Jps Health Network
Jps Health Network in Fort Worth, TX publishes cash prices for 389 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Texas median for 280 of 388 procedures and above it for 108. By typical cash price it ranks #74 of 305 Texas hospitals and #5 of 82 hospitals in the Dallas, TX area, cheapest first. Click a procedure to compare it with other hospitals nearby.
1500 S Main St, Fort Worth, TX 76104 Collected Sep 27, 2026 Source price file (817) 921-3431
Acute care hospital Emergency department CMS star rating 4 of 5 CCN 450039 · CMS hospital register NPI 1992753222
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 HC CT ABDOMEN W & W/O CONTRAST | $1,463.40 | $2,439.00 | — | 49% below | 40% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 HC CT ABDOMEN W & W/O CONTRAST | $1,463.40 | $2,439.00 | — | — | 40% |
| Abdominal X-ray, 2 views CPT 74019 HC ABDOMEN 2 VIEWS | $124.20 | $207.00 | — | 69% below | 40% |
| Abdominal X-ray, 2 views CPT 74019 HC ABDOMEN 2 VIEWS | $124.20 | $207.00 | — | 69% below | 40% |
| Abdominal X-ray, 2 views inpatient CPT 74019 HC ABDOMEN 2 VIEWS | $124.20 | $207.00 | — | — | 40% |
| Abdominal X-ray, 2 views inpatient CPT 74019 HC ABDOMEN 2 VIEWS | $124.20 | $207.00 | — | — | 40% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 HC ANKLE 3 VW (RIGHT) | $304.20 | $507.00 | — | 19% below | 40% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 HC ANKLE 3 VW (LEFT) | $304.20 | $507.00 | — | 19% below | 40% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 HC ANKLE 3 VW (LEFT) | $304.20 | $507.00 | — | — | 40% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 HC ANKLE 3 VW (RIGHT) | $304.20 | $507.00 | — | — | 40% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC ARTERIAL DOPPLER BIL | $288.60 | $481.00 | — | 53% below | 40% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC ARTERIAL DOPPLER BIL | $288.60 | $481.00 | — | — | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 HC CT ELBOW W/O CONT LT | $978.00 | $1,630.00 | — | 47% below | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 HC CT SHOULDER WO CONTRAST LT | $978.00 | $1,630.00 | — | 47% below | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 HC CT HUMERUS W/O CONT RT | $978.00 | $1,630.00 | — | 47% below | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 HC CT HUMERUS W/O CONT LT | $978.00 | $1,630.00 | — | 47% below | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 HC CT HAND/WRIST WO CONT RT | $978.00 | $1,630.00 | — | 47% below | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 HC CT HAND/WRIST WO CONT LT | $978.00 | $1,630.00 | — | 47% below | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 HC CT FOREARM WO CONTRAST RT | $978.00 | $1,630.00 | — | 47% below | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 HC CT UPPER EXTREMITY W/O CONTRAST LT | $978.00 | $1,630.00 | — | 47% below | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 HC CT SHOULDER WO CONTRAST RT | $978.00 | $1,630.00 | — | 47% below | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 HC CT FOREARM WO CONTRAST LT | $978.00 | $1,630.00 | — | 47% below | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 HC CT ELBOW W/O CONT RT | $978.00 | $1,630.00 | — | 47% below | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 HC CT UPPER EXTREMITY W/O CONTRAST RT | $978.00 | $1,630.00 | — | 47% below | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 HC CT SHOULDER WO CONTRAST RT | $978.00 | $1,630.00 | — | — | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 HC CT HUMERUS W/O CONT LT | $978.00 | $1,630.00 | — | — | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 HC CT HAND/WRIST WO CONT RT | $978.00 | $1,630.00 | — | — | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 HC CT HUMERUS W/O CONT RT | $978.00 | $1,630.00 | — | — | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 HC CT HAND/WRIST WO CONT LT | $978.00 | $1,630.00 | — | — | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 HC CT UPPER EXTREMITY W/O CONTRAST LT | $978.00 | $1,630.00 | — | — | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 HC CT FOREARM WO CONTRAST RT | $978.00 | $1,630.00 | — | — | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 HC CT ELBOW W/O CONT LT | $978.00 | $1,630.00 | — | — | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 HC CT ELBOW W/O CONT RT | $978.00 | $1,630.00 | — | — | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 HC CT FOREARM WO CONTRAST LT | $978.00 | $1,630.00 | — | — | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 HC CT UPPER EXTREMITY W/O CONTRAST RT | $978.00 | $1,630.00 | — | — | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 HC CT SHOULDER WO CONTRAST LT | $978.00 | $1,630.00 | — | — | 40% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 HC ESOPHAGRAM | $186.60 | $311.00 | — | 63% below | 40% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC ESOPHAGRAM | $186.60 | $311.00 | — | — | 40% |
| Bone scan, whole body (nuclear medicine) CPT 78306 HC BONE SCAN WHOLE BODY | $725.40 | $1,209.00 | — | 58% below | 40% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC BONE SCAN WHOLE BODY | $725.40 | $1,209.00 | — | — | 40% |
| Breast ultrasound, complete, one breast CPT 76641 HC US BREAST LOCAL NO NEEDLE BIL | $427.20 | $712.00 | — | 3% below | 40% |
| Breast ultrasound, complete, one breast one side CPT 76641 HC BREAST SONOGRAM COMPLETE W OR W/O AXILLA - UNLATERAL (RIGHT) | $177.60 | $296.00 | — | 60% below | 40% |
| Breast ultrasound, complete, one breast one side CPT 76641 HC BREAST SONOGRAM COMPLETE W OR W/O AXILLA - UNLATERAL (LEFT) | $177.60 | $296.00 | — | 60% below | 40% |
| Breast ultrasound, complete, one breast inpatient CPT 76641 HC US BREAST LOCAL NO NEEDLE BIL | $427.20 | $712.00 | — | — | 40% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 HC BREAST SONOGRAM COMPLETE W OR W/O AXILLA - UNLATERAL (RIGHT) | $177.60 | $296.00 | — | — | 40% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 HC BREAST SONOGRAM COMPLETE W OR W/O AXILLA - UNLATERAL (LEFT) | $177.60 | $296.00 | — | — | 40% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC US BREAST LOCAL NO NEEDLE RT | $168.00 | $280.00 | — | 55% below | 40% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC US BREAST LOCAL NO NEEDLE LT | $168.00 | $280.00 | — | 55% below | 40% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC BREAST SONOGRAM LIMITED W OR W/O AXILLA -UNIL (LEFT) | $214.20 | $357.00 | — | 42% below | 40% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC BREAST SONOGRAM LIMITED W OR W/O AXILLA -UNIL (RIGHT) | $214.20 | $357.00 | — | 42% below | 40% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC US BREAST LOCAL NO NEEDLE RT | $168.00 | $280.00 | — | — | 40% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC US BREAST LOCAL NO NEEDLE LT | $168.00 | $280.00 | — | — | 40% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC BREAST SONOGRAM LIMITED W OR W/O AXILLA -UNIL (LEFT) | $214.20 | $357.00 | — | — | 40% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC BREAST SONOGRAM LIMITED W OR W/O AXILLA -UNIL (RIGHT) | $214.20 | $357.00 | — | — | 40% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CTA ABD/PEL W CONTRAST | $584.40 | $974.00 | — | 87% below | 40% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CTA ABDOMEN/PELVIS W/WO CONTRAST | $584.40 | $974.00 | — | 87% below | 40% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CTA ABDOMEN/PELVIS W/WO CONTRAST | $584.40 | $974.00 | — | 87% below | 40% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CTA ABD/PEL W CONTRAST | $584.40 | $974.00 | — | 87% below | 40% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC CTA ABDOMEN/PELVIS W/WO CONTRAST | $584.40 | $974.00 | — | — | 40% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC CTA ABD/PEL W CONTRAST | $584.40 | $974.00 | — | — | 40% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC CTA ABDOMEN/PELVIS W/WO CONTRAST | $584.40 | $974.00 | — | — | 40% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC CTA ABD/PEL W CONTRAST | $584.40 | $974.00 | — | — | 40% |
| CT angiography (CTA) of the head CPT 70496 HC CTV HEAD W CONT WO IF REQ | $1,102.20 | $1,837.00 | — | 61% below | 40% |
| CT angiography (CTA) of the head CPT 70496 HC CTA HEAD W/WO CONTR | $1,102.20 | $1,837.00 | — | 61% below | 40% |
| CT angiography (CTA) of the head CPT 70496 HC CTA HEAD W/WO CONTR CMB | $3,763.80 | $6,273.00 | — | 33% above | 40% |
| CT angiography (CTA) of the head inpatient CPT 70496 HC CTA HEAD W/WO CONTR | $1,102.20 | $1,837.00 | — | — | 40% |
| CT angiography (CTA) of the head inpatient CPT 70496 HC CTV HEAD W CONT WO IF REQ | $1,102.20 | $1,837.00 | — | — | 40% |
| CT angiography (CTA) of the head inpatient CPT 70496 HC CTA HEAD W/WO CONTR CMB | $3,763.80 | $6,273.00 | — | — | 40% |
| CT angiography (CTA) of the neck CPT 70498 HC CTV NECK W WO CONTRAST | $1,102.20 | $1,837.00 | — | 59% below | 40% |
| CT angiography (CTA) of the neck CPT 70498 HC CTA NECK W CONT | $1,102.20 | $1,837.00 | — | 59% below | 40% |
| CT angiography (CTA) of the neck CPT 70498 HC CTA NECK W/WO CONT | $1,102.20 | $1,837.00 | — | 59% below | 40% |
| CT angiography (CTA) of the neck CPT 70498 HC CTV NECK W CONTRAST | $1,102.20 | $1,837.00 | — | 59% below | 40% |
| CT angiography (CTA) of the neck inpatient CPT 70498 HC CTV NECK W CONTRAST | $1,102.20 | $1,837.00 | — | — | 40% |
| CT angiography (CTA) of the neck inpatient CPT 70498 HC CTA NECK W CONT | $1,102.20 | $1,837.00 | — | — | 40% |
| CT angiography (CTA) of the neck inpatient CPT 70498 HC CTV NECK W WO CONTRAST | $1,102.20 | $1,837.00 | — | — | 40% |
| CT angiography (CTA) of the neck inpatient CPT 70498 HC CTA NECK W/WO CONT | $1,102.20 | $1,837.00 | — | — | 40% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CTV CHEST W CONTRAST | $560.40 | $934.00 | — | 80% below | 40% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CTA CHEST W/WO CONT NONCORN | $560.40 | $934.00 | — | 80% below | 40% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CTA CHEST W CONT | $560.40 | $934.00 | — | 80% below | 40% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CTA CHEST W CONT | $560.40 | $934.00 | — | — | 40% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CTV CHEST W CONTRAST | $560.40 | $934.00 | — | — | 40% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CTA CHEST W/WO CONT NONCORN | $560.40 | $934.00 | — | — | 40% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CCT MORPHOLOGY & FUNCT W CONT | $991.80 | $1,653.00 | — | 41% below | 40% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC CCT MORPHOLOGY & FUNCT W CONT | $991.80 | $1,653.00 | — | — | 40% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CCT CALCIUM SCORING WO CONT | $118.20 | $197.00 | — | 38% below | 40% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CCT CALCIUM SCORING WO CONT | $118.20 | $197.00 | — | — | 40% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC ABD/PEL W/O CONTRAST | $1,622.40 | $2,704.00 | — | 52% below | 40% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC ABD/PEL W/O CONTRAST | $1,622.40 | $2,704.00 | — | — | 40% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC ABD/PEL W CONTRAST | $1,622.40 | $2,704.00 | — | 58% below | 40% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC ABD/PEL W CONTRAST | $1,622.40 | $2,704.00 | — | 58% below | 40% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ENTEROGRAPHY | $1,627.20 | $2,712.00 | — | 58% below | 40% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC ABD/PEL W CONTRAST | $1,622.40 | $2,704.00 | — | — | 40% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC ABD/PEL W CONTRAST | $1,622.40 | $2,704.00 | — | — | 40% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ENTEROGRAPHY | $1,627.20 | $2,712.00 | — | — | 40% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC ABD/PEL W & W/O CONTRAST | $1,689.60 | $2,816.00 | — | 60% below | 40% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC ABD/PEL W & W/O CONTRAST | $1,689.60 | $2,816.00 | — | — | 40% |
| CT scan of the abdomen with contrast CPT 74160 HC CT ABDOMEN W CONTRAST | $1,255.80 | $2,093.00 | — | 52% below | 40% |
| CT scan of the abdomen with contrast inpatient CPT 74160 HC CT ABDOMEN W CONTRAST | $1,255.80 | $2,093.00 | — | — | 40% |
| CT scan of the abdomen without contrast CPT 74150 HC CT ABDOMEN W/O CONTRAST | $1,255.80 | $2,093.00 | — | 39% below | 40% |
| CT scan of the abdomen without contrast inpatient CPT 74150 HC CT ABDOMEN W/O CONTRAST | $1,255.80 | $2,093.00 | — | — | 40% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT TMJ-A/MANDIBLE W/O CONTRAST | $2,371.20 | $3,952.00 | — | 42% above | 40% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT SINUS W/O CONTRAST | $2,644.20 | $4,407.00 | — | 59% above | 40% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT TMJ-S W/O CONT | $2,644.20 | $4,407.00 | — | 59% above | 40% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT SINUS W/O CONTRAST | $2,644.20 | $4,407.00 | — | 59% above | 40% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT FACIAL W/O CONTRAST | $2,644.20 | $4,407.00 | — | 59% above | 40% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT TMJ-A/MANDIBLE W/O CONTRAST | $2,371.20 | $3,952.00 | — | — | 40% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT TMJ-S W/O CONT | $2,644.20 | $4,407.00 | — | — | 40% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT FACIAL W/O CONTRAST | $2,644.20 | $4,407.00 | — | — | 40% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT SINUS W/O CONTRAST | $2,644.20 | $4,407.00 | — | — | 40% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT SINUS W/O CONTRAST | $2,644.20 | $4,407.00 | — | — | 40% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD W/O CONTRAST | $2,661.60 | $4,436.00 | — | 40% above | 40% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC ACUTE STROKE PROTOCOL CT HEAD | $2,661.60 | $4,436.00 | — | 40% above | 40% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD W/O CONTRAST | $2,661.60 | $4,436.00 | — | 40% above | 40% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC ACUTE STROKE PROTOCOL CT HEAD | $2,661.60 | $4,436.00 | — | — | 40% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD W/O CONTRAST | $2,661.60 | $4,436.00 | — | — | 40% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD W/O CONTRAST | $2,661.60 | $4,436.00 | — | — | 40% |
| CT scan of the head with contrast CPT 70460 HC CT HEAD W/CONT | $2,661.60 | $4,436.00 | — | 51% above | 40% |
| CT scan of the head with contrast inpatient CPT 70460 HC CT HEAD W/CONT | $2,661.60 | $4,436.00 | — | — | 40% |
| CT scan of the head without and with contrast CPT 70470 HC CT HEAD W/WO CONT | $3,456.00 | $5,760.00 | — | 50% above | 40% |
| CT scan of the head without and with contrast inpatient CPT 70470 HC CT HEAD W/WO CONT | $3,456.00 | $5,760.00 | — | — | 40% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT LUMBAR SPINE W/O CONTRAST | $1,484.40 | $2,474.00 | — | 28% below | 40% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT LUMBAR SPINE W/O CONTRAST | $1,484.40 | $2,474.00 | — | — | 40% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT C-SPINE WO CONT | $2,009.40 | $3,349.00 | — | 5% below | 40% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT C-SPINE WO CONT | $2,009.40 | $3,349.00 | — | 5% below | 40% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT C-SPINE WO CONT | $2,009.40 | $3,349.00 | — | — | 40% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT C-SPINE WO CONT | $2,009.40 | $3,349.00 | — | — | 40% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W CONTRAST | $1,089.60 | $1,816.00 | — | 50% below | 40% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W CONTRAST | $1,089.60 | $1,816.00 | — | — | 40% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 HC CAROTID DOPPLER BIL | $1,576.20 | $2,627.00 | — | 17% above | 40% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 HC CAROTID DOPPLER BIL | $1,576.20 | $2,627.00 | — | — | 40% |
| Chest CT scan without and with contrast CPT 71270 HC CT THORAX W/WO CONT | $1,728.00 | $2,880.00 | — | 37% below | 40% |
| Chest CT scan without and with contrast inpatient CPT 71270 HC CT THORAX W/WO CONT | $1,728.00 | $2,880.00 | — | — | 40% |
| Chest X-ray, 2 views CPT 71046 HC CHEST 2 VWS | $276.00 | $460.00 | — | 30% below | 40% |
| Chest X-ray, 2 views CPT 71046 HC CHEST 2 VWS | $276.00 | $460.00 | — | 30% below | 40% |
| Chest X-ray, 2 views inpatient CPT 71046 HC CHEST 2 VWS | $276.00 | $460.00 | — | — | 40% |
| Chest X-ray, 2 views inpatient CPT 71046 HC CHEST 2 VWS | $276.00 | $460.00 | — | — | 40% |
| Chest X-ray, single view CPT 71045 HC CHEST 1 VW | $230.40 | $384.00 | — | 29% below | 40% |
| Chest X-ray, single view CPT 71045 HC CHEST 1 VW | $230.40 | $384.00 | — | 29% below | 40% |
| Chest X-ray, single view inpatient CPT 71045 HC CHEST 1 VW | $230.40 | $384.00 | — | — | 40% |
| Chest X-ray, single view inpatient CPT 71045 HC CHEST 1 VW | $230.40 | $384.00 | — | — | 40% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 HC CLAVICLE (RIGHT) | $190.80 | $318.00 | — | 45% below | 40% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 HC CLAVICLE (LEFT) | $190.80 | $318.00 | — | 45% below | 40% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 HC CLAVICLE (RIGHT) | $190.80 | $318.00 | — | — | 40% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 HC CLAVICLE (LEFT) | $190.80 | $318.00 | — | — | 40% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC ABDOMINAL AORTA SCAN B | $347.40 | $579.00 | — | 53% below | 40% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC RENAL/BLADDER ULTRASOUND | $347.40 | $579.00 | — | 53% below | 40% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC RENAL SONOGRAM - COMPLETE | $347.40 | $579.00 | — | 53% below | 40% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC RENAL SONOGRAM - COMPLETE | $347.40 | $579.00 | — | 53% below | 40% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC ABDOMINAL AORTA SCAN B | $347.40 | $579.00 | — | 53% below | 40% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC ABDOMINAL AORTA SCAN B | $347.40 | $579.00 | — | — | 40% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC RENAL/BLADDER ULTRASOUND | $347.40 | $579.00 | — | — | 40% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC ABDOMINAL AORTA SCAN B | $347.40 | $579.00 | — | — | 40% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC RENAL SONOGRAM - COMPLETE | $347.40 | $579.00 | — | — | 40% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC RENAL SONOGRAM - COMPLETE | $347.40 | $579.00 | — | — | 40% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC BONE DENSITY DEXISCAN AXIAL | $258.60 | $431.00 | — | 38% below | 40% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC BONE DENSITY DEXISCAN AXIAL | $258.60 | $431.00 | — | 38% below | 40% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC BONE DENSITY DEXISCAN AXIAL | $258.60 | $431.00 | — | — | 40% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC BONE DENSITY DEXISCAN AXIAL | $258.60 | $431.00 | — | — | 40% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC BONE DENSITY DEXISCAN APPENDIC | $258.60 | $431.00 | — | 17% above | 40% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC BONE DENSITY DEXISCAN APPENDIC | $258.60 | $431.00 | — | 17% above | 40% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC BONE DENSITY DEXISCAN APPENDIC | $258.60 | $431.00 | — | — | 40% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC BONE DENSITY DEXISCAN APPENDIC | $258.60 | $431.00 | — | — | 40% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC OB COMP (>14WKS)DETAIL ONE/1ST | $655.80 | $1,093.00 | — | 5% below | 40% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC OB COMP (>14WKS)DETAIL ONE/1ST | $655.80 | $1,093.00 | — | 5% below | 40% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HC OB COMP (>14WKS)DETAIL ONE/1ST | $655.80 | $1,093.00 | — | — | 40% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HC OB COMP (>14WKS)DETAIL ONE/1ST | $655.80 | $1,093.00 | — | — | 40% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT THORAX WO CONT | $1,484.40 | $2,474.00 | — | 12% below | 40% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT FOLLOW-UP TO LOW DOSE LUNG CANCER SCREENING | $1,484.40 | $2,474.00 | — | 12% below | 40% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT THORAX WO CONT | $1,484.40 | $2,474.00 | — | — | 40% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT FOLLOW-UP TO LOW DOSE LUNG CANCER SCREENING | $1,484.40 | $2,474.00 | — | — | 40% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT THORAX W CONT | $1,484.40 | $2,474.00 | — | 31% below | 40% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT THORAX W CONT | $1,484.40 | $2,474.00 | — | 31% below | 40% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT THORAX W CONT | $1,484.40 | $2,474.00 | — | — | 40% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT THORAX W CONT | $1,484.40 | $2,474.00 | — | — | 40% |
| Diagnostic mammogram, both breasts CPT 77066 HC DIG BIL DX MAMMO | $582.60 | $971.00 | — | 59% above | 40% |
| Diagnostic mammogram, both breasts CPT 77066 HC DIG BIL DX MAMMO WITH IMPLANTS | $582.60 | $971.00 | — | 59% above | 40% |
| Diagnostic mammogram, both breasts inpatient CPT 77066 HC DIG BIL DX MAMMO WITH IMPLANTS | $582.60 | $971.00 | — | — | 40% |
| Diagnostic mammogram, both breasts inpatient CPT 77066 HC DIG BIL DX MAMMO | $582.60 | $971.00 | — | — | 40% |
| Diagnostic mammogram, one breast one side CPT 77065 HC DIG LT DX MAMMMO WITH IMPLANTS | $517.20 | $862.00 | — | 89% above | 40% |
| Diagnostic mammogram, one breast one side CPT 77065 HC DIG LT BREAST DX MAMMO | $517.20 | $862.00 | — | 89% above | 40% |
| Diagnostic mammogram, one breast one side CPT 77065 HC DIG RT BREAST DX MAMMO | $517.20 | $862.00 | — | 89% above | 40% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HC DIG LT DX MAMMMO WITH IMPLANTS | $517.20 | $862.00 | — | — | 40% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HC DIG LT BREAST DX MAMMO | $517.20 | $862.00 | — | — | 40% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HC DIG RT BREAST DX MAMMO | $517.20 | $862.00 | — | — | 40% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 HC ARTERIAL DUPLEX LOWER EXT BIL | $416.40 | $694.00 | — | 77% below | 40% |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 HC ARTERIAL DUPLEX LOWER EXT BIL | $416.40 | $694.00 | — | — | 40% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 HC VENOUS IMAGING DOPPLER/BIL | $416.40 | $694.00 | — | 79% below | 40% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 HC VENOUS IMAGING DOPPLER/BIL | $416.40 | $694.00 | — | — | 40% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC PEDIATRIC ECHO COMPLETE | $1,177.20 | $1,962.00 | — | 50% below | 40% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC ECHO TRANSTHOR- WITH COLOR | $2,910.60 | $4,851.00 | — | 24% above | 40% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC PEDIATRIC ECHO COMPLETE | $1,177.20 | $1,962.00 | — | — | 40% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC ECHO TRANSTHOR- WITH COLOR | $2,910.60 | $4,851.00 | — | — | 40% |
| Elbow X-ray, 2 views one side CPT 73070 HC ELBOW LIMITED (LEFT) | $211.20 | $352.00 | — | 35% below | 40% |
| Elbow X-ray, 2 views one side CPT 73070 HC ELBOW LIMITED (RIGHT) | $211.20 | $352.00 | — | 35% below | 40% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 HC ELBOW LIMITED (RIGHT) | $211.20 | $352.00 | — | — | 40% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 HC ELBOW LIMITED (LEFT) | $211.20 | $352.00 | — | — | 40% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 HC ELBOW COMPLETE (LEFT) | $277.80 | $463.00 | — | 27% below | 40% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 HC ELBOW COMPLETE (RIGHT) | $277.80 | $463.00 | — | 27% below | 40% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 HC ELBOW COMPLETE (RIGHT) | $277.80 | $463.00 | — | — | 40% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 HC ELBOW COMPLETE (LEFT) | $277.80 | $463.00 | — | — | 40% |
| Eye socket (orbit) CT scan without contrast CPT 70480 HC CT TEMPORAL BONES WO CONT | $2,947.20 | $4,912.00 | — | 76% above | 40% |
| Eye socket (orbit) CT scan without contrast CPT 70480 HC CT ORB/FSSA/EAR WO CONT | $2,947.20 | $4,912.00 | — | 76% above | 40% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT TEMPORAL BONES WO CONT | $2,947.20 | $4,912.00 | — | — | 40% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT ORB/FSSA/EAR WO CONT | $2,947.20 | $4,912.00 | — | — | 40% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 HC FACIAL BONES COMPLETE | $264.60 | $441.00 | — | 38% below | 40% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 HC FACIAL BONES COMPLETE | $264.60 | $441.00 | — | 38% below | 40% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC FACIAL BONES COMPLETE | $264.60 | $441.00 | — | — | 40% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC FACIAL BONES COMPLETE | $264.60 | $441.00 | — | — | 40% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 HC FOREARM 2 VWS (RIGHT) | $201.60 | $336.00 | — | 46% below | 40% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 HC FOREARM 2 VWS (LEFT) | $201.60 | $336.00 | — | 46% below | 40% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 HC FOREARM 2 VWS (LEFT) | $201.60 | $336.00 | — | — | 40% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 HC FOREARM 2 VWS (RIGHT) | $201.60 | $336.00 | — | — | 40% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC HEPATOBILIARY SCAN | $510.00 | $850.00 | — | 68% below | 40% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC HEPATOBILIARY SCAN | $510.00 | $850.00 | — | — | 40% |
| Hand X-ray, 2 views one side CPT 73120 HC HAND LIMITED (RIGHT) | $139.20 | $232.00 | — | 58% below | 40% |
| Hand X-ray, 2 views one side CPT 73120 HC HAND LIMITED (LEFT) | $139.20 | $232.00 | — | 58% below | 40% |
| Hand X-ray, 2 views inpatient one side CPT 73120 HC HAND LIMITED (LEFT) | $139.20 | $232.00 | — | — | 40% |
| Hand X-ray, 2 views inpatient one side CPT 73120 HC HAND LIMITED (RIGHT) | $139.20 | $232.00 | — | — | 40% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 HC OS CALCANEUS (HEEL) 2 VW (RT) | $126.00 | $210.00 | — | 56% below | 40% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 HC OS CALCANEUS (HEEL) 2 VW (LT) | $126.00 | $210.00 | — | 56% below | 40% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 HC OS CALCANEUS (HEEL) 2 VW (LT) | $126.00 | $210.00 | — | — | 40% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 HC OS CALCANEUS (HEEL) 2 VW (RT) | $126.00 | $210.00 | — | — | 40% |
| Knee X-ray, 3 views one side CPT 73562 HC KNEE 3 VWS (SPEC 3RD VW)(LEFT) | $178.80 | $298.00 | — | 56% below | 40% |
| Knee X-ray, 3 views one side CPT 73562 HC KNEE 3 VWS (SPEC 3RD VW)(RT) | $178.80 | $298.00 | — | 56% below | 40% |
| Knee X-ray, 3 views inpatient one side CPT 73562 HC KNEE 3 VWS (SPEC 3RD VW)(RT) | $178.80 | $298.00 | — | — | 40% |
| Knee X-ray, 3 views inpatient one side CPT 73562 HC KNEE 3 VWS (SPEC 3RD VW)(LEFT) | $178.80 | $298.00 | — | — | 40% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 HC KNEE > 3 VIEWS (LEFT) | $220.20 | $367.00 | — | 48% below | 40% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 HC KNEE > 3 VIEWS (RIGHT) | $220.20 | $367.00 | — | 48% below | 40% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 HC KNEE > 3 VIEWS (RIGHT) | $220.20 | $367.00 | — | — | 40% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 HC KNEE > 3 VIEWS (LEFT) | $220.20 | $367.00 | — | — | 40% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 HC CT FEMUR WO CONTRAST LT | $1,339.80 | $2,233.00 | — | 24% below | 40% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 HC CT HIP WO CONTRAST LT | $1,339.80 | $2,233.00 | — | 24% below | 40% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 HC CT ANKLE W/O CONT LT | $1,339.80 | $2,233.00 | — | 24% below | 40% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 HC CT FOOT/HEEL WO CONT RT | $1,339.80 | $2,233.00 | — | 24% below | 40% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 HC CT KNEE WO CONTRAST RT | $1,339.80 | $2,233.00 | — | 24% below | 40% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 HC CT HIP WO CONTRAST RT | $1,339.80 | $2,233.00 | — | 24% below | 40% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 HC CT TIBIA/FIBULA WO CONT LT | $1,339.80 | $2,233.00 | — | 24% below | 40% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 HC CT FOOT/HEEL WO CONT LT | $1,339.80 | $2,233.00 | — | 24% below | 40% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 HC CT TIBIA/FIBULA WO CONT RT | $1,339.80 | $2,233.00 | — | 24% below | 40% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 HC CT KNEE WO CONTRAST LT | $1,339.80 | $2,233.00 | — | 24% below | 40% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 HC CT LOWER EXTREMITY W/O CONTRAST LT | $1,339.80 | $2,233.00 | — | 24% below | 40% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 HC CT LOWER EXTREMITY W/O CONTRAST RT | $1,339.80 | $2,233.00 | — | 24% below | 40% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 HC CT FEMUR WO CONTRAST RT | $1,339.80 | $2,233.00 | — | 24% below | 40% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 HC CT ANKLE W/O CONT RT | $1,339.80 | $2,233.00 | — | 24% below | 40% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 HC CT KNEE WO CONTRAST RT | $1,339.80 | $2,233.00 | — | — | 40% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 HC CT FOOT/HEEL WO CONT LT | $1,339.80 | $2,233.00 | — | — | 40% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 HC CT FOOT/HEEL WO CONT RT | $1,339.80 | $2,233.00 | — | — | 40% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 HC CT HIP WO CONTRAST LT | $1,339.80 | $2,233.00 | — | — | 40% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 HC CT HIP WO CONTRAST RT | $1,339.80 | $2,233.00 | — | — | 40% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 HC CT ANKLE W/O CONT LT | $1,339.80 | $2,233.00 | — | — | 40% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 HC CT KNEE WO CONTRAST LT | $1,339.80 | $2,233.00 | — | — | 40% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 HC CT FEMUR WO CONTRAST RT | $1,339.80 | $2,233.00 | — | — | 40% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 HC CT TIBIA/FIBULA WO CONT LT | $1,339.80 | $2,233.00 | — | — | 40% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 HC CT TIBIA/FIBULA WO CONT RT | $1,339.80 | $2,233.00 | — | — | 40% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 HC CT LOWER EXTREMITY W/O CONTRAST LT | $1,339.80 | $2,233.00 | — | — | 40% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 HC CT LOWER EXTREMITY W/O CONTRAST RT | $1,339.80 | $2,233.00 | — | — | 40% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 HC CT ANKLE W/O CONT RT | $1,339.80 | $2,233.00 | — | — | 40% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 HC CT FEMUR WO CONTRAST LT | $1,339.80 | $2,233.00 | — | — | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC LIVER SONOGRAM | $319.20 | $532.00 | — | 49% below | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US LIMITED ABDOMINAL ULTRASOUND | $319.20 | $532.00 | — | 49% below | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US LIMITED ABDOMINAL ULTRASOUND | $319.20 | $532.00 | — | 49% below | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC LIVER SONOGRAM | $319.20 | $532.00 | — | 49% below | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US LIMITED ABDOMINAL ULTRASOUND | $319.20 | $532.00 | — | — | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US LIMITED ABDOMINAL ULTRASOUND | $319.20 | $532.00 | — | — | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC LIVER SONOGRAM | $319.20 | $532.00 | — | — | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC LIVER SONOGRAM | $319.20 | $532.00 | — | — | 40% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC EXTREMITY NON VASC LIMITED | $132.00 | $220.00 | — | 72% below | 40% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC EXTREMITY NON VASC LIMITED | $132.00 | $220.00 | — | 72% below | 40% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC EXTREMITY NON VASC LIMITED | $132.00 | $220.00 | — | — | 40% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC EXTREMITY NON VASC LIMITED | $132.00 | $220.00 | — | — | 40% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT LOW DOSE LUNG SCREEN | $1,484.40 | $2,474.00 | — | 518% above | 40% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC CT LOW DOSE LUNG SCREEN | $1,484.40 | $2,474.00 | — | — | 40% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 HC TIBIA/FIBULA AP/LAT VWS (RIGHT | $234.60 | $391.00 | — | 32% below | 40% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 HC TIBIA/FIBULA AP/LAT VWS (LEFT) | $234.60 | $391.00 | — | 32% below | 40% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 HC TIBIA/FIBULA AP/LAT VWS (RIGHT | $234.60 | $391.00 | — | — | 40% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 HC TIBIA/FIBULA AP/LAT VWS (LEFT) | $234.60 | $391.00 | — | — | 40% |
| MR angiography (MRA) of the head without contrast CPT 70544 HC MRV BRAIN WO CONTRAST | $1,183.80 | $1,973.00 | — | 44% below | 40% |
| MR angiography (MRA) of the head without contrast CPT 70544 HC MRA BRAIN W/O CONT | $1,183.80 | $1,973.00 | — | 44% below | 40% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC MRV BRAIN WO CONTRAST | $1,183.80 | $1,973.00 | — | — | 40% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC MRA BRAIN W/O CONT | $1,183.80 | $1,973.00 | — | — | 40% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 HC MRI KNEE W/O CONTRAST (RIGHT) | $1,483.20 | $2,472.00 | — | 34% below | 40% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 HC MRI ANKLE W/O CONTRAST (LEFT) | $1,483.20 | $2,472.00 | — | 34% below | 40% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 HC MRI KNEE W/O CONTRAST (LEFT) | $1,483.20 | $2,472.00 | — | 34% below | 40% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 HC MRI HIP W/O CONTRAST (LEFT) | $1,483.20 | $2,472.00 | — | 34% below | 40% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 HC MRI ANKLE W/O CONTRAST (RIGHT) | $1,483.20 | $2,472.00 | — | 34% below | 40% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 HC MRI HIP W/O CONTRAST (RIGHT) | $1,483.20 | $2,472.00 | — | 34% below | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 HC MRI HIP W/O CONTRAST (LEFT) | $1,483.20 | $2,472.00 | — | — | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 HC MRI ANKLE W/O CONTRAST (LEFT) | $1,483.20 | $2,472.00 | — | — | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 HC MRI ANKLE W/O CONTRAST (RIGHT) | $1,483.20 | $2,472.00 | — | — | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 HC MRI HIP W/O CONTRAST (RIGHT) | $1,483.20 | $2,472.00 | — | — | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 HC MRI KNEE W/O CONTRAST (LEFT) | $1,483.20 | $2,472.00 | — | — | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 HC MRI KNEE W/O CONTRAST (RIGHT) | $1,483.20 | $2,472.00 | — | — | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HC MRI KNEE W/WO CONTRAST (RIGHT) | $1,550.40 | $2,584.00 | — | 51% below | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HC MRI HIP W/WO CONTRAST (LEFT) | $1,550.40 | $2,584.00 | — | 51% below | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HC MRI KNEE W/WO CONTRAST (LEFT) | $1,550.40 | $2,584.00 | — | 51% below | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HC MRI HIP W/WO CONTRAST (RIGHT) | $1,550.40 | $2,584.00 | — | 51% below | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HC MRI ANKLE W/WO CONT (RIGHT) | $1,550.40 | $2,584.00 | — | 51% below | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HC MRI ANKLE W/WO CONTRAST (LEFT) | $1,550.40 | $2,584.00 | — | 51% below | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 HC MRI ANKLE W/WO CONTRAST (LEFT) | $1,550.40 | $2,584.00 | — | — | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 HC MRI KNEE W/WO CONTRAST (LEFT) | $1,550.40 | $2,584.00 | — | — | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 HC MRI HIP W/WO CONTRAST (RIGHT) | $1,550.40 | $2,584.00 | — | — | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 HC MRI HIP W/WO CONTRAST (LEFT) | $1,550.40 | $2,584.00 | — | — | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 HC MRI KNEE W/WO CONTRAST (RIGHT) | $1,550.40 | $2,584.00 | — | — | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 HC MRI ANKLE W/WO CONT (RIGHT) | $1,550.40 | $2,584.00 | — | — | 40% |
| MRI of the abdomen without contrast CPT 74181 HC MRI MRCP WO CONTRAST | $855.60 | $1,426.00 | — | 61% below | 40% |
| MRI of the abdomen without contrast CPT 74181 HC MRI ABDOMEN W/O CONT | $855.60 | $1,426.00 | — | 61% below | 40% |
| MRI of the abdomen without contrast inpatient CPT 74181 HC MRI ABDOMEN W/O CONT | $855.60 | $1,426.00 | — | — | 40% |
| MRI of the abdomen without contrast inpatient CPT 74181 HC MRI MRCP WO CONTRAST | $855.60 | $1,426.00 | — | — | 40% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI ABDOMEN W&W/O CONT | $910.20 | $1,517.00 | — | 72% below | 40% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI ENTEROGRAPHY | $915.60 | $1,526.00 | — | 72% below | 40% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI ABDOMEN W&W/O CONT | $910.20 | $1,517.00 | — | — | 40% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI ENTEROGRAPHY | $915.60 | $1,526.00 | — | — | 40% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN W/O CONT | $1,026.00 | $1,710.00 | — | 53% below | 40% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI PROTOCOL FOR STROKE MIMIC WO CONTRAST | $1,026.00 | $1,710.00 | — | 53% below | 40% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI PITUITARY W/O CONT | $1,026.00 | $1,710.00 | — | 53% below | 40% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI IAC W/O CONT | $1,026.00 | $1,710.00 | — | 53% below | 40% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN W/O CONT CMB | $2,209.20 | $3,682.00 | — | 1% above | 40% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI IAC W/O CONT | $1,026.00 | $1,710.00 | — | — | 40% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI PROTOCOL FOR STROKE MIMIC WO CONTRAST | $1,026.00 | $1,710.00 | — | — | 40% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN W/O CONT | $1,026.00 | $1,710.00 | — | — | 40% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI PITUITARY W/O CONT | $1,026.00 | $1,710.00 | — | — | 40% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN W/O CONT CMB | $2,209.20 | $3,682.00 | — | — | 40% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN W&W/O CONT | $1,237.80 | $2,063.00 | — | 59% below | 40% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN W&W/O CONT | $1,237.80 | $2,063.00 | — | 59% below | 40% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI PITUITARY W&W/O CONT | $1,237.80 | $2,063.00 | — | 59% below | 40% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI IAC W&W/O CONT | $1,237.80 | $2,063.00 | — | 59% below | 40% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN W&W/O CONT CMB | $2,366.40 | $3,944.00 | — | 22% below | 40% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI PITUITARY W&W/O CONT | $1,237.80 | $2,063.00 | — | — | 40% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN W&W/O CONT | $1,237.80 | $2,063.00 | — | — | 40% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI IAC W&W/O CONT | $1,237.80 | $2,063.00 | — | — | 40% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN W&W/O CONT | $1,237.80 | $2,063.00 | — | — | 40% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN W&W/O CONT CMB | $2,366.40 | $3,944.00 | — | — | 40% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI L-SPINE W/O CONT | $762.60 | $1,271.00 | — | 67% below | 40% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI L-SPINE W/O CONT | $762.60 | $1,271.00 | — | — | 40% |
| MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI L-SPINE W&W/O CONT | $1,031.40 | $1,719.00 | — | 68% below | 40% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI L-SPINE W&W/O CONT | $1,031.40 | $1,719.00 | — | — | 40% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI T-SPINE W/O CONT | $677.40 | $1,129.00 | — | 68% below | 40% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI T-SPINE W/O CONT | $677.40 | $1,129.00 | — | — | 40% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI C-SPINE W&W/O CONT | $1,182.00 | $1,970.00 | — | 64% below | 40% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI C-SPINE W&W/O CONT | $1,182.00 | $1,970.00 | — | — | 40% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI C-SPINE W/O CONT | $1,129.20 | $1,882.00 | — | 51% below | 40% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI C-SPINE W/O CONT | $1,129.20 | $1,882.00 | — | — | 40% |
| MRI of the pelvis without and with contrast CPT 72197 HC MRI PELVIS W&W/O CONT | $1,031.40 | $1,719.00 | — | 70% below | 40% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI PELVIS W&W/O CONT | $1,031.40 | $1,719.00 | — | — | 40% |
| MRI of the pelvis, no contrast dye CPT 72195 HC MRI PELVIS W/O CONT | $855.60 | $1,426.00 | — | 65% below | 40% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI PELVIS W/O CONT | $855.60 | $1,426.00 | — | — | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 HC MRI WRIST W/O CONTRAST (RIGHT) | $1,021.80 | $1,703.00 | — | 54% below | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 HC MRI ELBOW W/O CONTRAST (LEFT) | $1,021.80 | $1,703.00 | — | 54% below | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 HC MRI ELBOW W/O CONTRAST (RIGHT) | $1,021.80 | $1,703.00 | — | 54% below | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 HC MRI SHOULDER W/O CONT (LEFT) | $1,021.80 | $1,703.00 | — | 54% below | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 HC MRI SHOULDER W/O CONT (RIGHT) | $1,021.80 | $1,703.00 | — | 54% below | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 HC MRI WRIST W/O CONTRAST (LEFT) | $1,021.80 | $1,703.00 | — | 54% below | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 HC MRI SHOULDER W/O CONT (RIGHT) | $1,021.80 | $1,703.00 | — | — | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 HC MRI WRIST W/O CONTRAST (LEFT) | $1,021.80 | $1,703.00 | — | — | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 HC MRI ELBOW W/O CONTRAST (RIGHT) | $1,021.80 | $1,703.00 | — | — | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 HC MRI SHOULDER W/O CONT (LEFT) | $1,021.80 | $1,703.00 | — | — | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 HC MRI WRIST W/O CONTRAST (RIGHT) | $1,021.80 | $1,703.00 | — | — | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 HC MRI ELBOW W/O CONTRAST (LEFT) | $1,021.80 | $1,703.00 | — | — | 40% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC C-SPINE 4 VWS OR > | $540.60 | $901.00 | — | 1% below | 40% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC C-SPINE 4 VWS OR > | $540.60 | $901.00 | — | 1% below | 40% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC C-SPINE 4 VWS OR > | $540.60 | $901.00 | — | — | 40% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC C-SPINE 4 VWS OR > | $540.60 | $901.00 | — | — | 40% |
| Neck soft tissue CT scan with contrast CPT 70491 HC CT SOFT TISSE NECK W CNT | $2,160.00 | $3,600.00 | — | 5% above | 40% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 HC CT SOFT TISSE NECK W CNT | $2,160.00 | $3,600.00 | — | — | 40% |
| Neck soft tissue CT scan without contrast CPT 70490 HC CT SOFT TISSUE NECK WO CNT | $2,146.20 | $3,577.00 | — | 23% above | 40% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 HC CT SOFT TISSUE NECK WO CNT | $2,146.20 | $3,577.00 | — | — | 40% |
| Neck soft tissue X-ray CPT 70360 HC NECK SOFT TISSUE | $118.80 | $198.00 | — | 51% below | 40% |
| Neck soft tissue X-ray CPT 70360 HC NECK SOFT TISSUE | $118.80 | $198.00 | — | 51% below | 40% |
| Neck soft tissue X-ray inpatient CPT 70360 HC NECK SOFT TISSUE | $118.80 | $198.00 | — | — | 40% |
| Neck soft tissue X-ray inpatient CPT 70360 HC NECK SOFT TISSUE | $118.80 | $198.00 | — | — | 40% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC MYO.PERF SPEC-STR/REST W/WM&EF | $1,267.80 | $2,113.00 | — | 71% below | 40% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC MYO.PERF SPEC-STR/REST W/WM&EF | $1,267.80 | $2,113.00 | — | — | 40% |
| OCT scan of the retina (optical coherence tomography) both sides CPT 92134 HC OPTHALMIC DIAG IMAGING, POST SEGMENT (OCT) BILATERAL | $114.00 | $190.00 | — | — | 40% |
| OCT scan of the retina (optical coherence tomography) both sides CPT 92134 HC OPTHALMIC DIAG IMAGING, POST SEGMENT (HRT) BILATERAL | $114.00 | $190.00 | — | — | 40% |
| OCT scan of the retina (optical coherence tomography) CPT 92134 HC OCT SCAN OF THE RETINA BIL | $139.80 | $233.00 | — | 16% below | 40% |
| OCT scan of the retina (optical coherence tomography) CPT 92134 HC OCT SCAN OF THE RETINA BIL | $139.80 | $233.00 | — | 16% below | 40% |
| OCT scan of the retina (optical coherence tomography) one side CPT 92134 HC OCT SCAN OF THE RETINA RT | $70.80 | $118.00 | — | 57% below | 40% |
| OCT scan of the retina (optical coherence tomography) one side CPT 92134 HC OCT SCAN OF THE RETINA LT | $70.80 | $118.00 | — | 57% below | 40% |
| OCT scan of the retina (optical coherence tomography) one side CPT 92134 HC OPTHALMIC DIAG IMAGING, POST SEGMENT (HRT) LT | $114.00 | $190.00 | — | 31% below | 40% |
| OCT scan of the retina (optical coherence tomography) one side CPT 92134 HC OPTHALMIC DIAG IMAGING, POST SEGMENT (OCT) RT | $114.00 | $190.00 | — | 31% below | 40% |
| OCT scan of the retina (optical coherence tomography) one side CPT 92134 HC OPTHALMIC DIAG IMAGING, POST SEGMENT (HRT) RT | $114.00 | $190.00 | — | 31% below | 40% |
| OCT scan of the retina (optical coherence tomography) one side CPT 92134 HC OPTHALMIC DIAG IMAGING, POST SEGMENT (OCT) LT | $114.00 | $190.00 | — | 31% below | 40% |
| OCT scan of the retina (optical coherence tomography) inpatient both sides CPT 92134 HC OPTHALMIC DIAG IMAGING, POST SEGMENT (HRT) BILATERAL | $114.00 | $190.00 | — | — | 40% |
| OCT scan of the retina (optical coherence tomography) inpatient both sides CPT 92134 HC OPTHALMIC DIAG IMAGING, POST SEGMENT (OCT) BILATERAL | $114.00 | $190.00 | — | — | 40% |
| OCT scan of the retina (optical coherence tomography) inpatient CPT 92134 HC OCT SCAN OF THE RETINA BIL | $139.80 | $233.00 | — | — | 40% |
| OCT scan of the retina (optical coherence tomography) inpatient CPT 92134 HC OCT SCAN OF THE RETINA BIL | $139.80 | $233.00 | — | — | 40% |
| OCT scan of the retina (optical coherence tomography) inpatient one side CPT 92134 HC OCT SCAN OF THE RETINA RT | $70.80 | $118.00 | — | — | 40% |
| OCT scan of the retina (optical coherence tomography) inpatient one side CPT 92134 HC OCT SCAN OF THE RETINA LT | $70.80 | $118.00 | — | — | 40% |
| OCT scan of the retina (optical coherence tomography) inpatient one side CPT 92134 HC OPTHALMIC DIAG IMAGING, POST SEGMENT (HRT) RT | $114.00 | $190.00 | — | — | 40% |
| OCT scan of the retina (optical coherence tomography) inpatient one side CPT 92134 HC OPTHALMIC DIAG IMAGING, POST SEGMENT (HRT) LT | $114.00 | $190.00 | — | — | 40% |
| OCT scan of the retina (optical coherence tomography) inpatient one side CPT 92134 HC OPTHALMIC DIAG IMAGING, POST SEGMENT (OCT) LT | $114.00 | $190.00 | — | — | 40% |
| OCT scan of the retina (optical coherence tomography) inpatient one side CPT 92134 HC OPTHALMIC DIAG IMAGING, POST SEGMENT (OCT) RT | $114.00 | $190.00 | — | — | 40% |
| Pelvic CT scan without contrast CPT 72192 HC CT PELVIS W/O CONTRAST | $1,089.60 | $1,816.00 | — | 34% below | 40% |
| Pelvic CT scan without contrast inpatient CPT 72192 HC CT PELVIS W/O CONTRAST | $1,089.60 | $1,816.00 | — | — | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC U/S PELVIS LTD | $222.60 | $371.00 | — | 54% below | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC U/S PELVIS LTD | $222.60 | $371.00 | — | 54% below | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC U/S PELVIS LTD | $222.60 | $371.00 | — | — | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC U/S PELVIS LTD | $222.60 | $371.00 | — | — | 40% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC PELVIC SONOGRAM | $492.00 | $820.00 | — | 43% below | 40% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC PELVIC SONOGRAM | $492.00 | $820.00 | — | 43% below | 40% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC PELVIC SONOGRAM | $492.00 | $820.00 | — | — | 40% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC PELVIC SONOGRAM | $492.00 | $820.00 | — | — | 40% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC U/S OB >1ST TRIM 1ST/SNGL GEST | $256.80 | $428.00 | — | 61% below | 40% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC U/S OB >1ST TRIM 1ST/SNGL GEST | $256.80 | $428.00 | — | 61% below | 40% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC U/S OB >1ST TRIM 1ST/SNGL GEST | $256.80 | $428.00 | — | — | 40% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC U/S OB >1ST TRIM 1ST/SNGL GEST | $256.80 | $428.00 | — | — | 40% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC U/S OB < 14 WEEK/SNGL GEST | $232.20 | $387.00 | — | 62% below | 40% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC U/S OB < 14 WEEK/SNGL GEST | $232.20 | $387.00 | — | 62% below | 40% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC U/S OB < 14 WEEK/SNGL GEST | $232.20 | $387.00 | — | — | 40% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC U/S OB < 14 WEEK/SNGL GEST | $232.20 | $387.00 | — | — | 40% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC LIMITED SONO AFI | $191.40 | $319.00 | — | 58% below | 40% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC LIMITED SONO AFI | $191.40 | $319.00 | — | 58% below | 40% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC LIMITED SONO AFI | $191.40 | $319.00 | — | — | 40% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC LIMITED SONO AFI | $191.40 | $319.00 | — | — | 40% |
| Rib X-ray, one side, 2 views one side CPT 71100 HC RIBS UNIL 2 VWS (LEFT) | $375.60 | $626.00 | — | 5% above | 40% |
| Rib X-ray, one side, 2 views one side CPT 71100 HC RIBS UNIL 2 VWS (RIGHT) | $375.60 | $626.00 | — | 5% above | 40% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 HC RIBS UNIL 2 VWS (LEFT) | $375.60 | $626.00 | — | — | 40% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 HC RIBS UNIL 2 VWS (RIGHT) | $375.60 | $626.00 | — | — | 40% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 HC RIBS UNI W/CHEST 3 VWS (RIGHT) | $460.80 | $768.00 | — | 17% above | 40% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 HC RIBS UNI W/CHEST 3 VWS (LEFT) | $460.80 | $768.00 | — | 17% above | 40% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 HC RIBS UNI W/CHEST 3 VWS (RIGHT) | $460.80 | $768.00 | — | — | 40% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 HC RIBS UNI W/CHEST 3 VWS (LEFT) | $460.80 | $768.00 | — | — | 40% |
| Screening mammogram, both breasts CPT 77067 HC DIGITAL MAMMO SCREENING BIL | $420.00 | $700.00 | — | 41% above | 40% |
| Screening mammogram, both breasts CPT 77067 HC DIG SCR MAMMO WITH IMPLANTS | $420.00 | $700.00 | — | 41% above | 40% |
| Screening mammogram, both breasts inpatient CPT 77067 HC DIGITAL MAMMO SCREENING BIL | $420.00 | $700.00 | — | — | 40% |
| Screening mammogram, both breasts inpatient CPT 77067 HC DIG SCR MAMMO WITH IMPLANTS | $420.00 | $700.00 | — | — | 40% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 HC SHOULDER 2 VW (LEFT) | $234.60 | $391.00 | — | 32% below | 40% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 HC SHOULDER 2 VW (RIGHT) | $234.60 | $391.00 | — | 32% below | 40% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 HC SHOULDER 3 VW(SPEC 3RD VW)(RT) | $277.20 | $462.00 | — | 20% below | 40% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 HC SHOULDER 3 VW(SPEC 3RD VW)(LT) | $277.20 | $462.00 | — | 20% below | 40% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 HC SHOULDER 2 VW (LEFT) | $234.60 | $391.00 | — | — | 40% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 HC SHOULDER 2 VW (RIGHT) | $234.60 | $391.00 | — | — | 40% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 HC SHOULDER 3 VW(SPEC 3RD VW)(LT) | $277.20 | $462.00 | — | — | 40% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 HC SHOULDER 3 VW(SPEC 3RD VW)(RT) | $277.20 | $462.00 | — | — | 40% |
| Sinus X-ray, complete, 3 or more views CPT 70220 HC PARANASAL SINUSES COMPLETE | $205.80 | $343.00 | — | 51% below | 40% |
| Sinus X-ray, complete, 3 or more views CPT 70220 HC PARANASAL SINUSES COMPLETE | $205.80 | $343.00 | — | 51% below | 40% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC PARANASAL SINUSES COMPLETE | $205.80 | $343.00 | — | — | 40% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC PARANASAL SINUSES COMPLETE | $205.80 | $343.00 | — | — | 40% |
| Skull X-ray, fewer than 4 views CPT 70250 HC SKULL 1 VIEW | $280.20 | $467.00 | — | 20% below | 40% |
| Skull X-ray, fewer than 4 views CPT 70250 HC SKULL < 4 VWS | $280.20 | $467.00 | — | 20% below | 40% |
| Skull X-ray, fewer than 4 views CPT 70250 HC SKULL < 4 VWS | $280.20 | $467.00 | — | 20% below | 40% |
| Skull X-ray, fewer than 4 views CPT 70250 HC SKULL 1 VIEW | $280.20 | $467.00 | — | 20% below | 40% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 HC SKULL 1 VIEW | $280.20 | $467.00 | — | — | 40% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 HC SKULL < 4 VWS | $280.20 | $467.00 | — | — | 40% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 HC SKULL 1 VIEW | $280.20 | $467.00 | — | — | 40% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 HC SKULL < 4 VWS | $280.20 | $467.00 | — | — | 40% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 HC BA SWALLOW W/SPEECH THERAPIST | $145.80 | $243.00 | — | 76% below | 40% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC BA SWALLOW W/SPEECH THERAPIST | $145.80 | $243.00 | — | — | 40% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 HC FEMUR 2VWS LEFT | $280.20 | $467.00 | — | 20% below | 40% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 HC FEMUR 2VWS RIGHT | $280.20 | $467.00 | — | 20% below | 40% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 HC FEMUR 2VWS LEFT | $280.20 | $467.00 | — | — | 40% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 HC FEMUR 2VWS RIGHT | $280.20 | $467.00 | — | — | 40% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT THORACIC SPINE W/O CONTRAST | $1,484.40 | $2,474.00 | — | 25% below | 40% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC CT THORACIC SPINE W/O CONTRAST | $1,484.40 | $2,474.00 | — | — | 40% |
| Toe X-ray, 2 or more views one side CPT 73660 HC TOE(S) 2 VWS (RIGHT) | $186.60 | $311.00 | — | 37% below | 40% |
| Toe X-ray, 2 or more views one side CPT 73660 HC TOE(S) 2 VWS (LEFT) | $186.60 | $311.00 | — | 37% below | 40% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 HC TOE(S) 2 VWS (RIGHT) | $186.60 | $311.00 | — | — | 40% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 HC TOE(S) 2 VWS (LEFT) | $186.60 | $311.00 | — | — | 40% |
| Transvaginal pelvic ultrasound CPT 76830 HC U/S TRANSVAGINAL | $217.20 | $362.00 | — | 66% below | 40% |
| Transvaginal pelvic ultrasound CPT 76830 HC U/S TRANSVAGINAL | $217.20 | $362.00 | — | 66% below | 40% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC U/S TRANSVAGINAL | $217.20 | $362.00 | — | — | 40% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC U/S TRANSVAGINAL | $217.20 | $362.00 | — | — | 40% |
| Transvaginal ultrasound during pregnancy CPT 76817 HC OB TRANS VAG | $232.20 | $387.00 | — | 55% below | 40% |
| Transvaginal ultrasound during pregnancy CPT 76817 HC OB TRANS VAG | $232.20 | $387.00 | — | 55% below | 40% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC OB TRANS VAG | $232.20 | $387.00 | — | — | 40% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC OB TRANS VAG | $232.20 | $387.00 | — | — | 40% |
| Ultrasound of the abdomen, complete CPT 76700 HC ABDOMINAL COMPLETE SCAN B | $673.80 | $1,123.00 | — | 22% below | 40% |
| Ultrasound of the abdomen, complete CPT 76700 HC ABDOMINAL COMPLETE SCAN B | $673.80 | $1,123.00 | — | 22% below | 40% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC ABDOMINAL COMPLETE SCAN B | $673.80 | $1,123.00 | — | — | 40% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC ABDOMINAL COMPLETE SCAN B | $673.80 | $1,123.00 | — | — | 40% |
| Ultrasound of the scrotum and testicles CPT 76870 HC TESTICULAR ULTRASOUND | $350.40 | $584.00 | — | 43% below | 40% |
| Ultrasound of the scrotum and testicles CPT 76870 HC TESTICULAR ULTRASOUND | $350.40 | $584.00 | — | 43% below | 40% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 HC TESTICULAR ULTRASOUND | $350.40 | $584.00 | — | — | 40% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 HC TESTICULAR ULTRASOUND | $350.40 | $584.00 | — | — | 40% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US SOFT TISSUES OF HEAD AND NECK | $278.40 | $464.00 | — | 56% below | 40% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US SOFT TISSUES OF HEAD AND NECK | $278.40 | $464.00 | — | 56% below | 40% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US SOFT TISSUES OF HEAD AND NECK | $278.40 | $464.00 | — | — | 40% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US SOFT TISSUES OF HEAD AND NECK | $278.40 | $464.00 | — | — | 40% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC UPPER GI WO KUB | $187.20 | $312.00 | — | 75% below | 40% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC UPPER GI WO KUB | $187.20 | $312.00 | — | — | 40% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 HC HUMERUS MIN 2 VWS (LEFT) | $267.00 | $445.00 | — | 24% below | 40% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 HC HUMERUS MIN 2 VWS (RIGHT) | $267.00 | $445.00 | — | 24% below | 40% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HC HUMERUS MIN 2 VWS (RIGHT) | $267.00 | $445.00 | — | — | 40% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HC HUMERUS MIN 2 VWS (LEFT) | $267.00 | $445.00 | — | — | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC VENOUS IMG DOPPLER LT | $200.40 | $334.00 | — | 75% below | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC VENOUS IMG DOPPLER UNI RT | $200.40 | $334.00 | — | 75% below | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC VENOUS IMG DOPPLER RT | $200.40 | $334.00 | — | 75% below | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC VENOUS IMG DOPPLER UNI RT | $200.40 | $334.00 | — | — | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC VENOUS IMG DOPPLER LT | $200.40 | $334.00 | — | — | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC VENOUS IMG DOPPLER RT | $200.40 | $334.00 | — | — | 40% |
| Wrist X-ray, 2 views one side CPT 73100 HC WRIST LIMITED (RIGHT) | $253.20 | $422.00 | — | 20% below | 40% |
| Wrist X-ray, 2 views one side CPT 73100 HC WRIST LIMITED (LEFT) | $253.20 | $422.00 | — | 20% below | 40% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 HC WRIST LIMITED (RIGHT) | $253.20 | $422.00 | — | — | 40% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 HC WRIST LIMITED (LEFT) | $253.20 | $422.00 | — | — | 40% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 HC WRIST COMPLETE (3 VWS) (RIGHT) | $277.20 | $462.00 | — | 28% below | 40% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 HC WRIST COMPLETE (3 VWS) (LEFT) | $277.20 | $462.00 | — | 28% below | 40% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 HC WRIST COMPLETE (3 VWS) (RIGHT) | $277.20 | $462.00 | — | — | 40% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 HC WRIST COMPLETE (3 VWS) (LEFT) | $277.20 | $462.00 | — | — | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC PELVIS & HIPS INFANT OR CHILD | $187.20 | $312.00 | — | 54% below | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC HIP COMPLETE (RIGHT) | $211.20 | $352.00 | — | 48% below | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC HIP COMPLETE (LEFT) | $211.20 | $352.00 | — | 48% below | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HC PELVIS & HIPS INFANT OR CHILD | $187.20 | $312.00 | — | — | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HC HIP COMPLETE (LEFT) | $211.20 | $352.00 | — | — | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HC HIP COMPLETE (RIGHT) | $211.20 | $352.00 | — | — | 40% |
| X-ray of the abdomen, 1 view CPT 74018 HC ABDOMEN 1 VIEW | $108.00 | $180.00 | — | 68% below | 40% |
| X-ray of the abdomen, 1 view CPT 74018 HC ABDOMEN 1 VIEW | $108.00 | $180.00 | — | 68% below | 40% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 HC ABDOMEN 1 VIEW | $108.00 | $180.00 | — | — | 40% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 HC ABDOMEN 1 VIEW | $108.00 | $180.00 | — | — | 40% |
| X-ray of the ankle, 2 views one side CPT 73600 HC ANKLE LIMITED (RIGHT) | $267.00 | $445.00 | — | 11% below | 40% |
| X-ray of the ankle, 2 views one side CPT 73600 HC ANKLE LIMITED (LEFT) | $267.00 | $445.00 | — | 11% below | 40% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 HC ANKLE LIMITED (LEFT) | $267.00 | $445.00 | — | — | 40% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 HC ANKLE LIMITED (RIGHT) | $267.00 | $445.00 | — | — | 40% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 HC FINGER(S) 2-3 VIEWS (RIGHT) | $182.40 | $304.00 | — | 31% below | 40% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 HC FINGER(S) 2-3 VIEWS (LEFT) | $182.40 | $304.00 | — | 31% below | 40% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 HC FINGER(S) 2-3 VIEWS (RIGHT) | $182.40 | $304.00 | — | — | 40% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 HC FINGER(S) 2-3 VIEWS (LEFT) | $182.40 | $304.00 | — | — | 40% |
| X-ray of the foot, 2 views one side CPT 73620 HC FOOT LIMITED (2 VW) (LEFT) | $267.00 | $445.00 | — | 20% below | 40% |
| X-ray of the foot, 2 views one side CPT 73620 HC FOOT LIMITED (2 VW) (RIGHT) | $267.00 | $445.00 | — | 20% below | 40% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 HC FOOT LIMITED (2 VW) (RIGHT) | $267.00 | $445.00 | — | — | 40% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 HC FOOT LIMITED (2 VW) (LEFT) | $267.00 | $445.00 | — | — | 40% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 HC FOOT COMPLETE (RIGHT) | $304.20 | $507.00 | — | 18% below | 40% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 HC FOOT COMPLETE (LEFT) | $304.20 | $507.00 | — | 18% below | 40% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 HC FOOT COMPLETE (RIGHT) | $304.20 | $507.00 | — | — | 40% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 HC FOOT COMPLETE (LEFT) | $304.20 | $507.00 | — | — | 40% |
| X-ray of the hand, 3 or more views one side CPT 73130 HC HAND COMPLETE (LEFT) | $185.40 | $309.00 | — | 53% below | 40% |
| X-ray of the hand, 3 or more views one side CPT 73130 HC HAND COMPLETE (RIGHT) | $185.40 | $309.00 | — | 53% below | 40% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 HC HAND COMPLETE (RIGHT) | $185.40 | $309.00 | — | — | 40% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 HC HAND COMPLETE (LEFT) | $185.40 | $309.00 | — | — | 40% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 HC KNEE LIMITED (LEFT) | $156.60 | $261.00 | — | 47% below | 40% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 HC KNEE LIMITED (RIGHT) | $156.60 | $261.00 | — | 47% below | 40% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 HC KNEE LIMITED (LEFT) | $156.60 | $261.00 | — | — | 40% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 HC KNEE LIMITED (RIGHT) | $156.60 | $261.00 | — | — | 40% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC LUMBAR SPINE LIMITED | $232.20 | $387.00 | — | 50% below | 40% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC LUMBAR SPINE LIMITED | $232.20 | $387.00 | — | 50% below | 40% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC LUMBAR SPINE LIMITED | $232.20 | $387.00 | — | — | 40% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC LUMBAR SPINE LIMITED | $232.20 | $387.00 | — | — | 40% |
| X-ray of the lower back, 4 or more views CPT 72110 HC LUMBAR SPINE COMPLETE | $407.40 | $679.00 | — | 35% below | 40% |
| X-ray of the lower back, 4 or more views CPT 72110 HC LUMBAR SPINE COMPLETE | $407.40 | $679.00 | — | 35% below | 40% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC LUMBAR SPINE COMPLETE | $407.40 | $679.00 | — | — | 40% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC LUMBAR SPINE COMPLETE | $407.40 | $679.00 | — | — | 40% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC THORACIC SPINE 2 VW | $430.20 | $717.00 | — | 7% above | 40% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC THORACIC SPINE 2 VW | $430.20 | $717.00 | — | 7% above | 40% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC THORACIC SPINE 2 VW | $430.20 | $717.00 | — | — | 40% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC THORACIC SPINE 2 VW | $430.20 | $717.00 | — | — | 40% |
| X-ray of the nasal bones, 3 or more views CPT 70160 HC NASAL BONES 3 VWS | $142.20 | $237.00 | — | 51% below | 40% |
| X-ray of the nasal bones, 3 or more views CPT 70160 HC NASAL BONES 3 VWS | $142.20 | $237.00 | — | 51% below | 40% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC NASAL BONES 3 VWS | $142.20 | $237.00 | — | — | 40% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC NASAL BONES 3 VWS | $142.20 | $237.00 | — | — | 40% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC C-SPINE 2/3 VWS | $297.60 | $496.00 | — | 20% below | 40% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC C-SPINE 2/3 VWS | $297.60 | $496.00 | — | 20% below | 40% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC C-SPINE 2/3 VWS | $297.60 | $496.00 | — | — | 40% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC C-SPINE 2/3 VWS | $297.60 | $496.00 | — | — | 40% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HC PELVIS AP ONLY | $211.20 | $352.00 | — | 43% below | 40% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC PELVIS AP ONLY | $211.20 | $352.00 | — | — | 40% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC SACRUM & COCCYX 2 VWS | $202.20 | $337.00 | — | 38% below | 40% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC SACRUM & COCCYX 2 VWS | $202.20 | $337.00 | — | 38% below | 40% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC SACRUM & COCCYX 2 VWS | $202.20 | $337.00 | — | — | 40% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC SACRUM & COCCYX 2 VWS | $202.20 | $337.00 | — | — | 40% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 HC ADRENOCORTICOTROPIC HORMONE | $63.00 | $105.00 | — | 73% below | 40% |
| ACTH blood test inpatient CPT 82024 HC ADRENOCORTICOTROPIC HORMONE | $63.00 | $105.00 | — | — | 40% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC FIBROSURE ALT (SGPT) | $18.60 | $31.00 | — | 68% below | 40% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC FIBROMETER VIRUS: ALANINE AMINO (ALT) (SGPT) | $24.00 | $40.00 | — | 59% below | 40% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC ONC SGPT (ALT) | $34.20 | $57.00 | — | 42% below | 40% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC TRANS SGPT G62 | $34.20 | $57.00 | — | 42% below | 40% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC FIBROSURE ALT (SGPT) | $18.60 | $31.00 | — | — | 40% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC FIBROMETER VIRUS: ALANINE AMINO (ALT) (SGPT) | $24.00 | $40.00 | — | — | 40% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC ONC SGPT (ALT) | $34.20 | $57.00 | — | — | 40% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC TRANS SGPT G62 | $34.20 | $57.00 | — | — | 40% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC FIBROMETER VIRUS: TRANSFERASE (AST) (SGOT) | $24.00 | $40.00 | — | 59% below | 40% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC TRANS SGOT G62 | $34.20 | $57.00 | — | 41% below | 40% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC ONC SGOT (AST) | $34.20 | $57.00 | — | 41% below | 40% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC FIBROMETER VIRUS: TRANSFERASE (AST) (SGOT) | $24.00 | $40.00 | — | — | 40% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC ONC SGOT (AST) | $34.20 | $57.00 | — | — | 40% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC TRANS SGOT G62 | $34.20 | $57.00 | — | — | 40% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC HEPATITIS ACUTE PANEL | $196.80 | $328.00 | — | 49% below | 40% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC HEPATITIS ACUTE PANEL | $196.80 | $328.00 | — | — | 40% |
| Albumin blood test CPT 82040 HC ALBUMIN,TOTAL SERUM | $13.20 | $22.00 | — | 65% below | 40% |
| Albumin blood test CPT 82040 HC ALBUMIN | $16.80 | $28.00 | — | 55% below | 40% |
| Albumin blood test CPT 82040 HC BF-ALBUMIN | $31.80 | $53.00 | — | 15% below | 40% |
| Albumin blood test CPT 82040 HC ALBUMIN (TESTOSTRN PNL) | $34.80 | $58.00 | — | 6% below | 40% |
| Albumin blood test inpatient CPT 82040 HC ALBUMIN,TOTAL SERUM | $13.20 | $22.00 | — | — | 40% |
| Albumin blood test inpatient CPT 82040 HC ALBUMIN | $16.80 | $28.00 | — | — | 40% |
| Albumin blood test inpatient CPT 82040 HC BF-ALBUMIN | $31.80 | $53.00 | — | — | 40% |
| Albumin blood test inpatient CPT 82040 HC ALBUMIN (TESTOSTRN PNL) | $34.80 | $58.00 | — | — | 40% |
| Aldosterone blood test CPT 82088 HC ALDOSTERONE, SERUM | $48.60 | $81.00 | — | 66% below | 40% |
| Aldosterone blood test CPT 82088 HC ALDOSTERONE; URINE | $56.40 | $94.00 | — | 61% below | 40% |
| Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE, SERUM | $48.60 | $81.00 | — | — | 40% |
| Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE; URINE | $56.40 | $94.00 | — | — | 40% |
| Alkaline phosphatase (ALP) blood test CPT 84075 HC ALKALINE PHOS TOTAL (ISOS) | $4.80 | $8.00 | — | 92% below | 40% |
| Alkaline phosphatase (ALP) blood test CPT 84075 HC ALK PHOSPHATE G02 | $31.80 | $53.00 | — | 46% below | 40% |
| Alkaline phosphatase (ALP) blood test CPT 84075 HC ALK PHOSPHATE G02 | $31.80 | $53.00 | — | 46% below | 40% |
| Alkaline phosphatase (ALP) blood test CPT 84075 HC ONC ALKALINE PHOSPHATE | $31.80 | $53.00 | — | 46% below | 40% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ALKALINE PHOS TOTAL (ISOS) | $4.80 | $8.00 | — | — | 40% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ALK PHOSPHATE G02 | $31.80 | $53.00 | — | — | 40% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ONC ALKALINE PHOSPHATE | $31.80 | $53.00 | — | — | 40% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ALK PHOSPHATE G02 | $31.80 | $53.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLRGNS, FOOD, COMP PRFL 1 EA (UPTO 25) | $3.60 | $6.00 | — | 87% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLRGNS, FOOD, COMP PRFL 1 INIT | $3.60 | $6.00 | — | 87% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, PORK IGE | $4.20 | $7.00 | — | 85% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, LETTUCE IGE | $4.20 | $7.00 | — | 85% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, POTATO IGE | $4.20 | $7.00 | — | 85% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, CABBAGE IGE | $4.20 | $7.00 | — | 85% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, PEANUT IGE | $4.20 | $7.00 | — | 85% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, ORANGE IGE | $4.20 | $7.00 | — | 85% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, BEEF IGE | $4.20 | $7.00 | — | 85% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, OAT IGE | $4.20 | $7.00 | — | 85% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, CARROT IGE | $4.20 | $7.00 | — | 85% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, NAVY BEAN IGE | $4.20 | $7.00 | — | 85% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, BARLEY IGE | $4.20 | $7.00 | — | 85% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, MILK (COW) IGE | $4.20 | $7.00 | — | 85% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, CORN IGE | $4.20 | $7.00 | — | 85% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLRGNS, MLD PRFL, SE COMP INIT | $4.20 | $7.00 | — | 85% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLRGNS, MOLD PRFL, SE COMP EA (UPTO 9) | $4.20 | $7.00 | — | 85% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, CODFISH IGE | $4.20 | $7.00 | — | 85% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, CRAB IGE | $4.20 | $7.00 | — | 85% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, EGG WHITE IGE | $4.20 | $7.00 | — | 85% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, CHICKEN IGE | $4.20 | $7.00 | — | 85% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, TOMATO IGE | $4.20 | $7.00 | — | 85% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, GRAPE IGE | $4.20 | $7.00 | — | 85% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, SOYBEAN IGE | $4.20 | $7.00 | — | 85% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, MILK (COW) IGE | $4.20 | $7.00 | — | 85% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, SHRIMP IGE | $4.20 | $7.00 | — | 85% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, TUNA IGE | $4.20 | $7.00 | — | 85% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, RYE IGE | $4.20 | $7.00 | — | 85% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, WHEAT IGE | $4.20 | $7.00 | — | 85% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, RICE IGE | $4.20 | $7.00 | — | 85% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, PEPPER C. ANNUUM IGE | $4.20 | $7.00 | — | 85% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC (ALLERGEN SALMON IGE) | $10.80 | $18.00 | — | 61% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN IGE ADDN'L 20 | $10.80 | $18.00 | — | 61% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN IGE ADDN'L 21 | $10.80 | $18.00 | — | 61% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN IGE ADDN'L 22 | $10.80 | $18.00 | — | 61% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN IGE ADDN'L 23 | $10.80 | $18.00 | — | 61% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN IGE ADDN'L 24 | $10.80 | $18.00 | — | 61% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN IGE ADDN'L 25 | $10.80 | $18.00 | — | 61% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN IGE ADDN'L 26 | $10.80 | $18.00 | — | 61% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC (ALLERGEN ALMOND IGE) | $10.80 | $18.00 | — | 61% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN IGE ADDN'L 11 | $10.80 | $18.00 | — | 61% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC (ALLERGEN BLUE MUSSEL IGE) | $10.80 | $18.00 | — | 61% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC (ALLERGEN BRAZIL NUT IGE) | $10.80 | $18.00 | — | 61% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC (ALLERGEN CASHEW NUT IGE) | $10.80 | $18.00 | — | 61% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC (ALLERGEN CLAM IGE) | $10.80 | $18.00 | — | 61% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN IGE ADDN'L 12 | $10.80 | $18.00 | — | 61% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC (ALLERGEN CODFISH IGE) | $10.80 | $18.00 | — | 61% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC (ALLERGEN CORN IGE) | $10.80 | $18.00 | — | 61% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC (ALLERGEN COWS MILK IGE) | $10.80 | $18.00 | — | 61% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC (ALLERGEN CRAB IGE | $10.80 | $18.00 | — | 61% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC (ALLERGEN CRAYFISH IGE) | $10.80 | $18.00 | — | 61% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN IGE ADDN'L 13 | $10.80 | $18.00 | — | 61% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC (ALLERGEN CRAYFISH IGE) | $10.80 | $18.00 | — | 61% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN IGE ADDN'L 14 | $10.80 | $18.00 | — | 61% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC (ALLERGEN EGG IGE) | $10.80 | $18.00 | — | 61% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN IGE ADDN'L 15 | $10.80 | $18.00 | — | 61% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC (ALLERGEN HALIBUT IGE) | $10.80 | $18.00 | — | 61% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC (ALLERGEN HAZEL NUT IGE) | $10.80 | $18.00 | — | 61% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC (ALLERGEN HERRING IGE) | $10.80 | $18.00 | — | 61% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC (ALLERGEN LOBSTER IGE) | $10.80 | $18.00 | — | 61% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC (ALLERGEN MACKEREL IGE) | $10.80 | $18.00 | — | 61% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC (ALLERGEN OCTOPUS IGE) | $10.80 | $18.00 | — | 61% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC (ALLERGEN OYSTER IGE) | $10.80 | $18.00 | — | 61% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC (ALLERGEN PEANUT IGE) | $10.80 | $18.00 | — | 61% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC (ALLERGEN PECAN NUT IGE) | $10.80 | $18.00 | — | 61% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN IGE ADDN'L 16 | $10.80 | $18.00 | — | 61% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC (ALLERGEN SCALLOP IGE) | $10.80 | $18.00 | — | 61% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN IGE ADDN'L 17 | $10.80 | $18.00 | — | 61% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN IGE ADDN'L 18 | $10.80 | $18.00 | — | 61% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC (ALLERGEN SOLE IGE) | $10.80 | $18.00 | — | 61% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN IGE ADDN'L 19 | $10.80 | $18.00 | — | 61% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN IGE ADDN'L 2 | $10.80 | $18.00 | — | 61% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN IGE ADDN'L 3 | $10.80 | $18.00 | — | 61% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC (ALLERGEN SOYBEAN IGE) | $10.80 | $18.00 | — | 61% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN IGE ADDN'L 4 | $10.80 | $18.00 | — | 61% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC (ALLERGEN SQUID IGE) | $10.80 | $18.00 | — | 61% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN IGE ADDN'L 5 | $10.80 | $18.00 | — | 61% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN IGE ADDN'L 6 | $10.80 | $18.00 | — | 61% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC (ALLERGEN SWORDFISH IGE) | $10.80 | $18.00 | — | 61% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN IGE ADDN'L 7 | $10.80 | $18.00 | — | 61% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC (ALLERGEN TROUT IGE) | $10.80 | $18.00 | — | 61% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN IGE ADDN'L 8 | $10.80 | $18.00 | — | 61% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN IGE ADDN'L 9 | $10.80 | $18.00 | — | 61% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN RED SNAPPER IGE | $10.80 | $18.00 | — | 61% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC (ALLERGEN WHEAT IGE) | $10.80 | $18.00 | — | 61% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN CATFISH IGE | $10.80 | $18.00 | — | 61% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN HADDOCK IGE | $10.80 | $18.00 | — | 61% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN IGE | $10.80 | $18.00 | — | 61% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN IGE ADDN'L 10 | $10.80 | $18.00 | — | 61% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC (ALLERGEN TUNA IGE) | $10.80 | $18.00 | — | 61% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC (ALLERGEN PISTACHIO IGE) | $11.40 | $19.00 | — | 59% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC (ALLERGEN MACADAMIA NUT IGE) | $11.40 | $19.00 | — | 59% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN BASS BLACK IGE | $13.20 | $22.00 | — | 52% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, WHEY IGE | $18.00 | $30.00 | — | 35% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN WHITEFISH IGE | $20.40 | $34.00 | — | 26% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC STACHYBOTRYS CHARTARUM/ATRA IGE | $30.00 | $50.00 | — | 8% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC (ALLERGEN WALNUT IGE) | $36.00 | $60.00 | — | 30% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC (ALLERGEN SHRIMP IGE) | $36.00 | $60.00 | — | 30% above | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLRGNS, FOOD, COMP PRFL 1 INIT | $3.60 | $6.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLRGNS, FOOD, COMP PRFL 1 EA (UPTO 25) | $3.60 | $6.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, FOOD, OAT IGE | $4.20 | $7.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLRGNS, MOLD PRFL, SE COMP EA (UPTO 9) | $4.20 | $7.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLRGNS, MLD PRFL, SE COMP INIT | $4.20 | $7.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, FOOD, WHEAT IGE | $4.20 | $7.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, FOOD, TUNA IGE | $4.20 | $7.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, FOOD, TOMATO IGE | $4.20 | $7.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, FOOD, SOYBEAN IGE | $4.20 | $7.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, FOOD, SHRIMP IGE | $4.20 | $7.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, FOOD, RYE IGE | $4.20 | $7.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, FOOD, RICE IGE | $4.20 | $7.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, FOOD, PORK IGE | $4.20 | $7.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, FOOD, POTATO IGE | $4.20 | $7.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, FOOD, PEANUT IGE | $4.20 | $7.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, FOOD, ORANGE IGE | $4.20 | $7.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, FOOD, NAVY BEAN IGE | $4.20 | $7.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, FOOD, MILK (COW) IGE | $4.20 | $7.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, FOOD, MILK (COW) IGE | $4.20 | $7.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, FOOD, LETTUCE IGE | $4.20 | $7.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, FOOD, GRAPE IGE | $4.20 | $7.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, FOOD, EGG WHITE IGE | $4.20 | $7.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, FOOD, CRAB IGE | $4.20 | $7.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, FOOD, CORN IGE | $4.20 | $7.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, FOOD, CODFISH IGE | $4.20 | $7.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, FOOD, CHICKEN IGE | $4.20 | $7.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, FOOD, CARROT IGE | $4.20 | $7.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, FOOD, CABBAGE IGE | $4.20 | $7.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, FOOD, PEPPER C. ANNUUM IGE | $4.20 | $7.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, FOOD, BEEF IGE | $4.20 | $7.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, FOOD, BARLEY IGE | $4.20 | $7.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC (ALLERGEN TUNA IGE) | $10.80 | $18.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN IGE ADDN'L 26 | $10.80 | $18.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC (ALLERGEN LOBSTER IGE) | $10.80 | $18.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC (ALLERGEN HERRING IGE) | $10.80 | $18.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC (ALLERGEN HAZEL NUT IGE) | $10.80 | $18.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC (ALLERGEN HALIBUT IGE) | $10.80 | $18.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC (ALLERGEN EGG IGE) | $10.80 | $18.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN IGE ADDN'L 14 | $10.80 | $18.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC (ALLERGEN CRAYFISH IGE) | $10.80 | $18.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN IGE ADDN'L 13 | $10.80 | $18.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC (ALLERGEN CRAYFISH IGE) | $10.80 | $18.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN IGE ADDN'L 12 | $10.80 | $18.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC (ALLERGEN CRAB IGE | $10.80 | $18.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC (ALLERGEN COWS MILK IGE) | $10.80 | $18.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC (ALLERGEN CORN IGE) | $10.80 | $18.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC (ALLERGEN CODFISH IGE) | $10.80 | $18.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC (ALLERGEN CLAM IGE) | $10.80 | $18.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN IGE ADDN'L 11 | $10.80 | $18.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC (ALLERGEN CASHEW NUT IGE) | $10.80 | $18.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC (ALLERGEN BRAZIL NUT IGE) | $10.80 | $18.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC (ALLERGEN BLUE MUSSEL IGE) | $10.80 | $18.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC (ALLERGEN ALMOND IGE) | $10.80 | $18.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN IGE ADDN'L 10 | $10.80 | $18.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN IGE | $10.80 | $18.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN HADDOCK IGE | $10.80 | $18.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN CATFISH IGE | $10.80 | $18.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC (ALLERGEN WHEAT IGE) | $10.80 | $18.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN IGE ADDN'L 25 | $10.80 | $18.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN IGE ADDN'L 24 | $10.80 | $18.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN IGE ADDN'L 23 | $10.80 | $18.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN IGE ADDN'L 22 | $10.80 | $18.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN IGE ADDN'L 21 | $10.80 | $18.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN IGE ADDN'L 20 | $10.80 | $18.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN RED SNAPPER IGE | $10.80 | $18.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN IGE ADDN'L 9 | $10.80 | $18.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN IGE ADDN'L 8 | $10.80 | $18.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC (ALLERGEN TROUT IGE) | $10.80 | $18.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN IGE ADDN'L 7 | $10.80 | $18.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC (ALLERGEN SWORDFISH IGE) | $10.80 | $18.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN IGE ADDN'L 6 | $10.80 | $18.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN IGE ADDN'L 5 | $10.80 | $18.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC (ALLERGEN SQUID IGE) | $10.80 | $18.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN IGE ADDN'L 4 | $10.80 | $18.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC (ALLERGEN SOYBEAN IGE) | $10.80 | $18.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN IGE ADDN'L 3 | $10.80 | $18.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC (ALLERGEN SOLE IGE) | $10.80 | $18.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN IGE ADDN'L 2 | $10.80 | $18.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN IGE ADDN'L 19 | $10.80 | $18.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN IGE ADDN'L 18 | $10.80 | $18.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN IGE ADDN'L 17 | $10.80 | $18.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC (ALLERGEN SCALLOP IGE) | $10.80 | $18.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN IGE ADDN'L 16 | $10.80 | $18.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC (ALLERGEN SALMON IGE) | $10.80 | $18.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN IGE ADDN'L 15 | $10.80 | $18.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC (ALLERGEN PECAN NUT IGE) | $10.80 | $18.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC (ALLERGEN PEANUT IGE) | $10.80 | $18.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC (ALLERGEN OYSTER IGE) | $10.80 | $18.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC (ALLERGEN OCTOPUS IGE) | $10.80 | $18.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC (ALLERGEN MACKEREL IGE) | $10.80 | $18.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC (ALLERGEN MACADAMIA NUT IGE) | $11.40 | $19.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC (ALLERGEN PISTACHIO IGE) | $11.40 | $19.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN BASS BLACK IGE | $13.20 | $22.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN, FOOD, WHEY IGE | $18.00 | $30.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN WHITEFISH IGE | $20.40 | $34.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC STACHYBOTRYS CHARTARUM/ATRA IGE | $30.00 | $50.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC (ALLERGEN WALNUT IGE) | $36.00 | $60.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC (ALLERGEN SHRIMP IGE) | $36.00 | $60.00 | — | — | 40% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HC AFP NEURAL DEFECT MSAFP | $17.40 | $29.00 | — | 86% below | 40% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HC AFP SERUM | $22.20 | $37.00 | — | 82% below | 40% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HC AFP NEURAL DEFECT (MSAFP) | $40.20 | $67.00 | — | 67% below | 40% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA FETOPROTEIN TUMOR | $44.40 | $74.00 | — | 64% below | 40% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC AFP NEURAL DEFECT MSAFP | $17.40 | $29.00 | — | — | 40% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC AFP SERUM | $22.20 | $37.00 | — | — | 40% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC AFP NEURAL DEFECT (MSAFP) | $40.20 | $67.00 | — | — | 40% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC ALPHA FETOPROTEIN TUMOR | $44.40 | $74.00 | — | — | 40% |
| Ammonia blood test CPT 82140 HC AMMONIA | $36.00 | $60.00 | — | 75% below | 40% |
| Ammonia blood test inpatient CPT 82140 HC AMMONIA | $36.00 | $60.00 | — | — | 40% |
| Amylase blood test CPT 82150 HC AMYLASE | $19.80 | $33.00 | — | 80% below | 40% |
| Amylase blood test CPT 82150 HC AMYLASE | $19.80 | $33.00 | — | 80% below | 40% |
| Amylase blood test CPT 82150 HC AMYLASE-PANCREATIC | $22.20 | $37.00 | — | 77% below | 40% |
| Amylase blood test CPT 82150 HC AMYLASE-MICROAMYLASE | $22.20 | $37.00 | — | 77% below | 40% |
| Amylase blood test CPT 82150 HC URINE AMYLASE RANDOM | $36.00 | $60.00 | — | 63% below | 40% |
| Amylase blood test CPT 82150 HC SL AMYLASE-BLOOD | $36.00 | $60.00 | — | 63% below | 40% |
| Amylase blood test CPT 82150 HC URINE AMYLASE 2HR | $36.00 | $60.00 | — | 63% below | 40% |
| Amylase blood test CPT 82150 HC BF-AMYLASE | $53.40 | $89.00 | — | 46% below | 40% |
| Amylase blood test CPT 82150 HC BF-AMYLASE | $53.40 | $89.00 | — | 46% below | 40% |
| Amylase blood test CPT 82150 HC AMYLASE-BLOOD | $53.40 | $89.00 | — | 46% below | 40% |
| Amylase blood test inpatient CPT 82150 HC AMYLASE | $19.80 | $33.00 | — | — | 40% |
| Amylase blood test inpatient CPT 82150 HC AMYLASE | $19.80 | $33.00 | — | — | 40% |
| Amylase blood test inpatient CPT 82150 HC AMYLASE-PANCREATIC | $22.20 | $37.00 | — | — | 40% |
| Amylase blood test inpatient CPT 82150 HC AMYLASE-MICROAMYLASE | $22.20 | $37.00 | — | — | 40% |
| Amylase blood test inpatient CPT 82150 HC URINE AMYLASE RANDOM | $36.00 | $60.00 | — | — | 40% |
| Amylase blood test inpatient CPT 82150 HC URINE AMYLASE 2HR | $36.00 | $60.00 | — | — | 40% |
| Amylase blood test inpatient CPT 82150 HC SL AMYLASE-BLOOD | $36.00 | $60.00 | — | — | 40% |
| Amylase blood test inpatient CPT 82150 HC BF-AMYLASE | $53.40 | $89.00 | — | — | 40% |
| Amylase blood test inpatient CPT 82150 HC AMYLASE-BLOOD | $53.40 | $89.00 | — | — | 40% |
| Amylase blood test inpatient CPT 82150 HC BF-AMYLASE | $53.40 | $89.00 | — | — | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CYCLIC CITRULLINATED PEPTIDE AB, IGG/A | $188.40 | $314.00 | — | 206% above | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CYCLIC CITRULLINATED PEPTIDE AB, IGG/A | $188.40 | $314.00 | — | — | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANA SCREEN | $43.20 | $72.00 | — | 51% below | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTI-NUCLEAR ANTIBODIES | $62.40 | $104.00 | — | 29% below | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANA-ANTINUCLEAR AB WITH TITER | $88.80 | $148.00 | — | at median | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANA SCREEN | $43.20 | $72.00 | — | — | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTI-NUCLEAR ANTIBODIES | $62.40 | $104.00 | — | — | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANA-ANTINUCLEAR AB WITH TITER | $88.80 | $148.00 | — | — | 40% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC BNP | $103.80 | $173.00 | — | 44% below | 40% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC (SL BNP) | $103.80 | $173.00 | — | 44% below | 40% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC BNP | $103.80 | $173.00 | — | 44% below | 40% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC (SL BNP) | $103.80 | $173.00 | — | — | 40% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC BNP | $103.80 | $173.00 | — | — | 40% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC BNP | $103.80 | $173.00 | — | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC TISSUE CULTURE WORKUP | $32.40 | $54.00 | — | 53% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC BODY FLUID CULTURE WORKUP | $49.20 | $82.00 | — | 29% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CSF CULTURE WORKUP | $49.20 | $82.00 | — | 29% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC HELICOBACTER PYLORI, CULTURE OTHR SPECIMN AEROBIC | $54.00 | $90.00 | — | 22% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC EYE CULTURE WORKUP | $54.60 | $91.00 | — | 21% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC EAR CULTURE WORKUP | $54.60 | $91.00 | — | 21% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC RESPIRATORY CULTURE WORKUP | $54.60 | $91.00 | — | 21% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC WOUND CULTURE | $63.60 | $106.00 | — | 8% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC WOUND CULTURE | $63.60 | $106.00 | — | 8% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE NASAL | $123.00 | $205.00 | — | 77% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE RTN EYE | $123.00 | $205.00 | — | 77% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE SPUTUM | $123.00 | $205.00 | — | 77% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE THROAT | $123.00 | $205.00 | — | 77% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE EAR | $123.00 | $205.00 | — | 77% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE TRACHEAL ASP W/GS | $123.00 | $205.00 | — | 77% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE WOUND | $123.00 | $205.00 | — | 77% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE EAR | $123.00 | $205.00 | — | 77% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC (CULTURE RESPIRATORY) | $123.00 | $205.00 | — | 77% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE WOUND DEEP | $123.00 | $205.00 | — | 77% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE BF | $123.00 | $205.00 | — | 77% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE CSF | $123.00 | $205.00 | — | 77% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE BRONCHIAL | $123.00 | $205.00 | — | 77% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE WOUND SUPERFICIAL | $123.00 | $205.00 | — | 77% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE CATH TIP | $123.00 | $205.00 | — | 77% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE GENITAL | $123.00 | $205.00 | — | 77% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE WOUND DEEP | $123.00 | $205.00 | — | 77% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE TISSUE | $123.00 | $205.00 | — | 77% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE BONE MARROW | $146.40 | $244.00 | — | 111% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CSF CULTURE & GRAM STAIN | $186.00 | $310.00 | — | 168% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC TISSUE CULTURE WORKUP | $32.40 | $54.00 | — | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC BODY FLUID CULTURE WORKUP | $49.20 | $82.00 | — | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CSF CULTURE WORKUP | $49.20 | $82.00 | — | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC HELICOBACTER PYLORI, CULTURE OTHR SPECIMN AEROBIC | $54.00 | $90.00 | — | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC RESPIRATORY CULTURE WORKUP | $54.60 | $91.00 | — | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC EAR CULTURE WORKUP | $54.60 | $91.00 | — | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC EYE CULTURE WORKUP | $54.60 | $91.00 | — | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC WOUND CULTURE | $63.60 | $106.00 | — | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC WOUND CULTURE | $63.60 | $106.00 | — | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC (CULTURE RESPIRATORY) | $123.00 | $205.00 | — | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE BF | $123.00 | $205.00 | — | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE BRONCHIAL | $123.00 | $205.00 | — | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE CATH TIP | $123.00 | $205.00 | — | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE CSF | $123.00 | $205.00 | — | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE EAR | $123.00 | $205.00 | — | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE EAR | $123.00 | $205.00 | — | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE GENITAL | $123.00 | $205.00 | — | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE NASAL | $123.00 | $205.00 | — | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE RTN EYE | $123.00 | $205.00 | — | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE SPUTUM | $123.00 | $205.00 | — | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE THROAT | $123.00 | $205.00 | — | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE TISSUE | $123.00 | $205.00 | — | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE TRACHEAL ASP W/GS | $123.00 | $205.00 | — | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE WOUND | $123.00 | $205.00 | — | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE WOUND DEEP | $123.00 | $205.00 | — | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE WOUND DEEP | $123.00 | $205.00 | — | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE WOUND SUPERFICIAL | $123.00 | $205.00 | — | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE BONE MARROW | $146.40 | $244.00 | — | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CSF CULTURE & GRAM STAIN | $186.00 | $310.00 | — | — | 40% |
| Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PROFILE | $87.60 | $146.00 | — | 64% below | 40% |
| Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PROFILE | $87.60 | $146.00 | — | 64% below | 40% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PROFILE | $87.60 | $146.00 | — | — | 40% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PROFILE | $87.60 | $146.00 | — | — | 40% |
| Bilirubin blood test, total CPT 82247 HC BILIRUBIN, FLUID | $14.40 | $24.00 | — | 79% below | 40% |
| Bilirubin blood test, total CPT 82247 HC FIBROSURE BILIRUBIN | $22.20 | $37.00 | — | 67% below | 40% |
| Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOT G08 | $31.80 | $53.00 | — | 53% below | 40% |
| Bilirubin blood test, total CPT 82247 HC POCT BILIRUBIN | $31.80 | $53.00 | — | 53% below | 40% |
| Bilirubin blood test, total CPT 82247 HC POCT BILIRUBIN | $31.80 | $53.00 | — | 53% below | 40% |
| Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL CORD BLOOD | $31.80 | $53.00 | — | 53% below | 40% |
| Bilirubin blood test, total CPT 82247 HC BF-BILIRUBIN TOTAL | $31.80 | $53.00 | — | 53% below | 40% |
| Bilirubin blood test, total CPT 82247 HC ONC BILIRUBIN TOTAL | $31.80 | $53.00 | — | 53% below | 40% |
| Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN, FLUID | $14.40 | $24.00 | — | — | 40% |
| Bilirubin blood test, total inpatient CPT 82247 HC FIBROSURE BILIRUBIN | $22.20 | $37.00 | — | — | 40% |
| Bilirubin blood test, total inpatient CPT 82247 HC BF-BILIRUBIN TOTAL | $31.80 | $53.00 | — | — | 40% |
| Bilirubin blood test, total inpatient CPT 82247 HC POCT BILIRUBIN | $31.80 | $53.00 | — | — | 40% |
| Bilirubin blood test, total inpatient CPT 82247 HC POCT BILIRUBIN | $31.80 | $53.00 | — | — | 40% |
| Bilirubin blood test, total inpatient CPT 82247 HC ONC BILIRUBIN TOTAL | $31.80 | $53.00 | — | — | 40% |
| Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TOTAL CORD BLOOD | $31.80 | $53.00 | — | — | 40% |
| Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TOT G08 | $31.80 | $53.00 | — | — | 40% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC SURG PATH LEVEL IV COMPL RES | $277.80 | $463.00 | — | 7% below | 40% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC SURG PATH LEVEL IV COMPL RES | $277.80 | $463.00 | — | 7% below | 40% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC CELL BLOCK | $312.00 | $520.00 | — | 5% above | 40% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC LEVEL IV SURGICAL PATHOLOGY | $425.40 | $709.00 | — | 43% above | 40% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC SURG PATH LEVEL IV COMPL RES | $277.80 | $463.00 | — | — | 40% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC SURG PATH LEVEL IV COMPL RES | $277.80 | $463.00 | — | — | 40% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC CELL BLOCK | $312.00 | $520.00 | — | — | 40% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC LEVEL IV SURGICAL PATHOLOGY | $425.40 | $709.00 | — | — | 40% |
| Blood culture for bacteria CPT 87040 HC CULTURE BLOOD ROUTINE | $141.00 | $235.00 | — | 41% below | 40% |
| Blood culture for bacteria inpatient CPT 87040 HC CULTURE BLOOD ROUTINE | $141.00 | $235.00 | — | — | 40% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC VENIPUNCTURE | $25.20 | $42.00 | — | 27% above | 40% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC VENIPUNCTURE | $25.20 | $42.00 | — | 27% above | 40% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC VENIPUNCTURE | $25.20 | $42.00 | — | — | 40% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC VENIPUNCTURE | $25.20 | $42.00 | — | — | 40% |
| Blood glucose (sugar) test CPT 82947 HC SPINAL FLUID GLUCOSE QUANT | $16.20 | $27.00 | — | 64% below | 40% |
| Blood glucose (sugar) test CPT 82947 HC SL GLUCOSE | $16.20 | $27.00 | — | 64% below | 40% |
| Blood glucose (sugar) test CPT 82947 HC SL GLUCOSE | $16.20 | $27.00 | — | 64% below | 40% |
| Blood glucose (sugar) test CPT 82947 HC SL GLUCOSE QUANT | $31.80 | $53.00 | — | 28% below | 40% |
| Blood glucose (sugar) test CPT 82947 HC POC GLUCOSE | $31.80 | $53.00 | — | 28% below | 40% |
| Blood glucose (sugar) test CPT 82947 HC POC GLUCOSE | $31.80 | $53.00 | — | 28% below | 40% |
| Blood glucose (sugar) test CPT 82947 HC GLUCOSE QUANT BLOOD | $31.80 | $53.00 | — | 28% below | 40% |
| Blood glucose (sugar) test CPT 82947 HC GLUCOSE FASTING (OB ONLY) | $31.80 | $53.00 | — | 28% below | 40% |
| Blood glucose (sugar) test CPT 82947 HC SL GLUCOSE FOR PCX | $31.80 | $53.00 | — | 28% below | 40% |
| Blood glucose (sugar) test CPT 82947 HC SL GLUCOSE QUANT | $31.80 | $53.00 | — | 28% below | 40% |
| Blood glucose (sugar) test inpatient CPT 82947 HC SL GLUCOSE | $16.20 | $27.00 | — | — | 40% |
| Blood glucose (sugar) test inpatient CPT 82947 HC SL GLUCOSE | $16.20 | $27.00 | — | — | 40% |
| Blood glucose (sugar) test inpatient CPT 82947 HC SPINAL FLUID GLUCOSE QUANT | $16.20 | $27.00 | — | — | 40% |
| Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE FASTING (OB ONLY) | $31.80 | $53.00 | — | — | 40% |
| Blood glucose (sugar) test inpatient CPT 82947 HC POC GLUCOSE | $31.80 | $53.00 | — | — | 40% |
| Blood glucose (sugar) test inpatient CPT 82947 HC POC GLUCOSE | $31.80 | $53.00 | — | — | 40% |
| Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE QUANT BLOOD | $31.80 | $53.00 | — | — | 40% |
| Blood glucose (sugar) test inpatient CPT 82947 HC SL GLUCOSE FOR PCX | $31.80 | $53.00 | — | — | 40% |
| Blood glucose (sugar) test inpatient CPT 82947 HC SL GLUCOSE QUANT | $31.80 | $53.00 | — | — | 40% |
| Blood glucose (sugar) test inpatient CPT 82947 HC SL GLUCOSE QUANT | $31.80 | $53.00 | — | — | 40% |
| Blood lead test CPT 83655 HC (U LEAD HEAVY METAL RDM) | $9.00 | $15.00 | — | 83% below | 40% |
| Blood lead test CPT 83655 HC LEAD; URINE 24HR | $16.20 | $27.00 | — | 69% below | 40% |
| Blood lead test CPT 83655 HC LEAD | $25.20 | $42.00 | — | 52% below | 40% |
| Blood lead test CPT 83655 HC LEAD | $25.20 | $42.00 | — | 52% below | 40% |
| Blood lead test CPT 83655 HC LEAD BLOOD RF5 | $83.40 | $139.00 | — | 57% above | 40% |
| Blood lead test inpatient CPT 83655 HC (U LEAD HEAVY METAL RDM) | $9.00 | $15.00 | — | — | 40% |
| Blood lead test inpatient CPT 83655 HC LEAD; URINE 24HR | $16.20 | $27.00 | — | — | 40% |
| Blood lead test inpatient CPT 83655 HC LEAD | $25.20 | $42.00 | — | — | 40% |
| Blood lead test inpatient CPT 83655 HC LEAD | $25.20 | $42.00 | — | — | 40% |
| Blood lead test inpatient CPT 83655 HC LEAD BLOOD RF5 | $83.40 | $139.00 | — | — | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC ED - HCG QUALITATIVE | $31.80 | $53.00 | — | 77% below | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC SL HCG-QUALITATIVE | $31.80 | $53.00 | — | 77% below | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC HCG QUALITATIVE | $46.80 | $78.00 | — | 66% below | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC HCG QUALITATIVE | $46.80 | $78.00 | — | 66% below | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC SL HCG-QUALITATIVE | $31.80 | $53.00 | — | — | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC ED - HCG QUALITATIVE | $31.80 | $53.00 | — | — | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC HCG QUALITATIVE | $46.80 | $78.00 | — | — | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC HCG QUALITATIVE | $46.80 | $78.00 | — | — | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPING SEROLOGIC ABO | $19.80 | $33.00 | — | 78% below | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLD TYPE ABO G10 DISCREPANCY | $76.20 | $127.00 | — | 14% below | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLD TYPE ABO G10 RECHECK | $76.20 | $127.00 | — | 14% below | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLD TYPE ABO G10 | $76.20 | $127.00 | — | 14% below | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLD TYPE ABO G10 RECHECK | $76.20 | $127.00 | — | 14% below | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLD TYPE ABO G10 | $76.20 | $127.00 | — | 14% below | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC ABO (TX RXN) | $93.00 | $155.00 | — | 5% above | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BLOOD TYPING SEROLOGIC ABO | $19.80 | $33.00 | — | — | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BLD TYPE ABO G10 | $76.20 | $127.00 | — | — | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BLD TYPE ABO G10 | $76.20 | $127.00 | — | — | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BLD TYPE ABO G10 RECHECK | $76.20 | $127.00 | — | — | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BLD TYPE ABO G10 DISCREPANCY | $76.20 | $127.00 | — | — | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BLD TYPE ABO G10 RECHECK | $76.20 | $127.00 | — | — | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC ABO (TX RXN) | $93.00 | $155.00 | — | — | 40% |
| Blood urea nitrogen (BUN) test CPT 84520 HC FIBROMETER VIRUS: ASSAY OF UREA NITROGEN | $24.00 | $40.00 | — | 59% below | 40% |
| Blood urea nitrogen (BUN) test CPT 84520 HC SL BUN | $31.80 | $53.00 | — | 46% below | 40% |
| Blood urea nitrogen (BUN) test CPT 84520 HC BUN G64 | $31.80 | $53.00 | — | 46% below | 40% |
| Blood urea nitrogen (BUN) test CPT 84520 HC POC BUN | $31.80 | $53.00 | — | 46% below | 40% |
| Blood urea nitrogen (BUN) test CPT 84520 HC ONC BUN | $31.80 | $53.00 | — | 46% below | 40% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 HC FIBROMETER VIRUS: ASSAY OF UREA NITROGEN | $24.00 | $40.00 | — | — | 40% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 HC BUN G64 | $31.80 | $53.00 | — | — | 40% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 HC ONC BUN | $31.80 | $53.00 | — | — | 40% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 HC POC BUN | $31.80 | $53.00 | — | — | 40% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 HC SL BUN | $31.80 | $53.00 | — | — | 40% |
| C-peptide blood test CPT 84681 HC C-PEPTIDE | $24.60 | $41.00 | — | 70% below | 40% |
| C-peptide blood test inpatient CPT 84681 HC C-PEPTIDE | $24.60 | $41.00 | — | — | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC (IBD SGI CRP) | $36.00 | $60.00 | — | 38% below | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC CRP C-REACTIVE PROTEIN | $82.20 | $137.00 | — | 41% above | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC CRP C-REACTIVE PROTEIN | $82.20 | $137.00 | — | 41% above | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC (IBD SGI CRP) | $36.00 | $60.00 | — | — | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC CRP C-REACTIVE PROTEIN | $82.20 | $137.00 | — | — | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC CRP C-REACTIVE PROTEIN | $82.20 | $137.00 | — | — | 40% |
| C. difficile toxin gene test (stool PCR) CPT 87493 HC C DIFF PCR | $159.60 | $266.00 | — | 10% below | 40% |
| C. difficile toxin gene test (stool PCR) one side CPT 87493 HC C. DIFFICILE TOXIN B GENE (TCDB) RT-PCR | $87.00 | $145.00 | — | 51% below | 40% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC C DIFF PCR | $159.60 | $266.00 | — | — | 40% |
| C. difficile toxin gene test (stool PCR) inpatient one side CPT 87493 HC C. DIFFICILE TOXIN B GENE (TCDB) RT-PCR | $87.00 | $145.00 | — | — | 40% |
| CA 19-9 blood test (tumor marker) CPT 86301 HC CA 19-9 | $83.40 | $139.00 | — | 39% below | 40% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC CA 19-9 | $83.40 | $139.00 | — | — | 40% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HC CA-125 | $339.00 | $565.00 | — | 111% above | 40% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC CA-125 | $339.00 | $565.00 | — | — | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC SARS-COV-2 COVID-19 AMP PRB | $105.60 | $176.00 | — | 19% above | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC SARS-COV-2 COVID-19 AMP PRB | $105.60 | $176.00 | — | 19% above | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC SARS-COV-2 COVID-19 AMP PRB | $105.60 | $176.00 | — | — | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC SARS-COV-2 COVID-19 AMP PRB | $105.60 | $176.00 | — | — | 40% |
| Calcium blood test, total CPT 82310 HC CALCIUM; TOTAL | $29.40 | $49.00 | — | 53% below | 40% |
| Calcium blood test, total CPT 82310 HC URINE CALCIUM RANDOM | $31.80 | $53.00 | — | 49% below | 40% |
| Calcium blood test, total CPT 82310 HC CALCIUM G12 | $31.80 | $53.00 | — | 49% below | 40% |
| Calcium blood test, total CPT 82310 HC ONC CALCIUM | $31.80 | $53.00 | — | 49% below | 40% |
| Calcium blood test, total CPT 82310 HC SL CALCIUM | $31.80 | $53.00 | — | 49% below | 40% |
| Calcium blood test, total inpatient CPT 82310 HC CALCIUM; TOTAL | $29.40 | $49.00 | — | — | 40% |
| Calcium blood test, total inpatient CPT 82310 HC URINE CALCIUM RANDOM | $31.80 | $53.00 | — | — | 40% |
| Calcium blood test, total inpatient CPT 82310 HC CALCIUM G12 | $31.80 | $53.00 | — | — | 40% |
| Calcium blood test, total inpatient CPT 82310 HC ONC CALCIUM | $31.80 | $53.00 | — | — | 40% |
| Calcium blood test, total inpatient CPT 82310 HC SL CALCIUM | $31.80 | $53.00 | — | — | 40% |
| Carcinoembryonic antigen (CEA) test CPT 82378 HC CARCINOEMBRYONIC ANTIGEN, FLUID | $19.80 | $33.00 | — | 88% below | 40% |
| Carcinoembryonic antigen (CEA) test CPT 82378 HC CEA G13 | $81.00 | $135.00 | — | 49% below | 40% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CARCINOEMBRYONIC ANTIGEN, FLUID | $19.80 | $33.00 | — | — | 40% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CEA G13 | $81.00 | $135.00 | — | — | 40% |
| Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA | $44.40 | $74.00 | — | 30% below | 40% |
| Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA | $44.40 | $74.00 | — | 30% below | 40% |
| Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA-ZOSTER; IGM AB | $94.80 | $158.00 | — | 50% above | 40% |
| Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA ZOSTER IGG AB | $174.00 | $290.00 | — | 176% above | 40% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA | $44.40 | $74.00 | — | — | 40% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA | $44.40 | $74.00 | — | — | 40% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA-ZOSTER; IGM AB | $94.80 | $158.00 | — | — | 40% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA ZOSTER IGG AB | $174.00 | $290.00 | — | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHYLMD TRACH DNA AMP PROBE | $52.80 | $88.00 | — | 58% below | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACHOMATIS | $59.40 | $99.00 | — | 53% below | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACHOMATIS | $59.40 | $99.00 | — | 53% below | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC C. TRACHOMATIS UR | $93.60 | $156.00 | — | 26% below | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHYLMD TRACH DNA AMP PROBE | $52.80 | $88.00 | — | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACHOMATIS | $59.40 | $99.00 | — | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACHOMATIS | $59.40 | $99.00 | — | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC C. TRACHOMATIS UR | $93.60 | $156.00 | — | — | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PROFILE | $53.40 | $89.00 | — | 73% below | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PROFILE | $53.40 | $89.00 | — | 73% below | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPOFIT LIPID PANEL | $56.40 | $94.00 | — | 71% below | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPOFIT LIPID PANEL | $56.40 | $94.00 | — | 71% below | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PROFILE | $53.40 | $89.00 | — | — | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PROFILE | $53.40 | $89.00 | — | — | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPOFIT LIPID PANEL | $56.40 | $94.00 | — | — | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPOFIT LIPID PANEL | $56.40 | $94.00 | — | — | 40% |
| Complete blood count (CBC) with differential CPT 85025 HC SL CBC W/5 PART AUTO DIFF | $83.40 | $139.00 | — | 9% below | 40% |
| Complete blood count (CBC) with differential CPT 85025 HC CBC PLATELET AUTO 5 DIFF | $83.40 | $139.00 | — | 9% below | 40% |
| Complete blood count (CBC) with differential CPT 85025 HC (CBC PLATELET AUTO 5 DIFF) | $83.40 | $139.00 | — | 9% below | 40% |
| Complete blood count (CBC) with differential CPT 85025 HC ONC CBC W/5 PART DIFF | $83.40 | $139.00 | — | 9% below | 40% |
| Complete blood count (CBC) with differential CPT 85025 HC SL CBC W/5 PART AUTO DIFF | $83.40 | $139.00 | — | 9% below | 40% |
| Complete blood count (CBC) with differential CPT 85025 HC (CBC PLATELET AUTO 5 DIFF) | $83.40 | $139.00 | — | 9% below | 40% |
| Complete blood count (CBC) with differential CPT 85025 HC CBC PLATELET AUTO 5 DIFF | $83.40 | $139.00 | — | 9% below | 40% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC ONC CBC W/5 PART DIFF | $83.40 | $139.00 | — | — | 40% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC (CBC PLATELET AUTO 5 DIFF) | $83.40 | $139.00 | — | — | 40% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC CBC PLATELET AUTO 5 DIFF | $83.40 | $139.00 | — | — | 40% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC CBC PLATELET AUTO 5 DIFF | $83.40 | $139.00 | — | — | 40% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC (CBC PLATELET AUTO 5 DIFF) | $83.40 | $139.00 | — | — | 40% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC SL CBC W/5 PART AUTO DIFF | $83.40 | $139.00 | — | — | 40% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC SL CBC W/5 PART AUTO DIFF | $83.40 | $139.00 | — | — | 40% |
| Complete blood count (CBC), no differential CPT 85027 HC ONC CBC | $76.80 | $128.00 | — | 20% below | 40% |
| Complete blood count (CBC), no differential CPT 85027 HC HEMOGRAM/PLATELET CT AUTO | $76.80 | $128.00 | — | 20% below | 40% |
| Complete blood count (CBC), no differential CPT 85027 HC SL HEMOGAM/PLATELET CT AUTO | $76.80 | $128.00 | — | 20% below | 40% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC ONC CBC | $76.80 | $128.00 | — | — | 40% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC SL HEMOGAM/PLATELET CT AUTO | $76.80 | $128.00 | — | — | 40% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC HEMOGRAM/PLATELET CT AUTO | $76.80 | $128.00 | — | — | 40% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC COMP METABOLIC PROFILE | $139.20 | $232.00 | — | 53% below | 40% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC COMP METABOLIC PROFILE | $139.20 | $232.00 | — | 53% below | 40% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC SL COMP METABOLIC PANEL | $139.20 | $232.00 | — | 53% below | 40% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMP METABOLIC PROFILE | $139.20 | $232.00 | — | — | 40% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMP METABOLIC PROFILE | $139.20 | $232.00 | — | — | 40% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC SL COMP METABOLIC PANEL | $139.20 | $232.00 | — | — | 40% |
| Cortisol blood test, total CPT 82533 HC CORTISOL TOTAL | $28.20 | $47.00 | — | 69% below | 40% |
| Cortisol blood test, total CPT 82533 HC CORTISOL-BLOOD | $34.20 | $57.00 | — | 63% below | 40% |
| Cortisol blood test, total CPT 82533 HC (CORTISOL-BLOOD) | $34.20 | $57.00 | — | 63% below | 40% |
| Cortisol blood test, total CPT 82533 HC (COSYNTROPIN-ADRENAL FUNCT. 2) | $34.20 | $57.00 | — | 63% below | 40% |
| Cortisol blood test, total inpatient CPT 82533 HC CORTISOL TOTAL | $28.20 | $47.00 | — | — | 40% |
| Cortisol blood test, total inpatient CPT 82533 HC (COSYNTROPIN-ADRENAL FUNCT. 2) | $34.20 | $57.00 | — | — | 40% |
| Cortisol blood test, total inpatient CPT 82533 HC (CORTISOL-BLOOD) | $34.20 | $57.00 | — | — | 40% |
| Cortisol blood test, total inpatient CPT 82533 HC CORTISOL-BLOOD | $34.20 | $57.00 | — | — | 40% |
| Creatine kinase (CK) blood test, total CPT 82550 HC CREATINE KINASE TOTAL | $9.00 | $15.00 | — | 87% below | 40% |
| Creatine kinase (CK) blood test, total CPT 82550 HC CREATINE KINASE TOTAL | $9.00 | $15.00 | — | 87% below | 40% |
| Creatine kinase (CK) blood test, total CPT 82550 HC CK(CPK) TOTAL | $36.00 | $60.00 | — | 49% below | 40% |
| Creatine kinase (CK) blood test, total CPT 82550 HC (SL CPK (CK) TOTAL) | $36.00 | $60.00 | — | 49% below | 40% |
| Creatine kinase (CK) blood test, total CPT 82550 HC (CPK (CK) TOTAL) | $37.80 | $63.00 | — | 47% below | 40% |
| Creatine kinase (CK) blood test, total CPT 82550 HC CPK TOTAL | $37.80 | $63.00 | — | 47% below | 40% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 HC CREATINE KINASE TOTAL | $9.00 | $15.00 | — | — | 40% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 HC CREATINE KINASE TOTAL | $9.00 | $15.00 | — | — | 40% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 HC CK(CPK) TOTAL | $36.00 | $60.00 | — | — | 40% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 HC (SL CPK (CK) TOTAL) | $36.00 | $60.00 | — | — | 40% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 HC (CPK (CK) TOTAL) | $37.80 | $63.00 | — | — | 40% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 HC CPK TOTAL | $37.80 | $63.00 | — | — | 40% |
| Creatinine blood test CPT 82565 HC SL CREATININE | $31.80 | $53.00 | — | 47% below | 40% |
| Creatinine blood test CPT 82565 HC ONC CREATININE | $31.80 | $53.00 | — | 47% below | 40% |
| Creatinine blood test CPT 82565 HC CREATININE | $31.80 | $53.00 | — | 47% below | 40% |
| Creatinine blood test CPT 82565 HC SL CREATININE | $31.80 | $53.00 | — | 47% below | 40% |
| Creatinine blood test CPT 82565 HC POC CREATININE | $31.80 | $53.00 | — | 47% below | 40% |
| Creatinine blood test inpatient CPT 82565 HC POC CREATININE | $31.80 | $53.00 | — | — | 40% |
| Creatinine blood test inpatient CPT 82565 HC SL CREATININE | $31.80 | $53.00 | — | — | 40% |
| Creatinine blood test inpatient CPT 82565 HC ONC CREATININE | $31.80 | $53.00 | — | — | 40% |
| Creatinine blood test inpatient CPT 82565 HC CREATININE | $31.80 | $53.00 | — | — | 40% |
| Creatinine blood test inpatient CPT 82565 HC SL CREATININE | $31.80 | $53.00 | — | — | 40% |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC CYTOMEGALOVIRUS IGG AB | $51.00 | $85.00 | — | 34% below | 40% |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC CYTOMEGALOVIRUS ANTIBODY, IGG | $81.60 | $136.00 | — | 6% above | 40% |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC CMV IGG AB AVIDITY | $89.40 | $149.00 | — | 16% above | 40% |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC CYTOMEGALOVIRUS AB IGG AVIDITY | $89.40 | $149.00 | — | 16% above | 40% |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC CMV AB.IGG AVIDITY | $109.20 | $182.00 | — | 42% above | 40% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CYTOMEGALOVIRUS IGG AB | $51.00 | $85.00 | — | — | 40% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CYTOMEGALOVIRUS ANTIBODY, IGG | $81.60 | $136.00 | — | — | 40% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CMV IGG AB AVIDITY | $89.40 | $149.00 | — | — | 40% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CYTOMEGALOVIRUS AB IGG AVIDITY | $89.40 | $149.00 | — | — | 40% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CMV AB.IGG AVIDITY | $109.20 | $182.00 | — | — | 40% |
| D-dimer blood test (blood clot marker) CPT 85379 HC SL D DIMER | $39.60 | $66.00 | — | 77% below | 40% |
| D-dimer blood test (blood clot marker) CPT 85379 HC D DIMER QUANTITATIVE | $44.40 | $74.00 | — | 75% below | 40% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 HC SL D DIMER | $39.60 | $66.00 | — | — | 40% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 HC D DIMER QUANTITATIVE | $44.40 | $74.00 | — | — | 40% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HC DEHYDROEPIANDROSTERONE-SULFATE | $25.20 | $42.00 | — | 84% below | 40% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC DEHYDROEPIANDROSTERONE-SULFATE | $25.20 | $42.00 | — | — | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC COTININE, URINE | $26.40 | $44.00 | — | 63% below | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC U DRUG PNL, PAIN MANAGEMENT | $34.20 | $57.00 | — | 52% below | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR | $37.80 | $63.00 | — | 48% below | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUGS OF ABUSE SCREEN, SERUM | $39.00 | $65.00 | — | 46% below | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUGS OF ABUSE SCREEN, SERUM | $39.00 | $65.00 | — | 46% below | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC SYNTHETIC CANNABINOIDS SCREEN | $188.40 | $314.00 | — | 162% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC JWH-018 N-PENTANOIC ACID METAB | $264.00 | $440.00 | — | 267% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC URINE DRUG OF ABUSE SCREEN | $429.00 | $715.00 | — | 496% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC GAMMA HYDROCYBUTIRIC ACID | $463.20 | $772.00 | — | 543% above | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC COTININE, URINE | $26.40 | $44.00 | — | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC U DRUG PNL, PAIN MANAGEMENT | $34.20 | $57.00 | — | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR | $37.80 | $63.00 | — | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUGS OF ABUSE SCREEN, SERUM | $39.00 | $65.00 | — | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUGS OF ABUSE SCREEN, SERUM | $39.00 | $65.00 | — | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC SYNTHETIC CANNABINOIDS SCREEN | $188.40 | $314.00 | — | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC JWH-018 N-PENTANOIC ACID METAB | $264.00 | $440.00 | — | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC URINE DRUG OF ABUSE SCREEN | $429.00 | $715.00 | — | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC GAMMA HYDROCYBUTIRIC ACID | $463.20 | $772.00 | — | — | 40% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC CHEM LYTE | $34.20 | $57.00 | — | 82% below | 40% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC CHEM LYTE | $34.20 | $57.00 | — | 82% below | 40% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HC CHEM LYTE | $34.20 | $57.00 | — | — | 40% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HC CHEM LYTE | $34.20 | $57.00 | — | — | 40% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN-BARR, VIRAL CAPSID IGG | $64.80 | $108.00 | — | 33% below | 40% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN-BARR, VIRAL CAPSID IGM | $64.80 | $108.00 | — | 33% below | 40% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EPSTEIN-BARR, VIRAL CAPSID IGM | $64.80 | $108.00 | — | — | 40% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EPSTEIN-BARR, VIRAL CAPSID IGG | $64.80 | $108.00 | — | — | 40% |
| Estradiol blood test CPT 82670 HC ESTRADIOL, ADULT PREMENOPAUSAL FEMALE | $41.40 | $69.00 | — | 71% below | 40% |
| Estradiol blood test CPT 82670 HC ESTRADIOL, MALES, CHILDREN OR POSTMENOPAUSAL FEMALES | $41.40 | $69.00 | — | 71% below | 40% |
| Estradiol blood test inpatient CPT 82670 HC ESTRADIOL, MALES, CHILDREN OR POSTMENOPAUSAL FEMALES | $41.40 | $69.00 | — | — | 40% |
| Estradiol blood test inpatient CPT 82670 HC ESTRADIOL, ADULT PREMENOPAUSAL FEMALE | $41.40 | $69.00 | — | — | 40% |
| FSH (follicle-stimulating hormone) test CPT 83001 HC FSH SERUM RD7 | $93.00 | $155.00 | — | 42% below | 40% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC FSH SERUM RD7 | $93.00 | $155.00 | — | — | 40% |
| Fecal calprotectin (stool inflammation test) CPT 83993 HC CALPROTECTIN, FECAL | $80.40 | $134.00 | — | 62% below | 40% |
| Fecal calprotectin (stool inflammation test) CPT 83993 HC CALPROTECTIN, FECAL | $80.40 | $134.00 | — | 62% below | 40% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC CALPROTECTIN, FECAL | $80.40 | $134.00 | — | — | 40% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC CALPROTECTIN, FECAL | $80.40 | $134.00 | — | — | 40% |
| Ferritin blood test (iron stores) CPT 82728 HC FERRITIN G24 | $61.80 | $103.00 | — | 40% below | 40% |
| Ferritin blood test (iron stores) inpatient CPT 82728 HC FERRITIN G24 | $61.80 | $103.00 | — | — | 40% |
| Fibrinogen blood test CPT 85384 HC FIBRINOGEN ACTIVITY 2 | $15.00 | $25.00 | — | 84% below | 40% |
| Fibrinogen blood test CPT 85384 HC HEP FIBRINOGEN ACT 2 | $15.00 | $25.00 | — | 84% below | 40% |
| Fibrinogen blood test CPT 85384 HC HEP FIBRINOGEN ACTIVITY | $15.00 | $25.00 | — | 84% below | 40% |
| Fibrinogen blood test CPT 85384 HC FIBRINOGEN ACTIVITY | $15.00 | $25.00 | — | 84% below | 40% |
| Fibrinogen blood test CPT 85384 HC FIBRINOGEN G24 | $48.00 | $80.00 | — | 48% below | 40% |
| Fibrinogen blood test inpatient CPT 85384 HC HEP FIBRINOGEN ACTIVITY | $15.00 | $25.00 | — | — | 40% |
| Fibrinogen blood test inpatient CPT 85384 HC HEP FIBRINOGEN ACT 2 | $15.00 | $25.00 | — | — | 40% |
| Fibrinogen blood test inpatient CPT 85384 HC FIBRINOGEN ACTIVITY 2 | $15.00 | $25.00 | — | — | 40% |
| Fibrinogen blood test inpatient CPT 85384 HC FIBRINOGEN ACTIVITY | $15.00 | $25.00 | — | — | 40% |
| Fibrinogen blood test inpatient CPT 85384 HC FIBRINOGEN G24 | $48.00 | $80.00 | — | — | 40% |
| Folate (folic acid) blood test CPT 82746 HC FOLATE SERUM G25 | $77.40 | $129.00 | — | 18% below | 40% |
| Folate (folic acid) blood test CPT 82746 HC FOLATE G25 | $77.40 | $129.00 | — | 18% below | 40% |
| Folate (folic acid) blood test inpatient CPT 82746 HC FOLATE G25 | $77.40 | $129.00 | — | — | 40% |
| Folate (folic acid) blood test inpatient CPT 82746 HC FOLATE SERUM G25 | $77.40 | $129.00 | — | — | 40% |
| Free T3 thyroid hormone test CPT 84481 HC FREE T3-TRIIODOTHYRONINE | $28.20 | $47.00 | — | 80% below | 40% |
| Free T3 thyroid hormone test CPT 84481 HC TRIIODOTHYRONINE, FREE (FREE T3) | $60.00 | $100.00 | — | 57% below | 40% |
| Free T3 thyroid hormone test inpatient CPT 84481 HC FREE T3-TRIIODOTHYRONINE | $28.20 | $47.00 | — | — | 40% |
| Free T3 thyroid hormone test inpatient CPT 84481 HC TRIIODOTHYRONINE, FREE (FREE T3) | $60.00 | $100.00 | — | — | 40% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC FREE T4 RK4 | $42.00 | $70.00 | — | 52% below | 40% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC FREE T4 RK4 | $42.00 | $70.00 | — | 52% below | 40% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC T-4 THYROXINE FREE BY ED/HPLC-TMS | $46.80 | $78.00 | — | 47% below | 40% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC FREE T4 RK4 | $42.00 | $70.00 | — | — | 40% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC FREE T4 RK4 | $42.00 | $70.00 | — | — | 40% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC T-4 THYROXINE FREE BY ED/HPLC-TMS | $46.80 | $78.00 | — | — | 40% |
| Free testosterone test CPT 84402 HC TESTOSTERONE, FREE | $58.20 | $97.00 | — | 47% below | 40% |
| Free testosterone test inpatient CPT 84402 HC TESTOSTERONE, FREE | $58.20 | $97.00 | — | — | 40% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC FIBROSURE ASSAY OF GGT | $18.60 | $31.00 | — | 71% below | 40% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC FIBROMETER VIRUS: ASSAY OF GGT | $24.00 | $40.00 | — | 63% below | 40% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC GAMMA GLUTAM G26 | $41.40 | $69.00 | — | 35% below | 40% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC FIBROSURE ASSAY OF GGT | $18.60 | $31.00 | — | — | 40% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC FIBROMETER VIRUS: ASSAY OF GGT | $24.00 | $40.00 | — | — | 40% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC GAMMA GLUTAM G26 | $41.40 | $69.00 | — | — | 40% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 HC GENERAL HEALTH PANEL | $283.20 | $472.00 | — | 37% below | 40% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 HC GENERAL HEALTH PANEL | $283.20 | $472.00 | — | — | 40% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE POST GLUCOSE DOSE | $31.80 | $53.00 | — | 65% below | 40% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE POST DOSE | $31.80 | $53.00 | — | 65% below | 40% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE POST GLUCOSE DOSE | $31.80 | $53.00 | — | — | 40% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE POST DOSE | $31.80 | $53.00 | — | — | 40% |
| Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE 3HR (OB ONLY | $87.60 | $146.00 | — | 42% below | 40% |
| Glucose tolerance test, 3 samples CPT 82951 HC GLUC 2 HR GTT 75 GM (OB ONLY) | $87.60 | $146.00 | — | 42% below | 40% |
| Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOL 5 G29 | $87.60 | $146.00 | — | 42% below | 40% |
| Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOL 3 G29 | $87.60 | $146.00 | — | 42% below | 40% |
| Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOL 4 G29 | $87.60 | $146.00 | — | 42% below | 40% |
| Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE TEST 2 HR | $87.60 | $146.00 | — | 42% below | 40% |
| Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE 3HR (OB ONLY | $87.60 | $146.00 | — | 42% below | 40% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUC 2 HR GTT 75 GM (OB ONLY) | $87.60 | $146.00 | — | — | 40% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE TEST 2 HR | $87.60 | $146.00 | — | — | 40% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE 3HR (OB ONLY | $87.60 | $146.00 | — | — | 40% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE 3HR (OB ONLY | $87.60 | $146.00 | — | — | 40% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOL 5 G29 | $87.60 | $146.00 | — | — | 40% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOL 4 G29 | $87.60 | $146.00 | — | — | 40% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOL 3 G29 | $87.60 | $146.00 | — | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N. GONORRHOEAE BY TMA | $27.00 | $45.00 | — | 81% below | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N.GONORRHOEAE DNA AMP PROB | $52.80 | $88.00 | — | 63% below | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC NEISSERIA GONORRHOEAE | $59.40 | $99.00 | — | 58% below | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC NEISSERIA GONORRHOEAE | $59.40 | $99.00 | — | 58% below | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N. GONORRHOEAE UR | $93.60 | $156.00 | — | 34% below | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC N. GONORRHOEAE BY TMA | $27.00 | $45.00 | — | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC N.GONORRHOEAE DNA AMP PROB | $52.80 | $88.00 | — | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC NEISSERIA GONORRHOEAE | $59.40 | $99.00 | — | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC NEISSERIA GONORRHOEAE | $59.40 | $99.00 | — | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC N. GONORRHOEAE UR | $93.60 | $156.00 | — | — | 40% |
| H. pylori antibody blood test CPT 86677 HC HELICOBACTER PYLORI IGA | $25.80 | $43.00 | — | 80% below | 40% |
| H. pylori antibody blood test CPT 86677 HC HELICOBACTER PYLORI IGM | $25.80 | $43.00 | — | 80% below | 40% |
| H. pylori antibody blood test CPT 86677 HC HELICOBACTER PYLORI IGG | $25.80 | $43.00 | — | 80% below | 40% |
| H. pylori antibody blood test CPT 86677 HC CLO TEST | $57.00 | $95.00 | — | 56% below | 40% |
| H. pylori antibody blood test CPT 86677 HC HELICOBACTER PYLORI ANTIBODY | $186.00 | $310.00 | — | 42% above | 40% |
| H. pylori antibody blood test inpatient CPT 86677 HC HELICOBACTER PYLORI IGA | $25.80 | $43.00 | — | — | 40% |
| H. pylori antibody blood test inpatient CPT 86677 HC HELICOBACTER PYLORI IGG | $25.80 | $43.00 | — | — | 40% |
| H. pylori antibody blood test inpatient CPT 86677 HC HELICOBACTER PYLORI IGM | $25.80 | $43.00 | — | — | 40% |
| H. pylori antibody blood test inpatient CPT 86677 HC CLO TEST | $57.00 | $95.00 | — | — | 40% |
| H. pylori antibody blood test inpatient CPT 86677 HC HELICOBACTER PYLORI ANTIBODY | $186.00 | $310.00 | — | — | 40% |
| H. pylori stool antigen test CPT 87338 HC HELICOBACTER PYLORI AG-STOOL | $78.60 | $131.00 | — | 21% below | 40% |
| H. pylori stool antigen test CPT 87338 HC HELICOBACTER PYLORI AG-STOOL | $78.60 | $131.00 | — | 21% below | 40% |
| H. pylori stool antigen test inpatient CPT 87338 HC HELICOBACTER PYLORI AG-STOOL | $78.60 | $131.00 | — | — | 40% |
| H. pylori stool antigen test inpatient CPT 87338 HC HELICOBACTER PYLORI AG-STOOL | $78.60 | $131.00 | — | — | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HUMAN IMMUNODEFICIENCY VIRUS 1 (HIV-1) BY QUANTITATIVE NAAT, PLASMA | $51.60 | $86.00 | — | 84% below | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HUMAN IMMUNODEFICIENCY VIRUS 1 (HIV-1) BY QUANTITATIVE NAAT, PLASMA | $51.60 | $86.00 | — | 84% below | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV QUANT PCR | $113.40 | $189.00 | — | 65% below | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV-1 RNA QUAN W/REFLEX ULTRA | $286.20 | $477.00 | — | 11% below | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV BDNA (VIRAL LOAD) | $300.60 | $501.00 | — | 7% below | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HUMAN IMMUNODEFICIENCY VIRUS 1 (HIV-1) BY QUANTITATIVE NAAT, PLASMA | $51.60 | $86.00 | — | — | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HUMAN IMMUNODEFICIENCY VIRUS 1 (HIV-1) BY QUANTITATIVE NAAT, PLASMA | $51.60 | $86.00 | — | — | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV QUANT PCR | $113.40 | $189.00 | — | — | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV-1 RNA QUAN W/REFLEX ULTRA | $286.20 | $477.00 | — | — | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV BDNA (VIRAL LOAD) | $300.60 | $501.00 | — | — | 40% |
| HIV-1 and HIV-2 antibody test CPT 86703 HC HIV/WB | $146.40 | $244.00 | — | 40% above | 40% |
| HIV-1 and HIV-2 antibody test CPT 86703 HC FIRST RESPONDER HIV RAPID | $162.60 | $271.00 | — | 56% above | 40% |
| HIV-1 and HIV-2 antibody test CPT 86703 HC OB HIV | $162.60 | $271.00 | — | 56% above | 40% |
| HIV-1 and HIV-2 antibody test CPT 86703 HC HIV MULTISPOT | $175.80 | $293.00 | — | 68% above | 40% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC HIV/WB | $146.40 | $244.00 | — | — | 40% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC FIRST RESPONDER HIV RAPID | $162.60 | $271.00 | — | — | 40% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC OB HIV | $162.60 | $271.00 | — | — | 40% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC HIV MULTISPOT | $175.80 | $293.00 | — | — | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC HIV-1 AG W/HIV-1&-2 AB AG IA | $167.40 | $279.00 | — | 19% above | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC HIV-1 AG W/HIV-1&-2 AB AG IA | $167.40 | $279.00 | — | — | 40% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC (RFX HPV DNA HIGH RISK) | $49.20 | $82.00 | — | 31% below | 40% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC HPV SCREEN AMP PROBE | $68.40 | $114.00 | — | 4% below | 40% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC HPV SCREEN AMP PROBE | $68.40 | $114.00 | — | 4% below | 40% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC (HPV DNA) | $181.80 | $303.00 | — | 156% above | 40% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC (RFX HPV DNA HIGH RISK) | $49.20 | $82.00 | — | — | 40% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC HPV SCREEN AMP PROBE | $68.40 | $114.00 | — | — | 40% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC HPV SCREEN AMP PROBE | $68.40 | $114.00 | — | — | 40% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC (HPV DNA) | $181.80 | $303.00 | — | — | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC (HGB A1C) | $36.00 | $60.00 | — | 61% below | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC (HGB A1C) | $36.00 | $60.00 | — | 61% below | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC GLYCOHEMOGLOB RE3 | $37.80 | $63.00 | — | 59% below | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC GLYCOHEMOGLOB RE3 | $37.80 | $63.00 | — | 59% below | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC (HGB A1C) | $36.00 | $60.00 | — | — | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC (HGB A1C) | $36.00 | $60.00 | — | — | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC GLYCOHEMOGLOB RE3 | $37.80 | $63.00 | — | — | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC GLYCOHEMOGLOB RE3 | $37.80 | $63.00 | — | — | 40% |
| Hemoglobin blood test CPT 85018 HC AVOX TOTAL HGB | $13.20 | $22.00 | — | 72% below | 40% |
| Hemoglobin blood test CPT 85018 HC POCT HEMOGLOBIN | $24.60 | $41.00 | — | 48% below | 40% |
| Hemoglobin blood test CPT 85018 HC HEMOGLOBIN | $24.60 | $41.00 | — | 48% below | 40% |
| Hemoglobin blood test CPT 85018 HC (POC HGB CHARGE) | $24.60 | $41.00 | — | 48% below | 40% |
| Hemoglobin blood test CPT 85018 HC (HEMOGLOBIN) | $24.60 | $41.00 | — | 48% below | 40% |
| Hemoglobin blood test CPT 85018 HC (SL HEMOGLOBIN) | $24.60 | $41.00 | — | 48% below | 40% |
| Hemoglobin blood test CPT 85018 HC SL HEMOGLOBIN | $24.60 | $41.00 | — | 48% below | 40% |
| Hemoglobin blood test inpatient CPT 85018 HC AVOX TOTAL HGB | $13.20 | $22.00 | — | — | 40% |
| Hemoglobin blood test inpatient CPT 85018 HC (SL HEMOGLOBIN) | $24.60 | $41.00 | — | — | 40% |
| Hemoglobin blood test inpatient CPT 85018 HC HEMOGLOBIN | $24.60 | $41.00 | — | — | 40% |
| Hemoglobin blood test inpatient CPT 85018 HC (POC HGB CHARGE) | $24.60 | $41.00 | — | — | 40% |
| Hemoglobin blood test inpatient CPT 85018 HC POCT HEMOGLOBIN | $24.60 | $41.00 | — | — | 40% |
| Hemoglobin blood test inpatient CPT 85018 HC SL HEMOGLOBIN | $24.60 | $41.00 | — | — | 40% |
| Hemoglobin blood test inpatient CPT 85018 HC (HEMOGLOBIN) | $24.60 | $41.00 | — | — | 40% |
| Hepatitis B core antibody test (total) CPT 86704 HC HEPATITIS B CORE TOTAL AB | $117.60 | $196.00 | — | 31% above | 40% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HC HEPATITIS B CORE TOTAL AB | $117.60 | $196.00 | — | — | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURFACE ANTIBODY | $127.20 | $212.00 | — | 93% above | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURFACE ANTIBODY | $127.20 | $212.00 | — | 93% above | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURFACE ANTIBODY | $127.20 | $212.00 | — | — | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURFACE ANTIBODY | $127.20 | $212.00 | — | — | 40% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HEP B SUF A RE7 | $84.00 | $140.00 | — | 8% above | 40% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC HEP B SUF A RE7 | $84.00 | $140.00 | — | — | 40% |
| Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C AB | $186.00 | $310.00 | — | 114% above | 40% |
| Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C ANTIBODY | $186.00 | $310.00 | — | 114% above | 40% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C AB | $186.00 | $310.00 | — | — | 40% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C ANTIBODY | $186.00 | $310.00 | — | — | 40% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC HCV QUANT PCR | $120.60 | $201.00 | — | 59% below | 40% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC HCV QUANT PCR | $120.60 | $201.00 | — | 59% below | 40% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC HEPATITIS HCV BDNA (VIRAL LOAD | $271.80 | $453.00 | — | 8% below | 40% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HCV QUANT PCR | $120.60 | $201.00 | — | — | 40% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HCV QUANT PCR | $120.60 | $201.00 | — | — | 40% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HEPATITIS HCV BDNA (VIRAL LOAD | $271.80 | $453.00 | — | — | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC (HSV-1 IGM BY IFA) | $25.20 | $42.00 | — | 68% below | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC HSV 1 IGG AB | $44.40 | $74.00 | — | 44% below | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SIMPLEX, TYPE 1 IGG | $71.40 | $119.00 | — | 9% below | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SIMPLEX TYPE 1 IGM | $81.60 | $136.00 | — | 4% above | 40% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC (HSV-1 IGM BY IFA) | $25.20 | $42.00 | — | — | 40% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV 1 IGG AB | $44.40 | $74.00 | — | — | 40% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HERPES SIMPLEX, TYPE 1 IGG | $71.40 | $119.00 | — | — | 40% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HERPES SIMPLEX TYPE 1 IGM | $81.60 | $136.00 | — | — | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC (HSV-2 IGM BY IFA) | $34.80 | $58.00 | — | 61% below | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HSV 2 IGG AB | $64.80 | $108.00 | — | 28% below | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES SIMPLEX, TYPE 2 IGG | $71.40 | $119.00 | — | 21% below | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES SIMPLEX TYPE 2 IGM | $81.60 | $136.00 | — | 9% below | 40% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC (HSV-2 IGM BY IFA) | $34.80 | $58.00 | — | — | 40% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV 2 IGG AB | $64.80 | $108.00 | — | — | 40% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HERPES SIMPLEX, TYPE 2 IGG | $71.40 | $119.00 | — | — | 40% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HERPES SIMPLEX TYPE 2 IGM | $81.60 | $136.00 | — | — | 40% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HC CRP ULTRAQUANT(CARDIAC RISK) | $68.40 | $114.00 | — | 14% below | 40% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC CRP ULTRAQUANT(CARDIAC RISK) | $68.40 | $114.00 | — | — | 40% |
| Homocysteine blood test CPT 83090 HC HOMOCYSTINE | $33.00 | $55.00 | — | 78% below | 40% |
| Homocysteine blood test inpatient CPT 83090 HC HOMOCYSTINE | $33.00 | $55.00 | — | — | 40% |
| Insulin blood test CPT 83525 HC INSULIN | $16.20 | $27.00 | — | 81% below | 40% |
| Insulin blood test CPT 83525 HC INSULIN | $16.20 | $27.00 | — | 81% below | 40% |
| Insulin blood test CPT 83525 HC INSULIN TOTAL | $48.60 | $81.00 | — | 42% below | 40% |
| Insulin blood test inpatient CPT 83525 HC INSULIN | $16.20 | $27.00 | — | — | 40% |
| Insulin blood test inpatient CPT 83525 HC INSULIN | $16.20 | $27.00 | — | — | 40% |
| Insulin blood test inpatient CPT 83525 HC INSULIN TOTAL | $48.60 | $81.00 | — | — | 40% |
| Iron blood test (serum iron) CPT 83540 HC IRON SERUM G34 | $34.20 | $57.00 | — | 61% below | 40% |
| Iron blood test (serum iron) CPT 83540 HC IRON | $34.20 | $57.00 | — | 61% below | 40% |
| Iron blood test (serum iron) inpatient CPT 83540 HC IRON | $34.20 | $57.00 | — | — | 40% |
| Iron blood test (serum iron) inpatient CPT 83540 HC IRON SERUM G34 | $34.20 | $57.00 | — | — | 40% |
| Iron-binding capacity (TIBC) test CPT 83550 HC IRON BINDING G34 | $27.60 | $46.00 | — | 72% below | 40% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 HC IRON BINDING G34 | $27.60 | $46.00 | — | — | 40% |
| Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL | $101.40 | $169.00 | — | 43% below | 40% |
| Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL | $101.40 | $169.00 | — | — | 40% |
| LH (luteinizing hormone) test CPT 83002 HC LH HORMONE RF7 | $77.40 | $129.00 | — | 49% below | 40% |
| LH (luteinizing hormone) test inpatient CPT 83002 HC LH HORMONE RF7 | $77.40 | $129.00 | — | — | 40% |
| Lactate (lactic acid) blood test CPT 83605 HC LACTIC ACID G35 | $46.80 | $78.00 | — | 52% below | 40% |
| Lactate (lactic acid) blood test CPT 83605 HC LACTATE | $46.80 | $78.00 | — | 52% below | 40% |
| Lactate (lactic acid) blood test CPT 83605 HC POC LACTIC ACID | $46.80 | $78.00 | — | 52% below | 40% |
| Lactate (lactic acid) blood test CPT 83605 HC CSF LACTATE-LACTIC ACID | $46.80 | $78.00 | — | 52% below | 40% |
| Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTATE | $46.80 | $78.00 | — | — | 40% |
| Lactate (lactic acid) blood test inpatient CPT 83605 HC CSF LACTATE-LACTIC ACID | $46.80 | $78.00 | — | — | 40% |
| Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTIC ACID G35 | $46.80 | $78.00 | — | — | 40% |
| Lactate (lactic acid) blood test inpatient CPT 83605 HC POC LACTIC ACID | $46.80 | $78.00 | — | — | 40% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC LD TOTAL | $6.00 | $10.00 | — | 87% below | 40% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC CSF LD(LDH) | $31.80 | $53.00 | — | 32% below | 40% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC (LDH (LD) TOTAL) | $31.80 | $53.00 | — | 32% below | 40% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC BF-LD(LDH) | $31.80 | $53.00 | — | 32% below | 40% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC BF-LD(LDH) | $31.80 | $53.00 | — | 32% below | 40% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC LD :TOTAL | $31.80 | $53.00 | — | 32% below | 40% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC LD(LDH) TOTAL | $31.80 | $53.00 | — | 32% below | 40% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LD TOTAL | $6.00 | $10.00 | — | — | 40% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC CSF LD(LDH) | $31.80 | $53.00 | — | — | 40% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC BF-LD(LDH) | $31.80 | $53.00 | — | — | 40% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC BF-LD(LDH) | $31.80 | $53.00 | — | — | 40% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC (LDH (LD) TOTAL) | $31.80 | $53.00 | — | — | 40% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LD(LDH) TOTAL | $31.80 | $53.00 | — | — | 40% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LD :TOTAL | $31.80 | $53.00 | — | — | 40% |
| Lipase blood test (pancreas enzyme) CPT 83690 HC LIPASE, FLUID | $15.00 | $25.00 | — | 84% below | 40% |
| Lipase blood test (pancreas enzyme) CPT 83690 HC SL LIPASE | $34.20 | $57.00 | — | 64% below | 40% |
| Lipase blood test (pancreas enzyme) CPT 83690 HC BF-LIPASE | $34.20 | $57.00 | — | 64% below | 40% |
| Lipase blood test (pancreas enzyme) CPT 83690 HC LIPASE SERUM G37 | $34.20 | $57.00 | — | 64% below | 40% |
| Lipase blood test (pancreas enzyme) CPT 83690 HC LIPASE (CORE LAB) | $51.00 | $85.00 | — | 46% below | 40% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC LIPASE, FLUID | $15.00 | $25.00 | — | — | 40% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC LIPASE SERUM G37 | $34.20 | $57.00 | — | — | 40% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC BF-LIPASE | $34.20 | $57.00 | — | — | 40% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC SL LIPASE | $34.20 | $57.00 | — | — | 40% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC LIPASE (CORE LAB) | $51.00 | $85.00 | — | — | 40% |
| Liver function blood test panel CPT 80076 HC SL HEPATIC PROFILE | $96.60 | $161.00 | — | 55% below | 40% |
| Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL | $96.60 | $161.00 | — | 55% below | 40% |
| Liver function blood test panel inpatient CPT 80076 HC SL HEPATIC PROFILE | $96.60 | $161.00 | — | — | 40% |
| Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL | $96.60 | $161.00 | — | — | 40% |
| Lyme disease antibody test CPT 86618 HC 2ND TIER BORRELIA BURGDORFERI AB IGM | $27.60 | $46.00 | — | 67% below | 40% |
| Lyme disease antibody test CPT 86618 HC 2ND TIER BORRELIA BURGDORFERI AB IGG | $27.60 | $46.00 | — | 67% below | 40% |
| Lyme disease antibody test CPT 86618 HC 2ND TIER BORRELIA BURGDORFERI AB IGG | $27.60 | $46.00 | — | 67% below | 40% |
| Lyme disease antibody test CPT 86618 HC 2ND TIER BORRELIA BURGDORFERI AB IGM | $27.60 | $46.00 | — | 67% below | 40% |
| Lyme disease antibody test CPT 86618 HC B. BURGDORFERI VLSE1/PEPC10 ABS CHRONIC | $51.00 | $85.00 | — | 38% below | 40% |
| Lyme disease antibody test CPT 86618 HC B. BURGDORFERI ABS, BY ELISA, CSF | $57.60 | $96.00 | — | 30% below | 40% |
| Lyme disease antibody test CPT 86618 HC BORRELIA BURGDORFERI-LYME | $62.40 | $104.00 | — | 25% below | 40% |
| Lyme disease antibody test inpatient CPT 86618 HC 2ND TIER BORRELIA BURGDORFERI AB IGM | $27.60 | $46.00 | — | — | 40% |
| Lyme disease antibody test inpatient CPT 86618 HC 2ND TIER BORRELIA BURGDORFERI AB IGG | $27.60 | $46.00 | — | — | 40% |
| Lyme disease antibody test inpatient CPT 86618 HC 2ND TIER BORRELIA BURGDORFERI AB IGG | $27.60 | $46.00 | — | — | 40% |
| Lyme disease antibody test inpatient CPT 86618 HC 2ND TIER BORRELIA BURGDORFERI AB IGM | $27.60 | $46.00 | — | — | 40% |
| Lyme disease antibody test inpatient CPT 86618 HC B. BURGDORFERI VLSE1/PEPC10 ABS CHRONIC | $51.00 | $85.00 | — | — | 40% |
| Lyme disease antibody test inpatient CPT 86618 HC B. BURGDORFERI ABS, BY ELISA, CSF | $57.60 | $96.00 | — | — | 40% |
| Lyme disease antibody test inpatient CPT 86618 HC BORRELIA BURGDORFERI-LYME | $62.40 | $104.00 | — | — | 40% |
| Magnesium blood test CPT 83735 HC KIDNEY STONE MAG UR | $6.00 | $10.00 | — | 88% below | 40% |
| Magnesium blood test CPT 83735 HC MAGNESIUM; URINE | $25.20 | $42.00 | — | 49% below | 40% |
| Magnesium blood test CPT 83735 HC ONC MAGNESIUM | $34.20 | $57.00 | — | 31% below | 40% |
| Magnesium blood test CPT 83735 HC SL MAGNESIUM | $34.20 | $57.00 | — | 31% below | 40% |
| Magnesium blood test CPT 83735 HC MAGNESIUM G38 | $34.20 | $57.00 | — | 31% below | 40% |
| Magnesium blood test inpatient CPT 83735 HC KIDNEY STONE MAG UR | $6.00 | $10.00 | — | — | 40% |
| Magnesium blood test inpatient CPT 83735 HC MAGNESIUM; URINE | $25.20 | $42.00 | — | — | 40% |
| Magnesium blood test inpatient CPT 83735 HC SL MAGNESIUM | $34.20 | $57.00 | — | — | 40% |
| Magnesium blood test inpatient CPT 83735 HC MAGNESIUM G38 | $34.20 | $57.00 | — | — | 40% |
| Magnesium blood test inpatient CPT 83735 HC ONC MAGNESIUM | $34.20 | $57.00 | — | — | 40% |
| Measles (rubeola) antibody test CPT 86765 HC (RFX MEASLES IGM BY IFA) | $48.00 | $80.00 | — | 31% above | 40% |
| Measles (rubeola) antibody test CPT 86765 HC (MEASLE IGG AB) | $78.00 | $130.00 | — | 112% above | 40% |
| Measles (rubeola) antibody test CPT 86765 HC MEASLES IGG | $82.20 | $137.00 | — | 124% above | 40% |
| Measles (rubeola) antibody test CPT 86765 HC MEASLES IGG | $82.20 | $137.00 | — | 124% above | 40% |
| Measles (rubeola) antibody test CPT 86765 HC MEASLES IGM | $96.60 | $161.00 | — | 163% above | 40% |
| Measles (rubeola) antibody test inpatient CPT 86765 HC (RFX MEASLES IGM BY IFA) | $48.00 | $80.00 | — | — | 40% |
| Measles (rubeola) antibody test inpatient CPT 86765 HC (MEASLE IGG AB) | $78.00 | $130.00 | — | — | 40% |
| Measles (rubeola) antibody test inpatient CPT 86765 HC MEASLES IGG | $82.20 | $137.00 | — | — | 40% |
| Measles (rubeola) antibody test inpatient CPT 86765 HC MEASLES IGG | $82.20 | $137.00 | — | — | 40% |
| Measles (rubeola) antibody test inpatient CPT 86765 HC MEASLES IGM | $96.60 | $161.00 | — | — | 40% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HC HETEROPHILE AB; SCREENING | $78.00 | $130.00 | — | 8% below | 40% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HC POCT MONO TEST | $82.20 | $137.00 | — | 3% below | 40% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC HETEROPHILE AB; SCREENING | $78.00 | $130.00 | — | — | 40% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC POCT MONO TEST | $82.20 | $137.00 | — | — | 40% |
| Mumps immunity blood test CPT 86735 HC MUMPS; IGG AB | $43.20 | $72.00 | — | 30% below | 40% |
| Mumps immunity blood test CPT 86735 HC MUMPS; IGG AB | $43.20 | $72.00 | — | 30% below | 40% |
| Mumps immunity blood test CPT 86735 HC MUMPS; IGM AB | $64.20 | $107.00 | — | 4% above | 40% |
| Mumps immunity blood test CPT 86735 HC MUMPS IGG | $67.80 | $113.00 | — | 10% above | 40% |
| Mumps immunity blood test inpatient CPT 86735 HC MUMPS; IGG AB | $43.20 | $72.00 | — | — | 40% |
| Mumps immunity blood test inpatient CPT 86735 HC MUMPS; IGG AB | $43.20 | $72.00 | — | — | 40% |
| Mumps immunity blood test inpatient CPT 86735 HC MUMPS; IGM AB | $64.20 | $107.00 | — | — | 40% |
| Mumps immunity blood test inpatient CPT 86735 HC MUMPS IGG | $67.80 | $113.00 | — | — | 40% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA FREE | $25.20 | $42.00 | — | 78% below | 40% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PSA FREE | $25.20 | $42.00 | — | — | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA TOTAL | $25.20 | $42.00 | — | 72% below | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA :TOTAL | $65.40 | $109.00 | — | 27% below | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA TOTAL | $25.20 | $42.00 | — | — | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA :TOTAL | $65.40 | $109.00 | — | — | 40% |
| Pap test (liquid-based, automated screening with review) CPT 88175 HC PAP SMEAR CYTOLOGY | $52.20 | $87.00 | — | 29% below | 40% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC PAP SMEAR CYTOLOGY | $52.20 | $87.00 | — | — | 40% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC (THINPREP MANUAL SCREENING) | $52.20 | $87.00 | — | 43% below | 40% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC THINPREP SCREEN | $74.40 | $124.00 | — | 18% below | 40% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC (THINPREP MANUAL SCREENING) | $52.20 | $87.00 | — | — | 40% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC THINPREP SCREEN | $74.40 | $124.00 | — | — | 40% |
| Parathyroid hormone (PTH) blood test CPT 83970 HC PARATHYROID; C TERMINAL | $49.20 | $82.00 | — | 77% below | 40% |
| Parathyroid hormone (PTH) blood test CPT 83970 HC (PTH INTACT) | $49.20 | $82.00 | — | 77% below | 40% |
| Parathyroid hormone (PTH) blood test CPT 83970 HC PTH INTACT | $75.60 | $126.00 | — | 65% below | 40% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC (PTH INTACT) | $49.20 | $82.00 | — | — | 40% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PARATHYROID; C TERMINAL | $49.20 | $82.00 | — | — | 40% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PTH INTACT | $75.60 | $126.00 | — | — | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC ASP PARTIAL THROBOPLASTIN TIME | $7.20 | $12.00 | — | 87% below | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC PTT-D HEPARIN | $16.20 | $27.00 | — | 70% below | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME; PARTIAL | $16.20 | $27.00 | — | 70% below | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC PTT 1:1 | $54.60 | $91.00 | — | 1% above | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC PTT G44 | $55.80 | $93.00 | — | 3% above | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC SL PTT | $55.80 | $93.00 | — | 3% above | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC ASP PARTIAL THROBOPLASTIN TIME | $7.20 | $12.00 | — | — | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PTT-D HEPARIN | $16.20 | $27.00 | — | — | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLASTIN TIME; PARTIAL | $16.20 | $27.00 | — | — | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PTT 1:1 | $54.60 | $91.00 | — | — | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PTT G44 | $55.80 | $93.00 | — | — | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC SL PTT | $55.80 | $93.00 | — | — | 40% |
| Phosphorus (phosphate) blood test CPT 84100 HC SL PHOSPHORUS | $34.20 | $57.00 | — | 46% below | 40% |
| Phosphorus (phosphate) blood test CPT 84100 HC ONC PHOSPHORUS | $34.20 | $57.00 | — | 46% below | 40% |
| Phosphorus (phosphate) blood test CPT 84100 HC PHOSPHORUS G46 | $34.20 | $57.00 | — | 46% below | 40% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 HC ONC PHOSPHORUS | $34.20 | $57.00 | — | — | 40% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 HC SL PHOSPHORUS | $34.20 | $57.00 | — | — | 40% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 HC PHOSPHORUS G46 | $34.20 | $57.00 | — | — | 40% |
| Potassium blood test CPT 84132 HC POC POTASSIUM | $31.80 | $53.00 | — | 51% below | 40% |
| Potassium blood test CPT 84132 HC SL POTASSIUM | $31.80 | $53.00 | — | 51% below | 40% |
| Potassium blood test CPT 84132 HC SL POTASSIUM | $31.80 | $53.00 | — | 51% below | 40% |
| Potassium blood test CPT 84132 HC ONC POTASSIUM | $31.80 | $53.00 | — | 51% below | 40% |
| Potassium blood test CPT 84132 HC POTASSIUM G47 | $31.80 | $53.00 | — | 51% below | 40% |
| Potassium blood test inpatient CPT 84132 HC ONC POTASSIUM | $31.80 | $53.00 | — | — | 40% |
| Potassium blood test inpatient CPT 84132 HC SL POTASSIUM | $31.80 | $53.00 | — | — | 40% |
| Potassium blood test inpatient CPT 84132 HC POTASSIUM G47 | $31.80 | $53.00 | — | — | 40% |
| Potassium blood test inpatient CPT 84132 HC POC POTASSIUM | $31.80 | $53.00 | — | — | 40% |
| Potassium blood test inpatient CPT 84132 HC SL POTASSIUM | $31.80 | $53.00 | — | — | 40% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HC NON-INVASIVE PRENATAL NGS ANEU DNA SEQ | $456.00 | $760.00 | — | 48% below | 40% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HC MATERNIT21 PLUS CORE (CHR21,18,13,SEX) | $636.60 | $1,061.00 | — | 27% below | 40% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HC FETAL CHROMOSOMAL ANEUPLOIDY | $886.20 | $1,477.00 | — | 2% above | 40% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HC FETAL CHROMOSOMAL ANEUPLOIDY | $886.20 | $1,477.00 | — | 2% above | 40% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HC INFORMASEQ PRENATAL | $921.00 | $1,535.00 | — | 6% above | 40% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HC QNATAL CHR 13-18-21-SCA | $1,633.20 | $2,722.00 | — | 88% above | 40% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 HC NON-INVASIVE PRENATAL NGS ANEU DNA SEQ | $456.00 | $760.00 | — | — | 40% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 HC MATERNIT21 PLUS CORE (CHR21,18,13,SEX) | $636.60 | $1,061.00 | — | — | 40% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 HC FETAL CHROMOSOMAL ANEUPLOIDY | $886.20 | $1,477.00 | — | — | 40% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 HC FETAL CHROMOSOMAL ANEUPLOIDY | $886.20 | $1,477.00 | — | — | 40% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 HC INFORMASEQ PRENATAL | $921.00 | $1,535.00 | — | — | 40% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 HC QNATAL CHR 13-18-21-SCA | $1,633.20 | $2,722.00 | — | — | 40% |
| Progesterone blood test CPT 84144 HC PROGESTERONE | $63.60 | $106.00 | — | 45% below | 40% |
| Progesterone blood test inpatient CPT 84144 HC PROGESTERONE | $63.60 | $106.00 | — | — | 40% |
| Prolactin blood test CPT 84146 HC PROLACTIN, DILUTION STUDY | $21.60 | $36.00 | — | 81% below | 40% |
| Prolactin blood test CPT 84146 HC MONOMERIC PROLACTIN | $32.40 | $54.00 | — | 72% below | 40% |
| Prolactin blood test CPT 84146 HC PROLACTIN | $32.40 | $54.00 | — | 72% below | 40% |
| Prolactin blood test CPT 84146 HC PROLACTIN RH4 | $92.40 | $154.00 | — | 20% below | 40% |
| Prolactin blood test inpatient CPT 84146 HC PROLACTIN, DILUTION STUDY | $21.60 | $36.00 | — | — | 40% |
| Prolactin blood test inpatient CPT 84146 HC MONOMERIC PROLACTIN | $32.40 | $54.00 | — | — | 40% |
| Prolactin blood test inpatient CPT 84146 HC PROLACTIN | $32.40 | $54.00 | — | — | 40% |
| Prolactin blood test inpatient CPT 84146 HC PROLACTIN RH4 | $92.40 | $154.00 | — | — | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC ASP PROTHROMBIN TIME | $6.00 | $10.00 | — | 87% below | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME-LUPUS PNL | $16.20 | $27.00 | — | 66% below | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PT G49 | $54.60 | $91.00 | — | 16% above | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROM TIME G49 | $54.60 | $91.00 | — | 16% above | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC POCT INR | $54.60 | $91.00 | — | 16% above | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC (POCT PT CHARGE) | $54.60 | $91.00 | — | 16% above | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC SL PT | $54.60 | $91.00 | — | 16% above | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC POCT INR | $54.60 | $91.00 | — | 16% above | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC POCT PROTIME | $54.60 | $91.00 | — | 16% above | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PT 1:1 | $55.80 | $93.00 | — | 18% above | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC ASP PROTHROMBIN TIME | $6.00 | $10.00 | — | — | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME-LUPUS PNL | $16.20 | $27.00 | — | — | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC POCT INR | $54.60 | $91.00 | — | — | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC POCT PROTIME | $54.60 | $91.00 | — | — | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROM TIME G49 | $54.60 | $91.00 | — | — | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC SL PT | $54.60 | $91.00 | — | — | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC POCT INR | $54.60 | $91.00 | — | — | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC (POCT PT CHARGE) | $54.60 | $91.00 | — | — | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PT G49 | $54.60 | $91.00 | — | — | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PT 1:1 | $55.80 | $93.00 | — | — | 40% |
| Rapid flu test (influenza antigen) CPT 87804 HC INFLUENZA B | $54.60 | $91.00 | — | 43% below | 40% |
| Rapid flu test (influenza antigen) CPT 87804 HC INFLUENZA A | $54.60 | $91.00 | — | 43% below | 40% |
| Rapid flu test (influenza antigen) CPT 87804 HC POC INFLUENZA B | $63.60 | $106.00 | — | 33% below | 40% |
| Rapid flu test (influenza antigen) CPT 87804 HC POC INFLUENZA A | $63.60 | $106.00 | — | 33% below | 40% |
| Rapid flu test (influenza antigen) CPT 87804 HC POC INFLUENZA B | $63.60 | $106.00 | — | 33% below | 40% |
| Rapid flu test (influenza antigen) CPT 87804 HC POC INFLUENZA A | $63.60 | $106.00 | — | 33% below | 40% |
| Rapid flu test (influenza antigen) CPT 87804 HC ED - RAPID FLU A&B SCREEN | $130.20 | $217.00 | — | 37% above | 40% |
| Rapid flu test (influenza antigen) CPT 87804 HC ED - RAPID FLU A&B SCREEN | $130.20 | $217.00 | — | 37% above | 40% |
| Rapid flu test (influenza antigen) CPT 87804 HC POCT FLU SCREEN | $130.20 | $217.00 | — | 37% above | 40% |
| Rapid flu test (influenza antigen) CPT 87804 HC POCT FLU SCREEN | $130.20 | $217.00 | — | 37% above | 40% |
| Rapid flu test (influenza antigen) CPT 87804 HC INFLUENZA A & B | $172.20 | $287.00 | — | 81% above | 40% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 HC INFLUENZA B | $54.60 | $91.00 | — | — | 40% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 HC INFLUENZA A | $54.60 | $91.00 | — | — | 40% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 HC POC INFLUENZA B | $63.60 | $106.00 | — | — | 40% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 HC POC INFLUENZA B | $63.60 | $106.00 | — | — | 40% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 HC POC INFLUENZA A | $63.60 | $106.00 | — | — | 40% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 HC POC INFLUENZA A | $63.60 | $106.00 | — | — | 40% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 HC POCT FLU SCREEN | $130.20 | $217.00 | — | — | 40% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 HC ED - RAPID FLU A&B SCREEN | $130.20 | $217.00 | — | — | 40% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 HC POCT FLU SCREEN | $130.20 | $217.00 | — | — | 40% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 HC ED - RAPID FLU A&B SCREEN | $130.20 | $217.00 | — | — | 40% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 HC INFLUENZA A & B | $172.20 | $287.00 | — | — | 40% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC POCT RAPID STREP SCREEN THROAT | $73.20 | $122.00 | — | 27% below | 40% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC RAPID STREP SCREEN THROAT | $73.20 | $122.00 | — | 27% below | 40% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC RAPID STREP SCREEN THROAT | $73.20 | $122.00 | — | 27% below | 40% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC ED - RAPID STREP SCREEN | $73.20 | $122.00 | — | 27% below | 40% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC POCT RAPID STREP SCREEN THROAT | $73.20 | $122.00 | — | 27% below | 40% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC POCT RAPID STREP SCREEN THROAT | $73.20 | $122.00 | — | — | 40% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC POCT RAPID STREP SCREEN THROAT | $73.20 | $122.00 | — | — | 40% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC RAPID STREP SCREEN THROAT | $73.20 | $122.00 | — | — | 40% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC RAPID STREP SCREEN THROAT | $73.20 | $122.00 | — | — | 40% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC ED - RAPID STREP SCREEN | $73.20 | $122.00 | — | — | 40% |
| Renin blood test CPT 84244 HC RENIN | $36.00 | $60.00 | — | 65% below | 40% |
| Renin blood test CPT 84244 HC RENIN DIRECT | $37.80 | $63.00 | — | 63% below | 40% |
| Renin blood test inpatient CPT 84244 HC RENIN | $36.00 | $60.00 | — | — | 40% |
| Renin blood test inpatient CPT 84244 HC RENIN DIRECT | $37.80 | $63.00 | — | — | 40% |
| Rh blood typing CPT 86901 HC BLD TYPE RH G10 | $76.20 | $127.00 | — | 18% above | 40% |
| Rh blood typing CPT 86901 HC BLD TYPE RH G10 DISCREPANCY | $76.20 | $127.00 | — | 18% above | 40% |
| Rh blood typing CPT 86901 HC BLD TYPE RH G10 RECHECK | $76.20 | $127.00 | — | 18% above | 40% |
| Rh blood typing CPT 86901 HC RH (TX RXN) | $93.00 | $155.00 | — | 44% above | 40% |
| Rh blood typing inpatient CPT 86901 HC BLD TYPE RH G10 DISCREPANCY | $76.20 | $127.00 | — | — | 40% |
| Rh blood typing inpatient CPT 86901 HC BLD TYPE RH G10 | $76.20 | $127.00 | — | — | 40% |
| Rh blood typing inpatient CPT 86901 HC BLD TYPE RH G10 RECHECK | $76.20 | $127.00 | — | — | 40% |
| Rh blood typing inpatient CPT 86901 HC RH (TX RXN) | $93.00 | $155.00 | — | — | 40% |
| Rheumatoid factor (RF) test CPT 86431 HC RF-RHEUMATOID FACTOR QUAN | $82.20 | $137.00 | — | 49% above | 40% |
| Rheumatoid factor (RF) test CPT 86431 HC RF-RHEUMATOID FACTOR QUAN | $82.20 | $137.00 | — | 49% above | 40% |
| Rheumatoid factor (RF) test inpatient CPT 86431 HC RF-RHEUMATOID FACTOR QUAN | $82.20 | $137.00 | — | — | 40% |
| Rheumatoid factor (RF) test inpatient CPT 86431 HC RF-RHEUMATOID FACTOR QUAN | $82.20 | $137.00 | — | — | 40% |
| Rubella antibody test (immunity check) CPT 86762 HC RUBELLA IGM AB | $51.00 | $85.00 | — | 5% above | 40% |
| Rubella antibody test (immunity check) CPT 86762 HC RUBELLA IGG AB | $51.00 | $85.00 | — | 5% above | 40% |
| Rubella antibody test (immunity check) CPT 86762 HC RUBELLA; IGM AB | $78.60 | $131.00 | — | 62% above | 40% |
| Rubella antibody test (immunity check) CPT 86762 HC RUBELLA IGG ANTIBODY | $111.00 | $185.00 | — | 128% above | 40% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA IGM AB | $51.00 | $85.00 | — | — | 40% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA IGG AB | $51.00 | $85.00 | — | — | 40% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA; IGM AB | $78.60 | $131.00 | — | — | 40% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA IGG ANTIBODY | $111.00 | $185.00 | — | — | 40% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC SEDIMENTATION RATE, AUTOMATED | $36.60 | $61.00 | — | 35% below | 40% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC SEDIMENTATION RATE, AUTOMATED | $36.60 | $61.00 | — | 35% below | 40% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC SEDIMENTATION RATE, AUTOMATED | $36.60 | $61.00 | — | — | 40% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC SEDIMENTATION RATE, AUTOMATED | $36.60 | $61.00 | — | — | 40% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 HC SEMEN COUNT G54 | $371.40 | $619.00 | — | 188% above | 40% |
| Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 HC SEMEN COUNT G54 | $371.40 | $619.00 | — | — | 40% |
| Sodium blood test CPT 84295 HC SODIUM G56 | $31.80 | $53.00 | — | 49% below | 40% |
| Sodium blood test CPT 84295 HC (POC SODIUM) | $31.80 | $53.00 | — | 49% below | 40% |
| Sodium blood test CPT 84295 HC ONC SODIUM | $31.80 | $53.00 | — | 49% below | 40% |
| Sodium blood test CPT 84295 HC SL SODIUM | $31.80 | $53.00 | — | 49% below | 40% |
| Sodium blood test CPT 84295 HC SL SODIUM | $31.80 | $53.00 | — | 49% below | 40% |
| Sodium blood test inpatient CPT 84295 HC SL SODIUM | $31.80 | $53.00 | — | — | 40% |
| Sodium blood test inpatient CPT 84295 HC SL SODIUM | $31.80 | $53.00 | — | — | 40% |
| Sodium blood test inpatient CPT 84295 HC ONC SODIUM | $31.80 | $53.00 | — | — | 40% |
| Sodium blood test inpatient CPT 84295 HC (POC SODIUM) | $31.80 | $53.00 | — | — | 40% |
| Sodium blood test inpatient CPT 84295 HC SODIUM G56 | $31.80 | $53.00 | — | — | 40% |
| Stool ova and parasites exam CPT 87177 HC OVA AND PARASITES | $43.20 | $72.00 | — | 51% below | 40% |
| Stool ova and parasites exam CPT 87177 HC O&P SMEAR | $81.00 | $135.00 | — | 9% below | 40% |
| Stool ova and parasites exam CPT 87177 HC OVA & PARASITEG42 | $114.60 | $191.00 | — | 29% above | 40% |
| Stool ova and parasites exam inpatient CPT 87177 HC OVA AND PARASITES | $43.20 | $72.00 | — | — | 40% |
| Stool ova and parasites exam inpatient CPT 87177 HC O&P SMEAR | $81.00 | $135.00 | — | — | 40% |
| Stool ova and parasites exam inpatient CPT 87177 HC OVA & PARASITEG42 | $114.60 | $191.00 | — | — | 40% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC FECAL OCCULT BLOOD IMMUNOASSAY | $24.60 | $41.00 | — | 64% below | 40% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC FECAL OCCULT BLOOD IMMUNOASSAY | $24.60 | $41.00 | — | 64% below | 40% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC (OCCULT BLOOD IMMUNOASSAY-FIT) | $25.20 | $42.00 | — | 63% below | 40% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC (OCCULT BLOOD IMMUNOASSAY-FIT) | $25.20 | $42.00 | — | 63% below | 40% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC FIT IMMUNOASSAY-OCCULT BLOOD | $26.40 | $44.00 | — | 62% below | 40% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC FECAL HGB FETAL-QL | $59.40 | $99.00 | — | 14% below | 40% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC FECAL OCCULT BLOOD IMMUNOASSAY | $24.60 | $41.00 | — | — | 40% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC FECAL OCCULT BLOOD IMMUNOASSAY | $24.60 | $41.00 | — | — | 40% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC (OCCULT BLOOD IMMUNOASSAY-FIT) | $25.20 | $42.00 | — | — | 40% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC (OCCULT BLOOD IMMUNOASSAY-FIT) | $25.20 | $42.00 | — | — | 40% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC FIT IMMUNOASSAY-OCCULT BLOOD | $26.40 | $44.00 | — | — | 40% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC FECAL HGB FETAL-QL | $59.40 | $99.00 | — | — | 40% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC TP-PA | $49.80 | $83.00 | — | 7% above | 40% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC TREPONEMA PALLIDUM CSF | $88.80 | $148.00 | — | 92% above | 40% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC SYPHILIS SCREEN | $154.20 | $257.00 | — | 233% above | 40% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC SYPHILIS SCREEN | $154.20 | $257.00 | — | 233% above | 40% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC TREPONEMA PALLIDUM AB (TP-PA) | $175.20 | $292.00 | — | 278% above | 40% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC TP-PA | $49.80 | $83.00 | — | — | 40% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC TREPONEMA PALLIDUM CSF | $88.80 | $148.00 | — | — | 40% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC SYPHILIS SCREEN | $154.20 | $257.00 | — | — | 40% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC SYPHILIS SCREEN | $154.20 | $257.00 | — | — | 40% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC TREPONEMA PALLIDUM AB (TP-PA) | $175.20 | $292.00 | — | — | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC VDRL CSF | $38.40 | $64.00 | — | 27% below | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC IC RPR ROUTINE | $49.80 | $83.00 | — | 5% below | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC IC RPR ROUTINE | $49.80 | $83.00 | — | 5% below | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC CSF VDRL | $85.20 | $142.00 | — | 62% above | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC (RPR ROUTINE) | $88.80 | $148.00 | — | 69% above | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC VDRL CSF | $38.40 | $64.00 | — | — | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC IC RPR ROUTINE | $49.80 | $83.00 | — | — | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC IC RPR ROUTINE | $49.80 | $83.00 | — | — | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC CSF VDRL | $85.20 | $142.00 | — | — | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC (RPR ROUTINE) | $88.80 | $148.00 | — | — | 40% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC QUANTIFERON TB-GOLD | $79.20 | $132.00 | — | 61% below | 40% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC QUANTIFERON TB-GOLD | $79.20 | $132.00 | — | 61% below | 40% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC QUANTIFERON TB-GOLD | $79.20 | $132.00 | — | — | 40% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC QUANTIFERON TB-GOLD | $79.20 | $132.00 | — | — | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE FREE | $37.80 | $63.00 | — | 63% below | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE, TOTAL | $58.20 | $97.00 | — | 43% below | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE TOTAL | $120.00 | $200.00 | — | 18% above | 40% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE FREE | $37.80 | $63.00 | — | — | 40% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE, TOTAL | $58.20 | $97.00 | — | — | 40% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE TOTAL | $120.00 | $200.00 | — | — | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL ANTIBODIES-THYROID | $83.40 | $139.00 | — | 7% below | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMALAB-THYROID PEROXIDS | $85.20 | $142.00 | — | 5% below | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC LIVER-KID MICROSOME-1 AB, IGG | $104.40 | $174.00 | — | 17% above | 40% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC MICROSOMAL ANTIBODIES-THYROID | $83.40 | $139.00 | — | — | 40% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC MICROSOMALAB-THYROID PEROXIDS | $85.20 | $142.00 | — | — | 40% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC LIVER-KID MICROSOME-1 AB, IGG | $104.40 | $174.00 | — | — | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID STIMULATING HORMONE | $36.00 | $60.00 | — | 71% below | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH | $61.20 | $102.00 | — | 50% below | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH | $61.20 | $102.00 | — | 50% below | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC THYROID STIMULATING HORMONE | $36.00 | $60.00 | — | — | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH | $61.20 | $102.00 | — | — | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH | $61.20 | $102.00 | — | — | 40% |
| Total IgE blood test CPT 82785 HC GAMMAGLOBULIN IGE | $10.80 | $18.00 | — | 88% below | 40% |
| Total IgE blood test CPT 82785 HC GAMMAGLOBULIN; IGE | $32.40 | $54.00 | — | 64% below | 40% |
| Total IgE blood test inpatient CPT 82785 HC GAMMAGLOBULIN IGE | $10.80 | $18.00 | — | — | 40% |
| Total IgE blood test inpatient CPT 82785 HC GAMMAGLOBULIN; IGE | $32.40 | $54.00 | — | — | 40% |
| Total cholesterol blood test CPT 82465 HC CHOLESTEROL LEVEL | $14.40 | $24.00 | — | 79% below | 40% |
| Total cholesterol blood test CPT 82465 HC CHOLESTEROL | $44.40 | $74.00 | — | 34% below | 40% |
| Total cholesterol blood test inpatient CPT 82465 HC CHOLESTEROL LEVEL | $14.40 | $24.00 | — | — | 40% |
| Total cholesterol blood test inpatient CPT 82465 HC CHOLESTEROL | $44.40 | $74.00 | — | — | 40% |
| Total thyroxine (T4) blood test CPT 84436 HC T-4 THYROXINE TOTAL | $49.80 | $83.00 | — | 38% below | 40% |
| Total thyroxine (T4) blood test inpatient CPT 84436 HC T-4 THYROXINE TOTAL | $49.80 | $83.00 | — | — | 40% |
| Total triiodothyronine (T3) blood test CPT 84480 HC T3 TOTAL | $46.80 | $78.00 | — | 63% below | 40% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 HC T3 TOTAL | $46.80 | $78.00 | — | — | 40% |
| Transferrin blood test CPT 84466 HC TRANSFERRIN G62 | $44.40 | $74.00 | — | 63% below | 40% |
| Transferrin blood test CPT 84466 HC IRON TOTAL & TRANSFERRIN | $50.40 | $84.00 | — | 58% below | 40% |
| Transferrin blood test inpatient CPT 84466 HC TRANSFERRIN G62 | $44.40 | $74.00 | — | — | 40% |
| Transferrin blood test inpatient CPT 84466 HC IRON TOTAL & TRANSFERRIN | $50.40 | $84.00 | — | — | 40% |
| Trichomonas test (NAAT) CPT 87661 HC CVTV: TRICHOMONAS VAGINALIS AMPLIF | $54.00 | $90.00 | — | 38% below | 40% |
| Trichomonas test (NAAT) CPT 87661 HC CVTV: TRICHOMONAS VAGINALIS AMPLIF | $54.00 | $90.00 | — | 38% below | 40% |
| Trichomonas test (NAAT) CPT 87661 HC TRICHOMONAS VAGINALIS | $97.80 | $163.00 | — | 12% above | 40% |
| Trichomonas test (NAAT) CPT 87661 HC TRICHOMONAS VAGINALIS | $97.80 | $163.00 | — | 12% above | 40% |
| Trichomonas test (NAAT) inpatient CPT 87661 HC CVTV: TRICHOMONAS VAGINALIS AMPLIF | $54.00 | $90.00 | — | — | 40% |
| Trichomonas test (NAAT) inpatient CPT 87661 HC CVTV: TRICHOMONAS VAGINALIS AMPLIF | $54.00 | $90.00 | — | — | 40% |
| Trichomonas test (NAAT) inpatient CPT 87661 HC TRICHOMONAS VAGINALIS | $97.80 | $163.00 | — | — | 40% |
| Trichomonas test (NAAT) inpatient CPT 87661 HC TRICHOMONAS VAGINALIS | $97.80 | $163.00 | — | — | 40% |
| Triglycerides blood test CPT 84478 HC TRIGLYCERIDES, FLUID | $14.40 | $24.00 | — | 84% below | 40% |
| Triglycerides blood test CPT 84478 HC TRIGLYCERIDES G62 | $31.80 | $53.00 | — | 64% below | 40% |
| Triglycerides blood test CPT 84478 HC BF TRIGLYCERIDE | $31.80 | $53.00 | — | 64% below | 40% |
| Triglycerides blood test CPT 84478 HC BF TRIGLYCERIDE | $31.80 | $53.00 | — | 64% below | 40% |
| Triglycerides blood test CPT 84478 HC VLDL | $72.60 | $121.00 | — | 17% below | 40% |
| Triglycerides blood test inpatient CPT 84478 HC TRIGLYCERIDES, FLUID | $14.40 | $24.00 | — | — | 40% |
| Triglycerides blood test inpatient CPT 84478 HC TRIGLYCERIDES G62 | $31.80 | $53.00 | — | — | 40% |
| Triglycerides blood test inpatient CPT 84478 HC BF TRIGLYCERIDE | $31.80 | $53.00 | — | — | 40% |
| Triglycerides blood test inpatient CPT 84478 HC BF TRIGLYCERIDE | $31.80 | $53.00 | — | — | 40% |
| Triglycerides blood test inpatient CPT 84478 HC VLDL | $72.60 | $121.00 | — | — | 40% |
| Troponin test, quantitative CPT 84484 HC (SL TROPONIN-I QUAN) | $97.20 | $162.00 | — | 28% below | 40% |
| Troponin test, quantitative CPT 84484 HC TROPONIN-I QUANT | $97.20 | $162.00 | — | 28% below | 40% |
| Troponin test, quantitative CPT 84484 HC TROPONIN-I QUANT | $97.20 | $162.00 | — | 28% below | 40% |
| Troponin test, quantitative inpatient CPT 84484 HC TROPONIN-I QUANT | $97.20 | $162.00 | — | — | 40% |
| Troponin test, quantitative inpatient CPT 84484 HC TROPONIN-I QUANT | $97.20 | $162.00 | — | — | 40% |
| Troponin test, quantitative inpatient CPT 84484 HC (SL TROPONIN-I QUAN) | $97.20 | $162.00 | — | — | 40% |
| Uric acid blood test CPT 84550 HC URIC ACID BLOOD | $31.80 | $53.00 | — | 65% below | 40% |
| Uric acid blood test inpatient CPT 84550 HC URIC ACID BLOOD | $31.80 | $53.00 | — | — | 40% |
| Urinalysis with microscope exam, automated CPT 81001 HC URINE DIP AUTO W/MICRO | $85.80 | $143.00 | — | 20% below | 40% |
| Urinalysis with microscope exam, automated CPT 81001 HC URINE DIP AUTO W/MICRO | $85.80 | $143.00 | — | 20% below | 40% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINE DIP AUTO W/MICRO | $85.80 | $143.00 | — | — | 40% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINE DIP AUTO W/MICRO | $85.80 | $143.00 | — | — | 40% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINE PH RANDOM | $28.80 | $48.00 | — | 43% below | 40% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINE ACETONE KETONE RANDOM | $28.80 | $48.00 | — | 43% below | 40% |
| Urinalysis without microscope exam, automated CPT 81003 HC SL PH URINE AUTO WO MICRO | $28.80 | $48.00 | — | 43% below | 40% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINE PROTEIN DIPSTICK RANDOM | $28.80 | $48.00 | — | 43% below | 40% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINE URINALYSIS-BIOCHEM-RANDM | $28.80 | $48.00 | — | 43% below | 40% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINE SPECIFIC GRAVITY RANDOM | $28.80 | $48.00 | — | 43% below | 40% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINE OCCULT BLOOD RANDOM | $28.80 | $48.00 | — | 43% below | 40% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINE URINALYSIS-BIOCHEM-RANDM | $28.80 | $48.00 | — | 43% below | 40% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINE BILE (BILIRUBIN) RANDOM | $28.80 | $48.00 | — | 43% below | 40% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINE UROBILINOGEN DIPSTICK | $28.80 | $48.00 | — | 43% below | 40% |
| Urinalysis without microscope exam, automated CPT 81003 HC POCT URINE DIP AUTO WO MICRO | $40.20 | $67.00 | — | 20% below | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC SL PH URINE AUTO WO MICRO | $28.80 | $48.00 | — | — | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINE UROBILINOGEN DIPSTICK | $28.80 | $48.00 | — | — | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINE URINALYSIS-BIOCHEM-RANDM | $28.80 | $48.00 | — | — | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINE URINALYSIS-BIOCHEM-RANDM | $28.80 | $48.00 | — | — | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINE SPECIFIC GRAVITY RANDOM | $28.80 | $48.00 | — | — | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINE PROTEIN DIPSTICK RANDOM | $28.80 | $48.00 | — | — | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINE PH RANDOM | $28.80 | $48.00 | — | — | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINE OCCULT BLOOD RANDOM | $28.80 | $48.00 | — | — | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINE BILE (BILIRUBIN) RANDOM | $28.80 | $48.00 | — | — | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINE ACETONE KETONE RANDOM | $28.80 | $48.00 | — | — | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC POCT URINE DIP AUTO WO MICRO | $40.20 | $67.00 | — | — | 40% |
| Urinalysis without microscope exam, manual CPT 81002 HC POCT URINE DIP NONAUTO WO MICR | $28.20 | $47.00 | — | 21% below | 40% |
| Urinalysis without microscope exam, manual CPT 81002 HC POCT URINE DIP NONAUTO WO MICR | $28.20 | $47.00 | — | 21% below | 40% |
| Urinalysis without microscope exam, manual CPT 81002 HC ED - URINE DIP W/O MICRO | $33.00 | $55.00 | — | 8% below | 40% |
| Urinalysis without microscope exam, manual CPT 81002 HC ONC URINE DIP W/O MICRO | $33.00 | $55.00 | — | 8% below | 40% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC POCT URINE DIP NONAUTO WO MICR | $28.20 | $47.00 | — | — | 40% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC POCT URINE DIP NONAUTO WO MICR | $28.20 | $47.00 | — | — | 40% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC ONC URINE DIP W/O MICRO | $33.00 | $55.00 | — | — | 40% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC ED - URINE DIP W/O MICRO | $33.00 | $55.00 | — | — | 40% |
| Urine culture for bacteria, with colony count CPT 87086 HC CULTURE URINE | $123.00 | $205.00 | — | 11% below | 40% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 HC CULTURE URINE | $123.00 | $205.00 | — | — | 40% |
| Urine microalbumin (albumin) test CPT 82043 HC URINE MICROALBUMIN RANDOM | $44.40 | $74.00 | — | 13% below | 40% |
| Urine microalbumin (albumin) test one side CPT 82043 HC URINE MICROALB/CREAT RT 24HR | $44.40 | $74.00 | — | 13% below | 40% |
| Urine microalbumin (albumin) test inpatient CPT 82043 HC URINE MICROALBUMIN RANDOM | $44.40 | $74.00 | — | — | 40% |
| Urine microalbumin (albumin) test inpatient one side CPT 82043 HC URINE MICROALB/CREAT RT 24HR | $44.40 | $74.00 | — | — | 40% |
| Urine pregnancy test, read by color change CPT 81025 HC POCT PREGNANCY TEST URINE | $18.00 | $30.00 | — | 79% below | 40% |
| Urine pregnancy test, read by color change CPT 81025 HC POCT PREGNANCY TEST URINE | $18.00 | $30.00 | — | 79% below | 40% |
| Urine pregnancy test, read by color change inpatient CPT 81025 HC POCT PREGNANCY TEST URINE | $18.00 | $30.00 | — | — | 40% |
| Urine pregnancy test, read by color change inpatient CPT 81025 HC POCT PREGNANCY TEST URINE | $18.00 | $30.00 | — | — | 40% |
| Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN B12 STATUS | $59.40 | $99.00 | — | 35% below | 40% |
| Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN B-12 | $67.20 | $112.00 | — | 26% below | 40% |
| Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN B-12 G67 | $92.40 | $154.00 | — | 2% above | 40% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC VITAMIN B12 STATUS | $59.40 | $99.00 | — | — | 40% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC VITAMIN B-12 | $67.20 | $112.00 | — | — | 40% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC VITAMIN B-12 G67 | $92.40 | $154.00 | — | — | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC VITAMIN D TOTAL | $27.60 | $46.00 | — | 78% below | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC VITAMIN D,25 HYDROXY TOTAL | $27.60 | $46.00 | — | 78% below | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC VITAMIN D,25 HYDROXY TOTAL | $27.60 | $46.00 | — | 78% below | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC VITAMIN D TOTAL | $27.60 | $46.00 | — | — | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC VITAMIN D,25 HYDROXY TOTAL | $27.60 | $46.00 | — | — | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC VITAMIN D,25 HYDROXY TOTAL | $27.60 | $46.00 | — | — | 40% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC DIHYDROXYVITAMIN D, 1,25- | $47.40 | $79.00 | — | 71% below | 40% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HC DIHYDROXYVITAMIN D, 1,25- | $47.40 | $79.00 | — | — | 40% |
| Zinc blood test CPT 84630 HC ZINC | $38.40 | $64.00 | — | 44% below | 40% |
| Zinc blood test CPT 84630 HC ZINC | $38.40 | $64.00 | — | 44% below | 40% |
| Zinc blood test inpatient CPT 84630 HC ZINC | $38.40 | $64.00 | — | — | 40% |
| Zinc blood test inpatient CPT 84630 HC ZINC | $38.40 | $64.00 | — | — | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC (HCG QUANTITATIVE) | $23.40 | $39.00 | — | 79% below | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC (HCG QUANTITATIVE) | $23.40 | $39.00 | — | 79% below | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC GONADOTROPIN RE3 | $103.80 | $173.00 | — | 7% below | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC GONADOTROPIN RE3 | $103.80 | $173.00 | — | 7% below | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC (HCG QUANTITATIVE) | $23.40 | $39.00 | — | — | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC (HCG QUANTITATIVE) | $23.40 | $39.00 | — | — | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC GONADOTROPIN RE3 | $103.80 | $173.00 | — | — | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC GONADOTROPIN RE3 | $103.80 | $173.00 | — | — | 40% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Botox injections for chronic migraine CPT 64615 HC CHEMODENERVATION FACIAL/TRIGEMINAL/CERV BIL | $505.80 | $843.00 | — | 9% below | 40% |
| Botox injections for chronic migraine CPT 64615 HC CHEMODENERVATION FACIAL/TRIGEMINAL/CERV BIL | $505.80 | $843.00 | — | 9% below | 40% |
| Botox injections for chronic migraine inpatient CPT 64615 HC CHEMODENERVATION FACIAL/TRIGEMINAL/CERV BIL | $505.80 | $843.00 | — | — | 40% |
| Botox injections for chronic migraine inpatient CPT 64615 HC CHEMODENERVATION FACIAL/TRIGEMINAL/CERV BIL | $505.80 | $843.00 | — | — | 40% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC BX BREAST W OR W/O PLACE OF LOC DEVICE 1ST LESION - STEREO GUIDED | $2,077.20 | $3,462.00 | — | 41% below | 40% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HC BX BREAST W OR W/O PLACE OF LOC DEVICE 1ST LESION - STEREO GUIDED | $2,077.20 | $3,462.00 | — | — | 40% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC CLOSED TX FRAC TARSAL_FOOT_TOE WO MANIP | $433.80 | $723.00 | — | 55% above | 40% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC CLOSED TX FRAC TARSAL_FOOT_TOE WO MANIP | $433.80 | $723.00 | — | 55% above | 40% |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 HC CLOSED TX FRAC TARSAL_FOOT_TOE WO MANIP | $433.80 | $723.00 | — | — | 40% |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 HC CLOSED TX FRAC TARSAL_FOOT_TOE WO MANIP | $433.80 | $723.00 | — | — | 40% |
| Cardiac catheterization with coronary angiogram CPT 93458 HC CL CORONARY ANGIO W LV PRESSURES W OR W/O LV GRAM | $12,872.40 | $21,454.00 | — | 9% above | 40% |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 HC CL CORONARY ANGIO W LV PRESSURES W OR W/O LV GRAM | $12,872.40 | $21,454.00 | — | — | 40% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION | $1,897.20 | $3,162.00 | — | 33% above | 40% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION | $1,897.20 | $3,162.00 | — | 33% above | 40% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSION | $1,897.20 | $3,162.00 | — | — | 40% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSION | $1,897.20 | $3,162.00 | — | — | 40% |
| Catheter ablation for atrial fibrillation CPT 93656 HC EP AFIB PULMONARY VEIN ISOLATION | $23,354.40 | $38,924.00 | — | 35% below | 40% |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 HC EP AFIB PULMONARY VEIN ISOLATION | $23,354.40 | $38,924.00 | — | — | 40% |
| Cervical biopsy CPT 57500 HC CERVICAL BX | $1,240.20 | $2,067.00 | — | 3% above | 40% |
| Cervical biopsy CPT 57500 HC CERVICAL BX | $1,240.20 | $2,067.00 | — | 3% above | 40% |
| Cervical biopsy inpatient CPT 57500 HC CERVICAL BX | $1,240.20 | $2,067.00 | — | — | 40% |
| Cervical biopsy inpatient CPT 57500 HC CERVICAL BX | $1,240.20 | $2,067.00 | — | — | 40% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC CIRCUM CLAMP/OTHER/REVISION | $3,041.40 | $5,069.00 | — | 148% above | 40% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC CIRCUM CLAMP/OTHER/REVISION IH | $3,345.60 | $5,576.00 | — | 172% above | 40% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC CIRCUM CLAMP/OTHER/REVISION | $3,041.40 | $5,069.00 | — | — | 40% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC CIRCUM CLAMP/OTHER/REVISION IH | $3,345.60 | $5,576.00 | — | — | 40% |
| Colonoscopy with polyp removal CPT 45385 HC LESION REMOVAL COLONOSCOPY | $1,612.80 | $2,688.00 | — | 34% above | 40% |
| Colonoscopy with polyp removal CPT 45385 HC LESION REMOVAL COLONOSCOPY | $1,612.80 | $2,688.00 | — | 34% above | 40% |
| Colonoscopy with polyp removal inpatient CPT 45385 HC LESION REMOVAL COLONOSCOPY | $1,612.80 | $2,688.00 | — | — | 40% |
| Colonoscopy with polyp removal inpatient CPT 45385 HC LESION REMOVAL COLONOSCOPY | $1,612.80 | $2,688.00 | — | — | 40% |
| Colonoscopy, diagnostic CPT 45378 HC COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD | $1,291.20 | $2,152.00 | — | 16% below | 40% |
| Colonoscopy, diagnostic CPT 45378 HC COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD | $1,291.20 | $2,152.00 | — | 16% below | 40% |
| Colonoscopy, diagnostic inpatient CPT 45378 HC COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD | $1,291.20 | $2,152.00 | — | — | 40% |
| Colonoscopy, diagnostic inpatient CPT 45378 HC COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD | $1,291.20 | $2,152.00 | — | — | 40% |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 HC LEEP BX OF CERVIX | $4,375.20 | $7,292.00 | — | 24% above | 40% |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 HC LEEP BX OF CERVIX | $4,375.20 | $7,292.00 | — | 24% above | 40% |
| Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 HC LEEP BX OF CERVIX | $4,375.20 | $7,292.00 | — | — | 40% |
| Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 HC LEEP BX OF CERVIX | $4,375.20 | $7,292.00 | — | — | 40% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 HC COLPOSCOPY W/ BX AND CURETTAGE | $608.40 | $1,014.00 | — | 126% above | 40% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 HC COLPOSCOPY W/ BX AND CURETTAGE | $608.40 | $1,014.00 | — | 126% above | 40% |
| Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 HC COLPOSCOPY W/ BX AND CURETTAGE | $608.40 | $1,014.00 | — | — | 40% |
| Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 HC COLPOSCOPY W/ BX AND CURETTAGE | $608.40 | $1,014.00 | — | — | 40% |
| Coronary stent placement, one artery CPT 92928 HC CL CORONARY BARE METAL STENT PLACEMENT INITIAL | $11,880.60 | $19,801.00 | — | 2% above | 40% |
| Coronary stent placement, one artery inpatient CPT 92928 HC CL CORONARY BARE METAL STENT PLACEMENT INITIAL | $11,880.60 | $19,801.00 | — | — | 40% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC CYSTOURETHROSCOPY | $2,250.60 | $3,751.00 | — | 96% above | 40% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC CYSTOURETHROSCOPY | $2,250.60 | $3,751.00 | — | 96% above | 40% |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HC CYSTOURETHROSCOPY | $2,250.60 | $3,751.00 | — | — | 40% |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HC CYSTOURETHROSCOPY | $2,250.60 | $3,751.00 | — | — | 40% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC DEST SKIN LESION FIRST LESION | $347.40 | $579.00 | — | 74% above | 40% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 HC DEST SKIN LESION FIRST LESION | $347.40 | $579.00 | — | — | 40% |
| Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 HC TYMPANOSTOMY LOCAL/TOPICAL ANESTHESIA | $859.20 | $1,432.00 | — | 10% above | 40% |
| Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 HC TYMPANOSTOMY LOCAL/TOPICAL ANESTHESIA | $859.20 | $1,432.00 | — | — | 40% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HC REMOVAL IMPACTED CERUMEN IRRIGATION/LVG RT | $133.80 | $223.00 | — | 10% above | 40% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HC REMOVAL IMPACTED CERUMEN IRRIGATION/LVG LT | $133.80 | $223.00 | — | 10% above | 40% |
| Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 HC REMOVAL IMPACTED CERUMEN IRRIGATION/LVG LT | $133.80 | $223.00 | — | — | 40% |
| Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 HC REMOVAL IMPACTED CERUMEN IRRIGATION/LVG RT | $133.80 | $223.00 | — | — | 40% |
| Earwax removal with instruments, one ear CPT 69210 HC REM CERUMEN 1 OR 2 EARS | $331.20 | $552.00 | — | 108% above | 40% |
| Earwax removal with instruments, one ear CPT 69210 HC REM CERUMEN 1 OR 2 EARS | $331.20 | $552.00 | — | 108% above | 40% |
| Earwax removal with instruments, one ear inpatient CPT 69210 HC REM CERUMEN 1 OR 2 EARS | $331.20 | $552.00 | — | — | 40% |
| Earwax removal with instruments, one ear inpatient CPT 69210 HC REM CERUMEN 1 OR 2 EARS | $331.20 | $552.00 | — | — | 40% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC BIOPSY ENDOMETRIAL | $675.60 | $1,126.00 | — | 83% above | 40% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC BIOPSY ENDOMETRIAL | $675.60 | $1,126.00 | — | 83% above | 40% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 HC BIOPSY ENDOMETRIAL | $675.60 | $1,126.00 | — | — | 40% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 HC BIOPSY ENDOMETRIAL | $675.60 | $1,126.00 | — | — | 40% |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 HC NASAL/SINUS ENDOSCOPY W MAXILLARY ANTROSTOMY | $5,493.00 | $9,155.00 | — | 60% above | 40% |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus inpatient CPT 31256 HC NASAL/SINUS ENDOSCOPY W MAXILLARY ANTROSTOMY | $5,493.00 | $9,155.00 | — | — | 40% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC EPIDURAL CERVICAL/THORACIC INTRALAMINAR | $1,095.00 | $1,825.00 | — | 24% below | 40% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC EPIDURAL CERVICAL/THORACIC INTRALAMINAR | $1,095.00 | $1,825.00 | — | — | 40% |
| Eye injection into the vitreous (intravitreal injection) CPT 67028 HC INJECTION INTRAVITREAL | $616.20 | $1,027.00 | — | 16% above | 40% |
| Eye injection into the vitreous (intravitreal injection) CPT 67028 HC INJECTION INTRAVITREAL | $616.20 | $1,027.00 | — | 16% above | 40% |
| Eye injection into the vitreous (intravitreal injection) CPT 67028 HC XEOMIN INJECTION | $1,047.60 | $1,746.00 | — | 98% above | 40% |
| Eye injection into the vitreous (intravitreal injection) CPT 67028 HC XEOMIN INJECTION | $1,047.60 | $1,746.00 | — | 98% above | 40% |
| Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 HC INJECTION INTRAVITREAL | $616.20 | $1,027.00 | — | — | 40% |
| Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 HC INJECTION INTRAVITREAL | $616.20 | $1,027.00 | — | — | 40% |
| Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 HC XEOMIN INJECTION | $1,047.60 | $1,746.00 | — | — | 40% |
| Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 HC XEOMIN INJECTION | $1,047.60 | $1,746.00 | — | — | 40% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC SPINE INJECT LVL I L/S | $1,302.60 | $2,171.00 | — | 27% below | 40% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC SPINE INJECT LVL I L/S | $1,302.60 | $2,171.00 | — | — | 40% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HC FLEX SIG DX | $1,226.40 | $2,044.00 | — | 33% above | 40% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HC FLEX SIG DX | $1,226.40 | $2,044.00 | — | 33% above | 40% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 HC FLEX SIG DX | $1,226.40 | $2,044.00 | — | — | 40% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 HC FLEX SIG DX | $1,226.40 | $2,044.00 | — | — | 40% |
| Gallbladder removal, laparoscopic CPT 47562 HC LAPAROSCOPY SURG CHOLECYSTECTOMY | $10,939.80 | $18,233.00 | — | 34% above | 40% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 HC LAPAROSCOPY SURG CHOLECYSTECTOMY | $10,939.80 | $18,233.00 | — | — | 40% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 HC HEMORRHOIDECTOMY, INTERNAL, BY RUBBER BAND LIGATION | $1,223.40 | $2,039.00 | — | 37% above | 40% |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HC HEMORRHOIDECTOMY, INTERNAL, BY RUBBER BAND LIGATION | $1,223.40 | $2,039.00 | — | — | 40% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC INJECTION HYSTEROSALPINGIO | $219.60 | $366.00 | — | 42% below | 40% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC INJECTION SONOHYSTEROGRAPHY | $219.60 | $366.00 | — | 42% below | 40% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HC INJECTION HYSTEROSALPINGIO | $219.60 | $366.00 | — | — | 40% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HC INJECTION SONOHYSTEROGRAPHY | $219.60 | $366.00 | — | — | 40% |
| Hysteroscopy with endometrial ablation CPT 58563 HC NOVASURE | $6,633.60 | $11,056.00 | — | 12% above | 40% |
| Hysteroscopy with endometrial ablation inpatient CPT 58563 HC NOVASURE | $6,633.60 | $11,056.00 | — | — | 40% |
| IUD insertion (the device itself billed separately) CPT 58300 HC IUD INSERTION | $800.40 | $1,334.00 | — | 111% above | 40% |
| IUD insertion (the device itself billed separately) CPT 58300 HC IUD INSERTION | $800.40 | $1,334.00 | — | 111% above | 40% |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 HC IUD INSERTION | $800.40 | $1,334.00 | — | — | 40% |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 HC IUD INSERTION | $800.40 | $1,334.00 | — | — | 40% |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC I&D OF ABSCESS; SIMPLE/SINGLE | $582.60 | $971.00 | — | 25% above | 40% |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC I&D OF ABSCESS; SIMPLE/SINGLE | $582.60 | $971.00 | — | 25% above | 40% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC I&D OF ABSCESS; SIMPLE/SINGLE | $582.60 | $971.00 | — | — | 40% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC I&D OF ABSCESS; SIMPLE/SINGLE | $582.60 | $971.00 | — | — | 40% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJ 1 TENDON SHEATH/LIGAMTENT UNI | $505.80 | $843.00 | — | 15% above | 40% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJ 1 TENDON SHEATH/LIGAMTENT UNI | $505.80 | $843.00 | — | 15% above | 40% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC PM TENDON SHEATH INJECTION | $556.20 | $927.00 | — | 26% above | 40% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC PM TENDON SHEATH INJECTION | $556.20 | $927.00 | — | 26% above | 40% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC INJ 1 TENDON SHEATH/LIGAMTENT UNI | $505.80 | $843.00 | — | — | 40% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC INJ 1 TENDON SHEATH/LIGAMTENT UNI | $505.80 | $843.00 | — | — | 40% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC PM TENDON SHEATH INJECTION | $556.20 | $927.00 | — | — | 40% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC PM TENDON SHEATH INJECTION | $556.20 | $927.00 | — | — | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ASP/INJ SHLD/HIP/KNEE/BURS UNI | $469.20 | $782.00 | — | 29% below | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ASP/INJ SHLD/HIP/KNEE/BURS UNI | $469.20 | $782.00 | — | 29% below | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC PM MAJOR JOINT ARTHROCENTESIS W/O US | $1,031.40 | $1,719.00 | — | 57% above | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC PM MAJOR JOINT ARTHROCENTESIS W/O US | $1,031.40 | $1,719.00 | — | 57% above | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ASP/INJ SHLD/HIP/KNEE/BURS UNI | $469.20 | $782.00 | — | — | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ASP/INJ SHLD/HIP/KNEE/BURS UNI | $469.20 | $782.00 | — | — | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC PM MAJOR JOINT ARTHROCENTESIS W/O US | $1,031.40 | $1,719.00 | — | — | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC PM MAJOR JOINT ARTHROCENTESIS W/O US | $1,031.40 | $1,719.00 | — | — | 40% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 HC CONTRACEPTIVE IMPLANT INSERTION | $1,725.00 | $2,875.00 | — | 619% above | 40% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 HC CONTRACEPTIVE IMPLANT INSERTION | $1,725.00 | $2,875.00 | — | 619% above | 40% |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 HC CONTRACEPTIVE IMPLANT INSERTION | $1,725.00 | $2,875.00 | — | — | 40% |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 HC CONTRACEPTIVE IMPLANT INSERTION | $1,725.00 | $2,875.00 | — | — | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ASP/INJ TMJ/AC/WRST/ELB/ANK UNI | $806.40 | $1,344.00 | — | 37% above | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ASP/INJ TMJ/AC/WRST/ELB/ANK UNI | $806.40 | $1,344.00 | — | 37% above | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC PM INTERMED JOINT ARTHROCENTESIS W/O US | $886.80 | $1,478.00 | — | 50% above | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC PM INTERMED JOINT ARTHROCENTESIS W/O US | $886.80 | $1,478.00 | — | 50% above | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC ASP/INJ TMJ/AC/WRST/ELB/ANK UNI | $806.40 | $1,344.00 | — | — | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC ASP/INJ TMJ/AC/WRST/ELB/ANK UNI | $806.40 | $1,344.00 | — | — | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC PM INTERMED JOINT ARTHROCENTESIS W/O US | $886.80 | $1,478.00 | — | — | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC PM INTERMED JOINT ARTHROCENTESIS W/O US | $886.80 | $1,478.00 | — | — | 40% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ASP/INJ SM JT FINGR/TOE UNI | $599.40 | $999.00 | — | 37% above | 40% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ASP/INJ SM JT FINGR/TOE UNI | $599.40 | $999.00 | — | 37% above | 40% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC PM SMALL JOINT ARTHROCENTESIS W/O US | $659.40 | $1,099.00 | — | 51% above | 40% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC PM SMALL JOINT ARTHROCENTESIS W/O US | $659.40 | $1,099.00 | — | 51% above | 40% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC ASP/INJ SM JT FINGR/TOE UNI | $599.40 | $999.00 | — | — | 40% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC ASP/INJ SM JT FINGR/TOE UNI | $599.40 | $999.00 | — | — | 40% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC PM SMALL JOINT ARTHROCENTESIS W/O US | $659.40 | $1,099.00 | — | — | 40% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC PM SMALL JOINT ARTHROCENTESIS W/O US | $659.40 | $1,099.00 | — | — | 40% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 HC YAG LAZER | $751.80 | $1,253.00 | — | 43% below | 40% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 HC YAG LAZER | $751.80 | $1,253.00 | — | — | 40% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC REPAIR INTERMED S/A/T/E 2.5 CM OR LESS | $487.80 | $813.00 | — | 8% below | 40% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC REPAIR INTERMED S/A/T/E 2.5 CM OR LESS | $487.80 | $813.00 | — | 8% below | 40% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC REPAIR INTERMED S/A/T/E 2.5 CM OR LESS | $487.80 | $813.00 | — | — | 40% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC REPAIR INTERMED S/A/T/E 2.5 CM OR LESS | $487.80 | $813.00 | — | — | 40% |
| Left heart catheterization, diagnostic one side CPT 93452 HC CL LEFT VENTRICULAR PRESSURES W OR W/O LV GRAM | $18,462.60 | $30,771.00 | — | 93% above | 40% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 HC CL LEFT VENTRICULAR PRESSURES W OR W/O LV GRAM | $18,462.60 | $30,771.00 | — | — | 40% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC LUMBAR OR SACRAL ESI W/IMAGING GUIDANCE | $1,095.00 | $1,825.00 | — | 35% below | 40% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC LUMBAR OR SACRAL ESI W/IMAGING GUIDANCE | $1,095.00 | $1,825.00 | — | 35% below | 40% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC LUMBAR OR SACRAL ESI W/IMAGING GUIDANCE | $1,095.00 | $1,825.00 | — | — | 40% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC LUMBAR OR SACRAL ESI W/IMAGING GUIDANCE | $1,095.00 | $1,825.00 | — | — | 40% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC LUMBAR/SACRAL ESI WO IMAGING GUIDANCE | $1,662.60 | $2,771.00 | — | 32% above | 40% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC LUMBAR/SACRAL ESI WO IMAGING GUIDANCE | $1,662.60 | $2,771.00 | — | — | 40% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL | $1,329.00 | $2,215.00 | — | 10% below | 40% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL | $1,329.00 | $2,215.00 | — | 10% below | 40% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL | $1,329.00 | $2,215.00 | — | — | 40% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL | $1,329.00 | $2,215.00 | — | — | 40% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC EXC TRNK ARM LEG B9+MARG 0.5 CM < LESS | $894.00 | $1,490.00 | — | 11% above | 40% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC EXC TRNK ARM LEG B9+MARG 0.5 CM < LESS | $894.00 | $1,490.00 | — | 11% above | 40% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HC EXC TRNK ARM LEG B9+MARG 0.5 CM < LESS | $894.00 | $1,490.00 | — | — | 40% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HC EXC TRNK ARM LEG B9+MARG 0.5 CM < LESS | $894.00 | $1,490.00 | — | — | 40% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC EXC FACE-MM B9+MARG 0.5 CM/< | $920.40 | $1,534.00 | — | 3% above | 40% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC EXC FACE-MM B9+MARG 0.5 CM/< | $920.40 | $1,534.00 | — | 3% above | 40% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 HC EXC FACE-MM B9+MARG 0.5 CM/< | $920.40 | $1,534.00 | — | — | 40% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 HC EXC FACE-MM B9+MARG 0.5 CM/< | $920.40 | $1,534.00 | — | — | 40% |
| Nail removal (partial or complete), one nail CPT 11730 HC REMOVAL OF NAIL PLATE | $370.20 | $617.00 | — | 21% above | 40% |
| Nail removal (partial or complete), one nail CPT 11730 HC REMOVAL OF NAIL PLATE | $370.20 | $617.00 | — | 21% above | 40% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 HC REMOVAL OF NAIL PLATE | $370.20 | $617.00 | — | — | 40% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 HC REMOVAL OF NAIL PLATE | $370.20 | $617.00 | — | — | 40% |
| Occipital nerve block (injection for headaches) CPT 64405 HC NERVE BLOCK INJ OCCIPITAL | $880.80 | $1,468.00 | — | 106% above | 40% |
| Occipital nerve block (injection for headaches) CPT 64405 HC NERVE BLOCK INJ OCCIPITAL | $880.80 | $1,468.00 | — | 106% above | 40% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 HC NERVE BLOCK INJ OCCIPITAL | $880.80 | $1,468.00 | — | — | 40% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 HC NERVE BLOCK INJ OCCIPITAL | $880.80 | $1,468.00 | — | — | 40% |
| Pacemaker implant (dual chamber) CPT 33208 HC EP NEW OR REPLACEMENT DUAL LEAD PPM | $9,567.00 | $15,945.00 | — | 50% below | 40% |
| Pacemaker implant (dual chamber) inpatient CPT 33208 HC EP NEW OR REPLACEMENT DUAL LEAD PPM | $9,567.00 | $15,945.00 | — | — | 40% |
| Paracentesis with imaging guidance CPT 49083 HC PARACENTESIS WITH IMAGING | $1,080.00 | $1,800.00 | — | 34% below | 40% |
| Paracentesis with imaging guidance CPT 49083 HC PARACENTESIS WITH IMAGING | $1,080.00 | $1,800.00 | — | 34% below | 40% |
| Paracentesis with imaging guidance inpatient CPT 49083 HC PARACENTESIS WITH IMAGING | $1,080.00 | $1,800.00 | — | — | 40% |
| Paracentesis with imaging guidance inpatient CPT 49083 HC PARACENTESIS WITH IMAGING | $1,080.00 | $1,800.00 | — | — | 40% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC EXCISION OF NAIL | $793.80 | $1,323.00 | — | 51% above | 40% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC EXCISION OF NAIL | $793.80 | $1,323.00 | — | 51% above | 40% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC EXCISION OF NAIL | $793.80 | $1,323.00 | — | — | 40% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC EXCISION OF NAIL | $793.80 | $1,323.00 | — | — | 40% |
| Prostate biopsy CPT 55700 HC PROSTATE NEEDLE BIOPSY ANY APPROACH | $3,545.40 | $5,909.00 | — | 35% above | 40% |
| Prostate biopsy CPT 55700 HC PROSTATE NEEDLE BIOPSY ANY APPROACH | $3,545.40 | $5,909.00 | — | 35% above | 40% |
| Prostate biopsy inpatient CPT 55700 HC PROSTATE NEEDLE BIOPSY ANY APPROACH | $3,545.40 | $5,909.00 | — | — | 40% |
| Prostate biopsy inpatient CPT 55700 HC PROSTATE NEEDLE BIOPSY ANY APPROACH | $3,545.40 | $5,909.00 | — | — | 40% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC RF ABLATION LUMB-SACRL SINGLE | $1,662.60 | $2,771.00 | — | 41% below | 40% |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HC RF ABLATION LUMB-SACRL SINGLE | $1,662.60 | $2,771.00 | — | — | 40% |
| Removal of a breast lump, open surgery CPT 19120 HC REMOVAL OF BREAST LESION | $4,620.00 | $7,700.00 | — | 6% below | 40% |
| Removal of a breast lump, open surgery CPT 19120 HC REMOVAL OF BREAST LESION | $4,620.00 | $7,700.00 | — | 6% below | 40% |
| Removal of a breast lump, open surgery inpatient CPT 19120 HC REMOVAL OF BREAST LESION | $4,620.00 | $7,700.00 | — | — | 40% |
| Removal of a breast lump, open surgery inpatient CPT 19120 HC REMOVAL OF BREAST LESION | $4,620.00 | $7,700.00 | — | — | 40% |
| Removal of a foreign object under the skin, simple CPT 10120 HC REMOVE FOREIGN BODY SUBQ TISS SIMPLE | $535.80 | $893.00 | — | 1% above | 40% |
| Removal of a foreign object under the skin, simple CPT 10120 HC REMOVE FOREIGN BODY SUBQ TISS SIMPLE | $535.80 | $893.00 | — | 1% above | 40% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 HC REMOVE FOREIGN BODY SUBQ TISS SIMPLE | $535.80 | $893.00 | — | — | 40% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 HC REMOVE FOREIGN BODY SUBQ TISS SIMPLE | $535.80 | $893.00 | — | — | 40% |
| Short arm cast (elbow to hand) CPT 29075 HC SHORT ARM CAST, ELBOW TO FINGER | $519.00 | $865.00 | — | 88% above | 40% |
| Short arm cast (elbow to hand) CPT 29075 HC SHORT ARM CAST, ELBOW TO FINGER | $519.00 | $865.00 | — | 88% above | 40% |
| Short arm cast (elbow to hand) inpatient CPT 29075 HC SHORT ARM CAST, ELBOW TO FINGER | $519.00 | $865.00 | — | — | 40% |
| Short arm cast (elbow to hand) inpatient CPT 29075 HC SHORT ARM CAST, ELBOW TO FINGER | $519.00 | $865.00 | — | — | 40% |
| Short arm splint (forearm and hand) CPT 29125 HC APPLICATION SHORT ARM SPLINT | $255.00 | $425.00 | — | 8% above | 40% |
| Short arm splint (forearm and hand) CPT 29125 HC APPLICATION SHORT ARM SPLINT | $255.00 | $425.00 | — | 8% above | 40% |
| Short arm splint (forearm and hand) inpatient CPT 29125 HC APPLICATION SHORT ARM SPLINT | $255.00 | $425.00 | — | — | 40% |
| Short arm splint (forearm and hand) inpatient CPT 29125 HC APPLICATION SHORT ARM SPLINT | $255.00 | $425.00 | — | — | 40% |
| Short leg cast (below the knee) CPT 29405 HC APPL SHORT LEG CAST BELOW KNEE TO TOE | $529.20 | $882.00 | — | 57% above | 40% |
| Short leg cast (below the knee) CPT 29405 HC APPL SHORT LEG CAST BELOW KNEE TO TOE | $529.20 | $882.00 | — | 57% above | 40% |
| Short leg cast (below the knee) inpatient CPT 29405 HC APPL SHORT LEG CAST BELOW KNEE TO TOE | $529.20 | $882.00 | — | — | 40% |
| Short leg cast (below the knee) inpatient CPT 29405 HC APPL SHORT LEG CAST BELOW KNEE TO TOE | $529.20 | $882.00 | — | — | 40% |
| Short leg splint (calf to foot) CPT 29515 HC APPLICATION SHORT LEG SPLINT CALF FOOT | $466.80 | $778.00 | — | 79% above | 40% |
| Short leg splint (calf to foot) CPT 29515 HC APPLICATION SHORT LEG SPLINT CALF FOOT | $466.80 | $778.00 | — | 79% above | 40% |
| Short leg splint (calf to foot) inpatient CPT 29515 HC APPLICATION SHORT LEG SPLINT CALF FOOT | $466.80 | $778.00 | — | — | 40% |
| Short leg splint (calf to foot) inpatient CPT 29515 HC APPLICATION SHORT LEG SPLINT CALF FOOT | $466.80 | $778.00 | — | — | 40% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC REPAIR SUPERF WOUND BODY 2.5CM OR LESS | $625.20 | $1,042.00 | — | 73% above | 40% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC REPAIR SUPERF WOUND BODY 2.5CM OR LESS | $625.20 | $1,042.00 | — | 73% above | 40% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC REPAIR SUPERF WOUND BODY 2.5CM OR LESS | $625.20 | $1,042.00 | — | — | 40% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC REPAIR SUPERF WOUND BODY 2.5CM OR LESS | $625.20 | $1,042.00 | — | — | 40% |
| Skin biopsy, punch, one lesion CPT 11104 HC PUNCH BIOPSY OF SKIN SINGLE LESION INITIAL | $290.40 | $484.00 | — | 36% below | 40% |
| Skin biopsy, punch, one lesion CPT 11104 HC PUNCH BIOPSY OF SKIN SINGLE LESION INITIAL | $290.40 | $484.00 | — | 36% below | 40% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 HC PUNCH BIOPSY OF SKIN SINGLE LESION INITIAL | $290.40 | $484.00 | — | — | 40% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 HC PUNCH BIOPSY OF SKIN SINGLE LESION INITIAL | $290.40 | $484.00 | — | — | 40% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 HC EXC MAL LESION TRNK, ARMS, OR LEG 0.5 CM OR LESS | $1,183.20 | $1,972.00 | — | 3% below | 40% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 HC EXC MAL LESION TRNK, ARMS, OR LEG 0.5 CM OR LESS | $1,183.20 | $1,972.00 | — | — | 40% |
| Skin tag removal, up to 15 tags CPT 11200 HC SKIN TAG REM FIRST 15 TAGS | $501.00 | $835.00 | — | 57% above | 40% |
| Skin tag removal, up to 15 tags CPT 11200 HC SKIN TAG REM FIRST 15 TAGS | $501.00 | $835.00 | — | 57% above | 40% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 HC SKIN TAG REM FIRST 15 TAGS | $501.00 | $835.00 | — | — | 40% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 HC SKIN TAG REM FIRST 15 TAGS | $501.00 | $835.00 | — | — | 40% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC LUMBAR PUNCTURE | $1,041.00 | $1,735.00 | — | at median | 40% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC LUMBAR PUNCTURE | $1,041.00 | $1,735.00 | — | at median | 40% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC LUMBAR PUNCTURE | $1,041.00 | $1,735.00 | — | — | 40% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC LUMBAR PUNCTURE | $1,041.00 | $1,735.00 | — | — | 40% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM | $467.40 | $779.00 | — | 2% above | 40% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM | $467.40 | $779.00 | — | 2% above | 40% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM | $467.40 | $779.00 | — | — | 40% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM | $467.40 | $779.00 | — | — | 40% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< | $289.80 | $483.00 | — | 26% below | 40% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< | $289.80 | $483.00 | — | 26% below | 40% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< | $289.80 | $483.00 | — | — | 40% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< | $289.80 | $483.00 | — | — | 40% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC TANGENTIAL BIOPSY SKIN SINGLE LESION INITIAL | $290.40 | $484.00 | — | 19% below | 40% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC TANGENTIAL BIOPSY SKIN SINGLE LESION INITIAL | $290.40 | $484.00 | — | 19% below | 40% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC TANGENTIAL BIOPSY SKIN SINGLE LESION INITIAL | $290.40 | $484.00 | — | — | 40% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC TANGENTIAL BIOPSY SKIN SINGLE LESION INITIAL | $290.40 | $484.00 | — | — | 40% |
| Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS WITH IMAGING | $2,348.40 | $3,914.00 | — | 65% above | 40% |
| Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS WITH IMAGING | $2,348.40 | $3,914.00 | — | 65% above | 40% |
| Thoracentesis with imaging guidance inpatient CPT 32555 HC THORACENTESIS WITH IMAGING | $2,348.40 | $3,914.00 | — | — | 40% |
| Thoracentesis with imaging guidance inpatient CPT 32555 HC THORACENTESIS WITH IMAGING | $2,348.40 | $3,914.00 | — | — | 40% |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC TRIGGER POINT INJ 1-2 | $839.40 | $1,399.00 | — | 45% above | 40% |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC TRIGGER POINT INJ 1-2 | $839.40 | $1,399.00 | — | 45% above | 40% |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC PM TRIGGER POINT INJECTION 1-2 | $923.40 | $1,539.00 | — | 60% above | 40% |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC PM TRIGGER POINT INJECTION 1-2 | $923.40 | $1,539.00 | — | 60% above | 40% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC TRIGGER POINT INJ 1-2 | $839.40 | $1,399.00 | — | — | 40% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC TRIGGER POINT INJ 1-2 | $839.40 | $1,399.00 | — | — | 40% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC PM TRIGGER POINT INJECTION 1-2 | $923.40 | $1,539.00 | — | — | 40% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC PM TRIGGER POINT INJECTION 1-2 | $923.40 | $1,539.00 | — | — | 40% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC BX BREAST W OR W/O PLACE OF LOC DEVICE 1ST LESION - US GUIDED | $2,077.20 | $3,462.00 | — | 25% below | 40% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC BX BREAST W OR W/O PLACE OF LOC DEVICE 1ST LESION - US GUIDED | $2,077.20 | $3,462.00 | — | 25% below | 40% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC BX BREAST W OR W/O PLACE OF LOC DEVICE 1ST LESION - US GUIDED | $2,077.20 | $3,462.00 | — | — | 40% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC BX BREAST W OR W/O PLACE OF LOC DEVICE 1ST LESION - US GUIDED | $2,077.20 | $3,462.00 | — | — | 40% |
| Vasectomy, one or both sides, including follow-up semen testing CPT 55250 HC VASECTOMY INCLUDING POST OP SEMEN COLLECTION | $2,139.60 | $3,566.00 | — | 53% below | 40% |
| Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 HC VASECTOMY INCLUDING POST OP SEMEN COLLECTION | $2,139.60 | $3,566.00 | — | — | 40% |
| Wart removal, up to 14 warts CPT 17110 HC DEST OF BENIGN LESIONS, 1-14 | $579.60 | $966.00 | — | 190% above | 40% |
| Wart removal, up to 14 warts CPT 17110 HC DEST OF BENIGN LESIONS, 1-14 | $579.60 | $966.00 | — | 190% above | 40% |
| Wart removal, up to 14 warts inpatient CPT 17110 HC DEST OF BENIGN LESIONS, 1-14 | $579.60 | $966.00 | — | — | 40% |
| Wart removal, up to 14 warts inpatient CPT 17110 HC DEST OF BENIGN LESIONS, 1-14 | $579.60 | $966.00 | — | — | 40% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEB SUBQ TISSUE 1ST 20 SQ CM OR LESS | $525.60 | $876.00 | — | 48% below | 40% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEB SUBQ TISSUE 1ST 20 SQ CM OR LESS | $525.60 | $876.00 | — | 48% below | 40% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC DEB SUBQ TISSUE 1ST 20 SQ CM OR LESS | $525.60 | $876.00 | — | — | 40% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC DEB SUBQ TISSUE 1ST 20 SQ CM OR LESS | $525.60 | $876.00 | — | — | 40% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD/PRODUCT ADMIN | $748.80 | $1,248.00 | — | 15% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD/PRODUCT ADMIN | $748.80 | $1,248.00 | — | 15% below | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD/PRODUCT ADMIN | $748.80 | $1,248.00 | — | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD/PRODUCT ADMIN | $748.80 | $1,248.00 | — | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC INHALATION THERAPY SUBS TRMT | $390.00 | $650.00 | — | 92% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC INHALATION THERAPY INITIAL | $390.00 | $650.00 | — | 92% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC UPDRAFT INITIAL TREATMENT | $429.00 | $715.00 | — | 111% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC IPPB TREATMENT INITIAL | $429.00 | $715.00 | — | 111% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC IPPB TREATMENT SUBSEQUENT | $429.00 | $715.00 | — | 111% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC MDI SUBSEQ SAME DAY | $429.00 | $715.00 | — | 111% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC MDI TREATMENT INITIAL | $429.00 | $715.00 | — | 111% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC MDI TREATMENT SUBSEQUENT | $429.00 | $715.00 | — | 111% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC MDI,INITIAL TX & DEMONSTRATION | $429.00 | $715.00 | — | 111% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC MDI,INITIAL TX & DEMONSTRATION | $429.00 | $715.00 | — | 111% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC SPUTUM INDUCTION; INITIAL | $429.00 | $715.00 | — | 111% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC SPUTUM INDUCTION; INITIAL | $429.00 | $715.00 | — | 111% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC SPUTUM INDUCTION; SUBSEQUENT | $429.00 | $715.00 | — | 111% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC UPDRAFT AERO TX INITIAL | $429.00 | $715.00 | — | 111% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC UPDRAFT AERO TX INITIAL | $429.00 | $715.00 | — | 111% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC UPDRAFT AERO TX SUBSEQUENT | $429.00 | $715.00 | — | 111% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC UPDRAFT AERO TX SUBSEQUENT | $429.00 | $715.00 | — | 111% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC UPDRAFT INITIAL TREATMENT | $429.00 | $715.00 | — | 111% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC UPDRAFT NEB(HND-HLD) +O2 TX | $429.00 | $715.00 | — | 111% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC UPDRAFT NEB(HND-HLD) +O2 TX | $429.00 | $715.00 | — | 111% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC INHALATION THERAPY INITIAL | $390.00 | $650.00 | — | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC INHALATION THERAPY SUBS TRMT | $390.00 | $650.00 | — | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC UPDRAFT AERO TX SUBSEQUENT | $429.00 | $715.00 | — | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC UPDRAFT INITIAL TREATMENT | $429.00 | $715.00 | — | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC IPPB TREATMENT INITIAL | $429.00 | $715.00 | — | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC IPPB TREATMENT SUBSEQUENT | $429.00 | $715.00 | — | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC MDI SUBSEQ SAME DAY | $429.00 | $715.00 | — | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC MDI TREATMENT INITIAL | $429.00 | $715.00 | — | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC MDI TREATMENT SUBSEQUENT | $429.00 | $715.00 | — | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC MDI,INITIAL TX & DEMONSTRATION | $429.00 | $715.00 | — | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC MDI,INITIAL TX & DEMONSTRATION | $429.00 | $715.00 | — | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC SPUTUM INDUCTION; INITIAL | $429.00 | $715.00 | — | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC SPUTUM INDUCTION; INITIAL | $429.00 | $715.00 | — | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC SPUTUM INDUCTION; SUBSEQUENT | $429.00 | $715.00 | — | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC UPDRAFT AERO TX INITIAL | $429.00 | $715.00 | — | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC UPDRAFT AERO TX INITIAL | $429.00 | $715.00 | — | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC UPDRAFT AERO TX SUBSEQUENT | $429.00 | $715.00 | — | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC UPDRAFT NEB(HND-HLD) +O2 TX | $429.00 | $715.00 | — | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC UPDRAFT NEB(HND-HLD) +O2 TX | $429.00 | $715.00 | — | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC UPDRAFT INITIAL TREATMENT | $429.00 | $715.00 | — | — | 40% |
| Chemotherapy IV infusion, first hour CPT 96413 HC CHEMO, IV INFUSION INIT, 1 HR | $292.20 | $487.00 | — | 46% below | 40% |
| Chemotherapy IV infusion, first hour CPT 96413 HC CHEMO, IV INFUSION INIT, 1 HR | $292.20 | $487.00 | — | 46% below | 40% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 HC CHEMO, IV INFUSION INIT, 1 HR | $292.20 | $487.00 | — | — | 40% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 HC CHEMO, IV INFUSION INIT, 1 HR | $292.20 | $487.00 | — | — | 40% |
| Comprehensive eye exam by an eye doctor, new patient CPT 92004 EC EYE EXAM NEW PATIENT COMPREHENSIVE | $90.00 | $150.00 | — | 63% below | 40% |
| Comprehensive eye exam by an eye doctor, new patient inpatient CPT 92004 EC EYE EXAM NEW PATIENT COMPREHENSIVE | $90.00 | $150.00 | — | — | 40% |
| Comprehensive eye exam, returning patient CPT 92014 EC EYE EXAM & TX ESTAB PT 1/>VST COMPREHENSIVE | $68.40 | $114.00 | — | 70% below | 40% |
| Comprehensive eye exam, returning patient inpatient CPT 92014 EC EYE EXAM & TX ESTAB PT 1/>VST COMPREHENSIVE | $68.40 | $114.00 | — | — | 40% |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 HC BASIC COMPREHENSIVE AUDIOMETRY | $154.80 | $258.00 | — | 48% below | 40% |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 HC BASIC COMPREHENSIVE AUDIOMETRY | $154.80 | $258.00 | — | 48% below | 40% |
| Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 HC BASIC COMPREHENSIVE AUDIOMETRY | $154.80 | $258.00 | — | — | 40% |
| Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 HC BASIC COMPREHENSIVE AUDIOMETRY | $154.80 | $258.00 | — | — | 40% |
| Critical care, first 30 to 74 minutes CPT 99291 HC CRITICAL CARE 30-74M OBT | $2,231.40 | $3,719.00 | — | 14% below | 40% |
| Critical care, first 30 to 74 minutes CPT 99291 HC CRITICAL CARE 30-74M | $5,252.40 | $8,754.00 | — | 103% above | 40% |
| Critical care, first 30 to 74 minutes CPT 99291 HC CRITICAL CARE 30-74M | $5,252.40 | $8,754.00 | — | 103% above | 40% |
| Critical care, first 30 to 74 minutes CPT 99291 HC CRITICAL CARE 30-74M W TRAUMA LVL 3 | $7,031.40 | $11,719.00 | — | 171% above | 40% |
| Critical care, first 30 to 74 minutes CPT 99291 HC CRITICAL CARE 30-74M W TRAUMA LVL 2 | $9,737.40 | $16,229.00 | — | 276% above | 40% |
| Critical care, first 30 to 74 minutes CPT 99291 HC CRITICAL CARE 30-74M W TRAUMA LVL 1 | $14,470.20 | $24,117.00 | — | 458% above | 40% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 HC CRITICAL CARE 30-74M OBT | $2,231.40 | $3,719.00 | — | — | 40% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 HC CRITICAL CARE 30-74M | $5,252.40 | $8,754.00 | — | — | 40% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 HC CRITICAL CARE 30-74M | $5,252.40 | $8,754.00 | — | — | 40% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 HC CRITICAL CARE 30-74M W TRAUMA LVL 3 | $7,031.40 | $11,719.00 | — | — | 40% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 HC CRITICAL CARE 30-74M W TRAUMA LVL 2 | $9,737.40 | $16,229.00 | — | — | 40% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 HC CRITICAL CARE 30-74M W TRAUMA LVL 1 | $14,470.20 | $24,117.00 | — | — | 40% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 HC EEG AWAKE AND DROWSY | $502.20 | $837.00 | — | 49% below | 40% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC EEG AWAKE AND DROWSY | $502.20 | $837.00 | — | — | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC EKG | $317.40 | $529.00 | — | 12% above | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC EKG | $317.40 | $529.00 | — | 12% above | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC EKG | $317.40 | $529.00 | — | — | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC EKG | $317.40 | $529.00 | — | — | 40% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC EMERGENCY VISIT LEVEL I | $310.20 | $517.00 | — | 18% above | 40% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC EMERGENCY VISIT LEVEL I PEC | $310.20 | $517.00 | — | 18% above | 40% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC EMERGENCY VISIT LEVEL I PEC | $310.20 | $517.00 | — | 18% above | 40% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC EMERGENCY VISIT LEVEL I | $310.20 | $517.00 | — | 18% above | 40% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC EMERGENCY VISIT LEVEL I PEC | $310.20 | $517.00 | — | — | 40% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC EMERGENCY VISIT LEVEL I | $310.20 | $517.00 | — | — | 40% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC EMERGENCY VISIT LEVEL I | $310.20 | $517.00 | — | — | 40% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC EMERGENCY VISIT LEVEL I PEC | $310.20 | $517.00 | — | — | 40% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC EMERGENCY VISIT LEVEL II | $406.80 | $678.00 | — | 13% below | 40% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC EMERGENCY VISIT LEVEL II PEC | $406.80 | $678.00 | — | 13% below | 40% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC EMERGENCY VISIT LEVEL II PEC | $406.80 | $678.00 | — | 13% below | 40% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC EMERGENCY VISIT LEVEL II | $406.80 | $678.00 | — | 13% below | 40% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC EMERGENCY VISIT LEVEL II PEC | $406.80 | $678.00 | — | — | 40% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC EMERGENCY VISIT LEVEL II | $406.80 | $678.00 | — | — | 40% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC EMERGENCY VISIT LEVEL II | $406.80 | $678.00 | — | — | 40% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC EMERGENCY VISIT LEVEL II PEC | $406.80 | $678.00 | — | — | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC EMERGENCY VISIT LEVEL III PEC | $756.00 | $1,260.00 | — | 8% below | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC EMERGENCY VISIT LEVEL III | $756.00 | $1,260.00 | — | 8% below | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC EMERGENCY VISIT LEVEL III PEC | $756.00 | $1,260.00 | — | 8% below | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC EMERGENCY VISIT LEVEL III | $756.00 | $1,260.00 | — | 8% below | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC EMERGENCY VISIT LEVEL III | $756.00 | $1,260.00 | — | — | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC EMERGENCY VISIT LEVEL III PEC | $756.00 | $1,260.00 | — | — | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC EMERGENCY VISIT LEVEL III PEC | $756.00 | $1,260.00 | — | — | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC EMERGENCY VISIT LEVEL III | $756.00 | $1,260.00 | — | — | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC EMERGENCY VISIT LEVEL IV | $1,476.00 | $2,460.00 | — | 13% above | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC EMERGENCY VISIT LEVEL IV | $1,476.00 | $2,460.00 | — | 13% above | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC EMERGENCY VISIT LEVEL IV PEC | $1,476.00 | $2,460.00 | — | 13% above | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC EMERGENCY VISIT LEVEL IV PEC | $1,476.00 | $2,460.00 | — | 13% above | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC EMERGENCY VISIT LEVEL IV | $1,476.00 | $2,460.00 | — | — | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC EMERGENCY VISIT LEVEL IV PEC | $1,476.00 | $2,460.00 | — | — | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC EMERGENCY VISIT LEVEL IV PEC | $1,476.00 | $2,460.00 | — | — | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC EMERGENCY VISIT LEVEL IV | $1,476.00 | $2,460.00 | — | — | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC EMERGENCY VISIT LEVEL V | $1,802.40 | $3,004.00 | — | 10% below | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC EMERGENCY VISIT LEVEL V PEC | $1,802.40 | $3,004.00 | — | 10% below | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC EMERGENCY VISIT LEVEL V PEC | $1,802.40 | $3,004.00 | — | 10% below | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC EMERGENCY VISIT LEVEL V | $1,802.40 | $3,004.00 | — | 10% below | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC EMERGENCY VISIT LEVEL V W TRAUMA LVL 3 | $3,367.20 | $5,612.00 | — | 68% above | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC EMERGENCY VISIT LEVEL V W TRAUMA LVL 3 | $3,367.20 | $5,612.00 | — | 68% above | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC EMERGENCY VISIT LEVEL V PEC W TRAUMA LVL 3 | $3,577.80 | $5,963.00 | — | 78% above | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC EMERGENCY VISIT LEVEL V PEC W TRAUMA LVL 3 | $3,577.80 | $5,963.00 | — | 78% above | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC EMERGENCY VISIT LEVEL V W TRAUMA LVL 2 | $6,072.60 | $10,121.00 | — | 203% above | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC EMERGENCY VISIT LEVEL V W TRAUMA LVL 2 | $6,072.60 | $10,121.00 | — | 203% above | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC EMERGENCY VISIT LEVEL V PEC W TRAUMA LVL 2 | $6,283.20 | $10,472.00 | — | 213% above | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC EMERGENCY VISIT LEVEL V W TRAUMA LVL 1 | $10,805.40 | $18,009.00 | — | 438% above | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC EMERGENCY VISIT LEVEL V W TRAUMA LVL 1 | $10,805.40 | $18,009.00 | — | 438% above | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC EMERGENCY VISIT LEVEL V PEC W TRAUMA LVL 1 | $11,016.60 | $18,361.00 | — | 449% above | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC EMERGENCY VISIT LEVEL V PEC W TRAUMA LVL 1 | $11,016.60 | $18,361.00 | — | 449% above | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC EMERGENCY VISIT LEVEL V | $1,802.40 | $3,004.00 | — | — | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC EMERGENCY VISIT LEVEL V | $1,802.40 | $3,004.00 | — | — | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC EMERGENCY VISIT LEVEL V PEC | $1,802.40 | $3,004.00 | — | — | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC EMERGENCY VISIT LEVEL V PEC | $1,802.40 | $3,004.00 | — | — | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC EMERGENCY VISIT LEVEL V W TRAUMA LVL 3 | $3,367.20 | $5,612.00 | — | — | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC EMERGENCY VISIT LEVEL V W TRAUMA LVL 3 | $3,367.20 | $5,612.00 | — | — | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC EMERGENCY VISIT LEVEL V PEC W TRAUMA LVL 3 | $3,577.80 | $5,963.00 | — | — | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC EMERGENCY VISIT LEVEL V PEC W TRAUMA LVL 3 | $3,577.80 | $5,963.00 | — | — | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC EMERGENCY VISIT LEVEL V W TRAUMA LVL 2 | $6,072.60 | $10,121.00 | — | — | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC EMERGENCY VISIT LEVEL V W TRAUMA LVL 2 | $6,072.60 | $10,121.00 | — | — | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC EMERGENCY VISIT LEVEL V PEC W TRAUMA LVL 2 | $6,283.20 | $10,472.00 | — | — | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC EMERGENCY VISIT LEVEL V W TRAUMA LVL 1 | $10,805.40 | $18,009.00 | — | — | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC EMERGENCY VISIT LEVEL V W TRAUMA LVL 1 | $10,805.40 | $18,009.00 | — | — | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC EMERGENCY VISIT LEVEL V PEC W TRAUMA LVL 1 | $11,016.60 | $18,361.00 | — | — | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC EMERGENCY VISIT LEVEL V PEC W TRAUMA LVL 1 | $11,016.60 | $18,361.00 | — | — | 40% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC PHARMACO MYOCARDIAL NUC STRESS | $1,587.60 | $2,646.00 | — | 24% above | 40% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC EXCERCISE TEST-TRACE | $1,587.60 | $2,646.00 | — | 24% above | 40% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC EXERCISE NUCLEAR STRESS | $1,587.60 | $2,646.00 | — | 24% above | 40% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC PHARMACO MYOCARDIAL NUC STRESS | $1,587.60 | $2,646.00 | — | — | 40% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC EXCERCISE TEST-TRACE | $1,587.60 | $2,646.00 | — | — | 40% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC EXERCISE NUCLEAR STRESS | $1,587.60 | $2,646.00 | — | — | 40% |
| Eye exam, returning patient, intermediate CPT 92012 EC EYE EXAM ESTABLISH PATIENT INTERMEDIATE | $68.40 | $114.00 | — | 65% below | 40% |
| Eye exam, returning patient, intermediate inpatient CPT 92012 EC EYE EXAM ESTABLISH PATIENT INTERMEDIATE | $68.40 | $114.00 | — | — | 40% |
| Family therapy with the patient, 50 minutes CPT 90847 HC FAM PSYCHOTHERAPY W/PATIENT | $488.40 | $814.00 | — | 73% above | 40% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAM PSYCHOTHERAPY W/PATIENT | $488.40 | $814.00 | — | — | 40% |
| Family therapy without the patient, 50 minutes CPT 90846 HC FAM PSYCHOTHERAPY W/O PATIENT | $336.60 | $561.00 | — | 30% above | 40% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HC FAM PSYCHOTHERAPY W/O PATIENT | $336.60 | $561.00 | — | — | 40% |
| Group psychotherapy session CPT 90853 HC PSYCHOTHERAPY GROUP PHP | $279.00 | $465.00 | — | 45% above | 40% |
| Group psychotherapy session CPT 90853 HC PSYCHOTHERAPY GROUP | $291.60 | $486.00 | — | 52% above | 40% |
| Group psychotherapy session CPT 90853 HC PSYCHOTHERAPY GROUP | $291.60 | $486.00 | — | 52% above | 40% |
| Group psychotherapy session inpatient CPT 90853 HC PSYCHOTHERAPY GROUP PHP | $279.00 | $465.00 | — | — | 40% |
| Group psychotherapy session inpatient CPT 90853 HC PSYCHOTHERAPY GROUP | $291.60 | $486.00 | — | — | 40% |
| Group psychotherapy session inpatient CPT 90853 HC PSYCHOTHERAPY GROUP | $291.60 | $486.00 | — | — | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC HYDRATION IV INFUSN 31-60M | $739.20 | $1,232.00 | — | 64% above | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC HYDRATION IV INFUSN 31-60M | $739.20 | $1,232.00 | — | — | 40% |
| IV infusion of a medicine, first hour CPT 96365 HC IV INF TX/PROPH/DX, INIT HR | $739.20 | $1,232.00 | — | 58% above | 40% |
| IV infusion of a medicine, first hour CPT 96365 HC IV INF TX/PROPH/DX, INIT HR | $739.20 | $1,232.00 | — | 58% above | 40% |
| IV infusion of a medicine, first hour inpatient CPT 96365 HC IV INF TX/PROPH/DX, INIT HR | $739.20 | $1,232.00 | — | — | 40% |
| IV infusion of a medicine, first hour inpatient CPT 96365 HC IV INF TX/PROPH/DX, INIT HR | $739.20 | $1,232.00 | — | — | 40% |
| IV push of a medicine, first drug CPT 96374 HC IV PUSH, TX/PROPH/DG INJ | $303.60 | $506.00 | — | 31% above | 40% |
| IV push of a medicine, first drug CPT 96374 HC IV PUSH, TX/PROPH/DG INJ | $303.60 | $506.00 | — | 31% above | 40% |
| IV push of a medicine, first drug inpatient CPT 96374 HC IV PUSH, TX/PROPH/DG INJ | $303.60 | $506.00 | — | — | 40% |
| IV push of a medicine, first drug inpatient CPT 96374 HC IV PUSH, TX/PROPH/DG INJ | $303.60 | $506.00 | — | — | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC INJ ADMIN SQ/IM W/WO ANTIBX | $132.60 | $221.00 | — | 13% below | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC INJ ADMIN SQ/IM W/WO ANTIBX | $132.60 | $221.00 | — | 13% below | 40% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC INJ ADMIN SQ/IM W/WO ANTIBX | $132.60 | $221.00 | — | — | 40% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC INJ ADMIN SQ/IM W/WO ANTIBX | $132.60 | $221.00 | — | — | 40% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC CHEM DEPENDENCY ASSESSMENT | $456.00 | $760.00 | — | 19% above | 40% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC PSYCHOSOCIAL EVALUATION | $764.40 | $1,274.00 | — | 99% above | 40% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC CHEM DEPENDENCY ASSESSMENT | $456.00 | $760.00 | — | — | 40% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC PSYCHOSOCIAL EVALUATION | $764.40 | $1,274.00 | — | — | 40% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 HC NERVE CONDUCT 7-8 STUDIES | $276.00 | $460.00 | — | 64% below | 40% |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 HC NERVE CONDUCT 7-8 STUDIES | $276.00 | $460.00 | — | — | 40% |
| New patient office visit, about 30 minutes CPT 99203 HC E&M LEVEL III NEW | $279.00 | $465.00 | — | 32% above | 40% |
| New patient office visit, about 30 minutes CPT 99203 HC E&M LEVEL III NEW | $279.00 | $465.00 | — | 32% above | 40% |
| New patient office visit, about 30 minutes CPT 99203 HC E&M LEVEL III NEW URG | $630.60 | $1,051.00 | — | 198% above | 40% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC E&M LEVEL III NEW | $279.00 | $465.00 | — | — | 40% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC E&M LEVEL III NEW | $279.00 | $465.00 | — | — | 40% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC E&M LEVEL III NEW URG | $630.60 | $1,051.00 | — | — | 40% |
| New patient office visit, about 45 minutes CPT 99204 HC E&M LEVEL IV NEW | $358.80 | $598.00 | — | 12% above | 40% |
| New patient office visit, about 45 minutes CPT 99204 HC E&M LEVEL IV NEW | $358.80 | $598.00 | — | 12% above | 40% |
| New patient office visit, about 45 minutes CPT 99204 HC E&M LEVEL IV NEW URG | $942.00 | $1,570.00 | — | 193% above | 40% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC E&M LEVEL IV NEW | $358.80 | $598.00 | — | — | 40% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC E&M LEVEL IV NEW | $358.80 | $598.00 | — | — | 40% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC E&M LEVEL IV NEW URG | $942.00 | $1,570.00 | — | — | 40% |
| New patient office visit, about 60 minutes CPT 99205 HC E&M LEVEL V NEW | $471.00 | $785.00 | — | 40% above | 40% |
| New patient office visit, about 60 minutes CPT 99205 HC E&M LEVEL V NEW | $471.00 | $785.00 | — | 40% above | 40% |
| New patient office visit, about 60 minutes CPT 99205 HC E&M LEVEL V NEW URG | $1,120.80 | $1,868.00 | — | 234% above | 40% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC E&M LEVEL V NEW | $471.00 | $785.00 | — | — | 40% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC E&M LEVEL V NEW | $471.00 | $785.00 | — | — | 40% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC E&M LEVEL V NEW URG | $1,120.80 | $1,868.00 | — | — | 40% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC E&M LEVEL II NEW | $210.00 | $350.00 | — | 23% above | 40% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC E&M LEVEL II NEW | $210.00 | $350.00 | — | 23% above | 40% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC E&M LEVEL I NEW URG | $393.00 | $655.00 | — | 130% above | 40% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC E&M LEVEL II NEW URG | $476.40 | $794.00 | — | 179% above | 40% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC E&M LEVEL II NEW | $210.00 | $350.00 | — | — | 40% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC E&M LEVEL II NEW | $210.00 | $350.00 | — | — | 40% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC E&M LEVEL I NEW URG | $393.00 | $655.00 | — | — | 40% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC E&M LEVEL II NEW URG | $476.40 | $794.00 | — | — | 40% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC NUTR THERAPY INDIV/15 MIN | $129.60 | $216.00 | — | 124% above | 40% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC NUTR THERAPY INDIV/15 MIN | $129.60 | $216.00 | — | — | 40% |
| Occupational therapy evaluation, low complexity CPT 97165 HC OT EVAL LOW COMPLEXITY | $173.40 | $289.00 | — | 29% below | 40% |
| Occupational therapy evaluation, low complexity CPT 97165 HC OT EVAL LOW COMPLEXITY | $173.40 | $289.00 | — | 29% below | 40% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT EVAL LOW COMPLEXITY | $173.40 | $289.00 | — | — | 40% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT EVAL LOW COMPLEXITY | $173.40 | $289.00 | — | — | 40% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVAL HIGH COMPLEXITY | $250.80 | $418.00 | — | 18% below | 40% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVAL HIGH COMPLEXITY | $250.80 | $418.00 | — | — | 40% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVAL LOW COMPLEXITY | $173.40 | $289.00 | — | 13% below | 40% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVAL LOW COMPLEXITY | $173.40 | $289.00 | — | — | 40% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVAL MODERATE COMPLEXITY | $208.20 | $347.00 | — | 18% below | 40% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVAL MODERATE COMPLEXITY | $208.20 | $347.00 | — | — | 40% |
| Preventive checkup, new patient aged 18–39 CPT 99385 HC PHYSICAL NEW AGE 18-39 | $139.20 | $232.00 | — | 1% above | 40% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 HC PHYSICAL NEW AGE 18-39 | $139.20 | $232.00 | — | — | 40% |
| Preventive checkup, new patient aged 40–64 CPT 99386 HC PHYSICAL NEW AGE 40-64 | $163.20 | $272.00 | — | 16% above | 40% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 HC PHYSICAL NEW AGE 40-64 | $163.20 | $272.00 | — | — | 40% |
| Preventive checkup, new patient aged 65 or older CPT 99387 HC PHYSICAL NEW AGE 65+ | $171.60 | $286.00 | — | 5% above | 40% |
| Preventive checkup, new patient aged 65 or older inpatient CPT 99387 HC PHYSICAL NEW AGE 65+ | $171.60 | $286.00 | — | — | 40% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 HC PHYSICAL EST AGE 18-39 | $116.40 | $194.00 | — | 1% above | 40% |
| Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 HC PHYSICAL EST AGE 18-39 | $116.40 | $194.00 | — | — | 40% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 HC PHYSICAL EST AGE 40-64 | $128.40 | $214.00 | — | 23% below | 40% |
| Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 HC PHYSICAL EST AGE 40-64 | $128.40 | $214.00 | — | — | 40% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 HC PHYSICAL EST AGE 65+ | $139.20 | $232.00 | — | 19% below | 40% |
| Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 HC PHYSICAL EST AGE 65+ | $139.20 | $232.00 | — | — | 40% |
| Psychiatric evaluation with medical services CPT 90792 HC PSYCHIATRIC DX INTERVIEW/EXAM | $432.00 | $720.00 | — | 32% above | 40% |
| Psychiatric evaluation with medical services CPT 90792 HC PSYCHIATRIC DX INTERVIEW/EXAM | $432.00 | $720.00 | — | 32% above | 40% |
| Psychiatric evaluation with medical services inpatient CPT 90792 HC PSYCHIATRIC DX INTERVIEW/EXAM | $432.00 | $720.00 | — | — | 40% |
| Psychiatric evaluation with medical services inpatient CPT 90792 HC PSYCHIATRIC DX INTERVIEW/EXAM | $432.00 | $720.00 | — | — | 40% |
| Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 HC PSYCHOLOGICAL TST EVAL SVC PHYS/QHP 1ST HR | $265.20 | $442.00 | — | 14% below | 40% |
| Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 HC PSYCHOLOGICAL TST EVAL SVC PHYS/QHP 1ST HR | $265.20 | $442.00 | — | — | 40% |
| Psychotherapy session, 30 minutes CPT 90832 HC IND PSYCHOTHERAPY 30 MIN | $253.20 | $422.00 | — | 34% above | 40% |
| Psychotherapy session, 30 minutes CPT 90832 HC IND PSYCHOTHERAPY 30 MIN | $253.20 | $422.00 | — | 34% above | 40% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC IND PSYCHOTHERAPY 30 MIN | $253.20 | $422.00 | — | — | 40% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC IND PSYCHOTHERAPY 30 MIN | $253.20 | $422.00 | — | — | 40% |
| Psychotherapy session, 45 minutes CPT 90834 HC IND PSYCHOTHERAPY 45 MIN | $423.60 | $706.00 | — | 54% above | 40% |
| Psychotherapy session, 45 minutes CPT 90834 HC IND PSYCHOTHERAPY 45 MIN | $423.60 | $706.00 | — | 54% above | 40% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC IND PSYCHOTHERAPY 45 MIN | $423.60 | $706.00 | — | — | 40% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC IND PSYCHOTHERAPY 45 MIN | $423.60 | $706.00 | — | — | 40% |
| Psychotherapy session, 60 minutes CPT 90837 HC IND PSYCHOTHERAPY 60 MIN | $514.80 | $858.00 | — | 87% above | 40% |
| Psychotherapy session, 60 minutes CPT 90837 HC IND PSYCHOTHERAPY 60 MIN | $514.80 | $858.00 | — | 87% above | 40% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC IND PSYCHOTHERAPY 60 MIN | $514.80 | $858.00 | — | — | 40% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC IND PSYCHOTHERAPY 60 MIN | $514.80 | $858.00 | — | — | 40% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC SMOKING CESSATION 3-10 MIN | $60.60 | $101.00 | — | 37% above | 40% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC SMOKING CESSATION 3-10 MIN | $60.60 | $101.00 | — | 37% above | 40% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC SMOKING CESSATION 3-10 MIN | $60.60 | $101.00 | — | — | 40% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC SMOKING CESSATION 3-10 MIN | $60.60 | $101.00 | — | — | 40% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC E&M LEVEL V EST | $358.80 | $598.00 | — | 16% above | 40% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC E&M LEVEL V EST | $358.80 | $598.00 | — | 16% above | 40% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC E&M LEVEL V EST URG | $1,120.80 | $1,868.00 | — | 262% above | 40% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC E&M LEVEL V EST | $358.80 | $598.00 | — | — | 40% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC E&M LEVEL V EST | $358.80 | $598.00 | — | — | 40% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC E&M LEVEL V EST URG | $1,120.80 | $1,868.00 | — | — | 40% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC E&M LEVEL III EST | $210.00 | $350.00 | — | 3% above | 40% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC E&M LEVEL III EST | $210.00 | $350.00 | — | 3% above | 40% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 RX E&M LEVEL III EST | $232.80 | $388.00 | — | 14% above | 40% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 RX E&M LEVEL III EST | $232.80 | $388.00 | — | 14% above | 40% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC E&M LEVEL III EST URG | $518.40 | $864.00 | — | 153% above | 40% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC E&M LEVEL III EST | $210.00 | $350.00 | — | — | 40% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC E&M LEVEL III EST | $210.00 | $350.00 | — | — | 40% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 RX E&M LEVEL III EST | $232.80 | $388.00 | — | — | 40% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 RX E&M LEVEL III EST | $232.80 | $388.00 | — | — | 40% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC E&M LEVEL III EST URG | $518.40 | $864.00 | — | — | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC E&M LEVEL IV EST | $284.40 | $474.00 | — | 33% above | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC E&M LEVEL IV EST | $284.40 | $474.00 | — | 33% above | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 RX E&M LEVEL IV EST | $314.40 | $524.00 | — | 47% above | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 RX E&M LEVEL IV EST | $314.40 | $524.00 | — | 47% above | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC E&M LEVEL IV EST URG | $838.80 | $1,398.00 | — | 291% above | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC E&M LEVEL IV EST | $284.40 | $474.00 | — | — | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC E&M LEVEL IV EST | $284.40 | $474.00 | — | — | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 RX E&M LEVEL IV EST | $314.40 | $524.00 | — | — | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 RX E&M LEVEL IV EST | $314.40 | $524.00 | — | — | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC E&M LEVEL IV EST URG | $838.80 | $1,398.00 | — | — | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC E&M LEVEL II EST | $210.00 | $350.00 | — | 28% above | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC E&M LEVEL II EST | $210.00 | $350.00 | — | 28% above | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 RX E&M LEVEL II EST | $232.80 | $388.00 | — | 42% above | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 RX E&M LEVEL II EST | $232.80 | $388.00 | — | 42% above | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC E&M LEVEL II EST URG | $393.00 | $655.00 | — | 140% above | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC E&M LEVEL II EST | $210.00 | $350.00 | — | — | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC E&M LEVEL II EST | $210.00 | $350.00 | — | — | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 RX E&M LEVEL II EST | $232.80 | $388.00 | — | — | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 RX E&M LEVEL II EST | $232.80 | $388.00 | — | — | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC E&M LEVEL II EST URG | $393.00 | $655.00 | — | — | 40% |
| Speech and language evaluation CPT 92523 HC EVAL OF SP SOUND PROD/ W COMPREHEN EXPRESS | $323.40 | $539.00 | — | 24% below | 40% |
| Speech and language evaluation inpatient CPT 92523 HC EVAL OF SP SOUND PROD/ W COMPREHEN EXPRESS | $323.40 | $539.00 | — | — | 40% |
| Spirometry (breathing test) CPT 94010 HC SPIROMETRY | $164.40 | $274.00 | — | 54% below | 40% |
| Spirometry (breathing test) CPT 94010 HC SPIROMETRY | $164.40 | $274.00 | — | 54% below | 40% |
| Spirometry (breathing test) inpatient CPT 94010 HC SPIROMETRY | $164.40 | $274.00 | — | — | 40% |
| Spirometry (breathing test) inpatient CPT 94010 HC SPIROMETRY | $164.40 | $274.00 | — | — | 40% |
| Spirometry before and after a bronchodilator CPT 94060 HC SPIROMETRY W/DIL | $241.20 | $402.00 | — | 59% below | 40% |
| Spirometry before and after a bronchodilator CPT 94060 HC SPIROMETRY W/DIL | $241.20 | $402.00 | — | 59% below | 40% |
| Spirometry before and after a bronchodilator CPT 94060 HC PEAK FLOW PRE/POST | $241.20 | $402.00 | — | 59% below | 40% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 HC SPIROMETRY W/DIL | $241.20 | $402.00 | — | — | 40% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 HC SPIROMETRY W/DIL | $241.20 | $402.00 | — | — | 40% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 HC PEAK FLOW PRE/POST | $241.20 | $402.00 | — | — | 40% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC THERAPEUTIC PHLEBOTOMY | $232.80 | $388.00 | — | 2% below | 40% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC THERAPEUTIC PHLEBOTOMY | $232.80 | $388.00 | — | 2% below | 40% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC THERAPEUTIC PHLEBOTOMY | $232.80 | $388.00 | — | — | 40% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC THERAPEUTIC PHLEBOTOMY | $232.80 | $388.00 | — | — | 40% |
| Visual field test, extended both sides CPT 92083 HC HUMPHREY VIS FIELD UNI/BI | $204.00 | $340.00 | — | — | 40% |
| Visual field test, extended both sides CPT 92083 HC HUMPHREY VIS FIELD UNI/BI | $204.00 | $340.00 | — | — | 40% |
| Visual field test, extended inpatient both sides CPT 92083 HC HUMPHREY VIS FIELD UNI/BI | $204.00 | $340.00 | — | — | 40% |
| Visual field test, extended inpatient both sides CPT 92083 HC HUMPHREY VIS FIELD UNI/BI | $204.00 | $340.00 | — | — | 40% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC IMMUNIZATION ADM FEE EA ADDL | $19.80 | $33.00 | — | 74% below | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC IMMUNIZATION ADM FEE (INITIAL) | $169.80 | $283.00 | — | 127% above | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC IMMUNIZATION ADM FEE (INITIAL) | $169.80 | $283.00 | — | 127% above | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC IMMUNIZATION ADM FEE EA ADDL | $19.80 | $33.00 | — | — | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC IMMUNIZATION ADM FEE (INITIAL) | $169.80 | $283.00 | — | — | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC IMMUNIZATION ADM FEE (INITIAL) | $169.80 | $283.00 | — | — | 40% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC IMMUNIZATION ADM FEE EA ADDL | $19.80 | $33.00 | — | 63% below | 40% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC IMMUNIZATION ADM FEE EA ADDL | $19.80 | $33.00 | — | 63% below | 40% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC IMMUNIZATION ADM FEE EA ADDL | $19.80 | $33.00 | — | — | 40% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC IMMUNIZATION ADM FEE EA ADDL | $19.80 | $33.00 | — | — | 40% |
Source file: https://www.jpshealthnet.org/price-transparency/75-6000439_jps-health-network_standardcharges.csv