Hospital Boston-Cambridge-Newton, MA-NH

Signature Healthcare Brockton Hospital

Signature Healthcare Brockton Hospital in Brockton, MA publishes cash prices for 312 common procedures listed here, from its own machine-readable price file updated Jan 28, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Massachusetts median for 247 of 312 procedures and above it for 59. By typical cash price it ranks #7 of 29 Massachusetts hospitals and #5 of 24 hospitals in the Boston, MA area, cheapest first. Click a procedure to compare it with other hospitals nearby.

680 Center Street, Brockton, MA 02302 Collected Sep 27, 2026 Source price file (508) 941-7000

Acute care hospital Emergency department CMS star rating 3 of 5 CCN 220052 · CMS hospital register

CMS price transparency record

The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 4 actions for a hospital named Signature Healthcare Brockton Hospital in Brockton, MA:

Jan 31, 2024 Closed administratively
Jan 16, 2026 Warning notice
Apr 20, 2026 Corrective action plan requested
May 4, 2026 Case closed

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

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

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Massachusetts	Off list
Ankle X-ray, complete, 3 or more views CPT 73610 XRAY; ANKLE >=3 VWS (LT)	$279.30	$399.00	$39.97–$221.45	12% below	30%
Ankle X-ray, complete, 3 or more views CPT 73610 XRAY; ANKLE >=3 VWS (RT)	$279.30	$399.00	$39.97–$221.45	12% below	30%
Ankle X-ray, complete, 3 or more views CPT 73610 XRAY; ANKLE >=3 VWS (50)	$558.60	$798.00	$39.97–$442.89	75% above	30%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 XRAY; ANKLE >=3 VWS (LT)	$279.30	$399.00	—	—	30%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 XRAY; ANKLE >=3 VWS (RT)	$279.30	$399.00	—	—	30%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 XRAY; ANKLE >=3 VWS (50)	$558.60	$798.00	—	—	30%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 UPR/L XTREMITY ART 2 LEVELS	$338.10	$483.00	$94.38–$893.00	1% below	30%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 UPR/L XTREMITY ART 2 LEVELS	$338.10	$483.00	—	—	30%
Barium swallow (esophagus X-ray with contrast) CPT 74220 XRAY; ESOPHAGUS W/CNTRST	$591.50	$845.00	$81.05–$468.98	23% above	30%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XRAY; ESOPHAGUS W/CNTRST	$591.50	$845.00	—	—	30%
Bone scan, whole body (nuclear medicine) CPT 78306 BONE IMAGING; WHOLE BODY	$1,304.10	$1,863.00	$177.44–$1,033.97	1% below	30%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 BONE IMAGING; WHOLE BODY	$1,304.10	$1,863.00	—	—	30%
Breast ultrasound, complete, one breast CPT 76641 US; BREAST CMP	$376.60	$538.00	$58.37–$298.59	14% below	30%
Breast ultrasound, complete, one breast CPT 76641 US; BREAST CMP (RT)	$376.60	$538.00	$58.37–$298.59	14% below	30%
Breast ultrasound, complete, one breast CPT 76641 US; BREAST CMP (LT)	$376.60	$538.00	$58.37–$298.59	14% below	30%
Breast ultrasound, complete, one breast CPT 76641 US; BREASTS CMP (50)	$753.20	$1,076.00	$58.37–$597.18	72% above	30%
Breast ultrasound, complete, one breast inpatient CPT 76641 US; BREAST CMP (RT)	$376.60	$538.00	—	—	30%
Breast ultrasound, complete, one breast inpatient CPT 76641 US; BREAST CMP	$376.60	$538.00	—	—	30%
Breast ultrasound, complete, one breast inpatient CPT 76641 US; BREAST CMP (LT)	$376.60	$538.00	—	—	30%
Breast ultrasound, complete, one breast inpatient CPT 76641 US; BREASTS CMP (50)	$753.20	$1,076.00	—	—	30%
Breast ultrasound, limited (one breast or one area) CPT 76642 US; BREAST LMTD	$279.30	$399.00	$44.69–$221.45	20% below	30%
Breast ultrasound, limited (one breast or one area) CPT 76642 US; BREAST LMTD (LT)	$279.30	$399.00	$44.69–$221.45	20% below	30%
Breast ultrasound, limited (one breast or one area) CPT 76642 US; BREAST LMTD (RT)	$279.30	$399.00	$44.69–$221.45	20% below	30%
Breast ultrasound, limited (one breast or one area) CPT 76642 US; BREASTS LMTD (50)	$558.60	$798.00	$44.69–$442.89	61% above	30%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 US; BREAST LMTD	$279.30	$399.00	—	—	30%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 US; BREAST LMTD (LT)	$279.30	$399.00	—	—	30%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 US; BREAST LMTD (RT)	$279.30	$399.00	—	—	30%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 US; BREASTS LMTD (50)	$558.60	$798.00	—	—	30%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT; ANGIO CHEST W&W/O CNTRST	$624.40	$892.00	$81.05–$836.51	68% below	30%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT; ANGIO CHEST W&W/O CNTRST	$624.40	$892.00	—	—	30%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT; ANGIO HEART W/ 3D IMAGE	$624.40	$892.00	$81.05–$707.83	24% below	30%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT; ANGIO HEART W/ 3D IMAGE	$624.40	$892.00	—	—	30%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT; HEART W/O DYE & W/ CA TEST	$243.60	$348.00	$23.73–$193.14	at median	30%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT; HEART W/O DYE & W/ CA TEST	$243.60	$348.00	—	—	30%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT; ABD/PELV W/O CNTRST	$795.90	$1,137.00	$81.05–$721.58	63% below	30%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT; ABD/PELV W/O CNTRST	$795.90	$1,137.00	—	—	30%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT; ABD/PELV W/CNTRST	$1,273.30	$1,819.00	$81.05–$1,164.27	50% below	30%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT; ABD/PELV W/CNTRST	$1,273.30	$1,819.00	—	—	30%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT; ABD/PELV W&W/O CNTRST	$1,273.30	$1,819.00	$81.05–$1,164.27	57% below	30%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT; ABD/PELV W&W/O CNTRST	$1,273.30	$1,819.00	—	—	30%
CT scan of the abdomen with contrast CPT 74160 CT; ABD W/CNTRST	$624.40	$892.00	$81.05–$706.70	60% below	30%
CT scan of the abdomen with contrast inpatient CPT 74160 CT; ABD W/CNTRST	$624.40	$892.00	—	—	30%
CT scan of the abdomen without contrast CPT 74150 CT; ABD W/O CNTRST	$376.60	$538.00	$72.92–$504.70	70% below	30%
CT scan of the abdomen without contrast inpatient CPT 74150 CT; ABD W/O CNTRST	$376.60	$538.00	—	—	30%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT; MAXILLOFACIAL W/O CNTRST	$376.60	$538.00	$78.75–$504.70	65% below	30%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT; MAXILLOFACIAL W/O CNTRST	$376.60	$538.00	—	—	30%
CT scan of the head or brain, no contrast dye CPT 70450 CT; HEAD/BRAIN W/O CNTRST	$376.60	$538.00	$59.24–$504.70	64% below	30%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT; HEAD/BRAIN W/O CNTRST	$376.60	$538.00	—	—	30%
CT scan of the head with contrast CPT 70460 CT; HEAD/BRAIN W/CNTRST	$624.40	$892.00	$81.05–$706.70	54% below	30%
CT scan of the head with contrast inpatient CPT 70460 CT; HEAD/BRAIN W/CNTRST	$624.40	$892.00	—	—	30%
CT scan of the head without and with contrast CPT 70470 CT; HEAD/BRAIN W&W/O CNTRST	$624.40	$892.00	$81.05–$836.80	64% below	30%
CT scan of the head without and with contrast inpatient CPT 70470 CT; HEAD/BRAIN W&W/O CNTRST	$624.40	$892.00	—	—	30%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT; LUMBAR SPINE W/O CNTRST	$376.60	$538.00	$81.05–$504.70	71% below	30%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT; LUMBAR SPINE W/O CNTRST	$376.60	$538.00	—	—	30%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT; NECK SPINE W/O CNTRST	$376.60	$538.00	$81.05–$504.70	73% below	30%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT; NECK SPINE W/O CNTRST	$376.60	$538.00	—	—	30%
CT scan of the pelvis, with contrast dye CPT 72193 CT; PELVIS W/CNTRST	$624.40	$892.00	$81.05–$706.70	62% below	30%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT; PELVIS W/CNTRST	$624.40	$892.00	—	—	30%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 EXTRACRANIAL; BILAT STUDY	$689.50	$985.00	$198.74–$893.00	—	30%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 EXTRACRANIAL STUDY (50)	$689.50	$985.00	$198.74–$893.00	27% below	30%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 EXTRACRANIAL; BILAT STUDY	$689.50	$985.00	—	—	30%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 EXTRACRANIAL STUDY (50)	$689.50	$985.00	—	—	30%
Chest X-ray, 2 views CPT 71046 XRAY; CHEST 2 VWS	$270.20	$386.00	$33.29–$214.23	4% above	30%
Chest X-ray, 2 views inpatient CPT 71046 XRAY; CHEST 2 VWS	$270.20	$386.00	—	—	30%
Chest X-ray, single view CPT 71045 XRAY; CHEST SINGLE VW	$270.20	$386.00	$24.70–$214.23	at median	30%
Chest X-ray, single view inpatient CPT 71045 XRAY; CHEST SINGLE VW	$270.20	$386.00	—	—	30%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US; BEHIND ABDOMINAL CAVITY	$376.60	$538.00	$62.45–$298.59	46% below	30%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US; BEHIND ABDOMINAL CAVITY	$376.60	$538.00	—	—	30%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY; AXIAL	$376.60	$538.00	$42.83–$298.59	33% below	30%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DXA BONE DENSITY; AXIAL	$376.60	$538.00	—	—	30%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA BONE DENSITY; PERIPHERAL	$269.50	$385.00	$32.33–$213.68	8% above	30%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DXA BONE DENSITY; PERIPHERAL	$269.50	$385.00	—	—	30%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US; OB DETAILED, SNGL FETUS	$795.90	$1,137.00	$68.13–$631.04	9% below	30%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US; OB DETAILED, SNGL FETUS	$795.90	$1,137.00	—	—	30%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT; THORAX W/O CNTRST	$376.60	$538.00	$81.05–$504.70	72% below	30%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT; LOW DOSE SCRN F/UP	$376.60	$538.00	$81.05–$504.70	72% below	30%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT; LOW DOSE SCRN	$376.60	$538.00	$81.05–$504.70	72% below	30%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT; LOW DOSE SCRN	$376.60	$538.00	—	—	30%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT; THORAX W/O CNTRST	$376.60	$538.00	—	—	30%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT; LOW DOSE SCRN F/UP	$376.60	$538.00	—	—	30%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT; THORAX W/CNTRST	$624.40	$892.00	$81.05–$706.70	60% below	30%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT; THORAX W/CNTRST	$624.40	$892.00	—	—	30%
Diagnostic mammogram, both breasts CPT 77066 MAMMO; DX W/CAD	$408.10	$583.00	$81.05–$323.57	6% above	30%
Diagnostic mammogram, both breasts inpatient CPT 77066 MAMMO; DX W/CAD	$408.10	$583.00	—	—	30%
Diagnostic mammogram, one breast CPT 77065 MAMMO; DX W/CAD (RT)	$319.20	$456.00	$77.87–$253.08	19% below	30%
Diagnostic mammogram, one breast CPT 77065 MAMMO; DX W/CAD (LT)	$319.20	$456.00	$77.87–$253.08	19% below	30%
Diagnostic mammogram, one breast inpatient CPT 77065 MAMMO; DX W/CAD (LT)	$319.20	$456.00	—	—	30%
Diagnostic mammogram, one breast inpatient CPT 77065 MAMMO; DX W/CAD (RT)	$319.20	$456.00	—	—	30%
Duplex ultrasound of the leg arteries, both legs CPT 93925 DPLX SCAN; LOWER EXT, BIL	$689.50	$985.00	$229.97–$893.00	39% below	30%
Duplex ultrasound of the leg arteries, both legs CPT 93925 DPLX SCAN; LOWER EXT (50)	$689.50	$985.00	$229.97–$893.00	39% below	30%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 DPLX SCAN; LOWER EXT (50)	$689.50	$985.00	—	—	30%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 DPLX SCAN; LOWER EXT, BIL	$689.50	$985.00	—	—	30%
Duplex ultrasound of the leg veins, both legs CPT 93970 DPLX SCAN; EXT VEINS	$689.50	$985.00	$198.74–$893.00	28% below	30%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 DPLX SCAN; EXT VEINS	$689.50	$985.00	—	—	30%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE; W/DOPPLER COMPLETE (TC)	$1,447.60	$2,068.00	$199.61–$1,237.00	19% below	30%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 TTE; W/DOPPLER COMPLETE (TC)	$1,447.60	$2,068.00	—	—	30%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 LIVER & BILE DUCT STUDY	$1,304.10	$1,863.00	$249.34–$1,033.97	7% below	30%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 LIVER & BILE DUCT STUDY	$1,304.10	$1,863.00	—	—	30%
Knee X-ray, 3 views CPT 73562 XRAY; KNEE 3 VWS (RT)	$270.20	$386.00	$45.23–$214.23	23% below	30%
Knee X-ray, 3 views CPT 73562 XRAY; KNEE 3 VWS (LT)	$270.20	$386.00	$45.23–$214.23	23% below	30%
Knee X-ray, 3 views CPT 73562 XRAY; KNEE 3 VWS (50)	$540.40	$772.00	$45.23–$428.46	53% above	30%
Knee X-ray, 3 views inpatient CPT 73562 XRAY; KNEE 3 VWS (LT)	$270.20	$386.00	—	—	30%
Knee X-ray, 3 views inpatient CPT 73562 XRAY; KNEE 3 VWS (RT)	$270.20	$386.00	—	—	30%
Knee X-ray, 3 views inpatient CPT 73562 XRAY; KNEE 3 VWS (50)	$540.40	$772.00	—	—	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US; ABD LMTD	$376.60	$538.00	$50.80–$298.59	38% below	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US; ABD LMTD	$376.60	$538.00	—	—	30%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT THORAX LUNG CANCER SCRNG	$254.80	$364.00	$81.05–$203.42	54% below	30%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT THORAX LUNG CANCER SCRNG	$254.80	$364.00	—	—	30%
MRI of both breasts, without and then with contrast dye CPT 77049 MRI; BRST W&W/O, W/CAD (BL)	$1,127.00	$1,610.00	$81.05–$1,154.27	54% below	30%
MRI of both breasts, without and then with contrast dye inpatient CPT 77049 MRI; BRST W&W/O, W/CAD (BL)	$1,127.00	$1,610.00	—	—	30%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI; JT LW EXTRM W/O DYE (RT)	$795.90	$1,137.00	$81.05–$939.87	61% below	30%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI; JT LW EXTRM W/O DYE (LT)	$795.90	$1,137.00	$81.05–$939.87	61% below	30%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI; JT LW EXTRM W/O DYE (50)	$1,591.80	$2,274.00	$81.05–$1,262.07	21% below	30%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI; JT LW EXTRM W/O DYE (RT)	$795.90	$1,137.00	—	—	30%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI; JT LW EXTRM W/O DYE (LT)	$795.90	$1,137.00	—	—	30%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI; JT LW EXTRM W/O DYE (50)	$1,591.80	$2,274.00	—	—	30%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI; JT LW EXTRM W&WO (RT)	$1,273.30	$1,819.00	$81.05–$1,364.79	61% below	30%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI; JT LW EXTRM W&WO DYE	$1,273.30	$1,819.00	$81.05–$1,364.79	61% below	30%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI; JT LW EXTRM W&WO (LT)	$1,273.30	$1,819.00	$81.05–$1,364.79	61% below	30%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI; JT LW EXTRM W&WO (LT)	$1,273.30	$1,819.00	—	—	30%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI; JT LW EXTRM W&WO (RT)	$1,273.30	$1,819.00	—	—	30%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI; JT LW EXTRM W&WO DYE	$1,273.30	$1,819.00	—	—	30%
MRI of the abdomen without contrast CPT 74181 MRI; ABD W/O CNTRST	$795.90	$1,137.00	$81.05–$939.87	54% below	30%
MRI of the abdomen without contrast CPT 74181 MRI ABD W/O CON & 3D RENDER	$821.10	$1,173.00	$81.05–$939.87	53% below	30%
MRI of the abdomen without contrast inpatient CPT 74181 MRI; ABD W/O CNTRST	$795.90	$1,137.00	—	—	30%
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABD W/O CON & 3D RENDER	$821.10	$1,173.00	—	—	30%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI; ABD W&W/O CNTRST	$1,273.30	$1,819.00	$81.05–$1,364.79	65% below	30%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI; ABD W&W/O CNTRST	$1,273.30	$1,819.00	—	—	30%
MRI of the brain, no contrast dye CPT 70551 MRI; BRAIN W/O CNTRST	$795.90	$1,137.00	$81.05–$939.87	66% below	30%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI; BRAIN W/O CNTRST	$795.90	$1,137.00	—	—	30%
MRI of the brain, with and without contrast dye CPT 70553 MRI; BRAIN W&W/O CNTRST	$1,273.30	$1,819.00	$81.05–$1,364.79	60% below	30%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI; BRAIN W&W/O CNTRST	$1,273.30	$1,819.00	—	—	30%
MRI of the lower back, no contrast dye CPT 72148 MRI; LUMBAR W/O CNTRST	$795.90	$1,137.00	$81.05–$939.87	64% below	30%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI; LUMBAR W/O CNTRST	$795.90	$1,137.00	—	—	30%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI; LUMBAR W&W/O CNTRST	$1,273.30	$1,819.00	$81.05–$1,364.79	60% below	30%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI; LUMBAR W&W/O CNTRST	$1,273.30	$1,819.00	—	—	30%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI; THORACIC W/O CNTRST	$795.90	$1,137.00	$81.05–$939.87	66% below	30%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI; THORACIC W/O CNTRST	$795.90	$1,137.00	—	—	30%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI; CERVICAL W&W/O CNTRST	$1,273.30	$1,819.00	$81.05–$1,364.79	61% below	30%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI; CERVICAL W&W/O CNTRST	$1,273.30	$1,819.00	—	—	30%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI; CERVICAL W/O CNTRST	$795.90	$1,137.00	$81.05–$939.87	70% below	30%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI; CERVICAL W/O CNTRST	$795.90	$1,137.00	—	—	30%
MRI of the pelvis without and with contrast CPT 72197 MRI; PELVIS W&W/O CNTRST	$1,273.30	$1,819.00	$81.05–$1,364.79	56% below	30%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI; PELVIS W&W/O CNTRST	$1,273.30	$1,819.00	—	—	30%
MRI of the pelvis, no contrast dye CPT 72195 MRI; PELVIS W/O CNTRST	$795.90	$1,137.00	$81.05–$939.87	63% below	30%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI; PELVIS W/O CNTRST	$795.90	$1,137.00	—	—	30%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI; JT UP EXTRM W/O DYE (LT)	$795.90	$1,137.00	$81.05–$939.87	60% below	30%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI; JT UP EXTRM W/O DYE (50)	$795.90	$1,137.00	$81.05–$939.87	60% below	30%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI; JT UP EXTRM W/O DYE (RT)	$795.90	$1,137.00	$81.05–$939.87	60% below	30%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI; JT UP EXTRM W/O DYE (50)	$795.90	$1,137.00	—	—	30%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI; JT UP EXTRM W/O DYE (RT)	$795.90	$1,137.00	—	—	30%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI; JT UP EXTRM W/O DYE (LT)	$795.90	$1,137.00	—	—	30%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 CARD PERPC; PERFUS PLCMNT (TC)	$2,300.20	$3,286.00	$333.18–$3,109.78	45% below	30%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 CARD PERPC; PERFUS PLCMNT (TC)	$2,300.20	$3,286.00	—	—	30%
OCT scan of the retina (optical coherence tomography) CPT 92134 IMAGING; RETINA	$167.30	$239.00	$17.04–$342.00	26% below	30%
OCT scan of the retina (optical coherence tomography) inpatient CPT 92134 IMAGING; RETINA	$167.30	$239.00	—	—	30%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US; NON-OB PELVIC LMTD	$376.60	$538.00	$18.49–$298.59	4% above	30%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US; NON-OB PELVIC LMTD	$376.60	$538.00	—	—	30%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US; NON-OB PELVIC CMPLT (59)	$376.60	$538.00	$61.86–$298.59	41% below	30%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US; NON-OB PELVIC CMP	$376.60	$538.00	$61.86–$298.59	41% below	30%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US; NON-OB PELVIC CMP	$376.60	$538.00	—	—	30%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US; NON-OB PELVIC CMPLT (59)	$376.60	$538.00	—	—	30%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US; OB>14 WKS, SINGLE FETUS	$376.60	$538.00	$74.96–$298.59	37% below	30%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US; OB>14 WKS, SINGLE FETUS	$376.60	$538.00	—	—	30%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US; OB<14 WKS, SINGLE FETUS	$376.60	$538.00	$59.83–$298.59	29% below	30%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US; OB<14 WKS, SINGLE FETUS	$376.60	$538.00	—	—	30%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US; OB LIMITED (59)	$376.60	$538.00	$42.07–$298.59	11% below	30%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US; OB LMTD	$376.60	$538.00	$42.07–$298.59	11% below	30%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US; OB LMTD	$376.60	$538.00	—	—	30%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US; OB LIMITED (59)	$376.60	$538.00	—	—	30%
Screening mammogram, both breasts CPT 77067 MAMMO; SCRN W/CAD (BL)	$337.40	$482.00	$81.05–$267.51	7% below	30%
Screening mammogram, both breasts CPT 77067 MAMMO; SCRN BL W/CAD (52)	$337.40	$482.00	$81.05–$267.51	7% below	30%
Screening mammogram, both breasts inpatient CPT 77067 MAMMO; SCRN BL W/CAD (52)	$337.40	$482.00	—	—	30%
Screening mammogram, both breasts inpatient CPT 77067 MAMMO; SCRN W/CAD (BL)	$337.40	$482.00	—	—	30%
Shoulder X-ray, complete, 2 or more views CPT 73030 XRAY; SHLDR CMP >=2 VWS (RT)	$270.20	$386.00	$36.63–$214.23	18% below	30%
Shoulder X-ray, complete, 2 or more views CPT 73030 XRAY; SHLDR CMP >=2 VWS (LT)	$270.20	$386.00	$36.63–$214.23	18% below	30%
Shoulder X-ray, complete, 2 or more views CPT 73030 XRAY; SHLDR CMP >=2 VWS (50)	$540.40	$772.00	$36.63–$428.46	64% above	30%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 XRAY; SHLDR CMP >=2 VWS (RT)	$270.20	$386.00	—	—	30%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 XRAY; SHLDR CMP >=2 VWS (LT)	$270.20	$386.00	—	—	30%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 XRAY; SHLDR CMP >=2 VWS (50)	$540.40	$772.00	—	—	30%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 STRESS TTE; COMPLETE	$1,447.60	$2,068.00	$225.21–$1,199.65	23% below	30%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 STRESS TTE; COMPLETE	$1,447.60	$2,068.00	—	—	30%
Swallow study (modified barium swallow, video X-ray) CPT 74230 XRAY; SWALLOW STUDY	$555.10	$793.00	$81.05–$440.12	7% below	30%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 XRAY; SWALLOW STUDY	$555.10	$793.00	—	—	30%
Transvaginal pelvic ultrasound CPT 76830 US; NON-OB TRANSVAGINAL (TC)	$376.60	$538.00	$71.47–$298.59	23% below	30%
Transvaginal pelvic ultrasound inpatient CPT 76830 US; NON-OB TRANSVAGINAL (TC)	$376.60	$538.00	—	—	30%
Transvaginal ultrasound during pregnancy CPT 76817 US; OB TRANSVAGINAL (TC)	$376.60	$538.00	$48.18–$298.59	31% below	30%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US; OB TRANSVAGINAL (TC)	$376.60	$538.00	—	—	30%
Ultrasound of the abdomen, complete CPT 76700 US; ABD CMP	$387.80	$554.00	$67.39–$307.47	49% below	30%
Ultrasound of the abdomen, complete inpatient CPT 76700 US; ABD CMP	$387.80	$554.00	—	—	30%
Ultrasound of the scrotum and testicles CPT 76870 US; SCROTUM+	$376.60	$538.00	$28.68–$298.59	35% below	30%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US; SCROTUM+	$376.60	$538.00	—	—	30%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US; HEAD/NECK	$376.60	$538.00	$72.34–$298.59	27% below	30%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US; HEAD/NECK	$376.60	$538.00	—	—	30%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI WO KUB	$618.10	$883.00	$81.05–$490.07	4% below	30%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI; W/KUB	$618.10	$883.00	$81.05–$490.07	4% below	30%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UGI WO KUB	$618.10	$883.00	—	—	30%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UGI; W/KUB	$618.10	$883.00	—	—	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 DPLX SCAN; LMTD EXT VEINS (LT)	$326.20	$466.00	$120.85–$893.00	44% below	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 DPLX SCAN; LMTD EXT VEINS (RT)	$326.20	$466.00	$120.85–$893.00	44% below	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 DPLX SCAN; LMTD EXT VEINS	$326.20	$466.00	$120.85–$893.00	44% below	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 DPLX SCAN; LMTD EXT VEINS (RT)	$326.20	$466.00	—	—	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 DPLX SCAN; LMTD EXT VEINS	$326.20	$466.00	—	—	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 DPLX SCAN; LMTD EXT VEINS (LT)	$326.20	$466.00	—	—	30%
Wrist X-ray, complete, 3 or more views CPT 73110 XRAY; WRIST CMP >=3 VWS (LT)	$270.20	$386.00	$47.13–$214.23	23% below	30%
Wrist X-ray, complete, 3 or more views CPT 73110 XRAY; WRIST CMP >=3 VWS (RT)	$270.20	$386.00	$47.13–$214.23	23% below	30%
Wrist X-ray, complete, 3 or more views CPT 73110 XRAY; WRIST CMP >=3 VWS (50)	$540.40	$772.00	$47.13–$428.46	54% above	30%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 XRAY; WRIST CMP >=3 VWS (LT)	$270.20	$386.00	—	—	30%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 XRAY; WRIST CMP >=3 VWS (RT)	$270.20	$386.00	—	—	30%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 XRAY; WRIST CMP >=3 VWS (50)	$540.40	$772.00	—	—	30%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 XRAY; HIP CMP >=2 VWS (LT)	$270.20	$386.00	$52.86–$214.23	3% below	30%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 XRAY; HIP CMP >=2 VWS (RT)	$270.20	$386.00	$52.86–$214.23	3% below	30%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 XRAY; HIP CMP >=2 VWS (RT)	$270.20	$386.00	—	—	30%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 XRAY; HIP CMP >=2 VWS (LT)	$270.20	$386.00	—	—	30%
X-ray of the abdomen, 1 view CPT 74018 XRAY; ABD 1 VW	$270.20	$386.00	$30.43–$214.23	12% below	30%
X-ray of the abdomen, 1 view inpatient CPT 74018 XRAY; ABD 1 VW	$270.20	$386.00	—	—	30%
X-ray of the ankle, 2 views CPT 73600 XRAY; ANKLE (LT)	$279.30	$399.00	$34.73–$221.45	9% above	30%
X-ray of the ankle, 2 views CPT 73600 XRAY; ANKLE (RT)	$279.30	$399.00	$34.73–$221.45	9% above	30%
X-ray of the ankle, 2 views CPT 73600 XRAY; ANKLE (50)	$558.60	$798.00	$34.73–$442.89	117% above	30%
X-ray of the ankle, 2 views inpatient CPT 73600 XRAY; ANKLE (LT)	$279.30	$399.00	—	—	30%
X-ray of the ankle, 2 views inpatient CPT 73600 XRAY; ANKLE (RT)	$279.30	$399.00	—	—	30%
X-ray of the ankle, 2 views inpatient CPT 73600 XRAY; ANKLE (50)	$558.60	$798.00	—	—	30%
X-ray of the finger(s), 2 or more views CPT 73140 XRAY; FINGER(S) >=2 VWS	$270.20	$386.00	$45.23–$214.23	5% below	30%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 XRAY; FINGER(S) >=2 VWS	$540.40	$772.00	—	—	30%
X-ray of the foot, 2 views CPT 73620 XRAY; FOOT 2 VWS (LT)	$270.20	$386.00	$29.96–$214.23	at median	30%
X-ray of the foot, 2 views CPT 73620 XRAY; FOOT 2 VWS (RT)	$270.20	$386.00	$29.96–$214.23	at median	30%
X-ray of the foot, 2 views CPT 73620 XRAY; FOOT 2 VWS (50)	$540.40	$772.00	$29.96–$428.46	100% above	30%
X-ray of the foot, 2 views inpatient CPT 73620 XRAY; FOOT 2 VWS (RT)	$270.20	$386.00	—	—	30%
X-ray of the foot, 2 views inpatient CPT 73620 XRAY; FOOT 2 VWS (LT)	$270.20	$386.00	—	—	30%
X-ray of the foot, 2 views inpatient CPT 73620 XRAY; FOOT 2 VWS (50)	$540.40	$772.00	—	—	30%
X-ray of the foot, complete, 3 or more views CPT 73630 XRAY; FOOT CMP >=3 VWS (RT)	$270.20	$386.00	$37.10–$214.23	19% below	30%
X-ray of the foot, complete, 3 or more views CPT 73630 XRAY; FOOT CMP >=3 VWS (LT)	$270.20	$386.00	$37.10–$214.23	19% below	30%
X-ray of the foot, complete, 3 or more views CPT 73630 XRAY; FOOT CMP >=3 VWS (50)	$540.40	$772.00	$37.10–$428.46	62% above	30%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 XRAY; FOOT CMP >=3 VWS (RT)	$270.20	$386.00	—	—	30%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 XRAY; FOOT CMP >=3 VWS (LT)	$270.20	$386.00	—	—	30%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 XRAY; FOOT CMP >=3 VWS (50)	$540.40	$772.00	—	—	30%
X-ray of the hand, 3 or more views CPT 73130 XRAY; HAND >=3 VWS (RT)	$279.30	$399.00	$41.40–$221.45	10% below	30%
X-ray of the hand, 3 or more views CPT 73130 XRAY; HAND >=3 VWS (LT)	$279.30	$399.00	$41.40–$221.45	10% below	30%
X-ray of the hand, 3 or more views CPT 73130 XRAY; HAND >=3 VWS (50)	$558.60	$798.00	$41.40–$442.89	79% above	30%
X-ray of the hand, 3 or more views inpatient CPT 73130 XRAY; HAND >=3 VWS (LT)	$279.30	$399.00	—	—	30%
X-ray of the hand, 3 or more views inpatient CPT 73130 XRAY; HAND >=3 VWS (RT)	$279.30	$399.00	—	—	30%
X-ray of the hand, 3 or more views inpatient CPT 73130 XRAY; HAND >=3 VWS (50)	$558.60	$798.00	—	—	30%
X-ray of the knee, 1 or 2 views CPT 73560 XRAY; KNEE 1/2 VWS (LT)	$270.20	$386.00	$37.10–$214.23	15% below	30%
X-ray of the knee, 1 or 2 views CPT 73560 XRAY; KNEE 1/2 VWS (RT)	$270.20	$386.00	$37.10–$214.23	15% below	30%
X-ray of the knee, 1 or 2 views CPT 73560 XRAY; KNEE 1/2 VWS (50)	$540.40	$772.00	$37.10–$428.46	69% above	30%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 XRAY; KNEE 1/2 VWS (RT)	$270.20	$386.00	—	—	30%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 XRAY; KNEE 1/2 VWS (LT)	$270.20	$386.00	—	—	30%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 XRAY; KNEE 1/2 VWS (50)	$540.40	$772.00	—	—	30%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XRAY; LS SPINE 2/3 VWS	$368.90	$527.00	$41.40–$292.49	at median	30%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XRAY; LS SPINE 2/3 VWS	$368.90	$527.00	—	—	30%
X-ray of the lower back, 4 or more views CPT 72110 XRAY; LS SPINE >= 4 VWS	$376.60	$538.00	$56.20–$298.59	26% below	30%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XRAY; LS SPINE >= 4 VWS	$376.60	$538.00	—	—	30%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XRAY; SPINE THORACIC 2 VWS	$376.60	$538.00	$33.29–$298.59	4% above	30%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XRAY; SPINE THORACIC 2 VWS	$376.60	$538.00	—	—	30%
X-ray of the nasal bones, 3 or more views CPT 70160 XRAY; NASAL BONES CMP >=3 VW	$270.20	$386.00	$41.89–$214.23	16% below	30%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XRAY; NASAL BONES CMP >=3 VW	$270.20	$386.00	—	—	30%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XRAY; NECK SPINE 2-3 VWS	$270.20	$386.00	$41.40–$214.23	20% below	30%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XRAY; NECK SPINE 2-3 VWS	$270.20	$386.00	—	—	30%
X-ray of the pelvis, 1 or 2 views CPT 72170 XRAY; PELVIS 1/2 VWS	$376.60	$538.00	$28.04–$298.59	28% above	30%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XRAY; PELVIS 1/2 VWS	$376.60	$538.00	—	—	30%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XRAY; SACRUM & COCCYX >=2 VWS	$270.20	$386.00	$34.73–$214.23	17% below	30%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XRAY; SACRUM & COCCYX >=2 VWS	$270.20	$386.00	—	—	30%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Massachusetts	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINO ALT/SGPT (59)	$15.40	$22.00	$5.19–$16.99	66% below	30%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINO (ALT) (SGPT)	$15.40	$22.00	$5.19–$16.99	66% below	30%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT/SGPT	$15.40	$22.00	$5.19–$16.99	66% below	30%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT/SGPT	$15.40	$22.00	—	—	30%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALANINE AMINO (ALT) (SGPT)	$15.40	$22.00	—	—	30%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALANINE AMINO ALT/SGPT (59)	$15.40	$22.00	—	—	30%
AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE (AST) (SGOT)	$14.70	$21.00	$5.08–$16.57	65% below	30%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST/SGOT	$14.70	$21.00	$5.08–$16.57	65% below	30%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 TRANSFERASE (AST) (SGOT)	$14.70	$21.00	—	—	30%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST/SGOT	$14.70	$21.00	—	—	30%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL	$137.90	$197.00	$46.68–$144.18	25% below	30%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL	$137.90	$197.00	—	—	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE XTRC (91)	$15.40	$22.00	$5.12–$16.77	66% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE XTRC EA	$15.40	$22.00	$5.12–$16.77	66% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE XTRC (59)	$15.40	$22.00	$5.12–$16.77	66% below	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG SPEC IGE CRUDE XTRC (59)	$15.40	$22.00	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG SPEC IGE CRUDE XTRC (91)	$15.40	$22.00	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG SPEC IGE CRUDE XTRC EA	$15.40	$22.00	—	—	30%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY	$37.80	$54.00	$12.69–$41.53	25% below	30%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP ANTIBODY	$37.80	$54.00	—	—	30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA SCREEN (91)	$35.00	$50.00	$11.85–$38.77	45% below	30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA SCREEN	$35.00	$50.00	$11.85–$38.77	45% below	30%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA SCREEN (91)	$35.00	$50.00	—	—	30%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA SCREEN	$35.00	$50.00	—	—	30%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE	$112.00	$160.00	$37.71–$108.82	46% below	30%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NATRIURETIC PEPTIDE	$112.00	$160.00	—	—	30%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL	$24.50	$35.00	$8.29–$27.12	67% below	30%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL	$24.50	$35.00	—	—	30%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURGICAL PATH; LEVEL IV (91)	$171.50	$245.00	$40.23–$121.33	8% below	30%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURGICAL PATH; LEVEL IV	$171.50	$245.00	$40.23–$121.33	8% below	30%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURGICAL PATH; LEVEL IV	$171.50	$245.00	—	—	30%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURGICAL PATH; LEVEL IV (91)	$171.50	$245.00	—	—	30%
Blood culture for bacteria CPT 87040 BLOOD CULTURE FOR BACTERIA	$30.10	$43.00	$10.11–$33.09	66% below	30%
Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE FOR BACTERIA	$30.10	$43.00	—	—	30%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE (ONCOLOGY ONLY)	$7.70	$11.00	$2.70–$12.64	52% below	30%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE (AMBULATORY)	$7.70	$11.00	$2.70–$12.64	52% below	30%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE	$7.70	$11.00	$2.70–$12.64	52% below	30%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE (AMBULATORY)	$7.70	$11.00	—	—	30%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE (ONCOLOGY ONLY)	$7.70	$11.00	—	—	30%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE	$7.70	$11.00	—	—	30%
Blood glucose (sugar) test CPT 82947 BLOOD GLUCOSE QUANTITATIVE	$11.20	$16.00	$3.85–$12.57	67% below	30%
Blood glucose (sugar) test inpatient CPT 82947 BLOOD GLUCOSE QUANTITATIVE	$11.20	$16.00	—	—	30%
Blood lead test CPT 83655 ASSAY OF LEAD	$35.00	$50.00	$11.87–$38.81	51% below	30%
Blood lead test inpatient CPT 83655 ASSAY OF LEAD	$35.00	$50.00	—	—	30%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 GONADOTROPN,CHORIONC(Hcg)QUAL	$21.70	$31.00	$7.37–$24.06	67% below	30%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 GONADOTROPN,CHORIONC(Hcg)QUAL	$21.70	$31.00	—	—	30%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO TYPING	$340.90	$487.00	$3.32–$253.42	71% above	30%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO TYPING	$340.90	$487.00	—	—	30%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN	$14.70	$21.00	$5.08–$16.59	68% below	30%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN	$14.70	$21.00	—	—	30%
C. difficile toxin gene test (stool PCR) CPT 87493 DNS AMPLIFICATION C DIFFICILE	$106.40	$152.00	$36.52–$92.80	50% below	30%
C. difficile toxin gene test (stool PCR) CPT 87493 DNA AMPLIFICATION C DIFFICILE	$106.40	$152.00	$36.52–$92.80	50% below	30%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 DNA AMPLIFICATION C DIFFICILE	$106.40	$152.00	—	—	30%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 DNS AMPLIFICATION C DIFFICILE	$106.40	$152.00	—	—	30%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9	$60.20	$86.00	$20.39–$66.70	44% below	30%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9	$60.20	$86.00	—	—	30%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 ANTIGEN	$60.20	$86.00	$20.39–$66.70	47% below	30%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125 ANTIGEN	$60.20	$86.00	—	—	30%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19 AMP PRB	$146.30	$209.00	$46.18–$122.14	13% below	30%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2 COVID-19 AMP PRB	$146.30	$209.00	—	—	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA ANTIGEN AMPLIFIED	$101.50	$145.00	$34.39–$92.80	46% below	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA ANTIGEN AMPLIFIED	$101.50	$145.00	—	—	30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$38.50	$55.00	$13.12–$42.93	47% below	30%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL	$38.50	$55.00	—	—	30%
Complete blood count (CBC) with differential CPT 85025 CBC & AUTO DIFF	$22.40	$32.00	$7.61–$24.92	60% below	30%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC & AUTO DIFF	$22.40	$32.00	—	—	30%
Complete blood count (CBC), no differential CPT 85027 COMPLETE CBC AUTOMATED	$18.90	$27.00	$6.34–$20.73	58% below	30%
Complete blood count (CBC), no differential inpatient CPT 85027 COMPLETE CBC AUTOMATED	$18.90	$27.00	—	—	30%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL	$30.80	$44.00	$10.35–$33.89	69% below	30%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL	$30.80	$44.00	—	—	30%
D-dimer blood test (blood clot marker) CPT 85379 FIBRIN DEGRATION, QUANTITATIVE	$29.40	$42.00	$9.98–$32.62	54% below	30%
D-dimer blood test (blood clot marker) inpatient CPT 85379 FIBRIN DEGRATION, QUANTITATIVE	$29.40	$42.00	—	—	30%
DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIAN SULFATE	$64.40	$92.00	$21.79–$71.26	52% below	30%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DEHYDROEPIAN SULFATE	$64.40	$92.00	—	—	30%
Estradiol blood test CPT 82670 ESTRADIOL	$81.20	$116.00	$27.38–$89.57	57% below	30%
Estradiol blood test inpatient CPT 82670 ESTRADIOL	$81.20	$116.00	—	—	30%
FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIMULATING HORMONE	$53.90	$77.00	$18.21–$59.58	57% below	30%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIMULATING HORMONE	$53.90	$77.00	—	—	30%
Fecal calprotectin (stool inflammation test) CPT 83993 ASSAY FOR CALPROTECTIN FECAL	$56.70	$81.00	$19.24–$62.93	56% below	30%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 ASSAY FOR CALPROTECTIN FECAL	$56.70	$81.00	—	—	30%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$39.20	$56.00	$13.36–$43.67	57% below	30%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$39.20	$56.00	—	—	30%
Folate (folic acid) blood test CPT 82746 FOLATE LEVEL	$42.70	$61.00	$14.41–$47.15	57% below	30%
Folate (folic acid) blood test inpatient CPT 82746 FOLATE LEVEL	$42.70	$61.00	—	—	30%
Free T3 thyroid hormone test CPT 84481 FREE T3 PROFILE	$49.00	$70.00	$16.60–$54.31	57% below	30%
Free T3 thyroid hormone test inpatient CPT 84481 FREE T3 PROFILE	$49.00	$70.00	—	—	30%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE; FREE	$25.90	$37.00	$8.84–$28.93	65% below	30%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE; FREE	$25.90	$37.00	—	—	30%
Free testosterone test CPT 84402 FREE TESTOSTERONE	$73.50	$105.00	$24.96–$81.62	35% below	30%
Free testosterone test inpatient CPT 84402 FREE TESTOSTERONE	$73.50	$105.00	—	—	30%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL	$184.80	$264.00	$37.55–$132.00	4% below	30%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL	$184.80	$264.00	—	—	30%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TEST	$14.00	$20.00	$4.66–$15.20	66% below	30%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE TEST	$14.00	$20.00	—	—	30%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE TEST (GTT)	$37.10	$53.00	$12.61–$41.29	35% below	30%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE TEST (GTT)	$37.10	$53.00	—	—	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC DNA, AMPLIFIED	$101.50	$145.00	$34.39–$92.80	46% below	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC DNA, AMPLIFIED	$101.50	$145.00	—	—	30%
H. pylori stool antigen test CPT 87338 HELICOBACTER PYLORI STOOL	$41.30	$59.00	$14.09–$42.27	60% below	30%
H. pylori stool antigen test inpatient CPT 87338 HELICOBACTER PYLORI STOOL	$41.30	$59.00	—	—	30%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QUANT	$246.40	$352.00	$83.40–$225.03	36% below	30%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 QUANT	$246.40	$352.00	—	—	30%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 AG W/HIV-1 & HIV-2 AB	$70.00	$100.00	$23.60–$70.76	38% below	30%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV-1 AG W/HIV-1 & HIV-2 AB	$70.00	$100.00	—	—	30%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH-RISK TYPES	$101.50	$145.00	$34.39–$92.80	25% below	30%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV HIGH-RISK TYPES	$101.50	$145.00	—	—	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOHEMOGLOBIN	$28.00	$40.00	$9.52–$31.12	59% below	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOHEMOGLOBIN	$28.00	$40.00	—	—	30%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 ANTI-HBs	$30.80	$44.00	$10.53–$33.52	57% below	30%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 ANTI-HBs	$30.80	$44.00	—	—	30%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURFACE ANTIGEN	$30.10	$43.00	$10.12–$33.10	67% below	30%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURFACE ANTIGEN (HBsAG)	$30.10	$43.00	$10.12–$33.10	67% below	30%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEP B SURFACE ANTIGEN (HBsAG)	$30.10	$43.00	—	—	30%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEP B SURFACE ANTIGEN	$30.10	$43.00	—	—	30%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY	$41.30	$59.00	$13.98–$41.91	64% below	30%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY	$41.30	$59.00	—	—	30%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C RNA QUANTIFICATION	$123.90	$177.00	$41.98–$137.33	33% below	30%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C RNA QUANTIFICATION	$123.90	$177.00	—	—	30%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES VIRUS TYPE 1	$38.50	$55.00	$12.93–$42.32	38% below	30%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES VIRUS TYPE 1	$38.50	$55.00	—	—	30%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2	$56.00	$80.00	$18.96–$62.08	23% below	30%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 (91)	$56.00	$80.00	$18.96–$62.08	23% below	30%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX TYPE 2	$56.00	$80.00	—	—	30%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX TYPE 2 (91)	$56.00	$80.00	—	—	30%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN H/SENSIV.	$37.80	$54.00	$12.69–$41.53	45% below	30%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-REACTIVE PROTEIN H/SENSIV.	$37.80	$54.00	—	—	30%
Homocysteine blood test CPT 83090 HOMOCYSTINE	$51.10	$73.00	$17.56–$54.09	62% below	30%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTINE	$51.10	$73.00	—	—	30%
Insulin blood test CPT 83525 INSULIN	$32.90	$47.00	$11.20–$36.67	56% below	30%
Insulin blood test inpatient CPT 83525 INSULIN	$32.90	$47.00	—	—	30%
Iron blood test (serum iron) CPT 83540 IRON	$18.90	$27.00	$6.34–$20.76	44% below	30%
Iron blood test (serum iron) inpatient CPT 83540 IRON	$18.90	$27.00	—	—	30%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY	$77.00	$110.00	$8.57–$28.00	103% above	30%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY	$77.00	$110.00	—	—	30%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$133.00	$190.00	$8.51–$27.84	71% above	30%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$133.00	$190.00	—	—	30%
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE	$53.90	$77.00	$18.15–$59.39	56% below	30%
LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE	$53.90	$77.00	—	—	30%
Lipase blood test (pancreas enzyme) CPT 83690 ASSAY; LIPASE	$19.60	$28.00	$6.75–$22.07	58% below	30%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 ASSAY; LIPASE	$19.60	$28.00	—	—	30%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$23.80	$34.00	$8.01–$26.22	72% below	30%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL	$23.80	$34.00	—	—	30%
Lyme disease antibody test CPT 86618 LYME SCREEN	$49.00	$70.00	$16.69–$50.03	48% below	30%
Lyme disease antibody test CPT 86618 LYME SCREEN (59)	$49.00	$70.00	$16.69–$50.03	48% below	30%
Lyme disease antibody test inpatient CPT 86618 LYME SCREEN	$49.00	$70.00	—	—	30%
Lyme disease antibody test inpatient CPT 86618 LYME SCREEN (59)	$49.00	$70.00	—	—	30%
Magnesium blood test CPT 83735 MAGNESIUM, URINE/SERUM	$19.60	$28.00	$6.57–$21.49	56% below	30%
Magnesium blood test inpatient CPT 83735 MAGNESIUM, URINE/SERUM	$19.60	$28.00	—	—	30%
Measles (rubeola) antibody test CPT 86765 MEASLES VIRUS IgG Ab	$37.10	$53.00	$12.62–$41.30	54% below	30%
Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODIES,IMG,IGG	$37.10	$53.00	$12.62–$41.30	54% below	30%
Measles (rubeola) antibody test CPT 86765 ANTIBODY; RUBEOLA	$67.20	$96.00	$12.62–$41.30	16% below	30%
Measles (rubeola) antibody test CPT 86765 ANTIBODY; RUBEOLA (91)	$67.20	$96.00	$12.62–$41.30	16% below	30%
Measles (rubeola) antibody test inpatient CPT 86765 MEASLES VIRUS IgG Ab	$37.10	$53.00	—	—	30%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA ANTIBODIES,IMG,IGG	$37.10	$53.00	—	—	30%
Measles (rubeola) antibody test inpatient CPT 86765 ANTIBODY; RUBEOLA	$67.20	$96.00	—	—	30%
Measles (rubeola) antibody test inpatient CPT 86765 ANTIBODY; RUBEOLA (91)	$67.20	$96.00	—	—	30%
Mono test (heterophile antibody, Monospot) CPT 86308 POC; HETEROPHILE AB SCRN (QW)	$14.70	$21.00	$5.08–$16.59	70% below	30%
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE AB SCREEN	$14.70	$21.00	$5.08–$16.59	70% below	30%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILE AB SCREEN	$14.70	$21.00	—	—	30%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 POC; HETEROPHILE AB SCRN (QW)	$14.70	$21.00	—	—	30%
PSA (prostate-specific antigen) blood test, free CPT 84154 FREE PROSTATE SPECIFIC ANTIGEN	$53.20	$76.00	$18.02–$58.96	52% below	30%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 FREE PROSTATE SPECIFIC ANTIGEN	$53.20	$76.00	—	—	30%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPEC ANTIGEN TOTAL	$53.20	$76.00	$18.02–$58.96	52% below	30%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPEC ANTIGEN TOTAL	$53.20	$76.00	—	—	30%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATH; C/V THIN LAYER	$58.80	$84.00	$19.85–$64.97	42% below	30%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CYTOPATH; C/V THIN LAYER	$58.80	$84.00	—	—	30%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE	$119.70	$171.00	$40.45–$132.34	45% below	30%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHORMONE	$119.70	$171.00	—	—	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME,PRTL (PTT)	$17.50	$25.00	$5.89–$19.23	40% below	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PRTL (PTT)	$17.50	$25.00	$5.89–$19.23	40% below	30%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME,PRTL (PTT)	$17.50	$25.00	—	—	30%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME PRTL (PTT)	$17.50	$25.00	—	—	30%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 QNatal	$2,163.00	$3,090.00	$683.15–$1,871.79	16% below	30%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 QNatal	$2,163.00	$3,090.00	—	—	30%
Progesterone blood test CPT 84144 PROGESTERONE	$60.20	$86.00	$20.44–$66.91	57% below	30%
Progesterone blood test inpatient CPT 84144 PROGESTERONE	$60.20	$86.00	—	—	30%
Prolactin blood test CPT 84146 PROLACTIN	$56.00	$80.00	$18.99–$62.15	45% below	30%
Prolactin blood test inpatient CPT 84146 PROLACTIN	$56.00	$80.00	—	—	30%
Prothrombin time (PT/INR) clotting test CPT 85610 POC; PT/INR (QW)	$11.90	$17.00	$4.20–$12.60	48% below	30%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$11.90	$17.00	$4.20–$12.60	48% below	30%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 POC; PT/INR (QW)	$11.90	$17.00	—	—	30%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME	$11.90	$17.00	—	—	30%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA ASSAY W/ OPTIC	$46.90	$67.00	$14.90–$39.39	8% below	30%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA ASSAY OPTIC (59)	$46.90	$67.00	$14.90–$39.39	8% below	30%
Rapid flu test (influenza antigen) CPT 87804 POC; INFLUENZA ASSAY W/ OPTIC	$46.90	$67.00	$14.90–$39.39	8% below	30%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA ASSAY W/ OPTIC	$46.90	$67.00	—	—	30%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA ASSAY OPTIC (59)	$46.90	$67.00	—	—	30%
Rapid flu test (influenza antigen) inpatient CPT 87804 POC; INFLUENZA ASSAY W/ OPTIC	$46.90	$67.00	—	—	30%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 POC; STREP A ASSAY OPTIC (QW)	$46.90	$67.00	$14.88–$39.34	27% below	30%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 POC; STREP A ASSAY W/ OPTIC	$46.90	$67.00	$14.88–$39.34	27% below	30%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 POC; STREP A ASSAY W/ OPTIC	$46.90	$67.00	—	—	30%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 POC; STREP A ASSAY OPTIC (QW)	$46.90	$67.00	—	—	30%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUAN	$16.10	$23.00	$5.56–$18.21	53% below	30%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QUAN	$16.10	$23.00	—	—	30%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IgG	$42.00	$60.00	$14.10–$46.15	52% below	30%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IgG	$42.00	$60.00	—	—	30%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 RBC SED RATE, AUTOMATED	$7.70	$11.00	$2.65–$8.64	56% below	30%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 RBC SED RATE, AUTOMATED	$7.70	$11.00	—	—	30%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS (COMPLETE)	$35.00	$50.00	$12.06–$38.66	67% below	30%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 SEMEN ANALYSIS (COMPLETE)	$35.00	$50.00	—	—	30%
Stool ova and parasites exam CPT 87177 OVA & PARASITES, DIRECT SMEARS	$25.90	$37.00	$8.72–$28.54	56% below	30%
Stool ova and parasites exam inpatient CPT 87177 OVA & PARASITES, DIRECT SMEARS	$25.90	$37.00	—	—	30%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD FECES	$12.60	$18.00	$3.94–$10.42	24% below	30%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD FECES	$12.60	$18.00	—	—	30%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 ASSAY TEST FOR BLOOD FECAL	$46.20	$66.00	$15.60–$46.74	33% below	30%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 ASSAY TEST FOR BLOOD FECAL	$46.20	$66.00	—	—	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST QUAL	$12.60	$18.00	$4.18–$13.68	47% below	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS TEST QUAL	$12.60	$18.00	—	—	30%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TST,CELL MED IMMU ARM;GAMMA	$179.20	$256.00	$60.74–$198.95	26% below	30%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB TST,CELL MED IMMU ARM;GAMMA	$179.20	$256.00	—	—	30%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL	$74.90	$107.00	$25.29–$82.79	64% below	30%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, TOTAL	$74.90	$107.00	$25.29–$82.79	64% below	30%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL	$74.90	$107.00	—	—	30%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE, TOTAL	$74.90	$107.00	—	—	30%
Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI-THYROID MICROSOMAL	$42.00	$60.00	$14.26–$46.65	36% below	30%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTI-THYROID MICROSOMAL	$42.00	$60.00	—	—	30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE	$48.30	$69.00	$16.46–$53.87	39% below	30%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMONE	$48.30	$69.00	—	—	30%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPLIF	$101.50	$145.00	$34.39–$92.80	15% below	30%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS AMPLIF	$101.50	$145.00	—	—	30%
Uric acid blood test CPT 84550 URIC ACID	$13.30	$19.00	$4.43–$14.48	65% below	30%
Uric acid blood test inpatient CPT 84550 URIC ACID	$13.30	$19.00	—	—	30%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/SCOPE	$9.10	$13.00	$3.11–$10.17	74% below	30%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS AUTO W/SCOPE	$9.10	$13.00	—	—	30%
Urinalysis without microscope exam, automated CPT 81003 POC; URINALYSIS AUTO W/O MICRO	$7.00	$10.00	$2.21–$7.20	70% below	30%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O MICRO (59)	$7.00	$10.00	$2.21–$7.20	70% below	30%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS AUTO W/O MICRO (59)	$7.00	$10.00	—	—	30%
Urinalysis without microscope exam, automated inpatient CPT 81003 POC; URINALYSIS AUTO W/O MICRO	$7.00	$10.00	—	—	30%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NON AUTO W/O MICRO	$9.80	$14.00	$3.13–$8.28	58% below	30%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS NON AUTO W/O MICRO	$9.80	$14.00	—	—	30%
Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE	$23.10	$33.00	$7.91–$25.87	57% below	30%
Urine culture for bacteria, with colony count inpatient CPT 87086 URINE CULTURE	$23.10	$33.00	—	—	30%
Urine pregnancy test, read by color change CPT 81025 POC; URINE HCG	$24.50	$35.00	$7.75–$20.49	22% below	30%
Urine pregnancy test, read by color change inpatient CPT 81025 POC; URINE HCG	$24.50	$35.00	—	—	30%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 LEVEL	$43.40	$62.00	$14.78–$48.00	53% below	30%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B-12 LEVEL	$43.40	$62.00	—	—	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D	$85.40	$122.00	$29.01–$94.91	48% below	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D	$85.40	$122.00	—	—	30%
Zinc blood test CPT 84630 ZINC, SERUM	$32.90	$47.00	$11.16–$36.51	63% below	30%
Zinc blood test inpatient CPT 84630 ZINC, SERUM	$32.90	$47.00	—	—	30%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPN,CHORIONC(Hcg)QUAN	$43.40	$62.00	$14.75–$48.27	57% below	30%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTTOPN,CHORIONC (84702)	$43.40	$62.00	$14.75–$48.27	57% below	30%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 GONADOTTOPN,CHORIONC (84702)	$43.40	$62.00	—	—	30%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 GONADOTROPN,CHORIONC(Hcg)QUAN	$43.40	$62.00	—	—	30%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Massachusetts	Off list
Botox injections for chronic migraine CPT 64615 CHEMODENERV MUSC MIGRAINE	$1,094.80	$1,564.00	$124.98–$698.80	37% above	30%
Botox injections for chronic migraine CPT 64615 CHEMODENERV; MUSCLE MIGRAINE	$1,094.80	$1,564.00	$124.98–$698.80	37% above	30%
Botox injections for chronic migraine inpatient CPT 64615 CHEMODENERV MUSC MIGRAINE	$1,094.80	$1,564.00	—	—	30%
Botox injections for chronic migraine inpatient CPT 64615 CHEMODENERV; MUSCLE MIGRAINE	$1,094.80	$1,564.00	—	—	30%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX; BREAST 1ST LSN STRTCT (RT)	$1,786.40	$2,552.00	$124.35–$2,946.32	25% below	30%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX; BREAST 1ST LSN STRTCT (LT)	$1,786.40	$2,552.00	$124.35–$2,946.32	25% below	30%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX; BREAST 1ST LSN STRTCT (50)	$3,572.80	$5,104.00	$124.35–$2,946.32	49% above	30%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 BX; BREAST 1ST LSN STRTCT (LT)	$1,786.40	$2,552.00	—	—	30%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 BX; BREAST 1ST LSN STRTCT (RT)	$1,786.40	$2,552.00	—	—	30%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 BX; BREAST 1ST LSN STRTCT (50)	$3,572.80	$5,104.00	—	—	30%
Cardiac catheterization with coronary angiogram CPT 93458 L HRT ARTERY/VENTRICLE ANGIO	$4,258.80	$6,084.00	$4,799.67	53% below	30%
Cardiac catheterization with coronary angiogram inpatient CPT 93458 L HRT ARTERY/VENTRICLE ANGIO	$4,258.80	$6,084.00	—	—	30%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION; EXTERNAL	$1,683.50	$2,405.00	$117.23–$1,334.78	17% above	30%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION; EXTERNAL	$1,683.50	$2,405.00	—	—	30%
Cervical biopsy CPT 57500 BX; CERVIX	$1,786.40	$2,552.00	$77.61–$1,328.14	17% above	30%
Cervical biopsy inpatient CPT 57500 BX; CERVIX	$1,786.40	$2,552.00	—	—	30%
Circumcision, surgical, older than a newborn CPT 54160 CIRCUMCISION; NEWBORN	$1,786.40	$2,552.00	$145.62–$1,338.16	11% below	30%
Circumcision, surgical, older than a newborn inpatient CPT 54160 CIRCUMCISION; NEWBORN	$1,786.40	$2,552.00	—	—	30%
Colonoscopy with endoscopic ultrasound CPT 45391 COLONOSCOPY; W/ENDOSCOPY US	$1,787.10	$2,553.00	$944.61–$3,672.00	44% below	30%
Colonoscopy with endoscopic ultrasound inpatient CPT 45391 COLONOSCOPY; W/ENDOSCOPY US	$1,787.10	$2,553.00	—	—	30%
Colonoscopy with polyp removal CPT 45385 COLONOSCOPY; W/LESION RMVL SNA	$1,786.40	$2,552.00	$944.24–$3,672.00	37% below	30%
Colonoscopy with polyp removal inpatient CPT 45385 COLONOSCOPY; W/LESION RMVL SNA	$1,786.40	$2,552.00	—	—	30%
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY; W/BX	$1,786.40	$2,552.00	$944.24–$3,672.00	35% below	30%
Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY; W/BX	$1,786.40	$2,552.00	—	—	30%
Colonoscopy, diagnostic CPT 45378 COLONOSCOPY; DX	$1,786.40	$2,552.00	$944.24–$3,672.00	22% below	30%
Colonoscopy, diagnostic inpatient CPT 45378 COLONOSCOPY; DX	$1,786.40	$2,552.00	—	—	30%
Coronary stent placement, one artery CPT 92928 PLCMNT DRUG ELUT STNT, SGL	$19,997.60	$28,568.00	$6,078.00–$20,711.09	4% below	30%
Coronary stent placement, one artery CPT 92928 PRQ CARD STENT W/ANGIO 1 VSL	$19,997.60	$28,568.00	$6,078.00–$20,711.09	4% below	30%
Coronary stent placement, one artery inpatient CPT 92928 PRQ CARD STENT W/ANGIO 1 VSL	$19,997.60	$28,568.00	—	—	30%
Coronary stent placement, one artery inpatient CPT 92928 PLCMNT DRUG ELUT STNT, SGL	$19,997.60	$28,568.00	—	—	30%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOSCOPY	$721.00	$1,030.00	$87.00–$1,338.16	67% below	30%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSTOSCOPY	$721.00	$1,030.00	—	—	30%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DST; PRE-MLGNT LESION	$268.80	$384.00	$40.48–$419.95	2% below	30%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DST; PRE-MLGNT LESION	$268.80	$384.00	—	—	30%
Earwax removal by irrigation (rinsing), one ear CPT 69209 RMVL; IMPACTED EAR WAX UN	$268.80	$384.00	$11.69–$213.12	26% above	30%
Earwax removal by irrigation (rinsing), one ear CPT 69209 RMVL; IMPACTED EAR WAX UN (ER)	$338.80	$484.00	$69.13–$1,505.00	59% above	30%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 RMVL; IMPACTED EAR WAX UN	$268.80	$384.00	—	—	30%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 RMVL; IMPACTED EAR WAX UN (ER)	$338.80	$484.00	—	—	30%
Earwax removal with instruments, one ear CPT 69210 RMVL; IMPACTED CERUMEN	$268.80	$384.00	$27.28–$213.12	5% above	30%
Earwax removal with instruments, one ear CPT 69210 RMVL; IMPACTED CERUMEN (ER)	$338.80	$484.00	$69.13–$1,505.00	32% above	30%
Earwax removal with instruments, one ear inpatient CPT 69210 RMVL; IMPACTED CERUMEN	$268.80	$384.00	—	—	30%
Earwax removal with instruments, one ear inpatient CPT 69210 RMVL; IMPACTED CERUMEN (ER)	$338.80	$484.00	—	—	30%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BX; UTERUS LINING	$541.10	$773.00	$87.00–$394.91	at median	30%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 BX; UTERUS LINING	$541.10	$773.00	—	—	30%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INJ; CRV/THRC W/IG	$1,786.40	$2,552.00	$116.54–$1,425.17	2% above	30%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INJ; CRV/THRC W/IG (50)	$3,572.80	$5,104.00	$116.54–$2,280.47	103% above	30%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INJ; CRV/THRC W/IG (BL)	$3,572.80	$5,104.00	$116.54–$2,280.47	103% above	30%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 INJ; CRV/THRC W/IG	$1,786.40	$2,552.00	—	—	30%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 INJ; CRV/THRC W/IG (BL)	$3,572.80	$5,104.00	—	—	30%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 INJ; CRV/THRC W/IG (50)	$3,572.80	$5,104.00	—	—	30%
Eye injection into the vitreous (intravitreal injection) CPT 67028 INJ; EYE PHARMACOLOGIC AGENT	$192.50	$275.00	$101.75–$3,103.52	85% below	30%
Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 INJ; EYE PHARMACOLOGIC AGENT	$192.50	$275.00	—	—	30%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERTEBRAL L/S	$2,466.10	$3,523.00	$1,036.13–$3,217.00	5% below	30%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ; PARAVERT FACET JNT L/S	$2,466.10	$3,523.00	$95.73–$1,820.32	5% below	30%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ; PARAVERT F JNT L/S 1 LVL	$2,466.10	$3,523.00	$95.73–$1,820.32	5% below	30%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ; PARAVERT FCT JNT L/S (50)	$4,932.20	$7,046.00	$95.73–$3,148.15	90% above	30%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ; PARAVERT F JNT L/S (BL)	$4,932.20	$7,046.00	$95.73–$3,148.15	90% above	30%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 INJ; PARAVERT F JNT L/S 1 LVL	$2,466.10	$3,523.00	—	—	30%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 INJ; PARAVERT FACET JNT L/S	$2,466.10	$3,523.00	—	—	30%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 INJ PARAVERTEBRAL L/S	$2,466.10	$3,523.00	—	—	30%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 INJ; PARAVERT FCT JNT L/S (50)	$4,932.20	$7,046.00	—	—	30%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 INJ; PARAVERT F JNT L/S (BL)	$4,932.20	$7,046.00	—	—	30%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 SIGMOIDOSCOPY; DX	$1,786.40	$2,552.00	$766.01–$3,217.00	5% below	30%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 SIGMOIDOSCOPY; DX	$1,786.40	$2,552.00	—	—	30%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HYSTEROGR/SIS CONTR/SALINE INJ	$128.10	$183.00	$59.98–$290.34	67% below	30%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HYSTEROGR/SIS CONTR/SALINE INJ	$128.10	$183.00	—	—	30%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D; ABSCESS SMPL	$541.10	$773.00	$74.24–$419.95	14% above	30%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D; ABSCESS SMPL (ER)	$611.10	$873.00	$231.25–$1,505.00	29% above	30%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D; ABSCESS SMPL	$541.10	$773.00	—	—	30%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D; ABSCESS SMPL (ER)	$611.10	$873.00	—	—	30%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ; TENDON SHEATH/LIGAMENT	$541.10	$773.00	$38.04–$589.00	5% above	30%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ; TNDN SHEATH/LIGAMNT (50)	$1,082.20	$1,546.00	$38.04–$690.75	109% above	30%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ; TNDN SHEATH/LIGAMNT (BL)	$1,082.20	$1,546.00	$38.04–$690.75	109% above	30%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ; TENDON SHEATH/LIGAMENT	$541.10	$773.00	—	—	30%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ; TNDN SHEATH/LIGAMNT (50)	$1,082.20	$1,546.00	—	—	30%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ; TNDN SHEATH/LIGAMNT (BL)	$1,082.20	$1,546.00	—	—	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRN/INJ; MJR JNT/BURSA W/O US	$611.10	$873.00	$299.00–$1,505.00	4% above	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRN/INJ; MJR JNT BURSA (BL)	$1,082.20	$1,546.00	$343.54–$3,103.52	84% above	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRN/INJ; MJR JNT/BURSA W/O US	$541.10	$773.00	—	—	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRN/INJ; MJR JNT BURSA (BL)	$1,082.20	$1,546.00	—	—	30%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRN/INJ; INT JNT W/O US	$541.10	$773.00	$286.01–$3,103.52	2% below	30%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRN/INJ; INT JNT W/O US (ER)	$611.10	$873.00	$299.00–$1,505.00	11% above	30%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRN/INJ; INT JNT W/O US	$541.10	$773.00	—	—	30%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRN/INJ; INT JNT W/O US (ER)	$611.10	$873.00	—	—	30%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRN/INJ; SM JNT/BURSA W/O US	$541.10	$773.00	$286.01–$3,103.52	at median	30%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 DRN/INJ; SM JNT/BURSA W/O US	$541.10	$773.00	—	—	30%
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 POST-CATARACT LASER SRGRY (RT)	$1,787.10	$2,553.00	$315.56–$1,180.91	19% below	30%
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 POST-CATARACT LASER SRGRY (LT)	$1,787.10	$2,553.00	$315.56–$1,180.91	19% below	30%
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 POST-CATARACT LASER SRGRY (50)	$3,574.20	$5,106.00	$315.56–$2,281.36	61% above	30%
Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 POST-CATARACT LASER SRGRY (LT)	$1,787.10	$2,553.00	—	—	30%
Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 POST-CATARACT LASER SRGRY (RT)	$1,787.10	$2,553.00	—	—	30%
Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 POST-CATARACT LASER SRGRY (50)	$3,574.20	$5,106.00	—	—	30%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 RPR; INTMD S/A/T/E <= 2.5 CM	$1,094.80	$1,564.00	$116.22–$747.51	22% above	30%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 RPR; S/T INT <= 2.5 CM (ER)	$1,164.80	$1,664.00	$299.00–$1,505.00	29% above	30%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 RPR; INTMD S/A/T/E <= 2.5 CM	$1,094.80	$1,564.00	—	—	30%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 RPR; S/T INT <= 2.5 CM (ER)	$1,164.80	$1,664.00	—	—	30%
Left heart catheterization, diagnostic one side CPT 93452 LT HRT CATH W/INJ, LT VENTR/ S	$4,258.80	$6,084.00	$2,251.08–$7,126.85	52% below	30%
Left heart catheterization, diagnostic inpatient one side CPT 93452 LT HRT CATH W/INJ, LT VENTR/ S	$4,258.80	$6,084.00	—	—	30%
Lower-back epidural injection, with imaging guidance CPT 62323 INJ; LMBR/SAC W/IG	$1,786.40	$2,552.00	$106.35–$1,425.17	5% below	30%
Lower-back epidural injection, with imaging guidance CPT 62323 INJ; LMBR/SAC W/IG (BL)	$3,572.80	$5,104.00	$106.35–$2,280.47	90% above	30%
Lower-back epidural injection, with imaging guidance CPT 62323 INJ; LMBR/SAC W/IG (50)	$3,572.80	$5,104.00	$106.35–$2,280.47	90% above	30%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJ; LMBR/SAC W/IG	$1,786.40	$2,552.00	—	—	30%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJ; LMBR/SAC W/IG (BL)	$3,572.80	$5,104.00	—	—	30%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJ; LMBR/SAC W/IG (50)	$3,572.80	$5,104.00	—	—	30%
Lower-back epidural injection, without imaging guidance CPT 62322 INJ; LMBR/SAC W/O IG	$1,786.40	$2,552.00	$93.18–$1,466.59	27% above	30%
Lower-back epidural injection, without imaging guidance CPT 62322 INJ; LMBR/SAC W/O IG (50)	$3,572.80	$5,104.00	$93.18–$2,280.47	155% above	30%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 INJ; LMBR/SAC W/O IG	$1,786.40	$2,552.00	—	—	30%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 INJ; LMBR/SAC W/O IG (50)	$3,572.80	$5,104.00	—	—	30%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ; AA/STRD TFRM EPI L/S	$1,786.40	$2,552.00	$118.44–$1,820.32	15% below	30%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ; AA/STRD TFRM EPI L/S (50)	$3,572.80	$5,104.00	$118.44–$2,280.47	70% above	30%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ; AA/STRD TFRM EPI L/S (BL)	$3,572.80	$5,104.00	$118.44–$2,280.47	70% above	30%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 INJ; AA/STRD TFRM EPI L/S	$1,786.40	$2,552.00	—	—	30%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 INJ; AA/STRD TFRM EPI L/S (BL)	$3,572.80	$5,104.00	—	—	30%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 INJ; AA/STRD TFRM EPI L/S (50)	$3,572.80	$5,104.00	—	—	30%
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 < 0.5 CM	$1,094.80	$1,564.00	$79.81–$1,378.83	19% above	30%
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 < 0.5 CM	$1,094.80	$1,564.00	—	—	30%
Nail removal (partial or complete), one nail CPT 11730 RMVL; NAIL PLATE (ER)	$611.10	$873.00	$231.25–$1,505.00	37% above	30%
Nail removal (partial or complete), one nail inpatient CPT 11730 RMVL; NAIL PLATE (ER)	$611.10	$873.00	—	—	30%
Occipital nerve block (injection for headaches) CPT 64405 INJ; AA/STRD OCCIPITAL NRV	$1,094.80	$1,564.00	$65.05–$698.80	24% above	30%
Occipital nerve block (injection for headaches) CPT 64405 INJ; AA/STRD OCCIPTAL NRV (BL)	$2,189.60	$3,128.00	$65.05–$1,397.59	148% above	30%
Occipital nerve block (injection for headaches) CPT 64405 INJ; AA/STRD OCCIPTAL NRV (50)	$2,189.60	$3,128.00	$65.05–$1,397.59	148% above	30%
Occipital nerve block (injection for headaches) inpatient CPT 64405 INJ; AA/STRD OCCIPITAL NRV	$1,094.80	$1,564.00	—	—	30%
Occipital nerve block (injection for headaches) inpatient CPT 64405 INJ; AA/STRD OCCIPTAL NRV (50)	$2,189.60	$3,128.00	—	—	30%
Occipital nerve block (injection for headaches) inpatient CPT 64405 INJ; AA/STRD OCCIPTAL NRV (BL)	$2,189.60	$3,128.00	—	—	30%
Pacemaker implant (dual chamber) CPT 33208 INSRT; HEART PM ATRIAL & VENT	$17,980.90	$25,687.00	$6,682.43–$17,579.05	8% above	30%
Pacemaker implant (dual chamber) inpatient CPT 33208 INSRT; HEART PM ATRIAL & VENT	$17,980.90	$25,687.00	—	—	30%
Paracentesis with imaging guidance CPT 49083 PARACENTESIS; ABD W/IMAGING	$1,786.40	$2,552.00	$944.24–$3,672.00	7% below	30%
Paracentesis with imaging guidance CPT 49083 PARACENTESIS; ABDMNL W/IMAGING	$1,856.40	$2,652.00	$299.00–$1,544.46	3% below	30%
Paracentesis with imaging guidance inpatient CPT 49083 PARACENTESIS; ABD W/IMAGING	$1,786.40	$2,552.00	—	—	30%
Paracentesis with imaging guidance inpatient CPT 49083 PARACENTESIS; ABDMNL W/IMAGING	$1,856.40	$2,652.00	—	—	30%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 RMVL; NAIL (FINGER OR TOE)	$1,164.80	$1,664.00	$299.00–$1,505.00	33% above	30%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 RMVL; NAIL (FINGER OR TOE)	$1,164.80	$1,664.00	—	—	30%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DSTRY; L/S FACET JNT	$1,786.40	$2,552.00	$235.15–$3,494.63	46% below	30%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DSTRY; PARAVTEBRL NRV L/S	$1,786.40	$2,552.00	$235.15–$3,494.63	46% below	30%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DSTRY; PARAVTEBRL NRV L/S (BL)	$3,572.80	$5,104.00	$235.15–$3,494.63	9% above	30%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DSTRY; L/S FACET JNT (50)	$3,572.80	$5,104.00	$235.15–$3,494.63	9% above	30%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 DSTRY; L/S FACET JNT	$1,786.40	$2,552.00	—	—	30%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 DSTRY; PARAVTEBRL NRV L/S	$1,786.40	$2,552.00	—	—	30%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 DSTRY; L/S FACET JNT (50)	$3,572.80	$5,104.00	—	—	30%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 DSTRY; PARAVTEBRL NRV L/S (BL)	$3,572.80	$5,104.00	—	—	30%
Removal of a foreign object under the skin, simple CPT 10120 I&R FB; SUBQ TISS, SMPL	$541.10	$773.00	$79.65–$747.51	3% above	30%
Removal of a foreign object under the skin, simple CPT 10120 I&R FB; SUBQ TISS, SMPL (ER)	$611.10	$873.00	$299.00–$1,505.00	16% above	30%
Removal of a foreign object under the skin, simple inpatient CPT 10120 I&R FB; SUBQ TISS, SMPL	$541.10	$773.00	—	—	30%
Removal of a foreign object under the skin, simple inpatient CPT 10120 I&R FB; SUBQ TISS, SMPL (ER)	$611.10	$873.00	—	—	30%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLONOSCOPY - SCREENING	$1,786.40	$2,552.00	$944.24–$3,217.00	9% below	30%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 COLONOSCOPY - SCREENING	$1,786.40	$2,552.00	—	—	30%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 SCRNG; COLORECTAL HIGH RISK	$1,786.40	$2,552.00	$944.24–$3,217.00	11% below	30%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 SCRNG; COLORECTAL HIGH RISK	$1,786.40	$2,552.00	—	—	30%
Short arm splint (forearm and hand) CPT 29125 APPLY; SPLINT FOREARM	$338.10	$483.00	$36.80–$268.07	at median	30%
Short arm splint (forearm and hand) CPT 29125 APPLY; SPLINT FOREARM (ER)	$408.10	$583.00	$150.01–$1,505.00	20% above	30%
Short arm splint (forearm and hand) inpatient CPT 29125 APPLY; SPLINT FOREARM	$338.10	$483.00	—	—	30%
Short arm splint (forearm and hand) inpatient CPT 29125 APPLY; SPLINT FOREARM (ER)	$408.10	$583.00	—	—	30%
Short leg splint (calf to foot) CPT 29515 APPLY; SPLINT LOWER LEG	$423.50	$605.00	$45.99–$320.40	20% above	30%
Short leg splint (calf to foot) CPT 29515 APPLY; SPLINT LOWER LEG (ER)	$493.50	$705.00	$183.64–$1,505.00	40% above	30%
Short leg splint (calf to foot) inpatient CPT 29515 APPLY; SPLINT LOWER LEG	$423.50	$605.00	—	—	30%
Short leg splint (calf to foot) inpatient CPT 29515 APPLY; SPLINT LOWER LEG (ER)	$493.50	$705.00	—	—	30%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 RPR; S/N/AX/G/TRNK <= 2.5 CM	$611.10	$873.00	$231.25–$1,505.00	31% above	30%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 RPR; S/N/AX/G/TRNK <= 2.5 CM	$541.10	$773.00	—	—	30%
Skin tag removal, up to 15 tags CPT 11200 RMVL; SKIN TAGS >=15 (ER)	$611.10	$873.00	$231.25–$1,505.00	41% above	30%
Skin tag removal, up to 15 tags inpatient CPT 11200 RMVL; SKIN TAGS >=15 (ER)	$611.10	$873.00	—	—	30%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL FLUID TAP; DX	$1,786.40	$2,552.00	$805.96–$3,217.00	12% above	30%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL FLUID TAP; DX (ER)	$1,856.40	$2,652.00	$299.00–$1,505.00	17% above	30%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL FLUID TAP; DX	$1,786.40	$2,552.00	—	—	30%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL FLUID TAP; DX (ER)	$1,856.40	$2,652.00	—	—	30%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 RPR; S/N/AX/G/TRNK = 2.6-7.5CM	$611.10	$873.00	$231.25–$1,505.00	27% above	30%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 RPR; S/N/AX/G/TRNK = 2.6-7.5CM	$611.10	$873.00	—	—	30%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 RPR; F/E/E/N/L/M = <= 2.5 CM	$1,786.40	$2,552.00	$40.03–$1,140.23	102% above	30%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 RPR; FACE 0.1-2.5 CM (ER)	$1,856.40	$2,652.00	$231.25–$1,505.00	110% above	30%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 RPR; F/E/E/N/L/M = <= 2.5 CM	$1,786.40	$2,552.00	—	—	30%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 RPR; FACE 0.1-2.5 CM (ER)	$1,856.40	$2,652.00	—	—	30%
Thoracentesis with imaging guidance CPT 32555 ASPR; PLEURA W/ IMAGING	$1,786.40	$2,552.00	$719.54–$3,217.00	3% below	30%
Thoracentesis with imaging guidance inpatient CPT 32555 ASPR; PLEURA W/ IMAGING	$1,786.40	$2,552.00	—	—	30%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ; TRIG PNTS 1 OR 2 MUSCLES	$541.10	$773.00	$34.65–$589.00	9% above	30%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ; TRIG PNT 1 OR 2 MUSC (50)	$1,082.20	$1,546.00	$34.65–$690.75	118% above	30%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ; TRIG PNTS 1 OR 2 MUSCLES	$541.10	$773.00	—	—	30%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ; TRIG PNT 1 OR 2 MUSC (50)	$1,082.20	$1,546.00	—	—	30%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX; BRST 1ST LSN US/IMG (LT)	$1,786.40	$2,552.00	$944.24–$3,672.00	18% below	30%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX; BRST 1ST LSN US/IMG (RT)	$1,786.40	$2,552.00	$944.24–$3,672.00	18% below	30%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX; BREAST 1ST LSN US/IMG (50)	$3,572.80	$5,104.00	$1,885.65–$3,672.00	64% above	30%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 BX; BRST 1ST LSN US/IMG (LT)	$1,786.40	$2,552.00	—	—	30%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 BX; BRST 1ST LSN US/IMG (RT)	$1,786.40	$2,552.00	—	—	30%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 BX; BREAST 1ST LSN US/IMG (50)	$3,572.80	$5,104.00	—	—	30%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 ESOPH ENDOSCOPY DILATION	$1,786.40	$2,552.00	$944.24–$3,672.00	47% below	30%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 ESOPH ENDOSCOPY DILATION	$1,786.40	$2,552.00	—	—	30%
Upper endoscopy (EGD) with biopsy CPT 43239 EGD; BX SNGL MLTPL	$1,786.40	$2,552.00	$944.24–$3,672.00	8% below	30%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD; BX SNGL MLTPL	$1,786.40	$2,552.00	—	—	30%
Upper endoscopy (EGD) with injection into the lining CPT 43236 UPPR GI SCOPE W/SUBMUC INJ	$1,786.40	$2,552.00	$3,398.55	29% below	30%
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 UPPR GI SCOPE W/SUBMUC INJ	$1,786.40	$2,552.00	—	—	30%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD; RMVL LESION SNARE	$4,258.80	$6,084.00	$1,841.99–$3,672.00	7% below	30%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 EGD; RMVL LESION SNARE	$4,258.80	$6,084.00	—	—	30%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 EGD GUIDE WIRE INSERTION	$4,258.80	$6,084.00	$3,398.55	44% above	30%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 EGD GUIDE WIRE INSERTION	$4,258.80	$6,084.00	—	—	30%
Upper endoscopy (EGD), diagnostic CPT 43235 EGD; DX BRUSH WASH	$1,786.40	$2,552.00	$944.24–$3,672.00	2% below	30%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 EGD; DX BRUSH WASH	$1,786.40	$2,552.00	—	—	30%
Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 UGI W PSEUDOCYST DRAINAGE	$6,452.60	$9,218.00	$1,841.99–$9,806.19	60% below	30%
Upper endoscopy with drainage of a pseudocyst through the stomach wall inpatient CPT 43240 UGI W PSEUDOCYST DRAINAGE	$6,452.60	$9,218.00	—	—	30%
Wart removal, up to 14 warts CPT 17110 RMVL; FLAT WART <= 14 LESION	$268.80	$384.00	$53.83–$419.95	46% below	30%
Wart removal, up to 14 warts inpatient CPT 17110 RMVL; FLAT WART <= 14 LESION	$268.80	$384.00	—	—	30%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DBRDMT; SUBQ TISSUE 1ST 20CM	$541.10	$773.00	$46.19–$747.51	35% below	30%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DBRDMT; SUBQ TISSUE 1ST 20CM	$541.10	$773.00	—	—	30%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Massachusetts	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION SERVICE	$1,189.30	$1,699.00	$25.43–$942.95	27% above	30%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION SERVICE	$1,189.30	$1,699.00	—	—	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 TX; AIRWAY INHALATION (ER)	$543.90	$777.00	$19.29–$431.24	96% above	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 TX; AIRWAY INHALATION	$543.90	$777.00	$19.29–$431.24	96% above	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 TX; AIRWAY INHALATION (76)	$543.90	$777.00	$19.29–$431.24	96% above	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 TX; AIRWAY INHALATION	$543.90	$777.00	—	—	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 TX; AIRWAY INHALATION (76)	$543.90	$777.00	—	—	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 TX; AIRWAY INHALATION (ER)	$543.90	$777.00	—	—	30%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO; IV INFUSION, 1 HR	$955.50	$1,365.00	$339.86–$893.00	8% above	30%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO; IV INFUSION, 1 HR	$955.50	$1,365.00	—	—	30%
Comprehensive eye exam by an eye doctor, new patient CPT 92004 EYE EX & EVL; NEW PT CMPRHNSVE	$32.90	$47.00	$17.39–$342.00	84% below	30%
Comprehensive eye exam by an eye doctor, new patient inpatient CPT 92004 EYE EX & EVL; NEW PT CMPRHNSVE	$32.90	$47.00	—	—	30%
Comprehensive eye exam, returning patient CPT 92014 EYE EX & EVL; EST PT CMPRHNSV	$32.90	$47.00	$17.39–$342.00	85% below	30%
Comprehensive eye exam, returning patient inpatient CPT 92014 EYE EX & EVL; EST PT CMPRHNSV	$32.90	$47.00	—	—	30%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE; 1ST HR (ER)	$2,257.50	$3,225.00	$299.00–$1,505.00	21% below	30%
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE; 1ST HR (ER)	$2,257.50	$3,225.00	—	—	30%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG; AWAKE/DROWSY 20-40 MIN	$1,515.50	$2,165.00	$317.01–$1,766.00	67% above	30%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG; AWAKE/DROWSY 20-40 MIN	$1,515.50	$2,165.00	—	—	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG; TRACING ONLY	$166.60	$238.00	$10.21–$438.00	7% below	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG; TRACING ONLY	$166.60	$238.00	—	—	30%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER VISIT MAY NOT REQ MD/QHP	$641.20	$916.00	$102.47–$1,505.00	40% above	30%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER VST MAY NOT REQ MD/QHP (25)	$641.20	$916.00	$102.47–$1,505.00	40% above	30%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER VST MAY NOT REQ MD/QHP (25)	$641.20	$916.00	—	—	30%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER VISIT MAY NOT REQ MD/QHP	$641.20	$916.00	—	—	30%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER VISIT; SF MDM	$706.30	$1,009.00	$184.03–$1,505.00	18% above	30%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER VISIT; SF MDM (25)	$706.30	$1,009.00	$184.03–$1,505.00	18% above	30%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER VISIT; SF MDM	$706.30	$1,009.00	—	—	30%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER VISIT; SF MDM (25)	$706.30	$1,009.00	—	—	30%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER VISIT; LOW MDM (25)	$987.00	$1,410.00	$299.00–$1,505.00	17% above	30%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER VISIT; LOW MDM	$987.00	$1,410.00	$299.00–$1,505.00	17% above	30%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER VISIT; LOW MDM	$987.00	$1,410.00	—	—	30%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER VISIT; LOW MDM (25)	$987.00	$1,410.00	—	—	30%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER VISIT; MOD MDM	$1,274.70	$1,821.00	$299.00–$1,505.00	2% below	30%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER VISIT; MOD MDM (25)	$1,274.70	$1,821.00	$299.00–$1,505.00	2% below	30%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER VISIT; MOD MDM (25)	$1,274.70	$1,821.00	—	—	30%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER VISIT; MOD MDM	$1,274.70	$1,821.00	—	—	30%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER VISIT; HIGH MDM	$1,619.10	$2,313.00	$299.00–$1,505.00	7% below	30%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER VISIT; HIGH MDM (25)	$1,619.10	$2,313.00	$299.00–$1,505.00	7% below	30%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER VISIT; HIGH MDM	$1,619.10	$2,313.00	—	—	30%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER VISIT; HIGH MDM (25)	$1,619.10	$2,313.00	—	—	30%
Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIO STRESS TEST W/O INT/RPT	$793.10	$1,133.00	$47.96–$628.82	19% below	30%
Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIOVASCULAR STRESS TEST	$793.10	$1,133.00	$47.96–$628.82	19% below	30%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CARDIOVASCULAR STRESS TEST	$793.10	$1,133.00	—	—	30%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CARDIO STRESS TEST W/O INT/RPT	$793.10	$1,133.00	—	—	30%
Eye exam, returning patient, intermediate CPT 92012 EYE EX & EVL: EST PT INTRMDT	$32.90	$47.00	$17.39–$342.00	79% below	30%
Eye exam, returning patient, intermediate inpatient CPT 92012 EYE EX & EVL: EST PT INTRMDT	$32.90	$47.00	—	—	30%
Family therapy with the patient, 50 minutes CPT 90847 PSY TX; FAMILY W/PT 50 MIN	$257.60	$368.00	$136.16–$264.68	8% below	30%
Family therapy with the patient, 50 minutes inpatient CPT 90847 PSY TX; FAMILY W/PT 50 MIN	$257.60	$368.00	—	—	30%
Family therapy without the patient, 50 minutes CPT 90846 PSY TX; FAMILY W/O PT 50 MIN	$257.60	$368.00	$136.16–$264.68	5% below	30%
Family therapy without the patient, 50 minutes inpatient CPT 90846 PSY TX; FAMILY W/O PT 50 MIN	$257.60	$368.00	—	—	30%
Group psychotherapy session CPT 90853 PSYCHOTHERAPY; GROUP	$494.90	$707.00	$45.00–$392.39	319% above	30%
Group psychotherapy session inpatient CPT 90853 PSYCHOTHERAPY; GROUP	$494.90	$707.00	—	—	30%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATE IV INFSN; INTL XU (ER)	$585.20	$836.00	$59.30–$463.98	11% above	30%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATE IV INFSN; INTL	$585.20	$836.00	$59.30–$463.98	11% above	30%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATE IV INFSN; INTL (ER)	$585.20	$836.00	$59.30–$463.98	11% above	30%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATE IV INFSN; INTL (CT)	$585.20	$836.00	$59.30–$463.98	11% above	30%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATE IV INFSN; INTL (CT)	$585.20	$836.00	—	—	30%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATE IV INFSN; INTL XU (ER)	$585.20	$836.00	—	—	30%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATE IV INFSN; INTL	$585.20	$836.00	—	—	30%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATE IV INFSN; INTL (ER)	$585.20	$836.00	—	—	30%
IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF INTL XU	$607.60	$868.00	$71.66–$481.74	2% above	30%
IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF; INTL	$607.60	$868.00	$71.66–$481.74	2% above	30%
IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF INTL ER	$607.60	$868.00	$71.66–$481.74	2% above	30%
IV infusion of a medicine, first hour inpatient CPT 96365 THER/PROPH/DIAG IV INF INTL XU	$607.60	$868.00	—	—	30%
IV infusion of a medicine, first hour inpatient CPT 96365 THER/PROPH/DIAG IV INF; INTL	$607.60	$868.00	—	—	30%
IV infusion of a medicine, first hour inpatient CPT 96365 THER/PROPH/DIAG IV INF INTL ER	$607.60	$868.00	—	—	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ (ER,XU)	$185.50	$265.00	$71.43–$1,505.00	9% above	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM (ER)	$185.50	$265.00	$71.43–$1,505.00	9% above	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ; SC/IM	$185.50	$265.00	$25.60–$147.08	9% above	30%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER/PROPH/DIAG INJ; SC/IM	$185.50	$265.00	—	—	30%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER/PROPH/DIAG INJ SC/IM (ER)	$185.50	$265.00	—	—	30%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER/PROPH/DIAG INJ (ER,XU)	$185.50	$265.00	—	—	30%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 NERVE CONDUCTION STUDIES; 7-8	$793.10	$1,133.00	$93.01–$876.00	at median	30%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 NERVE CONDUCTION STUDIES; 7-8	$793.10	$1,133.00	—	—	30%
Neuromuscular re-education, 15 minutes CPT 97112 FINE MOTOR COORDINATION THRPY	$114.80	$164.00	$32.14–$237.00	12% below	30%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR REEDUC 15 MIN	$114.80	$164.00	$32.14–$276.00	12% below	30%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR REEDUC 15 MIN	$114.80	$164.00	—	—	30%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 FINE MOTOR COORDINATION THRPY	$114.80	$164.00	—	—	30%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 NUT THERAPY INIT EA 15 MIN	$91.00	$130.00	$36.17–$342.00	25% below	30%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 NUT THERAPY INIT EA 15 MIN	$91.00	$130.00	—	—	30%
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL - LOW COMPLEXITY	$270.20	$386.00	$75.12–$243.95	25% below	30%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL - LOW COMPLEXITY	$270.20	$386.00	—	—	30%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL - HIGH COMPLEXITY	$259.70	$371.00	$77.71–$276.00	34% below	30%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL - HIGH COMPLEXITY	$259.70	$371.00	—	—	30%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL - LOW COMPLEXITY	$259.70	$371.00	$77.71–$276.00	29% below	30%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL - LOW COMPLEXITY	$259.70	$371.00	—	—	30%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL - MEDIUM COMPLEXITY	$259.70	$371.00	$77.71–$276.00	30% below	30%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL - MEDIUM COMPLEXITY	$259.70	$371.00	—	—	30%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY TRACTION EA 15	$90.30	$129.00	$27.57–$276.00	32% below	30%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 JOINT MOBILIZATION p/15 MINS	$90.30	$129.00	$27.57–$237.00	32% below	30%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY TRACTION EA 15	$90.30	$129.00	—	—	30%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 JOINT MOBILIZATION p/15 MINS	$90.30	$129.00	—	—	30%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 EXERCISE UP TO 15 MINS	$98.00	$140.00	$29.22–$237.00	27% below	30%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 EXERCISE - UP TO 15 MIN	$98.00	$140.00	$29.22–$276.00	27% below	30%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 EXERCISE - UP TO 15 MIN	$98.00	$140.00	—	—	30%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 EXERCISE UP TO 15 MINS	$98.00	$140.00	—	—	30%
Psychotherapy for crisis, first 60 minutes CPT 90839 PSY TX; CRISIS FRST 60 MIN	$247.10	$353.00	$130.61–$501.00	39% below	30%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 PSY TX; CRISIS FRST 60 MIN	$247.10	$353.00	—	—	30%
Psychotherapy session, 30 minutes CPT 90832 PSY TX; W/PT 20-30 MIN	$166.60	$238.00	$87.16–$264.68	33% below	30%
Psychotherapy session, 30 minutes inpatient CPT 90832 PSY TX; W/PT 20-30 MIN	$166.60	$238.00	—	—	30%
Psychotherapy session, 45 minutes CPT 90834 PSY TX; W/PT 45 MIN	$247.10	$353.00	$116.02–$264.68	3% above	30%
Psychotherapy session, 45 minutes inpatient CPT 90834 PSY TX; W/PT 45 MIN	$247.10	$353.00	—	—	30%
Psychotherapy session, 60 minutes CPT 90837 PSY TX; W/PT 60 MIN	$247.10	$353.00	$130.61–$264.68	17% below	30%
Psychotherapy session, 60 minutes inpatient CPT 90837 PSY TX; W/PT 60 MIN	$247.10	$353.00	—	—	30%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 CNSLT; ONCOLOGY LEVEL 5	$130.20	$186.00	$68.82–$986.00	53% below	30%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST PT; LEVEL 5	$130.20	$186.00	$68.82–$286.91	53% below	30%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST PT; ONCOLOGY LEVEL 5	$130.20	$186.00	$68.82–$986.00	53% below	30%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 CNSLT; LEVEL 5	$130.20	$186.00	$68.82–$286.91	53% below	30%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 NEW PT; LEVEL 5	$130.20	$186.00	$68.82–$286.91	53% below	30%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 CNSLT; ONCOLOGY LEVEL 5	$130.20	$186.00	—	—	30%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 EST PT; ONCOLOGY LEVEL 5	$130.20	$186.00	—	—	30%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 EST PT; LEVEL 5	$130.20	$186.00	—	—	30%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 CNSLT; LEVEL 5	$130.20	$186.00	—	—	30%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 NEW PT; LEVEL 5	$130.20	$186.00	—	—	30%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 NEW PT; LEVEL 3	$130.20	$186.00	$48.97–$133.81	20% below	30%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 CNSLT; ONCOLOGY LEVEL 3	$130.20	$186.00	$48.97–$986.00	20% below	30%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST PT; ONCOLOGY LEVEL 3	$130.20	$186.00	$48.97–$986.00	20% below	30%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST PT; PSYCH LEVEL 3	$130.20	$186.00	$48.97–$133.81	20% below	30%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 CNSLT; LEVEL 3	$130.20	$186.00	$48.97–$133.81	20% below	30%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST PT; LEVEL 3	$130.20	$186.00	$48.97–$133.81	20% below	30%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 EST PT; ONCOLOGY LEVEL 3	$130.20	$186.00	—	—	30%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 CNSLT; LEVEL 3	$130.20	$186.00	—	—	30%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 CNSLT; ONCOLOGY LEVEL 3	$130.20	$186.00	—	—	30%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 EST PT; LEVEL 3	$130.20	$186.00	—	—	30%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 EST PT; PSYCH LEVEL 3	$130.20	$186.00	—	—	30%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 NEW PT; LEVEL 3	$130.20	$186.00	—	—	30%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 CNSLT; LEVEL 4	$130.20	$186.00	$68.82–$203.52	39% below	30%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EST PT; LEVEL 4	$130.20	$186.00	$68.82–$203.52	39% below	30%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 NEW PT; LEVEL 4	$130.20	$186.00	$68.82–$203.52	39% below	30%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EST PT; ONCOLOGY LEVEL 4	$130.20	$186.00	$68.82–$986.00	39% below	30%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 CNSLT; ONCOLOGY LEVEL 4	$130.20	$186.00	$68.82–$986.00	39% below	30%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 EST PT; LEVEL 4	$130.20	$186.00	—	—	30%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 EST PT; ONCOLOGY LEVEL 4	$130.20	$186.00	—	—	30%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 CNSLT; ONCOLOGY LEVEL 4	$130.20	$186.00	—	—	30%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 NEW PT; LEVEL 4	$130.20	$186.00	—	—	30%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 CNSLT; LEVEL 4	$130.20	$186.00	—	—	30%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EST PT; PSYCH LEVEL 2	$120.40	$172.00	$24.52–$122.75	1% above	30%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EST PT; LEVEL 2	$130.20	$186.00	$24.52–$122.75	9% above	30%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EST PT; ONCOLOGY LEVEL 2	$130.20	$186.00	$24.52–$986.00	9% above	30%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 CNSLT; ONCOLOGY LEVEL 2	$130.20	$186.00	$24.52–$986.00	9% above	30%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 CNSLT; LEVEL 2	$130.20	$186.00	$24.52–$122.75	9% above	30%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 NEW PT; LEVEL 2	$130.20	$186.00	$24.52–$122.75	9% above	30%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 EST PT; PSYCH LEVEL 2	$120.40	$172.00	—	—	30%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 EST PT; ONCOLOGY LEVEL 2	$130.20	$186.00	—	—	30%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 CNSLT; LEVEL 2	$130.20	$186.00	—	—	30%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 NEW PT; LEVEL 2	$130.20	$186.00	—	—	30%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 CNSLT; ONCOLOGY LEVEL 2	$130.20	$186.00	—	—	30%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 EST PT; LEVEL 2	$130.20	$186.00	—	—	30%
Speech and language evaluation CPT 92523 SPEECH SOUND LANG COMPREH	$612.50	$875.00	$180.11–$518.53	5% above	30%
Speech and language evaluation inpatient CPT 92523 SPEECH SOUND LANG COMPREH	$612.50	$875.00	—	—	30%
Speech therapy session, individual CPT 92507 TREATMENT OF SPEECH,INDIV	$213.50	$305.00	$75.96–$237.00	36% below	30%
Speech therapy session, individual inpatient CPT 92507 TREATMENT OF SPEECH,INDIV	$213.50	$305.00	—	—	30%
Spirometry (breathing test) CPT 94010 SPIROMETRY	$417.90	$597.00	$29.02–$438.00	3% above	30%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY	$417.90	$597.00	—	—	30%
Spirometry before and after a bronchodilator CPT 94060 EVAL; BRNCHDLTH SPRMTRY (59)	$793.10	$1,133.00	$50.35–$628.82	12% above	30%
Spirometry before and after a bronchodilator CPT 94060 EVAL; BRNCHDLTH SPRMTRY	$793.10	$1,133.00	$50.35–$628.82	12% above	30%
Spirometry before and after a bronchodilator inpatient CPT 94060 EVAL; BRNCHDLTH SPRMTRY	$793.10	$1,133.00	—	—	30%
Spirometry before and after a bronchodilator inpatient CPT 94060 EVAL; BRNCHDLTH SPRMTRY (59)	$793.10	$1,133.00	—	—	30%
Therapeutic activities (functional training), 15 minutes CPT 97530 FUNCTIONAL PT -EA 15 MINUTES	$130.20	$186.00	$33.66–$276.00	15% below	30%
Therapeutic activities (functional training), 15 minutes CPT 97530 FUNCTIONAL OT -EA 15 MINUTES	$130.20	$186.00	$33.66–$237.00	15% below	30%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 FUNCTIONAL PT -EA 15 MINUTES	$130.20	$186.00	—	—	30%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 FUNCTIONAL OT -EA 15 MINUTES	$130.20	$186.00	—	—	30%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY; THERAPEUTIC	$338.10	$483.00	$104.86–$342.00	15% above	30%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY; THERAPEUTIC	$338.10	$483.00	—	—	30%
Visual field test, extended CPT 92083 EXAM; VISUAL FIELD CMPLX	$72.80	$104.00	$38.00–$342.00	83% below	30%
Visual field test, extended inpatient CPT 92083 EXAM; VISUAL FIELD CMPLX	$72.80	$104.00	—	—	30%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Massachusetts	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 IIV ADJUVANT VACCINE IM	$35.02	$50.02	$18.51–$120.25	80% below	30%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 VACC; FLUAD25	$61.60	$88.00	$32.56–$120.25	65% below	30%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 VACC; FLUAD HD PF (PRCHSD)	$62.30	$89.00	$32.93–$120.25	64% below	30%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 IIV ADJUVANT VACCINE IM	$35.02	$50.02	—	—	30%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 VACC; FLUAD25	$61.60	$88.00	—	—	30%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 VACC; FLUAD HD PF (PRCHSD)	$62.30	$89.00	—	—	30%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VACC; VARICELLA LIVE (PRCHSD)	$585.23	$836.04	$177.68–$418.02	111% above	30%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VACC; VARICELLA LIVE (PRCHSD)	$105.70	$151.00	—	—	30%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 IIV3 VACC NO PRSV 0.5 ML IM	$17.11	$24.43	$9.04–$28.44	67% below	30%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 VACC; FLUARIX (PRCHSD)	$17.50	$25.00	$9.25–$28.44	67% below	30%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 VACC; FLULAVAL TRI PF (PRCHSD)	$21.00	$30.00	$11.10–$28.44	60% below	30%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 VACC; FLUARIX PF/LF (PRCHSD)	$21.00	$30.00	$11.10–$28.44	60% below	30%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 IIV3 VACC NO PRSV 0.5 ML IM	$17.11	$24.43	—	—	30%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 VACC; FLUARIX (PRCHSD)	$17.50	$25.00	—	—	30%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 VACC; FLUARIX PF/LF (PRCHSD)	$21.00	$30.00	—	—	30%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 VACC; FLULAVAL TRI PF (PRCHSD)	$21.00	$30.00	—	—	30%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 VACC; 9VHPV 2/3 DS, (PRCHSD)	$177.10	$253.00	$93.61–$368.98	55% below	30%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 VACC; 9VHPV 2/3 DS, (PRCHSD)	$177.10	$253.00	—	—	30%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 VACC; HEP A/HEP B 1ml (PRCHSD)	$378.90	$541.28	$123.57–$300.41	56% above	30%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 VACC; HEP A/HEP B IM (PRCHSD)	$390.60	$558.00	$123.57–$309.69	61% above	30%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 VACC; HEP A/HEP B 1ml (PRCHSD)	$378.90	$541.28	—	—	30%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 VACC; HEP A/HEP B IM (PRCHSD)	$390.60	$558.00	—	—	30%
Hepatitis A vaccine, adult dose CPT 90632 VACC; HEP A-ADULT (PRCHSD)	$375.11	$535.86	$70.26–$297.40	124% above	30%
Hepatitis A vaccine, adult dose inpatient CPT 90632 VACC; HEP A-ADULT (PRCHSD)	$375.11	$535.86	—	—	30%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 VACC; HEP B 3D ADULT (PRCHSD)	$72.80	$104.00	$38.48–$98.96	46% below	30%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 VACC; HEP B 3D ADULT (PRCHSD)	$72.80	$104.00	—	—	30%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 VACC; FLUZONE HIGH DOSE 0.7 mL	$67.90	$97.00	$35.89–$120.25	69% below	30%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 VACC; FLUZONE HIGH DOSE 0.7 mL	$67.90	$97.00	—	—	30%
MMR vaccine (measles, mumps and rubella), live CPT 90707 VACC; MMR LIVE (PRCHSD)	$322.45	$460.64	$94.50–$255.66	65% above	30%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 VACC; MMR LIVE (PRCHSD)	$322.45	$460.64	—	—	30%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 VACC; MCV4 MENACWY (PRCHSD)	$73.50	$105.00	$38.85–$188.67	71% below	30%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 VACC; MENACTRA (PRCHSD)	$456.30	$651.85	$151.33–$325.93	82% above	30%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 VACC; MCV4 MENACWY (PRCHSD)	$73.50	$105.00	—	—	30%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 VACC; MENACTRA (PRCHSD)	$456.30	$651.85	—	—	30%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 VACC; MENB-4C 2 DOSE (PRCHSD)	$668.36	$954.80	$215.42–$477.40	32% above	30%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 VACC; MENB-4C 2 DOSE (PRCHSD)	$668.36	$954.80	—	—	30%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 VACC; PCV20 CONJUGATE (PRCHSD)	$915.83	$1,308.32	$288.66–$484.08	43% above	30%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 VACC; PCV20 CONJUGATE (PRCHSD)	$915.83	$1,308.32	—	—	30%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 VACC; PPSV23 2YRS+ (PRCHSD)	$131.60	$188.00	$69.56–$168.37	53% below	30%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 VACC; PPSV23 2 YRS+ (PRCHSD)	$452.68	$646.68	$130.80–$239.27	63% above	30%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 VACC; PPSV23 2YRS+ (PRCHSD)	$131.60	$188.00	—	—	30%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 VACC; PPSV23 2 YRS+ (PRCHSD)	$452.68	$646.68	—	—	30%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 VACC; ABRYSVO (RSV) PRCHSD	$262.50	$375.00	$138.75–$354.00	74% below	30%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 VACC; ABRYSVO (RSV) PRCHSD	$262.50	$375.00	—	—	30%
Rabies vaccine, one dose CPT 90675 VACC; RABIES, IM	$343.00	$490.00	$181.30–$539.95	48% below	30%
Rabies vaccine, one dose inpatient CPT 90675 VACC; RABIES, IM	$343.00	$490.00	—	—	30%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 VACC; ZOSTER/SHINGRIX (PRCHSD)	$151.20	$216.00	$79.92–$237.47	39% below	30%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 VACC; HZV RECOMBINANT, IM	$171.50	$245.00	$90.65–$237.47	31% below	30%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 VACC; ZOSTER/SHINGRIX (PRCHSD)	$151.20	$216.00	—	—	30%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 VACC; HZV RECOMBINANT, IM	$171.50	$245.00	—	—	30%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 VACC; TENIVAC (PRCHSD)	$25.90	$37.00	$13.69–$33.48	57% below	30%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 VACC; TD PF 7YRS+ (PRCHSD)	$86.94	$124.19	$30.34–$68.93	43% above	30%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 VACC; TENIVAC (PRCHSD)	$25.90	$37.00	—	—	30%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 VACC; TD PF 7YRS+ (PRCHSD)	$86.94	$124.19	—	—	30%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 VACC; TDAP 7 YRS+ (PRCHSD)	$42.00	$60.00	$22.20–$38.63	55% below	30%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 VACC; BOOSTRIX/TDaP (PRCHSD)	$143.64	$205.19	$38.31–$113.88	55% above	30%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 VACC; ADACEL/TDAP (PRCHSD)	$148.08	$211.53	$38.31–$117.40	59% above	30%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 VACC; TDAP 7 YRS+ (PRCHSD)	$42.00	$60.00	—	—	30%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 VACC; BOOSTRIX/TDaP (PRCHSD)	$143.64	$205.19	—	—	30%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 VACC; ADACEL/TDAP (PRCHSD)	$148.08	$211.53	—	—	30%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 VACC; TYPHOID (PRCHSD)	$115.50	$165.00	$61.05–$167.51	20% below	30%
Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 VACC; TYPHOID (PRCHSD)	$115.50	$165.00	—	—	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN; ONE IMMUNIZATION (VFC)	$16.31	$23.29	$8.62–$117.25	83% below	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN; PNEUMOCOCCAL VAC (INPT)	$185.50	$265.00	$10.01–$147.08	88% above	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN; HEPATITIS B VACCINE	$185.50	$265.00	$10.01–$147.08	88% above	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN; ONE IMMUNIZATION (INPT)	$185.50	$265.00	$10.01–$147.08	88% above	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN; PNEUMOCOCCAL VACCINE	$185.50	$265.00	$10.01–$147.08	88% above	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN; ONE IMMUNIZATION (ER)	$185.50	$265.00	$10.01–$147.08	88% above	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN; INFLUENZA VACC (INPT)	$185.50	$265.00	$10.01–$147.08	88% above	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN; INFLUENZA VACCINE	$185.50	$265.00	$10.01–$147.08	88% above	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN; ONE IMMUNIZATION	$185.50	$265.00	$10.01–$147.08	88% above	30%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN; ONE IMMUNIZATION (VFC)	$16.31	$23.29	—	—	30%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN; ONE IMMUNIZATION	$185.50	$265.00	—	—	30%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN; PNEUMOCOCCAL VACCINE	$185.50	$265.00	—	—	30%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN; ONE IMMUNIZATION (ER)	$185.50	$265.00	—	—	30%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN; ONE IMMUNIZATION (INPT)	$185.50	$265.00	—	—	30%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN; PNEUMOCOCCAL VAC (INPT)	$185.50	$265.00	—	—	30%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN; HEPATITIS B VACCINE	$185.50	$265.00	—	—	30%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN; INFLUENZA VACCINE	$185.50	$265.00	—	—	30%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN; INFLUENZA VACC (INPT)	$185.50	$265.00	—	—	30%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMIN; IMM EACH ADDTNL (VFC)	$16.31	$23.29	$8.62–$24.46	71% below	30%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMIN; IMMUNIZATION EACH ADD	$92.40	$132.00	$10.01–$73.26	63% above	30%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMIN; EACH ADDTNL IMM (ER)	$92.40	$132.00	$10.01–$73.26	63% above	30%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMIN; EACH ADD IMMUNIZATION	$92.40	$132.00	$10.01–$73.26	63% above	30%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ADMIN; IMM EACH ADDTNL (VFC)	$16.31	$23.29	—	—	30%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ADMIN; EACH ADDTNL IMM (ER)	$92.40	$132.00	—	—	30%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ADMIN; EACH ADD IMMUNIZATION	$92.40	$132.00	—	—	30%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ADMIN; IMMUNIZATION EACH ADD	$92.40	$132.00	—	—	30%

Source file: https://signature-healthcare.org/signature-healthcare-brockton-hospital_standardcharges_4_2026.csv