Hospital Hermitage, PA

Sharon Regional Medical Center

Sharon Regional Medical Center in Sharon, PA publishes cash prices for 311 common procedures listed here, from its own machine-readable price file updated Jul 4, 2024. Compared with other hospitals in the state, its outpatient cash prices are above the Pennsylvania median for 286 of 305 procedures and below it for 18. By typical cash price it ranks #76 of 88 Pennsylvania hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

740 East State Street, Sharon PA 16146 Collected Sep 27, 2026 Source price file (724) 983-3911

Acute care hospital Emergency department CMS star rating 3 of 5 CCN 390211 · CMS hospital register

The price file shows no self-pay discount

For 976 of the 976 prices listed here, the cash price in Sharon Regional Medical Center's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Pennsylvania	Off list
Ankle X-ray, complete, 3 or more views CPT 73610 X-RAY EXAM ANKLE 3+ VIEWS BIL	$880.81	$880.81	$18.73–$880.81	159% above	—
Ankle X-ray, complete, 3 or more views one side CPT 73610 X-RAY EXAM ANKLE 3+ VIEWS LT	$587.20	$587.20	$18.73–$587.20	73% above	—
Ankle X-ray, complete, 3 or more views one side CPT 73610 X-RAY EXAM ANKLE 3+ VIEWS RT	$587.20	$587.20	$18.73–$587.20	73% above	—
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 X-RAY EXAM ANKLE 3+ VIEWS BIL	$880.81	$880.81	$220.20–$880.81	—	—
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 X-RAY EXAM ANKLE 3+ VIEWS RT	$587.20	$587.20	$146.80–$587.20	—	—
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 X-RAY EXAM ANKLE 3+ VIEWS LT	$587.20	$587.20	$146.80–$587.20	—	—
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 UPR/L XTREMITY ART 2 LEVELS	$534.91	$534.91	$37.11–$534.91	33% above	—
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 UPR/L XTREMITY ART 2 LEVELS	$534.91	$534.91	$133.73–$534.91	—	—
Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHOGRAM	$676.76	$676.76	$22.50–$676.76	58% above	—
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 ESOPHOGRAM	$676.76	$676.76	$169.19–$676.76	—	—
Bone scan, whole body (nuclear medicine) CPT 78306 BONE/JOINT; WB	$2,261.53	$2,261.53	$61.50–$2,261.53	84% above	—
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 BONE/JOINT; WB	$2,261.53	$2,261.53	$565.38–$2,261.53	—	—
Breast ultrasound, complete, one breast CPT 76641 ULTRASOUND BREAST COMPLETE BIL	$1,027.98	$1,027.98	$43.79–$1,027.98	99% above	—
Breast ultrasound, complete, one breast one side CPT 76641 ULTRASOUND BREAST COMPLETE RT	$685.32	$685.32	$43.79–$685.32	33% above	—
Breast ultrasound, complete, one breast one side CPT 76641 ULTRASOUND BREAST COMPLETE LT	$685.32	$685.32	$43.79–$685.32	33% above	—
Breast ultrasound, complete, one breast inpatient CPT 76641 ULTRASOUND BREAST COMPLETE BIL	$1,027.98	$1,027.98	$257.00–$1,027.98	—	—
Breast ultrasound, complete, one breast inpatient one side CPT 76641 ULTRASOUND BREAST COMPLETE RT	$685.32	$685.32	$171.33–$685.32	—	—
Breast ultrasound, complete, one breast inpatient one side CPT 76641 ULTRASOUND BREAST COMPLETE LT	$685.32	$685.32	$171.33–$685.32	—	—
Breast ultrasound, limited (one breast or one area) CPT 76642 ULTRASOUND BREAST LIMITED BIL	$959.03	$959.03	$33.55–$959.03	143% above	—
Breast ultrasound, limited (one breast or one area) one side CPT 76642 ULTRASOUND BREAST LIMITED RT	$639.35	$639.35	$33.55–$639.35	62% above	—
Breast ultrasound, limited (one breast or one area) one side CPT 76642 ULTRASOUND BREAST LIMITED LT	$639.35	$639.35	$33.55–$639.35	62% above	—
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 ULTRASOUND BREAST LIMITED BIL	$959.03	$959.03	$239.76–$959.03	—	—
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 ULTRASOUND BREAST LIMITED RT	$639.35	$639.35	$159.84–$639.35	—	—
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 ULTRASOUND BREAST LIMITED LT	$639.35	$639.35	$159.84–$639.35	—	—
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIOGRAPHY CHEST	$2,008.65	$2,008.65	$169.81–$2,008.65	41% above	—
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT ANGIOGRAPHY CHEST	$2,008.65	$2,008.65	$502.16–$2,008.65	—	—
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT ANGIO HRT W/3D IMAGE	$2,008.65	$2,008.65	$169.81–$2,008.65	93% above	—
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT ANGIO HRT W/3D IMAGE	$2,008.65	$2,008.65	$502.16–$2,008.65	—	—
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HRT W/O DYE W/CA TEST	$79.00	$79.00	$19.75–$675.00	34% below	—
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT HRT W/O DYE W/CA TEST	$79.00	$79.00	$19.75–$79.00	—	—
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD & PELVIS	$2,966.88	$2,966.88	$101.07–$2,966.88	90% above	—
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD & PELVIS	$2,966.88	$2,966.88	$741.72–$2,966.88	—	—
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PELV W/CONTRAST	$3,639.29	$3,639.29	$192.73–$3,639.29	52% above	—
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD & PELV W/CONTRAST	$3,639.29	$3,639.29	$909.82–$3,639.29	—	—
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD & PELV 1/> REGNS	$4,291.43	$4,291.43	$254.70–$4,291.43	60% above	—
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD & PELV 1/> REGNS	$4,291.43	$4,291.43	$1,072.86–$4,291.43	—	—
CT scan of the abdomen with contrast CPT 74160 CT ABD W CONTRAST	$1,899.48	$1,899.48	$90.00–$1,899.48	33% above	—
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABD W CONTRAST	$1,899.48	$1,899.48	$474.87–$1,899.48	—	—
CT scan of the abdomen without contrast CPT 74150 CT ABD WO CONTRAST	$1,483.44	$1,483.44	$77.50–$1,483.44	38% above	—
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABD WO CONTRAST	$1,483.44	$1,483.44	$370.86–$1,483.44	—	—
CT scan of the face and sinuses, no contrast dye CPT 70486 CT - MF WO CONTR	$1,631.25	$1,631.25	$77.50–$1,631.25	74% above	—
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT - MF WO CONTR	$1,631.25	$1,631.25	$407.81–$1,631.25	—	—
CT scan of the head or brain, no contrast dye CPT 70450 CT - HEAD/BRAIN WO CONTRAST	$1,622.18	$1,622.18	$77.50–$1,622.18	89% above	—
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT - HEAD/BRAIN WO CONTRAST	$1,622.18	$1,622.18	$405.54–$1,622.18	—	—
CT scan of the head with contrast CPT 70460 CT - HEAD/BRAIN W CONTRAST	$1,921.45	$1,921.45	$80.00–$1,921.45	48% above	—
CT scan of the head with contrast inpatient CPT 70460 CT - HEAD/BRAIN W CONTRAST	$1,921.45	$1,921.45	$480.36–$1,921.45	—	—
CT scan of the head without and with contrast CPT 70470 CT - HEAD/BRAIN W/WO CONTRAST	$2,228.66	$2,228.66	$100.00–$2,228.66	72% above	—
CT scan of the head without and with contrast inpatient CPT 70470 CT - HEAD/BRAIN W/WO CONTRAST	$2,228.66	$2,228.66	$557.16–$2,228.66	—	—
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LS WO CONTRAST	$2,205.99	$2,205.99	$88.10–$2,205.99	118% above	—
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LS WO CONTRAST	$2,205.99	$2,205.99	$551.50–$2,205.99	—	—
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERV SPINE WO CONTR	$1,619.29	$1,619.29	$83.10–$1,619.29	66% above	—
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERV SPINE WO CONTR	$1,619.29	$1,619.29	$404.82–$1,619.29	—	—
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS; W CONTR	$1,899.48	$1,899.48	$86.50–$1,899.48	33% above	—
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS; W CONTR	$1,899.48	$1,899.48	$474.87–$1,899.48	—	—
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 CAROTID DUPLEX SCAN; BILAT	$1,385.26	$1,385.26	$119.34–$1,385.26	—	—
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 CAROTID DUPLEX SCAN; BILAT	$1,385.26	$1,385.26	$346.32–$1,385.26	—	—
Chest X-ray, 2 views CPT 71046 X-RAY EXAM CHEST 2 VIEWS	$523.72	$523.72	$11.43–$523.72	127% above	—
Chest X-ray, 2 views CPT 71046 CHEST X-RAY 2 VIEWS	$523.72	$523.72	$11.43–$523.72	127% above	—
Chest X-ray, 2 views inpatient CPT 71046 X-RAY EXAM CHEST 2 VIEWS	$523.72	$523.72	$130.93–$523.72	—	—
Chest X-ray, 2 views inpatient CPT 71046 CHEST X-RAY 2 VIEWS	$523.72	$523.72	$130.93–$523.72	—	—
Chest X-ray, single view CPT 71045 X-RAY EXAM CHEST 1 VIEW	$406.34	$406.34	$6.24–$406.34	160% above	—
Chest X-ray, single view inpatient CPT 71045 X-RAY EXAM CHEST 1 VIEW	$406.34	$406.34	$101.58–$406.34	—	—
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US EXAM ABDO BACK WALL COMP	$1,538.30	$1,538.30	$49.00–$1,538.30	129% above	—
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US EXAM ABDO BACK WALL COMP	$1,538.30	$1,538.30	$384.58–$1,538.30	—	—
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BN DENSITY AXIAL 1+SITE	$557.73	$557.73	$51.94–$557.73	112% above	—
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DXA BN DENSITY AXIAL 1+SITE	$557.73	$557.73	$139.43–$557.73	—	—
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA BN DENSTY/PERIPH 1+SITE	$557.73	$557.73	$17.68–$557.73	213% above	—
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DXA BN DENSTY/PERIPH 1+SITE	$557.73	$557.73	$139.43–$557.73	—	—
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 OB US DETAILED SNGL FETUS	$1,697.00	$1,697.00	$91.42–$1,697.00	107% above	—
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 OB US DETAILED SNGL FETUS	$1,697.00	$1,697.00	$424.25–$1,697.00	—	—
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX; WO CONTRAST	$2,006.47	$2,006.47	$83.10–$2,006.47	89% above	—
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX; WO CONTRAST	$2,006.47	$2,006.47	$501.62–$2,006.47	—	—
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX; W CONTRAST	$2,243.39	$2,243.39	$87.50–$2,243.39	71% above	—
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT THORAX; W CONTRAST	$2,243.39	$2,243.39	$560.85–$2,243.39	—	—
Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMMO INCL CAD BI	$641.23	$641.23	$71.40–$641.23	—	—
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DX MAMMO INCL CAD BI	$641.23	$641.23	$160.31–$641.23	—	—
Diagnostic mammogram, one breast one side CPT 77065 DX MAMMO INCL CAD UNI RT	$474.26	$474.26	$55.98–$474.26	88% above	—
Diagnostic mammogram, one breast one side CPT 77065 DX MAMMO INCL CAD UNI LT	$474.26	$474.26	$55.98–$474.26	88% above	—
Diagnostic mammogram, one breast inpatient one side CPT 77065 DX MAMMO INCL CAD UNI LT	$474.26	$474.26	$118.56–$474.26	—	—
Diagnostic mammogram, one breast inpatient one side CPT 77065 DX MAMMO INCL CAD UNI RT	$474.26	$474.26	$118.56–$474.26	—	—
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 DUPLEX LE ART/BPG; BILAT	$1,354.65	$1,354.65	$119.34–$1,354.65	—	—
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 DUPLEX LE ART/BPG; BILAT	$1,354.65	$1,354.65	$338.66–$1,354.65	—	—
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 DUPLEX EXT VEINS; BILAT	$1,403.40	$1,403.40	$114.20–$1,403.40	—	—
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 DUPLEX EXT VEINS; BILAT	$1,403.40	$1,403.40	$350.85–$1,403.40	—	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER COMPLETE	$3,475.11	$3,475.11	$98.14–$3,475.11	86% above	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W OR WO FOL WCON DOPPLER	$3,475.11	$3,475.11	$98.14–$3,475.11	86% above	—
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 TTE W/DOPPLER COMPLETE	$3,475.11	$3,475.11	$868.78–$3,475.11	—	—
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 TTE W OR WO FOL WCON DOPPLER	$3,475.11	$3,475.11	$868.78–$3,475.11	—	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY SYSTEM IMAGING	$2,485.34	$2,485.34	$201.92–$2,485.34	102% above	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HEPATOBILIARY SYSTEM IMAGING	$2,485.34	$2,485.34	$621.34–$2,485.34	—	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOM 6/>YR CPAP 4/> PARM	$3,729.83	$3,729.83	$517.67–$3,729.83	24% above	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 POLYSOM 6/>YR CPAP 4/> PARM	$3,729.83	$3,729.83	$932.46–$3,729.83	—	—
Knee X-ray, 3 views CPT 73562 X-RAY EXAM OF KNEE 3 BIL	$1,086.20	$1,086.20	$16.50–$1,086.20	226% above	—
Knee X-ray, 3 views one side CPT 73562 X-RAY EXAM OF KNEE 3 LT	$724.13	$724.13	$16.50–$724.13	117% above	—
Knee X-ray, 3 views one side CPT 73562 X-RAY EXAM OF KNEE 3 RT	$724.13	$724.13	$16.50–$724.13	117% above	—
Knee X-ray, 3 views inpatient CPT 73562 X-RAY EXAM OF KNEE 3 BIL	$1,086.20	$1,086.20	$271.55–$1,086.20	—	—
Knee X-ray, 3 views inpatient one side CPT 73562 X-RAY EXAM OF KNEE 3 RT	$724.13	$724.13	$181.03–$724.13	—	—
Knee X-ray, 3 views inpatient one side CPT 73562 X-RAY EXAM OF KNEE 3 LT	$724.13	$724.13	$181.03–$724.13	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ECHO EXAM OF ABDOMEN	$1,640.32	$1,640.32	$37.50–$1,640.32	198% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ECHO EXAM OF ABDOMEN	$1,640.32	$1,640.32	$410.08–$1,640.32	—	—
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LDCT FOR LUNG CA SCREEN	$191.63	$191.63	$47.91–$675.00	24% below	—
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 LDCT FOR LUNG CA SCREEN	$191.63	$191.63	$47.91–$191.63	—	—
MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI W/CONT, BREAST, BI	$2,149.31	$2,149.31	$162.50–$2,149.31	—	—
MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI W/O FOL W/CONT, BREAST, BI	$2,149.31	$2,149.31	$162.50–$2,149.31	—	—
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 MRI W/CONT, BREAST, BI	$2,149.31	$2,149.31	$537.33–$2,149.31	—	—
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 MRI W/O FOL W/CONT, BREAST, BI	$2,149.31	$2,149.31	$537.33–$2,149.31	—	—
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI - LE JNT WO CONTR BIL	$6,782.90	$6,782.90	$226.47–$6,782.90	307% above	—
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI - LE JNT WO CONTR RT	$4,521.93	$4,521.93	$226.47–$4,521.93	171% above	—
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI - LE JNT WO CONTR LT	$4,521.93	$4,521.93	$226.47–$4,521.93	171% above	—
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI - LE JNT WO CONTR BIL	$6,782.90	$6,782.90	$1,695.72–$6,782.90	—	—
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI - LE JNT WO CONTR RT	$4,521.93	$4,521.93	$1,130.48–$4,521.93	—	—
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI - LE JNT WO CONTR LT	$4,521.93	$4,521.93	$1,130.48–$4,521.93	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LE JNT W&WO CONTR BIL	$7,663.43	$7,663.43	$355.43–$7,663.43	195% above	—
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LE JNT W&WO CONTR LT	$5,108.95	$5,108.95	$355.43–$5,108.95	97% above	—
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LE JNT W&WO CONTR RT	$5,108.95	$5,108.95	$355.43–$5,108.95	97% above	—
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI LE JNT W&WO CONTR BIL	$7,663.43	$7,663.43	$1,915.86–$7,663.43	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI LE JNT W&WO CONTR RT	$5,108.95	$5,108.95	$1,277.24–$5,108.95	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI LE JNT W&WO CONTR LT	$5,108.95	$5,108.95	$1,277.24–$5,108.95	—	—
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN WO CONTRAST	$4,521.93	$4,521.93	$226.47–$4,521.93	167% above	—
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN WO CONTRAST	$4,521.93	$4,521.93	$1,130.48–$4,521.93	—	—
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W & WO CONTRAST	$4,774.72	$4,774.72	$355.43–$4,774.72	76% above	—
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN W & WO CONTRAST	$4,774.72	$4,774.72	$1,193.68–$4,774.72	—	—
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO CONTRAST	$4,521.93	$4,521.93	$226.47–$4,521.93	240% above	—
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN WO CONTRAST	$4,521.93	$4,521.93	$1,130.48–$4,521.93	—	—
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W & WO CONTRAST	$4,774.72	$4,774.72	$269.00–$4,774.72	78% above	—
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W & WO CONTRAST	$4,774.72	$4,774.72	$1,193.68–$4,774.72	—	—
MRI of the lower back, no contrast dye CPT 72148 MRI SPINE LUMBAR WO CONTR	$4,521.93	$4,521.93	$187.20–$4,521.93	166% above	—
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI SPINE LUMBAR WO CONTR	$4,521.93	$4,521.93	$1,130.48–$4,521.93	—	—
MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMB SPINE W & WO CONTR	$5,108.95	$5,108.95	$269.00–$5,108.95	88% above	—
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI LUMB SPINE W & WO CONTR	$5,108.95	$5,108.95	$1,277.24–$5,108.95	—	—
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI SPINE THORACIC WO CONTR	$4,838.47	$4,838.47	$187.20–$4,838.47	180% above	—
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI SPINE THORACIC WO CONTR	$4,838.47	$4,838.47	$1,209.62–$4,838.47	—	—
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERV SPINE W & WO CONTR	$5,108.95	$5,108.95	$269.00–$5,108.95	97% above	—
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI CERV SPINE W & WO CONTR	$5,108.95	$5,108.95	$1,277.24–$5,108.95	—	—
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI SPINE CERV; WO CONTR	$4,521.93	$4,521.93	$226.47–$4,521.93	162% above	—
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI SPINE CERV; WO CONTR	$4,521.93	$4,521.93	$1,130.48–$4,521.93	—	—
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W & WO CONTRAST	$5,108.95	$5,108.95	$355.43–$5,108.95	88% above	—
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W & WO CONTRAST	$5,108.95	$5,108.95	$1,277.24–$5,108.95	—	—
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS WO CONTRAST	$4,838.47	$4,838.47	$226.47–$4,838.47	180% above	—
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS WO CONTRAST	$4,838.47	$4,838.47	$1,209.62–$4,838.47	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI U EXTR ANY JNT WO CONT BIL	$6,782.90	$6,782.90	$226.47–$6,782.90	233% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI U EXTR ANY JNT WO CONT RT	$4,521.93	$4,521.93	$226.47–$4,521.93	122% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI U EXTR ANY JNT WO CONT LT	$4,521.93	$4,521.93	$226.47–$4,521.93	122% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI U EXTR ANY JNT WO CONT BIL	$6,782.90	$6,782.90	$1,695.72–$6,782.90	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI U EXTR ANY JNT WO CONT LT	$4,521.93	$4,521.93	$1,130.48–$4,521.93	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI U EXTR ANY JNT WO CONT RT	$4,521.93	$4,521.93	$1,130.48–$4,521.93	—	—
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HT MUSCLE IMAGE SPECT MULT	$3,724.98	$3,724.98	$278.34–$3,724.98	1% below	—
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HT MUSCLE IMAGE SPECT MULT	$3,724.98	$3,724.98	$931.24–$3,724.98	—	—
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET IMAGE W/CT SKULL-THIGH	$9,282.72	$9,282.72	$1,207.25–$9,282.72	60% above	—
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET IMAGE W/CT SKULL-THIGH	$9,282.72	$9,282.72	$2,320.68–$9,282.72	—	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US EXAM PELVIC LIMITED	$647.29	$647.29	$19.00–$647.29	61% above	—
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US EXAM PELVIC LIMITED	$647.29	$647.29	$161.82–$647.29	—	—
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US EXAM PELVIC COMPLETE	$1,265.10	$1,265.10	$46.50–$1,265.10	144% above	—
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US EXAM PELVIC COMPLETE	$1,265.10	$1,265.10	$316.27–$1,265.10	—	—
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US >= 14 WKS SNGL FETUS	$1,689.64	$1,689.64	$46.50–$1,689.64	201% above	—
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 OB US >= 14 WKS SNGL FETUS	$1,689.64	$1,689.64	$422.41–$1,689.64	—	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB US < 14 WKS SINGLE FETUS	$1,579.10	$1,579.10	$38.39–$1,579.10	233% above	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 OB US < 14 WKS SINGLE FETUS	$1,579.10	$1,579.10	$394.78–$1,579.10	—	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB US LIMITED 1+ FETUS(S)	$1,443.07	$1,443.07	$39.00–$1,443.07	233% above	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 OB US LIMITED 1+ FETUS(S)	$1,443.07	$1,443.07	$360.77–$1,443.07	—	—
Screening mammogram, both breasts both sides CPT 77067 SCR MAMMO BI INCL CAD RED SVC	$569.07	$569.07	$59.12–$569.07	—	—
Screening mammogram, both breasts both sides CPT 77067 SCR MAMMO BI INCL CAD	$569.07	$569.07	$59.12–$569.07	—	—
Screening mammogram, both breasts inpatient both sides CPT 77067 SCR MAMMO BI INCL CAD RED SVC	$569.07	$569.07	$142.27–$569.07	—	—
Screening mammogram, both breasts inpatient both sides CPT 77067 SCR MAMMO BI INCL CAD	$569.07	$569.07	$142.27–$569.07	—	—
Shoulder X-ray, complete, 2 or more views CPT 73030 X-RAY SHOULDER 2+ VIEWS BIL	$793.27	$793.27	$16.50–$793.27	140% above	—
Shoulder X-ray, complete, 2 or more views one side CPT 73030 X-RAY SHOULDER 2+ VIEWS RT	$528.85	$528.85	$16.50–$528.85	60% above	—
Shoulder X-ray, complete, 2 or more views one side CPT 73030 X-RAY SHOULDER 2+ VIEWS LT	$528.85	$528.85	$16.50–$528.85	60% above	—
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 X-RAY SHOULDER 2+ VIEWS BIL	$793.27	$793.27	$198.32–$793.27	—	—
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 X-RAY SHOULDER 2+ VIEWS LT	$528.85	$528.85	$132.21–$528.85	—	—
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 X-RAY SHOULDER 2+ VIEWS RT	$528.85	$528.85	$132.21–$528.85	—	—
Sleep study in a lab (polysomnography) CPT 95810 POLYSOM 6/> YRS 4/> PARAM	$3,401.12	$3,401.12	$270.32–$3,401.12	8% above	—
Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOM 6/> YRS 4/> PARAM	$3,401.12	$3,401.12	$850.28–$3,401.12	—	—
Swallow study (modified barium swallow, video X-ray) CPT 74230 SWALLOWING FCN W CINE/VIDEO	$766.31	$766.31	$28.00–$766.31	73% above	—
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 SWALLOWING FCN W CINE/VIDEO	$766.31	$766.31	$191.58–$766.31	—	—
Transvaginal pelvic ultrasound CPT 76830 NON-OB TRANSVAG US	$1,358.05	$1,358.05	$46.50–$1,358.05	244% above	—
Transvaginal pelvic ultrasound inpatient CPT 76830 NON-OB TRANSVAG US	$1,358.05	$1,358.05	$339.51–$1,358.05	—	—
Transvaginal ultrasound during pregnancy CPT 76817 TRANSVAGINAL OB US	$1,579.10	$1,579.10	$53.03–$1,579.10	217% above	—
Transvaginal ultrasound during pregnancy inpatient CPT 76817 TRANSVAGINAL OB US	$1,579.10	$1,579.10	$394.78–$1,579.10	—	—
Ultrasound of the abdomen, complete CPT 76700 US EXAM ABDOM COMPLETE	$1,711.74	$1,711.74	$57.50–$1,711.74	161% above	—
Ultrasound of the abdomen, complete inpatient CPT 76700 US EXAM ABDOM COMPLETE	$1,711.74	$1,711.74	$427.94–$1,711.74	—	—
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM AND CONTENTS	$1,579.10	$1,579.10	$44.00–$1,579.10	182% above	—
Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM AND CONTENTS	$1,579.10	$1,579.10	$394.78–$1,579.10	—	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US EXAM OF HEAD AND NECK	$1,387.61	$1,387.61	$50.98–$1,387.61	241% above	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US EXAM OF HEAD AND NECK	$1,387.61	$1,387.61	$346.90–$1,387.61	—	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-RAY XM UPR GI TRC 1CNTRST	$775.08	$775.08	$39.00–$775.08	37% above	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 X-RAY XM UPR GI TRC 1CNTRST	$775.08	$775.08	$193.77–$775.08	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 DUPLEX EXT VEINS; UNIL/LIMIT	$845.67	$845.67	$78.60–$845.67	40% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 DUPLEX EXT VEINS; UNIL/LIMIT	$845.67	$845.67	$211.42–$845.67	—	—
Wrist X-ray, complete, 3 or more views CPT 73110 X-RAY EXAM WRIST 3+ VIEWS BIL	$846.04	$846.04	$11.50–$846.04	168% above	—
Wrist X-ray, complete, 3 or more views one side CPT 73110 X-RAY EXAM WRIST 3+ VIEWS RT	$564.02	$564.02	$11.50–$564.02	79% above	—
Wrist X-ray, complete, 3 or more views one side CPT 73110 X-RAY EXAM WRIST 3+ VIEWS LT	$564.02	$564.02	$11.50–$564.02	79% above	—
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 X-RAY EXAM WRIST 3+ VIEWS BIL	$846.04	$846.04	$211.51–$846.04	—	—
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 X-RAY EXAM WRIST 3+ VIEWS RT	$564.02	$564.02	$141.00–$564.02	—	—
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 X-RAY EXAM WRIST 3+ VIEWS LT	$564.02	$564.02	$141.00–$564.02	—	—
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWS	$494.25	$494.25	$18.95–$494.25	48% above	—
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWSRT	$494.25	$494.25	$18.95–$494.25	48% above	—
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWSLT	$494.25	$494.25	$18.95–$494.25	48% above	—
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWSRT	$494.25	$494.25	$123.56–$494.25	—	—
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWSLT	$494.25	$494.25	$123.56–$494.25	—	—
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWS	$494.25	$494.25	$123.56–$494.25	—	—
X-ray of the abdomen, 1 view CPT 74018 X-RAY EXAM ABDOMEN 1 VIEW	$388.15	$388.15	$10.60–$388.15	65% above	—
X-ray of the abdomen, 1 view inpatient CPT 74018 X-RAY EXAM ABDOMEN 1 VIEW	$388.15	$388.15	$97.04–$388.15	—	—
X-ray of the ankle, 2 views CPT 73600 X-RAY EXAM ANKLE 2 VIEWS BIL	$692.06	$692.06	$11.50–$692.06	115% above	—
X-ray of the ankle, 2 views one side CPT 73600 X-RAY EXAM ANKLE 2 VIEWS RT	$461.38	$461.38	$11.50–$461.38	43% above	—
X-ray of the ankle, 2 views one side CPT 73600 X-RAY EXAM ANKLE 2 VIEWS LT	$461.38	$461.38	$11.50–$461.38	43% above	—
X-ray of the ankle, 2 views inpatient CPT 73600 X-RAY EXAM ANKLE 2 VIEWS BIL	$692.06	$692.06	$173.02–$692.06	—	—
X-ray of the ankle, 2 views inpatient one side CPT 73600 X-RAY EXAM ANKLE 2 VIEWS LT	$461.38	$461.38	$115.34–$461.38	—	—
X-ray of the ankle, 2 views inpatient one side CPT 73600 X-RAY EXAM ANKLE 2 VIEWS RT	$461.38	$461.38	$115.34–$461.38	—	—
X-ray of the finger(s), 2 or more views CPT 73140 X-RAY OF FINGER(S) 2+ VWS BIL	$465.78	$465.78	$9.00–$465.78	141% above	—
X-ray of the finger(s), 2 or more views one side CPT 73140 X-RAY OF FINGER(S) 2+ VWS RT	$310.52	$310.52	$9.00–$310.52	61% above	—
X-ray of the finger(s), 2 or more views one side CPT 73140 X-RAY OF FINGER(S) 2+ VWS LT	$310.52	$310.52	$9.00–$310.52	61% above	—
X-ray of the finger(s), 2 or more views inpatient CPT 73140 X-RAY OF FINGER(S) 2+ VWS BIL	$465.78	$465.78	$116.44–$465.78	—	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 X-RAY OF FINGER(S) 2+ VWS RT	$310.52	$310.52	$77.63–$310.52	—	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 X-RAY OF FINGER(S) 2+ VWS LT	$310.52	$310.52	$77.63–$310.52	—	—
X-ray of the foot, 2 views CPT 73620 X-RAY EXAM FOOT; 2 VIEWS BIL	$740.50	$740.50	$10.00–$740.50	148% above	—
X-ray of the foot, 2 views one side CPT 73620 X-RAY EXAM FOOT; 2 VIEWS RT	$493.67	$493.67	$10.00–$493.67	65% above	—
X-ray of the foot, 2 views one side CPT 73620 X-RAY EXAM FOOT; 2 VIEWS LT	$493.67	$493.67	$10.00–$493.67	65% above	—
X-ray of the foot, 2 views inpatient CPT 73620 X-RAY EXAM FOOT; 2 VIEWS BIL	$740.50	$740.50	$185.12–$740.50	—	—
X-ray of the foot, 2 views inpatient one side CPT 73620 X-RAY EXAM FOOT; 2 VIEWS RT	$493.67	$493.67	$123.42–$493.67	—	—
X-ray of the foot, 2 views inpatient one side CPT 73620 X-RAY EXAM FOOT; 2 VIEWS LT	$493.67	$493.67	$123.42–$493.67	—	—
X-ray of the foot, complete, 3 or more views CPT 73630 X-RAY EXAM FOOT; 3+ VIEWS BIL	$905.48	$905.48	$11.50–$905.48	160% above	—
X-ray of the foot, complete, 3 or more views one side CPT 73630 X-RAY EXAM FOOT; 3+ VIEWS RT	$603.65	$603.65	$11.50–$603.65	73% above	—
X-ray of the foot, complete, 3 or more views one side CPT 73630 X-RAY EXAM FOOT; 3+ VIEWS LT	$603.65	$603.65	$11.50–$603.65	73% above	—
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 X-RAY EXAM FOOT; 3+ VIEWS BIL	$905.48	$905.48	$226.37–$905.48	—	—
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 X-RAY EXAM FOOT; 3+ VIEWS LT	$603.65	$603.65	$150.91–$603.65	—	—
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 X-RAY EXAM FOOT; 3+ VIEWS RT	$603.65	$603.65	$150.91–$603.65	—	—
X-ray of the hand, 3 or more views CPT 73130 X-RAY EXAM HAND 3+ VIEWS BIL	$815.10	$815.10	$11.50–$815.10	176% above	—
X-ray of the hand, 3 or more views one side CPT 73130 X-RAY EXAM HAND 3+ VIEWS LT	$543.40	$543.40	$11.50–$543.40	84% above	—
X-ray of the hand, 3 or more views one side CPT 73130 X-RAY EXAM HAND 3+ VIEWS RT	$543.40	$543.40	$11.50–$543.40	84% above	—
X-ray of the hand, 3 or more views inpatient CPT 73130 X-RAY EXAM HAND 3+ VIEWS BIL	$815.10	$815.10	$203.78–$815.10	—	—
X-ray of the hand, 3 or more views inpatient one side CPT 73130 X-RAY EXAM HAND 3+ VIEWS LT	$543.40	$543.40	$135.85–$543.40	—	—
X-ray of the hand, 3 or more views inpatient one side CPT 73130 X-RAY EXAM HAND 3+ VIEWS RT	$543.40	$543.40	$135.85–$543.40	—	—
X-ray of the knee, 1 or 2 views CPT 73560 X-RAY EXAM OF KNEE 1 OR 2 BIL	$700.48	$700.48	$16.50–$700.48	167% above	—
X-ray of the knee, 1 or 2 views one side CPT 73560 X-RAY EXAM OF KNEE 1 OR 2 RT	$466.99	$466.99	$16.50–$466.99	78% above	—
X-ray of the knee, 1 or 2 views one side CPT 73560 X-RAY EXAM OF KNEE 1 OR 2 LT	$466.99	$466.99	$16.50–$466.99	78% above	—
X-ray of the knee, 1 or 2 views inpatient CPT 73560 X-RAY EXAM OF KNEE 1 OR 2 BIL	$700.48	$700.48	$175.12–$700.48	—	—
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 X-RAY EXAM OF KNEE 1 OR 2 LT	$466.99	$466.99	$116.75–$466.99	—	—
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 X-RAY EXAM OF KNEE 1 OR 2 RT	$466.99	$466.99	$116.75–$466.99	—	—
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-RAY OF LOWER SPINE 2-3 VW	$484.05	$484.05	$22.50–$484.05	84% above	—
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 X-RAY OF LOWER SPINE 2-3 VW	$484.05	$484.05	$121.01–$484.05	—	—
X-ray of the lower back, 4 or more views CPT 72110 X-RAY OF LOWER SPINE 4+ VW	$853.92	$853.92	$22.50–$853.92	147% above	—
X-ray of the lower back, 4 or more views inpatient CPT 72110 X-RAY OF LOWER SPINE 4+ VW	$853.92	$853.92	$213.48–$853.92	—	—
X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-RAY EXAM THORACIC SPINE 2 VW	$517.94	$517.94	$20.19–$517.94	46% above	—
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 X-RAY EXAM THORACIC SPINE 2 VW	$517.94	$517.94	$129.49–$517.94	—	—
X-ray of the nasal bones, 3 or more views CPT 70160 X-RAY EXAM NASAL BONES 3+ VWS	$382.70	$382.70	$11.50–$382.70	48% above	—
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 X-RAY EXAM NASAL BONES 3+ VWS	$382.70	$382.70	$95.68–$382.70	—	—
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-RAY EXAM NECK SPINE 2-3 VW	$690.17	$690.17	$16.50–$690.17	144% above	—
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 X-RAY EXAM NECK SPINE 2-3 VW	$690.17	$690.17	$172.54–$690.17	—	—
X-ray of the pelvis, 1 or 2 views CPT 72170 X-RAY EXAM OF PELVIS 1-2 VIEWS	$474.26	$474.26	$10.00–$474.26	80% above	—
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 X-RAY EXAM OF PELVIS 1-2 VIEWS	$474.26	$474.26	$118.56–$474.26	—	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-RAY OF TAILBONE 2+ VW	$514.29	$514.29	$16.50–$514.29	80% above	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 X-RAY OF TAILBONE 2+ VW	$514.29	$514.29	$128.57–$514.29	—	—

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Pennsylvania	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 RL TRANSFERASE; ALANINE AMINO	$72.78	$72.78	$2.51–$72.78	135% above	—
ALT (alanine aminotransferase) liver enzyme test CPT 84460 TRANSFERASE; ALANINE AMINO	$72.78	$72.78	$2.51–$72.78	135% above	—
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 RL TRANSFERASE; ALANINE AMINO	$72.78	$72.78	$18.20–$72.78	—	—
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 TRANSFERASE; ALANINE AMINO	$72.78	$72.78	$18.20–$72.78	—	—
AST (aspartate aminotransferase) enzyme test CPT 84450 AST OR SGOT	$68.02	$68.02	$2.44–$68.02	129% above	—
AST (aspartate aminotransferase) enzyme test CPT 84450 RL AST OR SGOT	$68.02	$68.02	$2.44–$68.02	129% above	—
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST OR SGOT	$68.02	$68.02	$17.00–$68.02	—	—
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 RL AST OR SGOT	$68.02	$68.02	$17.00–$68.02	—	—
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 RL ACUTE HEPATITIS PANEL	$414.83	$414.83	$23.52–$414.83	34% above	—
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL	$414.83	$414.83	$23.52–$414.83	34% above	—
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL	$414.83	$414.83	$103.71–$414.83	—	—
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 RL ACUTE HEPATITIS PANEL	$414.83	$414.83	$103.71–$414.83	—	—
Allergy blood test, specific IgE, per allergen CPT 86003 RL ALLG SPEC IGE CRUDE XTRC EA	$57.81	$57.81	$2.96–$57.81	93% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE XTRC EA	$57.81	$57.81	$2.96–$57.81	93% above	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG SPEC IGE CRUDE XTRC EA	$57.81	$57.81	$14.45–$57.81	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL ALLG SPEC IGE CRUDE XTRC EA	$57.81	$57.81	$14.45–$57.81	—	—
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY	$94.61	$94.61	$6.39–$94.61	30% above	—
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 RL CCP ANTIBODY	$94.61	$94.61	$6.39–$94.61	30% above	—
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 RL CCP ANTIBODY	$94.61	$94.61	$23.65–$94.61	—	—
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP ANTIBODY	$94.61	$94.61	$23.65–$94.61	—	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 RL ANTINUCLEAR AB (ANA)	$94.61	$94.61	$5.97–$94.61	46% above	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR AB (ANA);	$94.61	$94.61	$5.97–$94.61	46% above	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR AB (ANA);	$94.61	$94.61	$23.65–$94.61	—	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 RL ANTINUCLEAR AB (ANA)	$94.61	$94.61	$23.65–$94.61	—	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 RL B-TYPE NATRIURETIC PEPTIDE	$269.80	$269.80	$16.06–$269.80	68% above	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE	$269.80	$269.80	$16.06–$269.80	68% above	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NATRIURETIC PEPTIDE	$269.80	$269.80	$67.45–$269.80	—	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 RL B-TYPE NATRIURETIC PEPTIDE	$269.80	$269.80	$67.45–$269.80	—	—
Basic metabolic panel (blood test) CPT 80048 METABOLIC PANEL TOTAL CA	$209.72	$209.72	$3.47–$209.72	161% above	—
Basic metabolic panel (blood test) inpatient CPT 80048 METABOLIC PANEL TOTAL CA	$209.72	$209.72	$52.43–$209.72	—	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATHOLOG LVL 4	$255.06	$255.06	$9.00–$255.06	56% above	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 TISSUE EXAM BY PATHOLOG LVL 4	$255.06	$255.06	$63.76–$255.06	—	—
Blood culture for bacteria CPT 87040 AEROB BACTERIAL BLOOD CULTURE	$107.95	$107.95	$5.10–$107.95	27% above	—
Blood culture for bacteria inpatient CPT 87040 AEROB BACTERIAL BLOOD CULTURE	$107.95	$107.95	$26.99–$107.95	—	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCTURE	$26.07	$26.07	$0.02–$26.07	123% above	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ROUTINE VENIPUNCTURE	$26.07	$26.07	$6.52–$26.07	—	—
Blood glucose (sugar) test CPT 82947 RL GLUCOSE; QUAN BLOOD	$70.28	$70.28	$1.94–$70.28	189% above	—
Blood glucose (sugar) test CPT 82947 GLUCOSE; QUAN BLOOD	$70.28	$70.28	$1.94–$70.28	189% above	—
Blood glucose (sugar) test inpatient CPT 82947 RL GLUCOSE; QUAN BLOOD	$70.28	$70.28	$17.57–$70.28	—	—
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE; QUAN BLOOD	$70.28	$70.28	$17.57–$70.28	—	—
Blood lead test CPT 83655 RL LEAD	$114.01	$114.01	$7.00–$114.01	79% above	—
Blood lead test inpatient CPT 83655 RL LEAD	$114.01	$114.01	$28.50–$114.01	—	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 RL HCG; QUAL	$151.90	$151.90	$3.55–$151.90	242% above	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG; QUAL	$151.90	$151.90	$3.55–$151.90	242% above	—
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 RL HCG; QUAL	$151.90	$151.90	$37.98–$151.90	—	—
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG; QUAL	$151.90	$151.90	$37.98–$151.90	—	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING SEROLOGIC ABO	$193.85	$193.85	$1.48–$193.85	160% above	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING SEROLOGIC ABO	$193.85	$193.85	$48.46–$193.85	—	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN	$147.37	$147.37	$2.45–$147.37	341% above	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 RL C-REACTIVE PROTEIN	$147.37	$147.37	$2.45–$147.37	341% above	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 RL C-REACTIVE PROTEIN	$147.37	$147.37	$36.84–$147.37	—	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN	$147.37	$147.37	$36.84–$147.37	—	—
C. difficile toxin gene test (stool PCR) CPT 87493 RL C DIFF AMPLIFIED PROBE	$214.25	$214.25	$17.33–$214.25	26% above	—
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE	$214.25	$214.25	$17.33–$214.25	26% above	—
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF AMPLIFIED PROBE	$214.25	$214.25	$53.56–$214.25	—	—
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 RL C DIFF AMPLIFIED PROBE	$214.25	$214.25	$53.56–$214.25	—	—
CA 19-9 blood test (tumor marker) CPT 86301 RL IMMUNOASSAY CA 19-9	$149.64	$149.64	$10.28–$149.64	29% above	—
CA 19-9 blood test (tumor marker) CPT 86301 IA QUANT; CA 19-9	$149.64	$149.64	$10.28–$149.64	29% above	—
CA 19-9 blood test (tumor marker) inpatient CPT 86301 IA QUANT; CA 19-9	$149.64	$149.64	$37.41–$149.64	—	—
CA 19-9 blood test (tumor marker) inpatient CPT 86301 RL IMMUNOASSAY CA 19-9	$149.64	$149.64	$37.41–$149.64	—	—
CA-125 blood test (ovarian cancer marker) CPT 86304 IA QUANT; CA 125	$160.11	$160.11	$10.28–$160.11	27% above	—
CA-125 blood test (ovarian cancer marker) CPT 86304 RL IMMUNOASSAY CA 125	$160.11	$160.11	$10.28–$160.11	27% above	—
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 IA QUANT; CA 125	$160.11	$160.11	$40.03–$160.11	—	—
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 RL IMMUNOASSAY CA 125	$160.11	$160.11	$40.03–$160.11	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS CoV2/19 (COVID19)	$255.06	$255.06	$35.49–$255.06	240% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 RL SARS-CoV2/19-nCoV (COVID19)	$255.06	$255.06	$35.49–$255.06	240% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS CoV2/19 (COVID19)	$255.06	$255.06	$63.76–$255.06	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 RL SARS-CoV2/19-nCoV (COVID19)	$255.06	$255.06	$63.76–$255.06	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA T AMPLIF NA PROBE	$240.32	$240.32	$19.88–$240.32	49% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 RL CHLAMYDIA T AMPLIF NA PROBE	$240.32	$240.32	$19.88–$240.32	49% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA T AMPLIF NA PROBE	$240.32	$240.32	$60.08–$240.32	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 RL CHLAMYDIA T AMPLIF NA PROBE	$240.32	$240.32	$60.08–$240.32	—	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 RL LIPID PANEL	$218.78	$218.78	$6.02–$218.78	150% above	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$218.78	$218.78	$6.02–$218.78	150% above	—
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL	$218.78	$218.78	$54.70–$218.78	—	—
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 RL LIPID PANEL	$218.78	$218.78	$54.70–$218.78	—	—
Complete blood count (CBC) with differential CPT 85025 COMPL CBC W PLT W AUTOM DIFF	$99.46	$99.46	$3.68–$99.46	141% above	—
Complete blood count (CBC) with differential inpatient CPT 85025 COMPL CBC W PLT W AUTOM DIFF	$99.46	$99.46	$24.86–$99.46	—	—
Complete blood count (CBC), no differential CPT 85027 COMPL AUTOM CBC W PLT	$71.13	$71.13	$3.06–$71.13	102% above	—
Complete blood count (CBC), no differential inpatient CPT 85027 COMPL AUTOM CBC W PLT	$71.13	$71.13	$17.78–$71.13	—	—
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHEN METABOLIC PANEL	$297.00	$297.00	$5.99–$297.00	207% above	—
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHEN METABOLIC PANEL	$297.00	$297.00	$74.25–$297.00	—	—
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER - QUAN	$141.70	$141.70	$5.02–$141.70	130% above	—
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER - QUAN	$141.70	$141.70	$35.42–$141.70	—	—
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S	$206.21	$206.21	$10.98–$206.21	83% above	—
DHEA sulfate (DHEA-S) blood test CPT 82627 RL DEHYDOEPIANDROSTERONE SLFTE	$206.21	$206.21	$10.98–$206.21	83% above	—
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-S	$206.21	$206.21	$51.55–$206.21	—	—
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 RL DEHYDOEPIANDROSTERONE SLFTE	$206.21	$206.21	$51.55–$206.21	—	—
Estradiol blood test CPT 82670 RL ESTRADIOL	$218.78	$218.78	$13.80–$218.78	54% above	—
Estradiol blood test CPT 82670 ESTRADIOL	$218.78	$218.78	$13.80–$218.78	54% above	—
Estradiol blood test inpatient CPT 82670 RL ESTRADIOL	$218.78	$218.78	$54.70–$218.78	—	—
Estradiol blood test inpatient CPT 82670 ESTRADIOL	$218.78	$218.78	$54.70–$218.78	—	—
FSH (follicle-stimulating hormone) test CPT 83001 RL GONADOTROPIN;FSH	$60.76	$60.76	$8.79–$60.76	39% below	—
FSH (follicle-stimulating hormone) test CPT 83001 GONADOTROPIN; FSH	$182.51	$182.51	$8.79–$182.51	82% above	—
FSH (follicle-stimulating hormone) test inpatient CPT 83001 RL GONADOTROPIN;FSH	$60.76	$60.76	$15.19–$60.76	—	—
FSH (follicle-stimulating hormone) test inpatient CPT 83001 GONADOTROPIN; FSH	$182.51	$182.51	$45.63–$182.51	—	—
Fecal calprotectin (stool inflammation test) CPT 83993 ASSAY FOR CALPROTECTIN FECAL	$181.94	$181.94	$9.70–$181.94	76% above	—
Fecal calprotectin (stool inflammation test) CPT 83993 RL ASSAY FOR CALPROTECTIN FECL	$181.94	$181.94	$9.70–$181.94	76% above	—
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 ASSAY FOR CALPROTECTIN FECAL	$181.94	$181.94	$45.48–$181.94	—	—
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 RL ASSAY FOR CALPROTECTIN FECL	$181.94	$181.94	$45.48–$181.94	—	—
Ferritin blood test (iron stores) CPT 82728 RL FERRITIN	$142.83	$142.83	$6.73–$142.83	79% above	—
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$142.83	$142.83	$6.73–$142.83	79% above	—
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$142.83	$142.83	$35.71–$142.83	—	—
Ferritin blood test (iron stores) inpatient CPT 82728 RL FERRITIN	$142.83	$142.83	$35.71–$142.83	—	—
Folate (folic acid) blood test CPT 82746 FOLIC ACID; SERUM	$142.83	$142.83	$7.26–$142.83	89% above	—
Folate (folic acid) blood test CPT 82746 RL FOLIC ACID	$142.83	$142.83	$7.26–$142.83	89% above	—
Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID; SERUM	$142.83	$142.83	$35.71–$142.83	—	—
Folate (folic acid) blood test inpatient CPT 82746 RL FOLIC ACID	$142.83	$142.83	$35.71–$142.83	—	—
Free T3 thyroid hormone test CPT 84481 RL FREE T3	$112.32	$112.32	$15.25–$112.32	18% above	—
Free T3 thyroid hormone test CPT 84481 T3; FREE	$122.43	$122.43	$8.37–$122.43	28% above	—
Free T3 thyroid hormone test inpatient CPT 84481 RL FREE T3	$112.32	$112.32	$28.08–$112.32	—	—
Free T3 thyroid hormone test inpatient CPT 84481 T3; FREE	$122.43	$122.43	$30.61–$122.43	—	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 RL T-4 (THYROXINE), FREE	$103.16	$103.16	$5.11–$103.16	96% above	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE THYROXINE	$103.16	$103.16	$5.11–$103.16	96% above	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE THYROXINE	$103.16	$103.16	$25.79–$103.16	—	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 RL T-4 (THYROXINE), FREE	$103.16	$103.16	$25.79–$103.16	—	—
Free testosterone test CPT 84402 RL TESTOSTERONE FREE	$183.34	$183.34	$12.58–$183.34	43% above	—
Free testosterone test CPT 84402 TESTOSTERONE; FREE	$183.34	$183.34	$12.58–$183.34	43% above	—
Free testosterone test inpatient CPT 84402 TESTOSTERONE; FREE	$183.34	$183.34	$45.84–$183.34	—	—
Free testosterone test inpatient CPT 84402 RL TESTOSTERONE FREE	$183.34	$183.34	$45.84–$183.34	—	—
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL	$167.77	$167.77	$17.36–$167.77	37% above	—
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL	$167.77	$167.77	$41.94–$167.77	—	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE; POST GLUCOSE DOSE	$74.15	$74.15	$2.25–$74.15	100% above	—
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE; POST GLUCOSE DOSE	$74.15	$74.15	$18.54–$74.15	—	—
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE TEST 3 SPECM	$140.57	$140.57	$4.63–$140.57	84% above	—
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE TEST 3 SPECM	$140.57	$140.57	$35.14–$140.57	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA AMPLIF NA PROBE	$240.32	$240.32	$19.88–$240.32	63% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 RL NEISSERIA AMPLIF NA PROBE	$240.32	$240.32	$19.88–$240.32	63% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 RL NEISSERIA AMPLIF NA PROBE	$240.32	$240.32	$60.08–$240.32	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA AMPLIF NA PROBE	$240.32	$240.32	$60.08–$240.32	—	—
H. pylori antibody blood test CPT 86677 RL HELICOBACTER PYLORI ANTIBDS	$100.89	$100.89	$7.16–$100.89	at median	—
H. pylori antibody blood test CPT 86677 AB; HELICOBACTER PYLORI	$100.89	$100.89	$7.16–$100.89	at median	—
H. pylori antibody blood test inpatient CPT 86677 AB; HELICOBACTER PYLORI	$100.89	$100.89	$25.22–$100.89	—	—
H. pylori antibody blood test inpatient CPT 86677 RL HELICOBACTER PYLORI ANTIBDS	$100.89	$100.89	$25.22–$100.89	—	—
H. pylori stool antigen test CPT 87338 RL HPYLORI STOOL IA	$219.92	$219.92	$7.10–$219.92	167% above	—
H. pylori stool antigen test CPT 87338 RL HELICOBACTR PYLOR ANTG FECS	$219.92	$219.92	$7.10–$219.92	167% above	—
H. pylori stool antigen test CPT 87338 HPYLORI STOOL IA	$219.92	$219.92	$7.10–$219.92	167% above	—
H. pylori stool antigen test inpatient CPT 87338 RL HPYLORI STOOL IA	$219.92	$219.92	$54.98–$219.92	—	—
H. pylori stool antigen test inpatient CPT 87338 HPYLORI STOOL IA	$219.92	$219.92	$54.98–$219.92	—	—
H. pylori stool antigen test inpatient CPT 87338 RL HELICOBACTR PYLOR ANTG FECS	$219.92	$219.92	$54.98–$219.92	—	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QUANT&REVRSE TRNSCRPJ	$627.10	$627.10	$42.02–$627.10	38% above	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 RL HIV-1 RNA QUANTATVE PCR CSF	$627.10	$627.10	$42.02–$627.10	38% above	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 RL HIV-1 RNA BY PCR QUANT	$627.10	$627.10	$42.02–$627.10	38% above	—
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 QUANT&REVRSE TRNSCRPJ	$627.10	$627.10	$156.78–$627.10	—	—
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 RL HIV-1 RNA QUANTATVE PCR CSF	$627.10	$627.10	$156.78–$627.10	—	—
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 RL HIV-1 RNA BY PCR QUANT	$627.10	$627.10	$156.78–$627.10	—	—
HIV-1 and HIV-2 antibody test CPT 86703 HIV-1/HIV-2 SINGLE RESULT	$61.56	$61.56	$6.77–$61.56	35% below	—
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV-1/HIV-2 SINGLE RESULT	$61.56	$61.56	$15.39–$61.56	—	—
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 RL HIV-1 AG W/HIV-1 & HIV-2 AB	$113.36	$113.36	$11.89–$113.36	9% below	—
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 AG W/HIV-1 & HIV-2 AB	$113.36	$113.36	$11.89–$113.36	9% below	—
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 RL HIV-1 AG W/HIV-1 & HIV-2 AB	$113.36	$113.36	$28.34–$113.36	—	—
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV-1 AG W/HIV-1 & HIV-2 AB	$113.36	$113.36	$28.34–$113.36	—	—
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH-RISK TYPES	$240.32	$240.32	$19.10–$240.32	25% above	—
HPV test for high-risk types, one combined (pooled) result CPT 87624 RL HPV HIGH-RISK TYPES	$240.32	$240.32	$19.10–$240.32	25% above	—
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV HIGH-RISK TYPES	$240.32	$240.32	$60.08–$240.32	—	—
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 RL HPV HIGH-RISK TYPES	$240.32	$240.32	$60.08–$240.32	—	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 RL GLYCOSYLATED HEMOGLOBIN TST	$117.89	$117.89	$7.00–$117.89	150% above	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 RL HEMOGLOBIN A1C	$117.89	$117.89	$7.00–$117.89	150% above	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOSYLATED HEMOGLOBIN TEST	$117.89	$117.89	$7.00–$117.89	150% above	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 RL HEMOGLOBIN A1C	$117.89	$117.89	$29.47–$117.89	—	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOSYLATED HEMOGLOBIN TEST	$117.89	$117.89	$29.47–$117.89	—	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 RL GLYCOSYLATED HEMOGLOBIN TST	$117.89	$117.89	$29.47–$117.89	—	—
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 AB: HBSAB	$78.84	$78.84	$5.30–$78.84	31% above	—
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 RL HEPATITIS B SURFACE AB	$78.84	$78.84	$5.30–$78.84	31% above	—
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 AB: HBSAB	$78.84	$78.84	$19.71–$78.84	—	—
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 RL HEPATITIS B SURFACE AB	$78.84	$78.84	$19.71–$78.84	—	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG IA	$100.89	$100.89	$5.10–$100.89	73% above	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 RL HEPATITIS B SURFACE ANTIGEN	$100.89	$100.89	$5.10–$100.89	73% above	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE AG IA	$100.89	$100.89	$25.22–$100.89	—	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 RL HEPATITIS B SURFACE ANTIGEN	$100.89	$100.89	$25.22–$100.89	—	—
Hepatitis C antibody blood test (screening) CPT 86803 RL HEPATITIS C ANTIBODY	$129.79	$129.79	$6.23–$129.79	36% above	—
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB	$129.79	$129.79	$6.23–$129.79	36% above	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB	$129.79	$129.79	$32.45–$129.79	—	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 RL HEPATITIS C ANTIBODY	$129.79	$129.79	$32.45–$129.79	—	—
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C REVRS TRNSCRPJ	$477.25	$477.25	$21.15–$477.25	100% above	—
Hepatitis C viral load (HCV RNA) test CPT 87522 RL HEPATITIS C VIRUS RNA	$477.25	$477.25	$21.15–$477.25	100% above	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C REVRS TRNSCRPJ	$477.25	$477.25	$119.31–$477.25	—	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 RL HEPATITIS C VIRUS RNA	$477.25	$477.25	$119.31–$477.25	—	—
Herpes blood test, HSV-1 antibody CPT 86695 AB; HSV 1	$100.89	$100.89	$6.51–$100.89	37% above	—
Herpes blood test, HSV-1 antibody CPT 86695 RL HERPES SIMPLEX TYPE 1	$100.89	$100.89	$6.51–$100.89	37% above	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 RL HERPES SIMPLEX TYPE 1	$100.89	$100.89	$25.22–$100.89	—	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 AB; HSV 1	$100.89	$100.89	$25.22–$100.89	—	—
Herpes blood test, HSV-2 antibody CPT 86696 RL HERPES SIMPLEX TYPE 2	$134.90	$134.90	$9.56–$134.90	50% above	—
Herpes blood test, HSV-2 antibody CPT 86696 AB; HSV TYPE 2	$134.90	$134.90	$9.56–$134.90	50% above	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 AB; HSV TYPE 2	$134.90	$134.90	$33.72–$134.90	—	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 RL HERPES SIMPLEX TYPE 2	$134.90	$134.90	$33.72–$134.90	—	—
High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HS	$107.74	$107.74	$6.39–$107.74	53% above	—
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-REACTIVE PROTEIN HS	$107.74	$107.74	$26.94–$107.74	—	—
Homocysteine blood test CPT 83090 RL HOMOCYSTEINE, TOTAL	$177.98	$177.98	$8.33–$177.98	80% above	—
Homocysteine blood test CPT 83090 HOMOCYSTEINE	$177.98	$177.98	$8.33–$177.98	80% above	—
Homocysteine blood test inpatient CPT 83090 RL HOMOCYSTEINE, TOTAL	$177.98	$177.98	$44.50–$177.98	—	—
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE	$177.98	$177.98	$44.50–$177.98	—	—
Insulin blood test CPT 83525 RL INSULIN	$106.56	$106.56	$5.64–$106.56	85% above	—
Insulin blood test CPT 83525 RL INSULIN; TOTAL	$106.56	$106.56	$5.64–$106.56	85% above	—
Insulin blood test CPT 83525 INSULIN; TOTAL	$106.56	$106.56	$5.64–$106.56	85% above	—
Insulin blood test inpatient CPT 83525 RL INSULIN	$106.56	$106.56	$26.64–$106.56	—	—
Insulin blood test inpatient CPT 83525 INSULIN; TOTAL	$106.56	$106.56	$26.64–$106.56	—	—
Insulin blood test inpatient CPT 83525 RL INSULIN; TOTAL	$106.56	$106.56	$26.64–$106.56	—	—
Iron blood test (serum iron) CPT 83540 RL IRON	$70.28	$70.28	$3.20–$70.28	54% above	—
Iron blood test (serum iron) CPT 83540 IRON	$75.20	$75.20	$3.20–$75.20	65% above	—
Iron blood test (serum iron) inpatient CPT 83540 RL IRON	$70.28	$70.28	$17.57–$70.28	—	—
Iron blood test (serum iron) inpatient CPT 83540 IRON	$75.20	$75.20	$18.80–$75.20	—	—
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY	$88.42	$88.42	$4.32–$88.42	53% above	—
Iron-binding capacity (TIBC) test CPT 83550 RL IRON BINDING CAPACITY,TOTAL	$88.42	$88.42	$4.32–$88.42	53% above	—
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY	$88.42	$88.42	$22.10–$88.42	—	—
Iron-binding capacity (TIBC) test inpatient CPT 83550 RL IRON BINDING CAPACITY,TOTAL	$88.42	$88.42	$22.10–$88.42	—	—
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$225.59	$225.59	$4.11–$225.59	230% above	—
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$225.59	$225.59	$56.40–$225.59	—	—
LH (luteinizing hormone) test CPT 83002 GONADOTROPIN LUTEINIZING HORMN	$182.51	$182.51	$8.76–$182.51	82% above	—
LH (luteinizing hormone) test CPT 83002 RL LUTEINIZING HORMONE	$182.51	$182.51	$8.76–$182.51	82% above	—
LH (luteinizing hormone) test inpatient CPT 83002 GONADOTROPIN LUTEINIZING HORMN	$182.51	$182.51	$45.63–$182.51	—	—
LH (luteinizing hormone) test inpatient CPT 83002 RL LUTEINIZING HORMONE	$182.51	$182.51	$45.63–$182.51	—	—
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$126.96	$126.96	$3.40–$126.96	202% above	—
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$126.96	$126.96	$31.74–$126.96	—	—
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$167.77	$167.77	$4.04–$167.77	112% above	—
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL	$167.77	$167.77	$41.94–$167.77	—	—
Lyme disease antibody test CPT 86618 RL LYME DISEASE AB SCREEN	$128.10	$128.10	$8.41–$128.10	52% above	—
Lyme disease antibody test CPT 86618 AB; LYME'S DISEASE	$128.10	$128.10	$8.41–$128.10	52% above	—
Lyme disease antibody test inpatient CPT 86618 RL LYME DISEASE AB SCREEN	$128.10	$128.10	$32.02–$128.10	—	—
Lyme disease antibody test inpatient CPT 86618 AB; LYME'S DISEASE	$128.10	$128.10	$32.02–$128.10	—	—
Magnesium blood test CPT 83735 MAGNESIUM	$106.56	$106.56	$3.31–$106.56	215% above	—
Magnesium blood test CPT 83735 RL MAGNESIUM	$106.56	$106.56	$3.31–$106.56	215% above	—
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$106.56	$106.56	$26.64–$106.56	—	—
Magnesium blood test inpatient CPT 83735 RL MAGNESIUM	$106.56	$106.56	$26.64–$106.56	—	—
Measles (rubeola) antibody test CPT 86765 RUBEOLA IGG	$72.78	$72.78	$6.36–$72.78	1% above	—
Measles (rubeola) antibody test CPT 86765 RL RUBEOLA IGG	$72.78	$72.78	$6.36–$72.78	1% above	—
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA IGG	$72.78	$72.78	$18.20–$72.78	—	—
Measles (rubeola) antibody test inpatient CPT 86765 RL RUBEOLA IGG	$72.78	$72.78	$18.20–$72.78	—	—
Mono test (heterophile antibody, Monospot) CPT 86308 QUAL HETEROPHILE AB	$72.78	$72.78	$2.45–$72.78	90% above	—
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 QUAL HETEROPHILE AB	$72.78	$72.78	$18.20–$72.78	—	—
Obstetric blood test panel CPT 80055 OBSTETRIC PANEL	$200.71	$200.71	$12.00–$200.71	6% below	—
Obstetric blood test panel inpatient CPT 80055 OBSTETRIC PANEL	$200.71	$200.71	$50.18–$200.71	—	—
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA; FREE	$125.83	$125.83	$9.08–$125.83	38% above	—
PSA (prostate-specific antigen) blood test, free CPT 84154 RL PSA; FREE	$125.83	$125.83	$9.08–$125.83	38% above	—
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA; FREE	$125.83	$125.83	$31.46–$125.83	—	—
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 RL PSA; FREE	$125.83	$125.83	$31.46–$125.83	—	—
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA; TOTAL	$156.44	$156.44	$10.42–$156.44	75% above	—
PSA (prostate-specific antigen) blood test, total CPT 84153 RL PSA; TOTAL	$156.44	$156.44	$10.42–$156.44	75% above	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA; TOTAL	$156.44	$156.44	$39.11–$156.44	—	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 RL PSA; TOTAL	$156.44	$156.44	$39.11–$156.44	—	—
Pap test (liquid-based, automated screening with review) CPT 88175 RL CYTOPATH C/V AUTO FLUID RED	$111.25	$111.25	$15.01–$111.25	43% above	—
Pap test (liquid-based, automated screening with review) CPT 88175 CYTOPATH C/V AUTO FLUID REDO	$111.25	$111.25	$15.01–$111.25	43% above	—
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 RL CYTOPATH C/V AUTO FLUID RED	$111.25	$111.25	$27.81–$111.25	—	—
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 CYTOPATH C/V AUTO FLUID REDO	$111.25	$111.25	$27.81–$111.25	—	—
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 RL CP CERV/VAG; ATL; MANL SCRN	$148.29	$148.29	$11.48–$148.29	142% above	—
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CP CERV/VAG; ATL; MANUAL SCRN	$148.29	$148.29	$11.48–$148.29	142% above	—
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 RL CP CERV/VAG; ATL; MANL SCRN	$148.29	$148.29	$37.07–$148.29	—	—
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CP CERV/VAG; ATL; MANUAL SCRN	$148.29	$148.29	$37.07–$148.29	—	—
Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE	$287.93	$287.93	$20.38–$287.93	41% above	—
Parathyroid hormone (PTH) blood test CPT 83970 RL PARATHYROID HORMONE INTACT	$287.93	$287.93	$20.38–$287.93	41% above	—
Parathyroid hormone (PTH) blood test inpatient CPT 83970 RL PARATHYROID HORMONE INTACT	$287.93	$287.93	$71.98–$287.93	—	—
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHORMONE	$287.93	$287.93	$71.98–$287.93	—	—
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT; PLASMA OR WHOLE BLOOD.	$65.75	$65.75	$2.97–$65.75	60% above	—
Partial thromboplastin time (PTT) clotting test CPT 85730 RL PTT (LAC)	$65.75	$65.75	$2.97–$65.75	60% above	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 RL PTT (LAC)	$65.75	$65.75	$16.44–$65.75	—	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT; PLASMA OR WHOLE BLOOD.	$65.75	$65.75	$16.44–$65.75	—	—
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 RL FETAL CHRMOML ANEUPLOIDY	$2,731.98	$2,731.98	$521.23–$2,731.98	32% above	—
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 RL FETAL CHRMOML ANEUPLOIDY	$2,731.98	$2,731.98	$683.00–$2,731.98	—	—
Progesterone blood test CPT 84144 RL PROGESTERONE	$146.41	$146.41	$10.30–$146.41	25% above	—
Progesterone blood test CPT 84144 PROGESTERONE ASSAY	$146.41	$146.41	$10.30–$146.41	25% above	—
Progesterone blood test inpatient CPT 84144 PROGESTERONE ASSAY	$146.41	$146.41	$36.60–$146.41	—	—
Progesterone blood test inpatient CPT 84144 RL PROGESTERONE	$146.41	$146.41	$36.60–$146.41	—	—
Prolactin blood test CPT 84146 RL PROLACTIN ASSAY	$135.28	$135.28	$9.57–$135.28	28% above	—
Prolactin blood test CPT 84146 PROLACTIN ASSAY	$135.28	$135.28	$9.57–$135.28	28% above	—
Prolactin blood test inpatient CPT 84146 PROLACTIN ASSAY	$135.28	$135.28	$33.82–$135.28	—	—
Prolactin blood test inpatient CPT 84146 RL PROLACTIN ASSAY	$135.28	$135.28	$33.82–$135.28	—	—
Prothrombin time (PT/INR) clotting test CPT 85610 RL PROTIME/INR	$48.52	$48.52	$3.86–$48.52	103% above	—
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME;	$48.52	$48.52	$3.86–$48.52	103% above	—
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME, FINGERSTICK	$48.52	$48.52	$3.86–$48.52	103% above	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME, FINGERSTICK	$48.52	$48.52	$12.13–$48.52	—	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 RL PROTIME/INR	$48.52	$48.52	$12.13–$48.52	—	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME;	$48.52	$48.52	$12.13–$48.52	—	—
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 RL DRUG TEST PRSMV DIR OPT OBS	$71.42	$71.42	$8.83–$71.42	120% above	—
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST PRSMV DIR OPT OBS	$71.42	$71.42	$8.83–$71.42	120% above	—
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 RL DRUG TEST PRSMV DIR OPT OBS	$71.42	$71.42	$17.86–$71.42	—	—
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG TEST PRSMV DIR OPT OBS	$71.42	$71.42	$17.86–$71.42	—	—
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA IA W DO	$56.32	$56.32	$11.35–$56.32	61% above	—
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA IA W DO	$56.32	$56.32	$14.08–$56.32	—	—
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A ASSAY W/OPTIC	$60.15	$60.15	$6.30–$60.15	15% above	—
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP A ASSAY W/OPTIC	$60.15	$60.15	$15.04–$60.15	—	—
Rheumatoid factor (RF) test CPT 86431 QUAN RHEUM FACTOR	$29.11	$29.11	$2.80–$29.11	25% below	—
Rheumatoid factor (RF) test CPT 86431 RL QUAN RHEUM FACTOR	$29.11	$29.11	$2.80–$29.11	25% below	—
Rheumatoid factor (RF) test inpatient CPT 86431 QUAN RHEUM FACTOR	$29.11	$29.11	$7.28–$29.11	—	—
Rheumatoid factor (RF) test inpatient CPT 86431 RL QUAN RHEUM FACTOR	$29.11	$29.11	$7.28–$29.11	—	—
Rubella antibody test (immunity check) CPT 86762 RL RUBELLA IGG	$111.09	$111.09	$7.11–$111.09	38% above	—
Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG	$111.09	$111.09	$7.11–$111.09	38% above	—
Rubella antibody test (immunity check) inpatient CPT 86762 RL RUBELLA IGG	$111.09	$111.09	$27.77–$111.09	—	—
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IGG	$111.09	$111.09	$27.77–$111.09	—	—
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 AUTOM ERYTHROCYTE SED RATE	$65.75	$65.75	$2.05–$65.75	219% above	—
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 AUTOM ERYTHROCYTE SED RATE	$65.75	$65.75	$16.44–$65.75	—	—
Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANAL VOL/COUNT/MOT	$205.70	$205.70	$5.95–$205.70	132% above	—
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 SEMEN ANAL VOL/COUNT/MOT	$205.70	$205.70	$51.42–$205.70	—	—
Stool ova and parasites exam CPT 87177 RL OVA & PARASITE DIR SMR W ID	$99.27	$99.27	$4.40–$99.27	102% above	—
Stool ova and parasites exam CPT 87177 OVA & PARASITES DIR SMR W ID	$99.27	$99.27	$4.40–$99.27	102% above	—
Stool ova and parasites exam inpatient CPT 87177 OVA & PARASITES DIR SMR W ID	$99.27	$99.27	$24.82–$99.27	—	—
Stool ova and parasites exam inpatient CPT 87177 RL OVA & PARASITE DIR SMR W ID	$99.27	$99.27	$24.82–$99.27	—	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD FECES	$29.11	$29.11	$3.28–$29.11	43% above	—
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD FECES	$29.11	$29.11	$7.28–$29.11	—	—
Stool test for hidden blood by immunoassay (FIT) CPT 82274 RL BLOOD FECAL IMMUNO	$81.32	$81.32	$2.80–$81.32	126% above	—
Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLD FHG QUAL 1-3	$81.32	$81.32	$2.80–$81.32	126% above	—
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 OCCULT BLD FHG QUAL 1-3	$81.32	$81.32	$20.33–$81.32	—	—
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 RL BLOOD FECAL IMMUNO	$81.32	$81.32	$20.33–$81.32	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RAPID PLASMA REAGIN	$41.94	$41.94	$2.11–$41.94	54% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RL RAPID PLASMA REAGIN	$41.94	$41.94	$2.11–$41.94	54% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RL VDRL (CSF)	$41.94	$41.94	$2.11–$41.94	54% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RL VDRL (CSF)	$41.94	$41.94	$10.48–$41.94	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RL RAPID PLASMA REAGIN	$41.94	$41.94	$10.48–$41.94	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RAPID PLASMA REAGIN	$41.94	$41.94	$10.48–$41.94	—	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 RL TB TEST, CELL IMMUN MEASURE	$540.98	$540.98	$30.61–$540.98	110% above	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST CELL IMMUN MEASURE	$540.98	$540.98	$30.61–$540.98	110% above	—
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB TEST CELL IMMUN MEASURE	$540.98	$540.98	$135.24–$540.98	—	—
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 RL TB TEST, CELL IMMUN MEASURE	$540.98	$540.98	$135.24–$540.98	—	—
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE; TOTAL	$180.24	$180.24	$12.75–$180.24	22% above	—
Testosterone blood test, total (not free testosterone) CPT 84403 RL TESTOSTERONE, TOTAL	$180.24	$180.24	$12.75–$180.24	22% above	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE; TOTAL	$180.24	$180.24	$45.06–$180.24	—	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 RL TESTOSTERONE, TOTAL	$180.24	$180.24	$45.06–$180.24	—	—
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL AB EACH	$100.89	$100.89	$7.18–$100.89	44% above	—
Thyroid peroxidase (TPO) antibody test CPT 86376 RL MICROSOMAL AB EACH	$100.89	$100.89	$7.18–$100.89	44% above	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL AB EACH	$100.89	$100.89	$25.22–$100.89	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 RL MICROSOMAL AB EACH	$100.89	$100.89	$25.22–$100.89	—	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 RL THYROID STIMULATING HORMONE	$117.72	$117.72	$7.95–$117.72	36% above	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE	$130.15	$130.15	$7.95–$130.15	50% above	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 RL THYROID STIMULATING HORMONE	$117.72	$117.72	$29.43–$117.72	—	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMONE	$130.15	$130.15	$32.54–$130.15	—	—
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPLIF	$175.81	$175.81	$19.15–$175.81	16% above	—
Trichomonas test (NAAT) CPT 87661 RL TRICHOMONAS VAGINALIS AMPLF	$175.81	$175.81	$19.15–$175.81	16% above	—
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS AMPLIF	$175.81	$175.81	$43.95–$175.81	—	—
Trichomonas test (NAAT) inpatient CPT 87661 RL TRICHOMONAS VAGINALIS AMPLF	$175.81	$175.81	$43.95–$175.81	—	—
Uric acid blood test CPT 84550 URIC ACID; BLOOD	$78.84	$78.84	$2.14–$78.84	174% above	—
Uric acid blood test inpatient CPT 84550 URIC ACID; BLOOD	$78.84	$78.84	$19.71–$78.84	—	—
Urinalysis with microscope exam, automated CPT 81001 AUTOM URINE DIP W MICRO	$82.75	$82.75	$2.85–$82.75	180% above	—
Urinalysis with microscope exam, automated inpatient CPT 81001 AUTOM URINE DIP W MICRO	$82.75	$82.75	$20.69–$82.75	—	—
Urinalysis without microscope exam, automated CPT 81003 AUTOM URINALYSIS WO MICRO	$65.75	$65.75	$1.06–$65.75	278% above	—
Urinalysis without microscope exam, automated CPT 81003 RL AUTOM URINALYSIS WO MICRO	$65.75	$65.75	$1.06–$65.75	278% above	—
Urinalysis without microscope exam, automated inpatient CPT 81003 AUTOM URINALYSIS WO MICRO	$65.75	$65.75	$16.44–$65.75	—	—
Urinalysis without microscope exam, automated inpatient CPT 81003 RL AUTOM URINALYSIS WO MICRO	$65.75	$65.75	$16.44–$65.75	—	—
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS DIPSTICK	$31.74	$31.74	$2.77–$31.74	80% above	—
Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS DIPSTICK	$31.74	$31.74	$7.94–$31.74	—	—
Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE-TEST EXCHANGE	$79.70	$79.70	$3.98–$79.70	48% above	—
Urine culture for bacteria, with colony count inpatient CPT 87086 URINE CULTURE-TEST EXCHANGE	$79.70	$79.70	$19.92–$79.70	—	—
Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY VISUAL COLOR	$91.82	$91.82	$4.00–$91.82	180% above	—
Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREGNANCY VISUAL COLOR	$91.82	$91.82	$22.96–$91.82	—	—
Vitamin B12 (cobalamin) blood test CPT 82607 RL VITAMIN B12	$158.70	$158.70	$8.54–$158.70	107% above	—
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 LEVEL	$158.70	$158.70	$8.54–$158.70	107% above	—
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 RL VITAMIN B12	$158.70	$158.70	$39.67–$158.70	—	—
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B-12 LEVEL	$158.70	$158.70	$39.67–$158.70	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY	$223.32	$223.32	$16.78–$223.32	56% above	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 RL VITAMIN D, 25-HYDROXY	$223.32	$223.32	$16.78–$223.32	56% above	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 HYDROXY	$223.32	$223.32	$55.83–$223.32	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 RL VITAMIN D, 25-HYDROXY	$223.32	$223.32	$55.83–$223.32	—	—
Zinc blood test CPT 84630 RL ZINC	$78.22	$78.22	$5.62–$78.22	36% above	—
Zinc blood test inpatient CPT 84630 RL ZINC	$78.22	$78.22	$19.56–$78.22	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG; QUAN	$112.80	$112.80	$7.44–$112.80	49% above	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 RL HCG; QUAN	$112.80	$112.80	$7.44–$112.80	49% above	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG; QUAN	$112.80	$112.80	$28.20–$112.80	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 RL HCG; QUAN	$112.80	$112.80	$28.20–$112.80	—	—

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Pennsylvania	Off list
Botox injections for chronic migraine CPT 64615 CHEMODENERV MUSC MIGRAINE	$754.88	$754.88	$102.49–$1,083.00	76% above	—
Botox injections for chronic migraine inpatient CPT 64615 CHEMODENERV MUSC MIGRAINE	$754.88	$754.88	$188.72–$754.88	—	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BREAST 1ST LES STRTCTC BIL	$3,821.05	$3,821.05	$148.30–$3,821.05	8% above	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 BX BREAST 1ST LES STRTCTC LT	$2,547.37	$2,547.37	$148.30–$2,547.37	28% below	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 BX BREAST 1ST LES STRTCTC RT	$2,547.37	$2,547.37	$148.30–$2,547.37	28% below	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 BX BREAST 1ST LES STRTCTC BIL	$3,821.05	$3,821.05	$955.26–$3,821.05	—	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 BX BREAST 1ST LES STRTCTC LT	$2,547.37	$2,547.37	$636.84–$2,547.37	—	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 BX BREAST 1ST LES STRTCTC RT	$2,547.37	$2,547.37	$636.84–$2,547.37	—	—
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CL TX DSTL FIB FX WO MANIP BIL	$994.43	$994.43	$118.50–$1,083.00	72% above	—
Broken ankle (outer ankle bone) treatment without surgery or setting one side CPT 27786 CL TX DSTL FIB FX WO MANIP LT	$662.95	$662.95	$118.50–$1,083.00	14% above	—
Broken ankle (outer ankle bone) treatment without surgery or setting one side CPT 27786 CL TX DSTL FIB FX WO MANIP RT	$662.95	$662.95	$118.50–$1,083.00	14% above	—
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 CL TX DSTL FIB FX WO MANIP BIL	$994.43	$994.43	$248.61–$994.43	—	—
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient one side CPT 27786 CL TX DSTL FIB FX WO MANIP LT	$662.95	$662.95	$165.74–$662.95	—	—
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient one side CPT 27786 CL TX DSTL FIB FX WO MANIP RT	$662.95	$662.95	$165.74–$662.95	—	—
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 CL TX METATARSAL FX; WO MANIP	$699.42	$699.42	$84.50–$1,083.00	39% above	—
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 CL TX METATARSAL FX; WO MANIP	$699.42	$699.42	$174.86–$699.42	—	—
Cardiac catheterization with coronary angiogram CPT 93458 L HRT ARTERY/VENTRICLE ANGIO	$13,689.38	$13,689.38	$1,269.74–$13,689.38	70% above	—
Cardiac catheterization with coronary angiogram inpatient CPT 93458 L HRT ARTERY/VENTRICLE ANGIO	$13,689.38	$13,689.38	$3,422.34–$13,689.38	—	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT	$1,733.31	$1,733.31	$87.00–$1,733.31	39% above	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTRIC EXT	$1,733.31	$1,733.31	$433.33–$1,733.31	—	—
Carpal tunnel release, open surgery CPT 64721 NEUROPLST MED NRV CARP TUN BIL	$7,452.45	$7,452.45	$300.00–$7,452.45	95% above	—
Carpal tunnel release, open surgery one side CPT 64721 NEUROPLST MED NRV CARP TUN LT	$4,968.30	$4,968.30	$300.00–$4,968.30	30% above	—
Carpal tunnel release, open surgery one side CPT 64721 NEUROPLST MED NRV CARP TUN RT	$4,968.30	$4,968.30	$300.00–$4,968.30	30% above	—
Carpal tunnel release, open surgery inpatient CPT 64721 NEUROPLST MED NRV CARP TUN BIL	$7,452.45	$7,452.45	$1,863.11–$7,452.45	—	—
Carpal tunnel release, open surgery inpatient one side CPT 64721 NEUROPLST MED NRV CARP TUN RT	$4,968.30	$4,968.30	$1,242.08–$4,968.30	—	—
Carpal tunnel release, open surgery inpatient one side CPT 64721 NEUROPLST MED NRV CARP TUN LT	$4,968.30	$4,968.30	$1,242.08–$4,968.30	—	—
Catheter ablation for atrial fibrillation CPT 93656 TX ATRIAL FIB PULM VEIN ISOL	$45,213.64	$45,213.64	$904.08–$45,213.64	46% above	—
Catheter ablation for atrial fibrillation inpatient CPT 93656 TX ATRIAL FIB PULM VEIN ISOL	$45,213.64	$45,213.64	$11,303.41–$45,213.64	—	—
Cervical biopsy CPT 57500 BIOPSY OF CERVIX	$1,775.70	$1,775.70	$66.12–$1,775.70	8% above	—
Cervical biopsy inpatient CPT 57500 BIOPSY OF CERVIX	$1,775.70	$1,775.70	$443.92–$1,775.70	—	—
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUM 28 DAYS OR OLDER	$5,231.07	$5,231.07	$128.00–$5,231.07	22% above	—
Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 CIRCUM 28 DAYS OR OLDER	$5,231.07	$5,231.07	$1,307.77–$5,231.07	—	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION W/REGIONL BLOCK	$5,518.78	$5,518.78	$79.00–$5,518.78	353% above	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION W/REGIONL BLOCK	$5,518.78	$5,518.78	$1,379.70–$5,518.78	—	—
Circumcision, surgical, older than a newborn CPT 54160 CIRCUMCISION NEONATE <=28 DAYS	$1,912.10	$1,912.10	$126.21–$2,239.00	292% above	—
Circumcision, surgical, older than a newborn inpatient CPT 54160 CIRCUMCISION NEONATE <=28 DAYS	$1,912.10	$1,912.10	$478.02–$1,912.10	—	—
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLTX DIS RADFX/EPYS WO MN BIL	$994.43	$994.43	$114.50–$1,083.00	97% above	—
Closed treatment of a wrist (distal radius) fracture, no resetting one side CPT 25600 CLTX DIS RADFX/EPYS WO MN LT	$662.95	$662.95	$114.50–$1,083.00	31% above	—
Closed treatment of a wrist (distal radius) fracture, no resetting one side CPT 25600 CLTX DIS RADFX/EPYS WO MN RT	$662.95	$662.95	$114.50–$1,083.00	31% above	—
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 CLTX DIS RADFX/EPYS WO MN BIL	$994.43	$994.43	$248.61–$994.43	—	—
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient one side CPT 25600 CLTX DIS RADFX/EPYS WO MN LT	$662.95	$662.95	$165.74–$662.95	—	—
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient one side CPT 25600 CLTX DIS RADFX/EPYS WO MN RT	$662.95	$662.95	$165.74–$662.95	—	—
Coronary stent placement, one artery CPT 92928 PERC DRUG-EL COR STENT SING RC	$34,918.10	$34,918.10	$2,551.25–$34,918.10	112% above	—
Coronary stent placement, one artery CPT 92928 PRQ CARD STNT W/ANGIO 1 VSL LC	$34,918.10	$34,918.10	$2,551.25–$34,918.10	112% above	—
Coronary stent placement, one artery CPT 92928 PERC DRUG-EL COR STENT SING RI	$34,918.10	$34,918.10	$2,551.25–$34,918.10	112% above	—
Coronary stent placement, one artery CPT 92928 PRQ CARD STNT W/ANGIO 1 VSL RC	$34,918.10	$34,918.10	$2,551.25–$34,918.10	112% above	—
Coronary stent placement, one artery CPT 92928 PERC DRUG-EL COR STENT SING LM	$34,918.10	$34,918.10	$2,551.25–$34,918.10	112% above	—
Coronary stent placement, one artery CPT 92928 PRQ CARD STNT W/ANGIO 1 VSL LM	$34,918.10	$34,918.10	$2,551.25–$34,918.10	112% above	—
Coronary stent placement, one artery CPT 92928 PERC DRUG-EL COR STENT SING LD	$34,918.10	$34,918.10	$2,551.25–$34,918.10	112% above	—
Coronary stent placement, one artery CPT 92928 PRQ CARD STNT W/ANGIO 1 VSL LD	$34,918.10	$34,918.10	$2,551.25–$34,918.10	112% above	—
Coronary stent placement, one artery CPT 92928 PRQ CARD STNT W/ANGIO 1 VSL RI	$34,918.10	$34,918.10	$2,551.25–$34,918.10	112% above	—
Coronary stent placement, one artery inpatient CPT 92928 PRQ CARD STNT W/ANGIO 1 VSL LC	$34,918.10	$34,918.10	$8,729.52–$34,918.10	—	—
Coronary stent placement, one artery inpatient CPT 92928 PERC DRUG-EL COR STENT SING LM	$34,918.10	$34,918.10	$8,729.52–$34,918.10	—	—
Coronary stent placement, one artery inpatient CPT 92928 PERC DRUG-EL COR STENT SING RC	$34,918.10	$34,918.10	$8,729.52–$34,918.10	—	—
Coronary stent placement, one artery inpatient CPT 92928 PERC DRUG-EL COR STENT SING LD	$34,918.10	$34,918.10	$8,729.52–$34,918.10	—	—
Coronary stent placement, one artery inpatient CPT 92928 PRQ CARD STNT W/ANGIO 1 VSL RI	$34,918.10	$34,918.10	$8,729.52–$34,918.10	—	—
Coronary stent placement, one artery inpatient CPT 92928 PERC DRUG-EL COR STENT SING RI	$34,918.10	$34,918.10	$8,729.52–$34,918.10	—	—
Coronary stent placement, one artery inpatient CPT 92928 PRQ CARD STNT W/ANGIO 1 VSL RC	$34,918.10	$34,918.10	$8,729.52–$34,918.10	—	—
Coronary stent placement, one artery inpatient CPT 92928 PRQ CARD STNT W/ANGIO 1 VSL LD	$34,918.10	$34,918.10	$8,729.52–$34,918.10	—	—
Coronary stent placement, one artery inpatient CPT 92928 PRQ CARD STNT W/ANGIO 1 VSL LM	$34,918.10	$34,918.10	$8,729.52–$34,918.10	—	—
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY	$1,744.85	$1,744.85	$75.00–$1,744.85	15% above	—
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSTOURETHROSCOPY	$1,744.85	$1,744.85	$436.21–$1,744.85	—	—
D&C (dilation and curettage), not related to pregnancy CPT 58120 D&C DIAG OR THERAP NOT OB	$7,011.36	$7,011.36	$330.00–$7,011.36	36% above	—
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 D&C DIAG OR THERAP NOT OB	$7,011.36	$7,011.36	$1,752.84–$7,011.36	—	—
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCT PREMALG LESION	$521.21	$521.21	$20.00–$1,083.00	170% above	—
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DESTRUCT PREMALG LESION	$521.21	$521.21	$130.30–$521.21	—	—
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTD EAR WAX UNI BIL	$277.07	$277.07	$8.13–$1,083.00	137% above	—
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 REMOVE IMPACTD EAR WAX UNI RT	$184.71	$184.71	$8.13–$1,083.00	58% above	—
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 REMOVE IMPACTD EAR WAX UNI LT	$184.71	$184.71	$8.13–$1,083.00	58% above	—
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REMOVE IMPACTD EAR WAX UNI BIL	$277.07	$277.07	$69.27–$277.07	—	—
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 REMOVE IMPACTD EAR WAX UNI LT	$184.71	$184.71	$46.18–$184.71	—	—
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 REMOVE IMPACTD EAR WAX UNI RT	$184.71	$184.71	$46.18–$184.71	—	—
Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX UNI	$184.71	$184.71	$18.03–$1,083.00	53% above	—
Earwax removal with instruments, one ear inpatient CPT 69210 REMOVE IMPACTED EAR WAX UNI	$184.71	$184.71	$46.18–$184.71	—	—
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 ENDOMETRIAL BX W/O CERV DILAT	$495.73	$495.73	$51.00–$1,083.00	59% above	—
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 ENDOMETRIAL BX W/O CERV DILAT	$495.73	$495.73	$123.93–$495.73	—	—
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 NJX INTERLAMINAR CRV/THRC	$4,393.83	$4,393.83	$89.20–$4,393.83	115% above	—
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 NJX INTERLAMINAR CRV/THRC	$4,393.83	$4,393.83	$1,098.46–$4,393.83	—	—
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARVRT F JNT L/S 1 LEV BIL	$2,643.63	$2,643.63	$279.25–$2,643.63	60% above	—
Facet joint injection, lower back, one level, with imaging guidance one side CPT 64493 INJ PARVRT F JNT L/S 1 LEV RT	$1,762.42	$1,762.42	$279.25–$2,239.00	6% above	—
Facet joint injection, lower back, one level, with imaging guidance one side CPT 64493 INJ PARVRT F JNT L/S 1 LEV LT	$1,762.42	$1,762.42	$279.25–$2,239.00	6% above	—
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 INJ PARVRT F JNT L/S 1 LEV BIL	$2,643.63	$2,643.63	$660.91–$2,643.63	—	—
Facet joint injection, lower back, one level, with imaging guidance inpatient one side CPT 64493 INJ PARVRT F JNT L/S 1 LEV RT	$1,762.42	$1,762.42	$440.60–$1,762.42	—	—
Facet joint injection, lower back, one level, with imaging guidance inpatient one side CPT 64493 INJ PARVRT F JNT L/S 1 LEV LT	$1,762.42	$1,762.42	$440.60–$1,762.42	—	—
Hysterectomy through an abdominal incision (total) CPT 58150 TOTAL ABDOMINAL HYSTERECTOMY	$9,283.62	$9,283.62	$1,607.83–$9,283.62	222% above	—
Hysterectomy through an abdominal incision (total) inpatient CPT 58150 TOTAL ABDOMINAL HYSTERECTOMY	$9,283.62	$9,283.62	$2,320.91–$9,283.62	—	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HYSTEROGR/SIS CONTR/SALINE INJ	$1,168.45	$1,168.45	$52.00–$1,168.45	254% above	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HYSTEROGR/SIS CONTR/SALINE INJ	$1,168.45	$1,168.45	$292.11–$1,168.45	—	—
IUD insertion (the device itself billed separately) CPT 58300 INSERT IUD	$378.06	$378.06	$17.25–$1,083.00	49% above	—
IUD insertion (the device itself billed separately) inpatient CPT 58300 INSERT IUD	$378.06	$378.06	$94.52–$378.06	—	—
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSC; SMPL OR SGL	$557.69	$557.69	$23.50–$1,083.00	55% above	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSC; SMPL OR SGL	$557.69	$557.69	$139.42–$557.69	—	—
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ SGL TENDN SHTH LIGMENT BIL	$1,132.31	$1,132.31	$32.00–$1,132.31	66% above	—
Injection into a tendon sheath or ligament (for example trigger finger) one side CPT 20550 INJ SGL TENDN SHTH LIGMENT LT	$754.88	$754.88	$32.00–$1,083.00	11% above	—
Injection into a tendon sheath or ligament (for example trigger finger) one side CPT 20550 INJ SGL TENDN SHTH LIGMENT RT	$754.88	$754.88	$32.00–$1,083.00	11% above	—
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ SGL TENDN SHTH LIGMENT BIL	$1,132.31	$1,132.31	$283.08–$1,132.31	—	—
Injection into a tendon sheath or ligament (for example trigger finger) inpatient one side CPT 20550 INJ SGL TENDN SHTH LIGMENT LT	$754.88	$754.88	$188.72–$754.88	—	—
Injection into a tendon sheath or ligament (for example trigger finger) inpatient one side CPT 20550 INJ SGL TENDN SHTH LIGMENT RT	$754.88	$754.88	$188.72–$754.88	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRN/INJ MAJ JNT/BRSA WO US BIL	$1,391.86	$1,391.86	$18.03–$1,391.86	205% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 DRN/INJ MAJ JNT/BRSA WO US LT	$927.91	$927.91	$18.03–$1,083.00	103% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 DRN/INJ MAJ JNT/BRSA WO US RT	$927.91	$927.91	$18.03–$1,083.00	103% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRN/INJ MAJ JNT/BRSA WO US BIL	$1,391.86	$1,391.86	$347.96–$1,391.86	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 DRN/INJ MAJ JNT/BRSA WO US RT	$927.91	$927.91	$231.98–$927.91	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 DRN/INJ MAJ JNT/BRSA WO US LT	$927.91	$927.91	$231.98–$927.91	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRN/INJ INT JNT/BRSA WO US BIL	$1,163.07	$1,163.07	$18.03–$1,163.07	214% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 DRN/INJ INT JNT/BRSA WO US LT	$775.38	$775.38	$18.03–$1,083.00	109% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 DRN/INJ INT JNT/BRSA WO US RT	$775.38	$775.38	$18.03–$1,083.00	109% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRN/INJ INT JNT/BRSA WO US BIL	$1,163.07	$1,163.07	$290.77–$1,163.07	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 DRN/INJ INT JNT/BRSA WO US RT	$775.38	$775.38	$193.84–$775.38	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 DRN/INJ INT JNT/BRSA WO US LT	$775.38	$775.38	$193.84–$775.38	—	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRN/INJ SM JNT/BRSA WO US BIL	$1,163.07	$1,163.07	$18.00–$1,163.07	167% above	—
Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 DRN/INJ SM JNT/BRSA WO US LT	$775.38	$775.38	$18.00–$1,083.00	78% above	—
Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 DRN/INJ SM JNT/BRSA WO US RT	$775.38	$775.38	$18.00–$1,083.00	78% above	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 DRN/INJ SM JNT/BRSA WO US BIL	$1,163.07	$1,163.07	$290.77–$1,163.07	—	—
Joint injection or drainage, small joint (fingers, toes) inpatient one side CPT 20600 DRN/INJ SM JNT/BRSA WO US RT	$775.38	$775.38	$193.84–$775.38	—	—
Joint injection or drainage, small joint (fingers, toes) inpatient one side CPT 20600 DRN/INJ SM JNT/BRSA WO US LT	$775.38	$775.38	$193.84–$775.38	—	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTMD WND REPAIR S/A/T/EXT	$1,011.52	$1,011.52	$24.50–$1,083.00	109% above	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 INTMD WND REPAIR S/A/T/EXT	$1,011.52	$1,011.52	$252.88–$1,011.52	—	—
Left heart catheterization, diagnostic one side CPT 93452 LEFT HRT CATH W/VENTRCLGRPHY	$8,679.76	$8,679.76	$1,014.94–$11,049.00	53% above	—
Left heart catheterization, diagnostic inpatient one side CPT 93452 LEFT HRT CATH W/VENTRCLGRPHY	$8,679.76	$8,679.76	$2,169.94–$8,679.76	—	—
Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC	$1,676.29	$1,676.29	$81.32–$1,676.29	18% below	—
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 NJX INTERLAMINAR LMBR/SAC	$1,676.29	$1,676.29	$419.07–$1,676.29	—	—
Lower-back epidural injection, without imaging guidance CPT 62322 DX/THER SBST INT LUM/SAC WO IM	$1,676.29	$1,676.29	$71.15–$1,676.29	4% below	—
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 DX/THER SBST INT LUM/SAC WO IM	$1,676.29	$1,676.29	$419.07–$1,676.29	—	—
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ FORAMEN EPIDURAL L/S BIL	$2,643.63	$2,643.63	$95.04–$2,643.63	6% above	—
Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 INJ FORAMEN EPIDURAL L/S RT	$1,762.42	$1,762.42	$95.04–$1,762.42	29% below	—
Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 INJ FORAMEN EPIDURAL L/S LT	$1,762.42	$1,762.42	$95.04–$1,762.42	29% below	—
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 INJ FORAMEN EPIDURAL L/S BIL	$2,643.63	$2,643.63	$660.91–$2,643.63	—	—
Lower-back nerve root steroid injection, with imaging guidance inpatient one side CPT 64483 INJ FORAMEN EPIDURAL L/S LT	$1,762.42	$1,762.42	$440.60–$1,762.42	—	—
Lower-back nerve root steroid injection, with imaging guidance inpatient one side CPT 64483 INJ FORAMEN EPIDURAL L/S RT	$1,762.42	$1,762.42	$440.60–$1,762.42	—	—
Miscarriage treatment with D&C, first trimester CPT 59820 SURG TX MISSED ABORT; 1ST TRIM	$7,011.36	$7,011.36	$330.00–$7,011.36	30% above	—
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 SURG TX MISSED ABORT; 1ST TRIM	$7,011.36	$7,011.36	$1,752.84–$7,011.36	—	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC TR-EXT B9+MARG 0.5CM/<	$1,970.20	$1,970.20	$37.50–$1,970.20	75% above	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXC TR-EXT B9+MARG 0.5CM/<	$1,970.20	$1,970.20	$492.55–$1,970.20	—	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC FACE-MM B9+MARG 0.5CM/<	$1,767.20	$1,767.20	$54.50–$1,767.20	144% above	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXC FACE-MM B9+MARG 0.5CM/<	$1,767.20	$1,767.20	$441.80–$1,767.20	—	—
Nail removal (partial or complete), one nail CPT 11730 SPL AVULSE NP; SGL	$521.21	$521.21	$126.21–$1,083.00	69% above	—
Nail removal (partial or complete), one nail inpatient CPT 11730 SPL AVULSE NP; SGL	$521.21	$521.21	$130.30–$521.21	—	—
Occipital nerve block (injection for headaches) CPT 64405 INJ ANES GRTR OCCIP NERVE BIL	$2,470.68	$2,470.68	$35.00–$2,470.68	322% above	—
Occipital nerve block (injection for headaches) one side CPT 64405 INJ ANES GRTR OCCIP NERVE RT	$1,647.12	$1,647.12	$35.00–$1,647.12	181% above	—
Occipital nerve block (injection for headaches) one side CPT 64405 INJ ANES GRTR OCCIP NERVE LT	$1,647.12	$1,647.12	$35.00–$1,647.12	181% above	—
Occipital nerve block (injection for headaches) inpatient CPT 64405 INJ ANES GRTR OCCIP NERVE BIL	$2,470.68	$2,470.68	$617.67–$2,470.68	—	—
Occipital nerve block (injection for headaches) inpatient one side CPT 64405 INJ ANES GRTR OCCIP NERVE RT	$1,647.12	$1,647.12	$411.78–$1,647.12	—	—
Occipital nerve block (injection for headaches) inpatient one side CPT 64405 INJ ANES GRTR OCCIP NERVE LT	$1,647.12	$1,647.12	$411.78–$1,647.12	—	—
Pacemaker implant (dual chamber) CPT 33208 INSRT HEART PM ATRIAL & VENT	$16,487.08	$16,487.08	$463.07–$16,487.08	1% above	—
Pacemaker implant (dual chamber) inpatient CPT 33208 INSRT HEART PM ATRIAL & VENT	$16,487.08	$16,487.08	$4,121.77–$16,487.08	—	—
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING	$1,791.53	$1,791.53	$84.33–$1,791.53	6% above	—
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W/IMAGING	$1,791.53	$1,791.53	$447.88–$1,791.53	—	—
Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED	$958.79	$958.79	$239.70–$1,083.00	61% above	—
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 REMOVAL OF NAIL BED	$958.79	$958.79	$239.70–$958.79	—	—
Prostate biopsy CPT 55700 PROSTATE NEEDLE PUNCH BX	$5,231.07	$5,231.07	$89.50–$5,231.07	82% above	—
Prostate biopsy inpatient CPT 55700 PROSTATE NEEDLE PUNCH BX	$5,231.07	$5,231.07	$1,307.77–$5,231.07	—	—
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTROY LUMB/SAC FACET JNT BIL	$7,037.20	$7,037.20	$602.27–$7,037.20	120% above	—
Radiofrequency ablation of facet joint nerves, lower back, one level one side CPT 64635 DESTROY LUMB/SAC FACET JNT LT	$4,691.47	$4,691.47	$602.27–$4,691.47	46% above	—
Radiofrequency ablation of facet joint nerves, lower back, one level one side CPT 64635 DESTROY LUMB/SAC FACET JNT RT	$4,691.47	$4,691.47	$602.27–$4,691.47	46% above	—
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 DESTROY LUMB/SAC FACET JNT BIL	$7,037.20	$7,037.20	$1,759.30–$7,037.20	—	—
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient one side CPT 64635 DESTROY LUMB/SAC FACET JNT LT	$4,691.47	$4,691.47	$1,172.87–$4,691.47	—	—
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient one side CPT 64635 DESTROY LUMB/SAC FACET JNT RT	$4,691.47	$4,691.47	$1,172.87–$4,691.47	—	—
Removal of a breast lump, open surgery CPT 19120 REMOVL OF BREAST LESION 1+ BIL	$12,622.82	$12,622.82	$173.00–$12,622.82	103% above	—
Removal of a breast lump, open surgery one side CPT 19120 REMOVL OF BREAST LESION 1+ RT	$8,415.21	$8,415.21	$173.00–$8,415.21	36% above	—
Removal of a breast lump, open surgery one side CPT 19120 REMOVL OF BREAST LESION 1+ LT	$8,415.21	$8,415.21	$173.00–$8,415.21	36% above	—
Removal of a breast lump, open surgery inpatient CPT 19120 REMOVL OF BREAST LESION 1+ BIL	$12,622.82	$12,622.82	$3,155.70–$12,622.82	—	—
Removal of a breast lump, open surgery inpatient one side CPT 19120 REMOVL OF BREAST LESION 1+ LT	$8,415.21	$8,415.21	$2,103.80–$8,415.21	—	—
Removal of a breast lump, open surgery inpatient one side CPT 19120 REMOVL OF BREAST LESION 1+ RT	$8,415.21	$8,415.21	$2,103.80–$8,415.21	—	—
Removal of a foreign object under the skin, simple CPT 10120 INC & REM FB SQ; SMPL	$1,011.52	$1,011.52	$30.50–$1,083.00	107% above	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 INC & REM FB SQ; SMPL	$1,011.52	$1,011.52	$252.88–$1,011.52	—	—
Short arm cast (elbow to hand) CPT 29075 APPLY SHORT ARM CAST BIL	$1,220.89	$1,220.89	$45.50–$1,220.89	229% above	—
Short arm cast (elbow to hand) one side CPT 29075 APPLY SHORT ARM CAST RT	$813.92	$813.92	$45.50–$1,083.00	120% above	—
Short arm cast (elbow to hand) one side CPT 29075 APPLY SHORT ARM CAST LT	$813.92	$813.92	$45.50–$1,083.00	120% above	—
Short arm cast (elbow to hand) inpatient CPT 29075 APPLY SHORT ARM CAST BIL	$1,220.89	$1,220.89	$305.22–$1,220.89	—	—
Short arm cast (elbow to hand) inpatient one side CPT 29075 APPLY SHORT ARM CAST RT	$813.92	$813.92	$203.48–$813.92	—	—
Short arm cast (elbow to hand) inpatient one side CPT 29075 APPLY SHORT ARM CAST LT	$813.92	$813.92	$203.48–$813.92	—	—
Short arm splint (forearm and hand) CPT 29125 APPL SHT ARM SPLINT STATIC BIL	$769.62	$769.62	$26.00–$1,083.00	157% above	—
Short arm splint (forearm and hand) one side CPT 29125 APPL SHT ARM SPLINT STATIC LT	$513.07	$513.07	$26.00–$1,083.00	71% above	—
Short arm splint (forearm and hand) one side CPT 29125 APPL SHT ARM SPLINT STATIC RT	$513.07	$513.07	$26.00–$1,083.00	71% above	—
Short arm splint (forearm and hand) inpatient CPT 29125 APPL SHT ARM SPLINT STATIC BIL	$769.62	$769.62	$192.40–$769.62	—	—
Short arm splint (forearm and hand) inpatient one side CPT 29125 APPL SHT ARM SPLINT STATIC RT	$513.07	$513.07	$128.27–$513.07	—	—
Short arm splint (forearm and hand) inpatient one side CPT 29125 APPL SHT ARM SPLINT STATIC LT	$513.07	$513.07	$128.27–$513.07	—	—
Short leg cast (below the knee) CPT 29405 APPLY SH LEG CAST BIL	$1,097.98	$1,097.98	$50.50–$1,097.98	200% above	—
Short leg cast (below the knee) one side CPT 29405 APPLY SH LEG CAST RT	$731.99	$731.99	$50.50–$1,083.00	100% above	—
Short leg cast (below the knee) one side CPT 29405 APPLY SH LEG CAST LT	$731.99	$731.99	$50.50–$1,083.00	100% above	—
Short leg cast (below the knee) inpatient CPT 29405 APPLY SH LEG CAST BIL	$1,097.98	$1,097.98	$274.50–$1,097.98	—	—
Short leg cast (below the knee) inpatient one side CPT 29405 APPLY SH LEG CAST LT	$731.99	$731.99	$183.00–$731.99	—	—
Short leg cast (below the knee) inpatient one side CPT 29405 APPLY SH LEG CAST RT	$731.99	$731.99	$183.00–$731.99	—	—
Short leg splint (calf to foot) CPT 29515 APPLY SHORT LEG SPLINT BIL	$745.96	$745.96	$35.00–$1,083.00	129% above	—
Short leg splint (calf to foot) one side CPT 29515 APPLY SHORT LEG SPLINT LT	$497.31	$497.31	$35.00–$1,083.00	53% above	—
Short leg splint (calf to foot) one side CPT 29515 APPLY SHORT LEG SPLINT RT	$497.31	$497.31	$35.00–$1,083.00	53% above	—
Short leg splint (calf to foot) inpatient CPT 29515 APPLY SHORT LEG SPLINT BIL	$745.96	$745.96	$186.49–$745.96	—	—
Short leg splint (calf to foot) inpatient one side CPT 29515 APPLY SHORT LEG SPLINT RT	$497.31	$497.31	$124.33–$497.31	—	—
Short leg splint (calf to foot) inpatient one side CPT 29515 APPLY SHORT LEG SPLINT LT	$497.31	$497.31	$124.33–$497.31	—	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SREP S/N/A/G/TR/E; 2.5CM/<	$680.16	$680.16	$24.50–$1,083.00	42% above	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SREP S/N/A/G/TR/E; 2.5CM/<	$680.16	$680.16	$170.04–$680.16	—	—
Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION	$958.79	$958.79	$40.43–$1,083.00	39% above	—
Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX SKIN SINGLE LESION	$958.79	$958.79	$239.70–$958.79	—	—
Skin tag removal, up to 15 tags CPT 11200 REM SKIN TAGS; <=15 LESIONS	$521.21	$521.21	$31.00–$1,083.00	38% above	—
Skin tag removal, up to 15 tags inpatient CPT 11200 REM SKIN TAGS; <=15 LESIONS	$521.21	$521.21	$130.30–$521.21	—	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE LUMBAR DIAG	$2,141.95	$2,141.95	$42.00–$2,141.95	54% above	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE LUMBAR DIAG	$2,141.95	$2,141.95	$535.49–$2,141.95	—	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SREPS/N/A/G/TR/E; 2.6-7.5CM	$680.16	$680.16	$35.50–$1,083.00	50% above	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SREPS/N/A/G/TR/E; 2.6-7.5CM	$680.16	$680.16	$170.04–$680.16	—	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SREP F/E/N/L/MM; 2.5CM/<	$557.69	$557.69	$31.50–$1,083.00	17% above	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SREP F/E/N/L/MM; 2.5CM/<	$557.69	$557.69	$139.42–$557.69	—	—
Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LES	$958.79	$958.79	$32.23–$1,083.00	74% above	—
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TANGNTL BX SKIN SINGLE LES	$958.79	$958.79	$239.70–$958.79	—	—
Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING BIL	$2,649.63	$2,649.63	$391.59–$2,649.63	92% above	—
Thoracentesis with imaging guidance one side CPT 32555 ASPIRATE PLEURA W/ IMAGING LT	$1,766.42	$1,766.42	$391.59–$1,766.42	28% above	—
Thoracentesis with imaging guidance one side CPT 32555 ASPIRATE PLEURA W/ IMAGING RT	$1,766.42	$1,766.42	$391.59–$1,766.42	28% above	—
Thoracentesis with imaging guidance inpatient CPT 32555 ASPIRATE PLEURA W/ IMAGING BIL	$2,649.63	$2,649.63	$662.41–$2,649.63	—	—
Thoracentesis with imaging guidance inpatient one side CPT 32555 ASPIRATE PLEURA W/ IMAGING RT	$1,766.42	$1,766.42	$441.60–$1,766.42	—	—
Thoracentesis with imaging guidance inpatient one side CPT 32555 ASPIRATE PLEURA W/ IMAGING LT	$1,766.42	$1,766.42	$441.60–$1,766.42	—	—
Trigger finger release surgery CPT 26055 TENDON SHEATH INCISION	$4,164.49	$4,164.49	$200.00–$4,164.49	15% above	—
Trigger finger release surgery inpatient CPT 26055 TENDON SHEATH INCISION	$4,164.49	$4,164.49	$1,041.12–$4,164.49	—	—
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1/2 MUSCL	$1,044.05	$1,044.05	$31.06–$1,083.00	90% above	—
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIGGER POINT 1/2 MUSCL	$1,044.05	$1,044.05	$261.01–$1,044.05	—	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST 1ST LES US IMAG BIL	$3,821.05	$3,821.05	$138.89–$3,821.05	21% above	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 BX BREAST 1ST LES US IMAG RT	$2,547.37	$2,547.37	$138.89–$2,547.37	19% below	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 BX BREAST 1ST LES US IMAG LT	$2,547.37	$2,547.37	$138.89–$2,547.37	19% below	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 BX BREAST 1ST LES US IMAG BIL	$3,821.05	$3,821.05	$955.26–$3,821.05	—	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 BX BREAST 1ST LES US IMAG LT	$2,547.37	$2,547.37	$636.84–$2,547.37	—	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 BX BREAST 1ST LES US IMAG RT	$2,547.37	$2,547.37	$636.84–$2,547.37	—	—
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 ESOPH EGD DILATION <30MM	$5,575.04	$5,575.04	$707.89–$5,575.04	63% above	—
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 ESOPH EGD DILATION <30MM	$5,575.04	$5,575.04	$1,393.76–$5,575.04	—	—
Upper endoscopy (EGD) with biopsy CPT 43239 EGD BIOPSY SINGLE/MULTIPLE	$2,293.60	$2,293.60	$148.58–$2,293.60	8% above	—
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD BIOPSY SINGLE/MULTIPLE	$2,293.60	$2,293.60	$573.40–$2,293.60	—	—
Upper endoscopy (EGD), diagnostic CPT 43235 EGD DIAGNOSTIC BRUSH WASH	$2,293.60	$2,293.60	$125.22–$2,293.60	22% above	—
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 EGD DIAGNOSTIC BRUSH WASH	$2,293.60	$2,293.60	$573.40–$2,293.60	—	—
Vaginal delivery, including prenatal and postpartum care CPT 59400 ROUTINE OB CARE	$3,973.27	$3,973.27	$330.00–$4,766.00	4% above	—
Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 ROUTINE OB CARE	$3,973.27	$3,973.27	$993.32–$3,973.27	—	—
Vein ablation, radiofrequency, first vein CPT 36475 ENDOVENOUS RF 1ST VEIN	$9,498.57	$9,498.57	$2,260.00–$9,498.57	9% above	—
Vein ablation, radiofrequency, first vein CPT 36475 ENDOVENOUS RF 1ST VEIN BIL	$14,247.85	$14,247.85	$2,260.00–$14,247.85	63% above	—
Vein ablation, radiofrequency, first vein one side CPT 36475 ENDOVENOUS RF 1ST VEIN RT	$9,498.57	$9,498.57	$2,260.00–$9,498.57	9% above	—
Vein ablation, radiofrequency, first vein one side CPT 36475 ENDOVENOUS RF 1ST VEIN LT	$9,498.57	$9,498.57	$2,260.00–$9,498.57	9% above	—
Vein ablation, radiofrequency, first vein inpatient CPT 36475 ENDOVENOUS RF 1ST VEIN	$9,498.57	$9,498.57	$2,374.64–$9,498.57	—	—
Vein ablation, radiofrequency, first vein inpatient CPT 36475 ENDOVENOUS RF 1ST VEIN BIL	$14,247.85	$14,247.85	$3,561.96–$14,247.85	—	—
Vein ablation, radiofrequency, first vein inpatient one side CPT 36475 ENDOVENOUS RF 1ST VEIN RT	$9,498.57	$9,498.57	$2,374.64–$9,498.57	—	—
Vein ablation, radiofrequency, first vein inpatient one side CPT 36475 ENDOVENOUS RF 1ST VEIN LT	$9,498.57	$9,498.57	$2,374.64–$9,498.57	—	—
Wart removal, up to 14 warts CPT 17110 DESTRUCT B9 LESION 1-14	$610.62	$610.62	$49.00–$1,083.00	97% above	—
Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCT B9 LESION 1-14	$610.62	$610.62	$152.66–$610.62	—	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEB SUBQ TISSUE 20 SQ CM/<	$1,011.52	$1,011.52	$33.00–$1,083.00	10% below	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEB SUBQ TISSUE 20 SQ CM/<	$1,011.52	$1,011.52	$252.88–$1,011.52	—	—

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Pennsylvania	Off list
Blood transfusion (giving blood or blood components) CPT 36430 ADMIN INFLUENZA EA ADDL VAC	$1,210.68	$1,210.68	$27.84–$1,210.68	36% above	—
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD OR BLOOD COM	$1,210.68	$1,210.68	$27.84–$1,210.68	36% above	—
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD/BLOOD COMP	$1,210.68	$1,210.68	$27.84–$1,210.68	36% above	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 ADMIN INFLUENZA EA ADDL VAC	$1,210.68	$1,210.68	$302.67–$1,210.68	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD/BLOOD COMP	$1,210.68	$1,210.68	$302.67–$1,210.68	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD OR BLOOD COM	$1,210.68	$1,210.68	$302.67–$1,210.68	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREATMENT	$518.06	$518.06	$23.93–$518.06	230% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TREATMENT	$518.06	$518.06	$129.51–$518.06	—	—
Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUSION 1 HR	$887.88	$887.88	$124.80–$887.88	36% above	—
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO IV INFUSION 1 HR	$887.88	$887.88	$221.97–$887.88	—	—
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 CAE W SR	$450.04	$450.04	$29.00–$450.04	60% above	—
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 CAE W SR	$450.04	$450.04	$112.51–$450.04	—	—
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE 1ST HOUR	$2,473.21	$2,473.21	$151.63–$2,596.00	38% above	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE 1ST HOUR	$2,473.21	$2,473.21	$618.30–$2,473.21	—	—
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE & DROWSY	$1,202.03	$1,202.03	$13.50–$1,202.03	66% above	—
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE & DROWSY	$1,202.03	$1,202.03	$300.51–$1,202.03	—	—
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 12 LEAD EKG; GLOBAL	$64.62	$64.62	$12.47–$64.62	1% below	—
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 12 LEAD EKG; GLOBAL	$64.62	$64.62	$16.16–$64.62	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 12 LEAD EKG; TRACING ONLY	$174.66	$174.66	$10.46–$174.66	8% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 12 LEAD EKG; TRACING ONLY	$174.66	$174.66	$43.66–$174.66	—	—
Electroconvulsive therapy (ECT), one session CPT 90870 ELECTROCONVULSIVE THERAPY	$1,370.93	$1,370.93	$45.00–$1,370.93	24% above	—
Electroconvulsive therapy (ECT), one session inpatient CPT 90870 ELECTROCONVULSIVE THERAPY	$1,370.93	$1,370.93	$342.73–$1,370.93	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER LEVEL 1	$265.63	$265.63	$16.19–$967.00	11% above	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER LEVEL 1	$265.63	$265.63	$66.41–$265.63	—	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER LEVEL 2	$407.55	$407.55	$32.98–$967.00	at median	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER LEVEL 2	$407.55	$407.55	$101.89–$407.55	—	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER LEVEL 3	$727.77	$727.77	$56.65–$967.00	28% above	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER LEVEL 3	$727.77	$727.77	$181.94–$727.77	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER LEVEL 4	$1,012.82	$1,012.82	$95.33–$1,557.00	9% above	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER LEVEL 4	$1,012.82	$1,012.82	$253.20–$1,012.82	—	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER LEVEL 5	$1,535.59	$1,535.59	$138.74–$2,250.00	19% above	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER LEVEL 5	$1,535.59	$1,535.59	$383.90–$1,535.59	—	—
Exercise stress test, tracing only, the hospital charge CPT 93017 CVSLR STRESS TEST; TRACING	$970.36	$970.36	$46.50–$970.36	19% above	—
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CVSLR STRESS TEST; TRACING	$970.36	$970.36	$242.59–$970.36	—	—
Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYTX W/PT 50 MIN	$456.85	$456.85	$82.29–$456.85	121% above	—
Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY PSYTX W/PT 50 MIN	$456.85	$456.85	$114.21–$456.85	—	—
Group psychotherapy session CPT 90853 GRP PSYCH PARTIAL HOSP 45-50	$239.19	$239.19	$59.80–$239.19	132% above	—
Group psychotherapy session inpatient CPT 90853 GRP PSYCH PARTIAL HOSP 45-50	$239.19	$239.19	$59.80–$239.19	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION, INIT	$591.92	$591.92	$31.63–$591.92	40% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INF INIT 31-60	$591.92	$591.92	$31.63–$591.92	40% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION 1ST HR	$591.92	$591.92	$31.63–$591.92	40% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION IV INFUSION, INIT	$591.92	$591.92	$147.98–$591.92	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION IV INFUSION 1ST HR	$591.92	$591.92	$147.98–$591.92	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION IV INF INIT 31-60	$591.92	$591.92	$147.98–$591.92	—	—
IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF INIT =<	$583.62	$583.62	$39.30–$583.62	34% above	—
IV infusion of a medicine, first hour CPT 96365 THER/PRO/DX IV INF INIT =<1 HR	$583.62	$583.62	$39.30–$583.62	34% above	—
IV infusion of a medicine, first hour inpatient CPT 96365 THER/PROPH/DIAG IV INF INIT =<	$583.62	$583.62	$145.90–$583.62	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 THER/PRO/DX IV INF INIT =<1 HR	$583.62	$583.62	$145.90–$583.62	—	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM	$204.52	$204.52	$12.70–$204.52	52% above	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER/PROPH/DIAG INJ SC/IM	$204.52	$204.52	$51.13–$204.52	—	—
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DIAGNOSTIC EVALUATION	$382.38	$382.38	$95.59–$382.38	117% above	—
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCH DIAGNOSTIC EVALUATION	$382.38	$382.38	$95.60–$382.38	—	—
Nerve conduction study, 7 or 8 nerve studies CPT 95910 NRV CNDJ TEST 7-8 STUDIES	$767.63	$767.63	$58.99–$767.63	5% above	—
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 NRV CNDJ TEST 7-8 STUDIES	$767.63	$767.63	$191.91–$767.63	—	—
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCLE RE-EDUC, EA 15 MIN	$128.58	$128.58	$24.72–$128.58	35% above	—
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCLE RE-EDUC, EA 15 MIN	$128.58	$128.58	$32.15–$128.58	—	—
New patient office visit, about 30 minutes CPT 99203 NEW PT LEVEL 3	$548.66	$548.66	$24.11–$548.66	168% above	—
New patient office visit, about 30 minutes inpatient CPT 99203 NEW PT LEVEL 3	$548.66	$548.66	$137.16–$548.66	—	—
New patient office visit, about 45 minutes CPT 99204 NEW PT LEVEL 4	$635.95	$635.95	$26.36–$635.96	134% above	—
New patient office visit, about 45 minutes inpatient CPT 99204 NEW PT LEVEL 4	$635.95	$635.95	$158.99–$635.95	—	—
New patient office visit, about 60 minutes CPT 99205 NEW PT LEVEL 5	$792.92	$792.92	$28.29–$792.92	123% above	—
New patient office visit, about 60 minutes inpatient CPT 99205 NEW PT LEVEL 5	$792.92	$792.92	$198.23–$792.92	—	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PT LEVEL 2	$462.51	$462.51	$18.88–$462.51	310% above	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PT LEVEL 2	$462.51	$462.51	$115.63–$462.51	—	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 INIT NUTRITION THERAPY; EA 15M	$80.49	$80.49	$12.58–$80.49	85% above	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 INIT NUTRITION THERAPY; EA 15M	$80.49	$80.49	$20.12–$80.49	—	—
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX 30 MIN	$303.24	$303.24	$48.54–$303.24	25% above	—
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW COMPLEX 30 MIN	$303.24	$303.24	$75.81–$303.24	—	—
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX 45 MIN	$303.24	$303.24	$50.02–$303.24	1% above	—
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH COMPLEX 45 MIN	$303.24	$303.24	$75.81–$303.24	—	—
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX 20 MIN	$303.24	$303.24	$50.02–$303.24	17% above	—
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW COMPLEX 20 MIN	$303.24	$303.24	$75.81–$303.24	—	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX 30 MIN	$303.24	$303.24	$50.02–$303.24	8% above	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MOD COMPLEX 30 MIN	$303.24	$303.24	$75.81–$303.24	—	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY EA 15 MINS	$94.61	$94.61	$23.44–$126.00	8% below	—
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY EA 15 MINS	$94.61	$94.61	$23.65–$94.61	—	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISE EA 15 MIN	$137.07	$137.07	$24.72–$137.07	42% above	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISE EA 15 MIN	$137.07	$137.07	$34.27–$137.07	—	—
Psychotherapy session, 30 minutes CPT 90832 PSYTX W PT 30 MINUTES	$254.74	$254.74	$63.68–$254.74	42% above	—
Psychotherapy session, 30 minutes inpatient CPT 90832 PSYTX W PT 30 MINUTES	$254.74	$254.74	$63.68–$254.74	—	—
Psychotherapy session, 45 minutes CPT 90834 PSYTX W PT 45 MINUTES	$456.85	$456.85	$114.21–$456.85	152% above	—
Psychotherapy session, 45 minutes inpatient CPT 90834 PSYTX W PT 45 MINUTES	$456.85	$456.85	$114.21–$456.85	—	—
Psychotherapy session, 60 minutes CPT 90837 PSYTX W PT 60 MINUTES	$474.79	$474.79	$118.70–$474.79	90% above	—
Psychotherapy session, 60 minutes inpatient CPT 90837 PSYTX W PT 60 MINUTES	$474.79	$474.79	$118.70–$474.79	—	—
Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKING 3-10 MIN	$94.09	$94.09	$21.35–$94.09	190% above	—
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 BEHAV CHNG SMOKING 3-10 MIN	$94.09	$94.09	$23.52–$94.09	—	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST PT LEVEL 5	$700.83	$700.83	$25.49–$700.83	240% above	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 EST PT LEVEL 5	$700.83	$700.83	$175.21–$700.83	—	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST PT LEVEL 3	$487.95	$487.95	$17.00–$487.95	223% above	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 EST PT LEVEL 3	$487.95	$487.95	$121.99–$487.95	—	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EST PT LEVEL 4	$578.83	$578.83	$22.18–$578.83	245% above	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 EST PT LEVEL 4	$578.83	$578.83	$144.71–$578.83	—	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EST PT LEVEL 2	$426.96	$426.96	$14.69–$426.96	309% above	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 EST PT LEVEL 2	$426.96	$426.96	$106.74–$426.96	—	—
Speech and language evaluation CPT 92523 SPEECH SOUND LANG COMPREHEN	$333.56	$333.56	$60.00–$546.57	18% below	—
Speech and language evaluation inpatient CPT 92523 SPEECH SOUND LANG COMPREHEN	$333.56	$333.56	$83.39–$333.56	—	—
Speech therapy session, individual CPT 92507 SPEECH/HEARING THERAPY INDIV	$265.63	$265.63	$21.70–$265.63	1% below	—
Speech therapy session, individual inpatient CPT 92507 SPEECH/HEARING THERAPY INDIV	$265.63	$265.63	$66.41–$265.63	—	—
Spirometry (breathing test) CPT 94010 SPIROMETRY	$481.54	$481.54	$9.00–$481.54	97% above	—
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY	$481.54	$481.54	$120.38–$481.54	—	—
Spirometry before and after a bronchodilator CPT 94060 BRONCHOSPASM - PRE & POST BD	$817.53	$817.53	$11.40–$817.53	38% above	—
Spirometry before and after a bronchodilator inpatient CPT 94060 BRONCHOSPASM - PRE & POST BD	$817.53	$817.53	$204.38–$817.53	—	—
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES	$117.65	$117.65	$19.78–$126.00	6% above	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITIES	$117.65	$117.65	$29.41–$117.65	—	—
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUTIC	$316.27	$316.27	$10.00–$316.27	47% above	—
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPEUTIC	$316.27	$316.27	$79.07–$316.27	—	—

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Pennsylvania	Off list
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 HZV VACC RECOMBINANT IM NJX	$429.00	$429.00	$10.00–$429.00	65% above	—
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 HZV VACC RECOMBINANT IM NJX	$429.00	$429.00	$107.25–$429.00	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN 1 VACCINE	$194.98	$194.98	$3.61–$194.98	364% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN PNEUMONIA VACCINE	$194.98	$194.98	$3.61–$194.98	364% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN FLU VIRUS VACCINE	$194.98	$194.98	$3.61–$194.98	364% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN HEPATITIS B VACCINE	$194.98	$194.98	$3.61–$194.98	364% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN HEPATITIS B VACCINE	$194.98	$194.98	$48.74–$194.98	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN FLU VIRUS VACCINE	$194.98	$194.98	$48.74–$194.98	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN PNEUMONIA VACCINE	$194.98	$194.98	$48.74–$194.98	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN 1 VACCINE	$194.98	$194.98	$48.74–$194.98	—	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN EACH ADD	$194.98	$194.98	$3.61–$194.98	891% above	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMIN PNEUMOCCAL EA ADDL VAC	$194.98	$194.98	$3.61–$194.98	891% above	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMIN INFLUENZA EA ADDL VAC	$194.98	$194.98	$3.61–$194.98	891% above	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADM EA ADDTL VACC	$194.98	$194.98	$3.61–$194.98	891% above	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNZTN ADM; EA ADDTL VAC	$194.98	$194.98	$3.61–$194.98	891% above	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMIN HEPATITIS B EA ADDL VAC	$194.98	$194.98	$3.61–$194.98	891% above	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADM EA ADDTL VACC	$194.98	$194.98	$48.74–$194.98	—	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADMIN EACH ADD	$194.98	$194.98	$48.74–$194.98	—	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ADMIN HEPATITIS B EA ADDL VAC	$194.98	$194.98	$48.74–$194.98	—	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ADMIN PNEUMOCCAL EA ADDL VAC	$194.98	$194.98	$48.74–$194.98	—	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ADMIN INFLUENZA EA ADDL VAC	$194.98	$194.98	$48.74–$194.98	—	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNZTN ADM; EA ADDTL VAC	$194.98	$194.98	$48.74–$194.98	—	—

Source file: https://sharonregionalhealthsystem.org/wp-content/uploads/2025/05/332621724_SharonRegional_standardcharges.zip