Hospital New York-Newark-Jersey City, NY-NJ

Hunterdon Medical Center

Hunterdon Medical Center in Flemington, NJ publishes cash prices for 387 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the New Jersey median for 3 of 4 procedures and above it for 1. Click a procedure to compare it with other hospitals nearby.

2100 Wescott Dr, Flemington, NJ,08822 Collected Sep 27, 2026 Source price file (908) 788-6100

Acute care hospital No emergency department CMS star rating 4 of 5 CCN 310005 · CMS hospital register NPI 1922095116

CMS price transparency record

The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 3 actions for a hospital named Hunterdon Medical Center in Flemington, NJ:

Jan 23, 2023 Warning notice
Oct 12, 2023 Case closed
Jul 27, 2026 Met requirements

Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Case closed: CMS closed the case after the hospital addressed the problems. Met requirements: CMS reviewed the hospital and found it met the requirements, so no further action was taken.

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

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs New Jersey	Off list
Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABD W & WO CONTRAST	$394.07	$1,259.00	$1,007.20–$1,070.15	—	69%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABD W/WO	$1,682.06	$5,374.00	$4,299.20–$4,567.90	—	69%
Abdominal X-ray, 2 views inpatient CPT 74019 X-RAY ABD 2 VIEW	$40.38	$129.00	$103.20–$109.65	—	69%
Abdominal X-ray, 2 views inpatient CPT 74019 X-RAY ABDOMEN 2 VIEWS	$202.51	$647.00	$517.60–$549.95	—	69%
Abdominal X-ray, 2 views inpatient CPT 74019 ABDOMEN 2 VIEW	$202.51	$647.00	$517.60–$549.95	—	69%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 X-RAY ANKLE RIGHT, MIN OF 3 VIEWS, COMPLETE	$263.55	$842.00	$673.60–$715.70	—	69%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 X-RAY ANKLE LEFT, MIN OF 3 VIEWS, COMPLETE	$263.55	$842.00	$673.60–$715.70	—	69%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 RT ANKLE X-RAY	$263.55	$842.00	$673.60–$715.70	—	69%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 LT ANKLE COMPLETE	$263.55	$842.00	$673.60–$715.70	—	69%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 TRANSCUTANEOUS 02 TENSION MONITOR;SNGL LEVEL	$192.50	$615.00	$492.00–$522.75	—	69%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 NON-INVASIVE UE/LE SINGLE LEVEL	$429.44	$1,372.00	$1,097.60–$1,166.20	—	69%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US ABI SINGLE LEVEL	$444.46	$1,420.00	$1,136.00–$1,207.00	—	69%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UPPER EXTREMITY RIGHT WO CONTRAST	$240.70	$769.00	$615.20–$653.65	—	69%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UPPER LEFT EXTREMITY W/O CONTRAST	$240.70	$769.00	$615.20–$653.65	—	69%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UE RT W/O	$1,075.47	$3,436.00	$2,748.80–$2,920.60	—	69%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UE LT W/O;CONTRAST WITHOUT	$1,365.31	$4,362.00	$3,489.60–$3,707.70	—	69%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 BARIUM SWALLOW ESOPHAGUS	$379.67	$1,213.00	$970.40–$1,031.05	—	69%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 BONE SCAN WB	$1,080.16	$3,451.00	$2,760.80–$2,933.35	—	69%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US LT BREAST SCREENING	$99.85	$319.00	$255.20–$271.15	—	69%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US RT BREAST SCREENING	$99.85	$319.00	$255.20–$271.15	—	69%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST SCREENING LEFT	$162.13	$518.00	$414.40–$440.30	—	69%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST SCREENING RIGHT	$162.13	$518.00	$414.40–$440.30	—	69%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US RT BREAST DIAGNOSTIC	$90.77	$290.00	$232.00–$246.50	—	69%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US LT BREAST DIAGNOSTIC	$90.77	$290.00	$232.00–$246.50	—	69%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 ULTRASOUND BREAST DIAGNOSTIC RIGHT	$148.99	$476.00	$380.80–$404.60	—	69%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 ULTRASOUND BREAST DIAGNOSTIC LEFT	$148.99	$476.00	$380.80–$404.60	—	69%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA ABD & PELV WITH AND WITHOUT CONTRAST	$432.88	$1,383.00	$1,106.40–$1,175.55	—	69%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA TVAR	$2,584.44	$8,257.00	$6,605.60–$7,018.45	—	69%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA ABDOMEN AND PELVIS	$2,584.44	$8,257.00	$6,605.60–$7,018.45	—	69%
CT angiography (CTA) of the head inpatient CPT 70496 CN CTV HEAD W/WO	$461.99	$1,476.00	$1,180.80–$1,254.60	—	69%
CT angiography (CTA) of the head inpatient CPT 70496 CTV HEAD W/WO	$1,424.46	$4,551.00	$3,640.80–$3,868.35	—	69%
CT angiography (CTA) of the head inpatient CPT 70496 CTA HEAD	$1,424.46	$4,551.00	$3,640.80–$3,868.35	—	69%
CT angiography (CTA) of the neck inpatient CPT 70498 CTA NECK	$1,405.68	$4,491.00	$3,592.80–$3,817.35	—	69%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST PE PROTOCOL	$416.92	$1,332.00	$1,065.60–$1,132.20	—	69%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST	$1,631.36	$5,212.00	$4,169.60–$4,430.20	—	69%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA TVAR	$1,631.36	$5,212.00	$4,169.60–$4,430.20	—	69%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CORONARY CTA & HEART ADD'L VESSEL	$1,313.35	$4,196.00	$3,356.80–$3,566.60	—	69%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT HEART CALCIUM SELF	$27.86	$89.00	$71.20–$75.65	—	69%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT CARDIAC WITH CALCIUM	$27.86	$89.00	$71.20–$75.65	—	69%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT STONE SEARCH	$422.86	$1,351.00	$1,080.80–$1,148.35	—	69%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD & PELV WO CONTRAST	$422.86	$1,351.00	$1,080.80–$1,148.35	—	69%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD/PELVIS WO	$1,846.39	$5,899.00	$4,719.20–$5,014.15	—	69%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ENTEROGRAPHY	$466.06	$1,489.00	$1,191.20–$1,265.65	—	69%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT VEIN - ABD & PELV W CONTRAST	$481.08	$1,537.00	$1,229.60–$1,306.45	—	69%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD & PELV W CONTRAST	$481.08	$1,537.00	$1,229.60–$1,306.45	—	69%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT VEIN - ABD/PELVIS WITH	$2,584.44	$8,257.00	$6,605.60–$7,018.45	—	69%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD/PELVIS WITH	$2,584.44	$8,257.00	$6,605.60–$7,018.45	—	69%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD & PELV W & WO CONTRAST	$595.95	$1,904.00	$1,523.20–$1,618.40	—	69%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT UROGRAM	$595.95	$1,904.00	$1,523.20–$1,618.40	—	69%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD/PELVIS W/WO	$2,698.69	$8,622.00	$6,897.60–$7,328.70	—	69%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABD W CONTRAST	$326.77	$1,044.00	$835.20–$887.40	—	69%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABD WITH	$1,400.68	$4,475.00	$3,580.00–$3,803.75	—	69%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABD WO CONTRAST	$279.20	$892.00	$713.60–$758.20	—	69%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABD W/O	$992.52	$3,171.00	$2,536.80–$2,695.35	—	69%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT FACIAL WO CONTRAST	$288.59	$922.00	$737.60–$783.70	—	69%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 SINUSES WITHOUT CONTRAST	$288.59	$922.00	$737.60–$783.70	—	69%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT FACIAL W/O	$962.16	$3,074.00	$2,459.20–$2,612.90	—	69%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD W/O CONTRAST	$221.60	$708.00	$566.40–$601.80	—	69%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD W/O	$1,063.89	$3,399.00	$2,719.20–$2,889.15	—	69%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD W CONTRAST	$250.40	$800.00	$640.00–$680.00	—	69%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD WITH	$1,323.05	$4,227.00	$3,381.60–$3,592.95	—	69%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD W/WO	$1,674.86	$5,351.00	$4,280.80–$4,548.35	—	69%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR SPINE WO CONTRAST	$215.66	$689.00	$551.20–$585.65	—	69%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT L-SP W/O	$1,347.46	$4,305.00	$3,444.00–$3,659.25	—	69%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERVICAL SPINE WO CONTRAST	$215.66	$689.00	$551.20–$585.65	—	69%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT C-SP W/O	$1,310.53	$4,187.00	$3,349.60–$3,558.95	—	69%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W CONTRAST	$307.68	$983.00	$786.40–$835.55	—	69%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS WITH	$1,400.68	$4,475.00	$3,580.00–$3,803.75	—	69%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US CAROTID BILATERAL	$580.62	$1,855.00	$1,484.00–$1,576.75	—	69%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 CAROTID BILATERAL DUPLEX	$615.67	$1,967.00	$1,573.60–$1,671.95	—	69%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US CAROTID/DUP BILAT	$723.66	$2,312.00	$1,849.60–$1,965.20	—	69%
Chest CT scan without and with contrast inpatient CPT 71270 CT CHEST W/WO CONTRAST	$346.18	$1,106.00	$884.80–$940.10	—	69%
Chest CT scan without and with contrast inpatient CPT 71270 CT CHEST W/WO, DIAGNOSTIC	$1,502.40	$4,800.00	$3,840.00–$4,080.00	—	69%
Chest X-ray, 2 views inpatient CPT 71046 X-RAY CHEST 2 VIEW	$36.31	$116.00	$92.80–$98.60	—	69%
Chest X-ray, 2 views inpatient CPT 71046 X-RAY CHEST, 2 VIEWS	$196.56	$628.00	$502.40–$533.80	—	69%
Chest X-ray, 2 views inpatient CPT 71046 CHEST 2 VIEWS, RADIOLOGIC EXAM	$196.56	$628.00	$502.40–$533.80	—	69%
Chest X-ray, single view inpatient CPT 71045 CHEST 1 VIEW,EXAM,RADIOLOGIC	$158.69	$507.00	$405.60–$430.95	—	69%
Chest X-ray, single view inpatient CPT 71045 X-RAY CHEST, 1 VIEW	$158.69	$507.00	$405.60–$430.95	—	69%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 X-RAY RT CLAVICLE	$30.67	$98.00	$78.40–$83.30	—	69%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 X-RAY LT CLAVICLE	$30.67	$98.00	$78.40–$83.30	—	69%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 RT CLAVICLE X-RAY	$234.75	$750.00	$600.00–$637.50	—	69%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 LT CLAVICLE X-RAY	$234.75	$750.00	$600.00–$637.50	—	69%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 X-RAY, LEFT CLAVICLE, COMPLETE	$234.75	$750.00	$600.00–$637.50	—	69%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 X-RAY, RIGHT CLAVICLE, COMPLETE	$234.75	$750.00	$600.00–$637.50	—	69%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RENAL	$117.69	$376.00	$300.80–$319.60	—	69%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEAL	$417.23	$1,333.00	$1,066.40–$1,133.05	—	69%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 BONE DENSITY AXIAL	$344.93	$1,102.00	$881.60–$936.70	—	69%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 BONE DENSITY PERIPHERAL	$41.00	$131.00	$104.80–$111.35	—	69%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 XR DEXA FOREARM	$89.20	$285.00	$228.00–$242.25	—	69%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DEXA BONE DENSITY PERIPHERAL	$248.52	$794.00	$635.20–$674.90	—	69%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DEXA ARM	$248.52	$794.00	$635.20–$674.90	—	69%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US PREG COMP	$230.06	$735.00	$588.00–$624.75	—	69%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US FETAL AGE	$519.89	$1,661.00	$1,328.80–$1,411.85	—	69%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT LUNG DIAGNOSTIC (FOLLOWUP TO SCREENING)	$288.59	$922.00	$737.60–$783.70	—	69%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST WO CONTRAST	$288.59	$922.00	$737.60–$783.70	—	69%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST W/O, DIAGNOSTIC	$1,068.27	$3,413.00	$2,730.40–$2,901.05	—	69%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W CONTRAST	$331.15	$1,058.00	$846.40–$899.30	—	69%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST WITH, DIAGNOSTIC	$1,461.71	$4,670.00	$3,736.00–$3,969.50	—	69%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMMO DIAGNOSTIC BILATERAL	$197.19	$630.00	$504.00–$535.50	—	69%
Diagnostic mammogram, both breasts inpatient CPT 77066 MAMMO DIAG BIL	$154.00	$492.00	$393.60–$418.20	—	69%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMO DIAG LT	$124.89	$399.00	$319.20–$339.15	—	69%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMO DIAG RT	$124.89	$399.00	$319.20–$339.15	—	69%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMO DIAGNOSTIC LEFT	$167.14	$534.00	$427.20–$453.90	—	69%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMO DIAGNOSTIC RIGHT	$167.14	$534.00	$427.20–$453.90	—	69%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US ARTERIAL LE BILATERAL	$520.83	$1,664.00	$1,331.20–$1,414.40	—	69%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 LE ARTERIAL BILATERAL DUPLEX	$552.13	$1,764.00	$1,411.20–$1,499.40	—	69%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HCA ARTERIAL LE BILAT	$604.40	$1,931.00	$1,544.80–$1,641.35	—	69%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US LE ART BILAT	$604.40	$1,931.00	$1,544.80–$1,641.35	—	69%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US VENOUS LE BILATERAL	$604.40	$1,931.00	$1,544.80–$1,641.35	—	69%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 UE VENOUS BILATERAL	$604.40	$1,931.00	$1,544.80–$1,641.35	—	69%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US VEN UE BILAT	$604.40	$1,931.00	$1,544.80–$1,641.35	—	69%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 LE VENOUS BILATERAL	$604.40	$1,931.00	$1,544.80–$1,641.35	—	69%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US VENOUS UE BILATERAL	$604.40	$1,931.00	$1,544.80–$1,641.35	—	69%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US VENOUS BIL UPPER EXTREMITY	$172.46	$551.00	$440.80–$468.35	—	69%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US VENOUS LOWER EXTREMITY	$172.46	$551.00	$440.80–$468.35	—	69%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US VEN LE BIL	$604.40	$1,931.00	$1,544.80–$1,641.35	—	69%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US VENOUS INSUFFICIENCY	$1,034.15	$3,304.00	$2,643.20–$2,808.40	—	69%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 VENOUS INSUFFICIENCY STUDY	$1,034.15	$3,304.00	$2,643.20–$2,808.40	—	69%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHOCARDOGRAM W/ DOPPLER	$1,228.53	$3,925.00	$3,140.00–$3,336.25	—	69%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHOCARDIOGRAM W/DOPPLER/CF	$1,228.53	$3,925.00	$3,140.00–$3,336.25	—	69%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHOCARDIOGRAM,COMPLETE,DOPPLER,TRANSTHORACIC	$1,415.07	$4,521.00	$3,616.80–$3,842.85	—	69%
Elbow X-ray, 2 views inpatient one side CPT 73070 X-RAY LT ELBOW 2 VIEWS	$30.67	$98.00	$78.40–$83.30	—	69%
Elbow X-ray, 2 views inpatient one side CPT 73070 X-RAY RT ELBOW 2 VIEWS	$30.67	$98.00	$78.40–$83.30	—	69%
Elbow X-ray, 2 views inpatient one side CPT 73070 X-RAY RIGHT ELBOW, 2 VIEWS	$126.76	$405.00	$324.00–$344.25	—	69%
Elbow X-ray, 2 views inpatient one side CPT 73070 X-RAY LEFT ELBOW, 2 VIEWS	$126.76	$405.00	$324.00–$344.25	—	69%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 X-RAY LT ELBOW 3 VIEWS	$34.74	$111.00	$88.80–$94.35	—	69%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 X-RAY RT ELBOW 3 VIEWS	$34.74	$111.00	$88.80–$94.35	—	69%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 X-RAY RIGHT ELBOW, MIN 3 VIEWS	$273.56	$874.00	$699.20–$742.90	—	69%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 X-RAY LEFT ELBOW, MIN 3 VIEWS	$273.56	$874.00	$699.20–$742.90	—	69%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW RIGHT 3+ VIEW	$273.56	$874.00	$699.20–$742.90	—	69%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW LEFT 3+ VIEW	$273.56	$874.00	$699.20–$742.90	—	69%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT ORBITS/EAR/FOSSA W/O CONTRAST	$240.70	$769.00	$615.20–$653.65	—	69%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT TEMPORAL BONES WITHOUT CONTRAST	$288.59	$922.00	$737.60–$783.70	—	69%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT ORB/EAR W/O	$1,055.75	$3,373.00	$2,698.40–$2,867.05	—	69%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 X-RAY FACIAL BONES	$38.81	$124.00	$99.20–$105.40	—	69%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 FACIAL BONES	$301.42	$963.00	$770.40–$818.55	—	69%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 X-RAY LT FOREARM	$27.54	$88.00	$70.40–$74.80	—	69%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 X-RAY RT FOREARM	$27.54	$88.00	$70.40–$74.80	—	69%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 LT FOREARM X-RAY	$275.13	$879.00	$703.20–$747.15	—	69%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 RT FOREARM X-RAY	$275.13	$879.00	$703.20–$747.15	—	69%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 X-RAY LEFT FOREARM, 2 VIEWS	$275.13	$879.00	$703.20–$747.15	—	69%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 X-RAY RIGHT FOREARM, 2 VIEWS	$275.13	$879.00	$703.20–$747.15	—	69%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 GB SCAN	$589.07	$1,882.00	$1,505.60–$1,599.70	—	69%
Hand X-ray, 2 views inpatient one side CPT 73120 X-RAY RT HAND 2 VIEWS	$27.54	$88.00	$70.40–$74.80	—	69%
Hand X-ray, 2 views inpatient one side CPT 73120 X-RAY LT HAND 2 VIEWS	$27.54	$88.00	$70.40–$74.80	—	69%
Hand X-ray, 2 views inpatient one side CPT 73120 HAND RIGHT 2 VIEW,X-RAY	$181.85	$581.00	$464.80–$493.85	—	69%
Hand X-ray, 2 views inpatient one side CPT 73120 X-RAY OF LEFT HAND, 2 VIEWS	$181.85	$581.00	$464.80–$493.85	—	69%
Hand X-ray, 2 views inpatient one side CPT 73120 X-RAY OF RIGHT HAND, 2 VIEWS	$181.85	$581.00	$464.80–$493.85	—	69%
Hand X-ray, 2 views inpatient one side CPT 73120 HAND LEFT 2 VIEW,X-RAY	$181.85	$581.00	$464.80–$493.85	—	69%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 X-RAY LT CALCANEUS	$43.51	$139.00	$111.20–$118.15	—	69%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 X-RAY RT CALCANEUS	$43.51	$139.00	$111.20–$118.15	—	69%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 X-RAY LT HEEL, MIN 2 VIEWS	$220.66	$705.00	$564.00–$599.25	—	69%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 LT HEEL X-RAY	$220.66	$705.00	$564.00–$599.25	—	69%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 X-RAY RT HEEL, MIN 2 VIEWS	$220.66	$705.00	$564.00–$599.25	—	69%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 RT HEEL X-RAY	$220.66	$705.00	$564.00–$599.25	—	69%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 H-PSG WITH CPAP	$3,874.94	$12,380.00	$9,904.00–$10,523.00	—	69%
Knee X-ray, 3 views inpatient one side CPT 73562 X-RAY RT KNEE 3 VIEWS	$36.31	$116.00	$92.80–$98.60	—	69%
Knee X-ray, 3 views inpatient one side CPT 73562 X-RAY LT KNEE 3 VIEWS	$36.31	$116.00	$92.80–$98.60	—	69%
Knee X-ray, 3 views inpatient one side CPT 73562 X-RAY LT KNEE, 3 VIEWS	$208.46	$666.00	$532.80–$566.10	—	69%
Knee X-ray, 3 views inpatient one side CPT 73562 RT KNEE 3 VIEWS	$208.46	$666.00	$532.80–$566.10	—	69%
Knee X-ray, 3 views inpatient one side CPT 73562 X-RAY RT KNEE, 3 VIEWS	$208.46	$666.00	$532.80–$566.10	—	69%
Knee X-ray, 3 views inpatient one side CPT 73562 LT KNEE 3 VIEWS	$208.46	$666.00	$532.80–$566.10	—	69%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 X-RAY LT KNEE COMPLETE	$54.78	$175.00	$140.00–$148.75	—	69%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 X-RAY RT KNEE COMPLETE	$54.78	$175.00	$140.00–$148.75	—	69%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 RT KNEE X-RAY	$220.35	$704.00	$563.20–$598.40	—	69%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 LT KNEE 4 VIEWS	$220.35	$704.00	$563.20–$598.40	—	69%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 X-RAY RT KNEE COMPLETE, 4+ VIEWS	$220.35	$704.00	$563.20–$598.40	—	69%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 X-RAY LT KNEE COMPLETE, 4+ VIEWS	$220.35	$704.00	$563.20–$598.40	—	69%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOWER LEFT EXTREMITY W/O CONTRAST	$240.70	$769.00	$615.20–$653.65	—	69%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOWER EXTREMITY RIGHT WO CONTRAST	$240.70	$769.00	$615.20–$653.65	—	69%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LE LT W/O	$1,218.20	$3,892.00	$3,113.60–$3,308.20	—	69%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LE RT WO	$1,218.20	$3,892.00	$3,113.60–$3,308.20	—	69%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABD SPLEEN	$108.92	$348.00	$278.40–$295.80	—	69%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN LIMITED	$305.80	$977.00	$781.60–$830.45	—	69%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABD LIMITED	$305.80	$977.00	$781.60–$830.45	—	69%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US RT LOWER EXTREMITY LIMITED	$90.77	$290.00	$232.00–$246.50	—	69%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US LT UPPER EXTREMITY LIMITED	$90.77	$290.00	$232.00–$246.50	—	69%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US RT UPPER EXTREMITY LIMITED	$90.77	$290.00	$232.00–$246.50	—	69%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US LT LOWER EXTREMITY LIMITED	$90.77	$290.00	$232.00–$246.50	—	69%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 LOWER EXTREMITY LIMITED RIGHT	$264.48	$845.00	$676.00–$718.25	—	69%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 UPPER EXTREMITY LIMITED RIGHT	$264.48	$845.00	$676.00–$718.25	—	69%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 LOWER EXTREMITY LIMITED LEFT	$264.48	$845.00	$676.00–$718.25	—	69%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 UPPER EXTREMITY LIMITED LEFT	$264.48	$845.00	$676.00–$718.25	—	69%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT LUNG SCREEN	$154.94	$495.00	$396.00–$420.75	—	69%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 X-RAY LT TIB/FIB	$29.11	$93.00	$74.40–$79.05	—	69%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 X-RAY RT TIB/FIB	$29.11	$93.00	$74.40–$79.05	—	69%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 X-RAY RT TIBIA/FIBULA, 2 VIEWS	$272.94	$872.00	$697.60–$741.20	—	69%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 RT LOWER LEG X-RAY	$272.94	$872.00	$697.60–$741.20	—	69%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 LT LOWER LEG X-RAY	$272.94	$872.00	$697.60–$741.20	—	69%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 X-RAY LT TIBIA/FIBULA, 2 VIEWS	$272.94	$872.00	$697.60–$741.20	—	69%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA CIRCLE OF WILLIS & VERTEBROBASILAR	$380.61	$1,216.00	$972.80–$1,033.60	—	69%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA HEAD WO CONTRAST	$380.61	$1,216.00	$972.80–$1,033.60	—	69%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRV HEAD	$399.70	$1,277.00	$1,021.60–$1,085.45	—	69%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA CIRCLE OF WILLIS & VERTEBROBASILAR W/O CONTRAST	$399.70	$1,277.00	$1,021.60–$1,085.45	—	69%
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 MRI BILATERAL BREAST W & WO CONTRAST	$623.18	$1,991.00	$1,592.80–$1,692.35	—	69%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI RT KNEE WO CONTRAST	$380.61	$1,216.00	$972.80–$1,033.60	—	69%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LT KNEE WO CONTRAST	$380.61	$1,216.00	$972.80–$1,033.60	—	69%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI RT HIP WO CONTRAST	$380.61	$1,216.00	$972.80–$1,033.60	—	69%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LT ANKLLE WO CONTRAST	$380.61	$1,216.00	$972.80–$1,033.60	—	69%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI RT ANKLE WO CONTRAST	$380.61	$1,216.00	$972.80–$1,033.60	—	69%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LT HIP WO CONTRAST	$380.61	$1,216.00	$972.80–$1,033.60	—	69%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LEFT ANKLE W/O CONTRAST	$399.70	$1,277.00	$1,021.60–$1,085.45	—	69%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI RIGHT HIP W/O CONTRAST	$399.70	$1,277.00	$1,021.60–$1,085.45	—	69%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI RIGHT ANKLE W/O CONTRAST	$399.70	$1,277.00	$1,021.60–$1,085.45	—	69%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LEFT KNEE W/O CONTRAST	$399.70	$1,277.00	$1,021.60–$1,085.45	—	69%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI RIGHT KNEE W/O CONTRAST	$399.70	$1,277.00	$1,021.60–$1,085.45	—	69%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LEFT HIP W/O CONTRAST	$399.70	$1,277.00	$1,021.60–$1,085.45	—	69%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI LT ANKLW W & WO CONTRAST	$623.18	$1,991.00	$1,592.80–$1,692.35	—	69%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI RT ANKLE W & WO CONTRAST	$623.18	$1,991.00	$1,592.80–$1,692.35	—	69%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI RT HIP W & WO CONTRAST	$623.18	$1,991.00	$1,592.80–$1,692.35	—	69%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI LT HIP W & WO CONTRAST	$623.18	$1,991.00	$1,592.80–$1,692.35	—	69%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI RT KNEE W & WO CONTRAST	$623.18	$1,991.00	$1,592.80–$1,692.35	—	69%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI LT KNEE W & WO CONTRAST	$623.18	$1,991.00	$1,592.80–$1,692.35	—	69%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI LEFT HIP W/ & W/O CONTRAST	$654.48	$2,091.00	$1,672.80–$1,777.35	—	69%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI RIGHT KNEE W/ & W/O CONTRAST	$654.48	$2,091.00	$1,672.80–$1,777.35	—	69%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI RIGHT ANKLE W/ & W/O CONTRAST	$654.48	$2,091.00	$1,672.80–$1,777.35	—	69%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI LEFT ANKLE W/ & W/O CONTRAST	$654.48	$2,091.00	$1,672.80–$1,777.35	—	69%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI RIGHT HIP W/ & W/O CONTRAST	$654.48	$2,091.00	$1,672.80–$1,777.35	—	69%
MRI of the abdomen without contrast inpatient CPT 74181 MRCP	$380.61	$1,216.00	$972.80–$1,033.60	—	69%
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABD W/O CONTRAST	$399.70	$1,277.00	$1,021.60–$1,085.45	—	69%
MRI of the abdomen without contrast inpatient CPT 74181 MRI MRCP	$399.70	$1,277.00	$1,021.60–$1,085.45	—	69%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI KIDNEYS W/WO CONTRAS	$623.18	$1,991.00	$1,592.80–$1,692.35	—	69%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI LIVER W/WO CONTRAST	$623.18	$1,991.00	$1,592.80–$1,692.35	—	69%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ADRENAL W/WO CONTRAS	$623.18	$1,991.00	$1,592.80–$1,692.35	—	69%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI PANCREAS W/WO CONTRAST	$623.18	$1,991.00	$1,592.80–$1,692.35	—	69%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ADRENAL W/ & W/O CONTRAST	$654.48	$2,091.00	$1,672.80–$1,777.35	—	69%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABD W/WO CONTRAST	$654.48	$2,091.00	$1,672.80–$1,777.35	—	69%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ENTEROGRAPHY	$654.48	$2,091.00	$1,672.80–$1,777.35	—	69%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI KIDNEYS W/ & W/O CONTRAST	$654.48	$2,091.00	$1,672.80–$1,777.35	—	69%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI LIVER W/ & W/O CONTRAST	$654.48	$2,091.00	$1,672.80–$1,777.35	—	69%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI PANCREAS W/ & W/O CONTRAST	$654.48	$2,091.00	$1,672.80–$1,777.35	—	69%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI UROGRAM	$1,242.30	$3,969.00	$3,175.20–$3,373.65	—	69%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN W/O CONTRAST	$399.70	$1,277.00	$1,021.60–$1,085.45	—	69%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI IAC W & WO CONTRAST	$623.18	$1,991.00	$1,592.80–$1,692.35	—	69%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W/WO CONTRAST	$623.18	$1,991.00	$1,592.80–$1,692.35	—	69%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI PITUITARY W & WO CONTRAST	$623.18	$1,991.00	$1,592.80–$1,692.35	—	69%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI IAC'S WITH & W/O CONTRAST	$654.48	$2,091.00	$1,672.80–$1,777.35	—	69%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN WITH & W/O CONTRAST	$654.48	$2,091.00	$1,672.80–$1,777.35	—	69%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI PITUITARY W/ & W/O CONTRAST	$654.48	$2,091.00	$1,672.80–$1,777.35	—	69%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LUMBAR SPINE WO CONTRAST	$380.61	$1,216.00	$972.80–$1,033.60	—	69%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LUMBAR SPINE W/O CONTRAST	$399.70	$1,277.00	$1,021.60–$1,085.45	—	69%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI LUMBAR SPINE W & WO CONTRAST	$623.18	$1,991.00	$1,592.80–$1,692.35	—	69%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI LUMBAR SPINE WITH & W/O CONTRAST	$654.48	$2,091.00	$1,672.80–$1,777.35	—	69%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI THORACIC WO CONTRAST	$380.61	$1,216.00	$972.80–$1,033.60	—	69%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI THORACIC SPINE W/O CONTRAST	$399.70	$1,277.00	$1,021.60–$1,085.45	—	69%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI CERVICAL SPINE W & WO CONTRAST	$623.18	$1,991.00	$1,592.80–$1,692.35	—	69%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI CERVICAL SPINE WITH & W/O CONTRAST	$654.48	$2,091.00	$1,672.80–$1,777.35	—	69%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI CERVICAL SPINE WO CONTRAST	$380.61	$1,216.00	$972.80–$1,033.60	—	69%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI CERVICAL SPINE W/O CONTRAST	$399.70	$1,277.00	$1,021.60–$1,085.45	—	69%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W & WO CONTRAST	$623.18	$1,991.00	$1,592.80–$1,692.35	—	69%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI SCAROILIAC JTS W & WO CONTRAST	$623.18	$1,991.00	$1,592.80–$1,692.35	—	69%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI SACRUM W & WO CONTRAST	$623.18	$1,991.00	$1,592.80–$1,692.35	—	69%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI SACRUM W & W/O CONTRAST	$654.48	$2,091.00	$1,672.80–$1,777.35	—	69%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W & W/O CONTRAST	$654.48	$2,091.00	$1,672.80–$1,777.35	—	69%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI SCAROILIAC JTS W & W/O CONTRAST	$654.48	$2,091.00	$1,672.80–$1,777.35	—	69%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI SACRUM WO CONTRAST	$380.61	$1,216.00	$972.80–$1,033.60	—	69%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS WO CONTRAST	$380.61	$1,216.00	$972.80–$1,033.60	—	69%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI SCAROILIAC JTS WO CONTRAST	$380.61	$1,216.00	$972.80–$1,033.60	—	69%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI SCAROILIAC JTS W/O CONTRAST	$399.70	$1,277.00	$1,021.60–$1,085.45	—	69%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS W/O CONTRAST	$399.70	$1,277.00	$1,021.60–$1,085.45	—	69%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI SACRUM W/O CONTRAST	$399.70	$1,277.00	$1,021.60–$1,085.45	—	69%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI RT SHOULDER WO CONTRAST	$380.61	$1,216.00	$972.80–$1,033.60	—	69%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI RT ELBOW WO CONTRAST	$380.61	$1,216.00	$972.80–$1,033.60	—	69%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI LT ELBOW WO CONTRAST	$380.61	$1,216.00	$972.80–$1,033.60	—	69%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI LT SHOULDER WO CONTRAST	$380.61	$1,216.00	$972.80–$1,033.60	—	69%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI RT WRIST WO CONTRAST	$380.61	$1,216.00	$972.80–$1,033.60	—	69%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI LT WRIST WO CONTRAST	$380.61	$1,216.00	$972.80–$1,033.60	—	69%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI RIGHT SHOULDER W/O CONTRAST	$399.70	$1,277.00	$1,021.60–$1,085.45	—	69%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI LEFT ELBOW W/O CONTRAST	$399.70	$1,277.00	$1,021.60–$1,085.45	—	69%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI LEFT SHOULDER W/O CONTRAST	$399.70	$1,277.00	$1,021.60–$1,085.45	—	69%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI RIGHT ELBOW W/O CONTRAST	$399.70	$1,277.00	$1,021.60–$1,085.45	—	69%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI RIGHT WRIST W/O CONTRAST	$399.70	$1,277.00	$1,021.60–$1,085.45	—	69%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI LEFT WRIST W/O CONTRAST	$399.70	$1,277.00	$1,021.60–$1,085.45	—	69%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 X-RAY C-SPINE 4 VIEWS	$52.58	$168.00	$134.40–$142.80	—	69%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 C-SPINE 4-5 VIEWS	$377.79	$1,207.00	$965.60–$1,025.95	—	69%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 X-RAY C-SPINE 4 OR 5 VIEWS	$377.79	$1,207.00	$965.60–$1,025.95	—	69%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT SOFT TISSUE NECK W CONTRAST	$288.59	$922.00	$737.60–$783.70	—	69%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT ST NECK WITH	$1,436.36	$4,589.00	$3,671.20–$3,900.65	—	69%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT SOFT TISSUE NECK WO CONTRAST	$221.60	$708.00	$566.40–$601.80	—	69%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT ST NECK W/O	$1,048.55	$3,350.00	$2,680.00–$2,847.50	—	69%
Neck soft tissue X-ray inpatient CPT 70360 X-RAY NECK SOFT TISSUE	$32.24	$103.00	$82.40–$87.55	—	69%
Neck soft tissue X-ray inpatient CPT 70360 X-RAY NECK, SOFT TISSUE	$186.24	$595.00	$476.00–$505.75	—	69%
Neck soft tissue X-ray inpatient CPT 70360 NECK SOFT TISSUE	$186.24	$595.00	$476.00–$505.75	—	69%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 MYOCARDIAL PERFUSION MULTIPLE;IMAGING,SPECT	$2,372.85	$7,581.00	$6,064.80–$6,443.85	—	69%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 MYOPERF MULTI	$2,827.64	$9,034.00	$7,227.20–$7,678.90	—	69%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 VIABILITY MYO STUDY	$2,827.64	$9,034.00	$7,227.20–$7,678.90	—	69%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET IMAGE W/CT SKULL-THIGH	$2,473.64	$7,903.00	$6,322.40–$6,717.55	—	69%
Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS WO CONTRAST	$288.59	$922.00	$737.60–$783.70	—	69%
Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS W/O	$1,066.39	$3,407.00	$2,725.60–$2,895.95	—	69%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US FOLLICLE STUDY	$164.95	$527.00	$421.60–$447.95	—	69%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIC BLADDER	$164.95	$527.00	$421.60–$447.95	—	69%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC GYN	$209.71	$670.00	$536.00–$569.50	—	69%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIS	$417.23	$1,333.00	$1,066.40–$1,133.05	—	69%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US PREG 2ND/3RD TRIMESTER	$200.01	$639.00	$511.20–$543.15	—	69%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US FETAL AGE	$422.24	$1,349.00	$1,079.20–$1,146.65	—	69%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US PREG 1ST TRIMESTER MULTIPLE	$123.32	$394.00	$315.20–$334.90	—	69%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US PREG 1ST TRIMESTER	$325.21	$1,039.00	$831.20–$883.15	—	69%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US PREG LIMITED/AF	$158.38	$506.00	$404.80–$430.10	—	69%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US PREG LIMITED	$367.78	$1,175.00	$940.00–$998.75	—	69%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 X-RAY RT RIBS	$33.49	$107.00	$85.60–$90.95	—	69%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 X-RAY LT RIBS	$33.49	$107.00	$85.60–$90.95	—	69%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 RT RIBS X-RAY	$252.59	$807.00	$645.60–$685.95	—	69%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 X-RAY RT RIBS, UNILATERAL, 2 VIEWS	$252.59	$807.00	$645.60–$685.95	—	69%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 X-RAY LT RIBS, UNILATERAL, 2 VIEWS	$252.59	$807.00	$645.60–$685.95	—	69%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 LT RIBS UNILATERAL	$252.59	$807.00	$645.60–$685.95	—	69%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 X-RAY RT RIBS W PA CHEST	$36.31	$116.00	$92.80–$98.60	—	69%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 X-RAY LT RIBS W PA CHEST	$36.31	$116.00	$92.80–$98.60	—	69%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS LEFT W/PA CHEST	$301.11	$962.00	$769.60–$817.70	—	69%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS LEFT W/PA CHEST, MIN 3 VIEWS	$301.11	$962.00	$769.60–$817.70	—	69%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS RIGHT W/PA CHEST, MIN 3 VIEWS	$301.11	$962.00	$769.60–$817.70	—	69%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS, RIGHT W/PA CHEST	$301.11	$962.00	$769.60–$817.70	—	69%
Screening mammogram, both breasts inpatient both sides CPT 77067 MAMMO SCREEN BILATERAL	$201.57	$644.00	$515.20–$547.40	—	69%
Screening mammogram, both breasts inpatient CPT 77067 MAMMO BIL SCREENING	$124.89	$399.00	$319.20–$339.15	—	69%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 LT SHOULDER X-RAY	$263.55	$842.00	$673.60–$715.70	—	69%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 RT SHOULDER X-RAY	$263.55	$842.00	$673.60–$715.70	—	69%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 X-RAY LT SHOULDER, COMPL, MIN 2 VIEWS	$263.55	$842.00	$673.60–$715.70	—	69%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 X-RAY RT SHOULDER, COMPL, MIN 2 VIEWS	$263.55	$842.00	$673.60–$715.70	—	69%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 X-RAY SINUSES	$35.06	$112.00	$89.60–$95.20	—	69%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 X-RAY SINUSES, MIN 3 VIEWS	$301.42	$963.00	$770.40–$818.55	—	69%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 SINUSES X-RAY	$301.42	$963.00	$770.40–$818.55	—	69%
Skull X-ray, fewer than 4 views inpatient CPT 70250 X-RAY SKULL 3 VIEWS	$33.49	$107.00	$85.60–$90.95	—	69%
Skull X-ray, fewer than 4 views inpatient CPT 70250 X-RAY SKULL, 3 VIEWS	$169.96	$543.00	$434.40–$461.55	—	69%
Skull X-ray, fewer than 4 views inpatient CPT 70250 SKULL LIMITED	$169.96	$543.00	$434.40–$461.55	—	69%
Sleep study in a lab (polysomnography) inpatient CPT 95810 H-POLYSOMNOGRAPHY	$3,348.16	$10,697.00	$8,557.60–$9,092.45	—	69%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 DOBUT STRESS ECHO	$871.08	$2,783.00	$2,226.40–$2,365.55	—	69%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 ECHOCARDIOGRAM STRESS	$1,193.78	$3,814.00	$3,051.20–$3,241.90	—	69%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 STRESS ECHO	$1,357.48	$4,337.00	$3,469.60–$3,686.45	—	69%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 BA SWALLOW MODIFIED	$478.89	$1,530.00	$1,224.00–$1,300.50	—	69%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 BARIUM SW/MODIFIED	$478.89	$1,530.00	$1,224.00–$1,300.50	—	69%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 X-RAY LT FEMUR 2 VIEW	$32.86	$105.00	$84.00–$89.25	—	69%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 X-RAY RT FEMUR 2 VIEW	$32.86	$105.00	$84.00–$89.25	—	69%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 X-RAY LEFT FEMUR, MIN 2 VIEWS	$229.43	$733.00	$586.40–$623.05	—	69%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 RT FEMUR X-RAY 2+ VIEWS	$229.43	$733.00	$586.40–$623.05	—	69%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FEMUR LEFT 2+ VIEWS	$229.43	$733.00	$586.40–$623.05	—	69%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 X-RAY RIGHT FEMUR, MIN 2 VIEWS	$229.43	$733.00	$586.40–$623.05	—	69%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT THORACIC SPINE WO CONTRAST	$215.66	$689.00	$551.20–$585.65	—	69%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT T-SP W/O	$1,310.53	$4,187.00	$3,349.60–$3,558.95	—	69%
Toe X-ray, 2 or more views inpatient one side CPT 73660 X-RAY LT TOES	$25.67	$82.00	$65.60–$69.70	—	69%
Toe X-ray, 2 or more views inpatient one side CPT 73660 X-RAY RT TOES	$25.67	$82.00	$65.60–$69.70	—	69%
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOES X-RAY	$220.66	$705.00	$564.00–$599.25	—	69%
Toe X-ray, 2 or more views inpatient one side CPT 73660 X-RAY RT TOES, MIN 2 VIEWS	$220.66	$705.00	$564.00–$599.25	—	69%
Toe X-ray, 2 or more views inpatient one side CPT 73660 X-RAY LT TOES, MIN 2 VIEWS	$220.66	$705.00	$564.00–$599.25	—	69%
Toe X-ray, 2 or more views inpatient one side CPT 73660 RT TOES X-RAY	$220.66	$705.00	$564.00–$599.25	—	69%
Transvaginal pelvic ultrasound inpatient CPT 76830 US PELVIS TRANSVAG	$209.71	$670.00	$536.00–$569.50	—	69%
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL	$436.32	$1,394.00	$1,115.20–$1,184.90	—	69%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US PREG TRANSVAG	$82.01	$262.00	$209.60–$222.70	—	69%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US PREG TRANSVAGINAL	$409.40	$1,308.00	$1,046.40–$1,111.80	—	69%
Ultrasound of the abdomen, complete inpatient CPT 76700 US GALLBLADDER	$127.08	$406.00	$324.80–$345.10	—	69%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABD COMPLETE	$127.08	$406.00	$324.80–$345.10	—	69%
Ultrasound of the abdomen, complete inpatient CPT 76700 US LIVER	$127.08	$406.00	$324.80–$345.10	—	69%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN	$508.31	$1,624.00	$1,299.20–$1,380.40	—	69%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM	$99.85	$319.00	$255.20–$271.15	—	69%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTAL	$359.95	$1,150.00	$920.00–$977.50	—	69%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US TESTICLE	$455.42	$1,455.00	$1,164.00–$1,236.75	—	69%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US NECK - LYMPH NODE MAPPING	$117.69	$376.00	$300.80–$319.60	—	69%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US HEAD/NECK SOFT TISSUE	$117.69	$376.00	$300.80–$319.60	—	69%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US HEAD/NECK	$343.99	$1,099.00	$879.20–$934.15	—	69%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US THYROID	$436.32	$1,394.00	$1,115.20–$1,184.90	—	69%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 SOFT TISSUE	$436.32	$1,394.00	$1,115.20–$1,184.90	—	69%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US NECK-LYMPH NODE MAPPING	$436.32	$1,394.00	$1,115.20–$1,184.90	—	69%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 GI	$383.11	$1,224.00	$979.20–$1,040.40	—	69%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 X-RAY LT HUMERUS	$30.67	$98.00	$78.40–$83.30	—	69%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 X-RAY RT HUMERUS	$30.67	$98.00	$78.40–$83.30	—	69%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 X-RAY, LT HUMERUS, MIN 2 VIEWS	$246.33	$787.00	$629.60–$668.95	—	69%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 RT HUMERUS X-RAY	$246.33	$787.00	$629.60–$668.95	—	69%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 LT HUMERUS X-RAY	$246.33	$787.00	$629.60–$668.95	—	69%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 X-RAY, RT HUMERUS, MIN 2 VIEWS	$246.33	$787.00	$629.60–$668.95	—	69%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient both sides CPT 93971 LIMITED BILATERAL VENOUS US (LOWER AND /OR UPPER EXTREMI	$579.99	$1,853.00	$1,482.40–$1,575.05	—	69%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VENOUS LT UPPER EXTREMITY	$145.23	$464.00	$371.20–$394.40	—	69%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VENOUS RT LOWER EXTREMITY	$145.23	$464.00	$371.20–$394.40	—	69%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VENOUS LT LOWER EXTREMITY	$145.23	$464.00	$371.20–$394.40	—	69%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VENOUS RT UPPER EXTREMITY	$145.23	$464.00	$371.20–$394.40	—	69%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VENOUS UE LEFT;DUPLEX EXTREMITY UNILATERAL,LIMITED	$401.58	$1,283.00	$1,026.40–$1,090.55	—	69%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 UE/LE VENOUS UNILATERAL	$401.58	$1,283.00	$1,026.40–$1,090.55	—	69%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 UE VENOUS RIGHT;DUPLEX EXTREMITY,UNILATERAL OR LIMITED	$401.58	$1,283.00	$1,026.40–$1,090.55	—	69%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 LE VENOUS RIGHT;DUPLEX EXTREMITY,UNILATERAL OR LIMITED	$401.58	$1,283.00	$1,026.40–$1,090.55	—	69%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 LE VENOUS LEFT	$401.58	$1,283.00	$1,026.40–$1,090.55	—	69%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VENOUS INSUFFICIENCY RT	$401.58	$1,283.00	$1,026.40–$1,090.55	—	69%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VENOUS INSUFFICIENCY LEFT	$401.58	$1,283.00	$1,026.40–$1,090.55	—	69%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VENOUS UE RIGHT	$401.58	$1,283.00	$1,026.40–$1,090.55	—	69%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VEN LELT	$479.20	$1,531.00	$1,224.80–$1,301.35	—	69%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VEN UELT	$479.20	$1,531.00	$1,224.80–$1,301.35	—	69%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VEN UERT	$479.20	$1,531.00	$1,224.80–$1,301.35	—	69%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VEN LERT	$479.20	$1,531.00	$1,224.80–$1,301.35	—	69%
Wrist X-ray, 2 views inpatient one side CPT 73100 X-RAY RT WRIST 2 VIEWS	$27.54	$88.00	$70.40–$74.80	—	69%
Wrist X-ray, 2 views inpatient one side CPT 73100 X-RAY LT WRIST 2 VIEWS	$27.54	$88.00	$70.40–$74.80	—	69%
Wrist X-ray, 2 views inpatient one side CPT 73100 X-RAY LT WRIST, 2 VIEWS	$181.85	$581.00	$464.80–$493.85	—	69%
Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST RIGHT 2 VIEW,X-RAY	$181.85	$581.00	$464.80–$493.85	—	69%
Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST LEFT 2 VIEW,X-RAY	$181.85	$581.00	$464.80–$493.85	—	69%
Wrist X-ray, 2 views inpatient one side CPT 73100 X-RAY RT WRIST, 2 VIEWS	$181.85	$581.00	$464.80–$493.85	—	69%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 RT WRIST X-RAY	$260.73	$833.00	$666.40–$708.05	—	69%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 X-RAY RT WRIST, COMPL, MIN 3 VIEWS	$260.73	$833.00	$666.40–$708.05	—	69%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 X-RAY LT WRIST, COMPL, MIN 3 VIEWS	$260.73	$833.00	$666.40–$708.05	—	69%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 LT WRIST COMPLETE	$260.73	$833.00	$666.40–$708.05	—	69%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 X-RAY LT HIP W PELVIS 2-3 VIEWS	$43.51	$139.00	$111.20–$118.15	—	69%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 X-RAY RT HIP W PELVIS 2-3 VIEWS	$43.51	$139.00	$111.20–$118.15	—	69%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 X-RAY, LT HIP, UNILATERAL, 2-3 VIEWS	$265.11	$847.00	$677.60–$719.95	—	69%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP W/PEL LEFT 2-3 VIEWS	$265.11	$847.00	$677.60–$719.95	—	69%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP W/PEL RIGHT 2-3 VIEWS	$265.11	$847.00	$677.60–$719.95	—	69%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 X-RAY, RT HIP, UNILATERAL, 2-3 VIEWS	$265.11	$847.00	$677.60–$719.95	—	69%
X-ray of the abdomen, 1 view inpatient CPT 74018 X-RAY ABD 1 VIEW	$30.67	$98.00	$78.40–$83.30	—	69%
X-ray of the abdomen, 1 view inpatient CPT 74018 X-RAY ABDOMEN 1 VIEW	$188.43	$602.00	$481.60–$511.70	—	69%
X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN 1 VIEW	$188.43	$602.00	$481.60–$511.70	—	69%
X-ray of the ankle, 2 views inpatient one side CPT 73600 X-RAY LT ANKLE 2 VIEWS	$29.11	$93.00	$74.40–$79.05	—	69%
X-ray of the ankle, 2 views inpatient one side CPT 73600 X-RAY RT ANKLE 2 VIEWS	$29.11	$93.00	$74.40–$79.05	—	69%
X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE RIGHT 2 VIEW	$181.85	$581.00	$464.80–$493.85	—	69%
X-ray of the ankle, 2 views inpatient one side CPT 73600 X-RAY ANKLE RIGHT, 2 VIEWS	$181.85	$581.00	$464.80–$493.85	—	69%
X-ray of the ankle, 2 views inpatient one side CPT 73600 X-RAY ANKLE LEFT, 2 VIEWS	$181.85	$581.00	$464.80–$493.85	—	69%
X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE LEFT 2 VIEW	$181.85	$581.00	$464.80–$493.85	—	69%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 X-RAY LEFT THUMB/FINGERS, MIN 2 VIEWS	$210.96	$674.00	$539.20–$572.90	—	69%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 LEFT FINGER/THUMB X-RAY	$210.96	$674.00	$539.20–$572.90	—	69%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 RIGHT THUMB/FINGER X-RAY	$210.96	$674.00	$539.20–$572.90	—	69%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 X-RAY RIGHT THUMB/FINGERS, MIN 2 VIEWS	$210.96	$674.00	$539.20–$572.90	—	69%
X-ray of the foot, 2 views inpatient one side CPT 73620 X-RAY LT FOOT 2 VIEWS	$29.11	$93.00	$74.40–$79.05	—	69%
X-ray of the foot, 2 views inpatient one side CPT 73620 X-RAY RT FOOT 2 VIEWS	$29.11	$93.00	$74.40–$79.05	—	69%
X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT LEFT 2 VIEW	$181.85	$581.00	$464.80–$493.85	—	69%
X-ray of the foot, 2 views inpatient one side CPT 73620 X-RAY RIGHT FOOT, 2 VIEWS	$181.85	$581.00	$464.80–$493.85	—	69%
X-ray of the foot, 2 views inpatient one side CPT 73620 X-RAY LEFT FOOT, 2 VIEWS	$181.85	$581.00	$464.80–$493.85	—	69%
X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT RIGHT 2 VIEW	$181.85	$581.00	$464.80–$493.85	—	69%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 RT FOOT X-RAY	$263.55	$842.00	$673.60–$715.70	—	69%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 LT FOOT 3 VIEWS	$263.55	$842.00	$673.60–$715.70	—	69%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 X-RAY LEFT FOOT, MIN 3 VIEWS	$263.55	$842.00	$673.60–$715.70	—	69%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 X-RAY RIGHT FOOT, MIN 3 VIEWS	$263.55	$842.00	$673.60–$715.70	—	69%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 X-RAY RT HAND, MIN 3 VIEWS	$263.55	$842.00	$673.60–$715.70	—	69%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 LT HAND 3 VIEWS	$263.55	$842.00	$673.60–$715.70	—	69%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 RT HAND X-RAY	$263.55	$842.00	$673.60–$715.70	—	69%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 X-RAY LT HAND, MIN 3 VIEWS	$263.55	$842.00	$673.60–$715.70	—	69%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 X-RAY LT KNEE, 1 OR 2 VIEWS	$229.74	$734.00	$587.20–$623.90	—	69%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 LT KNEE 2 VIEWS	$229.74	$734.00	$587.20–$623.90	—	69%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 X-RAY RT KNEE, 1 OR 2 VIEWS	$229.74	$734.00	$587.20–$623.90	—	69%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 RT KNEE 2 VIEWS	$229.74	$734.00	$587.20–$623.90	—	69%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 X-RAY LUMBAR SPINE, 2 OR 3 VIEWS	$317.70	$1,015.00	$812.00–$862.75	—	69%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 LUMBAR SPINE 1-3 VIEWS	$317.70	$1,015.00	$812.00–$862.75	—	69%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 SPINE LUMBOSACRAL 2-3 VIEW	$317.70	$1,015.00	$812.00–$862.75	—	69%
X-ray of the lower back, 4 or more views inpatient CPT 72110 X-RAY LUMBAR SPINE, MIN OF 4 VIEWS	$417.23	$1,333.00	$1,066.40–$1,133.05	—	69%
X-ray of the lower back, 4 or more views inpatient CPT 72110 LUMBAR SPINE COMPLETE	$417.23	$1,333.00	$1,066.40–$1,133.05	—	69%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 X-RAY SPINE THORACIC, 2 VIEWS	$273.25	$873.00	$698.40–$742.05	—	69%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 DORSAL SPINE	$273.25	$873.00	$698.40–$742.05	—	69%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONES	$272.62	$871.00	$696.80–$740.35	—	69%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 X-RAY NASAL BONES, COMP, MIN OF 3 VIEWS	$272.62	$871.00	$696.80–$740.35	—	69%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 CERV SPINE 2 VIEWS	$268.55	$858.00	$686.40–$729.30	—	69%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 X-RAY, C-SPINE, 2 OR 3 VIEWS	$268.55	$858.00	$686.40–$729.30	—	69%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 X-RAY PELVIS, 1 OR 2 VIEWS, COMP	$211.59	$676.00	$540.80–$574.60	—	69%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS X-RAY	$211.59	$676.00	$540.80–$574.60	—	69%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM AND COCCYX	$231.93	$741.00	$592.80–$629.85	—	69%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 X-RAY SACRUM & COCCYX, MIN 2 VIEWS	$231.93	$741.00	$592.80–$629.85	—	69%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs New Jersey	Off list
ACTH blood test inpatient CPT 82024 ACTH	$126.14	$403.00	$322.40–$342.55	—	69%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT	$31.30	$100.00	$80.00–$85.00	—	69%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST	$21.60	$69.00	$55.20–$58.65	—	69%
Albumin blood test inpatient CPT 82040 ALBUMIN SERUM	$16.28	$52.00	$41.60–$44.20	—	69%
Albumin blood test inpatient CPT 82040 ALBUMIN	$17.53	$56.00	$44.80–$47.60	—	69%
Aldosterone blood test inpatient CPT 82088 ASSAY OF ALDOSTERONE	$90.77	$290.00	$232.00–$246.50	—	69%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE, URINE	$132.71	$424.00	$339.20–$360.40	—	69%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE, SERUM	$167.14	$534.00	$427.20–$453.90	—	69%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALK PHOS TOT	$16.90	$54.00	$43.20–$45.90	—	69%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE	$31.30	$100.00	$80.00–$85.00	—	69%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE EACH, QUANTITATIVE OR SEMIQUANTITA	$16.90	$54.00	$43.20–$45.90	—	69%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, IGE	$16.90	$54.00	$43.20–$45.90	—	69%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE; CRUDE ALLERGEN EXTRACT, EACH	$34.74	$111.00	$88.80–$94.35	—	69%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GALACTOSE-ALPHA-1,3-GALACTOSE IGE	$66.67	$213.00	$170.40–$181.05	—	69%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP	$54.78	$175.00	$140.00–$148.75	—	69%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP TUMOR MARKER	$82.94	$265.00	$212.00–$225.25	—	69%
Ammonia blood test inpatient CPT 82140 AMMONIA	$33.80	$108.00	$86.40–$91.80	—	69%
Ammonia blood test inpatient CPT 82140 AMMONIA, 24HR URINE	$97.66	$312.00	$249.60–$265.20	—	69%
Amylase blood test inpatient CPT 82150 AMYLASE ISOENZYME	$23.48	$75.00	$60.00–$63.75	—	69%
Amylase blood test inpatient CPT 82150 AMYLASE	$42.57	$136.00	$108.80–$115.60	—	69%
Amylase blood test inpatient CPT 82150 AMYLASE BODY FLUID	$62.91	$201.00	$160.80–$170.85	—	69%
Amylase blood test inpatient CPT 82150 AMYLASE 2 HR URINE	$64.17	$205.00	$164.00–$174.25	—	69%
Amylase blood test inpatient CPT 82150 AMYLASE, PANCREATIC CYST	$189.68	$606.00	$484.80–$515.10	—	69%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP IGG ANTIBODIES	$42.57	$136.00	$108.80–$115.60	—	69%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA REFERRED	$132.40	$423.00	$338.40–$359.55	—	69%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA	$132.40	$423.00	$338.40–$359.55	—	69%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NTPROBNP	$128.02	$409.00	$327.20–$347.65	—	69%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE,BACTERIAL,DEFINITIVE;T	$15.02	$48.00	$38.40–$40.80	—	69%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, RECTAL R/O VRE	$48.20	$154.00	$123.20–$130.90	—	69%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 STERILITY CULTURE	$65.73	$210.00	$168.00–$178.50	—	69%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 SINUS ASPIRATE CULTURE	$71.68	$229.00	$183.20–$194.65	—	69%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 BODY FLUID CULTURE	$71.68	$229.00	$183.20–$194.65	—	69%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 EAR CULTURE	$86.70	$277.00	$221.60–$235.45	—	69%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 GENITAL CULTURE	$86.70	$277.00	$221.60–$235.45	—	69%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 NASAL CULTURE	$86.70	$277.00	$221.60–$235.45	—	69%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 BETA STREP CULTURE	$86.70	$277.00	$221.60–$235.45	—	69%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 WOUND CULTURE	$86.70	$277.00	$221.60–$235.45	—	69%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 VRE CULTURE	$86.70	$277.00	$221.60–$235.45	—	69%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CSF CULTURE	$86.70	$277.00	$221.60–$235.45	—	69%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 EYE CULTURE	$86.70	$277.00	$221.60–$235.45	—	69%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 RESPIRATORY CULTURE	$88.58	$283.00	$226.40–$240.55	—	69%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 TISSUE CULTURE	$103.60	$331.00	$264.80–$281.35	—	69%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 MRSA CULTURE	$159.00	$508.00	$406.40–$431.80	—	69%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL	$32.24	$103.00	$82.40–$87.55	—	69%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN NEONATAL	$27.86	$89.00	$71.20–$75.65	—	69%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL	$33.80	$108.00	$86.40–$91.80	—	69%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 CELL BLOCK	$82.32	$263.00	$210.40–$223.55	—	69%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 BONE MARROW BIOPSY	$111.12	$355.00	$284.00–$301.75	—	69%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 LEVEL IV SURG/PATH GROSS/MICRO	$150.55	$481.00	$384.80–$408.85	—	69%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 MUSCLE BIOPSY	$408.15	$1,304.00	$1,043.20–$1,108.40	—	69%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 NERVE BIOPSY	$408.15	$1,304.00	$1,043.20–$1,108.40	—	69%
Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE	$68.55	$219.00	$175.20–$186.15	—	69%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE	$19.41	$62.00	$49.60–$52.70	—	69%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE SERUM	$27.54	$88.00	$70.40–$74.80	—	69%
Blood lead test inpatient CPT 83655 LEAD SCRN, URINE RANDOM	$39.12	$125.00	$100.00–$106.25	—	69%
Blood lead test inpatient CPT 83655 LEAD, BLOOD	$39.12	$125.00	$100.00–$106.25	—	69%
Blood lead test inpatient CPT 83655 URINE LEAD LEVEL	$39.12	$125.00	$100.00–$106.25	—	69%
Blood lead test inpatient CPT 83655 LEAD	$64.48	$206.00	$164.80–$175.10	—	69%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREG TEST URINE	$15.02	$48.00	$38.40–$40.80	—	69%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREGNANCY TEST, QUAL	$64.48	$206.00	$164.80–$175.10	—	69%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPE, ABO	$33.80	$108.00	$86.40–$91.80	—	69%
Blood urea nitrogen (BUN) test inpatient CPT 84520 BLOOD UREA NITROGEN	$17.53	$56.00	$44.80–$47.60	—	69%
C-peptide blood test inpatient CPT 84681 C PEPTIDE	$67.61	$216.00	$172.80–$183.60	—	69%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C REACTIVE PROTEIN	$16.90	$54.00	$43.20–$45.90	—	69%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN QUANTATIVE	$61.97	$198.00	$158.40–$168.30	—	69%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFFICILE TOXIN GENE	$132.40	$423.00	$338.40–$359.55	—	69%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9	$119.57	$382.00	$305.60–$324.70	—	69%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA-125	$345.24	$1,103.00	$882.40–$937.55	—	69%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS CORONAVIRUS 2 RNA DETECTION	$60.41	$193.00	$154.40–$164.05	—	69%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19	$92.65	$296.00	$236.80–$251.60	—	69%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 RESP VIRUS DETEC NA MULIPLEX 12-25 TARGETS	$473.26	$1,512.00	$1,209.60–$1,285.20	—	69%
Calcium blood test, total inpatient CPT 82310 CALCIUM SERUM	$27.86	$89.00	$71.20–$75.65	—	69%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA	$108.30	$346.00	$276.80–$294.10	—	69%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA, PANCREATIC CYST	$189.68	$606.00	$484.80–$515.10	—	69%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA-ZOSTER AB	$80.75	$258.00	$206.40–$219.30	—	69%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA-ZOSTER;ANTIBODY	$111.12	$355.00	$284.00–$301.75	—	69%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA-ZOSTER IGG	$148.99	$476.00	$380.80–$404.60	—	69%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA PCR AMPLIFICATION	$114.24	$365.00	$292.00–$310.25	—	69%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA AMP.PROBE(THIN PREP)	$114.24	$365.00	$292.00–$310.25	—	69%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE	$43.82	$140.00	$112.00–$119.00	—	69%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 NMR LIPID PROFILE	$43.82	$140.00	$112.00–$119.00	—	69%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL	$62.91	$201.00	$160.80–$170.85	—	69%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/AUTOMATIC DIFFERENTIAL	$31.61	$101.00	$80.80–$85.85	—	69%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC	$21.91	$70.00	$56.00–$59.50	—	69%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL	$34.74	$111.00	$88.80–$94.35	—	69%
Cortisol blood test, total inpatient CPT 82533 CORTISOL SERUM TOTAL	$53.52	$171.00	$136.80–$145.35	—	69%
Cortisol blood test, total inpatient CPT 82533 CORTISOL, FLUID	$53.52	$171.00	$136.80–$145.35	—	69%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CK ISOENZYME REFELX	$21.91	$70.00	$56.00–$59.50	—	69%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CK	$31.61	$101.00	$80.80–$85.85	—	69%
Creatinine blood test inpatient CPT 82565 CREATININE SERUM	$21.60	$69.00	$55.20–$58.65	—	69%
Creatinine blood test inpatient CPT 82565 CREATININE, BLOOD	$21.60	$69.00	$55.20–$58.65	—	69%
Creatinine blood test inpatient CPT 82565 CREATININE BLOOD	$23.16	$74.00	$59.20–$62.90	—	69%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV IGG;ANTIBODY	$46.95	$150.00	$120.00–$127.50	—	69%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV SCREEN PER UNIT;ANTIBODY	$46.95	$150.00	$120.00–$127.50	—	69%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV ANTIBODY	$98.60	$315.00	$252.00–$267.75	—	69%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER	$33.49	$107.00	$85.60–$90.95	—	69%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER, REFERRED	$48.52	$155.00	$124.00–$131.75	—	69%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-SULFATE	$156.50	$500.00	$400.00–$425.00	—	69%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TST PRSMV INSTRMNT CHEM ANALYZERS PR DATE	$143.04	$457.00	$365.60–$388.45	—	69%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ETHYL GLUCURONIDE SCR/DRUG SCRN PRSMPTV 1 CLS	$202.20	$646.00	$516.80–$549.10	—	69%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 SYNTH. CANNAB METAB	$202.20	$646.00	$516.80–$549.10	—	69%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 GAMMA-HYDROXYBUTYRIC ACID,S	$202.20	$646.00	$516.80–$549.10	—	69%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 MECONIUM DRUG SCREEN	$202.20	$646.00	$516.80–$549.10	—	69%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN 10 PANEL,CLASS,INSTRUMENTED,SINGLE	$202.20	$646.00	$516.80–$549.10	—	69%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 COCAINE METABOLITE	$202.20	$646.00	$516.80–$549.10	—	69%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ANABOLIC STEROIDS,URINE	$202.20	$646.00	$516.80–$549.10	—	69%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN URINE	$202.20	$646.00	$516.80–$549.10	—	69%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTE PANEL	$43.82	$140.00	$112.00–$119.00	—	69%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV VIRAL CAPSID,IGG	$59.16	$189.00	$151.20–$160.65	—	69%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV VIRAL CAPSID,IGM	$59.16	$189.00	$151.20–$160.65	—	69%
Estradiol blood test inpatient CPT 82670 ESTRADIOL	$91.08	$291.00	$232.80–$247.35	—	69%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIMULATING HORMONE	$125.51	$401.00	$320.80–$340.85	—	69%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN,FECAL	$162.13	$518.00	$414.40–$440.30	—	69%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN, REF LAB	$64.48	$206.00	$164.80–$175.10	—	69%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$64.48	$206.00	$164.80–$175.10	—	69%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN, REFERRED	$40.38	$129.00	$103.20–$109.65	—	69%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN	$62.91	$201.00	$160.80–$170.85	—	69%
Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID SERUM	$71.36	$228.00	$182.40–$193.80	—	69%
Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE	$171.84	$549.00	$439.20–$466.65	—	69%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE	$49.14	$157.00	$125.60–$133.45	—	69%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4, FREE, DIALYSIS	$50.08	$160.00	$128.00–$136.00	—	69%
Free testosterone test inpatient CPT 84402 TESTOSTERONE,FREE	$122.70	$392.00	$313.60–$333.20	—	69%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT	$46.95	$150.00	$120.00–$127.50	—	69%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE 1 HR CHALLENGE POST DOSE	$34.74	$111.00	$88.80–$94.35	—	69%
Glucose tolerance test, 3 samples inpatient CPT 82951 LACTOSE TOLERANCE TEST	$68.23	$218.00	$174.40–$185.30	—	69%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE 3 SPECIMENS TEST	$98.60	$315.00	$252.00–$267.75	—	69%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC AMP. PROBE (THIN PREP)	$114.24	$365.00	$292.00–$310.25	—	69%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC AMPLIFICATION	$114.24	$365.00	$292.00–$310.25	—	69%
H. pylori antibody blood test inpatient CPT 86677 H PYLORI QUANT	$55.09	$176.00	$140.80–$149.60	—	69%
H. pylori stool antigen test inpatient CPT 87338 H PYLORI ANTIGEN, STOOL	$52.58	$168.00	$134.40–$142.80	—	69%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV RNA PCR QUANT	$277.00	$885.00	$708.00–$752.25	—	69%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV 1 EVAL	$50.08	$160.00	$128.00–$136.00	—	69%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV RAPID SCREEN;1,2,AND,ANTIBODY	$53.21	$170.00	$136.00–$144.50	—	69%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV 1/2 RAPID SCREEN	$53.21	$170.00	$136.00–$144.50	—	69%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV 1/2 ANTIBODY SCREEN	$119.57	$382.00	$305.60–$324.70	—	69%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1/2 AG AND AB SCREEN	$78.56	$251.00	$200.80–$213.35	—	69%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV -1/-2 AG AND AB SCREEN	$78.56	$251.00	$200.80–$213.35	—	69%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOSYLATED A1C	$55.09	$176.00	$140.80–$149.60	—	69%
Hemoglobin blood test inpatient CPT 85018 DV FINGER STICK HEMOGLOBIN	$11.58	$37.00	$29.60–$31.45	—	69%
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN	$12.52	$40.00	$32.00–$34.00	—	69%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE TOTAL	$39.12	$125.00	$100.00–$106.25	—	69%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS BS AB	$35.37	$113.00	$90.40–$96.05	—	69%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B ANTIBODY SURFACE	$77.31	$247.00	$197.60–$209.95	—	69%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B ANTIGEN	$48.20	$154.00	$123.20–$130.90	—	69%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE ANTIGEN	$48.20	$154.00	$123.20–$130.90	—	69%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS BS AG	$55.09	$176.00	$140.80–$149.60	—	69%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS BS AG	$55.09	$176.00	$140.80–$149.60	—	69%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY	$50.08	$160.00	$128.00–$136.00	—	69%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C TITER	$68.23	$218.00	$174.40–$185.30	—	69%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCV	$68.23	$218.00	$174.40–$185.30	—	69%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C RNA QUANT PCR	$139.28	$445.00	$356.00–$378.25	—	69%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX 1 IGM AB	$43.19	$138.00	$110.40–$117.30	—	69%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 LGM TITER	$43.19	$138.00	$110.40–$117.30	—	69%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 IGG	$43.19	$138.00	$110.40–$117.30	—	69%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX 2 IGM AB	$63.23	$202.00	$161.60–$171.70	—	69%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV2 IGG	$63.23	$202.00	$161.60–$171.70	—	69%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 IGM TITER	$63.23	$202.00	$161.60–$171.70	—	69%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP HIGH SENSITIVITY	$77.31	$247.00	$197.60–$209.95	—	69%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE	$58.53	$187.00	$149.60–$158.95	—	69%
Insulin blood test inpatient CPT 83525 INSULIN	$37.56	$120.00	$96.00–$102.00	—	69%
Iron blood test (serum iron) inpatient CPT 83540 IRON, LIVER TISSUE	$35.99	$115.00	$92.00–$97.75	—	69%
Iron blood test (serum iron) inpatient CPT 83540 IRON SERUM	$48.20	$154.00	$123.20–$130.90	—	69%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY TOTAL (TIBC)	$45.07	$144.00	$115.20–$122.40	—	69%
Kidney function blood test panel inpatient CPT 80069 RENAL PROFILE	$93.59	$299.00	$239.20–$254.15	—	69%
LH (luteinizing hormone) test inpatient CPT 83002 LUTENIZING HORMONE	$136.78	$437.00	$349.60–$371.45	—	69%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTATE, WHOLE BLOOD LACTATE	$54.78	$175.00	$140.00–$148.75	—	69%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID	$119.57	$382.00	$305.60–$324.70	—	69%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LD REF	$19.72	$63.00	$50.40–$53.55	—	69%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTATE DEHYDROGENASE	$31.30	$100.00	$80.00–$85.00	—	69%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LD BODY FLUID	$33.80	$108.00	$86.40–$91.80	—	69%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 BODY FLUID LIPASE	$48.20	$154.00	$123.20–$130.90	—	69%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$48.20	$154.00	$123.20–$130.90	—	69%
Liver function blood test panel inpatient CPT 80076 LIVER PROFILE	$58.53	$187.00	$149.60–$158.95	—	69%
Lyme disease antibody test inpatient CPT 86618 LYME AB	$56.03	$179.00	$143.20–$152.15	—	69%
Lyme disease antibody test inpatient CPT 86618 LYME CSF	$56.03	$179.00	$143.20–$152.15	—	69%
Lyme disease antibody test inpatient CPT 86618 LYME AB, IGG	$56.03	$179.00	$143.20–$152.15	—	69%
Lyme disease antibody test inpatient CPT 86618 LYME BODY FLUID	$126.45	$404.00	$323.20–$343.40	—	69%
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$15.65	$50.00	$40.00–$42.50	—	69%
Magnesium blood test inpatient CPT 83735 MAGNESIUM, RANDOM	$22.22	$71.00	$56.80–$60.35	—	69%
Magnesium blood test inpatient CPT 83735 MAGNESIUM, FECES	$33.49	$107.00	$85.60–$90.95	—	69%
Magnesium blood test inpatient CPT 83735 MAGNESIUM SERUM	$34.74	$111.00	$88.80–$94.35	—	69%
Magnesium blood test inpatient CPT 83735 MAGNESIUM URINE 24 HOUR	$81.69	$261.00	$208.80–$221.85	—	69%
Magnesium blood test inpatient CPT 83735 RBC-MG	$82.63	$264.00	$211.20–$224.40	—	69%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA AB IGM	$42.57	$136.00	$108.80–$115.60	—	69%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA AB IGG	$42.57	$136.00	$108.80–$115.60	—	69%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA ANTIBODY	$107.36	$343.00	$274.40–$291.55	—	69%
Measles (rubeola) antibody test inpatient CPT 86765 MEASLES IGG	$148.99	$476.00	$380.80–$404.60	—	69%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILE AB SCREENING,MONOS	$14.08	$45.00	$36.00–$38.25	—	69%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONONUCLEOSIS SCREEN	$56.65	$181.00	$144.80–$153.85	—	69%
Mumps immunity blood test inpatient CPT 86735 MUMPS AB IGM	$68.23	$218.00	$174.40–$185.30	—	69%
Mumps immunity blood test inpatient CPT 86735 MUMPS IGG ANTIBODY	$148.99	$476.00	$380.80–$404.60	—	69%
Mumps immunity blood test inpatient CPT 86735 MUMPS IGG	$148.99	$476.00	$380.80–$404.60	—	69%
Mumps immunity blood test inpatient CPT 86735 MUMPS AB	$205.02	$655.00	$524.00–$556.75	—	69%
Obstetric blood test panel inpatient CPT 80055 OBSTETRIC PANEL	$155.25	$496.00	$396.80–$421.60	—	69%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE	$60.41	$193.00	$154.40–$164.05	—	69%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE	$60.41	$193.00	$154.40–$164.05	—	69%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL	$60.41	$193.00	$154.40–$164.05	—	69%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATIC SPECIFIC ANTIGEN	$81.69	$261.00	$208.80–$221.85	—	69%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 THIN PREP PAP (AUTO)	$86.70	$277.00	$221.60–$235.45	—	69%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 THIN PREP PAP	$89.20	$285.00	$228.00–$242.25	—	69%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH INTACT	$134.90	$431.00	$344.80–$366.35	—	69%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 LACPTT	$19.72	$63.00	$50.40–$53.55	—	69%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT	$32.24	$103.00	$82.40–$87.55	—	69%
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS SERUM	$17.53	$56.00	$44.80–$47.60	—	69%
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS, FECES	$21.60	$69.00	$55.20–$58.65	—	69%
Potassium blood test inpatient CPT 84132 POTASSIUM SERUM	$33.49	$107.00	$85.60–$90.95	—	69%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 CELL-FREE DNA PRENATAL SCREEN	$2,466.44	$7,880.00	$6,304.00–$6,698.00	—	69%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 FETAL CHROMOSOMAL ANEUPLOIDY	$2,466.44	$7,880.00	$6,304.00–$6,698.00	—	69%
Progesterone blood test inpatient CPT 84144 PROGESTERONE	$101.41	$324.00	$259.20–$275.40	—	69%
Prolactin blood test inpatient CPT 84146 PROLACTIN-MAYO & PROLACTIN-UNPRECIP	$63.54	$203.00	$162.40–$172.55	—	69%
Prolactin blood test inpatient CPT 84146 PROLACTIN	$116.12	$371.00	$296.80–$315.35	—	69%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 LUPUS PRO TIME	$14.71	$47.00	$37.60–$39.95	—	69%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME	$30.05	$96.00	$76.80–$81.60	—	69%
Rapid flu test (influenza antigen) inpatient CPT 87804 RAPID INFLUENZA TEST	$19.09	$61.00	$48.80–$51.85	—	69%
Renin blood test inpatient CPT 84244 RENIN	$71.68	$229.00	$183.20–$194.65	—	69%
Rh blood typing inpatient CPT 86901 BLOOD TYPE, RH (O)	$76.68	$245.00	$196.00–$208.25	—	69%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR TITER	$30.99	$99.00	$79.20–$84.15	—	69%
Rheumatoid factor (RF) test inpatient CPT 86431 RF, QUANTITATIVE	$47.58	$152.00	$121.60–$129.20	—	69%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA	$78.56	$251.00	$200.80–$213.35	—	69%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA SCREEN	$78.56	$251.00	$200.80–$213.35	—	69%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IGG, ANTIBODY	$78.56	$251.00	$200.80–$213.35	—	69%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IGG	$148.99	$476.00	$380.80–$404.60	—	69%
Sodium blood test inpatient CPT 84295 SODIUM SERUM	$17.53	$56.00	$44.80–$47.60	—	69%
Stool ova and parasites exam inpatient CPT 87177 PARASITOLOGY-COMPREHENSIV EXAM	$33.80	$108.00	$86.40–$91.80	—	69%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 BLOOD OCCULT FECES	$12.83	$41.00	$32.80–$34.85	—	69%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 FECAL OCCULT BLOOD TEST	$12.83	$41.00	$32.80–$34.85	—	69%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLD FECES,1-3 TESTS	$13.77	$44.00	$35.20–$37.40	—	69%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD STOOL	$30.67	$98.00	$78.40–$83.30	—	69%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 FECAL IMMUNOCHEMICAL SCREEN	$51.64	$165.00	$132.00–$140.25	—	69%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 OCCULT BLOOD,QL,IMMUNOCHEMICAL	$51.64	$165.00	$132.00–$140.25	—	69%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 NEUROSYPHILIS IGG AB, CSF	$30.67	$98.00	$78.40–$83.30	—	69%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 SYPHILLIS AB IGG	$43.51	$139.00	$111.20–$118.15	—	69%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 FTA-ABS	$43.51	$139.00	$111.20–$118.15	—	69%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 MHA-TP	$43.51	$139.00	$111.20–$118.15	—	69%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL CSF	$16.28	$52.00	$41.60–$44.20	—	69%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR QUANT	$27.86	$89.00	$71.20–$75.65	—	69%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR, QUANTITATIVE	$27.86	$89.00	$71.20–$75.65	—	69%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR	$32.24	$103.00	$82.40–$87.55	—	69%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE,TOTAL	$122.70	$392.00	$313.60–$333.20	—	69%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE, BIOAVAILABLE	$122.70	$392.00	$313.60–$333.20	—	69%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL	$184.67	$590.00	$472.00–$501.50	—	69%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER/KIDNEY MICROSOMAL AB	$47.58	$152.00	$121.60–$129.20	—	69%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE ANTIBODY	$70.74	$226.00	$180.80–$192.10	—	69%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH WITH HETEROPHILE AGENT	$55.09	$176.00	$140.80–$149.60	—	69%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMONE	$65.10	$208.00	$166.40–$176.80	—	69%
Total IgE blood test inpatient CPT 82785 IGE	$94.84	$303.00	$242.40–$257.55	—	69%
Total IgE blood test inpatient CPT 82785 IMMUNOGLOBULIN IGE	$94.84	$303.00	$242.40–$257.55	—	69%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL SERUM	$38.19	$122.00	$97.60–$103.70	—	69%
Total thyroxine (T4) blood test inpatient CPT 84436 THYROXINE T4 TOTAL	$22.85	$73.00	$58.40–$62.05	—	69%
Total thyroxine (T4) blood test inpatient CPT 84436 THYROXINE T4	$22.85	$73.00	$58.40–$62.05	—	69%
Total triiodothyronine (T3) blood test inpatient CPT 84480 TOTAL T3	$82.32	$263.00	$210.40–$223.55	—	69%
Transferrin blood test inpatient CPT 84466 TRANSFERRIN	$41.63	$133.00	$106.40–$113.05	—	69%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS SP AMP PROBE	$142.42	$455.00	$364.00–$386.75	—	69%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS	$175.28	$560.00	$448.00–$476.00	—	69%
Triglycerides blood test inpatient CPT 84478 VAP TRIGLYCERIDES	$18.78	$60.00	$48.00–$51.00	—	69%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES	$33.80	$108.00	$86.40–$91.80	—	69%
Troponin test, quantitative inpatient CPT 84484 TROPONIN	$80.75	$258.00	$206.40–$219.30	—	69%
Uric acid blood test inpatient CPT 84550 URIC ACID	$29.11	$93.00	$74.40–$79.05	—	69%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINE ANAL W/MICRO	$29.42	$94.00	$75.20–$79.90	—	69%
Urinalysis with microscope exam, manual inpatient CPT 81000 NON AUTOM URINE DIP W/MICRO	$17.84	$57.00	$45.60–$48.45	—	69%
Urinalysis with microscope exam, manual inpatient CPT 81000 URINALYSIS DIP STICK	$18.15	$58.00	$46.40–$49.30	—	69%
Urinalysis without microscope exam, automated inpatient CPT 81003 AUTO URINALYSIS W/O MICROSCOPY	$29.42	$94.00	$75.20–$79.90	—	69%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS	$29.42	$94.00	$75.20–$79.90	—	69%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINE DIP,NON-AUTOMATED,WITHOUT MICROSCOPY	$12.52	$40.00	$32.00–$34.00	—	69%
Urinalysis without microscope exam, manual inpatient CPT 81002 UA WITHOUT MICRO,NON AUTOMATED	$12.52	$40.00	$32.00–$34.00	—	69%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS DIP STICK	$12.83	$41.00	$32.80–$34.85	—	69%
Urine culture for bacteria, with colony count inpatient CPT 87086 URINE CULTURE	$46.95	$150.00	$120.00–$127.50	—	69%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN URINE	$51.02	$163.00	$130.40–$138.55	—	69%
Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREGNANCY, VISUAL COLOR	$17.84	$57.00	$45.60–$48.45	—	69%
Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREGNANCY, QUICK	$18.15	$58.00	$46.40–$49.30	—	69%
Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREGNANCY TEST, QUICK	$18.15	$58.00	$46.40–$49.30	—	69%
Urine pregnancy test, read by color change inpatient CPT 81025 PREG TEST URINE	$18.15	$58.00	$46.40–$49.30	—	69%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12	$78.88	$252.00	$201.60–$214.20	—	69%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D	$96.40	$308.00	$246.40–$261.80	—	69%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25-HYDROXY	$131.15	$419.00	$335.20–$356.15	—	69%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VITAMIN D 1,25-DIHYDROXY	$179.66	$574.00	$459.20–$487.90	—	69%
Zinc blood test inpatient CPT 84630 ZINC LEVEL	$37.56	$120.00	$96.00–$102.00	—	69%
Zinc blood test inpatient CPT 84630 ZINC RBC	$37.56	$120.00	$96.00–$102.00	—	69%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG AFP QUAD	$49.14	$157.00	$125.60–$133.45	—	69%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANTITATIVE	$138.97	$444.00	$355.20–$377.40	—	69%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs New Jersey	Off list
Botox injections for chronic migraine inpatient CPT 64615 BOTOX INJECTIONS	$248.52	$794.00	$635.20–$674.90	—	69%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 STEREOTACTIC LOCALIZATION	$1,037.60	$3,315.00	$2,652.00–$2,817.75	—	69%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 US PLACE NEEDLW	$1,064.20	$3,400.00	$2,720.00–$2,890.00	—	69%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 US BX BREAST LT	$1,064.20	$3,400.00	$2,720.00–$2,890.00	—	69%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 US BX BREAST RT	$1,064.20	$3,400.00	$2,720.00–$2,890.00	—	69%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 BREAST BX VACUUM RIGHT	$1,064.20	$3,400.00	$2,720.00–$2,890.00	—	69%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 BREAST BX VACUUM LEFT	$1,064.20	$3,400.00	$2,720.00–$2,890.00	—	69%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 BREAST BX STEREOTACTIC LEFT	$1,631.67	$5,213.00	$4,170.40–$4,431.05	—	69%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 BREAST BX STEREOTACTIC RIGHT	$1,631.67	$5,213.00	$4,170.40–$4,431.05	—	69%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 CLSD TRMT, DISTAL FIBULAR FX	$210.02	$671.00	$536.80–$570.35	—	69%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 CLOSED TREATMENT,DISTAL FIBULA	$210.02	$671.00	$536.80–$570.35	—	69%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 CLSD TRMT. DISTAL FIBULAR FX	$349.93	$1,118.00	$894.40–$950.30	—	69%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 CLSD TRTMNT,DISTAL FIBULAR FX	$349.93	$1,118.00	$894.40–$950.30	—	69%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 CLOSED TRMT,METATARSAL FX;W/	$143.67	$459.00	$367.20–$390.15	—	69%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 CLOSED TREATMENT,METATARSAL FX	$143.67	$459.00	$367.20–$390.15	—	69%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 CLSD TRTMNT,METATARSAL FX; W/	$239.44	$765.00	$612.00–$650.25	—	69%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 CLSD TRMT, METATARSAL FX; W/	$239.44	$765.00	$612.00–$650.25	—	69%
Cardiac catheterization with coronary angiogram inpatient CPT 93458 LHC WITH LV	$7,675.39	$24,522.00	$19,617.60–$20,843.70	—	69%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION (EXTERNAL)	$352.12	$1,125.00	$405.00–$956.25	57% below	69%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION (EXTERNAL)	$352.12	$1,125.00	$900.00–$956.25	—	69%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION	$358.07	$1,144.00	$915.20–$972.40	—	69%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION EXTERNAL	$949.96	$3,035.00	$2,428.00–$2,579.75	—	69%
Cervical biopsy inpatient CPT 57500 BX/EXC,CERVIX LESION W/WO FUL	$239.44	$765.00	$612.00–$650.25	—	69%
Cervical biopsy inpatient CPT 57500 BX/EXC, CERVIX LESION W/WO FUL	$239.44	$765.00	$612.00–$650.25	—	69%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION W/ REGIONAL BLOCK	$205.02	$655.00	$524.00–$556.75	—	69%
Circumcision, surgical, older than a newborn inpatient CPT 54160 CIRCUMCISION, NEONATE	$293.28	$937.00	$749.60–$796.45	—	69%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 CLOSED TRMT,DISTAL RADIAL FX;	$153.68	$491.00	$392.80–$417.35	—	69%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 CLOSED TREATMENT,DISTAL RADIAL	$153.68	$491.00	$392.80–$417.35	—	69%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 CLOSED TRMT, DISTAL RADIAL FX;	$255.72	$817.00	$653.60–$694.45	—	69%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 CLOSED TRTMNT,DISTAL RADIAL FX	$255.72	$817.00	$653.60–$694.45	—	69%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 COLPOSCOPY/WITH BX	$183.10	$585.00	$468.00–$497.25	—	69%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 COLPOSCOPY W/BX	$304.86	$974.00	$779.20–$827.90	—	69%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 WART REMOVAL 1ST	$50.71	$162.00	$129.60–$137.70	—	69%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 WART REMOVAL 1ST LESION	$84.51	$270.00	$216.00–$229.50	—	69%
Earwax removal with instruments, one ear inpatient CPT 69210 REMOVAL IMPACTED CERUMEN	$62.29	$199.00	$159.20–$169.15	—	69%
Earwax removal with instruments, one ear inpatient CPT 69210 REMOVAL IMPACTED CERUMEN, ONE OR BOTH EARS	$68.55	$219.00	$175.20–$186.15	—	69%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 ENDOMETRIAL BX/W-WO SAMPLING	$175.59	$561.00	$448.80–$476.85	—	69%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 EPIDURAL CERVICAL	$1,453.57	$4,644.00	$3,715.20–$3,947.40	—	69%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 JOINT FACET 1ST	$1,379.08	$4,406.00	$3,524.80–$3,745.10	—	69%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 SIGMOID/FLEXIBLE	$161.20	$515.00	$412.00–$437.75	—	69%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 SIGMOID/FLEXIBLE DX W/WO	$189.05	$604.00	$483.20–$513.40	—	69%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 US SONOHYSTERO	$163.39	$522.00	$417.60–$443.70	—	69%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 INJ HYSTERO	$212.53	$679.00	$543.20–$577.15	—	69%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 US INJ HYSTERO	$212.53	$679.00	$543.20–$577.15	—	69%
Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 CERVICAL POLYPECTOMY	$390.62	$1,248.00	$998.40–$1,060.80	—	69%
Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 CERVICAL	$390.62	$1,248.00	$998.40–$1,060.80	—	69%
IUD insertion (the device itself billed separately) inpatient CPT 58300 INSERTION OF IUD	$155.56	$497.00	$397.60–$422.45	—	69%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 OV INCISION AND DRAINAGE	$79.82	$255.00	$204.00–$216.75	—	69%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 INCISION & DRAINAGE	$79.82	$255.00	$204.00–$216.75	—	69%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 INCISION/DRAINAGE ABS. SINGLE	$132.40	$423.00	$338.40–$359.55	—	69%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 INCISION/DRAINAGE ABSCESS	$132.40	$423.00	$338.40–$359.55	—	69%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I & D ABSCESS; SIMPLE	$161.51	$516.00	$412.80–$438.60	—	69%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS, SIMPLE	$218.47	$698.00	$558.40–$593.30	—	69%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I & D ABSCESS	$218.47	$698.00	$558.40–$593.30	—	69%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ/TENDON/LIGAMENT/TRIGGER PO	$102.04	$326.00	$260.80–$277.10	—	69%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ/TENDON/LIGAMENT/TRIGGER PT	$102.04	$326.00	$260.80–$277.10	—	69%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 INJ/ASPIRATION/MAJOR JOINT/BUR	$65.10	$208.00	$166.40–$176.80	—	69%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 INJ/ASPIRATION/MAJ.JOINT/BURSA	$65.10	$208.00	$166.40–$176.80	—	69%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 INJ/ASPIRATION/MAJ. JOINT/BURS	$108.30	$346.00	$276.80–$294.10	—	69%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 INJ/ASPIRATION/MAJ JOINT/BURSA;ULTRASOUND GUIDE W/O	$108.30	$346.00	$276.80–$294.10	—	69%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HIP ASPIRATION	$474.20	$1,515.00	$1,212.00–$1,287.75	—	69%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 MAJOR JOINT ASPIRATION	$474.20	$1,515.00	$1,212.00–$1,287.75	—	69%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 STEM CELLS/BONE MARROW MAJOR JOINT INJECTION	$1,619.46	$5,174.00	$4,139.20–$4,397.90	—	69%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 MAJOR JOINT INJECTION-UNILATERAL	$1,381.90	$4,415.00	$3,532.00–$3,752.75	—	69%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 INSERT DRUG IMPLANT	$165.89	$530.00	$424.00–$450.50	—	69%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 INJ/ASPIRATION,INTERMED. JOINT	$61.35	$196.00	$156.80–$166.60	—	69%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 INJ/ASPIRATION/INTERMD. JOINT	$102.04	$326.00	$260.80–$277.10	—	69%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 INJ/ASPIRATION/INTERM. JOINT	$102.04	$326.00	$260.80–$277.10	—	69%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 INTERMEDIATE JOINT ASPIRATION	$337.73	$1,079.00	$863.20–$917.15	—	69%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN/INJ INTER JOINT/BURSA W/O US	$1,339.64	$4,280.00	$3,424.00–$3,638.00	—	69%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCENTESIS,ASPIRATION/INJE	$61.35	$196.00	$156.80–$166.60	—	69%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCESNTESIS,ASPIRAT/INJECT	$102.04	$326.00	$260.80–$277.10	—	69%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCENTESIS,ASPIRAT/INJECT	$102.04	$326.00	$260.80–$277.10	—	69%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCENTESIS SMALL JOINT	$189.05	$604.00	$483.20–$513.40	—	69%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 DRAIN/INJ SMALL JOINT BURSA W/O US	$321.76	$1,028.00	$822.40–$873.80	—	69%
Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 DISCISSION CATARACT W/LASER	$1,296.13	$4,141.00	$3,312.80–$3,519.85	—	69%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LAYER CLOSURE,WOUNDS,SCALP/AXI	$99.85	$319.00	$255.20–$271.15	—	69%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LAYER CLOS.,WOUND,SCALP/AXILIA	$99.85	$319.00	$255.20–$271.15	—	69%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LAYER CLOSE/WOUND,SCALP/AXILLA	$165.89	$530.00	$424.00–$450.50	—	69%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LAYER CLOS.,WOUNDS,SCALP/AXILL	$165.89	$530.00	$424.00–$450.50	—	69%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LAYER CLOSURE-WOUNDS OF SCALP, AXILLAE, TRUNK & OR EXTR	$166.83	$533.00	$426.40–$453.05	—	69%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJ CYSTERNOGRAM	$405.34	$1,295.00	$1,036.00–$1,100.75	—	69%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 EPIDURAL LUMBAR	$1,453.57	$4,644.00	$3,715.20–$3,947.40	—	69%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 EPIDURAL LUMBAR 62311	$1,453.57	$4,644.00	$3,715.20–$3,947.40	—	69%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 INJ AA AND/OR STEROID;TRANSFORANIMAL EPIDURAL W/IMAG GUI	$1,488.94	$4,757.00	$3,805.60–$4,043.45	—	69%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXC/BEN LES/.5CM/TRUNK/ARM/LET	$97.34	$311.00	$248.80–$264.35	—	69%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXC/BEN LES/.5 CM TRUNK ARM LE	$162.45	$519.00	$415.20–$441.15	—	69%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXC/BEN LES/.5CM/TRUNK/ARM/LEG	$162.45	$519.00	$415.20–$441.15	—	69%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXC/BEN LES/.5CM/FACE/EARS,ETC	$105.17	$336.00	$268.80–$285.60	—	69%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXC/BEN LES/.5CM FACE EAR ETC	$175.28	$560.00	$448.00–$476.00	—	69%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION/INGROWN NAIL/SINGLE	$98.60	$315.00	$252.00–$267.75	—	69%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION OF NAIL PLATE,PARTIAL OR COMPLETER, SIMPLE; SIN	$121.76	$389.00	$311.20–$330.65	—	69%
Occipital nerve block (injection for headaches) inpatient CPT 64405 BLOCK OCCIPITAL	$1,453.57	$4,644.00	$3,715.20–$3,947.40	—	69%
Pacemaker implant (dual chamber) inpatient CPT 33208 GEN/2 LEADS INSERTION NEW PACEMAKER	$2,161.89	$6,907.00	$5,525.60–$5,870.95	—	69%
Paracentesis with imaging guidance inpatient CPT 49083 US PARACENTESIS, INITIAL	$790.64	$2,526.00	$2,020.80–$2,147.10	—	69%
Paracentesis with imaging guidance inpatient CPT 49083 CT PARACENTESIS W/IMAGING,ABDOMINAL	$1,493.95	$4,773.00	$3,818.40–$4,057.05	—	69%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXC/INGR-DEFORMED NAIL/PERMANE	$120.50	$385.00	$308.00–$327.25	—	69%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EX/INGR-DEFOR NAIL-PERMANENT	$120.50	$385.00	$308.00–$327.25	—	69%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXC/INGROWN-DEFORMED NAIL/PERM	$200.32	$640.00	$512.00–$544.00	—	69%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXC/INGROWN-DEFORM NAIL/PERMAN	$200.32	$640.00	$512.00–$544.00	—	69%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 REMOVAL OF NAIL BED	$457.29	$1,461.00	$1,168.80–$1,241.85	—	69%
Removal of a foreign object under the skin, simple inpatient CPT 10120 INCISION/REMOVAL,FB,SUBQ/SIMPL	$102.66	$328.00	$262.40–$278.80	—	69%
Removal of a foreign object under the skin, simple inpatient CPT 10120 INCISION/REMOVAL	$102.66	$328.00	$262.40–$278.80	—	69%
Removal of a foreign object under the skin, simple inpatient CPT 10120 INCISION/REMOVAL FB	$170.90	$546.00	$436.80–$464.10	—	69%
Short arm cast (elbow to hand) inpatient CPT 29075 APPLICATION;ELBOW TO FINGER (S	$108.92	$348.00	$278.40–$295.80	—	69%
Short arm cast (elbow to hand) inpatient CPT 29075 APPLICATION;ELBOW-FINGER (SHOR	$108.92	$348.00	$278.40–$295.80	—	69%
Short arm splint (forearm and hand) inpatient CPT 29125 APPL. SHORT ARM SPLINT (FOREAR	$50.39	$161.00	$128.80–$136.85	—	69%
Short arm splint (forearm and hand) inpatient CPT 29125 APPLICATION,SHORT ARM SPLINT(F	$50.39	$161.00	$128.80–$136.85	—	69%
Short arm splint (forearm and hand) inpatient CPT 29125 APPLICATION,SHORT ARM SPLINT (	$83.88	$268.00	$214.40–$227.80	—	69%
Short arm splint (forearm and hand) inpatient CPT 29125 APPLIC.,SHORT ARM SPLINT (FORE	$83.88	$268.00	$214.40–$227.80	—	69%
Short leg cast (below the knee) inpatient CPT 29405 APPL., SHORT LEG CAST (BELOW	$47.89	$153.00	$122.40–$130.05	—	69%
Short leg cast (below the knee) inpatient CPT 29405 APPL. SHORT LEG CAST (BELOW	$74.18	$237.00	$189.60–$201.45	—	69%
Short leg splint (calf to foot) inpatient CPT 29515 APPL., SHORT LEG SPLINT (CALF	$50.39	$161.00	$128.80–$136.85	—	69%
Short leg splint (calf to foot) inpatient CPT 29515 APPL, SHORT LEG SPLINT (CALF	$83.57	$267.00	$213.60–$226.95	—	69%
Short leg splint (calf to foot) inpatient CPT 29515 APPLIC.,SHORT LEG SPLINT (CALF	$83.57	$267.00	$213.60–$226.95	—	69%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 LACERATION REPAIR/SIMPLE	$112.68	$360.00	$288.00–$306.00	—	69%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 REPAIR SUPERFICIAL WOUND(S) SCALP,NECK,AXILLAE,EXTREMITI	$166.83	$533.00	$426.40–$453.05	—	69%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 LAC REPAIR SIMPLE 2.5 CM	$187.49	$599.00	$479.20–$509.15	—	69%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 LAC REPAIR/SIMPLE 2.5 CM	$187.49	$599.00	$479.20–$509.15	—	69%
Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BIOPSY SINGLE	$155.56	$497.00	$397.60–$422.45	—	69%
Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BIOPSY OF SKIN -SINGLE LESION	$202.82	$648.00	$518.40–$550.80	—	69%
Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BIOPSY SKIN SINGLE LESION	$585.94	$1,872.00	$1,497.60–$1,591.20	—	69%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 EXC/MAL LES/.5CM/TRUNK/ARMS,ET	$99.85	$319.00	$255.20–$271.15	—	69%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 EX/MAL LES/.5CM/TRUNK/ARMS/ETC	$99.85	$319.00	$255.20–$271.15	—	69%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 EXC/MAL LES .5CM TRUNK ARMS ET	$165.89	$530.00	$424.00–$450.50	—	69%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 EXC/MAL LES/.5CM/TRUNK/ARMS/ET	$165.89	$530.00	$424.00–$450.50	—	69%
Skin tag removal, up to 15 tags inpatient CPT 11200 SKIN TAGS REMOVAL	$63.54	$203.00	$162.40–$172.55	—	69%
Skin tag removal, up to 15 tags inpatient CPT 11200 SKIN TAGS, REMOVAL 15 OR LESS	$105.79	$338.00	$270.40–$287.30	—	69%
Skin tag removal, up to 15 tags inpatient CPT 11200 SKIN TAGS REMOVAL 15 OR LESS	$105.79	$338.00	$270.40–$287.30	—	69%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 LACERATION REPAIR SIMPLE	$99.85	$319.00	$255.20–$271.15	—	69%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 LACERATION REPAIR/SIMPLE	$99.85	$319.00	$255.20–$271.15	—	69%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 LAC REPAIR SIMPLE 2.6-7.5 CM	$165.89	$530.00	$424.00–$450.50	—	69%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 REPAIR SUPERFICIAL WOUND OF SCALP, NECK, AXILLAE, ETC.	$166.83	$533.00	$426.40–$453.05	—	69%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 LACERATION/SIMPLE/2.5CM/FACE,E	$198.76	$635.00	$508.00–$539.75	—	69%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 LACERATION/SIMP/2.5CM/FACE,ETC	$198.76	$635.00	$508.00–$539.75	—	69%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TANGENTIAL BIOPSY OF SKIN -SINGLE LESION	$202.82	$648.00	$518.40–$550.80	—	69%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS	$366.84	$1,172.00	$937.60–$996.20	—	69%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJECTION, SINGLE OR MULTIPLE TRIGGER POINTS	$81.69	$261.00	$208.80–$221.85	—	69%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJECTION, SINGLE OR MULTIPLE TRIGGER POINTTS	$81.69	$261.00	$208.80–$221.85	—	69%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 PIRIFORMIS INJ, TRIGGER POINT, 1.00-2.00 MUSCLES	$248.52	$794.00	$635.20–$674.90	—	69%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 BREAST BX US LEFT	$1,710.54	$5,465.00	$4,372.00–$4,645.25	—	69%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 BREAST BX US RIGHT	$1,710.54	$5,465.00	$4,372.00–$4,645.25	—	69%
Wart removal, up to 14 warts inpatient CPT 17110 DESTR., ANY METHOD, FLAT WARTS	$77.31	$247.00	$197.60–$209.95	—	69%
Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCTION,ANY METHOD,FLAT WA	$128.64	$411.00	$328.80–$349.35	—	69%
Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCTION,ANY METHOD,FL.WART	$128.64	$411.00	$328.80–$349.35	—	69%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE; SKIN & SUB-Q TISSUE	$543.37	$1,736.00	$1,388.80–$1,475.60	—	69%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs New Jersey	Off list
Blood transfusion (giving blood or blood components) CPT 36430 AUTOTRANSFUSION	$1,068.58	$3,414.00	$1,229.04–$2,901.90	88% above	69%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION I (PROD)	$371.84	$1,188.00	$950.40–$1,009.80	—	69%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION II (PRODS)	$500.80	$1,600.00	$1,280.00–$1,360.00	—	69%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION III (PRODS)	$756.83	$2,418.00	$1,934.40–$2,055.30	—	69%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 AUTOTRANSFUSION	$1,068.58	$3,414.00	$2,731.20–$2,901.90	—	69%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEBULIZER TREATMENT	$35.06	$112.00	$89.60–$95.20	—	69%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RAINDROP NEBTX INHALATION	$57.90	$185.00	$148.00–$157.25	—	69%
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 COMPREHENSIVE AUDIOMETRY	$168.39	$538.00	$430.40–$457.30	—	69%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 ELECTROENCEPHALOGRAM (EEG); INLCUDING RECORDING AWAKE &	$553.70	$1,769.00	$1,415.20–$1,503.65	—	69%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ELECTROCARDIOGRAM ROUTINE	$32.55	$104.00	$83.20–$88.40	—	69%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ELECTROCARDIOGRAM	$86.39	$276.00	$220.80–$234.60	—	69%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ECG	$86.39	$276.00	$220.80–$234.60	—	69%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ECG PEDIATRIC	$100.47	$321.00	$256.80–$272.85	—	69%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 EXERCISE STRESS TEST	$593.76	$1,897.00	$1,517.60–$1,612.45	—	69%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 ADENOSINE STRESS	$593.76	$1,897.00	$1,517.60–$1,612.45	—	69%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 ADENO STRESS W/THALL CARDIOVASCULAR TEST ONLY,TRACING	$687.35	$2,196.00	$1,756.80–$1,866.60	—	69%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 EXERCISE NUCLEAR STRESS	$707.07	$2,259.00	$1,807.20–$1,920.15	—	69%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 ADENO STRESS	$707.07	$2,259.00	$1,807.20–$1,920.15	—	69%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 DOBUT STRESS	$707.07	$2,259.00	$1,807.20–$1,920.15	—	69%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 EXERCISE STRESS	$707.07	$2,259.00	$1,807.20–$1,920.15	—	69%
Family therapy with the patient, 50 minutes inpatient CPT 90847 OP FAMILY THERAPY	$140.54	$449.00	$359.20–$381.65	—	69%
Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY THERAPY	$140.54	$449.00	$359.20–$381.65	—	69%
Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY THERAPY 1 HR	$140.54	$449.00	$359.20–$381.65	—	69%
Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY PSYCHOTHERAPY	$146.17	$467.00	$373.60–$396.95	—	69%
Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY PSYCH W/O PATIENT	$146.17	$467.00	$373.60–$396.95	—	69%
Group psychotherapy session CPT 90853 PAT FAM EDUC GRP;MULTIPLE,OTHER THAN,PSYCHOTHERAPY	$82.01	$262.00	$94.32–$222.70	29% below	69%
Group psychotherapy session CPT 90853 PSYCHOTHERAPY GROUP	$82.01	$262.00	$94.32–$222.70	29% below	69%
Group psychotherapy session CPT 90853 PSYCH EDUCATION GROUP	$82.01	$262.00	$94.32–$222.70	29% below	69%
Group psychotherapy session CPT 90853 REC THERAPY GRP	$82.01	$262.00	$94.32–$222.70	29% below	69%
Group psychotherapy session CPT 90853 PSYCH ED. GRP OBSER	$82.01	$262.00	$94.32–$222.70	29% below	69%
Group psychotherapy session inpatient CPT 90853 DAY HOSP OUTPATIENT 60 MIN GROUP	$73.24	$234.00	$187.20–$198.90	—	69%
Group psychotherapy session inpatient CPT 90853 GROUP THERAPY PAIN MANAGEMENT	$73.24	$234.00	$187.20–$198.90	—	69%
Group psychotherapy session inpatient CPT 90853 OFFSITE 1 HR GROUP	$73.24	$234.00	$187.20–$198.90	—	69%
Group psychotherapy session inpatient CPT 90853 GROUP 60" (CAWL)	$73.24	$234.00	$187.20–$198.90	—	69%
Group psychotherapy session inpatient CPT 90853 GROUP THERAPY	$73.24	$234.00	$187.20–$198.90	—	69%
Group psychotherapy session inpatient CPT 90853 IOP 60 MINUTE GROUP	$73.24	$234.00	$187.20–$198.90	—	69%
Group psychotherapy session inpatient CPT 90853 REC THERAPY GRP	$82.01	$262.00	$209.60–$222.70	—	69%
Group psychotherapy session inpatient CPT 90853 PSYCH EDUCATION GROUP	$82.01	$262.00	$209.60–$222.70	—	69%
Group psychotherapy session inpatient CPT 90853 PSYCHOTHERAPY GROUP	$82.01	$262.00	$209.60–$222.70	—	69%
Group psychotherapy session inpatient CPT 90853 PAT FAM EDUC GRP;MULTIPLE,OTHER THAN,PSYCHOTHERAPY	$82.01	$262.00	$209.60–$222.70	—	69%
Group psychotherapy session inpatient CPT 90853 PSYCH ED. GRP OBSER	$82.01	$262.00	$209.60–$222.70	—	69%
Group psychotherapy session inpatient CPT 90853 GROUP PSYCHOTHERAPY	$95.46	$305.00	$244.00–$259.25	—	69%
Group psychotherapy session inpatient CPT 90853 AC PART EXPRESSIVE GRP (SM)	$98.60	$315.00	$252.00–$267.75	—	69%
Group psychotherapy session inpatient CPT 90853 AC GROUP EDUCATION (SM)	$98.60	$315.00	$252.00–$267.75	—	69%
Group psychotherapy session inpatient CPT 90853 AC PSYCH THERAPY	$98.60	$315.00	$252.00–$267.75	—	69%
Group psychotherapy session inpatient CPT 90853 AC GOALS GROUP (SM)	$98.60	$315.00	$252.00–$267.75	—	69%
Group psychotherapy session inpatient CPT 90853 AC LIFE SKILLS	$98.60	$315.00	$252.00–$267.75	—	69%
Group psychotherapy session inpatient CPT 90853 AC GRP ED (SM);MUL FAM OTHER THAN PSYCHOTHERAPY	$98.60	$315.00	$252.00–$267.75	—	69%
Group psychotherapy session inpatient CPT 90853 GROUP THERAPY 1 HR	$108.61	$347.00	$277.60–$294.95	—	69%
Group psychotherapy session inpatient CPT 90853 IOP 90 MINUTE GROUP	$111.43	$356.00	$284.80–$302.60	—	69%
Group psychotherapy session inpatient CPT 90853 OUTPATIENT ADOL 90 MINUTE GROUP	$111.43	$356.00	$284.80–$302.60	—	69%
Group psychotherapy session inpatient CPT 90853 90 MIN GROUP	$111.43	$356.00	$284.80–$302.60	—	69%
Group psychotherapy session inpatient CPT 90853 GROUP 90" (CAWL)	$111.43	$356.00	$284.80–$302.60	—	69%
Group psychotherapy session inpatient CPT 90853 OUTPATIENT GROUP	$111.43	$356.00	$284.80–$302.60	—	69%
Group psychotherapy session inpatient CPT 90853 POST AC PART GROUP (SM)	$111.43	$356.00	$284.80–$302.60	—	69%
Group psychotherapy session inpatient CPT 90853 OFFSITE 90 MIN GROUP	$111.43	$356.00	$284.80–$302.60	—	69%
Group psychotherapy session inpatient CPT 90853 AC POST GROUP (SM)	$111.43	$356.00	$284.80–$302.60	—	69%
Group psychotherapy session inpatient CPT 90853 DAY HOSP - OUTPATIENT GROUP	$160.26	$512.00	$409.60–$435.20	—	69%
Group psychotherapy session inpatient CPT 90853 CIOP	$194.69	$622.00	$497.60–$528.70	—	69%
Group psychotherapy session inpatient CPT 90853 IOP	$196.88	$629.00	$503.20–$534.65	—	69%
Group psychotherapy session inpatient CPT 90853 CBR ACUTE HALF DAY	$212.53	$679.00	$543.20–$577.15	—	69%
Group psychotherapy session inpatient CPT 90853 AC PARTIAL HALF (SM)	$260.10	$831.00	$664.80–$706.35	—	69%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION 1ST HOUR	$124.26	$397.00	$317.60–$337.45	—	69%
IV infusion of a medicine, first hour inpatient CPT 96365 MEDICATION INFUSION 1ST HOUR	$232.87	$744.00	$595.20–$632.40	—	69%
IV push of a medicine, first drug inpatient CPT 96374 IV PUSH, SINGLE OR INITIAL SUBSTANCE/DRUG	$124.26	$397.00	$317.60–$337.45	—	69%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC/PROPHYLACTIC INJ	$21.28	$68.00	$54.40–$57.80	—	69%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERA/PROPHYLAC/DIAG INJ ADMIN	$24.10	$77.00	$61.60–$65.45	—	69%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 SUBCUTANEOUS OR INTRAMUSCULAR INJECTION, THERAPEUTIC,PRO	$30.05	$96.00	$76.80–$81.60	—	69%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM/SQ INJECTION	$57.90	$185.00	$148.00–$157.25	—	69%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION-MNCC	$83.88	$268.00	$214.40–$227.80	—	69%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCH DIAGNOSTIC INTERVIEW	$33.80	$108.00	$86.40–$91.80	—	69%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HIGHLD 30" INTAKE UNIT	$97.66	$312.00	$249.60–$265.20	—	69%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 IOP INTAKE UNITS, 30 MINS	$99.22	$317.00	$253.60–$269.45	—	69%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 INTAKE UNIT 30"	$99.22	$317.00	$253.60–$269.45	—	69%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 INTAKE UNIT 30"(CAWL)	$99.22	$317.00	$253.60–$269.45	—	69%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCH DIAGNOSTIC EVALUATION	$104.86	$335.00	$268.00–$284.75	—	69%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 IDRC INTAKE	$137.41	$439.00	$351.20–$373.15	—	69%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PROGRAM EVAL (D)	$145.23	$464.00	$371.20–$394.40	—	69%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 ACUTE PARTIAL INTAKE UNITS 30 MIN	$145.23	$464.00	$371.20–$394.40	—	69%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PROGRAM EVALUATION (SM)	$145.23	$464.00	$371.20–$394.40	—	69%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 AC ASSESSMENT	$145.23	$464.00	$371.20–$394.40	—	69%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 CBR ACUTE INTAKE - 30 MIN UNIT	$145.23	$464.00	$371.20–$394.40	—	69%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 BARIATRIC EVAL SELF PAY	$202.82	$648.00	$518.40–$550.80	—	69%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 INTAKE PAIN MANAGEMENT	$240.07	$767.00	$613.60–$651.95	—	69%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 CIOP INTAKE	$240.07	$767.00	$613.60–$651.95	—	69%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCH DIAGNOSTIC - BRIEF	$240.07	$767.00	$613.60–$651.95	—	69%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 IOP INTAKE	$243.20	$777.00	$621.60–$660.45	—	69%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 OUTPATIENT INTAKE OFFSITE	$243.20	$777.00	$621.60–$660.45	—	69%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HIGHLD INTAKE INTEGRATION	$243.20	$777.00	$621.60–$660.45	—	69%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 ATS INTAKE HAWK POINTE	$243.20	$777.00	$621.60–$660.45	—	69%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HP OUTPATIENT INTAKE	$243.20	$777.00	$621.60–$660.45	—	69%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 OUTPATIENT ADOL INTAKE	$243.20	$777.00	$621.60–$660.45	—	69%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 CBR ACUTE HOSPITAL INTAKE	$291.09	$930.00	$744.00–$790.50	—	69%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 MENTAL HEALTH EVALUATION	$304.86	$974.00	$779.20–$827.90	—	69%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 BARIATRIC EVALUATION	$304.86	$974.00	$779.20–$827.90	—	69%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 DCS EVALUATION	$304.86	$974.00	$779.20–$827.90	—	69%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 DCS EVALUATION OFFSITE	$304.86	$974.00	$779.20–$827.90	—	69%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 EVALUATION ATS	$304.86	$974.00	$779.20–$827.90	—	69%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 SUBSTANCE USE EVALUATION	$304.86	$974.00	$779.20–$827.90	—	69%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 BA EVALUATION OFFSITE	$304.86	$974.00	$779.20–$827.90	—	69%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 SUD EVALUATION	$304.86	$974.00	$779.20–$827.90	—	69%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 AAIP INTAKE	$305.49	$976.00	$780.80–$829.60	—	69%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 ACUTE PARTIAL INTAKE	$305.49	$976.00	$780.80–$829.60	—	69%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 IOTP INTAKE DETOX	$305.49	$976.00	$780.80–$829.60	—	69%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 IDRC PACKAGE	$446.96	$1,428.00	$1,142.40–$1,213.80	—	69%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 SOCIAL WORK EVAL	$646.97	$2,067.00	$1,653.60–$1,756.95	—	69%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEURO RE-ED PT 15 MINS;NEUROMUSCULAR	$49.45	$158.00	$126.40–$134.30	—	69%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSC RE-ED 15 MIN	$54.78	$175.00	$140.00–$148.75	—	69%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PTA NEURO RE-ED EA 15 MINS;NEUROMUSCULAR	$98.28	$314.00	$251.20–$266.90	—	69%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEURO RE-ED EA 15 MINS	$98.28	$314.00	$251.20–$266.90	—	69%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PTA NEURO RE-ED EA 15 MINS	$98.28	$314.00	$251.20–$266.90	—	69%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEURO RE-ED EA 15 MINS;NEUROMUSCULAR	$98.28	$314.00	$251.20–$266.90	—	69%
New patient office visit, about 30 minutes inpatient CPT 99203 OV DETAILED NEW	$65.42	$209.00	$167.20–$177.65	—	69%
New patient office visit, about 30 minutes inpatient CPT 99203 EVALUATION-1HR	$104.54	$334.00	$267.20–$283.90	—	69%
New patient office visit, about 30 minutes inpatient CPT 99203 EVALUATION-1 HR	$104.54	$334.00	$267.20–$283.90	—	69%
New patient office visit, about 30 minutes inpatient CPT 99203 OV DETAILED NEW PAT	$108.92	$348.00	$278.40–$295.80	—	69%
New patient office visit, about 30 minutes inpatient CPT 99203 SICK NEW PT DETAILED	$140.54	$449.00	$359.20–$381.65	—	69%
New patient office visit, about 30 minutes inpatient CPT 99203 NEW PATIENT LEVEL 3	$150.87	$482.00	$385.60–$409.70	—	69%
New patient office visit, about 30 minutes inpatient CPT 99203 NEW PT LEVEL 3	$205.95	$658.00	$526.40–$559.30	—	69%
New patient office visit, about 30 minutes inpatient CPT 99203 F-NEW REFERRAL 30 MINS,LEVEL 3 OUT PATIENT OFFICE VISIT	$227.24	$726.00	$580.80–$617.10	—	69%
New patient office visit, about 30 minutes inpatient CPT 99203 DETAILED NEW PT	$295.16	$943.00	$754.40–$801.55	—	69%
New patient office visit, about 30 minutes inpatient CPT 99203 NEW PT CONSULT LEVEL 3	$303.92	$971.00	$776.80–$825.35	—	69%
New patient office visit, about 45 minutes inpatient CPT 99204 OV COMPREHENSIVE	$94.53	$302.00	$241.60–$256.70	—	69%
New patient office visit, about 45 minutes inpatient CPT 99204 OV COMPREHENSIVE NEW PAT	$157.13	$502.00	$401.60–$426.70	—	69%
New patient office visit, about 45 minutes inpatient CPT 99204 PM EVALUATION	$189.05	$604.00	$483.20–$513.40	—	69%
New patient office visit, about 45 minutes inpatient CPT 99204 NEW PATIENT LEVEL 4	$189.99	$607.00	$485.60–$515.95	—	69%
New patient office visit, about 45 minutes inpatient CPT 99204 SICK NEW PATIENT COMPREHENSIVE	$205.02	$655.00	$524.00–$556.75	—	69%
New patient office visit, about 45 minutes inpatient CPT 99204 H-NEW REFERRAL 45 MINS	$254.16	$812.00	$649.60–$690.20	—	69%
New patient office visit, about 45 minutes inpatient CPT 99204 NEW PT LEVEL 4	$268.87	$859.00	$687.20–$730.15	—	69%
New patient office visit, about 45 minutes inpatient CPT 99204 COMP NEW PT	$453.54	$1,449.00	$1,159.20–$1,231.65	—	69%
New patient office visit, about 45 minutes inpatient CPT 99204 NEW PT CONSULT LEVEL 4	$466.06	$1,489.00	$1,191.20–$1,265.65	—	69%
New patient office visit, about 60 minutes inpatient CPT 99205 OV COMPREHENSIVE NEW	$117.69	$376.00	$300.80–$319.60	—	69%
New patient office visit, about 60 minutes inpatient CPT 99205 OV COMPLEX NEW PAT	$195.94	$626.00	$500.80–$532.10	—	69%
New patient office visit, about 60 minutes inpatient CPT 99205 NEW PATIENT LEVEL 5	$241.32	$771.00	$616.80–$655.35	—	69%
New patient office visit, about 60 minutes inpatient CPT 99205 NEW PATIENT COMPLEX	$254.47	$813.00	$650.40–$691.05	—	69%
New patient office visit, about 60 minutes inpatient CPT 99205 H-NEW REFERRAL 60 MINS	$268.87	$859.00	$687.20–$730.15	—	69%
New patient office visit, about 60 minutes inpatient CPT 99205 NEW PT LEVEL 5	$287.65	$919.00	$735.20–$781.15	—	69%
New patient office visit, about 60 minutes inpatient CPT 99205 COMPLEX NEW PT	$568.10	$1,815.00	$1,452.00–$1,542.75	—	69%
New patient office visit, about 60 minutes inpatient CPT 99205 NEW PT CONSULT LEVEL 5	$585.00	$1,869.00	$1,495.20–$1,588.65	—	69%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OV EXPANDED FOCUS NEW PT	$45.07	$144.00	$115.20–$122.40	—	69%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OV EXPANDED FOCUS	$45.07	$144.00	$115.20–$122.40	—	69%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OV EXPANDED FOCUS NEW PAT	$74.81	$239.00	$191.20–$203.15	—	69%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 SICK NEW PT EXPANDED FOCUS	$96.09	$307.00	$245.60–$260.95	—	69%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PATIENT LEVEL 2	$110.49	$353.00	$282.40–$300.05	—	69%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PT LEVEL 2	$133.02	$425.00	$340.00–$361.25	—	69%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 EXPANDED NEW PT	$205.33	$656.00	$524.80–$557.60	—	69%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PT CONSULT LEVEL 2	$211.28	$675.00	$540.00–$573.75	—	69%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 DV ABNORMAL WEIGHT LOSS INITIA	$15.65	$50.00	$40.00–$42.50	—	69%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 OBESITY - INITIAL 15 MINS	$23.16	$74.00	$59.20–$62.90	—	69%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 ABNORMAL WEIGHT LOSS - INITIAL	$23.16	$74.00	$59.20–$62.90	—	69%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 DV OBESITY INITIAL 15 MINS	$23.16	$74.00	$59.20–$62.90	—	69%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 DV EATING DISORDER INITIAL 15M	$23.16	$74.00	$59.20–$62.90	—	69%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 EATING DISORDER INITIAL SESSIO	$23.16	$74.00	$59.20–$62.90	—	69%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 NEW PATIENT NUTRITION ASSESSMENT, EACH 15 MINS	$23.48	$75.00	$60.00–$63.75	—	69%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MCARE NONDM/NONKIDNEY/INIT/DV	$36.62	$117.00	$93.60–$99.45	—	69%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MCARE NONDM/NON KIDNEY/INIT/PB	$36.62	$117.00	$93.60–$99.45	—	69%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 DV INITIAL SESSION 15 MINS	$36.62	$117.00	$93.60–$99.45	—	69%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MCARE DM/KIDNEY/INITIAL/DELVAL	$40.69	$130.00	$104.00–$110.50	—	69%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MCARE DM/KIDNEY/INITIAL/PAB	$40.69	$130.00	$104.00–$110.50	—	69%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT SCREENING	$120.82	$386.00	$308.80–$328.10	—	69%
Occupational therapy evaluation, low complexity inpatient CPT 97165 EVAL LOW COMPLEXITY	$178.10	$569.00	$455.20–$483.65	—	69%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT LMTD EVAL	$243.20	$777.00	$621.60–$660.45	—	69%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 EVAL HIGH COMPLEXITY,PT	$191.24	$611.00	$488.80–$519.35	—	69%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 EVAL HIGH COMPLEXITY	$191.24	$611.00	$488.80–$519.35	—	69%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PHYSICAL THERAPY CONSULT	$410.97	$1,313.00	$1,050.40–$1,116.05	—	69%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 EVAL LOW COMPLEXITY, PT	$191.24	$611.00	$488.80–$519.35	—	69%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 EVAL LOW COMPLEXITY	$191.24	$611.00	$488.80–$519.35	—	69%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 EVAL LOWCOMPLEXITY	$191.24	$611.00	$488.80–$519.35	—	69%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MOD COMPLEX 30 MIN	$115.18	$368.00	$294.40–$312.80	—	69%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 EVAL MODERATE COMPLEXITY	$191.24	$611.00	$488.80–$519.35	—	69%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 EVAL MODERATE CPLEXITY, PT	$191.24	$611.00	$488.80–$519.35	—	69%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 EVAL MODERATECOMPLEXITY	$191.24	$611.00	$488.80–$519.35	—	69%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY EA 15 MINS	$56.03	$179.00	$143.20–$152.15	—	69%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PTA MANUAL THERAPY EA 15 MINS	$56.03	$179.00	$143.20–$152.15	—	69%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THER EX OT 15: 15.00 MINUTES-EXERCISES	$50.08	$160.00	$128.00–$136.00	—	69%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THER EX 15 MIN;EXERCISES	$56.34	$180.00	$144.00–$153.00	—	69%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THER EX EA 15 MINS	$56.65	$181.00	$144.80–$153.85	—	69%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PTA THER EX EA 15 MINS;EXERCISES	$56.65	$181.00	$144.80–$153.85	—	69%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THER EX EA 15 MINS;EXERCISES	$56.65	$181.00	$144.80–$153.85	—	69%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PTA THER EX EA 15 MINS	$56.65	$181.00	$144.80–$153.85	—	69%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 PREVENTIVE E&M, 18-39, NEW	$147.42	$471.00	$376.80–$400.35	—	69%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 PREVENTIVE E&M, 40-64, NEW	$178.72	$571.00	$456.80–$485.35	—	69%
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 PREVENTIVE E&M, OVER 65	$204.70	$654.00	$523.20–$555.90	—	69%
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 PREVENTIVE, E&M, 18-39	$130.52	$417.00	$333.60–$354.45	—	69%
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 PREVENTIVE E&M, 18-39	$130.52	$417.00	$333.60–$354.45	—	69%
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 PREVENTIVE VISIT-EST.AGE 40-64	$144.61	$462.00	$369.60–$392.70	—	69%
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 PREVENTIVE CARE, 40-64	$144.61	$462.00	$369.60–$392.70	—	69%
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 PREVENTIVE CARE - 40-64	$144.61	$462.00	$369.60–$392.70	—	69%
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 PREVENTIVE E&M, OVER 65	$174.34	$557.00	$445.60–$473.45	—	69%
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 PREVENTIVE VISIT-EST.65 & OVER	$174.34	$557.00	$445.60–$473.45	—	69%
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 PREVENTIVE E&M, OVER 65, NEW	$174.34	$557.00	$445.60–$473.45	—	69%
Psychiatric evaluation with medical services inpatient CPT 90792 ES MENTAL HEALTH EVALUATION (SOC)	$284.83	$910.00	$728.00–$773.50	—	69%
Psychiatric evaluation with medical services inpatient CPT 90792 PSYCHIATRIC EVALUATION NR	$412.85	$1,319.00	$1,055.20–$1,121.15	—	69%
Psychiatric evaluation with medical services inpatient CPT 90792 PSYCHIATRIC EVAL	$412.85	$1,319.00	$1,055.20–$1,121.15	—	69%
Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 PSYCH EVAL 1	$172.78	$552.00	$441.60–$469.20	—	69%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 OFFSITE CRISIS FOLLOW UP	$63.54	$203.00	$162.40–$172.55	—	69%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 CRISIS PSYCHOTHERAPY 1ST 60 MIN	$249.15	$796.00	$636.80–$676.60	—	69%
Psychotherapy session, 30 minutes inpatient CPT 90832 CBR ACUTE - INDIV TREATMENT 30 MIN	$163.39	$522.00	$417.60–$443.70	—	69%
Psychotherapy session, 30 minutes inpatient CPT 90832 PSYCHOTHERAPY 30 MIN.	$171.84	$549.00	$439.20–$466.65	—	69%
Psychotherapy session, 30 minutes inpatient CPT 90832 OP 30 MINUTE TREATMENT OFFSITE	$171.84	$549.00	$439.20–$466.65	—	69%
Psychotherapy session, 30 minutes inpatient CPT 90832 TREATMENT 1/2 HR	$180.91	$578.00	$462.40–$491.30	—	69%
Psychotherapy session, 30 minutes inpatient CPT 90832 HIGHLD 30 MIN. INDIV	$180.91	$578.00	$462.40–$491.30	—	69%
Psychotherapy session, 30 minutes inpatient CPT 90832 ATS TREATMENT 1/2 HR	$180.91	$578.00	$462.40–$491.30	—	69%
Psychotherapy session, 30 minutes inpatient CPT 90832 HP 30 MINUTE TREATMENT	$180.91	$578.00	$462.40–$491.30	—	69%
Psychotherapy session, 30 minutes inpatient CPT 90832 CRISIS PSYCHOTHERAPY UNDER 30 MINS	$180.91	$578.00	$462.40–$491.30	—	69%
Psychotherapy session, 30 minutes inpatient CPT 90832 ATS 30 MINUTE TREATMENT HP	$180.91	$578.00	$462.40–$491.30	—	69%
Psychotherapy session, 45 minutes CPT 90834 REC THERAPY IND	$108.61	$347.00	$124.92–$294.95	46% below	69%
Psychotherapy session, 45 minutes CPT 90834 PSYCHO THERAPY 1 HR	$120.82	$386.00	$138.96–$328.10	40% below	69%
Psychotherapy session, 45 minutes CPT 90834 PSYCH ED	$131.15	$419.00	$150.84–$356.15	35% below	69%
Psychotherapy session, 45 minutes inpatient CPT 90834 REC THERAPY IND	$108.61	$347.00	$277.60–$294.95	—	69%
Psychotherapy session, 45 minutes inpatient CPT 90834 PSYCHO THERAPY 1 HR	$120.82	$386.00	$308.80–$328.10	—	69%
Psychotherapy session, 45 minutes inpatient CPT 90834 PSYCH ED	$131.15	$419.00	$335.20–$356.15	—	69%
Psychotherapy session, 45 minutes inpatient CPT 90834 CBR ACUTE - INDIV TREATMENT 45 MIN	$190.30	$608.00	$486.40–$516.80	—	69%
Psychotherapy session, 45 minutes inpatient CPT 90834 PSYCHOTHERAPY 45 MIN.	$200.01	$639.00	$511.20–$543.15	—	69%
Psychotherapy session, 45 minutes inpatient CPT 90834 HP 45 MINUTE TREATMENT	$200.01	$639.00	$511.20–$543.15	—	69%
Psychotherapy session, 45 minutes inpatient CPT 90834 TREATMENT 45 MIN.	$200.01	$639.00	$511.20–$543.15	—	69%
Psychotherapy session, 45 minutes inpatient CPT 90834 ATS 45 MINUTE TREATMENT HP	$200.01	$639.00	$511.20–$543.15	—	69%
Psychotherapy session, 45 minutes inpatient CPT 90834 HIGHLD 45 MIN. INDIV.	$200.01	$639.00	$511.20–$543.15	—	69%
Psychotherapy session, 45 minutes inpatient CPT 90834 OP 45 MINUTE TREATMENT OFFSITE	$200.01	$639.00	$511.20–$543.15	—	69%
Psychotherapy session, 45 minutes inpatient CPT 90834 INDIVIDUAL PAIN MANAGEMENT	$200.01	$639.00	$511.20–$543.15	—	69%
Psychotherapy session, 45 minutes inpatient CPT 90834 PSYCH TESTING 1 HR	$200.01	$639.00	$511.20–$543.15	—	69%
Psychotherapy session, 60 minutes inpatient CPT 90837 PSYCHOTHERAPY 60 MIN.;PATIENT AND OR FAMILY	$228.80	$731.00	$584.80–$621.35	—	69%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKING CESSATION COUNSELING, 3.00-10.00 MINUTES	$17.22	$55.00	$44.00–$46.75	—	69%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKING/TOBACO USE OVER 3 MIN	$24.41	$78.00	$62.40–$66.30	—	69%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 TOBACCO AND SMOKING CESSATION COUNSELING, >3, UP TO 10 M	$46.01	$147.00	$117.60–$124.95	—	69%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OV COMPREHENSIVE EST	$88.89	$284.00	$227.20–$241.40	—	69%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OV COMPREHENSIVE EST PAT	$88.89	$284.00	$227.20–$241.40	—	69%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OV COMPREHENSIVE	$147.74	$472.00	$377.60–$401.20	—	69%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 INDIV PSYCH W/MED MGMT/40 MIN NR	$200.32	$640.00	$512.00–$544.00	—	69%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 EMERGENCY CONSULT 55 MINS	$200.32	$640.00	$512.00–$544.00	—	69%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 INDIV PSY W/MED MGMT 40 MIN.	$200.32	$640.00	$512.00–$544.00	—	69%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 EST PT LEVEL 5	$200.32	$640.00	$512.00–$544.00	—	69%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 COMP EST PT	$200.32	$640.00	$512.00–$544.00	—	69%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 EST PATIENT LEVEL 5	$200.32	$640.00	$512.00–$544.00	—	69%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 F-ESTABLISHED PT VISIT 40 MINS,LEVEL 5 OUTPATIENT OFFICE	$200.32	$640.00	$512.00–$544.00	—	69%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OV EST - COMPREHENSIVE	$200.32	$640.00	$512.00–$544.00	—	69%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OV EXPANDED FOCUS EST.	$34.43	$110.00	$88.00–$93.50	—	69%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 15 MIN INPT DIABETES,OUTPATIENT VISIT	$45.38	$145.00	$116.00–$123.25	—	69%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 EVALUATION-0.5HR	$55.09	$176.00	$140.80–$149.60	—	69%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OV EXPANDED FOCUS EST	$56.97	$182.00	$145.60–$154.70	—	69%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OV EXPANDED FOCUS EST PAT	$56.97	$182.00	$145.60–$154.70	—	69%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20-29 MIN	$171.84	$549.00	$439.20–$466.65	—	69%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 H-ESTABLISHED PATIENT 15 MINS	$175.91	$562.00	$449.60–$477.70	—	69%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 EXPANDED EST PT	$175.91	$562.00	$449.60–$477.70	—	69%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 EST PATIENT LEVEL 3	$175.91	$562.00	$449.60–$477.70	—	69%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OV EST - EXPANDED FOCUS	$175.91	$562.00	$449.60–$477.70	—	69%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 EST PT LEVEL 3	$175.91	$562.00	$449.60–$477.70	—	69%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 MEDICATION MANAGEMENT 15-20 MI NR	$175.91	$562.00	$449.60–$477.70	—	69%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OV DETAILED EST.	$56.34	$180.00	$144.00–$153.00	—	69%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OV DETAILED EST PAT	$93.59	$299.00	$239.20–$254.15	—	69%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFFICE VISIT EST - DETAILED;LEVEL 4 OUTPAT VISIT	$189.05	$604.00	$483.20–$513.40	—	69%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFFICE VISIT, EVALUATION & MGMT	$189.05	$604.00	$483.20–$513.40	—	69%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 H-ESTABLISHED PATIENT 25 MIN	$189.05	$604.00	$483.20–$513.40	—	69%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 DETAILED EST PT	$189.05	$604.00	$483.20–$513.40	—	69%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 INDIV PSYCH MED MGMT/25-30 MIN	$189.05	$604.00	$483.20–$513.40	—	69%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 EMERGENCY CONSULT 25 MINS	$189.05	$604.00	$483.20–$513.40	—	69%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 INDIV PSY W/ MED MGMT 25-30 MN	$189.05	$604.00	$483.20–$513.40	—	69%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 EST PT LEVEL 4	$189.05	$604.00	$483.20–$513.40	—	69%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 EST PATIENT LEVEL 4	$189.05	$604.00	$483.20–$513.40	—	69%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OV PROBLEM FOCUS EST.	$27.23	$87.00	$69.60–$73.95	—	69%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OV PROBLEM FOCUS EST PAT	$44.76	$143.00	$114.40–$121.55	—	69%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE/OUTPATIENT ESTABLISHED SF MDM 10-19 MIN	$161.82	$517.00	$413.60–$439.45	—	69%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 EST PT LEVEL 2	$163.39	$522.00	$417.60–$443.70	—	69%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 FOCUSED EST PT	$163.39	$522.00	$417.60–$443.70	—	69%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OV EST - PROBLEM FOCUSED	$163.39	$522.00	$417.60–$443.70	—	69%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 EST PATIENT LEVEL 2	$163.39	$522.00	$417.60–$443.70	—	69%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 EST PT LEVEL 3;CONSULTATION,OFFICE	$116.44	$372.00	$297.60–$316.20	—	69%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 DETAILED CONSULT	$116.44	$372.00	$297.60–$316.20	—	69%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 OFFICE CONSULT	$143.04	$457.00	$365.60–$388.45	—	69%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 CONSULT,DETAIL,3 KEY COMPONENT	$143.04	$457.00	$365.60–$388.45	—	69%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 EXTENDED CONSULT	$179.66	$574.00	$459.20–$487.90	—	69%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 EST PT LEVEL 4,CONSULTATION,OFFICE	$182.79	$584.00	$467.20–$496.40	—	69%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 COMP CONSULT	$182.79	$584.00	$467.20–$496.40	—	69%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 OFFICE CONSULT-OUTPATIENT	$195.62	$625.00	$500.00–$531.25	—	69%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 OP CONSULT - COMPREHENSIVE	$195.62	$625.00	$500.00–$531.25	—	69%
Speech and language evaluation inpatient CPT 92523 EVAL OF SPEECH PROD W/LANG 1HR	$297.98	$952.00	$761.60–$809.20	—	69%
Speech and language evaluation inpatient CPT 92523 EVAL OF SPEECH PROD W/LANG 1.5 HRS;COMP,PRODUCTION,SOUND	$330.84	$1,057.00	$845.60–$898.45	—	69%
Speech and language evaluation inpatient CPT 92523 EVAL OF SPEECH PRODUCTION W/LANG 1.75 HRS;COMP,SOUND	$394.38	$1,260.00	$1,008.00–$1,071.00	—	69%
Speech and language evaluation inpatient CPT 92523 EVAL OF SPEECH PRODUCTION W/LANG 2 HRS;COMP AND SOUND	$481.71	$1,539.00	$1,231.20–$1,308.15	—	69%
Speech therapy session, individual inpatient CPT 92507 TREAT SLVA PROC BRIEF	$77.31	$247.00	$197.60–$209.95	—	69%
Speech therapy session, individual inpatient CPT 92507 H-INTENSIVE TX OF SPEECH,LANG,INDIVIDUAL	$96.09	$307.00	$245.60–$260.95	—	69%
Speech therapy session, individual inpatient CPT 92507 INTENSIVE TX OF SPEECH,LANG	$96.09	$307.00	$245.60–$260.95	—	69%
Speech therapy session, individual inpatient CPT 92507 TREAT SLVA PROC EXT; AND OR AUDITORY	$129.58	$414.00	$331.20–$351.90	—	69%
Speech therapy session, individual inpatient CPT 92507 TREAT SLVA PROC/AURAL REH INDV 3/4 HR	$172.78	$552.00	$441.60–$469.20	—	69%
Speech therapy session, individual inpatient CPT 92507 TREAT SLVA PROC/AURAL REH IND 1 HR	$180.91	$578.00	$462.40–$491.30	—	69%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY	$56.97	$182.00	$145.60–$154.70	—	69%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY W/O MEDICATION	$398.45	$1,273.00	$1,018.40–$1,082.05	—	69%
Spirometry before and after a bronchodilator inpatient CPT 94060 BRONCHOSPASM EVAL	$89.20	$285.00	$228.00–$242.25	—	69%
Spirometry before and after a bronchodilator inpatient CPT 94060 BRONCHOSPASM EVALUATION	$89.20	$285.00	$228.00–$242.25	—	69%
Spirometry before and after a bronchodilator inpatient CPT 94060 BRONCHODILATION RESPONSIVENESS	$596.26	$1,905.00	$1,524.00–$1,619.25	—	69%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC FUNCTION 15 MIN	$54.78	$175.00	$140.00–$148.75	—	69%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC FUNCTION	$54.78	$175.00	$140.00–$148.75	—	69%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PTA THERAPEUTIC ACTIVITY EA 15 MINS	$61.04	$195.00	$156.00–$165.75	—	69%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PTA THERAPUTIC ACTIVITY EA 15 MINS	$61.04	$195.00	$156.00–$165.75	—	69%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITY EA 15 MINS;DIRECT	$61.04	$195.00	$156.00–$165.75	—	69%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC FUNCTIONAL ACTIVIT	$61.04	$195.00	$156.00–$165.75	—	69%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PTA THERAPEUTIC FUNCTIONAL ACTIVIT	$61.04	$195.00	$156.00–$165.75	—	69%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PTA THERAPEUTIC ACTIVITY EA 15 MINS;DIRECT	$61.04	$195.00	$156.00–$165.75	—	69%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITY EA 15 MINS	$61.04	$195.00	$156.00–$165.75	—	69%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPUTIC ACTIVITY EA 15 MINS	$61.04	$195.00	$156.00–$165.75	—	69%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPUTIC ACTIVITIES EA 15 MINS	$62.29	$199.00	$159.20–$169.15	—	69%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 THERAPEUTIC PHLEBOTOM	$162.13	$518.00	$414.40–$440.30	—	69%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs New Jersey	Off list
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLO VIRUS VACCINE;LIVE,SUBCUTANEOUS,VARICELLA	$71.05	$227.00	$181.60–$192.95	—	69%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE	$71.05	$227.00	$181.60–$192.95	—	69%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE LIVE, SUBCUTANEOUS	$71.05	$227.00	$181.60–$192.95	—	69%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VACCINE SQ LIVE	$71.36	$228.00	$182.40–$193.80	—	69%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 A DPT VACCINE	$19.72	$63.00	$50.40–$53.55	—	69%
DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 DTAP-HIB-IP VACCINE, IM	$83.88	$268.00	$214.40–$227.80	—	69%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HPV VIRUS VACCINE 9 VAL IM, DOSE,NONAVALENT,THREE	$117.06	$374.00	$299.20–$317.90	—	69%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HEP A-HEP B VACCINE	$72.30	$231.00	$184.80–$196.35	—	69%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A, ADULT DOSE	$54.46	$174.00	$139.20–$147.90	—	69%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VACCINE ADULT	$65.73	$210.00	$168.00–$178.50	—	69%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEP B VAC, ADULT	$71.68	$229.00	$183.20–$194.65	—	69%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VACCINE	$41.94	$134.00	$107.20–$113.90	—	69%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 DV MMR VACCINE	$54.46	$174.00	$139.20–$147.90	—	69%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MMR VACCINE	$69.80	$223.00	$178.40–$189.55	—	69%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL VACCINE, IM	$69.17	$221.00	$176.80–$187.85	—	69%
Nasal spray flu vaccine, live (FluMist) inpatient CPT 90660 INTRANASAL FLU	$70.42	$225.00	$180.00–$191.25	—	69%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PNEUMOCOCCAL VACC 13 VAL IM	$104.23	$333.00	$266.40–$283.05	—	69%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL VACCINE ADULT DOS	$55.71	$178.00	$142.40–$151.30	—	69%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 IPV-INACTIVATED(POLIOVIRUS VACCINE)	$104.23	$333.00	$266.40–$283.05	—	69%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE-IM	$172.15	$550.00	$440.00–$467.50	—	69%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 ROTOVIRUS VACC 3 DOSE, ORAL	$64.79	$207.00	$165.60–$175.95	—	69%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TD VACCINE, ADULT	$15.65	$50.00	$40.00–$42.50	—	69%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TD VACCINE ADULT DOSE	$21.28	$68.00	$54.40–$57.80	—	69%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP VACCINE	$35.06	$112.00	$89.60–$95.20	—	69%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP	$43.82	$140.00	$112.00–$119.00	—	69%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN ONE VACCINE	$14.71	$47.00	$37.60–$39.95	—	69%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMINISTRATION RHOGAM INJECT	$24.41	$78.00	$62.40–$66.30	—	69%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMM ADM, 1 SINGLE	$24.41	$78.00	$62.40–$66.30	—	69%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN 1 VACCINE	$36.62	$117.00	$93.60–$99.45	—	69%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 VACC ADMIN,EA ADDTL	$8.76	$28.00	$22.40–$23.80	—	69%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 VACC ADMIN, EA ADDTL	$8.76	$28.00	$22.40–$23.80	—	69%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION SUBSEQUENT VISIT	$57.59	$184.00	$147.20–$156.40	—	69%

Source file: https://www.hunterdonhealth.org/hpt/2/221537688_Hunterdon-Medical-Center_standardcharges.csv