St Joseph's Hospital, Yonkers
St Joseph's Hospital, Yonkers in Yonkers, NY publishes cash prices for 414 common procedures listed here, from its own machine-readable price file updated Jul 13, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the New York median for 384 of 413 procedures and above it for 28. By typical cash price it ranks #3 of 93 New York hospitals and #1 of 55 hospitals in the New York, NY area, cheapest first. Click a procedure to compare it with other hospitals nearby.
127 S. Broadway, Yonkers, NY 10701 Collected Sep 27, 2026 Source price file (914) 378-7000
Acute care hospital Emergency department CMS star rating 1 of 5 CCN 330006 · CMS hospital register
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views CPT 73610 X-ray exam of ankle | $88.91 | — | $7.77–$179.02 | 55% below | — |
| Ankle X-ray, complete, 3 or more views CPT 73610 X-RAY EXAM OF ANKLE | $88.91 | — | $7.77–$179.02 | 55% below | — |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete 3+ Views Right | $88.91 | $228.00 | $7.77–$350.26 | 55% below | 61% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete 3+ Views Left | $88.91 | $228.00 | $7.77–$350.26 | 55% below | 61% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 UPR/L XTREMITY ART 2 LEVELS | $135.93 | — | $13.03–$327.90 | 50% below | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 ARTERIAL EXTREM STUDY2 LEVELS | $135.93 | $972.00 | $129.13–$777.60 | 50% below | 86% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Upr/l xtremity art 2 levels | $135.93 | — | $13.03–$327.90 | 50% below | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 XR Esophagus | $179.20 | $404.00 | $20.55–$352.85 | 47% below | 56% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 X-RAY XM ESOPHAGUS 1CNTRST | $179.20 | — | $20.55–$179.02 | 47% below | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 X-ray xm esophagus 1cntrst | $179.20 | — | $20.55–$179.02 | 47% below | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 Bone imaging whole body | $408.43 | — | $31.51–$584.32 | 52% below | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 NUCLEAR SCAN OF SKELETON | $408.43 | — | $31.51–$584.32 | 52% below | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM Bone Imaging Whole Body | $408.43 | $1,280.00 | $31.51–$1,143.23 | 52% below | 68% |
| Breast ultrasound, complete, one breast both sides CPT 76641 US Breast Complete Bilateral | $106.81 | $968.00 | $32.25–$677.60 | — | 89% |
| Breast ultrasound, complete, one breast CPT 76641 Ultrasound breast complete | $106.81 | — | $32.25–$327.90 | 66% below | — |
| Breast ultrasound, complete, one breast CPT 76641 ULTRASOUND BREAST COMPLETE | $106.81 | — | $32.25–$327.90 | 66% below | — |
| Breast ultrasound, complete, one breast one side CPT 76641 US Breast Complete Left | $106.81 | $484.00 | $32.25–$641.54 | 66% below | 78% |
| Breast ultrasound, complete, one breast one side CPT 76641 US Breast Complete Right | $106.81 | $484.00 | $32.25–$641.54 | 66% below | 78% |
| Breast ultrasound, limited (one breast or one area) both sides CPT 76642 US Breast Limited Bilateral | $88.91 | $968.00 | $30.12–$677.60 | — | 91% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 ULTRASOUND BREAST LIMITED | $88.91 | — | $30.12–$327.90 | 60% below | — |
| Breast ultrasound, limited (one breast or one area) CPT 76642 Ultrasound breast limited | $88.91 | — | $30.12–$327.90 | 60% below | — |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Limited Right | $88.91 | $484.00 | $30.12–$641.54 | 60% below | 82% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Limited Left | $88.91 | $484.00 | $30.12–$641.54 | 60% below | 82% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Ct angiography chest | $179.20 | — | $107.14–$632.42 | 84% below | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Angio Chest | $179.20 | $2,907.00 | $90.16–$2,034.90 | 84% below | 94% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 COMP TOMOGRAPH ANGIO/CHEST | $179.20 | — | $107.14–$632.42 | 84% below | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Ct angio hrt w/3d image | $356.43 | — | $139.04–$632.42 | 65% below | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT Angio Coronary Artery Str/Mph/Fnt Cnt | $356.43 | $1,099.00 | $108.80–$1,237.34 | 65% below | 68% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT ANGIO HRT W/3D IMAGE | $356.43 | — | $139.04–$632.42 | 65% below | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HRT W/O DYE W/CA TEST | $88.91 | — | $15.90–$526.88 | 44% below | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT Heart Calcium Scoring | $88.91 | $218.00 | $15.90–$1,030.86 | 44% below | 59% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 Ct hrt w/o dye w/ca test | $88.91 | — | $15.90–$526.88 | 44% below | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Renal Stones | $243.77 | $3,015.00 | $80.20–$2,110.50 | 76% below | 92% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abdomen and Pelvis w/o IV Contrast | $243.77 | $3,015.00 | $80.20–$2,110.50 | 76% below | 92% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 74176 CT ABDOMEN&PELVIS-W/O CONTRAST | $243.77 | $3,015.00 | $80.20–$2,110.50 | 76% below | 92% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct abd & pelvis w/o contrast | $243.77 | — | $103.12–$603.70 | 76% below | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD & PELVIS | $243.77 | — | $103.12–$603.70 | 76% below | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abdomen and Pelvis w/ IV Contrast | $356.43 | $3,015.00 | $83.75–$2,110.50 | 77% below | 88% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 74177 CT ABDOMEN & PELVIS-W/CONTRAST | $356.43 | $3,015.00 | $83.75–$2,110.50 | 77% below | 88% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Enterography | $356.43 | $3,015.00 | $83.75–$2,110.50 | 77% below | 88% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD&PELV W/CONTRAST | $356.43 | — | $107.57–$603.70 | 77% below | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 Ct abd & pelvis w/contrast | $356.43 | — | $107.57–$603.70 | 77% below | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD & PELV 1+ REGNS | $356.43 | — | $118.73–$603.70 | 78% below | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Ct abd&plv wo cntr flwd cntr | $356.43 | — | $118.73–$603.70 | 78% below | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 74178 CT ABDOMN&PELVI-W+W/O CONTRAST | $356.43 | $3,015.00 | $93.02–$2,110.50 | 78% below | 88% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abdomen and Pelvis w/ + w/o IV Cont | $356.43 | $3,015.00 | $93.02–$2,110.50 | 78% below | 88% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Urography | $356.43 | $3,015.00 | $93.02–$2,110.50 | 78% below | 88% |
| CT scan of the abdomen with contrast CPT 74160 CT Abdomen w/ IV Contrast | $179.20 | $1,505.00 | $59.65–$1,181.16 | 82% below | 88% |
| CT scan of the abdomen with contrast CPT 74160 Ct abdomen w/contrast | $179.20 | — | $75.31–$603.70 | 82% below | — |
| CT scan of the abdomen with contrast CPT 74160 CONTRAST CAT SCAN OF ABDOMEN | $179.20 | — | $75.31–$603.70 | 82% below | — |
| CT scan of the head with contrast CPT 70460 Ct head/brain w/dye | $179.20 | — | $66.56–$603.70 | 80% below | — |
| CT scan of the head with contrast CPT 70460 CT Brain/Head w/ Contrast | $179.20 | $933.00 | $52.66–$1,181.16 | 80% below | 81% |
| CT scan of the head with contrast CPT 70460 CONTRAST CAT SCAN OF HEAD | $179.20 | — | $66.56–$603.70 | 80% below | — |
| CT scan of the head without and with contrast CPT 70470 CT Brain/Head w/ + w/o Contrast | $179.20 | $933.00 | $59.65–$1,181.16 | 83% below | 81% |
| CT scan of the head without and with contrast CPT 70470 Ct head/brain w/o & w/dye | $179.20 | — | $75.31–$603.70 | 83% below | — |
| CT scan of the head without and with contrast CPT 70470 CONTRAST CAT SCANS OF HEAD | $179.20 | — | $75.31–$603.70 | 83% below | — |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis w/ IV Contrast | $179.20 | $1,255.00 | $54.80–$1,181.16 | 80% below | 86% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Sacrum w/ Contrast | $179.20 | $1,255.00 | $54.80–$1,181.16 | 80% below | 86% |
| CT scan of the pelvis, with contrast dye CPT 72193 CONTRAST CAT SCAN OF PELVIS | $179.20 | — | $68.83–$603.70 | 80% below | — |
| CT scan of the pelvis, with contrast dye CPT 72193 Ct pelvis w/dye | $179.20 | — | $68.83–$603.70 | 80% below | — |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Extracranial bilat study | $243.77 | — | $40.76–$977.98 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 EXTRACRANIAL BILAT STUDY | $243.77 | — | $40.76–$977.98 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 NON-INVASIVE VASCULAR STUDY | $243.77 | — | $40.76–$977.98 | 56% below | — |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US Carotid Complete | $243.77 | $803.00 | $231.58–$1,913.45 | 56% below | 70% |
| Chest X-ray, 2 views CPT 71046 XR Chest 2 Views | $88.91 | $435.00 | $9.61–$350.26 | 56% below | 80% |
| Chest X-ray, 2 views CPT 71046 XR Chest 2 Views w/ Fluoroscopy | $88.91 | $435.00 | $9.61–$350.26 | 56% below | 80% |
| Chest X-ray, 2 views CPT 71046 XR Chest 2 Views w/ Obliques | $88.91 | $435.00 | $9.61–$350.26 | 56% below | 80% |
| Chest X-ray, 2 views CPT 71046 X-RAY EXAM CHEST 2 VIEWS | $88.91 | — | $9.61–$179.02 | 56% below | — |
| Chest X-ray, 2 views CPT 71046 X-ray exam chest 2 views | $88.91 | — | $9.61–$179.02 | 56% below | — |
| Chest X-ray, single view CPT 71045 X-RAY EXAM CHEST 1 VIEW | $88.91 | — | $8.10–$179.02 | 52% below | — |
| Chest X-ray, single view CPT 71045 XR Chest 1 View Frontal | $88.91 | $406.00 | $8.10–$350.26 | 52% below | 78% |
| Chest X-ray, single view CPT 71045 XR Chest 1 View Portable | $88.91 | $406.00 | $8.10–$350.26 | 52% below | 78% |
| Chest X-ray, single view CPT 71045 X-ray exam chest 1 view | $88.91 | — | $8.10–$179.02 | 52% below | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Kidney Retroperitoneal Complete | $106.81 | $532.00 | $32.54–$1,913.45 | 70% below | 80% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Us exam abdo back wall comp | $106.81 | — | $32.54–$977.98 | 70% below | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US EXAM ABDO BACK WALL, COMP | $106.81 | — | $32.54–$977.98 | 70% below | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Renal w/ Doppler | $106.81 | $532.00 | $32.54–$1,913.45 | 70% below | 80% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DUAL-ENERGY X-RAY ABSORPTIOM | $106.81 | — | $8.99–$350.55 | 55% below | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 BD DEXA Hip Pelvis Spine | $106.81 | $668.00 | $8.99–$685.87 | 55% below | 84% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 Dxa bone density axial | $106.81 | — | $8.99–$350.55 | 55% below | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DUAL-ENERGY X-RAY | $88.91 | — | $9.57–$350.55 | 38% below | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 BD Peripheral | $88.91 | $396.00 | $9.57–$685.87 | 38% below | 78% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Dxa bone density appendiculr | $88.91 | — | $9.57–$350.55 | 38% below | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 OB US DETAILED SNGL FETUS | $243.77 | — | $77.68–$589.79 | 53% below | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 Ob us detailed sngl fetus | $243.77 | — | $77.68–$589.79 | 53% below | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US, PREGNANT UTERUS | $243.77 | — | $77.68–$589.79 | 53% below | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Chest w/ Contrast | $179.20 | $1,505.00 | $58.36–$1,181.16 | 83% below | 88% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Chest Abdomen Pelvis w/o IV Contrast | $179.20 | $1,505.00 | $58.36–$1,181.16 | 83% below | 88% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Ct thorax dx c+ | $179.20 | — | $73.71–$603.70 | 83% below | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX DX C+ | $179.20 | — | $73.71–$603.70 | 83% below | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 MG Breast 3D Digital Diag Bilateral | $150.11 | $1,235.00 | $41.96–$864.50 | — | 88% |
| Diagnostic mammogram, both breasts both sides CPT 77066 Dx mammo incl cad bi | $150.11 | — | $42.82–$294.94 | — | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMMO INCL CAD BI | $150.11 | — | $42.82–$294.94 | — | — |
| Diagnostic mammogram, one breast CPT 77065 Dx mammo incl cad uni | $118.55 | — | $34.46–$294.94 | 55% below | — |
| Diagnostic mammogram, one breast CPT 77065 DX MAMMO INCL CAD UNI | $118.55 | — | $34.46–$294.94 | 55% below | — |
| Diagnostic mammogram, one breast one side CPT 77065 MG Breast 3D Digital Diag Left | $118.55 | $988.00 | $34.15–$691.60 | 55% below | 88% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Breast 3D Digital Diag Right | $118.55 | $988.00 | $34.15–$691.60 | 55% below | 88% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US Lower Ext Arterial Duplex Bilateral | $243.77 | $754.00 | $231.58–$1,913.45 | — | 68% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 LOWER EXTREMITY STUDY | $243.77 | — | $39.83–$977.98 | 51% below | — |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 Lower extremity study | $243.77 | — | $39.83–$977.98 | 51% below | — |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 NON-INVASIVE VASCULAR ST/IC | $243.77 | — | $39.83–$977.98 | 51% below | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US Lower Ext Venous Duplex Bilateral | $243.77 | $803.00 | $32.71–$1,913.45 | — | 70% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US Upper Ext Venous Duplex Bilateral | $243.77 | $803.00 | $32.71–$1,913.45 | — | 70% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 NON-INVASIVE VASCULAR STUDY | $243.77 | — | $35.37–$977.98 | 51% below | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 Extremity study | $243.77 | — | $35.37–$977.98 | 51% below | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER, COMPLETE | $558.25 | — | $63.09–$561.07 | 49% below | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echocardiogram Complete /Bubble | $558.25 | $1,689.00 | $487.89–$3,356.00 | 49% below | 67% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHOCARDIOGRAM - COMPLETE | $558.25 | $1,689.00 | $487.89–$3,356.00 | 49% below | 67% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Tte w/doppler complete | $558.25 | — | $63.09–$561.07 | 49% below | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM Hepatobiliary Imaging | $408.43 | $1,227.00 | $27.04–$1,143.23 | 57% below | 67% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatobiliary system imaging | $408.43 | — | $27.04–$584.32 | 57% below | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY SYSTEM IMAGING | $408.43 | — | $27.04–$584.32 | 57% below | — |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Sleep study unatt&resp efft | $220.60 | — | $60.66–$1,508.65 | 32% below | — |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY UNATT&RESP EFFT | $220.60 | — | $60.66–$1,508.65 | 32% below | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOM 6/>YRS CPAP 4/> PARM | $877.34 | — | $126.55–$2,475.38 | 60% below | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Polysom 6/>yrs cpap 4/> parm | $877.34 | — | $126.55–$2,475.38 | 60% below | — |
| Knee X-ray, 3 views CPT 73562 X-RAY EXAM OF KNEE | $88.91 | — | $8.39–$179.02 | 47% below | — |
| Knee X-ray, 3 views CPT 73562 X-ray exam of knee 3 | $88.91 | — | $8.39–$179.02 | 47% below | — |
| Knee X-ray, 3 views one side CPT 73562 XR Knee 3 Views Right | $88.91 | $282.00 | $8.39–$350.26 | 47% below | 68% |
| Knee X-ray, 3 views one side CPT 73562 XR Knee 3 Views Left | $88.91 | $282.00 | $8.39–$350.26 | 47% below | 68% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US EXAM, ABDOM, LIMITED | $106.81 | — | $26.00–$327.90 | 65% below | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Echo exam of abdomen | $106.81 | — | $26.00–$327.90 | 65% below | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen Limited/Single Organ | $106.81 | $532.00 | $26.00–$641.54 | 65% below | 80% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT THORAX LUNG CANCER SCR C- | $106.81 | — | $62.17–$526.88 | 75% below | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT Lung Cancer Screening | $106.81 | $568.00 | $62.17–$1,030.86 | 75% below | 81% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Ct thorax lung cancer scr c- | $106.81 | — | $62.17–$526.88 | 75% below | — |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 Mri breast c-+ w/cad bi | $325.12 | — | $130.05–$1,002.25 | — | — |
| MRI of both breasts, without and then with contrast dye CPT 77049 MRI Breast w/ + w/o Contrast | $325.12 | $2,574.00 | $308.87–$1,960.92 | 73% below | 87% |
| MRI of both breasts, without and then with contrast dye CPT 77049 MRI BREAST C-+ W/CAD BILYS | $325.12 | — | $130.05–$1,002.25 | 73% below | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI; ANY LOWER EXTREMITY JNT | $243.77 | — | $130.05–$709.38 | 76% below | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 Mri jnt of lwr extre w/o dye | $243.77 | — | $130.05–$709.38 | 76% below | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRA Lower Extremity w/o Contrast Left | $243.77 | $3,330.00 | $64.85–$2,331.00 | 76% below | 93% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Hip w/o Contrast Left | $243.77 | $3,330.00 | $64.85–$2,331.00 | 76% below | 93% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle w/o Contrast Left | $243.77 | $2,218.00 | $64.85–$1,552.60 | 76% below | 89% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle w/o Contrast Right | $243.77 | $2,218.00 | $64.85–$1,552.60 | 76% below | 89% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Hip w/o Contrast Right | $243.77 | $3,330.00 | $64.85–$2,331.00 | 76% below | 93% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee w/o Contrast Left | $243.77 | $3,330.00 | $64.85–$2,331.00 | 76% below | 93% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee w/o Contrast Right | $243.77 | $3,330.00 | $64.85–$2,331.00 | 76% below | 93% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LWR EXTRE JOINT W/O&WDYE | $356.43 | — | $130.05–$1,002.25 | 81% below | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Mri joint lwr extr w/o&w/dye | $356.43 | — | $130.05–$1,002.25 | 81% below | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee w/ + w/o Contrast Left | $356.43 | $3,450.00 | $100.60–$2,415.00 | 81% below | 90% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee w/ + w/o Contrast Right | $356.43 | $3,450.00 | $100.60–$2,415.00 | 81% below | 90% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Hip w/ + w/o Contrast Left | $356.43 | $3,450.00 | $100.60–$2,415.00 | 81% below | 90% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle w/ + w/o Contrast Right | $356.43 | $2,712.00 | $100.60–$1,960.92 | 81% below | 87% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle w/ + w/o Contrast Left | $356.43 | $3,450.00 | $100.60–$2,415.00 | 81% below | 90% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Hip w/ + w/o Contrast Right | $356.43 | $3,450.00 | $100.60–$2,415.00 | 81% below | 90% |
| MRI of the abdomen without contrast CPT 74181 MRI Abdomen w/o Contrast | $243.77 | $3,330.00 | $68.48–$2,331.00 | 76% below | 93% |
| MRI of the abdomen without contrast CPT 74181 MAGNETIC IMAGE, ABDOMEN | $243.77 | — | $130.05–$709.38 | 76% below | — |
| MRI of the abdomen without contrast CPT 74181 Mri abdomen w/o contrast | $243.77 | — | $130.05–$709.38 | 76% below | — |
| MRI of the abdomen without contrast CPT 74181 MRI MRCP | $243.77 | $2,218.00 | $68.48–$1,552.60 | 76% below | 89% |
| MRI of the abdomen without contrast CPT 74181 MRA Abdomen w/o Contrast | $243.77 | $3,330.00 | $68.48–$2,331.00 | 76% below | 93% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 Mri abd w/o cntr flwd cntr | $356.43 | — | $130.05–$1,002.25 | 78% below | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W/O & W DYE | $356.43 | — | $130.05–$1,002.25 | 78% below | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Enterography w/ + w/o Contrast | $356.43 | $3,253.00 | $105.44–$2,277.10 | 78% below | 89% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Enterography | $356.43 | $3,253.00 | $105.44–$2,277.10 | 78% below | 89% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRA Abdomen w/ + w/o Contrast | $356.43 | $3,253.00 | $105.44–$2,277.10 | 78% below | 89% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Abdomen w/ + w/o Contrast | $356.43 | $3,253.00 | $105.44–$2,277.10 | 78% below | 89% |
| MRI of the brain, no contrast dye CPT 70551 MRI Brain w/o Contrast | $243.77 | $3,991.00 | $69.11–$2,793.70 | 75% below | 94% |
| MRI of the brain, no contrast dye CPT 70551 MRI Pituitary w/o Contrast | $243.77 | $3,991.00 | $69.11–$2,793.70 | 75% below | 94% |
| MRI of the brain, no contrast dye CPT 70551 Mri brain stem w/o dye | $243.77 | — | $130.05–$709.38 | 75% below | — |
| MRI of the brain, no contrast dye CPT 70551 MAGNETIC IMAGE, BRAIN | $243.77 | — | $130.05–$709.38 | 75% below | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI OF BRAIN W/O & W/ CONTRA | $356.43 | — | $130.05–$1,002.25 | 78% below | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Pituitary w/ + w/o Contrast | $356.43 | $4,582.00 | $110.84–$3,207.40 | 78% below | 92% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Brain w/ + w/o Contrast | $356.43 | $4,582.00 | $110.84–$3,207.40 | 78% below | 92% |
| MRI of the brain, with and without contrast dye CPT 70553 Mri brain stem w/o & w/dye | $356.43 | — | $130.05–$1,002.25 | 78% below | — |
| MRI of the lower back, no contrast dye CPT 72148 MAGNETIC RESONANCE IMAGING | $243.77 | — | $130.05–$709.38 | 77% below | — |
| MRI of the lower back, no contrast dye CPT 72148 Mri lumbar spine w/o dye | $243.77 | — | $130.05–$709.38 | 77% below | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI Spine Lumbar w/o Contrast | $243.77 | $5,324.00 | $70.32–$3,726.80 | 77% below | 95% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI Spine Lumbar w/ + w/o Contrast | $356.43 | $4,928.00 | $112.06–$3,449.60 | 78% below | 93% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI OF THE SPINAL CANAL | $356.43 | — | $130.05–$1,002.25 | 78% below | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 Mri lumbar spine w/o & w/dye | $356.43 | — | $130.05–$1,002.25 | 78% below | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Mri chest spine w/o dye | $243.77 | — | $130.05–$709.38 | 76% below | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI-SPINE | $243.77 | — | $130.05–$709.38 | 76% below | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI Spine Thoracic w/o Contrast | $243.77 | $5,324.00 | $75.48–$3,726.80 | 76% below | 95% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI Spine Cervical w/ + w/o Contrast | $356.43 | $3,450.00 | $121.09–$2,415.00 | 78% below | 90% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 Mri neck spine w/o & w/dye | $356.43 | — | $130.05–$1,002.25 | 78% below | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI OF THE SPINAL CANAL | $356.43 | — | $130.05–$1,002.25 | 78% below | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MAGNETIC IMAGE, NECK SPINE | $243.77 | — | $130.05–$709.38 | 76% below | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Spine Cervical w/o Contrast | $243.77 | $3,548.00 | $75.48–$2,483.60 | 76% below | 93% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 Mri neck spine w/o dye | $243.77 | — | $130.05–$709.38 | 76% below | — |
| MRI of the pelvis without and with contrast CPT 72197 MRI Sacrum w/ + w/o Contrast | $356.43 | $4,139.00 | $105.44–$2,897.30 | 77% below | 91% |
| MRI of the pelvis without and with contrast CPT 72197 Mri pelvis w/o & w/dye | $356.43 | — | $130.05–$1,002.25 | 77% below | — |
| MRI of the pelvis without and with contrast CPT 72197 MRI, PELVIS | $356.43 | — | $130.05–$1,002.25 | 77% below | — |
| MRI of the pelvis without and with contrast CPT 72197 MRI Pelvis w/ + w/o Contrast | $356.43 | $4,139.00 | $105.44–$2,897.30 | 77% below | 91% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O DYE | $243.77 | — | $130.05–$709.38 | 75% below | — |
| MRI of the pelvis, no contrast dye CPT 72195 MRI Pelvis w/o Contrast | $243.77 | $3,694.00 | $69.35–$2,585.80 | 75% below | 93% |
| MRI of the pelvis, no contrast dye CPT 72195 Mri pelvis w/o dye | $243.77 | — | $130.05–$709.38 | 75% below | — |
| MRI of the pelvis, no contrast dye CPT 72195 MRI Sacrum w/o Contrast | $243.77 | $3,694.00 | $69.35–$2,585.80 | 75% below | 93% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI; ANY UPPER EXTREMITY JNT | $243.77 | — | $130.05–$709.38 | 80% below | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 Mri joint upr extrem w/o dye | $243.77 | — | $130.05–$709.38 | 80% below | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI Brachial Plexus w/o Contrast | $243.77 | $3,330.00 | $64.85–$2,331.00 | 80% below | 93% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Elbow w/o Contrast Right | $243.77 | $3,330.00 | $64.85–$2,331.00 | 80% below | 93% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Scapula w/o Contrast Right | $243.77 | $3,330.00 | $64.85–$2,331.00 | 80% below | 93% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Shoulder w/o Contrast Left | $243.77 | $3,330.00 | $64.85–$2,331.00 | 80% below | 93% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Shoulder w/o Contrast Right | $243.77 | $3,330.00 | $64.85–$2,331.00 | 80% below | 93% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Wrist w/o Contrast Left | $243.77 | $3,330.00 | $64.85–$2,331.00 | 80% below | 93% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Wrist w/o Contrast Right | $243.77 | $3,330.00 | $64.85–$2,331.00 | 80% below | 93% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Finger w/o Contrast Left | $243.77 | $3,330.00 | $64.85–$2,331.00 | 80% below | 93% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Elbow w/o Contrast Left | $243.77 | $3,330.00 | $64.85–$2,331.00 | 80% below | 93% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Finger w/o Contrast Right | $243.77 | $3,330.00 | $64.85–$2,331.00 | 80% below | 93% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Ht muscle image spect mult | $1,322.69 | — | $57.95–$1,117.79 | 40% below | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HT MUSCLE IMAGE SPECT, MULT | $1,322.69 | — | $57.95–$1,117.79 | 40% below | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Stress Test w/ Cardiolite | $1,322.69 | $7,004.00 | $57.95–$4,902.80 | 40% below | 81% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Myocardial Spect Rest/Stress | $1,322.69 | $4,558.00 | $57.95–$3,190.60 | 40% below | 71% |
| OCT scan of the retina (optical coherence tomography) CPT 92134 Cptrz oph dx img pst sgm rta | $60.27 | — | $17.29–$530.78 | 14% below | — |
| OCT scan of the retina (optical coherence tomography) CPT 92134 CPTR OPHTH DX IMG POST SEGMT | $60.27 | — | $17.29–$530.78 | 14% below | — |
| OCT scan of the retina (optical coherence tomography) CPT 92134 CPTRZ OPH DX IMG PST SGM RTA | $60.27 | — | $17.29–$530.78 | 14% below | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 TUMOR IMAGING (PET) | $1,460.92 | — | $146.25–$4,188.15 | 61% below | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET IMAGE W/CT SKULL-THIGH | $1,460.92 | — | $146.25–$4,188.15 | 61% below | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Pet image w/ct skull-thigh | $1,460.92 | — | $146.25–$4,188.15 | 61% below | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Urinary Bladder | $106.81 | $311.00 | $18.47–$641.54 | 58% below | 66% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US EXAM, PELVIC, LIMITED | $106.81 | — | $21.05–$327.90 | 58% below | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Buttocks | $106.81 | $311.00 | $18.47–$641.54 | 58% below | 66% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Pelvis Limited | $106.81 | $297.00 | $18.47–$641.54 | 58% below | 64% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Us exam pelvic limited | $106.81 | — | $21.05–$327.90 | 58% below | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Us exam pelvic complete | $106.81 | — | $30.41–$977.98 | 70% below | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvis - Male | $106.81 | $532.00 | $30.41–$1,913.45 | 70% below | 80% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC,(NONOBSTETRIC) | $106.81 | — | $30.41–$977.98 | 70% below | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Transvaginal | $106.81 | $532.00 | $30.41–$1,913.45 | 70% below | 80% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvis Complete | $106.81 | $532.00 | $30.41–$1,913.45 | 70% below | 80% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB Greater Than 14 Weeks | $106.81 | $532.00 | $44.95–$589.79 | 67% below | 80% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US EXAM, PG UTERUS, COMPL | $106.81 | — | $44.95–$301.45 | 67% below | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Ob us >/= 14 wks sngl fetus | $106.81 | — | $44.95–$301.45 | 67% below | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Ob us < 14 wks single fetus | $106.81 | — | $44.46–$301.45 | 65% below | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US, PREGNANT UTERUS | $106.81 | — | $44.46–$301.45 | 65% below | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB Less Than 14 Weeks | $106.81 | $532.00 | $44.46–$589.79 | 65% below | 80% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB Limited | $106.81 | $443.00 | $28.91–$589.79 | 65% below | 76% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US EXAM, PG UTERUS LIMIT | $106.81 | — | $28.91–$301.45 | 65% below | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Ob us limited fetus(s) | $106.81 | — | $28.91–$301.45 | 65% below | — |
| Screening mammogram, both breasts both sides CPT 77067 MG Breast 3D Digital Screening Bilateral | $120.77 | $864.00 | $31.60–$604.80 | — | 86% |
| Screening mammogram, both breasts both sides CPT 77067 Scr mammo bi incl cad | $120.77 | — | $32.50–$294.94 | — | — |
| Screening mammogram, both breasts both sides CPT 77067 SCR MAMMO BI INCL CAD | $120.77 | — | $32.50–$294.94 | — | — |
| Screening mammogram, both breasts one side CPT 77067 MG Breast 3D Digital Screening Right | $120.77 | $814.00 | $31.60–$577.06 | 48% below | 85% |
| Screening mammogram, both breasts one side CPT 77067 MG Breast 3D Digital Screening Left | $120.77 | $814.00 | $31.60–$577.06 | 48% below | 85% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 X-ray exam of shoulder | $88.91 | — | $8.39–$179.02 | 56% below | — |
| Shoulder X-ray, complete, 2 or more views CPT 73030 X-RAY EXAM OF SHOULDER | $88.91 | — | $8.39–$179.02 | 56% below | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete 2+ Views Left | $88.91 | $426.00 | $8.39–$350.26 | 56% below | 79% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete 2+ Views Right | $88.91 | $426.00 | $8.39–$350.26 | 56% below | 79% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOM 6/> YRS 4/> PARAM | $877.34 | — | $121.52–$2,475.38 | 58% below | — |
| Sleep study in a lab (polysomnography) CPT 95810 Polysom 6/> yrs 4/> param | $877.34 | — | $121.52–$2,475.38 | 58% below | — |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 EKG Trace Only | $558.25 | $1,689.00 | $264.00–$1,351.20 | 51% below | 67% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 STRESS TTE COMPLETE | $558.25 | — | $84.30–$561.07 | 51% below | — |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Stress tte complete | $558.25 | — | $84.30–$561.07 | 51% below | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 X-ray xm swlng funcj c+ | $179.20 | — | $23.59–$470.17 | 47% below | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 XR Swallowing Function w/ Speech | $179.20 | $404.00 | $23.59–$919.89 | 47% below | 56% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 X-RAY XM SWLNG FUNCJ C+ | $179.20 | — | $23.59–$470.17 | 47% below | — |
| Transvaginal pelvic ultrasound CPT 76830 Transvaginal us non-ob | $106.81 | — | $30.74–$327.90 | 69% below | — |
| Transvaginal pelvic ultrasound CPT 76830 US EXAM, TRANSVAGINAL | $106.81 | — | $30.74–$327.90 | 69% below | — |
| Transvaginal pelvic ultrasound CPT 76830 US Transvaginal Non-OB | $106.81 | $532.00 | $30.74–$641.54 | 69% below | 80% |
| Transvaginal ultrasound during pregnancy CPT 76817 Transvaginal us obstetric | $106.81 | — | $33.98–$301.45 | 62% below | — |
| Transvaginal ultrasound during pregnancy CPT 76817 US, PREGNANT UTERUS | $106.81 | — | $33.98–$301.45 | 62% below | — |
| Transvaginal ultrasound during pregnancy CPT 76817 US Transvaginal OB | $106.81 | $424.00 | $33.98–$589.79 | 62% below | 75% |
| Transvaginal ultrasound during pregnancy CPT 76817 US OB Transvaginal | $106.81 | $424.00 | $33.98–$589.79 | 62% below | 75% |
| Ultrasound of the abdomen, complete CPT 76700 US Abdomen Complete w/ Dopper | $106.81 | $908.00 | $35.57–$1,913.45 | 75% below | 88% |
| Ultrasound of the abdomen, complete CPT 76700 US Abdomen Complete | $106.81 | $908.00 | $35.57–$1,913.45 | 75% below | 88% |
| Ultrasound of the abdomen, complete CPT 76700 Us exam abdom complete | $106.81 | — | $35.57–$977.98 | 75% below | — |
| Ultrasound of the abdomen, complete CPT 76700 ULTRASOUND, ABDOMINAL | $106.81 | — | $35.57–$977.98 | 75% below | — |
| Ultrasound of the scrotum and testicles CPT 76870 US Testicular/Scrotum | $106.81 | $532.00 | $28.29–$641.54 | 70% below | 80% |
| Ultrasound of the scrotum and testicles CPT 76870 Us exam scrotum | $106.81 | — | $28.29–$327.90 | 70% below | — |
| Ultrasound of the scrotum and testicles CPT 76870 US EXAM, SCROTUM | $106.81 | — | $28.29–$327.90 | 70% below | — |
| Ultrasound of the scrotum and testicles CPT 76870 US Testicular/Scrotum w/ Doppler | $106.81 | $532.00 | $28.29–$641.54 | 70% below | 80% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUES HEAD/NECK | $106.81 | — | $24.79–$327.90 | 66% below | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Neck Soft Tissue | $106.81 | $532.00 | $24.79–$641.54 | 66% below | 80% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Thyroid/Parathyroid | $106.81 | $532.00 | $24.79–$641.54 | 66% below | 80% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us exam of head and neck | $106.81 | — | $24.79–$327.90 | 66% below | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR Upper GI w/ Small Bowel | $179.20 | $904.00 | $30.74–$919.89 | 57% below | 80% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-ray xm upr gi trc 1cntrst | $179.20 | — | $30.74–$470.17 | 57% below | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-RAY XM UPR GI TRC 1CNTRST | $179.20 | — | $30.74–$470.17 | 57% below | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR Upper GI + KUB | $179.20 | $1,086.00 | $30.74–$919.89 | 57% below | 83% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR Upper GI | $179.20 | $1,086.00 | $30.74–$919.89 | 57% below | 83% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 74240 Radiologic Examination Upper GI Tract | $179.20 | $1.00 | $0.70–$919.89 | 57% below | -17820% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 NON-INVASIVE VASCULAR STUDY | $106.81 | — | $22.90–$327.90 | 69% below | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Extremity study | $106.81 | — | $22.90–$327.90 | 69% below | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Upper Ext Venous Duplex Left | $106.81 | $908.00 | $21.42–$641.54 | 69% below | 88% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Upper Ext Venous Duplex Right | $106.81 | $908.00 | $21.42–$641.54 | 69% below | 88% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Lower Ext Venous Duplex Left | $106.81 | $908.00 | $21.42–$641.54 | 69% below | 88% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Lower Ext Venous Duplex Right | $106.81 | $908.00 | $21.42–$641.54 | 69% below | 88% |
| Wrist X-ray, complete, 3 or more views both sides CPT 73110 zzXR Wrist Complete 3+ Views Bilateral | $88.91 | $285.00 | $7.77–$350.26 | — | 69% |
| Wrist X-ray, complete, 3 or more views CPT 73110 X-RAY EXAM OF WRIST | $88.91 | — | $7.77–$179.02 | 54% below | — |
| Wrist X-ray, complete, 3 or more views CPT 73110 X-ray exam of wrist | $88.91 | — | $7.77–$179.02 | 54% below | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete 3+ Views Right | $88.91 | $285.00 | $7.77–$350.26 | 54% below | 69% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete 3+ Views Left | $88.91 | $285.00 | $7.77–$350.26 | 54% below | 69% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWS | $88.91 | — | $9.90–$179.02 | 51% below | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-ray exam hip uni 2-3 views | $88.91 | — | $9.90–$179.02 | 51% below | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip 2-3 Views Left | $88.91 | $496.00 | $9.90–$350.26 | 51% below | 82% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip 2-3 Views Right | $88.91 | $496.00 | $9.90–$350.26 | 51% below | 82% |
| X-ray of the abdomen, 1 view CPT 74018 X-RAY EXAM ABDOMEN 1 VIEW | $88.91 | — | $8.10–$179.02 | 56% below | — |
| X-ray of the abdomen, 1 view CPT 74018 XR Abdomen KUB 1 View | $88.91 | $406.00 | $8.10–$350.26 | 56% below | 78% |
| X-ray of the abdomen, 1 view CPT 74018 Radex abdomen 1 view | $88.91 | — | $8.10–$179.02 | 56% below | — |
| X-ray of the abdomen, 1 view CPT 74018 XR Sitz Marks Study KUB 1 View | $88.91 | $406.00 | $8.10–$350.26 | 56% below | 78% |
| X-ray of the ankle, 2 views CPT 73600 X-ray exam of ankle | $88.91 | — | $7.48–$179.02 | 44% below | — |
| X-ray of the ankle, 2 views CPT 73600 X-RAY EXAM OF ANKLE | $88.91 | — | $7.48–$179.02 | 44% below | — |
| X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 Views Right | $88.91 | $227.00 | $7.48–$350.26 | 44% below | 61% |
| X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 Views Left | $88.91 | $227.00 | $7.48–$350.26 | 44% below | 61% |
| X-ray of the finger(s), 2 or more views CPT 73140 X-RAY EXAM OF FINGER(S) | $88.91 | — | $6.27–$179.02 | 44% below | — |
| X-ray of the finger(s), 2 or more views CPT 73140 X-ray exam of finger(s) | $88.91 | — | $6.27–$179.02 | 44% below | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger(4th Digit) 2+ Views Left | $88.91 | $227.00 | $6.27–$350.26 | 44% below | 61% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger(1st Digit) 2+ Views Left | $88.91 | $227.00 | $6.27–$350.26 | 44% below | 61% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger(1st Digit) 2+ Views Right | $88.91 | $227.00 | $6.27–$350.26 | 44% below | 61% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger(2nd Digit) 2+ Views Left | $88.91 | $227.00 | $6.27–$350.26 | 44% below | 61% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger(2nd Digit) 2+ Views Right | $88.91 | $227.00 | $6.27–$350.26 | 44% below | 61% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger(3rd Digit) 2+ Views Left | $88.91 | $227.00 | $6.27–$350.26 | 44% below | 61% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger(3rd Digit) 2+ Views Right | $88.91 | $227.00 | $6.27–$350.26 | 44% below | 61% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger(4th Digit) 2+ Views Right | $88.91 | $227.00 | $6.27–$350.26 | 44% below | 61% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger(5th Digit) 2+ Views Left | $88.91 | $227.00 | $6.27–$350.26 | 44% below | 61% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger(5th Digit) 2+ Views Right | $88.91 | $227.00 | $6.27–$350.26 | 44% below | 61% |
| X-ray of the foot, 2 views CPT 73620 X-RAY EXAM OF FOOT | $88.91 | — | $6.83–$179.02 | 47% below | — |
| X-ray of the foot, 2 views CPT 73620 X-ray exam of foot | $88.91 | — | $6.83–$179.02 | 47% below | — |
| X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 Views Right | $88.91 | $228.00 | $6.83–$350.26 | 47% below | 61% |
| X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 Views Left | $88.91 | $228.00 | $6.83–$350.26 | 47% below | 61% |
| X-ray of the foot, complete, 3 or more views CPT 73630 X-RAY EXAM OF FOOT | $88.91 | — | $7.45–$179.02 | 50% below | — |
| X-ray of the foot, complete, 3 or more views CPT 73630 X-ray exam of foot | $88.91 | — | $7.45–$179.02 | 50% below | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete 3+ Views Right | $88.91 | $338.00 | $7.45–$350.26 | 50% below | 74% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete 3+ Views Left | $88.91 | $228.00 | $7.45–$350.26 | 50% below | 61% |
| X-ray of the hand, 3 or more views both sides CPT 73130 zzXR Hands Arthritis 3+ Views Bilateral | $88.91 | $338.00 | $7.77–$350.26 | — | 74% |
| X-ray of the hand, 3 or more views CPT 73130 X-ray exam of hand | $88.91 | — | $7.77–$179.02 | 56% below | — |
| X-ray of the hand, 3 or more views CPT 73130 X-RAY EXAM OF HAND | $88.91 | — | $7.77–$179.02 | 56% below | — |
| X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete 3+ Views Right | $88.91 | $228.00 | $7.77–$350.26 | 56% below | 61% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete 3+ Views Left | $88.91 | $228.00 | $7.77–$350.26 | 56% below | 61% |
| X-ray of the knee, 1 or 2 views CPT 73560 X-ray exam of knee 1 or 2 | $88.91 | — | $7.48–$179.02 | 52% below | — |
| X-ray of the knee, 1 or 2 views CPT 73560 X-RAY EXAM OF KNEE | $88.91 | — | $7.48–$179.02 | 52% below | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 Views Right | $88.91 | $228.00 | $7.48–$350.26 | 52% below | 61% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 Views Left | $88.91 | $228.00 | $7.48–$350.26 | 52% below | 61% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR Spine Lumbosacral 2 or 3 Views | $106.81 | $241.00 | $9.90–$350.26 | 60% below | 56% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-RAY EXAM OF LOWER SPINE | $106.81 | — | $9.90–$179.02 | 60% below | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-ray exam l-s spine 2/3 vws | $106.81 | — | $9.90–$179.02 | 60% below | — |
| X-ray of the lower back, 4 or more views CPT 72110 XR Spine Lumbosacral 4+ Views | $106.81 | $359.00 | $14.02–$350.26 | 61% below | 70% |
| X-ray of the lower back, 4 or more views CPT 72110 X-RAY EXAM OF LOWER SPINE | $106.81 | — | $14.02–$179.02 | 61% below | — |
| X-ray of the lower back, 4 or more views CPT 72110 X-ray exam l-2 spine 4/>vws | $106.81 | — | $14.02–$179.02 | 61% below | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR Spine Thoracic 2 Views | $106.81 | $263.00 | $9.90–$350.26 | 47% below | 59% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-ray exam thorac spine 2vws | $106.81 | — | $9.90–$179.02 | 47% below | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-RAY EXAM OF THORAX SPINE | $106.81 | — | $9.90–$179.02 | 47% below | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 X-RAY EXAM OF NASAL BONES | $88.91 | — | $7.77–$179.02 | 56% below | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR Nasal Bones 3+ Views | $88.91 | $228.00 | $7.77–$350.26 | 56% below | 61% |
| X-ray of the nasal bones, 3 or more views CPT 70160 X-ray exam of nasal bones | $88.91 | — | $7.77–$179.02 | 56% below | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-RAY EXAM NECK SPINE 3/<VWS | $88.91 | — | $9.90–$179.02 | 56% below | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR Spine Cervical 2 or 3 Views | $88.91 | $306.00 | $9.90–$350.26 | 56% below | 71% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-ray exam neck spine 2-3 vw | $88.91 | — | $9.90–$179.02 | 56% below | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 X-RAY EXAM OF PELVIS | $106.81 | — | $7.77–$179.02 | 52% below | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR Pelvis 1 or 2 Views | $106.81 | $325.00 | $7.77–$350.26 | 52% below | 67% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 X-ray exam of pelvis | $106.81 | — | $7.77–$179.02 | 52% below | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-RAY EXAM OF TAILBONE | $88.91 | — | $7.77–$179.02 | 56% below | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR Sacrum/Coccyx 2+ Views | $88.91 | $329.00 | $7.77–$350.26 | 56% below | 73% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-ray exam sacrum tailbone | $88.91 | — | $7.77–$179.02 | 56% below | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alanine aminotransferase | $5.30 | $61.00 | $4.60–$280.24 | 77% below | 91% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 UV-ASSAY TRANSAMINASE (SGPT) | $5.30 | — | $4.60–$143.23 | 77% below | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alanine amino (alt) (sgpt) | $5.30 | — | $4.60–$143.23 | 77% below | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Aspartate aminotransferase | $5.18 | $61.00 | $4.49–$280.24 | 79% below | 92% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Transferase (ast) (sgot) | $5.18 | — | $4.49–$143.23 | 79% below | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 UV-ASSAY TRANSAMINASE (SGOT) | $5.18 | — | $4.49–$143.23 | 79% below | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute hepatitis panel | $47.63 | — | $41.38–$336.89 | 72% below | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL | $47.63 | — | $41.38–$336.89 | 72% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Tree Nut Allergy Panel | $5.22 | $25.00 | $4.34–$291.42 | 67% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE XTRC EA | $5.22 | — | $4.34–$148.95 | 67% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Food and Tree Nut Allergy Panel with Reflex to Components | $5.22 | $994.00 | $4.34–$695.80 | 67% below | 99% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Milk Component Panel | $5.22 | $25.00 | $4.34–$291.42 | 67% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Strawberry (F44) IgE | $5.22 | $19.00 | $4.34–$291.42 | 67% below | 73% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Maize/Corn (F8) IgE | $5.22 | $19.00 | $4.34–$291.42 | 67% below | 73% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allg spec ige crude xtrc ea | $5.22 | — | $4.34–$148.95 | 67% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Food and Tree Nut Allergy Panel | $5.22 | $994.00 | $4.34–$695.80 | 67% below | 99% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Mold Panel, Complete | $5.22 | $157.00 | $4.34–$291.42 | 67% below | 97% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Banana (F92) IgE | $5.22 | $134.00 | $4.34–$291.42 | 67% below | 96% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aureobasidium Pullulans (M12) IgE | $5.22 | $39.00 | $4.34–$291.42 | 67% below | 87% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Gluten (F79) IgE | $5.22 | $33.00 | $4.34–$291.42 | 67% below | 84% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Clam (F207) IgE | $5.22 | $33.00 | $4.34–$291.42 | 67% below | 84% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Oat (F7) IgE | $5.22 | $31.00 | $4.34–$291.42 | 67% below | 83% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Lobster (F80) IgE | $5.22 | $31.00 | $4.34–$291.42 | 67% below | 83% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Cashew Nut Component | $5.22 | $31.00 | $4.34–$291.42 | 67% below | 83% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Tree Nut Allergy Panel w/Refl Components | $5.22 | $25.00 | $4.34–$291.42 | 67% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Crab (F23) IgE | $5.22 | $25.00 | $4.34–$291.42 | 67% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Childhood Allergy (Food And Env) Profile | $5.22 | $25.00 | $4.34–$291.42 | 67% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Buckwheat (F11) IgE | $5.22 | $25.00 | $4.34–$291.42 | 67% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Brazil Nut Component | $5.22 | $25.00 | $4.34–$291.42 | 67% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Blue Mussel (F37) IgE | $5.22 | $25.00 | $4.34–$291.42 | 67% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Barley (F6) IgE | $5.22 | $25.00 | $4.34–$291.42 | 67% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Birch (T3) IgE | $5.22 | $21.00 | $4.34–$291.42 | 67% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aspergillus Fumigatus (M3) IgE | $5.22 | $21.00 | $4.34–$291.42 | 67% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aspergillus Antibodies, Immunodiffusion | $5.22 | $21.00 | $4.34–$291.42 | 67% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Walnut Component Panel | $5.22 | $19.00 | $4.34–$291.42 | 67% below | 73% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Rice (F9) IgE | $5.22 | $19.00 | $4.34–$291.42 | 67% below | 73% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic Citrullinated Peptide Ab (IgG) | $12.95 | $103.00 | $11.24–$291.42 | 72% below | 87% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Ccp antibody | $12.95 | — | $11.24–$148.95 | 72% below | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED | $12.95 | — | $11.24–$148.95 | 72% below | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear antibodies | $12.09 | — | $10.51–$148.95 | 72% below | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES, RIA | $12.09 | — | $10.51–$148.95 | 72% below | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA Screen, IFA w/Refl Titer And Pattern | $12.09 | $85.00 | $10.51–$291.42 | 72% below | 86% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 N-Terminal Pro B-Type Natriuretic Peptide | $39.26 | $331.00 | $29.48–$359.78 | 68% below | 88% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Assay of natriuretic peptide | $39.26 | — | $29.48–$183.89 | 68% below | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE | $39.26 | — | $29.48–$183.89 | 68% below | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NT PROBNP -Quest | $39.26 | $331.00 | $29.48–$359.78 | 68% below | 88% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 88305 AP Bill Surgical Pathology Level IV Complexity | $53.24 | $285.00 | $25.74–$406.94 | 70% below | 81% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATHOLOGIST | $53.24 | — | $25.74–$207.99 | 70% below | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Tissue exam by pathologist | $53.24 | — | $25.74–$207.99 | 70% below | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 88305 AP Bill Surgical Pathology Cellblock | $53.24 | $145.00 | $25.74–$406.94 | 70% below | 63% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION: Venous Draw | $9.34 | $76.00 | $2.34–$363.31 | 41% below | 88% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venous (Puncture) - Blood Gas Draw Type | $9.34 | $76.00 | $2.34–$363.31 | 41% below | 88% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION OF VENOUS BLOOD | $9.34 | — | $2.34–$185.69 | 41% below | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Coll venous bld venipuncture | $9.34 | — | $2.34–$185.69 | 41% below | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Routine Venipuncture 36415 | $9.34 | $59.00 | $3.60–$429.00 | 41% below | 84% |
| Blood glucose (sugar) test CPT 82947 Glucose Fasting | $3.93 | $61.00 | $3.42–$280.24 | 78% below | 94% |
| Blood glucose (sugar) test CPT 82947 Glucose 1 Hour | $3.93 | $61.00 | $3.42–$280.24 | 78% below | 94% |
| Blood glucose (sugar) test CPT 82947 Assay glucose blood quant | $3.93 | — | $3.42–$143.23 | 78% below | — |
| Blood glucose (sugar) test CPT 82947 Glucose Level | $3.93 | $61.00 | $3.42–$280.24 | 78% below | 94% |
| Blood glucose (sugar) test CPT 82947 ASSAY, GLUCOSE, BLOOD QUANT | $3.93 | — | $3.42–$143.23 | 78% below | — |
| Blood lead test CPT 83655 ASSAY BLOOD FOR LEAD | $12.11 | — | $10.52–$161.72 | 72% below | — |
| Blood lead test CPT 83655 Lead (Venous) | $12.11 | $96.00 | $10.52–$316.42 | 72% below | 87% |
| Blood lead test CPT 83655 Assay of lead | $12.11 | — | $10.52–$161.72 | 72% below | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 CHORIONIC GONADOTROPIN ASSAY | $7.52 | — | $2.02–$280.24 | 79% below | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Chorionic gonadotropin assay | $7.52 | — | $2.02–$280.24 | 79% below | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 GONADOTROPIN, CHORIONIC (HCG); QUALITATI | $7.52 | — | $2.02–$280.24 | 79% below | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood typing serologic abo | $135.93 | — | $2.60–$195.25 | 11% below | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING SEROLOGIC ABO | $135.93 | — | $2.60–$195.25 | 11% below | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO/Rh | $135.93 | $499.00 | $2.60–$382.01 | 11% below | 73% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-reactive protein | $5.18 | — | $4.49–$148.95 | 82% below | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $5.18 | — | $4.49–$148.95 | 82% below | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP Ultra | $5.18 | $61.00 | $4.49–$291.42 | 82% below | 92% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C diff amplified probe | $37.27 | — | $30.48–$191.03 | 70% below | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 Clostridioides difficile PCR w/ Reflex to EIA | $37.27 | $197.00 | $30.48–$373.75 | 70% below | 81% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE | $37.27 | — | $30.48–$191.03 | 70% below | — |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 | $20.81 | $204.00 | $18.08–$291.42 | 72% below | 90% |
| CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOASSAY, TUMOR CA 19-9 | $20.81 | — | $18.08–$148.95 | 72% below | — |
| CA 19-9 blood test (tumor marker) CPT 86301 Immunoassay tumor ca 19-9 | $20.81 | — | $18.08–$148.95 | 72% below | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Immunoassay tumor ca 125 | $20.81 | — | $18.08–$148.95 | 75% below | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOASSAY TUMOR CA 125 | $20.81 | — | $18.08–$148.95 | 75% below | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 | $20.81 | $244.00 | $18.08–$291.42 | 75% below | 91% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 AMPLIFIED DNA OR RNA PROBE DETECTION OF SEVERE ACUTE RESPIRATORY SYNDROME CORONAVIRUS 2 (COVID-19) ANTIGEN | $51.31 | — | $30.79–$373.75 | 55% below | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ | $51.31 | — | $30.79–$373.75 | 55% below | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19 AMP PRB | $51.31 | — | $30.79–$373.75 | 55% below | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Sars-cov-2 covid-19 amp prb | $51.31 | — | $30.79–$373.75 | 55% below | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlmyd trach dna amp probe | $35.09 | — | $30.48–$191.03 | 59% below | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHYLMD TRACH, DNA, AMP PROBE | $35.09 | — | $30.48–$191.03 | 59% below | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia trachomatis PCR | $35.09 | $273.00 | $30.48–$373.75 | 59% below | 87% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia Trachomatis RNA TMA Urogenital | $35.09 | $273.00 | $30.48–$373.75 | 59% below | 87% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel | $13.39 | $147.00 | $11.63–$336.89 | 82% below | 91% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid panel | $13.39 | — | $11.63–$172.19 | 82% below | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE | $13.39 | — | $11.63–$172.19 | 82% below | — |
| Complete blood count (CBC) with differential CPT 85025 Complete cbc w/auto diff wbc | $7.77 | — | $6.75–$149.86 | 81% below | — |
| Complete blood count (CBC) with differential CPT 85025 AUTOMAT HEMOGRAM-COMPLET DIF | $7.77 | — | $6.75–$149.86 | 81% below | — |
| Complete blood count (CBC) with differential CPT 85025 CBC w/ Differential | $7.77 | $106.00 | $6.75–$293.20 | 81% below | 93% |
| Complete blood count (CBC) with differential CPT 85025 CBC without Differential | $7.77 | $72.00 | $6.75–$293.20 | 81% below | 89% |
| Complete blood count (CBC), no differential CPT 85027 BLOOD COUNT; COMPLETE (CBC), AUTOMATED ( | $6.47 | — | $3.20–$293.20 | 79% below | — |
| Complete blood count (CBC), no differential CPT 85027 HEMO/PLATELET CNT-AUTOMATED | $6.47 | — | $3.20–$293.20 | 79% below | — |
| Complete blood count (CBC), no differential CPT 85027 COMPLETE CBC AUTOMATED | $6.47 | — | $3.20–$293.20 | 79% below | — |
| Complete blood count (CBC), no differential CPT 85027 Complete cbc automated | $6.47 | — | $3.20–$293.20 | 79% below | — |
| D-dimer blood test (blood clot marker) CPT 85379 FIBRIN DEGRADATION PRODUCTS, D-DIMER; QU | $10.18 | — | $7.04–$299.84 | 72% below | — |
| D-dimer blood test (blood clot marker) CPT 85379 FIBRIN DEGRADATION QUANT | $10.18 | — | $7.04–$299.84 | 72% below | — |
| D-dimer blood test (blood clot marker) CPT 85379 HEMATOLOGY AND COAGULATION | $10.18 | — | $7.04–$299.84 | 72% below | — |
| D-dimer blood test (blood clot marker) CPT 85379 Fibrin degradation quant | $10.18 | — | $7.04–$299.84 | 72% below | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 CHEMISTRY | $22.23 | — | $19.32–$171.29 | 77% below | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA Sulfate | $22.23 | $135.00 | $19.32–$335.14 | 77% below | 84% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone | $22.23 | — | $19.32–$171.29 | 77% below | — |
| Estradiol blood test CPT 82670 Estradiol,Ultrasensitive, LC/MS | $27.94 | $254.00 | $24.27–$335.14 | 72% below | 89% |
| Estradiol blood test CPT 82670 ASSAY OF TOTAL ESTRADIOL | $27.94 | — | $24.27–$171.29 | 72% below | — |
| Estradiol blood test CPT 82670 Assay of total estradiol | $27.94 | — | $24.27–$171.29 | 72% below | — |
| FSH (follicle-stimulating hormone) test CPT 83001 PITUITARY GONADOTROPIN RIA | $18.58 | — | $16.13–$171.29 | 76% below | — |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH | $18.58 | $195.00 | $16.13–$335.14 | 76% below | 90% |
| FSH (follicle-stimulating hormone) test CPT 83001 Assay of gonadotropin (fsh) | $18.58 | — | $16.13–$171.29 | 76% below | — |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH, Pediatrics | $18.58 | $195.00 | $16.13–$335.14 | 76% below | 90% |
| Fecal calprotectin (stool inflammation test) CPT 83993 ASSAY FOR CALPROTECTIN FECAL | $19.63 | — | $17.05–$149.39 | 82% below | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 Assay for calprotectin fecal | $19.63 | — | $17.05–$149.39 | 82% below | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, Stool | $19.63 | $65.00 | $17.05–$292.28 | 82% below | 70% |
| Ferritin blood test (iron stores) CPT 82728 Ferritin | $13.63 | $141.00 | $11.84–$292.28 | 80% below | 90% |
| Ferritin blood test (iron stores) CPT 82728 Assay of ferritin | $13.63 | — | $11.84–$149.39 | 80% below | — |
| Ferritin blood test (iron stores) CPT 82728 ASSAY FERRITIN | $13.63 | — | $11.84–$149.39 | 80% below | — |
| Folate (folic acid) blood test CPT 82746 Assay of folic acid serum | $14.70 | — | $12.78–$149.39 | 76% below | — |
| Folate (folic acid) blood test CPT 82746 BLOOD FOLIC ACID RIA | $14.70 | — | $12.78–$149.39 | 76% below | — |
| Folate (folic acid) blood test CPT 82746 Folate Level | $14.70 | $141.00 | $12.78–$292.28 | 76% below | 90% |
| Free T3 thyroid hormone test CPT 84481 T3, Free | $16.94 | $110.00 | $14.71–$335.14 | 81% below | 85% |
| Free T3 thyroid hormone test CPT 84481 RIA ASSAY (FT-3) | $16.94 | — | $14.71–$171.29 | 81% below | — |
| Free T3 thyroid hormone test CPT 84481 Free assay (ft-3) | $16.94 | — | $14.71–$171.29 | 81% below | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE, FREE(FT-4), RIA | $9.02 | — | $7.83–$171.29 | 86% below | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Free T4 Level | $9.02 | $113.00 | $7.83–$335.14 | 86% below | 92% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Assay of free thyroxine | $9.02 | — | $7.83–$171.29 | 86% below | — |
| Free testosterone test CPT 84402 Assay of free testosterone | $25.47 | — | $22.12–$171.29 | 72% below | — |
| Free testosterone test CPT 84402 CHEMISTRY | $25.47 | — | $22.12–$171.29 | 72% below | — |
| Free testosterone test CPT 84402 Testosterone, Free | $25.47 | $232.00 | $22.12–$335.14 | 72% below | 89% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE; POST GLUCOSE DOSE (INCLUDES GLU | $4.75 | — | $4.13–$280.24 | 78% below | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose test | $4.75 | — | $4.13–$280.24 | 78% below | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TEST | $4.75 | — | $4.13–$280.24 | 78% below | — |
| Glucose tolerance test, 3 samples CPT 82951 Glucose tolerance test (gtt) | $12.87 | — | $11.17–$149.39 | 79% below | — |
| Glucose tolerance test, 3 samples CPT 82951 Glucose 2 Hour | $12.87 | $55.00 | $11.17–$292.28 | 79% below | 77% |
| Glucose tolerance test, 3 samples CPT 82951 Glucose 3 Hour | $12.87 | $94.00 | $11.17–$292.28 | 79% below | 86% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE TEST (GTT) | $12.87 | — | $11.17–$149.39 | 79% below | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria Gonorrhoeae RNA TMA Urogenital | $35.09 | $267.00 | $30.48–$373.75 | 65% below | 87% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.gonorrhoeae dna amp prob | $35.09 | — | $30.48–$191.03 | 65% below | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE, DNA, AMP PROB | $35.09 | — | $30.48–$191.03 | 65% below | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria gonorrhea PCR | $35.09 | $267.00 | $30.48–$373.75 | 65% below | 87% |
| H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI | $16.85 | — | $5.05–$291.42 | 68% below | — |
| H. pylori antibody blood test CPT 86677 Helicobacter pylori antibody | $16.85 | — | $5.05–$291.42 | 68% below | — |
| H. pylori antibody blood test CPT 86677 ANTIBODY; HELICOBACTER PYLORI | $16.85 | — | $5.05–$291.42 | 68% below | — |
| H. pylori antibody blood test CPT 86677 ANTIBODY | $16.85 | — | $5.05–$291.42 | 68% below | — |
| H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI ANTIBODY | $16.85 | — | $5.05–$291.42 | 68% below | — |
| H. pylori stool antigen test CPT 87338 Hpylori stool ag ia | $14.38 | — | $12.50–$147.76 | 77% below | — |
| H. pylori stool antigen test CPT 87338 Helicobacter Pylori Ag, EIA, Stool | $14.38 | $110.00 | $12.50–$289.10 | 77% below | 87% |
| H. pylori stool antigen test CPT 87338 HPYLORI STOOL IA | $14.38 | — | $12.50–$147.76 | 77% below | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv-1 quant&revrse trnscrpj | $85.10 | — | $73.92–$191.03 | 64% below | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV 1 RNA, Quantitative Real Time PCR | $85.10 | $827.00 | $73.92–$578.90 | 64% below | 90% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QUANT&REVRSE TRNSCRPJ | $85.10 | — | $73.92–$191.03 | 64% below | — |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV-1/HIV-2 1 RESULT ANTBDY | $13.71 | — | $11.91–$291.42 | 76% below | — |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV-1/HIV-2 SINGLE ASSAY | $13.71 | — | $11.91–$291.42 | 76% below | — |
| HIV-1 and HIV-2 antibody test CPT 86703 ANTIBODY; HIV-1 AND HIV-2, SINGLE RESULT | $13.71 | — | $11.91–$291.42 | 76% below | — |
| HIV-1 and HIV-2 antibody test CPT 86703 Hiv-1/hiv-2 1 result antbdy | $13.71 | — | $11.91–$291.42 | 76% below | — |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV-1/HIV-2 SINGLE RESULT | $13.71 | — | $11.91–$291.42 | 76% below | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV Ag/Ab Quest | $24.08 | $142.00 | $20.92–$289.10 | 70% below | 83% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv-1 ag w/hiv-1&-2 ab ag ia | $24.08 | — | $20.92–$147.76 | 70% below | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 AG W/HIV-1 & 2 AB AG IA | $24.08 | — | $20.92–$147.76 | 70% below | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 Hpv hi-risk typ pooled rslt | $35.09 | — | $30.48–$191.03 | 61% below | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV DNA, High Risk, Cervical | $35.09 | $267.00 | $30.48–$373.75 | 61% below | 87% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HI-RISK TYP POOLED RSLT | $35.09 | — | $30.48–$191.03 | 61% below | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin glycosylated a1c | $9.71 | — | $8.42–$143.23 | 76% below | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hgb A1c | $9.71 | $103.00 | $8.42–$280.24 | 76% below | 91% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN; GLYCOSYLATED | $9.71 | — | $8.42–$143.23 | 76% below | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hep b surface antibody | $10.74 | — | $9.32–$148.95 | 75% below | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Antibody | $10.74 | $50.00 | $9.32–$291.42 | 75% below | 79% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE AB TEST | $10.74 | — | $9.32–$148.95 | 75% below | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG IA | $10.33 | — | $8.97–$147.76 | 72% below | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Antigen | $10.33 | $76.00 | $8.97–$289.10 | 72% below | 86% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis b surface ag ia | $10.33 | — | $8.97–$147.76 | 72% below | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB TEST | $14.27 | — | $12.39–$148.95 | 76% below | — |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Antibody | $14.27 | $226.00 | $12.39–$291.42 | 76% below | 94% |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis c ab test | $14.27 | — | $12.39–$148.95 | 76% below | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hepatitis c revrs trnscrpj | $42.84 | — | $37.21–$191.03 | 68% below | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C REVRS TRNSCRPJ | $42.84 | — | $37.21–$191.03 | 68% below | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA, Quantitative Real Time PCR | $42.84 | $604.00 | $37.21–$422.80 | 68% below | 93% |
| Herpes blood test, HSV-1 antibody CPT 86695 ANTIBODY | $13.19 | — | $11.45–$291.42 | 67% below | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 TEST | $13.19 | — | $11.45–$291.42 | 67% below | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TEST | $13.19 | — | $11.45–$291.42 | 67% below | — |
| Herpes blood test, HSV-1 antibody CPT 86695 Herpes simplex type 1 test | $13.19 | — | $11.45–$291.42 | 67% below | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 TEST | $19.35 | — | $14.64–$291.42 | 67% below | — |
| Herpes blood test, HSV-2 antibody CPT 86696 ANTIBODY; HERPES SIMPLEX 2 | $19.35 | — | $14.64–$291.42 | 67% below | — |
| Herpes blood test, HSV-2 antibody CPT 86696 Herpes simplex type 2 test | $19.35 | — | $14.64–$291.42 | 67% below | — |
| Herpes blood test, HSV-2 antibody CPT 86696 ANTIBODY; HERPES SIMPLEX, TYPE 2 | $19.35 | — | $14.64–$291.42 | 67% below | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 | $19.35 | — | $14.64–$291.42 | 67% below | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN; HIGH SENSITIVITY (HS | $12.95 | — | $10.35–$291.42 | 73% below | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN, HS | $12.95 | — | $10.35–$291.42 | 73% below | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HS | $12.95 | — | $10.35–$291.42 | 73% below | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-reactive protein hs | $12.95 | — | $10.35–$291.42 | 73% below | — |
| Homocysteine blood test CPT 83090 HOMOCYSTINE | $17.92 | — | $14.65–$335.14 | 77% below | — |
| Homocysteine blood test CPT 83090 ASSAY, HOMOCYSTINE | $17.92 | — | $14.65–$335.14 | 77% below | — |
| Homocysteine blood test CPT 83090 ASSAY OF HOMOCYSTINE | $17.92 | — | $14.65–$335.14 | 77% below | — |
| Homocysteine blood test CPT 83090 Assay of homocysteine | $17.92 | — | $14.65–$335.14 | 77% below | — |
| Insulin blood test CPT 83525 Insulin | $11.43 | $113.00 | $9.93–$335.14 | 76% below | 90% |
| Insulin blood test CPT 83525 Insulin Response to Glucose, 2 Specimens | $11.43 | $88.00 | $9.93–$335.14 | 76% below | 87% |
| Insulin blood test CPT 83525 RIA ASSAY OF INSULIN | $11.43 | — | $9.93–$171.29 | 76% below | — |
| Insulin blood test CPT 83525 Assay of insulin | $11.43 | — | $9.93–$171.29 | 76% below | — |
| Iron blood test (serum iron) CPT 83540 Assay of iron | $6.47 | — | $5.63–$143.23 | 79% below | — |
| Iron blood test (serum iron) CPT 83540 Iron Level | $6.47 | $61.00 | $5.63–$280.24 | 79% below | 89% |
| Iron blood test (serum iron) CPT 83540 ASSAY SERUM IRON | $6.47 | — | $5.63–$143.23 | 79% below | — |
| Iron-binding capacity (TIBC) test CPT 83550 Iron binding test | $8.74 | — | $7.59–$143.23 | 79% below | — |
| Iron-binding capacity (TIBC) test CPT 83550 Iron Level and TIBC | $8.74 | $86.00 | $7.59–$280.24 | 79% below | 90% |
| Iron-binding capacity (TIBC) test CPT 83550 SERUM IRON BINDING TEST | $8.74 | — | $7.59–$143.23 | 79% below | — |
| LH (luteinizing hormone) test CPT 83002 PITUITARY GONADOTROPINS RIA | $18.52 | — | $16.08–$171.29 | 76% below | — |
| LH (luteinizing hormone) test CPT 83002 LH, Pediatrics | $18.52 | $168.00 | $16.08–$335.14 | 76% below | 89% |
| LH (luteinizing hormone) test CPT 83002 LH | $18.52 | $168.00 | $16.08–$335.14 | 76% below | 89% |
| LH (luteinizing hormone) test CPT 83002 Assay of gonadotropin (lh) | $18.52 | — | $16.08–$171.29 | 76% below | — |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase Level | $6.89 | $83.00 | $5.05–$280.24 | 80% below | 92% |
| Lipase blood test (pancreas enzyme) CPT 83690 Assay of lipase | $6.89 | — | $5.05–$143.23 | 80% below | — |
| Lipase blood test (pancreas enzyme) CPT 83690 ASSAY BLOOD LIPASE | $6.89 | — | $5.05–$143.23 | 80% below | — |
| Lyme disease antibody test CPT 86618 Lyme Disease Ab w/Refl to Blot | $17.03 | $254.00 | $14.79–$291.42 | 63% below | 93% |
| Lyme disease antibody test CPT 86618 Lyme disease antibody | $17.03 | — | $14.79–$148.95 | 63% below | — |
| Lyme disease antibody test CPT 86618 ANTIBODY | $17.03 | — | $14.79–$148.95 | 63% below | — |
| Magnesium blood test CPT 83735 Assay of magnesium | $6.70 | — | $5.81–$143.23 | 77% below | — |
| Magnesium blood test CPT 83735 Magnesium, 24-Hour Urine w/o Creatinine | $6.70 | $50.00 | $5.81–$280.24 | 77% below | 87% |
| Magnesium blood test CPT 83735 Magnesium, 24-Hour Urine (w/Creatinine) | $6.70 | $50.00 | $5.81–$280.24 | 77% below | 87% |
| Magnesium blood test CPT 83735 Magnesium Level | $6.70 | $76.00 | $5.81–$280.24 | 77% below | 91% |
| Magnesium blood test CPT 83735 ASSAY BLOOD MAGNESIUM | $6.70 | — | $5.81–$143.23 | 77% below | — |
| Measles (rubeola) antibody test CPT 86765 Measles Ab (IgG), Immune Status | $12.88 | $178.00 | $11.19–$291.42 | 72% below | 93% |
| Measles (rubeola) antibody test CPT 86765 Rubeola antibody | $12.88 | — | $11.19–$148.95 | 72% below | — |
| Measles (rubeola) antibody test CPT 86765 ANTIBODY | $12.88 | — | $11.19–$148.95 | 72% below | — |
| Obstetric blood test panel CPT 80055 OBSTETRIC PANEL | $47.81 | — | $41.52–$336.89 | 55% below | — |
| Obstetric blood test panel CPT 80055 Obstetric panel | $47.81 | — | $41.52–$336.89 | 55% below | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Assay of psa free | $18.39 | — | $15.98–$292.28 | 69% below | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PROSTATE SPECIFIC ANTIGEN (PSA); FREE | $18.39 | — | $15.98–$292.28 | 69% below | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE | $18.39 | — | $15.98–$292.28 | 69% below | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 ASSAY OF PSA FREE | $18.39 | — | $15.98–$292.28 | 69% below | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Assay of psa total | $18.39 | — | $15.98–$149.39 | 72% below | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL | $18.39 | — | $15.98–$149.39 | 72% below | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Total | $18.39 | $118.00 | $15.98–$292.28 | 72% below | 84% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Free And Total | $18.39 | $464.00 | $15.98–$324.80 | 72% below | 96% |
| Pap test (liquid-based, automated screening with review) CPT 88175 Cytopath c/v auto fluid redo | $26.61 | — | $21.65–$346.05 | 59% below | — |
| Pap test (liquid-based, automated screening with review) CPT 88175 CYTOPATHOLOGY, CERVICAL OR VAGINAL (ANY | $26.61 | — | $21.65–$346.05 | 59% below | — |
| Pap test (liquid-based, automated screening with review) CPT 88175 CYTOPATHOLOGY, CERVICAL/VAGI | $26.61 | — | $21.65–$346.05 | 59% below | — |
| Pap test (liquid-based, automated screening with review) CPT 88175 CYTOPATH C/V AUTO FLUID REDO | $26.61 | — | $21.65–$346.05 | 59% below | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 ThinPrep Pap w/Refl HPV MRNA E6/E7 | $20.26 | $156.00 | $17.60–$346.05 | 72% below | 87% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTPATH C/VAG T/LAYER | $20.26 | — | $17.60–$176.87 | 72% below | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Cytopath c/v thin layer | $20.26 | — | $17.60–$176.87 | 72% below | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH, Intact And Calcium | $41.28 | $615.00 | $35.86–$430.50 | 70% below | 93% |
| Parathyroid hormone (PTH) blood test CPT 83970 Assay of parathormone | $41.28 | — | $35.86–$186.86 | 70% below | — |
| Parathyroid hormone (PTH) blood test CPT 83970 RIA ASSAY OF PARATHORMONE | $41.28 | — | $35.86–$186.86 | 70% below | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH, Intact Without Calcium | $41.28 | $615.00 | $35.86–$430.50 | 70% below | 93% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Partial Thromboplastin Time | $6.01 | $88.00 | $5.22–$299.84 | 80% below | 93% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME, PARTIAL | $6.01 | — | $5.22–$153.25 | 80% below | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin time partial | $6.01 | — | $5.22–$153.25 | 80% below | — |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 FETAL CHROMOSOMAL ANEUPLOIDY GENOMIC SEQ ANALYS | $759.05 | — | $0.01–$1,309.36 | 21% below | — |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 FETAL CHRMOML ANEUPLOIDY | $759.05 | — | $0.01–$1,309.36 | 21% below | — |
| Progesterone blood test CPT 84144 ASSAY OF PROGESTERONE | $20.86 | — | $18.12–$335.14 | 76% below | — |
| Progesterone blood test CPT 84144 ASSAY PROGESTERONE | $20.86 | — | $18.12–$335.14 | 76% below | — |
| Progesterone blood test CPT 84144 PROGESTERONE | $20.86 | — | $18.12–$335.14 | 76% below | — |
| Progesterone blood test CPT 84144 Assay of progesterone | $20.86 | — | $18.12–$335.14 | 76% below | — |
| Prolactin blood test CPT 84146 Prolactin | $19.38 | $178.00 | $16.84–$335.14 | 73% below | 89% |
| Prolactin blood test CPT 84146 RIA ASSAY FOR PROLACTIN | $19.38 | — | $16.84–$171.29 | 73% below | — |
| Prolactin blood test CPT 84146 Assay of prolactin | $19.38 | — | $16.84–$171.29 | 73% below | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time and INR | $4.29 | $169.00 | $3.42–$299.84 | 77% below | 97% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $4.29 | — | $3.42–$153.25 | 77% below | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 INR POC | $4.29 | $135.00 | $3.42–$299.84 | 77% below | 97% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin time | $4.29 | — | $3.42–$153.25 | 77% below | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST PRSMV DIR OPT OBS | $12.60 | — | $9.54–$10.43 | 64% below | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Drug Screen Urine | $12.60 | $125.00 | $5.05–$87.50 | 64% below | 90% |
| Rapid flu test (influenza antigen) CPT 87804 Influenza assay w/optic | $16.55 | — | $7.59–$289.10 | 59% below | — |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA ASSAY W/OPTIC | $16.55 | — | $7.59–$289.10 | 59% below | — |
| Rapid flu test (influenza antigen) CPT 87804 DETECTION TEST BY IMMUNOASSAY WITH DIRECT VISUAL OBSERVATION FOR INFLUENZA VIRUS | $16.55 | — | $7.59–$289.10 | 59% below | — |
| Rapid flu test (influenza antigen) CPT 87804 IAADIADOO INFLUENZA | $16.55 | — | $7.59–$289.10 | 59% below | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A ASSAY W/OPTIC | $16.53 | — | $7.59–$147.76 | 58% below | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep a assay w/optic | $16.53 | — | $7.59–$147.76 | 58% below | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep A PCR | $16.53 | $72.00 | $7.59–$289.10 | 58% below | 77% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR; QUANTITATIVE | $5.67 | — | $4.93–$291.42 | 79% below | — |
| Rheumatoid factor (RF) test CPT 86431 IMMUNOLOGY | $5.67 | — | $4.93–$291.42 | 79% below | — |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT | $5.67 | — | $4.93–$291.42 | 79% below | — |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid factor quant | $5.67 | — | $4.93–$291.42 | 79% below | — |
| Rubella antibody test (immunity check) CPT 86762 Rubella IgG | $14.39 | $103.00 | $12.51–$291.42 | 66% below | 86% |
| Rubella antibody test (immunity check) CPT 86762 Rubella antibody | $14.39 | — | $12.51–$148.95 | 66% below | — |
| Rubella antibody test (immunity check) CPT 86762 ANTIBODY | $14.39 | — | $12.51–$148.95 | 66% below | — |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS; COMPLETE | $12.31 | — | $10.46–$370.51 | 67% below | — |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 Semen anal vol/count/mot | $12.31 | — | $10.46–$370.51 | 67% below | — |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANAL VOL/COUNT/MOT | $12.31 | — | $10.46–$370.51 | 67% below | — |
| Stool ova and parasites exam CPT 87177 Ova and Parasites, Conc And Perm Smear | $8.90 | $145.00 | $8.46–$289.10 | 77% below | 94% |
| Stool ova and parasites exam CPT 87177 OVA AND PARASITES SMEARS | $8.90 | — | $7.73–$147.76 | 77% below | — |
| Stool ova and parasites exam CPT 87177 Ova and parasites smears | $8.90 | — | $7.73–$147.76 | 77% below | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 BLOOD, OCCULT, BY PEROXIDASE | $4.38 | — | $2.82–$143.23 | 71% below | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult blood feces | $4.38 | — | $2.82–$143.23 | 71% below | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Fecal Occult Blood (Guaiac) | $4.38 | $61.00 | $2.82–$280.24 | 71% below | 93% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 BLOOD, OCCULT, BY FECAL HEMOGLOBIN DETER | $15.92 | — | $3.43–$292.28 | 65% below | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Assay test for blood fecal | $15.92 | — | $3.43–$292.28 | 65% below | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 ASSAY TEST FOR BLOOD FECAL | $15.92 | — | $3.43–$292.28 | 65% below | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 ASSAY TEST FOR BLOOD, FECAL | $15.92 | — | $3.43–$292.28 | 65% below | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Syphilis test non-trep qual | $4.27 | — | $3.71–$148.95 | 77% below | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL CSF | $4.27 | $85.00 | $3.71–$291.42 | 77% below | 95% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST NON-TREP QUAL | $4.27 | — | $3.71–$148.95 | 77% below | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR W/Ref | $4.27 | $61.00 | $3.71–$291.42 | 77% below | 93% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST CELL IMMUN MEASURE | $61.98 | — | $53.83–$189.70 | 59% below | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon(R)-Tb Gold Plus, 1 Tube | $61.98 | $473.00 | $53.83–$371.16 | 59% below | 87% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tb test cell immun measure | $61.98 | — | $53.83–$189.70 | 59% below | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Free (Dialysis) and Tot,MS | $25.81 | $276.00 | $22.43–$335.14 | 70% below | 91% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone, Total, MS | $25.81 | $276.00 | $22.43–$335.14 | 70% below | 91% |
| Testosterone blood test, total (not free testosterone) CPT 84403 RIA ASSAY BLOOD TESTOSTERONE | $25.81 | — | $22.43–$171.29 | 70% below | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 Assay of total testosterone | $25.81 | — | $22.43–$171.29 | 70% below | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY, RIA | $14.55 | — | $12.64–$148.95 | 71% below | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase Antibodies | $14.55 | $135.00 | $12.64–$291.42 | 71% below | 89% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Liver Kidney Microsome (LKM-1) Ab (IgG) | $14.55 | $279.00 | $12.64–$291.42 | 71% below | 95% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Microsomal antibody each | $14.55 | — | $12.64–$148.95 | 71% below | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Assay thyroid stim hormone | $16.80 | — | $14.60–$171.29 | 79% below | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TRAb (TSH Receptor Binding Antibody) | $16.80 | $232.00 | $14.60–$335.14 | 79% below | 93% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone | $16.80 | $245.00 | $14.60–$335.14 | 79% below | 93% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 ASSAY THYROID STIM HORMONE | $16.80 | — | $14.60–$171.29 | 79% below | — |
| Trichomonas test (NAAT) CPT 87661 INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); TRICHOMONAS VAGINALIS, AMPLIFIED PROBE TECHNIQUE | $35.09 | — | $21.64–$373.75 | 52% below | — |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPLIF | $35.09 | — | $21.64–$373.75 | 52% below | — |
| Trichomonas test (NAAT) CPT 87661 Trichomonas vaginalis amplif | $35.09 | — | $21.64–$373.75 | 52% below | — |
| Trichomonas test (NAAT) CPT 87661 IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH | $35.09 | — | $21.64–$373.75 | 52% below | — |
| Uric acid blood test CPT 84550 ASSAY BLOOD URIC ACID | $4.52 | — | $3.93–$143.23 | 81% below | — |
| Uric acid blood test CPT 84550 Uric Acid | $4.52 | $61.00 | $3.93–$280.24 | 81% below | 93% |
| Uric acid blood test CPT 84550 Assay of blood/uric acid | $4.52 | — | $3.93–$143.23 | 81% below | — |
| Urinalysis with microscope exam, manual CPT 81000 URINALYSIS NONAUTO W/SCOPE | $4.02 | — | $2.75–$291.67 | 63% below | — |
| Urinalysis with microscope exam, manual CPT 81000 URINALYSIS, BY DIP STICK OR TABLET REAGE | $4.02 | — | $2.75–$291.67 | 63% below | — |
| Urinalysis with microscope exam, manual CPT 81000 Urinalysis nonauto w/scope | $4.02 | — | $2.75–$291.67 | 63% below | — |
| Urinalysis with microscope exam, manual CPT 81000 URINALYSIS WITH MICROSCOPY | $4.02 | — | $2.75–$291.67 | 63% below | — |
| Urinalysis without microscope exam, manual CPT 81002 NON-AUTOMATED, WITHOUT MICRO | $3.48 | — | $2.02–$291.67 | 70% below | — |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS, BY DIP STICK OR TABLET REAGE | $3.48 | — | $2.02–$291.67 | 70% below | — |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NONAUTO W/O SCOPE | $3.48 | — | $2.02–$291.67 | 70% below | — |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis nonauto w/o scope | $3.48 | — | $2.02–$291.67 | 70% below | — |
| Urine culture for bacteria, with colony count CPT 87086 Urine culture/colony count | $8.07 | — | $7.02–$289.10 | 81% below | — |
| Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE, COLONY COUNT | $8.07 | — | $7.02–$289.10 | 81% below | — |
| Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE/COLONY COUNT | $8.07 | — | $7.02–$289.10 | 81% below | — |
| Urine culture for bacteria, with colony count CPT 87086 CULTURE, BACTERIAL; QUANTITATIVE COLONY | $8.07 | — | $7.02–$289.10 | 81% below | — |
| Urine pregnancy test, read by color change CPT 81025 Urine hCG Qualitative | $8.61 | $65.00 | $5.49–$291.67 | 72% below | 87% |
| Urine pregnancy test, read by color change CPT 81025 HCG, Urine POC | $8.61 | $119.00 | $5.49–$291.67 | 72% below | 93% |
| Urine pregnancy test, read by color change CPT 81025 URINALYSIS | $8.61 | — | $5.49–$149.07 | 72% below | — |
| Urine pregnancy test, read by color change CPT 81025 Urine pregnancy test | $8.61 | — | $5.49–$149.07 | 72% below | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin b-12 | $15.08 | — | $13.09–$171.29 | 77% below | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 RIA ASSAY FOR VITAMIN B-12 | $15.08 | — | $13.09–$171.29 | 77% below | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 Level | $15.08 | $77.00 | $13.09–$335.14 | 77% below | 80% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25 Hydroxy Level | $29.60 | $226.00 | $25.72–$359.78 | 67% below | 87% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin d 25 hydroxy | $29.60 | — | $25.72–$183.89 | 67% below | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D, 25 HYDROXY | $29.60 | — | $25.72–$183.89 | 67% below | — |
| Zinc blood test CPT 84630 Assay of zinc | $11.39 | — | $6.39–$161.72 | 67% below | — |
| Zinc blood test CPT 84630 ASSAY BLOOD ZINC | $11.39 | — | $6.39–$161.72 | 67% below | — |
| Zinc blood test CPT 84630 Zinc | $11.39 | $128.00 | $6.39–$316.42 | 67% below | 91% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 CHORIONIC GONADOTROPIN TEST | $15.05 | — | $13.08–$171.29 | 75% below | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Beta hCG Quantitative | $15.05 | $156.00 | $13.08–$335.14 | 75% below | 90% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Chorionic gonadotropin test | $15.05 | — | $13.08–$171.29 | 75% below | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| Adenoid removal (adenoidectomy), child under 12 CPT 42830 REMOVAL OF ADENOIDS | $3,387.27 | — | $1,771.86–$6,669.68 | 12% below | — |
| Adenoid removal (adenoidectomy), child under 12 CPT 42830 Removal of adenoids | $3,387.27 | — | $1,771.86–$6,669.68 | 12% below | — |
| Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 ARTHRD ANT NTRBDY CERVICAL | $13,116.76 | — | $2,440.00–$25,827.46 | 6% above | — |
| Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 Arthrd ant ntrbdy cervical | $13,116.76 | — | $2,440.00–$25,827.46 | 6% above | — |
| Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 ARTHRODESIS, ANTERIOR INTERBODY, INCLUDING DISC SPACE PREPARATIO N, DISCECTOMY, OSTEOPHYTECTOMY AND DECOMPRESSION OF SPINAL CORD AN D/OR NERVE ROOTS; CERVICAL BELOW C2 | $13,116.76 | — | $2,440.00–$25,827.46 | 6% above | — |
| Appendectomy for a ruptured appendix with abscess or peritonitis CPT 44960 Appendectomy | $777.01 | — | $777.01–$6,776.10 | at median | — |
| Appendectomy for a ruptured appendix with abscess or peritonitis CPT 44960 APPENDECTOMY | $777.01 | — | $777.01–$6,776.10 | at median | — |
| Appendectomy, open surgery CPT 44950 APPENDECTOMY | $6,614.04 | — | $1,909.00–$13,023.32 | 317% above | — |
| Appendectomy, open surgery CPT 44950 Appendectomy; | $6,614.04 | — | $1,909.00–$13,023.32 | 317% above | — |
| Appendectomy, open surgery CPT 44950 Appendectomy | $6,614.04 | — | $1,909.00–$13,023.32 | 317% above | — |
| Arthroscopic ACL reconstruction or repair of the knee CPT 29888 Knee arthroscopy/surgery | $7,413.38 | — | $1,544.00–$14,597.26 | 46% above | — |
| Arthroscopic ACL reconstruction or repair of the knee CPT 29888 KNEE ARTHROSCOPY/SURGERY | $7,413.38 | — | $1,544.00–$14,597.26 | 46% above | — |
| Arthroscopic ACL reconstruction or repair of the knee CPT 29888 Arthrs aid acl rpr/agmntj | $7,413.38 | — | $1,544.00–$14,597.26 | 46% above | — |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 SHO ARTHRS SRG RT8TR CUF RPR | $7,413.38 | — | $2,167.00–$14,597.26 | 57% above | — |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 Arthroscop rotator cuff repr | $7,413.38 | — | $2,167.00–$14,597.26 | 57% above | — |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 Sho arthrs srg rt8tr cuf rpr | $7,413.38 | — | $2,167.00–$14,597.26 | 57% above | — |
| Balloon dilation of the maxillary sinus opening, one side CPT 31295 NSL/SINS NDSC SURG MAX SINS | $7,210.32 | — | $1,544.00–$14,197.43 | 12% below | — |
| Balloon dilation of the maxillary sinus opening, one side CPT 31295 Nsl/sins ndsc surg max sins | $7,210.32 | — | $1,544.00–$14,197.43 | 12% below | — |
| Balloon dilation of the maxillary sinus opening, one side CPT 31295 NASAL/SINUS ENDOSCOPY, SURGICAL; WITH DILATION OF MAXILLARY SINUS OSTIUM (EG, BALLOON DILATION), TRANSNASAL OR VIA CANINE FOSSA | $7,210.32 | — | $1,544.00–$14,197.43 | 12% below | — |
| Botox injections for chronic migraine CPT 64615 CHEMODENERV MUSC MIGRAINE | $313.60 | — | $313.60–$1,456.85 | 10% below | — |
| Botox injections for chronic migraine CPT 64615 Chemodenerv musc migraine | $313.60 | — | $313.60–$1,456.85 | 10% below | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BREAST 1ST LESION STRTCTC | $1,687.37 | — | $170.46–$2,207.15 | 42% below | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Bx breast 1st lesion strtctc | $1,687.37 | — | $170.46–$2,207.15 | 42% below | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 MG Breast Biopsy w/ Stereo Guide Right | $1,687.37 | $4,564.00 | $1,342.00–$4,318.34 | 42% below | 63% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 MG Breast Biopsy w/ Stereo Guide Left | $1,687.37 | $4,564.00 | $1,342.00–$4,318.34 | 42% below | 63% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 TREATMENT OF ANKLE FRACTURE | $252.01 | — | $252.01–$1,559.14 | 47% below | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Treatment of ankle fracture | $252.01 | — | $252.01–$1,559.14 | 47% below | — |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 TREAT METATARSAL FRACTURE | $252.01 | — | $243.82–$796.89 | 37% below | — |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Cltx metatarsal fx wo mnp ea | $252.01 | — | $243.82–$796.89 | 37% below | — |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Closed treatment of metatarsal fracture, without manipulation, each 28470 | $252.01 | $1,286.00 | $239.41–$1,559.14 | 37% below | 80% |
| Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 CORRECTION HALLUX VALGUS | $3,342.87 | — | $1,544.00–$6,582.26 | 13% below | — |
| Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 Cor hlx vlgs dstl mtar osteo | $3,342.87 | — | $1,544.00–$6,582.26 | 13% below | — |
| Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 Correction of bunion | $3,342.87 | — | $1,544.00–$6,582.26 | 13% below | — |
| Bunion correction with removal of part of the big toe joint CPT 28292 Cor hlx vlgs rsc prx phlx bs | $3,342.87 | — | $1,342.00–$6,582.26 | 13% below | — |
| Bunion correction with removal of part of the big toe joint CPT 28292 Correction of bunion | $3,342.87 | — | $1,342.00–$6,582.26 | 13% below | — |
| Bunion correction with removal of part of the big toe joint CPT 28292 CORRECTION HALLUX VALGUS | $3,342.87 | — | $1,342.00–$6,582.26 | 13% below | — |
| Cardiac catheterization with coronary angiogram CPT 93458 L HRT ARTERY/VENTRICLE ANGIO | $3,312.15 | — | $2,181.89–$6,521.76 | 43% below | — |
| Cardiac catheterization with coronary angiogram CPT 93458 L hrt artery/ventricle angio | $3,312.15 | — | $2,181.89–$6,521.76 | 43% below | — |
| Cardiac catheterization with coronary angiogram one side CPT 93458 CATHETER PLACEMENT IN CORONARY ARTERY(S) FOR CORONARY ANGIOGRAPHY, INCLUDING INTRAPROCEDURAL INJECTION(S) FOR CORONARY ANGIOGRAPHY, IMAGING SUPERVISION AND INTERPRETATION; WITH LEFT HEART CATHETERIZATION INCLUDING INTRAPROCEDURAL INJECTION(S) FOR LEFT VEN | $3,312.15 | — | $2,181.89–$6,521.76 | 43% below | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HEART ELECTROCONVERSION | $675.26 | — | $123.94–$835.29 | 32% below | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion electric ext | $675.26 | — | $123.94–$835.29 | 32% below | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Ext Cardioversion - Elec | $675.26 | $2,080.00 | $506.00–$18,616.00 | 32% below | 68% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 92960-Cardioversion | $675.26 | $2,800.00 | $506.00–$25,060.00 | 32% below | 76% |
| Carpal tunnel release, open surgery CPT 64721 Carpal tunnel surgery | $1,995.02 | — | $1,342.00–$3,928.28 | 14% below | — |
| Carpal tunnel release, open surgery CPT 64721 CARPAL TUNNEL SURGERY | $1,995.02 | — | $1,342.00–$3,928.28 | 14% below | — |
| Cataract surgery with lens implant CPT 66984 Cataract surg w/iol, i stage | $2,357.81 | — | $2,167.00–$5,525.24 | 13% below | — |
| Cataract surgery with lens implant CPT 66984 Xcapsl ctrc rmvl w/o ecp | $2,357.81 | — | $2,167.00–$5,525.24 | 13% below | — |
| Cataract surgery with lens implant CPT 66984 XCAPSL CTRC RMVL W/O ECP | $2,357.81 | — | $2,167.00–$5,525.24 | 13% below | — |
| Catheter ablation for atrial fibrillation CPT 93656 Compre ep eval abltj atr fib | $26,703.99 | — | $1,173.95–$52,581.28 | 8% below | — |
| Catheter ablation for atrial fibrillation CPT 93656 TX ATRIAL FIB PULM VEIN ISOL | $26,703.99 | — | $1,173.95–$52,581.28 | 8% below | — |
| Catheter ablation for atrial fibrillation CPT 93656 COMPRE EP EVAL ABLTJ ATR FIB | $26,703.99 | — | $1,173.95–$52,581.28 | 8% below | — |
| Cervical biopsy CPT 57500 Biopsy of cervix | $941.00 | — | $110.23–$877.54 | 20% below | — |
| Cervical biopsy CPT 57500 BIOPSY OF CERVIX | $941.00 | — | $110.23–$877.54 | 20% below | — |
| Cervical biopsy CPT 57500 Biopsy of Cervix 57500 | $941.00 | $2,451.00 | $429.00–$1,852.87 | 20% below | 62% |
| Cesarean delivery, including prenatal and postpartum care CPT 59510 OBSTETRIC CARE/C-SECTION | $2,310.97 | — | $2,310.97–$2,937.60 | 4% below | — |
| Cesarean delivery, including prenatal and postpartum care CPT 59510 CESAREAN DELIVERY | $2,310.97 | — | $2,310.97–$2,937.60 | 4% below | — |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUM 28 DAYS OR OLDER | $2,135.66 | — | $1,201.75–$4,205.21 | 15% below | — |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 Circumcision | $2,135.66 | — | $1,201.75–$4,205.21 | 15% below | — |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 Circum 28 days or older | $2,135.66 | — | $1,201.75–$4,205.21 | 15% below | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION W/REGIONL BLOCK | $2,135.66 | — | $1,002.00–$4,205.21 | 140% above | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision w/regionl block | $2,135.66 | — | $1,002.00–$4,205.21 | 140% above | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision | $2,135.66 | — | $1,002.00–$4,205.21 | 140% above | — |
| Circumcision, surgical, older than a newborn CPT 54160 CIRCUMCISION NEONATE | $712.40 | — | $712.40–$2,703.94 | 25% below | — |
| Circumcision, surgical, older than a newborn CPT 54160 Circumcision | $712.40 | — | $712.40–$2,703.94 | 25% below | — |
| Circumcision, surgical, older than a newborn CPT 54160 Circumcision neonate | $712.40 | — | $712.40–$2,703.94 | 25% below | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 25600-Distal Radial w/o Manipulation | $252.01 | $1,104.00 | $239.41–$9,880.80 | 49% below | 77% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLOSED TREAT DISTAL RAD FRAC | $252.01 | — | $368.53–$796.89 | 49% below | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Cltx dst rdl fx/ephys sep wo | $252.01 | — | $368.53–$796.89 | 49% below | — |
| Colonoscopy with endoscopic ultrasound CPT 45391 Colonoscopy w/endoscope | $1,222.56 | — | $1,004.13–$2,407.27 | 12% below | — |
| Colonoscopy with endoscopic ultrasound CPT 45391 Colonoscopy w/endoscope us | $1,222.56 | — | $1,004.13–$2,407.27 | 12% below | — |
| Colonoscopy with endoscopic ultrasound CPT 45391 COLONOSCOPY W/ENDOSCOPE US | $1,222.56 | — | $1,004.13–$2,407.27 | 12% below | — |
| Colonoscopy with polyp removal CPT 45385 Colonoscopy w/lesion removal | $1,222.56 | — | $1,004.13–$2,407.27 | 1% below | — |
| Colonoscopy with polyp removal CPT 45385 Lesion removal colonoscopy | $1,222.56 | — | $1,004.13–$2,407.27 | 1% below | — |
| Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W/LESION REMOVAL | $1,222.56 | — | $1,004.13–$2,407.27 | 1% below | — |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY AND BIOPSY | $1,222.56 | — | $1,004.13–$2,407.27 | 13% above | — |
| Colonoscopy with tissue sample CPT 45380 Colonoscopy and biopsy | $1,222.56 | — | $1,004.13–$2,407.27 | 13% above | — |
| Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC COLONOSCOPY | $950.10 | — | $950.10–$2,259.29 | 14% below | — |
| Colonoscopy, diagnostic CPT 45378 Diagnostic colonoscopy | $950.10 | — | $950.10–$2,259.29 | 14% below | — |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 Bx of cervix w/scope leep | $3,307.24 | — | $1,342.00–$6,512.09 | 12% below | — |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 Colposcopy (vaginoscopy); with loop electrode excision procedure of the cervix | $3,307.24 | — | $1,342.00–$6,512.09 | 12% below | — |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 BX OF CERVIX W/SCOPE LEEP | $3,307.24 | — | $1,342.00–$6,512.09 | 12% below | — |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 VAGINA EXAMINATION & BIOPSY | $311.33 | — | $196.34–$877.54 | 21% below | — |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Colposcopy of the cervix including upper/adjacent vagina, with biopsy(s) of the cervix and endocervi | $311.33 | $1,564.00 | $295.76–$1,716.93 | 21% below | 80% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Bx/curett of cervix w/scope | $311.33 | — | $196.34–$877.54 | 21% below | — |
| Complex cataract surgery with lens implant CPT 66982 Xcapsl ctrc rmvl cplx wo ecp | $2,357.81 | — | $2,167.00–$5,525.24 | 13% below | — |
| Complex cataract surgery with lens implant CPT 66982 Cataract surgery, complex | $2,357.81 | — | $2,167.00–$5,525.24 | 13% below | — |
| Complex cataract surgery with lens implant CPT 66982 XCAPSL CTRC RMVL CPLX WO ECP | $2,357.81 | — | $2,167.00–$5,525.24 | 13% below | — |
| Coronary stent placement, one artery CPT 92928 Prq tcat plmt ntrac st 1 les | $11,794.23 | — | $2,880.00–$23,223.33 | 15% below | — |
| Coronary stent placement, one artery CPT 92928 PRQ CARD STENT W/ANGIO 1 VSL | $11,794.23 | — | $2,880.00–$23,223.33 | 15% below | — |
| Coronary stent placement, one artery CPT 92928 Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch | $11,794.23 | — | $2,880.00–$23,223.33 | 15% below | — |
| Cystoscopy with ureteral stent placement CPT 52332 CYSTOSCOPY AND TREATMENT | $3,601.33 | — | $1,342.00–$7,091.17 | 12% below | — |
| Cystoscopy with ureteral stent placement CPT 52332 Cystoscopy and treatment | $3,601.33 | — | $1,342.00–$7,091.17 | 12% below | — |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOSCOPY | $712.40 | — | $712.40–$4,448.84 | 48% below | — |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystoscopy | $712.40 | — | $712.40–$4,448.84 | 48% below | — |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystourethroscopy | $712.40 | — | $712.40–$4,448.84 | 48% below | — |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION AND CURETTAGE | $3,307.24 | — | $1,342.00–$6,512.09 | 6% below | — |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 Dilation and curettage | $3,307.24 | — | $1,342.00–$6,512.09 | 6% below | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruction Method (Without Surgical Curettage) 17000 | $204.98 | $606.00 | $194.73–$1,114.00 | 13% below | 66% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCTION (EG, LASER SURG) | $204.98 | — | $53.77–$558.12 | 13% below | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruct premalg lesion | $204.98 | — | $53.77–$558.12 | 13% below | — |
| Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 Create eardrum opening | $1,585.19 | — | $1,544.00–$3,477.67 | 10% below | — |
| Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 CREATE EARDRUM OPENING | $1,585.19 | — | $1,544.00–$3,477.67 | 10% below | — |
| Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 Create eardrum opening | $551.01 | — | $269.52–$1,716.00 | 36% below | — |
| Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 Tympanostomy (requiring insertion of ventilating tube), local or topical anesthesia | $551.01 | — | $269.52–$1,716.00 | 36% below | — |
| Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 CREATE EARDRUM OPENING | $551.01 | — | $269.52–$1,716.00 | 36% below | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 69209-Cerumen Irrigation/Lavage | $60.27 | $210.87 | $36.16–$1,887.29 | 40% below | 71% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI | $60.27 | — | $13.93–$15.24 | 40% below | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 Ear Irrigation 69209 | $60.27 | $245.00 | $36.16–$1,114.00 | 40% below | 75% |
| Earwax removal with instruments, one ear CPT 69210 Remove impacted ear wax- 69210 | $60.27 | $385.00 | $36.16–$1,114.00 | 52% below | 84% |
| Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX | $60.27 | — | $34.92–$38.21 | 52% below | — |
| Earwax removal with instruments, one ear CPT 69210 69210-Cerumen w/ Instrumentation | $60.27 | $361.00 | $36.16–$3,230.95 | 52% below | 83% |
| Earwax removal with instruments, one ear one side CPT 69210 Removal impacted ceumen requiring instrumentation, unilateral 69210 | $60.27 | $385.00 | $36.16–$1,114.00 | 52% below | 84% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Biopsy of uterus lining | $206.55 | — | $126.77–$877.54 | 53% below | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 ENDOMETRIAL SAMPLING BIOPSY | $206.55 | — | $126.77–$877.54 | 53% below | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Endometrial sampling with or without endocervical sampling, without cervical dilation, any method 58 | $206.55 | $1,372.00 | $196.22–$1,716.93 | 53% below | 85% |
| Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 Removal of ethmoid sinus | $7,210.32 | — | $2,167.00–$14,197.43 | 5% below | — |
| Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 Nsl/sins ndsc w/tot ethmdct | $7,210.32 | — | $2,167.00–$14,197.43 | 5% below | — |
| Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 NSL/SINS NDSC W/TOT ETHMDCT | $7,210.32 | — | $2,167.00–$14,197.43 | 5% below | — |
| Endoscopic sinus surgery: opening the frontal sinus CPT 31276 Nsl/sins ndsc frnt tiss rmvl | $7,210.32 | — | $553.86–$14,197.43 | 7% below | — |
| Endoscopic sinus surgery: opening the frontal sinus CPT 31276 NSL/SINS NDSC FRNT TISS RMVL | $7,210.32 | — | $553.86–$14,197.43 | 7% below | — |
| Endoscopic sinus surgery: opening the frontal sinus CPT 31276 Sinus endoscopy, surgical | $7,210.32 | — | $553.86–$14,197.43 | 7% below | — |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 EXPLORATION MAXILLARY SINUS | $3,809.10 | — | $1,544.00–$7,500.28 | 13% below | — |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 Exploration maxillary sinus | $3,809.10 | — | $1,544.00–$7,500.28 | 13% below | — |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 ENDOSCOPY MAXILLARY SINUS | $7,210.32 | — | $553.86–$14,197.43 | 7% below | — |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 Endoscopy maxillary sinus | $7,210.32 | — | $553.86–$14,197.43 | 7% below | — |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 Endoscopy, maxillary sinus | $7,210.32 | — | $553.86–$14,197.43 | 7% below | — |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, cervical or thoracic; with imaging guidance (ie, fluoroscopy o | $721.17 | — | $721.17–$1,692.11 | 21% below | — |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Njx interlaminar crv/thrc | $721.17 | — | $721.17–$1,692.11 | 21% below | — |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 NJX INTERLAMINAR CRV/THRC | $721.17 | — | $721.17–$1,692.11 | 21% below | — |
| Eye injection into the vitreous (intravitreal injection) CPT 67028 Intravitreal injection of a pharmacologic agent (separate procedure) | $337.46 | — | $337.46–$1,114.00 | 53% below | — |
| Eye injection into the vitreous (intravitreal injection) CPT 67028 Injection eye drug | $337.46 | — | $337.46–$1,114.00 | 53% below | — |
| Eye injection into the vitreous (intravitreal injection) CPT 67028 INJECTION EYE DRUG | $337.46 | — | $337.46–$1,114.00 | 53% below | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Inj paravert f jnt l/s 1 lev | $903.63 | — | $752.05–$1,779.28 | 50% below | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJECTION(S), DIAGNOSTIC OR THERAPEUTIC AGENT, PARAVERTEBRAL FACET (ZYGAPOPHYSEAL) JOINT (OR NERVES INNERVATING THAT JOINT) WITH IMAGE GUIDANCE (FLUOROSCOPY OR CT), LUMBAR OR SACRAL; SINGLE LEVEL | $903.63 | — | $752.05–$1,779.28 | 50% below | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L/S 1 LEV | $903.63 | — | $752.05–$1,779.28 | 50% below | — |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, reducible | $6,614.04 | — | $1,909.00–$13,023.32 | 10% below | — |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 Rpr aa hrn 1st 3-10 rdc | $6,614.04 | — | $1,909.00–$13,023.32 | 10% below | — |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 Outpatient APC | $6,614.04 | — | $1,909.00–$13,023.32 | 10% below | — |
| First repair of a front abdominal hernia larger than 10 cm CPT 49595 Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); greater than 10 cm, reducible | $6,614.04 | — | $1,909.00–$13,023.32 | 10% below | — |
| First repair of a front abdominal hernia larger than 10 cm CPT 49595 Rpr aa hrn 1st > 10 rdc | $6,614.04 | — | $1,909.00–$13,023.32 | 10% below | — |
| First repair of a front abdominal hernia larger than 10 cm CPT 49595 Outpatient APC | $6,614.04 | — | $1,909.00–$13,023.32 | 10% below | — |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 Rpr aa hrn 1st < 3 cm rdc | $3,657.95 | — | $1,909.00–$7,202.66 | 12% below | — |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, reducible | $3,657.95 | — | $1,909.00–$7,202.66 | 12% below | — |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 Outpatient APC | $3,657.95 | — | $1,909.00–$7,202.66 | 12% below | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Sigmoidoscopy, flexible; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) | $950.10 | — | $950.10–$2,259.29 | 12% below | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DIAGNOSTIC SIGMOIDOSCOPY | $950.10 | — | $950.10–$2,259.29 | 12% below | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Diagnostic sigmoidoscopy | $950.10 | — | $950.10–$2,259.29 | 12% below | — |
| Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY | $6,176.47 | — | $2,167.00–$12,161.74 | 202% above | — |
| Gallbladder removal, laparoscopic CPT 47562 Laparoscopic cholecystectomy | $6,176.47 | — | $2,167.00–$12,161.74 | 202% above | — |
| Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY | $6,176.47 | — | $2,167.00–$12,161.74 | 202% above | — |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 Laparo cholecystectomy/graph | $6,176.47 | — | $2,167.00–$12,161.74 | 6% below | — |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAPARO CHOLECYSTECTOMY/GRAPH | $6,176.47 | — | $2,167.00–$12,161.74 | 6% below | — |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY WITH CHOLANGIOGRAPHY | $6,176.47 | — | $2,167.00–$12,161.74 | 6% below | — |
| Gallbladder removal, open surgery through a larger incision CPT 47600 Cholecystectomy; | $952.43 | — | $952.43–$6,191.24 | 13% below | — |
| Gallbladder removal, open surgery through a larger incision CPT 47600 Cholecystectomy | $952.43 | — | $952.43–$6,191.24 | 13% below | — |
| Gallbladder removal, open surgery through a larger incision CPT 47600 REMOVAL OF GALLBLADDER | $952.43 | — | $952.43–$6,191.24 | 13% below | — |
| Hammertoe correction surgery CPT 28285 Repair of hammertoe | $3,342.87 | — | $1,544.00–$6,582.26 | 13% below | — |
| Hammertoe correction surgery CPT 28285 REPAIR OF HAMMERTOE | $3,342.87 | — | $1,544.00–$6,582.26 | 13% below | — |
| Hemorrhoid banding (rubber band ligation) CPT 46221 Hemorrhoidectomy, by simple ligature (eg, rubber band) | $950.10 | — | $950.10–$3,076.16 | 12% below | — |
| Hemorrhoid banding (rubber band ligation) CPT 46221 LIGATION OF HEMORRHOID(S) | $950.10 | — | $950.10–$3,076.16 | 12% below | — |
| Hemorrhoid banding (rubber band ligation) CPT 46221 Ligation of hemorrhoid(s) | $950.10 | — | $950.10–$3,076.16 | 12% below | — |
| Hemorrhoidectomy (internal and external), one area CPT 46255 REMOVE INT/EXT HEM 1 GROUP | $2,835.78 | — | $1,544.00–$5,583.76 | 13% below | — |
| Hemorrhoidectomy (internal and external), one area CPT 46255 Remove int/ext hem 1 group | $2,835.78 | — | $1,544.00–$5,583.76 | 13% below | — |
| Hemorrhoidectomy (internal and external), one area CPT 46255 Hemorrhoidectomy | $2,835.78 | — | $1,544.00–$5,583.76 | 13% below | — |
| Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 TOTAL HIP ARTHROPLASTY | $13,116.76 | — | $2,440.00–$25,827.46 | 360% above | — |
| Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 Total hip arthroplasty | $13,116.76 | — | $2,440.00–$25,827.46 | 360% above | — |
| Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 CONVERSION OF PREVIOUS HIP SURGERY TO TOTAL HIP ARTHROPLASTY, WITH OR WITHOUT AUTOGRAFT OR ALLOGRAFT | $13,116.76 | — | $2,440.00–$25,827.46 | 360% above | — |
| Hysterectomy through an abdominal incision (total) CPT 58150 Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); | $886.62 | — | $886.62–$5,566.70 | 58% below | — |
| Hysterectomy through an abdominal incision (total) CPT 58150 TOTAL HYSTERECTOMY | $886.62 | — | $886.62–$5,566.70 | 58% below | — |
| Hysterectomy through an abdominal incision (total) CPT 58150 Total hysterectomy | $886.62 | — | $886.62–$5,566.70 | 58% below | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Catheter for hysterography | $225.25 | — | $84.52–$745.27 | 12% below | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 CATH&INTRO SALINE/CONTRAST S | $225.25 | — | $84.52–$745.27 | 12% below | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 58340 CATH & INT SALINE HYSTERO | $225.25 | $299.00 | $58.28–$1,458.14 | 12% below | 25% |
| Hysteroscopy with endometrial ablation CPT 58563 HYSTEROSCOPY ABLATION | $5,110.80 | — | $1,719.28–$10,063.39 | 13% below | — |
| Hysteroscopy with endometrial ablation CPT 58563 Hysteroscopy ablation | $5,110.80 | — | $1,719.28–$10,063.39 | 13% below | — |
| Hysteroscopy with endometrial ablation CPT 58563 Hysteroscopy, ablation | $5,110.80 | — | $1,719.28–$10,063.39 | 13% below | — |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 Hysteroscopy, biopsy | $3,307.24 | — | $1,544.00–$6,512.09 | 33% below | — |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 Hysteroscopy biopsy | $3,307.24 | — | $1,544.00–$6,512.09 | 33% below | — |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTEROSCOPY BIOPSY | $3,307.24 | — | $1,544.00–$6,512.09 | 33% below | — |
| IUD insertion (the device itself billed separately) CPT 58300 Insert intrauterine device | $101.00 | — | $101.00–$1,114.00 | 59% below | — |
| IUD insertion (the device itself billed separately) CPT 58300 Insertion of intrauterine device (IUD) | $101.00 | — | $101.00–$1,114.00 | 59% below | — |
| IUD insertion (the device itself billed separately) CPT 58300 INSERT INTRAUTERINE DEVICE | $101.00 | — | $101.00–$1,114.00 | 59% below | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 Incision and drainage of abscess, simple of single 10060 | $204.98 | $1,453.00 | $194.73–$1,114.00 | 44% below | 86% |
| Incision and drainage of a simple or single skin abscess CPT 10060 DRAINAGE OF SKIN ABSCESS | $204.98 | — | $96.62–$558.12 | 44% below | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 10060-I&D Abscess/Cyst/Hematoma Simple | $204.98 | $1,217.00 | $194.73–$10,892.15 | 44% below | 83% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I & D SIMPLE | $204.98 | $1,493.00 | $194.73–$3,356.00 | 44% below | 86% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&d abscess simple/single | $204.98 | — | $96.62–$558.12 | 44% below | — |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Prp i/hern init reduc >5 yr | $3,657.95 | — | $1,909.00–$7,202.66 | 7% below | — |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 PRP I/HERN INIT REDUC >5 YR | $3,657.95 | — | $1,909.00–$7,202.66 | 7% below | — |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Rpr i/hern init reduc>5 yr | $3,657.95 | — | $1,909.00–$7,202.66 | 7% below | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Njx 1 tendon sheath/ligament | $313.60 | — | $49.06–$520.15 | 23% below | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Injection(s); Single Tendon Sheath, Or Ligament Aponeurosis 20550 | $313.60 | $2,107.00 | $297.92–$1,474.90 | 23% below | 85% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECTION; 1 TENDON SHEATH/L | $313.60 | — | $49.06–$520.15 | 23% below | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Injection(s), single tendon sheath, or ligament, aponeurosis 20550 | $313.60 | $2,107.00 | $297.92–$1,474.90 | 23% below | 85% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610-Major Joint Aspirate/Inject w/o US | $313.60 | $1,335.00 | $297.92–$11,948.25 | 14% below | 77% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocentesis, aspiration and/or injection, major joint or bursa, without ultrasound guidance 20610 | $313.60 | $1,185.00 | $297.92–$1,114.00 | 14% below | 74% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610 Injection Major Joint | $313.60 | $1,459.00 | $297.92–$1,114.00 | 14% below | 79% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ JOINT/BURSA W/O U | $313.60 | — | $54.57–$520.15 | 14% below | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Drain/inj joint/bursa w/o us | $313.60 | — | $54.57–$520.15 | 14% below | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 XR Arthrogram Injection Hip Right | $313.60 | $494.00 | $297.92–$1,114.00 | 14% below | 37% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERTION, NON-BIODEGRADABLE DRUG DELIVERY IMPLANT | $135.93 | — | $135.93–$1,114.00 | 49% below | — |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insertion drug dlvr implant | $135.93 | — | $135.93–$1,114.00 | 49% below | — |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERTION DRUG DLVR IMPLANT | $135.93 | — | $135.93–$1,114.00 | 49% below | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ JOINT/BURSA W/O U | $313.60 | — | $43.70–$520.15 | 10% below | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605-Intermediate Aspiration/Inj w/o US | $313.60 | $1,285.00 | $297.92–$11,500.75 | 10% below | 76% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ASPIRATE/INJECT INTERMED JOINT | $313.60 | $2,245.00 | $297.92–$1,571.50 | 10% below | 86% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arthrocentesis, aspiration and/or injection, intermediate joint or bursa, without ultrasound guidanc | $313.60 | $2,363.00 | $297.92–$1,654.10 | 10% below | 87% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Drain/inj joint/bursa w/o us | $313.60 | — | $43.70–$520.15 | 10% below | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Arthrocentesis, aspiration and/or injection, small joint or bursa, without ultrasound guidance 20600 | $313.60 | $2,363.00 | $297.92–$1,654.10 | 10% below | 87% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ASPIRATE/INJECT SMALL JOINT | $313.60 | $2,245.00 | $297.92–$1,571.50 | 10% below | 86% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 20600 ARTHROCENTESIS SMALL JT | $313.60 | $1,757.00 | $297.92–$1,229.90 | 10% below | 82% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 20600-Small Joint Aspirate/Inject w/o US | $313.60 | $1,285.00 | $297.92–$11,500.75 | 10% below | 76% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Drain/inj joint/bursa w/o us | $313.60 | — | $41.48–$520.15 | 10% below | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJ JOINT/BURSA W/O U | $313.60 | — | $41.48–$520.15 | 10% below | — |
| Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 KNEE ARTHROSCOPY/SURGERY | $3,342.87 | — | $1,544.00–$6,582.26 | 43% above | — |
| Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 Knee arthroscopy/surgery | $3,342.87 | — | $1,544.00–$6,582.26 | 43% above | — |
| Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 Arthrs kne srg mnisc rpr m/l | $3,342.87 | — | $1,544.00–$6,582.26 | 43% above | — |
| Knee arthroscopy with meniscus trim CPT 29881 KNEE ARTHROSCOPY/SURGERY | $3,342.87 | — | $1,909.00–$6,582.26 | 13% below | — |
| Knee arthroscopy with meniscus trim CPT 29881 Knee arthroscopy/surgery | $3,342.87 | — | $1,909.00–$6,582.26 | 13% below | — |
| Knee arthroscopy with meniscus trim CPT 29881 Arthrs kne srg mnisectmy m/l | $3,342.87 | — | $1,909.00–$6,582.26 | 13% below | — |
| Knee arthroscopy with removal of both torn meniscus parts CPT 29880 Arthrs kne srg mnisectmy m&l | $3,342.87 | — | $1,909.00–$6,582.26 | 92% above | — |
| Knee arthroscopy with removal of both torn meniscus parts CPT 29880 Knee arthroscopy/surgery | $3,342.87 | — | $1,909.00–$6,582.26 | 92% above | — |
| Knee arthroscopy with removal of both torn meniscus parts CPT 29880 KNEE ARTHROSCOPY/SURGERY | $3,342.87 | — | $1,909.00–$6,582.26 | 92% above | — |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 Arthrs knee surg dbrdmt/shvg | $3,342.87 | — | $1,909.00–$6,582.26 | 105% above | — |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 Knee arthroscopy/surgery | $3,342.87 | — | $1,909.00–$6,582.26 | 105% above | — |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 KNEE ARTHROSCOPY/SURGERY | $3,342.87 | — | $1,909.00–$6,582.26 | 105% above | — |
| Laparoscopic Roux-en-Y gastric bypass, standard limb length CPT 43644 LAP GASTRIC BYPASS/ROUX-EN-Y | $1,522.21 | — | $1,522.21–$6,782.67 | 55% below | — |
| Laparoscopic Roux-en-Y gastric bypass, standard limb length CPT 43644 LAPAROSCOPY, SURGICAL | $1,522.21 | — | $1,522.21–$6,782.67 | 55% below | — |
| Laparoscopic Roux-en-Y gastric bypass, standard limb length CPT 43644 Lap gastric bypass/roux-en-y | $1,522.21 | — | $1,522.21–$6,782.67 | 55% below | — |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPAROSCOPY, SURGICAL, APPENDECTOMY | $6,176.47 | — | $1,544.00–$12,161.74 | 71% above | — |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 Laparoscopy appendectomy | $6,176.47 | — | $1,544.00–$12,161.74 | 71% above | — |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPAROSCOPY APPENDECTOMY | $6,176.47 | — | $1,544.00–$12,161.74 | 71% above | — |
| Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 LAPAROSCOPY, SURGICAL, ESOPHAGOGASTRIC FUNDOPLASTY (EG, NISSEN, TOUPET PROCEDURES) | $10,860.07 | — | $2,167.00–$21,383.95 | 233% above | — |
| Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 LAPAROSCOPY FUNDOPLASTY | $10,860.07 | — | $2,167.00–$21,383.95 | 233% above | — |
| Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 Laparoscopy fundoplasty | $10,860.07 | — | $2,167.00–$21,383.95 | 233% above | — |
| Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 Tlh uterus 250 g or less | $10,860.07 | — | $2,440.00–$21,383.95 | 111% above | — |
| Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 TLH UTERUS 250 G OR LESS | $10,860.07 | — | $2,440.00–$21,383.95 | 111% above | — |
| Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 TLH, UTERUS 250 G OR LESS | $10,860.07 | — | $2,440.00–$21,383.95 | 111% above | — |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 Tlh w/t/o 250 g or less | $10,860.07 | — | $2,440.00–$21,383.95 | 86% above | — |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 TLH W/T/O 250 G OR LESS | $10,860.07 | — | $2,440.00–$21,383.95 | 86% above | — |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 Laparo hernia repair initial | $6,176.47 | — | $1,909.00–$12,161.74 | 373% above | — |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 Lap ing hernia repair init | $6,176.47 | — | $1,909.00–$12,161.74 | 373% above | — |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 LAP ING HERNIA REPAIR INIT | $6,176.47 | — | $1,909.00–$12,161.74 | 373% above | — |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 Lap ing hernia repair recur | $6,176.47 | — | $2,508.03–$12,161.74 | 11% below | — |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 LAP ING HERNIA REPAIR RECUR | $6,176.47 | — | $2,508.03–$12,161.74 | 11% below | — |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 Laparo hernia repair recur | $6,176.47 | — | $2,508.03–$12,161.74 | 11% below | — |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAPAROSCOPY REMOVE ADNEXA | $6,176.47 | — | $2,097.12–$12,161.74 | 114% above | — |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 Laparoscopy, remove adnexa | $6,176.47 | — | $2,097.12–$12,161.74 | 114% above | — |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 Laparoscopy remove adnexa | $6,176.47 | — | $2,097.12–$12,161.74 | 114% above | — |
| Laparoscopic sleeve gastrectomy for weight loss CPT 43775 Lap sleeve gastrectomy | $939.81 | — | $939.81–$4,888.26 | 76% below | — |
| Laparoscopic sleeve gastrectomy for weight loss CPT 43775 LAP SLEEVE GASTRECTOMY | $939.81 | — | $939.81–$4,888.26 | 76% below | — |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 After cataract laser surgery | $561.91 | — | $561.91–$4,421.90 | 14% below | — |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 AFTER CATARACT LASER SURGERY | $561.91 | — | $561.91–$4,421.90 | 14% below | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 12031-Scalp/Trunk/Extremity Less Than/Equal to 2.5 cm | $415.32 | $1,860.00 | $394.55–$16,647.00 | 25% below | 78% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Intmd rpr s/a/t/ext 2.5 cm/< | $415.32 | — | $155.35–$1,053.89 | 25% below | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTMD WND REPAIR S/TR/EXT | $415.32 | — | $155.35–$1,053.89 | 25% below | — |
| Left heart catheterization, diagnostic one side CPT 93452 Left hrt cath w/ventrclgrphy | $3,312.15 | — | $2,181.89–$6,521.76 | 46% below | — |
| Left heart catheterization, diagnostic one side CPT 93452 LEFT HEART CATHETERIZATION INCLUDING INTRAPROCEDURAL INJECTION(S) FOR LEFT VENTRICULOGRAPHY, IMAGING SUPERVISION AND INTERPRETATION, WHEN PERFORMED | $3,312.15 | — | $2,181.89–$6,521.76 | 46% below | — |
| Left heart catheterization, diagnostic one side CPT 93452 LEFT HRT CATH W/VENTRCLGRPHY | $3,312.15 | — | $2,181.89–$6,521.76 | 46% below | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 Njx interlaminar lmbr/sac | $721.17 | — | $721.17–$1,692.11 | 48% below | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, lumbar or sacral (caudal); with imaging guidance (ie, fluorosc | $721.17 | — | $721.17–$1,692.11 | 48% below | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC | $721.17 | — | $721.17–$1,692.11 | 48% below | — |
| Lower-back epidural injection, without imaging guidance CPT 62322 Njx interlaminar lmbr/sac | $903.63 | — | $752.05–$1,779.28 | 20% below | — |
| Lower-back epidural injection, without imaging guidance CPT 62322 NJX INTERLAMINAR LMBR/SAC | $903.63 | — | $752.05–$1,779.28 | 20% below | — |
| Lower-back epidural injection, without imaging guidance CPT 62322 Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, lumbar or sacral (caudal); without imaging guidance | $903.63 | — | $752.05–$1,779.28 | 20% below | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Njx aa&/strd tfrm epi l/s 1 | $903.63 | — | $752.05–$1,779.28 | 29% below | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Inj foramen epidural l/s | $903.63 | — | $752.05–$1,779.28 | 29% below | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 NJX AA&/STRD TFRM EPI L/S 1 | $903.63 | — | $752.05–$1,779.28 | 29% below | — |
| Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 LOW BACK DISK SURGERY | $7,413.38 | — | $2,167.00–$14,597.26 | 12% below | — |
| Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disk; one interspace, lumbar | $7,413.38 | — | $2,167.00–$14,597.26 | 12% below | — |
| Lumbar discectomy or laminotomy to free a nerve root, one level one side CPT 63030 Lamot dcmprn nrv rt 1 lmbr | $7,413.38 | — | $2,167.00–$14,597.26 | 12% below | — |
| Lumbar laminectomy (spinal decompression), one level both sides CPT 63047 Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root(s), (eg, spinal or lateral recess stenosis)), single vertebral segment; lumbar | $7,413.38 | — | $2,167.00–$14,597.26 | — | — |
| Lumbar laminectomy (spinal decompression), one level CPT 63047 Lam facetec & foramot lumbar | $7,413.38 | — | $2,167.00–$14,597.26 | 12% below | — |
| Lumbar laminectomy (spinal decompression), one level CPT 63047 LAM FACETEC & FORAMOT LUMBAR | $7,413.38 | — | $2,167.00–$14,597.26 | 12% below | — |
| Lumbar spinal fusion (posterior), one level CPT 22612 ARTHRD PST TQ 1NTRSPC LUMBAR | $17,913.59 | — | $2,440.00–$35,272.62 | 219% above | — |
| Lumbar spinal fusion (posterior), one level CPT 22612 Arthrd pst tq 1ntrspc lumbar | $17,913.59 | — | $2,440.00–$35,272.62 | 219% above | — |
| Lumbar spinal fusion (posterior), one level CPT 22612 ARTHRODESIS, POSTERIOR OR POSTEROLATERAL TECHNIQUE, SINGLE LEVEL ; LUMBAR (WITH LATERAL TRANSVERSE TECHNIQUE, WHEN PERFORMED) | $17,913.59 | — | $2,440.00–$35,272.62 | 219% above | — |
| Lumpectomy (partial mastectomy) CPT 19301 PARTIAL MASTECTOMY | $4,000.24 | — | $1,544.00–$7,876.64 | 165% above | — |
| Lumpectomy (partial mastectomy) CPT 19301 Partial mastectomy | $4,000.24 | — | $1,544.00–$7,876.64 | 165% above | — |
| Lumpectomy (partial mastectomy) CPT 19301 Partical mastectomy | $4,000.24 | — | $1,544.00–$7,876.64 | 165% above | — |
| Mastectomy (total removal of the breast) CPT 19303 MAST SIMPLE COMPLETE | $6,783.99 | — | $1,909.00–$13,357.96 | 210% above | — |
| Mastectomy (total removal of the breast) CPT 19303 Mast simple complete | $6,783.99 | — | $1,909.00–$13,357.96 | 210% above | — |
| Mastectomy (total removal of the breast) CPT 19303 Mast, simple, complete | $6,783.99 | — | $1,909.00–$13,357.96 | 210% above | — |
| Miscarriage treatment with D&C, first trimester CPT 59820 CARE OF MISCARRIAGE | $3,307.24 | — | $988.39–$6,512.09 | 13% below | — |
| Miscarriage treatment with D&C, first trimester CPT 59820 Care of miscarriage | $3,307.24 | — | $988.39–$6,512.09 | 13% below | — |
| Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals CPT 17311 Mohs 1 stage h/n/hf/g | $755.08 | — | $755.08–$3,454.65 | 14% below | — |
| Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals CPT 17311 MOHS 1 STAGE H/N/HF/G | $755.08 | — | $755.08–$3,454.65 | 14% below | — |
| Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals CPT 17311 "Mohs, 1 stage, h/n/hf/g" | $755.08 | — | $755.08–$3,454.65 | 14% below | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc tr-ext b9+marg 0.5 cm< | $723.47 | — | $80.98–$964.49 | 17% below | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 11400-Excision Lesion Benign Trunk/Extremity <= 0.5 cm | $723.47 | $705.36 | $493.75–$6,312.97 | 17% below | -3% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc Tr-Ext B9+Marg 0.5 < Cm 11400 | $723.47 | $3,245.00 | $429.00–$2,271.50 | 17% below | 78% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 REMOVAL OF SKIN LESION | $723.47 | — | $80.98–$964.49 | 17% below | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 REMOVAL OF SKIN LESION | $723.47 | — | $103.65–$964.49 | 20% below | — |
| 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/< | $723.47 | — | $103.65–$964.49 | 20% below | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 11440-Excise Lesion Benign Face Less Than/Equal to 0.5 cm | $723.47 | $2,497.68 | $618.00–$22,354.24 | 20% below | 71% |
| Nail removal (partial or complete), one nail CPT 11730 Avulsion of nail plate, partial or complete, simple, single 11730 | $204.98 | $1,273.00 | $194.73–$1,114.00 | 28% below | 84% |
| Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE | $204.98 | — | $47.79–$254.32 | 28% below | — |
| Nail removal (partial or complete), one nail CPT 11730 Avulsion nail plate simple 1 | $204.98 | — | $47.79–$254.32 | 28% below | — |
| Nail removal (partial or complete), one nail CPT 11730 11730-Avulsion Nail Plate Single | $204.98 | $933.00 | $194.73–$8,350.35 | 28% below | 78% |
| Nail removal (partial or complete), one nail CPT 11730 REMOVE NAIL PLATE | $204.98 | $1,489.00 | $194.73–$1,114.00 | 28% below | 86% |
| Occipital nerve block (injection for headaches) CPT 64405 Njx aa&/strd gr ocpl nrv | $313.60 | — | $87.45–$744.61 | 20% below | — |
| Occipital nerve block (injection for headaches) CPT 64405 64405-Inject Nerve Block Great Occipital | $313.60 | $873.25 | $297.92–$7,815.59 | 20% below | 64% |
| Occipital nerve block (injection for headaches) CPT 64405 NJX AA&/STRD GR OCPL NRV | $313.60 | — | $87.45–$744.61 | 20% below | — |
| Pacemaker implant (dual chamber) CPT 33208 INSRT HEART PM ATRIAL & VENT | $10,678.38 | — | $3,012.00–$21,026.18 | 14% below | — |
| Pacemaker implant (dual chamber) CPT 33208 INSERTION OF NEW OR REPLACEMENT OF PERMANENT PACEMAKER WITH TRANSVENOUS ELECTRODE(S); ATRIAL AND VENTRICULAR | $10,678.38 | — | $3,012.00–$21,026.18 | 14% below | — |
| Pacemaker implant (dual chamber) CPT 33208 Insrt heart pm atrial & vent | $10,678.38 | — | $3,012.00–$21,026.18 | 14% below | — |
| Paracentesis with imaging guidance CPT 49083 US Paracentesis | $926.63 | $3,328.00 | $104.95–$2,329.60 | 25% below | 72% |
| Paracentesis with imaging guidance CPT 49083 Abd paracentesis w/imaging | $926.63 | — | $144.13–$929.12 | 25% below | — |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING | $926.63 | — | $144.13–$929.12 | 25% below | — |
| Paracentesis with imaging guidance CPT 49083 IR Paracentesis | $926.63 | $1,848.00 | $104.95–$1,824.57 | 25% below | 50% |
| Partial knee replacement (one compartment) CPT 27446 Revision of knee joint | $13,116.76 | — | $2,167.00–$25,827.46 | 40% above | — |
| Partial knee replacement (one compartment) CPT 27446 ARTHROPLASTY KNEE CONDYLE AND PLATEAU MEDIAL OR LATERAL COMPARTMENT (SSO) | $13,116.76 | — | $2,167.00–$25,827.46 | 40% above | — |
| Partial knee replacement (one compartment) CPT 27446 REVISION OF KNEE JOINT | $13,116.76 | — | $2,167.00–$25,827.46 | 40% above | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 11750-Excision Nail & Matrix | $415.32 | $2,022.00 | $394.55–$18,096.90 | 28% below | 79% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Excision of nail and nail matrix, partial or complete, for permanent removal 11750 | $415.32 | $3,882.00 | $394.55–$2,717.40 | 28% below | 89% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED | $415.32 | — | $134.44–$964.49 | 28% below | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Excision nail&nail matrix | $415.32 | — | $134.44–$964.49 | 28% below | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 PERMANENT NAIL REMOVAL | $415.32 | $2,845.00 | $394.55–$3,356.00 | 28% below | 85% |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 LAPAROSCOPY, SURGICAL PROSTATECTOMY, RETROPUBIC RADICAL, INCLUDING NERVE SPARING, INCLUDES ROBOTIC ASSISTANCE, WHEN PERFORMED | $10,860.07 | — | $2,167.00–$21,383.95 | 12% below | — |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 LAPARO RADICAL PROSTATECTOMY | $10,860.07 | — | $2,167.00–$21,383.95 | 12% below | — |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 Laps surg prst8ect rpbic rad | $10,860.07 | — | $2,167.00–$21,383.95 | 12% below | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Destroy lumb/sac facet jnt | $1,995.02 | — | $754.48–$3,928.28 | 14% below | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTROY LUMB/SAC FACET JNT | $1,995.02 | — | $754.48–$3,928.28 | 14% below | — |
| Removal of a breast lump, open surgery CPT 19120 REMOVAL OF BREAST LESION | $4,000.24 | — | $1,544.00–$7,876.64 | 7% below | — |
| Removal of a breast lump, open surgery CPT 19120 Removal of breast lesion | $4,000.24 | — | $1,544.00–$7,876.64 | 7% below | — |
| Removal of a foreign object under the skin, simple CPT 10120 Incision and removal of foreign body, subcutaneous tissues, simple 10120 | $415.32 | $2,015.00 | $394.55–$1,410.50 | 25% below | 79% |
| Removal of a foreign object under the skin, simple CPT 10120 10120-Subcutaneous Tissue Simple | $415.32 | $1,747.00 | $394.55–$15,635.65 | 25% below | 76% |
| Removal of a foreign object under the skin, simple CPT 10120 REMOVE FOREIGN BODY SIMPLE | $415.32 | $1,493.00 | $394.55–$3,356.00 | 25% below | 72% |
| Removal of a foreign object under the skin, simple CPT 10120 REMOVE FOREIGN BODY | $415.32 | — | $103.59–$558.12 | 25% below | — |
| Removal of a foreign object under the skin, simple CPT 10120 Inc&rmvl fb subq tiss smpl | $415.32 | — | $103.59–$558.12 | 25% below | — |
| Removal of one lobe of the thyroid (lobectomy) CPT 60220 Partial removal of thyroid | $6,176.47 | — | $1,342.00–$12,161.74 | 11% below | — |
| Removal of one lobe of the thyroid (lobectomy) CPT 60220 PARTIAL REMOVAL OF THYROID | $6,176.47 | — | $1,342.00–$12,161.74 | 11% below | — |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Colon ca scrn not hi rsk ind | $950.10 | — | $950.10–$2,259.29 | 12% below | — |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK | $950.10 | — | $950.10–$2,259.29 | 12% below | — |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL AT HIGH RISK | $950.10 | — | $950.10–$2,259.29 | 12% below | — |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Colorectal scrn; hi risk ind | $950.10 | — | $950.10–$2,259.29 | 12% below | — |
| Septoplasty to straighten the nasal septum CPT 30520 Repair of nasal septum | $3,387.27 | — | $1,909.00–$6,831.47 | 12% below | — |
| Septoplasty to straighten the nasal septum CPT 30520 REPAIR OF NASAL SEPTUM | $3,387.27 | — | $1,909.00–$6,831.47 | 12% below | — |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 Lithotripsy, extracorporeal shock wave | $3,601.33 | — | $1,775.09–$7,091.17 | 30% below | — |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 Fragmenting of kidney stone | $3,601.33 | — | $1,775.09–$7,091.17 | 30% below | — |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 FRAGMENTING OF KIDNEY STONE | $3,601.33 | — | $1,775.09–$7,091.17 | 30% below | — |
| Short arm cast (elbow to hand) CPT 29075 APPLICATION OF FOREARM CAST | $285.75 | — | $55.91–$1,009.13 | 9% below | — |
| Short arm cast (elbow to hand) CPT 29075 Appl cst elbw fngr short arm | $285.75 | — | $55.91–$1,009.13 | 9% below | — |
| Short arm splint (forearm and hand) CPT 29125 App Short Arm Splnt;Statc | $135.93 | $765.00 | $129.13–$6,846.75 | 27% below | 82% |
| Short arm splint (forearm and hand) CPT 29125 29125-Short Arm | $135.93 | $765.00 | $129.13–$6,846.75 | 27% below | 82% |
| Short arm splint (forearm and hand) CPT 29125 Arm/Wrist Volar or Gutter Splint Application 29125 | $135.93 | $725.00 | $129.13–$808.27 | 27% below | 81% |
| Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT | $135.93 | — | $39.05–$413.11 | 27% below | — |
| Short arm splint (forearm and hand) CPT 29125 Appl short arm splint static | $135.93 | — | $39.05–$413.11 | 27% below | — |
| Short leg cast (below the knee) CPT 29405 APPLY SHORT LEG CAST | $285.75 | — | $52.78–$515.78 | 14% below | — |
| Short leg cast (below the knee) CPT 29405 Application of short leg cast 29405 | $285.75 | $1,819.00 | $271.46–$1,455.20 | 14% below | 84% |
| Short leg cast (below the knee) CPT 29405 Appl short leg cast | $285.75 | — | $52.78–$515.78 | 14% below | — |
| Short leg splint (calf to foot) CPT 29515 29515-Short Leg | $166.02 | $765.00 | $157.72–$6,846.75 | 14% below | 78% |
| Short leg splint (calf to foot) CPT 29515 APPLICATION LOWER LEG SPLINT | $166.02 | — | $47.11–$413.11 | 14% below | — |
| Short leg splint (calf to foot) CPT 29515 Application short leg splint | $166.02 | — | $47.11–$413.11 | 14% below | — |
| Short leg splint (calf to foot) CPT 29515 Applied Lower Leg Splint 29515 | $166.02 | $905.00 | $157.72–$808.27 | 14% below | 82% |
| Short leg splint (calf to foot) CPT 29515 App Short Leg Splint | $166.02 | $765.00 | $157.72–$6,846.75 | 14% below | 78% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 Shoulder arthroscopy/surgery | $3,342.87 | — | $2,167.00–$6,582.26 | 97% above | — |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 SHO ARTHRS SRG DSTL CLAVICLC | $3,342.87 | — | $2,167.00–$6,582.26 | 97% above | — |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 Sho arthrs srg dstl claviclc | $3,342.87 | — | $2,167.00–$6,582.26 | 97% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Rpr s/n/ax/gen/trnk 2.5cm/< | $204.98 | — | $44.39–$737.89 | 28% below | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REPAIR SUPERFICIAL WOUND(S) | $204.98 | — | $44.39–$737.89 | 28% below | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REPAIR SUPERFICIAL 2.5 OR LESS | $204.98 | $1,489.00 | $194.73–$3,356.00 | 28% below | 86% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001-Scalp/Neck/Trunk/Genital/Extremity <= 2.5 cm | $204.98 | $857.00 | $194.73–$7,670.15 | 28% below | 76% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simple Wound Closure 12001 | $204.98 | $822.00 | $194.73–$1,443.69 | 28% below | 75% |
| Skin biopsy, punch, one lesion CPT 11104 Punch bx skin single lesion | $415.32 | — | $50.15–$964.49 | 27% below | — |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN, SINGLE LESION | $415.32 | $1,363.00 | $394.55–$3,356.00 | 27% below | 70% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION | $415.32 | — | $50.15–$964.49 | 27% below | — |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Exc tr-ext mal+marg 0.5 cm/< | $723.47 | — | $723.47–$1,887.05 | 13% below | — |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXC TR-EXT MAL+MARG 0.5 CM/< | $723.47 | — | $723.47–$1,887.05 | 13% below | — |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Excision, malignant lesion, trunk, arms, or legs; lesion diameter 0.5 cm or less | $723.47 | — | $723.47–$1,887.05 | 13% below | — |
| Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAGS | $204.98 | — | $73.75–$558.12 | 29% below | — |
| Skin tag removal, up to 15 tags CPT 11200 Remove skin tags </= 15 11200 | $204.98 | $618.00 | $194.73–$1,114.00 | 29% below | 67% |
| Skin tag removal, up to 15 tags CPT 11200 Rmvl skin tags up to&inc 15 | $204.98 | — | $73.75–$558.12 | 29% below | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 DX LMBR SPI PNXR | $721.17 | — | $721.17–$1,692.11 | 24% below | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Dx lmbr spi pnxr | $721.17 | — | $721.17–$1,692.11 | 24% below | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Spinal fluid tap, diagnostic | $721.17 | — | $721.17–$1,692.11 | 24% below | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 12002-Scalp/Neck/Trunk/Genital/Extremity 2.6-7.5 cm | $204.98 | $857.00 | $194.73–$7,670.15 | 41% below | 76% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 REPAIR SUPERFICIAL 2.6-7.5CM | $204.98 | $1,489.00 | $194.73–$3,356.00 | 41% below | 86% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 REPAIR SUPERFICIAL WOUND(S) | $204.98 | — | $58.34–$737.89 | 41% below | — |
| 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/gen/trnk2.6-7.5cm | $204.98 | — | $58.34–$737.89 | 41% below | — |
| 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/< | $204.98 | — | $55.38–$737.89 | 32% below | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REPAIR SUPERFICIAL WOUND(S) | $204.98 | — | $55.38–$737.89 | 32% below | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 12011-Face/Ear/Eyelid/Nose/Lip Less Than/Equal to 2.5 cm | $204.98 | $857.00 | $194.73–$7,670.15 | 32% below | 76% |
| TURP (transurethral resection of the prostate) CPT 52601 PROSTATECTOMY (TURP) | $5,477.93 | — | $1,909.00–$10,786.27 | 9% below | — |
| TURP (transurethral resection of the prostate) CPT 52601 Prostatectomy (TURP) | $5,477.93 | — | $1,909.00–$10,786.27 | 9% below | — |
| TURP (transurethral resection of the prostate) CPT 52601 Prostatectomy (turp) | $5,477.93 | — | $1,909.00–$10,786.27 | 9% below | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGENITIAL BX SKIN,SINGLE LES | $415.32 | $1,363.00 | $394.55–$3,356.00 | 8% below | 70% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangntl bx skin single les | $415.32 | — | $40.01–$964.49 | 8% below | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangenitial Bx Skin,Single Les 11102 | $415.32 | $1,522.32 | $394.55–$1,887.05 | 8% below | 73% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LES | $415.32 | — | $40.01–$964.49 | 8% below | — |
| Thoracentesis with imaging guidance CPT 32555 US Thoracentesis | $640.89 | $560.00 | $392.00–$1,817.84 | 48% below | -14% |
| Thoracentesis with imaging guidance CPT 32555 Aspirate pleura w/ imaging | $640.89 | — | $136.15–$929.12 | 48% below | — |
| Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING | $640.89 | — | $136.15–$929.12 | 48% below | — |
| Thoracentesis with imaging guidance CPT 32555 CT Thoracentesis w/ CT Guidance | $640.89 | $560.00 | $392.00–$1,817.84 | 48% below | -14% |
| Tonsil and adenoid removal, age 12 or older CPT 42821 REMOVE TONSILS AND ADENOIDS | $3,387.27 | — | $1,771.86–$6,669.68 | 12% below | — |
| Tonsil and adenoid removal, age 12 or older CPT 42821 Remove tonsils and adenoids | $3,387.27 | — | $1,771.86–$6,669.68 | 12% below | — |
| Tonsil and adenoid removal, child under 12 CPT 42820 Remove tonsils and adenoids | $6,048.05 | — | $1,544.00–$11,908.87 | 14% below | — |
| Tonsil and adenoid removal, child under 12 CPT 42820 REMOVE TONSILS AND ADENOIDS | $6,048.05 | — | $1,544.00–$11,908.87 | 14% below | — |
| Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 Removal of tonsils | $3,387.27 | — | $1,771.86–$6,669.68 | 12% below | — |
| Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 REMOVAL OF TONSILS | $3,387.27 | — | $1,771.86–$6,669.68 | 12% below | — |
| Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 Removal of tonsils | $6,048.05 | — | $1,771.86–$11,908.87 | 14% below | — |
| Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 REMOVAL OF TONSILS | $6,048.05 | — | $1,771.86–$11,908.87 | 14% below | — |
| Total hip replacement CPT 27130 Total hip arthroplasty | $13,116.76 | — | $2,440.00–$25,827.46 | 229% above | — |
| Total hip replacement CPT 27130 TOTAL HIP ARTHROPLASTY | $13,116.76 | — | $2,440.00–$25,827.46 | 229% above | — |
| Total hip replacement CPT 27130 Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft | $13,116.76 | — | $2,440.00–$25,827.46 | 229% above | — |
| Total knee replacement CPT 27447 TOTAL KNEE ARTHROPLASTY | $13,116.76 | — | $2,440.00–$25,827.46 | 6% below | — |
| Total knee replacement CPT 27447 ARTHROPLASTY, KNEE, CONDYLE AND PLATEAU; MEDIAL AND LATERAL COMPARTMENTS WITH OR WITHOUT PATELLA RESURFACING (TOTAL KNEE ARTHROPLASTY) | $13,116.76 | — | $2,440.00–$25,827.46 | 6% below | — |
| Total knee replacement CPT 27447 Total knee arthroplasty | $13,116.76 | — | $2,440.00–$25,827.46 | 6% below | — |
| Total shoulder replacement CPT 23472 Reconstruct shoulder joint | $17,913.59 | — | $2,167.00–$35,272.62 | 305% above | — |
| Total shoulder replacement CPT 23472 RECONSTRUCT SHOULDER JOINT | $17,913.59 | — | $2,167.00–$35,272.62 | 305% above | — |
| Total shoulder replacement CPT 23472 ARTHROPLASTY GLENOHUMERAL JOINT; TOAL SHOULDER (GLENOID AND PROXIMAL HUMERAL REPLACEMENT(EG, TOTAL SHOULDER)) | $17,913.59 | — | $2,167.00–$35,272.62 | 305% above | — |
| Total thyroid removal (thyroidectomy) CPT 60240 Thyroidectomy, total or complete | $6,176.47 | — | $3,012.00–$12,161.74 | 14% above | — |
| Total thyroid removal (thyroidectomy) CPT 60240 REMOVAL OF THYROID | $6,176.47 | — | $3,012.00–$12,161.74 | 14% above | — |
| Total thyroid removal (thyroidectomy) CPT 60240 Removal of thyroid | $6,176.47 | — | $3,012.00–$12,161.74 | 14% above | — |
| Trigger finger release surgery CPT 26055 Incise finger tendon sheath | $1,642.82 | — | $1,342.00–$3,529.49 | 13% below | — |
| Trigger finger release surgery CPT 26055 INCISE FINGER TENDON SHEATH | $1,642.82 | — | $1,342.00–$3,529.49 | 13% below | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ; SINGLE/MX TRIG POINT 1/ | $313.60 | — | $44.40–$520.15 | 10% below | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 Njx 1/mlt trigger point 1/2 | $313.60 | — | $44.40–$520.15 | 10% below | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 Injection(s), single or multiple trigger point(s), 1 or 2 muscle(s) 20552 | $313.60 | $2,836.00 | $297.92–$1,985.20 | 10% below | 89% |
| Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 Laparoscopy, tubal cautery | $6,176.47 | — | $1,544.00–$12,161.74 | 45% above | — |
| Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 Laparoscopy tubal cautery | $6,176.47 | — | $1,544.00–$12,161.74 | 45% above | — |
| Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 LAPAROSCOPY TUBAL CAUTERY | $6,176.47 | — | $1,544.00–$12,161.74 | 45% above | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Bx breast 1st Lesion US imag | $1,687.37 | — | $159.14–$2,207.15 | 39% below | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST 1ST LESION US IMAG | $1,687.37 | — | $159.14–$2,207.15 | 39% below | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Bx breast 1st lesion us imag | $1,687.37 | — | $159.14–$2,207.15 | 39% below | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US Breast Biopsy w/ US Guide Right | $1,687.37 | $3,429.00 | $1,342.00–$4,318.34 | 39% below | 51% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US Breast Biopsy w/ US Guide Left | $1,687.37 | $3,429.00 | $1,342.00–$4,318.34 | 39% below | 51% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 ESOPH EGD DILATION <30 MM | $1,960.47 | — | $1,040.55–$3,860.24 | 13% below | — |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Esoph endoscopy, dilation | $1,960.47 | — | $1,040.55–$3,860.24 | 13% below | — |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Esoph egd dilation <30 mm | $1,960.47 | — | $1,040.55–$3,860.24 | 13% below | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 Egd biopsy single/multiple | $926.63 | — | $926.63–$2,341.24 | 18% below | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 EGD BIOPSY SINGLE/MULTIPLE | $926.63 | — | $926.63–$2,341.24 | 18% below | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 Upper GI endoscopy, biopsy | $926.63 | — | $926.63–$2,341.24 | 18% below | — |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 UPPR GI SCOPE W/SUBMUC INJ | $926.63 | — | $926.63–$2,341.24 | 16% below | — |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 Uppr gi scope w/submuc inj | $926.63 | — | $926.63–$2,341.24 | 16% below | — |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD REMOVE LESION SNARE | $1,960.47 | — | $1,040.55–$3,860.24 | 13% below | — |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Egd remove lesion snare | $1,960.47 | — | $1,040.55–$3,860.24 | 13% below | — |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Operative upper GI endoscopy | $1,960.47 | — | $1,040.55–$3,860.24 | 13% below | — |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 Uppr gi endoscopy/guide wire | $926.63 | — | $926.63–$2,341.24 | 16% below | — |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 EGD GUIDE WIRE INSERTION | $926.63 | — | $926.63–$2,341.24 | 16% below | — |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 Egd guide wire insertion | $926.63 | — | $926.63–$2,341.24 | 16% below | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 Uppr gi endoscopy, diagnosis | $926.63 | — | $926.63–$2,341.24 | 16% below | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 Egd diagnostic brush wash | $926.63 | — | $926.63–$2,341.24 | 16% below | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 EGD DIAGNOSTIC BRUSH WASH | $926.63 | — | $926.63–$2,341.24 | 16% below | — |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 Esoph endoscope w/drain cyst | $6,202.39 | — | $1,237.49–$12,212.77 | 12% below | — |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 Egd w/transmural drain cyst | $6,202.39 | — | $1,237.49–$12,212.77 | 12% below | — |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 EGD W/TRANSMURAL DRAIN CYST | $6,202.39 | — | $1,237.49–$12,212.77 | 12% below | — |
| Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 CYSTOURETERO W/LITHOTRIPSY | $5,477.93 | — | $1,775.09–$10,786.27 | 9% below | — |
| Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 Cystouretero w/lithotripsy | $5,477.93 | — | $1,775.09–$10,786.27 | 9% below | — |
| Ureteroscopy with laser stone breaking and stent placement CPT 52356 Cysto/uretero w/lithotripsy | $5,477.93 | — | $1,909.00–$10,786.27 | 9% below | — |
| Ureteroscopy with laser stone breaking and stent placement CPT 52356 CYSTO/URETERO W/LITHOTRIPSY | $5,477.93 | — | $1,909.00–$10,786.27 | 9% below | — |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 VBAC DELIVERY | $2,176.20 | — | $2,176.20–$5,424.62 | 33% below | — |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 Vbac delivery | $2,176.20 | — | $2,176.20–$5,424.62 | 33% below | — |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 OBSTETRICAL CARE | $2,078.59 | — | $2,078.59–$5,424.62 | 34% below | — |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 TOTAL OBSTETRIC CARE | $2,078.59 | — | $2,078.59–$5,424.62 | 34% below | — |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 Obstetrical care | $2,078.59 | — | $2,078.59–$5,424.62 | 34% below | — |
| Vasectomy, one or both sides, including follow-up semen testing CPT 55250 Removal of sperm duct(s) | $2,135.66 | — | $1,342.00–$4,205.21 | 3% below | — |
| Vasectomy, one or both sides, including follow-up semen testing CPT 55250 REMOVAL OF SPERM DUCT(S) | $2,135.66 | — | $1,342.00–$4,205.21 | 3% below | — |
| Vein ablation, radiofrequency, first vein CPT 36475 Endovenous rf, 1st vein | $3,225.87 | — | $1,544.00–$6,452.87 | 14% below | — |
| Vein ablation, radiofrequency, first vein CPT 36475 ENDOVENOUS RF 1ST VEIN | $3,225.87 | — | $1,544.00–$6,452.87 | 14% below | — |
| Vein ablation, radiofrequency, first vein CPT 36475 Endovenous rf 1st vein | $3,225.87 | — | $1,544.00–$6,452.87 | 14% below | — |
| Wart removal, up to 14 warts CPT 17110 Benign Lesion Destruction (not skin tag), up to 14 lesions | $204.98 | $691.00 | $194.73–$1,114.00 | 13% below | 70% |
| Wart removal, up to 14 warts CPT 17110 DESTRUCTION EG, LASER SURGER | $204.98 | — | $70.24–$558.12 | 13% below | — |
| Wart removal, up to 14 warts CPT 17110 Destruction b9 les up to 14 | $204.98 | — | $70.24–$558.12 | 13% below | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEB SUBQ TISSUE 20 SQ CM/< | $415.32 | — | $61.82–$1,053.89 | 42% below | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SKIN SUBQ 1ST 20SQCM | $415.32 | $3,414.00 | $394.55–$3,356.00 | 42% below | 88% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debridement, subcutaneous tissue, 1st 20 sq cm or less 11042 | $415.32 | $3,414.00 | $394.55–$2,389.80 | 42% below | 88% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debridement, subcutaneous tissue, first 20 sq cm or less 11042 | $415.32 | $3,414.00 | $394.55–$2,389.80 | 42% below | 88% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042-SQ Tissue Less Than/Equal to 1st 20 sq cm | $415.32 | $1,181.90 | $394.55–$10,578.01 | 42% below | 65% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Dbrdmt subq tis 1st 20sqcm/< | $415.32 | — | $61.82–$1,053.89 | 42% below | — |
| Wrist fracture surgery (plate and screws), distal radius CPT 25607 Optx dst rd xartc fx/epi sep | $7,413.38 | — | $2,167.00–$14,597.26 | 221% above | — |
| Wrist fracture surgery (plate and screws), distal radius CPT 25607 Treat fx rad extra-articul | $7,413.38 | — | $2,167.00–$14,597.26 | 221% above | — |
| Wrist fracture surgery (plate and screws), distal radius CPT 25607 TREAT FX RAD EXTRA-ARTICUL | $7,413.38 | — | $2,167.00–$14,597.26 | 221% above | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Administration Charge | $450.73 | $1,333.00 | $341.00–$1,661.58 | 38% below | 66% |
| Blood transfusion (giving blood or blood components) CPT 36430 Transfusion bld/bld compnt | $450.73 | — | $44.09–$849.25 | 38% below | — |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION SERVICE | $450.73 | — | $44.09–$849.25 | 38% below | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640-Nebulizer Treatment | $223.72 | $832.56 | $200.67–$7,451.41 | at median | 73% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Airway inhalation treatment | $223.72 | — | $19.53–$230.77 | at median | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purp | $223.72 | $561.00 | $200.67–$451.51 | at median | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INH TX AERO,NEB,MDI,IPPB | $223.72 | $371.00 | $200.67–$3,320.45 | at median | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREATMENT | $223.72 | — | $19.53–$230.77 | at median | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 Subsequent - RT CHARGE Aerosol Therapy | $223.72 | $371.00 | $200.67–$705.00 | at median | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 Initial - RT CHARGE Aerosol Therapy | $223.72 | $371.00 | $200.67–$705.00 | at median | 40% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUSION 1 HR | $337.46 | — | $157.69–$952.76 | 43% below | — |
| Chemotherapy IV infusion, first hour CPT 96413 Chemo iv infusion 1 hr | $337.46 | — | $157.69–$952.76 | 43% below | — |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMOTHERAPY ADMINISTRATION | $337.46 | — | $157.69–$952.76 | 43% below | — |
| Comprehensive eye exam by an eye doctor, new patient CPT 92004 NEW EYE EXAM & TREATMENT | $136.02 | — | $87.69–$95.94 | 41% below | — |
| Comprehensive eye exam by an eye doctor, new patient CPT 92004 New Patient: Comprehensive Ophthalmology Exam 92004 | $136.02 | $701.00 | $30.30–$560.80 | 41% below | 81% |
| Comprehensive eye exam, returning patient CPT 92014 EYE EXAM&TX ESTAB PT 1/>VST | $136.02 | — | $30.30–$267.82 | 36% below | — |
| Comprehensive eye exam, returning patient CPT 92014 OPHTHALMOLOGICAL SERVICES: MEDICAL EXAMI | $136.02 | — | $30.30–$267.82 | 36% below | — |
| Comprehensive eye exam, returning patient CPT 92014 EYE EXAM & TREATMENT | $136.02 | — | $30.30–$267.82 | 36% below | — |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 COMPREHENSIVE AUDIOMETRY | $131.46 | — | $32.94–$235.01 | 46% below | — |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 Comprehensive audiometry threshold evaluation and speech recognition 92557 | $131.46 | $669.00 | $124.89–$535.20 | 46% below | 80% |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 Comprehensive hearing test | $131.46 | — | $32.94–$235.01 | 46% below | — |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE FIRST 30-74 MN | $843.92 | — | $196.06–$214.49 | 45% below | — |
| Critical care, first 30 to 74 minutes CPT 99291 Critical care first hour 99291 | $843.92 | $8,050.00 | $506.00–$72,047.50 | 45% below | 90% |
| Critical care, first 30 to 74 minutes CPT 99291 Critical Care Ill/Injured Patient Init 30-74 Min 99291 | $843.92 | $8,050.00 | $506.00–$72,047.50 | 45% below | 90% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 ELECTROENCEPHALOGRAM(EEG) | $220.60 | — | $58.14–$720.34 | 60% below | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 Eeg awake and drowsy | $220.60 | — | $58.14–$720.34 | 60% below | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE AND DROWSY | $220.60 | — | $58.14–$720.34 | 60% below | — |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 ELECTROCARDIOGRAM COMPLETE | $14.72 | — | $14.72–$368.84 | 71% below | — |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 ELECTROCARDIOGRAM, COMPLETE | $14.72 | — | $14.72–$368.84 | 71% below | — |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Electrocardiogram complete | $14.72 | — | $14.72–$368.84 | 71% below | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Electrocardiogram tracing | $60.27 | — | $9.11–$188.52 | 58% below | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG - 12 Lead | $60.27 | $330.00 | $11.20–$368.84 | 58% below | 82% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Electrocardiogram | $60.27 | $330.00 | $11.20–$368.84 | 58% below | 82% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 93005-ED EKG | $60.27 | $330.00 | $11.20–$368.84 | 58% below | 82% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM, TRACING | $60.27 | — | $9.11–$188.52 | 58% below | — |
| Electroconvulsive therapy (ECT), one session CPT 90870 ELECTROCONVULSIVE THERAPY | $877.34 | — | $246.16–$1,727.51 | 7% below | — |
| Electroconvulsive therapy (ECT), one session CPT 90870 Electroconvulsive therapy | $877.34 | — | $246.16–$1,727.51 | 7% below | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency dept visit 99281 | $86.15 | $1,293.00 | $51.69–$11,572.35 | 41% below | 93% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMR DPT VST MAYX REQ PHY/QHP | $86.15 | — | $18.61–$20.36 | 41% below | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 99281 - Level 1 | $86.15 | $1,293.00 | $51.69–$11,572.35 | 41% below | 93% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 99282 - Level 2 | $156.87 | $1,817.00 | $94.12–$16,262.15 | 50% below | 91% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPT VISIT SF MDM | $156.87 | — | $36.33–$39.74 | 50% below | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency dept visit 99282 | $156.87 | $1,817.00 | $94.12–$16,262.15 | 50% below | 91% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 99283 - Level 3 | $278.89 | $2,226.00 | $167.33–$19,922.70 | 39% below | 87% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPT VISIT LOW MDM | $278.89 | — | $54.28–$59.38 | 39% below | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency dept visit 99283 | $278.89 | $2,226.00 | $167.33–$19,922.70 | 39% below | 87% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency dept visit 99284 | $426.30 | $3,727.00 | $255.78–$33,356.65 | 36% below | 89% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284 - Level 4 | $426.30 | $3,727.00 | $255.78–$33,356.65 | 36% below | 89% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPT VISIT MOD MDM | $426.30 | — | $102.95–$112.63 | 36% below | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 99285 - Level 5 | $608.43 | $5,785.00 | $365.06–$51,775.75 | 29% below | 89% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency dept visit 99285 | $608.43 | $5,785.00 | $365.06–$51,775.75 | 29% below | 89% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPT VISIT HI MDM | $608.43 | — | $152.04–$166.34 | 29% below | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 ECG Treadmill Stress Test | $220.60 | $1,005.00 | $209.57–$804.00 | 62% below | 78% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Cv stress test tracing only | $220.60 | — | $41.46–$352.96 | 62% below | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIO TEST, TRACING ONLY | $220.60 | — | $41.46–$352.96 | 62% below | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise,continuous elec | $220.60 | $1,005.00 | $209.57–$804.00 | 62% below | 78% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Cardiac Stress EKG - TRACING ONLY | $220.60 | $1,005.00 | $209.57–$2,150.00 | 62% below | 78% |
| Eye exam, returning patient, intermediate CPT 92012 EYE EXAM ESTABLISH PATIENT | $136.02 | — | $30.30–$267.82 | 30% below | — |
| Eye exam, returning patient, intermediate CPT 92012 EYE EXAM & TREATMENT | $136.02 | — | $30.30–$267.82 | 30% below | — |
| Eye exam, returning patient, intermediate CPT 92012 OPHTHALMOLOGICAL SERVICES: MEDICAL EXAMI | $136.02 | — | $30.30–$267.82 | 30% below | — |
| Family therapy with the patient, 50 minutes CPT 90847 Family Therapy with Patient 90847 | $181.34 | $1,172.00 | $74.25–$820.40 | 28% below | 85% |
| Family therapy with the patient, 50 minutes CPT 90847 Crisis Triage Assessment | $181.34 | $1,172.00 | $74.25–$820.40 | 28% below | 85% |
| Family therapy with the patient, 50 minutes CPT 90847 Family psytx w/pt 50 min | $181.34 | — | $123.44–$283.30 | 28% below | — |
| Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYTX W/PT 50 MIN | $181.34 | — | $123.44–$283.30 | 28% below | — |
| Family therapy without the patient, 50 minutes CPT 90846 Family Therapy W/O Patient 90846 | $181.34 | $773.00 | $74.25–$554.29 | 29% below | 77% |
| Family therapy without the patient, 50 minutes CPT 90846 Family, Couples Psychotherapy W/O Patient 90846 | $181.34 | $425.00 | $74.25–$554.29 | 29% below | 57% |
| Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYTX W/O PT 50 MIN | $181.34 | — | $154.73–$288.23 | 29% below | — |
| Family therapy without the patient, 50 minutes CPT 90846 Family psytx w/o pt 50 min | $181.34 | — | $154.73–$288.23 | 29% below | — |
| Family therapy without the patient, 50 minutes CPT 90846 zzBEH Family Therapy without Patient 863878 | $181.34 | $425.00 | $74.25–$554.29 | 29% below | 57% |
| Group psychotherapy session CPT 90853 Group Therapy 90853 | $103.79 | $418.00 | $45.00–$412.29 | 30% below | 75% |
| Group psychotherapy session CPT 90853 POS CHEMICAL DEP REHAB FULLDAY | $103.79 | $1,321.00 | $45.00–$924.70 | 30% below | 92% |
| Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY | $103.79 | — | $77.37–$210.73 | 30% below | — |
| Group psychotherapy session CPT 90853 Group psychotherapy | $103.79 | — | $77.37–$210.73 | 30% below | — |
| Group psychotherapy session CPT 90853 POS CHEMICAL DEP REHAB HALFDAY | $103.79 | $1,013.00 | $45.00–$709.10 | 30% below | 90% |
| Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 Xtrnl ecg rec up to 48 hrs | $67.34 | — | $67.34–$739.96 | 69% below | — |
| Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 ECG MONIT/REPRT UP TO 48 HRS | $67.34 | — | $67.34–$739.96 | 69% below | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360-IV Hydration Initial 31 min - 1 hr | $217.31 | $900.00 | $206.44–$8,055.00 | 38% below | 76% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hydration iv infusion init | $217.31 | — | $59.81–$486.97 | 38% below | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION, INIT | $217.31 | — | $59.81–$486.97 | 38% below | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 - Hydration, first hour | $217.31 | $4,705.00 | $206.44–$3,764.00 | 38% below | 95% |
| IV infusion of a medicine, first hour CPT 96365 Ther/proph/diag iv inf init | $217.31 | — | $72.49–$486.97 | 42% below | — |
| IV infusion of a medicine, first hour CPT 96365 96365-Infusion Drug Initial up to 1 hr Greater Than 15 mins | $217.31 | $1,467.00 | $206.44–$13,129.65 | 42% below | 85% |
| IV infusion of a medicine, first hour CPT 96365 96365- IV tx, first hour | $217.31 | $679.00 | $206.44–$952.76 | 42% below | 68% |
| IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF, INIT | $217.31 | — | $72.49–$486.97 | 42% below | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372-Injection/SQ/IM | $73.56 | $754.00 | $69.88–$6,748.30 | 13% below | 90% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 - Subq/IM Injection | $73.56 | $754.00 | $69.88–$6,748.30 | 13% below | 90% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Ther/proph/diag inj sc/im | $73.56 | — | $162.37–$183.07 | 13% below | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Crisis Triage Assessment | $73.56 | $595.00 | $25.96–$416.50 | 13% below | 88% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Therapeutic/Prophylactic/Diagnostic Injection (Subcutaneous or Intramuscular) 96372 | $73.56 | $862.00 | $25.96–$603.40 | 13% below | 91% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Intramuscular/Subcutaneous Injection for Prophylaxis/Administration 96372 | $73.56 | $447.00 | $25.96–$358.18 | 13% below | 84% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection: Therapy Prophy Diagnosis Sub Q IM 96372 | $73.56 | $862.00 | $25.96–$603.40 | 13% below | 91% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 - Inject Psychotropic Med Admin | $73.56 | $595.00 | $25.96–$416.50 | 13% below | 88% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Inj Admin Charge 96372 - Admin Injection Charge | $73.56 | $754.00 | $69.88–$6,748.30 | 13% below | 90% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DIAGNOSTIC EVALUATION | $181.34 | — | $193.94–$390.08 | 16% below | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psych diagnostic evaluation | $181.34 | — | $193.94–$390.08 | 16% below | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Crisis Triage Assessment | $181.34 | $976.00 | $101.00–$750.15 | 16% below | 81% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psych Diagnostic Eval W/O Med Mgmt 90791 | $181.34 | $976.00 | $101.00–$750.15 | 16% below | 81% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 Nrv cndj test 7-8 studies | $381.24 | — | $89.06–$750.67 | 14% below | — |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 NERVE CONDUCTION STUDIES 7-8 STUDIES | $381.24 | — | $89.06–$750.67 | 14% below | — |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 NRV CNDJ TEST 7-8 STUDIES | $381.24 | — | $89.06–$750.67 | 14% below | — |
| Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular reeducation | $31.85 | — | $23.74–$227.21 | 62% below | — |
| Neuromuscular re-education, 15 minutes CPT 97112 PT Neuromuscular Reeducation Units | $31.85 | $245.00 | $29.64–$444.53 | 62% below | 87% |
| Neuromuscular re-education, 15 minutes CPT 97112 OT Neuromuscular Reeducation Units | $31.85 | $245.00 | $29.64–$444.53 | 62% below | 87% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR REEDUCATION | $31.85 | — | $23.74–$227.21 | 62% below | — |
| New patient office visit, about 30 minutes CPT 99203 LEVEL 3 INITIAL VISIT | $113.04 | $1,036.00 | $67.83–$828.80 | 43% below | 89% |
| New patient office visit, about 30 minutes CPT 99203 OFFICE O/P NEW LOW 30 MIN | $113.04 | — | $66.76–$73.04 | 43% below | — |
| New patient office visit, about 30 minutes CPT 99203 Office Visit Level 3 New 99203 | $113.04 | $1,118.00 | $67.83–$894.40 | 43% below | 90% |
| New patient office visit, about 45 minutes CPT 99204 LEVEL 4 INITIAL VISIT | $170.85 | $1,559.00 | $102.51–$1,247.20 | 41% below | 89% |
| New patient office visit, about 45 minutes CPT 99204 Office Visit Level 4 New 99204 | $170.85 | $1,485.00 | $102.51–$1,188.00 | 41% below | 88% |
| New patient office visit, about 45 minutes CPT 99204 OFFICE O/P NEW MOD 45 MIN | $170.85 | — | $107.69–$117.81 | 41% below | — |
| New patient office visit, about 60 minutes CPT 99205 Office Visit Level 5 New 99205 | $227.85 | $1,692.00 | $136.71–$1,353.60 | 19% below | 87% |
| New patient office visit, about 60 minutes CPT 99205 OFFICE O/P NEW HI 60 MIN | $227.85 | — | $132.68–$145.15 | 19% below | — |
| New patient office visit, about 60 minutes CPT 99205 LEVEL 5 INITIAL VISIT | $227.85 | $1,692.00 | $136.71–$1,353.60 | 19% below | 87% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 LEVEL 2 INITIAL VISIT | $72.37 | $713.00 | $43.42–$570.40 | 54% below | 90% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 Office Visit Level 2 New 99202 | $72.37 | $847.00 | $43.42–$677.60 | 54% below | 91% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE O/P NEW SF 15 MIN | $72.37 | — | $43.38–$47.46 | 54% below | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Medical Nutrition Therapy (Initial, Each 15 min) 97802 | $35.71 | $144.00 | $21.42–$115.20 | 38% below | 75% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MED NUTRITION, INDIV, INIT | $35.71 | — | $43.51–$47.60 | 38% below | — |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX 30 MIN | $98.00 | — | $55.63–$308.33 | 43% below | — |
| Occupational therapy evaluation, low complexity CPT 97165 Ot eval low complex 30 min | $98.00 | — | $55.63–$308.33 | 43% below | — |
| Occupational therapy evaluation, low complexity CPT 97165 OT Evaluation Units, Low Complexity | $98.00 | $587.00 | $90.66–$603.25 | 43% below | 83% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt eval high complex 45 min | $95.46 | — | $57.46–$298.32 | 67% below | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT Evaluation Units, High Complexity | $95.46 | $708.00 | $88.12–$583.67 | 67% below | 87% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX 45 MIN | $95.46 | — | $57.46–$298.32 | 67% below | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT Evaluation Units, Low Complexity | $95.46 | $606.00 | $88.12–$583.67 | 47% below | 84% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt eval low complex 20 min | $95.46 | — | $57.46–$298.32 | 47% below | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX 20 MIN | $95.46 | — | $57.46–$298.32 | 47% below | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt eval mod complex 30 min | $95.46 | — | $57.46–$298.32 | 60% below | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT Evaluation Units, Moderate Complexity | $95.46 | $669.00 | $88.12–$583.67 | 60% below | 86% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX 30 MIN | $95.46 | — | $57.46–$298.32 | 60% below | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT Manual Therapy Units | $26.97 | $215.00 | $25.11–$444.53 | 68% below | 87% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT Manual Therapy Assistant Units | $26.97 | $215.00 | $25.11–$444.53 | 68% below | 87% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY | $26.97 | — | $20.80–$227.21 | 68% below | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual therapy 1/> regions | $26.97 | — | $20.80–$227.21 | 68% below | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT Manual Therapy Units | $26.97 | $215.00 | $25.11–$444.53 | 68% below | 87% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Assistant Units | $28.27 | $230.00 | $26.32–$444.53 | 65% below | 88% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Therapeutic Exercise Units | $28.27 | $230.00 | $26.32–$444.53 | 65% below | 88% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES | $28.27 | — | $22.71–$227.21 | 65% below | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic exercises | $28.27 | — | $22.71–$227.21 | 65% below | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Units | $28.27 | $230.00 | $26.32–$444.53 | 65% below | 88% |
| Preventive checkup, new patient aged 18–39 CPT 99385 Initial Comp Preventive Med 18 to 39 years New 99385 | $130.09 | $1,894.00 | $78.06–$1,515.20 | 35% below | 93% |
| Preventive checkup, new patient aged 18–39 CPT 99385 PREV VISIT, NEW, AGE 18-39 | $130.09 | — | $84.91–$92.89 | 35% below | — |
| Preventive checkup, new patient aged 40–64 CPT 99386 PREV VISIT, NEW, AGE 40-64 | $150.52 | — | $103.50–$113.23 | 27% below | — |
| Preventive checkup, new patient aged 40–64 CPT 99386 Initial Comp Preventive Med 40 to 64 years New 99386 | $150.52 | $1,894.00 | $90.31–$1,515.20 | 27% below | 92% |
| Preventive checkup, new patient aged 65 or older CPT 99387 INIT PM E/M, NEW PAT 65+ YRS | $163.10 | — | $111.20–$121.65 | 35% below | — |
| Preventive checkup, new patient aged 65 or older CPT 99387 Initial Comprehensive Preventive Medicine 65+ years New | $163.10 | $1,894.00 | $97.86–$1,515.20 | 35% below | 91% |
| Preventive checkup, new patient aged 65 or older CPT 99387 Initial Preventive Medicine New Patient 65Yrs+Greater than 99387 | $163.10 | $1,894.00 | $97.86–$1,515.20 | 35% below | 91% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 PREV VISIT, EST, AGE 18-39 | $117.52 | — | $77.54–$84.83 | 35% below | — |
| Preventive checkup, returning patient aged 18–39 CPT 99395 Periodic Comp Preventive Med 18 to 39 years Est 99395 | $117.52 | $1,251.00 | $70.51–$1,000.80 | 35% below | 91% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 PREV VISIT, EST, AGE 40-64 | $124.66 | — | $84.33–$92.26 | 36% below | — |
| Preventive checkup, returning patient aged 40–64 CPT 99396 Periodic Comp Preventive Med 40 to 64 years Est 99396 | $124.66 | $1,251.00 | $74.80–$1,000.80 | 36% below | 90% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 Periodic Comp Preventive Med 65+ years Est 99397 | $134.35 | $1,251.00 | $80.61–$1,000.80 | 32% below | 89% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 PER PM REEVAL EST PAT 65+ YR | $134.35 | — | $88.70–$97.04 | 32% below | — |
| Preventive checkup, returning patient aged 65 or older CPT 99397 Prev Visit, Est, 65 & Over 99397 | $134.35 | $1,251.00 | $80.61–$1,000.80 | 32% below | 89% |
| Psychiatric evaluation with medical services CPT 90792 Psych diag eval w/med srvcs | $181.34 | — | $214.73–$390.08 | 36% below | — |
| Psychiatric evaluation with medical services CPT 90792 Psych Diagnostic Eval With Med Mgmt 90792 | $181.34 | $976.00 | $99.25–$750.15 | 36% below | 81% |
| Psychiatric evaluation with medical services CPT 90792 PSYCH DIAG EVAL W/MED SRVCS | $181.34 | — | $214.73–$390.08 | 36% below | — |
| Psychiatric evaluation with medical services CPT 90792 Crisis Triage Assessment | $181.34 | $976.00 | $99.25–$750.15 | 36% below | 81% |
| Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 Psycl tst eval phys/qhp 1st | $220.60 | — | $108.12–$652.21 | 36% below | — |
| Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 PSYCL TST EVAL PHYS/QHP 1ST | $220.60 | — | $108.12–$652.21 | 36% below | — |
| Psychotherapy for crisis, first 60 minutes CPT 90839 Psytx crisis initial 60 min | $181.34 | — | $181.34–$652.21 | 24% below | — |
| Psychotherapy for crisis, first 60 minutes CPT 90839 PSYTX CRISIS INITIAL 60 MIN | $181.34 | — | $181.34–$652.21 | 24% below | — |
| Psychotherapy session, 30 minutes CPT 90832 Crisis Triage Assessment | $181.34 | $585.00 | $49.25–$554.29 | 8% below | 69% |
| Psychotherapy session, 30 minutes CPT 90832 Psychotherapy, 30 Mins 90832 | $181.34 | $585.00 | $49.25–$554.29 | 8% below | 69% |
| Psychotherapy session, 30 minutes CPT 90832 PSYTX W PT 30 MINUTES | $181.34 | — | $103.16–$288.23 | 8% below | — |
| Psychotherapy session, 30 minutes CPT 90832 Psytx w pt 30 minutes | $181.34 | — | $103.16–$288.23 | 8% below | — |
| Psychotherapy session, 45 minutes CPT 90834 Crisis Triage Assessment | $181.34 | $789.00 | $74.25–$652.21 | 29% below | 77% |
| Psychotherapy session, 45 minutes CPT 90834 Psychotherapy, 45 Mins 90834 | $181.34 | $789.00 | $74.25–$652.21 | 29% below | 77% |
| Psychotherapy session, 45 minutes CPT 90834 PSYTX W PT 45 MINUTES | $181.34 | — | $148.29–$339.15 | 29% below | — |
| Psychotherapy session, 45 minutes CPT 90834 Psytx w pt 45 minutes | $181.34 | — | $148.29–$339.15 | 29% below | — |
| Psychotherapy session, 60 minutes CPT 90837 Crisis Triage Assessment | $181.34 | $824.00 | $81.00–$652.21 | 38% below | 78% |
| Psychotherapy session, 60 minutes CPT 90837 Psytx w pt 60 minutes | $181.34 | — | $188.24–$339.15 | 38% below | — |
| Psychotherapy session, 60 minutes CPT 90837 PSYTX W PT 60 MINUTES | $181.34 | — | $188.24–$339.15 | 38% below | — |
| Psychotherapy session, 60 minutes CPT 90837 Psychotherapy, 60 Mins 90837 | $181.34 | $824.00 | $81.00–$652.21 | 38% below | 78% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Tobacco Use Cessation Intermediate 3-10 Minutes 99406 | $38.28 | $171.00 | $36.37–$429.00 | 9% below | 78% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Behav chng smoking 3-10 min | $38.28 | — | $10.88–$200.95 | 9% below | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKING 3-10 MIN | $38.28 | — | $10.88–$200.95 | 9% below | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Office Visit Level 5 Est 99215 | $185.71 | $1,238.00 | $111.43–$990.40 | 21% below | 85% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 LEVEL 5 FOLLOW-UP VISIT | $185.71 | $1,363.00 | $111.43–$1,090.40 | 21% below | 86% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE O/P EST HI 40 MIN | $185.71 | — | $94.72–$103.63 | 21% below | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Office Visit Level 3 Est 99213 | $91.86 | $847.00 | $55.12–$677.60 | 46% below | 89% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE O/P EST LOW 20 MIN | $91.86 | — | $46.68–$51.07 | 46% below | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 LEVEL 3 FOLLOW-UP VISIT | $91.86 | $831.00 | $55.12–$664.80 | 46% below | 89% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE O/P EST MOD 30 MIN | $130.88 | — | $63.18–$69.12 | 32% below | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 LEVEL 4 FOLLOW-UP VISIT | $130.88 | $1,118.00 | $78.53–$894.40 | 32% below | 88% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Office Visit Level 4 Est 99214 | $130.88 | $1,118.00 | $78.53–$894.40 | 32% below | 88% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 LEVEL 2 FOLLOW-UP VISIT | $57.15 | $419.00 | $34.29–$429.00 | 56% below | 86% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office Visit Level 2 Est 99212 | $57.15 | $847.00 | $34.29–$592.90 | 56% below | 93% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE O/P EST SF 10 MIN | $57.15 | — | $21.65–$23.68 | 56% below | — |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 OFF/OP CNSLTJ NEW/EST LOW 30 | $109.03 | — | $82.34–$109.03 | 61% below | — |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 OFFICE CONSULTATION | $109.03 | — | $82.34–$109.03 | 61% below | — |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OFFICE CONSULTATION | $156.03 | — | $132.42–$156.03 | 49% below | — |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OFF/OP CNSLTJ NEW/EST MOD 40 | $156.03 | — | $132.42–$156.03 | 49% below | — |
| Speech and language evaluation CPT 92523 Speech sound lang comprehen | $221.47 | — | $152.25–$293.31 | 44% below | — |
| Speech and language evaluation CPT 92523 SLP Eval Lang Comprehension,Express Unit | $221.47 | $1,025.00 | $119.00–$717.50 | 44% below | 78% |
| Speech and language evaluation CPT 92523 SPEECH SOUND LANG COMPREHEN | $221.47 | — | $152.25–$293.31 | 44% below | — |
| Speech therapy session, individual CPT 92507 SLP Auditory Processing Tx Units | $74.43 | $463.00 | $68.27–$573.86 | 59% below | 84% |
| Speech therapy session, individual CPT 92507 TREATMENT OF SPEECH, LANGUAG | $74.43 | — | $61.80–$293.31 | 59% below | — |
| Speech therapy session, individual CPT 92507 Tx sp lang voice comm indiv | $74.43 | — | $61.80–$293.31 | 59% below | — |
| Spirometry (breathing test) CPT 94010 Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measureme | $220.60 | $606.00 | $200.67–$484.80 | 5% below | 64% |
| Spirometry (breathing test) CPT 94010 BREATHING CAPACITY TEST8 | $220.60 | — | $8.48–$230.77 | 5% below | — |
| Spirometry (breathing test) CPT 94010 Breathing capacity test | $220.60 | — | $8.48–$230.77 | 5% below | — |
| Spirometry (breathing test) CPT 94010 Spirometry POC | $220.60 | $542.00 | $200.67–$451.51 | 5% below | 59% |
| Spirometry (breathing test) CPT 94010 Peak Flow POC | $220.60 | $542.00 | $200.67–$451.51 | 5% below | 59% |
| Spirometry (breathing test) one side CPT 94010 Spirometry - RT CHARGE PFT | $220.60 | $542.00 | $200.67–$589.00 | 5% below | 59% |
| Spirometry (breathing test) one side CPT 94010 Yes - RT CHARGE Incentive Spirometry | $220.60 | $271.00 | $189.70–$705.00 | 5% below | 19% |
| Spirometry before and after a bronchodilator CPT 94060 Evaluation of wheezing | $381.24 | — | $12.95–$493.94 | 2% above | — |
| Spirometry before and after a bronchodilator CPT 94060 EVALUATION OF WHEEZING | $381.24 | — | $12.95–$493.94 | 2% above | — |
| Spirometry before and after a bronchodilator CPT 94060 Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration | $381.24 | $535.00 | $362.18–$966.40 | 2% above | 29% |
| Spirometry before and after a bronchodilator one side CPT 94060 Spirometry before & after - RT CHARGE PFT | $381.24 | $647.00 | $362.18–$966.40 | 2% above | 41% |
| TMS (transcranial magnetic stimulation), first session with mapping CPT 90867 TCRANIAL MAGN STIM TX PLAN | $220.60 | — | $220.60–$1,253.99 | 40% below | — |
| TMS (transcranial magnetic stimulation), first session with mapping CPT 90867 Tcranial magn stim tx plan | $220.60 | — | $220.60–$1,253.99 | 40% below | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic activities | $33.97 | — | $24.42–$227.21 | 64% below | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT Therapeutic Activity Units | $33.97 | $254.00 | $32.07–$444.53 | 64% below | 87% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT Therapeutic Activities Units | $33.97 | $254.00 | $32.07–$444.53 | 64% below | 87% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES | $33.97 | — | $24.42–$227.21 | 64% below | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY | $135.93 | — | $106.00–$343.04 | 36% below | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy | $135.93 | — | $106.00–$343.04 | 36% below | — |
| Treadmill or drug stress test with ECG, supervision and report CPT 93015 Cv stress test supvj i&r | $70.70 | — | $70.70–$690.57 | 79% below | — |
| Treadmill or drug stress test with ECG, supervision and report CPT 93015 CARDIOVASCULAR STRESS TEST | $70.70 | — | $70.70–$690.57 | 79% below | — |
| Visual field test, extended CPT 92083 Extended visual field xm | $135.93 | — | $27.72–$494.91 | 59% below | — |
| Visual field test, extended CPT 92083 VISUAL FIELD EXAMINATION(S) | $135.93 | — | $27.72–$494.91 | 59% below | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 Iiv adjuvant vaccine im | $98.16 | — | $71.18–$345.38 | 20% below | — |
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 IIV ADJUVANT VACCINE IM | $98.16 | — | $71.18–$345.38 | 20% below | — |
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 INFLUENZA VACCINE INACT SUBUNIT ADJUVANT IM | $98.16 | — | $71.18–$345.38 | 20% below | — |
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 Outpatient APC | $161.65 | — | $137.83–$345.38 | 25% below | — |
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 SARSCOV2 VACCINE 50 MCG/0.5 ML FOR IM USE | $161.65 | — | $137.83–$345.38 | 25% below | — |
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 SARSCOV2 VAC 50 MCG/0.5ML IM | $161.65 | — | $137.83–$345.38 | 25% below | — |
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 Sarscov2 vac 50 mcg/0.5ml im | $161.65 | — | $137.83–$345.38 | 25% below | — |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 SARSCOV2 VACC 30MCG/0.3ML TRIS-SUCROSE IM USE | $168.37 | — | $132.92–$345.38 | 32% below | — |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 Sarscv2 vac 30mcg trs-suc im | $168.37 | — | $132.92–$345.38 | 32% below | — |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 Outpatient APC | $168.37 | — | $132.92–$345.38 | 32% below | — |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 SARSCV2 VAC 30MCG TRS-SUC I | $168.37 | — | $132.92–$345.38 | 32% below | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Iiv3 vacc no prsv 0.5 ml im | $23.22 | — | $19.79–$176.53 | 25% below | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACCINE NO PRESERV 3 & > | $23.22 | — | $19.79–$176.53 | 25% below | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 influenza virus PF trivalent IM 0.5 mL (FluLaval) | $23.22 | $117.68 | $22.06–$345.38 | 25% below | 80% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 influenza virus PF trivalent IM 0.5 mL (Fluzone PF) | $23.22 | $57.69 | $22.06–$345.38 | 25% below | 60% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 IIV3 VACC NO PRSV 0.5 ML IM | $23.22 | — | $19.79–$176.53 | 25% below | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEP B VACCINE ADULT IM | $75.15 | — | $65.40–$176.53 | 7% below | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 hepatitis B adult vaccine 20 mcg/mL IM 1 mL | $75.15 | $133.94 | $66.97–$345.38 | 7% below | 44% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPB VACCINE 3 DOSE ADULT IM | $75.15 | — | $65.40–$176.53 | 7% below | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepb vaccine 3 dose adult im | $75.15 | — | $65.40–$176.53 | 7% below | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Iiv no prsv increased ag im | $98.16 | — | $71.18–$176.53 | 12% below | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 IIV NO PRSV INCREASED AG IM | $98.16 | — | $71.18–$176.53 | 12% below | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 influenza virus high-dose PF trivalent IM 0.5 mL | $98.16 | $136.00 | $68.00–$345.38 | 12% below | 28% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLU VACC PRSV FREE INC ANTIG | $98.16 | — | $71.18–$176.53 | 12% below | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Pcv20 vaccine im | $312.90 | — | $197.89–$400.51 | 27% below | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 pneumococcal 20-valent conjugate vaccine IM 0.5 mL | $312.90 | $969.16 | $194.01–$678.41 | 27% below | 68% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PCV20 VACCINE IM | $312.90 | — | $197.89–$400.51 | 27% below | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PCV20 VACCINE FOR INTRAMUSCULAR USE | $312.90 | — | $197.89–$400.51 | 27% below | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PPSV23 VACC 2 YRS+ SUBQ/IM | $133.47 | — | $113.81–$176.53 | 6% below | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 pneumococcal 23-polyvalent vaccine Inj 0.5 mL | $133.47 | $448.96 | $126.80–$345.38 | 6% below | 70% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VACCINE | $133.47 | — | $113.81–$176.53 | 6% below | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Ppsv23 vacc 2 yrs+ subq/im | $133.47 | — | $113.81–$176.53 | 6% below | — |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE, IM | $315.22 | — | $197.89–$409.28 | 34% below | — |
| Rabies vaccine, one dose CPT 90675 Rabies vaccine im | $315.22 | — | $197.89–$409.28 | 34% below | — |
| Rabies vaccine, one dose CPT 90675 rabies vaccine, purified chick embryo cell 2.5 intl units Pow | $315.22 | $1,532.00 | $194.01–$1,072.40 | 34% below | 79% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN, SINGLE | $73.56 | — | $12.87–$153.15 | 1% below | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization admin | $73.56 | — | $12.87–$153.15 | 1% below | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471-Vaccine Administration | $73.56 | $380.00 | $69.88–$304.00 | 1% below | 81% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 First Vaccine 90471 - Admin Immunization Charge | $73.56 | $345.00 | $69.88–$299.63 | 1% below | 79% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Admin Immunization Charge | $15.40 | $161.00 | $14.63–$299.63 | 52% below | 90% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immunization admin each add | $15.40 | — | $12.87–$153.15 | 52% below | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN, 2+ | $15.40 | — | $12.87–$153.15 | 52% below | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472-Vaccine Administration Each Addl | $15.40 | $1.00 | $0.70–$1,007.00 | 52% below | -1440% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Each Additional 90472 - Admin Immunization Charge | $15.40 | $161.00 | $14.63–$299.63 | 52% below | 90% |