Southfield Rehabilitation
Listed in its price file as “Southfield Rehabilitation Company”.
Southfield Rehabilitation in Southfield, MI publishes cash prices for 151 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are above the Michigan median for 77 of 150 procedures and below it for 73. By typical cash price it ranks #40 of 86 Michigan hospitals and #17 of 31 hospitals in the Detroit, MI area, cheapest first. Click a procedure to compare it with other hospitals nearby.
22401 Foster Winter Dr., Southfield, MI, 48075 Collected Sep 27, 2026 Source price file
The price file shows no self-pay discount
For 478 of the 478 prices listed here, the cash price in Southfield Rehabilitation's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Michigan | Off list |
|---|---|---|---|---|---|
| Breast ultrasound, complete, one breast CPT 76641 US BREAST UNI, COMPLETE | $333.00 | $333.00 | $91.88–$102.09 | 13% above | — |
| Breast ultrasound, complete, one breast inpatient CPT 76641 US BREAST UNI, COMPLETE | $333.00 | $333.00 | $91.88–$102.09 | — | — |
| Breast ultrasound, limited (one breast or one area) CPT 76642 US BREAST UNI, LIMITED | $333.00 | $333.00 | $76.48–$84.98 | 53% above | — |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 US BREAST UNI, LIMITED | $333.00 | $333.00 | $76.48–$84.98 | — | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA OF CHEST | $1,465.00 | $1,465.00 | $154.14–$171.27 | 8% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA OF CHEST | $1,465.00 | $1,465.00 | $154.14–$171.27 | — | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN & PELVIS WITHOUT | $1,265.00 | $1,265.00 | $209.69–$232.99 | 26% below | — |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABDOMEN & PELVIS WITHOUT | $1,265.00 | $1,265.00 | $209.69–$232.99 | — | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN & PELVIS WITH | $1,365.00 | $1,365.00 | $306.60–$340.67 | 42% below | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN & PELVIS WITH | $1,365.00 | $1,365.00 | $306.60–$340.67 | — | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN & PELVIS W/O & W | $800.00 | $800.00 | $306.60–$340.67 | 65% below | — |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABDOMEN & PELVIS W/O & W | $800.00 | $800.00 | $306.60–$340.67 | — | — |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W | $1,249.00 | $1,249.00 | $154.14–$171.27 | 4% below | — |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W | $1,249.00 | $1,249.00 | $154.14–$171.27 | — | — |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O | $863.00 | $863.00 | $91.88–$102.09 | 3% below | — |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN W/O | $863.00 | $863.00 | $91.88–$102.09 | — | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL WITHOUT | $863.00 | $863.00 | $91.88–$102.09 | 11% below | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL WITHOUT | $863.00 | $863.00 | $91.88–$102.09 | — | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN WO | $1,003.00 | $1,003.00 | $91.88–$102.09 | 23% above | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD/BRAIN WO | $1,003.00 | $1,003.00 | $91.88–$102.09 | — | — |
| CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W | $1,449.00 | $1,449.00 | $154.14–$171.27 | 18% above | — |
| CT scan of the head with contrast inpatient CPT 70460 CT HEAD/BRAIN W | $1,449.00 | $1,449.00 | $154.14–$171.27 | — | — |
| CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN WO & W | $1,700.00 | $1,700.00 | $154.14–$171.27 | 31% above | — |
| CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD/BRAIN WO & W | $1,700.00 | $1,700.00 | $154.14–$171.27 | — | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE W/O | $700.00 | $700.00 | $91.88–$102.09 | 27% below | — |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR SPINE W/O | $700.00 | $700.00 | $91.88–$102.09 | — | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT NECK SP W/O | $700.00 | $700.00 | $91.88–$102.09 | 27% below | — |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT NECK SP W/O | $700.00 | $700.00 | $91.88–$102.09 | — | — |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W | $1,249.00 | $1,249.00 | $154.14–$171.27 | 2% above | — |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W | $1,249.00 | $1,249.00 | $154.14–$171.27 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 EXTRACRANIAL ART DUPLX SCAN | $775.00 | $775.00 | $209.69–$232.99 | 10% below | — |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 EXTRACRANIAL ART DUPLX SCAN | $775.00 | $775.00 | $209.69–$232.99 | — | — |
| Chest X-ray, 2 views CPT 71046 CHEST X-RAY 2 V | $92.00 | $92.00 | $76.48–$84.98 | 42% below | — |
| Chest X-ray, 2 views CPT 71046 XR CHEST PA & LAT | $199.00 | $199.00 | $76.48–$84.98 | 25% above | — |
| Chest X-ray, 2 views inpatient CPT 71046 CHEST X-RAY 2 V | $92.00 | $92.00 | $76.48–$84.98 | — | — |
| Chest X-ray, 2 views inpatient CPT 71046 XR CHEST PA & LAT | $199.00 | $199.00 | $76.48–$84.98 | — | — |
| Chest X-ray, single view CPT 71045 CHEST X-RAY SINGLE VIEW | $92.00 | $92.00 | $76.48–$84.98 | 34% below | — |
| Chest X-ray, single view CPT 71045 XR CHEST AP/PA | $199.00 | $199.00 | $76.48–$84.98 | 42% above | — |
| Chest X-ray, single view inpatient CPT 71045 CHEST X-RAY SINGLE VIEW | $92.00 | $92.00 | $76.48–$84.98 | — | — |
| Chest X-ray, single view inpatient CPT 71045 XR CHEST AP/PA | $199.00 | $199.00 | $76.48–$84.98 | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL | $433.00 | $433.00 | $91.88–$102.09 | 21% below | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEAL | $433.00 | $433.00 | $91.88–$102.09 | — | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX W/O | $700.00 | $700.00 | $91.88–$102.09 | 21% below | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX W/O | $700.00 | $700.00 | $91.88–$102.09 | — | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX WITH | $1,249.00 | $1,249.00 | $154.14–$171.27 | 2% above | — |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT THORAX WITH | $1,249.00 | $1,249.00 | $154.14–$171.27 | — | — |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US DPPLR LOW ART COMPLETE BILAT | $500.00 | $500.00 | $209.69–$232.99 | — | — |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US DPPLR LOW ART COMPLETE BILAT | $500.00 | $500.00 | $209.69–$232.99 | — | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 US DPPLR BIL VEN | $682.00 | $682.00 | $209.69–$232.99 | 11% above | — |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US DPPLR BIL VEN | $682.00 | $682.00 | $209.69–$232.99 | — | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT THORAX LOW DOSE W/O | $700.00 | $700.00 | $91.88–$102.09 | 156% above | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT THORAX LOW DOSE W/O | $700.00 | $700.00 | $91.88–$102.09 | — | — |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONTRAST | $1,818.00 | $1,818.00 | $209.69–$232.99 | 22% above | — |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN W/O CONTRAST | $1,818.00 | $1,818.00 | $209.69–$232.99 | — | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W/ AND W/O CONTRAST | $2,761.00 | $2,761.00 | $306.60–$340.67 | 2% below | — |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN W/ AND W/O CONTRAST | $2,761.00 | $2,761.00 | $306.60–$340.67 | — | — |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN STEM WO | $1,500.00 | $1,500.00 | $209.69–$232.99 | 1% above | — |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO | $1,818.00 | $1,818.00 | $209.69–$232.99 | 23% above | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN STEM WO | $1,500.00 | $1,500.00 | $209.69–$232.99 | — | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN WO | $1,818.00 | $1,818.00 | $209.69–$232.99 | — | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN STEM WO & W | $1,500.00 | $1,500.00 | $306.60–$340.67 | 33% below | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN WO & W | $2,761.00 | $2,761.00 | $306.60–$340.67 | 24% above | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN STEM WO & W | $1,500.00 | $1,500.00 | $306.60–$340.67 | — | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN WO & W | $2,761.00 | $2,761.00 | $306.60–$340.67 | — | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR WO CON | $1,500.00 | $1,500.00 | $209.69–$232.99 | 2% below | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LUMBAR WO CON | $1,500.00 | $1,500.00 | $209.69–$232.99 | — | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR WO & W | $2,761.00 | $2,761.00 | $306.60–$340.67 | 5% above | — |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI LUMBAR WO & W | $2,761.00 | $2,761.00 | $306.60–$340.67 | — | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI SPINE & CONTENTS THORACIC W/O | $1,818.00 | $1,818.00 | $209.69–$232.99 | 18% above | — |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI SPINE & CONTENTS THORACIC W/O | $1,818.00 | $1,818.00 | $209.69–$232.99 | — | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERVICAL W/ AND W/O CONTRAST | $2,761.00 | $2,761.00 | $306.60–$340.67 | 9% above | — |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI CERVICAL W/ AND W/O CONTRAST | $2,761.00 | $2,761.00 | $306.60–$340.67 | — | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CERVICAL SPINE W/O | $1,500.00 | $1,500.00 | $209.69–$232.99 | 2% below | — |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI CERVICAL SPINE W/O | $1,500.00 | $1,500.00 | $209.69–$232.99 | — | — |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W & WO | $2,761.00 | $2,761.00 | $306.60–$340.67 | 5% above | — |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W & WO | $2,761.00 | $2,761.00 | $306.60–$340.67 | — | — |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS WO | $1,818.00 | $1,818.00 | $209.69–$232.99 | 34% above | — |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS WO | $1,818.00 | $1,818.00 | $209.69–$232.99 | — | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC COMPLETE | $489.00 | $489.00 | $91.88–$102.09 | 1% below | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC COMPLETE | $489.00 | $489.00 | $91.88–$102.09 | — | — |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE | $433.00 | $433.00 | $91.88–$102.09 | 23% below | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN COMPLETE | $433.00 | $433.00 | $91.88–$102.09 | — | — |
| Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM AND CONTENTS | $433.00 | $433.00 | $91.88–$102.09 | 13% below | — |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM AND CONTENTS | $433.00 | $433.00 | $91.88–$102.09 | — | — |
| X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN AP | $275.00 | $275.00 | $76.48–$84.98 | 95% above | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABDOMEN AP | $275.00 | $275.00 | $76.48–$84.98 | — | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR LUMBAR SPINE 2-3 VIEWS | $199.00 | $199.00 | $91.88–$102.09 | 1% below | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR LUMBAR SPINE 2-3 VIEWS | $199.00 | $199.00 | $91.88–$102.09 | — | — |
| X-ray of the lower back, 4 or more views CPT 72110 XR LUMBAR SP 4V> | $333.00 | $333.00 | $91.88–$102.09 | 13% above | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR LUMBAR SP 4V> | $333.00 | $333.00 | $91.88–$102.09 | — | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR THORACIC SP 2V | $199.00 | $199.00 | $91.88–$102.09 | 16% above | — |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR THORACIC SP 2V | $199.00 | $199.00 | $91.88–$102.09 | — | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR SPINE CERVICAL 2-3 VIEW | $412.00 | $412.00 | $76.48–$84.98 | 120% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR SPINE CERVICAL 2-3 VIEW | $412.00 | $412.00 | $76.48–$84.98 | — | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1-2V | $100.00 | $100.00 | $91.88–$102.09 | 37% below | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR PELVIS 1-2V | $100.00 | $100.00 | $91.88–$102.09 | — | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Michigan | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT (SGPT) | $33.00 | $33.00 | $4.67–$5.19 | 47% above | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT (SGPT) REF | $33.00 | $33.00 | $4.67–$5.19 | 47% above | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 DONOR ALT REF | $33.00 | $33.00 | $4.67–$5.19 | 47% above | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT (SGPT) | $33.00 | $33.00 | $4.67–$5.19 | — | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 DONOR ALT REF | $33.00 | $33.00 | $4.67–$5.19 | — | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT (SGPT) REF | $33.00 | $33.00 | $4.67–$5.19 | — | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST (SGOT) | $15.00 | $15.00 | $4.57–$5.08 | 32% below | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE (AST) (SGOT) REF | $15.00 | $15.00 | $4.57–$5.08 | 32% below | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST (SGOT) REF | $15.00 | $15.00 | $4.57–$5.08 | 32% below | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST (SGOT) | $15.00 | $15.00 | $4.57–$5.08 | — | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 TRANSFERASE (AST) (SGOT) REF | $15.00 | $15.00 | $4.57–$5.08 | — | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST (SGOT) REF | $15.00 | $15.00 | $4.57–$5.08 | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 ANTI-CCP REF | $52.00 | $52.00 | $11.43–$12.69 | 1% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 ANTI-CCP REF | $52.00 | $52.00 | $11.43–$12.69 | — | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA REF | $76.00 | $76.00 | $10.66–$11.85 | 31% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTI-NUCLEAR AB IFA REF | $76.00 | $76.00 | $10.66–$11.85 | 31% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 CENTROMERE ABS REF | $76.00 | $76.00 | $10.66–$11.85 | 31% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODY (ANA) DIRECT REF | $76.00 | $76.00 | $10.66–$11.85 | 31% above | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 CENTROMERE ABS REF | $76.00 | $76.00 | $10.66–$11.85 | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTI-NUCLEAR AB IFA REF | $76.00 | $76.00 | $10.66–$11.85 | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA REF | $76.00 | $76.00 | $10.66–$11.85 | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODY (ANA) DIRECT REF | $76.00 | $76.00 | $10.66–$11.85 | — | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE REF | $78.52 | $78.52 | $34.62–$38.47 | 12% above | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NATRIURETIC PEPTIDE REF | $78.52 | $78.52 | $34.62–$38.47 | — | — |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL REF | $60.00 | $60.00 | $7.46–$8.29 | 2% above | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL REF | $60.00 | $60.00 | $7.46–$8.29 | — | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 LEVEL IV-SURGICAL PATH REF | $128.00 | $128.00 | $60.88–$67.64 | 37% above | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 LEVEL IV-SURGICAL PATH REF | $128.00 | $128.00 | $60.88–$67.64 | — | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION OF VENOUS BLOOD | $10.00 | $10.00 | $8.24–$9.15 | 22% below | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION OF VENOUS BLOO | $15.00 | $15.00 | $8.24–$9.15 | 16% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 CL PF COLLECTION OF VENOUS BLOO | $20.00 | $20.00 | $8.89–$9.15 | 55% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 CL COLLECTION OF VENOUS BLOOD | $50.00 | $50.00 | $8.24–$9.15 | 288% above | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COLLECTION OF VENOUS BLOOD | $10.00 | $10.00 | $8.24–$9.15 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COLLECTION OF VENOUS BLOO | $15.00 | $15.00 | $8.24–$9.15 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 CL PF COLLECTION OF VENOUS BLOO | $20.00 | $20.00 | $8.89–$9.15 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 CL COLLECTION OF VENOUS BLOOD | $50.00 | $50.00 | $8.24–$9.15 | — | — |
| Blood glucose (sugar) test CPT 82947 GLUCOSE (EPOC) | $120.00 | $120.00 | $3.47–$3.85 | 400% above | — |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE (EPOC) | $120.00 | $120.00 | $3.47–$3.85 | — | — |
| Blood lead test CPT 83655 LEAD BLOOD REF | $76.00 | $76.00 | $10.68–$11.87 | 443% above | — |
| Blood lead test inpatient CPT 83655 LEAD BLOOD REF | $76.00 | $76.00 | $10.68–$11.87 | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 URINE HCG REF | $15.00 | $15.00 | $6.63–$7.37 | 59% below | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 URINE HCG | $30.10 | $30.10 | $6.63–$7.37 | 19% below | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 SERUM QUAL HCG | $30.15 | $30.15 | $6.63–$7.37 | 19% below | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 TOTAL HcG | $38.00 | $38.00 | $6.63–$7.37 | 3% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 URINE HCG REF | $15.00 | $15.00 | $6.63–$7.37 | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 URINE HCG | $30.10 | $30.10 | $6.63–$7.37 | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 SERUM QUAL HCG | $30.15 | $30.15 | $6.63–$7.37 | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 TOTAL HcG | $38.00 | $38.00 | $6.63–$7.37 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING, ABO REF | $20.00 | $20.00 | $116.92–$129.92 | 42% below | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB ABO | $20.00 | $20.00 | $116.92–$129.92 | 42% below | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING, ABO REF | $20.00 | $20.00 | $116.92–$129.92 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB ABO | $20.00 | $20.00 | $116.92–$129.92 | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $20.00 | $20.00 | $4.57–$5.08 | 41% below | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN | $20.00 | $20.00 | $4.57–$5.08 | — | — |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 REF | $131.00 | $131.00 | $18.36–$20.39 | 78% above | — |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 REF | $131.00 | $131.00 | $18.36–$20.39 | — | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CANCER ANTIGEN 125 REF | $42.00 | $42.00 | $18.36–$20.39 | 49% below | — |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CANCER ANTIGEN 125 REF | $42.00 | $42.00 | $18.36–$20.39 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID 19 PCR REF | $200.00 | $200.00 | $45.26–$50.28 | 128% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS CoV2 FOR COVID19 ANTIGEN | $285.00 | $285.00 | $45.26–$50.28 | 224% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS CoV2 FOR COVID19 REF | $285.00 | $285.00 | $45.26–$50.28 | 224% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS CoV2 FOR COVID19 ANTIBODY | $285.00 | $285.00 | $45.26–$50.28 | 224% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID 19 PCR REF | $200.00 | $200.00 | $45.26–$50.28 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS CoV2 FOR COVID19 ANTIGEN | $285.00 | $285.00 | $45.26–$50.28 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS CoV2 FOR COVID19 ANTIBODY | $285.00 | $285.00 | $45.26–$50.28 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS CoV2 FOR COVID19 REF | $285.00 | $285.00 | $45.26–$50.28 | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS AMP PRB TECH REF | $71.00 | $71.00 | $30.95–$34.39 | 4% below | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS AMP PRB TECH REF | $71.00 | $71.00 | $30.95–$34.39 | — | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL REF | $60.00 | $60.00 | $11.81–$13.12 | 18% above | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL REF | $60.00 | $60.00 | $11.81–$13.12 | — | — |
| Complete blood count (CBC) with differential CPT 85025 CBC W/AUTO DIFF REF | $45.00 | $45.00 | $6.85–$7.61 | 7% above | — |
| Complete blood count (CBC) with differential CPT 85025 CBC W/AUTO DIFF | $45.00 | $45.00 | $6.85–$7.61 | 7% above | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/AUTO DIFF | $45.00 | $45.00 | $6.85–$7.61 | — | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/AUTO DIFF REF | $45.00 | $45.00 | $6.85–$7.61 | — | — |
| Complete blood count (CBC), no differential CPT 85027 CBC | $30.00 | $30.00 | $5.70–$6.34 | 3% above | — |
| Complete blood count (CBC), no differential CPT 85027 COMPLETE BLOOD COUNT(W/PLT&HEMOGRAM) REF | $41.00 | $41.00 | $5.70–$6.34 | 41% above | — |
| Complete blood count (CBC), no differential CPT 85027 CBC REF | $45.00 | $45.00 | $5.70–$6.34 | 55% above | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC | $30.00 | $30.00 | $5.70–$6.34 | — | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 COMPLETE BLOOD COUNT(W/PLT&HEMOGRAM) REF | $41.00 | $41.00 | $5.70–$6.34 | — | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC REF | $45.00 | $45.00 | $5.70–$6.34 | — | — |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL REF | $30.00 | $30.00 | $9.31–$10.35 | 62% below | — |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL | $30.00 | $30.00 | $9.31–$10.35 | 62% below | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL | $30.00 | $30.00 | $9.31–$10.35 | — | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL REF | $30.00 | $30.00 | $9.31–$10.35 | — | — |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER REF | $64.00 | $64.00 | $8.98–$9.98 | 87% above | — |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER REF | $64.00 | $64.00 | $8.98–$9.98 | — | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE | $61.00 | $61.00 | $19.61–$21.79 | 5% below | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE REF | $61.00 | $61.00 | $19.61–$21.79 | 5% below | — |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATE REF | $61.00 | $61.00 | $19.61–$21.79 | — | — |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATE | $61.00 | $61.00 | $19.61–$21.79 | — | — |
| Estradiol blood test CPT 82670 ESTRADIOL REF | $176.00 | $176.00 | $24.65–$27.38 | 147% above | — |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL REF | $176.00 | $176.00 | $24.65–$27.38 | — | — |
| FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIMULATING HORMONE REF | $128.00 | $128.00 | $16.39–$18.21 | 62% above | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIMULATING HORMONE REF | $128.00 | $128.00 | $16.39–$18.21 | — | — |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN REF | $27.26 | $27.26 | $12.02–$13.36 | 55% below | — |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $27.26 | $27.26 | $12.02–$13.36 | 55% below | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN REF | $27.26 | $27.26 | $12.02–$13.36 | — | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN | $27.26 | $27.26 | $12.02–$13.36 | — | — |
| Folate (folic acid) blood test CPT 82746 FOLATE (FOLIC ACID) REF | $40.34 | $40.34 | $12.97–$14.41 | 49% below | — |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID | $41.00 | $41.00 | $12.97–$14.41 | 48% below | — |
| Folate (folic acid) blood test inpatient CPT 82746 FOLATE (FOLIC ACID) REF | $40.34 | $40.34 | $12.97–$14.41 | — | — |
| Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID | $41.00 | $41.00 | $12.97–$14.41 | — | — |
| Free T3 thyroid hormone test CPT 84481 FREE TRIIODOTHYONINE (FT3) | $30.00 | $30.00 | $14.94–$16.60 | 53% below | — |
| Free T3 thyroid hormone test CPT 84481 TRIIODOTHYRONINE T3 FREE REF | $38.00 | $38.00 | $14.94–$16.60 | 40% below | — |
| Free T3 thyroid hormone test inpatient CPT 84481 FREE TRIIODOTHYONINE (FT3) | $30.00 | $30.00 | $14.94–$16.60 | — | — |
| Free T3 thyroid hormone test inpatient CPT 84481 TRIIODOTHYRONINE T3 FREE REF | $38.00 | $38.00 | $14.94–$16.60 | — | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE THYROXINE REF | $13.00 | $13.00 | $7.96–$8.84 | 59% below | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE THYROXINE | $13.00 | $13.00 | $7.96–$8.84 | 59% below | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE THYROXINE | $13.00 | $13.00 | $7.96–$8.84 | — | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE THYROXINE REF | $13.00 | $13.00 | $7.96–$8.84 | — | — |
| Free testosterone test CPT 84402 TESTOSTERONE FREE REF | $69.88 | $69.88 | $22.46–$24.96 | 77% above | — |
| Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE REF | $69.88 | $69.88 | $22.46–$24.96 | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE AMP PROBE TEC REF | $80.00 | $80.00 | $30.95–$34.39 | 13% below | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHOEAE AMP PROBE TEC REF | $80.00 | $80.00 | $30.95–$34.39 | — | — |
| H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI PROFILE REF | $34.00 | $34.00 | $14.86–$16.51 | 40% below | — |
| H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYLORI PROFILE REF | $34.00 | $34.00 | $14.86–$16.51 | — | — |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV 1/2 AB REF | $86.00 | $86.00 | $12.09–$13.44 | 67% above | — |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV 1/2 AB REF | $86.00 | $86.00 | $12.09–$13.44 | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 COMBO HUMAN IMMUNODEFICIENCY VIRUS | $155.00 | $155.00 | $21.24–$23.60 | 260% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 COMBO HUMAN IMMUNODEFICIENCY VIRUS | $155.00 | $155.00 | $21.24–$23.60 | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C REF | $14.00 | $14.00 | $8.57–$9.52 | 67% below | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C HGBA1C | $19.42 | $19.42 | $8.57–$9.52 | 54% below | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C REF | $14.00 | $14.00 | $8.57–$9.52 | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C HGBA1C | $19.42 | $19.42 | $8.57–$9.52 | — | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY | $65.00 | $65.00 | $9.48–$10.53 | 61% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE ANTIBODY | $65.00 | $65.00 | $9.48–$10.53 | — | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP BS AG (HBSAG) REF | $65.00 | $65.00 | $9.11–$10.12 | 68% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIGEN | $65.00 | $65.00 | $9.11–$10.12 | 68% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 DONOR HBSAG REF | $65.00 | $65.00 | $9.11–$10.12 | 68% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURFACE AB (HEP B SAB) REF | $65.00 | $65.00 | $9.11–$10.12 | 68% above | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE ANTIGEN | $65.00 | $65.00 | $9.11–$10.12 | — | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 DONOR HBSAG REF | $65.00 | $65.00 | $9.11–$10.12 | — | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEP BS AG (HBSAG) REF | $65.00 | $65.00 | $9.11–$10.12 | — | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEP B SURFACE AB (HEP B SAB) REF | $65.00 | $65.00 | $9.11–$10.12 | — | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C VIRUS AB | $90.00 | $90.00 | $12.58–$13.98 | 88% above | — |
| Hepatitis C antibody blood test (screening) CPT 86803 DONOR ANTI-HCV REF | $90.00 | $90.00 | $12.58–$13.98 | 88% above | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HEP C AB (ANTI-HCV) REF | $90.00 | $90.00 | $12.58–$13.98 | 88% above | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C VIRUS AB | $90.00 | $90.00 | $12.58–$13.98 | — | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEP C AB (ANTI-HCV) REF | $90.00 | $90.00 | $12.58–$13.98 | — | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 DONOR ANTI-HCV REF | $90.00 | $90.00 | $12.58–$13.98 | — | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C VIRAL LOAD REF | $195.00 | $195.00 | $37.79–$41.98 | 129% above | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C VIRAL LOAD REF | $195.00 | $195.00 | $37.79–$41.98 | — | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES TYPE 1 IGG REF | $91.00 | $91.00 | $11.63–$12.93 | 119% above | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES TYPE 1 IGG REF | $91.00 | $91.00 | $11.63–$12.93 | — | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES TYPE 2 IGM REF | $91.00 | $91.00 | $17.07–$18.96 | 119% above | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES TYPE 2 IGM REF | $91.00 | $91.00 | $17.07–$18.96 | — | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HS REF | $25.90 | $25.90 | $11.43–$12.69 | 43% below | — |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-REACTIVE PROTEIN HS REF | $25.90 | $25.90 | $11.43–$12.69 | — | — |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE | $106.00 | $106.00 | $15.81–$17.56 | 60% above | — |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE REF | $106.00 | $106.00 | $15.81–$17.56 | 60% above | — |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE REF | $106.00 | $106.00 | $15.81–$17.56 | — | — |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE | $106.00 | $106.00 | $15.81–$17.56 | — | — |
| Insulin blood test CPT 83525 INSULIN LEVEL REF | $135.00 | $135.00 | $10.08–$11.20 | 234% above | — |
| Insulin blood test inpatient CPT 83525 INSULIN LEVEL REF | $135.00 | $135.00 | $10.08–$11.20 | — | — |
| Iron blood test (serum iron) CPT 83540 IRON | $12.94 | $12.94 | $5.70–$6.34 | 56% below | — |
| Iron blood test (serum iron) CPT 83540 IRON REF | $12.94 | $12.94 | $5.70–$6.34 | 56% below | — |
| Iron blood test (serum iron) inpatient CPT 83540 IRON REF | $12.94 | $12.94 | $5.70–$6.34 | — | — |
| Iron blood test (serum iron) inpatient CPT 83540 IRON | $12.94 | $12.94 | $5.70–$6.34 | — | — |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING TEST REF | $13.00 | $13.00 | $7.71–$8.57 | 68% below | — |
| Iron-binding capacity (TIBC) test CPT 83550 UIBC IRON BINDING CAPACITY | $17.48 | $17.48 | $7.71–$8.57 | 56% below | — |
| Iron-binding capacity (TIBC) test CPT 83550 TOTAL IRON BINDING REF | $17.48 | $17.48 | $7.71–$8.57 | 56% below | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING TEST REF | $13.00 | $13.00 | $7.71–$8.57 | — | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 TOTAL IRON BINDING REF | $17.48 | $17.48 | $7.71–$8.57 | — | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 UIBC IRON BINDING CAPACITY | $17.48 | $17.48 | $7.71–$8.57 | — | — |
| LH (luteinizing hormone) test CPT 83002 LUTENIZING HORMONE REF | $128.00 | $128.00 | $16.34–$18.15 | 68% above | — |
| LH (luteinizing hormone) test inpatient CPT 83002 LUTENIZING HORMONE REF | $128.00 | $128.00 | $16.34–$18.15 | — | — |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $10.00 | $10.00 | $6.08–$6.75 | 64% below | — |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE REF | $10.00 | $10.00 | $6.08–$6.75 | 64% below | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE | $10.00 | $10.00 | $6.08–$6.75 | — | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE REF | $10.00 | $10.00 | $6.08–$6.75 | — | — |
| Lyme disease antibody test CPT 86618 LYME TOTAL Ab TEST REFLEX REF | $35.00 | $35.00 | $15.02–$16.69 | 33% above | — |
| Lyme disease antibody test inpatient CPT 86618 LYME TOTAL Ab TEST REFLEX REF | $35.00 | $35.00 | $15.02–$16.69 | — | — |
| Magnesium blood test CPT 83735 MAGNESIUM SERUM REF | $10.00 | $10.00 | $5.91–$6.57 | 50% below | — |
| Magnesium blood test CPT 83735 MAGNESIUM | $42.00 | $42.00 | $5.91–$6.57 | 110% above | — |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM SERUM REF | $10.00 | $10.00 | $5.91–$6.57 | — | — |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM | $42.00 | $42.00 | $5.91–$6.57 | — | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATIC SPECIFIC ANTIGEN | $46.00 | $46.00 | $16.22–$18.02 | 5% below | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATIC SPECIFIC ANTIGEN; TOTAL REF | $50.46 | $50.46 | $16.22–$18.02 | 4% above | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATIC SPECIFIC ANTIGEN | $46.00 | $46.00 | $16.22–$18.02 | — | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATIC SPECIFIC ANTIGEN; TOTAL REF | $50.46 | $50.46 | $16.22–$18.02 | — | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT REF | $260.00 | $260.00 | $36.41–$40.45 | 106% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE (PTH) REF | $260.00 | $260.00 | $36.41–$40.45 | 106% above | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE (PTH) REF | $260.00 | $260.00 | $36.41–$40.45 | — | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH INTACT REF | $260.00 | $260.00 | $36.41–$40.45 | — | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT REF | $38.00 | $38.00 | $5.30–$5.89 | 23% above | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT REF | $38.00 | $38.00 | $5.30–$5.89 | — | — |
| Progesterone blood test CPT 84144 PROGESTERONE REF | $52.00 | $52.00 | $18.39–$20.44 | 14% below | — |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE REF | $52.00 | $52.00 | $18.39–$20.44 | — | — |
| Prolactin blood test CPT 84146 PROLACTIN REF | $48.00 | $48.00 | $17.09–$18.99 | 32% below | — |
| Prolactin blood test inpatient CPT 84146 PROLACTIN REF | $48.00 | $48.00 | $17.09–$18.99 | — | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT/INR REF | $25.00 | $25.00 | $3.78–$4.20 | 81% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 PTINR (ORMC) | $25.00 | $25.00 | $3.78–$4.20 | 81% above | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PTINR (ORMC) | $25.00 | $25.00 | $3.78–$4.20 | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT/INR REF | $25.00 | $25.00 | $3.78–$4.20 | — | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 URINE DRUG SCREEN PANEL | $129.30 | $129.30 | $11.11–$12.35 | 280% above | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 URINE DRUG SCREEN PANEL | $129.30 | $129.30 | $11.11–$12.35 | — | — |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A/B | $76.00 | $76.00 | $14.60–$16.22 | 58% above | — |
| Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A/B | $76.00 | $76.00 | $14.60–$16.22 | — | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREPTOCOCCUS | $34.00 | $34.00 | $14.58–$16.20 | 30% below | — |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREPTOCOCCUS | $34.00 | $34.00 | $14.58–$16.20 | — | — |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR (RF) REF | $36.00 | $36.00 | $5.00–$5.56 | 9% above | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR (RF) REF | $36.00 | $36.00 | $5.00–$5.56 | — | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE ESR REF | $4.00 | $4.00 | $2.38–$2.65 | 83% below | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE ESR | $20.00 | $20.00 | $2.38–$2.65 | 15% below | — |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SED RATE ESR REF | $4.00 | $4.00 | $2.38–$2.65 | — | — |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SED RATE ESR | $20.00 | $20.00 | $2.38–$2.65 | — | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 FECAL OCCULT BLOOD #1 | $20.00 | $20.00 | $14.04–$15.60 | 46% below | — |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 FECAL OCCULT BLOOD #1 | $20.00 | $20.00 | $14.04–$15.60 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 ZRPR (VDRL) REF | $27.00 | $27.00 | $3.76–$4.18 | 55% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 DONOR RPR REF | $27.00 | $27.00 | $3.76–$4.18 | 55% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR REF | $27.00 | $27.00 | $3.76–$4.18 | 55% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 ZRPR (VDRL) REF | $27.00 | $27.00 | $3.76–$4.18 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 DONOR RPR REF | $27.00 | $27.00 | $3.76–$4.18 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR REF | $27.00 | $27.00 | $3.76–$4.18 | — | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE | $64.00 | $64.00 | $22.77–$25.29 | 2% below | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL REF | $70.82 | $70.82 | $22.77–$25.29 | 8% above | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE | $64.00 | $64.00 | $22.77–$25.29 | — | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL REF | $70.82 | $70.82 | $22.77–$25.29 | — | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE AB REF | $91.00 | $91.00 | $12.84–$14.26 | 106% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODIES REF | $91.00 | $91.00 | $12.84–$14.26 | 106% above | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL ANTIBODIES REF | $91.00 | $91.00 | $12.84–$14.26 | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE AB REF | $91.00 | $91.00 | $12.84–$14.26 | — | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH REF | $106.00 | $106.00 | $14.82–$16.46 | 65% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE | $106.00 | $106.00 | $14.82–$16.46 | 65% above | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMONE | $106.00 | $106.00 | $14.82–$16.46 | — | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH REF | $106.00 | $106.00 | $14.82–$16.46 | — | — |
| Uric acid blood test CPT 84550 URIC ACID | $15.00 | $15.00 | $3.99–$4.43 | 35% below | — |
| Uric acid blood test inpatient CPT 84550 URIC ACID | $15.00 | $15.00 | $3.99–$4.43 | — | — |
| Urinalysis with microscope exam, automated CPT 81001 UA WITH MICRO REF | $20.00 | $20.00 | $2.79–$3.11 | 5% below | — |
| Urinalysis with microscope exam, automated CPT 81001 PRE ADMISSION TESTING URINALYSIS | $20.00 | $20.00 | $2.79–$3.11 | 5% below | — |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS REF | $20.00 | $20.00 | $2.79–$3.11 | 5% below | — |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS | $20.00 | $20.00 | $2.79–$3.11 | 5% below | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 PRE ADMISSION TESTING URINALYSIS | $20.00 | $20.00 | $2.79–$3.11 | — | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS REF | $20.00 | $20.00 | $2.79–$3.11 | — | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS | $20.00 | $20.00 | $2.79–$3.11 | — | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 UA WITH MICRO REF | $20.00 | $20.00 | $2.79–$3.11 | — | — |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS NONAUTO W/SCOP REF | $10.00 | $10.00 | $1.98–$2.20 | 23% below | — |
| Urinalysis without microscope exam, automated CPT 81003 KETONES URINE REF | $14.00 | $14.00 | $1.98–$2.20 | 8% above | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS NONAUTO W/SCOP REF | $10.00 | $10.00 | $1.98–$2.20 | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 KETONES URINE REF | $14.00 | $14.00 | $1.98–$2.20 | — | — |
| Urine culture for bacteria, with colony count CPT 87086 CULT-URINE/COLONY COUNT REF | $20.00 | $20.00 | $7.11–$7.91 | 64% below | — |
| Urine culture for bacteria, with colony count inpatient CPT 87086 CULT-URINE/COLONY COUNT REF | $20.00 | $20.00 | $7.11–$7.91 | — | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 REF | $36.00 | $36.00 | $13.30–$14.78 | 38% below | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 | $36.00 | $36.00 | $13.30–$14.78 | 38% below | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 REF | $36.00 | $36.00 | $13.30–$14.78 | — | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B-12 | $36.00 | $36.00 | $13.30–$14.78 | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D-25 HYDROXY | $65.00 | $65.00 | $26.11–$29.01 | 26% below | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY REF | $65.00 | $65.00 | $26.11–$29.01 | 26% below | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D-25 HYDROXY | $65.00 | $65.00 | $26.11–$29.01 | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 HYDROXY REF | $65.00 | $65.00 | $26.11–$29.01 | — | — |
| Zinc blood test CPT 84630 ZINC | $40.78 | $40.78 | $10.04–$11.16 | 159% above | — |
| Zinc blood test inpatient CPT 84630 ZINC | $40.78 | $40.78 | $10.04–$11.16 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG BETA QUANTITATIVE REF | $95.00 | $95.00 | $13.27–$14.75 | 62% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANT REF | $95.00 | $95.00 | $13.27–$14.75 | 62% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG BETA QUANTITATIVE REF | $95.00 | $95.00 | $13.27–$14.75 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANT REF | $95.00 | $95.00 | $13.27–$14.75 | — | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Michigan | Off list |
|---|---|---|---|---|---|
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 27786 CL FRACTURE/DISLOCATION ON THE LEG | $451.00 | $451.00 | $216.78–$240.86 | 29% above | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CL PF FRACTURE OR DISLOCATION ON THE | $611.00 | $611.00 | $239.69–$347.15 | 75% above | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 27786 CL FRACTURE/DISLOCATION ON THE LEG | $451.00 | $451.00 | $216.78–$240.86 | — | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 CL PF FRACTURE OR DISLOCATION ON THE | $611.00 | $611.00 | $239.69–$347.15 | — | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 NJX DX/THER AGT PVRT FA JT LMBR/SAC 1 L | $2,850.00 | $2,850.00 | $777.30–$863.66 | 164% above | — |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 NJX DX/THER AGT PVRT FA JT LMBR/SAC 1 L | $2,850.00 | $2,850.00 | $777.30–$863.66 | — | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 CL PF I&D SIMPLE OR SINGLE | $208.00 | $208.00 | $126.04–$194.95 | 19% below | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 10060 CL I&D SIMPLE OR SINGLE | $353.00 | $353.00 | $176.32–$195.91 | 38% above | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 CL PF I&D SIMPLE OR SINGLE | $208.00 | $208.00 | $126.04–$194.95 | — | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 10060 CL I&D SIMPLE OR SINGLE | $353.00 | $353.00 | $176.32–$195.91 | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 CL PF INJECTION SINGLE TENDON SHEATH, LI | $86.00 | $86.00 | $60.13–$298.26 | 77% below | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 20550 CL INJECT SINGLE TENDON SHEATH LIG | $495.00 | $495.00 | $269.75–$299.73 | 33% above | — |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 CL PF INJECTION SINGLE TENDON SHEATH, LI | $86.00 | $86.00 | $60.13–$298.26 | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 20550 CL INJECT SINGLE TENDON SHEATH LIG | $495.00 | $495.00 | $269.75–$299.73 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 CL PF ARTHROCENTESIS MEDIUM JOINT | $81.00 | $81.00 | $56.65–$298.26 | 75% below | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605 CL ARTHROCENTESIS MEDIUM JOINT | $495.00 | $495.00 | $269.75–$299.73 | 55% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 CL PF ARTHROCENTESIS MEDIUM JOINT | $81.00 | $81.00 | $56.65–$298.26 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 20605 CL ARTHROCENTESIS MEDIUM JOINT | $495.00 | $495.00 | $269.75–$299.73 | — | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 CL PF ARTHROCENTESIS SMALL JOINT | $78.00 | $78.00 | $55.68–$298.26 | 77% below | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 20600 CL ARTHROCENTESIS SMALL JOINT | $495.00 | $495.00 | $269.75–$299.73 | 44% above | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 CL PF ARTHROCENTESIS SMALL JOINT | $78.00 | $78.00 | $55.68–$298.26 | — | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 20600 CL ARTHROCENTESIS SMALL JOINT | $495.00 | $495.00 | $269.75–$299.73 | — | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 NJX ANES&/STRD TFRML EDRL LMBR/SAC 1 LVL | $2,850.00 | $2,850.00 | $777.30–$863.66 | 169% above | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 NJX ANES&/STRD TFRML EDRL LMBR/SAC 1 LVL | $2,850.00 | $2,850.00 | $777.30–$863.66 | — | — |
| Nail removal (partial or complete), one nail CPT 11730 CL PF AVULSION NAIL PLATE | $118.00 | $118.00 | $108.55–$194.95 | 42% below | — |
| Nail removal (partial or complete), one nail CPT 11730 11730 CL AVULSION NAIL PLATE | $353.00 | $353.00 | $176.32–$195.91 | 75% above | — |
| Nail removal (partial or complete), one nail inpatient CPT 11730 CL PF AVULSION NAIL PLATE | $118.00 | $118.00 | $108.55–$194.95 | — | — |
| Nail removal (partial or complete), one nail inpatient CPT 11730 11730 CL AVULSION NAIL PLATE | $353.00 | $353.00 | $176.32–$195.91 | — | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 CL PF EXCISION OF NAIL - NAIL MATRIX | $216.00 | $216.00 | $154.16–$395.01 | 57% below | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 11750 CL EXCISION OF NAIL - NAIL MATRIX | $629.00 | $629.00 | $357.25–$396.95 | 27% above | — |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 CL PF EXCISION OF NAIL - NAIL MATRIX | $216.00 | $216.00 | $154.16–$395.01 | — | — |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 11750 CL EXCISION OF NAIL - NAIL MATRIX | $629.00 | $629.00 | $357.25–$396.95 | — | — |
| Removal of a foreign object under the skin, simple CPT 10120 CL PF REMOVAL FOREIGN BODY - SIMPLE | $219.00 | $219.00 | $153.44–$395.01 | 39% below | — |
| Removal of a foreign object under the skin, simple CPT 10120 CL PF REMOVAL OF FOREIGN BODY SIMPLE | $219.00 | $219.00 | $153.44–$395.01 | 39% below | — |
| Removal of a foreign object under the skin, simple CPT 10120 10120 CL REMOVAL OF FOREIGN BODY SIMPLE | $629.00 | $629.00 | $357.25–$396.95 | 76% above | — |
| Removal of a foreign object under the skin, simple CPT 10120 10120 CL REMOVAL FOREIGN BODY - SIMPLE | $629.00 | $629.00 | $357.25–$396.95 | 76% above | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 CL PF REMOVAL OF FOREIGN BODY SIMPLE | $219.00 | $219.00 | $153.44–$395.01 | — | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 CL PF REMOVAL FOREIGN BODY - SIMPLE | $219.00 | $219.00 | $153.44–$395.01 | — | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 10120 CL REMOVAL OF FOREIGN BODY SIMPLE | $629.00 | $629.00 | $357.25–$396.95 | — | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 10120 CL REMOVAL FOREIGN BODY - SIMPLE | $629.00 | $629.00 | $357.25–$396.95 | — | — |
| Short leg cast (below the knee) CPT 29405 CL PF SHORT LEG CAST | $128.00 | $128.00 | $87.03–$271.77 | 53% below | — |
| Short leg cast (below the knee) CPT 29405 29405 CL SHORT LEG CAST | $472.00 | $472.00 | $245.80–$273.12 | 73% above | — |
| Short leg cast (below the knee) inpatient CPT 29405 CL PF SHORT LEG CAST | $128.00 | $128.00 | $87.03–$271.77 | — | — |
| Short leg cast (below the knee) inpatient CPT 29405 29405 CL SHORT LEG CAST | $472.00 | $472.00 | $245.80–$273.12 | — | — |
| Skin biopsy, punch, one lesion CPT 11104 CL PF PUNCH BIOPSY SKIN LESION | $109.00 | $109.00 | $106.82–$395.01 | 66% below | — |
| Skin biopsy, punch, one lesion CPT 11104 11104 CL PUNCH BIOPSY OF SKIN | $353.00 | $353.00 | $357.25–$396.95 | 12% above | — |
| Skin biopsy, punch, one lesion inpatient CPT 11104 CL PF PUNCH BIOPSY SKIN LESION | $109.00 | $109.00 | $106.82–$395.01 | — | — |
| Skin biopsy, punch, one lesion inpatient CPT 11104 11104 CL PUNCH BIOPSY OF SKIN | $353.00 | $353.00 | $357.25–$396.95 | — | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 CL PF TANGENTIAL BIOPSY SKIN LESION | $87.00 | $87.00 | $85.26–$395.01 | 63% below | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 11102 CL TANGENTIAL BIOP SKIN SINGLE LES | $353.00 | $353.00 | $357.25–$396.95 | 50% above | — |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 CL PF TANGENTIAL BIOPSY SKIN LESION | $87.00 | $87.00 | $85.26–$395.01 | — | — |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 11102 CL TANGENTIAL BIOP SKIN SINGLE LES | $353.00 | $353.00 | $357.25–$396.95 | — | — |
| Wart removal, up to 14 warts CPT 17110 CL PF DESTRUCTION BENIGN LESION 1-14 | $145.00 | $145.00 | $107.61–$194.95 | 20% below | — |
| Wart removal, up to 14 warts CPT 17110 17110 CL DESTRUCTION BENIGN LESION 1-14 | $353.00 | $353.00 | $176.32–$195.91 | 94% above | — |
| Wart removal, up to 14 warts inpatient CPT 17110 CL PF DESTRUCTION BENIGN LESION 1-14 | $145.00 | $145.00 | $107.61–$194.95 | — | — |
| Wart removal, up to 14 warts inpatient CPT 17110 17110 CL DESTRUCTION BENIGN LESION 1-14 | $353.00 | $353.00 | $176.32–$195.91 | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 CL PF DEBRIDEMENT: SKIN & SUBCU TIS. | $133.00 | $133.00 | $129.60–$395.01 | 71% below | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042 CL DEBRIDEMENT: SKIN & SUBCU TIS. | $629.00 | $629.00 | $357.25–$396.95 | 38% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 CL PF DEBRIDEMENT: SKIN & SUBCU TIS. | $133.00 | $133.00 | $129.60–$395.01 | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 11042 CL DEBRIDEMENT: SKIN & SUBCU TIS. | $629.00 | $629.00 | $357.25–$396.95 | — | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Michigan | Off list |
|---|---|---|---|---|---|
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 EKG | $172.00 | $172.00 | — | 794% above | — |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 EKG | $172.00 | $172.00 | — | — | — |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 NERVE COND STUDIES 7-8 | $840.00 | $840.00 | $327.95–$364.38 | 82% above | — |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 NERVE COND STUDIES 7-8 | $840.00 | $840.00 | $327.95–$364.38 | — | — |
| New patient office visit, about 30 minutes CPT 99203 OV LEVEL 3 NEW | $164.00 | $164.00 | — | 49% above | — |
| New patient office visit, about 30 minutes CPT 99203 CL PF NEW DETAILED | $250.00 | $250.00 | $116.80 | 127% above | — |
| New patient office visit, about 30 minutes CPT 99203 99203 CL NEW DETAILED | $262.00 | $262.00 | — | 138% above | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 OV LEVEL 3 NEW | $164.00 | $164.00 | — | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 CL PF NEW DETAILED | $250.00 | $250.00 | $116.80 | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 99203 CL NEW DETAILED | $262.00 | $262.00 | — | — | — |
| New patient office visit, about 45 minutes CPT 99204 OV LEVEL 4 NEW | $250.00 | $250.00 | — | 112% above | — |
| New patient office visit, about 45 minutes CPT 99204 CL PF NEW MODERATE | $275.00 | $275.00 | $176.37 | 133% above | — |
| New patient office visit, about 45 minutes CPT 99204 99204 CL NEW MODERATE | $373.00 | $373.00 | — | 216% above | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 OV LEVEL 4 NEW | $250.00 | $250.00 | — | — | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 CL PF NEW MODERATE | $275.00 | $275.00 | $176.37 | — | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 99204 CL NEW MODERATE | $373.00 | $373.00 | — | — | — |
| New patient office visit, about 60 minutes CPT 99205 OV LEVEL 5 NEW | $285.00 | $285.00 | — | 94% above | — |
| New patient office visit, about 60 minutes CPT 99205 CL PF NEW COMPLEX | $355.00 | $355.00 | $236.46 | 141% above | — |
| New patient office visit, about 60 minutes CPT 99205 99205 CL NEW COMPLEX | $455.00 | $455.00 | — | 209% above | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 OV LEVEL 5 NEW | $285.00 | $285.00 | — | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 CL PF NEW COMPLEX | $355.00 | $355.00 | $236.46 | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 99205 CL NEW COMPLEX | $455.00 | $455.00 | — | — | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OV LEVEL 2 NEW | $106.00 | $106.00 | — | 45% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 CL PF NEW LIMITED | $107.00 | $107.00 | $73.78 | 46% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 99202 CL NEW LIMITED | $207.00 | $207.00 | — | 183% above | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OV LEVEL 2 NEW | $106.00 | $106.00 | — | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 CL PF NEW LIMITED | $107.00 | $107.00 | $73.78 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 99202 CL NEW LIMITED | $207.00 | $207.00 | — | — | — |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEXITY | $100.00 | $100.00 | — | 49% below | — |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW COMPLEXITY | $100.00 | $100.00 | — | — | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEXITY | $150.00 | $150.00 | — | 32% below | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH COMPLEXITY | $150.00 | $150.00 | — | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEXITY | $100.00 | $100.00 | — | 48% below | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW COMPLEXITY | $100.00 | $100.00 | — | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MODERATE COMPLEXITY | $120.00 | $120.00 | — | 47% below | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MODERATE COMPLEXITY | $120.00 | $120.00 | — | — | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OV EST LEVEL 5 | $160.00 | $160.00 | — | 35% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 CL PF ESTAB COMPLEX | $233.00 | $233.00 | $190.11 | 97% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 99215 CL ESTAB COMPLEX | $333.00 | $333.00 | — | 182% above | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OV EST LEVEL 5 | $160.00 | $160.00 | — | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 CL PF ESTAB COMPLEX | $233.00 | $233.00 | $190.11 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 99215 CL ESTAB COMPLEX | $333.00 | $333.00 | — | — | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 CL PF ESTAB EXPANDED FOCUS | $154.00 | $154.00 | $93.64 | 85% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213 CL ESTAB EXPANDED FOCUSED | $207.00 | $207.00 | — | 149% above | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 CL PF ESTAB EXPANDED FOCUS | $154.00 | $154.00 | $93.64 | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 99213 CL ESTAB EXPANDED FOCUSED | $207.00 | $207.00 | — | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OV EST LEVEL 4 | $140.00 | $140.00 | — | 18% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 CL PF ESTAB DETAILED | $165.00 | $165.00 | $133.75 | 40% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214 CL ESTAB DETAILED | $265.00 | $265.00 | — | 124% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OV EST LEVEL 4 | $140.00 | $140.00 | — | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 CL PF ESTAB DETAILED | $165.00 | $165.00 | $133.75 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 99214 CL ESTAB DETAILED | $265.00 | $265.00 | — | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 CL PF ESTAB FOCUSED | $54.00 | $54.00 | $52.92 | 21% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212 CL ESTAB FOCUSED | $154.00 | $154.00 | — | 246% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 CL PF ESTAB FOCUSED | $54.00 | $54.00 | $52.92 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 99212 CL ESTAB FOCUSED | $154.00 | $154.00 | — | — | — |
| Speech and language evaluation CPT 92523 EVAL OF SPEECH SOUND W/EVAL OF COMP | $586.00 | $586.00 | — | 72% above | — |
| Speech and language evaluation inpatient CPT 92523 EVAL OF SPEECH SOUND W/EVAL OF COMP | $586.00 | $586.00 | — | — | — |
| Speech therapy session, individual CPT 92507 ST SPEECH/HEARING THERAPY | $85.00 | $85.00 | — | 59% below | — |
| Speech therapy session, individual CPT 92507 TREATMENT OF SPEECH PROCESSING DISORDER | $240.00 | $240.00 | — | 16% above | — |
| Speech therapy session, individual inpatient CPT 92507 ST SPEECH/HEARING THERAPY | $85.00 | $85.00 | — | — | — |
| Speech therapy session, individual inpatient CPT 92507 TREATMENT OF SPEECH PROCESSING DISORDER | $240.00 | $240.00 | — | — | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Michigan | Off list |
|---|---|---|---|---|---|
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL (PNEUMOVAX) INJ 0.5ML | $397.75 | $397.75 | — | 176% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL (PNEUMOVAX) INJ 0.5ML | $397.75 | $397.75 | — | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETAN/DIPH/PERT (ADACEL) ADULT INJ | $167.25 | $167.25 | — | 153% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETAN/DIPH/PERT (ADACEL) ADULT INJ | $167.25 | $167.25 | — | — | — |
Source file: https://surgeonschoice.com/383162435_southfield-rehabilitation-company_standardcharges.csv