 CPT 99395 PVPC PREVENTIVE MED EST PT 18-39 H&P	$162.65	$203.31	$93.65–$195.18	56% above	20%
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 PVPC PREVENTIVE MED EST PT 18-39 H&P	$162.65	$203.31	$95.56–$195.18	—	20%
Preventive checkup, returning patient aged 40–64 CPT 99396 PVPC PREVENTIVE MED EST PT 40-64 H&P	$184.33	$230.41	$106.12–$221.19	76% above	20%
Preventive checkup, returning patient aged 40–64 CPT 99396 PREVENTIVE MED EST PT 40-64 H&P	$199.38	$249.22	$117.13–$239.25	91% above	20%
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 PREVENTIVE MED EST PT 40-64 H&P	$199.38	$249.22	$117.13–$239.25	—	20%
Preventive checkup, returning patient aged 65 or older CPT 99397 PVPC PREVENTIVE MED EST PT OVER 60 H&P	$184.33	$230.41	$106.12–$221.19	65% above	20%
Psychiatric evaluation with medical services CPT 90792 PSY TX DIAG EVAL W/MED SVS	$377.14	$471.42	$191.42–$452.56	76% above	20%
Psychotherapy for crisis, first 60 minutes CPT 90839 PSY TX CRISIS INT 60 MIN	$275.33	$344.16	$153.63–$330.39	3% above	20%
Psychotherapy session, 30 minutes CPT 90832 PSY TX W PT 30 MINUTES	$146.77	$183.46	$82.38–$176.12	44% above	20%
Psychotherapy session, 45 minutes CPT 90834 PSY TX W PT 45 MINUTES	$194.45	$243.06	$109.20–$233.34	21% above	20%
Psychotherapy session, 60 minutes CPT 90837 PSY TX W PT 60 MINUTES	$285.98	$357.48	$160.28–$343.18	134% above	20%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING CESSATION > 3 MINS UP TO 10 MINS	$24.88	$31.10	$14.29–$29.86	at median	20%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKING CESSATION > 3 MINS UP TO 10 MINS	$24.88	$31.10	$14.29–$29.86	—	20%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTABLISHED PATIENT LEVEL 5	$85.06	$106.33	$48.98–$104.20	35% below	20%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OB TRIAGE LEVEL 5	$91.10	$113.88	$52.45–$111.60	31% below	20%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE VISIT ESTAB PATIENT LEVEL 5	$209.34	$261.68	$119.70–$251.21	59% above	20%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OH Est Patient Level 5	$270.57	$338.21	$119.70–$324.68	106% above	20%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 PVPC ESTABLISHED PATIENT COMPREHENSIVE	$274.48	$343.10	$158.03–$329.38	109% above	20%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTABLISH PATIENT (LEVEL 5) - POD PROF	$276.21	$345.26	$119.70–$331.45	110% above	20%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTABLISH PATIENT (LEVEL 5) - POD CLINIC	$276.21	$345.26	$159.02–$331.45	110% above	20%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTABLISHED PATIENT UROLOGY LEVEL 5	$306.51	$383.14	$176.48–$367.81	133% above	20%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTABLISHED PATIENT PAIN MANAGE LEVEL 5	$306.51	$383.14	$176.48–$367.81	133% above	20%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 PSY TX HIG COMPLEXITY 33+ MINUTES	$308.26	$385.32	$119.70–$369.91	135% above	20%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 PSY TX HIG COMPLEXITY 33+ MINUTES	$308.26	$385.32	$163.38–$369.91	135% above	20%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTABLISHED PATIENT LEVEL 5 ORTHO	$318.78	$398.47	$178.74–$382.53	143% above	20%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTABLISHED PATIENT COMPREHENSIVE UROLOG	$330.91	$413.64	$119.70–$397.09	152% above	20%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTABLISHED PATIENT COMPREHENSIVE PAIN M	$330.91	$413.64	$119.70–$397.09	152% above	20%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTABLISHED PATIENT COMPREHENSIVE	$330.91	$413.64	$119.70–$397.09	152% above	20%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE VISIT ESTAB PATIENT LEVEL 5 ORTHO	$330.91	$413.64	$119.70–$397.09	152% above	20%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE CONSULT EST PAT LEVEL 5	$362.84	$453.55	$119.70–$435.41	176% above	20%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE CONSULT EST HIGH COMP	$431.42	$539.27	$119.70–$517.70	228% above	20%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTABL PAT COMP UROLOG ANTHEM PV	$678.98	$848.72	$119.70–$814.77	417% above	20%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 ESTABLISHED PATIENT LEVEL 5	$85.06	$106.33	$48.98–$104.20	—	20%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OB TRIAGE LEVEL 5	$91.10	$113.88	$52.45–$111.60	—	20%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 ESTABLISH PATIENT (LEVEL 5) - POD CLINIC	$276.21	$345.26	$159.02–$331.45	—	20%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 ESTABLISH PATIENT (LEVEL 5) - POD PROF	$276.21	$345.26	$119.70–$331.45	—	20%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 ESTABLISHED PATIENT PAIN MANAGE LEVEL 5	$306.51	$383.14	$176.48–$367.81	—	20%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 ESTABLISHED PATIENT UROLOGY LEVEL 5	$306.51	$383.14	$176.48–$367.81	—	20%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 PSY TX HIG COMPLEXITY 33+ MINUTES	$308.26	$385.32	$163.38–$369.91	—	20%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 ESTABLISHED PATIENT COMPREHENSIVE	$330.91	$413.64	$119.70–$397.09	—	20%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 ESTABLISHED PATIENT COMPREHENSIVE PAIN M	$330.91	$413.64	$119.70–$397.09	—	20%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 ESTABLISHED PATIENT COMPREHENSIVE UROLOG	$330.91	$413.64	$119.70–$397.09	—	20%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 ESTABL PAT COMP UROLOG ANTHEM PV	$678.98	$848.72	$119.70–$814.77	—	20%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 CONSULTANT OUTPATIENT ES LEVEL 3	$23.22	$29.03	$13.37–$28.45	65% below	20%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTABLISHED PATIENT LEVEL 3	$23.22	$29.03	$13.37–$28.45	65% below	20%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OB TRIAGE LEVEL 3	$84.23	$105.29	$48.50–$101.08	26% above	20%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE VISIT ESTAB PATIENT LEVEL 3	$111.65	$139.56	$54.86–$133.98	68% above	20%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 PVPC ESTABLISHED PATIENT INTERMEDIATE	$126.29	$157.86	$72.71–$151.55	90% above	20%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTABLISH PATIENT (LEVEL 3) - POD PROF	$126.86	$158.58	$54.86–$152.24	90% above	20%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTABLISH PATIENT (LEVEL 3) - POD CLINIC	$126.86	$158.58	$73.04–$152.24	90% above	20%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OH Est Patient Level 3	$136.28	$170.35	$54.86–$163.54	105% above	20%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTABLISHED PATIENT UROLOGY LEVEL 3	$140.02	$175.02	$80.61–$168.02	110% above	20%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTABLISHED PATIENT LEVEL 3	$140.02	$175.02	$80.61–$168.02	110% above	20%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTABLISHED PATIENT PAIN MANAGE LEVEL 3	$140.02	$175.02	$80.61–$168.02	110% above	20%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 PSY TX EXPANDED PROBLEM FOCUSED 13-20	$142.03	$177.54	$54.86–$170.44	113% above	20%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 PSY TX EXPANDED PROBLEM FOCUSED 13-20	$142.03	$177.54	$72.16–$170.44	113% above	20%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTABLISHED PATIENT LEVEL 3 ORTHO	$145.62	$182.02	$83.84–$174.74	119% above	20%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 THORACENTESIS/PARACENTESIS	$147.49	$184.36	$84.92–$176.99	121% above	20%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTABLISHED PATIENT INTERMEDICATE UROLGY	$166.06	$207.58	$54.86–$199.28	149% above	20%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTABLISHED PATIENT INTERMEDICATE PAIN M	$166.06	$207.58	$54.86–$199.28	149% above	20%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTABLISHED PATIENT INTERMEDIATE	$166.06	$207.58	$54.86–$199.28	149% above	20%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE VISIT ESTABL PATIENT LEVEL 3 ORTH	$166.06	$207.58	$54.86–$199.28	149% above	20%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE VISIT ESTABL PATIENT LEVEL 3	$166.06	$207.58	$54.86–$199.28	149% above	20%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE CONSULT EST PAT LEVEL 3	$223.44	$279.30	$54.86–$268.13	235% above	20%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE CONSULT EST DETAILED	$223.53	$279.41	$54.86–$268.23	236% above	20%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTABLISHED PATIENT INTERMEDICATE	$306.00	$382.50	$54.86–$367.20	359% above	20%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTAB PAT INTER UROLGY ANTHEM PV	$347.55	$434.44	$54.86–$417.06	422% above	20%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OB TRIAGE LEVEL 3	$84.23	$105.29	$48.50–$101.08	—	20%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 ESTABLISH PATIENT (LEVEL 3) - POD CLINIC	$126.86	$158.58	$73.04–$152.24	—	20%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 ESTABLISH PATIENT (LEVEL 3) - POD PROF	$126.86	$158.58	$54.86–$152.24	—	20%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 ESTABLISHED PATIENT LEVEL 3	$140.02	$175.02	$80.61–$168.02	—	20%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 ESTABLISHED PATIENT PAIN MANAGE LEVEL 3	$140.02	$175.02	$80.61–$168.02	—	20%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 ESTABLISHED PATIENT UROLOGY LEVEL 3	$140.02	$175.02	$80.61–$168.02	—	20%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 PSY TX EXPANDED PROBLEM FOCUSED 13-20	$142.03	$177.54	$72.16–$170.44	—	20%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 THORACENTESIS/PARACENTESIS	$147.49	$184.36	$84.92–$176.99	—	20%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 ESTABLISHED PATIENT INTERMEDIATE	$166.06	$207.58	$54.86–$199.28	—	20%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 ESTABLISHED PATIENT INTERMEDICATE PAIN M	$166.06	$207.58	$54.86–$199.28	—	20%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 ESTABLISHED PATIENT INTERMEDICATE UROLGY	$166.06	$207.58	$54.86–$199.28	—	20%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 ESTABLISHED PATIENT INTERMEDICATE	$306.00	$382.50	$54.86–$367.20	—	20%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 ESTAB PAT INTER UROLGY ANTHEM PV	$347.55	$434.44	$54.86–$417.06	—	20%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 CONSULTANT OUTPATIENT ES LEVEL 4	$23.22	$29.03	$13.37–$28.45	75% below	20%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTABLISHED PATIENT LEVEL 4	$23.22	$29.03	$13.37–$28.45	75% below	20%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTABLISHED PATIENT LEVEL 4	$85.06	$106.33	$48.98–$104.20	7% below	20%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OB TRIAGE LEVEL 4	$91.10	$113.88	$52.45–$111.60	1% below	20%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE VISIT ESTAB PATIENT LEVEL 4	$167.45	$209.31	$80.64–$200.94	82% above	20%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTABLISH PATIENT (LEVEL 4) - POD CLINIC	$186.73	$233.41	$107.51–$224.07	103% above	20%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTABLISH PATIENT (LEVEL 4) - POD PROF	$186.73	$233.41	$80.64–$224.07	103% above	20%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OH Est Patient Level 4	$192.19	$240.24	$80.64–$230.63	109% above	20%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PVPC ESTABLISHED PATIENT EXTENDED	$194.69	$243.36	$112.09–$233.63	112% above	20%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PSY TX MODERATE COMPLEXITY 21-32 MINUTES	$209.90	$262.37	$112.15–$251.88	129% above	20%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PSY TX MODERATE COMPLEXITY 21-32 MINUTES	$209.90	$262.37	$80.64–$251.88	129% above	20%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTABLISHED PATIENT UROLOGY LEVEL 4	$216.22	$270.28	$124.49–$259.47	136% above	20%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTABLISHED PATIENT PAIN MANAGE LEVEL 4	$216.22	$270.28	$124.49–$259.47	136% above	20%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTABLISHED PATIENT LEVEL 4 ORTHO	$224.87	$281.09	$125.93–$269.85	145% above	20%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTABLISHED PATIENT EXTENDED	$245.44	$306.80	$80.64–$294.53	167% above	20%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTABLISHED PATIENT EXTENDED UROLOGY	$245.44	$306.80	$80.64–$294.53	167% above	20%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTABLISHED PATIENT EXTENDED PAIN MNGT	$245.44	$306.80	$80.64–$294.53	167% above	20%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE VISIT ESTAB PATIENT LEVEL 4 ORTHO	$245.44	$306.80	$80.64–$294.53	167% above	20%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE CONSULT EST MOD COMP	$342.78	$428.47	$80.64–$411.33	273% above	20%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTAB PAT EXT UROLOGY ANTHEM PV	$503.20	$629.00	$80.64–$603.84	448% above	20%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 ESTABLISHED PATIENT LEVEL 4	$85.06	$106.33	$48.98–$104.20	—	20%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OB TRIAGE LEVEL 4	$91.10	$113.88	$52.45–$111.60	—	20%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 ESTABLISH PATIENT (LEVEL 4) - POD PROF	$186.73	$233.41	$80.64–$224.07	—	20%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 ESTABLISH PATIENT (LEVEL 4) - POD CLINIC	$186.73	$233.41	$107.51–$224.07	—	20%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 PSY TX MODERATE COMPLEXITY 21-32 MINUTES	$209.90	$262.37	$112.15–$251.88	—	20%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 ESTABLISHED PATIENT PAIN MANAGE LEVEL 4	$216.22	$270.28	$124.49–$259.47	—	20%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 ESTABLISHED PATIENT UROLOGY LEVEL 4	$216.22	$270.28	$124.49–$259.47	—	20%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 ESTABLISHED PATIENT EXTENDED PAIN MNGT	$245.44	$306.80	$80.64–$294.53	—	20%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 ESTABLISHED PATIENT EXTENDED UROLOGY	$245.44	$306.80	$80.64–$294.53	—	20%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 ESTABLISHED PATIENT EXTENDED	$245.44	$306.80	$80.64–$294.53	—	20%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 ESTAB PAT EXT UROLOGY ANTHEM PV	$503.20	$629.00	$80.64–$603.84	—	20%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTABLISHED PATIENT LEVEL 2	$23.22	$29.03	$13.37–$28.45	54% below	20%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PVPC ESTABLISHED PATIENT LIMITED	$63.16	$78.95	$36.37–$75.79	25% above	20%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTABLISH PATIENT (LEVEL 2) - POD CLINIC	$67.70	$84.62	$38.97–$81.24	34% above	20%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTABLISH PATIENT (LEVEL 2) - POD PROF	$67.71	$84.64	$29.55–$81.25	34% above	20%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 CONSULTANT OUTPATIENT ES LEVEL 2	$70.13	$87.66	$40.38–$84.15	39% above	20%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTABLISHED PATIENT UROLOGY LEVEL 2	$70.13	$87.66	$40.38–$84.15	39% above	20%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTABLISHED PATIENT PAIN MANAGE LEVEL 2	$70.13	$87.66	$40.38–$84.15	39% above	20%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTABLISHED PATIENT LEVEL 2 ORTHO	$72.94	$91.17	$41.99–$87.52	45% above	20%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EXTENSIVE DRESSING CHANGE OVER 1 HOUR	$81.73	$102.16	$47.06–$98.07	62% above	20%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PORTA CATH FLUSH D/C 5FU PUMP	$82.91	$103.64	$47.74–$99.49	65% above	20%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OH Est Patient Level 2	$84.86	$106.08	$29.55–$101.84	68% above	20%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTABLISHED PATIENT LEVEL 2	$85.06	$106.33	$48.98–$102.08	69% above	20%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE VISIT ESTAB PATIENT LEVEL 2	$90.65	$113.31	$29.55–$108.78	80% above	20%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OB TRIAGE VISIT LEVEL 2	$91.10	$113.88	$52.45–$109.32	81% above	20%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTABLISHED PATIENT LIMITED UROLOGY	$96.66	$120.83	$29.55–$116.00	92% above	20%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTABLISHED PATIENT LIMITED PAIN MNGT	$96.66	$120.83	$29.55–$116.00	92% above	20%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTABLISHED PATIENT LIMITED	$96.66	$120.83	$29.55–$116.00	92% above	20%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE VISIT ESTAB PATIENT LEVEL 2 ORTHO	$99.57	$124.46	$29.55–$119.48	98% above	20%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE CONSULT EST EXPANDED	$156.02	$195.03	$29.55–$187.23	210% above	20%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE CONSULT EST PAT LEVEL 2	$166.88	$208.60	$29.55–$200.26	231% above	20%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTAB PAT LTD UROLOGY ANTHEM POST VOID	$208.38	$260.47	$29.55–$250.05	313% above	20%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 ESTABLISH PATIENT (LEVEL 2) - POD CLINIC	$67.70	$84.62	$38.97–$81.24	—	20%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 ESTABLISH PATIENT (LEVEL 2) - POD PROF	$67.71	$84.64	$29.55–$81.25	—	20%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 ESTABLISHED PATIENT UROLOGY LEVEL 2	$70.13	$87.66	$40.38–$84.15	—	20%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 ESTABLISHED PATIENT PAIN MANAGE LEVEL 2	$70.13	$87.66	$40.38–$84.15	—	20%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 EXTENSIVE DRESSING CHANGE OVER 1 HOUR	$81.73	$102.16	$47.06–$98.07	—	20%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 PORTA CATH FLUSH D/C 5FU PUMP	$82.91	$103.64	$47.74–$99.49	—	20%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 ESTABLISHED PATIENT LEVEL 2	$85.06	$106.33	$48.98–$102.08	—	20%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OB TRIAGE VISIT LEVEL 2	$91.10	$113.88	$52.45–$109.32	—	20%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 ESTABLISHED PATIENT LIMITED	$96.66	$120.83	$29.55–$116.00	—	20%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 ESTABLISHED PATIENT LIMITED PAIN MNGT	$96.66	$120.83	$29.55–$116.00	—	20%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 ESTABLISHED PATIENT LIMITED UROLOGY	$96.66	$120.83	$29.55–$116.00	—	20%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 ESTAB PAT LTD UROLOGY ANTHEM POST VOID	$208.38	$260.47	$29.55–$250.05	—	20%
Specialist consultation, low complexity or 30+ minutes CPT 99243 CONSULTANT OUTPATIENT NE LEVEL 3	$23.22	$29.03	$13.37–$27.87	78% below	20%
Specialist consultation, low complexity or 30+ minutes CPT 99243 EMERGENCY ROOM VISIT LEVEL 3 CONSULT	$110.17	$137.71	$64.72–$132.20	6% above	20%
Specialist consultation, low complexity or 30+ minutes CPT 99243 EMERGENCY ROOM VISIT LEVEL 3 CONSULT	$117.44	$146.80	$69.00–$140.93	13% above	20%
Specialist consultation, low complexity or 30+ minutes CPT 99243 OT COLLATERAL SERVICES 40 MINUTES	$180.94	$226.18	$104.17–$217.13	74% above	20%
Specialist consultation, low complexity or 30+ minutes CPT 99243 OFFICE CONSULT NEW UROLOGY LEVEL 3	$210.40	$263.00	$121.14–$252.48	103% above	20%
Specialist consultation, low complexity or 30+ minutes CPT 99243 OFFICE CONSULT NEW PAIN MANAGE LEVEL 3	$210.40	$263.00	$121.14–$252.48	103% above	20%
Specialist consultation, low complexity or 30+ minutes CPT 99243 OFFICE CONSULT EST PAT LEVEL 3	$214.85	$268.56	$126.22–$257.82	107% above	20%
Specialist consultation, low complexity or 30+ minutes CPT 99243 OFFICE CONSULT NEW PAT LEVEL 3	$214.85	$268.56	$126.22–$257.82	107% above	20%
Specialist consultation, low complexity or 30+ minutes CPT 99243 CONSULTANT OUTPATIENT NEW LEVEL 3 ORTHO	$218.82	$273.52	$125.98–$262.58	111% above	20%
Specialist consultation, low complexity or 30+ minutes CPT 99243 OFFICE CONSULT EST DETAILED	$229.04	$286.30	$134.56–$274.85	120% above	20%
Specialist consultation, low complexity or 30+ minutes CPT 99243 CONSULT NEW PATIENT 99203 HOSPITALIST	$255.16	$318.95	$146.91–$306.19	146% above	20%
Specialist consultation, low complexity or 30+ minutes CPT 99243 OFFICE CONSULT EST LEVEL 3	$309.03	$386.29	$177.93–$370.84	197% above	20%
Specialist consultation, low complexity or 30+ minutes CPT 99243 OFFICE CONSULT NEW LEVEL 3	$309.03	$386.29	$177.93–$370.84	197% above	20%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 EMERGENCY ROOM VISIT LEVEL 3 CONSULT	$117.44	$146.80	$69.00–$140.93	—	20%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 OT COLLATERAL SERVICES 40 MINUTES	$180.94	$226.18	$104.17–$217.13	—	20%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 CONSULT NEW PATIENT 99203 HOSPITALIST	$255.16	$318.95	$149.91–$306.19	—	20%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 CONSULT NEW PATIENT 99203 HOSPITALIST	$255.16	$318.95	$146.91–$306.19	—	20%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 CONSULTANT OUTPATIENT NE LEVEL 4	$23.22	$29.03	$13.37–$27.87	82% below	20%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 EMERGENCY ROOM VISIT LEVEL 4 CONSULT	$171.63	$214.54	$100.83–$205.96	30% above	20%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OT COLLATERAL SERVICES 60 MINUTES	$241.34	$301.67	$138.94–$289.60	82% above	20%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OFFICE CONSULT EST MOD COMP	$276.70	$345.88	$162.56–$332.04	109% above	20%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OFFICE CONSULT NEW LEVEL 4	$298.01	$372.51	$171.58–$357.61	125% above	20%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OFFICE CONSULT NEW UROLOGY LEVEL 4	$298.01	$372.51	$171.58–$357.61	125% above	20%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OFFICE CONSULT NEW PAIN MANAGE LEVEL 4	$298.01	$372.51	$171.58–$357.61	125% above	20%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OFFICE CONSULT EST PAT LEVEL 4	$304.18	$380.22	$178.70–$365.01	130% above	20%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OFFICE CONSULT NEW PAT LEVEL 4	$304.18	$380.22	$178.70–$365.01	130% above	20%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 CONSULTANT OUTPATIENT NEW LEVEL 4 ORTHO	$338.87	$423.59	$195.11–$406.65	156% above	20%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OFFICE CONSULT NEW PAT LEVEL 4 ORTHO	$342.78	$428.47	$201.38–$411.33	159% above	20%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 EMERGENCY ROOM VISIT LEVEL 4 CONSULT	$371.82	$464.77	$205.41–$446.18	181% above	20%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OFFICE CONSULT NEW LEVEL 4	$438.38	$547.98	$252.40–$526.06	231% above	20%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OFFICE CONSULT EST LEVEL 4	$438.38	$547.98	$252.40–$526.06	231% above	20%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 OT COLLATERAL SERVICES 60 MINUTES	$241.34	$301.67	$138.94–$289.60	—	20%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 EMERGENCY ROOM VISIT LEVEL 4 CONSULT	$371.82	$464.77	$205.41–$446.18	—	20%
Speech and language evaluation CPT 92523 ST EVAL OF SOUND PROD LANG AND COMPREHEN	$358.03	$447.54	$206.13–$429.64	16% above	20%
Speech and language evaluation inpatient CPT 92523 ST EVAL OF SOUND PROD LANG AND COMPREHEN	$358.03	$447.54	$206.13–$429.64	—	20%
Speech therapy session, individual CPT 92507 ST LANG TX SHORT 1/2 HR	$191.90	$239.88	$71.97–$230.28	17% above	20%
Speech therapy session, individual CPT 92507 SPEECH CONSULT	$370.39	$462.99	$71.97–$444.47	127% above	20%
Speech therapy session, individual CPT 92507 ST LANG TREATMENT	$373.23	$466.54	$71.97–$447.88	128% above	20%
Speech therapy session, individual CPT 92507 ST LANG TX MEDIUM 1 HR	$385.21	$481.51	$71.97–$462.25	136% above	20%
Speech therapy session, individual CPT 92507 ST LANG TX LONG 1 1/2HR	$517.90	$647.38	$71.97–$621.48	217% above	20%
Speech therapy session, individual inpatient CPT 92507 ST LANG TX SHORT 1/2 HR	$191.90	$239.88	$71.97–$230.28	—	20%
Speech therapy session, individual inpatient CPT 92507 SPEECH CONSULT	$370.39	$462.99	$71.97–$444.47	—	20%
Speech therapy session, individual inpatient CPT 92507 ST LANG TREATMENT	$373.23	$466.54	$71.97–$447.88	—	20%
Speech therapy session, individual inpatient CPT 92507 ST LANG TX MEDIUM 1 HR	$385.21	$481.51	$71.97–$462.25	—	20%
Speech therapy session, individual inpatient CPT 92507 ST LANG TX LONG 1 1/2HR	$517.90	$647.38	$71.97–$621.48	—	20%
Spirometry (breathing test) CPT 94010 OH Spirometry/PFT	$34.94	$43.68	$20.12–$41.93	77% below	20%
Spirometry (breathing test) CPT 94010 PFT	$42.11	$52.64	$24.25–$50.53	72% below	20%
Spirometry (breathing test) CPT 94010 INCENTIVE SPIROMETRY	$44.50	$55.62	$25.62–$53.40	70% below	20%
Spirometry (breathing test) CPT 94010 PFT PRE SPIROMETRY	$97.34	$121.67	$27.05–$116.80	35% below	20%
Spirometry (breathing test) CPT 94010 SPIROMETRY	$222.26	$277.83	$27.05–$266.72	48% above	20%
Spirometry (breathing test) inpatient CPT 94010 PFT	$42.11	$52.64	$24.25–$50.53	—	20%
Spirometry (breathing test) inpatient CPT 94010 INCENTIVE SPIROMETRY	$44.50	$55.62	$25.62–$53.40	—	20%
Spirometry (breathing test) inpatient CPT 94010 PFT PRE SPIROMETRY	$97.34	$121.67	$27.05–$116.80	—	20%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY	$222.26	$277.83	$27.05–$266.72	—	20%
Spirometry before and after a bronchodilator CPT 94060 PRE & POST BRONCHODILATOR	$208.74	$260.93	$39.50–$250.49	43% below	20%
Spirometry before and after a bronchodilator CPT 94060 PRE & POST BRONCHDILATOR	$208.74	$260.93	$39.50–$250.49	43% below	20%
Spirometry before and after a bronchodilator CPT 94060 SPIROMETRY - FULL	$327.14	$408.93	$39.50–$392.57	11% below	20%
Spirometry before and after a bronchodilator inpatient CPT 94060 PRE & POST BRONCHDILATOR	$208.74	$260.93	$39.50–$250.49	—	20%
Spirometry before and after a bronchodilator inpatient CPT 94060 PRE & POST BRONCHODILATOR	$208.74	$260.93	$39.50–$250.49	—	20%
Spirometry before and after a bronchodilator inpatient CPT 94060 SPIROMETRY - FULL	$327.14	$408.93	$39.50–$392.57	—	20%
Therapeutic activities (functional training), 15 minutes CPT 97530 OT THERAPEUTIC ACTIVITY .25HR	$113.22	$141.52	$32.67–$135.86	29% above	20%
Therapeutic activities (functional training), 15 minutes CPT 97530 PT THERAPEUTIC ACTIVITIES/.25 HR	$113.22	$141.52	$32.67–$135.86	29% above	20%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT THERAPEUTIC ACTIVITY .25HR	$113.22	$141.52	$32.67–$135.86	—	20%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT THERAPEUTIC ACTIVITIES/.25 HR	$113.22	$141.52	$32.67–$135.86	—	20%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Therapeut Phlebotomy	$222.26	$277.83	$88.05–$266.72	49% above	20%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Therapeut Phlebotomy	$222.26	$277.83	$88.05–$266.72	—	20%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Maine	Off list
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 OH Varicella	$155.18	$193.98	$89.35–$186.22	at median	20%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VACCINE 0.5ML INJ( FLUARIX)	$15.84	$19.80	$9.12–$19.37	28% below	20%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VACCINE 0.5ML INJ( FLUARIX)	$15.84	$19.80	$9.12–$19.37	—	20%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 PVPC HEPATITIS B ADULT	$179.99	$224.99	$68.97–$215.99	233% above	20%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLUENZA High-Dose VACCINE 0.5 ML	$67.54	$84.42	$38.89–$81.04	41% below	20%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 INFLUENZA High-Dose VACCINE 0.5 ML	$67.54	$84.42	$38.89–$81.04	—	20%
MMR vaccine (measles, mumps and rubella), live CPT 90707 OH MMR Measles, Mumps, Rubella Vacc	$178.88	$223.60	$102.99–$214.66	73% above	20%
MMR vaccine (measles, mumps and rubella), live CPT 90707 PVPC IMMUNIZ MMR	$200.59	$250.74	$115.49–$240.71	94% above	20%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL-20 VAC 0.5ML SYR(PREVNAR20)	$277.26	$346.58	$159.63–$332.72	28% below	20%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL-20 VAC 0.5ML SYR(PREVNAR20)	$277.26	$346.58	$159.63–$332.72	—	20%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE IM INJ PRE&POST	$488.94	$611.18	$281.50–$586.73	33% above	20%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE IM INJ PRE&POST	$488.94	$611.18	$281.50–$586.73	—	20%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS/DIPHTHERIA/PERT VACCINE 0.5ML	$43.38	$54.23	$24.98–$52.06	2% above	20%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 OH TDAP	$44.93	$56.16	$25.87–$53.91	6% above	20%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS/DIPHTHERIA/PERT VACCINE 0.5ML	$43.38	$54.23	$24.98–$52.06	—	20%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 OH Injection Fee, Per Person	$18.30	$22.88	$10.54–$21.96	9% above	20%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IM/SQ VACCINE	$45.53	$56.91	$20.23–$54.63	171% above	20%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Rabies IM VACCINE	$45.53	$56.91	$20.23–$54.63	171% above	20%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Rabies IM VACCINE	$45.53	$56.91	$20.23–$54.63	—	20%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IM/SQ VACCINE	$45.53	$56.91	$20.23–$54.63	—	20%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADDITIONAL VACCINE EACH	$22.45	$28.06	$12.93–$26.94	21% above	20%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ADDITIONAL VACCINE EACH	$22.45	$28.06	$12.93–$26.94	—	20%

Source file: https://pvhme.org/files/price-transparency/010545327_penobscot-valley-hospital_standardcharges.csv