Mercy Medical Center
Mercy Medical Center in Baltimore, MD publishes cash prices for 349 common procedures listed here, from its own machine-readable price file updated Jan 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Maryland median for 195 of 341 procedures and below it for 142. By typical cash price it ranks #13 of 17 Maryland hospitals and #5 of 8 hospitals in the Baltimore, MD area, cheapest first. Select a procedure to compare it with other hospitals nearby.
301 St. Paul Place Baltimore MD 21202 Collected Sep 22, 2026 Source price file Check a bill from this hospital (410) 332-9237
Acute care hospital Nonprofit hospital Emergency department CMS star rating 3 of 5 CCN 210008 · CMS hospital register NPI 1144282583
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
Mercy Medical Center is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.
You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.
Source: IRS, section 501(r) requirements for nonprofit hospitals.
State law
This state limits hospital bills for lower-income patients
Maryland law (Health-General §19-214.1) requires hospitals to give free medically necessary care to patients with family income at or below 200% of the federal poverty level and to cut the bill by 75% up to 250% and 60% up to 300%. With medical debt above 25% of family income in a year, discounts reach up to 500%. Immigration status does not count. Ask the hospital for its financial assistance application. Other states' laws.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Maryland | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 HC CT SCAN OF ABDOMEN COMBO | $369.37 | $376.91 | $376.91–$369.37 | 36% above | 2% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 HC CT SCAN OF ABDOMEN COMBO | $369.37 | $376.91 | $376.91–$369.37 | — | 2% |
| Abdominal X-ray, 2 views CPT 74019 HC X-RAY ABDOMEN 2 VW | $171.90 | $175.41 | $175.41–$171.90 | 21% below | 2% |
| Abdominal X-ray, 2 views inpatient CPT 74019 HC X-RAY ABDOMEN 2 VW | $171.90 | $175.41 | $175.41–$171.90 | — | 2% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 HC X-RAY ANKLE 3+ VW RT | $147.31 | $150.32 | $150.32–$147.31 | 23% below | 2% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 HC X-RAY ANKLE 3+ VW LT | $147.31 | $150.32 | $150.32–$147.31 | 23% below | 2% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 HC X-RAY ANKLE 3+ VW LT | $147.31 | $150.32 | $150.32–$147.31 | — | 2% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 HC X-RAY ANKLE 3+ VW RT | $147.31 | $150.32 | $150.32–$147.31 | — | 2% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 HC CT SCAN,UPPER EXTREMITY,W/O CONTRAST RT | $246.24 | $251.27 | $251.27–$246.24 | 36% above | 2% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 HC CT SCAN,UPPER EXTREMITY,W/O CONTRAST LT | $246.24 | $251.27 | $251.27–$246.24 | 36% above | 2% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 HC CT SCAN,UPPER EXTREMITY,W/O CONTRAST LT | $246.24 | $251.27 | $251.27–$246.24 | — | 2% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 HC CT SCAN,UPPER EXTREMITY,W/O CONTRAST RT | $246.24 | $251.27 | $251.27–$246.24 | — | 2% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 HC ESOPHAGRAM - SINGLE CONTRAST | $442.04 | $451.06 | $451.06–$442.04 | 23% below | 2% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 HC ESOPHAGRAM - DOUBLE CONTRAST | $442.04 | $451.06 | $451.06–$442.04 | 23% below | 2% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC ESOPHAGRAM - SINGLE CONTRAST | $442.04 | $451.06 | $451.06–$442.04 | — | 2% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC ESOPHAGRAM - DOUBLE CONTRAST | $442.04 | $451.06 | $451.06–$442.04 | — | 2% |
| Bone scan, whole body (nuclear medicine) CPT 78306 HC BONE IMAGING, WHOLE BODY | $637.82 | $650.84 | $650.84–$637.82 | 48% below | 2% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC BONE IMAGING, WHOLE BODY | $637.82 | $650.84 | $650.84–$637.82 | — | 2% |
| Breast ultrasound, complete, one breast one side CPT 76641 HC US BREAST UNI REAL TIME WITH IMAGE COMPLETE LT | $491.18 | $501.20 | $501.20–$491.18 | 21% below | 2% |
| Breast ultrasound, complete, one breast one side CPT 76641 HC US BREAST UNI REAL TIME WITH IMAGE COMPLETE RT | $491.18 | $501.20 | $501.20–$491.18 | 21% below | 2% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 HC US BREAST UNI REAL TIME WITH IMAGE COMPLETE RT | $491.18 | $501.20 | $501.20–$491.18 | — | 2% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 HC US BREAST UNI REAL TIME WITH IMAGE COMPLETE LT | $491.18 | $501.20 | $501.20–$491.18 | — | 2% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC US BREAST UNI REAL TIME WITH IMAGE LIMITED LT | $368.39 | $375.91 | $375.91–$368.39 | 21% below | 2% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC US BREAST UNI REAL TIME WITH IMAGE LIMITED RT | $368.39 | $375.91 | $375.91–$368.39 | 21% below | 2% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC US BREAST UNI REAL TIME WITH IMAGE LIMITED RT | $368.39 | $375.91 | $375.91–$368.39 | — | 2% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC US BREAST UNI REAL TIME WITH IMAGE LIMITED LT | $368.39 | $375.91 | $375.91–$368.39 | — | 2% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CT ANGIO ABD&PLVIS CNTRST MTRL W/WO CNTRST IMGES | $533.54 | $544.43 | $544.43–$533.54 | 36% above | 2% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC CT ANGIO ABD&PLVIS CNTRST MTRL W/WO CNTRST IMGES | $533.54 | $544.43 | $544.43–$533.54 | — | 2% |
| CT angiography (CTA) of the head CPT 70496 HC CT ANGIO,HEAD COMBO,INCL IMAGE PROCESS | $396.72 | $404.82 | $404.82–$396.72 | 36% above | 2% |
| CT angiography (CTA) of the head inpatient CPT 70496 HC CT ANGIO,HEAD COMBO,INCL IMAGE PROCESS | $396.72 | $404.82 | $404.82–$396.72 | — | 2% |
| CT angiography (CTA) of the neck CPT 70498 HC CT ANGIO,NECK COMBO,INCL IMAGE PROCESS | $389.89 | $397.85 | $397.85–$389.89 | 36% above | 2% |
| CT angiography (CTA) of the neck inpatient CPT 70498 HC CT ANGIO,NECK COMBO,INCL IMAGE PROCESS | $389.89 | $397.85 | $397.85–$389.89 | — | 2% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CT ANGIO, CHEST, COMBO, INCL IMAGE PROC | $403.55 | $411.79 | $411.79–$403.55 | 36% above | 2% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CT ANGIO, CHEST, COMBO, INCL IMAGE PROC | $403.55 | $411.79 | $411.79–$403.55 | — | 2% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CT ANGIO HRT CORNRY ART/BYPASS GRFTS CONTRST 3D POST | $581.41 | $593.28 | $593.28–$581.41 | 36% above | 2% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC CT ANGIO HRT CORNRY ART/BYPASS GRFTS CONTRST 3D POST | $581.41 | $593.28 | $593.28–$581.41 | — | 2% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CARDIAC SCORING | $19.60 | $20.00 | $20.00–$19.60 | 76% below | 2% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CARDIAC SCORING | $19.60 | $20.00 | $20.00–$19.60 | — | 2% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT SCAN,ABDOMENT AND PELVIS,W/O CONTRAST | $218.90 | $223.37 | $223.37–$218.90 | 36% above | 2% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT SCAN,ABDOMENT AND PELVIS,W/O CONTRAST | $218.90 | $223.37 | $223.37–$218.90 | — | 2% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT SCAN,ABDOMENT AND PELVIS,W CONTRAST | $424.06 | $432.71 | $432.71–$424.06 | 36% above | 2% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT SCAN,ABDOMENT AND PELVIS,W CONTRAST | $424.06 | $432.71 | $432.71–$424.06 | — | 2% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT SCAN,ABDOMENT AND PELVIS,COMBO | $485.64 | $495.55 | $495.55–$485.64 | 36% above | 2% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT SCAN,ABDOMENT AND PELVIS,COMBO | $485.64 | $495.55 | $495.55–$485.64 | — | 2% |
| CT scan of the abdomen with contrast CPT 74160 HC CT SCAN OF ABDOMEN CONTRAST | $321.50 | $328.06 | $328.06–$321.50 | 36% above | 2% |
| CT scan of the abdomen with contrast inpatient CPT 74160 HC CT SCAN OF ABDOMEN CONTRAST | $321.50 | $328.06 | $328.06–$321.50 | — | 2% |
| CT scan of the abdomen without contrast CPT 74150 HC CT SCAN,ABDOMEN,W/O CONTRAST | $171.00 | $174.49 | $174.49–$171.00 | 36% above | 2% |
| CT scan of the abdomen without contrast inpatient CPT 74150 HC CT SCAN,ABDOMEN,W/O CONTRAST | $171.00 | $174.49 | $174.49–$171.00 | — | 2% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT SCAN,MAXILLOFACIAL AREA,W/O CONTRAST | $184.65 | $188.42 | $188.42–$184.65 | 36% above | 2% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT SCAN,MAXILLOFACIAL AREA,W/O CONTRAST | $184.65 | $188.42 | $188.42–$184.65 | — | 2% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT SCAN,HEAD/BRAIN,W/O CONTRAST MATL | $143.66 | $146.59 | $146.59–$143.66 | 36% above | 2% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT SCAN,HEAD/BRAIN,W/O CONTRAST MATL | $143.66 | $146.59 | $146.59–$143.66 | — | 2% |
| CT scan of the head with contrast CPT 70460 HC CT SCAN HEAD CONTRAST | $205.19 | $209.38 | $209.38–$205.19 | 36% above | 2% |
| CT scan of the head with contrast inpatient CPT 70460 HC CT SCAN HEAD CONTRAST | $205.19 | $209.38 | $209.38–$205.19 | — | 2% |
| CT scan of the head without and with contrast CPT 70470 HC CT SCAN HEAD COMBO | $246.24 | $251.27 | $251.27–$246.24 | 36% above | 2% |
| CT scan of the head without and with contrast inpatient CPT 70470 HC CT SCAN HEAD COMBO | $246.24 | $251.27 | $251.27–$246.24 | — | 2% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT SCAN,LUMBAR SPINE,W/O CONTRAST | $246.24 | $251.27 | $251.27–$246.24 | 36% above | 2% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT SCAN,LUMBAR SPINE,W/O CONTRAST | $246.24 | $251.27 | $251.27–$246.24 | — | 2% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT SCAN,CERVICAL SPINE,W/O CONTRAST | $253.07 | $258.23 | $258.23–$253.07 | 36% above | 2% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT SCAN,CERVICAL SPINE,W/O CONTRAST | $253.07 | $258.23 | $258.23–$253.07 | — | 2% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT SCAN OF PELVIS CONTRAST | $321.50 | $328.06 | $328.06–$321.50 | 36% above | 2% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT SCAN OF PELVIS CONTRAST | $321.50 | $328.06 | $328.06–$321.50 | — | 2% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC EXTRACRANIAL BILAT STUDY | $1,129.70 | $1,152.75 | $1,152.75–$1,129.70 | — | 2% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC EXTRACRANIAL BILAT STUDY | $1,129.70 | $1,152.75 | $1,152.75–$1,129.70 | — | 2% |
| Chest CT scan without and with contrast CPT 71270 HC CAT SCAN OF CHEST COMBO | $396.72 | $404.82 | $404.82–$396.72 | 36% above | 2% |
| Chest CT scan without and with contrast inpatient CPT 71270 HC CAT SCAN OF CHEST COMBO | $396.72 | $404.82 | $404.82–$396.72 | — | 2% |
| Chest X-ray, 2 views CPT 71046 HC CHEST X-RAY 2 VW | $122.79 | $125.30 | $125.30–$122.79 | 29% below | 2% |
| Chest X-ray, 2 views inpatient CPT 71046 HC CHEST X-RAY 2 VW | $122.79 | $125.30 | $125.30–$122.79 | — | 2% |
| Chest X-ray, single view CPT 71045 HC CHEST X-RAY 1 VW | $98.23 | $100.23 | $100.23–$98.23 | 10% below | 2% |
| Chest X-ray, single view inpatient CPT 71045 HC CHEST X-RAY 1 VW | $98.23 | $100.23 | $100.23–$98.23 | — | 2% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 HC X-RAY CLAVICLE RT | $122.79 | $125.30 | $125.30–$122.79 | 26% below | 2% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 HC X-RAY CLAVICLE LT | $122.79 | $125.30 | $125.30–$122.79 | 26% below | 2% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 HC X-RAY CLAVICLE RT | $122.79 | $125.30 | $125.30–$122.79 | — | 2% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 HC X-RAY CLAVICLE LT | $122.79 | $125.30 | $125.30–$122.79 | — | 2% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US,RETROPERIT, B-SCAN/REAL TIME,COMPLETE | $540.32 | $551.35 | $551.35–$540.32 | 21% below | 2% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US,RETROPERIT, B-SCAN/REAL TIME,COMPLETE | $540.32 | $551.35 | $551.35–$540.32 | — | 2% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC DXA BONE DENSITY AXIAL | $221.06 | $225.57 | $225.57–$221.06 | 23% below | 2% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC DXA BONE DENSITY AXIAL | $221.06 | $225.57 | $225.57–$221.06 | — | 2% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC DXA BONE DENSITY/PERIPHERAL | $122.79 | $125.30 | $125.30–$122.79 | 28% below | 2% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC DXA BONE DENSITY/PERIPHERAL | $122.79 | $125.30 | $125.30–$122.79 | — | 2% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC US,PREG UTER,FET & MAT,+ DETL FET EXM ADC | $420.49 | $429.07 | $429.07–$420.49 | 45% below | 2% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC US,PREG UTER,FET & MAT,+ DETL FET EXM | $589.41 | $601.44 | $601.44–$589.41 | 23% below | 2% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HC US,PREG UTER,FET & MAT,+ DETL FET EXM ADC | $420.49 | $429.07 | $429.07–$420.49 | — | 2% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HC US,PREG UTER,FET & MAT,+ DETL FET EXM | $589.41 | $601.44 | $601.44–$589.41 | — | 2% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT SCAN,THORAX,W/O CONTRAST | $246.24 | $251.27 | $251.27–$246.24 | 36% above | 2% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT SCAN,THORAX,W/O CONTRAST | $246.24 | $251.27 | $251.27–$246.24 | — | 2% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CAT SCAN OF CHEST CONTRAST | $321.50 | $328.06 | $328.06–$321.50 | 36% above | 2% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CAT SCAN OF CHEST CONTRAST | $321.50 | $328.06 | $328.06–$321.50 | — | 2% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI | $834.99 | $852.03 | $852.03–$834.99 | — | 2% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI | $834.99 | $852.03 | $852.03–$834.99 | — | 2% |
| Diagnostic mammogram, one breast one side CPT 77065 HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI RT | $638.55 | $651.58 | $651.58–$638.55 | 23% below | 2% |
| Diagnostic mammogram, one breast one side CPT 77065 HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI LT | $638.55 | $651.58 | $651.58–$638.55 | 23% below | 2% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI RT | $638.55 | $651.58 | $651.58–$638.55 | — | 2% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI LT | $638.55 | $651.58 | $651.58–$638.55 | — | 2% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 HC LOWER EXTREMITY STUDY BIL | $1,522.64 | $1,553.71 | $1,553.71–$1,522.64 | 23% below | 2% |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 HC LOWER EXTREMITY STUDY BIL | $1,522.64 | $1,553.71 | $1,553.71–$1,522.64 | — | 2% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 HC EXTREMITY STUDY BIL | $1,129.70 | $1,152.75 | $1,152.75–$1,129.70 | 27% below | 2% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 HC EXTREMITY STUDY BIL | $1,129.70 | $1,152.75 | $1,152.75–$1,129.70 | — | 2% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC ECHO HEART XTHORACIC,COMPLETE W DOPPLER | $391.15 | $399.13 | $399.13–$391.15 | 42% above | 2% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC ECHO HEART XTHORACIC,COMPLETE W DOPPLER | $391.15 | $399.13 | $399.13–$391.15 | — | 2% |
| Elbow X-ray, 2 views one side CPT 73070 HC X-RAY ELBOW 2 VW RT | $122.79 | $125.30 | $125.30–$122.79 | 23% below | 2% |
| Elbow X-ray, 2 views one side CPT 73070 HC X-RAY ELBOW 2 VW LT | $122.79 | $125.30 | $125.30–$122.79 | 23% below | 2% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 HC X-RAY ELBOW 2 VW RT | $122.79 | $125.30 | $125.30–$122.79 | — | 2% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 HC X-RAY ELBOW 2 VW LT | $122.79 | $125.30 | $125.30–$122.79 | — | 2% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 HC X-RAY ELBOW 3+ VW LT | $147.31 | $150.32 | $150.32–$147.31 | 23% below | 2% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 HC X-RAY ELBOW 3+ VW RT | $147.31 | $150.32 | $150.32–$147.31 | 23% below | 2% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 HC X-RAY ELBOW 3+ VW RT | $147.31 | $150.32 | $150.32–$147.31 | — | 2% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 HC X-RAY ELBOW 3+ VW LT | $147.31 | $150.32 | $150.32–$147.31 | — | 2% |
| Eye socket (orbit) CT scan without contrast CPT 70480 HC CT SCAN,ORBIT/SELLA/POST FOSSA/EAR,W/O | $321.50 | $328.06 | $328.06–$321.50 | 36% above | 2% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT SCAN,ORBIT/SELLA/POST FOSSA/EAR,W/O | $321.50 | $328.06 | $328.06–$321.50 | — | 2% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 HC X-RAY FACIAL BONES 3+ VW | $196.47 | $200.48 | $200.48–$196.47 | 23% below | 2% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC X-RAY FACIAL BONES 3+ VW | $196.47 | $200.48 | $200.48–$196.47 | — | 2% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 HC X-RAY FOREARM 2 VW RT | $122.79 | $125.30 | $125.30–$122.79 | 26% below | 2% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 HC X-RAY FOREARM 2 VW LT | $122.79 | $125.30 | $125.30–$122.79 | 26% below | 2% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 HC X-RAY FOREARM 2 VW RT | $122.79 | $125.30 | $125.30–$122.79 | — | 2% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 HC X-RAY FOREARM 2 VW LT | $122.79 | $125.30 | $125.30–$122.79 | — | 2% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER | $899.25 | $917.60 | $917.60–$899.25 | 48% below | 2% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER | $899.25 | $917.60 | $917.60–$899.25 | — | 2% |
| Hand X-ray, 2 views one side CPT 73120 HC X-RAY HAND 2 VW LT | $122.79 | $125.30 | $125.30–$122.79 | 26% below | 2% |
| Hand X-ray, 2 views one side CPT 73120 HC X-RAY HAND 2 VW RT | $122.79 | $125.30 | $125.30–$122.79 | 26% below | 2% |
| Hand X-ray, 2 views inpatient one side CPT 73120 HC X-RAY HAND 2 VW RT | $122.79 | $125.30 | $125.30–$122.79 | — | 2% |
| Hand X-ray, 2 views inpatient one side CPT 73120 HC X-RAY HAND 2 VW LT | $122.79 | $125.30 | $125.30–$122.79 | — | 2% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 HC X-RAY HEEL RT | $122.79 | $125.30 | $125.30–$122.79 | 23% below | 2% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 HC X-RAY HEEL LT | $122.79 | $125.30 | $125.30–$122.79 | 23% below | 2% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 HC X-RAY HEEL LT | $122.79 | $125.30 | $125.30–$122.79 | — | 2% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 HC X-RAY HEEL RT | $122.79 | $125.30 | $125.30–$122.79 | — | 2% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC SLEEP STUDY UNATTENDED | $975.52 | $995.43 | $995.43–$975.52 | 94% above | 2% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HC SLEEP STUDY UNATTENDED | $975.52 | $995.43 | $995.43–$975.52 | — | 2% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND | $4,812.81 | $4,911.03 | $4,911.03–$4,812.81 | 96% above | 2% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND | $4,812.81 | $4,911.03 | $4,911.03–$4,812.81 | — | 2% |
| Knee X-ray, 3 views one side CPT 73562 HC X-RAY KNEE 3 VIEW LT | $171.90 | $175.41 | $175.41–$171.90 | 23% below | 2% |
| Knee X-ray, 3 views one side CPT 73562 HC X-RAY KNEE 3 VIEW RT | $171.90 | $175.41 | $175.41–$171.90 | 23% below | 2% |
| Knee X-ray, 3 views inpatient one side CPT 73562 HC X-RAY KNEE 3 VIEW RT | $171.90 | $175.41 | $175.41–$171.90 | — | 2% |
| Knee X-ray, 3 views inpatient one side CPT 73562 HC X-RAY KNEE 3 VIEW LT | $171.90 | $175.41 | $175.41–$171.90 | — | 2% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 HC X-RAY KNEE 4+ VIEW LT | $196.47 | $200.48 | $200.48–$196.47 | 23% below | 2% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 HC X-RAY KNEE 4+ VIEW RT | $196.47 | $200.48 | $200.48–$196.47 | 23% below | 2% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 HC X-RAY KNEE 4+ VIEW RT | $196.47 | $200.48 | $200.48–$196.47 | — | 2% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 HC X-RAY KNEE 4+ VIEW LT | $196.47 | $200.48 | $200.48–$196.47 | — | 2% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST RT | $246.24 | $251.27 | $251.27–$246.24 | 36% above | 2% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST LT | $246.24 | $251.27 | $251.27–$246.24 | 36% above | 2% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST RT | $246.24 | $251.27 | $251.27–$246.24 | — | 2% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST LT | $246.24 | $251.27 | $251.27–$246.24 | — | 2% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US, ABDOMEN LIMITED | $442.04 | $451.06 | $451.06–$442.04 | 23% below | 2% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US, ABDOMEN LIMITED | $442.04 | $451.06 | $451.06–$442.04 | — | 2% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US,EXTREMITY,NONVASCULAR,REAL-TIME IMAGE,LIMITED | $73.70 | $75.20 | $75.20–$73.70 | 26% below | 2% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC US,EXTREMITY,NONVASCULAR,REAL-TIME IMAGE,LIMITED | $73.70 | $75.20 | $75.20–$73.70 | — | 2% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC LDCT FOR LUNG CA SCREEN | $246.24 | $251.27 | $251.27–$246.24 | 50% above | 2% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC LDCT FOR LUNG CA SCREEN | $246.24 | $251.27 | $251.27–$246.24 | — | 2% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 HC X-RAY TIB + FIB, 2VW LT | $147.31 | $150.32 | $150.32–$147.31 | 23% below | 2% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 HC X-RAY TIB + FIB, 2VW RT | $147.31 | $150.32 | $150.32–$147.31 | 23% below | 2% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 HC X-RAY TIB + FIB, 2VW LT | $147.31 | $150.32 | $150.32–$147.31 | — | 2% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 HC X-RAY TIB + FIB, 2VW RT | $147.31 | $150.32 | $150.32–$147.31 | — | 2% |
| MR angiography (MRA) of the head without contrast CPT 70544 HC MR ANGIO, HEAD | $894.34 | $912.59 | $912.59–$894.34 | 18% below | 2% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC MR ANGIO, HEAD | $894.34 | $912.59 | $912.59–$894.34 | — | 2% |
| MRI of both breasts, without and then with contrast dye CPT 77049 HC MRI BOTH BREASTS C-+ w CAD | $1,230.91 | $1,256.03 | $1,256.03–$1,230.91 | 22% above | 2% |
| MRI of both breasts, without and then with contrast dye inpatient CPT 77049 HC MRI BOTH BREASTS C-+ w CAD | $1,230.91 | $1,256.03 | $1,256.03–$1,230.91 | — | 2% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 HC MRI LOWER EXTREM JT, W/O CONTRAST RT | $451.99 | $461.21 | $461.21–$451.99 | 18% below | 2% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 HC MRI LOWER EXTREM JT, W/O CONTRAST LT | $451.99 | $461.21 | $461.21–$451.99 | 18% below | 2% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 HC MRI LOWER EXTREM JT, W/O CONTRAST LT | $451.99 | $461.21 | $461.21–$451.99 | — | 2% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 HC MRI LOWER EXTREM JT, W/O CONTRAST RT | $451.99 | $461.21 | $461.21–$451.99 | — | 2% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HC MRI, JOINT OF LEG. COMBO LT | $980.86 | $1,000.88 | $1,000.88–$980.86 | 18% below | 2% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HC MRI, JOINT OF LEG. COMBO RT | $980.86 | $1,000.88 | $1,000.88–$980.86 | 18% below | 2% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 HC MRI, JOINT OF LEG. COMBO RT | $980.86 | $1,000.88 | $1,000.88–$980.86 | — | 2% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 HC MRI, JOINT OF LEG. COMBO LT | $980.86 | $1,000.88 | $1,000.88–$980.86 | — | 2% |
| MRI of the abdomen without contrast CPT 74181 HC MRI, ABDOMEN (MRI) | $701.99 | $716.32 | $716.32–$701.99 | 18% below | 2% |
| MRI of the abdomen without contrast inpatient CPT 74181 HC MRI, ABDOMEN (MRI) | $701.99 | $716.32 | $716.32–$701.99 | — | 2% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI, ABDOMEN, COMBO | $1,067.45 | $1,089.23 | $1,089.23–$1,067.45 | 18% below | 2% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI, ABDOMEN, COMBO | $1,067.45 | $1,089.23 | $1,089.23–$1,067.45 | — | 2% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN | $423.12 | $431.75 | $431.75–$423.12 | 23% below | 2% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN | $423.12 | $431.75 | $431.75–$423.12 | — | 2% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN COMBO | $711.61 | $726.13 | $726.13–$711.61 | 18% below | 2% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN COMBO | $711.61 | $726.13 | $726.13–$711.61 | — | 2% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI, LUMBAR SPINE | $403.89 | $412.13 | $412.13–$403.89 | 18% below | 2% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI, LUMBAR SPINE | $403.89 | $412.13 | $412.13–$403.89 | — | 2% |
| MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI, LUMBAR SPINE COMBO | $711.61 | $726.13 | $726.13–$711.61 | 18% below | 2% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI, LUMBAR SPINE COMBO | $711.61 | $726.13 | $726.13–$711.61 | — | 2% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI, DORSAL SPINE | $403.89 | $412.13 | $412.13–$403.89 | 18% below | 2% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI, DORSAL SPINE | $403.89 | $412.13 | $412.13–$403.89 | — | 2% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI, CERV SPINE COMBO | $711.61 | $726.13 | $726.13–$711.61 | 18% below | 2% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI, CERV SPINE COMBO | $711.61 | $726.13 | $726.13–$711.61 | — | 2% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI, CERV SPINE | $403.89 | $412.13 | $412.13–$403.89 | 18% below | 2% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI, CERV SPINE | $403.89 | $412.13 | $412.13–$403.89 | — | 2% |
| MRI of the pelvis without and with contrast CPT 72197 HC MRI, PELVIS, COMBO | $1,057.81 | $1,079.40 | $1,079.40–$1,057.81 | 18% below | 2% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI, PELVIS, COMBO | $1,057.81 | $1,079.40 | $1,079.40–$1,057.81 | — | 2% |
| MRI of the pelvis, no contrast dye CPT 72195 HC MRI, PELVIS, W/O CONTRAST | $817.42 | $834.10 | $834.10–$817.42 | 18% below | 2% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI, PELVIS, W/O CONTRAST | $817.42 | $834.10 | $834.10–$817.42 | — | 2% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 HC MRI, JOINT UPPER EXTREM LT | $451.99 | $461.21 | $461.21–$451.99 | 18% below | 2% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 HC MRI, JOINT UPPER EXTREM RT | $451.99 | $461.21 | $461.21–$451.99 | 18% below | 2% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 HC MRI, JOINT UPPER EXTREM LT | $451.99 | $461.21 | $461.21–$451.99 | — | 2% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 HC MRI, JOINT UPPER EXTREM RT | $451.99 | $461.21 | $461.21–$451.99 | — | 2% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC RADEX SPINE CERVICAL 4 OR 5 VIEWS | $196.47 | $200.48 | $200.48–$196.47 | 23% below | 2% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC RADEX SPINE CERVICAL 4 OR 5 VIEWS | $196.47 | $200.48 | $200.48–$196.47 | — | 2% |
| Neck soft tissue CT scan with contrast CPT 70491 HC CT NECK TISSUE CONTRAST | $321.50 | $328.06 | $328.06–$321.50 | 36% above | 2% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 HC CT NECK TISSUE CONTRAST | $321.50 | $328.06 | $328.06–$321.50 | — | 2% |
| Neck soft tissue CT scan without contrast CPT 70490 HC CT SCAN,SOFT TISSUE NECK,W/O CONTRAST | $246.24 | $251.27 | $251.27–$246.24 | 36% above | 2% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 HC CT SCAN,SOFT TISSUE NECK,W/O CONTRAST | $246.24 | $251.27 | $251.27–$246.24 | — | 2% |
| Neck soft tissue X-ray CPT 70360 HC X-RAY NECK SOFT TISSUE | $122.79 | $125.30 | $125.30–$122.79 | 23% below | 2% |
| Neck soft tissue X-ray inpatient CPT 70360 HC X-RAY NECK SOFT TISSUE | $122.79 | $125.30 | $125.30–$122.79 | — | 2% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC MYOCARDIAL SPECT MULTIPLE STUDIES | $1,202.48 | $1,227.02 | $1,227.02–$1,202.48 | 48% below | 2% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC MYOCARDIAL SPECT MULTIPLE STUDIES | $1,202.48 | $1,227.02 | $1,227.02–$1,202.48 | — | 2% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC PET IMAGING CT ATTENUATION SKULL BASE MID-THIGH | $4,548.47 | $4,641.30 | $4,641.30–$4,548.47 | 30% below | 2% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HC PET IMAGING CT ATTENUATION SKULL BASE MID-THIGH | $4,548.47 | $4,641.30 | $4,641.30–$4,548.47 | — | 2% |
| Pelvic CT scan without contrast CPT 72192 HC CT SCAN,PELVIS,W/O CONTRAST | $177.82 | $181.45 | $181.45–$177.82 | 36% above | 2% |
| Pelvic CT scan without contrast inpatient CPT 72192 HC CT SCAN,PELVIS,W/O CONTRAST | $177.82 | $181.45 | $181.45–$177.82 | — | 2% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US,PELVIC (NONOBSTETRIC) LIMITED OR FOLLOW UP | $171.90 | $175.41 | $175.41–$171.90 | 23% below | 2% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US,PELVIC (NONOBSTETRIC) LIMITED OR FOLLOW UP | $171.90 | $175.41 | $175.41–$171.90 | — | 2% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC ECHO,PELVIC (NONOBSTETRIC) | $515.75 | $526.28 | $526.28–$515.75 | 23% below | 2% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC ECHO,PELVIC (NONOBSTETRIC) | $515.75 | $526.28 | $526.28–$515.75 | — | 2% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US, OB >/= 14 WKS, SNGL FETUS | $420.49 | $429.07 | $429.07–$420.49 | 48% below | 2% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US, OB >/= 14 WKS, SNGL FETUS US | $638.55 | $651.58 | $651.58–$638.55 | 21% below | 2% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US, OB >/= 14 WKS, SNGL FETUS | $420.49 | $429.07 | $429.07–$420.49 | — | 2% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US, OB >/= 14 WKS, SNGL FETUS US | $638.55 | $651.58 | $651.58–$638.55 | — | 2% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US, OB < 14 WKS, SINGLE FETUS ADC | $420.49 | $429.07 | $429.07–$420.49 | 37% below | 2% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US, OB < 14 WKS, SINGLE FETUS | $515.75 | $526.28 | $526.28–$515.75 | 23% below | 2% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC US, OB < 14 WKS, SINGLE FETUS ADC | $420.49 | $429.07 | $429.07–$420.49 | — | 2% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC US, OB < 14 WKS, SINGLE FETUS | $515.75 | $526.28 | $526.28–$515.75 | — | 2% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US,PREGNANT UTERUS,LIMITED, 1/> FETUSES ADC | $140.18 | $143.04 | $143.04–$140.18 | 71% below | 2% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US,PREGNANT UTERUS,LIMITED, 1/> FETUSES | $368.39 | $375.91 | $375.91–$368.39 | 23% below | 2% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US,PREGNANT UTERUS,LIMITED, 1/> FETUSES ADC | $140.18 | $143.04 | $143.04–$140.18 | — | 2% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US,PREGNANT UTERUS,LIMITED, 1/> FETUSES | $368.39 | $375.91 | $375.91–$368.39 | — | 2% |
| Rib X-ray, one side, 2 views one side CPT 71100 HC X-RAY RIBS 2 VW UNILAT RT | $147.31 | $150.32 | $150.32–$147.31 | 23% below | 2% |
| Rib X-ray, one side, 2 views one side CPT 71100 HC X-RAY RIBS 2 VW UNILAT LT | $147.31 | $150.32 | $150.32–$147.31 | 23% below | 2% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 HC X-RAY RIBS 2 VW UNILAT RT | $147.31 | $150.32 | $150.32–$147.31 | — | 2% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 HC X-RAY RIBS 2 VW UNILAT LT | $147.31 | $150.32 | $150.32–$147.31 | — | 2% |
| Screening mammogram, both breasts both sides CPT 77067 HC SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD | $687.63 | $701.66 | $701.66–$687.63 | — | 2% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD | $687.63 | $701.66 | $701.66–$687.63 | — | 2% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 HC X-RAY SHOULDER 2+ VW RT | $122.79 | $125.30 | $125.30–$122.79 | 23% below | 2% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 HC X-RAY SHOULDER 2+ VW LT | $122.79 | $125.30 | $125.30–$122.79 | 23% below | 2% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 HC X-RAY SHOULDER 2+ VW LT | $122.79 | $125.30 | $125.30–$122.79 | — | 2% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 HC X-RAY SHOULDER 2+ VW RT | $122.79 | $125.30 | $125.30–$122.79 | — | 2% |
| Sinus X-ray, complete, 3 or more views CPT 70220 HC X-RAY SINUSES 3+ VW | $171.90 | $175.41 | $175.41–$171.90 | 23% below | 2% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC X-RAY SINUSES 3+ VW | $171.90 | $175.41 | $175.41–$171.90 | — | 2% |
| Skull X-ray, fewer than 4 views CPT 70250 HC X-RAY SKULL <4 VW | $171.90 | $175.41 | $175.41–$171.90 | 23% below | 2% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 HC X-RAY SKULL <4 VW | $171.90 | $175.41 | $175.41–$171.90 | — | 2% |
| Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND | $4,552.60 | $4,645.51 | $4,645.51–$4,552.60 | 96% above | 2% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND | $4,552.60 | $4,645.51 | $4,645.51–$4,552.60 | — | 2% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 HC SWALLOWING FCN,W/CINE &/OR VIDEO | $687.63 | $701.66 | $701.66–$687.63 | 23% below | 2% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC SWALLOWING FCN,W/CINE &/OR VIDEO | $687.63 | $701.66 | $701.66–$687.63 | — | 2% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 HC RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS LT | $147.31 | $150.32 | $150.32–$147.31 | 26% below | 2% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 HC RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS RT | $147.31 | $150.32 | $150.32–$147.31 | 26% below | 2% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 HC RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS RT | $147.31 | $150.32 | $150.32–$147.31 | — | 2% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 HC RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS LT | $147.31 | $150.32 | $150.32–$147.31 | — | 2% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT SCAN,THORACIC SPINE,W/O CONTRAST | $246.24 | $251.27 | $251.27–$246.24 | 36% above | 2% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC CT SCAN,THORACIC SPINE,W/O CONTRAST | $246.24 | $251.27 | $251.27–$246.24 | — | 2% |
| Toe X-ray, 2 or more views one side CPT 73660 HC X-RAY TOE(S) LT | $147.31 | $150.32 | $150.32–$147.31 | 23% below | 2% |
| Toe X-ray, 2 or more views one side CPT 73660 HC X-RAY TOE(S) RT | $147.31 | $150.32 | $150.32–$147.31 | 23% below | 2% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 HC X-RAY TOE(S) LT | $147.31 | $150.32 | $150.32–$147.31 | — | 2% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 HC X-RAY TOE(S) RT | $147.31 | $150.32 | $150.32–$147.31 | — | 2% |
| Transvaginal pelvic ultrasound CPT 76830 HC ECHOGRAPHY,TRANSVAGINAL | $613.96 | $626.49 | $626.49–$613.96 | 23% below | 2% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC ECHOGRAPHY,TRANSVAGINAL | $613.96 | $626.49 | $626.49–$613.96 | — | 2% |
| Transvaginal ultrasound during pregnancy CPT 76817 HC US,PREGNANT UTERUS,TRANSVAGINAL | $417.53 | $426.05 | $426.05–$417.53 | 23% below | 2% |
| Transvaginal ultrasound during pregnancy CPT 76817 HC US,PREGNANT UTERUS,TRANSVAGINAL ADC | $420.49 | $429.07 | $429.07–$420.49 | 23% below | 2% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC US,PREGNANT UTERUS,TRANSVAGINAL | $417.53 | $426.05 | $426.05–$417.53 | — | 2% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC US,PREGNANT UTERUS,TRANSVAGINAL ADC | $420.49 | $429.07 | $429.07–$420.49 | — | 2% |
| Ultrasound of the abdomen, complete CPT 76700 HC US, ABDOM,B-SCAN &/OR REAL TIME,COMPLETE | $564.83 | $576.36 | $576.36–$564.83 | 23% below | 2% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US, ABDOM,B-SCAN &/OR REAL TIME,COMPLETE | $564.83 | $576.36 | $576.36–$564.83 | — | 2% |
| Ultrasound of the scrotum and testicles CPT 76870 HC ECHO,SCROTUM & CONTENTS | $245.60 | $250.61 | $250.61–$245.60 | 23% below | 2% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 HC ECHO,SCROTUM & CONTENTS | $245.60 | $250.61 | $250.61–$245.60 | — | 2% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US, HEAD/NECK TISSUES,REAL TIME | $613.96 | $626.49 | $626.49–$613.96 | 23% below | 2% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US, HEAD/NECK TISSUES,REAL TIME | $613.96 | $626.49 | $626.49–$613.96 | — | 2% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC RADEX GI TRACT UPPER W/WO DELAYED IMAGES, SINGLE CONTRAST STUDY | $540.32 | $551.35 | $551.35–$540.32 | 23% below | 2% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC RADEX GI TRACT UPPER W/WO DELAYED IMAGES, SINGLE CONTRAST STUDY | $540.32 | $551.35 | $551.35–$540.32 | — | 2% |
| Upper arm X-ray (humerus), 2 views CPT 73060 HC X-RAY HUMERUS BIL | $147.31 | $150.32 | $150.32–$147.31 | 23% below | 2% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 HC X-RAY HUMERUS LT | $147.31 | $150.32 | $150.32–$147.31 | 23% below | 2% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 HC X-RAY HUMERUS RT | $147.31 | $150.32 | $150.32–$147.31 | 23% below | 2% |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC X-RAY HUMERUS BIL | $147.31 | $150.32 | $150.32–$147.31 | — | 2% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HC X-RAY HUMERUS LT | $147.31 | $150.32 | $150.32–$147.31 | — | 2% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HC X-RAY HUMERUS RT | $147.31 | $150.32 | $150.32–$147.31 | — | 2% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC EXTREMITY STUDY UNI | $687.63 | $701.66 | $701.66–$687.63 | 23% below | 2% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC EXTREMITY STUDY UNI | $687.63 | $701.66 | $701.66–$687.63 | — | 2% |
| Wrist X-ray, 2 views one side CPT 73100 HC X-RAY WRIST 2 VW RT | $147.31 | $150.32 | $150.32–$147.31 | 23% below | 2% |
| Wrist X-ray, 2 views one side CPT 73100 HC X-RAY WRIST 2 VW LT | $147.31 | $150.32 | $150.32–$147.31 | 23% below | 2% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 HC X-RAY WRIST 2 VW LT | $147.31 | $150.32 | $150.32–$147.31 | — | 2% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 HC X-RAY WRIST 2 VW RT | $147.31 | $150.32 | $150.32–$147.31 | — | 2% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 HC X-RAY WRIST 3+ VW RT | $171.90 | $175.41 | $175.41–$171.90 | 23% below | 2% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 HC X-RAY WRIST 3+ VW LT | $171.90 | $175.41 | $175.41–$171.90 | 23% below | 2% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 HC X-RAY WRIST 3+ VW LT | $171.90 | $175.41 | $175.41–$171.90 | — | 2% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 HC X-RAY WRIST 3+ VW RT | $171.90 | $175.41 | $175.41–$171.90 | — | 2% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS LT | $196.47 | $200.48 | $200.48–$196.47 | 23% below | 2% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS RT | $196.47 | $200.48 | $200.48–$196.47 | 23% below | 2% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HC RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS LT | $196.47 | $200.48 | $200.48–$196.47 | — | 2% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HC RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS RT | $196.47 | $200.48 | $200.48–$196.47 | — | 2% |
| X-ray of the abdomen, 1 view CPT 74018 HC X-RAY ABDOMEN 1 VW | $98.23 | $100.23 | $100.23–$98.23 | 39% below | 2% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 HC X-RAY ABDOMEN 1 VW | $98.23 | $100.23 | $100.23–$98.23 | — | 2% |
| X-ray of the ankle, 2 views one side CPT 73600 HC X-RAY ANKLE 2 VW LT | $147.31 | $150.32 | $150.32–$147.31 | 23% below | 2% |
| X-ray of the ankle, 2 views one side CPT 73600 HC X-RAY ANKLE 2 VW RT | $147.31 | $150.32 | $150.32–$147.31 | 23% below | 2% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 HC X-RAY ANKLE 2 VW LT | $147.31 | $150.32 | $150.32–$147.31 | — | 2% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 HC X-RAY ANKLE 2 VW RT | $147.31 | $150.32 | $150.32–$147.31 | — | 2% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 HC X-RAY EXAM OF FINGER(S) LT | $171.90 | $175.41 | $175.41–$171.90 | 23% below | 2% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 HC X-RAY EXAM OF FINGER(S) RT | $171.90 | $175.41 | $175.41–$171.90 | 23% below | 2% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 HC X-RAY EXAM OF FINGER(S) RT | $171.90 | $175.41 | $175.41–$171.90 | — | 2% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 HC X-RAY EXAM OF FINGER(S) LT | $171.90 | $175.41 | $175.41–$171.90 | — | 2% |
| X-ray of the foot, 2 views one side CPT 73620 HC X-RAY FOOT 2 VW LT | $122.79 | $125.30 | $125.30–$122.79 | 23% below | 2% |
| X-ray of the foot, 2 views one side CPT 73620 HC X-RAY FOOT 2 VW RT | $122.79 | $125.30 | $125.30–$122.79 | 23% below | 2% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 HC X-RAY FOOT 2 VW LT | $122.79 | $125.30 | $125.30–$122.79 | — | 2% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 HC X-RAY FOOT 2 VW RT | $122.79 | $125.30 | $125.30–$122.79 | — | 2% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 HC X-RAY FOOT 3+ VW LT | $147.31 | $150.32 | $150.32–$147.31 | 23% below | 2% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 HC X-RAY FOOT 3+ VW RT | $147.31 | $150.32 | $150.32–$147.31 | 23% below | 2% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 HC X-RAY FOOT 3+ VW RT | $147.31 | $150.32 | $150.32–$147.31 | — | 2% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 HC X-RAY FOOT 3+ VW LT | $147.31 | $150.32 | $150.32–$147.31 | — | 2% |
| X-ray of the hand, 3 or more views one side CPT 73130 HC X-RAY HAND 3+ VW LT | $147.31 | $150.32 | $150.32–$147.31 | 23% below | 2% |
| X-ray of the hand, 3 or more views one side CPT 73130 HC X-RAY HAND 3+ VW RT | $147.31 | $150.32 | $150.32–$147.31 | 23% below | 2% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 HC X-RAY HAND 3+ VW RT | $147.31 | $150.32 | $150.32–$147.31 | — | 2% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 HC X-RAY HAND 3+ VW LT | $147.31 | $150.32 | $150.32–$147.31 | — | 2% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 HC X-RAY KNEE 1 OR 2 VIEW RT | $147.31 | $150.32 | $150.32–$147.31 | 23% below | 2% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 HC X-RAY KNEE 1 OR 2 VIEW LT | $147.31 | $150.32 | $150.32–$147.31 | 23% below | 2% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 HC X-RAY KNEE 1 OR 2 VIEW RT | $147.31 | $150.32 | $150.32–$147.31 | — | 2% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 HC X-RAY KNEE 1 OR 2 VIEW LT | $147.31 | $150.32 | $150.32–$147.31 | — | 2% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC X-RAY LUMBAR SPINE 2/3 VW | $171.90 | $175.41 | $175.41–$171.90 | 23% below | 2% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC X-RAY LUMBAR SPINE 2/3 VW | $171.90 | $175.41 | $175.41–$171.90 | — | 2% |
| X-ray of the lower back, 4 or more views CPT 72110 HC X-RAY LUMBAR SPINE 4 VW | $221.06 | $225.57 | $225.57–$221.06 | 23% below | 2% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC X-RAY LUMBAR SPINE 4 VW | $221.06 | $225.57 | $225.57–$221.06 | — | 2% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC X-RAY THORACIC SPINE 2 VW | $147.31 | $150.32 | $150.32–$147.31 | 26% below | 2% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC X-RAY THORACIC SPINE 2 VW | $147.31 | $150.32 | $150.32–$147.31 | — | 2% |
| X-ray of the nasal bones, 3 or more views CPT 70160 HC X-RAY NASAL BONES | $171.90 | $175.41 | $175.41–$171.90 | 23% below | 2% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC X-RAY NASAL BONES | $171.90 | $175.41 | $175.41–$171.90 | — | 2% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC RADEX SPINE CERVICAL 2 OR 3 VIEWS | $147.31 | $150.32 | $150.32–$147.31 | 23% below | 2% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC RADEX SPINE CERVICAL 2 OR 3 VIEWS | $147.31 | $150.32 | $150.32–$147.31 | — | 2% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HC X-RAY PELVIS 1/2 VW | $147.31 | $150.32 | $150.32–$147.31 | 23% below | 2% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC X-RAY PELVIS 1/2 VW | $147.31 | $150.32 | $150.32–$147.31 | — | 2% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC X-RAY SACRUM/COCCYX 2+ VW | $122.79 | $125.30 | $125.30–$122.79 | 26% below | 2% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC X-RAY SACRUM/COCCYX 2+ VW | $122.79 | $125.30 | $125.30–$122.79 | — | 2% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Maryland | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 HC ASSAY OF ACTH | $96.12 | $98.08 | $98.08–$96.12 | 11% above | 2% |
| ACTH blood test inpatient CPT 82024 HC ASSAY OF ACTH | $96.12 | $98.08 | $98.08–$96.12 | — | 2% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC TRANSFERASE ALANINE AMINO (ALT) (SGPT) | $6.42 | $6.55 | $6.55–$6.42 | 12% above | 2% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC TRANSFERASE ALANINE AMINO (ALT) (SGPT) REF | $6.42 | $6.55 | $6.55–$6.42 | 12% above | 2% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC TRANSFERASE ALANINE AMINO (ALT) (SGPT) REF | $6.42 | $6.55 | $6.55–$6.42 | — | 2% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC TRANSFERASE ALANINE AMINO (ALT) (SGPT) | $6.42 | $6.55 | $6.55–$6.42 | — | 2% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC TRANSFERASE ASPARTATE AMINO (AST) (SGOT) | $6.42 | $6.55 | $6.55–$6.42 | 12% above | 2% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC TRANSFERASE ASPARTATE AMINO (AST) (SGOT) REF | $6.42 | $6.55 | $6.55–$6.42 | 12% above | 2% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC TRANSFERASE ASPARTATE AMINO (AST) (SGOT) REF | $6.42 | $6.55 | $6.55–$6.42 | — | 2% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC TRANSFERASE ASPARTATE AMINO (AST) (SGOT) | $6.42 | $6.55 | $6.55–$6.42 | — | 2% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC HEPATITIS PANEL,ACUTE | $288.29 | $294.17 | $294.17–$288.29 | 11% above | 2% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC HEPATITIS PANEL,ACUTE | $288.29 | $294.17 | $294.17–$288.29 | — | 2% |
| Albumin blood test CPT 82040 HC ASSAY OF SERUM ALBUMIN | $6.42 | $6.55 | $6.55–$6.42 | 12% above | 2% |
| Albumin blood test CPT 82040 HC ASSAY OF SERUM ALBUMIN REF | $6.42 | $6.55 | $6.55–$6.42 | 12% above | 2% |
| Albumin blood test inpatient CPT 82040 HC ASSAY OF SERUM ALBUMIN | $6.42 | $6.55 | $6.55–$6.42 | — | 2% |
| Albumin blood test inpatient CPT 82040 HC ASSAY OF SERUM ALBUMIN REF | $6.42 | $6.55 | $6.55–$6.42 | — | 2% |
| Aldosterone blood test CPT 82088 HC ASSAY OF ALDOSTERONE | $80.06 | $81.69 | $81.69–$80.06 | 11% above | 2% |
| Aldosterone blood test inpatient CPT 82088 HC ASSAY OF ALDOSTERONE | $80.06 | $81.69 | $81.69–$80.06 | — | 2% |
| Alkaline phosphatase (ALP) blood test CPT 84075 HC ASSAY ALKAL PHOSPHATASE | $6.42 | $6.55 | $6.55–$6.42 | 12% above | 2% |
| Alkaline phosphatase (ALP) blood test CPT 84075 HC ASSAY ALKAL PHOSPHATASE REF | $6.42 | $6.55 | $6.55–$6.42 | 12% above | 2% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ASSAY ALKAL PHOSPHATASE | $6.42 | $6.55 | $6.55–$6.42 | — | 2% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ASSAY ALKAL PHOSPHATASE REF | $6.42 | $6.55 | $6.55–$6.42 | — | 2% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE QUANT,EACH | $48.06 | $49.04 | $49.04–$48.06 | 19% above | 2% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE QUANT,EACH | $48.06 | $49.04 | $49.04–$48.06 | — | 2% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA-FETOPROTEIN, SERUM REF | $48.06 | $49.04 | $49.04–$48.06 | 11% above | 2% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA-FETOPROTEIN, SERUM | $48.06 | $49.04 | $49.04–$48.06 | 11% above | 2% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC ALPHA-FETOPROTEIN, SERUM REF | $48.06 | $49.04 | $49.04–$48.06 | — | 2% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC ALPHA-FETOPROTEIN, SERUM | $48.06 | $49.04 | $49.04–$48.06 | — | 2% |
| Ammonia blood test CPT 82140 HC ASSAY OF AMMONIA | $64.06 | $65.37 | $65.37–$64.06 | 11% above | 2% |
| Ammonia blood test inpatient CPT 82140 HC ASSAY OF AMMONIA | $64.06 | $65.37 | $65.37–$64.06 | — | 2% |
| Amylase blood test CPT 82150 HC ASSAY OF AMYLASE | $19.24 | $19.63 | $19.63–$19.24 | 12% above | 2% |
| Amylase blood test inpatient CPT 82150 HC ASSAY OF AMYLASE | $19.24 | $19.63 | $19.63–$19.24 | — | 2% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CYCLIC CIRULLINATED PEPTIDE ANTIBODY | $80.06 | $81.69 | $81.69–$80.06 | 14% above | 2% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CYCLIC CIRULLINATED PEPTIDE ANTIBODY | $80.06 | $81.69 | $81.69–$80.06 | — | 2% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR ANTIBODIES | $48.06 | $49.04 | $49.04–$48.06 | 11% above | 2% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTINUCLEAR ANTIBODIES | $48.06 | $49.04 | $49.04–$48.06 | — | 2% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NATRIURETIC PEPTIDE | $96.12 | $98.08 | $98.08–$96.12 | 11% above | 2% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NATRIURETIC PEPTIDE REF | $96.12 | $98.08 | $98.08–$96.12 | 11% above | 2% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC NATRIURETIC PEPTIDE REF | $96.12 | $98.08 | $98.08–$96.12 | — | 2% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC NATRIURETIC PEPTIDE | $96.12 | $98.08 | $98.08–$96.12 | — | 2% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE SPEC, BACTERIA, NOT URINE,STOOL,BLOOD | $128.13 | $130.74 | $130.74–$128.13 | 17% above | 2% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE SPEC, BACTERIA, NOT URINE,STOOL,BLOOD REF | $128.13 | $130.74 | $130.74–$128.13 | 17% above | 2% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE SPEC, BACTERIA, NOT URINE,STOOL,BLOOD REF | $128.13 | $130.74 | $130.74–$128.13 | — | 2% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE SPEC, BACTERIA, NOT URINE,STOOL,BLOOD | $128.13 | $130.74 | $130.74–$128.13 | — | 2% |
| Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL CALCIUM TOTAL | $35.27 | $35.99 | $35.99–$35.27 | 12% above | 2% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL CALCIUM TOTAL | $35.27 | $35.99 | $35.99–$35.27 | — | 2% |
| Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL | $19.24 | $19.63 | $19.63–$19.24 | 11% above | 2% |
| Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL REF | $19.24 | $19.63 | $19.63–$19.24 | 11% above | 2% |
| Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TOTAL | $19.24 | $19.63 | $19.63–$19.24 | — | 2% |
| Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TOTAL REF | $19.24 | $19.63 | $19.63–$19.24 | — | 2% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC SURG PATH,LEVEL IV | $192.17 | $196.09 | $196.09–$192.17 | 11% above | 2% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC SURG PATH,LEVEL IV | $192.17 | $196.09 | $196.09–$192.17 | — | 2% |
| Blood culture for bacteria CPT 87040 HC BLOOD CULTURE FOR BACTERIA | $128.13 | $130.74 | $130.74–$128.13 | 17% above | 2% |
| Blood culture for bacteria inpatient CPT 87040 HC BLOOD CULTURE FOR BACTERIA | $128.13 | $130.74 | $130.74–$128.13 | — | 2% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC COLLECTION VENOUS BLOOD,VENIPUNCTURE | $25.66 | $26.18 | $26.18–$25.66 | 10% above | 2% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC COLLECTION VENOUS BLOOD,VENIPUNCTURE | $25.66 | $26.18 | $26.18–$25.66 | — | 2% |
| Blood glucose (sugar) test CPT 82947 HC ASSAY QUANTITATIVE,BLOOD GLUCOSE REF | $12.81 | $13.07 | $13.07–$12.81 | 11% above | 2% |
| Blood glucose (sugar) test CPT 82947 HC ASSAY QUANTITATIVE,BLOOD GLUCOSE | $12.81 | $13.07 | $13.07–$12.81 | 11% above | 2% |
| Blood glucose (sugar) test inpatient CPT 82947 HC ASSAY QUANTITATIVE,BLOOD GLUCOSE | $12.81 | $13.07 | $13.07–$12.81 | — | 2% |
| Blood glucose (sugar) test inpatient CPT 82947 HC ASSAY QUANTITATIVE,BLOOD GLUCOSE REF | $12.81 | $13.07 | $13.07–$12.81 | — | 2% |
| Blood lead test CPT 83655 HC ASSAY OF LEAD | $80.06 | $81.69 | $81.69–$80.06 | 11% above | 2% |
| Blood lead test inpatient CPT 83655 HC ASSAY OF LEAD | $80.06 | $81.69 | $81.69–$80.06 | — | 2% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC CHORIONIC GONADOTROPIN, QUAL POC | $32.07 | $32.72 | $32.72–$32.07 | 12% above | 2% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC CHORIONIC GONADOTROPIN, QUAL | $32.07 | $32.72 | $32.72–$32.07 | 12% above | 2% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC CHORIONIC GONADOTROPIN, QUAL POC | $32.07 | $32.72 | $32.72–$32.07 | — | 2% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC CHORIONIC GONADOTROPIN, QUAL | $32.07 | $32.72 | $32.72–$32.07 | — | 2% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC RBC ANTIBODY SCREEN | $12.81 | $13.07 | $13.07–$12.81 | 11% above | 2% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPING SEROLOGIC ABO | $12.81 | $13.07 | $13.07–$12.81 | 11% above | 2% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC RBC ANTIBODY SCREEN | $12.81 | $13.07 | $13.07–$12.81 | — | 2% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BLOOD TYPING SEROLOGIC ABO | $12.81 | $13.07 | $13.07–$12.81 | — | 2% |
| Blood urea nitrogen (BUN) test CPT 84520 HC ASSAY UREA NITROGEN, QUAN | $6.42 | $6.55 | $6.55–$6.42 | 12% above | 2% |
| Blood urea nitrogen (BUN) test CPT 84520 HC ASSAY UREA NITROGEN, QUAN POC | $6.42 | $6.55 | $6.55–$6.42 | 12% above | 2% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 HC ASSAY UREA NITROGEN, QUAN | $6.42 | $6.55 | $6.55–$6.42 | — | 2% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 HC ASSAY UREA NITROGEN, QUAN POC | $6.42 | $6.55 | $6.55–$6.42 | — | 2% |
| C-peptide blood test CPT 84681 HC LAB-C-PEPTIDE 01.9031 | $48.06 | $49.04 | $49.04–$48.06 | 11% above | 2% |
| C-peptide blood test inpatient CPT 84681 HC LAB-C-PEPTIDE 01.9031 | $48.06 | $49.04 | $49.04–$48.06 | — | 2% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-REACTIVE PROTEIN | $48.06 | $49.04 | $49.04–$48.06 | 14% above | 2% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-REACTIVE PROTEIN | $48.06 | $49.04 | $49.04–$48.06 | — | 2% |
| C. difficile toxin gene test (stool PCR) CPT 87493 HC CYTOMED, DNA, AMP PROBE | $384.40 | $392.24 | $392.24–$384.40 | 17% above | 2% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC CYTOMED, DNA, AMP PROBE | $384.40 | $392.24 | $392.24–$384.40 | — | 2% |
| CA 19-9 blood test (tumor marker) CPT 86301 HC IMMUNOASSAY, TUMOR ANTIGEN, CA 19-9 | $105.71 | $107.87 | $107.87–$105.71 | 11% above | 2% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC IMMUNOASSAY, TUMOR ANTIGEN, CA 19-9 | $105.71 | $107.87 | $107.87–$105.71 | — | 2% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HC IMMUNOASSAY, TUMOR ANTIGEN, CA 125 | $105.71 | $107.87 | $107.87–$105.71 | 14% above | 2% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC IMMUNOASSAY, TUMOR ANTIGEN, CA 125 | $105.71 | $107.87 | $107.87–$105.71 | — | 2% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC CORONAVIRUS (COVID-19) (DNA/RNA) | $144.16 | $147.10 | $147.10–$144.16 | 44% below | 2% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC CORONAVIRUS (COVID-19) (DNA/RNA) | $144.16 | $147.10 | $147.10–$144.16 | — | 2% |
| Calcium blood test, total CPT 82310 HC ASSAY OF CALCIUM, TOTAL | $6.42 | $6.55 | $6.55–$6.42 | 12% above | 2% |
| Calcium blood test, total inpatient CPT 82310 HC ASSAY OF CALCIUM, TOTAL | $6.42 | $6.55 | $6.55–$6.42 | — | 2% |
| Carcinoembryonic antigen (CEA) test CPT 82378 HC CARCINOEMBRYONIC ANTIGEN | $80.06 | $81.69 | $81.69–$80.06 | 11% above | 2% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CARCINOEMBRYONIC ANTIGEN | $80.06 | $81.69 | $81.69–$80.06 | — | 2% |
| Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA-ZOSTER | $64.06 | $65.37 | $65.37–$64.06 | 14% above | 2% |
| Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA-ZOSTER REF | $64.06 | $65.37 | $65.37–$64.06 | 14% above | 2% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA-ZOSTER | $64.06 | $65.37 | $65.37–$64.06 | — | 2% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA-ZOSTER REF | $64.06 | $65.37 | $65.37–$64.06 | — | 2% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHYLMD TRACH, DNA, AMP PROBE | $144.16 | $147.10 | $147.10–$144.16 | 11% above | 2% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHYLMD TRACH, DNA, AMP PROBE | $144.16 | $147.10 | $147.10–$144.16 | — | 2% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL REF | $60.90 | $62.14 | $62.14–$60.90 | 11% above | 2% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL | $60.90 | $62.14 | $62.14–$60.90 | 11% above | 2% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL REF | $60.90 | $62.14 | $62.14–$60.90 | — | 2% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL | $60.90 | $62.14 | $62.14–$60.90 | — | 2% |
| Complete blood count (CBC) with differential CPT 85025 HC COMPLETE CBC & AUTO DIFF WBC | $32.07 | $32.72 | $32.72–$32.07 | 12% above | 2% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC COMPLETE CBC & AUTO DIFF WBC | $32.07 | $32.72 | $32.72–$32.07 | — | 2% |
| Complete blood count (CBC), no differential CPT 85027 HC COMPLETE CBC | $25.66 | $26.18 | $26.18–$25.66 | 14% above | 2% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC COMPLETE CBC | $25.66 | $26.18 | $26.18–$25.66 | — | 2% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC METABOLIC PANEL,COMPREHENSIVE | $48.06 | $49.04 | $49.04–$48.06 | 11% above | 2% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC METABOLIC PANEL,COMPREHENSIVE | $48.06 | $49.04 | $49.04–$48.06 | — | 2% |
| Cortisol blood test, total CPT 82533 HC TOTAL CORTISOL REF | $48.06 | $49.04 | $49.04–$48.06 | 14% above | 2% |
| Cortisol blood test, total CPT 82533 HC TOTAL CORTISOL | $48.06 | $49.04 | $49.04–$48.06 | 14% above | 2% |
| Cortisol blood test, total inpatient CPT 82533 HC TOTAL CORTISOL | $48.06 | $49.04 | $49.04–$48.06 | — | 2% |
| Cortisol blood test, total inpatient CPT 82533 HC TOTAL CORTISOL REF | $48.06 | $49.04 | $49.04–$48.06 | — | 2% |
| Creatine kinase (CK) blood test, total CPT 82550 HC ASSAY OF CK (CPK) | $19.24 | $19.63 | $19.63–$19.24 | 12% above | 2% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 HC ASSAY OF CK (CPK) | $19.24 | $19.63 | $19.63–$19.24 | — | 2% |
| Creatinine blood test CPT 82565 HC ASSAY OF CREATININE | $6.42 | $6.55 | $6.55–$6.42 | 11% above | 2% |
| Creatinine blood test CPT 82565 HC ASSAY OF CREATININE POC | $6.42 | $6.55 | $6.55–$6.42 | 11% above | 2% |
| Creatinine blood test inpatient CPT 82565 HC ASSAY OF CREATININE | $6.42 | $6.55 | $6.55–$6.42 | — | 2% |
| Creatinine blood test inpatient CPT 82565 HC ASSAY OF CREATININE POC | $6.42 | $6.55 | $6.55–$6.42 | — | 2% |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC CMV ANTIBODY | $48.06 | $49.04 | $49.04–$48.06 | 11% above | 2% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CMV ANTIBODY | $48.06 | $49.04 | $49.04–$48.06 | — | 2% |
| D-dimer blood test (blood clot marker) CPT 85379 HC FIBRIN DEGRADPRODUCTS,D-DIMER, QUANT | $48.06 | $49.04 | $49.04–$48.06 | 11% above | 2% |
| D-dimer blood test (blood clot marker) CPT 85379 HC FIBRIN DEGRADPRODUCTS,D-DIMER, QUANT REF | $48.06 | $49.04 | $49.04–$48.06 | 11% above | 2% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 HC FIBRIN DEGRADPRODUCTS,D-DIMER, QUANT | $48.06 | $49.04 | $49.04–$48.06 | — | 2% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 HC FIBRIN DEGRADPRODUCTS,D-DIMER, QUANT REF | $48.06 | $49.04 | $49.04–$48.06 | — | 2% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HC DEHYDROEPIANDROSTERONE-SULFATE | $48.06 | $49.04 | $49.04–$48.06 | 11% above | 2% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC DEHYDROEPIANDROSTERONE-SULFATE | $48.06 | $49.04 | $49.04–$48.06 | — | 2% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV INSTRMNT CHEMISTRY ANALYZERS | $25.66 | $26.18 | $26.18–$25.66 | 79% below | 2% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV INSTRMNT CHEMISTRY ANALYZERS PRSMPTV 1 CLASS REF | $96.12 | $98.08 | $98.08–$96.12 | 20% below | 2% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV INSTRMNT CHEMISTRY ANALYZERS 6 DRUG PANEL | $153.76 | $156.90 | $156.90–$153.76 | 28% above | 2% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV INSTRMNT CHEMISTRY ANALYZERS 7 DRUG PANEL | $179.38 | $183.04 | $183.04–$179.38 | 50% above | 2% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV INSTRMNT CHEMISTRY ANALYZERS 9 DRUG PANEL | $230.62 | $235.33 | $235.33–$230.62 | 93% above | 2% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV INSTRMNT CHEMISTRY ANALYZERS 9 DRUG PANEL REF | $230.62 | $235.33 | $235.33–$230.62 | 93% above | 2% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST DFSA 8030U X4 | $519.40 | $530.00 | $530.00–$519.40 | 334% above | 2% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV INSTRMNT CHEMISTRY ANALYZERS | $25.66 | $26.18 | $26.18–$25.66 | — | 2% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV INSTRMNT CHEMISTRY ANALYZERS PRSMPTV 1 CLASS REF | $96.12 | $98.08 | $98.08–$96.12 | — | 2% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV INSTRMNT CHEMISTRY ANALYZERS 6 DRUG PANEL | $153.76 | $156.90 | $156.90–$153.76 | — | 2% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV INSTRMNT CHEMISTRY ANALYZERS 7 DRUG PANEL | $179.38 | $183.04 | $183.04–$179.38 | — | 2% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV INSTRMNT CHEMISTRY ANALYZERS 9 DRUG PANEL REF | $230.62 | $235.33 | $235.33–$230.62 | — | 2% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV INSTRMNT CHEMISTRY ANALYZERS 9 DRUG PANEL | $230.62 | $235.33 | $235.33–$230.62 | — | 2% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST DFSA 8030U X4 | $519.40 | $530.00 | $530.00–$519.40 | — | 2% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC ELECTROLYTE PANEL | $25.66 | $26.18 | $26.18–$25.66 | 12% above | 2% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HC ELECTROLYTE PANEL | $25.66 | $26.18 | $26.18–$25.66 | — | 2% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN-BARR ANTIBODY,V CAPSID | $150.52 | $153.59 | $153.59–$150.52 | 17% above | 2% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EPSTEIN-BARR ANTIBODY,V CAPSID | $150.52 | $153.59 | $153.59–$150.52 | — | 2% |
| Estradiol blood test CPT 82670 HC ASSAY OF ESTRADIOL | $48.06 | $49.04 | $49.04–$48.06 | 11% above | 2% |
| Estradiol blood test inpatient CPT 82670 HC ASSAY OF ESTRADIOL | $48.06 | $49.04 | $49.04–$48.06 | — | 2% |
| FSH (follicle-stimulating hormone) test CPT 83001 HC GONADOTROPIN (FSH) | $48.06 | $49.04 | $49.04–$48.06 | 11% above | 2% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC GONADOTROPIN (FSH) | $48.06 | $49.04 | $49.04–$48.06 | — | 2% |
| Fecal calprotectin (stool inflammation test) CPT 83993 HC ASSAY FOR CALPROTECTIN FECAL | $144.16 | $147.10 | $147.10–$144.16 | 28% below | 2% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC ASSAY FOR CALPROTECTIN FECAL | $144.16 | $147.10 | $147.10–$144.16 | — | 2% |
| Ferritin blood test (iron stores) CPT 82728 HC ASSAY OF FERRITIN | $48.06 | $49.04 | $49.04–$48.06 | 11% above | 2% |
| Ferritin blood test (iron stores) inpatient CPT 82728 HC ASSAY OF FERRITIN | $48.06 | $49.04 | $49.04–$48.06 | — | 2% |
| Fibrinogen blood test CPT 85384 HC FIBRINOGEN, ACTIVITY REF | $28.84 | $29.43 | $29.43–$28.84 | 11% above | 2% |
| Fibrinogen blood test CPT 85384 HC FIBRINOGEN, ACTIVITY | $28.84 | $29.43 | $29.43–$28.84 | 11% above | 2% |
| Fibrinogen blood test inpatient CPT 85384 HC FIBRINOGEN, ACTIVITY | $28.84 | $29.43 | $29.43–$28.84 | — | 2% |
| Fibrinogen blood test inpatient CPT 85384 HC FIBRINOGEN, ACTIVITY REF | $28.84 | $29.43 | $29.43–$28.84 | — | 2% |
| Folate (folic acid) blood test CPT 82746 HC BLOOD FOLIC ACID SERUM | $48.06 | $49.04 | $49.04–$48.06 | 14% above | 2% |
| Folate (folic acid) blood test inpatient CPT 82746 HC BLOOD FOLIC ACID SERUM | $48.06 | $49.04 | $49.04–$48.06 | — | 2% |
| Free T3 thyroid hormone test CPT 84481 HC TRIIODOTHYRONINE FREE ASSAY (FT-3) | $48.06 | $49.04 | $49.04–$48.06 | 14% above | 2% |
| Free T3 thyroid hormone test inpatient CPT 84481 HC TRIIODOTHYRONINE FREE ASSAY (FT-3) | $48.06 | $49.04 | $49.04–$48.06 | — | 2% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC ASSAY OF FREE THYROXINE | $48.06 | $49.04 | $49.04–$48.06 | 11% above | 2% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC ASSAY OF FREE THYROXINE | $48.06 | $49.04 | $49.04–$48.06 | — | 2% |
| Free testosterone test CPT 84402 HC ASSAY OF TESTOSTERONE | $48.06 | $49.04 | $49.04–$48.06 | 14% above | 2% |
| Free testosterone test inpatient CPT 84402 HC ASSAY OF TESTOSTERONE | $48.06 | $49.04 | $49.04–$48.06 | — | 2% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC ASSAY OF GGT | $6.42 | $6.55 | $6.55–$6.42 | 12% above | 2% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC ASSAY OF GGT REF | $6.42 | $6.55 | $6.55–$6.42 | 12% above | 2% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC ASSAY OF GGT | $6.42 | $6.55 | $6.55–$6.42 | — | 2% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC ASSAY OF GGT REF | $6.42 | $6.55 | $6.55–$6.42 | — | 2% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE TEST | $12.81 | $13.07 | $13.07–$12.81 | 17% above | 2% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE TEST | $12.81 | $13.07 | $13.07–$12.81 | — | 2% |
| Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE TEST (GTT) | $48.06 | $49.04 | $49.04–$48.06 | 14% above | 2% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE TEST (GTT) | $48.06 | $49.04 | $49.04–$48.06 | — | 2% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N.GONORRHOEAE, DNA, AMP PROB | $144.16 | $147.10 | $147.10–$144.16 | 11% above | 2% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N.GONORRHOEAE, DNA, AMP PROB REF | $144.16 | $147.10 | $147.10–$144.16 | 11% above | 2% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC N.GONORRHOEAE, DNA, AMP PROB REF | $144.16 | $147.10 | $147.10–$144.16 | — | 2% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC N.GONORRHOEAE, DNA, AMP PROB | $144.16 | $147.10 | $147.10–$144.16 | — | 2% |
| H. pylori antibody blood test CPT 86677 HC HELICOBACTER PYLORI | $80.06 | $81.69 | $81.69–$80.06 | 11% above | 2% |
| H. pylori antibody blood test CPT 86677 HC HELICOBACTER PYLORI REF | $80.06 | $81.69 | $81.69–$80.06 | 11% above | 2% |
| H. pylori antibody blood test inpatient CPT 86677 HC HELICOBACTER PYLORI | $80.06 | $81.69 | $81.69–$80.06 | — | 2% |
| H. pylori antibody blood test inpatient CPT 86677 HC HELICOBACTER PYLORI REF | $80.06 | $81.69 | $81.69–$80.06 | — | 2% |
| H. pylori stool antigen test CPT 87338 HC IAAD IA HPYLORI STOOL | $96.12 | $98.08 | $98.08–$96.12 | 11% above | 2% |
| H. pylori stool antigen test inpatient CPT 87338 HC IAAD IA HPYLORI STOOL | $96.12 | $98.08 | $98.08–$96.12 | — | 2% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC IADNA HIV-1 QUANT & REVERSE TRANSCRIPTION | $512.49 | $522.95 | $522.95–$512.49 | 14% above | 2% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC IADNA HIV-1 QUANT & REVERSE TRANSCRIPTION | $512.49 | $522.95 | $522.95–$512.49 | — | 2% |
| HIV-1 and HIV-2 antibody test CPT 86703 HC HIV-1/HIV-2, SINGLE ASSAY | $80.06 | $81.69 | $81.69–$80.06 | 11% above | 2% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC HIV-1/HIV-2, SINGLE ASSAY | $80.06 | $81.69 | $81.69–$80.06 | — | 2% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC IAAD IA HIV-1 AG W/HIV-1 & HIV-2 ANTBDY SINGLE | $80.06 | $81.69 | $81.69–$80.06 | 14% above | 2% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC IAAD IA HIV-1 AG W/HIV-1 & HIV-2 ANTBDY SINGLE | $80.06 | $81.69 | $81.69–$80.06 | — | 2% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES | $144.16 | $147.10 | $147.10–$144.16 | 56% below | 2% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES | $144.16 | $147.10 | $147.10–$144.16 | — | 2% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC GLYCOSYLATED HEMOGLOBIN TEST | $64.06 | $65.37 | $65.37–$64.06 | 11% above | 2% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC GLYCOSYLATED HEMOGLOBIN TEST | $64.06 | $65.37 | $65.37–$64.06 | — | 2% |
| Hemoglobin blood test CPT 85018 HC HEMOGLOBIN | $12.81 | $13.07 | $13.07–$12.81 | 16% above | 2% |
| Hemoglobin blood test inpatient CPT 85018 HC HEMOGLOBIN | $12.81 | $13.07 | $13.07–$12.81 | — | 2% |
| Hepatitis B core antibody test (total) CPT 86704 HC HEP B CORE AB TEST, TOTAL | $64.06 | $65.37 | $65.37–$64.06 | 14% above | 2% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HC HEP B CORE AB TEST, TOTAL | $64.06 | $65.37 | $65.37–$64.06 | — | 2% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURFACE AB TEST | $64.06 | $65.37 | $65.37–$64.06 | 11% above | 2% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURFACE AB TEST REF | $64.06 | $65.37 | $65.37–$64.06 | 11% above | 2% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURFACE AB TEST | $64.06 | $65.37 | $65.37–$64.06 | — | 2% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURFACE AB TEST REF | $64.06 | $65.37 | $65.37–$64.06 | — | 2% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC IAAD IA HEPATITIS B SURFACE ANTIGEN REF | $80.06 | $81.69 | $81.69–$80.06 | 11% above | 2% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC IAAD IA HEPATITIS B SURFACE ANTIGEN | $80.06 | $81.69 | $81.69–$80.06 | 11% above | 2% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC IAAD IA HEPATITIS B SURFACE ANTIGEN REF | $80.06 | $81.69 | $81.69–$80.06 | — | 2% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC IAAD IA HEPATITIS B SURFACE ANTIGEN | $80.06 | $81.69 | $81.69–$80.06 | — | 2% |
| Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C AB TEST REF | $80.06 | $81.69 | $81.69–$80.06 | 11% above | 2% |
| Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C AB TEST | $80.06 | $81.69 | $81.69–$80.06 | 11% above | 2% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C AB TEST REF | $80.06 | $81.69 | $81.69–$80.06 | — | 2% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C AB TEST | $80.06 | $81.69 | $81.69–$80.06 | — | 2% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION | $512.49 | $522.95 | $522.95–$512.49 | 16% above | 2% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION | $512.49 | $522.95 | $522.95–$512.49 | — | 2% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SIMPLEX TEST, TYPE 1 | $80.06 | $81.69 | $81.69–$80.06 | 14% above | 2% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HERPES SIMPLEX TEST, TYPE 1 | $80.06 | $81.69 | $81.69–$80.06 | — | 2% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES SIMPLEX TEST, TYPE 2 | $80.06 | $81.69 | $81.69–$80.06 | 14% above | 2% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HERPES SIMPLEX TEST, TYPE 2 | $80.06 | $81.69 | $81.69–$80.06 | — | 2% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-REACTIVE PROTEIN,HIGH SENSITIVITY | $51.25 | $52.30 | $52.30–$51.25 | 11% above | 2% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC C-REACTIVE PROTEIN,HIGH SENSITIVITY | $51.25 | $52.30 | $52.30–$51.25 | — | 2% |
| Homocysteine blood test CPT 83090 HC ASSAY OF HOMOCYSTINE REF | $96.12 | $98.08 | $98.08–$96.12 | 14% above | 2% |
| Homocysteine blood test CPT 83090 HC ASSAY OF HOMOCYSTINE | $96.12 | $98.08 | $98.08–$96.12 | 14% above | 2% |
| Homocysteine blood test inpatient CPT 83090 HC ASSAY OF HOMOCYSTINE | $96.12 | $98.08 | $98.08–$96.12 | — | 2% |
| Homocysteine blood test inpatient CPT 83090 HC ASSAY OF HOMOCYSTINE REF | $96.12 | $98.08 | $98.08–$96.12 | — | 2% |
| Insulin blood test CPT 83525 HC ASSAY OF INSULIN,TOTAL | $48.06 | $49.04 | $49.04–$48.06 | 11% above | 2% |
| Insulin blood test inpatient CPT 83525 HC ASSAY OF INSULIN,TOTAL | $48.06 | $49.04 | $49.04–$48.06 | — | 2% |
| Iron blood test (serum iron) CPT 83540 HC ASSAY OF IRON | $19.24 | $19.63 | $19.63–$19.24 | 12% above | 2% |
| Iron blood test (serum iron) inpatient CPT 83540 HC ASSAY OF IRON | $19.24 | $19.63 | $19.63–$19.24 | — | 2% |
| Iron-binding capacity (TIBC) test CPT 83550 HC IRON BINDING TEST | $38.40 | $39.18 | $39.18–$38.40 | 11% above | 2% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 HC IRON BINDING TEST | $38.40 | $39.18 | $39.18–$38.40 | — | 2% |
| Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL | $38.40 | $39.18 | $39.18–$38.40 | 11% above | 2% |
| Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL | $38.40 | $39.18 | $39.18–$38.40 | — | 2% |
| LH (luteinizing hormone) test CPT 83002 HC GONADOTROPIN (LH) | $80.06 | $81.69 | $81.69–$80.06 | 11% above | 2% |
| LH (luteinizing hormone) test inpatient CPT 83002 HC GONADOTROPIN (LH) | $80.06 | $81.69 | $81.69–$80.06 | — | 2% |
| Lactate (lactic acid) blood test CPT 83605 HC ASSAY OF LACTIC ACID | $64.06 | $65.37 | $65.37–$64.06 | 21% above | 2% |
| Lactate (lactic acid) blood test CPT 83605 HC ASSAY OF LACTIC ACID REF | $64.06 | $65.37 | $65.37–$64.06 | 21% above | 2% |
| Lactate (lactic acid) blood test inpatient CPT 83605 HC ASSAY OF LACTIC ACID | $64.06 | $65.37 | $65.37–$64.06 | — | 2% |
| Lactate (lactic acid) blood test inpatient CPT 83605 HC ASSAY OF LACTIC ACID REF | $64.06 | $65.37 | $65.37–$64.06 | — | 2% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE (LD) (LDH) ENZYME REF | $12.81 | $13.07 | $13.07–$12.81 | 11% above | 2% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE (LD) (LDH) ENZYME | $12.81 | $13.07 | $13.07–$12.81 | 11% above | 2% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LACTATE (LD) (LDH) ENZYME REF | $12.81 | $13.07 | $13.07–$12.81 | — | 2% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LACTATE (LD) (LDH) ENZYME | $12.81 | $13.07 | $13.07–$12.81 | — | 2% |
| Lipase blood test (pancreas enzyme) CPT 83690 HC ASSAY OF LIPASE | $25.66 | $26.18 | $26.18–$25.66 | 12% above | 2% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC ASSAY OF LIPASE | $25.66 | $26.18 | $26.18–$25.66 | — | 2% |
| Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL | $35.27 | $35.99 | $35.99–$35.27 | 12% above | 2% |
| Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL | $35.27 | $35.99 | $35.99–$35.27 | — | 2% |
| Lyme disease antibody test CPT 86618 HC LYME DISEASE ANTIBODY REF | $80.06 | $81.69 | $81.69–$80.06 | 14% above | 2% |
| Lyme disease antibody test CPT 86618 HC LYME DISEASE ANTIBODY | $80.06 | $81.69 | $81.69–$80.06 | 14% above | 2% |
| Lyme disease antibody test inpatient CPT 86618 HC LYME DISEASE ANTIBODY REF | $80.06 | $81.69 | $81.69–$80.06 | — | 2% |
| Lyme disease antibody test inpatient CPT 86618 HC LYME DISEASE ANTIBODY | $80.06 | $81.69 | $81.69–$80.06 | — | 2% |
| Magnesium blood test CPT 83735 HC ASSAY OF MAGNESIUM | $19.24 | $19.63 | $19.63–$19.24 | 12% above | 2% |
| Magnesium blood test inpatient CPT 83735 HC ASSAY OF MAGNESIUM | $19.24 | $19.63 | $19.63–$19.24 | — | 2% |
| Measles (rubeola) antibody test CPT 86765 HC RUBEOLA REF | $64.06 | $65.37 | $65.37–$64.06 | 11% above | 2% |
| Measles (rubeola) antibody test CPT 86765 HC RUBEOLA | $64.06 | $65.37 | $65.37–$64.06 | 11% above | 2% |
| Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA REF | $64.06 | $65.37 | $65.37–$64.06 | — | 2% |
| Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA | $64.06 | $65.37 | $65.37–$64.06 | — | 2% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HC HETEROPHILE ANTIBODIES,SCREEN | $25.66 | $26.18 | $26.18–$25.66 | 12% above | 2% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC HETEROPHILE ANTIBODIES,SCREEN | $25.66 | $26.18 | $26.18–$25.66 | — | 2% |
| Mumps immunity blood test CPT 86735 HC MUMPS | $64.06 | $65.37 | $65.37–$64.06 | 11% above | 2% |
| Mumps immunity blood test CPT 86735 HC MUMPS REF | $64.06 | $65.37 | $65.37–$64.06 | 11% above | 2% |
| Mumps immunity blood test inpatient CPT 86735 HC MUMPS | $64.06 | $65.37 | $65.37–$64.06 | — | 2% |
| Mumps immunity blood test inpatient CPT 86735 HC MUMPS REF | $64.06 | $65.37 | $65.37–$64.06 | — | 2% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC PROSTATE SPECIFIC ANTIGEN,FREE | $80.06 | $81.69 | $81.69–$80.06 | 14% above | 2% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PROSTATE SPECIFIC ANTIGEN,FREE | $80.06 | $81.69 | $81.69–$80.06 | — | 2% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGEN,TOTAL REF | $64.06 | $65.37 | $65.37–$64.06 | 19% above | 2% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPECIFIC ANTIGEN,TOTAL REF | $64.06 | $65.37 | $65.37–$64.06 | — | 2% |
| Pap test (liquid-based, automated screening with review) CPT 88175 HC CYTO, AUTO THIN PREP & SCR, MAN RESCR | $64.06 | $65.37 | $65.37–$64.06 | 9% below | 2% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC CYTO, AUTO THIN PREP & SCR, MAN RESCR | $64.06 | $65.37 | $65.37–$64.06 | — | 2% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC CYTOPATH CERV/VAG THIN LAYER | $128.13 | $130.74 | $130.74–$128.13 | 19% above | 2% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC CYTOPATH CERV/VAG THIN LAYER | $128.13 | $130.74 | $130.74–$128.13 | — | 2% |
| Parathyroid hormone (PTH) blood test CPT 83970 HC ASSAY OF PARATHORMONE REF | $48.06 | $49.04 | $49.04–$48.06 | 11% above | 2% |
| Parathyroid hormone (PTH) blood test CPT 83970 HC ASSAY OF PARATHORMONE | $48.06 | $49.04 | $49.04–$48.06 | 11% above | 2% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC ASSAY OF PARATHORMONE REF | $48.06 | $49.04 | $49.04–$48.06 | — | 2% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC ASSAY OF PARATHORMONE | $48.06 | $49.04 | $49.04–$48.06 | — | 2% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLAS TIME PARTIAL | $25.66 | $26.18 | $26.18–$25.66 | 12% above | 2% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLAS TIME PARTIAL REF | $25.66 | $26.18 | $26.18–$25.66 | 12% above | 2% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLAS TIME PARTIAL REF | $25.66 | $26.18 | $26.18–$25.66 | — | 2% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLAS TIME PARTIAL | $25.66 | $26.18 | $26.18–$25.66 | — | 2% |
| Phosphorus (phosphate) blood test CPT 84100 HC ASSAY OF INORGANIC PHOSPHORUS | $6.42 | $6.55 | $6.55–$6.42 | 12% above | 2% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 HC ASSAY OF INORGANIC PHOSPHORUS | $6.42 | $6.55 | $6.55–$6.42 | — | 2% |
| Potassium blood test CPT 84132 HC ASSAY OF SERUM POTASSIUM | $12.81 | $13.07 | $13.07–$12.81 | 11% above | 2% |
| Potassium blood test inpatient CPT 84132 HC ASSAY OF SERUM POTASSIUM | $12.81 | $13.07 | $13.07–$12.81 | — | 2% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HC FETAL CHROMOSOMAL ANEUPLOIDY | $948.10 | $967.45 | $967.45–$948.10 | 140% above | 2% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 HC FETAL CHROMOSOMAL ANEUPLOIDY | $948.10 | $967.45 | $967.45–$948.10 | — | 2% |
| Progesterone blood test CPT 84144 HC ASSAY OF PROGESTERONE | $48.06 | $49.04 | $49.04–$48.06 | 11% above | 2% |
| Progesterone blood test inpatient CPT 84144 HC ASSAY OF PROGESTERONE | $48.06 | $49.04 | $49.04–$48.06 | — | 2% |
| Prolactin blood test CPT 84146 HC ASSAY OF PROLACTIN | $64.06 | $65.37 | $65.37–$64.06 | 11% above | 2% |
| Prolactin blood test inpatient CPT 84146 HC ASSAY OF PROLACTIN | $64.06 | $65.37 | $65.37–$64.06 | — | 2% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME REF | $25.66 | $26.18 | $26.18–$25.66 | 12% above | 2% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME | $25.66 | $26.18 | $26.18–$25.66 | 12% above | 2% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME AC | $25.66 | $26.18 | $26.18–$25.66 | 12% above | 2% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME | $25.66 | $26.18 | $26.18–$25.66 | — | 2% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME AC | $25.66 | $26.18 | $26.18–$25.66 | — | 2% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME REF | $25.66 | $26.18 | $26.18–$25.66 | — | 2% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC DRUG TEST PRSMV QUAL DIR OPTICAL OBS PER DAY | $25.66 | $26.18 | $26.18–$25.66 | 3% below | 2% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 HC DRUG TEST PRSMV QUAL DIR OPTICAL OBS PER DAY | $25.66 | $26.18 | $26.18–$25.66 | — | 2% |
| Rapid flu test (influenza antigen) CPT 87804 HC IAADIADOO INFLUENZA | $80.06 | $81.69 | $81.69–$80.06 | 14% above | 2% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 HC IAADIADOO INFLUENZA | $80.06 | $81.69 | $81.69–$80.06 | — | 2% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC STREP A ASSAY W OPTIC | $80.06 | $81.69 | $81.69–$80.06 | 11% above | 2% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC STREP A ASSAY W OPTIC | $80.06 | $81.69 | $81.69–$80.06 | — | 2% |
| Renin blood test CPT 84244 HC ASSAY OF RENIN | $48.06 | $49.04 | $49.04–$48.06 | 11% above | 2% |
| Renin blood test inpatient CPT 84244 HC ASSAY OF RENIN | $48.06 | $49.04 | $49.04–$48.06 | — | 2% |
| Rh blood typing CPT 86901 HC BLOOD TYPING SEROLOGIC RH (D) | $12.81 | $13.07 | $13.07–$12.81 | 11% above | 2% |
| Rh blood typing inpatient CPT 86901 HC BLOOD TYPING SEROLOGIC RH (D) | $12.81 | $13.07 | $13.07–$12.81 | — | 2% |
| Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR, QUANT | $32.07 | $32.72 | $32.72–$32.07 | 14% above | 2% |
| Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR, QUANT REF | $32.07 | $32.72 | $32.72–$32.07 | 14% above | 2% |
| Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR, QUANT | $32.07 | $32.72 | $32.72–$32.07 | — | 2% |
| Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR, QUANT REF | $32.07 | $32.72 | $32.72–$32.07 | — | 2% |
| Rubella antibody test (immunity check) CPT 86762 HC RUBELLA REF | $48.06 | $49.04 | $49.04–$48.06 | 11% above | 2% |
| Rubella antibody test (immunity check) CPT 86762 HC RUBELLA | $48.06 | $49.04 | $49.04–$48.06 | 11% above | 2% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA REF | $48.06 | $49.04 | $49.04–$48.06 | — | 2% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA | $48.06 | $49.04 | $49.04–$48.06 | — | 2% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC RBC SED RATE, AUTO | $16.01 | $16.34 | $16.34–$16.01 | 19% above | 2% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC RBC SED RATE, AUTO | $16.01 | $16.34 | $16.34–$16.01 | — | 2% |
| Sodium blood test CPT 84295 HC ASSAY OF SERUM SODIUM | $6.42 | $6.55 | $6.55–$6.42 | 12% above | 2% |
| Sodium blood test inpatient CPT 84295 HC ASSAY OF SERUM SODIUM | $6.42 | $6.55 | $6.55–$6.42 | — | 2% |
| Stool ova and parasites exam CPT 87177 HC OVA AND PARASITES SMEARS | $128.13 | $130.74 | $130.74–$128.13 | 11% above | 2% |
| Stool ova and parasites exam inpatient CPT 87177 HC OVA AND PARASITES SMEARS | $128.13 | $130.74 | $130.74–$128.13 | — | 2% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HC BLOOD OCCULT,BY PEROXID,FECES,SINGLE, COLORECTAL SCREEN | $16.01 | $16.34 | $16.34–$16.01 | 14% above | 2% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HC BLOOD OCCULT,BY PEROXID,FECES,SINGLE, COLORECTAL SCREEN X3 | $48.06 | $49.04 | $49.04–$48.06 | 242% above | 2% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC BLOOD OCCULT,BY PEROXID,FECES,SINGLE, COLORECTAL SCREEN | $16.01 | $16.34 | $16.34–$16.01 | — | 2% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC BLOOD OCCULT,BY PEROXID,FECES,SINGLE, COLORECTAL SCREEN X3 | $48.06 | $49.04 | $49.04–$48.06 | — | 2% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC ANTIBODY TREPONEMA PALLIDUM | $54.45 | $55.56 | $55.56–$54.45 | 14% above | 2% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC ANTIBODY TREPONEMA PALLIDUM REF | $54.45 | $55.56 | $55.56–$54.45 | 14% above | 2% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC ANTIBODY TREPONEMA PALLIDUM | $54.45 | $55.56 | $55.56–$54.45 | — | 2% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC ANTIBODY TREPONEMA PALLIDUM REF | $54.45 | $55.56 | $55.56–$54.45 | — | 2% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL REF | $25.66 | $26.18 | $26.18–$25.66 | 12% above | 2% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL | $25.66 | $26.18 | $26.18–$25.66 | 12% above | 2% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL | $25.66 | $26.18 | $26.18–$25.66 | — | 2% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL REF | $25.66 | $26.18 | $26.18–$25.66 | — | 2% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TB TEST, CELL MEDIATED ANTIGEN RESPONSE,GAMMA INTERFRON | $112.10 | $114.39 | $114.39–$112.10 | 14% above | 2% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC TB TEST, CELL MEDIATED ANTIGEN RESPONSE,GAMMA INTERFRON | $112.10 | $114.39 | $114.39–$112.10 | — | 2% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC ASSAY OF TOTAL TESTOSTERONE REF | $48.06 | $49.04 | $49.04–$48.06 | 11% above | 2% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC ASSAY OF TOTAL TESTOSTERONE | $48.06 | $49.04 | $49.04–$48.06 | 11% above | 2% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC ASSAY OF TOTAL TESTOSTERONE REF | $48.06 | $49.04 | $49.04–$48.06 | — | 2% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC ASSAY OF TOTAL TESTOSTERONE | $48.06 | $49.04 | $49.04–$48.06 | — | 2% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL ANTIBODY | $70.44 | $71.88 | $71.88–$70.44 | 17% above | 2% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC MICROSOMAL ANTIBODY | $70.44 | $71.88 | $71.88–$70.44 | — | 2% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC ASSAY THYROID STIM HORMONE | $48.06 | $49.04 | $49.04–$48.06 | 11% above | 2% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC ASSAY THYROID STIM HORMONE | $48.06 | $49.04 | $49.04–$48.06 | — | 2% |
| Total IgE blood test CPT 82785 HC ASSAY OF GAMMAGLOBULIN IGE | $48.06 | $49.04 | $49.04–$48.06 | 11% above | 2% |
| Total IgE blood test inpatient CPT 82785 HC ASSAY OF GAMMAGLOBULIN IGE | $48.06 | $49.04 | $49.04–$48.06 | — | 2% |
| Total cholesterol blood test CPT 82465 HC ASSAY, BLD/SERUM CHOLESTEROL | $12.81 | $13.07 | $13.07–$12.81 | 11% above | 2% |
| Total cholesterol blood test CPT 82465 HC ASSAY, BLD/SERUM CHOLESTEROL REF | $12.81 | $13.07 | $13.07–$12.81 | 11% above | 2% |
| Total cholesterol blood test inpatient CPT 82465 HC ASSAY, BLD/SERUM CHOLESTEROL REF | $12.81 | $13.07 | $13.07–$12.81 | — | 2% |
| Total cholesterol blood test inpatient CPT 82465 HC ASSAY, BLD/SERUM CHOLESTEROL | $12.81 | $13.07 | $13.07–$12.81 | — | 2% |
| Total thyroxine (T4) blood test CPT 84436 HC ASSAY OF TOTAL THYROXINE | $48.06 | $49.04 | $49.04–$48.06 | 11% above | 2% |
| Total thyroxine (T4) blood test inpatient CPT 84436 HC ASSAY OF TOTAL THYROXINE | $48.06 | $49.04 | $49.04–$48.06 | — | 2% |
| Total triiodothyronine (T3) blood test CPT 84480 HC TRIIODOTHYRONINE TOTAL ASSAY, TT-3 | $48.06 | $49.04 | $49.04–$48.06 | 14% above | 2% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 HC TRIIODOTHYRONINE TOTAL ASSAY, TT-3 | $48.06 | $49.04 | $49.04–$48.06 | — | 2% |
| Transferrin blood test CPT 84466 HC ASSAY OF TRANSFERRIN | $48.06 | $49.04 | $49.04–$48.06 | 11% above | 2% |
| Transferrin blood test inpatient CPT 84466 HC ASSAY OF TRANSFERRIN | $48.06 | $49.04 | $49.04–$48.06 | — | 2% |
| Trichomonas test (NAAT) CPT 87661 HC IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH | $144.16 | $147.10 | $147.10–$144.16 | 14% above | 2% |
| Trichomonas test (NAAT) CPT 87661 HC IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH REF | $144.16 | $147.10 | $147.10–$144.16 | 14% above | 2% |
| Trichomonas test (NAAT) inpatient CPT 87661 HC IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH REF | $144.16 | $147.10 | $147.10–$144.16 | — | 2% |
| Trichomonas test (NAAT) inpatient CPT 87661 HC IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH | $144.16 | $147.10 | $147.10–$144.16 | — | 2% |
| Triglycerides blood test CPT 84478 HC ASSAY OF TRIGLYCERIDES REF | $6.42 | $6.55 | $6.55–$6.42 | 12% above | 2% |
| Triglycerides blood test CPT 84478 HC ASSAY OF TRIGLYCERIDES | $6.42 | $6.55 | $6.55–$6.42 | 12% above | 2% |
| Triglycerides blood test inpatient CPT 84478 HC ASSAY OF TRIGLYCERIDES REF | $6.42 | $6.55 | $6.55–$6.42 | — | 2% |
| Triglycerides blood test inpatient CPT 84478 HC ASSAY OF TRIGLYCERIDES | $6.42 | $6.55 | $6.55–$6.42 | — | 2% |
| Troponin test, quantitative CPT 84484 HC ASSAY OF TROPONIN, QUANT | $80.06 | $81.69 | $81.69–$80.06 | 11% above | 2% |
| Troponin test, quantitative inpatient CPT 84484 HC ASSAY OF TROPONIN, QUANT | $80.06 | $81.69 | $81.69–$80.06 | — | 2% |
| Uric acid blood test CPT 84550 HC ASSAY OF URIC ACID, BLOOD | $6.42 | $6.55 | $6.55–$6.42 | 11% above | 2% |
| Uric acid blood test inpatient CPT 84550 HC ASSAY OF URIC ACID, BLOOD | $6.42 | $6.55 | $6.55–$6.42 | — | 2% |
| Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS, AUTO, W/SCOPE | $28.84 | $29.43 | $29.43–$28.84 | 11% above | 2% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS, AUTO, W/SCOPE | $28.84 | $29.43 | $29.43–$28.84 | — | 2% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS, AUTO, W/O SCOPE | $12.81 | $13.07 | $13.07–$12.81 | 11% above | 2% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS, AUTO, W/O SCOPE POC | $12.81 | $13.07 | $13.07–$12.81 | 11% above | 2% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS, AUTO, W/O SCOPE POC | $12.81 | $13.07 | $13.07–$12.81 | — | 2% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS, AUTO, W/O SCOPE | $12.81 | $13.07 | $13.07–$12.81 | — | 2% |
| Urinalysis without microscope exam, manual CPT 81002 HC URINALYSIS NONAUTO W/O SCOPE | $12.81 | $13.07 | $13.07–$12.81 | 17% above | 2% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC URINALYSIS NONAUTO W/O SCOPE | $12.81 | $13.07 | $13.07–$12.81 | — | 2% |
| Urine culture for bacteria, with colony count CPT 87086 HC URINE CULTURE, COLONY COUNT | $64.06 | $65.37 | $65.37–$64.06 | 14% above | 2% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 HC URINE CULTURE, COLONY COUNT | $64.06 | $65.37 | $65.37–$64.06 | — | 2% |
| Urine microalbumin (albumin) test CPT 82043 HC MICROALBUMIN, QUANTITATIVE | $48.06 | $49.04 | $49.04–$48.06 | 11% above | 2% |
| Urine microalbumin (albumin) test inpatient CPT 82043 HC MICROALBUMIN, QUANTITATIVE | $48.06 | $49.04 | $49.04–$48.06 | — | 2% |
| Urine pregnancy test, read by color change CPT 81025 HC URINE PREGNANCY TEST | $32.07 | $32.72 | $32.72–$32.07 | 11% above | 2% |
| Urine pregnancy test, read by color change inpatient CPT 81025 HC URINE PREGNANCY TEST | $32.07 | $32.72 | $32.72–$32.07 | — | 2% |
| Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN B-12 | $48.06 | $49.04 | $49.04–$48.06 | 11% above | 2% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC VITAMIN B-12 | $48.06 | $49.04 | $49.04–$48.06 | — | 2% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC ASSAY OF VIT D,CALCIFEDIOL W FRACTIONS, IF PERFORMED REF | $48.06 | $49.04 | $49.04–$48.06 | 14% above | 2% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC ASSAY OF VIT D,CALCIFEDIOL W FRACTIONS, IF PERFORMED | $48.06 | $49.04 | $49.04–$48.06 | 14% above | 2% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC ASSAY OF VIT D,CALCIFEDIOL W FRACTIONS, IF PERFORMED | $48.06 | $49.04 | $49.04–$48.06 | — | 2% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC ASSAY OF VIT D,CALCIFEDIOL W FRACTIONS, IF PERFORMED REF | $48.06 | $49.04 | $49.04–$48.06 | — | 2% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC ASSAY, DIHYDROXYVITAMIN D W/FRACTIONS, IF PERFORMED | $80.06 | $81.69 | $81.69–$80.06 | 11% above | 2% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HC ASSAY, DIHYDROXYVITAMIN D W/FRACTIONS, IF PERFORMED | $80.06 | $81.69 | $81.69–$80.06 | — | 2% |
| Zinc blood test CPT 84630 HC ASSAY OF ZINC | $80.06 | $81.69 | $81.69–$80.06 | 11% above | 2% |
| Zinc blood test inpatient CPT 84630 HC ASSAY OF ZINC | $80.06 | $81.69 | $81.69–$80.06 | — | 2% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC CHORIONIC GONADOTROPIN, QUANT | $76.89 | $78.46 | $78.46–$76.89 | 11% above | 2% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC CHORIONIC GONADOTROPIN, QUANT REF | $76.89 | $78.46 | $78.46–$76.89 | 11% above | 2% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC CHORIONIC GONADOTROPIN, QUANT REF | $76.89 | $78.46 | $78.46–$76.89 | — | 2% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC CHORIONIC GONADOTROPIN, QUANT | $76.89 | $78.46 | $78.46–$76.89 | — | 2% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Maryland | Off list |
|---|---|---|---|---|---|
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC CLOSED RX DIST FIB FX wo MANIPULATION | $576.59 | $588.36 | $588.36–$576.59 | — | 2% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HC CLOSED RX DIST FIB FX wo MANIPULATION | $576.59 | $588.36 | $588.36–$576.59 | — | 2% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC TX METATARSAL FX WO MANIP | $192.19 | $196.11 | $196.11–$192.19 | — | 2% |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 HC TX METATARSAL FX WO MANIP | $192.19 | $196.11 | $196.11–$192.19 | — | 2% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL w TEE | $32.62 | $33.29 | $33.29–$32.62 | 41% above | 2% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL | $293.39 | $299.38 | $299.38–$293.39 | 1165% above | 2% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL w TEE | $32.62 | $33.29 | $33.29–$32.62 | — | 2% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL | $293.39 | $299.38 | $299.38–$293.39 | — | 2% |
| Cervical biopsy CPT 57500 HC BIOPSY CERVIX, 1 OR MORE, OR EXCISION OF LESION | $192.19 | $196.11 | $196.11–$192.19 | 42% below | 2% |
| Cervical biopsy inpatient CPT 57500 HC BIOPSY CERVIX, 1 OR MORE, OR EXCISION OF LESION | $192.19 | $196.11 | $196.11–$192.19 | — | 2% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC CIRCUMCISION,CLAMP,NEWBORN | $420.49 | $429.07 | $429.07–$420.49 | 16% below | 2% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC CIRCUMCISION,CLAMP,NEWBORN | $420.49 | $429.07 | $429.07–$420.49 | — | 2% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC CLOSED RX DIST RAD/ULNA FX | $768.77 | $784.46 | $784.46–$768.77 | — | 2% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC CLOSED RX DIST RAD/ULNA FX | $768.77 | $784.46 | $784.46–$768.77 | — | 2% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 HC COLPOSC,CERVIX W/ADJ VAG,W/BX & CURRETAG | $384.41 | $392.25 | $392.25–$384.41 | 2% below | 2% |
| Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 HC COLPOSC,CERVIX W/ADJ VAG,W/BX & CURRETAG | $384.41 | $392.25 | $392.25–$384.41 | — | 2% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC CYSTOURETHROSCOPY | $576.59 | $588.36 | $588.36–$576.59 | 61% below | 2% |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HC CYSTOURETHROSCOPY | $576.59 | $588.36 | $588.36–$576.59 | — | 2% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC DESTRUC BENIGN/PREMAL,FIRST LESION | $192.19 | $196.11 | $196.11–$192.19 | 27% below | 2% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 HC DESTRUC BENIGN/PREMAL,FIRST LESION | $192.19 | $196.11 | $196.11–$192.19 | — | 2% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC BIOPSY OF UTERUS LINING | $384.41 | $392.25 | $392.25–$384.41 | 34% above | 2% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 HC BIOPSY OF UTERUS LINING | $384.41 | $392.25 | $392.25–$384.41 | — | 2% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 HC HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS | $192.19 | $196.11 | $196.11–$192.19 | 72% below | 2% |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HC HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS | $192.19 | $196.11 | $196.11–$192.19 | — | 2% |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HC HYSTEROSCOPY SURG BX | $1,537.58 | $1,568.96 | $1,568.96–$1,537.58 | 63% below | 2% |
| Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 HC HYSTEROSCOPY SURG BX | $1,537.58 | $1,568.96 | $1,568.96–$1,537.58 | — | 2% |
| IUD insertion (the device itself billed separately) CPT 58300 HC INSERT INTRAUTERINE DEVICE | $192.19 | $196.11 | $196.11–$192.19 | 3% above | 2% |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 HC INSERT INTRAUTERINE DEVICE | $192.19 | $196.11 | $196.11–$192.19 | — | 2% |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC DRAIN SKIN ABSCESS SIMPLE | $307.53 | $313.81 | $313.81–$307.53 | 61% below | 2% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC DRAIN SKIN ABSCESS SIMPLE | $307.53 | $313.81 | $313.81–$307.53 | — | 2% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJECT TENDON SHEATH/LIGAMENT | $192.19 | $196.11 | $196.11–$192.19 | 23% below | 2% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC INJECT TENDON SHEATH/LIGAMENT | $192.19 | $196.11 | $196.11–$192.19 | — | 2% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US | $192.19 | $196.11 | $196.11–$192.19 | 20% below | 2% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US | $192.19 | $196.11 | $196.11–$192.19 | — | 2% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US | $192.19 | $196.11 | $196.11–$192.19 | 10% below | 2% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US | $192.19 | $196.11 | $196.11–$192.19 | — | 2% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US | $192.19 | $196.11 | $196.11–$192.19 | 14% above | 2% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US | $192.19 | $196.11 | $196.11–$192.19 | — | 2% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC LAYR CLOS WND TRUNK,ARM,LEG <2.5 CM | $768.77 | $784.46 | $784.46–$768.77 | at median | 2% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC LAYR CLOS WND TRUNK,ARM,LEG <2.5 CM | $768.77 | $784.46 | $784.46–$768.77 | — | 2% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC EXC SKIN BENIG <0.5 CM TRUNK,ARM,LEG | $192.19 | $196.11 | $196.11–$192.19 | 41% below | 2% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HC EXC SKIN BENIG <0.5 CM TRUNK,ARM,LEG | $192.19 | $196.11 | $196.11–$192.19 | — | 2% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC EXC SKIN BENIG <0.5 CM FACE,FACIAL | $76.88 | $78.45 | $78.45–$76.88 | 78% below | 2% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 HC EXC SKIN BENIG <0.5 CM FACE,FACIAL | $76.88 | $78.45 | $78.45–$76.88 | — | 2% |
| Nail removal (partial or complete), one nail CPT 11730 HC REMOVAL OF NAIL PLATE | $576.59 | $588.36 | $588.36–$576.59 | 36% below | 2% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 HC REMOVAL OF NAIL PLATE | $576.59 | $588.36 | $588.36–$576.59 | — | 2% |
| Occipital nerve block (injection for headaches) CPT 64405 HC INJECT NERV BLCK,GREAT OCCIPTL | $384.41 | $392.25 | $392.25–$384.41 | 31% below | 2% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 HC INJECT NERV BLCK,GREAT OCCIPTL | $384.41 | $392.25 | $392.25–$384.41 | — | 2% |
| Paracentesis with imaging guidance CPT 49083 HC ABDOMINAL PARACENTESIS W IMAGE GUIDANCE | $1,911.54 | $1,950.55 | $1,950.55–$1,911.54 | 54% above | 2% |
| Paracentesis with imaging guidance inpatient CPT 49083 HC ABDOMINAL PARACENTESIS W IMAGE GUIDANCE | $1,911.54 | $1,950.55 | $1,950.55–$1,911.54 | — | 2% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC ESCISION NAIL MATRIX PERM | $576.59 | $588.36 | $588.36–$576.59 | 14% below | 2% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC ESCISION NAIL MATRIX PERM | $576.59 | $588.36 | $588.36–$576.59 | — | 2% |
| Removal of a breast lump, open surgery CPT 19120 HC EXCISE BREAST CYST | $1,153.19 | $1,176.72 | $1,176.72–$1,153.19 | at median | 2% |
| Removal of a breast lump, open surgery inpatient CPT 19120 HC EXCISE BREAST CYST | $1,153.19 | $1,176.72 | $1,176.72–$1,153.19 | — | 2% |
| Removal of a foreign object under the skin, simple CPT 10120 HC REMOVE FOREIGN BODY SIMPLE | $384.41 | $392.25 | $392.25–$384.41 | 22% below | 2% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 HC REMOVE FOREIGN BODY SIMPLE | $384.41 | $392.25 | $392.25–$384.41 | — | 2% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 HC FRAGMENT KIDNEY STONE/ ESWL | $5,935.21 | $6,056.34 | $6,056.34–$5,935.21 | 35% above | 2% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 HC FRAGMENT KIDNEY STONE/ ESWL | $5,935.21 | $6,056.34 | $6,056.34–$5,935.21 | — | 2% |
| Short arm cast (elbow to hand) CPT 29075 HC APPLICATION SHORT ARM CAST | $384.41 | $392.25 | $392.25–$384.41 | 70% above | 2% |
| Short arm cast (elbow to hand) inpatient CPT 29075 HC APPLICATION SHORT ARM CAST | $384.41 | $392.25 | $392.25–$384.41 | — | 2% |
| Short arm splint (forearm and hand) CPT 29125 HC APP F-ARM SPLN,STAT | $192.19 | $196.11 | $196.11–$192.19 | 23% below | 2% |
| Short arm splint (forearm and hand) CPT 29125 HC APP F-ARM SPLN,STAT OT | $258.96 | $264.24 | $264.24–$258.96 | 4% above | 2% |
| Short arm splint (forearm and hand) CPT 29125 HC APP F-ARM SPLN,STAT PT | $315.41 | $321.85 | $321.85–$315.41 | 26% above | 2% |
| Short arm splint (forearm and hand) inpatient CPT 29125 HC APP F-ARM SPLN,STAT | $192.19 | $196.11 | $196.11–$192.19 | — | 2% |
| Short arm splint (forearm and hand) inpatient CPT 29125 HC APP F-ARM SPLN,STAT OT | $258.96 | $264.24 | $264.24–$258.96 | — | 2% |
| Short arm splint (forearm and hand) inpatient CPT 29125 HC APP F-ARM SPLN,STAT PT | $315.41 | $321.85 | $321.85–$315.41 | — | 2% |
| Short leg cast (below the knee) CPT 29405 HC CLN-APPLY SHORT LEG CAST | $192.19 | $196.11 | $196.11–$192.19 | 9% above | 2% |
| Short leg cast (below the knee) inpatient CPT 29405 HC CLN-APPLY SHORT LEG CAST | $192.19 | $196.11 | $196.11–$192.19 | — | 2% |
| Short leg splint (calf to foot) CPT 29515 HC APPLY SHORT LEG SPLINT | $153.76 | $156.90 | $156.90–$153.76 | 42% below | 2% |
| Short leg splint (calf to foot) CPT 29515 HC APP LOWR LEG SPLN OT | $240.44 | $245.35 | $245.35–$240.44 | 9% below | 2% |
| Short leg splint (calf to foot) CPT 29515 HC APP LOWR LEG SPLN PT | $292.87 | $298.85 | $298.85–$292.87 | 11% above | 2% |
| Short leg splint (calf to foot) inpatient CPT 29515 HC APPLY SHORT LEG SPLINT | $153.76 | $156.90 | $156.90–$153.76 | — | 2% |
| Short leg splint (calf to foot) inpatient CPT 29515 HC APP LOWR LEG SPLN OT | $240.44 | $245.35 | $245.35–$240.44 | — | 2% |
| Short leg splint (calf to foot) inpatient CPT 29515 HC APP LOWR LEG SPLN PT | $292.87 | $298.85 | $298.85–$292.87 | — | 2% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC RESUPERF WND BODY <2.5CM | $192.19 | $196.11 | $196.11–$192.19 | 58% below | 2% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC RESUPERF WND BODY <2.5CM | $192.19 | $196.11 | $196.11–$192.19 | — | 2% |
| Skin biopsy, punch, one lesion CPT 11104 HC PUNCH BX SKIN SNGL LESION | $384.41 | $392.25 | $392.25–$384.41 | 37% below | 2% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 HC PUNCH BX SKIN SNGL LESION | $384.41 | $392.25 | $392.25–$384.41 | — | 2% |
| Skin tag removal, up to 15 tags CPT 11200 HC REMOVAL OF SKIN TAGS, UP TO 15 | $384.41 | $392.25 | $392.25–$384.41 | — | 2% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 HC REMOVAL OF SKIN TAGS, UP TO 15 | $384.41 | $392.25 | $392.25–$384.41 | — | 2% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC | $3,459.58 | $3,530.18 | $3,530.18–$3,459.58 | 499% above | 2% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC | $3,459.58 | $3,530.18 | $3,530.18–$3,459.58 | — | 2% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC REPAIR SUPERFICIAL WOUND > 2.5 CM | $576.59 | $588.36 | $588.36–$576.59 | at median | 2% |
| 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 REPAIR SUPERFICIAL WOUND > 2.5 CM | $576.59 | $588.36 | $588.36–$576.59 | — | 2% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC RESUPERF WND FACE <2.5 CM | $576.59 | $588.36 | $588.36–$576.59 | 3% below | 2% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC RESUPERF WND FACE <2.5 CM | $576.59 | $588.36 | $588.36–$576.59 | — | 2% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC TANGNTL BX SKIN SNGL LESION | $384.41 | $392.25 | $392.25–$384.41 | 34% below | 2% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC TANGNTL BX SKIN SNGL LESION | $384.41 | $392.25 | $392.25–$384.41 | — | 2% |
| Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS ASP PLEURAL SPACE W IMAGE GUIDANCE | $1,911.54 | $1,950.55 | $1,950.55–$1,911.54 | 53% above | 2% |
| Thoracentesis with imaging guidance inpatient CPT 32555 HC THORACENTESIS ASP PLEURAL SPACE W IMAGE GUIDANCE | $1,911.54 | $1,950.55 | $1,950.55–$1,911.54 | — | 2% |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC INJECT TRIGGER POINT, 1 OR 2 | $384.41 | $392.25 | $392.25–$384.41 | 169% above | 2% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC INJECT TRIGGER POINT, 1 OR 2 | $384.41 | $392.25 | $392.25–$384.41 | — | 2% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC BX BREAST W DEVICE 1ST LESION US | $576.59 | $588.36 | $588.36–$576.59 | 57% below | 2% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC BX BREAST W DEVICE 1ST LESION US | $576.59 | $588.36 | $588.36–$576.59 | — | 2% |
| Vein ablation, radiofrequency, first vein CPT 36475 HC ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 1ST VEIN | $1,153.19 | $1,176.72 | $1,176.72–$1,153.19 | — | 2% |
| Vein ablation, radiofrequency, first vein inpatient CPT 36475 HC ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 1ST VEIN | $1,153.19 | $1,176.72 | $1,176.72–$1,153.19 | — | 2% |
| Wart removal, up to 14 warts CPT 17110 HC DESTRUCTION BENIGN LESIONS UP TO 14 | $196.00 | $200.00 | $200.00–$196.00 | at median | 2% |
| Wart removal, up to 14 warts inpatient CPT 17110 HC DESTRUCTION BENIGN LESIONS UP TO 14 | $196.00 | $200.00 | $200.00–$196.00 | — | 2% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEBRIDEMENT, SKIN, SUB-Q TISSUE,=<20 SQ CM | $961.00 | $980.61 | $980.61–$961.00 | 4% above | 2% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC DEBRIDEMENT, SKIN, SUB-Q TISSUE,=<20 SQ CM | $961.00 | $980.61 | $980.61–$961.00 | — | 2% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Maryland | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD TRANSFUSION SERVICE 0-90 MIN | $342.25 | $349.23 | $349.23–$342.25 | 34% below | 2% |
| Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD TRANSFUSION SERVICE 91-150 MIN | $497.80 | $507.96 | $507.96–$497.80 | 4% below | 2% |
| Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD TRANSFUSION SERVICE 151-210 MIN | $653.34 | $666.67 | $666.67–$653.34 | 26% above | 2% |
| Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD TRANSFUSION SERVICE 211-270 MIN | $808.95 | $825.46 | $825.46–$808.95 | 56% above | 2% |
| Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD TRANSFUSION SERVICE 271-330 MIN | $964.48 | $984.16 | $984.16–$964.48 | 86% above | 2% |
| Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD TRANSFUSION SERVICE 331-390 MIN | $1,120.00 | $1,142.86 | $1,142.86–$1,120.00 | 116% above | 2% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD TRANSFUSION SERVICE 0-90 MIN | $342.25 | $349.23 | $349.23–$342.25 | — | 2% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD TRANSFUSION SERVICE 91-150 MIN | $497.80 | $507.96 | $507.96–$497.80 | — | 2% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD TRANSFUSION SERVICE 151-210 MIN | $653.34 | $666.67 | $666.67–$653.34 | — | 2% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD TRANSFUSION SERVICE 211-270 MIN | $808.95 | $825.46 | $825.46–$808.95 | — | 2% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD TRANSFUSION SERVICE 271-330 MIN | $964.48 | $984.16 | $984.16–$964.48 | — | 2% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD TRANSFUSION SERVICE 331-390 MIN | $1,120.00 | $1,142.86 | $1,142.86–$1,120.00 | — | 2% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC INHALATION TREATMENT OUTPATIENT CHEMO | $164.87 | $168.23 | $168.23–$164.87 | 9% above | 2% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC INHALATION TREATMENT PER STAY OUTPATIENT | $164.87 | $168.23 | $168.23–$164.87 | 9% above | 2% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC INHALATION TREATMENT PER STAY INPATIENT | $1,977.46 | $2,017.82 | $2,017.82–$1,977.46 | 1208% above | 2% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC INHALATION TREATMENT PER STAY OUTPATIENT | $164.87 | $168.23 | $168.23–$164.87 | — | 2% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC INHALATION TREATMENT OUTPATIENT CHEMO | $164.87 | $168.23 | $168.23–$164.87 | — | 2% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC INHALATION TREATMENT PER STAY INPATIENT | $1,977.46 | $2,017.82 | $2,017.82–$1,977.46 | — | 2% |
| Chemotherapy IV infusion, first hour CPT 96413 HC CHEMOTHER, IV INFUSION, 1 HR | $560.03 | $571.46 | $571.46–$560.03 | 31% below | 2% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 HC CHEMOTHER, IV INFUSION, 1 HR | $560.03 | $571.46 | $571.46–$560.03 | — | 2% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 HC EEG,W/AWAKE & DROWSY RECORD | $2,764.10 | $2,820.51 | $2,820.51–$2,764.10 | 116% above | 2% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC EEG,W/AWAKE & DROWSY RECORD | $2,764.10 | $2,820.51 | $2,820.51–$2,764.10 | — | 2% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC ELECTROCARDIOGRAM, TRACING | $78.22 | $79.82 | $79.82–$78.22 | 42% above | 2% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC ELECTROCARDIOGRAM, TRACING | $78.22 | $79.82 | $79.82–$78.22 | — | 2% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC EMERGENCY DEPARTMENT VISIT TRIAGE | $142.15 | $145.05 | $145.05–$142.15 | 8% above | 2% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC EMERGENCY DEPARTMENT VISIT TRIAGE | $142.15 | $145.05 | $145.05–$142.15 | — | 2% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC EMERGENCY DEPARTMENT VISIT SAFE EVIDENCE COLLECTION | $122.50 | $125.00 | $125.00–$122.50 | 7% below | 2% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC EMERGENCY DEPARTMENT VISIT LEVEL II | $142.15 | $145.05 | $145.05–$142.15 | 8% above | 2% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC EMERGENCY DEPARTMENT VISIT SAFE EVIDENCE COLLECTION | $122.50 | $125.00 | $125.00–$122.50 | — | 2% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC EMERGENCY DEPARTMENT VISIT LEVEL II | $142.15 | $145.05 | $145.05–$142.15 | — | 2% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC EMERGENCY DEPARTMENT VISIT LEVEL III | $284.30 | $290.10 | $290.10–$284.30 | 4% above | 2% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC EMERGENCY DEPARTMENT VISIT LEVEL III | $284.30 | $290.10 | $290.10–$284.30 | — | 2% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC EMERGENCY DEPARTMENT VISIT LEVEL IV | $568.57 | $580.17 | $580.17–$568.57 | 8% above | 2% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC EMERGENCY DEPARTMENT VISIT SAFE VISIT CHARGE | $712.85 | $727.40 | $727.40–$712.85 | 36% above | 2% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC EMERGENCY DEPARTMENT VISIT LEVEL IV | $568.57 | $580.17 | $580.17–$568.57 | — | 2% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC EMERGENCY DEPARTMENT VISIT SAFE VISIT CHARGE | $712.85 | $727.40 | $727.40–$712.85 | — | 2% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC EMERGENCY DEPARTMENT VISIT LEVEL V | $994.99 | $1,015.30 | $1,015.30–$994.99 | 4% above | 2% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC EMERGENCY DEPARTMENT VISIT LEVEL V | $994.99 | $1,015.30 | $1,015.30–$994.99 | — | 2% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARDIAC STRESS TST,TRACING ONLY | $195.57 | $199.56 | $199.56–$195.57 | 48% above | 2% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CARDIAC STRESS TST,TRACING ONLY | $195.57 | $199.56 | $199.56–$195.57 | — | 2% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV INFUSION, HYDRATION, 31-60 MIN CLN | $248.90 | $253.98 | $253.98–$248.90 | 35% below | 2% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV INFUSION, HYDRATION, 31-60 MIN | $280.30 | $286.02 | $286.02–$280.30 | 26% below | 2% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV INFUSION, HYDRATION, 31-60 MIN CLN | $248.90 | $253.98 | $253.98–$248.90 | — | 2% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV INFUSION, HYDRATION, 31-60 MIN | $280.30 | $286.02 | $286.02–$280.30 | — | 2% |
| IV infusion of a medicine, first hour CPT 96365 HC IV INFUSION, THERAP/PROPH/DIAGNOST,INITIAL,1ST HOUR | $560.03 | $571.46 | $571.46–$560.03 | 5% below | 2% |
| IV infusion of a medicine, first hour inpatient CPT 96365 HC IV INFUSION, THERAP/PROPH/DIAGNOST,INITIAL,1ST HOUR | $560.03 | $571.46 | $571.46–$560.03 | — | 2% |
| IV push of a medicine, first drug CPT 96374 HC INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, INITIAL DRUG ECHO | $32.62 | $33.29 | $33.29–$32.62 | 90% below | 2% |
| IV push of a medicine, first drug CPT 96374 HC INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, INITIAL DRUG | $311.10 | $317.45 | $317.45–$311.10 | 1% below | 2% |
| IV push of a medicine, first drug inpatient CPT 96374 HC INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, INITIAL DRUG ECHO | $32.62 | $33.29 | $33.29–$32.62 | — | 2% |
| IV push of a medicine, first drug inpatient CPT 96374 HC INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, INITIAL DRUG | $311.10 | $317.45 | $317.45–$311.10 | — | 2% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC INJECTION,THERAP/PROPH/DIAGNOST, IM OR SUBCUT NUC | $52.30 | $53.37 | $53.37–$52.30 | 24% below | 2% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC INJECTION,THERAP/PROPH/DIAGNOST, IM OR SUBCUT CLN | $62.20 | $63.47 | $63.47–$62.20 | 10% below | 2% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC INJECTION,THERAP/PROPH/DIAGNOST, IM OR SUBCUT CHEMO | $62.20 | $63.47 | $63.47–$62.20 | 10% below | 2% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC INJECTION,THERAP/PROPH/DIAGNOST, IM OR SUBCUT ADC | $62.20 | $63.47 | $63.47–$62.20 | 10% below | 2% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC INJECTION,THERAP/PROPH/DIAGNOST, IM OR SUBCUT L&D | $140.18 | $143.04 | $143.04–$140.18 | 103% above | 2% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC INJECTION,THERAP/PROPH/DIAGNOST, IM OR SUBCUT NUC | $52.30 | $53.37 | $53.37–$52.30 | — | 2% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC INJECTION,THERAP/PROPH/DIAGNOST, IM OR SUBCUT CHEMO | $62.20 | $63.47 | $63.47–$62.20 | — | 2% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC INJECTION,THERAP/PROPH/DIAGNOST, IM OR SUBCUT CLN | $62.20 | $63.47 | $63.47–$62.20 | — | 2% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC INJECTION,THERAP/PROPH/DIAGNOST, IM OR SUBCUT ADC | $62.20 | $63.47 | $63.47–$62.20 | — | 2% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC INJECTION,THERAP/PROPH/DIAGNOST, IM OR SUBCUT L&D | $140.18 | $143.04 | $143.04–$140.18 | — | 2% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 HC MOTOR &/SENS 7-8 NRV CNDJ PRECONF ELTRODE LIMB | $813.02 | $829.61 | $829.61–$813.02 | 80% above | 2% |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 HC MOTOR &/SENS 7-8 NRV CNDJ PRECONF ELTRODE LIMB | $813.02 | $829.61 | $829.61–$813.02 | — | 2% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC NEUROMUSC RE-EDU EA 15 MIN OT | $92.45 | $94.34 | $94.34–$92.45 | 1% below | 2% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC NEUROMUSC RE-EDUC EA 15 MIN | $106.50 | $108.67 | $108.67–$106.50 | 14% above | 2% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC NEUROMUSC RE-EDU EA 15 MIN PT | $112.64 | $114.94 | $114.94–$112.64 | 21% above | 2% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC NEUROMUSC RE-EDU EA 15 MIN OT | $92.45 | $94.34 | $94.34–$92.45 | — | 2% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC NEUROMUSC RE-EDUC EA 15 MIN | $106.50 | $108.67 | $108.67–$106.50 | — | 2% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC NEUROMUSC RE-EDU EA 15 MIN PT | $112.64 | $114.94 | $114.94–$112.64 | — | 2% |
| New patient office visit, about 30 minutes CPT 99203 HC OFFICE OUTPATIENT VISIT NEW PATIENT | $124.46 | $127.00 | $127.00–$124.46 | 35% below | 2% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC OFFICE OUTPATIENT VISIT NEW PATIENT | $124.46 | $127.00 | $127.00–$124.46 | — | 2% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC MED NUTR THER, 1ST, INDIV, EA 15 MIN | $155.58 | $158.75 | $158.75–$155.58 | 10% below | 2% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC MED NUTR THER, 1ST, INDIV, EA 15 MIN | $155.58 | $158.75 | $158.75–$155.58 | — | 2% |
| Occupational therapy evaluation, low complexity CPT 97165 HC OT EVAL LOW EA 15 MIN | $147.97 | $150.99 | $150.99–$147.97 | 3% below | 2% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT EVAL LOW EA 15 MIN | $147.97 | $150.99 | $150.99–$147.97 | — | 2% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVAL COMP EA 15 MIN | $180.22 | $183.90 | $183.90–$180.22 | 7% below | 2% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVAL COMP EA 15 MIN | $180.22 | $183.90 | $183.90–$180.22 | — | 2% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVAL LOW EA 15 MIN | $180.22 | $183.90 | $183.90–$180.22 | 7% below | 2% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVAL LOW EA 15 MIN | $180.22 | $183.90 | $183.90–$180.22 | — | 2% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVAL MOD EA 15 MIN | $180.22 | $183.90 | $183.90–$180.22 | 7% below | 2% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVAL MOD EA 15 MIN | $180.22 | $183.90 | $183.90–$180.22 | — | 2% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC MANUAL THER EA 15 MIN OT | $74.01 | $75.52 | $75.52–$74.01 | 10% below | 2% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC MANUAL THER EA 15 MIN PT | $90.12 | $91.96 | $91.96–$90.12 | 10% above | 2% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC MANUAL THER EA 15 MIN OT | $74.01 | $75.52 | $75.52–$74.01 | — | 2% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC MANUAL THER EA 15 MIN PT | $90.12 | $91.96 | $91.96–$90.12 | — | 2% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THER EXER EA 15 MIN OT | $74.01 | $75.52 | $75.52–$74.01 | 1% below | 2% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THERAPEUTIC EXER EA 15 MIN | $85.20 | $86.94 | $86.94–$85.20 | 14% above | 2% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THER EXER EA 15 MIN PT | $90.12 | $91.96 | $91.96–$90.12 | 21% above | 2% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THER EXER EA 15 MIN OT | $74.01 | $75.52 | $75.52–$74.01 | — | 2% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THERAPEUTIC EXER EA 15 MIN | $85.20 | $86.94 | $86.94–$85.20 | — | 2% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THER EXER EA 15 MIN PT | $90.12 | $91.96 | $91.96–$90.12 | — | 2% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC OFFICE OUTPATIENT VISIT 40 MINUTES | $186.68 | $190.49 | $190.49–$186.68 | 26% below | 2% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC OFFICE OUTPATIENT VISIT 40 MINUTES | $186.68 | $190.49 | $190.49–$186.68 | — | 2% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC OFFICE OUTPATIENT VISIT ESTABLISHED PATIENT | $124.46 | $127.00 | $127.00–$124.46 | 26% below | 2% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC OFFICE OUTPATIENT VISIT 15 MINUTES | $124.46 | $127.00 | $127.00–$124.46 | 26% below | 2% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC OFFICE OUTPATIENT VISIT ESTABLISHED PATIENT | $124.46 | $127.00 | $127.00–$124.46 | — | 2% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC OFFICE OUTPATIENT VISIT 15 MINUTES | $124.46 | $127.00 | $127.00–$124.46 | — | 2% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC OFFICE OUTPATIENT VISIT 25 MINUTES | $155.58 | $158.75 | $158.75–$155.58 | 26% below | 2% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC OFFICE OUTPATIENT VISIT 60 MINUTES | $155.58 | $158.75 | $158.75–$155.58 | 26% below | 2% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC OFFICE OUTPATIENT VISIT 25 MINUTES | $155.58 | $158.75 | $158.75–$155.58 | — | 2% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC OFFICE OUTPATIENT VISIT 60 MINUTES | $155.58 | $158.75 | $158.75–$155.58 | — | 2% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC OFFICE OUTPATIENT VISIT 10 MINUTES | $93.34 | $95.24 | $95.24–$93.34 | 26% below | 2% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC OFFICE OUTPATIENT VISIT 10 MINUTES CHEMO | $93.34 | $95.24 | $95.24–$93.34 | 26% below | 2% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC OFFICE OUTPATIENT VISIT 10 MINUTES CHEMO | $93.34 | $95.24 | $95.24–$93.34 | — | 2% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC OFFICE OUTPATIENT VISIT 10 MINUTES | $93.34 | $95.24 | $95.24–$93.34 | — | 2% |
| Speech and language evaluation CPT 92523 HC EVL SOUND/LANG PROD | $617.66 | $630.27 | $630.27–$617.66 | 1% below | 2% |
| Speech and language evaluation inpatient CPT 92523 HC EVL SOUND/LANG PROD | $617.66 | $630.27 | $630.27–$617.66 | — | 2% |
| Speech therapy session, individual CPT 92507 HC LANG AUR RH VOIC TRT | $191.69 | $195.60 | $195.60–$191.69 | 6% below | 2% |
| Speech therapy session, individual inpatient CPT 92507 HC LANG AUR RH VOIC TRT | $191.69 | $195.60 | $195.60–$191.69 | — | 2% |
| Spirometry (breathing test) CPT 94010 HC SPIROMETRY | $316.74 | $323.20 | $323.20–$316.74 | 29% above | 2% |
| Spirometry (breathing test) inpatient CPT 94010 HC SPIROMETRY | $316.74 | $323.20 | $323.20–$316.74 | — | 2% |
| Spirometry before and after a bronchodilator CPT 94060 HC EVAL OF BRONCHOSPASM | $468.74 | $478.31 | $478.31–$468.74 | 10% below | 2% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 HC EVAL OF BRONCHOSPASM | $468.74 | $478.31 | $478.31–$468.74 | — | 2% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC THER ACTIV, DRCT EA 15 MIN OT | $129.49 | $132.13 | $132.13–$129.49 | 2% above | 2% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC THERAPEUTIC ACTIVITIES EA 15 MIN | $149.08 | $152.12 | $152.12–$149.08 | 18% above | 2% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC THER ACTIV, DRCT EA 15 MIN PT | $157.70 | $160.92 | $160.92–$157.70 | 24% above | 2% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC THER ACTIV, DRCT EA 15 MIN OT | $129.49 | $132.13 | $132.13–$129.49 | — | 2% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC THERAPEUTIC ACTIVITIES EA 15 MIN | $149.08 | $152.12 | $152.12–$149.08 | — | 2% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC THER ACTIV, DRCT EA 15 MIN PT | $157.70 | $160.92 | $160.92–$157.70 | — | 2% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC PHLEBOTOMY CLN | $160.16 | $163.43 | $163.43–$160.16 | 11% above | 2% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC PHLEBOTOMY | $160.16 | $163.43 | $163.43–$160.16 | 11% above | 2% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC PHLEBOTOMY CLN | $160.16 | $163.43 | $163.43–$160.16 | — | 2% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC PHLEBOTOMY | $160.16 | $163.43 | $163.43–$160.16 | — | 2% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Maryland | Off list |
|---|---|---|---|---|---|
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPH,PERTUS(ACEL),TET PED(PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SYRINGE | $80.38 | $82.02 | $82.02–$80.38 | 35% above | 2% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPH,PERTUS(ACEL),TET PED(PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SYRINGE | $80.38 | $82.02 | $82.02–$80.38 | — | 2% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 5 MCG/0.5 ML INTRAMUSCULAR SUSP | $60.03 | $61.26 | $61.26–$60.03 | 28% below | 2% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 5 MCG/0.5 ML INTRAMUSCULAR SUSP | $60.03 | $61.26 | $61.26–$60.03 | — | 2% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN | $18.61 | $18.99 | $18.99–$18.61 | 26% below | 2% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN | $18.61 | $18.99 | $18.99–$18.61 | — | 2% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT | $123.86 | $126.39 | $126.39–$123.86 | 35% below | 2% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT | $123.86 | $126.39 | $126.39–$123.86 | — | 2% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC IMMUNIZ ADMIN,1 SINGLE/COMB VAC/TOXOID | $93.31 | $95.21 | $95.21–$93.31 | 29% above | 2% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC IMMUNIZ ADMIN,1 SINGLE/COMB VAC/TOXOID | $93.31 | $95.21 | $95.21–$93.31 | — | 2% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC IMMUNIZ,ADMIN,EACH ADDL | $62.20 | $63.47 | $63.47–$62.20 | 10% below | 2% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC IMMUNIZ,ADMIN,EACH ADDL | $62.20 | $63.47 | $63.47–$62.20 | — | 2% |
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.