Lahey Hospital & Medical Center, Burlington
Lahey Hospital & Medical Center, Burlington in Burlington, MA publishes cash prices for 371 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 above the Massachusetts median for 277 of 366 procedures and below it for 70. By typical cash price it ranks #20 of 29 Massachusetts hospitals and #13 of 24 hospitals in the Boston, MA area, cheapest first. Click a procedure to compare it with other hospitals nearby.
41 & 45 Mall Road, Burlington, MA 01803 Collected Sep 27, 2026 Source price file (781) 744-5100
Acute care hospital Emergency department CMS star rating 4 of 5 CCN 220171 · CMS hospital register
The price file shows no self-pay discount
For 762 of the 762 prices listed here, the cash price in Lahey Hospital & Medical Center, Burlington's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Massachusetts | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views CPT 73610 HC X RAY ANKLE COMPL MIN 3 VIEWS | $343.00 | $343.00 | — | 8% above | — |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC X RAY ANKLE COMPL MIN 3 VIEWS | $343.00 | $343.00 | — | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC NON INVASIVE STUDY UPPER LOW EXT SINGLE | $1,686.00 | $1,686.00 | — | 395% above | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC NON INVASIVE STUDY UPPER LOW EXT SINGLE | $1,686.00 | $1,686.00 | — | — | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 HC X RAY ESOPHAGUS | $779.00 | $779.00 | — | 62% above | — |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC X RAY ESOPHAGUS | $779.00 | $779.00 | — | — | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 HC BONE AND OR JOINT IMAGE WHOLE BODY | $1,193.00 | $1,193.00 | — | 9% below | — |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC BONE AND OR JOINT IMAGE WHOLE BODY | $1,193.00 | $1,193.00 | — | — | — |
| Breast ultrasound, complete, one breast CPT 76641 HC US BREAST UNI REAL TIME W IMAGE COMP | $452.00 | $452.00 | — | 3% above | — |
| Breast ultrasound, complete, one breast inpatient CPT 76641 HC US BREAST UNI REAL TIME W IMAGE COMP | $452.00 | $452.00 | — | — | — |
| Breast ultrasound, limited (one breast or one area) CPT 76642 HC US BREAST UNI REAL TIME W IMAGE LIM | $452.00 | $452.00 | — | 30% above | — |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HC US BREAST UNI REAL TIME W IMAGE LIM | $452.00 | $452.00 | — | — | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CT ANGIOGRAPHY CHEST W WO CONTRAST | $2,167.00 | $2,167.00 | — | 11% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CT ANGIOGRAPHY CHEST W WO CONTRAST | $2,167.00 | $2,167.00 | — | — | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CTA HEART CORONARY ART BYPASS GRAFTS CONTRAST 3D IMAGE | $1,173.00 | $1,173.00 | — | 43% above | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC CTA HEART CORONARY ART BYPASS GRAFTS CONTRAST 3D IMAGE | $1,173.00 | $1,173.00 | — | — | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CHG CALCIUM SCORING SELF-PAY EXAM | $275.00 | $275.00 | — | 13% above | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT HEART W O CONTRAST QUANT EVAL CORONARY CALCIUM | $1,105.00 | $1,105.00 | — | 354% above | — |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CHG CALCIUM SCORING SELF-PAY EXAM | $275.00 | $275.00 | — | — | — |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CT HEART W O CONTRAST QUANT EVAL CORONARY CALCIUM | $1,105.00 | $1,105.00 | — | — | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABD AND PELVIS WO CONTRAST MATERIAL | $1,240.00 | $1,240.00 | — | 42% below | — |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT ABD AND PELVIS WO CONTRAST MATERIAL | $1,240.00 | $1,240.00 | — | — | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABD AND PELVIS W CONTRAST MATERIAL | $1,991.00 | $1,991.00 | — | 22% below | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABD AND PELVIS W CONTRAST MATERIAL | $1,991.00 | $1,991.00 | — | — | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABD AND PELVIS W/& WO CONTRAST 1 OR MORE BODY REGIONS | $2,630.00 | $2,630.00 | — | 11% below | — |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABD AND PELVIS W/& WO CONTRAST 1 OR MORE BODY REGIONS | $2,630.00 | $2,630.00 | — | — | — |
| CT scan of the abdomen with contrast CPT 74160 HC CT ABD W CONTRAST MATERIAL | $1,911.00 | $1,911.00 | — | 24% above | — |
| CT scan of the abdomen with contrast inpatient CPT 74160 HC CT ABD W CONTRAST MATERIAL | $1,911.00 | $1,911.00 | — | — | — |
| CT scan of the abdomen without contrast CPT 74150 HC CT ABD WO CONTRAST MATERIAL | $1,243.00 | $1,243.00 | — | 1% below | — |
| CT scan of the abdomen without contrast inpatient CPT 74150 HC CT ABD WO CONTRAST MATERIAL | $1,243.00 | $1,243.00 | — | — | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT MAXILLOFACIAL WO CONTRAST MATERIAL | $1,181.00 | $1,181.00 | — | 9% above | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT MAXILLOFACIAL WO CONTRAST MATERIAL | $1,181.00 | $1,181.00 | — | — | — |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD BRAIN WO CONTRAST MATERIAL | $1,058.00 | $1,058.00 | — | at median | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD BRAIN WO CONTRAST MATERIAL | $1,058.00 | $1,058.00 | — | — | — |
| CT scan of the head with contrast CPT 70460 HC CT HEAD BRAIN W CONTRAST MATERIAL | $1,205.00 | $1,205.00 | — | 11% below | — |
| CT scan of the head with contrast inpatient CPT 70460 HC CT HEAD BRAIN W CONTRAST MATERIAL | $1,205.00 | $1,205.00 | — | — | — |
| CT scan of the head without and with contrast CPT 70470 HC CT HEAD BRAIN W WO CONTRAST MATERIAL | $1,492.00 | $1,492.00 | — | 14% below | — |
| CT scan of the head without and with contrast inpatient CPT 70470 HC CT HEAD BRAIN W WO CONTRAST MATERIAL | $1,492.00 | $1,492.00 | — | — | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT LUMBAR SPINE WO CONTRAST MATERIAL | $1,366.00 | $1,366.00 | — | 4% above | — |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT LUMBAR SPINE WO CONTRAST MATERIAL | $1,366.00 | $1,366.00 | — | — | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT CERVICAL SPINE WO CONTRAST MATERIAL | $1,476.00 | $1,476.00 | — | 7% above | — |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT CERVICAL SPINE WO CONTRAST MATERIAL | $1,476.00 | $1,476.00 | — | — | — |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W CONTRAST MATERIAL | $1,917.00 | $1,917.00 | — | 16% above | — |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W CONTRAST MATERIAL | $1,917.00 | $1,917.00 | — | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 HC DUP SCAN EXTACRANIAL ART COMP | $1,009.00 | $1,009.00 | — | 6% above | — |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 HC DUP SCAN EXTACRANIAL ART COMP | $1,009.00 | $1,009.00 | — | — | — |
| Chest X-ray, 2 views CPT 71046 HC RADIOLOGIC EXAM CHEST 2 VIEWS | $206.00 | $206.00 | — | 21% below | — |
| Chest X-ray, 2 views inpatient CPT 71046 HC RADIOLOGIC EXAM CHEST 2 VIEWS | $206.00 | $206.00 | — | — | — |
| Chest X-ray, single view CPT 71045 HC RADIOLOGIC EXAM CHEST SINGLE VIEW | $206.00 | $206.00 | — | 24% below | — |
| Chest X-ray, single view inpatient CPT 71045 HC RADIOLOGIC EXAM CHEST SINGLE VIEW | $206.00 | $206.00 | — | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US RETROPERITONEAL REAL TIME W IMAGE COMPL | $764.00 | $764.00 | — | 10% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US RETROPERITONEAL REAL TIME W IMAGE COMPL | $764.00 | $764.00 | — | — | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC DXA BONE DENSITY STUDY 1 OR MORE SITES AXIAL SKEL | $852.00 | $852.00 | — | 52% above | — |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC DXA BONE DENSITY STUDY 1 OR MORE SITES AXIAL SKEL | $852.00 | $852.00 | — | — | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC DXA BONE DENSITY STUDY 1 OR MORE SITES APPENDICLR SKEL | $246.00 | $246.00 | — | 1% below | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC DXA BONE DENSITY STUDY 1 OR MORE SITES APPENDICLR SKEL | $246.00 | $246.00 | — | — | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC US PREG UTERUS W DETAIL FETAL ANAT 1ST GESTATION | $860.00 | $860.00 | — | 1% below | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HC US PREG UTERUS W DETAIL FETAL ANAT 1ST GESTATION | $860.00 | $860.00 | — | — | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT THORAX WO CONTRAST MATERIAL | $1,443.00 | $1,443.00 | — | 8% above | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT THORAX WO CONTRAST MATERIAL | $1,443.00 | $1,443.00 | — | — | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT THORAX W CONTRAST MATERIAL | $1,826.00 | $1,826.00 | — | 16% above | — |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT THORAX W CONTRAST MATERIAL | $1,826.00 | $1,826.00 | — | — | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC DIAGNOSTIC MAMMOGRAPHY COMPUTER AIDED DETCJ BI | $749.00 | $749.00 | — | — | — |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC DIAGNOSTIC MAMMOGRAPHY COMPUTER AIDED DETCJ BI | $749.00 | $749.00 | — | — | — |
| Diagnostic mammogram, one breast CPT 77065 HC DIAGNOSTIC MAMMOGRAPHY COMPUTER AIDED DETCJ UNI | $607.00 | $607.00 | — | 54% above | — |
| Diagnostic mammogram, one breast inpatient CPT 77065 HC DIAGNOSTIC MAMMOGRAPHY COMPUTER AIDED DETCJ UNI | $607.00 | $607.00 | — | — | — |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 HC DUP SCAN LWER EXT ART COMP | $933.00 | $933.00 | — | 18% below | — |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 HC DUP SCAN LWER EXT ART COMP | $933.00 | $933.00 | — | — | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 HC DUP SCAN EXT VEIN COMP | $933.00 | $933.00 | — | 2% below | — |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 HC DUP SCAN EXT VEIN COMP | $933.00 | $933.00 | — | — | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC ECHO TRANSTHOR W DOP COMP WO CONT | $2,250.00 | $2,250.00 | — | 27% above | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC ECHO TRANSTHOR W DOP COMP WO CONT | $2,250.00 | $2,250.00 | — | — | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC HEPATOBIL SYS IMAGE INCL GALLBLADDER | $1,891.00 | $1,891.00 | — | 35% above | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC HEPATOBIL SYS IMAGE INCL GALLBLADDER | $1,891.00 | $1,891.00 | — | — | — |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC SLEEP STUDY UNATTENDED | $971.00 | $971.00 | — | 44% above | — |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HC SLEEP STUDY UNATTENDED | $971.00 | $971.00 | — | — | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC POLYSOMNOGRAPHY W 4 PLUS PARAMATERS W INIT | $3,618.00 | $3,618.00 | — | 8% below | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC POLYSOMNOGRAPHY W 4 PLUS PARAMATERS W INIT | $3,618.00 | $3,618.00 | — | — | — |
| Knee X-ray, 3 views CPT 73562 HC X RAY KNEE 3 VIEWS | $378.00 | $378.00 | — | 7% above | — |
| Knee X-ray, 3 views inpatient CPT 73562 HC X RAY KNEE 3 VIEWS | $378.00 | $378.00 | — | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ABDOMINAL REAL TIME W IMAGE LTD | $751.00 | $751.00 | — | 23% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US ABDOMINAL REAL TIME W IMAGE LTD | $751.00 | $751.00 | — | — | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT THORAX LOW DOSE LUNG CANCER SCREENING C- | $526.00 | $526.00 | — | 5% below | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC CT THORAX LOW DOSE LUNG CANCER SCREENING C- | $526.00 | $526.00 | — | — | — |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 HC MRI BREAST WITHOUT&WITH CONTRAST W CAD BILATERAL | $6,642.00 | $6,642.00 | — | — | — |
| MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 HC MRI BREAST WITHOUT&WITH CONTRAST W CAD BILATERAL | $6,642.00 | $6,642.00 | — | — | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI ANY JOINT LOWER EXT WO CONTRAST MATERIAL | $2,945.00 | $2,945.00 | — | 45% above | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI ANY JOINT LOWER EXT WO CONTRAST MATERIAL | $2,945.00 | $2,945.00 | — | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI ANY JOINT LOWER EXT W WO CONTRAST MATERIAL | $2,945.00 | $2,945.00 | — | 10% below | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI ANY JOINT LOWER EXT W WO CONTRAST MATERIAL | $2,945.00 | $2,945.00 | — | — | — |
| MRI of the abdomen without contrast CPT 74181 HC MRCP WO CHOLANGIOPANCREATOGRAPHY | $2,945.00 | $2,945.00 | — | 70% above | — |
| MRI of the abdomen without contrast CPT 74181 HC MRI ABD WO CONTRAST MATERIAL | $2,945.00 | $2,945.00 | — | 70% above | — |
| MRI of the abdomen without contrast inpatient CPT 74181 HC MRCP WO CHOLANGIOPANCREATOGRAPHY | $2,945.00 | $2,945.00 | — | — | — |
| MRI of the abdomen without contrast inpatient CPT 74181 HC MRI ABD WO CONTRAST MATERIAL | $2,945.00 | $2,945.00 | — | — | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRCP WO W CHOLANGIOPANCREATOGRAPHY | $3,521.00 | $3,521.00 | — | 3% below | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI ABD W WO CONTRAST MATERIAL | $3,521.00 | $3,521.00 | — | 3% below | — |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI ABD W WO CONTRAST MATERIAL | $3,521.00 | $3,521.00 | — | — | — |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRCP WO W CHOLANGIOPANCREATOGRAPHY | $3,521.00 | $3,521.00 | — | — | — |
| MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN BRAIN STEM WO CONTRAST MATERIAL | $2,945.00 | $2,945.00 | — | 27% above | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN BRAIN STEM WO CONTRAST MATERIAL | $2,945.00 | $2,945.00 | — | — | — |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN BRAIN STEM W WO CONTRAST MATERIAL | $4,115.00 | $4,115.00 | — | 30% above | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN BRAIN STEM W WO CONTRAST MATERIAL | $4,115.00 | $4,115.00 | — | — | — |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI SPINAL CANAL LUMBAR WO CONTRAST MATERIAL | $2,945.00 | $2,945.00 | — | 34% above | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI SPINAL CANAL LUMBAR WO CONTRAST MATERIAL | $2,945.00 | $2,945.00 | — | — | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI SPINAL CANAL LUMBAR WO AND W CONTRAST MATERIAL | $3,231.00 | $3,231.00 | — | 2% above | — |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI SPINAL CANAL LUMBAR WO AND W CONTRAST MATERIAL | $3,231.00 | $3,231.00 | — | — | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI SPINAL CANAL THORACIC WO CONTRAST MATERIAL | $2,945.00 | $2,945.00 | — | 27% above | — |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI SPINAL CANAL THORACIC WO CONTRAST MATERIAL | $2,945.00 | $2,945.00 | — | — | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI SPINAL CANAL CERVICAL WO AND W CONTRAST MATERIAL | $3,707.00 | $3,707.00 | — | 14% above | — |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI SPINAL CANAL CERVICAL WO AND W CONTRAST MATERIAL | $3,707.00 | $3,707.00 | — | — | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI SPINAL CANAL CERVICAL WO CONTRAST MATERIAL | $2,945.00 | $2,945.00 | — | 11% above | — |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI SPINAL CANAL CERVICAL WO CONTRAST MATERIAL | $2,945.00 | $2,945.00 | — | — | — |
| MRI of the pelvis without and with contrast CPT 72197 HC MRI PELVIS W WO CONTRAST MATERIAL | $2,945.00 | $2,945.00 | — | 1% above | — |
| MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI PELVIS W WO CONTRAST MATERIAL | $2,945.00 | $2,945.00 | — | — | — |
| MRI of the pelvis, no contrast dye CPT 72195 HC MRI PELVIS WO CONTRAST MATERIAL | $2,945.00 | $2,945.00 | — | 38% above | — |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI PELVIS WO CONTRAST MATERIAL | $2,945.00 | $2,945.00 | — | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI ANY JOINT UPPER EXT WO CONTRAST MATERIAL | $2,945.00 | $2,945.00 | — | 48% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI ANY JOINT UPPER EXT WO CONTRAST MATERIAL | $2,945.00 | $2,945.00 | — | — | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC MYOCARDIAL SPECT MULTIPLE STUDIES | $4,696.00 | $4,696.00 | — | 13% above | — |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC MYOCARDIAL SPECT MULTIPLE STUDIES | $4,696.00 | $4,696.00 | — | — | — |
| OCT scan of the retina (optical coherence tomography) CPT 92134 HC OPHTHALMIC POSTERIOR SEG RETINA | $1,032.00 | $1,032.00 | — | 359% above | — |
| OCT scan of the retina (optical coherence tomography) inpatient CPT 92134 HC OPHTHALMIC POSTERIOR SEG RETINA | $1,032.00 | $1,032.00 | — | — | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC PET IMAGE CT ATTENUATION SKULL BASE MID THIGH | $11,975.00 | $11,975.00 | — | 109% above | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HC PET IMAGE CT ATTENUATION SKULL BASE MID THIGH | $11,975.00 | $11,975.00 | — | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US PELVIC NON OBSTETRIC IMAGE DCMTN LTD FU | $554.00 | $554.00 | — | 53% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US PELVIC NON OBSTETRIC IMAGE DCMTN LTD FU | $554.00 | $554.00 | — | — | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US PELVIC NON OBSTETRIC REAL TIME IMAGE COMPL | $980.00 | $980.00 | — | 53% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US PELVIC NON OBSTETRIC REAL TIME IMAGE COMPL | $980.00 | $980.00 | — | — | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US PREG UTERUS AFTER 1ST TRIMEST 1 1ST GESTATION | $950.00 | $950.00 | — | 60% above | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US PREG UTERUS AFTER 1ST TRIMEST 1 1ST GESTATION | $950.00 | $950.00 | — | — | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US PREG UTERUS 14 WK TRANSABD 1 1ST GESTATION | $645.00 | $645.00 | — | 21% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC US PREG UTERUS 14 WK TRANSABD 1 1ST GESTATION | $645.00 | $645.00 | — | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US PREG UTERUS LTD 1 OR MORE FETUSES | $581.00 | $581.00 | — | 37% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US PREG UTERUS LTD 1 OR MORE FETUSES | $581.00 | $581.00 | — | — | — |
| Screening mammogram, both breasts both sides CPT 77067 HC SCREENING MAMMOGRAPHY BI 2 VIEW BREAST INC CAD | $728.00 | $728.00 | — | — | — |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC SCREENING MAMMOGRAPHY BI 2 VIEW BREAST INC CAD | $728.00 | $728.00 | — | — | — |
| Shoulder X-ray, complete, 2 or more views CPT 73030 HC X RAY SHOULDER COMPL MIN 2 VIEWS | $330.00 | $330.00 | — | at median | — |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC X RAY SHOULDER COMPL MIN 2 VIEWS | $330.00 | $330.00 | — | — | — |
| Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNOGRAPHY W 4 PLUS PARAMETERS | $3,618.00 | $3,618.00 | — | 3% above | — |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOMNOGRAPHY W 4 PLUS PARAMETERS | $3,618.00 | $3,618.00 | — | — | — |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC ECHO TRANSTHOR W STRESS CONT MONIT WO CONT | $3,185.00 | $3,185.00 | — | 69% above | — |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HC ECHO TRANSTHOR W STRESS CONT MONIT WO CONT | $3,185.00 | $3,185.00 | — | — | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 HC X RAY SWALLOWING FUNC W CINERADIOGRAPHY VIDRADIOG | $758.00 | $758.00 | — | 27% above | — |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC X RAY SWALLOWING FUNC W CINERADIOGRAPHY VIDRADIOG | $758.00 | $758.00 | — | — | — |
| Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL | $740.00 | $740.00 | — | 52% above | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC US TRANSVAGINAL | $740.00 | $740.00 | — | — | — |
| Transvaginal ultrasound during pregnancy CPT 76817 HC US PREG UTERUS REAL TIME W IMAGE DCMTN TRANSVAG | $803.00 | $803.00 | — | 46% above | — |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC US PREG UTERUS REAL TIME W IMAGE DCMTN TRANSVAG | $803.00 | $803.00 | — | — | — |
| Ultrasound of the abdomen, complete CPT 76700 HC US ABDOMINAL REAL TIME W IMAGE DOCUMENTATION | $1,214.00 | $1,214.00 | — | 60% above | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US ABDOMINAL REAL TIME W IMAGE DOCUMENTATION | $1,214.00 | $1,214.00 | — | — | — |
| Ultrasound of the scrotum and testicles CPT 76870 HC US SCROTUM AND CONTENTS | $892.00 | $892.00 | — | 55% above | — |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 HC US SCROTUM AND CONTENTS | $892.00 | $892.00 | — | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US SOFT TISSUE HEAD AND NECK REAL TIME IMAGE DOC | $807.00 | $807.00 | — | 55% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US SOFT TISSUE HEAD AND NECK REAL TIME IMAGE DOC | $807.00 | $807.00 | — | — | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC X RAY GI TRACT UPPER W WO DELAYED FILMS WO KUB | $854.00 | $854.00 | — | 33% above | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC X RAY GI TRACT UPPER W WO DELAYED FILMS WO KUB | $854.00 | $854.00 | — | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC DUP SCAN EXT VEIN LTD | $686.00 | $686.00 | — | 17% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC DUP SCAN EXT VEIN LTD | $686.00 | $686.00 | — | — | — |
| Wrist X-ray, complete, 3 or more views CPT 73110 HC X RAY WRIST COMPL MIN 3 VIEWS | $351.00 | $351.00 | — | at median | — |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC X RAY WRIST COMPL MIN 3 VIEWS | $351.00 | $351.00 | — | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC RAD EXAM HIP UNILATERAL W PELVIS PRFRMD 2 TO 3 VIEWS | $223.00 | $223.00 | — | 20% below | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HC RAD EXAM HIP UNILATERAL W PELVIS PRFRMD 2 TO 3 VIEWS | $223.00 | $223.00 | — | — | — |
| X-ray of the abdomen, 1 view CPT 74018 HC RADIOLOGIC EXAM ABDOMEN 1 VIEW | $345.00 | $345.00 | — | 12% above | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 HC RADIOLOGIC EXAM ABDOMEN 1 VIEW | $345.00 | $345.00 | — | — | — |
| X-ray of the ankle, 2 views CPT 73600 HC X RAY ANKLE 2 VIEWS | $292.00 | $292.00 | — | 14% above | — |
| X-ray of the ankle, 2 views inpatient CPT 73600 HC X RAY ANKLE 2 VIEWS | $292.00 | $292.00 | — | — | — |
| X-ray of the finger(s), 2 or more views CPT 73140 HC X RAY FINGER MIN 2 VIEWS | $260.00 | $260.00 | — | 8% below | — |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC X RAY FINGER MIN 2 VIEWS | $260.00 | $260.00 | — | — | — |
| X-ray of the foot, 2 views CPT 73620 HC X RAY FOOT 2 VIEWS | $323.00 | $323.00 | — | 20% above | — |
| X-ray of the foot, 2 views inpatient CPT 73620 HC X RAY FOOT 2 VIEWS | $323.00 | $323.00 | — | — | — |
| X-ray of the foot, complete, 3 or more views CPT 73630 HC X RAY FOOT COMPL MIN 3 VIEWS | $333.00 | $333.00 | — | at median | — |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC X RAY FOOT COMPL MIN 3 VIEWS | $333.00 | $333.00 | — | — | — |
| X-ray of the hand, 3 or more views CPT 73130 HC X RAY HAND MIN 3 VIEWS | $326.00 | $326.00 | — | 4% above | — |
| X-ray of the hand, 3 or more views inpatient CPT 73130 HC X RAY HAND MIN 3 VIEWS | $326.00 | $326.00 | — | — | — |
| X-ray of the knee, 1 or 2 views CPT 73560 HC X RAY KNEE 1 OR 2 VIEWS | $305.00 | $305.00 | — | 4% below | — |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC X RAY KNEE 1 OR 2 VIEWS | $305.00 | $305.00 | — | — | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC X RAY SPINE LUMBOSACRAL 2 OR 3 VIEWS | $438.00 | $438.00 | — | 19% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC X RAY SPINE LUMBOSACRAL 2 OR 3 VIEWS | $438.00 | $438.00 | — | — | — |
| X-ray of the lower back, 4 or more views CPT 72110 HC X RAY SPINE LUMBOSACRAL MIN 4 VIEWS | $560.00 | $560.00 | — | 11% above | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC X RAY SPINE LUMBOSACRAL MIN 4 VIEWS | $560.00 | $560.00 | — | — | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC X RAY SPINE THORACIC 2 VIEWS | $409.00 | $409.00 | — | 13% above | — |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC X RAY SPINE THORACIC 2 VIEWS | $409.00 | $409.00 | — | — | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 HC X RAY NASAL BONES COMP MIN 3 VIEWS | $378.00 | $378.00 | — | 18% above | — |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC X RAY NASAL BONES COMP MIN 3 VIEWS | $378.00 | $378.00 | — | — | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC X RAY SPINE CERVICAL 2 OR 3 VIEWS | $378.00 | $378.00 | — | 12% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC X RAY SPINE CERVICAL 2 OR 3 VIEWS | $378.00 | $378.00 | — | — | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HC X RAY PELVIS 1 OR 2 VIEWS | $275.00 | $275.00 | — | 6% below | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC X RAY PELVIS 1 OR 2 VIEWS | $275.00 | $275.00 | — | — | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC X RAY SACRUM COCCYX MIN 2 VIEWS | $324.00 | $324.00 | — | at median | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC X RAY SACRUM COCCYX MIN 2 VIEWS | $324.00 | $324.00 | — | — | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Massachusetts | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 CHG TRANSFERASE ALANINE AMINO ALT SGPT | $75.00 | $75.00 | — | 63% above | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 CHG TRANSFERASE ALANINE AMINO ALT SGPT | $75.00 | $75.00 | — | — | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 CHG TRANSFERASE ASPARTATE AMINO AST SGOT | $75.00 | $75.00 | — | 79% above | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 CHG TRANSFERASE ASPARTATE AMINO AST SGOT | $75.00 | $75.00 | — | — | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 CHG ACUTE HEPATITIS PANEL | $231.00 | $231.00 | — | 26% above | — |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 CHG ACUTE HEPATITIS PANEL | $231.00 | $231.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CHG ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH | $72.00 | $72.00 | — | 60% above | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHG ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH | $72.00 | $72.00 | — | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CHG CYCLIC CITRULLINATED PEPTIDE ANTIBODY | $84.00 | $84.00 | — | 67% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CHG CYCLIC CITRULLINATED PEPTIDE ANTIBODY | $84.00 | $84.00 | — | — | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 CHG ANTINUCLEAR ANTIBODIES ANA | $78.00 | $78.00 | — | 22% above | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 CHG ANTINUCLEAR ANTIBODIES ANA | $78.00 | $78.00 | — | — | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 CHG NATRIURETIC PEPTIDE | $220.00 | $220.00 | — | 6% above | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 CHG NATRIURETIC PEPTIDE | $220.00 | $220.00 | — | — | — |
| Basic metabolic panel (blood test) CPT 80048 CHG BASIC METABOLIC PANEL CALCIUM TOTAL | $61.00 | $61.00 | — | 18% below | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 CHG BASIC METABOLIC PANEL CALCIUM TOTAL | $61.00 | $61.00 | — | — | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC TISSUE COMPLICATED LEVEL IV | $356.00 | $356.00 | — | 92% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 CHG LEVEL IV SURG PATHOLOGY GROSS&MICROSCOPIC EXAM | $356.00 | $356.00 | — | 92% above | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC TISSUE COMPLICATED LEVEL IV | $356.00 | $356.00 | — | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 CHG LEVEL IV SURG PATHOLOGY GROSS&MICROSCOPIC EXAM | $356.00 | $356.00 | — | — | — |
| Blood culture for bacteria CPT 87040 CHG CULTURE BACTERIAL BLOOD AEROBIC W/ID ISOLATES | $116.00 | $116.00 | — | 30% above | — |
| Blood culture for bacteria inpatient CPT 87040 CHG CULTURE BACTERIAL BLOOD AEROBIC W/ID ISOLATES | $116.00 | $116.00 | — | — | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC COURTESY COLLECT OF VENOUS BLOOD VENIPUNCTURE | $16.00 | $16.00 | — | at median | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC FERTILITY COLLECT OF VENOUS BLOOD VENIPUNCTURE | $16.00 | $16.00 | — | at median | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC COLLECT OF VENOUS BLOOD VENIPUNCTURE | $16.00 | $16.00 | — | at median | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC FERTILITY COLLECT OF VENOUS BLOOD VENIPUNCTURE | $16.00 | $16.00 | — | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC COLLECT OF VENOUS BLOOD VENIPUNCTURE | $16.00 | $16.00 | — | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC COURTESY COLLECT OF VENOUS BLOOD VENIPUNCTURE | $16.00 | $16.00 | — | — | — |
| Blood glucose (sugar) test CPT 82947 CHG GLUCOSE QUANTITATIVE BLOOD XCPT REAGENT STRIP | $75.00 | $75.00 | — | 121% above | — |
| Blood glucose (sugar) test inpatient CPT 82947 CHG GLUCOSE QUANTITATIVE BLOOD XCPT REAGENT STRIP | $75.00 | $75.00 | — | — | — |
| Blood lead test CPT 83655 CHG ASSAY OF LEAD | $81.00 | $81.00 | — | 12% above | — |
| Blood lead test inpatient CPT 83655 CHG ASSAY OF LEAD | $81.00 | $81.00 | — | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 CHG BLOOD TYPING SEROLOGIC ABO | $189.00 | $189.00 | — | 5% below | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 CHG BLOOD TYPING SEROLOGIC ABO | $189.00 | $189.00 | — | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CHG C-REACTIVE PROTEIN | $72.00 | $72.00 | — | 57% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CHG C-REACTIVE PROTEIN | $72.00 | $72.00 | — | — | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 CHG INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE | $264.00 | $264.00 | — | 25% above | — |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 CHG INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE | $264.00 | $264.00 | — | — | — |
| CA 19-9 blood test (tumor marker) CPT 86301 CHG IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 19-9 | $131.00 | $131.00 | — | 23% above | — |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 CHG IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 19-9 | $131.00 | $131.00 | — | — | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CHG IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 125 | $131.00 | $131.00 | — | 14% above | — |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CHG IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 125 | $131.00 | $131.00 | — | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 CHG IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ | $264.00 | $264.00 | — | 57% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 CHG IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ | $264.00 | $264.00 | — | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHG IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ | $264.00 | $264.00 | — | 40% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHG IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ | $264.00 | $264.00 | — | — | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 CHG LIPID PANEL | $73.00 | $73.00 | — | at median | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 CHG LIPID PANEL | $73.00 | $73.00 | — | — | — |
| Complete blood count (CBC) with differential CPT 85025 CHG BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC | $58.00 | $58.00 | — | 4% above | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 CHG BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC | $58.00 | $58.00 | — | — | — |
| Complete blood count (CBC), no differential CPT 85027 CHG BLOOD COUNT COMPLETE AUTOMATED | $58.00 | $58.00 | — | 29% above | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 CHG BLOOD COUNT COMPLETE AUTOMATED | $58.00 | $58.00 | — | — | — |
| Comprehensive metabolic panel (blood test) CPT 80053 CHG COMPREHENSIVE METABOLIC PANEL | $127.00 | $127.00 | — | 30% above | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 CHG COMPREHENSIVE METABOLIC PANEL | $127.00 | $127.00 | — | — | — |
| D-dimer blood test (blood clot marker) CPT 85379 CHG FIBRIN DGRADJ PRODUCTS D-DIMER QUANTITATIVE | $58.00 | $58.00 | — | 10% below | — |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 CHG FIBRIN DGRADJ PRODUCTS D-DIMER QUANTITATIVE | $58.00 | $58.00 | — | — | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 CHG DEHYDROEPIANDROSTERONE-SULFATE | $148.00 | $148.00 | — | 11% above | — |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 CHG DEHYDROEPIANDROSTERONE-SULFATE | $148.00 | $148.00 | — | — | — |
| Estradiol blood test CPT 82670 CHG ASSAY OF TOTAL ESTRADIOL | $181.00 | $181.00 | — | 4% below | — |
| Estradiol blood test inpatient CPT 82670 CHG ASSAY OF TOTAL ESTRADIOL | $181.00 | $181.00 | — | — | — |
| FSH (follicle-stimulating hormone) test CPT 83001 CHG GONADOTROPIN FOLLICLE STIMULATING HORMONE | $122.00 | $122.00 | — | 2% below | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 CHG GONADOTROPIN FOLLICLE STIMULATING HORMONE | $122.00 | $122.00 | — | — | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 CHG ASSAY OF CALPROTECTIN FECAL | $126.00 | $126.00 | — | 2% below | — |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CHG ASSAY OF CALPROTECTIN FECAL | $126.00 | $126.00 | — | — | — |
| Ferritin blood test (iron stores) CPT 82728 CHG ASSAY OF FERRITIN | $91.00 | $91.00 | — | 1% below | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 CHG ASSAY OF FERRITIN | $91.00 | $91.00 | — | — | — |
| Folate (folic acid) blood test CPT 82746 CHG ASSAY OF FOLIC ACID SERUM | $99.00 | $99.00 | — | at median | — |
| Folate (folic acid) blood test inpatient CPT 82746 CHG ASSAY OF FOLIC ACID SERUM | $99.00 | $99.00 | — | — | — |
| Free T3 thyroid hormone test CPT 84481 CHG ASSAY OF TRIIODOTHYRONINE T3 FREE | $114.00 | $114.00 | — | at median | — |
| Free T3 thyroid hormone test inpatient CPT 84481 CHG ASSAY OF TRIIODOTHYRONINE T3 FREE | $114.00 | $114.00 | — | — | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 CHG ASSAY OF FREE THYROXINE | $75.00 | $75.00 | — | at median | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 CHG ASSAY OF FREE THYROXINE | $75.00 | $75.00 | — | — | — |
| Free testosterone test CPT 84402 CHG ASSAY OF TESTOSTERONE FREE | $182.00 | $182.00 | — | 62% above | — |
| Free testosterone test inpatient CPT 84402 CHG ASSAY OF TESTOSTERONE FREE | $182.00 | $182.00 | — | — | — |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 CHG GENERAL HEALTH PANEL | $269.00 | $269.00 | — | 40% above | — |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 CHG GENERAL HEALTH PANEL | $269.00 | $269.00 | — | — | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 CHG GLUCOSE POST GLUCOSE DOSE | $75.00 | $75.00 | — | 83% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 CHG GLUCOSE POST GLUCOSE DOSE | $75.00 | $75.00 | — | — | — |
| Glucose tolerance test, 3 samples CPT 82951 CHG GLUCOSE TOLERANCE TEST GTT 3 SPECIMENS | $98.00 | $98.00 | — | 72% above | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 CHG GLUCOSE TOLERANCE TEST GTT 3 SPECIMENS | $98.00 | $98.00 | — | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 CHG IADNA NEISSERIA GONORRHOEAE AMPLIFIED PROBE TQ | $264.00 | $264.00 | — | 40% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 CHG IADNA NEISSERIA GONORRHOEAE AMPLIFIED PROBE TQ | $264.00 | $264.00 | — | — | — |
| H. pylori antibody blood test CPT 86677 CHG ANTIBODY HELICOBACTER PYLORI | $94.00 | $94.00 | — | at median | — |
| H. pylori antibody blood test inpatient CPT 86677 CHG ANTIBODY HELICOBACTER PYLORI | $94.00 | $94.00 | — | — | — |
| H. pylori stool antigen test CPT 87338 CHG IAAD IA HPYLORI STOOL | $164.00 | $164.00 | — | 58% above | — |
| H. pylori stool antigen test inpatient CPT 87338 CHG IAAD IA HPYLORI STOOL | $164.00 | $164.00 | — | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 CHG IADNA HIV-1 QUANT & REVERSE TRANSCRIPTION | $719.00 | $719.00 | — | 87% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 CHG IADNA HIV-1 QUANT & REVERSE TRANSCRIPTION | $719.00 | $719.00 | — | — | — |
| HIV-1 and HIV-2 antibody test CPT 86703 CHG ANTIBODY HIV-1&HIV-2 SINGLE RESULT | $72.00 | $72.00 | — | 4% above | — |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 CHG ANTIBODY HIV-1&HIV-2 SINGLE RESULT | $72.00 | $72.00 | — | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 CHG IAAD IA HIV-1 AG W/HIV-1 & HIV-2 ANTBDY SINGLE | $223.00 | $223.00 | — | 97% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 CHG IAAD IA HIV-1 AG W/HIV-1 & HIV-2 ANTBDY SINGLE | $223.00 | $223.00 | — | — | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 CHG IADNA HUMAN PAPILLOMAVIRUS HI-RSK TYP POOLD RSLT | $258.00 | $258.00 | — | 90% above | — |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 CHG IADNA HUMAN PAPILLOMAVIRUS HI-RSK TYP POOLD RSLT | $258.00 | $258.00 | — | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 CHG HEMOGLOBIN GLYCOSYLATED A1C | $75.00 | $75.00 | — | 9% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 CHG HEMOGLOBIN GLYCOSYLATED A1C | $75.00 | $75.00 | — | — | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 CHG HEPATITIS B SURF ANTIBODY HBSAB | $72.00 | $72.00 | — | at median | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 CHG HEPATITIS B SURF ANTIBODY HBSAB | $72.00 | $72.00 | — | — | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 CHG IAAD IA HEPATITIS B SURFACE ANTIGEN | $116.00 | $116.00 | — | 25% above | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 CHG IAAD IA HEPATITIS B SURFACE ANTIGEN | $116.00 | $116.00 | — | — | — |
| Hepatitis C antibody blood test (screening) CPT 86803 CHG HEPATITIS C ANTIBODY | $72.00 | $72.00 | — | 37% below | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 CHG HEPATITIS C ANTIBODY | $72.00 | $72.00 | — | — | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 CHG IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION | $433.00 | $433.00 | — | 135% above | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 CHG IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION | $433.00 | $433.00 | — | — | — |
| Herpes blood test, HSV-1 antibody CPT 86695 CHG ANTIBODY HERPES SMPLX TYPE 1 | $85.00 | $85.00 | — | 38% above | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 CHG ANTIBODY HERPES SMPLX TYPE 1 | $85.00 | $85.00 | — | — | — |
| Herpes blood test, HSV-2 antibody CPT 86696 CHG ANTIBODY HERPES SMPLX TYPE 2 | $121.00 | $121.00 | — | 66% above | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 CHG ANTIBODY HERPES SMPLX TYPE 2 | $121.00 | $121.00 | — | — | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 CHG C-REACTIVE PROTEIN HIGH SENSITIVITY | $84.00 | $84.00 | — | 22% above | — |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CHG C-REACTIVE PROTEIN HIGH SENSITIVITY | $84.00 | $84.00 | — | — | — |
| Homocysteine blood test CPT 83090 CHG ASSAY OF HOMOCYSTEINE | $113.00 | $113.00 | — | 16% below | — |
| Homocysteine blood test inpatient CPT 83090 CHG ASSAY OF HOMOCYSTEINE | $113.00 | $113.00 | — | — | — |
| Insulin blood test CPT 83525 CHG ASSAY OF INSULIN TOTAL | $75.00 | $75.00 | — | at median | — |
| Insulin blood test inpatient CPT 83525 CHG ASSAY OF INSULIN TOTAL | $75.00 | $75.00 | — | — | — |
| Iron blood test (serum iron) CPT 83540 CHG ASSAY OF IRON | $75.00 | $75.00 | — | 121% above | — |
| Iron blood test (serum iron) CPT 83540 HC ASSAY OF IRON | $75.00 | $75.00 | — | 121% above | — |
| Iron blood test (serum iron) inpatient CPT 83540 HC ASSAY OF IRON | $75.00 | $75.00 | — | — | — |
| Iron blood test (serum iron) inpatient CPT 83540 CHG ASSAY OF IRON | $75.00 | $75.00 | — | — | — |
| Iron-binding capacity (TIBC) test CPT 83550 CHG IRON BINDING CAPACITY | $75.00 | $75.00 | — | 97% above | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 CHG IRON BINDING CAPACITY | $75.00 | $75.00 | — | — | — |
| Kidney function blood test panel CPT 80069 CHG RENAL FUNCTION PANEL | $70.00 | $70.00 | — | 10% below | — |
| Kidney function blood test panel inpatient CPT 80069 CHG RENAL FUNCTION PANEL | $70.00 | $70.00 | — | — | — |
| LH (luteinizing hormone) test CPT 83002 CHG GONADOTROPIN LUTEINIZING HORMONE | $122.00 | $122.00 | — | at median | — |
| LH (luteinizing hormone) test inpatient CPT 83002 CHG GONADOTROPIN LUTEINIZING HORMONE | $122.00 | $122.00 | — | — | — |
| Lipase blood test (pancreas enzyme) CPT 83690 CHG ASSAY OF LIPASE | $87.00 | $87.00 | — | 85% above | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 CHG ASSAY OF LIPASE | $87.00 | $87.00 | — | — | — |
| Liver function blood test panel CPT 80076 CHG HEPATIC FUNCTION PANEL | $61.00 | $61.00 | — | 28% below | — |
| Liver function blood test panel inpatient CPT 80076 CHG HEPATIC FUNCTION PANEL | $61.00 | $61.00 | — | — | — |
| Lyme disease antibody test CPT 86618 CHG ANTIBODY BORRELIA BURGDORFERI LYME DISEASE | $91.00 | $91.00 | — | 4% below | — |
| Lyme disease antibody test inpatient CPT 86618 CHG ANTIBODY BORRELIA BURGDORFERI LYME DISEASE | $91.00 | $91.00 | — | — | — |
| Magnesium blood test CPT 83735 CHG ASSAY OF MAGNESIUM | $75.00 | $75.00 | — | 67% above | — |
| Magnesium blood test inpatient CPT 83735 CHG ASSAY OF MAGNESIUM | $75.00 | $75.00 | — | — | — |
| Measles (rubeola) antibody test CPT 86765 CHG ANTIBODY RUBEOLA | $84.00 | $84.00 | — | 5% above | — |
| Measles (rubeola) antibody test inpatient CPT 86765 CHG ANTIBODY RUBEOLA | $84.00 | $84.00 | — | — | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 CHG HETEROPHILE ANTIBODIES SCREEN | $72.00 | $72.00 | — | 49% above | — |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 CHG HETEROPHILE ANTIBODIES SCREEN | $72.00 | $72.00 | — | — | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 CHG ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE | $121.00 | $121.00 | — | 9% above | — |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 CHG ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE | $121.00 | $121.00 | — | — | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 CHG ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL | $121.00 | $121.00 | — | 9% above | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 CHG ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL | $121.00 | $121.00 | — | — | — |
| Pap test (liquid-based, automated screening with review) CPT 88175 CHG CYTP C/V AUTO THIN LYR PREPJ SCR MNL RESCR PHYS | $179.00 | $179.00 | — | 55% above | — |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 CHG CYTP C/V AUTO THIN LYR PREPJ SCR MNL RESCR PHYS | $179.00 | $179.00 | — | — | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CHG CYTP CERV/VAG AUTO THIN LAYER PREP MNL SCREEN | $173.00 | $173.00 | — | 71% above | — |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CHG CYTP CERV/VAG AUTO THIN LAYER PREP MNL SCREEN | $173.00 | $173.00 | — | — | — |
| Parathyroid hormone (PTH) blood test CPT 83970 CHG ASSAY OF PARATHORMONE | $268.00 | $268.00 | — | 24% above | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 CHG ASSAY OF PARATHORMONE | $268.00 | $268.00 | — | — | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 CHG THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD | $58.00 | $58.00 | — | 99% above | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 CHG THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD | $58.00 | $58.00 | — | — | — |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 CHG FETAL CHROMOSOMAL ANEUPLOIDY GENOMIC SEQ ANALYS | $2,753.00 | $2,753.00 | — | 7% above | — |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 CHG FETAL CHROMOSOMAL ANEUPLOIDY GENOMIC SEQ ANALYS | $2,753.00 | $2,753.00 | — | — | — |
| Progesterone blood test CPT 84144 CHG ASSAY OF PROGESTERONE | $137.00 | $137.00 | — | 3% below | — |
| Progesterone blood test inpatient CPT 84144 CHG ASSAY OF PROGESTERONE | $137.00 | $137.00 | — | — | — |
| Prolactin blood test CPT 84146 CHG ASSAY OF PROLACTIN | $126.00 | $126.00 | — | 24% above | — |
| Prolactin blood test inpatient CPT 84146 CHG ASSAY OF PROLACTIN | $126.00 | $126.00 | — | — | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 CHG PROTHROMBIN TIME | $58.00 | $58.00 | — | 152% above | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 CHG PROTHROMBIN TIME | $58.00 | $58.00 | — | — | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 CHG DRUG TEST PRSMV READ DIRECT OPTICAL OBS PR DATE | $213.00 | $213.00 | — | 432% above | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 CHG DRUG TEST PRSMV READ DIRECT OPTICAL OBS PR DATE | $213.00 | $213.00 | — | — | — |
| Rapid flu test (influenza antigen) CPT 87804 CHG IAADIADOO INFLUENZA | $116.00 | $116.00 | — | 127% above | — |
| Rapid flu test (influenza antigen) inpatient CPT 87804 CHG IAADIADOO INFLUENZA | $116.00 | $116.00 | — | — | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 CHG IAADIADOO STREPTOCOCCUS GROUP A | $116.00 | $116.00 | — | 80% above | — |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 CHG IAADIADOO STREPTOCOCCUS GROUP A | $116.00 | $116.00 | — | — | — |
| Rheumatoid factor (RF) test CPT 86431 CHG RHEUMATOID FACTOR QUANTITATIVE | $72.00 | $72.00 | — | 109% above | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 CHG RHEUMATOID FACTOR QUANTITATIVE | $72.00 | $72.00 | — | — | — |
| Rubella antibody test (immunity check) CPT 86762 CHG ANTIBODY RUBELLA | $105.00 | $105.00 | — | 21% above | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 CHG ANTIBODY RUBELLA | $105.00 | $105.00 | — | — | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 CHG SEDIMENTATION RATE RBC AUTOMATED | $58.00 | $58.00 | — | 231% above | — |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 CHG SEDIMENTATION RATE RBC AUTOMATED | $58.00 | $58.00 | — | — | — |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 CHG SEMEN ANALYSIS VOLUME COUNT MOTILITY DIFFERENT | $166.00 | $166.00 | — | 55% above | — |
| Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 CHG SEMEN ANALYSIS VOLUME COUNT MOTILITY DIFFERENT | $166.00 | $166.00 | — | — | — |
| Stool ova and parasites exam CPT 87177 CHG OVA&PARASITES DIRECT SMEARS CONCENTRATION & ID | $116.00 | $116.00 | — | 97% above | — |
| Stool ova and parasites exam inpatient CPT 87177 CHG OVA&PARASITES DIRECT SMEARS CONCENTRATION & ID | $116.00 | $116.00 | — | — | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 CHG BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1 DETER | $75.00 | $75.00 | — | 350% above | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 CHG BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1 DETER | $75.00 | $75.00 | — | — | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 CHG BLOOD OCCULT FECAL HGB DETER IA QUAL FECES 1-3 | $99.00 | $99.00 | — | 43% above | — |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 CHG BLOOD OCCULT FECAL HGB DETER IA QUAL FECES 1-3 | $99.00 | $99.00 | — | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 CHG SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL | $72.00 | $72.00 | — | 201% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 CHG SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL | $72.00 | $72.00 | — | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 CHG TB CELL MEDIATED ANTIGN RESPNSE GAMMA INTERFERON | $387.00 | $387.00 | — | 60% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 CHG TB CELL MEDIATED ANTIGN RESPNSE GAMMA INTERFERON | $387.00 | $387.00 | — | — | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 CHG ASSAY OF TESTOSTERONE TOTAL | $170.00 | $170.00 | — | 18% below | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 CHG ASSAY OF TESTOSTERONE TOTAL | $170.00 | $170.00 | — | — | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 CHG MICROSOMAL ANTIBODIES EACH | $94.00 | $94.00 | — | 42% above | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 CHG MICROSOMAL ANTIBODIES EACH | $94.00 | $94.00 | — | — | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 CHG ASSAY OF THYROID STIMULATING HORMONE TSH | $113.00 | $113.00 | — | 43% above | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 CHG ASSAY OF THYROID STIMULATING HORMONE TSH | $113.00 | $113.00 | — | — | — |
| Trichomonas test (NAAT) CPT 87661 CHG IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH | $258.00 | $258.00 | — | 117% above | — |
| Trichomonas test (NAAT) inpatient CPT 87661 CHG IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH | $258.00 | $258.00 | — | — | — |
| Uric acid blood test CPT 84550 CHG ASSAY OF BLOOD/URIC ACID | $75.00 | $75.00 | — | 97% above | — |
| Uric acid blood test inpatient CPT 84550 CHG ASSAY OF BLOOD/URIC ACID | $75.00 | $75.00 | — | — | — |
| Urinalysis with microscope exam, automated CPT 81001 CHG URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY | $58.00 | $58.00 | — | 66% above | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 CHG URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY | $58.00 | $58.00 | — | — | — |
| Urinalysis with microscope exam, manual CPT 81000 CHG URINLS DIP STICK/TABLET REAGNT NON-AUTO MICRSCPY | $58.00 | $58.00 | — | 282% above | — |
| Urinalysis with microscope exam, manual inpatient CPT 81000 CHG URINLS DIP STICK/TABLET REAGNT NON-AUTO MICRSCPY | $58.00 | $58.00 | — | — | — |
| Urinalysis without microscope exam, automated CPT 81003 CHG URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY | $58.00 | $58.00 | — | 152% above | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 CHG URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY | $58.00 | $58.00 | — | — | — |
| Urinalysis without microscope exam, manual CPT 81002 CHG URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP | $58.00 | $58.00 | — | 151% above | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 CHG URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP | $58.00 | $58.00 | — | — | — |
| Urine culture for bacteria, with colony count CPT 87086 CHG CULTURE BACTERIAL QUANTTATIVE COLONY COUNT URINE | $116.00 | $116.00 | — | 115% above | — |
| Urine culture for bacteria, with colony count inpatient CPT 87086 CHG CULTURE BACTERIAL QUANTTATIVE COLONY COUNT URINE | $116.00 | $116.00 | — | — | — |
| Urine pregnancy test, read by color change CPT 81025 CHG URINE PREGNANCY TEST VISUAL COLOR CMPRSN METHS | $58.00 | $58.00 | — | 85% above | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 CHG URINE PREGNANCY TEST VISUAL COLOR CMPRSN METHS | $58.00 | $58.00 | — | — | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 CHG CYANOCOBALAMIN VITAMIN B-12 | $101.00 | $101.00 | — | 9% above | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 CHG CYANOCOBALAMIN VITAMIN B-12 | $101.00 | $101.00 | — | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 CHG 25 HYDROXY INCLUDES FRACTIONS IF PERFORMED | $194.00 | $194.00 | — | 18% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 CHG 25 HYDROXY INCLUDES FRACTIONS IF PERFORMED | $194.00 | $194.00 | — | — | — |
| Zinc blood test CPT 84630 CHG ASSAY OF ZINC | $75.00 | $75.00 | — | 15% below | — |
| Zinc blood test inpatient CPT 84630 CHG ASSAY OF ZINC | $75.00 | $75.00 | — | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 CHG GONADOTROPIN CHORIONIC QUANTITATIVE | $101.00 | $101.00 | — | at median | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 CHG GONADOTROPIN CHORIONIC QUANTITATIVE | $101.00 | $101.00 | — | — | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Massachusetts | Off list |
|---|---|---|---|---|---|
| Balloon dilation of the maxillary sinus opening, one side CPT 31295 HC NASAL/SINUS ENDOSCOPY,W/DILAT MAXILLARY SINUS OSTIUM | $8,403.00 | $8,403.00 | — | at median | — |
| Balloon dilation of the maxillary sinus opening, one side inpatient CPT 31295 HC NASAL/SINUS ENDOSCOPY,W/DILAT MAXILLARY SINUS OSTIUM | $8,403.00 | $8,403.00 | — | — | — |
| Botox injections for chronic migraine both sides CPT 64615 HC CHEM DENERV FACIAL TRIGEM CERV SPINAL AND NERVES BI | $650.00 | $650.00 | — | — | — |
| Botox injections for chronic migraine inpatient both sides CPT 64615 HC CHEM DENERV FACIAL TRIGEM CERV SPINAL AND NERVES BI | $650.00 | $650.00 | — | — | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC BIOPSY BREAST W DEVICE 1ST LESION STEREOTACTIC GUIDE | $2,167.00 | $2,167.00 | — | 9% below | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HC BIOPSY BREAST W DEVICE 1ST LESION STEREOTACTIC GUIDE | $2,167.00 | $2,167.00 | — | — | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC CLOSED TREAT DISTAL FIBULAR FRACTURE LAT MALLS WO MANIP | $1,950.00 | $1,950.00 | — | 57% above | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HC CLOSED TREAT DISTAL FIBULAR FRACTURE LAT MALLS WO MANIP | $1,950.00 | $1,950.00 | — | — | — |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC CLOSED TREAT METATARSAL FRACTURE WO MANIP | $1,225.00 | $1,225.00 | — | 73% above | — |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 HC CLOSED TREAT METATARSAL FRACTURE WO MANIP | $1,225.00 | $1,225.00 | — | — | — |
| Cardiac catheterization with coronary angiogram one side CPT 93458 HC CATH PLACEMENT LT HEART ARTS W INJ AND ANGIO IMAGE | $9,503.00 | $9,503.00 | — | 5% above | — |
| Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 HC CATH PLACEMENT LT HEART ARTS W INJ AND ANGIO IMAGE | $9,503.00 | $9,503.00 | — | — | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL | $1,820.00 | $1,820.00 | — | 27% above | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL | $1,820.00 | $1,820.00 | — | — | — |
| Catheter ablation for atrial fibrillation CPT 93656 HC COMP ELECTROPHYSIOLOGIC EVAL | $40,117.00 | $40,117.00 | — | 21% below | — |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 HC COMP ELECTROPHYSIOLOGIC EVAL | $40,117.00 | $40,117.00 | — | — | — |
| Cervical biopsy CPT 57500 HC BIOPSY CERVIX SINGLE MULT EXCIS OF LESIONS SEP PROC | $1,950.00 | $1,950.00 | — | 28% above | — |
| Cervical biopsy inpatient CPT 57500 HC BIOPSY CERVIX SINGLE MULT EXCIS OF LESIONS SEP PROC | $1,950.00 | $1,950.00 | — | — | — |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 HC CIRCUMCISION NOT BY CLAMP OR SLIT MORE THAN 28 DAYS | $6,159.00 | $6,159.00 | — | 10% above | — |
| Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 HC CIRCUMCISION NOT BY CLAMP OR SLIT MORE THAN 28 DAYS | $6,159.00 | $6,159.00 | — | — | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC CIRCUMCISION W CLAMP OR OTH DEV W BLOCK | $3,844.00 | $3,844.00 | — | 43% above | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC CIRCUMCISION W CLAMP OR OTH DEV W BLOCK | $3,844.00 | $3,844.00 | — | — | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC CLOSED TREAT DISTAL RADIAL FRACTURE EPIPHYSL SEP WO MANIP | $1,453.00 | $1,453.00 | — | 93% above | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC CLOSED TREAT DISTAL RADIAL FRACTURE EPIPHYSL SEP WO MANIP | $1,453.00 | $1,453.00 | — | — | — |
| Colonoscopy with endoscopic ultrasound CPT 45391 HC COLONOSCOPY FLEX W ENDO US LMTD RTM SIGM DC TC AC CECUM | $4,044.00 | $4,044.00 | — | 26% above | — |
| Colonoscopy with endoscopic ultrasound inpatient CPT 45391 HC COLONOSCOPY FLEX W ENDO US LMTD RTM SIGM DC TC AC CECUM | $4,044.00 | $4,044.00 | — | — | — |
| Colonoscopy with polyp removal CPT 45385 HC COLONOSCOPY FLEX W RMVL TMR POLYP LES SNARE TECH | $4,044.00 | $4,044.00 | — | 43% above | — |
| Colonoscopy with polyp removal inpatient CPT 45385 HC COLONOSCOPY FLEX W RMVL TMR POLYP LES SNARE TECH | $4,044.00 | $4,044.00 | — | — | — |
| Colonoscopy with tissue sample CPT 45380 HC COLONOSCOPY FLEX W BX SGL OR MULT | $2,868.00 | $2,868.00 | — | 5% above | — |
| Colonoscopy with tissue sample inpatient CPT 45380 HC COLONOSCOPY FLEX W BX SGL OR MULT | $2,868.00 | $2,868.00 | — | — | — |
| Colonoscopy, diagnostic CPT 45378 HC COLONOSCOPY FLEX DX W SPEC COLL WHEN PFRMD | $2,868.00 | $2,868.00 | — | 26% above | — |
| Colonoscopy, diagnostic inpatient CPT 45378 HC COLONOSCOPY FLEX DX W SPEC COLL WHEN PFRMD | $2,868.00 | $2,868.00 | — | — | — |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 HC COLPOSCOPY CERVIX UPPER OR ADJ VAG LOOP ELTRD BIOPSY CERV | $3,821.00 | $3,821.00 | — | 42% above | — |
| Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 HC COLPOSCOPY CERVIX UPPER OR ADJ VAG LOOP ELTRD BIOPSY CERV | $3,821.00 | $3,821.00 | — | — | — |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 HC COLPOSCOPY INC VAG W BIOPSY OF CERVIX AND ENDOCERVICAL | $978.00 | $978.00 | — | 19% below | — |
| Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 HC COLPOSCOPY INC VAG W BIOPSY OF CERVIX AND ENDOCERVICAL | $978.00 | $978.00 | — | — | — |
| Coronary stent placement, one artery CPT 92928 HC PERC TRANSCATH PLACE INTRACORONARY STENT SINGLE ARTERY | $24,894.00 | $24,894.00 | — | 20% above | — |
| Coronary stent placement, one artery inpatient CPT 92928 HC PERC TRANSCATH PLACE INTRACORONARY STENT SINGLE ARTERY | $24,894.00 | $24,894.00 | — | — | — |
| Cystoscopy with ureteral stent placement CPT 52332 HC CYSTO W INSERT URETERAL STENT | $5,539.00 | $5,539.00 | — | 21% below | — |
| Cystoscopy with ureteral stent placement inpatient CPT 52332 HC CYSTO W INSERT URETERAL STENT | $5,539.00 | $5,539.00 | — | — | — |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC CYSTOURETHROSCOPY | $2,172.00 | $2,172.00 | — | at median | — |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HC CYSTOURETHROSCOPY | $2,172.00 | $2,172.00 | — | — | — |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 HC DILATION/CURETTAGE,DIAGNOSTIC | $3,821.00 | $3,821.00 | — | 35% above | — |
| D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 HC DILATION/CURETTAGE,DIAGNOSTIC | $3,821.00 | $3,821.00 | — | — | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC DESTR PREMAL LESION 1ST | $459.00 | $459.00 | — | 68% above | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 HC DESTR PREMAL LESION 1ST | $459.00 | $459.00 | — | — | — |
| Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 HC TYMPANOSTOMY LOCAL TOPICAL ANES | $1,950.00 | $1,950.00 | — | 15% above | — |
| Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 HC TYMPANOSTOMY LOCAL TOPICAL ANES | $1,950.00 | $1,950.00 | — | — | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 HC REM IMPACTED CERUMEN IRREGATION OR LEVAGE UNI | $171.00 | $171.00 | — | 20% below | — |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HC REM IMPACTED CERUMEN IRREGATION OR LEVAGE UNI | $171.00 | $171.00 | — | — | — |
| Earwax removal with instruments, one ear CPT 69210 HC REM IMPACTED CERUMEN INSTRUMENTATION UNI | $459.00 | $459.00 | — | 79% above | — |
| Earwax removal with instruments, one ear inpatient CPT 69210 HC REM IMPACTED CERUMEN INSTRUMENTATION UNI | $459.00 | $459.00 | — | — | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC ENDOMETRIAL BIOPSY W WO ENDOCERV BIOPSY WO DILAT SEP PROC | $714.00 | $714.00 | — | 32% above | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 HC ENDOMETRIAL BIOPSY W WO ENDOCERV BIOPSY WO DILAT SEP PROC | $714.00 | $714.00 | — | — | — |
| Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 HC NASAL/SINUS ENDOSCOPY,REMV TOTL ETHMOID | $8,515.00 | $8,515.00 | — | 60% below | — |
| Endoscopic sinus surgery: full ethmoid sinus opening inpatient CPT 31255 HC NASAL/SINUS ENDOSCOPY,REMV TOTL ETHMOID | $8,515.00 | $8,515.00 | — | — | — |
| Endoscopic sinus surgery: opening the frontal sinus CPT 31276 HC NASAL/SINUS ENDOSCOPY,EXPLOR FRONTAL SINUS | $8,403.00 | $8,403.00 | — | 41% below | — |
| Endoscopic sinus surgery: opening the frontal sinus inpatient CPT 31276 HC NASAL/SINUS ENDOSCOPY,EXPLOR FRONTAL SINUS | $8,403.00 | $8,403.00 | — | — | — |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 HC NASAL/SINUS ENDOSCOPY,OPEN MAXILL SINUS | $6,709.00 | $6,709.00 | — | 41% below | — |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus inpatient CPT 31256 HC NASAL/SINUS ENDOSCOPY,OPEN MAXILL SINUS | $6,709.00 | $6,709.00 | — | — | — |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 HC NASAL SINUS ENDOSCOPY W REM OF TISS FROM MAX SINUS | $6,709.00 | $6,709.00 | — | 30% below | — |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue inpatient CPT 31267 HC NASAL SINUS ENDOSCOPY W REM OF TISS FROM MAX SINUS | $6,709.00 | $6,709.00 | — | — | — |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC INJ DX THER SBST INTRLMNR CRV THRC W IMG GDN | $1,300.00 | $1,300.00 | — | 26% below | — |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC INJ DX THER SBST INTRLMNR CRV THRC W IMG GDN | $1,300.00 | $1,300.00 | — | — | — |
| Eye injection into the vitreous (intravitreal injection) CPT 67028 HC INTRAVITREAL INJ PHARMACOLOGIC AGNT SEP RROC | $1,332.00 | $1,332.00 | — | 5% above | — |
| Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 HC INTRAVITREAL INJ PHARMACOLOGIC AGNT SEP RROC | $1,332.00 | $1,332.00 | — | — | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC INJ DIAG OR THER AGNT PVRT FACET JOINT LMBR SAC SING LEVEL | $2,932.00 | $2,932.00 | — | 13% above | — |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC INJ DIAG OR THER AGNT PVRT FACET JOINT LMBR SAC SING LEVEL | $2,932.00 | $2,932.00 | — | — | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HC SIGMOID FLEX DX W SPEC COLL WHEN PFRMD | $1,950.00 | $1,950.00 | — | 3% above | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 HC SIGMOID FLEX DX W SPEC COLL WHEN PFRMD | $1,950.00 | $1,950.00 | — | — | — |
| Hemorrhoid banding (rubber band ligation) CPT 46221 HC HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS | $1,950.00 | $1,950.00 | — | 2% above | — |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HC HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS | $1,950.00 | $1,950.00 | — | — | — |
| Hemorrhoidectomy (internal and external), one area CPT 46255 HC HEMORRHOIDECTOMY INTERN AND EXTERN SING COLUMN GRP | $6,709.00 | $6,709.00 | — | 21% below | — |
| Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 HC HEMORRHOIDECTOMY INTERN AND EXTERN SING COLUMN GRP | $6,709.00 | $6,709.00 | — | — | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC CATH AND INTRO OF SAL OR CONTR SONOHYSTER HYSTEROSALP | $1,284.00 | $1,284.00 | — | 235% above | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HC CATH AND INTRO OF SAL OR CONTR SONOHYSTER HYSTEROSALP | $1,284.00 | $1,284.00 | — | — | — |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HC HYSTERSCPY BIOPSYS ENDOM AND POLYPC W WO DILAT AND CURR | $6,709.00 | $6,709.00 | — | 2% above | — |
| Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 HC HYSTERSCPY BIOPSYS ENDOM AND POLYPC W WO DILAT AND CURR | $6,709.00 | $6,709.00 | — | — | — |
| IUD insertion (the device itself billed separately) CPT 58300 HC INSERT INTRAUTERINE DEVICE IUD | $1,225.00 | $1,225.00 | — | 93% above | — |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 HC INSERT INTRAUTERINE DEVICE IUD | $1,225.00 | $1,225.00 | — | — | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC INCIS AND DRAIN OF ABSCESS SIMP OR SINGLE | $650.00 | $650.00 | — | 37% above | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC INCIS AND DRAIN OF ABSCESS SIMP OR SINGLE | $650.00 | $650.00 | — | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJ SING TENDON SHEATH LIGAMENT APONEUROSIS | $669.00 | $669.00 | — | 29% above | — |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC INJ SING TENDON SHEATH LIGAMENT APONEUROSIS | $669.00 | $669.00 | — | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ARTHROCENTESIS ASPIR AND OR INJ MAJOR JOINT BURSA WO US | $1,386.00 | $1,386.00 | — | 136% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ARTHROCENTESIS ASPIR AND OR INJ MAJOR JOINT BURSA WO US | $1,386.00 | $1,386.00 | — | — | — |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 HC INSERT NON BIODEGRADABLE DRUG DELIVERY IMPL | $1,225.00 | $1,225.00 | — | 117% above | — |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 HC INSERT NON BIODEGRADABLE DRUG DELIVERY IMPL | $1,225.00 | $1,225.00 | — | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ARTHROCENTESIS ASPIR AND OR INJ INTERM JOINT BURSA WO US | $669.00 | $669.00 | — | 21% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC ARTHROCENTESIS ASPIR AND OR INJ INTERM JOINT BURSA WO US | $669.00 | $669.00 | — | — | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ARTHROCENTESIS ASPIR AND OR INJ SMALL JOINT BURSA WO US | $669.00 | $669.00 | — | 24% above | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC ARTHROCENTESIS ASPIR AND OR INJ SMALL JOINT BURSA WO US | $669.00 | $669.00 | — | — | — |
| Knee arthroscopy with meniscus trim CPT 29881 HC KNEE SCOPE,MED/LAT MENISECTOMY | $6,709.00 | $6,709.00 | — | 33% below | — |
| Knee arthroscopy with meniscus trim inpatient CPT 29881 HC KNEE SCOPE,MED/LAT MENISECTOMY | $6,709.00 | $6,709.00 | — | — | — |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 HC DISC SECONDARY MEMBRANE CATARACT LASER SURGERY | $4,357.00 | $4,357.00 | — | 97% above | — |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 HC DISC SECONDARY MEMBRANE CATARACT LASER SURGERY | $4,357.00 | $4,357.00 | — | — | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC REP INTERMED SCALP AXILLAE TRUNK ETC 2.5 CM OR LESS | $1,650.00 | $1,650.00 | — | 83% above | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC REP INTERMED SCALP AXILLAE TRUNK ETC 2.5 CM OR LESS | $1,650.00 | $1,650.00 | — | — | — |
| Left heart catheterization, diagnostic one side CPT 93452 HC LT HEART CATH W INJ L VENTRICULOGRAPHY IMAGE | $9,503.00 | $9,503.00 | — | 7% above | — |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 HC LT HEART CATH W INJ L VENTRICULOGRAPHY IMAGE | $9,503.00 | $9,503.00 | — | — | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC INJ DX THER SBST INTRLMNR LMBR SAC W IMG GDN | $1,300.00 | $1,300.00 | — | 31% below | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC INJ DX THER SBST INTRLMNR LMBR SAC W IMG GDN | $1,300.00 | $1,300.00 | — | — | — |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC INJ DX THER SBST INTRLMNR LMBR SAC W O IMG GDN | $1,300.00 | $1,300.00 | — | 7% below | — |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC INJ DX THER SBST INTRLMNR LMBR SAC W O IMG GDN | $1,300.00 | $1,300.00 | — | — | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJ ANES AND OR STRD W IMG TFRML EDRL LMBR SAC SING LEVEL | $2,172.00 | $2,172.00 | — | 4% above | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC INJ ANES AND OR STRD W IMG TFRML EDRL LMBR SAC SING LEVEL | $2,172.00 | $2,172.00 | — | — | — |
| Lumpectomy (partial mastectomy) CPT 19301 HC MASTECTOMY, PARTIAL | $6,709.00 | $6,709.00 | — | 44% below | — |
| Lumpectomy (partial mastectomy) inpatient CPT 19301 HC MASTECTOMY, PARTIAL | $6,709.00 | $6,709.00 | — | — | — |
| Miscarriage treatment with D&C, first trimester CPT 59820 HC SURG RX MISSED ABORTN,1ST TRI | $6,986.00 | $6,986.00 | — | 19% above | — |
| Miscarriage treatment with D&C, first trimester inpatient CPT 59820 HC SURG RX MISSED ABORTN,1ST TRI | $6,986.00 | $6,986.00 | — | — | — |
| Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals CPT 17311 HC MOHS MICROGR HEAD NECK ETC 1ST STAGE UP TO 5 BLOCKS | $1,225.00 | $1,225.00 | — | at median | — |
| Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals inpatient CPT 17311 HC MOHS MICROGR HEAD NECK ETC 1ST STAGE UP TO 5 BLOCKS | $1,225.00 | $1,225.00 | — | — | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC EXC BEN LES TRUNK ARMS OR LEGS 0.5 CM OR LESS | $1,188.00 | $1,188.00 | — | 14% above | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HC EXC BEN LES TRUNK ARMS OR LEGS 0.5 CM OR LESS | $1,188.00 | $1,188.00 | — | — | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC EXC BEN LES FACE EARS NOSE ETC 0.5 CM OR LESS | $1,188.00 | $1,188.00 | — | 29% above | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 HC EXC BEN LES FACE EARS NOSE ETC 0.5 CM OR LESS | $1,188.00 | $1,188.00 | — | — | — |
| Nail removal (partial or complete), one nail CPT 11730 HC AVULSION NAIL PLATE PART OR COMPLETE SIMPLE SINGLE | $650.00 | $650.00 | — | 46% above | — |
| Nail removal (partial or complete), one nail inpatient CPT 11730 HC AVULSION NAIL PLATE PART OR COMPLETE SIMPLE SINGLE | $650.00 | $650.00 | — | — | — |
| Occipital nerve block (injection for headaches) CPT 64405 HC INJ ANES AGENT GREATER OCCIPITAL NERVE | $994.00 | $994.00 | — | 12% above | — |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 HC INJ ANES AGENT GREATER OCCIPITAL NERVE | $994.00 | $994.00 | — | — | — |
| Pacemaker implant (dual chamber) CPT 33208 HC INSERT NEW OR RPLA PRM PM W TRANSV ELTRD ATRIAL AND VENT | $29,123.00 | $29,123.00 | — | 75% above | — |
| Pacemaker implant (dual chamber) inpatient CPT 33208 HC INSERT NEW OR RPLA PRM PM W TRANSV ELTRD ATRIAL AND VENT | $29,123.00 | $29,123.00 | — | — | — |
| Paracentesis with imaging guidance CPT 49083 HC ABDOM PARACENTESIS DIAG OR THER W IMG GUIDE | $3,702.00 | $3,702.00 | — | 94% above | — |
| Paracentesis with imaging guidance inpatient CPT 49083 HC ABDOM PARACENTESIS DIAG OR THER W IMG GUIDE | $3,702.00 | $3,702.00 | — | — | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC EXC NAIL AND MATRIX PART OR COMPL PERM REM | $1,188.00 | $1,188.00 | — | 36% above | — |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC EXC NAIL AND MATRIX PART OR COMPL PERM REM | $1,188.00 | $1,188.00 | — | — | — |
| Prostate biopsy CPT 55700 HC PROSTATE NEEDLE BIOPSY ONE OR MULTI ANY APPROACH | $2,930.00 | $2,930.00 | — | 1% below | — |
| Prostate biopsy inpatient CPT 55700 HC PROSTATE NEEDLE BIOPSY ONE OR MULTI ANY APPROACH | $2,930.00 | $2,930.00 | — | — | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC DESTR NROLYTC AGNT PARVERTEB FCT SINGLE LMBR OR SACRAL | $4,329.00 | $4,329.00 | — | 32% above | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HC DESTR NROLYTC AGNT PARVERTEB FCT SINGLE LMBR OR SACRAL | $4,329.00 | $4,329.00 | — | — | — |
| Removal of a breast lump, open surgery CPT 19120 HC EXC CYST MAL TUMOR ABERRANT TISS 1 OR MORE LESIONS | $6,709.00 | $6,709.00 | — | 5% above | — |
| Removal of a breast lump, open surgery inpatient CPT 19120 HC EXC CYST MAL TUMOR ABERRANT TISS 1 OR MORE LESIONS | $6,709.00 | $6,709.00 | — | — | — |
| Removal of a foreign object under the skin, simple CPT 10120 HC INCIS AND REM OF FOREIGN BOD SUBC TISSUE SIMP | $773.00 | $773.00 | — | 46% above | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 HC INCIS AND REM OF FOREIGN BOD SUBC TISSUE SIMP | $773.00 | $773.00 | — | — | — |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 HC CANCER SCREEN COLORECTAL NOT HIGH RISK | $2,172.00 | $2,172.00 | — | 11% above | — |
| Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 HC CANCER SCREEN COLORECTAL NOT HIGH RISK | $2,172.00 | $2,172.00 | — | — | — |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 HC CANCER SCREEN COLONOSCOPY | $2,868.00 | $2,868.00 | — | 44% above | — |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 HC CANCER SCREEN COLONOSCOPY | $2,868.00 | $2,868.00 | — | — | — |
| Septoplasty to straighten the nasal septum CPT 30520 HC REPAIR OF NASAL SEPTUM | $6,709.00 | $6,709.00 | — | 3% above | — |
| Septoplasty to straighten the nasal septum inpatient CPT 30520 HC REPAIR OF NASAL SEPTUM | $6,709.00 | $6,709.00 | — | — | — |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 HC LITHOTRIPSYCH EXTACORP SW | $9,812.00 | $9,812.00 | — | at median | — |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 HC LITHOTRIPSYCH EXTACORP SW | $9,812.00 | $9,812.00 | — | — | — |
| Short arm cast (elbow to hand) CPT 29075 HC APPL CAST ELBOW FINGER SHORT ARM | $865.00 | $865.00 | — | 21% above | — |
| Short arm cast (elbow to hand) inpatient CPT 29075 HC APPL CAST ELBOW FINGER SHORT ARM | $865.00 | $865.00 | — | — | — |
| Short arm splint (forearm and hand) CPT 29125 HC APPL SHORT ARM SPLINT FOREARM HAND STATIC | $386.00 | $386.00 | — | 14% above | — |
| Short arm splint (forearm and hand) inpatient CPT 29125 HC APPL SHORT ARM SPLINT FOREARM HAND STATIC | $386.00 | $386.00 | — | — | — |
| Short leg cast (below the knee) CPT 29405 HC APPL SHORT LEG CAST BELOW KNEE TOE | $865.00 | $865.00 | — | 30% above | — |
| Short leg cast (below the knee) inpatient CPT 29405 HC APPL SHORT LEG CAST BELOW KNEE TOE | $865.00 | $865.00 | — | — | — |
| Short leg splint (calf to foot) CPT 29515 HC APPL SHORT LEG SPLINT CALF FOOT | $456.00 | $456.00 | — | 29% above | — |
| Short leg splint (calf to foot) inpatient CPT 29515 HC APPL SHORT LEG SPLINT CALF FOOT | $456.00 | $456.00 | — | — | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC SIMP REP WOUND SCALP NECK TRUNK ETC 2.5 CM OR LESS | $652.00 | $652.00 | — | 40% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC SIMP REP WOUND SCALP NECK TRUNK ETC 2.5 CM OR LESS | $652.00 | $652.00 | — | — | — |
| Skin biopsy, punch, one lesion CPT 11104 HC PUNCH BIOPSY SKIN SINGLE LESION | $625.00 | $625.00 | — | 23% above | — |
| Skin biopsy, punch, one lesion inpatient CPT 11104 HC PUNCH BIOPSY SKIN SINGLE LESION | $625.00 | $625.00 | — | — | — |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 HC EXC MAL LES TRUNK ARMS OR LEGS 0.5 CM OR LESS | $2,106.00 | $2,106.00 | — | 104% above | — |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 HC EXC MAL LES TRUNK ARMS OR LEGS 0.5 CM OR LESS | $2,106.00 | $2,106.00 | — | — | — |
| Skin tag removal, up to 15 tags CPT 11200 HC REM OF SKIN TAGS 1 TO 15 LESIONS | $1,188.00 | $1,188.00 | — | 174% above | — |
| Skin tag removal, up to 15 tags inpatient CPT 11200 HC REM OF SKIN TAGS 1 TO 15 LESIONS | $1,188.00 | $1,188.00 | — | — | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC SPINAL PUNCTURE LUMBAR DIAGNOSTIC | $1,950.00 | $1,950.00 | — | 23% above | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC SPINAL PUNCTURE LUMBAR DIAGNOSTIC | $1,950.00 | $1,950.00 | — | — | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC SIMP REP WOUND SCALP NECK TRUNK ETC 2.6 TO 7.5 CM | $650.00 | $650.00 | — | 35% above | — |
| 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 SIMP REP WOUND SCALP NECK TRUNK ETC 2.6 TO 7.5 CM | $650.00 | $650.00 | — | — | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC SIMP REP WOUND FACE EARS NOSE ETC 2.5 CM OR LESS | $1,950.00 | $1,950.00 | — | 121% above | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC SIMP REP WOUND FACE EARS NOSE ETC 2.5 CM OR LESS | $1,950.00 | $1,950.00 | — | — | — |
| TURP (transurethral resection of the prostate) CPT 52601 HC TRURL ELECTROSURG RESC PROSTATE BLEED COMPLETE | $7,991.00 | $7,991.00 | — | 14% below | — |
| TURP (transurethral resection of the prostate) inpatient CPT 52601 HC TRURL ELECTROSURG RESC PROSTATE BLEED COMPLETE | $7,991.00 | $7,991.00 | — | — | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC TANGENTIAL BIOPSY SKIN SINGLE LESION | $625.00 | $625.00 | — | 27% above | — |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC TANGENTIAL BIOPSY SKIN SINGLE LESION | $625.00 | $625.00 | — | — | — |
| Thoracentesis with imaging guidance CPT 32555 HC THORAC NEEDLE OR CATH OR PLEURAL SPACE W IMAGING | $1,950.00 | $1,950.00 | — | 6% above | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 HC THORAC NEEDLE OR CATH OR PLEURAL SPACE W IMAGING | $1,950.00 | $1,950.00 | — | — | — |
| Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 HC REMOVAL OF TONSILS,12+ Y/O | $6,709.00 | $6,709.00 | — | 4% above | — |
| Tonsil removal (tonsillectomy) only, age 12 or older inpatient CPT 42826 HC REMOVAL OF TONSILS,12+ Y/O | $6,709.00 | $6,709.00 | — | — | — |
| Trigger finger release surgery CPT 26055 HC TENDON SHEATH INCISION | $4,525.00 | $4,525.00 | — | 2% above | — |
| Trigger finger release surgery inpatient CPT 26055 HC TENDON SHEATH INCISION | $4,525.00 | $4,525.00 | — | — | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC INJ SING MULT TRIGGER POINTS 1 OR 2 MUSCLES | $669.00 | $669.00 | — | 35% above | — |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC INJ SING MULT TRIGGER POINTS 1 OR 2 MUSCLES | $669.00 | $669.00 | — | — | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC BIOPSY BREAST W DEVICE 1ST LESION ULTRASOUND GUIDE | $2,167.00 | $2,167.00 | — | 1% below | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC BIOPSY BREAST W DEVICE 1ST LESION ULTRASOUND GUIDE | $2,167.00 | $2,167.00 | — | — | — |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 HC UPPER GI ENDO BALLOON DILAT | $3,691.00 | $3,691.00 | — | 10% above | — |
| Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 HC UPPER GI ENDO BALLOON DILAT | $3,691.00 | $3,691.00 | — | — | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC UPPER GI ENDO BIOPSY | $2,825.00 | $2,825.00 | — | 46% above | — |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC UPPER GI ENDO BIOPSY | $2,825.00 | $2,825.00 | — | — | — |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 HC UPPER GI ENDO W SUBMUCOSAL INJ | $2,825.00 | $2,825.00 | — | 12% above | — |
| Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 HC UPPER GI ENDO W SUBMUCOSAL INJ | $2,825.00 | $2,825.00 | — | — | — |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 HC UPPER GI ENDO REMTUM SNARE | $5,458.00 | $5,458.00 | — | 19% above | — |
| Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 HC UPPER GI ENDO REMTUM SNARE | $5,458.00 | $5,458.00 | — | — | — |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 HC UPPER GI ENDO W INSERTION OF GUIDE WIRE | $5,458.00 | $5,458.00 | — | 85% above | — |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 HC UPPER GI ENDO W INSERTION OF GUIDE WIRE | $5,458.00 | $5,458.00 | — | — | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC UPPER GI ENDO DIAG BRUSH WASH | $2,825.00 | $2,825.00 | — | 55% above | — |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC UPPER GI ENDO DIAG BRUSH WASH | $2,825.00 | $2,825.00 | — | — | — |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 HC UPPER GI ENDO TRANSMURAL DRAIN | $8,722.00 | $8,722.00 | — | 46% below | — |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall inpatient CPT 43240 HC UPPER GI ENDO TRANSMURAL DRAIN | $8,722.00 | $8,722.00 | — | — | — |
| Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 HC CYSTO W URETEROSCOPY W LITHOTRIPSY | $8,022.00 | $8,022.00 | — | 20% above | — |
| Ureteroscopy with laser stone breaking (lithotripsy) inpatient CPT 52353 HC CYSTO W URETEROSCOPY W LITHOTRIPSY | $8,022.00 | $8,022.00 | — | — | — |
| Ureteroscopy with laser stone breaking and stent placement CPT 52356 HC CYSTO URETERO AND OR PYLSCPY W LITHO AND INDW STENT INSER | $10,686.00 | $10,686.00 | — | 30% below | — |
| Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 HC CYSTO URETERO AND OR PYLSCPY W LITHO AND INDW STENT INSER | $10,686.00 | $10,686.00 | — | — | — |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 HC OBSTETRIC CARE VAGINAL DELIVERY | $7,643.00 | $7,643.00 | — | 13% above | — |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 HC PRENATAL DELIVERY & POST PARTUM @ NSBC | $7,713.00 | $7,713.00 | — | 14% above | — |
| Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 HC OBSTETRIC CARE VAGINAL DELIVERY | $7,643.00 | $7,643.00 | — | — | — |
| Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 HC PRENATAL DELIVERY & POST PARTUM @ NSBC | $7,713.00 | $7,713.00 | — | — | — |
| Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 HC VASECTOMY UNI BI SPX W POSTOP SEMEN EXAMS | $4,777.00 | $4,777.00 | — | — | — |
| Vasectomy, one or both sides, including follow-up semen testing inpatient both sides CPT 55250 HC VASECTOMY UNI BI SPX W POSTOP SEMEN EXAMS | $4,777.00 | $4,777.00 | — | — | — |
| Vein ablation, radiofrequency, first vein CPT 36475 HC ENDOVENOUS RF, 1ST VEIN | $6,709.00 | $6,709.00 | — | 24% above | — |
| Vein ablation, radiofrequency, first vein inpatient CPT 36475 HC ENDOVENOUS RF, 1ST VEIN | $6,709.00 | $6,709.00 | — | — | — |
| Wart removal, up to 14 warts CPT 17110 HC DESTR BEN LES NOT SKIN TAGS OR VASC PROLIF LES UP TO 14 | $497.00 | $497.00 | — | at median | — |
| Wart removal, up to 14 warts inpatient CPT 17110 HC DESTR BEN LES NOT SKIN TAGS OR VASC PROLIF LES UP TO 14 | $497.00 | $497.00 | — | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEBRIDE SUBC TISSUE FIRST 20 SQ CM OR LESS | $2,106.00 | $2,106.00 | — | 153% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC DEBRIDE SUBC TISSUE FIRST 20 SQ CM OR LESS | $2,106.00 | $2,106.00 | — | — | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Massachusetts | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 HC TRANSFUSION BLOOD OR BLOOD COMPONENTS | $2,172.00 | $2,172.00 | — | 132% above | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC TRANSFUSION BLOOD OR BLOOD COMPONENTS | $2,172.00 | $2,172.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC PRESSURIZED NON-PRESSURIZED INHALATION TRTMT | $439.00 | $439.00 | — | 58% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC PRESSURIZED NON-PRESSURIZED INHALATION TRTMT | $439.00 | $439.00 | — | — | — |
| Chemotherapy IV infusion, first hour CPT 96413 HC CHEMOTHERAPY ADMIN IV INFUSION TECH 1ST HR SINGLE DRUG | $3,065.00 | $3,065.00 | — | 245% above | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 HC CHEMOTHERAPY ADMIN IV INFUSION TECH 1ST HR SINGLE DRUG | $3,065.00 | $3,065.00 | — | — | — |
| Comprehensive eye exam by an eye doctor, new patient CPT 92004 HC OPHTH SVCS MEDICAL EXAM AND EVAL COMP NEW PT | $257.00 | $257.00 | — | 24% above | — |
| Comprehensive eye exam by an eye doctor, new patient inpatient CPT 92004 HC OPHTH SVCS MEDICAL EXAM AND EVAL COMP NEW PT | $257.00 | $257.00 | — | — | — |
| Comprehensive eye exam, returning patient CPT 92014 HC OPHTH SVCS MEDICAL EXAM AND EVAL COMP EST PT | $258.00 | $258.00 | — | 17% above | — |
| Comprehensive eye exam, returning patient inpatient CPT 92014 HC OPHTH SVCS MEDICAL EXAM AND EVAL COMP EST PT | $258.00 | $258.00 | — | — | — |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 HC COMPREHENSIVE AUDIOMETRY THRESHOLD EVAL SP RECOGNITION | $725.00 | $725.00 | — | 61% above | — |
| Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 HC COMPREHENSIVE AUDIOMETRY THRESHOLD EVAL SP RECOGNITION | $725.00 | $725.00 | — | — | — |
| Critical care, first 30 to 74 minutes CPT 99291 HC CRITICAL CARE ILL INJURED PATIENT INIT 30 TO 74 MIN | $2,884.00 | $2,884.00 | — | 1% above | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 HC CRITICAL CARE ILL INJURED PATIENT INIT 30 TO 74 MIN | $2,884.00 | $2,884.00 | — | — | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 HC EEG INCL REC AWAKE AND DROWSY | $1,676.00 | $1,676.00 | — | 85% above | — |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC EEG INCL REC AWAKE AND DROWSY | $1,676.00 | $1,676.00 | — | — | — |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 HC ECG ROUTINE ECG W/LEAST 12 LDS W/I&R | $204.00 | $204.00 | — | 36% above | — |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 HC ECG ROUTINE ECG W/LEAST 12 LDS W/I&R | $204.00 | $204.00 | — | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC ROUTINE ECG TRACING WO INTER AND RPT | $436.00 | $436.00 | — | 144% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC ROUTINE ECG TRACING WO INTER AND RPT | $436.00 | $436.00 | — | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC EMERGENCY DEPT VISIT LIMITED MINOR PROB | $663.00 | $663.00 | — | 45% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC EMERGENCY DEPT VISIT LIMITED MINOR PROB | $663.00 | $663.00 | — | — | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC EMERGENCY DEPT VISIT LOW TO MODERATE SEVERITY | $808.00 | $808.00 | — | 35% above | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC EMERGENCY DEPT VISIT LOW TO MODERATE SEVERITY | $808.00 | $808.00 | — | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC EMERGENCY DEPT VISIT MODERATE SEVERITY | $1,321.00 | $1,321.00 | — | 56% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC EMERGENCY DEPT VISIT MODERATE SEVERITY | $1,321.00 | $1,321.00 | — | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC EMERGENCY DEPT VISIT HIGH URGENT SEVERITY | $1,862.00 | $1,862.00 | — | 43% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC EMERGENCY DEPT VISIT HIGH URGENT SEVERITY | $1,862.00 | $1,862.00 | — | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC EMERGENCY DEPT VISIT HIGH SEVERITY AND THREAT FUNC | $2,348.00 | $2,348.00 | — | 35% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC EMERGENCY DEPT VISIT HIGH SEVERITY AND THREAT FUNC | $2,348.00 | $2,348.00 | — | — | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARDIOVASCULAR STRESS TEST EXERCISE WO INTER AND RPT | $1,683.00 | $1,683.00 | — | 72% above | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CARDIOVASCULAR STRESS TEST EXERCISE WO INTER AND RPT | $1,683.00 | $1,683.00 | — | — | — |
| Eye exam, returning patient, intermediate CPT 92012 HC OPHTH SVCS MEDICAL EXAM AND EVAL INTERMED EST PT | $257.00 | $257.00 | — | 65% above | — |
| Eye exam, returning patient, intermediate inpatient CPT 92012 HC OPHTH SVCS MEDICAL EXAM AND EVAL INTERMED EST PT | $257.00 | $257.00 | — | — | — |
| Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY PSYCH THER | $428.00 | $428.00 | — | 53% above | — |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY PSYCH THER | $428.00 | $428.00 | — | — | — |
| Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY PSYCH OTHER | $433.00 | $433.00 | — | 61% above | — |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HC FAMILY PSYCH OTHER | $433.00 | $433.00 | — | — | — |
| Group psychotherapy session CPT 90853 HC GROUP PSYCH THER | $186.00 | $186.00 | — | 57% above | — |
| Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCH THER | $186.00 | $186.00 | — | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV INF HYDRAT INIT 31 MIN TO 1 HR | $674.00 | $674.00 | — | 28% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV INF HYDRAT INIT 31 MIN TO 1 HR | $674.00 | $674.00 | — | — | — |
| IV infusion of a medicine, first hour CPT 96365 HC IV INF THER INIT 1ST HR | $886.00 | $886.00 | — | 49% above | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 HC IV INF THER INIT 1ST HR | $886.00 | $886.00 | — | — | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC INJ THERAPEUTIC SUBC IM | $260.00 | $260.00 | — | 53% above | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC INJ THERAPEUTIC SUBC IM | $260.00 | $260.00 | — | — | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC PSYCH DIAG EVAL | $501.00 | $501.00 | — | 38% above | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC PSYCH DIAG EVAL | $501.00 | $501.00 | — | — | — |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 HC MOTOR SENS 7 TO 8 NERVE CONDUCTION STUDY | $5,225.00 | $5,225.00 | — | 559% above | — |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 HC MOTOR SENS 7 TO 8 NERVE CONDUCTION STUDY | $5,225.00 | $5,225.00 | — | — | — |
| Neuromuscular re-education, 15 minutes CPT 97112 HC PT THER PROC 1 OR MORE AREAS EA 15 MIN NEUROMUSC REEDUC | $196.00 | $196.00 | — | 50% above | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC PT THER PROC 1 OR MORE AREAS EA 15 MIN NEUROMUSC REEDUC | $196.00 | $196.00 | — | — | — |
| New patient office visit, about 30 minutes CPT 99203 HC OFFICE OR OP VISIT NEW PT LEVEL 3 | $236.00 | $236.00 | — | 15% above | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC OFFICE OR OP VISIT NEW PT LEVEL 3 | $236.00 | $236.00 | — | — | — |
| New patient office visit, about 45 minutes CPT 99204 HC OFFICE OR OP VISIT NEW PT LEVEL 4 | $317.00 | $317.00 | — | 4% below | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC OFFICE OR OP VISIT NEW PT LEVEL 4 | $317.00 | $317.00 | — | — | — |
| New patient office visit, about 60 minutes CPT 99205 HC OFFICE OR OP VISIT NEW PT LEVEL 5 | $423.00 | $423.00 | — | 41% above | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC OFFICE OR OP VISIT NEW PT LEVEL 5 | $423.00 | $423.00 | — | — | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC OFFICE OR OP VISIT NEW PT LEVEL 2 | $236.00 | $236.00 | — | 67% above | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC OFFICE OR OP VISIT NEW PT LEVEL 2 | $236.00 | $236.00 | — | — | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC NUTRITION THERAPY INIT ASSESS EA 15 MIN | $128.00 | $128.00 | — | 5% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC NUTRITION THERAPY INIT ASSESS EA 15 MIN | $128.00 | $128.00 | — | — | — |
| Occupational therapy evaluation, low complexity CPT 97165 HC OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS | $480.00 | $480.00 | — | 33% above | — |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS | $480.00 | $480.00 | — | — | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS | $462.00 | $462.00 | — | 17% above | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS | $462.00 | $462.00 | — | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS | $444.00 | $444.00 | — | 21% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS | $444.00 | $444.00 | — | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS | $453.00 | $453.00 | — | 22% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS | $453.00 | $453.00 | — | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC PT MANUAL THERAPY TECHNIQUE 1 OR MORE REGIONS EA 15 MIN | $176.00 | $176.00 | — | 32% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC PT MANUAL THERAPY TECHNIQUE 1 OR MORE REGIONS EA 15 MIN | $176.00 | $176.00 | — | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC PT THER PROC 1 OR MORE AREAS EA 15 MIN EXERCISES | $185.00 | $185.00 | — | 38% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC PT THER PROC 1 OR MORE AREAS EA 15 MIN EXERCISES | $185.00 | $185.00 | — | — | — |
| Preventive checkup, new patient aged 18–39 CPT 99385 HC INITIAL PREVENTIVE MED NEW PT AGE 18 TO 39 YRS | $180.00 | $180.00 | — | 1% below | — |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 HC INITIAL PREVENTIVE MED NEW PT AGE 18 TO 39 YRS | $180.00 | $180.00 | — | — | — |
| Preventive checkup, new patient aged 40–64 CPT 99386 HC INITIAL PREVENTIVE MED NEW PT AGE 40 TO 64 YRS | $180.00 | $180.00 | — | 1% below | — |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 HC INITIAL PREVENTIVE MED NEW PT AGE 40 TO 64 YRS | $180.00 | $180.00 | — | — | — |
| Preventive checkup, new patient aged 65 or older CPT 99387 HC INITIAL PREVENTIVE MED NEW PT AGE 65 YRS OR MORE | $225.00 | $225.00 | — | 20% above | — |
| Preventive checkup, new patient aged 65 or older inpatient CPT 99387 HC INITIAL PREVENTIVE MED NEW PT AGE 65 YRS OR MORE | $225.00 | $225.00 | — | — | — |
| Preventive checkup, returning patient aged 18–39 CPT 99395 HC PERIODIC PREVENTIVE MED EST PT AGE 18 TO 39 YRS | $180.00 | $180.00 | — | 82% above | — |
| Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 HC PERIODIC PREVENTIVE MED EST PT AGE 18 TO 39 YRS | $180.00 | $180.00 | — | — | — |
| Preventive checkup, returning patient aged 40–64 CPT 99396 HC PERIODIC PREVENTIVE MED EST PT AGE 40 TO 64 YRS | $183.00 | $183.00 | — | 18% above | — |
| Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 HC PERIODIC PREVENTIVE MED EST PT AGE 40 TO 64 YRS | $183.00 | $183.00 | — | — | — |
| Preventive checkup, returning patient aged 65 or older CPT 99397 HC PERIODIC PREVENTIVE MED EST PT AGE 65 YRS OR MORE | $225.00 | $225.00 | — | 88% above | — |
| Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 HC PERIODIC PREVENTIVE MED EST PT AGE 65 YRS OR MORE | $225.00 | $225.00 | — | — | — |
| Psychiatric evaluation with medical services CPT 90792 HC PSYCH DIAG EVAL W MED SVCS | $501.00 | $501.00 | — | 57% above | — |
| Psychiatric evaluation with medical services inpatient CPT 90792 HC PSYCH DIAG EVAL W MED SVCS | $501.00 | $501.00 | — | — | — |
| Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 HC PSYCHOLOGICAL TST EVAL SVC BY PHYS QHP FIRST HOUR | $2,384.00 | $2,384.00 | — | 424% above | — |
| Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 HC PSYCHOLOGICAL TST EVAL SVC BY PHYS QHP FIRST HOUR | $2,384.00 | $2,384.00 | — | — | — |
| Psychotherapy for crisis, first 60 minutes CPT 90839 HC PSYCH THERAPY CRISIS INIT 60 MIN | $366.00 | $366.00 | — | 9% below | — |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 HC PSYCH THERAPY CRISIS INIT 60 MIN | $366.00 | $366.00 | — | — | — |
| Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY, 30 MINUTES WITH PATIENT | $292.00 | $292.00 | — | 17% above | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCHOTHERAPY, 30 MINUTES WITH PATIENT | $292.00 | $292.00 | — | — | — |
| Psychotherapy session, 45 minutes CPT 90834 HC PSYCHCHOTHERAPY, 45 MINUTES WITH PATIENT | $366.00 | $366.00 | — | 52% above | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYCHCHOTHERAPY, 45 MINUTES WITH PATIENT | $366.00 | $366.00 | — | — | — |
| Psychotherapy session, 60 minutes CPT 90837 HC PSYCHOTHERAPY, 60 MINUTES WITH PATIENT | $366.00 | $366.00 | — | 24% above | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYCHOTHERAPY, 60 MINUTES WITH PATIENT | $366.00 | $366.00 | — | — | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC SMOKING CESSATION SYMPTOM 3 TO 10 MIN | $151.00 | $151.00 | — | 53% above | — |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC SMOKING CESSATION SYMPTOM 3 TO 10 MIN | $151.00 | $151.00 | — | — | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC OFFICE OR OP VISIT EST PT LEVEL 5 | $317.00 | $317.00 | — | 16% above | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC OFFICE OR OP VISIT EST PT LEVEL 5 | $317.00 | $317.00 | — | — | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC OFFICE OR OP VISIT EST PT LEVEL 3 | $236.00 | $236.00 | — | 45% above | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC OFFICE OR OP VISIT EST PT LEVEL 3 | $236.00 | $236.00 | — | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC OFFICE OR OP VISIT EST PT LEVEL 4 | $236.00 | $236.00 | — | 10% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC OFFICE OR OP VISIT EST PT LEVEL 4 | $236.00 | $236.00 | — | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC OFFICE OR OP VISIT EST PT LEVEL 2 | $236.00 | $236.00 | — | 98% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC OFFICE OR OP VISIT EST PT LEVEL 2 | $236.00 | $236.00 | — | — | — |
| Speech and language evaluation CPT 92523 HC EVAL LANG COMPREHEND EXPRESS | $707.00 | $707.00 | — | 21% above | — |
| Speech and language evaluation inpatient CPT 92523 HC EVAL LANG COMPREHEND EXPRESS | $707.00 | $707.00 | — | — | — |
| Speech therapy session, individual CPT 92507 HC TRTMT SPEECH LANG VOICE COMM AUDITORY PROC IND | $426.00 | $426.00 | — | 27% above | — |
| Speech therapy session, individual inpatient CPT 92507 HC TRTMT SPEECH LANG VOICE COMM AUDITORY PROC IND | $426.00 | $426.00 | — | — | — |
| Spirometry (breathing test) CPT 94010 HC SPMTRY W VC EXPIRATORY FLO W WO MXML VOL VNT | $1,974.00 | $1,974.00 | — | 387% above | — |
| Spirometry (breathing test) inpatient CPT 94010 HC SPMTRY W VC EXPIRATORY FLO W WO MXML VOL VNT | $1,974.00 | $1,974.00 | — | — | — |
| Spirometry before and after a bronchodilator CPT 94060 HC BRONCHODILATION RESPON SPIROMETRY PRE AND POST ADMIN | $4,457.00 | $4,457.00 | — | 531% above | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 HC BRONCHODILATION RESPON SPIROMETRY PRE AND POST ADMIN | $4,457.00 | $4,457.00 | — | — | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC PT THER ACTIVITY DIRECT PT CONTACT EA 15 MIN | $207.00 | $207.00 | — | 35% above | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC PT THER ACTIVITY DIRECT PT CONTACT EA 15 MIN | $207.00 | $207.00 | — | — | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC PHLEBOTOMY THERAPEUTIC | $278.00 | $278.00 | — | 6% below | — |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC PHLEBOTOMY THERAPEUTIC | $278.00 | $278.00 | — | — | — |
| Visual field test, extended CPT 92083 HC VISUAL FIELD EXAM EXT | $494.00 | $494.00 | — | 12% above | — |
| Visual field test, extended inpatient CPT 92083 HC VISUAL FIELD EXAM EXT | $494.00 | $494.00 | — | — | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Massachusetts | Off list |
|---|---|---|---|---|---|
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 HC RX VARICELLA VIRUS VACC SUBC | $204.00 | $204.00 | — | 27% below | — |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 HC RX VARICELLA VIRUS VACC SUBC | $204.00 | $204.00 | — | — | — |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HC RX HEP AB COMB TWIN 20MCG ADLT | $236.00 | $236.00 | — | 3% below | — |
| Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HC RX HEP AB COMB TWIN 20MCG ADLT | $236.00 | $236.00 | — | — | — |
| Hepatitis A vaccine, adult dose CPT 90632 HC RX HEP A VACCINE ADULT DOSE IM | $167.00 | $167.00 | — | at median | — |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HC RX HEP A VACCINE ADULT DOSE IM | $167.00 | $167.00 | — | — | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HC RX HEP B VAC ADULT DOSE IM | $149.00 | $149.00 | — | 11% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HC RX HEP B VAC ADULT DOSE IM | $149.00 | $149.00 | — | — | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 HC RX HIGH DOSE FLU VACCINE (FLUZONE) | $72.00 | $72.00 | — | 67% below | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 HC RX HIGH DOSE FLU VACCINE (FLUZONE) | $72.00 | $72.00 | — | — | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 HC RX VACCINE MMR LIVE | $117.00 | $117.00 | — | 40% below | — |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 HC RX VACCINE MMR LIVE | $117.00 | $117.00 | — | — | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 HC RX MENINGOCOCCAL MENACTRA | $271.00 | $271.00 | — | 8% above | — |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 HC RX MENINGOCOCCAL MENACTRA | $271.00 | $271.00 | — | — | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 HC RX PNEUMOCOCCAL POLY VAC | $123.00 | $123.00 | — | 56% below | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 HC RX PNEUMOCOCCAL POLY VAC | $123.00 | $123.00 | — | — | — |
| Rabies vaccine, one dose CPT 90675 HC RX RABIES VACCINE IM | $611.00 | $611.00 | — | 7% below | — |
| Rabies vaccine, one dose inpatient CPT 90675 HC RX RABIES VACCINE IM | $611.00 | $611.00 | — | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 HC RX TETANUS DIPTHERIA TOXOID | $58.00 | $58.00 | — | 5% below | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 HC RX TETANUS DIPTHERIA TOXOID | $58.00 | $58.00 | — | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HC RX TETANUS DIPTH PERT (TDAP) NON MEDICARE ONLY | $230.00 | $230.00 | — | 147% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 HC RX TETANUS DIPTH PERT (TDAP) NON MEDICARE ONLY | $230.00 | $230.00 | — | — | — |
| Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 HC RX TYPHOID VACCINE VICPS IM | $122.00 | $122.00 | — | 16% below | — |
| Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 HC RX TYPHOID VACCINE VICPS IM | $122.00 | $122.00 | — | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ADMIN PNEUMOCOCCAL VACCINE | $272.00 | $272.00 | — | 176% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ADMIN HEP B VACCINE | $272.00 | $272.00 | — | 176% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ADMIN VACCIN SINGLE | $272.00 | $272.00 | — | 176% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC ADMIN HEP B VACCINE | $272.00 | $272.00 | — | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC ADMIN VACCIN SINGLE | $272.00 | $272.00 | — | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC ADMIN PNEUMOCOCCAL VACCINE | $272.00 | $272.00 | — | — | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC ADMIN VACCINE ADD | $150.00 | $150.00 | — | 164% above | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC ADMIN VACCINE ADD | $150.00 | $150.00 | — | — | — |
Source file: https://www.lahey.org/042704686_lahey-hospital-medical-center-burlington_standardcharges.json