Hospital Roswell, NM

Eastern New Mexico Medical Center

Listed in its price file as “Roswell Hospital Corporation”.

Eastern New Mexico Medical Center in Roswell, NM publishes cash prices for 310 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the New Mexico median for 191 of 288 procedures and above it for 76. By typical cash price it ranks #3 of 11 New Mexico hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

405 W. Country Club Road, Roswell, NM 88201 Collected Sep 27, 2026 Source price file (575) 624-8722

Acute care hospital Emergency department CMS star rating 1 of 5 CCN 320006 · CMS hospital register

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs New Mexico	Off list
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete Min 3 V Right DR	$120.75	$575.00	$75.88–$546.25	64% below	79%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete Min 3 V Left DR	$120.75	$575.00	$75.88–$546.25	64% below	79%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete Min 3 V Left CR	$125.58	$598.00	$75.88–$568.10	62% below	79%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete Min 3 V Right CR	$125.58	$598.00	$75.88–$568.10	62% below	79%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Complete Min 3 V Right DR	$224.25	$575.00	$207.00–$534.75	—	61%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Complete Min 3 V Left DR	$224.25	$575.00	$207.00–$534.75	—	61%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Complete Min 3 V Right CR	$233.22	$598.00	$215.28–$556.14	—	61%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Complete Min 3 V Left CR	$233.22	$598.00	$215.28–$556.14	—	61%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 NI Seg Pres w Dopp UE LE Single	$1,123.92	$5,352.00	$80.49–$5,084.40	170% above	79%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 NI Seg Pres w Dopp UE LE Single	$2,087.28	$5,352.00	$1,926.72–$4,977.36	—	61%
Barium swallow (esophagus X-ray with contrast) CPT 74220 RF Esophagus Gastrografin	$270.90	$1,290.00	$106.13–$1,225.50	47% below	79%
Barium swallow (esophagus X-ray with contrast) CPT 74220 RF Esophagus Barium	$270.90	$1,290.00	$106.13–$1,225.50	47% below	79%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 RF Esophagus Gastrografin	$503.10	$1,290.00	$464.40–$1,199.70	—	61%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 RF Esophagus Barium	$503.10	$1,290.00	$464.40–$1,199.70	—	61%
Bone scan, whole body (nuclear medicine) CPT 78306 NM Bone and or Joint Whole Body Scan 1 - NM Bone	$1,023.33	$4,873.00	$300.01–$4,629.35	18% below	79%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM Bone and or Joint Whole Body Scan 1 - NM Bone	$1,900.47	$4,873.00	$1,754.28–$4,531.89	—	61%
Breast ultrasound, complete, one breast one side CPT 76641 US Breast Complete Right CM	$269.43	$1,283.00	$96.80–$1,218.85	46% below	79%
Breast ultrasound, complete, one breast one side CPT 76641 US Breast Complete Left CM	$269.43	$1,283.00	$96.80–$1,218.85	46% below	79%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Breast Complete Right CM	$500.37	$1,283.00	$461.88–$1,193.19	—	61%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Breast Complete Left CM	$500.37	$1,283.00	$461.88–$1,193.19	—	61%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Limited Right CM	$79.80	$380.00	$79.80–$361.00	75% below	79%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Limited Left CM	$79.80	$380.00	$79.80–$361.00	75% below	79%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Limited Right CM	$148.20	$380.00	$136.80–$353.40	—	61%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Limited Left CM	$148.20	$380.00	$136.80–$353.40	—	61%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA Chest	$1,551.90	$7,390.00	$162.09–$7,020.50	32% below	79%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA Chest	$2,882.10	$7,390.00	$2,660.40–$6,872.70	—	61%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT Angio Heart Function W	$200.07	$513.00	$184.68–$477.09	—	61%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CTA Coronary Function	$200.07	$513.00	$184.68–$477.09	—	61%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT Cardiac Score WO	$50.82	$242.00	$35.56–$1,385.00	75% below	79%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT Cardiac Score WO	$94.38	$242.00	$87.12–$225.06	—	61%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abd Pelvis with Rectal WO	$2,592.45	$12,345.00	$220.12–$11,727.75	13% below	79%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Trauma Abdomen Pelvis WO	$2,592.45	$12,345.00	$220.12–$11,727.75	13% below	79%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abdomen Pelvis Stone Protocol	$2,592.45	$12,345.00	$220.12–$11,727.75	13% below	79%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abdomen Pelvis WO	$2,592.45	$12,345.00	$220.12–$11,727.75	13% below	79%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Trauma Abdomen Pelvis WO	$4,814.55	$12,345.00	$4,444.20–$11,480.85	—	61%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Abdomen Pelvis Stone Protocol	$4,814.55	$12,345.00	$4,444.20–$11,480.85	—	61%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Abd Pelvis with Rectal WO	$4,814.55	$12,345.00	$4,444.20–$11,480.85	—	61%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Abdomen Pelvis WO	$4,814.55	$12,345.00	$4,444.20–$11,480.85	—	61%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abd Pelvis with Rectal W	$3,104.01	$14,781.00	$306.18–$14,041.95	21% below	79%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Trauma Abdomen Pelvis W	$3,104.01	$14,781.00	$306.18–$14,041.95	21% below	79%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abd Pelvis W Pancreatic Protocol	$3,104.01	$14,781.00	$306.18–$14,041.95	21% below	79%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abdomen Pelvis W	$3,104.01	$14,781.00	$306.18–$14,041.95	21% below	79%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abd Pelvis with Rectal W	$5,764.59	$14,781.00	$5,321.16–$13,746.33	—	61%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Trauma Abdomen Pelvis W	$5,764.59	$14,781.00	$5,321.16–$13,746.33	—	61%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abdomen Pelvis W	$5,764.59	$14,781.00	$5,321.16–$13,746.33	—	61%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abd Pelvis W Pancreatic Protocol	$5,764.59	$14,781.00	$5,321.16–$13,746.33	—	61%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abdomen Pelvis WWO	$3,730.86	$17,766.00	$324.59–$16,877.70	9% below	79%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abd Pelvis WWO Liver Protocol 3Phase	$3,730.86	$17,766.00	$324.59–$16,877.70	9% below	79%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abd Pelvis with Rectal WWO	$3,730.86	$17,766.00	$324.59–$16,877.70	9% below	79%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abd Pelvis WWO Urology Protocol	$3,730.86	$17,766.00	$324.59–$16,877.70	9% below	79%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abdomen Pelvis WWO	$6,928.74	$17,766.00	$6,395.76–$16,522.38	—	61%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abd Pelvis WWO Liver Protocol 3Phase	$6,928.74	$17,766.00	$6,395.76–$16,522.38	—	61%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abd Pelvis with Rectal WWO	$6,928.74	$17,766.00	$6,395.76–$16,522.38	—	61%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abd Pelvis WWO Urology Protocol	$6,928.74	$17,766.00	$6,395.76–$16,522.38	—	61%
CT scan of the abdomen with contrast CPT 74160 CT Abdomen W	$1,551.90	$7,390.00	$161.71–$7,020.50	26% below	79%
CT scan of the abdomen with contrast CPT 74160 CT Abdomen W Pancreatic Protocol	$1,551.90	$7,390.00	$161.71–$7,020.50	26% below	79%
CT scan of the abdomen with contrast CPT 74160 CT Trauma Abdomen W	$1,551.90	$7,390.00	$161.71–$7,020.50	26% below	79%
CT scan of the abdomen with contrast inpatient CPT 74160 CT Trauma Abdomen W	$2,882.10	$7,390.00	$2,660.40–$6,872.70	—	61%
CT scan of the abdomen with contrast inpatient CPT 74160 CT Abdomen W Pancreatic Protocol	$2,882.10	$7,390.00	$2,660.40–$6,872.70	—	61%
CT scan of the abdomen with contrast inpatient CPT 74160 CT Abdomen W	$2,882.10	$7,390.00	$2,660.40–$6,872.70	—	61%
CT scan of the abdomen without contrast CPT 74150 CT Abdomen WO	$1,296.33	$6,173.00	$96.42–$5,864.35	27% below	79%
CT scan of the abdomen without contrast inpatient CPT 74150 CT Abdomen WO	$2,407.47	$6,173.00	$2,222.28–$5,740.89	—	61%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT Maxillofacial WO	$1,035.72	$4,932.00	$96.71–$4,685.40	21% below	79%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT Trauma Maxillofacial WO	$1,035.72	$4,932.00	$96.71–$4,685.40	21% below	79%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Trauma Maxillofacial WO	$1,923.48	$4,932.00	$1,775.52–$4,586.76	—	61%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Maxillofacial WO	$1,923.48	$4,932.00	$1,775.52–$4,586.76	—	61%
CT scan of the head or brain, no contrast dye CPT 70450 CT Head Stroke Alert	$1,035.72	$4,932.00	$96.80–$4,685.40	31% below	79%
CT scan of the head or brain, no contrast dye CPT 70450 CT Trauma Head WO	$1,035.72	$4,932.00	$96.80–$4,685.40	31% below	79%
CT scan of the head or brain, no contrast dye CPT 70450 CT Head or Brain WO	$1,035.72	$4,932.00	$96.80–$4,685.40	31% below	79%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Trauma Head WO	$1,923.48	$4,932.00	$1,775.52–$4,586.76	—	61%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head Stroke Alert	$1,923.48	$4,932.00	$1,775.52–$4,586.76	—	61%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head or Brain WO	$1,923.48	$4,932.00	$1,775.52–$4,586.76	—	61%
CT scan of the head with contrast CPT 70460 CT Head or Brain W	$1,242.15	$5,915.00	$162.17–$5,619.25	33% below	79%
CT scan of the head with contrast inpatient CPT 70460 CT Head or Brain W	$2,306.85	$5,915.00	$2,129.40–$5,500.95	—	61%
CT scan of the head without and with contrast CPT 70470 CT Head or Brain WWO	$1,551.90	$7,390.00	$161.79–$7,020.50	24% below	79%
CT scan of the head without and with contrast inpatient CPT 70470 CT Head or Brain WWO	$2,882.10	$7,390.00	$2,660.40–$6,872.70	—	61%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT Spine Lumbar WO	$1,296.33	$6,173.00	$96.42–$5,864.35	33% below	79%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT Trauma Lumbar Spine WO	$1,296.33	$6,173.00	$96.42–$5,864.35	33% below	79%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT Trauma Lumbar Spine WO	$2,407.47	$6,173.00	$2,222.28–$5,740.89	—	61%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT Spine Lumbar WO	$2,407.47	$6,173.00	$2,222.28–$5,740.89	—	61%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT Trauma Cervical Spine WO	$1,296.33	$6,173.00	$96.42–$5,864.35	37% below	79%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT Spine Cervical WO	$1,296.33	$6,173.00	$96.42–$5,864.35	37% below	79%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT Spine Cervical WO	$2,407.47	$6,173.00	$2,222.28–$5,740.89	—	61%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT Trauma Cervical Spine WO	$2,407.47	$6,173.00	$2,222.28–$5,740.89	—	61%
CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis W	$1,551.90	$7,390.00	$161.71–$7,020.50	21% below	79%
CT scan of the pelvis, with contrast dye CPT 72193 CT Trauma Pelvis W	$1,551.90	$7,390.00	$161.71–$7,020.50	21% below	79%
CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis with Rectal W	$1,551.90	$7,390.00	$161.71–$7,020.50	21% below	79%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis W	$2,882.10	$7,390.00	$2,660.40–$6,872.70	—	61%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis with Rectal W	$2,882.10	$7,390.00	$2,660.40–$6,872.70	—	61%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Trauma Pelvis W	$2,882.10	$7,390.00	$2,660.40–$6,872.70	—	61%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 NI Duplex Scan Extracran Art Comp Bilat	$972.51	$4,631.00	$188.02–$4,399.45	—	79%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 NI Duplex Scan Extracran Art Comp Bilat	$1,806.09	$4,631.00	$1,667.16–$4,306.83	—	61%
Chest X-ray, 2 views both sides CPT 71046 XR Chest Decubitus Bilat DR	$258.51	$1,231.00	$70.63–$1,169.45	—	79%
Chest X-ray, 2 views both sides CPT 71046 XR Chest Decubitus Bilat CR	$268.80	$1,280.00	$70.63–$1,216.00	—	79%
Chest X-ray, 2 views CPT 71046 XR Chest 2 V DR	$258.51	$1,231.00	$70.63–$1,169.45	3% below	79%
Chest X-ray, 2 views CPT 71046 XR Chest 2 V CR	$268.80	$1,280.00	$70.63–$1,216.00	1% above	79%
Chest X-ray, 2 views one side CPT 71046 XR Chest 1V w Decubitus Lt DR	$258.51	$1,231.00	$70.63–$1,169.45	3% below	79%
Chest X-ray, 2 views one side CPT 71046 XR Chest 1V w Decubitus Rt DR	$258.51	$1,231.00	$70.63–$1,169.45	3% below	79%
Chest X-ray, 2 views one side CPT 71046 XR Chest 1V w Decubitus Rt CR	$268.80	$1,280.00	$70.63–$1,216.00	1% above	79%
Chest X-ray, 2 views one side CPT 71046 XR Chest 1V w Decubitus Lt CR	$268.80	$1,280.00	$70.63–$1,216.00	1% above	79%
Chest X-ray, 2 views inpatient both sides CPT 71046 XR Chest Decubitus Bilat DR	$480.09	$1,231.00	$443.16–$1,144.83	—	61%
Chest X-ray, 2 views inpatient both sides CPT 71046 XR Chest Decubitus Bilat CR	$499.20	$1,280.00	$460.80–$1,190.40	—	61%
Chest X-ray, 2 views inpatient CPT 71046 XR Chest 2 V DR	$480.09	$1,231.00	$443.16–$1,144.83	—	61%
Chest X-ray, 2 views inpatient CPT 71046 XR Chest 2 V CR	$499.20	$1,280.00	$460.80–$1,190.40	—	61%
Chest X-ray, 2 views inpatient one side CPT 71046 XR Chest 1V w Decubitus Rt DR	$480.09	$1,231.00	$443.16–$1,144.83	—	61%
Chest X-ray, 2 views inpatient one side CPT 71046 XR Chest 1V w Decubitus Lt DR	$480.09	$1,231.00	$443.16–$1,144.83	—	61%
Chest X-ray, 2 views inpatient one side CPT 71046 XR Chest 1V w Decubitus Rt CR	$499.20	$1,280.00	$460.80–$1,190.40	—	61%
Chest X-ray, 2 views inpatient one side CPT 71046 XR Chest 1V w Decubitus Lt CR	$499.20	$1,280.00	$460.80–$1,190.40	—	61%
Chest X-ray, single view CPT 71045 XR Chest 1V DR	$106.26	$506.00	$54.85–$480.70	56% below	79%
Chest X-ray, single view CPT 71045 XR Chest 1 V Portable DR	$106.26	$506.00	$54.85–$480.70	56% below	79%
Chest X-ray, single view CPT 71045 XR Chest 1 V Portable CR	$110.46	$526.00	$54.85–$499.70	54% below	79%
Chest X-ray, single view CPT 71045 XR Chest 1V CR	$110.46	$526.00	$54.85–$499.70	54% below	79%
Chest X-ray, single view one side CPT 71045 XR Chest Decubitus Lat Lt DR	$106.26	$506.00	$54.85–$480.70	56% below	79%
Chest X-ray, single view one side CPT 71045 XR Chest Decubitus Lat Rt DR	$106.26	$506.00	$54.85–$480.70	56% below	79%
Chest X-ray, single view one side CPT 71045 XR Chest Decubitus Lat Lt CR	$110.46	$526.00	$54.85–$499.70	54% below	79%
Chest X-ray, single view one side CPT 71045 XR Chest Decubitus Lat Rt CR	$110.46	$526.00	$54.85–$499.70	54% below	79%
Chest X-ray, single view inpatient CPT 71045 XR Chest 1 V Portable DR	$197.34	$506.00	$182.16–$470.58	—	61%
Chest X-ray, single view inpatient CPT 71045 XR Chest 1V DR	$197.34	$506.00	$182.16–$470.58	—	61%
Chest X-ray, single view inpatient CPT 71045 XR Chest 1 V Portable CR	$205.14	$526.00	$189.36–$489.18	—	61%
Chest X-ray, single view inpatient CPT 71045 XR Chest 1V CR	$205.14	$526.00	$189.36–$489.18	—	61%
Chest X-ray, single view inpatient one side CPT 71045 XR Chest Decubitus Lat Lt DR	$197.34	$506.00	$182.16–$470.58	—	61%
Chest X-ray, single view inpatient one side CPT 71045 XR Chest Decubitus Lat Rt DR	$197.34	$506.00	$182.16–$470.58	—	61%
Chest X-ray, single view inpatient one side CPT 71045 XR Chest Decubitus Lat Rt CR	$205.14	$526.00	$189.36–$489.18	—	61%
Chest X-ray, single view inpatient one side CPT 71045 XR Chest Decubitus Lat Lt CR	$205.14	$526.00	$189.36–$489.18	—	61%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Retroperitoneal Complete	$521.01	$2,481.00	$96.89–$2,356.95	2% below	79%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US Retroperitoneal Complete	$967.59	$2,481.00	$893.16–$2,307.33	—	61%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 BD Bone Density DEXA Axial Skeleton	$251.16	$1,196.00	$82.64–$1,136.20	31% below	79%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 BD Bone Density DEXA Axial Skeleton	$466.44	$1,196.00	$430.56–$1,112.28	—	61%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 BD Bone Density DEXA App Skeleton	$241.50	$1,150.00	$35.30–$1,092.50	60% above	79%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 BD Bone Density DEXA App Skeleton	$448.50	$1,150.00	$414.00–$1,069.50	—	61%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US Pregnancy Complete w Detail	$392.91	$1,871.00	$188.02–$1,777.45	23% below	79%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US Pregnancy Complete w Detail	$729.69	$1,871.00	$673.56–$1,740.03	—	61%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT High Resolution Chest	$1,296.33	$6,173.00	$96.42–$5,864.35	24% below	79%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Trauma Chest WO	$1,296.33	$6,173.00	$96.42–$5,864.35	24% below	79%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest Diagnostic WO	$1,296.33	$6,173.00	$96.42–$5,864.35	24% below	79%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Chest Diagnostic WO	$2,407.47	$6,173.00	$2,222.28–$5,740.89	—	61%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT High Resolution Chest	$2,407.47	$6,173.00	$2,222.28–$5,740.89	—	61%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Trauma Chest WO	$2,407.47	$6,173.00	$2,222.28–$5,740.89	—	61%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Trauma Chest W	$1,551.90	$7,390.00	$161.79–$7,020.50	26% below	79%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Chest Diagnostic W	$1,551.90	$7,390.00	$161.79–$7,020.50	26% below	79%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Chest Diagnostic W For PE	$1,551.90	$7,390.00	$161.79–$7,020.50	26% below	79%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Chest Diagnostic W	$2,882.10	$7,390.00	$2,660.40–$6,872.70	—	61%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Chest Diagnostic W For PE	$2,882.10	$7,390.00	$2,660.40–$6,872.70	—	61%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Trauma Chest W	$2,882.10	$7,390.00	$2,660.40–$6,872.70	—	61%
Diagnostic mammogram, both breasts both sides CPT 77066 77066 BR-DIG MAMMO BILAT	$166.11	$791.00	$98.56–$751.45	—	79%
Diagnostic mammogram, both breasts both sides CPT 77066 MG Mammo Diagnostic Bilateral WWO CAD CM	$166.11	$791.00	$98.56–$751.45	—	79%
Diagnostic mammogram, both breasts both sides CPT 77066 MG Mammo Diagnostic Bilateral WWO CAD	$166.11	$791.00	$98.56–$751.45	—	79%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MG Mammo Diagnostic Bilateral WWO CAD	$308.49	$791.00	$284.76–$735.63	—	61%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 77066 BR-DIG MAMMO BILAT	$308.49	$791.00	$284.76–$735.63	—	61%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MG Mammo Diagnostic Bilateral WWO CAD CM	$308.49	$791.00	$284.76–$735.63	—	61%
Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Diagnostic Left WWO CAD CM	$137.34	$654.00	$77.41–$621.30	45% below	79%
Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Diagnostic Right WWO CAD CM	$137.34	$654.00	$77.41–$621.30	45% below	79%
Diagnostic mammogram, one breast one side CPT 77065 77065 BR-DIG MAMMO UNILAT	$137.34	$654.00	$77.41–$621.30	45% below	79%
Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Diagnostic Right WWO CAD	$137.34	$654.00	$77.41–$621.30	45% below	79%
Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Diagnostic Left WWO CAD	$137.34	$654.00	$77.41–$621.30	45% below	79%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Diagnostic Right WWO CAD	$255.06	$654.00	$235.44–$608.22	—	61%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Diagnostic Left WWO CAD CM	$255.06	$654.00	$235.44–$608.22	—	61%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Diagnostic Right WWO CAD CM	$255.06	$654.00	$235.44–$608.22	—	61%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Diagnostic Left WWO CAD	$255.06	$654.00	$235.44–$608.22	—	61%
Diagnostic mammogram, one breast inpatient one side CPT 77065 77065 BR-DIG MAMMO UNILAT	$255.06	$654.00	$235.44–$608.22	—	61%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 NI Duplex Scan Leg Arteries Comp Bilat	$1,372.35	$6,535.00	$188.02–$6,208.25	—	79%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 NI Duplex Scan Leg Arteries Comp Bilat	$2,548.65	$6,535.00	$2,352.60–$6,077.55	—	61%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 NI Duplex Venous Extremities Comp Bilat	$1,016.61	$4,841.00	$188.02–$4,598.95	—	79%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 NI Duplex Venous Leg Comp Bilat	$1,016.61	$4,841.00	$188.02–$4,598.95	—	79%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 NI Duplex Venous Arm Comp Bilat	$1,016.61	$4,841.00	$188.02–$4,598.95	—	79%
Duplex ultrasound of the leg veins, both legs one side CPT 93970 NI Duplex Venous Leg Right	$1,016.61	$4,841.00	$188.02–$4,598.95	8% above	79%
Duplex ultrasound of the leg veins, both legs one side CPT 93970 NI Duplex Venous Leg Left	$1,016.61	$4,841.00	$188.02–$4,598.95	8% above	79%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 NI Duplex Venous Extremities Comp Bilat	$1,887.99	$4,841.00	$1,742.76–$4,502.13	—	61%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 NI Duplex Venous Arm Comp Bilat	$1,887.99	$4,841.00	$1,742.76–$4,502.13	—	61%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 NI Duplex Venous Leg Comp Bilat	$1,887.99	$4,841.00	$1,742.76–$4,502.13	—	61%
Duplex ultrasound of the leg veins, both legs inpatient one side CPT 93970 NI Duplex Venous Leg Right	$1,887.99	$4,841.00	$1,742.76–$4,502.13	—	61%
Duplex ultrasound of the leg veins, both legs inpatient one side CPT 93970 NI Duplex Venous Leg Left	$1,887.99	$4,841.00	$1,742.76–$4,502.13	—	61%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 NI Echo TTE 2D Complete w Color Doppler	$2,534.91	$12,071.00	$498.94–$11,467.45	65% above	79%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 NI Pediatric Echo Complete w Color Dop	$2,534.91	$12,071.00	$498.94–$11,467.45	65% above	79%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 NI Pediatric Echo Complete w Color Dop	$4,707.69	$12,071.00	$4,345.56–$11,226.03	—	61%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 NI Echo TTE 2D Complete w Color Doppler	$4,707.69	$12,071.00	$4,345.56–$11,226.03	—	61%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM Hepatobiliary System Scan 1	$844.20	$4,020.00	$342.43–$3,819.00	38% below	79%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM Hepatobiliary System Scan 1	$1,567.80	$4,020.00	$1,447.20–$3,738.60	—	61%
Knee X-ray, 3 views one side CPT 73562 XR Knee 3 V Left DR	$135.24	$644.00	$80.14–$611.80	63% below	79%
Knee X-ray, 3 views one side CPT 73562 XR Knee 3 V Right DR	$135.24	$644.00	$80.14–$611.80	63% below	79%
Knee X-ray, 3 views one side CPT 73562 XR Knee 3 V Left CR	$140.70	$670.00	$80.14–$636.50	61% below	79%
Knee X-ray, 3 views one side CPT 73562 XR Knee 3 V Right CR	$140.70	$670.00	$80.14–$636.50	61% below	79%
Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 V Left DR	$251.16	$644.00	$231.84–$598.92	—	61%
Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 V Right DR	$251.16	$644.00	$231.84–$598.92	—	61%
Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 V Right CR	$261.30	$670.00	$241.20–$623.10	—	61%
Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 V Left CR	$261.30	$670.00	$241.20–$623.10	—	61%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Pancreas	$375.27	$1,787.00	$96.80–$1,697.65	19% below	79%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Liver	$375.27	$1,787.00	$96.80–$1,697.65	19% below	79%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Gallbladder	$375.27	$1,787.00	$96.80–$1,697.65	19% below	79%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Spleen	$375.27	$1,787.00	$96.80–$1,697.65	19% below	79%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Pylorus	$375.27	$1,787.00	$96.80–$1,697.65	19% below	79%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen Wall	$375.27	$1,787.00	$96.80–$1,697.65	19% below	79%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen Limited	$375.27	$1,787.00	$96.80–$1,697.65	19% below	79%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen Common Bile Duct	$375.27	$1,787.00	$96.80–$1,697.65	19% below	79%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen Ascites	$375.27	$1,787.00	$96.80–$1,697.65	19% below	79%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Pancreas	$696.93	$1,787.00	$643.32–$1,661.91	—	61%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Gallbladder	$696.93	$1,787.00	$643.32–$1,661.91	—	61%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abdomen Wall	$696.93	$1,787.00	$643.32–$1,661.91	—	61%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abdomen Limited	$696.93	$1,787.00	$643.32–$1,661.91	—	61%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Pylorus	$696.93	$1,787.00	$643.32–$1,661.91	—	61%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abdomen Common Bile Duct	$696.93	$1,787.00	$643.32–$1,661.91	—	61%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Liver	$696.93	$1,787.00	$643.32–$1,661.91	—	61%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Spleen	$696.93	$1,787.00	$643.32–$1,661.91	—	61%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abdomen Ascites	$696.93	$1,787.00	$643.32–$1,661.91	—	61%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT Lung Low Dose Cncr Scrn Rtn Annual WO	$1,296.33	$6,173.00	$78.59–$5,864.35	293% above	79%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT Lung Low Dose Cancer Screening WO	$1,296.33	$6,173.00	$78.59–$5,864.35	293% above	79%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT Lung Low Dose Cancer Screening WO	$2,407.47	$6,173.00	$2,222.28–$5,740.89	—	61%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT Lung Low Dose Cncr Scrn Rtn Annual WO	$2,407.47	$6,173.00	$2,222.28–$5,740.89	—	61%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee Right WO	$1,568.91	$7,471.00	$219.83–$7,097.45	5% below	79%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Hip Right WO	$1,568.91	$7,471.00	$219.83–$7,097.45	5% below	79%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee Left WO	$1,568.91	$7,471.00	$219.83–$7,097.45	5% below	79%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Hip Left WO	$1,568.91	$7,471.00	$219.83–$7,097.45	5% below	79%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle Right WO	$1,568.91	$7,471.00	$219.83–$7,097.45	5% below	79%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle Left WO	$1,568.91	$7,471.00	$219.83–$7,097.45	5% below	79%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Knee Left WO	$2,913.69	$7,471.00	$2,689.56–$6,948.03	—	61%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Ankle Right WO	$2,913.69	$7,471.00	$2,689.56–$6,948.03	—	61%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Hip Left WO	$2,913.69	$7,471.00	$2,689.56–$6,948.03	—	61%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Hip Right WO	$2,913.69	$7,471.00	$2,689.56–$6,948.03	—	61%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Knee Right WO	$2,913.69	$7,471.00	$2,689.56–$6,948.03	—	61%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Ankle Left WO	$2,913.69	$7,471.00	$2,689.56–$6,948.03	—	61%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee Right WWO	$1,664.25	$7,925.00	$324.59–$7,528.75	39% below	79%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle Left WWO	$1,664.25	$7,925.00	$324.59–$7,528.75	39% below	79%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle Right WWO	$1,664.25	$7,925.00	$324.59–$7,528.75	39% below	79%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Hip Left WWO	$1,664.25	$7,925.00	$324.59–$7,528.75	39% below	79%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Hip Right WWO	$1,664.25	$7,925.00	$324.59–$7,528.75	39% below	79%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee Left WWO	$1,664.25	$7,925.00	$324.59–$7,528.75	39% below	79%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Knee Right WWO	$3,090.75	$7,925.00	$2,853.00–$7,370.25	—	61%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Knee Left WWO	$3,090.75	$7,925.00	$2,853.00–$7,370.25	—	61%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Ankle Right WWO	$3,090.75	$7,925.00	$2,853.00–$7,370.25	—	61%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Hip Left WWO	$3,090.75	$7,925.00	$2,853.00–$7,370.25	—	61%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Ankle Left WWO	$3,090.75	$7,925.00	$2,853.00–$7,370.25	—	61%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Hip Right WWO	$3,090.75	$7,925.00	$2,853.00–$7,370.25	—	61%
MRI of the abdomen without contrast CPT 74181 MRI Abdomen WO	$1,568.91	$7,471.00	$219.74–$7,097.45	35% below	79%
MRI of the abdomen without contrast inpatient CPT 74181 MRI Abdomen WO	$2,913.69	$7,471.00	$2,689.56–$6,948.03	—	61%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Abdomen WWO	$1,664.25	$7,925.00	$324.68–$7,528.75	44% below	79%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI MRCP WWO	$1,664.25	$7,925.00	$324.68–$7,528.75	44% below	79%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI Abdomen WWO	$3,090.75	$7,925.00	$2,853.00–$7,370.25	—	61%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI MRCP WWO	$3,090.75	$7,925.00	$2,853.00–$7,370.25	—	61%
MRI of the brain, no contrast dye CPT 70551 MRI Brain WO	$1,195.32	$5,692.00	$219.74–$5,407.40	38% below	79%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain WO	$2,219.88	$5,692.00	$2,049.12–$5,293.56	—	61%
MRI of the brain, with and without contrast dye CPT 70553 MRI IAC WWO	$2,762.55	$13,155.00	$324.68–$12,497.25	23% below	79%
MRI of the brain, with and without contrast dye CPT 70553 MRI Brain WWO	$2,762.55	$13,155.00	$324.68–$12,497.25	23% below	79%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain WWO	$5,130.45	$13,155.00	$4,735.80–$12,234.15	—	61%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI IAC WWO	$5,130.45	$13,155.00	$4,735.80–$12,234.15	—	61%
MRI of the lower back, no contrast dye CPT 72148 MRI Spine Lumbar WO	$1,740.48	$8,288.00	$219.74–$7,873.60	15% below	79%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Spine Lumbar WO	$3,232.32	$8,288.00	$2,983.68–$7,707.84	—	61%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI Spine Lumbar WWO	$2,762.55	$13,155.00	$324.68–$12,497.25	4% below	79%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI Spine Lumbar WWO	$5,130.45	$13,155.00	$4,735.80–$12,234.15	—	61%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI Spine Thoracic WO	$1,740.48	$8,288.00	$219.74–$7,873.60	22% below	79%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI Spine Thoracic WO	$3,232.32	$8,288.00	$2,983.68–$7,707.84	—	61%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI Spine Cervical WWO	$2,762.55	$13,155.00	$324.68–$12,497.25	2% below	79%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI Spine Cervical WWO	$5,130.45	$13,155.00	$4,735.80–$12,234.15	—	61%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Spine Cervical WO	$1,568.91	$7,471.00	$219.74–$7,097.45	25% below	79%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI Spine Cervical WO	$2,913.69	$7,471.00	$2,689.56–$6,948.03	—	61%
MRI of the pelvis without and with contrast CPT 72197 MRI Pelvis WWO	$1,568.91	$7,471.00	$324.68–$7,097.45	50% below	79%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI Pelvis WWO	$2,913.69	$7,471.00	$2,689.56–$6,948.03	—	61%
MRI of the pelvis, no contrast dye CPT 72195 MRI Pelvis WO	$1,568.91	$7,471.00	$219.65–$7,097.45	21% below	79%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI Pelvis WO	$2,913.69	$7,471.00	$2,689.56–$6,948.03	—	61%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Shoulder Left WO	$1,568.91	$7,471.00	$219.83–$7,097.45	6% below	79%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Wrist Left WO	$1,568.91	$7,471.00	$219.83–$7,097.45	6% below	79%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Wrist Right WO	$1,568.91	$7,471.00	$219.83–$7,097.45	6% below	79%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Elbow Left WO	$1,568.91	$7,471.00	$219.83–$7,097.45	6% below	79%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Shoulder Right WO	$1,568.91	$7,471.00	$219.83–$7,097.45	6% below	79%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Elbow Right WO	$1,568.91	$7,471.00	$219.83–$7,097.45	6% below	79%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Wrist Right WO	$2,913.69	$7,471.00	$2,689.56–$6,948.03	—	61%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Wrist Left WO	$2,913.69	$7,471.00	$2,689.56–$6,948.03	—	61%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Shoulder Right WO	$2,913.69	$7,471.00	$2,689.56–$6,948.03	—	61%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Elbow Left WO	$2,913.69	$7,471.00	$2,689.56–$6,948.03	—	61%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Elbow Right WO	$2,913.69	$7,471.00	$2,689.56–$6,948.03	—	61%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Shoulder Left WO	$2,913.69	$7,471.00	$2,689.56–$6,948.03	—	61%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Myocardial Perfusion Rest Multi 1	$1,241.10	$5,910.00	$876.05–$5,614.50	51% below	79%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Myocardial Perfusion Stress Multi 1	$1,241.10	$5,910.00	$876.05–$5,614.50	51% below	79%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Myocardial Perfusion RestStr Mult Sc1 - NM Myoc	$1,241.10	$5,910.00	$876.05–$5,614.50	51% below	79%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM Myocardial Perfusion Rest Multi 1	$2,304.90	$5,910.00	$2,127.60–$5,496.30	—	61%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM Myocardial Perfusion RestStr Mult Sc1 - NM Myoc	$2,304.90	$5,910.00	$2,127.60–$5,496.30	—	61%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM Myocardial Perfusion Stress Multi 1	$2,304.90	$5,910.00	$2,127.60–$5,496.30	—	61%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET Tumor Imaging Skull Base to Midthigh Scan	$1,844.01	$8,781.00	$1,257.77–$8,341.95	40% below	79%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET w CT Scan Skull Base to Midthigh Scan	$1,844.01	$8,781.00	$1,257.77–$8,341.95	40% below	79%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET w CT Scan Skull Base to Midthigh Scan	$3,424.59	$8,781.00	$3,161.16–$8,166.33	—	61%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET Tumor Imaging Skull Base to Midthigh Scan	$3,424.59	$8,781.00	$3,161.16–$8,166.33	—	61%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Pelvis Non OB FU	$85.89	$409.00	$75.74–$388.55	79% below	79%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Pelvis Non OB Limited	$85.89	$409.00	$75.74–$388.55	79% below	79%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Pelvis Non OB Limited	$159.51	$409.00	$147.24–$380.37	—	61%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Pelvis Non OB FU	$159.51	$409.00	$147.24–$380.37	—	61%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvis Non OB Complete	$208.95	$995.00	$96.89–$945.25	61% below	79%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US Pelvis Non OB Complete	$388.05	$995.00	$358.20–$925.35	—	61%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US Pregnancy After 1st Trimester Transabdominal	$374.43	$1,783.00	$96.89–$1,693.85	27% below	79%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US Pregnancy After 1st Trimester Transabdominal	$695.37	$1,783.00	$641.88–$1,658.19	—	61%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US Pregnancy 1st Trimester Transabdominal	$378.21	$1,801.00	$96.80–$1,710.95	27% below	79%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US Pregnancy 1st Trimester Transabdominal	$702.39	$1,801.00	$648.36–$1,674.93	—	61%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US Pregnancy Limited	$290.43	$1,383.00	$75.74–$1,313.85	39% below	79%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US Pregnancy Limited	$539.37	$1,383.00	$497.88–$1,286.19	—	61%
Screening mammogram, both breasts both sides CPT 77067 MG Mammo Screen Bilateral WWO CAD CM	$107.94	$514.00	$81.44–$488.30	—	79%
Screening mammogram, both breasts both sides CPT 77067 77067 BR-DIG MAMMO SCRN BI	$107.94	$514.00	$81.44–$488.30	—	79%
Screening mammogram, both breasts both sides CPT 77067 MG Mammo Screen Bilateral WWO CAD	$107.94	$514.00	$81.44–$488.30	—	79%
Screening mammogram, both breasts CPT 77067 77067 BR-DIG MAMMO SCRN UN	$123.06	$586.00	$81.44–$556.70	55% below	79%
Screening mammogram, both breasts inpatient both sides CPT 77067 MG Mammo Screen Bilateral WWO CAD	$200.46	$514.00	$185.04–$478.02	—	61%
Screening mammogram, both breasts inpatient both sides CPT 77067 MG Mammo Screen Bilateral WWO CAD CM	$200.46	$514.00	$185.04–$478.02	—	61%
Screening mammogram, both breasts inpatient both sides CPT 77067 77067 BR-DIG MAMMO SCRN BI	$200.46	$514.00	$185.04–$478.02	—	61%
Screening mammogram, both breasts inpatient CPT 77067 77067 BR-DIG MAMMO SCRN UN	$228.54	$586.00	$210.96–$544.98	—	61%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete Min 2 V Right DR	$132.30	$630.00	$72.88–$598.50	55% below	79%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete Min 2 V Left DR	$132.30	$630.00	$72.88–$598.50	55% below	79%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete Min 2 V Right CR	$137.55	$655.00	$72.88–$622.25	53% below	79%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete Min 2 V Left CR	$137.55	$655.00	$72.88–$622.25	53% below	79%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Complete Min 2 V Right DR	$245.70	$630.00	$226.80–$585.90	—	61%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Complete Min 2 V Left DR	$245.70	$630.00	$226.80–$585.90	—	61%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Complete Min 2 V Right CR	$255.45	$655.00	$235.80–$609.15	—	61%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Complete Min 2 V Left CR	$255.45	$655.00	$235.80–$609.15	—	61%
Swallow study (modified barium swallow, video X-ray) CPT 74230 RF Modified Barium Swallow	$286.44	$1,364.00	$106.13–$1,295.80	43% below	79%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 RF Modified Barium Swallow	$531.96	$1,364.00	$491.04–$1,268.52	—	61%
Transvaginal pelvic ultrasound CPT 76830 US Transvaginal Non OB	$405.09	$1,929.00	$96.89–$1,832.55	20% below	79%
Transvaginal pelvic ultrasound inpatient CPT 76830 US Transvaginal Non OB	$752.31	$1,929.00	$694.44–$1,793.97	—	61%
Ultrasound of the abdomen, complete CPT 76700 US Abdomen Complete	$521.01	$2,481.00	$96.89–$2,356.95	20% below	79%
Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdomen Complete	$967.59	$2,481.00	$893.16–$2,307.33	—	61%
Ultrasound of the scrotum and testicles CPT 76870 US Scrotum Contents	$405.09	$1,929.00	$96.89–$1,832.55	23% below	79%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US Scrotum Contents	$752.31	$1,929.00	$694.44–$1,793.97	—	61%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Head Neck Soft Tissue	$375.27	$1,787.00	$96.89–$1,697.65	18% below	79%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Parathyroid	$375.27	$1,787.00	$96.89–$1,697.65	18% below	79%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Parotid	$375.27	$1,787.00	$96.89–$1,697.65	18% below	79%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Thyroid	$375.27	$1,787.00	$96.89–$1,697.65	18% below	79%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Head Neck Soft Tissue	$696.93	$1,787.00	$643.32–$1,661.91	—	61%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Parathyroid	$696.93	$1,787.00	$643.32–$1,661.91	—	61%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Parotid	$696.93	$1,787.00	$643.32–$1,661.91	—	61%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Thyroid	$696.93	$1,787.00	$643.32–$1,661.91	—	61%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 NI Duplex Venous Extremities Limited	$771.75	$3,675.00	$96.80–$3,491.25	8% above	79%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 NI Duplex Venous Leg Limited	$771.75	$3,675.00	$96.80–$3,491.25	8% above	79%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 NI Duplex Venous Extremities Right	$771.75	$3,675.00	$96.80–$3,491.25	8% above	79%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 NI Duplex Venous Arm Right	$771.75	$3,675.00	$96.80–$3,491.25	8% above	79%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 NI Duplex Venous Arm Left	$771.75	$3,675.00	$96.80–$3,491.25	8% above	79%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 NI Duplex Venous Extremities Left	$771.75	$3,675.00	$96.80–$3,491.25	8% above	79%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 NI Duplex Venous Leg Limited	$1,433.25	$3,675.00	$1,323.00–$3,417.75	—	61%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 NI Duplex Venous Extremities Limited	$1,433.25	$3,675.00	$1,323.00–$3,417.75	—	61%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 NI Duplex Venous Arm Right	$1,433.25	$3,675.00	$1,323.00–$3,417.75	—	61%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 NI Duplex Venous Extremities Right	$1,433.25	$3,675.00	$1,323.00–$3,417.75	—	61%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 NI Duplex Venous Arm Left	$1,433.25	$3,675.00	$1,323.00–$3,417.75	—	61%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 NI Duplex Venous Extremities Left	$1,433.25	$3,675.00	$1,323.00–$3,417.75	—	61%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete Min 3 V Left DR	$121.38	$578.00	$71.95–$549.10	59% below	79%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete Min 3 V Right DR	$121.38	$578.00	$71.95–$549.10	59% below	79%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete Min 3 V Right CR	$126.21	$601.00	$71.95–$570.95	57% below	79%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete Min 3 V Left CR	$126.21	$601.00	$71.95–$570.95	57% below	79%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete Min 3 V Right DR	$225.42	$578.00	$208.08–$537.54	—	61%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete Min 3 V Left DR	$225.42	$578.00	$208.08–$537.54	—	61%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete Min 3 V Left CR	$234.39	$601.00	$216.36–$558.93	—	61%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete Min 3 V Right CR	$234.39	$601.00	$216.36–$558.93	—	61%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip Left w Pelvis 2 or 3 Views DR	$127.26	$606.00	$73.72–$575.70	48% below	79%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip Left w Pelvis 2 or 3 Views CR	$127.26	$606.00	$73.72–$575.70	48% below	79%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip Right w Pelvis 2 or 3 Views DR	$127.26	$606.00	$73.72–$575.70	48% below	79%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip Right w Pelvis 2 or 3 Views CR	$127.26	$606.00	$73.72–$575.70	48% below	79%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip Right w Pelvis 2 or 3 Views CR	$236.34	$606.00	$218.16–$563.58	—	61%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip Left w Pelvis 2 or 3 Views DR	$236.34	$606.00	$218.16–$563.58	—	61%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip Right w Pelvis 2 or 3 Views DR	$236.34	$606.00	$218.16–$563.58	—	61%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip Left w Pelvis 2 or 3 Views CR	$236.34	$606.00	$218.16–$563.58	—	61%
X-ray of the abdomen, 1 view CPT 74018 XR Abdomen AP KUB DR	$115.50	$550.00	$63.11–$522.50	53% below	79%
X-ray of the abdomen, 1 view CPT 74018 XR Abdomen AP KUB CR	$120.12	$572.00	$63.11–$543.40	51% below	79%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR Abdomen AP KUB DR	$214.50	$550.00	$198.00–$511.50	—	61%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR Abdomen AP KUB CR	$223.08	$572.00	$205.92–$531.96	—	61%
X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 V Left DR	$112.77	$537.00	$66.87–$510.15	45% below	79%
X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 V Right DR	$112.77	$537.00	$66.87–$510.15	45% below	79%
X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 V Left CR	$117.39	$559.00	$66.87–$531.05	43% below	79%
X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 V Right CR	$117.39	$559.00	$66.87–$531.05	43% below	79%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 V Right DR	$209.43	$537.00	$193.32–$499.41	—	61%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 V Left DR	$209.43	$537.00	$193.32–$499.41	—	61%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 V Right CR	$218.01	$559.00	$201.24–$519.87	—	61%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 V Left CR	$218.01	$559.00	$201.24–$519.87	—	61%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V Thumb Left DR	$94.71	$451.00	$71.95–$428.45	58% below	79%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 5th Digit Right DR	$94.71	$451.00	$71.95–$428.45	58% below	79%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V Thumb Right DR	$94.71	$451.00	$71.95–$428.45	58% below	79%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 3rd Digit Right DR	$94.71	$451.00	$71.95–$428.45	58% below	79%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 4th Digit Right DR	$94.71	$451.00	$71.95–$428.45	58% below	79%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 4th Digit Left DR	$94.71	$451.00	$71.95–$428.45	58% below	79%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 3rd Digit Left DR	$94.71	$451.00	$71.95–$428.45	58% below	79%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 5th Digit Left DR	$94.71	$451.00	$71.95–$428.45	58% below	79%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 2nd Digit Right DR	$94.71	$451.00	$71.95–$428.45	58% below	79%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 2nd Digit Left DR	$94.71	$451.00	$71.95–$428.45	58% below	79%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 2nd Digit Right CR	$98.49	$469.00	$71.95–$445.55	56% below	79%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 2nd Digit Left CR	$98.49	$469.00	$71.95–$445.55	56% below	79%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V Thumb Right CR	$98.49	$469.00	$71.95–$445.55	56% below	79%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 5th Digit Right CR	$98.49	$469.00	$71.95–$445.55	56% below	79%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V Thumb Left CR	$98.49	$469.00	$71.95–$445.55	56% below	79%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 5th Digit Left CR	$98.49	$469.00	$71.95–$445.55	56% below	79%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 4th Digit Right DR	$175.89	$451.00	$162.36–$419.43	—	61%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 2nd Digit Left DR	$175.89	$451.00	$162.36–$419.43	—	61%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V Thumb Right DR	$175.89	$451.00	$162.36–$419.43	—	61%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 2nd Digit Right DR	$175.89	$451.00	$162.36–$419.43	—	61%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V Thumb Left DR	$175.89	$451.00	$162.36–$419.43	—	61%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 5th Digit Right DR	$175.89	$451.00	$162.36–$419.43	—	61%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 3rd Digit Left DR	$175.89	$451.00	$162.36–$419.43	—	61%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 3rd Digit Right DR	$175.89	$451.00	$162.36–$419.43	—	61%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 5th Digit Left DR	$175.89	$451.00	$162.36–$419.43	—	61%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 4th Digit Left DR	$175.89	$451.00	$162.36–$419.43	—	61%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V Thumb Left CR	$182.91	$469.00	$168.84–$436.17	—	61%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 5th Digit Left CR	$182.91	$469.00	$168.84–$436.17	—	61%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V Thumb Right CR	$182.91	$469.00	$168.84–$436.17	—	61%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 2nd Digit Left CR	$182.91	$469.00	$168.84–$436.17	—	61%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 5th Digit Right CR	$182.91	$469.00	$168.84–$436.17	—	61%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 2nd Digit Right CR	$182.91	$469.00	$168.84–$436.17	—	61%
X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 V Right DR	$112.14	$534.00	$59.35–$507.30	50% below	79%
X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 V Left DR	$112.14	$534.00	$59.35–$507.30	50% below	79%
X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 V Right CR	$116.76	$556.00	$59.35–$528.20	48% below	79%
X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 V Left CR	$116.76	$556.00	$59.35–$528.20	48% below	79%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 V Right DR	$208.26	$534.00	$192.24–$496.62	—	61%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 V Left DR	$208.26	$534.00	$192.24–$496.62	—	61%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 V Left CR	$216.84	$556.00	$200.16–$517.08	—	61%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 V Right CR	$216.84	$556.00	$200.16–$517.08	—	61%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete Min 3 V Right DR	$122.85	$585.00	$71.38–$555.75	58% below	79%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete Min 3 V Left DR	$122.85	$585.00	$71.38–$555.75	58% below	79%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete Min 3 V Right CR	$127.89	$609.00	$71.38–$578.55	56% below	79%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete Min 3 V Left CR	$127.89	$609.00	$71.38–$578.55	56% below	79%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Complete Min 3 V Left DR	$228.15	$585.00	$210.60–$544.05	—	61%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Complete Min 3 V Right DR	$228.15	$585.00	$210.60–$544.05	—	61%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Complete Min 3 V Left CR	$237.51	$609.00	$219.24–$566.37	—	61%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Complete Min 3 V Right CR	$237.51	$609.00	$219.24–$566.37	—	61%
X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete Min 3 V Left DR	$123.90	$590.00	$71.95–$560.50	58% below	79%
X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete Min 3 V Right DR	$123.90	$590.00	$71.95–$560.50	58% below	79%
X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete Min 3 V Right CR	$128.94	$614.00	$71.95–$583.30	56% below	79%
X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete Min 3 V Left CR	$128.94	$614.00	$71.95–$583.30	56% below	79%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Complete Min 3 V Left DR	$230.10	$590.00	$212.40–$548.70	—	61%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Complete Min 3 V Right DR	$230.10	$590.00	$212.40–$548.70	—	61%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Complete Min 3 V Left CR	$239.46	$614.00	$221.04–$571.02	—	61%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Complete Min 3 V Right CR	$239.46	$614.00	$221.04–$571.02	—	61%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 V Left DR	$115.50	$550.00	$71.38–$522.50	51% below	79%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 V Right DR	$115.50	$550.00	$71.38–$522.50	51% below	79%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 V Right CR	$120.12	$572.00	$71.38–$543.40	49% below	79%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 V Left CR	$120.12	$572.00	$71.38–$543.40	49% below	79%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 V Left DR	$214.50	$550.00	$198.00–$511.50	—	61%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 V Right DR	$214.50	$550.00	$198.00–$511.50	—	61%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 V Left CR	$223.08	$572.00	$205.92–$531.96	—	61%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 V Right CR	$223.08	$572.00	$205.92–$531.96	—	61%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR Spine Lumbosacral 2 or 3 V DR	$148.68	$708.00	$83.40–$672.60	54% below	79%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR Spine Lumbosacral 2 or 3 V CR	$154.56	$736.00	$83.40–$699.20	52% below	79%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR Spine Lumbosacral 2 or 3 V DR	$276.12	$708.00	$254.88–$658.44	—	61%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR Spine Lumbosacral 2 or 3 V CR	$287.04	$736.00	$264.96–$684.48	—	61%
X-ray of the lower back, 4 or more views CPT 72110 XR Spine Lumbosacral Minimum 4 V DR	$201.39	$959.00	$96.89–$911.05	57% below	79%
X-ray of the lower back, 4 or more views CPT 72110 XR Spine Lumbosacral Minimum 4 V CR	$209.58	$998.00	$96.89–$948.10	55% below	79%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR Spine Lumbosacral Minimum 4 V DR	$374.01	$959.00	$345.24–$891.87	—	61%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR Spine Lumbosacral Minimum 4 V CR	$389.22	$998.00	$359.28–$928.14	—	61%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR Spine Thoracic 2 V DR	$144.06	$686.00	$69.12–$651.70	56% below	79%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR Spine Thoracic 2 V CR	$149.73	$713.00	$69.12–$677.35	54% below	79%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR Spine Thoracic 2 V DR	$267.54	$686.00	$246.96–$637.98	—	61%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR Spine Thoracic 2 V CR	$278.07	$713.00	$256.68–$663.09	—	61%
X-ray of the nasal bones, 3 or more views CPT 70160 XR Nasal Bones Comp Minimum 3 V DR	$115.50	$550.00	$71.95–$522.50	60% below	79%
X-ray of the nasal bones, 3 or more views CPT 70160 XR Nasal Bones Comp Minimum 3 V CR	$120.12	$572.00	$71.95–$543.40	58% below	79%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR Nasal Bones Comp Minimum 3 V DR	$214.50	$550.00	$198.00–$511.50	—	61%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR Nasal Bones Comp Minimum 3 V CR	$223.08	$572.00	$205.92–$531.96	—	61%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR Spine Cervical 2 or 3 V DR	$133.35	$635.00	$80.14–$603.25	52% below	79%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR Spine Cervical 2 or 3 V CR	$138.60	$660.00	$80.14–$627.00	51% below	79%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR Spine Cervical 2 or 3 V DR	$247.65	$635.00	$228.60–$590.55	—	61%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR Spine Cervical 2 or 3 V CR	$257.40	$660.00	$237.60–$613.80	—	61%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR Pelvis 1 or 2 V DR	$123.48	$588.00	$58.60–$558.60	51% below	79%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR Pelvis 1 or 2 V CR	$128.52	$612.00	$58.60–$581.40	49% below	79%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR Pelvis 1 or 2 V DR	$229.32	$588.00	$211.68–$546.84	—	61%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR Pelvis 1 or 2 V CR	$238.68	$612.00	$220.32–$569.16	—	61%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR Sacrum Coccyx Minimum 2 V DR	$127.26	$606.00	$68.37–$575.70	56% below	79%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR Sacrum Coccyx Minimum 2 V CR	$132.51	$631.00	$68.37–$599.45	54% below	79%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR Sacrum Coccyx Minimum 2 V DR	$236.34	$606.00	$218.16–$563.58	—	61%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR Sacrum Coccyx Minimum 2 V CR	$246.09	$631.00	$227.16–$586.83	—	61%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs New Mexico	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 84460 TRANSFERASE ALT	$110.25	$525.00	$4.81–$498.75	33% above	79%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alanine Aminotransferase	$110.25	$525.00	$4.81–$498.75	33% above	79%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alanine Aminotransferase Body Fluid	$110.25	$525.00	$4.81–$498.75	33% above	79%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 84460 TRANSFERASE ALT	$204.75	$525.00	$189.00–$488.25	—	61%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alanine Aminotransferase Body Fluid	$204.75	$525.00	$189.00–$488.25	—	61%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alanine Aminotransferase	$204.75	$525.00	$189.00–$488.25	—	61%
AST (aspartate aminotransferase) enzyme test CPT 84450 Aspartate Aminotransferase Body Fluid	$18.69	$89.00	$4.70–$84.55	58% below	79%
AST (aspartate aminotransferase) enzyme test CPT 84450 Aspartate Aminotransferase	$18.69	$89.00	$4.70–$84.55	58% below	79%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Aspartate Aminotransferase	$34.71	$89.00	$32.04–$82.77	—	61%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Aspartate Aminotransferase Body Fluid	$34.71	$89.00	$32.04–$82.77	—	61%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute Viral Hepatitis (HAV,HBV,HCV) LC	$292.05	$1,390.72	$43.20–$1,321.18	11% below	79%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatitis Panel Acute	$343.77	$1,637.00	$43.20–$1,555.15	4% above	79%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Acute Viral Hepatitis (HAV,HBV,HCV) LC	$542.38	$1,390.72	$500.66–$1,293.37	—	61%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hepatitis Panel Acute	$638.43	$1,637.00	$589.32–$1,522.41	—	61%
Allergy blood test, specific IgE, per allergen CPT 86003 F017-IgE Hazelnut/Filbert LC	$2.73	$13.00	$2.73–$14.25	91% below	79%
Allergy blood test, specific IgE, per allergen CPT 86003 W009-IgE Plantain English LC	$4.23	$20.14	$4.23–$19.13	87% below	79%
Allergy blood test, specific IgE, per allergen CPT 86003 F202-IgE Cashew Nut LC	$4.23	$20.14	$4.23–$19.13	87% below	79%
Allergy blood test, specific IgE, per allergen CPT 86003 86003 L600973 ALLERGEN IGE	$4.23	$20.14	$4.23–$19.13	87% below	79%
Allergy blood test, specific IgE, per allergen CPT 86003 F049-IgE Apple LC	$4.23	$20.14	$4.23–$19.13	87% below	79%
Allergy blood test, specific IgE, per allergen CPT 86003 F245-IgE Egg Whole LC	$4.23	$20.14	$4.23–$19.13	87% below	79%
Allergy blood test, specific IgE, per allergen CPT 86003 W011-IgE Thistle Russian LC	$4.23	$20.14	$4.23–$19.13	87% below	79%
Allergy blood test, specific IgE, per allergen CPT 86003 ALG VEG PNL L601831	$4.23	$20.14	$4.23–$19.13	87% below	79%
Allergy blood test, specific IgE, per allergen CPT 86003 F004-IgE Wheat LC	$4.23	$20.14	$4.23–$19.13	87% below	79%
Allergy blood test, specific IgE, per allergen CPT 86003 F040-IgE Tuna LC	$4.23	$20.14	$4.23–$19.13	87% below	79%
Allergy blood test, specific IgE, per allergen CPT 86003 F044-IgE Strawberry LC	$4.23	$20.14	$4.23–$19.13	87% below	79%
Allergy blood test, specific IgE, per allergen CPT 86003 F014-IgE Soybean LC	$4.23	$20.14	$4.23–$19.13	87% below	79%
Allergy blood test, specific IgE, per allergen CPT 86003 F010-IgE Sesame Seed LC	$4.23	$20.14	$4.23–$19.13	87% below	79%
Allergy blood test, specific IgE, per allergen CPT 86003 ALG PROFILE FOOD GRAIN L601633	$4.23	$20.14	$4.23–$19.13	87% below	79%
Allergy blood test, specific IgE, per allergen CPT 86003 F009-IgE Rice LC	$4.23	$20.14	$4.23–$19.13	87% below	79%
Allergy blood test, specific IgE, per allergen CPT 86003 F026-IgE Pork LC	$4.23	$20.14	$4.23–$19.13	87% below	79%
Allergy blood test, specific IgE, per allergen CPT 86003 F035-IgE Potato White LC	$4.23	$20.14	$4.23–$19.13	87% below	79%
Allergy blood test, specific IgE, per allergen CPT 86003 F024-IgE Shrimp LC	$4.23	$20.14	$4.23–$19.13	87% below	79%
Allergy blood test, specific IgE, per allergen CPT 86003 F201-IgE Pecan Nut LC	$4.23	$20.14	$4.23–$19.13	87% below	79%
Allergy blood test, specific IgE, per allergen CPT 86003 F001-IgE Egg White LC	$4.23	$20.14	$4.23–$19.13	87% below	79%
Allergy blood test, specific IgE, per allergen CPT 86003 F007-IgE Oat LC	$4.23	$20.14	$4.23–$19.13	87% below	79%
Allergy blood test, specific IgE, per allergen CPT 86003 F023-IgE Crab LC	$4.23	$20.14	$4.23–$19.13	87% below	79%
Allergy blood test, specific IgE, per allergen CPT 86003 I003-IgE Yellow Jacket LC	$4.23	$20.14	$4.23–$19.13	87% below	79%
Allergy blood test, specific IgE, per allergen CPT 86003 F025-IgE Tomato LC	$4.23	$20.14	$4.23–$19.13	87% below	79%
Allergy blood test, specific IgE, per allergen CPT 86003 F345-IgE Macadamia Nut LC	$4.23	$20.14	$4.23–$19.13	87% below	79%
Allergy blood test, specific IgE, per allergen CPT 86003 E005-IgE Dog Hair/Dander LC	$4.23	$20.14	$4.23–$19.13	87% below	79%
Allergy blood test, specific IgE, per allergen CPT 86003 E001-IgE Cat Hair/Dander LC	$4.23	$20.14	$4.23–$19.13	87% below	79%
Allergy blood test, specific IgE, per allergen CPT 86003 Almond (f20) IgE- Send Out CQ	$4.79	$22.79	$4.73–$21.65	85% below	79%
Allergy blood test, specific IgE, per allergen CPT 86003 F031-IgE Carrot Sendout to LabCorp	$5.25	$25.00	$4.73–$23.75	83% below	79%
Allergy blood test, specific IgE, per allergen CPT 86003 F054-IgE Sweet Potato LC	$8.40	$40.00	$4.73–$38.00	73% below	79%
Allergy blood test, specific IgE, per allergen CPT 86003 F002-IgE Milk (Cow) LC	$8.61	$41.00	$4.73–$38.95	73% below	79%
Allergy blood test, specific IgE, per allergen CPT 86003 86003 L601823 ALG IGE QT	$9.66	$46.00	$4.73–$43.70	69% below	79%
Allergy blood test, specific IgE, per allergen CPT 86003 86003 - L601872 ALG FRUIT PN	$18.90	$90.00	$4.73–$85.50	40% below	79%
Allergy blood test, specific IgE, per allergen CPT 86003 F033-IgE Orange LC	$18.90	$90.00	$4.73–$85.50	40% below	79%
Allergy blood test, specific IgE, per allergen CPT 86003 F207-IgE Clam LC	$18.90	$90.00	$4.73–$85.50	40% below	79%
Allergy blood test, specific IgE, per allergen CPT 86003 F081-IgE Cheese Cheddar LC	$19.11	$91.00	$4.73–$86.45	40% below	79%
Allergy blood test, specific IgE, per allergen CPT 86003 F079-IgE Gluten LC	$27.72	$132.00	$4.73–$125.40	12% below	79%
Allergy blood test, specific IgE, per allergen CPT 86003 F027-IgE Beef LC	$27.72	$132.00	$4.73–$125.40	12% below	79%
Allergy blood test, specific IgE, per allergen CPT 86003 86003 L671926 ALG IGE QT	$59.01	$281.00	$4.73–$266.95	87% above	79%
Allergy blood test, specific IgE, per allergen CPT 86003 F008-IgE Corn LC	$74.13	$353.00	$4.73–$335.35	135% above	79%
Allergy blood test, specific IgE, per allergen CPT 86003 F020-IgE Almond LC	$81.69	$389.00	$4.73–$369.55	159% above	79%
Allergy blood test, specific IgE, per allergen CPT 86003 F075-IgE Egg (Yolk) LC	$81.69	$389.00	$4.73–$369.55	159% above	79%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Mucor racemosus IgE Quant	$81.69	$389.00	$4.73–$369.55	159% above	79%
Allergy blood test, specific IgE, per allergen CPT 86003 K087-IgE Alpha-Amylase (LC)	$81.69	$389.00	$4.73–$369.55	159% above	79%
Allergy blood test, specific IgE, per allergen CPT 86003 F092-IgE Banana LC	$81.69	$389.00	$4.73–$369.55	159% above	79%
Allergy blood test, specific IgE, per allergen CPT 86003 I001-IgE Honeybee LC	$88.62	$422.00	$4.73–$400.90	180% above	79%
Allergy blood test, specific IgE, per allergen CPT 86003 M005-IgE Candida albicans Sendout to LabCorp	$88.62	$422.00	$4.73–$400.90	180% above	79%
Allergy blood test, specific IgE, per allergen CPT 86003 F013-IgE Peanut LC	$88.62	$422.00	$4.73–$400.90	180% above	79%
Allergy blood test, specific IgE, per allergen CPT 86003 T022-IgE Pecan Tree LC	$88.62	$422.00	$4.73–$400.90	180% above	79%
Allergy blood test, specific IgE, per allergen CPT 86003 F284-IgE Turkey LC	$99.33	$473.00	$4.73–$449.35	214% above	79%
Allergy blood test, specific IgE, per allergen CPT 86003 F036-IgE Coconut LC	$99.33	$473.00	$4.73–$449.35	214% above	79%
Allergy blood test, specific IgE, per allergen CPT 86003 F256-IgE Walnut Food LC	$99.33	$473.00	$4.73–$449.35	214% above	79%
Allergy blood test, specific IgE, per allergen CPT 86003 F093-IgE Chocolate/Cocoa LC	$113.82	$542.00	$4.73–$514.90	260% above	79%
Allergy blood test, specific IgE, per allergen CPT 86003 F053-IgE Scallop LC	$113.82	$542.00	$4.73–$514.90	260% above	79%
Allergy blood test, specific IgE, per allergen CPT 86003 F210-IgE Pineapple LC	$116.97	$557.00	$4.73–$529.15	270% above	79%
Allergy blood test, specific IgE, per allergen CPT 86003 F045-IgE Yeast Baker's LC	$124.74	$594.00	$4.73–$564.30	295% above	79%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PNL FOOD MEAT L602284	$131.04	$624.00	$4.73–$592.80	315% above	79%
Allergy blood test, specific IgE, per allergen CPT 86003 86003 L676577 ALG IGE QT	$137.55	$655.00	$4.73–$622.25	335% above	79%
Allergy blood test, specific IgE, per allergen CPT 86003 ALG PROFILE FOOD CITRS L600981	$139.02	$662.00	$4.73–$628.90	340% above	79%
Allergy blood test, specific IgE, per allergen CPT 86003 86003 L601013 ALG IGE QT	$146.79	$699.00	$4.73–$664.05	365% above	79%
Allergy blood test, specific IgE, per allergen CPT 86003 F083-IgE Chicken LC	$196.56	$936.00	$4.73–$889.20	522% above	79%
Allergy blood test, specific IgE, per allergen CPT 86003 W016-IgE Marsh Elder Rough LC	$196.56	$936.00	$4.73–$889.20	522% above	79%
Allergy blood test, specific IgE, per allergen CPT 86003 G006-IgE Timothy LC	$196.56	$936.00	$4.73–$889.20	522% above	79%
Allergy blood test, specific IgE, per allergen CPT 86003 I070-IgE Fire Ant (Invicta) LC	$196.56	$936.00	$4.73–$889.20	522% above	79%
Allergy blood test, specific IgE, per allergen CPT 86003 F095-IgE Peach Sendout to LabCorp	$196.56	$936.00	$4.73–$889.20	522% above	79%
Allergy blood test, specific IgE, per allergen CPT 86003 I005-IgE Hornet Yellow LC	$196.56	$936.00	$4.73–$889.20	522% above	79%
Allergy blood test, specific IgE, per allergen CPT 86003 F003-IgE Codfish LC	$221.97	$1,057.00	$4.73–$1,004.15	602% above	79%
Allergy blood test, specific IgE, per allergen CPT 86003 T016-IgE Pine White LC	$321.30	$1,530.00	$4.73–$1,453.50	917% above	79%
Allergy blood test, specific IgE, per allergen CPT 86003 86003 L62695 ALG IGE QT	$321.30	$1,530.00	$4.73–$1,453.50	917% above	79%
Allergy blood test, specific IgE, per allergen CPT 86003 W017-IgE Kochia LC	$321.30	$1,530.00	$4.73–$1,453.50	917% above	79%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F017-IgE Hazelnut/Filbert LC	$5.07	$13.00	$4.68–$12.09	—	61%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F026-IgE Pork LC	$7.85	$20.14	$7.25–$18.73	—	61%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALG PROFILE FOOD GRAIN L601633	$7.85	$20.14	$7.25–$18.73	—	61%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F010-IgE Sesame Seed LC	$7.85	$20.14	$7.25–$18.73	—	61%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F014-IgE Soybean LC	$7.85	$20.14	$7.25–$18.73	—	61%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F044-IgE Strawberry LC	$7.85	$20.14	$7.25–$18.73	—	61%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F040-IgE Tuna LC	$7.85	$20.14	$7.25–$18.73	—	61%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F049-IgE Apple LC	$7.85	$20.14	$7.25–$18.73	—	61%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F004-IgE Wheat LC	$7.85	$20.14	$7.25–$18.73	—	61%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALG VEG PNL L601831	$7.85	$20.14	$7.25–$18.73	—	61%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F001-IgE Egg White LC	$7.85	$20.14	$7.25–$18.73	—	61%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 E001-IgE Cat Hair/Dander LC	$7.85	$20.14	$7.25–$18.73	—	61%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 E005-IgE Dog Hair/Dander LC	$7.85	$20.14	$7.25–$18.73	—	61%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F345-IgE Macadamia Nut LC	$7.85	$20.14	$7.25–$18.73	—	61%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 I003-IgE Yellow Jacket LC	$7.85	$20.14	$7.25–$18.73	—	61%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F025-IgE Tomato LC	$7.85	$20.14	$7.25–$18.73	—	61%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F023-IgE Crab LC	$7.85	$20.14	$7.25–$18.73	—	61%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F007-IgE Oat LC	$7.85	$20.14	$7.25–$18.73	—	61%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 W011-IgE Thistle Russian LC	$7.85	$20.14	$7.25–$18.73	—	61%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F201-IgE Pecan Nut LC	$7.85	$20.14	$7.25–$18.73	—	61%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F035-IgE Potato White LC	$7.85	$20.14	$7.25–$18.73	—	61%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F024-IgE Shrimp LC	$7.85	$20.14	$7.25–$18.73	—	61%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F009-IgE Rice LC	$7.85	$20.14	$7.25–$18.73	—	61%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 L600973 ALLERGEN IGE	$7.85	$20.14	$7.25–$18.73	—	61%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 W009-IgE Plantain English LC	$7.85	$20.14	$7.25–$18.73	—	61%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F245-IgE Egg Whole LC	$7.85	$20.14	$7.25–$18.73	—	61%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F202-IgE Cashew Nut LC	$7.85	$20.14	$7.25–$18.73	—	61%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Almond (f20) IgE- Send Out CQ	$8.89	$22.79	$8.20–$21.19	—	61%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F031-IgE Carrot Sendout to LabCorp	$9.75	$25.00	$9.00–$23.25	—	61%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F054-IgE Sweet Potato LC	$15.60	$40.00	$14.40–$37.20	—	61%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F002-IgE Milk (Cow) LC	$15.99	$41.00	$14.76–$38.13	—	61%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 L601823 ALG IGE QT	$17.94	$46.00	$16.56–$42.78	—	61%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F033-IgE Orange LC	$35.10	$90.00	$32.40–$83.70	—	61%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 - L601872 ALG FRUIT PN	$35.10	$90.00	$32.40–$83.70	—	61%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F207-IgE Clam LC	$35.10	$90.00	$32.40–$83.70	—	61%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F081-IgE Cheese Cheddar LC	$35.49	$91.00	$32.76–$84.63	—	61%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F079-IgE Gluten LC	$51.48	$132.00	$47.52–$122.76	—	61%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F027-IgE Beef LC	$51.48	$132.00	$47.52–$122.76	—	61%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 L671926 ALG IGE QT	$109.59	$281.00	$101.16–$261.33	—	61%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F008-IgE Corn LC	$137.67	$353.00	$127.08–$328.29	—	61%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Mucor racemosus IgE Quant	$151.71	$389.00	$140.04–$361.77	—	61%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F075-IgE Egg (Yolk) LC	$151.71	$389.00	$140.04–$361.77	—	61%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F020-IgE Almond LC	$151.71	$389.00	$140.04–$361.77	—	61%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F092-IgE Banana LC	$151.71	$389.00	$140.04–$361.77	—	61%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 K087-IgE Alpha-Amylase (LC)	$151.71	$389.00	$140.04–$361.77	—	61%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 I001-IgE Honeybee LC	$164.58	$422.00	$151.92–$392.46	—	61%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M005-IgE Candida albicans Sendout to LabCorp	$164.58	$422.00	$151.92–$392.46	—	61%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 T022-IgE Pecan Tree LC	$164.58	$422.00	$151.92–$392.46	—	61%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F013-IgE Peanut LC	$164.58	$422.00	$151.92–$392.46	—	61%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F284-IgE Turkey LC	$184.47	$473.00	$170.28–$439.89	—	61%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F256-IgE Walnut Food LC	$184.47	$473.00	$170.28–$439.89	—	61%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F036-IgE Coconut LC	$184.47	$473.00	$170.28–$439.89	—	61%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F053-IgE Scallop LC	$211.38	$542.00	$195.12–$504.06	—	61%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F093-IgE Chocolate/Cocoa LC	$211.38	$542.00	$195.12–$504.06	—	61%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F210-IgE Pineapple LC	$217.23	$557.00	$200.52–$518.01	—	61%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F045-IgE Yeast Baker's LC	$231.66	$594.00	$213.84–$552.42	—	61%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY PNL FOOD MEAT L602284	$243.36	$624.00	$224.64–$580.32	—	61%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 L676577 ALG IGE QT	$255.45	$655.00	$235.80–$609.15	—	61%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALG PROFILE FOOD CITRS L600981	$258.18	$662.00	$238.32–$615.66	—	61%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 L601013 ALG IGE QT	$272.61	$699.00	$251.64–$650.07	—	61%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 G006-IgE Timothy LC	$365.04	$936.00	$336.96–$870.48	—	61%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 I070-IgE Fire Ant (Invicta) LC	$365.04	$936.00	$336.96–$870.48	—	61%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F083-IgE Chicken LC	$365.04	$936.00	$336.96–$870.48	—	61%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 I005-IgE Hornet Yellow LC	$365.04	$936.00	$336.96–$870.48	—	61%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 W016-IgE Marsh Elder Rough LC	$365.04	$936.00	$336.96–$870.48	—	61%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F095-IgE Peach Sendout to LabCorp	$365.04	$936.00	$336.96–$870.48	—	61%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F003-IgE Codfish LC	$412.23	$1,057.00	$380.52–$983.01	—	61%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 W017-IgE Kochia LC	$596.70	$1,530.00	$550.80–$1,422.90	—	61%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 T016-IgE Pine White LC	$596.70	$1,530.00	$550.80–$1,422.90	—	61%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 L62695 ALG IGE QT	$596.70	$1,530.00	$550.80–$1,422.90	—	61%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic Citrullinated Peptide Ab IgG IgA (LC)	$20.26	$96.46	$11.75–$91.64	68% below	79%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Cyclic Citrullinated Peptide Ab IgG IgA (LC)	$37.62	$96.46	$34.73–$89.71	—	61%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Anti Nuclear Antibody IFA (LC)	$99.33	$473.00	$10.97–$449.35	9% below	79%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Anti Nuclear Antibody IFA (LC)	$184.47	$473.00	$170.28–$439.89	—	61%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B Type Natriuretic Peptide Prohormone	$191.73	$913.00	$35.61–$867.35	17% above	79%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B Type Natriuretic Peptide	$191.73	$913.00	$35.61–$867.35	17% above	79%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B Type Natriuretic Peptide	$356.07	$913.00	$328.68–$849.09	—	61%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B Type Natriuretic Peptide Prohormone	$356.07	$913.00	$328.68–$849.09	—	61%
Basic metabolic panel (blood test) CPT 80048 BMPWTCA	$201.39	$959.00	$7.67–$911.05	50% above	79%
Basic metabolic panel (blood test) inpatient CPT 80048 BMPWTCA	$374.01	$959.00	$345.24–$891.87	—	61%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 $APRL 88305 Bill Surg Path Gross Lvl4	$46.83	$223.00	$31.51–$211.85	71% below	79%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 $APRL 88305 Bill Surg Path Gross Lvl4	$86.97	$223.00	$80.28–$207.39	—	61%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 $ Contract Collection Charge Blood	$2.10	$10.00	$2.10–$25.50	89% below	79%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION: Venous Draw Chg	$14.70	$70.00	$9.09–$66.50	24% below	79%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION: Venous Draw Chg BCE	$14.70	$70.00	$9.09–$66.50	24% below	79%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 $ Contract Collection Charge Blood	$3.90	$10.00	$3.60–$9.30	—	61%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COLLECTION: Venous Draw Chg	$27.30	$70.00	$25.20–$65.10	—	61%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COLLECTION: Venous Draw Chg BCE	$27.30	$70.00	$25.20–$65.10	—	61%
Blood lead test CPT 83655 Lead Blood Adult (LC)	$61.22	$291.50	$10.98–$276.93	13% below	79%
Blood lead test CPT 83655 Lead Blood Pediatric (LC)	$61.22	$291.50	$10.98–$276.93	13% below	79%
Blood lead test CPT 83655 83655 LEAD	$99.33	$473.00	$10.98–$449.35	40% above	79%
Blood lead test CPT 83655 83655 L7046 LEAD	$109.62	$522.00	$10.98–$495.90	55% above	79%
Blood lead test CPT 83655 83655 L42580 LEAD	$145.74	$694.00	$10.98–$659.30	106% above	79%
Blood lead test CPT 83655 83655 L706200 LEAD	$197.82	$942.00	$10.98–$894.90	180% above	79%
Blood lead test inpatient CPT 83655 Lead Blood Pediatric (LC)	$113.69	$291.50	$104.94–$271.10	—	61%
Blood lead test inpatient CPT 83655 Lead Blood Adult (LC)	$113.69	$291.50	$104.94–$271.10	—	61%
Blood lead test inpatient CPT 83655 83655 LEAD	$184.47	$473.00	$170.28–$439.89	—	61%
Blood lead test inpatient CPT 83655 83655 L7046 LEAD	$203.58	$522.00	$187.92–$485.46	—	61%
Blood lead test inpatient CPT 83655 83655 L42580 LEAD	$270.66	$694.00	$249.84–$645.42	—	61%
Blood lead test inpatient CPT 83655 83655 L706200 LEAD	$367.38	$942.00	$339.12–$876.06	—	61%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 hCG Qual, Urine CQ	$343.98	$1,638.00	$6.82–$1,556.10	283% above	79%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCGQLS	$343.98	$1,638.00	$6.82–$1,556.10	283% above	79%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCGQLS	$638.82	$1,638.00	$589.68–$1,523.34	—	61%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 hCG Qual, Urine CQ	$638.82	$1,638.00	$589.68–$1,523.34	—	61%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Neonatal ABORh Solid Phase	$103.74	$494.00	$2.99–$469.30	at median	79%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB Bill ABO	$193.41	$921.00	$2.99–$874.95	86% above	79%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB Bill ABO Forward	$193.41	$921.00	$2.99–$874.95	86% above	79%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Ref Lab ABO/Rh	$193.41	$921.00	$2.99–$874.95	86% above	79%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB Bill ABO Reverse	$193.41	$921.00	$2.99–$874.95	86% above	79%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 86900 BLOOD TYPING ABO	$193.41	$921.00	$2.99–$874.95	86% above	79%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Neonatal ABORh Solid Phase	$192.66	$494.00	$177.84–$459.42	—	61%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB Bill ABO Forward	$359.19	$921.00	$331.56–$856.53	—	61%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB Bill ABO	$359.19	$921.00	$331.56–$856.53	—	61%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB Bill ABO Reverse	$359.19	$921.00	$331.56–$856.53	—	61%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Ref Lab ABO/Rh	$359.19	$921.00	$331.56–$856.53	—	61%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 86900 BLOOD TYPING ABO	$359.19	$921.00	$331.56–$856.53	—	61%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C Reactive Protein	$9.45	$45.00	$4.70–$42.75	89% below	79%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C Reactive Protein Quant (LC)	$18.69	$89.00	$4.70–$84.55	79% below	79%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C Reactive Protein	$17.55	$45.00	$16.20–$41.85	—	61%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C Reactive Protein Quant (LC)	$34.71	$89.00	$32.04–$82.77	—	61%
C. difficile toxin gene test (stool PCR) CPT 87493 C difficile PCR w/reflex Toxin Confirmation	$113.82	$542.00	$33.80–$514.90	21% below	79%
C. difficile toxin gene test (stool PCR) CPT 87493 C diff AB PCR	$113.82	$542.00	$33.80–$514.90	21% below	79%
C. difficile toxin gene test (stool PCR) CPT 87493 C difficile DNA Amp w/reflex Toxin Confirmation	$113.82	$542.00	$33.80–$514.90	21% below	79%
C. difficile toxin gene test (stool PCR) CPT 87493 Clostridium difficile Toxin PCR	$113.82	$542.00	$33.80–$514.90	21% below	79%
C. difficile toxin gene test (stool PCR) CPT 87493 Clostridium difficile by DNA Amp	$113.82	$542.00	$33.80–$514.90	21% below	79%
C. difficile toxin gene test (stool PCR) CPT 87493 Verigene C difficile Panel	$113.82	$542.00	$33.80–$514.90	21% below	79%
C. difficile toxin gene test (stool PCR) CPT 87493 Clostridium difficile Toxin A B Amp Probe	$113.82	$542.00	$33.80–$514.90	21% below	79%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C difficile PCR w/reflex Toxin Confirmation	$211.38	$542.00	$195.12–$504.06	—	61%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Clostridium difficile Toxin PCR	$211.38	$542.00	$195.12–$504.06	—	61%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Clostridium difficile by DNA Amp	$211.38	$542.00	$195.12–$504.06	—	61%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Verigene C difficile Panel	$211.38	$542.00	$195.12–$504.06	—	61%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C diff AB PCR	$211.38	$542.00	$195.12–$504.06	—	61%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C difficile DNA Amp w/reflex Toxin Confirmation	$211.38	$542.00	$195.12–$504.06	—	61%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Clostridium difficile Toxin A B Amp Probe	$211.38	$542.00	$195.12–$504.06	—	61%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 LC	$381.15	$1,815.00	$18.87–$1,724.25	122% above	79%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 LC	$707.85	$1,815.00	$653.40–$1,687.95	—	61%
CA-125 blood test (ovarian cancer marker) CPT 86304 Cancer Antigen 125	$124.32	$592.00	$18.87–$562.40	at median	79%
CA-125 blood test (ovarian cancer marker) CPT 86304 Cancer Antigen (CA) 125 LC	$124.32	$592.00	$18.87–$562.40	at median	79%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Cancer Antigen 125	$230.88	$592.00	$213.12–$550.56	—	61%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Cancer Antigen (CA) 125 LC	$230.88	$592.00	$213.12–$550.56	—	61%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 PCR	$42.21	$201.00	$42.21–$190.95	59% below	79%
COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 COVID-19 RT-PCR LIAT	$42.21	$201.00	$42.21–$190.95	59% below	79%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 PCR	$78.39	$201.00	$72.36–$186.93	—	61%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient one side CPT 87635 COVID-19 RT-PCR LIAT	$78.39	$201.00	$72.36–$186.93	—	61%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia trachomatis NAA LC	$34.28	$163.24	$31.83–$155.08	65% below	79%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia DNA Amplified Probe 2	$40.32	$192.00	$31.83–$182.40	59% below	79%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia DNA Amplified Probe	$40.32	$192.00	$31.83–$182.40	59% below	79%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 87491 CHLMYD TRACH DNA AMP	$40.32	$192.00	$31.83–$182.40	59% below	79%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 87491 L183160 C TRACH AMP	$65.73	$313.00	$31.83–$297.35	33% below	79%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 87491 L183194CHLMYD TRACH	$105.63	$503.00	$31.83–$477.85	8% above	79%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia trachomatis NAA LC	$63.66	$163.24	$58.77–$151.81	—	61%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia DNA Amplified Probe 2	$74.88	$192.00	$69.12–$178.56	—	61%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia DNA Amplified Probe	$74.88	$192.00	$69.12–$178.56	—	61%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 87491 CHLMYD TRACH DNA AMP	$74.88	$192.00	$69.12–$178.56	—	61%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 87491 L183160 C TRACH AMP	$122.07	$313.00	$112.68–$291.09	—	61%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 87491 L183194CHLMYD TRACH	$196.17	$503.00	$181.08–$467.79	—	61%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 80061 L884247 LIPID PANEL	$129.78	$617.98	$12.14–$587.08	10% below	79%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel with LDL/HDL Ratio	$151.62	$722.00	$12.14–$685.90	5% above	79%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID	$151.62	$722.00	$12.14–$685.90	5% above	79%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 80061 L884247 LIPID PANEL	$241.01	$617.98	$222.47–$574.72	—	61%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID	$281.58	$722.00	$259.92–$671.46	—	61%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel with LDL/HDL Ratio	$281.58	$722.00	$259.92–$671.46	—	61%
Complete blood count (CBC) with differential CPT 85025 Complete Blood Count w/ 3 Part Diff Auto	$92.40	$440.00	$7.05–$418.00	40% above	79%
Complete blood count (CBC) with differential CPT 85025 CBCADIFF	$92.40	$440.00	$7.05–$418.00	40% above	79%
Complete blood count (CBC) with differential inpatient CPT 85025 CBCADIFF	$171.60	$440.00	$158.40–$409.20	—	61%
Complete blood count (CBC) with differential inpatient CPT 85025 Complete Blood Count w/ 3 Part Diff Auto	$171.60	$440.00	$158.40–$409.20	—	61%
Complete blood count (CBC), no differential CPT 85027 CBC	$125.58	$598.00	$5.87–$568.10	129% above	79%
Complete blood count (CBC), no differential CPT 85027 85027 CBC W-PLT	$125.58	$598.00	$5.87–$568.10	129% above	79%
Complete blood count (CBC), no differential inpatient CPT 85027 85027 CBC W-PLT	$233.22	$598.00	$215.28–$556.14	—	61%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC	$233.22	$598.00	$215.28–$556.14	—	61%
Comprehensive metabolic panel (blood test) CPT 80053 CMP	$242.55	$1,155.00	$9.58–$1,097.25	9% above	79%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 CMP	$450.45	$1,155.00	$415.80–$1,074.15	—	61%
D-dimer blood test (blood clot marker) CPT 85379 D Dimer Quant	$125.79	$599.00	$9.23–$569.05	20% above	79%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D Dimer Quant	$233.61	$599.00	$215.64–$557.07	—	61%
DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone Sulfate (LC)	$118.65	$564.98	$20.16–$536.73	2% below	79%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dehydroepiandrosterone Sulfate (LC)	$220.34	$564.98	$203.39–$525.43	—	61%
Estradiol blood test CPT 82670 Estradiol Level	$170.77	$813.17	$25.34–$772.51	31% above	79%
Estradiol blood test CPT 82670 Estradiol Sendout to LabCorp	$213.36	$1,016.00	$25.34–$965.20	64% above	79%
Estradiol blood test inpatient CPT 82670 Estradiol Level	$317.14	$813.17	$292.74–$756.25	—	61%
Estradiol blood test inpatient CPT 82670 Estradiol Sendout to LabCorp	$396.24	$1,016.00	$365.76–$944.88	—	61%
FSH (follicle-stimulating hormone) test CPT 83001 Follicle Stimulating Hormone Serum	$83.79	$399.00	$16.85–$379.05	10% below	79%
FSH (follicle-stimulating hormone) test CPT 83001 Follicle Stimulating Hormone (LC)	$152.26	$725.04	$16.85–$688.79	64% above	79%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Follicle Stimulating Hormone Serum	$155.61	$399.00	$143.64–$371.07	—	61%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Follicle Stimulating Hormone (LC)	$282.77	$725.04	$261.01–$674.29	—	61%
Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin Feces (LC)	$26.22	$124.87	$17.80–$118.63	88% below	79%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Calprotectin Feces (LC)	$48.70	$124.87	$44.95–$116.13	—	61%
Ferritin blood test (iron stores) CPT 82728 Ferritin, Serum (LC)	$105.29	$501.38	$12.36–$476.31	6% below	79%
Ferritin blood test (iron stores) CPT 82728 Ferritin	$122.85	$585.00	$12.36–$555.75	10% above	79%
Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin, Serum (LC)	$195.54	$501.38	$180.50–$466.28	—	61%
Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin	$228.15	$585.00	$210.60–$544.05	—	61%
Folate (folic acid) blood test inpatient CPT 82746 Folate Level	$11.31	$29.00	$10.44–$26.97	—	61%
Free T3 thyroid hormone test CPT 84481 Triiodothyronine 3 Free	$120.54	$574.00	$15.36–$545.30	at median	79%
Free T3 thyroid hormone test CPT 84481 Triiodothyronine 3 Free Serum (LC)	$120.54	$574.00	$15.36–$545.30	at median	79%
Free T3 thyroid hormone test inpatient CPT 84481 Triiodothyronine 3 Free	$223.86	$574.00	$206.64–$533.82	—	61%
Free T3 thyroid hormone test inpatient CPT 84481 Triiodothyronine 3 Free Serum (LC)	$223.86	$574.00	$206.64–$533.82	—	61%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine (T4) Free, Direct, S (LC)	$136.23	$648.72	$8.18–$616.28	3% above	79%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine 4 Free	$158.76	$756.00	$8.18–$718.20	20% above	79%
Free T4 (free thyroxine) thyroid blood test CPT 84439 .Thyroxine (T4) Free, Direct, S LC	$158.76	$756.00	$8.18–$718.20	20% above	79%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Thyroxine (T4) Free, Direct, S (LC)	$253.00	$648.72	$233.54–$603.31	—	61%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Thyroxine 4 Free	$294.84	$756.00	$272.16–$703.08	—	61%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 .Thyroxine (T4) Free, Direct, S LC	$294.84	$756.00	$272.16–$703.08	—	61%
Free testosterone test CPT 84402 84402 L140103 TESTOST FREE	$59.43	$283.02	$23.10–$268.87	43% below	79%
Free testosterone test CPT 84402 Testosterone Free Direct LC	$59.43	$283.02	$23.10–$268.87	43% below	79%
Free testosterone test CPT 84402 84402 TESTOSTERONE, FREE	$69.93	$333.00	$23.10–$316.35	33% below	79%
Free testosterone test inpatient CPT 84402 84402 L140103 TESTOST FREE	$110.38	$283.02	$101.89–$263.21	—	61%
Free testosterone test inpatient CPT 84402 Testosterone Free Direct LC	$110.38	$283.02	$101.89–$263.21	—	61%
Free testosterone test inpatient CPT 84402 84402 TESTOSTERONE, FREE	$129.87	$333.00	$119.88–$309.69	—	61%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 $ General Health Panel	$35.91	$171.00	$35.91–$163.36	84% below	79%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 $ General Health Panel	$66.69	$171.00	$61.56–$159.03	—	61%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose 2 Hour Postprandial	$7.18	$34.19	$4.31–$32.48	82% below	79%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 .GTT 1st Hr OB	$7.18	$34.19	$4.31–$32.48	82% below	79%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 .GTT 1st Hr OB	$13.33	$34.19	$12.31–$31.80	—	61%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose 2 Hour Postprandial	$13.33	$34.19	$12.31–$31.80	—	61%
Glucose tolerance test, 3 samples CPT 82951 .GTT Fasting	$194.67	$927.00	$11.67–$880.65	46% above	79%
Glucose tolerance test, 3 samples inpatient CPT 82951 .GTT Fasting	$361.53	$927.00	$333.72–$862.11	—	61%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 N.GONORRHO,DNA,AMPPR	$40.32	$192.00	$31.83–$182.40	59% below	79%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Gonorrhea DNA Amplified Probe	$40.32	$192.00	$31.83–$182.40	59% below	79%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Gonorrhea DNA Amplified Probe 2	$40.32	$192.00	$31.83–$182.40	59% below	79%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 L183160 N GONO AMP	$93.03	$443.00	$31.83–$420.85	5% below	79%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 L183194N.GONORRHO,DN	$93.03	$443.00	$31.83–$420.85	5% below	79%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 87591 N.GONORRHO,DNA,AMPPR	$74.88	$192.00	$69.12–$178.56	—	61%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Gonorrhea DNA Amplified Probe 2	$74.88	$192.00	$69.12–$178.56	—	61%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Gonorrhea DNA Amplified Probe	$74.88	$192.00	$69.12–$178.56	—	61%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 87591 L183160 N GONO AMP	$172.77	$443.00	$159.48–$411.99	—	61%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 87591 L183194N.GONORRHO,DN	$172.77	$443.00	$159.48–$411.99	—	61%
H. pylori antibody blood test inpatient CPT 86677 86677 L163683H PYLOR AB QL	$8.19	$21.00	$7.56–$19.53	—	61%
H. pylori antibody blood test inpatient CPT 86677 Heliobacter pylori Ab IgG	$8.19	$21.00	$7.56–$19.53	—	61%
H. pylori antibody blood test inpatient CPT 86677 Heliobacter pylori Ab IgG (LC)	$8.19	$21.00	$7.56–$19.53	—	61%
H. pylori stool antigen test CPT 87338 Heliobacter pylori Stool Ag EIA (LC)	$39.85	$189.74	$13.04–$180.25	71% below	79%
H. pylori stool antigen test CPT 87338 Heliobacter pylori Fecal IA	$59.43	$283.00	$13.04–$268.85	57% below	79%
H. pylori stool antigen test inpatient CPT 87338 Heliobacter pylori Stool Ag EIA (LC)	$74.00	$189.74	$68.31–$176.46	—	61%
H. pylori stool antigen test inpatient CPT 87338 Heliobacter pylori Fecal IA	$110.37	$283.00	$101.88–$263.19	—	61%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 RNA Real Time PCR (Graph) LC	$99.50	$473.82	$77.19–$450.13	68% below	79%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 RNA Real Time PCR (Graph) LC	$184.79	$473.82	$170.58–$440.65	—	61%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c (LC)	$69.90	$332.84	$8.81–$316.20	10% below	79%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c	$81.48	$388.00	$8.81–$368.60	5% above	79%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1c (LC)	$129.81	$332.84	$119.82–$309.54	—	61%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1c	$151.32	$388.00	$139.68–$360.84	—	61%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis B Surface Antibody w/Interp	$8.19	$21.00	$7.56–$19.53	—	61%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis B Surface Ab w/Interp	$8.19	$21.00	$7.56–$19.53	—	61%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis B Surface Ab (LC)	$8.19	$21.00	$7.56–$19.53	—	61%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Ag Screen (LC)	$136.23	$648.72	$9.37–$616.28	123% above	79%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Ag w/Interp	$160.23	$763.00	$9.37–$724.85	162% above	79%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Antigen	$160.23	$763.00	$9.37–$724.85	162% above	79%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface Ag Screen (LC)	$253.00	$648.72	$233.54–$603.31	—	61%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface Ag w/Interp	$297.57	$763.00	$274.68–$709.59	—	61%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface Antigen	$297.57	$763.00	$274.68–$709.59	—	61%
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Virus Antibody (LC)	$161.49	$769.00	$12.94–$730.55	94% above	79%
Hepatitis C antibody blood test (screening) CPT 86803 HCV Antibody RFX to Quant PCR (LC)	$161.49	$769.00	$12.94–$730.55	94% above	79%
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C IgG Antibody	$161.49	$769.00	$12.94–$730.55	94% above	79%
Hepatitis C antibody blood test (screening) CPT 86803 HCAB2	$161.49	$769.00	$12.94–$730.55	94% above	79%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C IgG Antibody	$299.91	$769.00	$276.84–$715.17	—	61%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCAB2	$299.91	$769.00	$276.84–$715.17	—	61%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCV Antibody RFX to Quant PCR (LC)	$299.91	$769.00	$276.84–$715.17	—	61%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C Virus Antibody (LC)	$299.91	$769.00	$276.84–$715.17	—	61%
Hepatitis C viral load (HCV RNA) test one side CPT 87522 Hepatitis C Virus RT PCR Quant Non-Graph (LC)	$100.38	$478.00	$38.86–$454.10	58% below	79%
Hepatitis C viral load (HCV RNA) test one side CPT 87522 Hepatitis C Virus RT PCR Quant Graph (LC)	$246.86	$1,175.54	$38.86–$1,116.76	4% above	79%
Hepatitis C viral load (HCV RNA) test one side CPT 87522 .HCV RT-PCR, Quant (Non-Graph) LC	$279.32	$1,330.09	$38.86–$1,263.59	18% above	79%
Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 Hepatitis C Virus RT PCR Quant Non-Graph (LC)	$186.42	$478.00	$172.08–$444.54	—	61%
Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 Hepatitis C Virus RT PCR Quant Graph (LC)	$458.46	$1,175.54	$423.19–$1,093.25	—	61%
Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 .HCV RT-PCR, Quant (Non-Graph) LC	$518.74	$1,330.09	$478.83–$1,236.98	—	61%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 86695 L164099 HSV1	$8.19	$21.00	$7.56–$19.53	—	61%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 86696 L164099 HSV2	$8.19	$21.00	$7.56–$19.53	—	61%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV Type-2 Antibodies IgGwRfxSuppTest (LC)	$8.19	$21.00	$7.56–$19.53	—	61%
High-sensitivity CRP (hs-CRP) test CPT 86141 C Reactive Protein High Sensitivity	$50.19	$239.00	$11.75–$227.05	26% below	79%
High-sensitivity CRP (hs-CRP) test CPT 86141 C Reactive Protein Cardiac (LC)	$146.79	$699.00	$11.75–$664.05	116% above	79%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C Reactive Protein High Sensitivity	$93.21	$239.00	$86.04–$222.27	—	61%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C Reactive Protein Cardiac (LC)	$272.61	$699.00	$251.64–$650.07	—	61%
Homocysteine blood test CPT 83090 Homocyst(e)ine Plasma LC	$135.03	$643.00	$16.25–$610.85	at median	79%
Homocysteine blood test inpatient CPT 83090 Homocyst(e)ine Plasma LC	$250.77	$643.00	$231.48–$597.99	—	61%
Insulin blood test CPT 83525 83525 INSULIN, TOTAL	$74.13	$353.00	$10.37–$335.35	1% below	79%
Insulin blood test CPT 83525 Insulin LC	$163.80	$780.00	$10.37–$741.00	118% above	79%
Insulin blood test CPT 83525 83525 L501561 INSULIN TOT	$258.51	$1,231.00	$10.37–$1,169.45	244% above	79%
Insulin blood test inpatient CPT 83525 83525 INSULIN, TOTAL	$137.67	$353.00	$127.08–$328.29	—	61%
Insulin blood test inpatient CPT 83525 Insulin LC	$304.20	$780.00	$280.80–$725.40	—	61%
Insulin blood test inpatient CPT 83525 83525 L501561 INSULIN TOT	$480.09	$1,231.00	$443.16–$1,144.83	—	61%
Iron blood test (serum iron) CPT 83540 83540 IRON	$66.36	$316.00	$5.87–$300.20	8% below	79%
Iron blood test (serum iron) CPT 83540 IRON	$66.36	$316.00	$5.87–$300.20	8% below	79%
Iron blood test (serum iron) CPT 83540 83540 L1321 IRON	$76.80	$365.70	$5.87–$347.41	6% above	79%
Iron blood test (serum iron) inpatient CPT 83540 83540 IRON	$123.24	$316.00	$113.76–$293.88	—	61%
Iron blood test (serum iron) inpatient CPT 83540 IRON	$123.24	$316.00	$113.76–$293.88	—	61%
Iron blood test (serum iron) inpatient CPT 83540 83540 L1321 IRON	$142.62	$365.70	$131.65–$340.10	—	61%
Iron-binding capacity (TIBC) test CPT 83550 83550 L1321 IRON BIND CAP	$59.43	$283.00	$7.93–$268.85	16% below	79%
Iron-binding capacity (TIBC) test CPT 83550 83550 IRON BINDING CAPACIT	$132.30	$630.00	$7.93–$598.50	87% above	79%
Iron-binding capacity (TIBC) test CPT 83550 Total Iron Binding Capacity DM	$132.30	$630.00	$7.93–$598.50	87% above	79%
Iron-binding capacity (TIBC) test inpatient CPT 83550 83550 L1321 IRON BIND CAP	$110.37	$283.00	$101.88–$263.19	—	61%
Iron-binding capacity (TIBC) test inpatient CPT 83550 Total Iron Binding Capacity DM	$245.70	$630.00	$226.80–$585.90	—	61%
Iron-binding capacity (TIBC) test inpatient CPT 83550 83550 IRON BINDING CAPACIT	$245.70	$630.00	$226.80–$585.90	—	61%
Kidney function blood test panel CPT 80069 RFP	$208.95	$995.00	$7.87–$945.25	22% above	79%
Kidney function blood test panel inpatient CPT 80069 RFP	$388.05	$995.00	$358.20–$925.35	—	61%
LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone S (LC)	$47.46	$226.00	$16.80–$214.70	60% below	79%
LH (luteinizing hormone) test inpatient CPT 83002 Luteinizing Hormone S (LC)	$88.14	$226.00	$81.36–$210.18	—	61%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase Level	$65.73	$313.00	$6.25–$297.35	32% below	79%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase Pleural Fluid (CQ)	$65.73	$313.00	$6.25–$297.35	32% below	79%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase Body Fluid	$65.73	$313.00	$6.25–$297.35	32% below	79%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase, Body Fluid Sendout to LabCorp	$105.63	$503.00	$6.25–$477.85	10% above	79%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase Peritoneal Fluid Sendout to CQ	$139.79	$665.65	$6.25–$632.37	46% above	79%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase Body Fluid	$122.07	$313.00	$112.68–$291.09	—	61%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase Pleural Fluid (CQ)	$122.07	$313.00	$112.68–$291.09	—	61%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase Level	$122.07	$313.00	$112.68–$291.09	—	61%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase, Body Fluid Sendout to LabCorp	$196.17	$503.00	$181.08–$467.79	—	61%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase Peritoneal Fluid Sendout to CQ	$259.60	$665.65	$239.63–$619.05	—	61%
Liver function blood test panel CPT 80076 HFP	$149.31	$711.00	$7.41–$675.45	1% below	79%
Liver function blood test panel inpatient CPT 80076 HFP	$277.29	$711.00	$255.96–$661.23	—	61%
Lyme disease antibody test inpatient CPT 86618 Lyme Disease Total Ab Rfx Immunoassay LC	$8.19	$21.00	$7.56–$19.53	—	61%
Lyme disease antibody test inpatient CPT 86618 86618 L139825 LYME DIS AB	$8.19	$21.00	$7.56–$19.53	—	61%
Lyme disease antibody test inpatient CPT 86618 86618 LYME DISEASE AB	$8.19	$21.00	$7.56–$19.53	—	61%
Magnesium blood test CPT 83735 Magnesium Serum Obstetric	$95.76	$456.00	$6.08–$433.20	19% above	79%
Magnesium blood test CPT 83735 Magnesium Urine	$95.76	$456.00	$6.08–$433.20	19% above	79%
Magnesium blood test CPT 83735 Magnesium Serum	$95.76	$456.00	$6.08–$433.20	19% above	79%
Magnesium blood test CPT 83735 Magnesium Urine Sendout to LabCorp	$95.76	$456.00	$6.08–$433.20	19% above	79%
Magnesium blood test inpatient CPT 83735 Magnesium Urine	$177.84	$456.00	$164.16–$424.08	—	61%
Magnesium blood test inpatient CPT 83735 Magnesium Serum Obstetric	$177.84	$456.00	$164.16–$424.08	—	61%
Magnesium blood test inpatient CPT 83735 Magnesium Urine Sendout to LabCorp	$177.84	$456.00	$164.16–$424.08	—	61%
Magnesium blood test inpatient CPT 83735 Magnesium Serum	$177.84	$456.00	$164.16–$424.08	—	61%
Measles (rubeola) antibody test CPT 86765 86765 L58495 RUBEOLA AB	$13.44	$64.00	$11.68–$60.80	80% below	79%
Measles (rubeola) antibody test CPT 86765 Measles (Rubeola) Antibodies, IgG (LC)	$292.32	$1,392.00	$11.68–$1,322.40	338% above	79%
Measles (rubeola) antibody test inpatient CPT 86765 86765 L58495 RUBEOLA AB	$24.96	$64.00	$23.04–$59.52	—	61%
Measles (rubeola) antibody test inpatient CPT 86765 Measles (Rubeola) Antibodies, IgG (LC)	$542.88	$1,392.00	$501.12–$1,294.56	—	61%
Mono test (heterophile antibody, Monospot) CPT 86308 Mononucleosis Test, Qual (LC)	$128.31	$611.00	$4.70–$580.45	15% above	79%
Mono test (heterophile antibody, Monospot) CPT 86308 Mononucleosis Screen	$133.35	$635.00	$4.70–$603.25	19% above	79%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Mononucleosis Test, Qual (LC)	$238.29	$611.00	$219.96–$568.23	—	61%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Mononucleosis Screen	$247.65	$635.00	$228.60–$590.55	—	61%
PSA (prostate-specific antigen) blood test, free CPT 84154 84154 L480947 PSA, FREE	$29.82	$142.00	$16.68–$134.90	63% below	79%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 84154 L480947 PSA, FREE	$55.38	$142.00	$51.12–$132.06	—	61%
PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate Specific Ag Total	$38.22	$182.00	$16.68–$172.90	65% below	79%
PSA (prostate-specific antigen) blood test, total CPT 84153 84153 L480947 PSA, TOTAL	$88.05	$419.29	$16.68–$398.33	19% below	79%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Total (Reflex To Free) (LC)	$88.05	$419.29	$16.68–$398.33	19% below	79%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostate Specific Ag Total	$70.98	$182.00	$65.52–$169.26	—	61%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 84153 L480947 PSA, TOTAL	$163.52	$419.29	$150.94–$389.94	—	61%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA Total (Reflex To Free) (LC)	$163.52	$419.29	$150.94–$389.94	—	61%
Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hormone Intact Intraop	$146.79	$699.00	$37.44–$664.05	20% below	79%
Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hormone Intact	$146.79	$699.00	$37.44–$664.05	20% below	79%
Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hormone Intact Surgical	$146.79	$699.00	$37.44–$664.05	20% below	79%
Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hormone Intact (LC)	$303.18	$1,443.72	$37.44–$1,371.53	65% above	79%
Parathyroid hormone (PTH) blood test CPT 83970 83970 L54601 PARATHORMONE PTH	$303.18	$1,443.72	$37.44–$1,371.53	65% above	79%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathyroid Hormone Intact Surgical	$272.61	$699.00	$251.64–$650.07	—	61%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathyroid Hormone Intact	$272.61	$699.00	$251.64–$650.07	—	61%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathyroid Hormone Intact Intraop	$272.61	$699.00	$251.64–$650.07	—	61%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 83970 L54601 PARATHORMONE PTH	$563.05	$1,443.72	$519.74–$1,342.66	—	61%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathyroid Hormone Intact (LC)	$563.05	$1,443.72	$519.74–$1,342.66	—	61%
Partial thromboplastin time (PTT) clotting test CPT 85730 Partial Thromboplastin Time	$81.69	$389.00	$5.45–$369.55	4% above	79%
Partial thromboplastin time (PTT) clotting test CPT 85730 85730 THROMBOPLAST TIMEPTT	$81.69	$389.00	$5.45–$369.55	4% above	79%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Partial Thromboplastin Time	$151.71	$389.00	$140.04–$361.77	—	61%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 85730 THROMBOPLAST TIMEPTT	$151.71	$389.00	$140.04–$361.77	—	61%
Progesterone blood test CPT 84144 Progesterone Level	$148.89	$709.00	$18.92–$673.55	at median	79%
Progesterone blood test CPT 84144 Progesterone Sendout to LabCorp	$261.66	$1,246.00	$18.92–$1,183.70	76% above	79%
Progesterone blood test inpatient CPT 84144 Progesterone Level	$276.51	$709.00	$255.24–$659.37	—	61%
Progesterone blood test inpatient CPT 84144 Progesterone Sendout to LabCorp	$485.94	$1,246.00	$448.56–$1,158.78	—	61%
Prolactin blood test CPT 84146 Prolactin (LC)	$141.13	$672.04	$17.58–$638.44	3% below	79%
Prolactin blood test CPT 84146 Prolactin Level	$166.11	$791.00	$17.58–$751.45	14% above	79%
Prolactin blood test inpatient CPT 84146 Prolactin (LC)	$262.10	$672.04	$241.93–$625.00	—	61%
Prolactin blood test inpatient CPT 84146 Prolactin Level	$308.49	$791.00	$284.76–$735.63	—	61%
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time w/INR	$30.66	$146.00	$3.89–$138.70	17% below	79%
Prothrombin time (PT/INR) clotting test CPT 85610 85610 PROTHROMBIN TIME	$30.66	$146.00	$3.89–$138.70	17% below	79%
Prothrombin time (PT/INR) clotting test CPT 85610 .Protime w/INR POC	$30.66	$146.00	$3.89–$138.70	17% below	79%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 .Protime w/INR POC	$56.94	$146.00	$52.56–$135.78	—	61%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time w/INR	$56.94	$146.00	$52.56–$135.78	—	61%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 85610 PROTHROMBIN TIME	$56.94	$146.00	$52.56–$135.78	—	61%
Rapid flu test (influenza antigen) CPT 87804 87804 INFLUENZA ASSAY W-OP	$10.08	$48.00	$10.08–$45.60	77% below	79%
Rapid flu test (influenza antigen) CPT 87804 Influenza A Antigen Result	$10.08	$48.00	$10.08–$45.60	77% below	79%
Rapid flu test (influenza antigen) CPT 87804 Influenza B Antigen Result	$10.08	$48.00	$10.08–$45.60	77% below	79%
Rapid flu test (influenza antigen) inpatient CPT 87804 87804 INFLUENZA ASSAY W-OP	$18.72	$48.00	$17.28–$44.64	—	61%
Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza B Antigen Result	$18.72	$48.00	$17.28–$44.64	—	61%
Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza A Antigen Result	$18.72	$48.00	$17.28–$44.64	—	61%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Streptococcus A Antigen IA1	$19.11	$91.00	$14.99–$86.45	68% below	79%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Streptococcus A Antigen IA1	$35.49	$91.00	$32.76–$84.63	—	61%
Rheumatoid factor (RF) test CPT 86431 86431 L56499 RA FACT QT	$4.41	$21.00	$4.41–$19.95	93% below	79%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid Arthritis Factor (LC)	$4.41	$21.00	$4.41–$19.95	93% below	79%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Titer	$4.41	$21.00	$4.41–$19.95	93% below	79%
Rheumatoid factor (RF) test inpatient CPT 86431 86431 L56499 RA FACT QT	$8.19	$21.00	$7.56–$19.53	—	61%
Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Arthritis Factor (LC)	$8.19	$21.00	$7.56–$19.53	—	61%
Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor Titer	$8.19	$21.00	$7.56–$19.53	—	61%
Rubella antibody test (immunity check) CPT 86762 Rubella Antibodies IgG LC	$6.30	$30.00	$6.30–$39.28	91% below	79%
Rubella antibody test (immunity check) CPT 86762 86762 L58495 RUBELLA AB	$6.30	$30.00	$6.30–$39.28	91% below	79%
Rubella antibody test (immunity check) CPT 86762 Rubella IgG Antibody	$6.30	$30.00	$6.30–$39.28	91% below	79%
Rubella antibody test (immunity check) CPT 86762 Rubella Ab IgG Auto w/Interp	$6.30	$30.00	$6.30–$39.28	91% below	79%
Rubella antibody test (immunity check) inpatient CPT 86762 86762 L58495 RUBELLA AB	$11.70	$30.00	$10.80–$27.90	—	61%
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Antibodies IgG LC	$11.70	$30.00	$10.80–$27.90	—	61%
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Ab IgG Auto w/Interp	$11.70	$30.00	$10.80–$27.90	—	61%
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella IgG Antibody	$11.70	$30.00	$10.80–$27.90	—	61%
Stool ova and parasites exam CPT 87177 87177 L8623 OVA-PARASITES SMEARS	$162.75	$775.00	$8.07–$736.25	4% above	79%
Stool ova and parasites exam CPT 87177 87177 L188110 OP SMEAR	$162.75	$775.00	$8.07–$736.25	4% above	79%
Stool ova and parasites exam inpatient CPT 87177 87177 L188110 OP SMEAR	$302.25	$775.00	$279.00–$720.75	—	61%
Stool ova and parasites exam inpatient CPT 87177 87177 L8623 OVA-PARASITES SMEARS	$302.25	$775.00	$279.00–$720.75	—	61%
Stool test for hidden blood (guaiac FOBT) CPT 82270 FOBT	$41.06	$195.50	$3.97–$185.72	35% above	79%
Stool test for hidden blood (guaiac FOBT) CPT 82270 .POCFecOB	$41.06	$195.50	$3.97–$185.72	35% above	79%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 .POCFecOB	$76.25	$195.50	$70.38–$181.81	—	61%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 FOBT	$76.25	$195.50	$70.38–$181.81	—	61%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Occult Blood Feces Diagnostic 1-3 D	$6.30	$30.00	$6.30–$43.46	89% below	79%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Immunochemical Fecal Occult Blood Diagnostic	$6.30	$30.00	$6.30–$43.46	89% below	79%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Occult Blood Feces Diagnostic 1-3 D	$11.70	$30.00	$10.80–$27.90	—	61%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Immunochemical Fecal Occult Blood Diagnostic	$11.70	$30.00	$10.80–$27.90	—	61%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rapid Plasma Reagin Qual w/Reflex Quant	$4.41	$21.00	$3.87–$19.95	91% below	79%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rapid Plasma Reagin Titer w/Reflex Titer	$4.41	$21.00	$3.87–$19.95	91% below	79%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rapid Plasma Reagin Reflex Titer + TP-PA (LC)	$4.41	$21.00	$3.87–$19.95	91% below	79%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 .Rapid Plasma Reagin Qual w/Reflex Quant	$4.41	$21.00	$3.87–$19.95	91% below	79%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL CSF LC	$4.41	$21.00	$3.87–$19.95	91% below	79%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rapid Plasma Reagin Qual	$4.41	$21.00	$3.87–$19.95	91% below	79%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 .RPR LC	$4.41	$21.00	$3.87–$19.95	91% below	79%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Rapid Plasma Reagin Reflex Titer + TP-PA (LC)	$8.19	$21.00	$7.56–$19.53	—	61%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Rapid Plasma Reagin Titer w/Reflex Titer	$8.19	$21.00	$7.56–$19.53	—	61%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL CSF LC	$8.19	$21.00	$7.56–$19.53	—	61%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 .RPR LC	$8.19	$21.00	$7.56–$19.53	—	61%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Rapid Plasma Reagin Qual w/Reflex Quant	$8.19	$21.00	$7.56–$19.53	—	61%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Rapid Plasma Reagin Qual	$8.19	$21.00	$7.56–$19.53	—	61%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 .Rapid Plasma Reagin Qual w/Reflex Quant	$8.19	$21.00	$7.56–$19.53	—	61%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Level (LC)	$59.43	$283.02	$23.41–$268.87	45% below	79%
Testosterone blood test, total (not free testosterone) CPT 84403 84403 L140103 TESTOST TOTA	$59.43	$283.02	$23.41–$268.87	45% below	79%
Testosterone blood test, total (not free testosterone) CPT 84403 84403 TESTOSTERONE, TOTAL	$69.93	$333.00	$23.41–$316.35	35% below	79%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Total	$69.93	$333.00	$23.41–$316.35	35% below	79%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 84403 L140103 TESTOST TOTA	$110.38	$283.02	$101.89–$263.21	—	61%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone Level (LC)	$110.38	$283.02	$101.89–$263.21	—	61%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 84403 TESTOSTERONE, TOTAL	$129.87	$333.00	$119.88–$309.69	—	61%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone Total	$129.87	$333.00	$119.88–$309.69	—	61%
Thyroid peroxidase (TPO) antibody test CPT 86376 86376 MICROSOMAL AB	$66.57	$317.00	$13.20–$301.15	13% below	79%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Liver-Kidney Microsomal Ab LC	$8.19	$21.00	$7.56–$19.53	—	61%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 86376 L6684 MICROSOMAL AB	$8.19	$21.00	$7.56–$19.53	—	61%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroid Peroxidase Antibody (LC)	$8.19	$21.00	$7.56–$19.53	—	61%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 86376 MICROSOMAL AB	$123.63	$317.00	$114.12–$294.81	—	61%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone w/Reflex to Free T4	$25.83	$123.00	$15.24–$116.85	75% below	79%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone	$25.83	$123.00	$15.24–$116.85	75% below	79%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH w/Reflex to T4 Total	$25.83	$123.00	$15.24–$116.85	75% below	79%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH LC	$131.11	$624.34	$15.24–$593.12	25% above	79%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stimulating Hormone w/Reflex to Free T4	$47.97	$123.00	$44.28–$114.39	—	61%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH w/Reflex to T4 Total	$47.97	$123.00	$44.28–$114.39	—	61%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stimulating Hormone	$47.97	$123.00	$44.28–$114.39	—	61%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH LC	$243.49	$624.34	$224.76–$580.64	—	61%
Trichomonas test (NAAT) CPT 87661 87661 L183160 T VAG AMP	$22.68	$108.00	$22.68–$102.60	69% below	79%
Trichomonas test (NAAT) CPT 87661 Trichomonas vaginalis, NAA (LC)	$42.21	$201.00	$31.83–$190.95	42% below	79%
Trichomonas test (NAAT) inpatient CPT 87661 87661 L183160 T VAG AMP	$42.12	$108.00	$38.88–$100.44	—	61%
Trichomonas test (NAAT) inpatient CPT 87661 Trichomonas vaginalis, NAA (LC)	$78.39	$201.00	$72.36–$186.93	—	61%
Uric acid blood test CPT 84550 Uric Acid Level	$52.29	$249.00	$4.10–$236.55	8% below	79%
Uric acid blood test inpatient CPT 84550 Uric Acid Level	$97.11	$249.00	$89.64–$231.57	—	61%
Urinalysis with microscope exam, automated CPT 81001 Reflex Microscopic Type? - Manual	$65.94	$314.00	$2.88–$298.30	5% above	79%
Urinalysis with microscope exam, automated CPT 81001 Perform Microscopic - Yes	$82.32	$392.00	$2.88–$372.40	31% above	79%
Urinalysis with microscope exam, automated CPT 81001 Urinalysis w/Microscopic Automated	$82.32	$392.00	$2.88–$372.40	31% above	79%
Urinalysis with microscope exam, automated CPT 81001 .Bill Only DS Auto/MSc Reqd	$82.32	$392.00	$2.88–$372.40	31% above	79%
Urinalysis with microscope exam, automated inpatient CPT 81001 Reflex Microscopic Type? - Manual	$122.46	$314.00	$113.04–$292.02	—	61%
Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis w/Microscopic Automated	$152.88	$392.00	$141.12–$364.56	—	61%
Urinalysis with microscope exam, automated inpatient CPT 81001 Perform Microscopic - Yes	$152.88	$392.00	$141.12–$364.56	—	61%
Urinalysis with microscope exam, automated inpatient CPT 81001 .Bill Only DS Auto/MSc Reqd	$152.88	$392.00	$141.12–$364.56	—	61%
Urinalysis without microscope exam, automated CPT 81003 .Bill Only DS Auto/No MSc	$9.45	$45.00	$2.04–$42.75	59% below	79%
Urinalysis without microscope exam, automated CPT 81003 Urine Color Urine Dipstick	$9.45	$45.00	$2.04–$42.75	59% below	79%
Urinalysis without microscope exam, automated CPT 81003 Specific Gravity Urine Auto	$9.45	$45.00	$2.04–$42.75	59% below	79%
Urinalysis without microscope exam, automated CPT 81003 Urinalysis w/o Microscopic Automated	$9.45	$45.00	$2.04–$42.75	59% below	79%
Urinalysis without microscope exam, automated CPT 81003 Ketones Urine Dipstk Qual Automated	$9.45	$45.00	$2.04–$42.75	59% below	79%
Urinalysis without microscope exam, automated inpatient CPT 81003 .Bill Only DS Auto/No MSc	$17.55	$45.00	$16.20–$41.85	—	61%
Urinalysis without microscope exam, automated inpatient CPT 81003 Ketones Urine Dipstk Qual Automated	$17.55	$45.00	$16.20–$41.85	—	61%
Urinalysis without microscope exam, automated inpatient CPT 81003 Urine Color Urine Dipstick	$17.55	$45.00	$16.20–$41.85	—	61%
Urinalysis without microscope exam, automated inpatient CPT 81003 Specific Gravity Urine Auto	$17.55	$45.00	$16.20–$41.85	—	61%
Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis w/o Microscopic Automated	$17.55	$45.00	$16.20–$41.85	—	61%
Urine culture for bacteria, with colony count CPT 87086 Urine Culture Qn	$50.19	$239.00	$7.32–$227.05	49% below	79%
Urine culture for bacteria, with colony count inpatient CPT 87086 Urine Culture Qn	$93.21	$239.00	$86.04–$222.27	—	61%
Urine pregnancy test, read by color change CPT 81025 POC HCG Patient Test Result - Positive	$42.63	$203.00	$4.31–$192.85	8% below	79%
Urine pregnancy test, read by color change CPT 81025 POC HCG Patient Test Result	$42.63	$203.00	$4.31–$192.85	8% below	79%
Urine pregnancy test, read by color change CPT 81025 POC HCG Patient Test Result - Negative	$42.63	$203.00	$4.31–$192.85	8% below	79%
Urine pregnancy test, read by color change CPT 81025 .HCG Urine Ql POC	$42.63	$203.00	$4.31–$192.85	8% below	79%
Urine pregnancy test, read by color change CPT 81025 Human Chorionic Gonadotropin Urine Qual Manual	$42.63	$203.00	$4.31–$192.85	8% below	79%
Urine pregnancy test, read by color change inpatient CPT 81025 POC HCG Patient Test Result - Negative	$79.17	$203.00	$73.08–$188.79	—	61%
Urine pregnancy test, read by color change inpatient CPT 81025 POC HCG Patient Test Result - Positive	$79.17	$203.00	$73.08–$188.79	—	61%
Urine pregnancy test, read by color change inpatient CPT 81025 POC HCG Patient Test Result	$79.17	$203.00	$73.08–$188.79	—	61%
Urine pregnancy test, read by color change inpatient CPT 81025 .HCG Urine Ql POC	$79.17	$203.00	$73.08–$188.79	—	61%
Urine pregnancy test, read by color change inpatient CPT 81025 Human Chorionic Gonadotropin Urine Qual Manual	$79.17	$203.00	$73.08–$188.79	—	61%
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12	$140.49	$669.00	$13.68–$635.55	10% above	79%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B12	$260.91	$669.00	$240.84–$622.17	—	61%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25-Hydroxy LC	$163.61	$779.10	$26.85–$740.14	8% above	79%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25 hydroxy	$196.56	$936.00	$26.85–$889.20	30% above	79%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25-Hydroxy LC	$303.85	$779.10	$280.48–$724.56	—	61%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25 hydroxy	$365.04	$936.00	$336.96–$870.48	—	61%
Zinc blood test CPT 84630 Zinc, Whole Blood (LC)	$59.43	$283.00	$10.33–$268.85	16% below	79%
Zinc blood test CPT 84630 Zinc Plasma or Serum (LC)	$240.66	$1,146.00	$10.33–$1,088.70	239% above	79%
Zinc blood test inpatient CPT 84630 Zinc, Whole Blood (LC)	$110.37	$283.00	$101.88–$263.19	—	61%
Zinc blood test inpatient CPT 84630 Zinc Plasma or Serum (LC)	$446.94	$1,146.00	$412.56–$1,065.78	—	61%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Human Chorionic Gonadotropin Quant	$149.52	$712.00	$13.65–$676.40	12% below	79%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Human Chorionic Gonadotropin Beta Sub unit Quant (	$343.98	$1,638.00	$13.65–$1,556.10	102% above	79%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 84702 HCG QUANT	$343.98	$1,638.00	$13.65–$1,556.10	102% above	79%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 84702 L17319 HCG QUANT	$343.98	$1,638.00	$13.65–$1,556.10	102% above	79%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Human Chorionic Gonadotropin Quant	$277.68	$712.00	$256.32–$662.16	—	61%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 84702 L17319 HCG QUANT	$638.82	$1,638.00	$589.68–$1,523.34	—	61%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Human Chorionic Gonadotropin Beta Sub unit Quant (	$638.82	$1,638.00	$589.68–$1,523.34	—	61%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 84702 HCG QUANT	$638.82	$1,638.00	$589.68–$1,523.34	—	61%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs New Mexico	Off list
Adenoid removal (adenoidectomy), child under 12 CPT 42830 REMOVAL OF ADENOIDS	$3,763.16	$17,919.83	$203.01–$17,023.84	53% below	79%
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 KNEE ARTHROSCOPY/SURGERY	$9,114.99	$43,404.71	$935.24–$41,234.47	at median	79%
Arthroscopic rotator cuff repair of the shoulder CPT 29827 SHO ARTHRS SRG RT8TR CUF RPR	$15,202.06	$72,390.74	$1,025.93–$68,771.20	63% above	79%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 MG Breast Biopsy w Loc w Stereo 1 Lsn Lt	$807.66	$3,846.00	$440.24–$3,653.70	73% below	79%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 MG Breast Biopsy w Loc w Stereo 1 Lsn Rt	$807.66	$3,846.00	$440.24–$3,653.70	73% below	79%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 MG Breast Biopsy w Loc w Stereo 1 Lsn Lt	$1,499.94	$3,846.00	$1,384.56–$3,576.78	—	61%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 MG Breast Biopsy w Loc w Stereo 1 Lsn Rt	$1,499.94	$3,846.00	$1,384.56–$3,576.78	—	61%
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 CORRECTION OF BUNION	$11,164.18	$53,162.78	$804.04–$50,504.64	89% above	79%
Cardiac catheterization with coronary angiogram CPT 93458 CC-L HRT ARTERY-VENT[NMRO]	$7,355.25	$35,025.00	$622.79–$33,273.75	56% below	79%
Cardiac catheterization with coronary angiogram CPT 93458 L HRT ARTERY/VENTRICLE ANGIO	$8,649.49	$41,188.07	$622.79–$39,128.67	49% below	79%
Cardiac catheterization with coronary angiogram inpatient CPT 93458 CC-L HRT ARTERY-VENT[NMRO]	$13,659.75	$35,025.00	$12,609.00–$32,573.25	—	61%
Cardioversion, elective (restoring heart rhythm) CPT 92960 $ED Cardioversion/Defibrillation	$126.21	$601.00	$126.21–$654.31	85% below	79%
Cardioversion, elective (restoring heart rhythm) CPT 92960 ED Cardioversion Set up for procedure - Cardiovers	$126.21	$601.00	$126.21–$654.31	85% below	79%
Cardioversion, elective (restoring heart rhythm) CPT 92960 NI-CARDIOVERSION[NMRO]	$498.75	$2,375.00	$141.84–$2,256.25	42% below	79%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 $ED Cardioversion/Defibrillation	$234.39	$601.00	$216.36–$558.93	—	61%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 ED Cardioversion Set up for procedure - Cardiovers	$234.39	$601.00	$216.36–$558.93	—	61%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 NI-CARDIOVERSION[NMRO]	$926.25	$2,375.00	$855.00–$2,208.75	—	61%
Carpal tunnel release, open surgery CPT 64721 CARPAL TUNNEL SURGERY	$5,862.05	$27,914.52	$426.21–$26,518.79	at median	79%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUMCISION	$5,159.34	$24,568.29	$188.64–$23,339.88	46% below	79%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION	$4,910.69	$23,384.25	$138.40–$22,215.04	118% above	79%
Colonoscopy with polyp removal CPT 45385 LESION REMOVAL COLONOSCOPY	$3,575.72	$17,027.23	$413.71–$16,175.87	40% above	79%
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY AND BIOPSY	$3,129.48	$14,902.27	$391.14–$14,157.16	21% above	79%
Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC COLONOSCOPY	$2,644.34	$12,592.09	$310.90–$11,962.49	43% above	79%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 CERVIX EXCISION	$5,048.30	$24,039.50	$283.99–$22,837.52	44% below	79%
Cystoscopy with ureteral stent placement CPT 52332 CYSTOSCOPY AND TREATMENT	$7,348.08	$34,990.88	$340.63–$33,241.34	13% below	79%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOSCOPY	$15,980.30	$76,096.65	$199.64–$72,291.82	32% above	79%
D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION AND CURETTAGE	$5,446.54	$25,935.89	$278.38–$24,639.10	44% below	79%
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 CREATE EARDRUM OPENING	$3,318.04	$15,800.21	$150.91–$15,010.20	82% above	79%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI	$342.70	$1,631.90	$13.89–$1,550.31	58% above	79%
Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 REMOVAL OF ETHMOID SINUS	$7,144.30	$34,020.46	$307.83–$32,319.44	at median	79%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 EXPLORATION MAXILLARY SINUS	$5,377.30	$25,606.21	$172.84–$24,325.90	1% below	79%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 ENDOSCOPY, MAXILLARY SINUS	$8,939.33	$42,568.24	$252.56–$40,439.83	3% below	79%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 RPR AA HRN 1ST 3-10 RDC	$9,581.07	$45,624.13	$558.95–$43,342.92	31% above	79%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 RPR AA HRN 1ST < 3 CM RDC	$8,625.95	$41,075.96	$333.10–$39,022.16	at median	79%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DIAGNOSTIC SIGMOIDOSCOPY	$2,343.61	$11,160.06	$167.20–$10,602.06	51% above	79%
Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY	$9,790.74	$46,622.57	$642.71–$44,291.44	at median	79%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAPARO CHOLECYSTECTOMY/GRAPH	$9,220.17	$43,905.55	$699.39–$41,710.27	13% below	79%
Hammertoe correction surgery CPT 28285 REPAIR OF HAMMERTOE	$12,013.01	$57,204.83	$498.83–$54,344.59	16% above	79%
Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 TOTAL HIP REPLACEMENT	$20,519.98	$97,714.17	$1,605.88–$92,828.46	—	79%
Hysteroscopy with endometrial ablation CPT 58563 HYSTEROSCOPY, ABLATION	$7,556.06	$35,981.25	$1,753.37–$34,182.19	27% below	79%
IUD insertion (the device itself billed separately) CPT 58300 INSERT INTRAUTERINE DEVICE	$7,101.57	$33,817.00	$48.21–$32,126.15	51% above	79%
Incision and drainage of a simple or single skin abscess CPT 10060 DRAINAGE OF SKIN ABSCESS	$2,022.28	$9,629.90	$117.52–$9,148.40	167% above	79%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 REPAIR INGUINAL HERNIA	$7,984.82	$38,022.96	$508.85–$36,121.81	22% above	79%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJECT, JOINT/BURSA	$1,503.93	$7,161.57	$61.03–$6,803.49	328% above	79%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 RF Joint Aspiration-Injection Major Lt	$157.50	$750.00	$61.03–$712.50	55% below	79%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 RF Joint Aspiration-Injection Major Rt	$157.50	$750.00	$61.03–$712.50	55% below	79%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 RF Joint Aspiration-Injection Major Lt	$292.50	$750.00	$270.00–$697.50	—	61%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 RF Joint Aspiration-Injection Major Rt	$292.50	$750.00	$270.00–$697.50	—	61%
Knee arthroscopy with meniscus trim CPT 29881 KNEE ARTHROSCOPY/SURGERY	$9,017.81	$42,941.95	$521.52–$40,794.85	21% below	79%
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 KNEE ARTHROSCOPY/SURGERY	$7,590.61	$36,145.78	$541.48–$34,338.49	27% below	79%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPAROSCOPY, APPENDECTOMY	$13,701.41	$65,244.83	$585.04–$61,982.59	at median	79%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 TLH W/T/O 250 G OR LESS	$15,412.96	$73,395.06	$870.07–$69,725.31	23% above	79%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 LAPARO HERNIA REPAIR INITIAL	$8,349.97	$39,761.74	$420.78–$37,773.65	14% below	79%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 LAPARO HERNIA REPAIR RECUR	$8,511.81	$40,532.41	$549.39–$38,505.79	at median	79%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAPAROSCOPY, REMOVE ADNEXA	$8,972.99	$42,728.54	$627.22–$40,592.11	at median	79%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAYER CLOSURE OF WOUND(S)	$4,767.69	$22,703.28	$110.68–$21,568.12	890% above	79%
Left heart catheterization, diagnostic one side CPT 93452 LEFT HRT CATH W/VENTRCLGRPHY	$9,078.51	$43,231.00	$551.63–$41,069.45	4% above	79%
Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 LOW BACK DISK SURGERY	$17,143.91	$81,637.67	$892.73–$77,555.79	8% below	79%
Lumbar laminectomy (spinal decompression), one level CPT 63047 REMOVAL OF SPINAL LAMINA	$19,186.98	$91,366.59	$1,081.52–$86,798.26	—	79%
Lumbar spinal fusion (posterior), one level CPT 22612 LUMBAR SPINE FUSION	$33,205.82	$158,122.96	$1,537.40–$150,216.81	—	79%
Lumpectomy (partial mastectomy) CPT 19301 PARTIAL MASTECTOMY	$8,843.44	$42,111.64	$639.29–$40,006.06	31% above	79%
Miscarriage treatment with D&C, first trimester CPT 59820 CARE OF MISCARRIAGE	$7,240.84	$34,480.19	$416.12–$32,756.18	24% below	79%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 REMOVAL OF SKIN LESION	$7,790.28	$37,096.57	$116.57–$35,241.74	338% above	79%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 REMOVAL OF SKIN LESION	$6,267.79	$29,846.61	$129.56–$28,354.28	621% above	79%
Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE	$2,134.56	$10,164.55	$71.83–$9,656.32	342% above	79%
Pacemaker implant (dual chamber) CPT 33208 INSERTION OF HEART PACEMAKER	$14,502.92	$69,061.52	$491.04–$65,608.44	3% below	79%
Paracentesis with imaging guidance CPT 49083 US Paracentesis Abd w Image W Labs	$443.73	$2,113.00	$259.37–$2,007.35	53% below	79%
Paracentesis with imaging guidance CPT 49083 US Paracentesis Abd w Image	$443.73	$2,113.00	$259.37–$2,007.35	53% below	79%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING	$4,649.56	$22,140.76	$259.37–$21,033.72	396% above	79%
Paracentesis with imaging guidance inpatient CPT 49083 US Paracentesis Abd w Image	$824.07	$2,113.00	$760.68–$1,965.09	—	61%
Paracentesis with imaging guidance inpatient CPT 49083 US Paracentesis Abd w Image W Labs	$824.07	$2,113.00	$760.68–$1,965.09	—	61%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED	$6,053.11	$28,824.33	$146.79–$27,383.11	682% above	79%
Removal of a foreign object under the skin, simple CPT 10120 REMOVE FOREIGN BODY	$2,021.32	$9,625.33	$138.55–$9,144.06	169% above	79%
Removal of one lobe of the thyroid (lobectomy) CPT 60220 PARTIAL REMOVAL OF THYROID	$9,833.45	$46,825.96	$680.02–$44,484.66	at median	79%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLON CA SCRN NOT HI RSK IND	$2,579.34	$12,282.58	$311.28–$11,668.45	18% above	79%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL SCRN; HI RISK IND	$2,426.50	$11,554.75	$310.90–$10,977.01	at median	79%
Septoplasty to straighten the nasal septum CPT 30520 REPAIR OF NASAL SEPTUM	$7,793.79	$37,113.28	$623.15–$35,257.62	33% above	79%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 Extracorporeal Shockwave Lithotripsy	$12,643.26	$60,206.00	$689.92–$57,195.70	at median	79%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 Lithotripsy ESWL	$12,643.26	$60,206.00	$689.92–$57,195.70	at median	79%
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 Extracorporeal Shockwave Lithotripsy	$23,480.34	$60,206.00	$21,674.16–$55,991.58	—	61%
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 Lithotripsy ESWL	$23,480.34	$60,206.00	$21,674.16–$55,991.58	—	61%
Short arm cast (elbow to hand) CPT 29075 APPLICATION OF FOREARM CAST	$3,377.18	$16,081.80	$84.43–$15,277.71	1978% above	79%
Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT	$1,144.39	$5,449.49	$63.26–$5,177.02	250% above	79%
Short leg splint (calf to foot) CPT 29515 APPLICATION LOWER LEG SPLINT	$924.53	$4,402.50	$69.57–$4,182.38	109% above	79%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 SHOULDER ARTHROSCOPY/SURGERY	$22,365.94	$106,504.48	$165.22–$101,179.26	at median	79%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REPAIR SUPERFICIAL WOUND(S)	$751.88	$3,580.40	$86.69–$3,401.38	109% above	79%
Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAGS	$11,301.12	$53,814.87	$85.07–$51,124.13	3698% above	79%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 REPAIR SUPERFICIAL WOUND(S)	$1,466.61	$6,983.84	$106.01–$6,634.65	267% above	79%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REPAIR SUPERFICIAL WOUND(S)	$1,563.03	$7,442.98	$103.96–$7,070.83	337% above	79%
TURP (transurethral resection of the prostate) CPT 52601 PROSTATECTOMY (TURP)	$7,950.13	$37,857.75	$694.78–$35,964.86	at median	79%
Thoracentesis with imaging guidance CPT 32555 US Thoracentesis w Imaging Guidance	$285.39	$1,359.00	$278.46–$1,291.05	75% below	79%
Thoracentesis with imaging guidance CPT 32555 RF Thoracentesis w Imging Guidance	$285.39	$1,359.00	$278.46–$1,291.05	75% below	79%
Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING	$3,338.99	$15,899.95	$278.46–$15,104.95	192% above	79%
Thoracentesis with imaging guidance inpatient CPT 32555 RF Thoracentesis w Imging Guidance	$530.01	$1,359.00	$489.24–$1,263.87	—	61%
Thoracentesis with imaging guidance inpatient CPT 32555 US Thoracentesis w Imaging Guidance	$530.01	$1,359.00	$489.24–$1,263.87	—	61%
Tonsil and adenoid removal, age 12 or older CPT 42821 REMOVE TONSILS AND ADENOIDS	$5,498.73	$26,184.41	$290.62–$24,875.19	40% below	79%
Tonsil and adenoid removal, child under 12 CPT 42820 REMOVE TONSILS AND ADENOIDS	$2,854.39	$13,592.35	$278.87–$12,912.73	67% below	79%
Total hip replacement CPT 27130 TOTAL HIP REPLACEMENT	$24,949.78	$118,808.49	$1,235.80–$112,868.07	26% above	79%
Total knee replacement CPT 27447 TOTAL KNEE REPLACEMENT	$24,416.66	$116,269.79	$1,234.24–$110,456.30	at median	79%
Total shoulder replacement CPT 23472 RECONSTRUCT SHOULDER JOINT	$32,779.00	$156,090.48	$1,387.59–$148,285.96	at median	79%
Total thyroid removal (thyroidectomy) CPT 60240 REMOVAL OF THYROID	$12,355.35	$58,835.00	$884.03–$55,893.25	4% above	79%
Trigger finger release surgery CPT 26055 INCISE FINGER TENDON SHEATH	$4,071.98	$19,390.40	$531.60–$18,420.88	33% below	79%
Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 LAPAROSCOPY, TUBAL CAUTERY	$6,415.54	$30,550.19	$355.67–$29,022.68	62% below	79%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 ESOPH ENDOSCOPY, DILATION	$5,089.51	$24,235.76	$714.83–$23,023.97	26% above	79%
Upper endoscopy (EGD) with biopsy CPT 43239 UPPER GI ENDOSCOPY, BIOPSY	$2,920.84	$13,908.74	$333.84–$13,213.30	33% above	79%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 OPERATIVE UPPER GI ENDOSCOPY	$4,058.98	$19,328.46	$438.99–$18,362.04	41% above	79%
Upper endoscopy (EGD), diagnostic CPT 43235 UPPR GI ENDOSCOPY, DIAGNOSIS	$2,493.51	$11,873.87	$259.35–$11,280.18	29% above	79%
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 CYSTOURETERO W/LITHOTRIPSY	$6,177.83	$29,418.26	$370.62–$27,947.35	at median	79%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 CYSTO/URETERO W/LITHOTRIPSY	$8,121.37	$38,673.19	$393.94–$36,739.53	36% below	79%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 REMOVAL OF SPERM DUCT(S)	$6,021.63	$28,674.44	$307.44–$27,240.72	—	79%
Wart removal, up to 14 warts CPT 17110 DESTRUCT LESION, 1-14	$4,820.57	$22,955.10	$102.46–$21,807.34	2151% above	79%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SKIN/TISSUE	$10,864.76	$51,736.93	$117.78–$49,150.08	834% above	79%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 OPTX DST RD XARTC FX/EPI SEP	$11,195.92	$53,313.92	$716.30–$50,648.22	31% above	79%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs New Mexico	Off list
Blood transfusion (giving blood or blood components) CPT 36430 CHRG - BLOOD TRANSFUSION - Blood Transfusion Perfo	$559.44	$2,664.00	$38.14–$2,530.80	9% below	79%
Blood transfusion (giving blood or blood components) CPT 36430 Blood transfusions	$559.44	$2,664.00	$38.14–$2,530.80	9% below	79%
Blood transfusion (giving blood or blood components) CPT 36430 Blood Administration Fee	$559.44	$2,664.00	$38.14–$2,530.80	9% below	79%
Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Cryoprecipitate	$559.44	$2,664.00	$38.14–$2,530.80	9% below	79%
Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Fresh frozen plasma	$559.44	$2,664.00	$38.14–$2,530.80	9% below	79%
Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Packed red blood cells	$559.44	$2,664.00	$38.14–$2,530.80	9% below	79%
Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Platelets (random donor)	$559.44	$2,664.00	$38.14–$2,530.80	9% below	79%
Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Platelets (single donor)	$559.44	$2,664.00	$38.14–$2,530.80	9% below	79%
Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Red blood cells (postoperati	$559.44	$2,664.00	$38.14–$2,530.80	9% below	79%
Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Red blood cells (preoperativ	$559.44	$2,664.00	$38.14–$2,530.80	9% below	79%
Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Whole blood	$559.44	$2,664.00	$38.14–$2,530.80	9% below	79%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Red blood cells (preoperativ	$1,038.96	$2,664.00	$959.04–$2,477.52	—	61%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Platelets (random donor)	$1,038.96	$2,664.00	$959.04–$2,477.52	—	61%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Packed red blood cells	$1,038.96	$2,664.00	$959.04–$2,477.52	—	61%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Fresh frozen plasma	$1,038.96	$2,664.00	$959.04–$2,477.52	—	61%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Cryoprecipitate	$1,038.96	$2,664.00	$959.04–$2,477.52	—	61%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Administration Fee	$1,038.96	$2,664.00	$959.04–$2,477.52	—	61%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood transfusions	$1,038.96	$2,664.00	$959.04–$2,477.52	—	61%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Red blood cells (postoperati	$1,038.96	$2,664.00	$959.04–$2,477.52	—	61%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Whole blood	$1,038.96	$2,664.00	$959.04–$2,477.52	—	61%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Platelets (single donor)	$1,038.96	$2,664.00	$959.04–$2,477.52	—	61%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 CHRG - BLOOD TRANSFUSION - Blood Transfusion Perfo	$1,038.96	$2,664.00	$959.04–$2,477.52	—	61%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Meter Dose Inhaler Charge - Initial	$80.01	$381.00	$7.13–$361.95	28% below	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Meter Dose Inhaler Charge - Subsequent	$80.01	$381.00	$7.13–$361.95	28% below	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment Charge - Subsequent	$80.01	$381.00	$7.13–$361.95	28% below	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment Charge - Initial	$80.01	$381.00	$7.13–$361.95	28% below	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment Charge - IPPB Subsequent	$80.01	$381.00	$7.13–$361.95	28% below	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment Charge - IPV Subsequent	$80.01	$381.00	$7.13–$361.95	28% below	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment Charge - IPPB Initial	$80.01	$381.00	$7.13–$361.95	28% below	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment Charge - IPV Initial	$80.01	$381.00	$7.13–$361.95	28% below	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Treatment Charge - Initial	$148.59	$381.00	$137.16–$354.33	—	61%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Treatment Charge - Subsequent	$148.59	$381.00	$137.16–$354.33	—	61%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Treatment Charge - IPPB Subsequent	$148.59	$381.00	$137.16–$354.33	—	61%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Treatment Charge - IPPB Initial	$148.59	$381.00	$137.16–$354.33	—	61%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Treatment Charge - IPV Initial	$148.59	$381.00	$137.16–$354.33	—	61%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Treatment Charge - IPV Subsequent	$148.59	$381.00	$137.16–$354.33	—	61%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Meter Dose Inhaler Charge - Initial	$148.59	$381.00	$137.16–$354.33	—	61%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Meter Dose Inhaler Charge - Subsequent	$148.59	$381.00	$137.16–$354.33	—	61%
Chemotherapy IV infusion, first hour CPT 96413 CHRG - CHEMO IV INFU 1ST HR	$389.13	$1,853.00	$109.72–$1,760.35	27% below	79%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHRG - CHEMO IV INFU 1ST HR	$722.67	$1,853.00	$667.08–$1,723.29	—	61%
Critical care, first 30 to 74 minutes CPT 99291 99291 - Critical Care	$1,238.37	$5,897.00	$258.28–$5,602.15	39% below	79%
Critical care, first 30 to 74 minutes inpatient CPT 99291 99291 - Critical Care	$2,299.83	$5,897.00	$2,122.92–$5,484.21	—	61%
EEG (brain wave test), awake and drowsy, routine CPT 95816 CHRG - EEG AWAKE DROWSY	$329.91	$1,571.00	$196.50–$1,492.45	63% below	79%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG Including Recording Awake and Drowsy	$329.91	$1,571.00	$196.50–$1,492.45	63% below	79%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 CHRG - EEG AWAKE DROWSY	$612.69	$1,571.00	$565.56–$1,461.03	—	61%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG Including Recording Awake and Drowsy	$612.69	$1,571.00	$565.56–$1,461.03	—	61%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG Series 6 Hours	$187.95	$895.00	$58.40–$850.25	12% above	79%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG 12 Lead Series Now	$187.95	$895.00	$58.40–$850.25	12% above	79%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ED EKG 12 Lead Series Now	$187.95	$895.00	$58.40–$850.25	12% above	79%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ED EKG Series 1 Hour	$187.95	$895.00	$58.40–$850.25	12% above	79%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG Series 1 Hour	$187.95	$895.00	$58.40–$850.25	12% above	79%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Is the patient scheduled for a Cath Lab procedure	$187.95	$895.00	$58.40–$850.25	12% above	79%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ED EKG Start Time	$187.95	$895.00	$58.40–$850.25	12% above	79%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ED EKG Series 3 Hours	$187.95	$895.00	$58.40–$850.25	12% above	79%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG Series 3 Hours	$187.95	$895.00	$58.40–$850.25	12% above	79%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ED EKG 12 Lead Series Now	$349.05	$895.00	$322.20–$832.35	—	61%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG Series 3 Hours	$349.05	$895.00	$322.20–$832.35	—	61%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG Series 6 Hours	$349.05	$895.00	$322.20–$832.35	—	61%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ED EKG Series 3 Hours	$349.05	$895.00	$322.20–$832.35	—	61%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ED EKG Start Time	$349.05	$895.00	$322.20–$832.35	—	61%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG 12 Lead Series Now	$349.05	$895.00	$322.20–$832.35	—	61%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Is the patient scheduled for a Cath Lab procedure	$349.05	$895.00	$322.20–$832.35	—	61%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG Series 1 Hour	$349.05	$895.00	$322.20–$832.35	—	61%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ED EKG Series 1 Hour	$349.05	$895.00	$322.20–$832.35	—	61%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 99281 - Level 1	$150.99	$719.00	$10.99–$683.05	27% below	79%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 99281 - Level 1	$280.41	$719.00	$258.84–$668.67	—	61%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 99282 - Level 2	$184.80	$880.00	$40.33–$836.00	35% below	79%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 99282 - Level 2	$343.20	$880.00	$316.80–$818.40	—	61%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 99283 - Level 3	$266.28	$1,268.00	$68.10–$1,204.60	55% below	79%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 99283 - Level 3	$494.52	$1,268.00	$456.48–$1,179.24	—	61%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284 - Level 4	$375.06	$1,786.00	$116.36–$1,696.70	62% below	79%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 99284 - Level 4	$696.54	$1,786.00	$642.96–$1,660.98	—	61%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 99285 - Level 5	$528.78	$2,518.00	$168.89–$2,392.10	62% below	79%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Trauma Notification Level - No Prior Notification	$2,274.51	$10,831.00	$168.89–$10,289.45	63% above	79%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 99285 - Level 5	$982.02	$2,518.00	$906.48–$2,341.74	—	61%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Trauma Notification Level - No Prior Notification	$4,224.09	$10,831.00	$3,899.16–$10,072.83	—	61%
Exercise stress test, tracing only, the hospital charge CPT 93017 NM-STRESS TEST	$216.09	$1,029.00	$33.95–$977.55	70% below	79%
Exercise stress test, tracing only, the hospital charge CPT 93017 NM Cardiovascular Stress Test Trace Only	$216.09	$1,029.00	$33.95–$977.55	70% below	79%
Exercise stress test, tracing only, the hospital charge CPT 93017 NM Stress Test	$216.09	$1,029.00	$33.95–$977.55	70% below	79%
Exercise stress test, tracing only, the hospital charge CPT 93017 NI Stress Test	$226.17	$1,077.00	$33.95–$1,023.15	69% below	79%
Exercise stress test, tracing only, the hospital charge CPT 93017 Cardiac Stress Test	$226.17	$1,077.00	$33.95–$1,023.15	69% below	79%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 NM-STRESS TEST	$401.31	$1,029.00	$370.44–$956.97	—	61%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 NM Stress Test	$401.31	$1,029.00	$370.44–$956.97	—	61%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 NM Cardiovascular Stress Test Trace Only	$401.31	$1,029.00	$370.44–$956.97	—	61%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Cardiac Stress Test	$420.03	$1,077.00	$387.72–$1,001.61	—	61%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 NI Stress Test	$420.03	$1,077.00	$387.72–$1,001.61	—	61%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION 1 HR[NMRO]	$233.52	$1,112.00	$27.91–$1,056.40	27% below	79%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 OB CHRG - Inf/Inj/Hydration Once - IV HYDRATION 1	$233.52	$1,112.00	$27.91–$1,056.40	27% below	79%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 CHRG - Inf/Inj/Hydration - IV HYDRATION 1 HR	$252.84	$1,204.00	$27.91–$1,143.80	21% below	79%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hydration therapy 1st hour	$252.84	$1,204.00	$27.91–$1,143.80	21% below	79%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 - Hydration, first hour	$257.88	$1,228.00	$27.91–$1,166.60	19% below	79%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 OB CHRG - Inf/Inj/Hydration Once - IV HYDRATION 1	$433.68	$1,112.00	$400.32–$1,034.16	—	61%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION 1 HR[NMRO]	$433.68	$1,112.00	$400.32–$1,034.16	—	61%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 CHRG - Inf/Inj/Hydration - IV HYDRATION 1 HR	$469.56	$1,204.00	$433.44–$1,119.72	—	61%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Hydration therapy 1st hour	$469.56	$1,204.00	$433.44–$1,119.72	—	61%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360 - Hydration, first hour	$478.92	$1,228.00	$442.08–$1,142.04	—	61%
IV infusion of a medicine, first hour CPT 96365 OB CHRG - Inf/Inj/Hydration Once - IV THERAPY DX 1	$233.52	$1,112.00	$53.54–$1,056.40	42% below	79%
IV infusion of a medicine, first hour CPT 96365 CHRG - Inf/Inj/Hydration - IV THERAPY DX 1 HR	$252.84	$1,204.00	$53.54–$1,143.80	37% below	79%
IV infusion of a medicine, first hour CPT 96365 Infusion 1st hour	$252.84	$1,204.00	$53.54–$1,143.80	37% below	79%
IV infusion of a medicine, first hour CPT 96365 96365 - IV tx, first hour	$257.88	$1,228.00	$53.54–$1,166.60	36% below	79%
IV infusion of a medicine, first hour inpatient CPT 96365 OB CHRG - Inf/Inj/Hydration Once - IV THERAPY DX 1	$433.68	$1,112.00	$400.32–$1,034.16	—	61%
IV infusion of a medicine, first hour inpatient CPT 96365 CHRG - Inf/Inj/Hydration - IV THERAPY DX 1 HR	$469.56	$1,204.00	$433.44–$1,119.72	—	61%
IV infusion of a medicine, first hour inpatient CPT 96365 Infusion 1st hour	$469.56	$1,204.00	$433.44–$1,119.72	—	61%
IV infusion of a medicine, first hour inpatient CPT 96365 96365 - IV tx, first hour	$478.92	$1,228.00	$442.08–$1,142.04	—	61%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 OB CHRG - THERAPEUTIC DX SQ IM	$44.52	$212.00	$13.22–$201.40	60% below	79%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 CHRG - THERAPEUTIC DX SQ IM	$46.20	$220.00	$13.22–$209.00	59% below	79%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM Injection	$46.20	$220.00	$13.22–$209.00	59% below	79%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 - Subq/IM Injection	$47.25	$225.00	$13.22–$213.75	58% below	79%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 OB CHRG - THERAPEUTIC DX SQ IM	$82.68	$212.00	$76.32–$197.16	—	61%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 CHRG - THERAPEUTIC DX SQ IM	$85.80	$220.00	$79.20–$204.60	—	61%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM Injection	$85.80	$220.00	$79.20–$204.60	—	61%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 - Subq/IM Injection	$87.75	$225.00	$81.00–$209.25	—	61%
Neuromuscular re-education, 15 minutes CPT 97112 PT Neuromuscular Reeducation Units	$51.03	$243.00	$30.65–$230.85	57% below	79%
Neuromuscular re-education, 15 minutes CPT 97112 NEURO RE-ED-15 MIN - REDOC 181	$51.03	$243.00	$30.65–$230.85	57% below	79%
Neuromuscular re-education, 15 minutes CPT 97112 PT Neuromuscular Reeducation Charges	$51.03	$243.00	$30.65–$230.85	57% below	79%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEURO RE-ED-15 MIN - REDOC 181	$94.77	$243.00	$87.48–$225.99	—	61%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT Neuromuscular Reeducation Units	$94.77	$243.00	$87.48–$225.99	—	61%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT Neuromuscular Reeducation Charges	$94.77	$243.00	$87.48–$225.99	—	61%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 IRF PT EVAL HIGH	$241.08	$1,148.00	$92.90–$1,090.60	27% below	79%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL- HGH COMP - REDOC 181	$241.08	$1,148.00	$92.90–$1,090.60	27% below	79%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH Unit - Yes	$241.08	$1,148.00	$92.90–$1,090.60	27% below	79%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH Unit - Yes	$447.72	$1,148.00	$413.28–$1,067.64	—	61%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL- HGH COMP - REDOC 181	$447.72	$1,148.00	$413.28–$1,067.64	—	61%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 IRF PT EVAL HIGH	$447.72	$1,148.00	$413.28–$1,067.64	—	61%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL- LOW COMP - REDOC 181	$241.08	$1,148.00	$92.90–$1,090.60	3% below	79%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 IRF PT EVAL LOW	$241.08	$1,148.00	$92.90–$1,090.60	3% below	79%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW Unit - Yes	$241.08	$1,148.00	$92.90–$1,090.60	3% below	79%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW Unit - Yes	$447.72	$1,148.00	$413.28–$1,067.64	—	61%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 IRF PT EVAL LOW	$447.72	$1,148.00	$413.28–$1,067.64	—	61%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL- LOW COMP - REDOC 181	$447.72	$1,148.00	$413.28–$1,067.64	—	61%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD Unit - Yes	$241.08	$1,148.00	$92.90–$1,090.60	at median	79%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL- MOD COMP - REDOC 181	$241.08	$1,148.00	$92.90–$1,090.60	at median	79%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 IRF PT EVAL MOD	$241.08	$1,148.00	$92.90–$1,090.60	at median	79%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 IRF PT EVAL MOD	$447.72	$1,148.00	$413.28–$1,067.64	—	61%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MOD Unit - Yes	$447.72	$1,148.00	$413.28–$1,067.64	—	61%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL- MOD COMP - REDOC 181	$447.72	$1,148.00	$413.28–$1,067.64	—	61%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT Manual Therapy Units	$74.97	$357.00	$26.04–$339.15	39% below	79%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT Manual Therapy Charges	$74.97	$357.00	$26.04–$339.15	39% below	79%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THRPY-15 MIN - REDOC 181	$74.97	$357.00	$26.04–$339.15	39% below	79%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT Manual Therapy Charges	$139.23	$357.00	$128.52–$332.01	—	61%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THRPY-15 MIN - REDOC 181	$139.23	$357.00	$128.52–$332.01	—	61%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT Manual Therapy Units	$139.23	$357.00	$128.52–$332.01	—	61%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCS-15 MIN - REDOC 181	$48.09	$229.00	$27.54–$217.55	56% below	79%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Units	$48.09	$229.00	$27.54–$217.55	56% below	79%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Charges	$48.09	$229.00	$27.54–$217.55	56% below	79%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Charges	$89.31	$229.00	$82.44–$212.97	—	61%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Units	$89.31	$229.00	$82.44–$212.97	—	61%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCS-15 MIN - REDOC 181	$89.31	$229.00	$82.44–$212.97	—	61%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Tobacco counseling Charge - 3-10 minutes	$19.32	$92.00	$13.51–$87.40	41% below	79%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Behavior change Smoke Charge - 1-10 minutes	$19.32	$92.00	$13.51–$87.40	41% below	79%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Behavior change Smoke Charge - 1-10 minutes	$35.88	$92.00	$33.12–$85.56	—	61%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Tobacco counseling Charge - 3-10 minutes	$35.88	$92.00	$33.12–$85.56	—	61%
Speech and language evaluation CPT 92523 SLP Eval Lang Comprehension,Express Unit	$244.23	$1,163.00	$96.00–$1,104.85	31% below	79%
Speech and language evaluation CPT 92523 SP SOUND LANG COMP - REDOC 187	$244.23	$1,163.00	$96.00–$1,104.85	31% below	79%
Speech and language evaluation CPT 92523 Speech Evaluation with Language Units	$244.23	$1,163.00	$96.00–$1,104.85	31% below	79%
Speech and language evaluation CPT 92523 Speech Evaluation with Language Charge	$244.23	$1,163.00	$96.00–$1,104.85	31% below	79%
Speech and language evaluation inpatient CPT 92523 Speech Evaluation with Language Charge	$453.57	$1,163.00	$418.68–$1,081.59	—	61%
Speech and language evaluation inpatient CPT 92523 Speech Evaluation with Language Units	$453.57	$1,163.00	$418.68–$1,081.59	—	61%
Speech and language evaluation inpatient CPT 92523 SLP Eval Lang Comprehension,Express Unit	$453.57	$1,163.00	$418.68–$1,081.59	—	61%
Speech and language evaluation inpatient CPT 92523 SP SOUND LANG COMP - REDOC 187	$453.57	$1,163.00	$418.68–$1,081.59	—	61%
Speech therapy session, individual CPT 92507 Speech Treatment Charge	$182.49	$869.00	$71.26–$825.55	14% below	79%
Speech therapy session, individual CPT 92507 Speech Treatment Charge - Yes	$182.49	$869.00	$71.26–$825.55	14% below	79%
Speech therapy session, individual CPT 92507 SLP Auditory Processing Tx Units	$182.49	$869.00	$71.26–$825.55	14% below	79%
Speech therapy session, individual CPT 92507 SP-HEAR-TX-INDI VIST - REDOC 187	$182.49	$869.00	$71.26–$825.55	14% below	79%
Speech therapy session, individual inpatient CPT 92507 SLP Auditory Processing Tx Units	$338.91	$869.00	$312.84–$808.17	—	61%
Speech therapy session, individual inpatient CPT 92507 SP-HEAR-TX-INDI VIST - REDOC 187	$338.91	$869.00	$312.84–$808.17	—	61%
Speech therapy session, individual inpatient CPT 92507 Speech Treatment Charge	$338.91	$869.00	$312.84–$808.17	—	61%
Speech therapy session, individual inpatient CPT 92507 Speech Treatment Charge - Yes	$338.91	$869.00	$312.84–$808.17	—	61%
Spirometry (breathing test) CPT 94010 Pulmonary Function Test Charge - spirometry	$204.12	$972.00	$156.46–$923.40	19% below	79%
Spirometry (breathing test) inpatient CPT 94010 Pulmonary Function Test Charge - spirometry	$379.08	$972.00	$349.92–$903.96	—	61%
Spirometry before and after a bronchodilator CPT 94060 Pulmonary Function Test Charge - Pre and post bron	$226.38	$1,078.00	$115.59–$1,024.10	46% below	79%
Spirometry before and after a bronchodilator inpatient CPT 94060 Pulmonary Function Test Charge - Pre and post bron	$420.42	$1,078.00	$388.08–$1,002.54	—	61%
Therapeutic activities (functional training), 15 minutes CPT 97530 PT Therapeutic Activities Charge	$66.57	$317.00	$32.82–$301.15	45% below	79%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAP ACTVTS-15 MIN - REDOC 181	$66.57	$317.00	$32.82–$301.15	45% below	79%
Therapeutic activities (functional training), 15 minutes CPT 97530 PT Therapeutic Activity Units	$66.57	$317.00	$32.82–$301.15	45% below	79%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT Therapeutic Activity Units	$123.63	$317.00	$114.12–$294.81	—	61%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT Therapeutic Activities Charge	$123.63	$317.00	$114.12–$294.81	—	61%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAP ACTVTS-15 MIN - REDOC 181	$123.63	$317.00	$114.12–$294.81	—	61%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Therap Phlebotomy	$42.21	$201.00	$42.21–$190.95	76% below	79%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 CHRG - PHLEBOTOMY THERAPEUT	$97.13	$462.53	$79.35–$439.40	45% below	79%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Therapeutic Phlebotomy	$121.80	$580.00	$79.35–$551.00	31% below	79%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 CHRG- PHLEBOTOMY THERAPEUT	$121.80	$580.00	$79.35–$551.00	31% below	79%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Therap Phlebotomy	$78.39	$201.00	$72.36–$186.93	—	61%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 CHRG - PHLEBOTOMY THERAPEUT	$180.39	$462.53	$166.51–$430.15	—	61%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Therapeutic Phlebotomy	$226.20	$580.00	$208.80–$539.40	—	61%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 CHRG- PHLEBOTOMY THERAPEUT	$226.20	$580.00	$208.80–$539.40	—	61%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs New Mexico	Off list
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 00069-2528-10 - SARS-CoV-2 (COVID-19) mRNA-LNP vac	$208.42	$992.46	$168.37–$942.84	21% above	79%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 00069-2377-10 - SARS-CoV-2 (COVID-19) mRNA-LNP vac	$208.42	$992.46	$168.37–$942.84	21% above	79%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 00069-2432-10 - SARS-CoV-2 (COVID-19) mRNA-LNP vac	$208.42	$992.46	$168.37–$942.84	21% above	79%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 00069-2528-10 - SARS-CoV-2 (COVID-19) mRNA-LNP vac	$387.06	$992.46	$387.06–$922.99	—	61%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 00069-2432-10 - SARS-CoV-2 (COVID-19) mRNA-LNP vac	$387.06	$992.46	$387.06–$922.99	—	61%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 00069-2377-10 - SARS-CoV-2 (COVID-19) mRNA-LNP vac	$387.06	$992.46	$387.06–$922.99	—	61%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 00006-4826-00 - varicella virus vaccine REC Inject	$269.91	$1,285.27	$203.64–$1,221.01	15% below	79%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 54569-4055-00 - varicella virus vaccine - Powder	$269.91	$1,285.27	$203.64–$1,221.01	15% below	79%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 00006-4827-00 - varicella virus vaccine REC Inject	$269.91	$1,285.27	$203.64–$1,221.01	15% below	79%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 54569-4056-00 - varicella virus vaccine - Powder	$269.91	$1,285.27	$203.64–$1,221.01	15% below	79%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 54569-4055-00 - varicella virus vaccine - Powder	$501.26	$1,285.27	$146.14–$1,195.30	—	61%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 00006-4826-00 - varicella virus vaccine REC Inject	$501.26	$1,285.27	$146.14–$1,195.30	—	61%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 00006-4827-00 - varicella virus vaccine REC Inject	$501.26	$1,285.27	$146.14–$1,195.30	—	61%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 54569-4056-00 - varicella virus vaccine - Powder	$501.26	$1,285.27	$146.14–$1,195.30	—	61%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 49281-0424-50 - 2024-2025 influenza virus vaccine,	$94.50	$450.00	$23.22–$427.50	105% above	79%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 58160-0912-52 - influenza virus vaccine, inactivat	$94.50	$450.00	$23.22–$427.50	105% above	79%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 49281-0425-50 - influenza virus vaccine, inactivat	$94.50	$450.00	$23.22–$427.50	105% above	79%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 19515-0810-52 - influenza virus vaccine, inactivat	$94.50	$450.00	$23.22–$427.50	105% above	79%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 49281-0424-50 - 2024-2025 influenza virus vaccine,	$175.50	$450.00	$48.02–$418.50	—	61%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 49281-0425-50 - influenza virus vaccine, inactivat	$175.50	$450.00	$48.02–$418.50	—	61%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 58160-0912-52 - influenza virus vaccine, inactivat	$175.50	$450.00	$48.02–$418.50	—	61%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 19515-0810-52 - influenza virus vaccine, inactivat	$175.50	$450.00	$48.02–$418.50	—	61%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 00006-4121-02 - human papillomavirus vaccine 9-val	$428.66	$2,041.24	$262.95–$1,939.18	—	79%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 00006-4121-02 - human papillomavirus vaccine 9-val	$796.08	$2,041.24	$248.44–$1,898.35	—	61%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 58160-0815-46 - hepatitis A-hepatitis B vaccine 72	$171.15	$815.02	$17.10–$774.27	—	79%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 58160-0815-46 - hepatitis A-hepatitis B vaccine 72	$317.86	$815.02	$123.87–$757.97	—	61%
Hepatitis A vaccine, adult dose CPT 90632 00006-4096-09 - hepatitis A adult vaccine 50 units	$128.14	$610.18	$128.14–$579.67	at median	79%
Hepatitis A vaccine, adult dose CPT 90632 00006-4841-41 - hepatitis A adult vaccine 50 units	$128.14	$610.18	$128.14–$579.67	at median	79%
Hepatitis A vaccine, adult dose CPT 90632 00006-4841-00 - hepatitis A adult vaccine 50. Sus	$128.14	$610.18	$128.14–$579.67	at median	79%
Hepatitis A vaccine, adult dose CPT 90632 00006-4096-02 - hepatitis A adult vaccine 50 units	$128.14	$610.18	$128.14–$579.67	at median	79%
Hepatitis A vaccine, adult dose CPT 90632 58160-0826-48 - hepatitis A adult vaccine 1440 uni	$144.46	$687.92	$144.46–$653.52	13% above	79%
Hepatitis A vaccine, adult dose inpatient CPT 90632 00006-4096-09 - hepatitis A adult vaccine 50 units	$237.97	$610.18	$153.79–$567.47	—	61%
Hepatitis A vaccine, adult dose inpatient CPT 90632 00006-4841-41 - hepatitis A adult vaccine 50 units	$237.97	$610.18	$153.79–$567.47	—	61%
Hepatitis A vaccine, adult dose inpatient CPT 90632 00006-4096-02 - hepatitis A adult vaccine 50 units	$237.97	$610.18	$153.79–$567.47	—	61%
Hepatitis A vaccine, adult dose inpatient CPT 90632 00006-4841-00 - hepatitis A adult vaccine 50. Sus	$237.97	$610.18	$153.79–$567.47	—	61%
Hepatitis A vaccine, adult dose inpatient CPT 90632 58160-0826-48 - hepatitis A adult vaccine 1440 uni	$268.29	$687.92	$153.79–$639.77	—	61%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 00006-4094-02 - hepatitis B adult vaccine 10 mcg/m	$94.50	$450.00	$70.38–$427.50	33% below	79%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 58160-0821-32 - hepatitis B adult vaccine 20 mcg/m	$125.31	$596.72	$70.38–$566.88	11% below	79%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 58160-0821-11 - hepatitis B adult vaccine Susp	$125.31	$596.72	$70.38–$566.88	11% below	79%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 58160-0821-52 - hepatitis B adult vaccine 20 mcg/m	$125.31	$596.72	$70.38–$566.88	11% below	79%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 58160-0857-01 - hepatitis B adult vaccine Susp	$125.31	$596.72	$70.38–$566.88	11% below	79%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 00006-4094-02 - hepatitis B adult vaccine 10 mcg/m	$175.50	$450.00	$151.71–$418.50	—	61%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 58160-0821-52 - hepatitis B adult vaccine 20 mcg/m	$232.72	$596.72	$151.71–$554.95	—	61%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 58160-0857-01 - hepatitis B adult vaccine Susp	$232.72	$596.72	$151.71–$554.95	—	61%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 58160-0821-32 - hepatitis B adult vaccine 20 mcg/m	$232.72	$596.72	$151.71–$554.95	—	61%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 58160-0821-11 - hepatitis B adult vaccine Susp	$232.72	$596.72	$151.71–$554.95	—	61%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 49281-0124-65 - 2024-2025 influenza virus vaccine,	$100.64	$479.25	$59.45–$455.29	10% above	79%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 49281-0405-65 - 2019-2020 influenza virus vaccine,	$100.64	$479.25	$59.45–$455.29	10% above	79%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 49281-0125-65 - influenza virus vaccine, inactivat	$100.64	$479.25	$59.45–$455.29	10% above	79%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 49281-0403-65 - influenza virus vaccine, inactivat	$100.64	$479.25	$59.45–$455.29	10% above	79%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 49281-0124-65 - 2024-2025 influenza virus vaccine,	$186.91	$479.25	$179.54–$445.70	—	61%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 49281-0125-65 - influenza virus vaccine, inactivat	$186.91	$479.25	$179.54–$445.70	—	61%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 49281-0403-65 - influenza virus vaccine, inactivat	$186.91	$479.25	$179.54–$445.70	—	61%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 49281-0405-65 - 2019-2020 influenza virus vaccine,	$186.91	$479.25	$179.54–$445.70	—	61%
MMR vaccine (measles, mumps and rubella), live CPT 90707 00006-4681-00 - measles/mumps/rubella virus vaccin	$164.80	$784.75	$164.80–$745.51	3% below	79%
MMR vaccine (measles, mumps and rubella), live CPT 90707 49999-0422-01 - measles/mumps/rubella virus vaccin	$164.80	$784.75	$164.80–$745.51	3% below	79%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 00006-4681-00 - measles/mumps/rubella virus vaccin	$306.05	$784.75	$86.99–$729.82	—	61%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 49999-0422-01 - measles/mumps/rubella virus vaccin	$306.05	$784.75	$86.99–$729.82	—	61%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 49281-0589-05 - meningococcal conjugate vaccine So	$147.83	$703.95	$147.83–$668.75	—	79%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 46028-0208-01 - meningococcal conjugate vaccine RE	$213.28	$1,015.62	$176.75–$964.84	—	79%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 49281-0589-05 - meningococcal conjugate vaccine So	$274.54	$703.95	$141.27–$654.67	—	61%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 46028-0208-01 - meningococcal conjugate vaccine RE	$396.09	$1,015.62	$141.27–$944.53	—	61%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 46028-0114-01 - meningococcal group B vaccine reco	$291.03	$1,385.85	$251.35–$1,316.56	—	79%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 46028-0114-01 - meningococcal group B vaccine reco	$540.48	$1,385.85	$196.24–$1,288.84	—	61%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 00005-2000-02 - pneumococcal 20-valent conjugate v	$342.36	$1,630.30	$312.90–$1,548.78	45% below	79%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 00005-2000-10 - pneumococcal 20-valent conjugate v	$342.36	$1,630.30	$312.90–$1,548.78	45% below	79%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 00005-2000-10 - pneumococcal 20-valent conjugate v	$635.82	$1,630.30	$635.82–$1,516.18	—	61%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 00005-2000-02 - pneumococcal 20-valent conjugate v	$635.82	$1,630.30	$635.82–$1,516.18	—	61%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 00006-4837-02 - pneumococcal 23-polyvalent vaccine	$151.60	$721.91	$133.47–$685.81	15% below	79%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 00006-4943-00 - pneumococcal 23-valent vaccine Sol	$151.60	$721.91	$133.47–$685.81	15% below	79%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 00006-4943-01 - pneumococcal 23-polyvalent vaccine	$151.60	$721.91	$133.47–$685.81	15% below	79%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 00006-4837-03 - pneumococcal 23-polyvalent vaccine	$151.60	$721.91	$133.47–$685.81	15% below	79%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 00006-4837-02 - pneumococcal 23-polyvalent vaccine	$281.54	$721.91	$281.54–$671.38	—	61%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 00006-4837-03 - pneumococcal 23-polyvalent vaccine	$281.54	$721.91	$281.54–$671.38	—	61%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 00006-4943-00 - pneumococcal 23-valent vaccine Sol	$281.54	$721.91	$281.54–$671.38	—	61%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 00006-4943-01 - pneumococcal 23-polyvalent vaccine	$281.54	$721.91	$281.54–$671.38	—	61%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 49281-0575-00 - nirsevimab (cvx 306) alip preserva	$652.94	$3,109.22	$589.50–$2,953.76	—	79%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 49281-0575-15 - nirsevimab (cvx 306) alip preserva	$652.94	$3,109.22	$589.50–$2,953.76	—	79%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 49281-0575-15 - nirsevimab (cvx 306) alip preserva	$1,212.60	$3,109.22	$1,119.32–$2,891.57	—	61%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 49281-0575-00 - nirsevimab (cvx 306) alip preserva	$1,212.60	$3,109.22	$1,119.32–$2,891.57	—	61%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 00069-0344-01 - RSV vaccine, preF A-preF B, recomb	$374.34	$1,782.55	$325.21–$1,693.42	—	79%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 00069-0344-05 - RSV vaccine, preF A-preF B, recomb	$374.34	$1,782.55	$325.21–$1,693.42	—	79%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 00069-0344-05 - RSV vaccine, preF A-preF B, recomb	$695.19	$1,782.55	$641.72–$1,657.77	—	61%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 00069-0344-01 - RSV vaccine, preF A-preF B, recomb	$695.19	$1,782.55	$641.72–$1,657.77	—	61%
RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 58160-0848-11 - RSV vaccine preF3, recombinant pre	$374.41	$1,782.90	$324.73–$1,693.76	—	79%
RSV vaccine with adjuvant (Arexvy), one dose for older adults inpatient CPT 90679 58160-0848-11 - RSV vaccine preF3, recombinant pre	$695.33	$1,782.90	$641.84–$1,658.10	—	61%
Rabies vaccine, one dose CPT 90675 49281-0252-51 - rabies vaccine, human diploid cell	$501.52	$2,388.21	$287.82–$2,268.80	32% below	79%
Rabies vaccine, one dose CPT 90675 49999-0414-01 - rabies vaccine human diploid cell	$501.52	$2,388.21	$287.82–$2,268.80	32% below	79%
Rabies vaccine, one dose CPT 90675 49281-0250-51 - rabies vaccine, human diploid cell	$501.52	$2,388.21	$287.82–$2,268.80	32% below	79%
Rabies vaccine, one dose CPT 90675 49999-0414-01 - rabies vaccine, human diploid cell	$501.52	$2,388.21	$287.82–$2,268.80	32% below	79%
Rabies vaccine, one dose CPT 90675 63851-0501-02 - rabies vaccine, purified chick emb	$575.27	$2,739.39	$287.82–$2,602.42	22% below	79%
Rabies vaccine, one dose CPT 90675 50632-0010-01 - rabies vaccine, purified chick emb	$575.27	$2,739.39	$287.82–$2,602.42	22% below	79%
Rabies vaccine, one dose CPT 90675 63851-0501-01 - rabies vaccine, purified chick emb	$575.27	$2,739.39	$287.82–$2,602.42	22% below	79%
Rabies vaccine, one dose CPT 90675 58160-0964-12 - rabies vaccine, purified chick emb	$575.27	$2,739.39	$287.82–$2,602.42	22% below	79%
Rabies vaccine, one dose inpatient CPT 90675 49281-0252-51 - rabies vaccine, human diploid cell	$931.40	$2,388.21	$704.94–$2,221.04	—	61%
Rabies vaccine, one dose inpatient CPT 90675 49999-0414-01 - rabies vaccine human diploid cell	$931.40	$2,388.21	$704.94–$2,221.04	—	61%
Rabies vaccine, one dose inpatient CPT 90675 49999-0414-01 - rabies vaccine, human diploid cell	$931.40	$2,388.21	$704.94–$2,221.04	—	61%
Rabies vaccine, one dose inpatient CPT 90675 49281-0250-51 - rabies vaccine, human diploid cell	$931.40	$2,388.21	$704.94–$2,221.04	—	61%
Rabies vaccine, one dose inpatient CPT 90675 50632-0010-01 - rabies vaccine, purified chick emb	$1,068.36	$2,739.39	$704.94–$2,547.63	—	61%
Rabies vaccine, one dose inpatient CPT 90675 63851-0501-02 - rabies vaccine, purified chick emb	$1,068.36	$2,739.39	$704.94–$2,547.63	—	61%
Rabies vaccine, one dose inpatient CPT 90675 58160-0964-12 - rabies vaccine, purified chick emb	$1,068.36	$2,739.39	$704.94–$2,547.63	—	61%
Rabies vaccine, one dose inpatient CPT 90675 63851-0501-01 - rabies vaccine, purified chick emb	$1,068.36	$2,739.39	$704.94–$2,547.63	—	61%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 58160-0823-11 - zoster vaccine, inactivated adjuva	$293.91	$1,399.59	$228.44–$1,329.61	—	79%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 58160-0819-12 - zoster vaccine, inactivated adjuva	$293.91	$1,399.59	$228.44–$1,329.61	—	79%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 58160-0823-11 - zoster vaccine, inactivated adjuva	$545.84	$1,399.59	$183.02–$1,301.62	—	61%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 58160-0819-12 - zoster vaccine, inactivated adjuva	$545.84	$1,399.59	$183.02–$1,301.62	—	61%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 17478-0131-01 - tetanus-diphth toxoids (Td) adult/	$94.50	$450.00	$37.37–$427.50	6% below	79%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 00006-4133-41 - tetanus-diphtheria toxoids 2 units	$94.50	$450.00	$37.37–$427.50	6% below	79%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 00006-4133-01 - tetanus-diphth toxoids (Td) adult/	$94.50	$450.00	$37.37–$427.50	6% below	79%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 13533-0131-01 - tetanus-diphth toxoids (Td) adult/	$94.50	$450.00	$37.37–$427.50	6% below	79%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 49281-0215-15 - tetanus-diphtheria toxoids 5 units	$94.50	$450.00	$37.37–$427.50	6% below	79%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 49281-0215-10 - tetanus-diphtheria toxoids 5 units	$94.50	$450.00	$37.37–$427.50	6% below	79%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 49281-0291-10 - tetanus-diphtheria toxoids 5 units	$94.50	$450.00	$37.37–$427.50	6% below	79%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 49281-0291-83 - tetanus-diphtheria toxoids 5 units	$94.50	$450.00	$37.37–$427.50	6% below	79%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 49281-0225-10 - diphtheria-tetanus toxoids (DT) pe	$95.38	$454.17	$37.37–$431.46	5% below	79%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 00006-4133-41 - tetanus-diphtheria toxoids 2 units	$175.50	$450.00	$72.37–$418.50	—	61%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 13533-0131-01 - tetanus-diphth toxoids (Td) adult/	$175.50	$450.00	$72.37–$418.50	—	61%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 00006-4133-01 - tetanus-diphth toxoids (Td) adult/	$175.50	$450.00	$72.37–$418.50	—	61%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 49281-0215-10 - tetanus-diphtheria toxoids 5 units	$175.50	$450.00	$72.37–$418.50	—	61%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 17478-0131-01 - tetanus-diphth toxoids (Td) adult/	$175.50	$450.00	$72.37–$418.50	—	61%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 49281-0215-15 - tetanus-diphtheria toxoids 5 units	$175.50	$450.00	$72.37–$418.50	—	61%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 49281-0291-10 - tetanus-diphtheria toxoids 5 units	$175.50	$450.00	$72.37–$418.50	—	61%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 49281-0291-83 - tetanus-diphtheria toxoids 5 units	$175.50	$450.00	$72.37–$418.50	—	61%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 49281-0225-10 - diphtheria-tetanus toxoids (DT) pe	$177.13	$454.17	$72.37–$422.38	—	61%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 49281-0400-10 - tetanus/diphtheria/pertussis, acel	$94.50	$450.00	$94.50–$427.50	21% below	79%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 49281-0400-10 - tetanus/diphtheria/pertussis acel	$94.50	$450.00	$94.50–$427.50	21% below	79%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 58160-0842-52 - tetanus/diphtheria/pertussis, acel	$94.50	$450.00	$94.50–$427.50	21% below	79%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 49281-0400-15 - tetanus/diphtheria/pertussis, acel	$94.50	$450.00	$94.50–$427.50	21% below	79%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 58160-0842-43 - tetanus/diphth/pertuss (Tdap) adul	$94.50	$450.00	$94.50–$427.50	21% below	79%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 58160-0842-46 - tetanus/diphth/pertuss (Tdap) adul	$94.50	$450.00	$94.50–$427.50	21% below	79%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 49281-0400-20 - tetanus/diphth/pertuss (Tdap) adul	$94.50	$450.00	$94.50–$427.50	21% below	79%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 49281-0400-15 - tetanus/diphtheria/pertussis acel	$94.50	$450.00	$94.50–$427.50	21% below	79%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 58160-0842-11 - tetanus/diphtheria/pertussis, acel	$94.50	$450.00	$94.50–$427.50	21% below	79%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 58160-0842-43 - tetanus/diphth/pertuss (Tdap) adul	$175.50	$450.00	$82.81–$418.50	—	61%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 49281-0400-10 - tetanus/diphtheria/pertussis acel	$175.50	$450.00	$82.81–$418.50	—	61%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 49281-0400-10 - tetanus/diphtheria/pertussis, acel	$175.50	$450.00	$82.81–$418.50	—	61%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 49281-0400-15 - tetanus/diphtheria/pertussis acel	$175.50	$450.00	$82.81–$418.50	—	61%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 58160-0842-11 - tetanus/diphtheria/pertussis, acel	$175.50	$450.00	$82.81–$418.50	—	61%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 49281-0400-15 - tetanus/diphtheria/pertussis, acel	$175.50	$450.00	$82.81–$418.50	—	61%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 49281-0400-20 - tetanus/diphth/pertuss (Tdap) adul	$175.50	$450.00	$82.81–$418.50	—	61%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 58160-0842-52 - tetanus/diphtheria/pertussis, acel	$175.50	$450.00	$82.81–$418.50	—	61%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 58160-0842-46 - tetanus/diphth/pertuss (Tdap) adul	$175.50	$450.00	$82.81–$418.50	—	61%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 CHRG - OP Clinic Vaccine - 261	$13.86	$66.00	$13.86–$71.28	71% below	79%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Pt. Location - Vaccine Charge - OB/Nursery	$44.52	$212.00	$18.80–$201.40	7% below	79%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Pt. Location - Vaccine Charge - Infusion Center	$46.20	$220.00	$18.80–$209.00	3% below	79%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Pt. Location - Vaccine Charge - In House/Observati	$46.20	$220.00	$18.80–$209.00	3% below	79%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Pt. Location - Vaccine Charge - Emergency Departme	$47.25	$225.00	$18.80–$213.75	1% below	79%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 $ED Admin Vaccine	$47.25	$225.00	$18.80–$213.75	1% below	79%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 CHRG - OP Clinic Vaccine - 261	$25.74	$66.00	$25.74–$61.38	—	61%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Pt. Location - Vaccine Charge - OB/Nursery	$82.68	$212.00	$40.36–$197.16	—	61%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Pt. Location - Vaccine Charge - Infusion Center	$85.80	$220.00	$40.36–$204.60	—	61%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Pt. Location - Vaccine Charge - In House/Observati	$85.80	$220.00	$40.36–$204.60	—	61%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 $ED Admin Vaccine	$87.75	$225.00	$40.36–$209.25	—	61%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Pt. Location - Vaccine Charge - Emergency Departme	$87.75	$225.00	$40.36–$209.25	—	61%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 CHRG - OP Clinic Vaccine Addl - 261	$8.19	$39.00	$8.19–$37.05	74% below	79%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Pt. Location - Vaccine Charge - ED Additional	$14.49	$69.00	$13.45–$65.55	55% below	79%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 CHRG - OP Clinic Vaccine Addl - 261	$15.21	$39.00	$15.21–$36.27	—	61%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Pt. Location - Vaccine Charge - ED Additional	$26.91	$69.00	$26.91–$64.17	—	61%

Source file: https://www.enmmc.com/Uploads/Public/Documents/charge-masters/charge-masters-2024/742870118_eastern-new-mexico-medical-center_standardcharges.csv