Unity Family Healthcare
Unity Family Healthcare in Little Falls, MN publishes cash prices for 319 common procedures listed here, from its own machine-readable price file updated Feb 28, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Minnesota median for 261 of 317 procedures and above it for 56. By typical cash price it ranks #14 of 79 Minnesota hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
815 Second Street SE, Little Falls, MN 56345 Collected Sep 27, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Minnesota | Off list |
|---|---|---|---|---|---|
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 LIMITED BILATERAL NONINVASIVE PHYSIOLOGIC STUDIES OF UPPER OR LOWER EXTREMITY ARTERIES (RHC) | $136.30 | $235.00 | $70.50–$223.25 | — | 42% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US DOP ANKLE BRACHIAL INDEX | $150.80 | $260.00 | $78.00–$247.00 | 59% below | 42% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 LIMITED BILATERAL NONINVASIVE PHYSIOLOGIC STUDIES OF UPPER OR LOWER EXTREMITY ARTERIES (RHC) | $136.30 | $235.00 | $70.50–$223.25 | — | 42% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US DOP ANKLE BRACHIAL INDEX | $150.80 | $260.00 | $78.00–$247.00 | — | 42% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPHAGRAM BARIUM | $352.06 | $607.00 | $182.10–$576.65 | 20% above | 42% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR ESOPHAGRAM BARIUM | $352.06 | $607.00 | $182.10–$576.65 | — | 42% |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE SCAN WHOLE BODY | $1,030.08 | $1,776.00 | $532.80–$1,687.20 | 16% below | 42% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM BONE SCAN WHOLE BODY | $1,030.08 | $1,776.00 | $532.80–$1,687.20 | — | 42% |
| Breast ultrasound, complete, one breast one side CPT 76641 US BREAST UNILATERAL COMPLETE | $396.72 | $684.00 | $205.20–$649.80 | 5% above | 42% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST UNILATERAL COMPLETE | $396.72 | $684.00 | $205.20–$649.80 | — | 42% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST UNILATERAL LIMITED | $262.74 | $453.00 | $135.90–$430.35 | 17% below | 42% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST UNILATERAL LIMITED | $262.74 | $453.00 | $135.90–$430.35 | — | 42% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST | $1,634.44 | $2,818.00 | $454.64–$2,677.10 | 1% below | 42% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST | $1,634.44 | $2,818.00 | $845.40–$2,677.10 | — | 42% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD AND PELVIS WITHOUT IV CONTRAST | $2,336.24 | $4,028.00 | $588.45–$3,826.60 | 22% above | 42% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD AND PELVIS WITHOUT IV CONTRAST | $2,336.24 | $4,028.00 | $1,208.40–$3,826.60 | — | 42% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD AND PELVIS WITH IV CONTRAST | $2,336.24 | $4,028.00 | $618.69–$3,826.60 | 5% below | 42% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD AND PELVIS WITH IV CONTRAST | $2,336.24 | $4,028.00 | $1,208.40–$3,826.60 | — | 42% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD AND PELVIS WO W IV CONTRAST | $3,504.36 | $6,042.00 | $618.69–$5,739.90 | 36% above | 42% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD AND PELVIS WO W IV CONTRAST | $3,504.36 | $6,042.00 | $1,812.60–$5,739.90 | — | 42% |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W IV CONTRAST | $1,354.30 | $2,335.00 | $454.64–$2,218.25 | 7% below | 42% |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W IV CONTRAST | $1,354.30 | $2,335.00 | $700.50–$2,218.25 | — | 42% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN ROUTINE WO IV CONTRAST | $1,354.30 | $2,335.00 | $358.90–$2,218.25 | 15% above | 42% |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN ROUTINE WO IV CONTRAST | $1,354.30 | $2,335.00 | $700.50–$2,218.25 | — | 42% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT FACIAL BONES WO IV CONTRAST | $1,210.46 | $2,087.00 | $358.90–$1,982.65 | 3% below | 42% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT FACIAL BONES WO IV CONTRAST | $1,210.46 | $2,087.00 | $626.10–$1,982.65 | — | 42% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD ROUTINE WO IV CONTRAST | $1,219.16 | $2,102.00 | $478.71–$1,996.90 | 3% below | 42% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD ROUTINE WO IV CONTRAST | $1,219.16 | $2,102.00 | $630.60–$1,996.90 | — | 42% |
| CT scan of the head with contrast CPT 70460 CT HEAD W IV CONTRAST | $1,219.16 | $2,102.00 | $454.64–$1,996.90 | 6% below | 42% |
| CT scan of the head with contrast inpatient CPT 70460 CT HEAD W IV CONTRAST | $1,219.16 | $2,102.00 | $630.60–$1,996.90 | — | 42% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD WO W IV CONTRAST | $1,828.74 | $3,153.00 | $454.64–$2,995.35 | 15% above | 42% |
| CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD WO W IV CONTRAST | $1,828.74 | $3,153.00 | $945.90–$2,995.35 | — | 42% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE ROUTINE WITHOUT CONTRAST | $1,436.66 | $2,477.00 | $358.90–$2,353.15 | 5% above | 42% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR SPINE ROUTINE WITHOUT CONTRAST | $1,436.66 | $2,477.00 | $743.10–$2,353.15 | — | 42% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL SPINE ROUTINE WITHOUT CONTRAST | $1,445.94 | $2,493.00 | $358.90–$2,368.35 | 7% above | 42% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERVICAL SPINE ROUTINE WITHOUT CONTRAST | $1,445.94 | $2,493.00 | $747.90–$2,368.35 | — | 42% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W IV CONTRAST | $1,317.76 | $2,272.00 | $454.64–$2,158.40 | 10% below | 42% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W IV CONTRAST | $1,317.76 | $2,272.00 | $681.60–$2,158.40 | — | 42% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US CAROTID BILATERAL ROUTINE | $844.48 | $1,456.00 | $436.80–$1,383.20 | — | 42% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US CAROTID BILATERAL ROUTINE | $844.48 | $1,456.00 | $436.80–$1,383.20 | — | 42% |
| Chest X-ray, 2 views CPT 71046 XR CHEST PA AND LAT | $193.14 | $333.00 | $109.89–$316.35 | 17% below | 42% |
| Chest X-ray, 2 views inpatient CPT 71046 XR CHEST PA AND LAT | $193.14 | $333.00 | $99.90–$316.35 | — | 42% |
| Chest X-ray, single view CPT 71045 XR CHEST LAT ONLY | $100.34 | $173.00 | $51.90–$164.35 | 44% below | 42% |
| Chest X-ray, single view inpatient CPT 71045 XR CHEST LAT ONLY | $100.34 | $173.00 | $51.90–$164.35 | — | 42% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RENAL BIL | $551.00 | $950.00 | $285.00–$902.50 | 6% above | 42% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RENAL BIL | $551.00 | $950.00 | $285.00–$902.50 | — | 42% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA HIP | $230.26 | $397.00 | $119.10–$377.15 | 27% below | 42% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DEXA HIP | $230.26 | $397.00 | $119.10–$377.15 | — | 42% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DEXA FOREARM | $149.64 | $258.00 | $77.40–$245.10 | 22% below | 42% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DEXA FOREARM | $149.64 | $258.00 | $77.40–$245.10 | — | 42% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST PULMONARY NODULE FOLLOWUP WO CONTR | $1,301.52 | $2,244.00 | $358.90–$2,131.80 | 4% above | 42% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST PULMONARY NODULE FOLLOWUP WO CONTR | $1,301.52 | $2,244.00 | $673.20–$2,131.80 | — | 42% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W IV CONTRAST | $1,301.52 | $2,244.00 | $454.64–$2,131.80 | 13% below | 42% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W IV CONTRAST | $1,301.52 | $2,244.00 | $673.20–$2,131.80 | — | 42% |
| Diagnostic mammogram, both breasts CPT 77066 MAMMO BASELINE DIAG BIL | $377.58 | $651.00 | $195.30–$618.45 | 18% above | 42% |
| Diagnostic mammogram, both breasts inpatient CPT 77066 MAMMO BASELINE DIAG BIL | $377.58 | $651.00 | $195.30–$618.45 | — | 42% |
| Diagnostic mammogram, one breast CPT 77065 MAMMO DIAG UNI | $296.96 | $512.00 | $153.60–$486.40 | 4% below | 42% |
| Diagnostic mammogram, one breast inpatient CPT 77065 MAMMO DIAG UNI | $296.96 | $512.00 | $153.60–$486.40 | — | 42% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 US DOP ARTERY LEG BIL | $742.98 | $1,281.00 | $384.30–$1,216.95 | 8% below | 42% |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 US DOP ARTERY LEG BIL | $742.98 | $1,281.00 | $384.30–$1,216.95 | — | 42% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 US DOP VEIN ARM BIL | $843.90 | $1,455.00 | $436.50–$1,382.25 | 5% below | 42% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US DOP VEIN ARM BIL | $843.90 | $1,455.00 | $436.50–$1,382.25 | — | 42% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO WITH DOPPLER (PRO CAH) | $325.38 | $561.00 | $185.13–$1,730.09 | 74% below | 42% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 COMPLETE ECHO (2D/C/D) | $1,248.16 | $2,152.00 | $710.16–$2,044.40 | 1% below | 42% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO WITH DOPPLER (PRO CAH) | $325.38 | $561.00 | $168.30–$532.95 | — | 42% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 COMPLETE ECHO (2D/C/D) | $1,248.16 | $2,152.00 | $645.60–$2,044.40 | — | 42% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPATOBILIARY SCAN | $826.50 | $1,425.00 | $427.50–$1,353.75 | 39% below | 42% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM HEPATOBILIARY SCAN | $826.50 | $1,425.00 | $427.50–$1,353.75 | — | 42% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY UNATTENDED | $568.98 | $981.00 | $294.30–$931.95 | 7% below | 42% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 SLEEP STUDY UNATTENDED | $568.98 | $981.00 | $294.30–$931.95 | — | 42% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLY/SPLIT | $3,596.00 | $6,200.00 | $1,860.00–$5,890.00 | 4% above | 42% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 POLY/SPLIT | $3,596.00 | $6,200.00 | $1,860.00–$5,890.00 | — | 42% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABD LTD | $413.54 | $713.00 | $213.90–$677.35 | 1% below | 42% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABD LTD | $413.54 | $713.00 | $213.90–$677.35 | — | 42% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LUNG CANCER SCREENING | $481.40 | $830.00 | $249.00–$1,475.00 | 17% below | 42% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT LUNG CANCER SCREENING | $481.40 | $830.00 | $249.00–$788.50 | — | 42% |
| MRI of the abdomen without contrast CPT 74181 MRI MRCP WITHOUT CONTRAST | $2,134.40 | $3,680.00 | $588.45–$3,496.00 | 2% below | 42% |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN ROUTINE WO CONTRAST | $2,134.40 | $3,680.00 | $588.45–$3,496.00 | 2% below | 42% |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN ROUTINE WO CONTRAST | $2,134.40 | $3,680.00 | $1,104.00–$3,496.00 | — | 42% |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI MRCP WITHOUT CONTRAST | $2,134.40 | $3,680.00 | $1,104.00–$3,496.00 | — | 42% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN WO W CONTRAST | $3,185.94 | $5,493.00 | $618.69–$5,218.35 | 8% above | 42% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN WO W CONTRAST | $3,185.94 | $5,493.00 | $1,647.90–$5,218.35 | — | 42% |
| MRI of the brain, no contrast dye CPT 70551 MRI HEAD ROUTINE WO CONTRAST | $2,134.40 | $3,680.00 | $588.45–$3,496.00 | 5% above | 42% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI HEAD ROUTINE WO CONTRAST | $2,134.40 | $3,680.00 | $1,104.00–$3,496.00 | — | 42% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI HEAD WO W CONTRAST | $3,180.14 | $5,483.00 | $618.69–$5,208.85 | 18% above | 42% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI HEAD WO W CONTRAST | $3,180.14 | $5,483.00 | $1,644.90–$5,208.85 | — | 42% |
| MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE ROUTINE WO CONTRAST | $2,123.38 | $3,661.00 | $588.45–$3,477.95 | 1% above | 42% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LUMBAR SPINE ROUTINE WO CONTRAST | $2,123.38 | $3,661.00 | $1,098.30–$3,477.95 | — | 42% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE WO W CONTRAST | $3,185.36 | $5,492.00 | $618.69–$5,217.40 | 24% above | 42% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI LUMBAR SPINE WO W CONTRAST | $3,185.36 | $5,492.00 | $1,647.60–$5,217.40 | — | 42% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI THORACIC SPINE ROUTINE WO CONTRAST | $2,123.38 | $3,661.00 | $588.45–$3,477.95 | at median | 42% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI THORACIC SPINE ROUTINE WO CONTRAST | $2,123.38 | $3,661.00 | $1,098.30–$3,477.95 | — | 42% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERVICAL SPINE WO W CONTRAST | $2,888.98 | $4,981.00 | $618.69–$4,731.95 | 16% above | 42% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI CERVICAL SPINE WO W CONTRAST | $2,888.98 | $4,981.00 | $1,494.30–$4,731.95 | — | 42% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CERVICAL SPINE LIMITED | $1,926.18 | $3,321.00 | $588.45–$3,154.95 | 9% below | 42% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI CERVICAL SPINE LIMITED | $1,926.18 | $3,321.00 | $996.30–$3,154.95 | — | 42% |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS WO W CONTRAST | $2,863.46 | $4,937.00 | $618.69–$4,690.15 | 8% above | 42% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS WO W CONTRAST | $2,863.46 | $4,937.00 | $1,481.10–$4,690.15 | — | 42% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS ROUTINE WO CONTRAST | $1,921.54 | $3,313.00 | $588.45–$3,147.35 | 9% below | 42% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS ROUTINE WO CONTRAST | $1,921.54 | $3,313.00 | $993.90–$3,147.35 | — | 42% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 MYOCARDIAL PERFUSION SCAN SPECT MULTIPLE | $2,855.34 | $4,923.00 | $1,584.52–$4,676.85 | 1% above | 42% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 MYOCARDIAL PERFUSION SCAN SPECT MULTIPLE | $2,855.34 | $4,923.00 | $1,476.90–$4,676.85 | — | 42% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US BLADDER | $305.08 | $526.00 | $157.80–$499.70 | at median | 42% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US BLADDER | $305.08 | $526.00 | $157.80–$499.70 | — | 42% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC NON OB | $391.50 | $675.00 | $202.50–$641.25 | 16% below | 42% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC NON OB | $391.50 | $675.00 | $202.50–$641.25 | — | 42% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB OVER 14 WKS COMP | $386.28 | $666.00 | $199.80–$632.70 | 19% below | 42% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB OVER 14 WKS COMP | $386.28 | $666.00 | $199.80–$632.70 | — | 42% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB UNDER 14 WKS COMP | $295.22 | $509.00 | $152.70–$483.55 | 29% below | 42% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB UNDER 14 WKS COMP | $295.22 | $509.00 | $152.70–$483.55 | — | 42% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LTD | $320.74 | $553.00 | $165.90–$525.35 | at median | 42% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB LTD | $320.74 | $553.00 | $165.90–$525.35 | — | 42% |
| Screening mammogram, both breasts CPT 77067 MAMMO BASELINE SCREEN BIL | $317.26 | $547.00 | $91.61–$519.65 | 6% below | 42% |
| Screening mammogram, both breasts inpatient CPT 77067 MAMMO BASELINE SCREEN BIL | $317.26 | $547.00 | $164.10–$519.65 | — | 42% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY | $3,236.40 | $5,580.00 | $1,674.00–$5,301.00 | 5% above | 42% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOMNOGRAPHY | $3,236.40 | $5,580.00 | $1,674.00–$5,301.00 | — | 42% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 XR VIDEO SWALLOW EVAL | $424.56 | $732.00 | $219.60–$695.40 | 43% above | 42% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 XR VIDEO SWALLOW EVAL | $424.56 | $732.00 | $219.60–$695.40 | — | 42% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL NON OB | $276.08 | $476.00 | $142.80–$452.20 | 29% below | 42% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL NON OB | $276.08 | $476.00 | $142.80–$452.20 | — | 42% |
| Transvaginal ultrasound during pregnancy CPT 76817 US OB TRANSVAGINAL | $302.76 | $522.00 | $156.60–$495.90 | 9% below | 42% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB TRANSVAGINAL | $302.76 | $522.00 | $156.60–$495.90 | — | 42% |
| Ultrasound of the abdomen, complete CPT 76700 US ABD COMPLETE | $603.78 | $1,041.00 | $312.30–$988.95 | 3% above | 42% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABD COMPLETE | $603.78 | $1,041.00 | $312.30–$988.95 | — | 42% |
| Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM | $508.08 | $876.00 | $262.80–$832.20 | 11% above | 42% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM | $508.08 | $876.00 | $262.80–$832.20 | — | 42% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US HEAD NECK SOFT TISSUE | $605.52 | $1,044.00 | $313.20–$991.80 | 33% above | 42% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US HEAD NECK SOFT TISSUE | $605.52 | $1,044.00 | $313.20–$991.80 | — | 42% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR GASTROGRAFIN UPPER GI | $513.88 | $886.00 | $265.80–$841.70 | 60% above | 42% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR GASTROGRAFIN UPPER GI | $513.88 | $886.00 | $265.80–$841.70 | — | 42% |
| X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN ONE VIEW | $104.98 | $181.00 | $54.30–$171.95 | 50% below | 42% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABDOMEN ONE VIEW | $104.98 | $181.00 | $54.30–$171.95 | — | 42% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR LUMBAR SPINE 2 OR 3 VIEWS | $133.98 | $231.00 | $69.30–$219.45 | 49% below | 42% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR LUMBAR SPINE 2 OR 3 VIEWS | $133.98 | $231.00 | $69.30–$219.45 | — | 42% |
| X-ray of the lower back, 4 or more views CPT 72110 XR LUMBAR SPINE 4 VIEWS | $227.94 | $393.00 | $117.90–$373.35 | 33% below | 42% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR LUMBAR SPINE 4 VIEWS | $227.94 | $393.00 | $117.90–$373.35 | — | 42% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR THORACIC SPINE AP AND LAT | $135.14 | $233.00 | $69.90–$221.35 | 45% below | 42% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR THORACIC SPINE AP AND LAT | $135.14 | $233.00 | $69.90–$221.35 | — | 42% |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES | $142.68 | $246.00 | $73.80–$233.70 | 35% below | 42% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR NASAL BONES | $142.68 | $246.00 | $73.80–$233.70 | — | 42% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR CERVICAL SPINE 2 OR 3 VIEWS | $165.30 | $285.00 | $85.50–$270.75 | 33% below | 42% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR CERVICAL SPINE 2 OR 3 VIEWS | $165.30 | $285.00 | $85.50–$270.75 | — | 42% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS ROUTINE 1 OR 2 VIEWS | $144.42 | $249.00 | $74.70–$236.55 | 28% below | 42% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR PELVIS ROUTINE 1 OR 2 VIEWS | $144.42 | $249.00 | $74.70–$236.55 | — | 42% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM AND OR COCCYX | $107.30 | $185.00 | $55.50–$175.75 | 53% below | 42% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR SACRUM AND OR COCCYX | $107.30 | $185.00 | $55.50–$175.75 | — | 42% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Minnesota | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINOTRANSFERASE (ALT) | $29.00 | $50.00 | $5.30–$47.50 | 36% below | 42% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALANINE AMINOTRANSFERASE (ALT) | $29.00 | $50.00 | $15.00–$47.50 | — | 42% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 ASPARTIMINE AMINOTRANSFERASE (AST) | $29.00 | $50.00 | $5.18–$47.50 | 35% below | 42% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 ASPARTIMINE AMINOTRANSFERASE (AST) | $29.00 | $50.00 | $15.00–$47.50 | — | 42% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL ACUTE | $58.58 | $101.00 | $30.30–$95.95 | 75% below | 42% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PANEL ACUTE | $58.58 | $101.00 | $30.30–$95.95 | — | 42% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CORN IGE | $26.10 | $45.00 | $5.22–$42.75 | 72% above | 42% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BERMUDA GRASS IGE | $32.48 | $56.00 | $5.22–$53.20 | 114% above | 42% |
| Allergy blood test, specific IgE, per allergen CPT 86003 UPPER & LOWER RESPRIRATORY IGE | $138.04 | $238.00 | $5.22–$226.10 | 808% above | 42% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CORN IGE | $26.10 | $45.00 | $13.50–$42.75 | — | 42% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BERMUDA GRASS IGE | $32.48 | $56.00 | $16.80–$53.20 | — | 42% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 UPPER & LOWER RESPRIRATORY IGE | $138.04 | $238.00 | $71.40–$226.10 | — | 42% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEPTIDE | $41.18 | $71.00 | $12.95–$67.45 | 2% below | 42% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINATED PEPTIDE | $41.18 | $71.00 | $21.30–$67.45 | — | 42% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ABS CASCADE | $22.04 | $38.00 | $11.40–$36.10 | 51% below | 42% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ABS CASCADE | $22.04 | $38.00 | $11.40–$36.10 | — | 42% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE B | $157.76 | $272.00 | $39.26–$258.40 | 17% above | 42% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NATRIURETIC PEPTIDE B | $157.76 | $272.00 | $81.60–$258.40 | — | 42% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $175.16 | $302.00 | $8.46–$286.90 | 96% above | 42% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL | $175.16 | $302.00 | $90.60–$286.90 | — | 42% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 LEVEL IV - SURGICAL PATHOLOGY GROSS AND MICROSCOPIC EXAMINATION (PATH) | $41.76 | $72.00 | $23.76–$162.37 | 60% below | 42% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 LEVEL IV - SURGICAL PATHOLOGY GROSS AND MICROSCOPIC EXAMINATION (PATH) | $41.76 | $72.00 | $21.60–$68.40 | — | 42% |
| Blood culture for bacteria CPT 87040 BLOOD CULTURE | $107.88 | $186.00 | $10.32–$176.70 | 2% below | 42% |
| Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE | $107.88 | $186.00 | $55.80–$176.70 | — | 42% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCTURE (RHC) | $15.66 | $27.00 | $8.83–$39.19 | 25% below | 42% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $22.62 | $39.00 | $8.83–$39.19 | 9% above | 42% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ROUTINE VENIPUNCTURE (RHC) | $15.66 | $27.00 | $8.10–$25.65 | — | 42% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE | $22.62 | $39.00 | $11.70–$37.05 | — | 42% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE | $26.10 | $45.00 | $3.93–$42.75 | 41% below | 42% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE | $26.10 | $45.00 | $13.50–$42.75 | — | 42% |
| Blood lead test CPT 83655 LEAD | $31.32 | $54.00 | $12.11–$51.30 | at median | 42% |
| Blood lead test inpatient CPT 83655 LEAD | $31.32 | $54.00 | $16.20–$51.30 | — | 42% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUALITATIVE SERUM | $53.94 | $93.00 | $7.52–$88.35 | 22% below | 42% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG QUALITATIVE SERUM | $53.94 | $93.00 | $27.90–$88.35 | — | 42% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING SEROLOGIC; ABO (BB) | $60.32 | $104.00 | $2.99–$98.80 | 14% above | 42% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING SEROLOGIC; ABO (BB) | $60.32 | $104.00 | $31.20–$98.80 | — | 42% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN INFLAMMATORY | $41.18 | $71.00 | $5.18–$67.45 | 25% below | 42% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C REACTIVE PROTEIN INFLAMMATORY | $41.18 | $71.00 | $21.30–$67.45 | — | 42% |
| C. difficile toxin gene test (stool PCR) CPT 87493 CLOSTRIDIUM DIFFICILE PCR | $65.54 | $113.00 | $33.90–$107.35 | 51% below | 42% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 CLOSTRIDIUM DIFFICILE PCR | $65.54 | $113.00 | $33.90–$107.35 | — | 42% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CANCER AG 125 | $30.16 | $52.00 | $15.60–$49.40 | 70% below | 42% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CANCER AG 125 | $30.16 | $52.00 | $15.60–$49.40 | — | 42% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19/SARS-COV2 NAAT | $53.36 | $92.00 | $34.04–$134.38 | 56% below | 42% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19/SARS-COV2 NAAT | $53.36 | $92.00 | $27.60–$87.40 | — | 42% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS MISC SOURCES | $36.54 | $63.00 | $18.90–$59.85 | 61% below | 42% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS GENITAL AND URINE SOURCES NAAT | $41.18 | $71.00 | $21.30–$67.45 | 56% below | 42% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS AND NEISSERIA GONORRHOEAE GENITAL AND URINE SOURCES NAAT | $77.14 | $133.00 | $35.09–$126.35 | 18% below | 42% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS MISC SOURCES | $36.54 | $63.00 | $18.90–$59.85 | — | 42% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS GENITAL AND URINE SOURCES NAAT | $41.18 | $71.00 | $21.30–$67.45 | — | 42% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS AND NEISSERIA GONORRHOEAE GENITAL AND URINE SOURCES NAAT | $77.14 | $133.00 | $39.90–$126.35 | — | 42% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $46.40 | $80.00 | $13.39–$95.18 | 50% below | 42% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL WITH DIRECT LDL | $48.14 | $83.00 | $13.39–$95.18 | 48% below | 42% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $46.40 | $80.00 | $24.00–$76.00 | — | 42% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL WITH DIRECT LDL | $48.14 | $83.00 | $24.90–$78.85 | — | 42% |
| Complete blood count (CBC) with differential CPT 85025 CBC WITH DIFFERENTIAL AND PLATELET COUNT | $93.96 | $162.00 | $7.77–$153.90 | 13% above | 42% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC WITH DIFFERENTIAL AND PLATELET COUNT | $93.96 | $162.00 | $48.60–$153.90 | — | 42% |
| Complete blood count (CBC), no differential CPT 85027 HEMOGRAM WITH PLATELET COUNT | $59.16 | $102.00 | $6.47–$96.90 | 10% below | 42% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HEMOGRAM WITH PLATELET COUNT | $59.16 | $102.00 | $30.60–$96.90 | — | 42% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL | $201.26 | $347.00 | $10.56–$329.65 | 113% above | 42% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL | $201.26 | $347.00 | $104.10–$329.65 | — | 42% |
| D-dimer blood test (blood clot marker) CPT 85379 D DIMER | $107.30 | $185.00 | $10.18–$175.75 | 8% above | 42% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D DIMER | $107.30 | $185.00 | $55.50–$175.75 | — | 42% |
| Estradiol blood test CPT 82670 ESTRADIOL; TOTAL | $42.92 | $74.00 | $22.20–$70.30 | 35% below | 42% |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL; TOTAL | $42.92 | $74.00 | $22.20–$70.30 | — | 42% |
| FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIMULATING | $29.00 | $50.00 | $15.00–$47.50 | 59% below | 42% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIMULATING | $29.00 | $50.00 | $15.00–$47.50 | — | 42% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $26.68 | $46.00 | $13.63–$43.70 | 70% below | 42% |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN | $26.68 | $46.00 | $13.80–$43.70 | — | 42% |
| Folate (folic acid) blood test CPT 82746 FOLATE | $29.00 | $50.00 | $14.70–$47.50 | 64% below | 42% |
| Folate (folic acid) blood test inpatient CPT 82746 FOLATE | $29.00 | $50.00 | $15.00–$47.50 | — | 42% |
| Free T3 thyroid hormone test CPT 84481 TRIIODOTHYRONINE (T3) FREE | $30.16 | $52.00 | $15.60–$49.40 | 71% below | 42% |
| Free T3 thyroid hormone test inpatient CPT 84481 TRIIODOTHYRONINE (T3) FREE | $30.16 | $52.00 | $15.60–$49.40 | — | 42% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE (T4) FREE | $44.08 | $76.00 | $9.02–$72.20 | 35% below | 42% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE (T4) FREE | $44.08 | $76.00 | $22.80–$72.20 | — | 42% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL | $345.10 | $595.00 | $178.50–$565.25 | 39% above | 42% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL | $345.10 | $595.00 | $178.50–$565.25 | — | 42% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE; POST GLUCOSE DOSE (INCLUDES GLUCOSE) | $26.10 | $45.00 | $4.75–$42.75 | 38% below | 42% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE; POST GLUCOSE DOSE (INCLUDES GLUCOSE) | $26.10 | $45.00 | $13.50–$42.75 | — | 42% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE; TOLERANCE TEST (GTT) 3 SPECIMENS (INCLUDES GLUCOSE) | $41.18 | $71.00 | $12.87–$67.45 | 57% below | 42% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE; TOLERANCE TEST (GTT) 3 SPECIMENS (INCLUDES GLUCOSE) | $41.18 | $71.00 | $21.30–$67.45 | — | 42% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE NAAT | $49.88 | $86.00 | $25.80–$81.70 | 41% below | 42% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHOEAE NAAT | $49.88 | $86.00 | $25.80–$81.70 | — | 42% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1/2 AB/HIV 1/2 AG | $40.60 | $70.00 | $21.00–$66.50 | 36% below | 42% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1/2 AB/HIV 1/2 AG | $40.60 | $70.00 | $21.00–$66.50 | — | 42% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH RISK POOLED RESULT | $52.78 | $91.00 | $27.30–$86.45 | 59% below | 42% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV HIGH RISK POOLED RESULT | $52.78 | $91.00 | $27.30–$86.45 | — | 42% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C | $41.18 | $71.00 | $9.71–$78.39 | 29% below | 42% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C | $41.18 | $71.00 | $21.30–$67.45 | — | 42% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B VIRUS SURFACE AB | $26.10 | $45.00 | $10.74–$42.75 | 60% below | 42% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B VIRUS SURFACE AB | $26.10 | $45.00 | $13.50–$42.75 | — | 42% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B VIRUS SURFACE AG | $42.34 | $73.00 | $10.33–$69.35 | 21% below | 42% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B VIRUS SURFACE AG | $42.34 | $73.00 | $21.90–$69.35 | — | 42% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C VIRUS AB | $29.00 | $50.00 | $14.27–$47.50 | 64% below | 42% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C VIRUS AB | $29.00 | $50.00 | $15.00–$47.50 | — | 42% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C REACTIVE PROTEIN CARDIAC HIGH SENSITIVITY | $29.00 | $50.00 | $12.95–$47.50 | 59% below | 42% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C REACTIVE PROTEIN CARDIAC HIGH SENSITIVITY | $29.00 | $50.00 | $15.00–$47.50 | — | 42% |
| Iron blood test (serum iron) CPT 83540 IRON | $37.70 | $65.00 | $6.47–$61.75 | 27% below | 42% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON | $37.70 | $65.00 | $19.50–$61.75 | — | 42% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY | $27.26 | $47.00 | $8.74–$44.65 | 58% below | 42% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY | $27.26 | $47.00 | $14.10–$44.65 | — | 42% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $186.18 | $321.00 | $8.68–$304.95 | 76% above | 42% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL | $186.18 | $321.00 | $96.30–$304.95 | — | 42% |
| LH (luteinizing hormone) test CPT 83002 LUTROPIN (LH) | $29.00 | $50.00 | $15.00–$47.50 | 64% below | 42% |
| LH (luteinizing hormone) test inpatient CPT 83002 LUTROPIN (LH) | $29.00 | $50.00 | $15.00–$47.50 | — | 42% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE BODY FLUID | $18.56 | $32.00 | $6.89–$30.40 | 69% below | 42% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $87.00 | $150.00 | $6.89–$142.50 | 47% above | 42% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE BODY FLUID | $18.56 | $32.00 | $9.60–$30.40 | — | 42% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE | $87.00 | $150.00 | $45.00–$142.50 | — | 42% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $186.18 | $321.00 | $8.17–$304.95 | 82% above | 42% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL | $186.18 | $321.00 | $96.30–$304.95 | — | 42% |
| Lyme disease antibody test CPT 86618 BORRELIA BURGDORFERI SEROLOGY EVALUATION WITH REFLEX | $33.64 | $58.00 | $17.03–$55.10 | 48% below | 42% |
| Lyme disease antibody test inpatient CPT 86618 BORRELIA BURGDORFERI SEROLOGY EVALUATION WITH REFLEX | $33.64 | $58.00 | $17.40–$55.10 | — | 42% |
| Magnesium blood test CPT 83735 MAGNESIUM URINE 24 HR | $45.82 | $79.00 | $6.70–$75.05 | 47% above | 42% |
| Magnesium blood test CPT 83735 MAGNESIUM | $74.24 | $128.00 | $6.70–$121.60 | 138% above | 42% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM URINE 24 HR | $45.82 | $79.00 | $23.70–$75.05 | — | 42% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM | $74.24 | $128.00 | $38.40–$121.60 | — | 42% |
| Mono test (heterophile antibody, Monospot) CPT 86308 INFECTIOUS MONONUCLEOSIS SCREEN | $33.64 | $58.00 | $5.18–$55.10 | 34% below | 42% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 INFECTIOUS MONONUCLEOSIS SCREEN | $33.64 | $58.00 | $17.40–$55.10 | — | 42% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA DIAGNOSTIC | $75.98 | $131.00 | $18.39–$124.45 | 6% below | 42% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA DIAGNOSTIC | $75.98 | $131.00 | $39.30–$124.45 | — | 42% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHYRIN INTACT | $74.82 | $129.00 | $38.70–$122.55 | 36% below | 42% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYRIN INTACT | $74.82 | $129.00 | $38.70–$122.55 | — | 42% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 ACTIVATED PARTIAL THROMBOPLASTIN TIME (APTT) | $69.60 | $120.00 | $6.01–$114.00 | 18% above | 42% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 ACTIVATED PARTIAL THROMBOPLASTIN TIME (APTT) | $69.60 | $120.00 | $36.00–$114.00 | — | 42% |
| Progesterone blood test CPT 84144 PROGESTERONE | $41.76 | $72.00 | $20.86–$68.40 | 48% below | 42% |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE | $41.76 | $72.00 | $21.60–$68.40 | — | 42% |
| Prolactin blood test CPT 84146 PROLACTIN | $29.00 | $50.00 | $15.00–$47.50 | 56% below | 42% |
| Prolactin blood test inpatient CPT 84146 PROLACTIN | $29.00 | $50.00 | $15.00–$47.50 | — | 42% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $40.60 | $70.00 | $4.29–$66.50 | 34% above | 42% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME | $40.60 | $70.00 | $21.00–$66.50 | — | 42% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A AND B AG | $32.48 | $56.00 | $16.55–$53.20 | 42% below | 42% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A AND B AG | $32.48 | $56.00 | $16.80–$53.20 | — | 42% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 GROUP A STREP SCREEN ONLY | $43.50 | $75.00 | $16.53–$71.25 | 19% below | 42% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 GROUP A STREP SCREEN ONLY | $43.50 | $75.00 | $22.50–$71.25 | — | 42% |
| Rheumatoid factor (RF) test CPT 86431 RA(RHEUMATOID FACTOR) | $29.00 | $50.00 | $5.67–$47.50 | 40% below | 42% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RA(RHEUMATOID FACTOR) | $29.00 | $50.00 | $15.00–$47.50 | — | 42% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA AB IGG | $29.00 | $50.00 | $14.39–$47.50 | 39% below | 42% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA AB IGG | $29.00 | $50.00 | $15.00–$47.50 | — | 42% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 ERYTHROCYTE SEDIMENTATION RATE AUTOMATED | $27.26 | $47.00 | $2.70–$44.65 | 28% below | 42% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 ERYTHROCYTE SEDIMENTATION RATE AUTOMATED | $27.26 | $47.00 | $14.10–$44.65 | — | 42% |
| Stool ova and parasites exam CPT 87177 OVA AND PARASITES | $32.48 | $56.00 | $8.90–$53.20 | 8% below | 42% |
| Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITES | $32.48 | $56.00 | $16.80–$53.20 | — | 42% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLOOD FIT | $180.96 | $312.00 | $15.92–$296.40 | 214% above | 42% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 OCCULT BLOOD FIT | $180.96 | $312.00 | $93.60–$296.40 | — | 42% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RAPID PLASMA REAGIN | $21.46 | $37.00 | $4.27–$35.15 | 27% below | 42% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RAPID PLASMA REAGIN | $21.46 | $37.00 | $11.10–$35.15 | — | 42% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE | $40.60 | $70.00 | $21.00–$66.50 | 35% below | 42% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE | $40.60 | $70.00 | $21.00–$66.50 | — | 42% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROPEROXIDASE IGG AB | $52.20 | $90.00 | $14.55–$85.50 | 1% below | 42% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROPEROXIDASE IGG AB | $52.20 | $90.00 | $27.00–$85.50 | — | 42% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE | $75.40 | $130.00 | $16.80–$123.50 | 20% below | 42% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMONE | $75.40 | $130.00 | $39.00–$123.50 | — | 42% |
| Uric acid blood test CPT 84550 URIC ACID | $32.48 | $56.00 | $4.52–$53.20 | 25% below | 42% |
| Uric acid blood test inpatient CPT 84550 URIC ACID | $32.48 | $56.00 | $16.80–$53.20 | — | 42% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS MACROSCOPIC WITH MICROSCOPIC REFLEX TO CULTURE | $55.68 | $96.00 | $3.17–$91.20 | 12% above | 42% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS MACROSCOPIC WITH MICROSCOPIC REFLEX TO CULTURE | $55.68 | $96.00 | $28.80–$91.20 | — | 42% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS MACROSCOPIC AUTOMATED | $37.12 | $64.00 | $2.25–$60.80 | 45% above | 42% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS MACROSCOPIC AUTOMATED | $37.12 | $64.00 | $19.20–$60.80 | — | 42% |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS MACROSCOPIC MANUAL | $12.18 | $21.00 | $3.48–$19.95 | 45% below | 42% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS MACROSCOPIC MANUAL | $12.18 | $21.00 | $6.30–$19.95 | — | 42% |
| Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE | $46.98 | $81.00 | $8.07–$76.95 | 15% below | 42% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE URINE | $46.98 | $81.00 | $24.30–$76.95 | — | 42% |
| Urine pregnancy test, read by color change CPT 81025 HCG QUALITATIVE URINE | $48.14 | $83.00 | $8.61–$78.85 | 24% above | 42% |
| Urine pregnancy test, read by color change inpatient CPT 81025 HCG QUALITATIVE URINE | $48.14 | $83.00 | $24.90–$78.85 | — | 42% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 | $95.12 | $164.00 | $15.08–$155.80 | 7% above | 42% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 | $95.12 | $164.00 | $49.20–$155.80 | — | 42% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25-HYDROXY TOTAL | $135.14 | $233.00 | $29.60–$221.35 | 39% above | 42% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25-HYDROXY TOTAL | $135.14 | $233.00 | $69.90–$221.35 | — | 42% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Minnesota | Off list |
|---|---|---|---|---|---|
| Appendectomy, open surgery CPT 44950 APPENDECTOMY (PRO CAH) | $1,023.12 | $1,764.00 | $529.20–$3,804.00 | 18% below | 42% |
| Appendectomy, open surgery inpatient CPT 44950 APPENDECTOMY (PRO CAH) | $1,023.12 | $1,764.00 | $529.20–$1,675.80 | — | 42% |
| Arthroscopic ACL reconstruction or repair of the knee CPT 29888 ARTHROSCOPICALLY AIDED ANTERIOR CRUCIATE LIGAMENT REPAIR/AUGMENTATION OR RECONSTRUCTION (PRO CAH) | $1,591.52 | $2,744.00 | $823.20–$7,460.00 | 53% below | 42% |
| Arthroscopic ACL reconstruction or repair of the knee inpatient CPT 29888 ARTHROSCOPICALLY AIDED ANTERIOR CRUCIATE LIGAMENT REPAIR/AUGMENTATION OR RECONSTRUCTION (PRO CAH) | $1,591.52 | $2,744.00 | $823.20–$2,606.80 | — | 42% |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 ARTHROSCOPY SHOULDER; WITH ROTATOR CUFF REPAIR (PRO CAH) | $1,745.22 | $3,009.00 | $902.70–$7,460.00 | 32% below | 42% |
| Arthroscopic rotator cuff repair of the shoulder inpatient CPT 29827 ARTHROSCOPY SHOULDER; WITH ROTATOR CUFF REPAIR (PRO CAH) | $1,745.22 | $3,009.00 | $902.70–$2,858.55 | — | 42% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BIOPSY BREAST W/PLACEMENT LOCALIZATION DEVICE PERQ 1ST LESION INCL STEREOTACTIC GUIDANCE (PRO CAH) | $810.26 | $1,397.00 | $419.10–$1,503.00 | 52% below | 42% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 BIOPSY BREAST W/PLACEMENT LOCALIZATION DEVICE PERQ 1ST LESION INCL STEREOTACTIC GUIDANCE (PRO CAH) | $810.26 | $1,397.00 | $419.10–$1,327.15 | — | 42% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CLOSED TREATMENT LATERAL MALLEOLUS FX W/O MANI (PBB) | $135.14 | $233.00 | $69.90–$780.00 | 71% below | 42% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CLOSED TREATMENT OF DISTAL FIBULAR FRACTURE (LATERAL MALLEOLUS); WITHOUT MANIPULATION (RHC) | $541.14 | $933.00 | $279.90–$886.35 | 16% above | 42% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CLOSED TREATMENT OF DISTAL FIBULAR FRACTURE (LATERAL MALLEOLUS); WITHOUT MANIPULATION (PRO CAH) | $645.54 | $1,113.00 | $333.90–$1,057.35 | 38% above | 42% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 CLOSED TREATMENT LATERAL MALLEOLUS FX W/O MANI (PBB) | $135.14 | $233.00 | $69.90–$221.35 | — | 42% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 CLOSED TREATMENT OF DISTAL FIBULAR FRACTURE (LATERAL MALLEOLUS); WITHOUT MANIPULATION (RHC) | $541.14 | $933.00 | $279.90–$886.35 | — | 42% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 CLOSED TREATMENT OF DISTAL FIBULAR FRACTURE (LATERAL MALLEOLUS); WITHOUT MANIPULATION (PRO CAH) | $645.54 | $1,113.00 | $333.90–$1,057.35 | — | 42% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 CLOSED TREATMENT METATARSAL FX WO MANIPULATION (PBB) | $93.96 | $162.00 | $48.60–$780.00 | 75% below | 42% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 CLOSED TREATMENT OF METATARSAL FRACTURE; WITHOUT MANIPULATION EACH (RHC) | $375.84 | $648.00 | $194.40–$780.00 | 1% above | 42% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 CLOSED TREATMENT OF METATARSAL FRACTURE; WITHOUT MANIPULATION EACH (PRO CAH) | $449.50 | $775.00 | $232.50–$780.00 | 21% above | 42% |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 CLOSED TREATMENT METATARSAL FX WO MANIPULATION (PBB) | $93.96 | $162.00 | $48.60–$153.90 | — | 42% |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 CLOSED TREATMENT OF METATARSAL FRACTURE; WITHOUT MANIPULATION EACH (RHC) | $375.84 | $648.00 | $194.40–$615.60 | — | 42% |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 CLOSED TREATMENT OF METATARSAL FRACTURE; WITHOUT MANIPULATION EACH (PRO CAH) | $449.50 | $775.00 | $232.50–$736.25 | — | 42% |
| Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 CORRECTION HALLUX VALGUS W BUNIONECTOMY W/SESAMIODECTOMY; W/DISTAL METATARSAL OSTEOTOMY ANY METHOD (PRO CAH) | $1,459.28 | $2,516.00 | $754.80–$3,804.00 | 11% below | 42% |
| Bunion correction with a bone cut near the head of the first metatarsal inpatient CPT 28296 CORRECTION HALLUX VALGUS W BUNIONECTOMY W/SESAMIODECTOMY; W/DISTAL METATARSAL OSTEOTOMY ANY METHOD (PRO CAH) | $1,459.28 | $2,516.00 | $754.80–$2,390.20 | — | 42% |
| Bunion correction with removal of part of the big toe joint CPT 28292 CORRECTION HALLUX VALGUS W BUNIONECTOMY W SESAMIODECTOMY; W/RESECTION PROXIMAL PHALANX BASE (PRO CAH) | $1,159.42 | $1,999.00 | $599.70–$3,804.00 | 20% below | 42% |
| Bunion correction with removal of part of the big toe joint inpatient CPT 28292 CORRECTION HALLUX VALGUS W BUNIONECTOMY W SESAMIODECTOMY; W/RESECTION PROXIMAL PHALANX BASE (PRO CAH) | $1,159.42 | $1,999.00 | $599.70–$1,899.05 | — | 42% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION (PRO CAH) | $341.04 | $588.00 | $176.40–$1,164.00 | 67% below | 42% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION | $914.66 | $1,577.00 | $473.10–$1,498.15 | 11% below | 42% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION (PRO CAH) | $341.04 | $588.00 | $176.40–$558.60 | — | 42% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION | $914.66 | $1,577.00 | $473.10–$1,498.15 | — | 42% |
| Carpal tunnel release, open surgery CPT 64721 NEUROPLASTY AND/OR TRANSPOSITION MEDIAN NERVE AT CARPAL TUNNEL (PRO CAH) | $1,490.60 | $2,570.00 | $771.00–$3,267.00 | 2% above | 42% |
| Carpal tunnel release, open surgery inpatient CPT 64721 NEUROPLASTY AND/OR TRANSPOSITION MEDIAN NERVE AT CARPAL TUNNEL (PRO CAH) | $1,490.60 | $2,570.00 | $771.00–$2,441.50 | — | 42% |
| Cervical biopsy CPT 57500 BIOPSY OF CERVIX SINGLE OR MULTIPLE OR LOCAL EXCISION OF LESION WITH OR WITHOUT FULGURATION (RHC) | $248.82 | $429.00 | $128.70–$1,164.00 | 42% below | 42% |
| Cervical biopsy CPT 57500 BIOPSY OF CERVIX OR EXCISION OF LESION (S) W/WO FULGURATION (PRO CAH) | $248.82 | $429.00 | $128.70–$1,164.00 | 42% below | 42% |
| Cervical biopsy inpatient CPT 57500 BIOPSY OF CERVIX SINGLE OR MULTIPLE OR LOCAL EXCISION OF LESION WITH OR WITHOUT FULGURATION (RHC) | $248.82 | $429.00 | $128.70–$407.55 | — | 42% |
| Cervical biopsy inpatient CPT 57500 BIOPSY OF CERVIX OR EXCISION OF LESION (S) W/WO FULGURATION (PRO CAH) | $248.82 | $429.00 | $128.70–$407.55 | — | 42% |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUMCISION SURGICAL EXCISION OTHER THAN CLAMP DEVICE/DORSAL SLIT; OLDER THAN 28 DAYS (PRO CAH) | $298.12 | $514.00 | $154.20–$3,267.00 | 78% below | 42% |
| Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 CIRCUMCISION SURGICAL EXCISION OTHER THAN CLAMP DEVICE/DORSAL SLIT; OLDER THAN 28 DAYS (PRO CAH) | $298.12 | $514.00 | $154.20–$488.30 | — | 42% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION USING CLAMP OR OTHER DEVICE WITH REGIONAL DORSAL PENILE OR RING BLOCK (RHC) | $244.18 | $421.00 | $126.30–$3,267.00 | at median | 42% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION USING CLAMP OR OTHER DEVICE WITH REGIONAL DORSAL PENILE OR RING BLOCK (PRO CAH) | $244.18 | $421.00 | $126.30–$3,267.00 | at median | 42% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION WITH REGIONAL BLOCK | $375.84 | $648.00 | $194.40–$3,267.00 | 54% above | 42% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION USING CLAMP OR OTHER DEVICE WITH REGIONAL DORSAL PENILE OR RING BLOCK (PRO CAH) | $244.18 | $421.00 | $126.30–$399.95 | — | 42% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION USING CLAMP OR OTHER DEVICE WITH REGIONAL DORSAL PENILE OR RING BLOCK (RHC) | $244.18 | $421.00 | $126.30–$399.95 | — | 42% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION WITH REGIONAL BLOCK | $375.84 | $648.00 | $194.40–$615.60 | — | 42% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLOSED TREATMENT DISTAL RADIAL FX W/O MANI (PBB) | $147.90 | $255.00 | $76.50–$780.00 | 70% below | 42% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLOSED TREATMENT OF DISTAL RADIAL FRACTURE OR EPIPHYSEAL SEPARATION; WITHOUT MANIPULATION (RHC) | $591.60 | $1,020.00 | $306.00–$969.00 | 20% above | 42% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLOSED TX DISTAL RADIAL FX/EPIPHYSEAL SEPARATION INC CLOSED TX FX ULNAR STYLOID; WO MANIP (PRO CAH) | $593.34 | $1,023.00 | $306.90–$971.85 | 20% above | 42% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 CLOSED TREATMENT DISTAL RADIAL FX W/O MANI (PBB) | $147.90 | $255.00 | $76.50–$242.25 | — | 42% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 CLOSED TREATMENT OF DISTAL RADIAL FRACTURE OR EPIPHYSEAL SEPARATION; WITHOUT MANIPULATION (RHC) | $591.60 | $1,020.00 | $306.00–$969.00 | — | 42% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 CLOSED TX DISTAL RADIAL FX/EPIPHYSEAL SEPARATION INC CLOSED TX FX ULNAR STYLOID; WO MANIP (PRO CAH) | $593.34 | $1,023.00 | $306.90–$971.85 | — | 42% |
| Colonoscopy with polyp removal CPT 45385 COLONOSCOPY FLEXIBLE;WITH REMOVAL OF TUMORPOLYPOR OTHER LESION SNARE TECHNIQUE (PRO CAH) | $742.40 | $1,280.00 | $422.40–$2,425.49 | 40% below | 42% |
| Colonoscopy with polyp removal inpatient CPT 45385 COLONOSCOPY FLEXIBLE;WITH REMOVAL OF TUMORPOLYPOR OTHER LESION SNARE TECHNIQUE (PRO CAH) | $742.40 | $1,280.00 | $384.00–$1,216.00 | — | 42% |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY FLEXIBLE; WITH BIOPSY SINGLE OR MULTIPLE (PRO CAH) | $708.76 | $1,222.00 | $403.26–$2,425.49 | 44% below | 42% |
| Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY FLEXIBLE; WITH BIOPSY SINGLE OR MULTIPLE (PRO CAH) | $708.76 | $1,222.00 | $366.60–$1,160.90 | — | 42% |
| Colonoscopy, diagnostic CPT 45378 COLONOSCOPY FLEXIBLE; DIAGNOSTIC INCLUDING COLLECTION SPECIMEN(S) BY BRUSHING OR WASHING (PRO CAH) | $558.54 | $963.00 | $317.79–$2,791.66 | 54% below | 42% |
| Colonoscopy, diagnostic inpatient CPT 45378 COLONOSCOPY FLEXIBLE; DIAGNOSTIC INCLUDING COLLECTION SPECIMEN(S) BY BRUSHING OR WASHING (PRO CAH) | $558.54 | $963.00 | $288.90–$914.85 | — | 42% |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 COLPOSCOPY OF CERVIX INCLUDING UPPER/ADJACENT VAGINA; W LOOP ELECTRODE BIOPSY(S) OF THE CERVIX (RHC) | $506.92 | $874.00 | $262.20–$3,267.00 | 30% below | 42% |
| Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 COLPOSCOPY OF CERVIX INCLUDING UPPER/ADJACENT VAGINA; W LOOP ELECTRODE BIOPSY(S) OF THE CERVIX (RHC) | $506.92 | $874.00 | $262.20–$830.30 | — | 42% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 COLPOSCOPY OF CERVIX INCL UPPER/ADJACENT VAGINA; W BIOPSY CERVIX/ENDOCERVICAL CURETTAGE (PBB) | $68.44 | $118.00 | $35.40–$780.00 | 87% below | 42% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 COLPOSCOPY OF CERVIX INCL UPPER/ADJ VAG W/BX OF CERVIX AND ENDOCERV CURETTAGE (PRO CAH) | $274.92 | $474.00 | $142.20–$780.00 | 50% below | 42% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 COLPOSCOPY OF THE CERVIX INCLUDING UPPER/ADJACENT VAGINA; WITH BIOPSY (RHC) | $274.92 | $474.00 | $142.20–$780.00 | 50% below | 42% |
| Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 COLPOSCOPY OF CERVIX INCL UPPER/ADJACENT VAGINA; W BIOPSY CERVIX/ENDOCERVICAL CURETTAGE (PBB) | $68.44 | $118.00 | $35.40–$112.10 | — | 42% |
| Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 COLPOSCOPY OF THE CERVIX INCLUDING UPPER/ADJACENT VAGINA; WITH BIOPSY (RHC) | $274.92 | $474.00 | $142.20–$450.30 | — | 42% |
| Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 COLPOSCOPY OF CERVIX INCL UPPER/ADJ VAG W/BX OF CERVIX AND ENDOCERV CURETTAGE (PRO CAH) | $274.92 | $474.00 | $142.20–$450.30 | — | 42% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY (SEPARATE PROCEDURE) (PRO CAH) | $365.98 | $631.00 | $189.30–$1,164.00 | 51% below | 42% |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSTOURETHROSCOPY (SEPARATE PROCEDURE) (PRO CAH) | $365.98 | $631.00 | $189.30–$599.45 | — | 42% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION AND CURETTAGE DIAGNOSTIC AND/OR THERAPEUTIC (NONOBSTETRICAL) (RHC) | $486.62 | $839.00 | $251.70–$3,267.00 | 66% below | 42% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION AND CURETTAGE DIAGNOSTIC AND/OR THERAPEUTIC (NONOBSTETRICAL) (PRO CAH) | $486.62 | $839.00 | $251.70–$3,267.00 | 66% below | 42% |
| D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 DILATION AND CURETTAGE DIAGNOSTIC AND/OR THERAPEUTIC (NONOBSTETRICAL) (RHC) | $486.62 | $839.00 | $251.70–$797.05 | — | 42% |
| D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 DILATION AND CURETTAGE DIAGNOSTIC AND/OR THERAPEUTIC (NONOBSTETRICAL) (PRO CAH) | $486.62 | $839.00 | $251.70–$797.05 | — | 42% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCTION PREMALIGNANT LESIONS; 1ST LESION (PBB) | $28.42 | $49.00 | $14.70–$780.00 | 84% below | 42% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCT PREMALIGNANT LESIONS 1ST LESION (RHC) | $114.26 | $197.00 | $59.10–$780.00 | 37% below | 42% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCTION PREMALIGNANT LESIONS (EG ACTINIC KERATOSES); FIRST LESION (PRO CAH) | $153.70 | $265.00 | $79.50–$780.00 | 15% below | 42% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DESTRUCTION PREMALIGNANT LESIONS; 1ST LESION (PBB) | $28.42 | $49.00 | $14.70–$46.55 | — | 42% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DESTRUCT PREMALIGNANT LESIONS 1ST LESION (RHC) | $114.26 | $197.00 | $59.10–$187.15 | — | 42% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DESTRUCTION PREMALIGNANT LESIONS (EG ACTINIC KERATOSES); FIRST LESION (PRO CAH) | $153.70 | $265.00 | $79.50–$251.75 | — | 42% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 REMOVAL IMPACTED CERUMEN USING IRRIGATION/LAVAGE UNILATERAL (RHC) | $52.20 | $90.00 | $27.00–$780.00 | 33% below | 42% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 REMOVAL IMPACTED CERUMEN USING IRRIGATION/LAVAGE UNILATERAL (PBB) | $52.20 | $90.00 | $27.00–$780.00 | 33% below | 42% |
| Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 REMOVAL IMPACTED CERUMEN USING IRRIGATION/LAVAGE UNILATERAL (RHC) | $52.20 | $90.00 | $27.00–$85.50 | — | 42% |
| Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 REMOVAL IMPACTED CERUMEN USING IRRIGATION/LAVAGE UNILATERAL (PBB) | $52.20 | $90.00 | $27.00–$85.50 | — | 42% |
| Earwax removal with instruments, one ear one side CPT 69210 REMOVAL IMPACTED CERUMEN REQUIRING INSTRUMENTATION UNILATERAL (PBB) | $19.72 | $34.00 | $10.20–$780.00 | 84% below | 42% |
| Earwax removal with instruments, one ear one side CPT 69210 REMOVAL IMPACTED CERUMEN REQUIRING INSTRUMENTATION UNILATERAL (RHC) | $78.88 | $136.00 | $40.80–$780.00 | 36% below | 42% |
| Earwax removal with instruments, one ear one side CPT 69210 REMOVAL IMPACTED CERUMEN REQUIRING INSTRUMENTATION UNILATERAL (PRO CAH) | $104.98 | $181.00 | $54.30–$780.00 | 15% below | 42% |
| Earwax removal with instruments, one ear inpatient one side CPT 69210 REMOVAL IMPACTED CERUMEN REQUIRING INSTRUMENTATION UNILATERAL (PBB) | $19.72 | $34.00 | $10.20–$32.30 | — | 42% |
| Earwax removal with instruments, one ear inpatient one side CPT 69210 REMOVAL IMPACTED CERUMEN REQUIRING INSTRUMENTATION UNILATERAL (RHC) | $78.88 | $136.00 | $40.80–$129.20 | — | 42% |
| Earwax removal with instruments, one ear inpatient one side CPT 69210 REMOVAL IMPACTED CERUMEN REQUIRING INSTRUMENTATION UNILATERAL (PRO CAH) | $104.98 | $181.00 | $54.30–$171.95 | — | 42% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 ENDOMETRIAL BIOPSY W/WO ENDOCERVICAL BIOPSY WO DILATION (PBB) | $40.60 | $70.00 | $21.00–$780.00 | 84% below | 42% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 ENDOMETRIAL BIOPSY W OR W/O ENDOCERVICAL SAMPLING WITHOUT CERVICAL DILATION ANY METHOD (RHC) | $164.14 | $283.00 | $84.90–$780.00 | 34% below | 42% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 ENDOMETRIAL BIOPSY; W/WO ENDOCERVICAL BIOPSY W/O CERVICAL DILATION ANY METHOD (PRO CAH) | $164.14 | $283.00 | $84.90–$780.00 | 34% below | 42% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BIOPSY OF ENDOMETRIAL W/O CERVICAL DILATION | $242.44 | $418.00 | $125.40–$780.00 | 2% below | 42% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 ENDOMETRIAL BIOPSY W/WO ENDOCERVICAL BIOPSY WO DILATION (PBB) | $40.60 | $70.00 | $21.00–$66.50 | — | 42% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 ENDOMETRIAL BIOPSY; W/WO ENDOCERVICAL BIOPSY W/O CERVICAL DILATION ANY METHOD (PRO CAH) | $164.14 | $283.00 | $84.90–$268.85 | — | 42% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 ENDOMETRIAL BIOPSY W OR W/O ENDOCERVICAL SAMPLING WITHOUT CERVICAL DILATION ANY METHOD (RHC) | $164.14 | $283.00 | $84.90–$268.85 | — | 42% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 BIOPSY OF ENDOMETRIAL W/O CERVICAL DILATION | $242.44 | $418.00 | $125.40–$397.10 | — | 42% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INJ DIAG OR THERAPEUTIC SUBST W/O NEUROLYTIC SUB EPID/SUBARACH; CERVIC/THORAC; W/IMAGING (PRO CAH) | $461.68 | $796.00 | $238.80–$1,164.00 | 53% below | 42% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 XR EPIDURAL CERVICAL THORACIC INJ | $1,179.14 | $2,033.00 | $609.90–$1,931.35 | 19% above | 42% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 INJ DIAG OR THERAPEUTIC SUBST W/O NEUROLYTIC SUB EPID/SUBARACH; CERVIC/THORAC; W/IMAGING (PRO CAH) | $461.68 | $796.00 | $238.80–$756.20 | — | 42% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 XR EPIDURAL CERVICAL THORACIC INJ | $1,179.14 | $2,033.00 | $609.90–$1,931.35 | — | 42% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ DX OR THER AGENT PARAVERTEBRAL FACET JT W IMAGE GUIDANCE LUMBAR/SACRAL SINGLE LEVEL (PRO CAH) | $307.98 | $531.00 | $159.30–$1,164.00 | 78% below | 42% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 XR CT FACET INJ LUMB SACR SNGL LVL W GUIDANCE | $1,491.18 | $2,571.00 | $771.30–$2,442.45 | 7% above | 42% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 INJ DX OR THER AGENT PARAVERTEBRAL FACET JT W IMAGE GUIDANCE LUMBAR/SACRAL SINGLE LEVEL (PRO CAH) | $307.98 | $531.00 | $159.30–$504.45 | — | 42% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 XR CT FACET INJ LUMB SACR SNGL LVL W GUIDANCE | $1,491.18 | $2,571.00 | $771.30–$2,442.45 | — | 42% |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 REPAIR ANTERIOR ABD HERNIA ANY APPROACH INITIAL INCL IMPLANT OF MESH 3 CM TO 10 CM REDUCIBLE (PRO CAH) | $901.32 | $1,554.00 | $466.20–$1,476.30 | 42% below | 42% |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm inpatient CPT 49593 REPAIR ANTERIOR ABD HERNIA ANY APPROACH INITIAL INCL IMPLANT OF MESH 3 CM TO 10 CM REDUCIBLE (PRO CAH) | $901.32 | $1,554.00 | $466.20–$1,476.30 | — | 42% |
| First repair of a front abdominal hernia larger than 10 cm CPT 49595 REPAIR ANT ABD HERNIA ANY APPROACH INITIAL INCL IMPLANTATION MESH; GREATER THAN 10 CM REDUCIBLE (PRO CAH) | $1,216.26 | $2,097.00 | $629.10–$1,992.15 | 30% below | 42% |
| First repair of a front abdominal hernia larger than 10 cm inpatient CPT 49595 REPAIR ANT ABD HERNIA ANY APPROACH INITIAL INCL IMPLANTATION MESH; GREATER THAN 10 CM REDUCIBLE (PRO CAH) | $1,216.26 | $2,097.00 | $629.10–$1,992.15 | — | 42% |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 REPAIR ANTERIOR ABD HERNIA ANY APPROACH INITIAL INCL IMPLANT MESH LESS THAN 3 CM REDUCIBLE (PRO CAH) | $540.56 | $932.00 | $279.60–$885.40 | 65% below | 42% |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 REPAIR ANTERIOR ABD HERNIA ANY APPROACH INITIAL INCL IMPLANT MESH LESS THAN 3 CM REDUCIBLE (PRO CAH) | $540.56 | $932.00 | $279.60–$885.40 | — | 42% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 SIGMOIDOSCOPY FLEXIBLE; DIAGNOSTIC INCLUDING COLLECTION SPECIMEN BY BRUSHING OR WASHING (PRO CAH) | $309.72 | $534.00 | $160.20–$1,164.00 | 64% below | 42% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 SIGMOIDOSCOPY FLEXIBLE; DIAGNOSTIC INCLUDING COLLECTION SPECIMEN BY BRUSHING OR WASHING (PRO CAH) | $309.72 | $534.00 | $160.20–$507.30 | — | 42% |
| Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPY SURGICAL; CHOLECYSTECTOMY (PRO CAH) | $1,057.92 | $1,824.00 | $547.20–$7,460.00 | 36% below | 42% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 LAPAROSCOPY SURGICAL; CHOLECYSTECTOMY (PRO CAH) | $1,057.92 | $1,824.00 | $547.20–$1,732.80 | — | 42% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAPAROSCOPY SURGICAL; CHOLECYSTECTOMY WITH CHOLANGIOGRAPHY (PRO CAH) | $1,148.98 | $1,981.00 | $594.30–$7,460.00 | 43% below | 42% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 LAPAROSCOPY SURGICAL; CHOLECYSTECTOMY WITH CHOLANGIOGRAPHY (PRO CAH) | $1,148.98 | $1,981.00 | $594.30–$1,881.95 | — | 42% |
| Hammertoe correction surgery CPT 28285 CORRECTION HAMMERTOE (EG INTERPHALANGEAL FUSION PARTIAL OR TOTAL PHALANGECTOMY) (PRO CAH) | $897.84 | $1,548.00 | $464.40–$3,267.00 | 62% below | 42% |
| Hammertoe correction surgery inpatient CPT 28285 CORRECTION HAMMERTOE (EG INTERPHALANGEAL FUSION PARTIAL OR TOTAL PHALANGECTOMY) (PRO CAH) | $897.84 | $1,548.00 | $464.40–$1,470.60 | — | 42% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 HEMORRHOIDECTOMY INTERNAL BY RUBBER BAND LIGATION(S) (PBB) | $118.90 | $205.00 | $61.50–$1,164.00 | 85% below | 42% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 HEMORRHOIDECTOMY INTERNAL BY RUBBER BAND LIGATION(S) (PRO CAH) | $475.60 | $820.00 | $246.00–$1,164.00 | 41% below | 42% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 HEMORRHOIDECTOMY INTERNAL BY RUBBER BAND LIGATION(S) (RHC) | $475.60 | $820.00 | $246.00–$1,164.00 | 41% below | 42% |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HEMORRHOIDECTOMY INTERNAL BY RUBBER BAND LIGATION(S) (PBB) | $118.90 | $205.00 | $61.50–$194.75 | — | 42% |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HEMORRHOIDECTOMY INTERNAL BY RUBBER BAND LIGATION(S) (PRO CAH) | $475.60 | $820.00 | $246.00–$779.00 | — | 42% |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HEMORRHOIDECTOMY INTERNAL BY RUBBER BAND LIGATION(S) (RHC) | $475.60 | $820.00 | $246.00–$779.00 | — | 42% |
| Hemorrhoidectomy (internal and external), one area CPT 46255 HEMORRHOIDECTOMY INTERNAL AND EXTERNAL SINGLE COLUMN/GROUP (RHC) | $857.82 | $1,479.00 | $443.70–$3,267.00 | 54% below | 42% |
| Hemorrhoidectomy (internal and external), one area CPT 46255 HEMORRHOIDECTOMY INTERNAL & EXTERNAL SIMPLE (PRO CAH) | $857.82 | $1,479.00 | $443.70–$3,267.00 | 54% below | 42% |
| Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 HEMORRHOIDECTOMY INTERNAL AND EXTERNAL SINGLE COLUMN/GROUP (RHC) | $857.82 | $1,479.00 | $443.70–$1,405.05 | — | 42% |
| Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 HEMORRHOIDECTOMY INTERNAL & EXTERNAL SIMPLE (PRO CAH) | $857.82 | $1,479.00 | $443.70–$1,405.05 | — | 42% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 SC INJ UTERUS TUBE XRAY | $88.74 | $153.00 | $45.90–$780.00 | 71% below | 42% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 CATH/ INTRO OF SALINE/ CONTRAST MATERIAL FOR HYSTEROGRAPHY (PBB) | $96.86 | $167.00 | $50.10–$780.00 | 68% below | 42% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 CATHETERIZATION AND INTRODUCTION SALINE/CONTRAST MATERIAL FOR SIS OR HYSTEROSALPINGOGRAPHY (PRO CAH) | $388.60 | $670.00 | $201.00–$780.00 | 28% above | 42% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 SC INJ UTERUS TUBE XRAY | $88.74 | $153.00 | $45.90–$145.35 | — | 42% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 CATH/ INTRO OF SALINE/ CONTRAST MATERIAL FOR HYSTEROGRAPHY (PBB) | $96.86 | $167.00 | $50.10–$158.65 | — | 42% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 CATHETERIZATION AND INTRODUCTION SALINE/CONTRAST MATERIAL FOR SIS OR HYSTEROSALPINGOGRAPHY (PRO CAH) | $388.60 | $670.00 | $201.00–$636.50 | — | 42% |
| Hysteroscopy with endometrial ablation CPT 58563 HYSTEROSCOPY W ENDOMETRIAL ABLATION (PRO CAH) | $3,302.52 | $5,694.00 | $1,708.20–$5,409.30 | 1% below | 42% |
| Hysteroscopy with endometrial ablation inpatient CPT 58563 HYSTEROSCOPY W ENDOMETRIAL ABLATION (PRO CAH) | $3,302.52 | $5,694.00 | $1,708.20–$5,409.30 | — | 42% |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTEROSCOPY SURGICAL; W/SAMPLING W/W/O D&C (PRO CAH) | $2,081.04 | $3,588.00 | $1,076.40–$3,408.60 | 6% below | 42% |
| Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 HYSTEROSCOPY SURGICAL; W/SAMPLING W/W/O D&C (PRO CAH) | $2,081.04 | $3,588.00 | $1,076.40–$3,408.60 | — | 42% |
| IUD insertion (the device itself billed separately) CPT 58300 INSERTION OF INTRAUTERINE DEVICE (PBB) | $49.30 | $85.00 | $25.50–$780.00 | 81% below | 42% |
| IUD insertion (the device itself billed separately) CPT 58300 INSERTION OF INTRAUTERINE DEVICE (RHC) | $198.94 | $343.00 | $102.90–$780.00 | 22% below | 42% |
| IUD insertion (the device itself billed separately) CPT 58300 INSERTION OF INTRAUTERINE DEVICE (IUD) (PRO CAH) | $198.94 | $343.00 | $102.90–$780.00 | 22% below | 42% |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 INSERTION OF INTRAUTERINE DEVICE (PBB) | $49.30 | $85.00 | $25.50–$80.75 | — | 42% |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 INSERTION OF INTRAUTERINE DEVICE (RHC) | $198.94 | $343.00 | $102.90–$325.85 | — | 42% |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 INSERTION OF INTRAUTERINE DEVICE (IUD) (PRO CAH) | $198.94 | $343.00 | $102.90–$325.85 | — | 42% |
| Incision and drainage of a simple or single skin abscess CPT 10060 INCISION & DRAINAGE ABSCESS; SIMPLE (PBB) | $52.78 | $91.00 | $27.30–$780.00 | 82% below | 42% |
| Incision and drainage of a simple or single skin abscess CPT 10060 INCISION AND DRAINAGE OF ABSCESS; SIMPLE OR SINGLE (RHC) | $212.86 | $367.00 | $110.10–$780.00 | 26% below | 42% |
| Incision and drainage of a simple or single skin abscess CPT 10060 SC ABSCESS DRAIN SUBCUTANEOUS | $260.42 | $449.00 | $134.70–$780.00 | 10% below | 42% |
| Incision and drainage of a simple or single skin abscess CPT 10060 INCISION AND DRAINAGE OF ABSCESS; SIMPLE OR SINGLE | $260.42 | $449.00 | $134.70–$780.00 | 10% below | 42% |
| Incision and drainage of a simple or single skin abscess CPT 10060 INCISION AND DRAINAGE OF ABSCESS; SIMPLE OR SINGLE (PRO CAH) | $260.42 | $449.00 | $134.70–$780.00 | 10% below | 42% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 INCISION & DRAINAGE ABSCESS; SIMPLE (PBB) | $52.78 | $91.00 | $27.30–$86.45 | — | 42% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 INCISION AND DRAINAGE OF ABSCESS; SIMPLE OR SINGLE (RHC) | $212.86 | $367.00 | $110.10–$348.65 | — | 42% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 INCISION AND DRAINAGE OF ABSCESS; SIMPLE OR SINGLE | $260.42 | $449.00 | $134.70–$426.55 | — | 42% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 INCISION AND DRAINAGE OF ABSCESS; SIMPLE OR SINGLE (PRO CAH) | $260.42 | $449.00 | $134.70–$426.55 | — | 42% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 SC ABSCESS DRAIN SUBCUTANEOUS | $260.42 | $449.00 | $134.70–$426.55 | — | 42% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 REPAIR INITIAL INGUINAL HERNIA AGE 5 YEARS OR OLDER; REDUCIBLE (PRO CAH) | $843.32 | $1,454.00 | $436.20–$3,804.00 | 52% below | 42% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 REPAIR INITIAL INGUINAL HERNIA AGE 5 YEARS OR OLDER; REDUCIBLE (PRO CAH) | $843.32 | $1,454.00 | $436.20–$1,381.30 | — | 42% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 SC INJ TENDON SHEATH OR LIGAMENT | $67.28 | $116.00 | $34.80–$780.00 | 82% below | 42% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECTION; SINGLE TENDON SHEATH OR LIGAMENT APONEUROSIS (EG PLANTAR FASCIA) (RHC) | $95.70 | $165.00 | $49.50–$780.00 | 74% below | 42% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECTION(S); SINGLE TENDON SHEATH OR LIGAMENT APONEUROSIS (EG PLANTAR FASCIA) (PRO CAH) | $113.10 | $195.00 | $58.50–$780.00 | 69% below | 42% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 SC INJ TENDON SHEATH OR LIGAMENT | $67.28 | $116.00 | $34.80–$110.20 | — | 42% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJECTION; SINGLE TENDON SHEATH OR LIGAMENT APONEUROSIS (EG PLANTAR FASCIA) (RHC) | $95.70 | $165.00 | $49.50–$156.75 | — | 42% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJECTION(S); SINGLE TENDON SHEATH OR LIGAMENT APONEUROSIS (EG PLANTAR FASCIA) (PRO CAH) | $113.10 | $195.00 | $58.50–$185.25 | — | 42% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS; MAJOR JOINT OR BURSA W/O US GUIDANCE (PBB) | $53.36 | $92.00 | $27.60–$780.00 | 85% below | 42% |
| 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 (RHC) | $213.44 | $368.00 | $110.40–$780.00 | 41% below | 42% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS ASPIRATION AND/OR INJECTION MAJOR JOINT OR BURSA; WO ULTRASOUND GUIDANCE (PRO CAH) | $213.44 | $368.00 | $110.40–$780.00 | 41% below | 42% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS ASPIRATION AND/OR INJECTION MAJOR JOINT OR BURSA W/O US GUIDANCE | $426.30 | $735.00 | $220.50–$780.00 | 17% above | 42% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 SC INJ ASPIRATE LARGE JOINT | $426.30 | $735.00 | $220.50–$780.00 | 17% above | 42% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESIS; MAJOR JOINT OR BURSA W/O US GUIDANCE (PBB) | $53.36 | $92.00 | $27.60–$87.40 | — | 42% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESIS ASPIRATION AND/OR INJECTION MAJOR JOINT OR BURSA; WITHOUT ULTRASOUND GUIDANCE (RHC) | $213.44 | $368.00 | $110.40–$349.60 | — | 42% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESIS ASPIRATION AND/OR INJECTION MAJOR JOINT OR BURSA; WO ULTRASOUND GUIDANCE (PRO CAH) | $213.44 | $368.00 | $110.40–$349.60 | — | 42% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESIS ASPIRATION AND/OR INJECTION MAJOR JOINT OR BURSA W/O US GUIDANCE | $426.30 | $735.00 | $220.50–$698.25 | — | 42% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 SC INJ ASPIRATE LARGE JOINT | $426.30 | $735.00 | $220.50–$698.25 | — | 42% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERTION DRUG-DELIVERY IMPLANT (IE BIORESORBABLE BIODEGRADABLE NON-BIODEGRADABLE) (PBB) | $41.18 | $71.00 | $21.30–$780.00 | 85% below | 42% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERTION DRUG-DELIVERY IMPLANT (IE BIORESORBABLE BIODEGRADABLE NON-BIODEGRADABLE) (RHC) | $164.72 | $284.00 | $85.20–$780.00 | 40% below | 42% |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 INSERTION DRUG-DELIVERY IMPLANT (IE BIORESORBABLE BIODEGRADABLE NON-BIODEGRADABLE) (PBB) | $41.18 | $71.00 | $21.30–$67.45 | — | 42% |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 INSERTION DRUG-DELIVERY IMPLANT (IE BIORESORBABLE BIODEGRADABLE NON-BIODEGRADABLE) (RHC) | $164.72 | $284.00 | $85.20–$269.80 | — | 42% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS MEDIUM JOINT W/O US GUIDANCE (PBB) | $45.24 | $78.00 | $23.40–$780.00 | 85% below | 42% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS ASPIRATION AND/OR INJECTION INTERMEDIATE JT OR BURSA; W/O ULTRASOUND GUIDANCE (RHC) | $180.96 | $312.00 | $93.60–$780.00 | 41% below | 42% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS ASPIRATION AND/OR INJECTION INTERMEDIATE JOINT/BURSA; WO US GUIDANCE (PRO CAH) | $180.96 | $312.00 | $93.60–$780.00 | 41% below | 42% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS MEDIUM JOINT W/O US GUIDANCE | $405.42 | $699.00 | $209.70–$780.00 | 33% above | 42% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 SC INJ ASPIRATE MEDIUM JOINT | $426.30 | $735.00 | $220.50–$780.00 | 40% above | 42% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCENTESIS MEDIUM JOINT W/O US GUIDANCE (PBB) | $45.24 | $78.00 | $23.40–$74.10 | — | 42% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCENTESIS ASPIRATION AND/OR INJECTION INTERMEDIATE JT OR BURSA; W/O ULTRASOUND GUIDANCE (RHC) | $180.96 | $312.00 | $93.60–$296.40 | — | 42% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCENTESIS ASPIRATION AND/OR INJECTION INTERMEDIATE JOINT/BURSA; WO US GUIDANCE (PRO CAH) | $180.96 | $312.00 | $93.60–$296.40 | — | 42% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCENTESIS MEDIUM JOINT W/O US GUIDANCE | $405.42 | $699.00 | $209.70–$664.05 | — | 42% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 SC INJ ASPIRATE MEDIUM JOINT | $426.30 | $735.00 | $220.50–$698.25 | — | 42% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS ASPIRATION AND/OR INJECTION SMALL JOINT OR BURSA; WITHOUT ULTRASOUND GUIDANCE (RHC) | $88.74 | $153.00 | $45.90–$780.00 | 73% below | 42% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS ASPIRATION AND/OR INJECTION SMALL JOINT/BURSA; WO ULTRASOUND GUIDANCE (PRO CAH) | $108.46 | $187.00 | $56.10–$780.00 | 66% below | 42% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 SC INJ ASPIRATE SMALL JOINT | $426.30 | $735.00 | $220.50–$780.00 | 32% above | 42% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCENTESIS ASPIRATION AND/OR INJECTION SMALL JOINT OR BURSA; WITHOUT ULTRASOUND GUIDANCE (RHC) | $88.74 | $153.00 | $45.90–$145.35 | — | 42% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCENTESIS ASPIRATION AND/OR INJECTION SMALL JOINT/BURSA; WO ULTRASOUND GUIDANCE (PRO CAH) | $108.46 | $187.00 | $56.10–$177.65 | — | 42% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 SC INJ ASPIRATE SMALL JOINT | $426.30 | $735.00 | $220.50–$698.25 | — | 42% |
| Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 ARTHROSCOPY KNEE SURGICAL; WITH MENISCUS REPAIR (MEDIAL OR LATERAL) (PRO CAH) | $1,135.64 | $1,958.00 | $587.40–$3,804.00 | 53% below | 42% |
| Knee arthroscopy with meniscus repair (one side of the knee) inpatient CPT 29882 ARTHROSCOPY KNEE SURGICAL; WITH MENISCUS REPAIR (MEDIAL OR LATERAL) (PRO CAH) | $1,135.64 | $1,958.00 | $587.40–$1,860.10 | — | 42% |
| Knee arthroscopy with meniscus trim CPT 29881 KNEE ARTHROSCOPY; W/ MENISCECTOMY MEDIAL OR LATERAL (PRO CAH) | $1,798.00 | $3,100.00 | $930.00–$3,804.00 | 7% below | 42% |
| Knee arthroscopy with meniscus trim inpatient CPT 29881 KNEE ARTHROSCOPY; W/ MENISCECTOMY MEDIAL OR LATERAL (PRO CAH) | $1,798.00 | $3,100.00 | $930.00–$2,945.00 | — | 42% |
| Knee arthroscopy with removal of both torn meniscus parts CPT 29880 ARTHROSCOPY KNEE; W MENISCECTOMY INC DEBRIDE/SHAVE ARTICULAR CARTILAGE SAME/SEP COMPART (PRO CAH) | $1,862.96 | $3,212.00 | $963.60–$3,804.00 | 22% below | 42% |
| Knee arthroscopy with removal of both torn meniscus parts inpatient CPT 29880 ARTHROSCOPY KNEE; W MENISCECTOMY INC DEBRIDE/SHAVE ARTICULAR CARTILAGE SAME/SEP COMPART (PRO CAH) | $1,862.96 | $3,212.00 | $963.60–$3,051.40 | — | 42% |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 ARTHROSCOPY KNEE SURGICAL; DEBRIDEMENT/SHAVING OF ARTICULAR CARTILAGE (CHONDROPLASTY) (PRO CAH) | $1,028.34 | $1,773.00 | $531.90–$3,804.00 | 42% below | 42% |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) inpatient CPT 29877 ARTHROSCOPY KNEE SURGICAL; DEBRIDEMENT/SHAVING OF ARTICULAR CARTILAGE (CHONDROPLASTY) (PRO CAH) | $1,028.34 | $1,773.00 | $531.90–$1,684.35 | — | 42% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPAROSCOPY SURGICAL APPENDECTOMY (PRO CAH) | $966.86 | $1,667.00 | $500.10–$7,460.00 | 26% below | 42% |
| Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 LAPAROSCOPY SURGICAL APPENDECTOMY (PRO CAH) | $966.86 | $1,667.00 | $500.10–$1,583.65 | — | 42% |
| Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 LAPAROSCOPY SURGICAL ESOPHAGOGASTRIC FUNDOPLASTY (PRO CAH) | $1,706.36 | $2,942.00 | $882.60–$7,460.00 | 38% below | 42% |
| Laparoscopic fundoplication (anti-reflux surgery) inpatient CPT 43280 LAPAROSCOPY SURGICAL ESOPHAGOGASTRIC FUNDOPLASTY (PRO CAH) | $1,706.36 | $2,942.00 | $882.60–$2,794.90 | — | 42% |
| Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 LAPAROSCOPY SURGICAL W/TOTAL HYSTERECTOMY UTERUS 250G OR LESS (PRO CAH) | $1,310.80 | $2,260.00 | $678.00–$7,460.00 | 6% below | 42% |
| Laparoscopic hysterectomy (uterus 250 g or less) inpatient CPT 58570 LAPAROSCOPY SURGICAL W/TOTAL HYSTERECTOMY UTERUS 250G OR LESS (PRO CAH) | $1,310.80 | $2,260.00 | $678.00–$2,147.00 | — | 42% |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 LAPAROSCOPY SURGICAL W/TOTAL HYSTERECTOMY 250G OR LESS W/REMOVAL TUBE/OVARY (PRO CAH) | $1,473.20 | $2,540.00 | $762.00–$7,460.00 | 26% below | 42% |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries inpatient CPT 58571 LAPAROSCOPY SURGICAL W/TOTAL HYSTERECTOMY 250G OR LESS W/REMOVAL TUBE/OVARY (PRO CAH) | $1,473.20 | $2,540.00 | $762.00–$2,413.00 | — | 42% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 LAPAROSCOPY SURGICAL; REPAIR INITIAL INGUINAL (PRO CAH) | $700.64 | $1,208.00 | $362.40–$7,460.00 | 41% below | 42% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 LAPAROSCOPY SURGICAL; REPAIR INITIAL INGUINAL (PRO CAH) | $700.64 | $1,208.00 | $362.40–$1,147.60 | — | 42% |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 LAPAROSCOPY SURGICAL; REPAIR RECURRENT INGUINAL HERNIA (PRO CAH) | $912.92 | $1,574.00 | $472.20–$7,460.00 | 35% below | 42% |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia inpatient CPT 49651 LAPAROSCOPY SURGICAL; REPAIR RECURRENT INGUINAL HERNIA (PRO CAH) | $912.92 | $1,574.00 | $472.20–$1,495.30 | — | 42% |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAP WITH REMOVAL ADNEXAL STRUCTURES (PRO CAH) | $1,053.86 | $1,817.00 | $545.10–$7,460.00 | 39% below | 42% |
| Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 LAP WITH REMOVAL ADNEXAL STRUCTURES (PRO CAH) | $1,053.86 | $1,817.00 | $545.10–$1,726.15 | — | 42% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAYER CLOSURE WOUND SCALPTRUNKEXTREMITIES; 2.5 CM OR LESS (PBB) | $108.46 | $187.00 | $56.10–$780.00 | 76% below | 42% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAYER CLOSURE WOUND SCALPTRUNKEXTREMITIES; 2.5 CM OR LESS (RHC) | $433.84 | $748.00 | $224.40–$780.00 | 4% below | 42% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 REPAIR INTERMEDIATE WOUNDS OF SCALP AXILLAE TRUNK AND/OR EXTREMITIES; 2.5 CM OR LESS (PRO CAH) | $440.80 | $760.00 | $228.00–$780.00 | 3% below | 42% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LAYER CLOSURE WOUND SCALPTRUNKEXTREMITIES; 2.5 CM OR LESS (PBB) | $108.46 | $187.00 | $56.10–$177.65 | — | 42% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LAYER CLOSURE WOUND SCALPTRUNKEXTREMITIES; 2.5 CM OR LESS (RHC) | $433.84 | $748.00 | $224.40–$710.60 | — | 42% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 REPAIR INTERMEDIATE WOUNDS OF SCALP AXILLAE TRUNK AND/OR EXTREMITIES; 2.5 CM OR LESS (PRO CAH) | $440.80 | $760.00 | $228.00–$722.00 | — | 42% |
| Lower-back epidural injection, with imaging guidance CPT 62323 INJ DX OR THERAPEUTIC SUBST W/O NEUROLYTIC SUB EPID/SUBARACH; LUMBAR/SACRAL; WITH IMAGIN (PRO CAH) | $455.88 | $786.00 | $235.80–$1,164.00 | 52% below | 42% |
| Lower-back epidural injection, with imaging guidance CPT 62323 XR EPIDURAL LUMBAR OR SACRAL INJ | $1,179.14 | $2,033.00 | $609.90–$1,931.35 | 24% above | 42% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJ DX OR THERAPEUTIC SUBST W/O NEUROLYTIC SUB EPID/SUBARACH; LUMBAR/SACRAL; WITH IMAGIN (PRO CAH) | $455.88 | $786.00 | $235.80–$746.70 | — | 42% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 XR EPIDURAL LUMBAR OR SACRAL INJ | $1,179.14 | $2,033.00 | $609.90–$1,931.35 | — | 42% |
| Lower-back epidural injection, without imaging guidance CPT 62322 PF ANES INJ DIAG OR THERAP SUBST W/O NEUROLYTIC SUB EPID/SUBARACH; LUMBAR/SACRAL; W/O IMAGIN | $720.36 | $1,242.00 | $372.60–$1,179.90 | 25% below | 42% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 PF ANES INJ DIAG OR THERAP SUBST W/O NEUROLYTIC SUB EPID/SUBARACH; LUMBAR/SACRAL; W/O IMAGIN | $720.36 | $1,242.00 | $372.60–$1,179.90 | — | 42% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ ANESTHETIC AGENT OR STEROID TRANSFORAMINAL EPIDURAL W IMAGING GUIDANCE; LUMBAR/SACRAL SINGLE LEVEL (PRO CAH) | $432.68 | $746.00 | $223.80–$1,164.00 | 66% below | 42% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 XR CT FORAMIN INJ LUMB SACR SNGL LVL W GUID | $1,491.18 | $2,571.00 | $771.30–$2,442.45 | 16% above | 42% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 INJ ANESTHETIC AGENT OR STEROID TRANSFORAMINAL EPIDURAL W IMAGING GUIDANCE; LUMBAR/SACRAL SINGLE LEVEL (PRO CAH) | $432.68 | $746.00 | $223.80–$708.70 | — | 42% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 XR CT FORAMIN INJ LUMB SACR SNGL LVL W GUID | $1,491.18 | $2,571.00 | $771.30–$2,442.45 | — | 42% |
| Lumpectomy (partial mastectomy) CPT 19301 MASTECTOMY PARTIAL (PRO CAH) | $1,057.92 | $1,824.00 | $547.20–$3,267.00 | 28% below | 42% |
| Lumpectomy (partial mastectomy) inpatient CPT 19301 MASTECTOMY PARTIAL (PRO CAH) | $1,057.92 | $1,824.00 | $547.20–$1,732.80 | — | 42% |
| Mastectomy (total removal of the breast) CPT 19303 MASTECTOMY SIMPLE COMPLETE (PRO CAH) | $1,534.68 | $2,646.00 | $793.80–$3,804.00 | 42% below | 42% |
| Mastectomy (total removal of the breast) inpatient CPT 19303 MASTECTOMY SIMPLE COMPLETE (PRO CAH) | $1,534.68 | $2,646.00 | $793.80–$2,513.70 | — | 42% |
| Miscarriage treatment with D&C, first trimester CPT 59820 TREATMENT OF MISSED DELIVERY OF FETUSCOMPLETED SURGICALLY1ST TRIMESTER (PRO CAH) | $705.86 | $1,217.00 | $365.10–$3,267.00 | 12% below | 42% |
| Miscarriage treatment with D&C, first trimester inpatient CPT 59820 TREATMENT OF MISSED DELIVERY OF FETUSCOMPLETED SURGICALLY1ST TRIMESTER (PRO CAH) | $705.86 | $1,217.00 | $365.10–$1,156.15 | — | 42% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXCISIONBENIGNLESION TRUNK/ARM/LEG; .5 CM OR LESS (PBB) | $52.78 | $91.00 | $27.30–$1,164.00 | 87% below | 42% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXCISION BENIGN LESION INCL MARGEXCEPT SKIN TAGTRUNKARM/LEG;EXCISED DIA 0.5 CM OR LESS (PRO CAH) | $212.86 | $367.00 | $110.10–$1,164.00 | 47% below | 42% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC BENIGN LESION TRUNK/ARM/LEG < = .5 CM (RHC) | $212.86 | $367.00 | $110.10–$1,164.00 | 47% below | 42% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXCISIONBENIGNLESION TRUNK/ARM/LEG; .5 CM OR LESS (PBB) | $52.78 | $91.00 | $27.30–$86.45 | — | 42% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXCISION BENIGN LESION INCL MARGEXCEPT SKIN TAGTRUNKARM/LEG;EXCISED DIA 0.5 CM OR LESS (PRO CAH) | $212.86 | $367.00 | $110.10–$348.65 | — | 42% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXC BENIGN LESION TRUNK/ARM/LEG < = .5 CM (RHC) | $212.86 | $367.00 | $110.10–$348.65 | — | 42% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXCISIONBENIGNLESION FACE/EARS/EYELIDS; .5 CM OR LESS (PBB) | $59.16 | $102.00 | $30.60–$1,164.00 | 89% below | 42% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXCISION BENIGN LESION FACE EARS EYELIDS NOSE LIPS MUCOUS MEMBRANE; .5 CM OR LESS (RHC) | $237.22 | $409.00 | $122.70–$1,164.00 | 55% below | 42% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXCISION OTHER BENIGN LESION EXCEPT SKTAGFEEYELIDNLMUC MEMB;EXC DIA 0.5 CM OR LESS (PRO CAH) | $244.18 | $421.00 | $126.30–$1,164.00 | 54% below | 42% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXCISIONBENIGNLESION FACE/EARS/EYELIDS; .5 CM OR LESS (PBB) | $59.16 | $102.00 | $30.60–$96.90 | — | 42% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXCISION BENIGN LESION FACE EARS EYELIDS NOSE LIPS MUCOUS MEMBRANE; .5 CM OR LESS (RHC) | $237.22 | $409.00 | $122.70–$388.55 | — | 42% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXCISION OTHER BENIGN LESION EXCEPT SKTAGFEEYELIDNLMUC MEMB;EXC DIA 0.5 CM OR LESS (PRO CAH) | $244.18 | $421.00 | $126.30–$399.95 | — | 42% |
| Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF SINGLE NAIL PLATE (PBB) | $47.56 | $82.00 | $24.60–$780.00 | 83% below | 42% |
| Nail removal (partial or complete), one nail CPT 11730 AVULSION OF NAIL PLATE PARTIAL OR COMPLETE SIMPLE; SINGLE (RHC) | $190.24 | $328.00 | $98.40–$780.00 | 32% below | 42% |
| Nail removal (partial or complete), one nail CPT 11730 AVULSION OF NAIL PLATE PARTIAL OR COMPLETE SIMPLE; SINGLE (PRO CAH) | $207.64 | $358.00 | $107.40–$780.00 | 26% below | 42% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 REMOVAL OF SINGLE NAIL PLATE (PBB) | $47.56 | $82.00 | $24.60–$77.90 | — | 42% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION OF NAIL PLATE PARTIAL OR COMPLETE SIMPLE; SINGLE (RHC) | $190.24 | $328.00 | $98.40–$311.60 | — | 42% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION OF NAIL PLATE PARTIAL OR COMPLETE SIMPLE; SINGLE (PRO CAH) | $207.64 | $358.00 | $107.40–$340.10 | — | 42% |
| Occipital nerve block (injection for headaches) CPT 64405 INJECTION(S) ANESTHETIC AGENT(S) AND/OR STEROID; GREATER OCCIPITAL NERVE (RHC) | $121.80 | $210.00 | $63.00–$780.00 | 80% below | 42% |
| Occipital nerve block (injection for headaches) CPT 64405 INJECTION(S) ANESTHETIC AGENT(S) AND/OR STEROID; GREATER OCCIPITAL NERVE (PRO CAH) | $198.94 | $343.00 | $102.90–$780.00 | 67% below | 42% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 INJECTION(S) ANESTHETIC AGENT(S) AND/OR STEROID; GREATER OCCIPITAL NERVE (RHC) | $121.80 | $210.00 | $63.00–$199.50 | — | 42% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 INJECTION(S) ANESTHETIC AGENT(S) AND/OR STEROID; GREATER OCCIPITAL NERVE (PRO CAH) | $198.94 | $343.00 | $102.90–$325.85 | — | 42% |
| Paracentesis with imaging guidance CPT 49083 ABDOMINAL PARACENTESIS (DIAG OR THERAPEUTIC) W IMAGING GUIDANCE (PRO CAH) | $522.00 | $900.00 | $270.00–$1,503.00 | 40% below | 42% |
| Paracentesis with imaging guidance CPT 49083 US GUIDE PARACENTESIS ABDOMEN | $1,107.22 | $1,909.00 | $572.70–$1,813.55 | 27% above | 42% |
| Paracentesis with imaging guidance inpatient CPT 49083 ABDOMINAL PARACENTESIS (DIAG OR THERAPEUTIC) W IMAGING GUIDANCE (PRO CAH) | $522.00 | $900.00 | $270.00–$855.00 | — | 42% |
| Paracentesis with imaging guidance inpatient CPT 49083 US GUIDE PARACENTESIS ABDOMEN | $1,107.22 | $1,909.00 | $572.70–$1,813.55 | — | 42% |
| Partial knee replacement (one compartment) CPT 27446 ARTHROPLASTY KNEE CONDYLE AND PLATEAU; MEDIAL OR LATERAL COMPARTMENT (PRO CAH) | $1,868.18 | $3,221.00 | $966.30–$12,243.00 | 45% below | 42% |
| Partial knee replacement (one compartment) inpatient CPT 27446 ARTHROPLASTY KNEE CONDYLE AND PLATEAU; MEDIAL OR LATERAL COMPARTMENT (PRO CAH) | $1,868.18 | $3,221.00 | $966.30–$3,059.95 | — | 42% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION NAIL AND NAIL MATRIX PART OF COMP FOR PERMANENT REMOVAL (PBB) | $66.70 | $115.00 | $34.50–$780.00 | 87% below | 42% |
| 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 (RHC) | $266.80 | $460.00 | $138.00–$780.00 | 47% below | 42% |
| 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 (PRO CAH) | $455.30 | $785.00 | $235.50–$780.00 | 9% below | 42% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXCISION NAIL AND NAIL MATRIX PART OF COMP FOR PERMANENT REMOVAL (PBB) | $66.70 | $115.00 | $34.50–$109.25 | — | 42% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXCISION OF NAIL AND NAIL MATRIX PARTIAL OR COMPLETE FOR PERMANENT REMOVAL (RHC) | $266.80 | $460.00 | $138.00–$437.00 | — | 42% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXCISION OF NAIL AND NAIL MATRIX PARTIAL OR COMPLETE FOR PERMANENT REMOVAL (PRO CAH) | $455.30 | $785.00 | $235.50–$745.75 | — | 42% |
| Removal of a breast lump, open surgery CPT 19120 EXCISION CYST FIBROADENOMA BENIGN/MALIGNANT 1 OR MORE LESIONS (PRO CAH) | $848.54 | $1,463.00 | $438.90–$3,267.00 | 43% below | 42% |
| Removal of a breast lump, open surgery inpatient CPT 19120 EXCISION CYST FIBROADENOMA BENIGN/MALIGNANT 1 OR MORE LESIONS (PRO CAH) | $848.54 | $1,463.00 | $438.90–$1,389.85 | — | 42% |
| Removal of a foreign object under the skin, simple CPT 10120 INCISION & REMOVAL FB SUBQ TISSUE; SIMPLE (PBB) | $62.64 | $108.00 | $32.40–$780.00 | 84% below | 42% |
| Removal of a foreign object under the skin, simple CPT 10120 INCISION AND REMOVAL OF FOREIGN BODY SUBCUTANEOUS TISSUES; SIMPLE (RHC) | $251.72 | $434.00 | $130.20–$780.00 | 37% below | 42% |
| Removal of a foreign object under the skin, simple CPT 10120 INCISION AND REMOVAL OF FOREIGN BODY SUBCUTANEOUS TISSUES; SIMPLE (PRO CAH) | $259.26 | $447.00 | $134.10–$780.00 | 35% below | 42% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 INCISION & REMOVAL FB SUBQ TISSUE; SIMPLE (PBB) | $62.64 | $108.00 | $32.40–$102.60 | — | 42% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 INCISION AND REMOVAL OF FOREIGN BODY SUBCUTANEOUS TISSUES; SIMPLE (RHC) | $251.72 | $434.00 | $130.20–$412.30 | — | 42% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 INCISION AND REMOVAL OF FOREIGN BODY SUBCUTANEOUS TISSUES; SIMPLE (PRO CAH) | $259.26 | $447.00 | $134.10–$424.65 | — | 42% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLORECTAL CANCER SCREENING;COLONOSCOPY NOT HIGH RISK PATIENT (PRO CAH) | $558.54 | $963.00 | $317.79–$2,326.94 | 49% below | 42% |
| Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 COLORECTAL CANCER SCREENING;COLONOSCOPY NOT HIGH RISK PATIENT (PRO CAH) | $558.54 | $963.00 | $288.90–$914.85 | — | 42% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL CANCER SCREENING;COLONOSCOPY ON INDIVIDUAL AT HIGH RISK (PRO CAH) | $558.54 | $963.00 | $317.79–$2,326.94 | 53% below | 42% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 COLORECTAL CANCER SCREENING;COLONOSCOPY ON INDIVIDUAL AT HIGH RISK (PRO CAH) | $558.54 | $963.00 | $288.90–$914.85 | — | 42% |
| Short arm cast (elbow to hand) CPT 29075 APPLICATION CAST; ELBOW TO FINGER (SHORT ARM) (PBB) | $74.24 | $128.00 | $38.40–$780.00 | 69% below | 42% |
| Short arm cast (elbow to hand) CPT 29075 APPLICATION CAST; ELBOW TO FINGER (SHORT ARM) | $196.04 | $338.00 | $101.40–$780.00 | 17% below | 42% |
| Short arm cast (elbow to hand) CPT 29075 APP CAST SHORT ARM (RHC) | $300.44 | $518.00 | $155.40–$780.00 | 27% above | 42% |
| Short arm cast (elbow to hand) CPT 29075 APPLICATION CAST; ELBOW TO FINGER (SHORT ARM) (PRO CAH) | $300.44 | $518.00 | $155.40–$780.00 | 27% above | 42% |
| Short arm cast (elbow to hand) inpatient CPT 29075 APPLICATION CAST; ELBOW TO FINGER (SHORT ARM) (PBB) | $74.24 | $128.00 | $38.40–$121.60 | — | 42% |
| Short arm cast (elbow to hand) inpatient CPT 29075 APPLICATION CAST; ELBOW TO FINGER (SHORT ARM) | $196.04 | $338.00 | $101.40–$321.10 | — | 42% |
| Short arm cast (elbow to hand) inpatient CPT 29075 APP CAST SHORT ARM (RHC) | $300.44 | $518.00 | $155.40–$492.10 | — | 42% |
| Short arm cast (elbow to hand) inpatient CPT 29075 APPLICATION CAST; ELBOW TO FINGER (SHORT ARM) (PRO CAH) | $300.44 | $518.00 | $155.40–$492.10 | — | 42% |
| Short arm splint (forearm and hand) CPT 29125 APPL SPLINT SHORT ARM (PBB) | $28.42 | $49.00 | $14.70–$780.00 | 86% below | 42% |
| Short arm splint (forearm and hand) CPT 29125 APPLICATION OF SHORT ARM SPLINT (FOREARM TO HAND); STATIC (RHC) | $114.84 | $198.00 | $59.40–$780.00 | 42% below | 42% |
| Short arm splint (forearm and hand) CPT 29125 APPLICATION OF SHORT ARM SPLINT (FOREARM TO HAND); STATIC (PRO CAH) | $127.02 | $219.00 | $65.70–$780.00 | 36% below | 42% |
| Short arm splint (forearm and hand) inpatient CPT 29125 APPL SPLINT SHORT ARM (PBB) | $28.42 | $49.00 | $14.70–$46.55 | — | 42% |
| Short arm splint (forearm and hand) inpatient CPT 29125 APPLICATION OF SHORT ARM SPLINT (FOREARM TO HAND); STATIC (RHC) | $114.84 | $198.00 | $59.40–$188.10 | — | 42% |
| Short arm splint (forearm and hand) inpatient CPT 29125 APPLICATION OF SHORT ARM SPLINT (FOREARM TO HAND); STATIC (PRO CAH) | $127.02 | $219.00 | $65.70–$208.05 | — | 42% |
| Short leg cast (below the knee) CPT 29405 APPL SHORT LEG CAST (PBB) | $34.22 | $59.00 | $17.70–$780.00 | 87% below | 42% |
| Short leg cast (below the knee) CPT 29405 APPLICATION OF SHORT LEG CAST (BELOW KNEE TO TOES) (RHC) | $137.46 | $237.00 | $71.10–$780.00 | 50% below | 42% |
| Short leg cast (below the knee) CPT 29405 APPLICATION OF SHORT LEG CAST (BELOW KNEE TO TOES) (PRO CAH) | $190.82 | $329.00 | $98.70–$780.00 | 30% below | 42% |
| Short leg cast (below the knee) inpatient CPT 29405 APPL SHORT LEG CAST (PBB) | $34.22 | $59.00 | $17.70–$56.05 | — | 42% |
| Short leg cast (below the knee) inpatient CPT 29405 APPLICATION OF SHORT LEG CAST (BELOW KNEE TO TOES) (RHC) | $137.46 | $237.00 | $71.10–$225.15 | — | 42% |
| Short leg cast (below the knee) inpatient CPT 29405 APPLICATION OF SHORT LEG CAST (BELOW KNEE TO TOES) (PRO CAH) | $190.82 | $329.00 | $98.70–$312.55 | — | 42% |
| Short leg splint (calf to foot) CPT 29515 APPLICATION SHORT LEG SPLINT (PBB) | $30.74 | $53.00 | $15.90–$780.00 | 86% below | 42% |
| Short leg splint (calf to foot) CPT 29515 APP SHORT LEG SPLINT (CALF TO FOOT) (RHC) | $124.12 | $214.00 | $64.20–$780.00 | 44% below | 42% |
| Short leg splint (calf to foot) CPT 29515 APPLICATION OF SHORT LEG SPLINT (CALF TO FOOT) (PRO CAH) | $138.62 | $239.00 | $71.70–$780.00 | 38% below | 42% |
| Short leg splint (calf to foot) inpatient CPT 29515 APPLICATION SHORT LEG SPLINT (PBB) | $30.74 | $53.00 | $15.90–$50.35 | — | 42% |
| Short leg splint (calf to foot) inpatient CPT 29515 APP SHORT LEG SPLINT (CALF TO FOOT) (RHC) | $124.12 | $214.00 | $64.20–$203.30 | — | 42% |
| Short leg splint (calf to foot) inpatient CPT 29515 APPLICATION OF SHORT LEG SPLINT (CALF TO FOOT) (PRO CAH) | $138.62 | $239.00 | $71.70–$227.05 | — | 42% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 ARTHROSCOPY SHOULDER; DISTAL CLAVICULECTOMY INCLUDING DISTAL ARTICULAR SURFACE (PRO CAH) | $1,121.14 | $1,933.00 | $579.90–$7,460.00 | 47% below | 42% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) inpatient CPT 29824 ARTHROSCOPY SHOULDER; DISTAL CLAVICULECTOMY INCLUDING DISTAL ARTICULAR SURFACE (PRO CAH) | $1,121.14 | $1,933.00 | $579.90–$1,836.35 | — | 42% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 ARTHROSCOPYSHOULDER;DECOMP SUBACROMIAL SP W PART ACROMIOPLASTYW CORACOACROMIAL LIG REL (PRO CAH) | $273.76 | $472.00 | $141.60–$780.00 | 75% below | 42% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 ARTHROSCOPYSHOULDER;DECOMP SUBACROMIAL SP W PART ACROMIOPLASTYW CORACOACROMIAL LIG REL (PRO CAH) | $273.76 | $472.00 | $141.60–$448.40 | — | 42% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPAIR WOUND SCALPNECKTRUNKEXTREMITIES; 2.5 CM OR LESS (PBB) | $38.28 | $66.00 | $19.80–$780.00 | 86% below | 42% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPAIR WOUND (RHC) | $154.28 | $266.00 | $79.80–$780.00 | 43% below | 42% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPAIR WOUNDS SCALP NK AXILLAE EXT GENITALIA TRUNK EXTREMITIES; 2.5 CM OR LESS (PRO CAH) | $243.02 | $419.00 | $125.70–$780.00 | 10% below | 42% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE WOUND REPAIR SCALP/NECK/AX/GEN/TRUNK/EXT 2.5 CM OR LESS | $313.78 | $541.00 | $162.30–$780.00 | 16% above | 42% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SIMPLE REPAIR WOUND SCALPNECKTRUNKEXTREMITIES; 2.5 CM OR LESS (PBB) | $38.28 | $66.00 | $19.80–$62.70 | — | 42% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SIMPLE REPAIR WOUND (RHC) | $154.28 | $266.00 | $79.80–$252.70 | — | 42% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SIMPLE REPAIR WOUNDS SCALP NK AXILLAE EXT GENITALIA TRUNK EXTREMITIES; 2.5 CM OR LESS (PRO CAH) | $243.02 | $419.00 | $125.70–$398.05 | — | 42% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SIMPLE WOUND REPAIR SCALP/NECK/AX/GEN/TRUNK/EXT 2.5 CM OR LESS | $313.78 | $541.00 | $162.30–$513.95 | — | 42% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY OF SKIN (INCLUDING SIMPLE CLOSURE WHEN PERFORMED); SINGLE LESION (PBB) | $51.04 | $88.00 | $26.40–$780.00 | 82% below | 42% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY OF SKIN (INCLUDING SIMPLE CLOSURE WHEN PERFORMED); SINGLE LESION (RHC) | $204.74 | $353.00 | $105.90–$780.00 | 29% below | 42% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY OF SKIN (INCLUDING SIMPLE CLOSURE WHEN PERFORMED); SINGLE LESION (PRO CAH) | $204.74 | $353.00 | $105.90–$780.00 | 29% below | 42% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BIOPSY OF SKIN (INCLUDING SIMPLE CLOSURE WHEN PERFORMED); SINGLE LESION (PBB) | $51.04 | $88.00 | $26.40–$83.60 | — | 42% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BIOPSY OF SKIN (INCLUDING SIMPLE CLOSURE WHEN PERFORMED); SINGLE LESION (RHC) | $204.74 | $353.00 | $105.90–$335.35 | — | 42% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BIOPSY OF SKIN (INCLUDING SIMPLE CLOSURE WHEN PERFORMED); SINGLE LESION (PRO CAH) | $204.74 | $353.00 | $105.90–$335.35 | — | 42% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXCISION MALIGNANT LESION T/A/L EXCISED DIAM 0.5CM OR LESS (PBB) | $81.78 | $141.00 | $42.30–$1,164.00 | 83% below | 42% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXC MALIGNANT LESION INCLUDING MARGINS TRUNK ARMS OR LEGS; EXCISED DIAMETER 0.5 CM OR LESS (RHC) | $327.12 | $564.00 | $169.20–$1,164.00 | 33% below | 42% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXCISION MALIGNANT LESION INCLUDING MARGINS TRUNK ARMS OR LEGS; EXC DIA 0.5 CM OR LESS (PRO CAH) | $327.12 | $564.00 | $169.20–$1,164.00 | 33% below | 42% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 EXCISION MALIGNANT LESION T/A/L EXCISED DIAM 0.5CM OR LESS (PBB) | $81.78 | $141.00 | $42.30–$133.95 | — | 42% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 EXC MALIGNANT LESION INCLUDING MARGINS TRUNK ARMS OR LEGS; EXCISED DIAMETER 0.5 CM OR LESS (RHC) | $327.12 | $564.00 | $169.20–$535.80 | — | 42% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 EXCISION MALIGNANT LESION INCLUDING MARGINS TRUNK ARMS OR LEGS; EXC DIA 0.5 CM OR LESS (PRO CAH) | $327.12 | $564.00 | $169.20–$535.80 | — | 42% |
| Skin tag removal, up to 15 tags CPT 11200 REMOVAL SKIN TAGS; UP TO AND INCLUDING 15 LESIONS (PBB) | $38.28 | $66.00 | $19.80–$780.00 | 80% below | 42% |
| Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAGS MULTIPLE FIBROCUTANEOUS TAGS ANY AREA; UP TO AND INCLUDING 15 LESIONS (RHC) | $154.86 | $267.00 | $80.10–$780.00 | 21% below | 42% |
| Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAGS MULTIPLE FIBROCUTANEOUS TAGS ANY AREA; UP TO AND INC 15 LESIONS (PRO CAH) | $176.32 | $304.00 | $91.20–$780.00 | 10% below | 42% |
| Skin tag removal, up to 15 tags CPT 11200 REMOVAL SKIN TAGS MULTIPLE FIBROCUTANEOUS TAGS; UP TO AND INCLUDING 15 LESIONS | $272.60 | $470.00 | $141.00–$780.00 | 39% above | 42% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVAL SKIN TAGS; UP TO AND INCLUDING 15 LESIONS (PBB) | $38.28 | $66.00 | $19.80–$62.70 | — | 42% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVAL OF SKIN TAGS MULTIPLE FIBROCUTANEOUS TAGS ANY AREA; UP TO AND INCLUDING 15 LESIONS (RHC) | $154.86 | $267.00 | $80.10–$253.65 | — | 42% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVAL OF SKIN TAGS MULTIPLE FIBROCUTANEOUS TAGS ANY AREA; UP TO AND INC 15 LESIONS (PRO CAH) | $176.32 | $304.00 | $91.20–$288.80 | — | 42% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVAL SKIN TAGS MULTIPLE FIBROCUTANEOUS TAGS; UP TO AND INCLUDING 15 LESIONS | $272.60 | $470.00 | $141.00–$446.50 | — | 42% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC (RHC) | $238.96 | $412.00 | $123.60–$1,164.00 | 67% below | 42% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE LUMBAR (PRO CAH) | $247.08 | $426.00 | $127.80–$1,164.00 | 66% below | 42% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 PF ANES SPINAL PUNCTURE LUMBAR DIAGNOSTIC | $537.08 | $926.00 | $277.80–$1,164.00 | 26% below | 42% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SC LUMBAR PUNCTURE | $805.62 | $1,389.00 | $416.70–$1,319.55 | 11% above | 42% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC (RHC) | $238.96 | $412.00 | $123.60–$391.40 | — | 42% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE LUMBAR (PRO CAH) | $247.08 | $426.00 | $127.80–$404.70 | — | 42% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 PF ANES SPINAL PUNCTURE LUMBAR DIAGNOSTIC | $537.08 | $926.00 | $277.80–$879.70 | — | 42% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SC LUMBAR PUNCTURE | $805.62 | $1,389.00 | $416.70–$1,319.55 | — | 42% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMPLE REPAIR WOUND SCALPNECKTRUNKEXTREMITIES; 2.6-7.5 CM (PBB) | $46.40 | $80.00 | $24.00–$780.00 | 85% below | 42% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMPLE REPAIR WOUND SCALPNECKTRUNKEXTREMITIES; 2.6-7.5 CM (RHC) | $187.34 | $323.00 | $96.90–$780.00 | 39% below | 42% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMPLE REPAIR WOUNDS SCALP NK AXILLAE EXT GENITALIA TRUNKEXTREMITIES; 2.6 CM - 7.5 CM (PRO CAH) | $265.06 | $457.00 | $137.10–$780.00 | 14% below | 42% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SIMPLE REPAIR WOUND SCALPNECKTRUNKEXTREMITIES; 2.6-7.5 CM (PBB) | $46.40 | $80.00 | $24.00–$76.00 | — | 42% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SIMPLE REPAIR WOUND SCALPNECKTRUNKEXTREMITIES; 2.6-7.5 CM (RHC) | $187.34 | $323.00 | $96.90–$306.85 | — | 42% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SIMPLE REPAIR WOUNDS SCALP NK AXILLAE EXT GENITALIA TRUNKEXTREMITIES; 2.6 CM - 7.5 CM (PRO CAH) | $265.06 | $457.00 | $137.10–$434.15 | — | 42% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE REPAIR WOUND FACEEAREYELIDNOSE; 2.5 CM OR LESS (PBB) | $45.82 | $79.00 | $23.70–$780.00 | 83% below | 42% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE REPAIR WOUND FACEEAREYELIDNOSE; 2.5 CM OR LESS (RHC) | $183.86 | $317.00 | $95.10–$780.00 | 33% below | 42% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE REPAIR WOUNDS FACE EARS EYELIDS NOSE LIPS MUCOUS MEMBRANES; 2.5 CM OR LESS (PRO CAH) | $257.52 | $444.00 | $133.20–$780.00 | 6% below | 42% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SIMPLE REPAIR WOUND FACEEAREYELIDNOSE; 2.5 CM OR LESS (PBB) | $45.82 | $79.00 | $23.70–$75.05 | — | 42% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SIMPLE REPAIR WOUND FACEEAREYELIDNOSE; 2.5 CM OR LESS (RHC) | $183.86 | $317.00 | $95.10–$301.15 | — | 42% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SIMPLE REPAIR WOUNDS FACE EARS EYELIDS NOSE LIPS MUCOUS MEMBRANES; 2.5 CM OR LESS (PRO CAH) | $257.52 | $444.00 | $133.20–$421.80 | — | 42% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGENTIAL BIOPSY OF SKIN (EG SHAVE SCOOP SAUCERIZE CURETTE); SINGLE LESION (PBB) | $41.18 | $71.00 | $21.30–$780.00 | 83% below | 42% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGENTIAL BIOPSY OF SKIN (EG SHAVE SCOOP SAUCERIZE CURETTE); SINGLE LESION (RHC) | $164.72 | $284.00 | $85.20–$780.00 | 33% below | 42% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TANGENTIAL BIOPSY OF SKIN (EG SHAVE SCOOP SAUCERIZE CURETTE); SINGLE LESION (PBB) | $41.18 | $71.00 | $21.30–$67.45 | — | 42% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TANGENTIAL BIOPSY OF SKIN (EG SHAVE SCOOP SAUCERIZE CURETTE); SINGLE LESION (RHC) | $164.72 | $284.00 | $85.20–$269.80 | — | 42% |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS NEEDLE OR CATHETER ASPIRATION OF THE PLEURAL SPACE; WITH IMAGING GUIDANCE (PRO CAH) | $553.32 | $954.00 | $286.20–$1,164.00 | 38% below | 42% |
| Thoracentesis with imaging guidance CPT 32555 US THORACENTESIS W IMAGING GUIDANCE | $957.00 | $1,650.00 | $495.00–$1,567.50 | 7% above | 42% |
| Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS NEEDLE OR CATHETER ASPIRATION OF THE PLEURAL SPACE; WITH IMAGING GUIDANCE (PRO CAH) | $553.32 | $954.00 | $286.20–$906.30 | — | 42% |
| Thoracentesis with imaging guidance inpatient CPT 32555 US THORACENTESIS W IMAGING GUIDANCE | $957.00 | $1,650.00 | $495.00–$1,567.50 | — | 42% |
| Total hip replacement CPT 27130 ARTHROPLASTY ACETABULAR & PROXIMAL FEMORAL PROSTHETIC REPLCMT W OR W/O AUTOGRAFT/ALLOGRAFT (PRO CAH) | $2,082.78 | $3,591.00 | $1,077.30–$12,243.00 | 47% below | 42% |
| Total hip replacement inpatient CPT 27130 ARTHROPLASTY ACETABULAR & PROXIMAL FEMORAL PROSTHETIC REPLCMT W OR W/O AUTOGRAFT/ALLOGRAFT (PRO CAH) | $2,082.78 | $3,591.00 | $1,077.30–$3,411.45 | — | 42% |
| Total knee replacement CPT 27447 ARTHROPLASTY KNEE CONDYLE AND PLATEAU; MEDIAL AND LATERAL COMPART W/WO PATELLA RESURFACE (PRO CAH) | $2,079.88 | $3,586.00 | $1,075.80–$12,243.00 | 44% below | 42% |
| Total knee replacement inpatient CPT 27447 ARTHROPLASTY KNEE CONDYLE AND PLATEAU; MEDIAL AND LATERAL COMPART W/WO PATELLA RESURFACE (PRO CAH) | $2,079.88 | $3,586.00 | $1,075.80–$3,406.70 | — | 42% |
| Total shoulder replacement CPT 23472 ARTHROPLASTY GLENOHUMERAL JOINT; TOTAL SHOULDER (PRO CAH) | $2,343.78 | $4,041.00 | $1,212.30–$12,243.00 | 43% below | 42% |
| Total shoulder replacement inpatient CPT 23472 ARTHROPLASTY GLENOHUMERAL JOINT; TOTAL SHOULDER (PRO CAH) | $2,343.78 | $4,041.00 | $1,212.30–$3,838.95 | — | 42% |
| Trigger finger release surgery CPT 26055 TENDON SHEATH INCISION (EG FOR TRIGGER FINGER) (RHC) | $974.98 | $1,681.00 | $504.30–$1,596.95 | 25% below | 42% |
| Trigger finger release surgery CPT 26055 TENDON SHEATH INCISION (EG FOR TRIGGER FINGER) (PRO CAH) | $974.98 | $1,681.00 | $504.30–$1,596.95 | 25% below | 42% |
| Trigger finger release surgery inpatient CPT 26055 TENDON SHEATH INCISION (EG FOR TRIGGER FINGER) (PRO CAH) | $974.98 | $1,681.00 | $504.30–$1,596.95 | — | 42% |
| Trigger finger release surgery inpatient CPT 26055 TENDON SHEATH INCISION (EG FOR TRIGGER FINGER) (RHC) | $974.98 | $1,681.00 | $504.30–$1,596.95 | — | 42% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJECTION; SINGLE OR MULTIPLE TRIGGER POINT 1 OR 2 MUSCLE (RHC) | $86.42 | $149.00 | $44.70–$780.00 | 72% below | 42% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJECTION(S); SINGLE OR MULTIPLE TRIGGER POINT(S) 1 OR 2 MUSCLE(S) (PRO CAH) | $102.08 | $176.00 | $52.80–$780.00 | 67% below | 42% |
| Trigger point injections, 1 or 2 muscles CPT 20552 XR TRIGGER POINT 1 OR 2 | $407.74 | $703.00 | $210.90–$780.00 | 32% above | 42% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJECTION(S); SINGLE OR MULTIPLE TRIGGER POINTS 1 OR 2 MUSCLE(S) | $407.74 | $703.00 | $210.90–$780.00 | 32% above | 42% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJECTION; SINGLE OR MULTIPLE TRIGGER POINT 1 OR 2 MUSCLE (RHC) | $86.42 | $149.00 | $44.70–$141.55 | — | 42% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJECTION(S); SINGLE OR MULTIPLE TRIGGER POINT(S) 1 OR 2 MUSCLE(S) (PRO CAH) | $102.08 | $176.00 | $52.80–$167.20 | — | 42% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 XR TRIGGER POINT 1 OR 2 | $407.74 | $703.00 | $210.90–$667.85 | — | 42% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJECTION(S); SINGLE OR MULTIPLE TRIGGER POINTS 1 OR 2 MUSCLE(S) | $407.74 | $703.00 | $210.90–$667.85 | — | 42% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BIOPSY BREASTW PLACEMENT BREAST LOC DEVICE/IMGI BX SPECIPERCUT; 1ST LESIONINC US GUID (PRO CAH) | $896.10 | $1,545.00 | $463.50–$1,503.00 | 45% below | 42% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 US GUIDE BREAST BX | $1,919.80 | $3,310.00 | $993.00–$3,144.50 | 18% above | 42% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 BIOPSY BREASTW PLACEMENT BREAST LOC DEVICE/IMGI BX SPECIPERCUT; 1ST LESIONINC US GUID (PRO CAH) | $896.10 | $1,545.00 | $463.50–$1,467.75 | — | 42% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 US GUIDE BREAST BX | $1,919.80 | $3,310.00 | $993.00–$3,144.50 | — | 42% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 EGD FLEXIBLE TRANSORAL; W TRANSENDOSCOPIC BALLOON DILATION OF ESOPHAGUS (LESS THAN 30 MM DIAMETER) (PRO CAH) | $1,715.06 | $2,957.00 | $975.35–$2,809.15 | 4% below | 42% |
| Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 EGD FLEXIBLE TRANSORAL; W TRANSENDOSCOPIC BALLOON DILATION OF ESOPHAGUS (LESS THAN 30 MM DIAMETER) (PRO CAH) | $1,715.06 | $2,957.00 | $887.10–$2,809.15 | — | 42% |
| Upper endoscopy (EGD) with biopsy CPT 43239 EGD FLEXIBLE TRANSORAL; WITH BIOPSY SINGLE OR MULTIPLE (PRO CAH) | $613.64 | $1,058.00 | $349.14–$2,311.27 | 42% below | 42% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD FLEXIBLE TRANSORAL; WITH BIOPSY SINGLE OR MULTIPLE (PRO CAH) | $613.64 | $1,058.00 | $317.40–$1,005.10 | — | 42% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD FLEXIBLE TRANSORAL; W REMOVAL OF TUMOR(S) POLYP(S) OR OTHER LESION(S) BY SNARE TECHNIQUE (PRO CAH) | $802.72 | $1,384.00 | $415.20–$1,503.00 | 55% below | 42% |
| Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 EGD FLEXIBLE TRANSORAL; W REMOVAL OF TUMOR(S) POLYP(S) OR OTHER LESION(S) BY SNARE TECHNIQUE (PRO CAH) | $802.72 | $1,384.00 | $415.20–$1,314.80 | — | 42% |
| Upper endoscopy (EGD), diagnostic CPT 43235 EGD FLEXIBLE TRANSORAL; DIAG INCL COLLECT SPECIMEN BRUSH/WASH (PRO CAH) | $473.28 | $816.00 | $269.28–$2,311.27 | 51% below | 42% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 EGD FLEXIBLE TRANSORAL; DIAG INCL COLLECT SPECIMEN BRUSH/WASH (PRO CAH) | $473.28 | $816.00 | $244.80–$775.20 | — | 42% |
| Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 CYSTOURETHROSCOPY W/URETEROSCOPY AND/OR PYLEOSCOPY; WITH LITHOTRIPSY (PRO CAH) | $586.38 | $1,011.00 | $303.30–$5,641.00 | 68% below | 42% |
| Ureteroscopy with laser stone breaking (lithotripsy) inpatient CPT 52353 CYSTOURETHROSCOPY W/URETEROSCOPY AND/OR PYLEOSCOPY; WITH LITHOTRIPSY (PRO CAH) | $586.38 | $1,011.00 | $303.30–$960.45 | — | 42% |
| Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 VASECTOMYUNILATERAL OR BILATERAL INCLUDING POSTOPERATIVE SEMEN EXAM (PRO CAH) | $552.74 | $953.00 | $285.90–$3,267.00 | — | 42% |
| Vasectomy, one or both sides, including follow-up semen testing inpatient both sides CPT 55250 VASECTOMYUNILATERAL OR BILATERAL INCLUDING POSTOPERATIVE SEMEN EXAM (PRO CAH) | $552.74 | $953.00 | $285.90–$905.35 | — | 42% |
| Vein ablation, radiofrequency, first vein CPT 36475 ENDOVENOUS ABLATION THERAPY OF INCOMPETENT VEIN EXTREMITY FIRST VEIN TREATED (PRO CAH) | $1,691.28 | $2,916.00 | $874.80–$3,804.00 | 56% below | 42% |
| Vein ablation, radiofrequency, first vein inpatient CPT 36475 ENDOVENOUS ABLATION THERAPY OF INCOMPETENT VEIN EXTREMITY FIRST VEIN TREATED (PRO CAH) | $1,691.28 | $2,916.00 | $874.80–$2,770.20 | — | 42% |
| Wart removal, up to 14 warts CPT 17110 DESTRUCTION 0F BENIGN LESIONS (OTHER THAN SKIN TAGS); UP TO 14 LESIONS (PBB) | $46.98 | $81.00 | $24.30–$780.00 | 76% below | 42% |
| Wart removal, up to 14 warts CPT 17110 DESTRUCTION BENIGN LESIONS; UP TO 14 LESIONS (RHC) | $189.66 | $327.00 | $98.10–$780.00 | 3% below | 42% |
| Wart removal, up to 14 warts CPT 17110 DESTRUCTION BENIGN LESIONS OTHER THAN SKIN TAGS OR CUTANEOUS VASC PROLIF LESIONS; UP TO 14 (PRO CAH) | $199.52 | $344.00 | $103.20–$780.00 | 2% above | 42% |
| Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCTION 0F BENIGN LESIONS (OTHER THAN SKIN TAGS); UP TO 14 LESIONS (PBB) | $46.98 | $81.00 | $24.30–$76.95 | — | 42% |
| Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCTION BENIGN LESIONS; UP TO 14 LESIONS (RHC) | $189.66 | $327.00 | $98.10–$310.65 | — | 42% |
| Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCTION BENIGN LESIONS OTHER THAN SKIN TAGS OR CUTANEOUS VASC PROLIF LESIONS; UP TO 14 (PRO CAH) | $199.52 | $344.00 | $103.20–$326.80 | — | 42% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT SUBQ TISSUE; 1ST 20CM OR LESS (PBB) | $53.36 | $92.00 | $27.60–$780.00 | 88% below | 42% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT SUBCUTANEOUS TISSUE; FIRST 20 SQ CM OR LESS (PRO CAH) | $214.02 | $369.00 | $110.70–$780.00 | 52% below | 42% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT SUBCUTANEOUS TISSUE; FIRST 20 SQ CM OR LESS (RHC) | $214.02 | $369.00 | $110.70–$780.00 | 52% below | 42% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT SUBQ TISSUE; FIRST 20 SQ CM OR LESS | $608.42 | $1,049.00 | $314.70–$996.55 | 36% above | 42% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDEMENT SUBQ TISSUE; 1ST 20CM OR LESS (PBB) | $53.36 | $92.00 | $27.60–$87.40 | — | 42% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDEMENT SUBCUTANEOUS TISSUE; FIRST 20 SQ CM OR LESS (PRO CAH) | $214.02 | $369.00 | $110.70–$350.55 | — | 42% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDEMENT SUBCUTANEOUS TISSUE; FIRST 20 SQ CM OR LESS (RHC) | $214.02 | $369.00 | $110.70–$350.55 | — | 42% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDEMENT SUBQ TISSUE; FIRST 20 SQ CM OR LESS | $608.42 | $1,049.00 | $314.70–$996.55 | — | 42% |
| Wrist fracture surgery (plate and screws), distal radius CPT 25607 OPEN TREATMENT OF DISTAL RADIAL EXTRA-ARTICULAR FX OR EPIPHYSEAL SEPARATIONW INTERNAL FIX (PRO CAH) | $1,235.98 | $2,131.00 | $639.30–$7,460.00 | 48% below | 42% |
| Wrist fracture surgery (plate and screws), distal radius inpatient CPT 25607 OPEN TREATMENT OF DISTAL RADIAL EXTRA-ARTICULAR FX OR EPIPHYSEAL SEPARATIONW INTERNAL FIX (PRO CAH) | $1,235.98 | $2,131.00 | $639.30–$2,024.45 | — | 42% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Minnesota | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD/BLOOD PRODUCT ADMINISTRATION | $1,168.70 | $2,015.00 | $604.50–$1,914.25 | 64% above | 42% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD/BLOOD PRODUCT ADMINISTRATION | $1,168.70 | $2,015.00 | $604.50–$1,914.25 | — | 42% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI OR NEB TREATMENT SUBSEQUENT | $69.02 | $119.00 | $35.70–$113.05 | 41% below | 42% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI OR NEB TREATMENT | $87.00 | $150.00 | $45.00–$142.50 | 26% below | 42% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI OR NEB TREATMENT SUBSEQUENT | $69.02 | $119.00 | $35.70–$113.05 | — | 42% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI OR NEB TREATMENT | $87.00 | $150.00 | $45.00–$142.50 | — | 42% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMOTHERAPY ADMIN IV INFUSION BIOLOGICAL PRIMARY UP TO 1 HOUR | $365.40 | $630.00 | $189.00–$598.50 | 29% below | 42% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMOTHERAPY ADMIN IV INFUSION BIOLOGICAL PRIMARY UP TO 1 HOUR | $365.40 | $630.00 | $189.00–$598.50 | — | 42% |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE E&M OF CRITICALLY INJURED PATIENT; FIRST 30-74 MINUTES (PRO CAH) | $580.00 | $1,000.00 | $300.00–$950.00 | 62% below | 42% |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE 30 - 74 MINUTES | $1,998.68 | $3,446.00 | $1,033.80–$3,273.70 | 29% above | 42% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE E&M OF CRITICALLY INJURED PATIENT; FIRST 30-74 MINUTES (PRO CAH) | $580.00 | $1,000.00 | $300.00–$950.00 | — | 42% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE 30 - 74 MINUTES | $1,998.68 | $3,446.00 | $1,033.80–$3,273.70 | — | 42% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENT LEVEL 1 | $187.92 | $324.00 | $97.20–$2,046.00 | 3% below | 42% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 EMERGENT LEVEL 1 | $187.92 | $324.00 | $97.20–$307.80 | — | 42% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPARTMENT VISIT STRAIGHTFORWARD MDM (PRO CAH) | $98.02 | $169.00 | $50.70–$160.55 | 60% below | 42% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENT LEVEL 2 | $335.24 | $578.00 | $173.40–$2,046.00 | 35% above | 42% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 EMERGENCY DEPARTMENT VISIT STRAIGHTFORWARD MDM (PRO CAH) | $98.02 | $169.00 | $50.70–$160.55 | — | 42% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 EMERGENT LEVEL 2 | $335.24 | $578.00 | $173.40–$549.10 | — | 42% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPARTMENT VISIT LIMITED MDM (PRO CAH) | $150.80 | $260.00 | $78.00–$247.00 | 62% below | 42% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENT LEVEL 3 | $549.26 | $947.00 | $284.10–$2,046.00 | 39% above | 42% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 EMERGENCY DEPARTMENT VISIT LIMITED MDM (PRO CAH) | $150.80 | $260.00 | $78.00–$247.00 | — | 42% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 EMERGENT LEVEL 3 | $549.26 | $947.00 | $284.10–$899.65 | — | 42% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPARTMENT VISIT MODERATE MDM (PRO CAH) | $399.04 | $688.00 | $206.40–$653.60 | 37% below | 42% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENT LEVEL 4 | $883.92 | $1,524.00 | $457.20–$2,046.00 | 39% above | 42% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 EMERGENCY DEPARTMENT VISIT MODERATE MDM (PRO CAH) | $399.04 | $688.00 | $206.40–$653.60 | — | 42% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 EMERGENT LEVEL 4 | $883.92 | $1,524.00 | $457.20–$1,447.80 | — | 42% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPARTMENT VISIT HIGH MDM (PRO CAH) | $399.04 | $688.00 | $206.40–$653.60 | 58% below | 42% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENT LEVEL 5 | $1,339.22 | $2,309.00 | $692.70–$2,193.55 | 41% above | 42% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 EMERGENCY DEPARTMENT VISIT HIGH MDM (PRO CAH) | $399.04 | $688.00 | $206.40–$653.60 | — | 42% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 EMERGENT LEVEL 5 | $1,339.22 | $2,309.00 | $692.70–$2,193.55 | — | 42% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST NUC MED | $659.46 | $1,137.00 | $341.10–$1,080.15 | 9% below | 42% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 STRESS TEST NUC MED | $659.46 | $1,137.00 | $341.10–$1,080.15 | — | 42% |
| Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYCHOTHERAPY (CONJOINT PSYCHOTHERAPY) (WITH PATIENT PRESENT) 50 MINUTES | $194.88 | $336.00 | $100.80–$319.20 | at median | 42% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY PSYCHOTHERAPY (CONJOINT PSYCHOTHERAPY) (WITH PATIENT PRESENT) 50 MINUTES | $194.88 | $336.00 | $100.80–$319.20 | — | 42% |
| Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYCHOTHERAPY (WITHOUT THE PATIENT PRESENT) 50 MINUTES | $187.92 | $324.00 | $97.20–$307.80 | 3% above | 42% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY PSYCHOTHERAPY (WITHOUT THE PATIENT PRESENT) 50 MINUTES | $187.92 | $324.00 | $97.20–$307.80 | — | 42% |
| Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY (OTHER THAN OF A MULTIPLE-FAMILY GROUP) | $646.70 | $1,115.00 | $334.50–$1,059.25 | 728% above | 42% |
| Group psychotherapy session inpatient CPT 90853 GROUP PSYCHOTHERAPY (OTHER THAN OF A MULTIPLE-FAMILY GROUP) | $646.70 | $1,115.00 | $334.50–$1,059.25 | — | 42% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSION HYDRATION; INITIAL 31 MIN TO 1 HOUR (PBB) | $52.20 | $90.00 | $27.00–$85.50 | 81% below | 42% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSION HYDRATION PRIMARY UP TO 1 HOUR | $261.00 | $450.00 | $135.00–$427.50 | 4% below | 42% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INFUSION HYDRATION; INITIAL 31 MIN TO 1 HOUR (PBB) | $52.20 | $90.00 | $27.00–$85.50 | — | 42% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INFUSION HYDRATION PRIMARY UP TO 1 HOUR | $261.00 | $450.00 | $135.00–$427.50 | — | 42% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION THERAPY PRIMARY UP TO 1 HOUR | $261.00 | $450.00 | $135.00–$427.50 | 20% below | 42% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION THERAPY PRIMARY UP TO 1 HOUR | $261.00 | $450.00 | $135.00–$427.50 | — | 42% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC PROPHYLACTIC OR DIAGNOSTIC INJECTION; SUBCUTANEOUS OR INTRAMUSCULAR (RHC) | $23.78 | $41.00 | $12.30–$38.95 | 69% below | 42% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC PROPHYLACTIC OR DIAGNOSTIC INJECTION; SUBCUTANEOUS OR INTRAMUSCULAR (PBB) | $23.78 | $41.00 | $12.30–$38.95 | 69% below | 42% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM/SQ MED INJECTION | $55.10 | $95.00 | $28.50–$90.25 | 29% below | 42% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC PROPHYLACTIC OR DIAGNOSTIC INJECTION; SUBCUTANEOUS OR INTRAMUSCULAR (PBB) | $23.78 | $41.00 | $12.30–$38.95 | — | 42% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC PROPHYLACTIC OR DIAGNOSTIC INJECTION; SUBCUTANEOUS OR INTRAMUSCULAR (RHC) | $23.78 | $41.00 | $12.30–$38.95 | — | 42% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM/SQ MED INJECTION | $55.10 | $95.00 | $28.50–$90.25 | — | 42% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 NERVE CONDUCTION STUDIES; 7-8 STUDIES | $232.58 | $401.00 | $120.30–$380.95 | 46% below | 42% |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 NERVE CONDUCTION STUDIES; 7-8 STUDIES | $232.58 | $401.00 | $120.30–$380.95 | — | 42% |
| New patient office visit, about 30 minutes CPT 99203 NEW PT LEVEL 3 OFFICE/OTHER OUTPT VISIT EVAL AND MGMT LOW LEVEL MDM OR 30 MIN MET OR EXCEEDED (PBB) | $46.40 | $80.00 | $24.00–$76.00 | 60% below | 42% |
| New patient office visit, about 30 minutes CPT 99203 NEW PT LEVEL 3 OFFICE/OTHER OUTPT VISIT EVAL AND MGMT LOW LEVEL MDM OR 30 MIN MET OR EXCEEDED (PRO CAH) | $185.60 | $320.00 | $96.00–$304.00 | 59% above | 42% |
| New patient office visit, about 30 minutes CPT 99203 NEW PT LEVEL 3 OFFICE/OTHER OUTPT VISIT EVAL AND MGMT LOW LEVEL MDM OR 30 MIN MET OR EXCEEDED (RHC) | $185.60 | $320.00 | $96.00–$304.00 | 59% above | 42% |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW PT LEVEL 3 OFFICE/OTHER OUTPT VISIT EVAL AND MGMT LOW LEVEL MDM OR 30 MIN MET OR EXCEEDED (PBB) | $46.40 | $80.00 | $24.00–$76.00 | — | 42% |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW PT LEVEL 3 OFFICE/OTHER OUTPT VISIT EVAL AND MGMT LOW LEVEL MDM OR 30 MIN MET OR EXCEEDED (PRO CAH) | $185.60 | $320.00 | $96.00–$304.00 | — | 42% |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW PT LEVEL 3 OFFICE/OTHER OUTPT VISIT EVAL AND MGMT LOW LEVEL MDM OR 30 MIN MET OR EXCEEDED (RHC) | $185.60 | $320.00 | $96.00–$304.00 | — | 42% |
| New patient office visit, about 45 minutes CPT 99204 NEW PT LEVEL 4 OFFICE/OTHER OUTPT VISIT EVAL AND MGMT MODERATE LEVEL MDM OR 45 MIN MET OR EXCEEDED (PBB) | $69.02 | $119.00 | $35.70–$113.05 | 60% below | 42% |
| New patient office visit, about 45 minutes CPT 99204 NEW PT LEVEL 4 OFFICE/OTHER OUTPT VISIT EVAL AND MGMT MODERATE LEVEL MDM OR 45 MIN MET OR EXCEEDED (PRO CAH) | $277.82 | $479.00 | $143.70–$455.05 | 62% above | 42% |
| New patient office visit, about 45 minutes CPT 99204 NEW PT LEVEL 4 OFFICE/OTHER OUTPT VISIT EVAL AND MGMT MODERATE LEVEL MDM OR 45 MIN MET OR EXCEEDED (RHC) | $277.82 | $479.00 | $143.70–$455.05 | 62% above | 42% |
| New patient office visit, about 45 minutes inpatient CPT 99204 NEW PT LEVEL 4 OFFICE/OTHER OUTPT VISIT EVAL AND MGMT MODERATE LEVEL MDM OR 45 MIN MET OR EXCEEDED (PBB) | $69.02 | $119.00 | $35.70–$113.05 | — | 42% |
| New patient office visit, about 45 minutes inpatient CPT 99204 NEW PT LEVEL 4 OFFICE/OTHER OUTPT VISIT EVAL AND MGMT MODERATE LEVEL MDM OR 45 MIN MET OR EXCEEDED (PRO CAH) | $277.82 | $479.00 | $143.70–$455.05 | — | 42% |
| New patient office visit, about 45 minutes inpatient CPT 99204 NEW PT LEVEL 4 OFFICE/OTHER OUTPT VISIT EVAL AND MGMT MODERATE LEVEL MDM OR 45 MIN MET OR EXCEEDED (RHC) | $277.82 | $479.00 | $143.70–$455.05 | — | 42% |
| New patient office visit, about 60 minutes CPT 99205 NEW PT LEVEL 5 OFFICE/OTHER OUTPT VISIT EVAL AND MGMT HIGH LEVEL MDM OR 60 MIN MET OR EXCEEDED (PBB) | $91.06 | $157.00 | $47.10–$149.15 | 61% below | 42% |
| New patient office visit, about 60 minutes CPT 99205 NEW PT LEVEL 5 OFFICE/OTHER OUTPT VISIT EVAL AND MGMT HIGH LEVEL MDM OR 60 MIN MET OR EXCEEDED (RHC) | $365.98 | $631.00 | $189.30–$599.45 | 56% above | 42% |
| New patient office visit, about 60 minutes CPT 99205 NEW PT LEVEL 5 OFFICE/OTHER OUTPT VISIT EVAL AND MGMT HIGH LEVEL MDM OR 60 MIN MET OR EXCEEDED (PRO CAH) | $365.98 | $631.00 | $189.30–$599.45 | 56% above | 42% |
| New patient office visit, about 60 minutes inpatient CPT 99205 NEW PT LEVEL 5 OFFICE/OTHER OUTPT VISIT EVAL AND MGMT HIGH LEVEL MDM OR 60 MIN MET OR EXCEEDED (PBB) | $91.06 | $157.00 | $47.10–$149.15 | — | 42% |
| New patient office visit, about 60 minutes inpatient CPT 99205 NEW PT LEVEL 5 OFFICE/OTHER OUTPT VISIT EVAL AND MGMT HIGH LEVEL MDM OR 60 MIN MET OR EXCEEDED (PRO CAH) | $365.98 | $631.00 | $189.30–$599.45 | — | 42% |
| New patient office visit, about 60 minutes inpatient CPT 99205 NEW PT LEVEL 5 OFFICE/OTHER OUTPT VISIT EVAL AND MGMT HIGH LEVEL MDM OR 60 MIN MET OR EXCEEDED (RHC) | $365.98 | $631.00 | $189.30–$599.45 | — | 42% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PT LEVEL 2 OFFICE/OTHER OUTPT VISIT EVAL AND MGMT STRAIGHTFORWARD MDM OR 15 MIN MET OR EXCEEDED (PBB) | $29.58 | $51.00 | $15.30–$48.45 | 61% below | 42% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PT LEVEL 2 OFFICE/OTHER OUTPT VISIT EVAL AND MGMT STRAIGHTFORWARD MDM OR 15 MIN MET OR EXCEEDED (PRO CAH) | $119.48 | $206.00 | $61.80–$195.70 | 57% above | 42% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PT LEVEL 2 OFFICE/OTHER OUTPT VISIT EVAL AND MGMT STRAIGHTFORWARD MDM OR 15 MIN MET OR EXCEEDED (RHC) | $119.48 | $206.00 | $61.80–$195.70 | 57% above | 42% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 PF ANES NEW PT LEVEL 2 OFFICE/OTHER OUTPT VISIT EVAL AND MGMT STRAIGHTFORWARD MDM OR 15 MIN MET OR EXCEEDED | $178.64 | $308.00 | $92.40–$292.60 | 135% above | 42% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PT LEVEL 2 OFFICE/OTHER OUTPT VISIT EVAL AND MGMT STRAIGHTFORWARD MDM OR 15 MIN MET OR EXCEEDED (PBB) | $29.58 | $51.00 | $15.30–$48.45 | — | 42% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PT LEVEL 2 OFFICE/OTHER OUTPT VISIT EVAL AND MGMT STRAIGHTFORWARD MDM OR 15 MIN MET OR EXCEEDED (PRO CAH) | $119.48 | $206.00 | $61.80–$195.70 | — | 42% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PT LEVEL 2 OFFICE/OTHER OUTPT VISIT EVAL AND MGMT STRAIGHTFORWARD MDM OR 15 MIN MET OR EXCEEDED (RHC) | $119.48 | $206.00 | $61.80–$195.70 | — | 42% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 PF ANES NEW PT LEVEL 2 OFFICE/OTHER OUTPT VISIT EVAL AND MGMT STRAIGHTFORWARD MDM OR 15 MIN MET OR EXCEEDED | $178.64 | $308.00 | $92.40–$292.60 | — | 42% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MED NUTRITION THERAPY INITIAL INDV FACE TO FACE EA 15 MIN (PBB) | $61.48 | $106.00 | $26.78–$100.70 | 1% below | 42% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MEDICAL NUTRITION THERAPY (MNT) INITIAL | $74.24 | $128.00 | $26.78–$121.60 | 19% above | 42% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MED NUTRITION THERAPY INITIAL INDV FACE TO FACE EA 15 MIN (PBB) | $61.48 | $106.00 | $31.80–$100.70 | — | 42% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MEDICAL NUTRITION THERAPY (MNT) INITIAL | $74.24 | $128.00 | $38.40–$121.60 | — | 42% |
| Preventive checkup, new patient aged 18–39 CPT 99385 INITIAL PREVENTIVE CARE; 18-39 YRS (PBB) | $49.88 | $86.00 | $25.80–$81.70 | 69% below | 42% |
| Preventive checkup, new patient aged 18–39 CPT 99385 INITIAL PREVENTIVE CARE 18 - 39 YRS (RHC) | $201.26 | $347.00 | $104.10–$329.65 | 23% above | 42% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 INITIAL PREVENTIVE CARE; 18-39 YRS (PBB) | $49.88 | $86.00 | $25.80–$81.70 | — | 42% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 INITIAL PREVENTIVE CARE 18 - 39 YRS (RHC) | $201.26 | $347.00 | $104.10–$329.65 | — | 42% |
| Preventive checkup, new patient aged 40–64 CPT 99386 INITIAL PREVENTIVE CARE; 40-64 YRS (PBB) | $58.00 | $100.00 | $30.00–$95.00 | 74% below | 42% |
| Preventive checkup, new patient aged 40–64 CPT 99386 INITIAL PREVENTIVE CARE 40 - 64 YRS (RHC) | $232.00 | $400.00 | $120.00–$380.00 | 6% above | 42% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 INITIAL PREVENTIVE CARE; 40-64 YRS (PBB) | $58.00 | $100.00 | $30.00–$95.00 | — | 42% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 INITIAL PREVENTIVE CARE 40 - 64 YRS (RHC) | $232.00 | $400.00 | $120.00–$380.00 | — | 42% |
| Preventive checkup, new patient aged 65 or older CPT 99387 INITIAL PREVENTIVE CARE 65+ YRS (PBB) | $62.64 | $108.00 | $32.40–$102.60 | 76% below | 42% |
| Preventive checkup, new patient aged 65 or older CPT 99387 INITIAL PREVENTIVE CARE 65+ YRS (RHC) | $251.72 | $434.00 | $130.20–$412.30 | 4% below | 42% |
| Preventive checkup, new patient aged 65 or older inpatient CPT 99387 INITIAL PREVENTIVE CARE 65+ YRS (PBB) | $62.64 | $108.00 | $32.40–$102.60 | — | 42% |
| Preventive checkup, new patient aged 65 or older inpatient CPT 99387 INITIAL PREVENTIVE CARE 65+ YRS (RHC) | $251.72 | $434.00 | $130.20–$412.30 | — | 42% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 PERIODIC PREVENTIVE CARE; 18-39 YRS (PBB) | $45.24 | $78.00 | $23.40–$74.10 | 65% below | 42% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 PERIODIC PREVENTIVE CARE 18 - 39 YRS (RHC) | $181.54 | $313.00 | $93.90–$297.35 | 40% above | 42% |
| Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 PERIODIC PREVENTIVE CARE; 18-39 YRS (PBB) | $45.24 | $78.00 | $23.40–$74.10 | — | 42% |
| Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 PERIODIC PREVENTIVE CARE 18 - 39 YRS (RHC) | $181.54 | $313.00 | $93.90–$297.35 | — | 42% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 PERIODIC PREVENTIVE CARE; 40-64 YRS (PBB) | $48.14 | $83.00 | $24.90–$78.85 | 67% below | 42% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 PERIODIC PREVENTIVE CARE 40 - 64 YRS (RHC) | $193.14 | $333.00 | $99.90–$316.35 | 33% above | 42% |
| Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 PERIODIC PREVENTIVE CARE; 40-64 YRS (PBB) | $48.14 | $83.00 | $24.90–$78.85 | — | 42% |
| Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 PERIODIC PREVENTIVE CARE 40 - 64 YRS (RHC) | $193.14 | $333.00 | $99.90–$316.35 | — | 42% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 PERIODIC PREVENTIVE CARE; 65 YRS AND OLDER (PBB) | $51.62 | $89.00 | $26.70–$84.55 | 76% below | 42% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 PERIODIC PREVENTIVE CARE 65 YRS & UP (RHC) | $207.64 | $358.00 | $107.40–$340.10 | 4% below | 42% |
| Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 PERIODIC PREVENTIVE CARE; 65 YRS AND OLDER (PBB) | $51.62 | $89.00 | $26.70–$84.55 | — | 42% |
| Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 PERIODIC PREVENTIVE CARE 65 YRS & UP (RHC) | $207.64 | $358.00 | $107.40–$340.10 | — | 42% |
| Psychiatric evaluation with medical services CPT 90792 PSYCH DIAGNOSTIC INTERVIEW EXAM (PBB) | $80.62 | $139.00 | $41.70–$132.05 | 59% below | 42% |
| Psychiatric evaluation with medical services inpatient CPT 90792 PSYCH DIAGNOSTIC INTERVIEW EXAM (PBB) | $80.62 | $139.00 | $41.70–$132.05 | — | 42% |
| Psychotherapy for crisis, first 60 minutes CPT 90839 PSYCHOTHERAPY FOR CRISIS INITIAL 60 MIN (PBB) | $63.80 | $110.00 | $33.00–$104.50 | 73% below | 42% |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 PSYCHOTHERAPY FOR CRISIS INITIAL 60 MIN (PBB) | $63.80 | $110.00 | $33.00–$104.50 | — | 42% |
| Psychotherapy session, 30 minutes CPT 90832 PSYCHOTHERAPY 30 MINUTES WITH PATIENT (PBB) | $33.64 | $58.00 | $17.40–$55.10 | 71% below | 42% |
| Psychotherapy session, 30 minutes CPT 90832 PSYCHOTHERAPY 30 MINUTES WITH PATIENT | $147.90 | $255.00 | $76.50–$242.25 | 30% above | 42% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PSYCHOTHERAPY 30 MINUTES WITH PATIENT (PBB) | $33.64 | $58.00 | $17.40–$55.10 | — | 42% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PSYCHOTHERAPY 30 MINUTES WITH PATIENT | $147.90 | $255.00 | $76.50–$242.25 | — | 42% |
| Psychotherapy session, 45 minutes CPT 90834 PSYCHOTHERAPY 45 MINUTES WITH PATIENT (PBB) | $44.66 | $77.00 | $23.10–$73.15 | 70% below | 42% |
| Psychotherapy session, 45 minutes CPT 90834 PSYCHOTHERAPY 45 MINUTES WITH PATIENT | $197.20 | $340.00 | $102.00–$323.00 | 32% above | 42% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 PSYCHOTHERAPY 45 MINUTES WITH PATIENT (PBB) | $44.66 | $77.00 | $23.10–$73.15 | — | 42% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 PSYCHOTHERAPY 45 MINUTES WITH PATIENT | $197.20 | $340.00 | $102.00–$323.00 | — | 42% |
| Psychotherapy session, 60 minutes CPT 90837 PSYCHOTHERAPY 60 MINUTES WITH PATIENT (PBB) | $66.12 | $114.00 | $34.20–$108.30 | 63% below | 42% |
| Psychotherapy session, 60 minutes CPT 90837 PSYCHOTHERAPY 60 MINUTES WITH PATIENT | $289.42 | $499.00 | $149.70–$474.05 | 60% above | 42% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 PSYCHOTHERAPY 60 MINUTES WITH PATIENT (PBB) | $66.12 | $114.00 | $34.20–$108.30 | — | 42% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 PSYCHOTHERAPY 60 MINUTES WITH PATIENT | $289.42 | $499.00 | $149.70–$474.05 | — | 42% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING TOBACCO USE CESSATION COUNSELING VISIT INTERMEDIATE GREATER THAN 3 MIN AND UP TO 10 MIN (RHC) | $23.78 | $41.00 | $12.30–$38.95 | 28% below | 42% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING/TOBACCO CESSATION COUSELING GREATER THAN 3 MIN AND UP TO 10 MIN (PBB) | $23.78 | $41.00 | $12.30–$38.95 | 28% below | 42% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKING/TOBACCO CESSATION COUSELING GREATER THAN 3 MIN AND UP TO 10 MIN (PBB) | $23.78 | $41.00 | $12.30–$38.95 | — | 42% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKING TOBACCO USE CESSATION COUNSELING VISIT INTERMEDIATE GREATER THAN 3 MIN AND UP TO 10 MIN (RHC) | $23.78 | $41.00 | $12.30–$38.95 | — | 42% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST PT LEVEL 5 OFFICE/OTHER OUTPT VISIT EVAL AND MGMT HIGH LEVEL MDM OR 40 MIN MET OR EXCEEDED (PBB) | $74.82 | $129.00 | $38.70–$122.55 | 56% below | 42% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST PT LEVEL 5 OFFICE/OTHER OUTPT VISIT EVAL AND MGMT HIGH LEVEL MDM OR 40 MIN MET OR EXCEEDED (PRO CAH) | $299.86 | $517.00 | $155.10–$491.15 | 77% above | 42% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST PT LEVEL 5 OFFICE/OTHER OUTPT VISIT EVAL AND MGMT HIGH LEVEL MDM OR 40 MIN MET OR EXCEEDED (RHC) | $299.86 | $517.00 | $155.10–$491.15 | 77% above | 42% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 EST PT LEVEL 5 OFFICE/OTHER OUTPT VISIT EVAL AND MGMT HIGH LEVEL MDM OR 40 MIN MET OR EXCEEDED (PBB) | $74.82 | $129.00 | $38.70–$122.55 | — | 42% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 EST PT LEVEL 5 OFFICE/OTHER OUTPT VISIT EVAL AND MGMT HIGH LEVEL MDM OR 40 MIN MET OR EXCEEDED (PRO CAH) | $299.86 | $517.00 | $155.10–$491.15 | — | 42% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 EST PT LEVEL 5 OFFICE/OTHER OUTPT VISIT EVAL AND MGMT HIGH LEVEL MDM OR 40 MIN MET OR EXCEEDED (RHC) | $299.86 | $517.00 | $155.10–$491.15 | — | 42% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST PT LEVEL 3 OFFICE/OTHER OUTPT VISIT EVAL AND MGMT LOW LEVEL MDM OR 20 MIN MET OR EXCEEDED (PBB) | $37.70 | $65.00 | $19.50–$61.75 | 60% below | 42% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST PT LEVEL 3 OFFICE/OTHER OUTPT VISIT EVAL AND MGMT LOW LEVEL MDM OR 20 MIN MET OR EXCEEDED (PRO CAH) | $151.96 | $262.00 | $78.60–$248.90 | 61% above | 42% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST PT LEVEL 3 OFFICE/OTHER OUTPT VISIT EVAL AND MGMT LOW LEVEL MDM OR 20 MIN MET OR EXCEEDED (RHC) | $151.96 | $262.00 | $78.60–$248.90 | 61% above | 42% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 EST PT LEVEL 3 OFFICE/OTHER OUTPT VISIT EVAL AND MGMT LOW LEVEL MDM OR 20 MIN MET OR EXCEEDED (PBB) | $37.70 | $65.00 | $19.50–$61.75 | — | 42% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 EST PT LEVEL 3 OFFICE/OTHER OUTPT VISIT EVAL AND MGMT LOW LEVEL MDM OR 20 MIN MET OR EXCEEDED (PRO CAH) | $151.96 | $262.00 | $78.60–$248.90 | — | 42% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 EST PT LEVEL 3 OFFICE/OTHER OUTPT VISIT EVAL AND MGMT LOW LEVEL MDM OR 20 MIN MET OR EXCEEDED (RHC) | $151.96 | $262.00 | $78.60–$248.90 | — | 42% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EST PT LEVEL 4 OFFICE/OTHER OUTPT VISIT EVAL AND MGMT MODERATE LEVEL MDM OR 30 MIN MET OR EXCEEDED (PBB) | $53.36 | $92.00 | $27.60–$87.40 | 56% below | 42% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EST PT LEVEL 4 OFFICE/OTHER OUTPT VISIT EVAL AND MGMT MODERATE LEVEL MDM OR 30 MIN MET OR EXCEEDED (PRO CAH) | $214.02 | $369.00 | $110.70–$350.55 | 78% above | 42% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EST PT LEVEL 4 OFFICE/OTHER OUTPT VISIT EVAL AND MGMT MODERATE LEVEL MDM OR 30 MIN MET OR EXCEEDED(RHC) | $214.02 | $369.00 | $110.70–$350.55 | 78% above | 42% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 EST PT LEVEL 4 OFFICE/OTHER OUTPT VISIT EVAL AND MGMT MODERATE LEVEL MDM OR 30 MIN MET OR EXCEEDED (PBB) | $53.36 | $92.00 | $27.60–$87.40 | — | 42% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 EST PT LEVEL 4 OFFICE/OTHER OUTPT VISIT EVAL AND MGMT MODERATE LEVEL MDM OR 30 MIN MET OR EXCEEDED (PRO CAH) | $214.02 | $369.00 | $110.70–$350.55 | — | 42% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 EST PT LEVEL 4 OFFICE/OTHER OUTPT VISIT EVAL AND MGMT MODERATE LEVEL MDM OR 30 MIN MET OR EXCEEDED(RHC) | $214.02 | $369.00 | $110.70–$350.55 | — | 42% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EST PT LEVEL 2 OFFICE/OTHER OUTPT VISIT EVAL AND MGMT STRAIGHTFORWARD MDM OR 10 MIN MET OR EXCEEDED (PBB) | $23.20 | $40.00 | $12.00–$38.00 | 72% below | 42% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EST PT LEVEL 2 OFFICE/OTHER OUTPT VISIT EVAL AND MGMT STRAIGHTFORWARD MDM OR 10 MIN MET OR EXCEEDED (RHC) | $94.54 | $163.00 | $48.90–$154.85 | 16% above | 42% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EST PT LEVEL 2 OFFICE/OTHER OUTPT VISIT EVAL AND MGMT STRAIGHTFORWARD MDM OR 10 MIN MET OR EXCEEDED (PRO CAH) | $94.54 | $163.00 | $48.90–$154.85 | 16% above | 42% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 EST PT LEVEL 2 OFFICE/OTHER OUTPT VISIT EVAL AND MGMT STRAIGHTFORWARD MDM OR 10 MIN MET OR EXCEEDED (PBB) | $23.20 | $40.00 | $12.00–$38.00 | — | 42% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 EST PT LEVEL 2 OFFICE/OTHER OUTPT VISIT EVAL AND MGMT STRAIGHTFORWARD MDM OR 10 MIN MET OR EXCEEDED (PRO CAH) | $94.54 | $163.00 | $48.90–$154.85 | — | 42% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 EST PT LEVEL 2 OFFICE/OTHER OUTPT VISIT EVAL AND MGMT STRAIGHTFORWARD MDM OR 10 MIN MET OR EXCEEDED (RHC) | $94.54 | $163.00 | $48.90–$154.85 | — | 42% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 OFFICE OR OUTPT CONSULT NEW OR EST PT LOW MDM OR 30-39 MINS (PBB) | $103.82 | $179.00 | $53.70–$170.05 | 43% below | 42% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 OFFICE OR OUTPT CONSULT NEW OR EST PT LOW MDM OR 30-39 MINS (RHC) | $363.08 | $626.00 | $187.80–$594.70 | 99% above | 42% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 OFFICE OR OUTPT CONSULT NEW OR EST PT LOW MDM OR 30-39 MINS (PRO CAH) | $363.08 | $626.00 | $187.80–$594.70 | 99% above | 42% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 OFFICE OR OUTPT CONSULT NEW OR EST PT LOW MDM OR 30-39 MINS (PBB) | $103.82 | $179.00 | $53.70–$170.05 | — | 42% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 OFFICE OR OUTPT CONSULT NEW OR EST PT LOW MDM OR 30-39 MINS (RHC) | $363.08 | $626.00 | $187.80–$594.70 | — | 42% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 OFFICE OR OUTPT CONSULT NEW OR EST PT LOW MDM OR 30-39 MINS (PRO CAH) | $363.08 | $626.00 | $187.80–$594.70 | — | 42% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OFFICE OR OUTPT CONSULT NEW OR EST PT MODERATE MDM OR 40-54 MINS (PBB) | $140.94 | $243.00 | $72.90–$230.85 | 32% below | 42% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OFFICE OR OUTPT CONSULT NEW OR EST PT MODERATE MDM OR 40-54 MINS (RHC) | $493.58 | $851.00 | $255.30–$808.45 | 139% above | 42% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OFFICE OR OUTPT CONSULT NEW OR EST PT MODERATE MDM OR 40-54 MINS (PRO CAH) | $493.58 | $851.00 | $255.30–$808.45 | 139% above | 42% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 OFFICE OR OUTPT CONSULT NEW OR EST PT MODERATE MDM OR 40-54 MINS (PBB) | $140.94 | $243.00 | $72.90–$230.85 | — | 42% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 OFFICE OR OUTPT CONSULT NEW OR EST PT MODERATE MDM OR 40-54 MINS (RHC) | $493.58 | $851.00 | $255.30–$808.45 | — | 42% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 OFFICE OR OUTPT CONSULT NEW OR EST PT MODERATE MDM OR 40-54 MINS (PRO CAH) | $493.58 | $851.00 | $255.30–$808.45 | — | 42% |
| Spirometry (breathing test) CPT 94010 SPIROMETRY INCL GRAPHIC RECORD TOTAL AND TIMED VITAL CAPACITY EXPIRATORY FLOW RATE MEASURE (RHC) | $45.82 | $79.00 | $23.70–$75.05 | 71% below | 42% |
| Spirometry (breathing test) CPT 94010 SPIROMETRY WO BRONCHODILATOR SSD | $124.12 | $214.00 | $64.20–$203.30 | 22% below | 42% |
| Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY INCL GRAPHIC RECORD TOTAL AND TIMED VITAL CAPACITY EXPIRATORY FLOW RATE MEASURE (RHC) | $45.82 | $79.00 | $23.70–$75.05 | — | 42% |
| Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY WO BRONCHODILATOR SSD | $124.12 | $214.00 | $64.20–$203.30 | — | 42% |
| Spirometry before and after a bronchodilator CPT 94060 BRONCHODILATION RESPONSIVENESS PRE AND POST BRONCHODILATOR ADMINISTRATION (RHC) | $65.54 | $113.00 | $33.90–$107.35 | 77% below | 42% |
| Spirometry before and after a bronchodilator CPT 94060 BRONCHOSPASM EVALUATION BEFORE AND AFTER (PBB) | $65.54 | $113.00 | $33.90–$107.35 | 77% below | 42% |
| Spirometry before and after a bronchodilator CPT 94060 SPIROMETRY SSD | $375.26 | $647.00 | $194.10–$614.65 | 29% above | 42% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 BRONCHOSPASM EVALUATION BEFORE AND AFTER (PBB) | $65.54 | $113.00 | $33.90–$107.35 | — | 42% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 BRONCHODILATION RESPONSIVENESS PRE AND POST BRONCHODILATOR ADMINISTRATION (RHC) | $65.54 | $113.00 | $33.90–$107.35 | — | 42% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 SPIROMETRY SSD | $375.26 | $647.00 | $194.10–$614.65 | — | 42% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPUETIC | $169.94 | $293.00 | $87.90–$278.35 | 20% below | 42% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPUETIC | $169.94 | $293.00 | $87.90–$278.35 | — | 42% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Minnesota | Off list |
|---|---|---|---|---|---|
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 INFLUENZA VACCINE INACTIVATED (IIV) SUBUNIT ADJUVANTED FOR INTRAMUSCULAR USE (RHC) | $145.00 | $250.00 | $75.00–$237.50 | 88% above | 42% |
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 FLU VAC 2025 65UP-ADJMF59C(PF) 45 MCG (15 MCG X 3)/0.5 ML IM SYRG | $230.26 | $397.00 | $119.10–$377.15 | 199% above | 42% |
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 INFLUENZA VACCINE INACTIVATED (IIV) SUBUNIT ADJUVANTED FOR INTRAMUSCULAR USE (RHC) | $145.00 | $250.00 | $75.00–$237.50 | — | 42% |
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 FLU VAC 2025 65UP-ADJMF59C(PF) 45 MCG (15 MCG X 3)/0.5 ML IM SYRG | $230.26 | $397.00 | $119.10–$377.15 | — | 42% |
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 SARS-COV-2 COVID-19 VACCINE MRNA-LNP 50 MCG/0.5 ML DOSAGE IM USE (MODERNA 12+ YRS) (RHC) | $127.02 | $219.00 | $65.70–$208.05 | 31% below | 42% |
| COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 SARS-COV-2 COVID-19 VACCINE MRNA-LNP 50 MCG/0.5 ML DOSAGE IM USE (MODERNA 12+ YRS) (RHC) | $127.02 | $219.00 | $65.70–$208.05 | — | 42% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 SARS-COV-2 COVID-19 VACCINE MRNA-LNP SPIKE PROTEIN 30 MCG/0.3 ML DOSAGE TRIS-SUCR IM (PFIZER 12+ YRS) (RHC) | $114.26 | $197.00 | $59.10–$187.15 | 34% below | 42% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 SARS-COV-2 COVID-19 VACCINE MRNA-LNP SPIKE PROTEIN 30 MCG/0.3 ML DOSAGE TRIS-SUCR IM (PFIZER 12+ YRS) (RHC) | $114.26 | $197.00 | $59.10–$187.15 | — | 42% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS SQ (RHC) | $154.86 | $267.00 | $80.10–$253.65 | 35% below | 42% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS SQ (RHC) | $154.86 | $267.00 | $80.10–$253.65 | — | 42% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACCINE TRIVALENT SV PF 0.5ML FOR IM USE (RHC) | $19.72 | $34.00 | $10.20–$32.30 | 11% below | 42% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VAC TS 2025-26(6MOS UP)-PF 45 MCG (15 MCG X 3)/0.5 ML IM SYRG | $66.70 | $115.00 | $34.50–$109.25 | 201% above | 42% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VACCINE TRIVALENT SV PF 0.5ML FOR IM USE (RHC) | $19.72 | $34.00 | $10.20–$32.30 | — | 42% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VAC TS 2025-26(6MOS UP)-PF 45 MCG (15 MCG X 3)/0.5 ML IM SYRG | $66.70 | $115.00 | $34.50–$109.25 | — | 42% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HUMAN PAPILLOMAVIRUS VACCINE (9VHPV)2 OR 3 DOSE SCHEDULE (PER DOSE) (RHC) | $255.20 | $440.00 | $132.00–$418.00 | 33% below | 42% |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HUMAN PAPILLOMAVIRUS VACCINE (9VHPV)2 OR 3 DOSE SCHEDULE (PER DOSE) (RHC) | $255.20 | $440.00 | $132.00–$418.00 | — | 42% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VAC ADULT DOSAGE IM (RHC) | $60.90 | $105.00 | $31.50–$99.75 | 42% below | 42% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VAC ADULT DOSAGE IM (RHC) | $60.90 | $105.00 | $31.50–$99.75 | — | 42% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B ADULT DOSE IM (3 DOSE SCHEDULE) (RHC) | $61.48 | $106.00 | $31.80–$100.70 | 45% below | 42% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B ADULT DOSE IM (3 DOSE SCHEDULE) (RHC) | $61.48 | $106.00 | $31.80–$100.70 | — | 42% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLUENZA VACCINE SPLIT PRESERV FREE ENHANCED FOR IM USE (RHC) | $145.00 | $250.00 | $75.00–$237.50 | 93% above | 42% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 INFLUENZA VACCINE SPLIT PRESERV FREE ENHANCED FOR IM USE (RHC) | $145.00 | $250.00 | $75.00–$237.50 | — | 42% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR VACCINE SUBQ OR JET (RHC) | $81.78 | $141.00 | $42.30–$133.95 | 34% below | 42% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLESMUMPSRUBELLA VACC(PF) 1000-12500 TCID50/0.5 ML SUBQ SOLR | $270.86 | $467.00 | $140.10–$443.65 | 117% above | 42% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MMR VACCINE SUBQ OR JET (RHC) | $81.78 | $141.00 | $42.30–$133.95 | — | 42% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLESMUMPSRUBELLA VACC(PF) 1000-12500 TCID50/0.5 ML SUBQ SOLR | $270.86 | $467.00 | $140.10–$443.65 | — | 42% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL CONJUGATE VACCINE SEROGROUPS A C Y AND W-135 QUADRIVALENT FOR IM USE (MENVEO) | $131.66 | $227.00 | $68.10–$215.65 | 33% below | 42% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENING CONJ VACCINESEROGROUPS ACW YQUADRIVALENTDIPHTHERIA TOX CARRIERIM USE(MENACTRA)(RHC) | $131.66 | $227.00 | $68.10–$215.65 | 33% below | 42% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENING CONJ VACCINESEROGROUPS ACW YQUADRIVALENTDIPHTHERIA TOX CARRIERIM USE(MENACTRA)(RHC) | $131.66 | $227.00 | $68.10–$215.65 | — | 42% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL CONJUGATE VACCINE SEROGROUPS A C Y AND W-135 QUADRIVALENT FOR IM USE (MENVEO) | $131.66 | $227.00 | $68.10–$215.65 | — | 42% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL RECOMBINANT PROTEIN AND OUTER MEM VESICLE VACCINE SEROGROUP B 2 DOSE SCHED IM (RHC) | $198.36 | $342.00 | $102.60–$324.90 | 34% below | 42% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL RECOMBINANT PROTEIN AND OUTER MEM VESICLE VACCINE SEROGROUP B 2 DOSE SCHED IM (RHC) | $198.36 | $342.00 | $102.60–$324.90 | — | 42% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL CONJUGATE VACCINE 20 VALENT (PCV20) FOR INTRAMUSCULAR USE (RHC) | $251.14 | $433.00 | $129.90–$411.35 | 38% below | 42% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOC 20-VAL CONJ-DIP CR(PF) 0.5 ML IM SYRG | $774.30 | $1,335.00 | $400.50–$1,268.25 | 92% above | 42% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL CONJUGATE VACCINE 20 VALENT (PCV20) FOR INTRAMUSCULAR USE (RHC) | $251.14 | $433.00 | $129.90–$411.35 | — | 42% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOC 20-VAL CONJ-DIP CR(PF) 0.5 ML IM SYRG | $774.30 | $1,335.00 | $400.50–$1,268.25 | — | 42% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VACCINE SQ OR IM (RHC) | $116.00 | $200.00 | $60.00–$190.00 | 12% below | 42% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL VACCINE SQ OR IM (RHC) | $116.00 | $200.00 | $60.00–$190.00 | — | 42% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 RESPIRATORY SYNCYTIAL VIRUS MONOCLONAL ANTIBODY SEASONAL DOSE; 0.5 ML DOSAGE INTRAMUSCULAR USE (PBB) | $439.06 | $757.00 | $227.10–$719.15 | 16% below | 42% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 RESPIRATORY SYNCYTIAL VIRUS MONOCLONAL ANTIBODY SEASONAL DOSE; 0.5 ML DOSAGE INTRAMUSCULAR USE (PBB) | $439.06 | $757.00 | $227.10–$719.15 | — | 42% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RESPIRATORY SYNCYTIAL VIRUS VACCINE PREF SUBUNIT BIVALENT FOR INTRAMUSCULAR USE (RHC) | $179.80 | $310.00 | $93.00–$294.50 | 19% below | 42% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 RESPIRATORY SYNCYTIAL VIRUS VACCINE PREF SUBUNIT BIVALENT FOR INTRAMUSCULAR USE (RHC) | $179.80 | $310.00 | $93.00–$294.50 | — | 42% |
| RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 RESPIRATORY SYNCYTIAL VIRUS VACCINE PREF RECOMBINANT SUBUNIT ADJUVANTED FOR INTRAMUSCULAR USE (RHC) | $204.74 | $353.00 | $105.90–$335.35 | 55% above | 42% |
| RSV vaccine with adjuvant (Arexvy), one dose for older adults inpatient CPT 90679 RESPIRATORY SYNCYTIAL VIRUS VACCINE PREF RECOMBINANT SUBUNIT ADJUVANTED FOR INTRAMUSCULAR USE (RHC) | $204.74 | $353.00 | $105.90–$335.35 | — | 42% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE FOR INTRAMUSCULAR USE (RHC) | $282.46 | $487.00 | $146.10–$462.65 | 49% below | 42% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE PCEC (PF) 2.5 UNIT IM SUSR | $1,222.06 | $2,107.00 | $632.10–$2,001.65 | 122% above | 42% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE FOR INTRAMUSCULAR USE (RHC) | $282.46 | $487.00 | $146.10–$462.65 | — | 42% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE PCEC (PF) 2.5 UNIT IM SUSR | $1,222.06 | $2,107.00 | $632.10–$2,001.65 | — | 42% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 ZOSTER (SHINGLES) VACCINE (HZV) FOR IM USE (RHC) | $159.50 | $275.00 | $82.50–$261.25 | 31% below | 42% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 ZOSTER (SHINGLES) VACCINE (HZV) FOR IM USE (RHC) | $159.50 | $275.00 | $82.50–$261.25 | — | 42% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS & DIPTHERIA TOXOIDS (RHC) | $26.68 | $46.00 | $13.80–$43.70 | 57% below | 42% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS-TD 2-2 LF UNIT/0.5 ML IM SUSP | $89.90 | $155.00 | $46.50–$147.25 | 44% above | 42% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHER. TOX (PF) 5 LF UNIT- 2 LF UNIT/0.5ML IM SUSP | $125.28 | $216.00 | $64.80–$205.20 | 101% above | 42% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS & DIPTHERIA TOXOIDS (RHC) | $26.68 | $46.00 | $13.80–$43.70 | — | 42% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTHERIA TOXOIDS-TD 2-2 LF UNIT/0.5 ML IM SUSP | $89.90 | $155.00 | $46.50–$147.25 | — | 42% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHER. TOX (PF) 5 LF UNIT- 2 LF UNIT/0.5ML IM SUSP | $125.28 | $216.00 | $64.80–$205.20 | — | 42% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS DIP TOX & ACE PERT TDAP > = 7 YRS (RHC) | $33.06 | $57.00 | $17.10–$54.15 | 58% below | 42% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIX TDAP 2.5-8-5 LF-MCG-LF/0.5ML IM SYRG | $141.52 | $244.00 | $73.20–$231.80 | 80% above | 42% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS DIP TOX & ACE PERT TDAP > = 7 YRS (RHC) | $33.06 | $57.00 | $17.10–$54.15 | — | 42% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 BOOSTRIX TDAP 2.5-8-5 LF-MCG-LF/0.5ML IM SYRG | $141.52 | $244.00 | $73.20–$231.80 | — | 42% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMINISTRATION; 1 VACCINE (SINGLE OR COMBINATION VACCINE/TOXOID) (RHC) | $34.80 | $60.00 | $18.00–$57.00 | 15% below | 42% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMINISTRATION OF HEPATITIS B VACCINE (RHC) | $34.80 | $60.00 | $18.00–$57.00 | 15% below | 42% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMINISTRATION HEPATITIS B VACCINE | $38.86 | $67.00 | $20.10–$63.65 | 5% below | 42% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMINISTRATION; 1 VACCINE (SINGLE OR COMBINATION VACCINE/TOXOID) (RHC) | $34.80 | $60.00 | $18.00–$57.00 | — | 42% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMINISTRATION OF HEPATITIS B VACCINE (RHC) | $34.80 | $60.00 | $18.00–$57.00 | — | 42% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMINISTRATION HEPATITIS B VACCINE | $38.86 | $67.00 | $20.10–$63.65 | — | 42% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN; EACH ADDTL SINGLE OR COMBINATION VAC/TOXIOD (RHC) | $24.36 | $42.00 | $12.60–$39.90 | 3% below | 42% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN; EACH ADDTL SINGLE OR COMBINATION VAC/TOXIOD (PBB) | $24.36 | $42.00 | $12.60–$39.90 | 3% below | 42% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMINISTRATION VACCINE - EA ADDITIONAL VACCINE | $28.42 | $49.00 | $14.70–$46.55 | 13% above | 42% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADMIN; EACH ADDTL SINGLE OR COMBINATION VAC/TOXIOD (RHC) | $24.36 | $42.00 | $12.60–$39.90 | — | 42% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADMIN; EACH ADDTL SINGLE OR COMBINATION VAC/TOXIOD (PBB) | $24.36 | $42.00 | $12.60–$39.90 | — | 42% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ADMINISTRATION VACCINE - EA ADDITIONAL VACCINE | $28.42 | $49.00 | $14.70–$46.55 | — | 42% |
Source file: https://www.chistgabriels.com/410721642-1780630939_unity-family-healthcare_standardcharges.csv