St. Joseph Health System
St. Joseph Health System in St. Fort Wayne, IN publishes cash prices for 428 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Indiana median for 321 of 408 procedures and above it for 86. By typical cash price it ranks #10 of 84 Indiana hospitals and #5 of 8 hospitals in the Fort Wayne, IN area, cheapest first. Click a procedure to compare it with other hospitals nearby.
702 Van Buren St. Fort Wayne, IN 46802 Collected Sep 27, 2026 Source price file (260) 425-3000
Acute care hospital Emergency department CMS star rating 4 of 5 CCN 150047 · CMS hospital register
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Indiana | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete Min 3 V Left DR | $237.60 | $990.00 | $32.00–$990.00 | 21% above | 76% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete Min 3 V Right DR | $237.60 | $990.00 | $32.00–$990.00 | 21% above | 76% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete Min 3 V Right CR | $237.60 | $990.00 | $32.00–$990.00 | 21% above | 76% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete Min 3 V Left CR | $237.60 | $990.00 | $32.00–$990.00 | 21% above | 76% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Complete Min 3 V Right CR | $544.50 | $990.00 | $282.15–$990.00 | — | 45% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Complete Min 3 V Left CR | $544.50 | $990.00 | $282.15–$990.00 | — | 45% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Complete Min 3 V Right DR | $544.50 | $990.00 | $282.15–$990.00 | — | 45% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Complete Min 3 V Left DR | $544.50 | $990.00 | $282.15–$990.00 | — | 45% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 US LE Arterial Doppler Single Lvl Bilat | $229.68 | $957.00 | $128.90–$957.00 | — | 76% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 US UE Arterial Doppler Single Lvl Bilat | $229.68 | $957.00 | $128.90–$957.00 | — | 76% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 93922 UPR/L XTREMITY ART 2 LEVELS | $66.96 | $279.00 | $124.67–$578.50 | 80% below | 76% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 93922,52 UPR/L XTREMITY ART 2 LEVELS | $66.96 | $279.00 | $124.67–$578.50 | 80% below | 76% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 CHRG - US-EXT ARTERIAL LTD 208 | $229.68 | $957.00 | $128.90–$957.00 | 33% below | 76% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 NI Seg Pres w Dopp UE LE Single | $229.68 | $957.00 | $128.90–$957.00 | 33% below | 76% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries one side CPT 93922 TcPO2 Extremity Study Left | $229.68 | $957.00 | $128.90–$957.00 | 33% below | 76% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries one side CPT 93922 TcPO2 Extremity Study Right | $229.68 | $957.00 | $128.90–$957.00 | 33% below | 76% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 US LE Arterial Doppler Single Lvl Bilat | $526.35 | $957.00 | $272.75–$957.00 | — | 45% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 US UE Arterial Doppler Single Lvl Bilat | $526.35 | $957.00 | $272.75–$957.00 | — | 45% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 93922,52 UPR/L XTREMITY ART 2 LEVELS | $192.50 | $350.00 | $99.75–$350.00 | — | 45% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 93922 UPR/L XTREMITY ART 2 LEVELS | $192.50 | $350.00 | $99.75–$350.00 | — | 45% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 NI Seg Pres w Dopp UE LE Single | $526.35 | $957.00 | $272.75–$957.00 | — | 45% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 CHRG - US-EXT ARTERIAL LTD 208 | $526.35 | $957.00 | $272.75–$957.00 | — | 45% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient one side CPT 93922 TcPO2 Extremity Study Right | $526.35 | $957.00 | $272.75–$957.00 | — | 45% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient one side CPT 93922 TcPO2 Extremity Study Left | $526.35 | $957.00 | $272.75–$957.00 | — | 45% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 RF Esophagus Gastrografin | $278.40 | $1,160.00 | $82.25–$1,160.00 | 40% below | 76% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 RF Esophagus Barium | $278.40 | $1,160.00 | $82.25–$1,160.00 | 40% below | 76% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 RF Esophagus Barium | $638.00 | $1,160.00 | $330.60–$1,160.00 | — | 45% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 RF Esophagus Gastrografin | $638.00 | $1,160.00 | $330.60–$1,160.00 | — | 45% |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM Bone and or Joint Whole Body Scan 1 - NM Bone | $522.72 | $2,178.00 | $297.98–$2,178.00 | 66% below | 76% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM Bone and or Joint Whole Body Scan 1 - NM Bone | $1,197.90 | $2,178.00 | $620.73–$2,178.00 | — | 45% |
| Breast ultrasound, complete, one breast both sides CPT 76641 US Breast Complete Bilateral | $324.72 | $1,353.00 | $81.85–$1,353.00 | — | 76% |
| Breast ultrasound, complete, one breast one side CPT 76641 US Breast Complete Left | $324.72 | $1,353.00 | $81.85–$1,353.00 | 25% below | 76% |
| Breast ultrasound, complete, one breast one side CPT 76641 MG US Breast Complete Left | $324.72 | $1,353.00 | $81.85–$1,353.00 | 25% below | 76% |
| Breast ultrasound, complete, one breast one side CPT 76641 US Breast Complete Right | $324.72 | $1,353.00 | $81.85–$1,353.00 | 25% below | 76% |
| Breast ultrasound, complete, one breast one side CPT 76641 MG US Breast Complete Right | $324.72 | $1,353.00 | $81.85–$1,353.00 | 25% below | 76% |
| Breast ultrasound, complete, one breast inpatient both sides CPT 76641 US Breast Complete Bilateral | $744.15 | $1,353.00 | $385.60–$1,353.00 | — | 45% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Breast Complete Right | $744.15 | $1,353.00 | $385.60–$1,353.00 | — | 45% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 MG US Breast Complete Left | $744.15 | $1,353.00 | $385.60–$1,353.00 | — | 45% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 MG US Breast Complete Right | $744.15 | $1,353.00 | $385.60–$1,353.00 | — | 45% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Breast Complete Left | $744.15 | $1,353.00 | $385.60–$1,353.00 | — | 45% |
| Breast ultrasound, limited (one breast or one area) both sides CPT 76642 US Breast Limited Bilateral | $214.56 | $894.00 | $62.61–$894.00 | — | 76% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Limited Right | $214.56 | $894.00 | $62.61–$894.00 | 28% below | 76% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 MG US Breast Limited Right | $214.56 | $894.00 | $62.61–$894.00 | 28% below | 76% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 MG US Breast Limited Left | $214.56 | $894.00 | $62.61–$894.00 | 28% below | 76% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Limited Left | $214.56 | $894.00 | $62.61–$894.00 | 28% below | 76% |
| Breast ultrasound, limited (one breast or one area) inpatient both sides CPT 76642 US Breast Limited Bilateral | $491.70 | $894.00 | $254.79–$894.00 | — | 45% |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 76642 26 ULTRASOUND BREAST LIMITED | $45.65 | $83.00 | $23.65–$83.00 | — | 45% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 MG US Breast Limited Right | $491.70 | $894.00 | $254.79–$894.00 | — | 45% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 MG US Breast Limited Left | $491.70 | $894.00 | $254.79–$894.00 | — | 45% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Limited Left | $491.70 | $894.00 | $254.79–$894.00 | — | 45% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Limited Right | $491.70 | $894.00 | $254.79–$894.00 | — | 45% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA Chest | $1,853.52 | $7,723.00 | $163.90–$7,723.00 | 63% above | 76% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA Chest for PE | $1,853.52 | $7,723.00 | $163.90–$7,723.00 | 63% above | 76% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 71275 CTA-CHEST | $1,853.52 | $7,723.00 | $163.90–$7,723.00 | 63% above | 76% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 71275 CTA-CHEST | $4,247.65 | $7,723.00 | $2,201.05–$7,723.00 | — | 45% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA Chest for PE | $4,247.65 | $7,723.00 | $2,201.05–$7,723.00 | — | 45% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA Chest | $4,247.65 | $7,723.00 | $2,201.05–$7,723.00 | — | 45% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 75574 CT-HT CARD FUNC W | $594.00 | $2,475.00 | $324.66–$2,475.00 | 28% below | 76% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CTA Coronary Function | $594.00 | $2,475.00 | $324.66–$2,475.00 | 28% below | 76% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT Angio Heart Function W | $594.00 | $2,475.00 | $324.66–$2,475.00 | 28% below | 76% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 75574 26 CT ANGIO HRT W/3D IMAGE | $159.50 | $290.00 | $82.65–$290.00 | — | 45% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 75574,26 CT ANGIO HRT W/3D IMAGE | $159.50 | $290.00 | $82.65–$290.00 | — | 45% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT Angio Heart Function W | $1,361.25 | $2,475.00 | $705.37–$2,475.00 | — | 45% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CTA Coronary Function | $1,361.25 | $2,475.00 | $705.37–$2,475.00 | — | 45% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 75574 CT-HT CARD FUNC W | $1,361.25 | $2,475.00 | $705.37–$2,475.00 | — | 45% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 75571,26 CT HRT W/O DYE W/CA TEST | $18.24 | $76.00 | $81.54–$378.38 | 86% below | 76% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 75571 26 CT HRT W/O DYE W/CA TEST | $18.24 | $76.00 | $81.54–$378.38 | 86% below | 76% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT Heart WO | $110.64 | $461.00 | $80.84–$1,529.00 | 16% below | 76% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 75571,26 CT HRT W/O DYE W/CA TEST | $41.80 | $76.00 | $21.66–$76.00 | — | 45% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 75571 26 CT HRT W/O DYE W/CA TEST | $41.80 | $76.00 | $21.66–$76.00 | — | 45% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT Cardiac Score WO | $253.55 | $461.00 | $131.38–$461.00 | — | 45% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT Heart WO | $253.55 | $461.00 | $131.38–$461.00 | — | 45% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Chest Abdomen Pelvis WO | $1,649.76 | $6,874.00 | $128.96–$6,874.00 | 63% above | 76% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abdomen Pelvis Stone Protocol | $1,649.76 | $6,874.00 | $128.96–$6,874.00 | 63% above | 76% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abdomen Pelvis WO | $1,649.76 | $6,874.00 | $128.96–$6,874.00 | 63% above | 76% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Trauma Abdomen Pelvis WO | $1,649.76 | $6,874.00 | $128.96–$6,874.00 | 63% above | 76% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abd Pelvis with Rectal WO | $1,725.12 | $7,188.00 | $128.96–$7,188.00 | 71% above | 76% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Abdomen Pelvis WO | $3,780.70 | $6,874.00 | $1,959.09–$6,874.00 | — | 45% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Abdomen Pelvis Stone Protocol | $3,780.70 | $6,874.00 | $1,959.09–$6,874.00 | — | 45% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Chest Abdomen Pelvis WO | $3,780.70 | $6,874.00 | $1,959.09–$6,874.00 | — | 45% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Trauma Abdomen Pelvis WO | $3,780.70 | $6,874.00 | $1,959.09–$6,874.00 | — | 45% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Abd Pelvis with Rectal WO | $3,953.40 | $7,188.00 | $2,048.58–$7,188.00 | — | 45% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abd Pelvis W Pancreatic Protocol | $2,409.84 | $10,041.00 | $280.29–$10,041.00 | 64% above | 76% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Trauma Abdomen Pelvis W | $2,409.84 | $10,041.00 | $280.29–$10,041.00 | 64% above | 76% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Chest Abdomen Pelvis W | $2,409.84 | $10,041.00 | $280.29–$10,041.00 | 64% above | 76% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Enterography Abdomen Pelvis | $2,409.84 | $10,041.00 | $280.29–$10,041.00 | 64% above | 76% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 74177 CT-ABD PELVIS W | $2,409.84 | $10,041.00 | $280.29–$10,041.00 | 64% above | 76% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abd Pelvis with Rectal W | $2,409.84 | $10,041.00 | $280.29–$10,041.00 | 64% above | 76% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abdomen Pelvis W | $2,409.84 | $10,041.00 | $280.29–$10,041.00 | 64% above | 76% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Enterography Abdomen Pelvis | $5,522.55 | $10,041.00 | $2,861.68–$10,041.00 | — | 45% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Chest Abdomen Pelvis W | $5,522.55 | $10,041.00 | $2,861.68–$10,041.00 | — | 45% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abdomen Pelvis W | $5,522.55 | $10,041.00 | $2,861.68–$10,041.00 | — | 45% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abd Pelvis with Rectal W | $5,522.55 | $10,041.00 | $2,861.68–$10,041.00 | — | 45% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 74177 CT-ABD PELVIS W | $5,522.55 | $10,041.00 | $2,861.68–$10,041.00 | — | 45% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Trauma Abdomen Pelvis W | $5,522.55 | $10,041.00 | $2,861.68–$10,041.00 | — | 45% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abd Pelvis W Pancreatic Protocol | $5,522.55 | $10,041.00 | $2,861.68–$10,041.00 | — | 45% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abd Pelvis with Rectal WWO | $2,895.12 | $12,063.00 | $316.80–$12,063.00 | 71% above | 76% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abd Pelvis WWO Liver Protocol 3Phase | $2,895.12 | $12,063.00 | $316.80–$12,063.00 | 71% above | 76% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abdomen Pelvis WWO | $2,895.12 | $12,063.00 | $316.80–$12,063.00 | 71% above | 76% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Chest Abdomen Pelvis WWO | $2,895.12 | $12,063.00 | $316.80–$12,063.00 | 71% above | 76% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abd Pelvis WWO Urology Protocol | $2,895.12 | $12,063.00 | $316.80–$12,063.00 | 71% above | 76% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abd Pelvis WWO Liver Protocol 3Phase | $6,634.65 | $12,063.00 | $3,437.95–$12,063.00 | — | 45% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abd Pelvis with Rectal WWO | $6,634.65 | $12,063.00 | $3,437.95–$12,063.00 | — | 45% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abd Pelvis WWO Urology Protocol | $6,634.65 | $12,063.00 | $3,437.95–$12,063.00 | — | 45% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abdomen Pelvis WWO | $6,634.65 | $12,063.00 | $3,437.95–$12,063.00 | — | 45% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Chest Abdomen Pelvis WWO | $6,634.65 | $12,063.00 | $3,437.95–$12,063.00 | — | 45% |
| CT scan of the abdomen with contrast CPT 74160 CT Abdomen W | $1,158.72 | $4,828.00 | $163.75–$4,828.00 | 29% above | 76% |
| CT scan of the abdomen with contrast CPT 74160 74160 CT-ABDOMEN W | $1,158.72 | $4,828.00 | $163.75–$4,828.00 | 29% above | 76% |
| CT scan of the abdomen with contrast CPT 74160 CT Trauma Abdomen W | $1,158.72 | $4,828.00 | $163.75–$4,828.00 | 29% above | 76% |
| CT scan of the abdomen with contrast CPT 74160 CT Abdomen W Pancreatic Protocol | $1,158.72 | $4,828.00 | $163.75–$4,828.00 | 29% above | 76% |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT Trauma Abdomen W | $2,655.40 | $4,828.00 | $1,375.98–$4,828.00 | — | 45% |
| CT scan of the abdomen with contrast inpatient CPT 74160 74160 CT-ABDOMEN W | $2,655.40 | $4,828.00 | $1,375.98–$4,828.00 | — | 45% |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT Abdomen W Pancreatic Protocol | $2,655.40 | $4,828.00 | $1,375.98–$4,828.00 | — | 45% |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT Abdomen W | $2,655.40 | $4,828.00 | $1,375.98–$4,828.00 | — | 45% |
| CT scan of the abdomen without contrast CPT 74150 CT Abdomen WO | $863.04 | $3,596.00 | $97.68–$3,596.00 | 9% above | 76% |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT Abdomen WO | $1,977.80 | $3,596.00 | $1,024.86–$3,596.00 | — | 45% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT Maxillofacial WO | $1,177.92 | $4,908.00 | $97.98–$4,908.00 | 49% above | 76% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT Sinus WO | $1,177.92 | $4,908.00 | $97.98–$4,908.00 | 49% above | 76% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Maxillofacial WO | $2,699.40 | $4,908.00 | $1,398.78–$4,908.00 | — | 45% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Sinus WO | $2,699.40 | $4,908.00 | $1,398.78–$4,908.00 | — | 45% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Trauma Head WO | $726.00 | $3,025.00 | $97.84–$3,025.00 | at median | 76% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Head or Brain WO | $726.00 | $3,025.00 | $97.84–$3,025.00 | at median | 76% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Head Stroke Alert | $726.00 | $3,025.00 | $97.84–$3,025.00 | at median | 76% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head or Brain WO | $1,663.75 | $3,025.00 | $862.12–$3,025.00 | — | 45% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head Stroke Alert | $1,663.75 | $3,025.00 | $862.12–$3,025.00 | — | 45% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Trauma Head WO | $1,663.75 | $3,025.00 | $862.12–$3,025.00 | — | 45% |
| CT scan of the head with contrast CPT 70460 CT Head or Brain W | $872.64 | $3,636.00 | $163.76–$3,636.00 | 6% above | 76% |
| CT scan of the head with contrast inpatient CPT 70460 CT Head or Brain W | $1,999.80 | $3,636.00 | $1,036.26–$3,636.00 | — | 45% |
| CT scan of the head without and with contrast CPT 70470 CT Head or Brain WWO | $1,349.28 | $5,622.00 | $163.61–$5,622.00 | 33% above | 76% |
| CT scan of the head without and with contrast inpatient CPT 70470 CT Head or Brain WWO | $3,092.10 | $5,622.00 | $1,602.27–$5,622.00 | — | 45% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT Spine Lumbar WO | $1,577.28 | $6,572.00 | $97.68–$6,572.00 | 89% above | 76% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT Spine Lumbar WO | $3,614.60 | $6,572.00 | $1,873.02–$6,572.00 | — | 45% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT Trauma Cervical Spine WO | $1,237.68 | $5,157.00 | $97.68–$5,157.00 | 57% above | 76% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT Spine Cervical WO | $1,237.68 | $5,157.00 | $97.68–$5,157.00 | 57% above | 76% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT Spine Cervical WO | $2,836.35 | $5,157.00 | $1,469.74–$5,157.00 | — | 45% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT Trauma Cervical Spine WO | $2,836.35 | $5,157.00 | $1,469.74–$5,157.00 | — | 45% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis with Rectal W | $1,231.92 | $5,133.00 | $163.75–$5,133.00 | 38% above | 76% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis W | $1,231.92 | $5,133.00 | $163.75–$5,133.00 | 38% above | 76% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Trauma Pelvis W | $1,231.92 | $5,133.00 | $163.75–$5,133.00 | 38% above | 76% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis with Rectal W | $2,823.15 | $5,133.00 | $1,462.90–$5,133.00 | — | 45% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis W | $2,823.15 | $5,133.00 | $1,462.90–$5,133.00 | — | 45% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Trauma Pelvis W | $2,823.15 | $5,133.00 | $1,462.90–$5,133.00 | — | 45% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 93880 EXTRACRANIAL BILAT STUDY | $142.08 | $592.00 | $223.56–$1,037.41 | — | 76% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US Carotid Duplex Bilateral | $531.84 | $2,216.00 | $222.07–$2,216.00 | — | 76% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 OPVL US Carotid Duplex Bilateral | $531.84 | $2,216.00 | $222.07–$2,216.00 | — | 76% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 NI Duplex Scan Extracran Art Comp Bilat | $531.84 | $2,216.00 | $222.07–$2,216.00 | — | 76% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 93880 EXTRACRANIAL BILAT STUDY | $325.60 | $592.00 | $168.72–$592.00 | — | 45% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 OPVL US Carotid Duplex Bilateral | $1,218.80 | $2,216.00 | $631.56–$2,216.00 | — | 45% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 NI Duplex Scan Extracran Art Comp Bilat | $1,218.80 | $2,216.00 | $631.56–$2,216.00 | — | 45% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US Carotid Duplex Bilateral | $1,218.80 | $2,216.00 | $631.56–$2,216.00 | — | 45% |
| Chest X-ray, 2 views CPT 71046 XR Chest 2 V CR | $233.28 | $972.00 | $26.11–$972.00 | 14% above | 76% |
| Chest X-ray, 2 views CPT 71046 XR Chest 2 V DR | $233.28 | $972.00 | $26.11–$972.00 | 14% above | 76% |
| Chest X-ray, 2 views inpatient CPT 71046 XR Chest 2 V CR | $534.60 | $972.00 | $277.02–$972.00 | — | 45% |
| Chest X-ray, 2 views inpatient CPT 71046 XR Chest 2 V DR | $534.60 | $972.00 | $277.02–$972.00 | — | 45% |
| Chest X-ray, single view CPT 71045 XR Chest 1 V Frontal CR | $170.64 | $711.00 | $19.05–$711.00 | 6% above | 76% |
| Chest X-ray, single view CPT 71045 XR Chest 1 V Portable DR | $170.64 | $711.00 | $19.05–$711.00 | 6% above | 76% |
| Chest X-ray, single view CPT 71045 XR Chest 1 V Frontal DR | $170.64 | $711.00 | $19.05–$711.00 | 6% above | 76% |
| Chest X-ray, single view inpatient CPT 71045 71045 Xray Exam Chest 1 view | $28.60 | $52.00 | $14.82–$52.00 | — | 45% |
| Chest X-ray, single view inpatient CPT 71045 XR Chest 1 V Portable DR | $391.05 | $711.00 | $202.63–$711.00 | — | 45% |
| Chest X-ray, single view inpatient CPT 71045 XR Chest 1 V Frontal DR | $391.05 | $711.00 | $202.63–$711.00 | — | 45% |
| Chest X-ray, single view inpatient CPT 71045 XR Chest 1 V Frontal CR | $391.05 | $711.00 | $202.63–$711.00 | — | 45% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Retroperitoneal Complete | $629.28 | $2,622.00 | $88.53–$2,622.00 | 27% above | 76% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US Retroperitoneal Complete | $1,442.10 | $2,622.00 | $747.27–$2,622.00 | — | 45% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 77080 DXA BONE DENSITY AXIAL | $44.88 | $187.00 | $97.56–$454.55 | 84% below | 76% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 BD Bone Density DEXA Axial Skeleton | $361.92 | $1,508.00 | $32.39–$1,508.00 | 29% above | 76% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 77080 DXA BONE DENSITY AXIAL | $102.85 | $187.00 | $53.29–$187.00 | — | 45% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 BD Bone Density DEXA Axial Skeleton | $829.40 | $1,508.00 | $429.78–$1,508.00 | — | 45% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 BD Bone Density DEXA App Skeleton | $141.12 | $588.00 | $24.54–$588.00 | 3% below | 76% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 77081,26 DXA BONE DENSITY/PERIPHERAL | $20.35 | $37.00 | $10.54–$37.00 | — | 45% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 77081 26 DXA BONE DENSITY/PERIPHERAL | $20.35 | $37.00 | $10.54–$37.00 | — | 45% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 BD Bone Density DEXA App Skeleton | $323.40 | $588.00 | $167.58–$588.00 | — | 45% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 76811 US Pregnancy Complete w Detail AMB | $110.40 | $460.00 | $223.56–$1,037.41 | 80% below | 76% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US Pregnancy Complete w Detail | $523.92 | $2,183.00 | $96.58–$2,183.00 | 3% below | 76% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 76811 US-PLV PRG 2T DETAIL | $523.92 | $2,183.00 | $96.58–$2,183.00 | 3% below | 76% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 76811 US Pregnancy Complete w Detail AMB | $253.00 | $460.00 | $131.10–$460.00 | — | 45% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US Pregnancy Complete w Detail | $1,200.65 | $2,183.00 | $622.15–$2,183.00 | — | 45% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 76811 US-PLV PRG 2T DETAIL | $1,200.65 | $2,183.00 | $622.15–$2,183.00 | — | 45% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest Diagnostic WO | $999.84 | $4,166.00 | $97.68–$4,166.00 | 27% above | 76% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Trauma Chest WO | $999.84 | $4,166.00 | $97.68–$4,166.00 | 27% above | 76% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT High Resolution Chest | $999.84 | $4,166.00 | $97.68–$4,166.00 | 27% above | 76% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Chest Diagnostic WO | $2,291.30 | $4,166.00 | $1,187.31–$4,166.00 | — | 45% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT High Resolution Chest | $2,291.30 | $4,166.00 | $1,187.31–$4,166.00 | — | 45% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Trauma Chest WO | $2,291.30 | $4,166.00 | $1,187.31–$4,166.00 | — | 45% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Chest Diagnostic W | $1,298.88 | $5,412.00 | $163.61–$5,412.00 | 50% above | 76% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Trauma Chest W | $1,298.88 | $5,412.00 | $163.61–$5,412.00 | 50% above | 76% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Chest Diagnostic W For PE - CT Chest PE Protoco | $1,298.88 | $5,412.00 | $163.61–$5,412.00 | 50% above | 76% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 71260 CT-CHEST W | $1,298.88 | $5,412.00 | $163.61–$5,412.00 | 50% above | 76% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Trauma Chest W | $2,976.60 | $5,412.00 | $1,542.42–$5,412.00 | — | 45% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Chest Diagnostic W | $2,976.60 | $5,412.00 | $1,542.42–$5,412.00 | — | 45% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Chest Diagnostic W For PE - CT Chest PE Protoco | $2,976.60 | $5,412.00 | $1,542.42–$5,412.00 | — | 45% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 71260 CT-CHEST W | $2,976.60 | $5,412.00 | $1,542.42–$5,412.00 | — | 45% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MG Mammo Diagnostic Bilateral WWO CAD | $224.40 | $935.00 | $90.50–$935.00 | — | 76% |
| Diagnostic mammogram, both breasts both sides CPT 77066 77066 BR-DIG MAMMO BILAT | $224.40 | $935.00 | $90.50–$935.00 | — | 76% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MG Mammo Diagnostic Bilateral WWO CAD | $514.25 | $935.00 | $266.47–$935.00 | — | 45% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 77066 BR-DIG MAMMO BILAT | $514.25 | $935.00 | $266.47–$935.00 | — | 45% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Diagnostic Left WWO CAD | $190.56 | $794.00 | $70.61–$794.00 | 2% below | 76% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Diagnostic Right WWO CAD | $190.56 | $794.00 | $70.61–$794.00 | 2% below | 76% |
| Diagnostic mammogram, one breast one side CPT 77065 77065 BR-DIG MAMMO UNILAT - RT | $190.56 | $794.00 | $70.61–$794.00 | 2% below | 76% |
| Diagnostic mammogram, one breast one side CPT 77065 77065 BR-DIG MAMMO UNILAT - LT | $190.56 | $794.00 | $70.61–$794.00 | 2% below | 76% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Diagnostic Right WWO CAD | $436.70 | $794.00 | $226.29–$794.00 | — | 45% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 77065 BR-DIG MAMMO UNILAT - LT | $436.70 | $794.00 | $226.29–$794.00 | — | 45% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Diagnostic Left WWO CAD | $436.70 | $794.00 | $226.29–$794.00 | — | 45% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 77065 BR-DIG MAMMO UNILAT - RT | $436.70 | $794.00 | $226.29–$794.00 | — | 45% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 NI Duplex Scan Leg Arteries Comp Bilat | $447.84 | $1,866.00 | $222.07–$1,866.00 | — | 76% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US LE Arterial Duplex Bilateral | $447.84 | $1,866.00 | $222.07–$1,866.00 | — | 76% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US LE Arterial Bypass Grafts Comp Bilat | $447.84 | $1,866.00 | $222.07–$1,866.00 | — | 76% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 93925 LOWER EXTREMITY STUDY | $178.80 | $745.00 | $223.56–$1,037.41 | 77% below | 76% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 93925,25 LOWER EXTREMITY STUDY | $178.80 | $745.00 | $223.56–$1,037.41 | 77% below | 76% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US LE Arterial Bypass Grafts Comp Bilat | $1,026.30 | $1,866.00 | $531.81–$1,866.00 | — | 45% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 NI Duplex Scan Leg Arteries Comp Bilat | $1,026.30 | $1,866.00 | $531.81–$1,866.00 | — | 45% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US LE Arterial Duplex Bilateral | $1,026.30 | $1,866.00 | $531.81–$1,866.00 | — | 45% |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 93925 LOWER EXTREMITY STUDY | $409.75 | $745.00 | $212.32–$745.00 | — | 45% |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 93925,25 LOWER EXTREMITY STUDY | $409.75 | $745.00 | $212.32–$745.00 | — | 45% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 OPVL US LE Venous Duplex Bilateral | $586.80 | $2,445.00 | $222.07–$2,445.00 | — | 76% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US LE Venous Duplex Bilateral | $586.80 | $2,445.00 | $222.07–$2,445.00 | — | 76% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 NI Duplex Venous Extremities Comp Bilat | $586.80 | $2,445.00 | $222.07–$2,445.00 | — | 76% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US Venous Insufficiency Doppler Bilat | $586.80 | $2,445.00 | $222.07–$2,445.00 | — | 76% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US UE Venous Duplex Bilateral | $586.80 | $2,445.00 | $222.07–$2,445.00 | — | 76% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 93970,TC EXTREMITY STUDY | $128.16 | $534.00 | $223.56–$1,037.41 | 87% below | 76% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 93970 EXTREMITY STUDY | $147.12 | $613.00 | $223.56–$1,037.41 | 85% below | 76% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 93970,RT EXTREMITY STUDY | $147.12 | $613.00 | $223.56–$1,037.41 | 85% below | 76% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US Venous Insufficiency Doppler Bilat | $1,344.75 | $2,445.00 | $696.82–$2,445.00 | — | 45% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US UE Venous Duplex Bilateral | $1,344.75 | $2,445.00 | $696.82–$2,445.00 | — | 45% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 OPVL US LE Venous Duplex Bilateral | $1,344.75 | $2,445.00 | $696.82–$2,445.00 | — | 45% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US LE Venous Duplex Bilateral | $1,344.75 | $2,445.00 | $696.82–$2,445.00 | — | 45% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 NI Duplex Venous Extremities Comp Bilat | $1,344.75 | $2,445.00 | $696.82–$2,445.00 | — | 45% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 93970,TC EXTREMITY STUDY | $293.70 | $534.00 | $152.19–$534.00 | — | 45% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 93970,RT EXTREMITY STUDY | $337.15 | $613.00 | $174.70–$613.00 | — | 45% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 93970 EXTREMITY STUDY | $337.15 | $613.00 | $174.70–$613.00 | — | 45% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US Transthoracic Echo 2D Doppler Comp | $1,409.04 | $5,871.00 | $503.67–$5,871.00 | 14% below | 76% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 NI Echo TTE 2D Complete w Color Doppler | $1,409.04 | $5,871.00 | $503.67–$5,871.00 | 14% below | 76% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 NI Pediatric Echo Complete w Color Dop | $1,409.04 | $5,871.00 | $503.67–$5,871.00 | 14% below | 76% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 93306 TC TTE W/DOPPLER COMPLETE | $221.10 | $402.00 | $114.57–$402.00 | — | 45% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 93306,TC TTE W/DOPPLER COMPLETE | $221.10 | $402.00 | $114.57–$402.00 | — | 45% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 93306,25 TTE W/DOPPLER COMPLETE | $323.40 | $588.00 | $167.58–$588.00 | — | 45% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 93306 TTE W/DOPPLER COMPLETE | $323.40 | $588.00 | $167.58–$588.00 | — | 45% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US Transthoracic Echo 2D Doppler Comp | $3,229.05 | $5,871.00 | $1,673.23–$5,871.00 | — | 45% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 NI Pediatric Echo Complete w Color Dop | $3,229.05 | $5,871.00 | $1,673.23–$5,871.00 | — | 45% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 NI Echo TTE 2D Complete w Color Doppler | $3,229.05 | $5,871.00 | $1,673.23–$5,871.00 | — | 45% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM Hepatobiliary System Scan 1 | $1,081.68 | $4,507.00 | $336.64–$4,507.00 | 17% below | 76% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM Hepatobiliary System Scan 1 | $2,478.85 | $4,507.00 | $1,284.49–$4,507.00 | — | 45% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 95806 Sleep study, unattended; pc | $101.28 | $422.00 | $202.31–$938.83 | 61% below | 76% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 CHRG - SLEEP TITRATE UNATT | $136.32 | $568.00 | $202.31–$938.83 | 47% below | 76% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 CHRG - SLEEP STDY UNATTEND | $136.32 | $568.00 | $202.31–$938.83 | 47% below | 76% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 95806 26 SLEEP STUDY UNATT&RESP EFFT | $87.45 | $159.00 | $45.31–$159.00 | — | 45% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 95806 Sleep study, unattended; pc | $232.10 | $422.00 | $120.27–$422.00 | — | 45% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 CHRG - SLEEP TITRATE UNATT | $312.40 | $568.00 | $161.88–$568.00 | — | 45% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 CHRG - SLEEP STDY UNATTEND | $312.40 | $568.00 | $161.88–$568.00 | — | 45% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 95811 POLYSOM 6/>YRS CPAP 4/> PARM | $370.32 | $1,543.00 | $804.62–$3,733.73 | 88% below | 76% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 95811,53,26 POLYSOM 6/>YRS CPAP 4/> PARM | $370.32 | $1,543.00 | $804.62–$3,733.73 | 88% below | 76% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SL CPAP Titration | $3,171.60 | $13,215.00 | $477.30–$13,215.00 | 4% above | 76% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 CHRG - POLYS-CPAP GT4 GE6YO | $3,171.60 | $13,215.00 | $477.30–$13,215.00 | 4% above | 76% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SL Split Night | $3,171.60 | $13,215.00 | $477.30–$13,215.00 | 4% above | 76% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SL VPAP | $3,171.60 | $13,215.00 | $477.30–$13,215.00 | 4% above | 76% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 95811 POLYSOM 6/>YRS CPAP 4/> PARM | $933.35 | $1,697.00 | $483.64–$1,697.00 | — | 45% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 95811,53,26 POLYSOM 6/>YRS CPAP 4/> PARM | $933.35 | $1,697.00 | $483.64–$1,697.00 | — | 45% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 SL CPAP Titration | $7,268.25 | $13,215.00 | $3,766.27–$13,215.00 | — | 45% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 SL VPAP | $7,268.25 | $13,215.00 | $3,766.27–$13,215.00 | — | 45% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 SL Split Night | $7,268.25 | $13,215.00 | $3,766.27–$13,215.00 | — | 45% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 CHRG - POLYS-CPAP GT4 GE6YO | $7,268.25 | $13,215.00 | $3,766.27–$13,215.00 | — | 45% |
| Knee X-ray, 3 views both sides CPT 73562 XR Knee 3 V Bilateral DR | $241.92 | $1,008.00 | $35.54–$1,008.00 | — | 76% |
| Knee X-ray, 3 views one side CPT 73562 XR Knee 3 V Left CR | $241.92 | $1,008.00 | $35.54–$1,008.00 | 6% above | 76% |
| Knee X-ray, 3 views one side CPT 73562 XR Knee 3 V Right DR | $241.92 | $1,008.00 | $35.54–$1,008.00 | 6% above | 76% |
| Knee X-ray, 3 views one side CPT 73562 XR Knee 3 V Right CR | $241.92 | $1,008.00 | $35.54–$1,008.00 | 6% above | 76% |
| Knee X-ray, 3 views one side CPT 73562 XR Knee 3 V Left DR | $241.92 | $1,008.00 | $35.54–$1,008.00 | 6% above | 76% |
| Knee X-ray, 3 views inpatient both sides CPT 73562 XR Knee 3 V Bilateral DR | $554.40 | $1,008.00 | $287.28–$1,008.00 | — | 45% |
| Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 V Right CR | $554.40 | $1,008.00 | $287.28–$1,008.00 | — | 45% |
| Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 V Left CR | $554.40 | $1,008.00 | $287.28–$1,008.00 | — | 45% |
| Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 V Left DR | $554.40 | $1,008.00 | $287.28–$1,008.00 | — | 45% |
| Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 V Right DR | $554.40 | $1,008.00 | $287.28–$1,008.00 | — | 45% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen Limited WO | $456.72 | $1,903.00 | $71.65–$1,903.00 | 9% above | 76% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen Limited | $456.72 | $1,903.00 | $71.65–$1,903.00 | 9% above | 76% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Spleen | $456.72 | $1,903.00 | $71.65–$1,903.00 | 9% above | 76% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen Wall | $456.72 | $1,903.00 | $71.65–$1,903.00 | 9% above | 76% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Gallbladder | $456.72 | $1,903.00 | $71.65–$1,903.00 | 9% above | 76% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Liver | $456.72 | $1,903.00 | $71.65–$1,903.00 | 9% above | 76% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Pancreas | $456.72 | $1,903.00 | $71.65–$1,903.00 | 9% above | 76% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen Ascites | $456.72 | $1,903.00 | $71.65–$1,903.00 | 9% above | 76% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen Common Bile Duct | $456.72 | $1,903.00 | $71.65–$1,903.00 | 9% above | 76% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Pylorus | $456.72 | $1,903.00 | $71.65–$1,903.00 | 9% above | 76% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 IR US Abdomen Limited - BCE | $504.48 | $2,102.00 | $71.65–$2,102.00 | 21% above | 76% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abdomen Wall | $1,046.65 | $1,903.00 | $542.35–$1,903.00 | — | 45% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Spleen | $1,046.65 | $1,903.00 | $542.35–$1,903.00 | — | 45% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Pylorus | $1,046.65 | $1,903.00 | $542.35–$1,903.00 | — | 45% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Pancreas | $1,046.65 | $1,903.00 | $542.35–$1,903.00 | — | 45% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Liver | $1,046.65 | $1,903.00 | $542.35–$1,903.00 | — | 45% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Gallbladder | $1,046.65 | $1,903.00 | $542.35–$1,903.00 | — | 45% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abdomen Limited WO | $1,046.65 | $1,903.00 | $542.35–$1,903.00 | — | 45% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abdomen Limited | $1,046.65 | $1,903.00 | $542.35–$1,903.00 | — | 45% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abdomen Common Bile Duct | $1,046.65 | $1,903.00 | $542.35–$1,903.00 | — | 45% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abdomen Ascites | $1,046.65 | $1,903.00 | $542.35–$1,903.00 | — | 45% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 IR US Abdomen Limited - BCE | $1,156.10 | $2,102.00 | $599.07–$2,102.00 | — | 45% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT Lung Low Dose Cancer Screening WO | $155.76 | $649.00 | $79.35–$1,529.00 | 14% below | 76% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT Lung Low Dose Cncr Scrn Rtn Annual WO | $155.76 | $649.00 | $79.35–$1,529.00 | 14% below | 76% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT Lung Low Dose Cancer Screening WO | $356.95 | $649.00 | $184.96–$649.00 | — | 45% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT Lung Low Dose Cncr Scrn Rtn Annual WO | $356.95 | $649.00 | $184.96–$649.00 | — | 45% |
| MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI Ankle Bilateral WO | $903.60 | $3,765.00 | $222.07–$3,765.00 | — | 76% |
| MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI Knee Bilateral WO | $903.60 | $3,765.00 | $222.07–$3,765.00 | — | 76% |
| MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI Hip Bilateral WO | $903.60 | $3,765.00 | $222.07–$3,765.00 | — | 76% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Hip Right WO | $903.60 | $3,765.00 | $222.07–$3,765.00 | 8% below | 76% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee Left WO | $903.60 | $3,765.00 | $222.07–$3,765.00 | 8% below | 76% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee Right WO | $903.60 | $3,765.00 | $222.07–$3,765.00 | 8% below | 76% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Hip Left WO | $903.60 | $3,765.00 | $222.07–$3,765.00 | 8% below | 76% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle Right WO | $903.60 | $3,765.00 | $222.07–$3,765.00 | 8% below | 76% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle Left WO | $903.60 | $3,765.00 | $222.07–$3,765.00 | 8% below | 76% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 MRI Hip Bilateral WO | $2,070.75 | $3,765.00 | $1,073.02–$3,765.00 | — | 45% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 MRI Ankle Bilateral WO | $2,070.75 | $3,765.00 | $1,073.02–$3,765.00 | — | 45% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 MRI Knee Bilateral WO | $2,070.75 | $3,765.00 | $1,073.02–$3,765.00 | — | 45% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Knee Right WO | $2,070.75 | $3,765.00 | $1,073.02–$3,765.00 | — | 45% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Ankle Left WO | $2,070.75 | $3,765.00 | $1,073.02–$3,765.00 | — | 45% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Knee Left WO | $2,070.75 | $3,765.00 | $1,073.02–$3,765.00 | — | 45% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Hip Left WO | $2,070.75 | $3,765.00 | $1,073.02–$3,765.00 | — | 45% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Ankle Right WO | $2,070.75 | $3,765.00 | $1,073.02–$3,765.00 | — | 45% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Hip Right WO | $2,070.75 | $3,765.00 | $1,073.02–$3,765.00 | — | 45% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Hip Left WWO | $1,433.52 | $5,973.00 | $328.69–$5,973.00 | 1% below | 76% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle Left WWO | $1,433.52 | $5,973.00 | $328.69–$5,973.00 | 1% below | 76% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle Right WWO | $1,433.52 | $5,973.00 | $328.69–$5,973.00 | 1% below | 76% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Hip Right WWO | $1,433.52 | $5,973.00 | $328.69–$5,973.00 | 1% below | 76% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee Left WWO | $1,433.52 | $5,973.00 | $328.69–$5,973.00 | 1% below | 76% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee Right WWO | $1,433.52 | $5,973.00 | $328.69–$5,973.00 | 1% below | 76% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Hip Left WWO | $3,285.15 | $5,973.00 | $1,702.30–$5,973.00 | — | 45% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Ankle Right WWO | $3,285.15 | $5,973.00 | $1,702.30–$5,973.00 | — | 45% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Ankle Left WWO | $3,285.15 | $5,973.00 | $1,702.30–$5,973.00 | — | 45% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Hip Right WWO | $3,285.15 | $5,973.00 | $1,702.30–$5,973.00 | — | 45% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Knee Left WWO | $3,285.15 | $5,973.00 | $1,702.30–$5,973.00 | — | 45% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Knee Right WWO | $3,285.15 | $5,973.00 | $1,702.30–$5,973.00 | — | 45% |
| MRI of the abdomen without contrast CPT 74181 MRI Abdomen WO | $715.92 | $2,983.00 | $170.58–$2,983.00 | 29% below | 76% |
| MRI of the abdomen without contrast CPT 74181 MRI MRCP WO | $715.92 | $2,983.00 | $170.58–$2,983.00 | 29% below | 76% |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI MRCP WO | $1,640.65 | $2,983.00 | $850.15–$2,983.00 | — | 45% |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI Abdomen WO | $1,640.65 | $2,983.00 | $850.15–$2,983.00 | — | 45% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 74183 - MR-ABDOMEN WWO | $995.76 | $4,149.00 | $316.80–$4,149.00 | 25% below | 76% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Abdomen WWO | $995.76 | $4,149.00 | $316.80–$4,149.00 | 25% below | 76% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI MRCP WWO | $995.76 | $4,149.00 | $316.80–$4,149.00 | 25% below | 76% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI MRCP WWO | $2,281.95 | $4,149.00 | $1,182.46–$4,149.00 | — | 45% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 74183 - MR-ABDOMEN WWO | $2,281.95 | $4,149.00 | $1,182.46–$4,149.00 | — | 45% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI Abdomen WWO | $2,281.95 | $4,149.00 | $1,182.46–$4,149.00 | — | 45% |
| MRI of the brain, no contrast dye CPT 70551 MRI Brain WO Stroke Alert | $673.68 | $2,807.00 | $222.22–$2,807.00 | 32% below | 76% |
| MRI of the brain, no contrast dye CPT 70551 MRI Brain WO | $673.68 | $2,807.00 | $222.22–$2,807.00 | 32% below | 76% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain WO Stroke Alert | $1,543.85 | $2,807.00 | $799.99–$2,807.00 | — | 45% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain WO | $1,543.85 | $2,807.00 | $799.99–$2,807.00 | — | 45% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Brain WWO | $796.56 | $3,319.00 | $328.54–$3,319.00 | 38% below | 76% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain WWO | $1,825.45 | $3,319.00 | $945.91–$3,319.00 | — | 45% |
| MRI of the lower back, no contrast dye CPT 72148 72148 MR-LUMB SPINE WO | $429.84 | $1,791.00 | $222.22–$2,021.00 | 56% below | 76% |
| MRI of the lower back, no contrast dye CPT 72148 MRI Spine Lumbar WO | $673.68 | $2,807.00 | $222.22–$2,807.00 | 31% below | 76% |
| MRI of the lower back, no contrast dye CPT 72148 MRI Spine Lumbar Limited WO | $673.68 | $2,807.00 | $222.22–$2,807.00 | 31% below | 76% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 72148 MR-LUMB SPINE WO | $985.05 | $1,791.00 | $510.43–$1,791.00 | — | 45% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Spine Lumbar Limited WO | $1,543.85 | $2,807.00 | $799.99–$2,807.00 | — | 45% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Spine Lumbar WO | $1,543.85 | $2,807.00 | $799.99–$2,807.00 | — | 45% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI Spine Lumbar WWO | $1,406.64 | $5,861.00 | $328.54–$5,861.00 | 6% above | 76% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI Spine Lumbar WWO | $3,223.55 | $5,861.00 | $1,670.38–$5,861.00 | — | 45% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI Spine Thoracic Limited WO | $231.36 | $964.00 | $222.22–$2,021.00 | 76% below | 76% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 72146 MR-THOR SPINE WO | $429.84 | $1,791.00 | $222.22–$2,021.00 | 55% below | 76% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI Spine Thoracic Lumbar WO | $723.60 | $3,015.00 | $222.22–$3,015.00 | 25% below | 76% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI Spine Thoracic WO | $723.60 | $3,015.00 | $222.22–$3,015.00 | 25% below | 76% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI Spine Thoracic Limited WO | $530.20 | $964.00 | $274.74–$964.00 | — | 45% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 72146 MR-THOR SPINE WO | $985.05 | $1,791.00 | $510.43–$1,791.00 | — | 45% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI Spine Thoracic Lumbar WO | $1,658.25 | $3,015.00 | $859.27–$3,015.00 | — | 45% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI Spine Thoracic WO | $1,658.25 | $3,015.00 | $859.27–$3,015.00 | — | 45% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI Spine Cervical WWO | $998.16 | $4,159.00 | $328.54–$4,159.00 | 23% below | 76% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI Spine Cervical WWO | $2,287.45 | $4,159.00 | $1,185.31–$4,159.00 | — | 45% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 72141 MR-CERV SPINE WO | $429.84 | $1,791.00 | $222.22–$2,021.00 | 58% below | 76% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Spine Whole WO | $830.04 | $3,458.50 | $222.22–$3,458.50 | 19% below | 76% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Spine Cervical WO | $1,047.84 | $4,366.00 | $222.22–$4,366.00 | 2% above | 76% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 72141 MR-CERV SPINE WO | $985.05 | $1,791.00 | $510.43–$1,791.00 | — | 45% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI Spine Whole WO | $1,902.18 | $3,458.50 | $985.67–$3,458.50 | — | 45% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI Spine Cervical WO | $2,401.30 | $4,366.00 | $1,244.31–$4,366.00 | — | 45% |
| MRI of the pelvis without and with contrast CPT 72197 MRI Prostate WWO | $1,132.08 | $4,717.00 | $328.54–$4,717.00 | 13% below | 76% |
| MRI of the pelvis without and with contrast CPT 72197 72197 - MR-PELVIS WWO | $1,132.08 | $4,717.00 | $328.54–$4,717.00 | 13% below | 76% |
| MRI of the pelvis without and with contrast CPT 72197 MRI Pelvis WWO | $1,132.08 | $4,717.00 | $328.54–$4,717.00 | 13% below | 76% |
| MRI of the pelvis without and with contrast CPT 72197 MRI Pelvis Prostate WWO - zzMRI Pelvis Prostate WW | $1,132.08 | $4,717.00 | $328.54–$4,717.00 | 13% below | 76% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 72197 - MR-PELVIS WWO | $2,594.35 | $4,717.00 | $1,344.34–$4,717.00 | — | 45% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI Prostate WWO | $2,594.35 | $4,717.00 | $1,344.34–$4,717.00 | — | 45% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI Pelvis Prostate WWO - zzMRI Pelvis Prostate WW | $2,594.35 | $4,717.00 | $1,344.34–$4,717.00 | — | 45% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI Pelvis WWO | $2,594.35 | $4,717.00 | $1,344.34–$4,717.00 | — | 45% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI Pelvis WO | $673.68 | $2,807.00 | $222.36–$2,807.00 | 35% below | 76% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI Pelvis WO | $1,543.85 | $2,807.00 | $799.99–$2,807.00 | — | 45% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Elbow Right WO | $1,089.36 | $4,539.00 | $222.07–$4,539.00 | 7% below | 76% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Elbow Left WO | $1,089.36 | $4,539.00 | $222.07–$4,539.00 | 7% below | 76% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Wrist Right WO | $1,089.36 | $4,539.00 | $222.07–$4,539.00 | 7% below | 76% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Wrist Left WO | $1,089.36 | $4,539.00 | $222.07–$4,539.00 | 7% below | 76% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Shoulder Right WO | $1,089.36 | $4,539.00 | $222.07–$4,539.00 | 7% below | 76% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Shoulder Left WO | $1,089.36 | $4,539.00 | $222.07–$4,539.00 | 7% below | 76% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Shoulder Left WO | $2,496.45 | $4,539.00 | $1,293.61–$4,539.00 | — | 45% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Shoulder Right WO | $2,496.45 | $4,539.00 | $1,293.61–$4,539.00 | — | 45% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Wrist Left WO | $2,496.45 | $4,539.00 | $1,293.61–$4,539.00 | — | 45% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Wrist Right WO | $2,496.45 | $4,539.00 | $1,293.61–$4,539.00 | — | 45% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Elbow Left WO | $2,496.45 | $4,539.00 | $1,293.61–$4,539.00 | — | 45% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Elbow Right WO | $2,496.45 | $4,539.00 | $1,293.61–$4,539.00 | — | 45% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Myocardial Perfusion Rest Multi 1 | $2,945.76 | $12,274.00 | $458.54–$12,274.00 | 19% below | 76% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Myocardial Perfusion Stress Multi 1 | $2,945.76 | $12,274.00 | $458.54–$12,274.00 | 19% below | 76% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 78452 Myocardial Perfusion Imaging, Tomographic (S | $663.30 | $1,206.00 | $343.71–$1,206.00 | — | 45% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 78452 HT MUSCLE IMAGE SPECT MULT | $663.30 | $1,206.00 | $343.71–$1,206.00 | — | 45% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM Myocardial Perfusion Rest Multi 1 | $6,750.70 | $12,274.00 | $3,498.09–$12,274.00 | — | 45% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM Myocardial Perfusion Stress Multi 1 | $6,750.70 | $12,274.00 | $3,498.09–$12,274.00 | — | 45% |
| OCT scan of the retina (optical coherence tomography) CPT 92134 92134 CPTR OPHTH DX IMG POST SEGMT | $27.60 | $115.00 | $55.27–$256.49 | 23% below | 76% |
| OCT scan of the retina (optical coherence tomography) inpatient CPT 92134 92134 CPTR OPHTH DX IMG POST SEGMT | $63.25 | $115.00 | $32.77–$115.00 | — | 45% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET w CT Skullbase to Midthigh Sarcoid Scan | $3,645.12 | $15,188.00 | $310.42–$15,188.00 | 8% below | 76% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET w CT Scan Skull Base to Midthigh Sub Scan | $3,645.12 | $15,188.00 | $310.42–$15,188.00 | 8% below | 76% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET w CT Skullbase to Midthigh Sarcoid Scan | $8,353.40 | $15,188.00 | $4,328.58–$15,188.00 | — | 45% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET w CT Scan Skull Base to Midthigh Sub Scan | $8,353.40 | $15,188.00 | $4,328.58–$15,188.00 | — | 45% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 76857 US Pelvis Non OB Limited AMB | $86.88 | $362.00 | $97.96–$454.55 | 71% below | 76% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 76857 US Pelvis Non OB FU AMB | $86.88 | $362.00 | $97.96–$454.55 | 71% below | 76% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Pelvis Non OB Limited | $360.96 | $1,504.00 | $27.69–$1,504.00 | 22% above | 76% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Pelvis Non OB FU | $360.96 | $1,504.00 | $27.69–$1,504.00 | 22% above | 76% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 76857 US Pelvis Non OB FU AMB | $199.10 | $362.00 | $103.17–$362.00 | — | 45% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 76857 US Pelvis Non OB Limited AMB | $199.10 | $362.00 | $103.17–$362.00 | — | 45% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Pelvis Non OB FU | $827.20 | $1,504.00 | $428.64–$1,504.00 | — | 45% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Pelvis Non OB Limited | $827.20 | $1,504.00 | $428.64–$1,504.00 | — | 45% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 76856 US Pelvis Non OB Complete AMB | $113.76 | $474.00 | $87.74–$474.00 | 74% below | 76% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvis Non OB Complete | $492.48 | $2,052.00 | $87.74–$2,052.00 | 13% above | 76% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 76856 US Pelvis Non OB Complete AMB | $260.70 | $474.00 | $135.09–$474.00 | — | 45% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US Pelvis Non OB Complete | $1,128.60 | $2,052.00 | $584.82–$2,052.00 | — | 45% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 76805 US Pregnancy After 1st Trimester Transabdomi | $121.92 | $508.00 | $97.70–$508.00 | 77% below | 76% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 76805 Preg Compl. >14 Wks AMB | $121.92 | $508.00 | $97.70–$508.00 | 77% below | 76% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 76805 US-PELVIS PREG | $497.52 | $2,073.00 | $97.70–$2,073.00 | 6% below | 76% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US Pregnancy After 1st Trimester Transabdominal | $497.52 | $2,073.00 | $97.70–$2,073.00 | 6% below | 76% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 76805 Preg Compl. >14 Wks AMB | $279.40 | $508.00 | $144.78–$508.00 | — | 45% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 76805 US Pregnancy After 1st Trimester Transabdomi | $279.40 | $508.00 | $144.78–$508.00 | — | 45% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US Pregnancy After 1st Trimester Transabdominal | $1,140.15 | $2,073.00 | $590.80–$2,073.00 | — | 45% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 76805 US-PELVIS PREG | $1,140.15 | $2,073.00 | $590.80–$2,073.00 | — | 45% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 76801 Sonogram, Abdominal AMB | $116.40 | $485.00 | $84.60–$485.00 | 76% below | 76% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 76801 US Pregnancy 1st Trimester Transabdominal AM | $116.40 | $485.00 | $84.60–$485.00 | 76% below | 76% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US Pregnancy 1st Trimester Transabdominal | $497.52 | $2,073.00 | $84.60–$2,073.00 | 4% above | 76% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 76801 US-PELV PREG 14 WKS | $497.52 | $2,073.00 | $84.60–$2,073.00 | 4% above | 76% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 76801 Sonogram, Abdominal AMB | $266.75 | $485.00 | $138.22–$485.00 | — | 45% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 76801 US Pregnancy 1st Trimester Transabdominal AM | $266.75 | $485.00 | $138.22–$485.00 | — | 45% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US Pregnancy 1st Trimester Transabdominal | $1,140.15 | $2,073.00 | $590.80–$2,073.00 | — | 45% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 76801 US-PELV PREG 14 WKS | $1,140.15 | $2,073.00 | $590.80–$2,073.00 | — | 45% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 76815 US Pregnancy Limited Placenta Location AMB | $82.80 | $345.00 | $97.96–$454.55 | 75% below | 76% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 76815 US Pregnancy, Limited | $82.80 | $345.00 | $97.96–$454.55 | 75% below | 76% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 76815 US Pregnancy Limited AMB | $82.80 | $345.00 | $97.96–$454.55 | 75% below | 76% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 76815 US Pregnancy Limited Fetal Position AMB | $82.80 | $345.00 | $97.96–$454.55 | 75% below | 76% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US Pregnancy Limited Fetal Position | $233.28 | $972.00 | $60.26–$972.00 | 28% below | 76% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US Pregnancy Limited Placenta Location | $233.28 | $972.00 | $60.26–$972.00 | 28% below | 76% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US Pregnancy Limited | $233.28 | $972.00 | $60.26–$972.00 | 28% below | 76% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 76815 US Pregnancy, Limited | $189.75 | $345.00 | $98.32–$345.00 | — | 45% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 76815 US Pregnancy Limited Placenta Location AMB | $189.75 | $345.00 | $98.32–$345.00 | — | 45% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 76815 US Pregnancy Limited Fetal Position AMB | $189.75 | $345.00 | $98.32–$345.00 | — | 45% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 76815 US Pregnancy Limited AMB | $189.75 | $345.00 | $98.32–$345.00 | — | 45% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US Pregnancy Limited Fetal Position | $534.60 | $972.00 | $277.02–$972.00 | — | 45% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US Pregnancy Limited Placenta Location | $534.60 | $972.00 | $277.02–$972.00 | — | 45% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US Pregnancy Limited | $534.60 | $972.00 | $277.02–$972.00 | — | 45% |
| Screening mammogram, both breasts both sides CPT 77067 77067 BR-DIG MAMMO SCRN BI | $198.00 | $825.00 | $74.42–$825.00 | — | 76% |
| Screening mammogram, both breasts both sides CPT 77067 MG Mammo Screen Bilateral WWO CAD | $198.00 | $825.00 | $74.42–$825.00 | — | 76% |
| Screening mammogram, both breasts one side CPT 77067 MG Mammo Screen Right WWO CAD | $198.00 | $825.00 | $74.42–$825.00 | 21% below | 76% |
| Screening mammogram, both breasts one side CPT 77067 77067 BR-DIG MAMMO SCRN UN - LT | $198.00 | $825.00 | $74.42–$825.00 | 21% below | 76% |
| Screening mammogram, both breasts one side CPT 77067 77067 BR-DIG MAMMO SCRN UN - RT | $198.00 | $825.00 | $74.42–$825.00 | 21% below | 76% |
| Screening mammogram, both breasts one side CPT 77067 MG Mammo Screen Left WWO CAD | $198.00 | $825.00 | $74.42–$825.00 | 21% below | 76% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MG Mammo Screen Bilateral WWO CAD | $453.75 | $825.00 | $235.12–$825.00 | — | 45% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 77067 BR-DIG MAMMO SCRN BI | $453.75 | $825.00 | $235.12–$825.00 | — | 45% |
| Screening mammogram, both breasts inpatient one side CPT 77067 77067 BR-DIG MAMMO SCRN UN - RT | $453.75 | $825.00 | $235.12–$825.00 | — | 45% |
| Screening mammogram, both breasts inpatient one side CPT 77067 77067 BR-DIG MAMMO SCRN UN - LT | $453.75 | $825.00 | $235.12–$825.00 | — | 45% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MG Mammo Screen Left WWO CAD | $453.75 | $825.00 | $235.12–$825.00 | — | 45% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MG Mammo Screen Right WWO CAD | $453.75 | $825.00 | $235.12–$825.00 | — | 45% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete Min 2 V Right CR | $287.52 | $1,198.00 | $28.46–$1,198.00 | 44% above | 76% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete Min 2 V Left CR | $287.52 | $1,198.00 | $28.46–$1,198.00 | 44% above | 76% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete Min 2 V Right DR | $287.52 | $1,198.00 | $28.46–$1,198.00 | 44% above | 76% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete Min 2 V Left DR | $287.52 | $1,198.00 | $28.46–$1,198.00 | 44% above | 76% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Complete Min 2 V Left CR | $658.90 | $1,198.00 | $341.43–$1,198.00 | — | 45% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Complete Min 2 V Right DR | $658.90 | $1,198.00 | $341.43–$1,198.00 | — | 45% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Complete Min 2 V Right CR | $658.90 | $1,198.00 | $341.43–$1,198.00 | — | 45% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Complete Min 2 V Left DR | $658.90 | $1,198.00 | $341.43–$1,198.00 | — | 45% |
| Sleep study in a lab (polysomnography) CPT 95810 95810 POLYSOM 6/> YRS 4/> PARAM | $353.04 | $1,471.00 | $804.62–$3,733.73 | 84% below | 76% |
| Sleep study in a lab (polysomnography) CPT 95810 CHRG - POLYSOMNO GT4 GE6YO | $2,432.40 | $10,135.00 | $455.23–$10,135.00 | 13% above | 76% |
| Sleep study in a lab (polysomnography) CPT 95810 SL Polysomnography Sleep Study | $2,432.40 | $10,135.00 | $455.23–$10,135.00 | 13% above | 76% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 95810 POLYSOM 6/> YRS 4/> PARAM | $865.15 | $1,573.00 | $448.30–$1,573.00 | — | 45% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 CHRG - POLYSOMNO GT4 GE6YO | $5,574.25 | $10,135.00 | $2,888.47–$10,135.00 | — | 45% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 SL Polysomnography Sleep Study | $5,574.25 | $10,135.00 | $2,888.47–$10,135.00 | — | 45% |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 93351 26 STRESS TTE COMPLETE | $173.25 | $315.00 | $89.77–$315.00 | — | 45% |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 93351,26 STRESS TTE COMPLETE | $173.25 | $315.00 | $89.77–$315.00 | — | 45% |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 93351 STRESS TTE COMPLETE | $371.80 | $676.00 | $192.66–$676.00 | — | 45% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 RF Modified Barium Swallow | $223.68 | $932.00 | $123.46–$932.00 | 25% below | 76% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 RF Modified Barium Swallow | $512.60 | $932.00 | $265.62–$932.00 | — | 45% |
| Transvaginal pelvic ultrasound CPT 76830 76830 US Transvaginal Non OB AMB | $68.88 | $287.00 | $97.96–$454.55 | 80% below | 76% |
| Transvaginal pelvic ultrasound CPT 76830 76830 Vaginal, Non AMB | $68.88 | $287.00 | $97.96–$454.55 | 80% below | 76% |
| Transvaginal pelvic ultrasound CPT 76830 US Transvaginal Non OB | $356.16 | $1,484.00 | $97.70–$1,484.00 | 2% above | 76% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 76830,26 TRANSVAGINAL US NON-OB | $50.60 | $92.00 | $26.22–$92.00 | — | 45% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 76830 Vaginal, Non AMB | $168.30 | $306.00 | $87.21–$306.00 | — | 45% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 76830 US Transvaginal Non OB AMB | $168.30 | $306.00 | $87.21–$306.00 | — | 45% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US Transvaginal Non OB | $816.20 | $1,484.00 | $422.94–$1,484.00 | — | 45% |
| Transvaginal ultrasound during pregnancy CPT 76817 76817 Transvaginal Ultrasound AMB | $93.84 | $391.00 | $97.96–$454.55 | 73% below | 76% |
| Transvaginal ultrasound during pregnancy CPT 76817 76817 US Pregnancy Transvaginal AMB | $93.84 | $391.00 | $97.96–$454.55 | 73% below | 76% |
| Transvaginal ultrasound during pregnancy CPT 76817 US Pregnancy Transvaginal | $357.84 | $1,491.00 | $68.51–$1,491.00 | 5% above | 76% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 76817 US Pregnancy Transvaginal AMB | $215.05 | $391.00 | $111.43–$391.00 | — | 45% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 76817 Transvaginal Ultrasound AMB | $215.05 | $391.00 | $111.43–$391.00 | — | 45% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US Pregnancy Transvaginal | $820.05 | $1,491.00 | $424.93–$1,491.00 | — | 45% |
| Ultrasound of the abdomen, complete CPT 76700 76700 US Abdomen Complete AMB | $82.56 | $344.00 | $97.96–$454.55 | 84% below | 76% |
| Ultrasound of the abdomen, complete CPT 76700 US Abdomen Complete | $637.68 | $2,657.00 | $95.20–$2,657.00 | 23% above | 76% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 76700 US Abdomen Complete AMB | $189.20 | $344.00 | $98.04–$344.00 | — | 45% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdomen Complete | $1,461.35 | $2,657.00 | $757.24–$2,657.00 | — | 45% |
| Ultrasound of the scrotum and testicles CPT 76870 US Scrotum Contents | $558.00 | $2,325.00 | $84.99–$2,325.00 | 32% above | 76% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US Scrotum Contents | $1,278.75 | $2,325.00 | $662.63–$2,325.00 | — | 45% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Thyroid | $486.24 | $2,026.00 | $97.70–$2,026.00 | 37% above | 76% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Parotid | $486.24 | $2,026.00 | $97.70–$2,026.00 | 37% above | 76% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Parathyroid | $486.24 | $2,026.00 | $97.70–$2,026.00 | 37% above | 76% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Head Neck Soft Tissue | $486.24 | $2,026.00 | $97.70–$2,026.00 | 37% above | 76% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Thyroid | $1,114.30 | $2,026.00 | $577.41–$2,026.00 | — | 45% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Parathyroid | $1,114.30 | $2,026.00 | $577.41–$2,026.00 | — | 45% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Head Neck Soft Tissue | $1,114.30 | $2,026.00 | $577.41–$2,026.00 | — | 45% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Parotid | $1,114.30 | $2,026.00 | $577.41–$2,026.00 | — | 45% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 RF Upper GI wo KUB Gastrografin | $405.36 | $1,689.00 | $99.51–$1,689.00 | 22% below | 76% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 RF Esophagus w Upper GI Barium | $405.36 | $1,689.00 | $99.51–$1,689.00 | 22% below | 76% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 RF Upper GI wo KUB Barium | $405.36 | $1,689.00 | $99.51–$1,689.00 | 22% below | 76% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 FL-UPPER GI SINGLE | $405.36 | $1,689.00 | $99.51–$1,689.00 | 22% below | 76% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 RF Esophagus w Upper GI Gastrografin | $484.32 | $2,018.00 | $99.51–$2,018.00 | 7% below | 76% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 RF Upper GI w or wo KUB Gastrografin | $513.36 | $2,139.00 | $99.51–$2,139.00 | 1% below | 76% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 RF Upper GI w or wo KUB Barium | $513.36 | $2,139.00 | $99.51–$2,139.00 | 1% below | 76% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 RF Upper GI wo KUB Barium | $928.95 | $1,689.00 | $481.36–$1,689.00 | — | 45% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 FL-UPPER GI SINGLE | $928.95 | $1,689.00 | $481.36–$1,689.00 | — | 45% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 RF Esophagus w Upper GI Barium | $928.95 | $1,689.00 | $481.36–$1,689.00 | — | 45% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 RF Upper GI wo KUB Gastrografin | $928.95 | $1,689.00 | $481.36–$1,689.00 | — | 45% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 RF Esophagus w Upper GI Gastrografin | $1,109.90 | $2,018.00 | $575.13–$2,018.00 | — | 45% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 RF Upper GI w or wo KUB Barium | $1,176.45 | $2,139.00 | $609.61–$2,139.00 | — | 45% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 RF Upper GI w or wo KUB Gastrografin | $1,176.45 | $2,139.00 | $609.61–$2,139.00 | — | 45% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 93971 EXTREMITY STUDY | $87.60 | $365.00 | $97.96–$454.55 | 86% below | 76% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Venous Insufficiency Doppler Right | $399.36 | $1,664.00 | $97.84–$1,664.00 | 37% below | 76% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Venous Insufficiency Doppler Left | $399.36 | $1,664.00 | $97.84–$1,664.00 | 37% below | 76% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US UE Venous Duplex Right | $399.36 | $1,664.00 | $97.84–$1,664.00 | 37% below | 76% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US UE Venous Duplex Left | $399.36 | $1,664.00 | $97.84–$1,664.00 | 37% below | 76% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US LE Venous Duplex Right | $399.36 | $1,664.00 | $97.84–$1,664.00 | 37% below | 76% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US LE Venous Duplex Left | $399.36 | $1,664.00 | $97.84–$1,664.00 | 37% below | 76% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 93971 EXTREMITY STUDY | $200.75 | $365.00 | $104.02–$365.00 | — | 45% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Venous Insufficiency Doppler Left | $915.20 | $1,664.00 | $474.24–$1,664.00 | — | 45% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Venous Insufficiency Doppler Right | $915.20 | $1,664.00 | $474.24–$1,664.00 | — | 45% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US UE Venous Duplex Left | $915.20 | $1,664.00 | $474.24–$1,664.00 | — | 45% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US LE Venous Duplex Right | $915.20 | $1,664.00 | $474.24–$1,664.00 | — | 45% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US LE Venous Duplex Left | $915.20 | $1,664.00 | $474.24–$1,664.00 | — | 45% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US UE Venous Duplex Right | $915.20 | $1,664.00 | $474.24–$1,664.00 | — | 45% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete Min 3 V Right DR | $208.32 | $868.00 | $36.31–$868.00 | 19% below | 76% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete Min 3 V Left CR | $208.32 | $868.00 | $36.31–$868.00 | 19% below | 76% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete w Navicular Lt CR | $208.32 | $868.00 | $36.31–$868.00 | 19% below | 76% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete w Navicular Rt CR | $208.32 | $868.00 | $36.31–$868.00 | 19% below | 76% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete w Navicular Lt DR | $208.32 | $868.00 | $36.31–$868.00 | 19% below | 76% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete Min 3 V Left DR | $208.32 | $868.00 | $36.31–$868.00 | 19% below | 76% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete w Navicular Rt DR | $208.32 | $868.00 | $36.31–$868.00 | 19% below | 76% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete Min 3 V Right CR | $208.32 | $868.00 | $36.31–$868.00 | 19% below | 76% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete Min 3 V Right DR | $477.40 | $868.00 | $247.38–$868.00 | — | 45% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete w Navicular Rt DR | $477.40 | $868.00 | $247.38–$868.00 | — | 45% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete w Navicular Rt CR | $477.40 | $868.00 | $247.38–$868.00 | — | 45% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete w Navicular Lt DR | $477.40 | $868.00 | $247.38–$868.00 | — | 45% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete Min 3 V Right CR | $477.40 | $868.00 | $247.38–$868.00 | — | 45% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete w Navicular Lt CR | $477.40 | $868.00 | $247.38–$868.00 | — | 45% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete Min 3 V Left CR | $477.40 | $868.00 | $247.38–$868.00 | — | 45% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete Min 3 V Left DR | $477.40 | $868.00 | $247.38–$868.00 | — | 45% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip Left w Pelvis 2 or 3 Views CR | $209.28 | $872.00 | $40.64–$872.00 | 23% below | 76% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip Right w Pelvis 2 or 3 Views DR | $209.28 | $872.00 | $40.64–$872.00 | 23% below | 76% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip Right w Pelvis 2 or 3 Views CR | $209.28 | $872.00 | $40.64–$872.00 | 23% below | 76% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip Right 2 or 3 Views DR | $209.28 | $872.00 | $40.64–$872.00 | 23% below | 76% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip Left 2 or 3 Views DR | $209.28 | $872.00 | $40.64–$872.00 | 23% below | 76% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip Left 2 or 3 Views CR | $209.28 | $872.00 | $40.64–$872.00 | 23% below | 76% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip Right 2 or 3 Views CR | $209.28 | $872.00 | $40.64–$872.00 | 23% below | 76% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip Left w Pelvis 2 or 3 Views DR | $209.28 | $872.00 | $40.64–$872.00 | 23% below | 76% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip Left w Pelvis 2 or 3 Views CR | $479.60 | $872.00 | $248.52–$872.00 | — | 45% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip Right 2 or 3 Views CR | $479.60 | $872.00 | $248.52–$872.00 | — | 45% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip Left 2 or 3 Views CR | $479.60 | $872.00 | $248.52–$872.00 | — | 45% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip Left 2 or 3 Views DR | $479.60 | $872.00 | $248.52–$872.00 | — | 45% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip Right 2 or 3 Views DR | $479.60 | $872.00 | $248.52–$872.00 | — | 45% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip Right w Pelvis 2 or 3 Views CR | $479.60 | $872.00 | $248.52–$872.00 | — | 45% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip Right w Pelvis 2 or 3 Views DR | $479.60 | $872.00 | $248.52–$872.00 | — | 45% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip Left w Pelvis 2 or 3 Views DR | $479.60 | $872.00 | $248.52–$872.00 | — | 45% |
| X-ray of the abdomen, 1 view CPT 74018 XR Abdomen Sitz Marker DR | $176.64 | $736.00 | $23.76–$736.00 | 16% below | 76% |
| X-ray of the abdomen, 1 view CPT 74018 XR Abdomen AP KUB DR | $176.64 | $736.00 | $23.76–$736.00 | 16% below | 76% |
| X-ray of the abdomen, 1 view CPT 74018 XR Abdomen AP KUB CR | $176.64 | $736.00 | $23.76–$736.00 | 16% below | 76% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR Abdomen AP KUB CR | $404.80 | $736.00 | $209.76–$736.00 | — | 45% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR Abdomen Sitz Marker DR | $404.80 | $736.00 | $209.76–$736.00 | — | 45% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR Abdomen AP KUB DR | $404.80 | $736.00 | $209.76–$736.00 | — | 45% |
| X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 V Right CR | $206.16 | $859.00 | $27.69–$859.00 | 39% above | 76% |
| X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 V Left CR | $206.16 | $859.00 | $27.69–$859.00 | 39% above | 76% |
| X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 V Right DR | $206.16 | $859.00 | $27.69–$859.00 | 39% above | 76% |
| X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 V Left DR | $206.16 | $859.00 | $27.69–$859.00 | 39% above | 76% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 V Left DR | $472.45 | $859.00 | $244.81–$859.00 | — | 45% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 V Right DR | $472.45 | $859.00 | $244.81–$859.00 | — | 45% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 V Left CR | $472.45 | $859.00 | $244.81–$859.00 | — | 45% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 V Right CR | $472.45 | $859.00 | $244.81–$859.00 | — | 45% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V Thumb Right DR | $159.36 | $664.00 | $34.75–$664.00 | 4% above | 76% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 2nd Digit Left CR | $159.36 | $664.00 | $34.75–$664.00 | 4% above | 76% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 2nd Digit Left DR | $159.36 | $664.00 | $34.75–$664.00 | 4% above | 76% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 2nd Digit Right CR | $159.36 | $664.00 | $34.75–$664.00 | 4% above | 76% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 2nd Digit Right DR | $159.36 | $664.00 | $34.75–$664.00 | 4% above | 76% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 3rd Digit Left CR | $159.36 | $664.00 | $34.75–$664.00 | 4% above | 76% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 3rd Digit Left DR | $159.36 | $664.00 | $34.75–$664.00 | 4% above | 76% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 3rd Digit Right CR | $159.36 | $664.00 | $34.75–$664.00 | 4% above | 76% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 3rd Digit Right DR | $159.36 | $664.00 | $34.75–$664.00 | 4% above | 76% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 4th Digit Left CR | $159.36 | $664.00 | $34.75–$664.00 | 4% above | 76% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 4th Digit Left DR | $159.36 | $664.00 | $34.75–$664.00 | 4% above | 76% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 4th Digit Right CR | $159.36 | $664.00 | $34.75–$664.00 | 4% above | 76% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 4th Digit Right DR | $159.36 | $664.00 | $34.75–$664.00 | 4% above | 76% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 5th Digit Left CR | $159.36 | $664.00 | $34.75–$664.00 | 4% above | 76% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 5th Digit Left DR | $159.36 | $664.00 | $34.75–$664.00 | 4% above | 76% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 5th Digit Right CR | $159.36 | $664.00 | $34.75–$664.00 | 4% above | 76% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 5th Digit Right DR | $159.36 | $664.00 | $34.75–$664.00 | 4% above | 76% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V Thumb Left CR | $159.36 | $664.00 | $34.75–$664.00 | 4% above | 76% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V Thumb Left DR | $159.36 | $664.00 | $34.75–$664.00 | 4% above | 76% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V Thumb Right CR | $159.36 | $664.00 | $34.75–$664.00 | 4% above | 76% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 5th Digit Left CR | $365.20 | $664.00 | $189.24–$664.00 | — | 45% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 5th Digit Left DR | $365.20 | $664.00 | $189.24–$664.00 | — | 45% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 4th Digit Right DR | $365.20 | $664.00 | $189.24–$664.00 | — | 45% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 5th Digit Right CR | $365.20 | $664.00 | $189.24–$664.00 | — | 45% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 2nd Digit Left CR | $365.20 | $664.00 | $189.24–$664.00 | — | 45% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 4th Digit Right CR | $365.20 | $664.00 | $189.24–$664.00 | — | 45% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 2nd Digit Left DR | $365.20 | $664.00 | $189.24–$664.00 | — | 45% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 5th Digit Right DR | $365.20 | $664.00 | $189.24–$664.00 | — | 45% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 2nd Digit Right CR | $365.20 | $664.00 | $189.24–$664.00 | — | 45% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V Thumb Left CR | $365.20 | $664.00 | $189.24–$664.00 | — | 45% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 2nd Digit Right DR | $365.20 | $664.00 | $189.24–$664.00 | — | 45% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V Thumb Left DR | $365.20 | $664.00 | $189.24–$664.00 | — | 45% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 3rd Digit Left CR | $365.20 | $664.00 | $189.24–$664.00 | — | 45% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V Thumb Right CR | $365.20 | $664.00 | $189.24–$664.00 | — | 45% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 3rd Digit Left DR | $365.20 | $664.00 | $189.24–$664.00 | — | 45% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V Thumb Right DR | $365.20 | $664.00 | $189.24–$664.00 | — | 45% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 4th Digit Left DR | $365.20 | $664.00 | $189.24–$664.00 | — | 45% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 4th Digit Left CR | $365.20 | $664.00 | $189.24–$664.00 | — | 45% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 3rd Digit Right DR | $365.20 | $664.00 | $189.24–$664.00 | — | 45% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 3rd Digit Right CR | $365.20 | $664.00 | $189.24–$664.00 | — | 45% |
| X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 V Left CR | $178.80 | $745.00 | $23.76–$745.00 | 23% above | 76% |
| X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 V Right DR | $178.80 | $745.00 | $23.76–$745.00 | 23% above | 76% |
| X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 V Right CR | $178.80 | $745.00 | $23.76–$745.00 | 23% above | 76% |
| X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 V Left DR | $178.80 | $745.00 | $23.76–$745.00 | 23% above | 76% |
| X-ray of the foot, 2 views inpatient CPT 73620 73620 Foot, 2V | $58.30 | $106.00 | $30.21–$106.00 | — | 45% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 V Right CR | $409.75 | $745.00 | $212.32–$745.00 | — | 45% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 V Right DR | $409.75 | $745.00 | $212.32–$745.00 | — | 45% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 V Left DR | $409.75 | $745.00 | $212.32–$745.00 | — | 45% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 V Left CR | $409.75 | $745.00 | $212.32–$745.00 | — | 45% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete Min 3 V Right DR | $235.44 | $981.00 | $29.65–$981.00 | 21% above | 76% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete Min 3 V Left CR | $235.44 | $981.00 | $29.65–$981.00 | 21% above | 76% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete Min 3 V Right CR | $235.44 | $981.00 | $29.65–$981.00 | 21% above | 76% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete Min 3 V Left DR | $235.44 | $981.00 | $29.65–$981.00 | 21% above | 76% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Complete Min 3 V Right CR | $539.55 | $981.00 | $279.58–$981.00 | — | 45% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Complete Min 3 V Right DR | $539.55 | $981.00 | $279.58–$981.00 | — | 45% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Complete Min 3 V Left DR | $539.55 | $981.00 | $279.58–$981.00 | — | 45% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Complete Min 3 V Left CR | $539.55 | $981.00 | $279.58–$981.00 | — | 45% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete Min 3 V Left DR | $192.48 | $802.00 | $31.61–$802.00 | 5% below | 76% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete Min 3 V Left CR | $192.48 | $802.00 | $31.61–$802.00 | 5% below | 76% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete Min 3 V Right DR | $192.48 | $802.00 | $31.61–$802.00 | 5% below | 76% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete Min 3 V Right CR | $192.48 | $802.00 | $31.61–$802.00 | 5% below | 76% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Complete Min 3 V Right DR | $441.10 | $802.00 | $228.57–$802.00 | — | 45% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Complete Min 3 V Right CR | $441.10 | $802.00 | $228.57–$802.00 | — | 45% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Complete Min 3 V Left CR | $441.10 | $802.00 | $228.57–$802.00 | — | 45% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Complete Min 3 V Left DR | $441.10 | $802.00 | $228.57–$802.00 | — | 45% |
| X-ray of the knee, 1 or 2 views both sides CPT 73560 XR Knee 1 or 2 V Bilateral DR | $221.52 | $923.00 | $29.65–$923.00 | — | 76% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 V Left CR | $221.52 | $923.00 | $29.65–$923.00 | 6% above | 76% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 V Right DR | $221.52 | $923.00 | $29.65–$923.00 | 6% above | 76% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 V Right CR | $221.52 | $923.00 | $29.65–$923.00 | 6% above | 76% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 V Left DR | $221.52 | $923.00 | $29.65–$923.00 | 6% above | 76% |
| X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 XR Knee 1 or 2 V Bilateral DR | $507.65 | $923.00 | $263.05–$923.00 | — | 45% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 V Right DR | $507.65 | $923.00 | $263.05–$923.00 | — | 45% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 V Right CR | $507.65 | $923.00 | $263.05–$923.00 | — | 45% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 V Left DR | $507.65 | $923.00 | $263.05–$923.00 | — | 45% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 V Left CR | $507.65 | $923.00 | $263.05–$923.00 | — | 45% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR Spine Lumbosacral 2 or 3 V DR | $321.12 | $1,338.00 | $32.79–$1,338.00 | 33% above | 76% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR Spine Lumbosacral 2 or 3 V CR | $321.12 | $1,338.00 | $32.79–$1,338.00 | 33% above | 76% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 72100 TC XR Spine Lumbosacral 2 or 3 V CR | $40.70 | $74.00 | $21.09–$74.00 | — | 45% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR Spine Lumbosacral 2 or 3 V DR | $735.90 | $1,338.00 | $381.33–$1,338.00 | — | 45% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR Spine Lumbosacral 2 or 3 V CR | $735.90 | $1,338.00 | $381.33–$1,338.00 | — | 45% |
| X-ray of the lower back, 4 or more views CPT 72110 XR Spine Lumbosacral Minimum 4 V DR | $462.72 | $1,928.00 | $43.39–$1,928.00 | 36% above | 76% |
| X-ray of the lower back, 4 or more views CPT 72110 XR Spine Lumbosacral Minimum 4 V CR | $462.72 | $1,928.00 | $43.39–$1,928.00 | 36% above | 76% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 72110 TC XR Spine Lumbosacral Minimum 4 V CR | $55.55 | $101.00 | $28.78–$101.00 | — | 45% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR Spine Lumbosacral Minimum 4 V DR | $1,060.40 | $1,928.00 | $549.48–$1,928.00 | — | 45% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR Spine Lumbosacral Minimum 4 V CR | $1,060.40 | $1,928.00 | $549.48–$1,928.00 | — | 45% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR Spine Thoracic 2 V CR | $216.24 | $901.00 | $25.73–$901.00 | 3% below | 76% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR Spine Thoracic 2 V DR | $216.24 | $901.00 | $25.73–$901.00 | 3% below | 76% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 72070 TC XR Spine Thoracic 2 V CR | $31.90 | $58.00 | $16.53–$58.00 | — | 45% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR Spine Thoracic 2 V DR | $495.55 | $901.00 | $256.78–$901.00 | — | 45% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR Spine Thoracic 2 V CR | $495.55 | $901.00 | $256.78–$901.00 | — | 45% |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR Nasal Bones Comp Minimum 3 V CR | $165.84 | $691.00 | $33.58–$691.00 | 17% below | 76% |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR Nasal Bones Comp Minimum 3 V DR | $165.84 | $691.00 | $33.58–$691.00 | 17% below | 76% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 70160 TC XR Nasal Bones Comp Minimum 3 V CR | $32.45 | $59.00 | $16.81–$59.00 | — | 45% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR Nasal Bones Comp Minimum 3 V DR | $380.05 | $691.00 | $196.93–$691.00 | — | 45% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR Nasal Bones Comp Minimum 3 V CR | $380.05 | $691.00 | $196.93–$691.00 | — | 45% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR Spine Cervical 2 or 3 V DR | $276.72 | $1,153.00 | $32.39–$1,153.00 | 11% above | 76% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR Spine Cervical 2 or 3 V CR | $276.72 | $1,153.00 | $32.39–$1,153.00 | 11% above | 76% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 72040 TC XR Spine Cervical 2 or 3 V CR | $40.70 | $74.00 | $21.09–$74.00 | — | 45% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR Spine Cervical 2 or 3 V CR | $634.15 | $1,153.00 | $328.60–$1,153.00 | — | 45% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR Spine Cervical 2 or 3 V DR | $634.15 | $1,153.00 | $328.60–$1,153.00 | — | 45% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR Pelvis 1 or 2 V DR | $177.84 | $741.00 | $21.79–$741.00 | 8% below | 76% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR Pelvis 1 or 2 V CR | $177.84 | $741.00 | $21.79–$741.00 | 8% below | 76% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 72170 TC XR Pelvis 1 or 2 V CR | $25.85 | $47.00 | $13.39–$47.00 | — | 45% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR Pelvis 1 or 2 V CR | $407.55 | $741.00 | $211.18–$741.00 | — | 45% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR Pelvis 1 or 2 V DR | $407.55 | $741.00 | $211.18–$741.00 | — | 45% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR Sacrum Coccyx Minimum 2 V DR | $234.72 | $978.00 | $26.90–$978.00 | 7% above | 76% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR Sacrum Coccyx Minimum 2 V CR | $234.72 | $978.00 | $26.90–$978.00 | 7% above | 76% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 72220 TC XR Sacrum Coccyx Minimum 2 V CR | $26.95 | $49.00 | $13.96–$49.00 | — | 45% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR Sacrum Coccyx Minimum 2 V DR | $537.90 | $978.00 | $278.73–$978.00 | — | 45% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR Sacrum Coccyx Minimum 2 V CR | $537.90 | $978.00 | $278.73–$978.00 | — | 45% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Indiana | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 84460 ALANINE AMINO (ALT) (SGPT) | $4.80 | $20.00 | $4.67–$20.00 | 82% below | 76% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alanine Aminotransferase | $24.24 | $101.00 | $4.67–$101.00 | 9% below | 76% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT (SGPT) (LC) | $24.24 | $101.00 | $4.67–$101.00 | 9% below | 76% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 84460 TRANSFERASE ALT | $24.24 | $101.00 | $4.67–$101.00 | 9% below | 76% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 .ALT FIB4 Index | $24.24 | $101.00 | $4.67–$101.00 | 9% below | 76% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 84460 ALANINE AMINO (ALT) (SGPT) | $11.00 | $20.00 | $5.70–$20.00 | — | 45% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 84460 TRANSFERASE ALT | $55.55 | $101.00 | $28.78–$101.00 | — | 45% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alanine Aminotransferase | $55.55 | $101.00 | $28.78–$101.00 | — | 45% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT (SGPT) (LC) | $55.55 | $101.00 | $28.78–$101.00 | — | 45% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 .ALT FIB4 Index | $55.55 | $101.00 | $28.78–$101.00 | — | 45% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 84450 TRANSFERASE (AST) (SGOT) | $4.56 | $19.00 | $4.56–$19.00 | 84% below | 76% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST (SGOT) (RL) | $23.76 | $99.00 | $4.57–$99.00 | 15% below | 76% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 84450 TRANSFERASE AST | $23.76 | $99.00 | $4.57–$99.00 | 15% below | 76% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Aspartate Aminotransferase | $23.76 | $99.00 | $4.57–$99.00 | 15% below | 76% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Aspartate Aminotransferase Body Fluid | $23.76 | $99.00 | $4.57–$99.00 | 15% below | 76% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 .AST FIB4 Index | $23.76 | $99.00 | $4.57–$99.00 | 15% below | 76% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 84450 TRANSFERASE (AST) (SGOT) | $10.45 | $19.00 | $5.41–$19.00 | — | 45% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST (SGOT) (RL) | $54.45 | $99.00 | $28.21–$99.00 | — | 45% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Aspartate Aminotransferase | $54.45 | $99.00 | $28.21–$99.00 | — | 45% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 84450 TRANSFERASE AST | $54.45 | $99.00 | $28.21–$99.00 | — | 45% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Aspartate Aminotransferase Body Fluid | $54.45 | $99.00 | $28.21–$99.00 | — | 45% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 .AST FIB4 Index | $54.45 | $99.00 | $28.21–$99.00 | — | 45% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 80074 ACUTE HEPATITIS PANEL | $37.92 | $158.00 | $37.92–$158.00 | 86% below | 76% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatitis Panel Acute (LC) | $321.12 | $1,338.00 | $42.01–$1,338.00 | 15% above | 76% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatitis Panel Acute | $321.12 | $1,338.00 | $42.01–$1,338.00 | 15% above | 76% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 80074 ACUTE HEPATITIS PANEL | $86.90 | $158.00 | $45.03–$158.00 | — | 45% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hepatitis Panel Acute | $735.90 | $1,338.00 | $381.33–$1,338.00 | — | 45% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hepatitis Panel Acute (LC) | $735.90 | $1,338.00 | $381.33–$1,338.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 T006-IgE Cedar, Mountain LC | $15.36 | $64.00 | $4.61–$64.00 | 10% below | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PINE NUT IGE (VC) | $15.36 | $64.00 | $4.61–$64.00 | 10% below | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Red Mulberry IgE Quant | $17.04 | $71.00 | $4.61–$71.00 | at median | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 86003 L605878 ALG IGE QT | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen M008 IgE Helminthosporium halodes (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 86003 L607749 ALG IGE QT | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen I100 IgE Cockroach American (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 86003 L607744 ALG IGE QT | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 86003 L607746 ALG IGE QT | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 86003 L607748 ALG IGE QT | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 86003 L602797 ALG IGE QT | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F212 IgE Mushroom (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen E003 IgE Horse Dander (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen T004 IgE Hazelnut Tree (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 86003 L62448 ALG IGE QT | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Buckwheat IgE (F011) LC | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Rabbit Dander IgE | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Coffee IgE (F221) LC | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Acacia Gum IgE (F297) LC | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Mint (F332) IgE (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Cinnamon IgE (F220) LC | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen M002 IgE Cladosporium herbarum (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Squid IgE (F058) LC | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen W013 IgE Cocklebur (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spinach IgE (F214) LC | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen W018 IgE Sheep Sorrel Dock (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Sunflower Seed IgE (K084) LC | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Bakers Yeast IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F054 IgE Sweet Potato (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 W011-IgE Thistle Russian LC | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Gelatin IgE (C074) LC | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen G010 IgE Johnson Grass (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Date IgE F289 (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen W003 IgE Ragweed Giant (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Black Bean IgE LC | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F014 IgE Soybean (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Grapefruit IgE F209 (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F037 IgE Mussel (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Lime IgE F209 (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen G002 IgE Bermuda Grass (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Mustard IgE (F089) (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F075 IgE Egg Yolk (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Pear IgE F094 (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Turkey IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Raspberry IgE F343 (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen W014 IgE Pigweed Rough (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN MOSQUITO (I071) (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen T008 IgE Elm American White (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Pine Nut, Pignoles IgE F253 (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen W010 IgE Lamb's Quarter (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Pigeon e215 IgE Quant (RLNI) Viracor | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F203 IgE Pistachio Nut (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen IgE Misc (RLNI) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Pigweed Common IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen T001 IgE Maple/Box Elder (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen T007 IgE Oak White (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Nut Hazelnut IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen W001 IgE Ragweed Short Commo (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Cladosporium herbarum (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Tree Hazelnut IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen G008 IgE Kentucky Bluegrass (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen T015 IgE Ash White (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Carmine Red Dye (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Nut Cashew IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Codfish (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Penicillium notatum IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Egg White w/Component Rflx (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Ragweed Giant IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Maple/Box Elder (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Green Bean F315 LC | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Mouse Urine (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Cocklebur IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Ragweed, Giant (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F013 IgE Peanut (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Salmon (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Mountain Juniper IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Anisakis IgE (VC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F045 IgE Yeast Baker's (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Cheese Cheddar IgE (VC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Tree Box Elder IgE Qnt | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Corn Cultivated (Zea mays); IgE (VC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen W020 IgE Nettle (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Curvularia spicifera/Bipolaris IgE (VC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen T011 IgE Maple Leaf Sycamore (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Fusarium oxysporum/vasinfectum IgE (VC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen W006 IgE Mugwort (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen T014 IgE Cottonwood (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen T003 IgE Common Silver Birch (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Haddock IgE (VC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen G003 IgE Orchard Grass (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Halibut IgE (VC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F215 IgE Lettuce (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Macadamia Nut IgE (VC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Pea IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Mango IgE (VC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Alternaria alternata IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Maple Sugar Tree (Acer saccharum)IgE(VC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F284 IgE Turkey (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Alg Melon IgE (VC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Aureobas pullans IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Mushroom IgE (VC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen M001 IgE Penicillium notatum (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Oyster IgE (VC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Tree Sycamore IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Pineapple IgE (VC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F044 IgE Strawberry (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Tilapia IgE (VC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Russian Thistle IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Venom Honey Bee IgE (VC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Mushroom IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Venom Paper Wasp IgE (VC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Rough Marsh Elder IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Venom W-F Hornet IgE (VC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F010 IgE Sesame Seed (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Venom Yellow Hornet IgE (VC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Ragweed Common IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Peanut Component Panel (VC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F008 IgE Corn (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Fusarium Proliferatum/monilifor IgE (VC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Tree Mulberry White IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Carmine Dye/Red Dye IgE (VC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F041 IgE Salmon (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Penicilloyl G IgE (VC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Lambs Quarters IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Apple IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Gluten F079 IgE LC | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Cod IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F245 IgE Egg Whole (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Cockroach American IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen W016 IgE Marsh Elder Rough (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Clam IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F031 IgE Carrot (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Chicken Meat IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F017 IgE Hazelnut Filbert (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Cat Dander IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen D001 IgE D pteronyssinus (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Casein IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen T022 IgE Pecan Tree (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Nut Brazil IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen T006 IgE Cedar Mountain (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Grass Bermuda IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F049 IgE Apple (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Beef IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F023 IgE Crab (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Barley IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F092 IgE Banana (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Banana IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen I006 IgE German Cockroach (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Nut Almond IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Yellow Jacket Ige I003 (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 86003 L607751 ALG IGE QT | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen D002 IgE D farinae Mite (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 86003 L601288 ALG IGE QT | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen K082 IgE Latex (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 86003 L607745 ALG IGE QT | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen W009 IgE Plantain English (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F018 IgE Brazil Nut (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Tree Cottonwood IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Corn IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen W011 IgE Thistle Russian (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 G010-IgE Johnson Grass LC | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen T010 IgE Walnut (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 86003 ALLERGEN IGE QUANT | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Botrytis cinerea IgE (VC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Trichoderma viride IgE (VC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Chestnut Sweet Food (Castanea sativa) IgE (VC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Lettuce IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Peach IgE (VC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Tree Pecan Hickory IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Bass Black IgE (VC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F009 IgE Rice (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Bean Navy/White IgE (VC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen English Plantain IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Perch Ocean IgE (VC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F093 IgE Chocolate Cacao (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Kiwi IgE (VC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen D pteronyssinus IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Cherry IgE (VC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F201 IgE Pecan Nut (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Sole IgE (VC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen D farinae IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Pollock White IgE (VC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Grass KY Blue IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Whey IgE (VC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Cladosporium herbarum IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Rye Food IgE (VC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F012 IgE Green Pea (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Gluten IgE (VC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Aspergillus Fumigatus IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Coconut IgE (VC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F004 IgE Wheat (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Grape IgE (VC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Potato IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Rye Grass Perennial IgE (VC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F007 IgE Oat (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Willow (Salix caprea) IgE (VC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Tree White Ash IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Pine White (Pinus strobus) IgE (VC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Horse Dander IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Olive Tree (Olea europaea) IgE (VC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Wheat IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 House Dust Hollister-Stier IgE (VC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F080 IgE Lobster (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 House Dust Greer IgE (VC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Nut Walnut IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Candida albicans IgE (VC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen G006 IgE Timothy (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Mucor racemosus IgE (VC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Tomato IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Phoma betae IgE (VC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F003 IgE Codfish (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Rhizopus nigricans IgE (VC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Grass Timothy IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Epicoccum purpurascens IgE (VC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Helminthosporium (m8) IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Curvularia lunata IgE (VC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Strawberry IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Lamb's Quarters/Goosefoot IgE (VC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Reed Common (Phragmite communis) IgE (VC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Redtop/Bent Grass IgE (VC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Goose Feathers IgE (VC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Acremonium kiliense IgE (VC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F083 IgE Chicken (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Cow Dander IgE (VC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Stemph Herbarum/botryosum IgE (VC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aspergillus niger IgE (VC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Soybean IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Chaetomium globosum IgE (VC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F002 IgE Milk Cow (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Shrimp IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F006 IgE Barley Whole Grain (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Sheep Sorrel IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Carrot IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Nut Sesame Seed IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F020 IgE Almond (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Scallop IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F035 IgE Potato White (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Salmon IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F025 IgE Tomato (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Rice IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Blue Mussell IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Pork Meat IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F026 IgE Pork (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Nut Pistachio IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F001 IgE Egg White (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Nut Pecan IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F027 IgE Beef (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Nut Peanut IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Tree Walnut IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Orange IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F202 IgE Cashew Nut (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Oat IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen M003 IgE Aspergillus fumigatus (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Tree Oak IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F033 IgE Orange (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Nettle IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Tree Birch IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Mugwort IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen M012 IgE Aureobasidium pullulan (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Milk IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen E005 IgE Dog Hair Dander (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Latex IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F259-IgE Grape LC | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Grass Johnson IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Grass Orchard IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Tree Elm IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F256 IgE Walnut Food (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Egg Yolk IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F024 IgE Shrimp (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Egg Whole IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F338 IgE Scallop (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Egg White IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Chocolate IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Dog Epithelial IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen F207 IgE Clam (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Dog Dander IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen E001 IgE Cat Hair Dander (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen T070 IgE White Mulberry (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen M006 IgE Alternaria tenuis (LC) | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Crab IgE Quant | $18.00 | $75.00 | $4.61–$75.00 | 6% above | 76% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PINE NUT IGE (VC) | $35.20 | $64.00 | $18.24–$64.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 T006-IgE Cedar, Mountain LC | $35.20 | $64.00 | $18.24–$64.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Red Mulberry IgE Quant | $39.05 | $71.00 | $20.23–$71.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen T001 IgE Maple/Box Elder (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen M006 IgE Alternaria tenuis (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen M003 IgE Aspergillus fumigatus (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen M001 IgE Penicillium notatum (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen I100 IgE Cockroach American (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen G006 IgE Timothy (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F245 IgE Egg Whole (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F203 IgE Pistachio Nut (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F093 IgE Chocolate Cacao (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F035 IgE Potato White (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F024 IgE Shrimp (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F023 IgE Crab (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F014 IgE Soybean (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F013 IgE Peanut (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F008 IgE Corn (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F004 IgE Wheat (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F002 IgE Milk Cow (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F001 IgE Egg White (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen E005 IgE Dog Hair Dander (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen E001 IgE Cat Hair Dander (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen D001 IgE D pteronyssinus (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen D002 IgE D farinae Mite (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Bakers Yeast IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Turkey IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Penicillium notatum IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Pea IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Mushroom IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Lettuce IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Grass KY Blue IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Horse Dander IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Helminthosporium (m8) IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Carrot IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Blue Mussell IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Tree Walnut IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Tree Birch IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Grass Orchard IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Chocolate IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Apple IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F031 IgE Carrot (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen T006 IgE Cedar Mountain (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen I006 IgE German Cockroach (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen W009 IgE Plantain English (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen W013 IgE Cocklebur (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen G010 IgE Johnson Grass (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen G002 IgE Bermuda Grass (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen T008 IgE Elm American White (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen T015 IgE Ash White (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Green Bean F315 LC | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F045 IgE Yeast Baker's (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F284 IgE Turkey (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F044 IgE Strawberry (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F010 IgE Sesame Seed (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F041 IgE Salmon (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F009 IgE Rice (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F201 IgE Pecan Nut (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F012 IgE Green Pea (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F007 IgE Oat (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F080 IgE Lobster (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F003 IgE Codfish (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F083 IgE Chicken (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F006 IgE Barley Whole Grain (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F020 IgE Almond (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F025 IgE Tomato (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F026 IgE Pork (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F027 IgE Beef (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F202 IgE Cashew Nut (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F033 IgE Orange (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen M012 IgE Aureobasidium pullulan (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F259-IgE Grape LC | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F256 IgE Walnut Food (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F338 IgE Scallop (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F207 IgE Clam (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F018 IgE Brazil Nut (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Gluten F079 IgE LC | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen W016 IgE Marsh Elder Rough (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F017 IgE Hazelnut Filbert (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen T022 IgE Pecan Tree (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F049 IgE Apple (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F092 IgE Banana (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Yellow Jacket Ige I003 (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen K082 IgE Latex (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen M008 IgE Helminthosporium halodes (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen M002 IgE Cladosporium herbarum (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen W018 IgE Sheep Sorrel Dock (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 W011-IgE Thistle Russian LC | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen W003 IgE Ragweed Giant (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F037 IgE Mussel (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F075 IgE Egg Yolk (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen W014 IgE Pigweed Rough (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen W010 IgE Lamb's Quarter (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Pigweed Common IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Nut Hazelnut IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Tree Hazelnut IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Nut Cashew IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Ragweed Giant IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Cocklebur IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Mountain Juniper IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Tree Box Elder IgE Qnt | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Alternaria alternata IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Aureobas pullans IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Tree Sycamore IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Russian Thistle IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Rough Marsh Elder IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Ragweed Common IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Tree Mulberry White IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Lambs Quarters IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Tree Pecan Hickory IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen English Plantain IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen D pteronyssinus IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen D farinae IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Cladosporium herbarum IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Aspergillus Fumigatus IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Potato IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Tree White Ash IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Wheat IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Nut Walnut IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Tomato IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Grass Timothy IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Strawberry IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Soybean IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Shrimp IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Sheep Sorrel IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Nut Sesame Seed IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Scallop IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Salmon IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Rice IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Pork Meat IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Nut Pistachio IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Nut Pecan IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Nut Peanut IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Orange IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Oat IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Tree Oak IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Nettle IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Mugwort IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Milk IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Latex IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Grass Johnson IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Tree Elm IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Egg Yolk IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Egg Whole IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Egg White IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Dog Epithelial IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Dog Dander IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Crab IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Tree Cottonwood IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Corn IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Cod IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Cockroach American IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Clam IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Chicken Meat IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Cat Dander IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Casein IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Nut Brazil IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Grass Bermuda IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Beef IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Barley IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Banana IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Nut Almond IgE Quant | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 L607751 ALG IGE QT | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 L601288 ALG IGE QT | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 L607745 ALG IGE QT | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 L605878 ALG IGE QT | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 L607749 ALG IGE QT | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 L607744 ALG IGE QT | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 L607746 ALG IGE QT | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 L607748 ALG IGE QT | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 L602797 ALG IGE QT | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F212 IgE Mushroom (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen E003 IgE Horse Dander (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen T004 IgE Hazelnut Tree (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 L62448 ALG IGE QT | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Buckwheat IgE (F011) LC | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Rabbit Dander IgE | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Coffee IgE (F221) LC | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Acacia Gum IgE (F297) LC | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Cinnamon IgE (F220) LC | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Squid IgE (F058) LC | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spinach IgE (F214) LC | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Sunflower Seed IgE (K084) LC | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F054 IgE Sweet Potato (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Gelatin IgE (C074) LC | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Date IgE F289 (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Black Bean IgE LC | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Grapefruit IgE F209 (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Lime IgE F209 (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Mustard IgE (F089) (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Pear IgE F094 (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Raspberry IgE F343 (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN MOSQUITO (I071) (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Pine Nut, Pignoles IgE F253 (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Pigeon e215 IgE Quant (RLNI) Viracor | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen IgE Misc (RLNI) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen T007 IgE Oak White (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen W001 IgE Ragweed Short Commo (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cladosporium herbarum (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen G008 IgE Kentucky Bluegrass (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Carmine Red Dye (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Codfish (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Egg White w/Component Rflx (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Maple/Box Elder (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Mouse Urine (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Ragweed, Giant (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Salmon (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Anisakis IgE (VC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cheese Cheddar IgE (VC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Corn Cultivated (Zea mays); IgE (VC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Curvularia spicifera/Bipolaris IgE (VC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Fusarium oxysporum/vasinfectum IgE (VC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Haddock IgE (VC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Halibut IgE (VC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Macadamia Nut IgE (VC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mango IgE (VC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Maple Sugar Tree (Acer saccharum)IgE(VC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Alg Melon IgE (VC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mushroom IgE (VC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Oyster IgE (VC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Pineapple IgE (VC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Tilapia IgE (VC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Venom Honey Bee IgE (VC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Venom Paper Wasp IgE (VC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Venom W-F Hornet IgE (VC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Venom Yellow Hornet IgE (VC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Peanut Component Panel (VC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Fusarium Proliferatum/monilifor IgE (VC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Carmine Dye/Red Dye IgE (VC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Penicilloyl G IgE (VC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Chestnut Sweet Food (Castanea sativa) IgE (VC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Peach IgE (VC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Bass Black IgE (VC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Bean Navy/White IgE (VC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Perch Ocean IgE (VC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Kiwi IgE (VC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cherry IgE (VC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Sole IgE (VC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Pollock White IgE (VC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Whey IgE (VC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rye Food IgE (VC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Gluten IgE (VC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Coconut IgE (VC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Grape IgE (VC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rye Grass Perennial IgE (VC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Willow (Salix caprea) IgE (VC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Pine White (Pinus strobus) IgE (VC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Olive Tree (Olea europaea) IgE (VC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 House Dust Hollister-Stier IgE (VC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 House Dust Greer IgE (VC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Candida albicans IgE (VC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mucor racemosus IgE (VC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Phoma betae IgE (VC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rhizopus nigricans IgE (VC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Epicoccum purpurascens IgE (VC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Curvularia lunata IgE (VC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Acremonium kiliense IgE (VC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aspergillus niger IgE (VC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Chaetomium globosum IgE (VC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Stemph Herbarum/botryosum IgE (VC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cow Dander IgE (VC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Goose Feathers IgE (VC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Redtop/Bent Grass IgE (VC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Reed Common (Phragmite communis) IgE (VC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Lamb's Quarters/Goosefoot IgE (VC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Trichoderma viride IgE (VC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Botrytis cinerea IgE (VC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 ALLERGEN IGE QUANT | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen T010 IgE Walnut (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 G010-IgE Johnson Grass LC | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen W011 IgE Thistle Russian (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen T014 IgE Cottonwood (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen W006 IgE Mugwort (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen T070 IgE White Mulberry (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen F215 IgE Lettuce (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen G003 IgE Orchard Grass (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen T003 IgE Common Silver Birch (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen T011 IgE Maple Leaf Sycamore (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen W020 IgE Nettle (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Mint (F332) IgE (LC) | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 86200 L164065 CCP AB | $42.48 | $177.00 | $11.42–$177.00 | 16% below | 76% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP Antibodies IgG IgA (LC) | $42.48 | $177.00 | $11.42–$177.00 | 16% below | 76% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic Citrullinated Peptide Ab IgG (CQ) | $42.48 | $177.00 | $11.42–$177.00 | 16% below | 76% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 86200 L164245 CCP AB 889 | $42.48 | $177.00 | $11.42–$177.00 | 16% below | 76% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 86200 L164245 CCP AB 889 | $97.35 | $177.00 | $50.44–$177.00 | — | 45% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 86200 L164065 CCP AB | $97.35 | $177.00 | $50.44–$177.00 | — | 45% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Cyclic Citrullinated Peptide Ab IgG (CQ) | $97.35 | $177.00 | $50.44–$177.00 | — | 45% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP Antibodies IgG IgA (LC) | $97.35 | $177.00 | $50.44–$177.00 | — | 45% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 86225 L54619 DNA DS AB 889 | $73.44 | $306.00 | $10.66–$306.00 | 22% above | 76% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 86038 L806596 ANA IGG FLD | $78.48 | $327.00 | $10.66–$327.00 | 30% above | 76% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA Direct (LC) | $93.60 | $390.00 | $10.66–$390.00 | 55% above | 76% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 86038 ANA | $93.60 | $390.00 | $10.66–$390.00 | 55% above | 76% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 zzANA LC | $93.60 | $390.00 | $10.66–$390.00 | 55% above | 76% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA w/Reflex (LC) | $93.60 | $390.00 | $10.66–$390.00 | 55% above | 76% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA IFA (LC) | $93.60 | $390.00 | $10.66–$390.00 | 55% above | 76% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 86038 L22236 ANA 889 | $93.60 | $390.00 | $10.66–$390.00 | 55% above | 76% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA w/reflex to DNA/DS (LC) | $93.60 | $390.00 | $10.66–$390.00 | 55% above | 76% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 86038 L520293 ANA | $93.60 | $390.00 | $10.66–$390.00 | 55% above | 76% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA w/Reflex if Positive (LC) | $93.60 | $390.00 | $10.66–$390.00 | 55% above | 76% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 86225 L54619 DNA DS AB 889 | $168.30 | $306.00 | $87.21–$306.00 | — | 45% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 86038 L806596 ANA IGG FLD | $179.85 | $327.00 | $93.19–$327.00 | — | 45% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 86038 L22236 ANA 889 | $214.50 | $390.00 | $111.15–$390.00 | — | 45% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA Direct (LC) | $214.50 | $390.00 | $111.15–$390.00 | — | 45% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 86038 ANA | $214.50 | $390.00 | $111.15–$390.00 | — | 45% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA w/reflex to DNA/DS (LC) | $214.50 | $390.00 | $111.15–$390.00 | — | 45% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 zzANA LC | $214.50 | $390.00 | $111.15–$390.00 | — | 45% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA w/Reflex if Positive (LC) | $214.50 | $390.00 | $111.15–$390.00 | — | 45% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 86038 L520293 ANA | $214.50 | $390.00 | $111.15–$390.00 | — | 45% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA w/Reflex (LC) | $214.50 | $390.00 | $111.15–$390.00 | — | 45% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA IFA (LC) | $214.50 | $390.00 | $111.15–$390.00 | — | 45% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 proBNP (RL) | $80.88 | $337.00 | $34.62–$337.00 | 52% below | 76% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B Type Natriuretic Peptide | $80.88 | $337.00 | $34.62–$337.00 | 52% below | 76% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B Type Natriuretic Peptide Prohormone | $80.88 | $337.00 | $34.62–$337.00 | 52% below | 76% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 proBNP (RL) | $185.35 | $337.00 | $96.04–$337.00 | — | 45% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B Type Natriuretic Peptide Prohormone | $185.35 | $337.00 | $96.04–$337.00 | — | 45% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B Type Natriuretic Peptide | $185.35 | $337.00 | $96.04–$337.00 | — | 45% |
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel w/Total Calcium | $124.08 | $517.00 | $7.46–$517.00 | 59% above | 76% |
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel (8) (RL) | $124.08 | $517.00 | $7.46–$517.00 | 59% above | 76% |
| Basic metabolic panel (blood test) inpatient CPT 80048 80048 METABOLIC PANEL TOTAL CA | $14.85 | $27.00 | $7.69–$27.00 | — | 45% |
| Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel (8) (RL) | $284.35 | $517.00 | $147.34–$517.00 | — | 45% |
| Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel w/Total Calcium | $284.35 | $517.00 | $147.34–$517.00 | — | 45% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 88305 AP Bill Bone Marrow Biopsy | $204.00 | $850.00 | $31.77–$850.00 | 20% below | 76% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 88305 AP Bill Surgical Pathology Level IV Complexi | $204.00 | $850.00 | $31.77–$850.00 | 20% below | 76% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 88305 AP Bill Non-Gyn Cytology Cell Block | $204.00 | $850.00 | $31.77–$850.00 | 20% below | 76% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 SO 88305 Bill Surg Compre Review of Data | $204.00 | $850.00 | $31.77–$850.00 | 20% below | 76% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 88305 AP Bill Bone Marrow Biopsy | $467.50 | $850.00 | $242.25–$850.00 | — | 45% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SO 88305 Bill Surg Compre Review of Data | $467.50 | $850.00 | $242.25–$850.00 | — | 45% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 88305 AP Bill Non-Gyn Cytology Cell Block | $467.50 | $850.00 | $242.25–$850.00 | — | 45% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 88305 AP Bill Surgical Pathology Level IV Complexi | $467.50 | $850.00 | $242.25–$850.00 | — | 45% |
| Blood culture for bacteria CPT 87040 Blood Culture | $114.24 | $476.00 | $9.10–$476.00 | 11% below | 76% |
| Blood culture for bacteria inpatient CPT 87040 Blood Culture | $261.80 | $476.00 | $135.66–$476.00 | — | 45% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 36415 ROUTINE VENIPUNCTURE | $2.88 | $12.00 | $2.88–$28.02 | 78% below | 76% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION: Venous Draw Chg | $19.44 | $81.00 | $5.10–$81.00 | 47% above | 76% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 36415 ROUTINE VENIPUNCTURE | $6.60 | $12.00 | $3.42–$12.00 | — | 45% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COLLECTION: Venous Draw Chg | $44.55 | $81.00 | $23.08–$81.00 | — | 45% |
| Blood glucose (sugar) test CPT 82947 82947 ASSAY GLUCOSE BLOOD QUANT | $5.28 | $22.00 | $3.47–$22.00 | 80% below | 76% |
| Blood glucose (sugar) test CPT 82947 .GTT 2nd Hour OB | $9.36 | $39.00 | $3.47–$39.00 | 64% below | 76% |
| Blood glucose (sugar) test CPT 82947 .GTT 2nd Hr OB | $9.36 | $39.00 | $3.47–$39.00 | 64% below | 76% |
| Blood glucose (sugar) test CPT 82947 .BG Glucose DM Art POC | $17.76 | $74.00 | $3.47–$74.00 | 32% below | 76% |
| Blood glucose (sugar) test CPT 82947 .ISTAT Glucose Cap POC | $17.76 | $74.00 | $3.47–$74.00 | 32% below | 76% |
| Blood glucose (sugar) test CPT 82947 82947 GLUCOSE, QUANT | $17.76 | $74.00 | $3.47–$74.00 | 32% below | 76% |
| Blood glucose (sugar) test CPT 82947 .BG Glucose DM Cap POC | $17.76 | $74.00 | $3.47–$74.00 | 32% below | 76% |
| Blood glucose (sugar) test CPT 82947 .BG Glucose DM Ven POC | $17.76 | $74.00 | $3.47–$74.00 | 32% below | 76% |
| Blood glucose (sugar) test CPT 82947 Glucose 2 Hour Postprandial | $17.76 | $74.00 | $3.47–$74.00 | 32% below | 76% |
| Blood glucose (sugar) test CPT 82947 .ISTAT Glucose Ven POC | $17.76 | $74.00 | $3.47–$74.00 | 32% below | 76% |
| Blood glucose (sugar) test CPT 82947 .Glucose POC Bedside | $17.76 | $74.00 | $3.47–$74.00 | 32% below | 76% |
| Blood glucose (sugar) test CPT 82947 Glucose Level | $17.76 | $74.00 | $3.47–$74.00 | 32% below | 76% |
| Blood glucose (sugar) test inpatient CPT 82947 82947 ASSAY GLUCOSE BLOOD QUANT | $12.10 | $22.00 | $6.27–$22.00 | — | 45% |
| Blood glucose (sugar) test inpatient CPT 82947 .GTT 2nd Hr OB | $21.45 | $39.00 | $11.11–$39.00 | — | 45% |
| Blood glucose (sugar) test inpatient CPT 82947 .GTT 2nd Hour OB | $21.45 | $39.00 | $11.11–$39.00 | — | 45% |
| Blood glucose (sugar) test inpatient CPT 82947 .BG Glucose DM Art POC | $40.70 | $74.00 | $21.09–$74.00 | — | 45% |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose Level | $40.70 | $74.00 | $21.09–$74.00 | — | 45% |
| Blood glucose (sugar) test inpatient CPT 82947 .ISTAT Glucose Cap POC | $40.70 | $74.00 | $21.09–$74.00 | — | 45% |
| Blood glucose (sugar) test inpatient CPT 82947 .BG Glucose DM Cap POC | $40.70 | $74.00 | $21.09–$74.00 | — | 45% |
| Blood glucose (sugar) test inpatient CPT 82947 .Glucose POC Bedside | $40.70 | $74.00 | $21.09–$74.00 | — | 45% |
| Blood glucose (sugar) test inpatient CPT 82947 .ISTAT Glucose Ven POC | $40.70 | $74.00 | $21.09–$74.00 | — | 45% |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose 2 Hour Postprandial | $40.70 | $74.00 | $21.09–$74.00 | — | 45% |
| Blood glucose (sugar) test inpatient CPT 82947 .BG Glucose DM Ven POC | $40.70 | $74.00 | $21.09–$74.00 | — | 45% |
| Blood glucose (sugar) test inpatient CPT 82947 82947 GLUCOSE, QUANT | $40.70 | $74.00 | $21.09–$74.00 | — | 45% |
| Blood lead test CPT 83655 Lead Level POC AMB | $16.08 | $67.00 | $10.68–$67.00 | 74% below | 76% |
| Blood lead test CPT 83655 83655 Lead Level POC AMB -BCE | $16.08 | $67.00 | $10.68–$67.00 | 74% below | 76% |
| Blood lead test CPT 83655 Lead, Blood, Filter Paper (LC) | $63.35 | $263.94 | $10.68–$263.94 | 4% above | 76% |
| Blood lead test CPT 83655 83655 L70813 LEAD 889 | $85.44 | $356.00 | $10.68–$356.00 | 40% above | 76% |
| Blood lead test CPT 83655 Lead, Blood (Pediatric), Capillary (LC) | $90.48 | $377.00 | $10.68–$377.00 | 48% above | 76% |
| Blood lead test CPT 83655 Lead Blood Adult (RL) | $90.48 | $377.00 | $10.68–$377.00 | 48% above | 76% |
| Blood lead test CPT 83655 83655 L7633 LEAD | $90.48 | $377.00 | $10.68–$377.00 | 48% above | 76% |
| Blood lead test CPT 83655 Lead Blood Pediatric RL | $90.48 | $377.00 | $10.68–$377.00 | 48% above | 76% |
| Blood lead test CPT 83655 83655 LEAD | $90.48 | $377.00 | $10.68–$377.00 | 48% above | 76% |
| Blood lead test inpatient CPT 83655 Lead Level POC AMB | $36.85 | $67.00 | $19.09–$67.00 | — | 45% |
| Blood lead test inpatient CPT 83655 83655 Lead Level POC AMB -BCE | $36.85 | $67.00 | $19.09–$67.00 | — | 45% |
| Blood lead test inpatient CPT 83655 Lead, Blood, Filter Paper (LC) | $145.17 | $263.94 | $75.22–$263.94 | — | 45% |
| Blood lead test inpatient CPT 83655 83655 L70813 LEAD 889 | $195.80 | $356.00 | $101.46–$356.00 | — | 45% |
| Blood lead test inpatient CPT 83655 Lead, Blood (Pediatric), Capillary (LC) | $207.35 | $377.00 | $107.44–$377.00 | — | 45% |
| Blood lead test inpatient CPT 83655 83655 LEAD | $207.35 | $377.00 | $107.44–$377.00 | — | 45% |
| Blood lead test inpatient CPT 83655 Lead Blood Pediatric RL | $207.35 | $377.00 | $107.44–$377.00 | — | 45% |
| Blood lead test inpatient CPT 83655 Lead Blood Adult (RL) | $207.35 | $377.00 | $107.44–$377.00 | — | 45% |
| Blood lead test inpatient CPT 83655 83655 L7633 LEAD | $207.35 | $377.00 | $107.44–$377.00 | — | 45% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 hCG,Beta Subunit,Qual,Serum RL | $49.92 | $208.00 | $6.63–$208.00 | 34% below | 76% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Human Chorionic Gonadotropin Qual | $52.80 | $220.00 | $6.63–$220.00 | 30% below | 76% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Human Chorionic Gonadotropin Qual Auto | $52.80 | $220.00 | $6.63–$220.00 | 30% below | 76% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 hCG,Beta Subunit,Qual,Serum RL | $114.40 | $208.00 | $59.28–$208.00 | — | 45% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Human Chorionic Gonadotropin Qual Auto | $121.00 | $220.00 | $62.70–$220.00 | — | 45% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Human Chorionic Gonadotropin Qual | $121.00 | $220.00 | $62.70–$220.00 | — | 45% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB Bill ABO Forward | $83.04 | $346.00 | $124.67–$578.50 | 69% above | 76% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB Bill ABO | $83.04 | $346.00 | $124.67–$578.50 | 69% above | 76% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB Bill ABO Reverse | $83.04 | $346.00 | $124.67–$578.50 | 69% above | 76% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 86900 HX2 ABO 289 | $83.04 | $346.00 | $124.67–$578.50 | 69% above | 76% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Transplant Living Donor ABO RNLI (IBC) | $83.04 | $346.00 | $124.67–$578.50 | 69% above | 76% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Transplant Living Donor ABO RNLI (IBC) | $190.30 | $346.00 | $98.61–$346.00 | — | 45% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB Bill ABO Forward | $190.30 | $346.00 | $98.61–$346.00 | — | 45% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 86900 HX2 ABO 289 | $190.30 | $346.00 | $98.61–$346.00 | — | 45% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB Bill ABO | $190.30 | $346.00 | $98.61–$346.00 | — | 45% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB Bill ABO Reverse | $190.30 | $346.00 | $98.61–$346.00 | — | 45% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 86900 BLOOD TYPING ABO | $190.30 | $346.00 | $98.61–$346.00 | — | 45% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C Reactive Protein | $90.96 | $379.00 | $4.57–$379.00 | 35% above | 76% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C Reactive Protein Quant (RL) | $90.96 | $379.00 | $4.57–$379.00 | 35% above | 76% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 86140 C-REACTIVE PROTEIN | $90.96 | $379.00 | $4.57–$379.00 | 35% above | 76% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 86140 L164245 CRP 889 | $90.96 | $379.00 | $4.57–$379.00 | 35% above | 76% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 86140 L805628 IBD SGI DIAG 889 | $90.96 | $379.00 | $4.57–$379.00 | 35% above | 76% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C Reactive Protein | $208.45 | $379.00 | $108.01–$379.00 | — | 45% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 86140 L805628 IBD SGI DIAG 889 | $208.45 | $379.00 | $108.01–$379.00 | — | 45% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 86140 C-REACTIVE PROTEIN | $208.45 | $379.00 | $108.01–$379.00 | — | 45% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C Reactive Protein Quant (RL) | $208.45 | $379.00 | $108.01–$379.00 | — | 45% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 86140 L164245 CRP 889 | $208.45 | $379.00 | $108.01–$379.00 | — | 45% |
| C. difficile toxin gene test (stool PCR) CPT 87493 Clostridium difficile Toxin A B Amp Probe | $50.88 | $212.00 | $32.87–$212.00 | 61% below | 76% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C difficile Toxin Gene NAA (RL) | $50.88 | $212.00 | $32.87–$212.00 | 61% below | 76% |
| C. difficile toxin gene test (stool PCR) CPT 87493 87493 CDIFF AMPLI PROBE | $50.88 | $212.00 | $32.87–$212.00 | 61% below | 76% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 87493 CDIFF AMPLI PROBE | $116.60 | $212.00 | $60.42–$212.00 | — | 45% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Clostridium difficile Toxin A B Amp Probe | $116.60 | $212.00 | $60.42–$212.00 | — | 45% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C difficile Toxin Gene NAA (RL) | $116.60 | $212.00 | $60.42–$212.00 | — | 45% |
| CA 19-9 blood test (tumor marker) CPT 86301 Cancer Antigen 19-9 (RL) | $160.32 | $668.00 | $18.35–$668.00 | 11% above | 76% |
| CA 19-9 blood test (tumor marker) CPT 86301 Cancer Antigen G1 BF (LC) | $160.32 | $668.00 | $18.35–$668.00 | 11% above | 76% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 Cancer Antigen G1 BF (LC) | $367.40 | $668.00 | $190.38–$668.00 | — | 45% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 Cancer Antigen 19-9 (RL) | $367.40 | $668.00 | $190.38–$668.00 | — | 45% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125, Serum (Serial) (LC) | $160.32 | $668.00 | $18.35–$668.00 | 1% below | 76% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Cancer Antigen 125 (LC) | $160.32 | $668.00 | $18.35–$668.00 | 1% below | 76% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125, Serum (Serial) (LC) | $367.40 | $668.00 | $190.38–$668.00 | — | 45% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Cancer Antigen 125 (LC) | $367.40 | $668.00 | $190.38–$668.00 | — | 45% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 U0003 L139900 COVID19 NAA 889 | $68.16 | $284.00 | $45.25–$284.00 | 35% below | 76% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 PCR | $68.16 | $284.00 | $45.25–$284.00 | 35% below | 76% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 NAA (LC) | $143.28 | $597.00 | $45.25–$597.00 | 36% above | 76% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 U0003 L139900 COVID19 NAA 889 | $156.20 | $284.00 | $80.94–$284.00 | — | 45% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 PCR | $156.20 | $284.00 | $80.94–$284.00 | — | 45% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 NAA (LC) | $328.35 | $597.00 | $170.14–$597.00 | — | 45% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 87491 CHYLMD TRACH DNA AMP PROBE | $30.48 | $127.00 | $30.48–$127.00 | 69% below | 76% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 87491 L196565 CTRACH AMPPR 889 | $61.20 | $255.00 | $30.95–$255.00 | 37% below | 76% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 87491 PapIG CtNg rfx Aptima HPV ASCU LC | $61.20 | $255.00 | $30.95–$255.00 | 37% below | 76% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 87491 C TRACH PRB 889 | $61.20 | $255.00 | $30.95–$255.00 | 37% below | 76% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 87491 L183160 C TRACH AMP 889 | $63.60 | $265.00 | $30.95–$265.00 | 35% below | 76% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 87491 L199310 PAPIG 889 | $63.60 | $265.00 | $30.95–$265.00 | 35% below | 76% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 87491 L199320 8894835 C TRCH PRB | $63.60 | $265.00 | $30.95–$265.00 | 35% below | 76% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 87491 Pap IG, Ct-Ng TV LC | $63.60 | $265.00 | $30.95–$265.00 | 35% below | 76% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 87491 CHLMYD TRACH DNA AMP | $63.60 | $265.00 | $30.95–$265.00 | 35% below | 76% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 87491 IGP, CtNgTv HPV Rfx 16/18,45 LC | $63.60 | $265.00 | $30.95–$265.00 | 35% below | 76% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia trachomatis NAA (RL) | $63.60 | $265.00 | $30.95–$265.00 | 35% below | 76% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 87491 IGP, CtNgTv Rfx HPV ASCU LC | $63.60 | $265.00 | $30.95–$265.00 | 35% below | 76% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 87491 L188698 CTRACH AMPPR | $63.60 | $265.00 | $30.95–$265.00 | 35% below | 76% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia DNA Amplified Pr I | $63.60 | $265.00 | $30.95–$265.00 | 35% below | 76% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 87491 L188070 C TRACH AMP 889 | $63.60 | $265.00 | $30.95–$265.00 | 35% below | 76% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 87491 L188698 CTRACH AMPPR 889 | $63.60 | $265.00 | $30.95–$265.00 | 35% below | 76% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 87491 L180049 | $63.60 | $265.00 | $30.95–$265.00 | 35% below | 76% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 87491 C TRACH PRB | $63.60 | $265.00 | $30.95–$265.00 | 35% below | 76% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 87491 CHYLMD TRACH DNA AMP PROBE | $69.85 | $127.00 | $36.20–$127.00 | — | 45% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 87491 C TRACH PRB 889 | $140.25 | $255.00 | $72.67–$255.00 | — | 45% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 87491 L196565 CTRACH AMPPR 889 | $140.25 | $255.00 | $72.67–$255.00 | — | 45% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 87491 PapIG CtNg rfx Aptima HPV ASCU LC | $140.25 | $255.00 | $72.67–$255.00 | — | 45% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 87491 L188698 CTRACH AMPPR 889 | $145.75 | $265.00 | $75.52–$265.00 | — | 45% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 87491 L199310 PAPIG 889 | $145.75 | $265.00 | $75.52–$265.00 | — | 45% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 87491 L183160 C TRACH AMP 889 | $145.75 | $265.00 | $75.52–$265.00 | — | 45% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 87491 C TRACH PRB | $145.75 | $265.00 | $75.52–$265.00 | — | 45% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 87491 L180049 | $145.75 | $265.00 | $75.52–$265.00 | — | 45% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 87491 L188070 C TRACH AMP 889 | $145.75 | $265.00 | $75.52–$265.00 | — | 45% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 87491 CHLMYD TRACH DNA AMP | $145.75 | $265.00 | $75.52–$265.00 | — | 45% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia trachomatis NAA (RL) | $145.75 | $265.00 | $75.52–$265.00 | — | 45% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia DNA Amplified Pr I | $145.75 | $265.00 | $75.52–$265.00 | — | 45% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 87491 L188698 CTRACH AMPPR | $145.75 | $265.00 | $75.52–$265.00 | — | 45% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 87491 IGP, CtNgTv Rfx HPV ASCU LC | $145.75 | $265.00 | $75.52–$265.00 | — | 45% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 87491 IGP, CtNgTv HPV Rfx 16/18,45 LC | $145.75 | $265.00 | $75.52–$265.00 | — | 45% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 87491 Pap IG, Ct-Ng TV LC | $145.75 | $265.00 | $75.52–$265.00 | — | 45% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 87491 L199320 8894835 C TRCH PRB | $145.75 | $265.00 | $75.52–$265.00 | — | 45% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 80061 Lipid Profile POC AMB -BCE | $17.76 | $74.00 | $11.81–$74.00 | 80% below | 76% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Profile POC AMB | $17.76 | $74.00 | $11.81–$74.00 | 80% below | 76% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Cascade w/Rflx to ApoliB LC | $67.74 | $282.25 | $11.81–$282.25 | 24% below | 76% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Cascade LC | $67.74 | $282.25 | $11.81–$282.25 | 24% below | 76% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel | $85.44 | $356.00 | $11.81–$356.00 | 5% below | 76% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 80061 L806885 LIPID PNL 889 | $85.44 | $356.00 | $11.81–$356.00 | 5% below | 76% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel with Reflex LDL Direct | $85.44 | $356.00 | $11.81–$356.00 | 5% below | 76% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel w/Reflex LDL Direct Health Fair | $85.44 | $356.00 | $11.81–$356.00 | 5% below | 76% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel w/Interpretations Rfx LDL DM | $85.44 | $356.00 | $11.81–$356.00 | 5% below | 76% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel (RL) | $85.44 | $356.00 | $11.81–$356.00 | 5% below | 76% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel w/ Chol/HDL Ratio (LC) | $85.44 | $356.00 | $11.81–$356.00 | 5% below | 76% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel With LDL/HDL Ratio (LC) | $85.44 | $356.00 | $11.81–$356.00 | 5% below | 76% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 80061 LIPID PANEL | $85.44 | $356.00 | $11.81–$356.00 | 5% below | 76% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 80061 L235036 LIPID PANEL 889 | $85.44 | $356.00 | $11.81–$356.00 | 5% below | 76% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 80061 L33886 LIPID PANEL 889 | $85.44 | $356.00 | $11.81–$356.00 | 5% below | 76% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 80061 Lipid Profile POC AMB -BCE | $40.70 | $74.00 | $21.09–$74.00 | — | 45% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Profile POC AMB | $40.70 | $74.00 | $21.09–$74.00 | — | 45% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Cascade w/Rflx to ApoliB LC | $155.24 | $282.25 | $80.44–$282.25 | — | 45% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Cascade LC | $155.24 | $282.25 | $80.44–$282.25 | — | 45% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel With LDL/HDL Ratio (LC) | $195.80 | $356.00 | $101.46–$356.00 | — | 45% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 80061 L33886 LIPID PANEL 889 | $195.80 | $356.00 | $101.46–$356.00 | — | 45% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel with Reflex LDL Direct | $195.80 | $356.00 | $101.46–$356.00 | — | 45% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel w/ Chol/HDL Ratio (LC) | $195.80 | $356.00 | $101.46–$356.00 | — | 45% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel (RL) | $195.80 | $356.00 | $101.46–$356.00 | — | 45% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel w/Reflex LDL Direct Health Fair | $195.80 | $356.00 | $101.46–$356.00 | — | 45% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 80061 L806885 LIPID PNL 889 | $195.80 | $356.00 | $101.46–$356.00 | — | 45% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel w/Interpretations Rfx LDL DM | $195.80 | $356.00 | $101.46–$356.00 | — | 45% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel | $195.80 | $356.00 | $101.46–$356.00 | — | 45% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 80061 LIPID PANEL | $195.80 | $356.00 | $101.46–$356.00 | — | 45% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 80061 L235036 LIPID PANEL 889 | $195.80 | $356.00 | $101.46–$356.00 | — | 45% |
| Complete blood count (CBC) with differential CPT 85025 85025 COMPLETE CBC W/AUTO DIFF WBC | $6.96 | $29.00 | $6.85–$29.00 | 82% below | 76% |
| Complete blood count (CBC) with differential CPT 85025 Complete Blood Count w/Diff Auto MW | $40.80 | $170.00 | $6.85–$170.00 | 7% above | 76% |
| Complete blood count (CBC) with differential CPT 85025 CBCWPLTA | $40.80 | $170.00 | $6.85–$170.00 | 7% above | 76% |
| Complete blood count (CBC) with differential CPT 85025 85025 CBC W-PLT AUTO COMPD | $40.80 | $170.00 | $6.85–$170.00 | 7% above | 76% |
| Complete blood count (CBC) with differential CPT 85025 Complete Blood Count w/Diff + Platelets (RL) | $40.80 | $170.00 | $6.85–$170.00 | 7% above | 76% |
| Complete blood count (CBC) with differential CPT 85025 Complete Blood Count w/Diff Auto MW B | $40.80 | $170.00 | $6.85–$170.00 | 7% above | 76% |
| Complete blood count (CBC) with differential CPT 85025 Complete Blood Count w/Diff Auto | $40.80 | $170.00 | $6.85–$170.00 | 7% above | 76% |
| Complete blood count (CBC) with differential inpatient CPT 85025 85025 COMPLETE CBC W/AUTO DIFF WBC | $15.95 | $29.00 | $8.26–$29.00 | — | 45% |
| Complete blood count (CBC) with differential inpatient CPT 85025 Complete Blood Count w/Diff Auto MW B | $93.50 | $170.00 | $48.45–$170.00 | — | 45% |
| Complete blood count (CBC) with differential inpatient CPT 85025 Complete Blood Count w/Diff + Platelets (RL) | $93.50 | $170.00 | $48.45–$170.00 | — | 45% |
| Complete blood count (CBC) with differential inpatient CPT 85025 85025 CBC W-PLT AUTO COMPD | $93.50 | $170.00 | $48.45–$170.00 | — | 45% |
| Complete blood count (CBC) with differential inpatient CPT 85025 Complete Blood Count w/Diff Auto | $93.50 | $170.00 | $48.45–$170.00 | — | 45% |
| Complete blood count (CBC) with differential inpatient CPT 85025 Complete Blood Count w/Diff Auto MW | $93.50 | $170.00 | $48.45–$170.00 | — | 45% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBCWPLTA | $93.50 | $170.00 | $48.45–$170.00 | — | 45% |
| Complete blood count (CBC), no differential CPT 85027 85027 COMPLETE CBC AUTOMATED | $5.76 | $24.00 | $5.71–$24.00 | 80% below | 76% |
| Complete blood count (CBC), no differential CPT 85027 85027 CBC W-PLT | $34.80 | $145.00 | $5.71–$145.00 | 22% above | 76% |
| Complete blood count (CBC), no differential CPT 85027 Complete Blood Count w/Reflex Differential Auto | $34.80 | $145.00 | $5.71–$145.00 | 22% above | 76% |
| Complete blood count (CBC), no differential CPT 85027 Complete Blood Count w/Diff Manual MW A | $34.80 | $145.00 | $5.71–$145.00 | 22% above | 76% |
| Complete blood count (CBC), no differential CPT 85027 Complete Blood Count w/o Diff | $34.80 | $145.00 | $5.71–$145.00 | 22% above | 76% |
| Complete blood count (CBC), no differential CPT 85027 Complete Blood Count w/Reflex Differential Manual | $34.80 | $145.00 | $5.71–$145.00 | 22% above | 76% |
| Complete blood count (CBC), no differential CPT 85027 CBC, Platelet, No Differential (LC) | $34.80 | $145.00 | $5.71–$145.00 | 22% above | 76% |
| Complete blood count (CBC), no differential inpatient CPT 85027 85027 COMPLETE CBC AUTOMATED | $13.20 | $24.00 | $6.84–$24.00 | — | 45% |
| Complete blood count (CBC), no differential inpatient CPT 85027 Complete Blood Count w/o Diff | $79.75 | $145.00 | $41.32–$145.00 | — | 45% |
| Complete blood count (CBC), no differential inpatient CPT 85027 Complete Blood Count w/Diff Manual MW A | $79.75 | $145.00 | $41.32–$145.00 | — | 45% |
| Complete blood count (CBC), no differential inpatient CPT 85027 85027 CBC W-PLT | $79.75 | $145.00 | $41.32–$145.00 | — | 45% |
| Complete blood count (CBC), no differential inpatient CPT 85027 Complete Blood Count w/Reflex Differential Auto | $79.75 | $145.00 | $41.32–$145.00 | — | 45% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC, Platelet, No Differential (LC) | $79.75 | $145.00 | $41.32–$145.00 | — | 45% |
| Complete blood count (CBC), no differential inpatient CPT 85027 Complete Blood Count w/Reflex Differential Manual | $79.75 | $145.00 | $41.32–$145.00 | — | 45% |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel | $166.56 | $694.00 | $9.31–$694.00 | 126% above | 76% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 80053 COMPREHEN METABOLIC PANEL | $20.90 | $38.00 | $10.83–$38.00 | — | 45% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive Metabolic Panel | $381.70 | $694.00 | $197.79–$694.00 | — | 45% |
| D-dimer blood test (blood clot marker) CPT 85379 D Dimer Quant | $91.44 | $381.00 | $8.98–$381.00 | 25% below | 76% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 85379 FIBRIN DEGRADATION QUANT | $20.35 | $37.00 | $10.54–$37.00 | — | 45% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D Dimer Quant | $209.55 | $381.00 | $108.58–$381.00 | — | 45% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone Sulfate (RL) | $160.32 | $668.00 | $19.61–$668.00 | 9% above | 76% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-Sulfate, Serum LC | $160.32 | $668.00 | $19.61–$668.00 | 9% above | 76% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-Sulfate, Serum LC | $367.40 | $668.00 | $190.38–$668.00 | — | 45% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dehydroepiandrosterone Sulfate (RL) | $367.40 | $668.00 | $190.38–$668.00 | — | 45% |
| Estradiol blood test CPT 82670 Estradiol, LC/MS (Endocrine Sciences) (LC) | $146.64 | $611.00 | $24.64–$611.00 | 28% above | 76% |
| Estradiol blood test CPT 82670 Estradiol Level | $146.64 | $611.00 | $24.64–$611.00 | 28% above | 76% |
| Estradiol blood test CPT 82670 Estradiol (LC) | $146.64 | $611.00 | $24.64–$611.00 | 28% above | 76% |
| Estradiol blood test CPT 82670 Estradiol, Sensitive LC/MS (LC) | $146.64 | $611.00 | $24.64–$611.00 | 28% above | 76% |
| Estradiol blood test CPT 82670 82670 L4606 ESTRADIOL 889 | $146.64 | $611.00 | $24.64–$611.00 | 28% above | 76% |
| Estradiol blood test CPT 82670 Estradiol Ultrasensitive LC-MS/MS RL | $146.64 | $611.00 | $24.64–$611.00 | 28% above | 76% |
| Estradiol blood test inpatient CPT 82670 Estradiol Ultrasensitive LC-MS/MS RL | $336.05 | $611.00 | $174.13–$611.00 | — | 45% |
| Estradiol blood test inpatient CPT 82670 Estradiol, Sensitive LC/MS (LC) | $336.05 | $611.00 | $174.13–$611.00 | — | 45% |
| Estradiol blood test inpatient CPT 82670 Estradiol, LC/MS (Endocrine Sciences) (LC) | $336.05 | $611.00 | $174.13–$611.00 | — | 45% |
| Estradiol blood test inpatient CPT 82670 Estradiol Level | $336.05 | $611.00 | $174.13–$611.00 | — | 45% |
| Estradiol blood test inpatient CPT 82670 Estradiol (LC) | $336.05 | $611.00 | $174.13–$611.00 | — | 45% |
| Estradiol blood test inpatient CPT 82670 82670 L4606 ESTRADIOL 889 | $336.05 | $611.00 | $174.13–$611.00 | — | 45% |
| FSH (follicle-stimulating hormone) test CPT 83001 Follicle Stimulating Hormone Serum | $124.32 | $518.00 | $16.39–$518.00 | 5% above | 76% |
| FSH (follicle-stimulating hormone) test CPT 83001 83001 L28480 FSH - 889 | $124.32 | $518.00 | $16.39–$518.00 | 5% above | 76% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH, Pediatric (LC) | $124.32 | $518.00 | $16.39–$518.00 | 5% above | 76% |
| FSH (follicle-stimulating hormone) test CPT 83001 Follicle Stimulating Hormone (RL) | $124.32 | $518.00 | $16.39–$518.00 | 5% above | 76% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 83001 Follicle Stimulating Hormone | $10.22 | $18.58 | $5.30–$18.58 | — | 45% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH and LH LC | $10.22 | $18.58 | $5.30–$18.58 | — | 45% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 Follicle Stimulating Hormone Serum | $284.90 | $518.00 | $147.63–$518.00 | — | 45% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH, Pediatric (LC) | $284.90 | $518.00 | $147.63–$518.00 | — | 45% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 Follicle Stimulating Hormone (RL) | $284.90 | $518.00 | $147.63–$518.00 | — | 45% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 83001 L28480 FSH - 889 | $284.90 | $518.00 | $147.63–$518.00 | — | 45% |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin Feces (RL) | $171.12 | $713.00 | $17.32–$713.00 | 4% below | 76% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Calprotectin Feces (RL) | $392.15 | $713.00 | $203.20–$713.00 | — | 45% |
| Ferritin blood test (iron stores) CPT 82728 82728 ASSAY OF FERRITIN | $12.00 | $50.00 | $12.00–$50.00 | 79% below | 76% |
| Ferritin blood test (iron stores) CPT 82728 Ferritin | $100.08 | $417.00 | $12.02–$417.00 | 73% above | 76% |
| Ferritin blood test (iron stores) CPT 82728 Ferritin, Serum (LC) | $100.08 | $417.00 | $12.02–$417.00 | 73% above | 76% |
| Ferritin blood test (iron stores) inpatient CPT 82728 82728 ASSAY OF FERRITIN | $27.50 | $50.00 | $14.25–$50.00 | — | 45% |
| Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin, Serum (LC) | $229.35 | $417.00 | $118.84–$417.00 | — | 45% |
| Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin | $229.35 | $417.00 | $118.84–$417.00 | — | 45% |
| Folate (folic acid) blood test CPT 82746 Folate (Folic Acid) Serum LC | $58.80 | $245.00 | $12.97–$245.00 | 18% below | 76% |
| Folate (folic acid) blood test CPT 82746 82746 L810 FOLATE SERUM 889 | $58.80 | $245.00 | $12.97–$245.00 | 18% below | 76% |
| Folate (folic acid) blood test CPT 82746 Folate Level | $69.12 | $288.00 | $12.97–$288.00 | 3% below | 76% |
| Folate (folic acid) blood test inpatient CPT 82746 Folate (Folic Acid) Serum LC | $134.75 | $245.00 | $69.82–$245.00 | — | 45% |
| Folate (folic acid) blood test inpatient CPT 82746 82746 L810 FOLATE SERUM 889 | $134.75 | $245.00 | $69.82–$245.00 | — | 45% |
| Folate (folic acid) blood test inpatient CPT 82746 Folate Level | $158.40 | $288.00 | $82.08–$288.00 | — | 45% |
| Free T3 thyroid hormone test CPT 84481 84481 FREE ASSAY (FT-3) | $12.72 | $53.00 | $12.72–$53.00 | 89% below | 76% |
| Free T3 thyroid hormone test CPT 84481 Triiodothyronine 3 Free | $97.92 | $408.00 | $14.94–$408.00 | 14% below | 76% |
| Free T3 thyroid hormone test CPT 84481 T3, Free, Dialysis, LC/MS-MS LC | $97.92 | $408.00 | $14.94–$408.00 | 14% below | 76% |
| Free T3 thyroid hormone test CPT 84481 84481 T3,FREE | $97.92 | $408.00 | $14.94–$408.00 | 14% below | 76% |
| Free T3 thyroid hormone test CPT 84481 Triiodothyronine 3 Free Serum (RL) | $97.92 | $408.00 | $14.94–$408.00 | 14% below | 76% |
| Free T3 thyroid hormone test inpatient CPT 84481 84481 FREE ASSAY (FT-3) | $29.15 | $53.00 | $15.10–$53.00 | — | 45% |
| Free T3 thyroid hormone test inpatient CPT 84481 Triiodothyronine 3 Free | $224.40 | $408.00 | $116.28–$408.00 | — | 45% |
| Free T3 thyroid hormone test inpatient CPT 84481 Triiodothyronine 3 Free Serum (RL) | $224.40 | $408.00 | $116.28–$408.00 | — | 45% |
| Free T3 thyroid hormone test inpatient CPT 84481 84481 T3,FREE | $224.40 | $408.00 | $116.28–$408.00 | — | 45% |
| Free T3 thyroid hormone test inpatient CPT 84481 T3, Free, Dialysis, LC/MS-MS LC | $224.40 | $408.00 | $116.28–$408.00 | — | 45% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 84439 ASSAY OF FREE THYROXINE | $7.92 | $33.00 | $7.92–$33.00 | 89% below | 76% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 84439 THYROXINE T4, FREE | $114.00 | $475.00 | $7.96–$475.00 | 53% above | 76% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine 4 Free | $114.00 | $475.00 | $7.96–$475.00 | 53% above | 76% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine (T4) Free, Direct, S (LC) | $114.00 | $475.00 | $7.96–$475.00 | 53% above | 76% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Free T4 by Dialysis/Mass Spec (RL) | $114.00 | $475.00 | $7.96–$475.00 | 53% above | 76% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 84439 ASSAY OF FREE THYROXINE | $18.15 | $33.00 | $9.40–$33.00 | — | 45% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 84439 THYROXINE T4, FREE | $261.25 | $475.00 | $135.38–$475.00 | — | 45% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Thyroxine (T4) Free, Direct, S (LC) | $261.25 | $475.00 | $135.38–$475.00 | — | 45% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Free T4 by Dialysis/Mass Spec (RL) | $261.25 | $475.00 | $135.38–$475.00 | — | 45% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Thyroxine 4 Free | $261.25 | $475.00 | $135.38–$475.00 | — | 45% |
| Free testosterone test CPT 84402 84402-L500726 TST EQ MS PN | $58.56 | $244.00 | $22.46–$244.00 | 28% below | 76% |
| Free testosterone test CPT 84402 Testosterone Free Direct (LC) | $62.16 | $259.00 | $22.46–$259.00 | 23% below | 76% |
| Free testosterone test CPT 84402 84402 TESTOSTERONE, FREE | $62.16 | $259.00 | $22.46–$259.00 | 23% below | 76% |
| Free testosterone test inpatient CPT 84402 84402-L500726 TST EQ MS PN | $134.20 | $244.00 | $69.54–$244.00 | — | 45% |
| Free testosterone test inpatient CPT 84402 84402 TESTOSTERONE, FREE | $142.45 | $259.00 | $73.81–$259.00 | — | 45% |
| Free testosterone test inpatient CPT 84402 Testosterone Free Direct (LC) | $142.45 | $259.00 | $73.81–$259.00 | — | 45% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General Health Panel CS INDM | $122.64 | $511.00 | $58.90–$511.00 | 56% below | 76% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General Health Panel CS INSJ | $122.64 | $511.00 | $58.90–$511.00 | 56% below | 76% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General Health Panel CS INKC | $122.64 | $511.00 | $58.90–$511.00 | 56% below | 76% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General Health Panel INBR | $122.64 | $511.00 | $58.90–$511.00 | 56% below | 76% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General Health Panel CS INDH | $122.64 | $511.00 | $58.90–$511.00 | 56% below | 76% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General Health Panel INLH | $142.56 | $594.00 | $58.90–$594.00 | 49% below | 76% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 General Health Panel CS INKC | $281.05 | $511.00 | $145.63–$511.00 | — | 45% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 General Health Panel INBR | $281.05 | $511.00 | $145.63–$511.00 | — | 45% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 General Health Panel CS INDM | $281.05 | $511.00 | $145.63–$511.00 | — | 45% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 General Health Panel CS INDH | $281.05 | $511.00 | $145.63–$511.00 | — | 45% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 General Health Panel CS INSJ | $281.05 | $511.00 | $145.63–$511.00 | — | 45% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 General Health Panel INLH | $326.70 | $594.00 | $169.29–$594.00 | — | 45% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 .GTT 1st Hour OB | $39.12 | $163.00 | $4.19–$163.00 | 5% below | 76% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Gest. Diabetes 1-Hr Screen (RL) | $94.80 | $395.00 | $4.19–$395.00 | 131% above | 76% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose 1 Hr Postprandial | $94.80 | $395.00 | $4.19–$395.00 | 131% above | 76% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 .GTT 1st Hr OB | $94.80 | $395.00 | $4.19–$395.00 | 131% above | 76% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 .GTT 1st Hour OB | $89.65 | $163.00 | $46.45–$163.00 | — | 45% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose 1 Hr Postprandial | $217.25 | $395.00 | $112.57–$395.00 | — | 45% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 .GTT 1st Hr OB | $217.25 | $395.00 | $112.57–$395.00 | — | 45% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Gest. Diabetes 1-Hr Screen (RL) | $217.25 | $395.00 | $112.57–$395.00 | — | 45% |
| Glucose tolerance test, 3 samples CPT 82951 82951 GLUCOSE TOLERANCE TEST (GTT) | $11.28 | $47.00 | $11.28–$47.00 | 84% below | 76% |
| Glucose tolerance test, 3 samples CPT 82951 .GTT Fasting | $104.88 | $437.00 | $11.35–$437.00 | 47% above | 76% |
| Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance 2Hr Pnl | $104.88 | $437.00 | $11.35–$437.00 | 47% above | 76% |
| Glucose tolerance test, 3 samples CPT 82951 82951 L46300 GTT 3 SPEC 889 | $104.88 | $437.00 | $11.35–$437.00 | 47% above | 76% |
| Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance Test, 3 Specimensn++CQ | $104.88 | $437.00 | $11.35–$437.00 | 47% above | 76% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 82951 GLUCOSE TOLERANCE TEST (GTT) | $25.85 | $47.00 | $13.39–$47.00 | — | 45% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose Tolerance Test, 3 Specimensn++CQ | $240.35 | $437.00 | $124.54–$437.00 | — | 45% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose Tolerance 2Hr Pnl | $240.35 | $437.00 | $124.54–$437.00 | — | 45% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 .GTT Fasting | $240.35 | $437.00 | $124.54–$437.00 | — | 45% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 82951 L46300 GTT 3 SPEC 889 | $240.35 | $437.00 | $124.54–$437.00 | — | 45% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 N.GONORRHOEAE DNA AMP PROB | $30.48 | $127.00 | $30.48–$127.00 | 69% below | 76% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 PapIG CtNg rfx Aptima HPV ASCU LC | $56.40 | $235.00 | $30.95–$235.00 | 42% below | 76% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 L188698 NG AMP PRB 889 | $59.28 | $247.00 | $30.95–$247.00 | 39% below | 76% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 L180049 | $59.28 | $247.00 | $30.95–$247.00 | 39% below | 76% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 L199310 PAPIG 889 | $59.28 | $247.00 | $30.95–$247.00 | 39% below | 76% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 L188698 NG AMP PRB | $59.28 | $247.00 | $30.95–$247.00 | 39% below | 76% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Gonorrhea DNA Amplified Probe I | $61.20 | $255.00 | $30.95–$255.00 | 37% below | 76% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 L199320 8894836 NG AMP PRB | $61.20 | $255.00 | $30.95–$255.00 | 37% below | 76% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 L188070 N GONO AMP 889 | $61.20 | $255.00 | $30.95–$255.00 | 37% below | 76% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 L199320 NG AMP PRB | $61.20 | $255.00 | $30.95–$255.00 | 37% below | 76% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 IGP, CtNgTv HPV Rfx 16/18,45 LC | $61.20 | $255.00 | $30.95–$255.00 | 37% below | 76% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 IGP, CtNgTv Rfx HPV ASCU LC | $61.20 | $255.00 | $30.95–$255.00 | 37% below | 76% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 L196565 NG AMP PRB 889 | $61.20 | $255.00 | $30.95–$255.00 | 37% below | 76% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 L196527 NG AMP PRB 889 | $61.20 | $255.00 | $30.95–$255.00 | 37% below | 76% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 L183160 N GONO AMP 889 | $61.20 | $255.00 | $30.95–$255.00 | 37% below | 76% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 N.GONORRHO,DNA,AMPPR | $61.20 | $255.00 | $30.95–$255.00 | 37% below | 76% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 Pap IG, Ct-Ng TV LC | $61.20 | $255.00 | $30.95–$255.00 | 37% below | 76% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 87591 N.GONORRHOEAE DNA AMP PROB | $69.85 | $127.00 | $36.20–$127.00 | — | 45% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 87591 PapIG CtNg rfx Aptima HPV ASCU LC | $129.25 | $235.00 | $66.97–$235.00 | — | 45% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 87591 L188698 NG AMP PRB | $135.85 | $247.00 | $70.39–$247.00 | — | 45% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 87591 L199310 PAPIG 889 | $135.85 | $247.00 | $70.39–$247.00 | — | 45% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 87591 L180049 | $135.85 | $247.00 | $70.39–$247.00 | — | 45% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 87591 L188698 NG AMP PRB 889 | $135.85 | $247.00 | $70.39–$247.00 | — | 45% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 87591 L188070 N GONO AMP 889 | $140.25 | $255.00 | $72.67–$255.00 | — | 45% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 87591 L183160 N GONO AMP 889 | $140.25 | $255.00 | $72.67–$255.00 | — | 45% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 87591 IGP, CtNgTv Rfx HPV ASCU LC | $140.25 | $255.00 | $72.67–$255.00 | — | 45% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 87591 L196527 NG AMP PRB 889 | $140.25 | $255.00 | $72.67–$255.00 | — | 45% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 87591 L199320 NG AMP PRB | $140.25 | $255.00 | $72.67–$255.00 | — | 45% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 87591 L199320 8894836 NG AMP PRB | $140.25 | $255.00 | $72.67–$255.00 | — | 45% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 87591 Pap IG, Ct-Ng TV LC | $140.25 | $255.00 | $72.67–$255.00 | — | 45% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 87591 IGP, CtNgTv HPV Rfx 16/18,45 LC | $140.25 | $255.00 | $72.67–$255.00 | — | 45% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 87591 L196565 NG AMP PRB 889 | $140.25 | $255.00 | $72.67–$255.00 | — | 45% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Gonorrhea DNA Amplified Probe I | $140.25 | $255.00 | $72.67–$255.00 | — | 45% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 87591 N.GONORRHO,DNA,AMPPR | $140.25 | $255.00 | $72.67–$255.00 | — | 45% |
| H. pylori antibody blood test CPT 86677 86677 Helicobacter Pylori POC AMB -BCE | $10.80 | $45.00 | $10.80–$50.55 | 89% below | 76% |
| H. pylori antibody blood test CPT 86677 Helicobacter Pylori POC AMB | $10.80 | $45.00 | $10.80–$50.55 | 89% below | 76% |
| H. pylori antibody blood test CPT 86677 H pylori Antibody IgM (LC) | $24.24 | $101.00 | $14.86–$101.00 | 76% below | 76% |
| H. pylori antibody blood test CPT 86677 Helicobacter pylori Ab IgG | $24.24 | $101.00 | $14.86–$101.00 | 76% below | 76% |
| H. pylori antibody blood test CPT 86677 H pylori Antibody IgA (LC) | $24.24 | $101.00 | $14.86–$101.00 | 76% below | 76% |
| H. pylori antibody blood test CPT 86677 H pylori Antibody IgG (LC) | $24.24 | $101.00 | $14.86–$101.00 | 76% below | 76% |
| H. pylori antibody blood test CPT 86677 86677 H PYLORI AB QL | $24.24 | $101.00 | $14.86–$101.00 | 76% below | 76% |
| H. pylori antibody blood test CPT 86677 86677 H PYLORI AB QL 889 | $24.24 | $101.00 | $14.86–$101.00 | 76% below | 76% |
| H. pylori antibody blood test inpatient CPT 86677 86677 Helicobacter Pylori POC AMB -BCE | $24.75 | $45.00 | $12.82–$45.00 | — | 45% |
| H. pylori antibody blood test inpatient CPT 86677 Helicobacter Pylori POC AMB | $24.75 | $45.00 | $12.82–$45.00 | — | 45% |
| H. pylori antibody blood test inpatient CPT 86677 86677 H PYLORI AB QL 889 | $55.55 | $101.00 | $28.78–$101.00 | — | 45% |
| H. pylori antibody blood test inpatient CPT 86677 86677 H PYLORI AB QL | $55.55 | $101.00 | $28.78–$101.00 | — | 45% |
| H. pylori antibody blood test inpatient CPT 86677 H pylori Antibody IgM (LC) | $55.55 | $101.00 | $28.78–$101.00 | — | 45% |
| H. pylori antibody blood test inpatient CPT 86677 H pylori Antibody IgG (LC) | $55.55 | $101.00 | $28.78–$101.00 | — | 45% |
| H. pylori antibody blood test inpatient CPT 86677 Helicobacter pylori Ab IgG | $55.55 | $101.00 | $28.78–$101.00 | — | 45% |
| H. pylori antibody blood test inpatient CPT 86677 H pylori Antibody IgA (LC) | $55.55 | $101.00 | $28.78–$101.00 | — | 45% |
| H. pylori stool antigen test CPT 87338 Helicobacter pylori Ag EIA Stool (CQ) | $75.36 | $314.00 | $12.68–$314.00 | 39% below | 76% |
| H. pylori stool antigen test CPT 87338 H pylori Stool Antigen EIA (RL) | $79.92 | $333.00 | $12.68–$333.00 | 36% below | 76% |
| H. pylori stool antigen test CPT 87338 Helicobacter pylori Fecal IA | $79.92 | $333.00 | $12.68–$333.00 | 36% below | 76% |
| H. pylori stool antigen test inpatient CPT 87338 Helicobacter pylori Ag EIA Stool (CQ) | $172.70 | $314.00 | $89.49–$314.00 | — | 45% |
| H. pylori stool antigen test inpatient CPT 87338 Helicobacter pylori Fecal IA | $183.15 | $333.00 | $94.90–$333.00 | — | 45% |
| H. pylori stool antigen test inpatient CPT 87338 H pylori Stool Antigen EIA (RL) | $183.15 | $333.00 | $94.90–$333.00 | — | 45% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 87536 L551700 HIV1 DNA QT 889 | $178.32 | $743.00 | $75.06–$743.00 | 51% below | 76% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV RNA, PCR (Graph) rfx/Geno EDI (LC) | $200.40 | $835.00 | $75.06–$835.00 | 45% below | 76% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 RealTime Abbott LC | $200.40 | $835.00 | $75.06–$835.00 | 45% below | 76% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV1 QT PCR w/ Reflex Graphical LC | $200.40 | $835.00 | $75.06–$835.00 | 45% below | 76% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 .GenoSure PRIme(R) Quant RNA PCR (LC) | $200.40 | $835.00 | $75.06–$835.00 | 45% below | 76% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 .GenoSure(R) MG Quant RNA PCR (LC) | $200.40 | $835.00 | $75.06–$835.00 | 45% below | 76% |
| HIV viral load test (HIV-1 RNA, quantitative) one side CPT 87536 RNA RT PCR Graph (LC) | $200.40 | $835.00 | $75.06–$835.00 | 45% below | 76% |
| HIV viral load test (HIV-1 RNA, quantitative) one side CPT 87536 HIV1 RNA RT PCR Non-Graph (LC) | $200.40 | $835.00 | $75.06–$835.00 | 45% below | 76% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 87536 L551700 HIV1 DNA QT 889 | $408.65 | $743.00 | $211.75–$743.00 | — | 45% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV1 QT PCR w/ Reflex Graphical LC | $459.25 | $835.00 | $237.97–$835.00 | — | 45% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 .GenoSure(R) MG Quant RNA PCR (LC) | $459.25 | $835.00 | $237.97–$835.00 | — | 45% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 RealTime Abbott LC | $459.25 | $835.00 | $237.97–$835.00 | — | 45% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 .GenoSure PRIme(R) Quant RNA PCR (LC) | $459.25 | $835.00 | $237.97–$835.00 | — | 45% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV RNA, PCR (Graph) rfx/Geno EDI (LC) | $459.25 | $835.00 | $237.97–$835.00 | — | 45% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient one side CPT 87536 HIV1 RNA RT PCR Non-Graph (LC) | $459.25 | $835.00 | $237.97–$835.00 | — | 45% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient one side CPT 87536 RNA RT PCR Graph (LC) | $459.25 | $835.00 | $237.97–$835.00 | — | 45% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 87624 Pap IG,CtNg HPV APTIMA RfxGeno 16/18/45 LC | $61.92 | $258.00 | $30.95–$258.00 | 40% below | 76% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 SO 87624 AP Bill HPV High Risk Types | $61.92 | $258.00 | $30.95–$258.00 | 40% below | 76% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 87624 L199305 HPV HR 889 | $61.92 | $258.00 | $30.95–$258.00 | 40% below | 76% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 87624 L198190 HPV HR 889 | $61.92 | $258.00 | $30.95–$258.00 | 40% below | 76% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 .HPV Low Risk (LC) | $61.92 | $258.00 | $30.95–$258.00 | 40% below | 76% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV DNA Low High Risk (RL) | $61.92 | $258.00 | $30.95–$258.00 | 40% below | 76% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV Aptima LC | $61.92 | $258.00 | $30.95–$258.00 | 40% below | 76% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 87624 IGP, CtNgTv HPV Rfx 16/18,45 LC | $61.92 | $258.00 | $30.95–$258.00 | 40% below | 76% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 87624 L192197 HPV HR 889 | $61.92 | $258.00 | $30.95–$258.00 | 40% below | 76% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 87624 L199310 PAPIG 889 | $61.92 | $258.00 | $30.95–$258.00 | 40% below | 76% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 87624 HPV HIGH RISK TYPES | $61.92 | $258.00 | $30.95–$258.00 | 40% below | 76% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 87624 IGP, cobasHPV, rfx16/18 (LC) | $61.92 | $258.00 | $30.95–$258.00 | 40% below | 76% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 87624 PAP IGP Aptima HPV L199330 | $61.92 | $258.00 | $30.95–$258.00 | 40% below | 76% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 87624 PAP IGP Aptima HPV L199330 | $141.90 | $258.00 | $73.53–$258.00 | — | 45% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 SO 87624 AP Bill HPV High Risk Types | $141.90 | $258.00 | $73.53–$258.00 | — | 45% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 .HPV Low Risk (LC) | $141.90 | $258.00 | $73.53–$258.00 | — | 45% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 87624 L199310 PAPIG 889 | $141.90 | $258.00 | $73.53–$258.00 | — | 45% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 87624 HPV HIGH RISK TYPES | $141.90 | $258.00 | $73.53–$258.00 | — | 45% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV DNA Low High Risk (RL) | $141.90 | $258.00 | $73.53–$258.00 | — | 45% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV Aptima LC | $141.90 | $258.00 | $73.53–$258.00 | — | 45% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 87624 IGP, CtNgTv HPV Rfx 16/18,45 LC | $141.90 | $258.00 | $73.53–$258.00 | — | 45% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 87624 L199305 HPV HR 889 | $141.90 | $258.00 | $73.53–$258.00 | — | 45% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 87624 L198190 HPV HR 889 | $141.90 | $258.00 | $73.53–$258.00 | — | 45% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 87624 IGP, cobasHPV, rfx16/18 (LC) | $141.90 | $258.00 | $73.53–$258.00 | — | 45% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 87624 Pap IG,CtNg HPV APTIMA RfxGeno 16/18/45 LC | $141.90 | $258.00 | $73.53–$258.00 | — | 45% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 87624 L192197 HPV HR 889 | $141.90 | $258.00 | $73.53–$258.00 | — | 45% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 83036 Hemoglobin A1c POC AMB -BCE | $12.72 | $53.00 | $8.57–$53.00 | 80% below | 76% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c POC AMB | $12.72 | $53.00 | $8.57–$53.00 | 80% below | 76% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c (RL) | $39.12 | $163.00 | $8.57–$163.00 | 38% below | 76% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HgbA1c w/ Estimated Average Glucose | $62.64 | $261.00 | $8.57–$261.00 | 1% below | 76% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 83036 Hemoglobin A1c POC AMB -BCE | $29.15 | $53.00 | $15.10–$53.00 | — | 45% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1c POC AMB | $29.15 | $53.00 | $15.10–$53.00 | — | 45% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1c (RL) | $89.65 | $163.00 | $46.45–$163.00 | — | 45% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HgbA1c w/ Estimated Average Glucose | $143.55 | $261.00 | $74.38–$261.00 | — | 45% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Ab Qual (RL) | $48.00 | $200.00 | $9.48–$200.00 | 18% below | 76% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Antibody | $63.36 | $264.00 | $9.48–$264.00 | 9% above | 76% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 86706 HEP B SURFACE AB | $63.36 | $264.00 | $9.48–$264.00 | 9% above | 76% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis B Surface Ab Qual (RL) | $110.00 | $200.00 | $57.00–$200.00 | — | 45% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis B Surface Antibody | $145.20 | $264.00 | $75.24–$264.00 | — | 45% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 86706 HEP B SURFACE AB | $145.20 | $264.00 | $75.24–$264.00 | — | 45% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 87340 HEPATITIS B SURFACE AG EIA | $7.68 | $32.00 | $7.68–$32.00 | 84% below | 76% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Antigen | $77.76 | $324.00 | $9.11–$324.00 | 59% above | 76% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 87340 HBSAG | $77.76 | $324.00 | $9.11–$324.00 | 59% above | 76% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HBV Surface Antigen Screen (RL) | $77.76 | $324.00 | $9.11–$324.00 | 59% above | 76% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 87340 HEPATITIS B SURFACE AG EIA | $17.60 | $32.00 | $9.12–$32.00 | — | 45% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface Antigen | $178.20 | $324.00 | $92.34–$324.00 | — | 45% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HBV Surface Antigen Screen (RL) | $178.20 | $324.00 | $92.34–$324.00 | — | 45% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 87340 HBSAG | $178.20 | $324.00 | $92.34–$324.00 | — | 45% |
| Hepatitis C antibody blood test (screening) CPT 86803 Hep C Testing POC AMB | $18.72 | $78.00 | $12.58–$78.00 | 78% below | 76% |
| Hepatitis C antibody blood test (screening) CPT 86803 86803 Hep C Testing POC AMB -BCE | $18.72 | $78.00 | $12.58–$78.00 | 78% below | 76% |
| Hepatitis C antibody blood test (screening) CPT 86803 HCV Antibody reflex to NAA (LC) | $107.76 | $449.00 | $12.58–$449.00 | 30% above | 76% |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Virus Antibody (LC) | $107.76 | $449.00 | $12.58–$449.00 | 30% above | 76% |
| Hepatitis C antibody blood test (screening) CPT 86803 HCV Ab w/Reflex HCV Quant | $107.76 | $449.00 | $12.58–$449.00 | 30% above | 76% |
| Hepatitis C antibody blood test (screening) CPT 86803 HCV Antibody rfx Quant PCR (RL) | $107.76 | $449.00 | $12.58–$449.00 | 30% above | 76% |
| Hepatitis C antibody blood test (screening) CPT 86803 HCV Ab w/Reflex to Verification (LC) | $107.76 | $449.00 | $12.58–$449.00 | 30% above | 76% |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C IgG Antibody | $107.76 | $449.00 | $12.58–$449.00 | 30% above | 76% |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Antibody w/Rfx HCV RNA PCR Rfx Geno Li | $107.76 | $449.00 | $12.58–$449.00 | 30% above | 76% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 86803 Hep C Testing POC AMB -BCE | $42.90 | $78.00 | $22.23–$78.00 | — | 45% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hep C Testing POC AMB | $42.90 | $78.00 | $22.23–$78.00 | — | 45% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCV Ab w/Reflex HCV Quant | $246.95 | $449.00 | $127.96–$449.00 | — | 45% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C Virus Antibody (LC) | $246.95 | $449.00 | $127.96–$449.00 | — | 45% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C Antibody w/Rfx HCV RNA PCR Rfx Geno Li | $246.95 | $449.00 | $127.96–$449.00 | — | 45% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C IgG Antibody | $246.95 | $449.00 | $127.96–$449.00 | — | 45% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCV Ab w/Reflex to Verification (LC) | $246.95 | $449.00 | $127.96–$449.00 | — | 45% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCV Antibody reflex to NAA (LC) | $246.95 | $449.00 | $127.96–$449.00 | — | 45% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCV Antibody rfx Quant PCR (RL) | $246.95 | $449.00 | $127.96–$449.00 | — | 45% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA PCR Quant Reflex Geno (LC) | $342.00 | $1,425.00 | $37.78–$1,425.00 | 83% above | 76% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV qRT-PCR (plasma) (VC) | $362.64 | $1,511.00 | $37.78–$1,511.00 | 94% above | 76% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hepatitis C Virus (HCV) RNA, Diagnosis (LC) | $362.64 | $1,511.00 | $37.78–$1,511.00 | 94% above | 76% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hepatitis C Virus RNA PCR Quant Reflex Geno (LC) | $362.64 | $1,511.00 | $37.78–$1,511.00 | 94% above | 76% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RealTime Abbott (LC) | $362.64 | $1,511.00 | $37.78–$1,511.00 | 94% above | 76% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV Real-Time, PCR, Quant (LC) | $362.64 | $1,511.00 | $37.78–$1,511.00 | 94% above | 76% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV Quant GT1a NS5A Profile LC | $362.64 | $1,511.00 | $37.78–$1,511.00 | 94% above | 76% |
| Hepatitis C viral load (HCV RNA) test one side CPT 87522 Hepatitis C Virus RT PCR Quant Graph (LC) | $362.64 | $1,511.00 | $37.78–$1,511.00 | 94% above | 76% |
| Hepatitis C viral load (HCV RNA) test one side CPT 87522 HCV RT PCR Quant Non-Graph (RL) | $362.64 | $1,511.00 | $37.78–$1,511.00 | 94% above | 76% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA PCR Quant Reflex Geno (LC) | $783.75 | $1,425.00 | $406.12–$1,425.00 | — | 45% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV Quant GT1a NS5A Profile LC | $831.05 | $1,511.00 | $430.63–$1,511.00 | — | 45% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hepatitis C Virus RNA PCR Quant Reflex Geno (LC) | $831.05 | $1,511.00 | $430.63–$1,511.00 | — | 45% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hepatitis C Virus (HCV) RNA, Diagnosis (LC) | $831.05 | $1,511.00 | $430.63–$1,511.00 | — | 45% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV Real-Time, PCR, Quant (LC) | $831.05 | $1,511.00 | $430.63–$1,511.00 | — | 45% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV qRT-PCR (plasma) (VC) | $831.05 | $1,511.00 | $430.63–$1,511.00 | — | 45% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RealTime Abbott (LC) | $831.05 | $1,511.00 | $430.63–$1,511.00 | — | 45% |
| Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 Hepatitis C Virus RT PCR Quant Graph (LC) | $831.05 | $1,511.00 | $430.63–$1,511.00 | — | 45% |
| Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 HCV RT PCR Quant Non-Graph (RL) | $831.05 | $1,511.00 | $430.63–$1,511.00 | — | 45% |
| Herpes blood test, HSV-1 antibody CPT 86695 86695 HERPES SIMPLEX TYPE 1 TEST | $9.84 | $41.00 | $9.84–$41.00 | 80% below | 76% |
| Herpes blood test, HSV-1 antibody CPT 86695 86695 HERPES SIMP TYPE 1 | $86.40 | $360.00 | $11.64–$360.00 | 75% above | 76% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 86695 HERPES SIMPLEX TYPE 1 TEST | $22.55 | $41.00 | $11.68–$41.00 | — | 45% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 86695 HERPES SIMP TYPE 1 | $198.00 | $360.00 | $102.60–$360.00 | — | 45% |
| Herpes blood test, HSV-2 antibody CPT 86696 86696 HERPES SIMPLEX TYPE 2 TEST | $16.80 | $70.00 | $16.80–$70.00 | 76% below | 76% |
| Herpes blood test, HSV-2 antibody CPT 86696 .HSV2 IgG Supplemental (LC) | $86.40 | $360.00 | $17.06–$360.00 | 22% above | 76% |
| Herpes blood test, HSV-2 antibody CPT 86696 86696 HERPES SIMP TYPE 2 | $86.40 | $360.00 | $17.06–$360.00 | 22% above | 76% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 Specific Ab IgG (LC) | $86.40 | $360.00 | $17.06–$360.00 | 22% above | 76% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 86696 HERPES SIMPLEX TYPE 2 TEST | $38.50 | $70.00 | $19.95–$70.00 | — | 45% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 86696 HERPES SIMP TYPE 2 | $198.00 | $360.00 | $102.60–$360.00 | — | 45% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 Specific Ab IgG (LC) | $198.00 | $360.00 | $102.60–$360.00 | — | 45% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 .HSV2 IgG Supplemental (LC) | $198.00 | $360.00 | $102.60–$360.00 | — | 45% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C Reactive Protein High Sensitivity | $74.88 | $312.00 | $11.42–$312.00 | 6% above | 76% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C Reactive Protein High Sensitivity | $171.60 | $312.00 | $88.92–$312.00 | — | 45% |
| Homocysteine blood test CPT 83090 Homocysteine Level | $250.80 | $1,045.00 | $15.80–$1,045.00 | 101% above | 76% |
| Homocysteine blood test CPT 83090 83090 HOMOCYSTEINE | $250.80 | $1,045.00 | $15.80–$1,045.00 | 101% above | 76% |
| Homocysteine blood test CPT 83090 Homocysteine Plasma (LC) | $250.80 | $1,045.00 | $15.80–$1,045.00 | 101% above | 76% |
| Homocysteine blood test CPT 83090 Homocysteine Urine LC | $250.80 | $1,045.00 | $15.80–$1,045.00 | 101% above | 76% |
| Homocysteine blood test inpatient CPT 83090 Homocysteine Urine LC | $574.75 | $1,045.00 | $297.82–$1,045.00 | — | 45% |
| Homocysteine blood test inpatient CPT 83090 83090 HOMOCYSTEINE | $574.75 | $1,045.00 | $297.82–$1,045.00 | — | 45% |
| Homocysteine blood test inpatient CPT 83090 Homocysteine Plasma (LC) | $574.75 | $1,045.00 | $297.82–$1,045.00 | — | 45% |
| Homocysteine blood test inpatient CPT 83090 Homocysteine Level | $574.75 | $1,045.00 | $297.82–$1,045.00 | — | 45% |
| Insulin blood test CPT 83525 Insulin Total | $113.04 | $471.00 | $10.08–$471.00 | 79% above | 76% |
| Insulin blood test CPT 83525 83525 L213660 INSULIN TOT 889 | $113.04 | $471.00 | $10.08–$471.00 | 79% above | 76% |
| Insulin blood test CPT 83525 83525 INSULIN, TOTAL | $113.04 | $471.00 | $10.08–$471.00 | 79% above | 76% |
| Insulin blood test CPT 83525 Insulin (LC) | $113.04 | $471.00 | $10.08–$471.00 | 79% above | 76% |
| Insulin blood test inpatient CPT 83525 83525 L213660 INSULIN TOT 889 | $259.05 | $471.00 | $134.23–$471.00 | — | 45% |
| Insulin blood test inpatient CPT 83525 Insulin Total | $259.05 | $471.00 | $134.23–$471.00 | — | 45% |
| Insulin blood test inpatient CPT 83525 Insulin (LC) | $259.05 | $471.00 | $134.23–$471.00 | — | 45% |
| Insulin blood test inpatient CPT 83525 83525 INSULIN, TOTAL | $259.05 | $471.00 | $134.23–$471.00 | — | 45% |
| Iron blood test (serum iron) CPT 83540 83540 ASSAY OF IRON | $5.76 | $24.00 | $5.71–$24.00 | 86% below | 76% |
| Iron blood test (serum iron) CPT 83540 Iron Blood | $53.76 | $224.00 | $5.71–$224.00 | 32% above | 76% |
| Iron blood test (serum iron) CPT 83540 IRON LIVER TISSUE L840029 | $53.76 | $224.00 | $5.71–$224.00 | 32% above | 76% |
| Iron blood test (serum iron) CPT 83540 83540 IRON | $53.76 | $224.00 | $5.71–$224.00 | 32% above | 76% |
| Iron blood test (serum iron) CPT 83540 83540 L501819 IRON 889 | $53.76 | $224.00 | $5.71–$224.00 | 32% above | 76% |
| Iron blood test (serum iron) inpatient CPT 83540 83540 ASSAY OF IRON | $13.20 | $24.00 | $6.84–$24.00 | — | 45% |
| Iron blood test (serum iron) inpatient CPT 83540 83540 L501819 IRON 889 | $123.20 | $224.00 | $63.84–$224.00 | — | 45% |
| Iron blood test (serum iron) inpatient CPT 83540 83540 IRON | $123.20 | $224.00 | $63.84–$224.00 | — | 45% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON LIVER TISSUE L840029 | $123.20 | $224.00 | $63.84–$224.00 | — | 45% |
| Iron blood test (serum iron) inpatient CPT 83540 Iron Blood | $123.20 | $224.00 | $63.84–$224.00 | — | 45% |
| Iron-binding capacity (TIBC) test CPT 83550 83550 IRON BINDING TEST | $7.68 | $32.00 | $7.68–$32.00 | 82% below | 76% |
| Iron-binding capacity (TIBC) test CPT 83550 Unsaturated Iron Binding Capacity | $53.76 | $224.00 | $7.71–$224.00 | 29% above | 76% |
| Iron-binding capacity (TIBC) test CPT 83550 83550 IRON BINDING CAPACIT | $53.76 | $224.00 | $7.71–$224.00 | 29% above | 76% |
| Iron-binding capacity (TIBC) test CPT 83550 Total Iron Binding Capacity DM | $53.76 | $224.00 | $7.71–$224.00 | 29% above | 76% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 83550 IRON BINDING TEST | $17.60 | $32.00 | $9.12–$32.00 | — | 45% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 83550 IRON BINDING CAPACIT | $123.20 | $224.00 | $63.84–$224.00 | — | 45% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 Unsaturated Iron Binding Capacity | $123.20 | $224.00 | $63.84–$224.00 | — | 45% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 Total Iron Binding Capacity DM | $123.20 | $224.00 | $63.84–$224.00 | — | 45% |
| Kidney function blood test panel CPT 80069 Renal Function Panel | $131.76 | $549.00 | $7.66–$549.00 | 36% above | 76% |
| Kidney function blood test panel inpatient CPT 80069 Renal Function Panel | $301.95 | $549.00 | $156.46–$549.00 | — | 45% |
| LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone, Pediatric LC | $136.80 | $570.00 | $16.34–$570.00 | 2% below | 76% |
| LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone | $136.80 | $570.00 | $16.34–$570.00 | 2% below | 76% |
| LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone S (RL) | $136.80 | $570.00 | $16.34–$570.00 | 2% below | 76% |
| LH (luteinizing hormone) test CPT 83002 83002 L28480 LH - 889 | $136.80 | $570.00 | $16.34–$570.00 | 2% below | 76% |
| LH (luteinizing hormone) test inpatient CPT 83002 83002 Luteinizing Hormone S | $10.19 | $18.52 | $5.28–$18.52 | — | 45% |
| LH (luteinizing hormone) test inpatient CPT 83002 Luteinizing Hormone | $313.50 | $570.00 | $162.45–$570.00 | — | 45% |
| LH (luteinizing hormone) test inpatient CPT 83002 83002 L28480 LH - 889 | $313.50 | $570.00 | $162.45–$570.00 | — | 45% |
| LH (luteinizing hormone) test inpatient CPT 83002 Luteinizing Hormone, Pediatric LC | $313.50 | $570.00 | $162.45–$570.00 | — | 45% |
| LH (luteinizing hormone) test inpatient CPT 83002 Luteinizing Hormone S (RL) | $313.50 | $570.00 | $162.45–$570.00 | — | 45% |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase Body Fluid (LC) | $68.16 | $284.00 | $6.08–$284.00 | 23% below | 76% |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase Level | $68.16 | $284.00 | $6.08–$284.00 | 23% below | 76% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase Body Fluid (LC) | $156.20 | $284.00 | $80.94–$284.00 | — | 45% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase Level | $156.20 | $284.00 | $80.94–$284.00 | — | 45% |
| Liver function blood test panel CPT 80076 Hepatic Function Panel | $108.48 | $452.00 | $7.21–$452.00 | 19% above | 76% |
| Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel | $248.60 | $452.00 | $128.82–$452.00 | — | 45% |
| Lyme disease antibody test CPT 86618 86618 Lyme Disease Antibodies POC AMB -BCE | $13.44 | $56.00 | $13.44–$56.00 | 86% below | 76% |
| Lyme disease antibody test CPT 86618 Lyme Disease Antibodies POC AMB | $13.44 | $56.00 | $13.44–$56.00 | 86% below | 76% |
| Lyme disease antibody test CPT 86618 86618 LYME DISEASE AB | $171.84 | $716.00 | $15.02–$716.00 | 83% above | 76% |
| Lyme disease antibody test CPT 86618 Lyme Disease Total Ab Rfx Immunoassay LC | $171.84 | $716.00 | $15.02–$716.00 | 83% above | 76% |
| Lyme disease antibody test CPT 86618 Lyme Disease Total Ab Test w/Reflex (LC) | $171.84 | $716.00 | $15.02–$716.00 | 83% above | 76% |
| Lyme disease antibody test inpatient CPT 86618 86618 Lyme Disease Antibodies POC AMB -BCE | $30.80 | $56.00 | $15.96–$56.00 | — | 45% |
| Lyme disease antibody test inpatient CPT 86618 Lyme Disease Antibodies POC AMB | $30.80 | $56.00 | $15.96–$56.00 | — | 45% |
| Lyme disease antibody test inpatient CPT 86618 86618 LYME DISEASE AB | $393.80 | $716.00 | $204.06–$716.00 | — | 45% |
| Lyme disease antibody test inpatient CPT 86618 Lyme Disease Total Ab Test w/Reflex (LC) | $393.80 | $716.00 | $204.06–$716.00 | — | 45% |
| Lyme disease antibody test inpatient CPT 86618 Lyme Disease Total Ab Rfx Immunoassay LC | $393.80 | $716.00 | $204.06–$716.00 | — | 45% |
| Magnesium blood test CPT 83735 83735 ASSAY OF MAGNESIUM | $6.00 | $25.00 | $5.91–$25.00 | 86% below | 76% |
| Magnesium blood test CPT 83735 Magnesium, Serum CQ | $36.96 | $154.00 | $5.91–$154.00 | 16% below | 76% |
| Magnesium blood test CPT 83735 Magnesium, U (LC) | $36.96 | $154.00 | $5.91–$154.00 | 16% below | 76% |
| Magnesium blood test CPT 83735 83735 MAGNESIUM | $36.96 | $154.00 | $5.91–$154.00 | 16% below | 76% |
| Magnesium blood test CPT 83735 Magnesium Red Blood Cell (RL) | $36.96 | $154.00 | $5.91–$154.00 | 16% below | 76% |
| Magnesium blood test CPT 83735 Magnesium Serum | $36.96 | $154.00 | $5.91–$154.00 | 16% below | 76% |
| Magnesium blood test CPT 83735 Magnesium, Serum LC | $36.96 | $154.00 | $5.91–$154.00 | 16% below | 76% |
| Magnesium blood test CPT 83735 83735 L306266 MAGNESIUM | $36.96 | $154.00 | $5.91–$154.00 | 16% below | 76% |
| Magnesium blood test inpatient CPT 83735 83735 ASSAY OF MAGNESIUM | $13.75 | $25.00 | $7.12–$25.00 | — | 45% |
| Magnesium blood test inpatient CPT 83735 83735 L306266 MAGNESIUM | $84.70 | $154.00 | $43.89–$154.00 | — | 45% |
| Magnesium blood test inpatient CPT 83735 83735 MAGNESIUM | $84.70 | $154.00 | $43.89–$154.00 | — | 45% |
| Magnesium blood test inpatient CPT 83735 Magnesium, Serum LC | $84.70 | $154.00 | $43.89–$154.00 | — | 45% |
| Magnesium blood test inpatient CPT 83735 Magnesium, Serum CQ | $84.70 | $154.00 | $43.89–$154.00 | — | 45% |
| Magnesium blood test inpatient CPT 83735 Magnesium Serum | $84.70 | $154.00 | $43.89–$154.00 | — | 45% |
| Magnesium blood test inpatient CPT 83735 Magnesium, U (LC) | $84.70 | $154.00 | $43.89–$154.00 | — | 45% |
| Magnesium blood test inpatient CPT 83735 Magnesium Red Blood Cell (RL) | $84.70 | $154.00 | $43.89–$154.00 | — | 45% |
| Measles (rubeola) antibody test CPT 86765 86765 RUBEOLA AB | $67.68 | $282.00 | $11.36–$282.00 | 7% below | 76% |
| Measles (rubeola) antibody test CPT 86765 Rubeola Antibody IgG (RL) | $67.68 | $282.00 | $11.36–$282.00 | 7% below | 76% |
| Measles (rubeola) antibody test CPT 86765 Rubeola Antibody IgM (RL) | $67.68 | $282.00 | $11.36–$282.00 | 7% below | 76% |
| Measles (rubeola) antibody test CPT 86765 Measles IgG | $67.68 | $282.00 | $11.36–$282.00 | 7% below | 76% |
| Measles (rubeola) antibody test inpatient CPT 86765 Rubeola Antibody IgG (RL) | $155.10 | $282.00 | $80.37–$282.00 | — | 45% |
| Measles (rubeola) antibody test inpatient CPT 86765 Measles IgG | $155.10 | $282.00 | $80.37–$282.00 | — | 45% |
| Measles (rubeola) antibody test inpatient CPT 86765 Rubeola Antibody IgM (RL) | $155.10 | $282.00 | $80.37–$282.00 | — | 45% |
| Measles (rubeola) antibody test inpatient CPT 86765 86765 RUBEOLA AB | $155.10 | $282.00 | $80.37–$282.00 | — | 45% |
| Mono test (heterophile antibody, Monospot) CPT 86308 86308 Mononucleosis POC AMB -BCE | $6.72 | $28.00 | $4.57–$28.00 | 91% below | 76% |
| Mono test (heterophile antibody, Monospot) CPT 86308 Mononucleosis POC AMB | $6.72 | $28.00 | $4.57–$28.00 | 91% below | 76% |
| Mono test (heterophile antibody, Monospot) CPT 86308 Mononucleosis Screen | $52.80 | $220.00 | $4.57–$220.00 | 27% below | 76% |
| Mono test (heterophile antibody, Monospot) CPT 86308 Mono Qual W/Rflx Qn (LC) | $52.80 | $220.00 | $4.57–$220.00 | 27% below | 76% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 86308 Mononucleosis POC AMB -BCE | $15.40 | $28.00 | $7.98–$28.00 | — | 45% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Mononucleosis POC AMB | $15.40 | $28.00 | $7.98–$28.00 | — | 45% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Mono Qual W/Rflx Qn (LC) | $121.00 | $220.00 | $62.70–$220.00 | — | 45% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Mononucleosis Screen | $121.00 | $220.00 | $62.70–$220.00 | — | 45% |
| Obstetric blood test panel CPT 80055 Obstetrics Panel A CS | $61.68 | $257.00 | $42.16–$257.00 | 79% below | 76% |
| Obstetric blood test panel CPT 80055 Obstetric Panel CS INDH | $61.68 | $257.00 | $42.16–$257.00 | 79% below | 76% |
| Obstetric blood test panel CPT 80055 Obstetric Panel CS | $67.44 | $281.00 | $42.16–$281.00 | 77% below | 76% |
| Obstetric blood test panel inpatient CPT 80055 Obstetrics Panel A CS | $141.35 | $257.00 | $73.24–$257.00 | — | 45% |
| Obstetric blood test panel inpatient CPT 80055 Obstetric Panel CS INDH | $141.35 | $257.00 | $73.24–$257.00 | — | 45% |
| Obstetric blood test panel inpatient CPT 80055 Obstetric Panel CS | $154.55 | $281.00 | $80.08–$281.00 | — | 45% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 84154 L480780 PSA, FREE 889 | $79.92 | $333.00 | $16.22–$333.00 | 15% above | 76% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 %fPSA Reflex (LC) | $79.92 | $333.00 | $16.22–$333.00 | 15% above | 76% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 84154 L480947 PSA, FREE | $79.92 | $333.00 | $16.22–$333.00 | 15% above | 76% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 84154 PSA, FREE | $79.92 | $333.00 | $16.22–$333.00 | 15% above | 76% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 84154 L480780 PSA, FREE 889 | $183.15 | $333.00 | $94.90–$333.00 | — | 45% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 84154 L480947 PSA, FREE | $183.15 | $333.00 | $94.90–$333.00 | — | 45% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 84154 PSA, FREE | $183.15 | $333.00 | $94.90–$333.00 | — | 45% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 %fPSA Reflex (LC) | $183.15 | $333.00 | $94.90–$333.00 | — | 45% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 84153 ASSAY OF PSA TOTAL | $16.08 | $67.00 | $16.08–$67.00 | 78% below | 76% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate-Specific Ag, Serum RL | $57.60 | $240.00 | $16.22–$240.00 | 22% below | 76% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (Reflex To Free) (Serial) LC | $94.32 | $393.00 | $16.22–$393.00 | 28% above | 76% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 84153 PSA, TOTAL | $94.32 | $393.00 | $16.22–$393.00 | 28% above | 76% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA, Serum (Serial Monitor) LC | $94.32 | $393.00 | $16.22–$393.00 | 28% above | 76% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate Specific Ag Total | $94.32 | $393.00 | $16.22–$393.00 | 28% above | 76% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 84153 L480947 PSA, TOTAL | $94.32 | $393.00 | $16.22–$393.00 | 28% above | 76% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Total (Reflex To Free) (LC) | $94.32 | $393.00 | $16.22–$393.00 | 28% above | 76% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 84153 L480780 PSA, TOTAL 889 | $94.32 | $393.00 | $16.22–$393.00 | 28% above | 76% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 84153 ASSAY OF PSA TOTAL | $36.85 | $67.00 | $19.09–$67.00 | — | 45% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostate-Specific Ag, Serum RL | $132.00 | $240.00 | $68.40–$240.00 | — | 45% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA (Reflex To Free) (Serial) LC | $216.15 | $393.00 | $112.00–$393.00 | — | 45% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostate Specific Ag Total | $216.15 | $393.00 | $112.00–$393.00 | — | 45% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 84153 L480780 PSA, TOTAL 889 | $216.15 | $393.00 | $112.00–$393.00 | — | 45% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA Total (Reflex To Free) (LC) | $216.15 | $393.00 | $112.00–$393.00 | — | 45% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 84153 PSA, TOTAL | $216.15 | $393.00 | $112.00–$393.00 | — | 45% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA, Serum (Serial Monitor) LC | $216.15 | $393.00 | $112.00–$393.00 | — | 45% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 84153 L480947 PSA, TOTAL | $216.15 | $393.00 | $112.00–$393.00 | — | 45% |
| Pap test (liquid-based, automated screening with review) CPT 88175 88175 L196565 PAP AU MN RS 889 | $55.92 | $233.00 | $23.47–$233.00 | 29% below | 76% |
| Pap test (liquid-based, automated screening with review) CPT 88175 88175 L196527 PAP AU MN RS 889 | $55.92 | $233.00 | $23.47–$233.00 | 29% below | 76% |
| Pap test (liquid-based, automated screening with review) CPT 88175 88175 IGP, CtNgTv HPV Rfx 16/18,45 LC | $56.40 | $235.00 | $23.47–$235.00 | 28% below | 76% |
| Pap test (liquid-based, automated screening with review) CPT 88175 88175 IGP, cobasHPV, rfx16/18 (LC) | $56.40 | $235.00 | $23.47–$235.00 | 28% below | 76% |
| Pap test (liquid-based, automated screening with review) CPT 88175 88175 PAP IGP Aptima HPV L199330 | $56.40 | $235.00 | $23.47–$235.00 | 28% below | 76% |
| Pap test (liquid-based, automated screening with review) CPT 88175 88175 L199320 8894837 PAP AU MN RS | $56.40 | $235.00 | $23.47–$235.00 | 28% below | 76% |
| Pap test (liquid-based, automated screening with review) CPT 88175 PapIG rfx Aptima HPV ASCU LC | $56.40 | $235.00 | $23.47–$235.00 | 28% below | 76% |
| Pap test (liquid-based, automated screening with review) CPT 88175 88175 L198190 PAP AU MN RS 889 | $56.40 | $235.00 | $23.47–$235.00 | 28% below | 76% |
| Pap test (liquid-based, automated screening with review) CPT 88175 88175 L199305 PAP AU MN RS 889 | $56.40 | $235.00 | $23.47–$235.00 | 28% below | 76% |
| Pap test (liquid-based, automated screening with review) CPT 88175 88175 L199320 PAP AU MN RS | $56.40 | $235.00 | $23.47–$235.00 | 28% below | 76% |
| Pap test (liquid-based, automated screening with review) CPT 88175 88175 L199310 PAPIG 889 | $56.40 | $235.00 | $23.47–$235.00 | 28% below | 76% |
| Pap test (liquid-based, automated screening with review) CPT 88175 88175 PAP DIAG AUTO MAN RS | $56.40 | $235.00 | $23.47–$235.00 | 28% below | 76% |
| Pap test (liquid-based, automated screening with review) CPT 88175 Pap IG, rflx HPV ASCU LC | $56.40 | $235.00 | $23.47–$235.00 | 28% below | 76% |
| Pap test (liquid-based, automated screening with review) CPT 88175 Pap IG, rflx HPV all pth LC | $56.40 | $235.00 | $23.47–$235.00 | 28% below | 76% |
| Pap test (liquid-based, automated screening with review) CPT 88175 Pap IG (Image Guided) (LC) | $56.40 | $235.00 | $23.47–$235.00 | 28% below | 76% |
| Pap test (liquid-based, automated screening with review) CPT 88175 88175 AP Bill Cytopath C-V Autoprep Rescr u MD | $56.40 | $235.00 | $23.47–$235.00 | 28% below | 76% |
| Pap test (liquid-based, automated screening with review) CPT 88175 88175 IGP, CtNgTv Rfx HPV ASCU LC | $56.40 | $235.00 | $23.47–$235.00 | 28% below | 76% |
| Pap test (liquid-based, automated screening with review) CPT 88175 88175 Pap IG, Ct-Ng TV LC | $56.40 | $235.00 | $23.47–$235.00 | 28% below | 76% |
| Pap test (liquid-based, automated screening with review) CPT 88175 88175 Pap IG,CtNg HPV APTIMA RfxGeno 16/18/45 LC | $56.40 | $235.00 | $23.47–$235.00 | 28% below | 76% |
| Pap test (liquid-based, automated screening with review) CPT 88175 88175 PapIG CtNg rfx Aptima HPV ASCU LC | $63.60 | $265.00 | $23.47–$265.00 | 19% below | 76% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 88175 L196527 PAP AU MN RS 889 | $128.15 | $233.00 | $66.41–$233.00 | — | 45% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 88175 L196565 PAP AU MN RS 889 | $128.15 | $233.00 | $66.41–$233.00 | — | 45% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 88175 PAP IGP Aptima HPV L199330 | $129.25 | $235.00 | $66.97–$235.00 | — | 45% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Pap IG (Image Guided) (LC) | $129.25 | $235.00 | $66.97–$235.00 | — | 45% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 88175 Pap IG,CtNg HPV APTIMA RfxGeno 16/18/45 LC | $129.25 | $235.00 | $66.97–$235.00 | — | 45% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 88175 AP Bill Cytopath C-V Autoprep Rescr u MD | $129.25 | $235.00 | $66.97–$235.00 | — | 45% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 88175 IGP, cobasHPV, rfx16/18 (LC) | $129.25 | $235.00 | $66.97–$235.00 | — | 45% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 88175 IGP, CtNgTv Rfx HPV ASCU LC | $129.25 | $235.00 | $66.97–$235.00 | — | 45% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 88175 Pap IG, Ct-Ng TV LC | $129.25 | $235.00 | $66.97–$235.00 | — | 45% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 88175 IGP, CtNgTv HPV Rfx 16/18,45 LC | $129.25 | $235.00 | $66.97–$235.00 | — | 45% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 PapIG rfx Aptima HPV ASCU LC | $129.25 | $235.00 | $66.97–$235.00 | — | 45% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 88175 L199320 PAP AU MN RS | $129.25 | $235.00 | $66.97–$235.00 | — | 45% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 88175 L199310 PAPIG 889 | $129.25 | $235.00 | $66.97–$235.00 | — | 45% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 88175 L199305 PAP AU MN RS 889 | $129.25 | $235.00 | $66.97–$235.00 | — | 45% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 88175 L198190 PAP AU MN RS 889 | $129.25 | $235.00 | $66.97–$235.00 | — | 45% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 88175 L199320 8894837 PAP AU MN RS | $129.25 | $235.00 | $66.97–$235.00 | — | 45% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Pap IG, rflx HPV all pth LC | $129.25 | $235.00 | $66.97–$235.00 | — | 45% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Pap IG, rflx HPV ASCU LC | $129.25 | $235.00 | $66.97–$235.00 | — | 45% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 88175 PAP DIAG AUTO MAN RS | $129.25 | $235.00 | $66.97–$235.00 | — | 45% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 88175 PapIG CtNg rfx Aptima HPV ASCU LC | $145.75 | $265.00 | $75.52–$265.00 | — | 45% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 88142 L192197 PAP TL LQ DG 889 | $72.72 | $303.00 | $17.87–$303.00 | 4% above | 76% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Pap Smears (RLNI) Assoc Path | $72.72 | $303.00 | $17.87–$303.00 | 4% above | 76% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 88142 Pap IG,CtNg HPV APTIMA RfxGeno 16/18/45 LC | $72.72 | $303.00 | $17.87–$303.00 | 4% above | 76% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Change IG Pap to LB Pap | $72.72 | $303.00 | $17.87–$303.00 | 4% above | 76% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 88142 AP Bill Gyn Cytology Liquid Prep | $72.72 | $303.00 | $17.87–$303.00 | 4% above | 76% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Pap Liquid Based (LC) | $72.72 | $303.00 | $17.87–$303.00 | 4% above | 76% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 PAPLBRHPV LC | $72.72 | $303.00 | $17.87–$303.00 | 4% above | 76% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 88142 CYTOPATH C-V THINLAY | $72.72 | $303.00 | $17.87–$303.00 | 4% above | 76% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Change IG Pap to LB Pap | $166.65 | $303.00 | $86.35–$303.00 | — | 45% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Pap Smears (RLNI) Assoc Path | $166.65 | $303.00 | $86.35–$303.00 | — | 45% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 88142 L192197 PAP TL LQ DG 889 | $166.65 | $303.00 | $86.35–$303.00 | — | 45% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 88142 Pap IG,CtNg HPV APTIMA RfxGeno 16/18/45 LC | $166.65 | $303.00 | $86.35–$303.00 | — | 45% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 88142 CYTOPATH C-V THINLAY | $166.65 | $303.00 | $86.35–$303.00 | — | 45% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 PAPLBRHPV LC | $166.65 | $303.00 | $86.35–$303.00 | — | 45% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Pap Liquid Based (LC) | $166.65 | $303.00 | $86.35–$303.00 | — | 45% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 88142 AP Bill Gyn Cytology Liquid Prep | $166.65 | $303.00 | $86.35–$303.00 | — | 45% |
| Parathyroid hormone (PTH) blood test CPT 83970 83970 ASSAY OF PARATHORMONE | $35.76 | $149.00 | $35.76–$149.00 | 81% below | 76% |
| Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hormone Intact (RL) | $322.56 | $1,344.00 | $36.41–$1,344.00 | 71% above | 76% |
| Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hormone Intact | $322.56 | $1,344.00 | $36.41–$1,344.00 | 71% above | 76% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 83970 ASSAY OF PARATHORMONE | $81.95 | $149.00 | $42.46–$149.00 | — | 45% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathyroid Hormone Intact (RL) | $739.20 | $1,344.00 | $383.04–$1,344.00 | — | 45% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathyroid Hormone Intact | $739.20 | $1,344.00 | $383.04–$1,344.00 | — | 45% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 85730 L117079 APTT 889 | $38.40 | $160.00 | $5.30–$160.00 | 22% below | 76% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Partial Thromboplastin Time | $45.60 | $190.00 | $5.30–$190.00 | 7% below | 76% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 85730 THROMBOPLAST TIMEPTT | $45.60 | $190.00 | $5.30–$190.00 | 7% below | 76% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 85730 L503426 APTT 889 | $45.60 | $190.00 | $5.30–$190.00 | 7% below | 76% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 85730 L500070 APTT 889 | $45.60 | $190.00 | $5.30–$190.00 | 7% below | 76% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 85730 L117079 APTT 889 | $88.00 | $160.00 | $45.60–$160.00 | — | 45% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 85730 THROMBOPLAST TIMEPTT | $104.50 | $190.00 | $54.15–$190.00 | — | 45% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 85730 L503426 APTT 889 | $104.50 | $190.00 | $54.15–$190.00 | — | 45% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 85730 L500070 APTT 889 | $104.50 | $190.00 | $54.15–$190.00 | — | 45% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Partial Thromboplastin Time | $104.50 | $190.00 | $54.15–$190.00 | — | 45% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 informaSeq(R) Prenatal Test LC | $760.56 | $3,169.00 | $669.48–$3,169.00 | 10% below | 76% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 MaterniT21 PLUS Core+ESS+SCA LC | $965.76 | $4,024.00 | $669.48–$4,024.00 | 15% above | 76% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 MaterniT21 PLUS Core (chr21,18,13,sex) LC | $965.76 | $4,024.00 | $669.48–$4,024.00 | 15% above | 76% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 informaSeq(R) Prenatal Test LC | $1,742.95 | $3,169.00 | $903.16–$3,169.00 | — | 45% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 MaterniT21 PLUS Core (chr21,18,13,sex) LC | $2,213.20 | $4,024.00 | $1,146.84–$4,024.00 | — | 45% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 MaterniT21 PLUS Core+ESS+SCA LC | $2,213.20 | $4,024.00 | $1,146.84–$4,024.00 | — | 45% |
| Progesterone blood test CPT 84144 Progesterone Level | $151.92 | $633.00 | $18.40–$633.00 | 12% above | 76% |
| Progesterone blood test CPT 84144 Progesterone (LC) | $151.92 | $633.00 | $18.40–$633.00 | 12% above | 76% |
| Progesterone blood test inpatient CPT 84144 Progesterone (LC) | $348.15 | $633.00 | $180.40–$633.00 | — | 45% |
| Progesterone blood test inpatient CPT 84144 Progesterone Level | $348.15 | $633.00 | $180.40–$633.00 | — | 45% |
| Prolactin blood test CPT 84146 Prolactin Serum (LC) | $180.96 | $754.00 | $17.09–$754.00 | 86% above | 76% |
| Prolactin blood test CPT 84146 Prolactin Level | $180.96 | $754.00 | $17.09–$754.00 | 86% above | 76% |
| Prolactin blood test CPT 84146 Prolactin - Send Out to CQ | $180.96 | $754.00 | $17.09–$754.00 | 86% above | 76% |
| Prolactin blood test inpatient CPT 84146 Prolactin - Send Out to CQ | $414.70 | $754.00 | $214.89–$754.00 | — | 45% |
| Prolactin blood test inpatient CPT 84146 Prolactin Serum (LC) | $414.70 | $754.00 | $214.89–$754.00 | — | 45% |
| Prolactin blood test inpatient CPT 84146 Prolactin Level | $414.70 | $754.00 | $214.89–$754.00 | — | 45% |
| Prothrombin time (PT/INR) clotting test CPT 85610 85610 Prothrombin and INR POC AMB -BCE | $3.60 | $15.00 | $3.60–$15.00 | 86% below | 76% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Coag Clinic POC PT INR | $3.89 | $16.20 | $3.78–$16.20 | 85% below | 76% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin and INR POC AMB | $5.28 | $22.00 | $3.78–$22.00 | 80% below | 76% |
| Prothrombin time (PT/INR) clotting test CPT 85610 CoaguChek XS/INR Waived LC | $13.92 | $58.00 | $3.78–$58.00 | 46% below | 76% |
| Prothrombin time (PT/INR) clotting test CPT 85610 85610 L117079 PT 889 | $30.48 | $127.00 | $3.78–$127.00 | 18% above | 76% |
| Prothrombin time (PT/INR) clotting test CPT 85610 85610 L500070 PT 889 | $32.40 | $135.00 | $3.78–$135.00 | 25% above | 76% |
| Prothrombin time (PT/INR) clotting test CPT 85610 .ISTAT PT w/INR POC | $32.40 | $135.00 | $3.78–$135.00 | 25% above | 76% |
| Prothrombin time (PT/INR) clotting test CPT 85610 85610 L503426 PT 889 | $32.40 | $135.00 | $3.78–$135.00 | 25% above | 76% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time w/INR | $32.40 | $135.00 | $3.78–$135.00 | 25% above | 76% |
| Prothrombin time (PT/INR) clotting test CPT 85610 .Protime w/INR POC | $32.40 | $135.00 | $3.78–$135.00 | 25% above | 76% |
| Prothrombin time (PT/INR) clotting test CPT 85610 85610 PROTHROMBIN TIME | $32.40 | $135.00 | $3.78–$135.00 | 25% above | 76% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 85610 Prothrombin and INR POC AMB -BCE | $8.25 | $15.00 | $4.27–$15.00 | — | 45% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Coag Clinic POC PT INR | $8.91 | $16.20 | $4.62–$16.20 | — | 45% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin and INR POC AMB | $12.10 | $22.00 | $6.27–$22.00 | — | 45% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 CoaguChek XS/INR Waived LC | $31.90 | $58.00 | $16.53–$58.00 | — | 45% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 85610 L117079 PT 889 | $69.85 | $127.00 | $36.20–$127.00 | — | 45% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time w/INR | $74.25 | $135.00 | $38.47–$135.00 | — | 45% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 .Protime w/INR POC | $74.25 | $135.00 | $38.47–$135.00 | — | 45% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 85610 L500070 PT 889 | $74.25 | $135.00 | $38.47–$135.00 | — | 45% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 .ISTAT PT w/INR POC | $74.25 | $135.00 | $38.47–$135.00 | — | 45% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 85610 PROTHROMBIN TIME | $74.25 | $135.00 | $38.47–$135.00 | — | 45% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 85610 L503426 PT 889 | $74.25 | $135.00 | $38.47–$135.00 | — | 45% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Drug Screen POC AMB | $9.60 | $40.00 | $9.60–$40.00 | 89% below | 76% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Drug Screen POC AMB | $22.00 | $40.00 | $11.40–$40.00 | — | 45% |
| Rapid flu test (influenza antigen) CPT 87804 87804 Influenza POC AMB -BCE | $10.56 | $44.00 | $10.56–$49.65 | 78% below | 76% |
| Rapid flu test (influenza antigen) CPT 87804 87804 Influenza A and B Screen POC AMB Add On | $14.88 | $62.00 | $14.60–$62.00 | 69% below | 76% |
| Rapid flu test (influenza antigen) CPT 87804 Influenza POC AMB | $14.88 | $62.00 | $14.60–$62.00 | 69% below | 76% |
| Rapid flu test (influenza antigen) CPT 87804 87804 59 INFLUENZA ASSAY W-OP | $48.24 | $201.00 | $14.60–$201.00 | 1% below | 76% |
| Rapid flu test (influenza antigen) CPT 87804 87804 INFLUENZA ASSAY W-OP | $48.24 | $201.00 | $14.60–$201.00 | 1% below | 76% |
| Rapid flu test (influenza antigen) CPT 87804 Influenza B Antigen Result | $64.80 | $270.00 | $14.60–$270.00 | 34% above | 76% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 87804 Influenza POC AMB -BCE | $24.20 | $44.00 | $12.54–$44.00 | — | 45% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza POC AMB | $34.10 | $62.00 | $17.67–$62.00 | — | 45% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 87804 Influenza A and B Screen POC AMB Add On | $34.10 | $62.00 | $17.67–$62.00 | — | 45% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 87804 INFLUENZA ASSAY W-OP | $110.55 | $201.00 | $57.28–$201.00 | — | 45% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 87804 59 INFLUENZA ASSAY W-OP | $110.55 | $201.00 | $57.28–$201.00 | — | 45% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza B Antigen Result | $148.50 | $270.00 | $76.95–$270.00 | — | 45% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Rapid Strep POC AMB 87880 | $15.84 | $66.00 | $14.58–$66.00 | 79% below | 76% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 87880 Rapid Strep POC AMB 87880 -BCE | $15.84 | $66.00 | $14.58–$66.00 | 79% below | 76% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep A Antigen Result Quidel | $17.28 | $72.00 | $14.58–$72.00 | 77% below | 76% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Streptococcus A Antigen IA1 | $17.28 | $72.00 | $14.58–$72.00 | 77% below | 76% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 87880 Rapid Strep POC AMB 87880 -BCE | $36.30 | $66.00 | $18.81–$66.00 | — | 45% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Rapid Strep POC AMB 87880 | $36.30 | $66.00 | $18.81–$66.00 | — | 45% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Streptococcus A Antigen IA1 | $39.60 | $72.00 | $20.52–$72.00 | — | 45% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Strep A Antigen Result Quidel | $39.60 | $72.00 | $20.52–$72.00 | — | 45% |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Arthritis Factor (RL) | $52.32 | $218.00 | $5.00–$218.00 | 11% above | 76% |
| Rheumatoid factor (RF) test CPT 86431 86431 L22236 RA FACT QT 889 | $52.32 | $218.00 | $5.00–$218.00 | 11% above | 76% |
| Rheumatoid factor (RF) test CPT 86431 86431 L164245 RA FACT QT 889 | $52.32 | $218.00 | $5.00–$218.00 | 11% above | 76% |
| Rheumatoid factor (RF) test CPT 86431 86431 Rheumatoid Fact Quant | $52.32 | $218.00 | $5.00–$218.00 | 11% above | 76% |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor, IgM by EIA (RDL) (LC) | $52.32 | $218.00 | $5.00–$218.00 | 11% above | 76% |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Quant Auto | $52.32 | $218.00 | $5.00–$218.00 | 11% above | 76% |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Titer | $52.32 | $218.00 | $5.00–$218.00 | 11% above | 76% |
| Rheumatoid factor (RF) test CPT 86431 86431 RHEUMATOID FACT QUAN | $52.32 | $218.00 | $5.00–$218.00 | 11% above | 76% |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor (RF), IgM LC | $52.32 | $218.00 | $5.00–$218.00 | 11% above | 76% |
| Rheumatoid factor (RF) test CPT 86431 86431 L520293 RA FACT QT | $52.32 | $218.00 | $5.00–$218.00 | 11% above | 76% |
| Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor Titer | $119.90 | $218.00 | $62.13–$218.00 | — | 45% |
| Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor, IgM by EIA (RDL) (LC) | $119.90 | $218.00 | $62.13–$218.00 | — | 45% |
| Rheumatoid factor (RF) test inpatient CPT 86431 86431 L22236 RA FACT QT 889 | $119.90 | $218.00 | $62.13–$218.00 | — | 45% |
| Rheumatoid factor (RF) test inpatient CPT 86431 86431 Rheumatoid Fact Quant | $119.90 | $218.00 | $62.13–$218.00 | — | 45% |
| Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor Quant Auto | $119.90 | $218.00 | $62.13–$218.00 | — | 45% |
| Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor (RF), IgM LC | $119.90 | $218.00 | $62.13–$218.00 | — | 45% |
| Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Arthritis Factor (RL) | $119.90 | $218.00 | $62.13–$218.00 | — | 45% |
| Rheumatoid factor (RF) test inpatient CPT 86431 86431 L164245 RA FACT QT 889 | $119.90 | $218.00 | $62.13–$218.00 | — | 45% |
| Rheumatoid factor (RF) test inpatient CPT 86431 86431 RHEUMATOID FACT QUAN | $119.90 | $218.00 | $62.13–$218.00 | — | 45% |
| Rheumatoid factor (RF) test inpatient CPT 86431 86431 L520293 RA FACT QT | $119.90 | $218.00 | $62.13–$218.00 | — | 45% |
| Rubella antibody test (immunity check) CPT 86762 86762 RUBELLA ANTIBODY | $12.48 | $52.00 | $12.48–$52.00 | 81% below | 76% |
| Rubella antibody test (immunity check) CPT 86762 Rubella IgG Antibody | $58.80 | $245.00 | $12.69–$245.00 | 12% below | 76% |
| Rubella antibody test (immunity check) CPT 86762 Rubella Ab IgG Auto w/Interp | $58.80 | $245.00 | $12.69–$245.00 | 12% below | 76% |
| Rubella antibody test (immunity check) CPT 86762 Rubella Antibody IgG Auto | $58.80 | $245.00 | $12.69–$245.00 | 12% below | 76% |
| Rubella antibody test (immunity check) CPT 86762 Rubella Antibody IgG (LC) | $58.80 | $245.00 | $12.69–$245.00 | 12% below | 76% |
| Rubella antibody test (immunity check) CPT 86762 Rubella Antibody IgM (RL) | $58.80 | $245.00 | $12.69–$245.00 | 12% below | 76% |
| Rubella antibody test (immunity check) CPT 86762 86762 RUBELLA AB | $58.80 | $245.00 | $12.69–$245.00 | 12% below | 76% |
| Rubella antibody test (immunity check) inpatient CPT 86762 86762 RUBELLA ANTIBODY | $28.60 | $52.00 | $14.82–$52.00 | — | 45% |
| Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Antibody IgM (RL) | $134.75 | $245.00 | $69.82–$245.00 | — | 45% |
| Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Antibody IgG Auto | $134.75 | $245.00 | $69.82–$245.00 | — | 45% |
| Rubella antibody test (immunity check) inpatient CPT 86762 86762 RUBELLA AB | $134.75 | $245.00 | $69.82–$245.00 | — | 45% |
| Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Antibody IgG (LC) | $134.75 | $245.00 | $69.82–$245.00 | — | 45% |
| Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Ab IgG Auto w/Interp | $134.75 | $245.00 | $69.82–$245.00 | — | 45% |
| Rubella antibody test (immunity check) inpatient CPT 86762 Rubella IgG Antibody | $134.75 | $245.00 | $69.82–$245.00 | — | 45% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 85652 L22236 SED RATE AUTO 889 | $4.08 | $17.00 | $2.39–$17.00 | 89% below | 76% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 85652 L164245 SED RATE AUT 889 | $4.08 | $17.00 | $2.39–$17.00 | 89% below | 76% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Erythrocyte Sedimentation Rate Automated | $34.80 | $145.00 | $2.39–$145.00 | 10% below | 76% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 85652 L22236 SED RATE AUTO 889 | $9.35 | $17.00 | $4.84–$17.00 | — | 45% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 85652 L164245 SED RATE AUT 889 | $9.35 | $17.00 | $4.84–$17.00 | — | 45% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 Erythrocyte Sedimentation Rate Automated | $79.75 | $145.00 | $41.32–$145.00 | — | 45% |
| Stool ova and parasites exam CPT 87177 87177 L188110 OP SMEAR 889 | $106.56 | $444.00 | $7.85–$444.00 | 126% above | 76% |
| Stool ova and parasites exam CPT 87177 O+P Exam, Formalin Only (LC) | $106.56 | $444.00 | $7.85–$444.00 | 126% above | 76% |
| Stool ova and parasites exam CPT 87177 87177 OVA-PARASITES SMEARS | $106.56 | $444.00 | $7.85–$444.00 | 126% above | 76% |
| Stool ova and parasites exam inpatient CPT 87177 87177 L188110 OP SMEAR 889 | $244.20 | $444.00 | $126.54–$444.00 | — | 45% |
| Stool ova and parasites exam inpatient CPT 87177 O+P Exam, Formalin Only (LC) | $244.20 | $444.00 | $126.54–$444.00 | — | 45% |
| Stool ova and parasites exam inpatient CPT 87177 87177 OVA-PARASITES SMEARS | $244.20 | $444.00 | $126.54–$444.00 | — | 45% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 82270 Stool Occult Blood POC Screening AMB -BCE | $4.32 | $18.00 | $3.86–$18.00 | 88% below | 76% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Stool Occult Blood POC Screening AMB | $4.32 | $18.00 | $3.86–$18.00 | 88% below | 76% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood Feces Screen 1-3 D | $17.76 | $74.00 | $3.86–$74.00 | 50% below | 76% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood Feces Screen 1-3 A | $17.76 | $74.00 | $3.86–$74.00 | 50% below | 76% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 .Occult Bood Feces Screen A POC | $17.76 | $74.00 | $3.86–$74.00 | 50% below | 76% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Stool Occult Blood POC Screening AMB | $9.90 | $18.00 | $5.13–$18.00 | — | 45% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 82270 Stool Occult Blood POC Screening AMB -BCE | $9.90 | $18.00 | $5.13–$18.00 | — | 45% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Occult Blood Feces Screen 1-3 A | $40.70 | $74.00 | $21.09–$74.00 | — | 45% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Occult Blood Feces Screen 1-3 D | $40.70 | $74.00 | $21.09–$74.00 | — | 45% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 .Occult Bood Feces Screen A POC | $40.70 | $74.00 | $21.09–$74.00 | — | 45% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 82274 Immunochemical Fecal Occult Blood Diagnostic | $13.92 | $58.00 | $13.92–$58.00 | 72% below | 76% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Immunochemical Fecal Occult Blood Diagnostic POC A | $13.92 | $58.00 | $13.92–$58.00 | 72% below | 76% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Occult Blood Feces Diagnostic 1-3 D | $38.88 | $162.00 | $14.04–$162.00 | 23% below | 76% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Immunochemical Fecal Occult Blood Diagnostic | $38.88 | $162.00 | $14.04–$162.00 | 23% below | 76% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Immunochemical Fecal Occult Blood Diagnostic POC A | $31.90 | $58.00 | $16.53–$58.00 | — | 45% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 82274 Immunochemical Fecal Occult Blood Diagnostic | $31.90 | $58.00 | $16.53–$58.00 | — | 45% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Immunochemical Fecal Occult Blood Diagnostic | $89.10 | $162.00 | $46.17–$162.00 | — | 45% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Occult Blood Feces Diagnostic 1-3 D | $89.10 | $162.00 | $46.17–$162.00 | — | 45% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 86592 SYPHILIS TEST NON-TREP QUAL | $3.84 | $16.00 | $3.76–$16.00 | 90% below | 76% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL CSF (LC) | $51.12 | $213.00 | $3.76–$213.00 | 29% above | 76% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rapid Plasma Reagin Titer w/Reflex Titer | $51.12 | $213.00 | $3.76–$213.00 | 29% above | 76% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rapid Plasma Reagin Qual | $51.12 | $213.00 | $3.76–$213.00 | 29% above | 76% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 86592 SYPHILIS TEST, QUAL | $51.12 | $213.00 | $3.76–$213.00 | 29% above | 76% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rapid Plasma Reagin Reflex Titer TP-PA (LC) | $51.12 | $213.00 | $3.76–$213.00 | 29% above | 76% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR (LC) | $51.12 | $213.00 | $3.76–$213.00 | 29% above | 76% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rapid Plasma Reagin w/Reflex Titer + FTA-ABS | $51.12 | $213.00 | $3.76–$213.00 | 29% above | 76% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Non-Treponemal Screening VDRL LC | $51.12 | $213.00 | $3.76–$213.00 | 29% above | 76% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 86592 SYPHILIS TEST NON-TREP QUAL | $8.80 | $16.00 | $4.56–$16.00 | — | 45% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Rapid Plasma Reagin w/Reflex Titer + FTA-ABS | $117.15 | $213.00 | $60.70–$213.00 | — | 45% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Rapid Plasma Reagin Qual | $117.15 | $213.00 | $60.70–$213.00 | — | 45% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Non-Treponemal Screening VDRL LC | $117.15 | $213.00 | $60.70–$213.00 | — | 45% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 86592 SYPHILIS TEST, QUAL | $117.15 | $213.00 | $60.70–$213.00 | — | 45% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL CSF (LC) | $117.15 | $213.00 | $60.70–$213.00 | — | 45% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Rapid Plasma Reagin Reflex Titer TP-PA (LC) | $117.15 | $213.00 | $60.70–$213.00 | — | 45% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Rapid Plasma Reagin Titer w/Reflex Titer | $117.15 | $213.00 | $60.70–$213.00 | — | 45% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR (LC) | $117.15 | $213.00 | $60.70–$213.00 | — | 45% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 .QuantiFERON-TB Gold Plus LC | $127.68 | $532.00 | $54.67–$532.00 | 15% below | 76% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 .Quantiferon TB Antigen 1 | $177.84 | $741.00 | $54.67–$741.00 | 18% above | 76% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QuantiFERON-TB Gold Plus LC | $177.84 | $741.00 | $54.67–$741.00 | 18% above | 76% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 .QuantiFERON In Tube RL | $177.84 | $741.00 | $54.67–$741.00 | 18% above | 76% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QuantiFERON-TB Gold Plus (Lab Incubated) LC | $177.84 | $741.00 | $54.67–$741.00 | 18% above | 76% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 .QuantiFERON-TB Gold Plus LC | $292.60 | $532.00 | $151.62–$532.00 | — | 45% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 .Quantiferon TB Antigen 1 | $407.55 | $741.00 | $211.18–$741.00 | — | 45% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QuantiFERON-TB Gold Plus (Lab Incubated) LC | $407.55 | $741.00 | $211.18–$741.00 | — | 45% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QuantiFERON-TB Gold Plus LC | $407.55 | $741.00 | $211.18–$741.00 | — | 45% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 .QuantiFERON In Tube RL | $407.55 | $741.00 | $211.18–$741.00 | — | 45% |
| Testosterone blood test, total (not free testosterone) CPT 84403 84403-L500726 TST EQ MS PN | $102.72 | $428.00 | $22.76–$428.00 | at median | 76% |
| Testosterone blood test, total (not free testosterone) CPT 84403 84403 TESTOSTERONE, TOTAL | $108.96 | $454.00 | $22.76–$454.00 | 6% above | 76% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Total | $108.96 | $454.00 | $22.76–$454.00 | 6% above | 76% |
| Testosterone blood test, total (not free testosterone) CPT 84403 84403 L146688 TESTOST TOT 889 | $108.96 | $454.00 | $22.76–$454.00 | 6% above | 76% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Serum (LC) | $108.96 | $454.00 | $22.76–$454.00 | 6% above | 76% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone LCMS Pediatric LC | $108.96 | $454.00 | $22.76–$454.00 | 6% above | 76% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 84403-L500726 TST EQ MS PN | $235.40 | $428.00 | $121.98–$428.00 | — | 45% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone LCMS Pediatric LC | $249.70 | $454.00 | $129.39–$454.00 | — | 45% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 84403 TESTOSTERONE, TOTAL | $249.70 | $454.00 | $129.39–$454.00 | — | 45% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone Serum (LC) | $249.70 | $454.00 | $129.39–$454.00 | — | 45% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone Total | $249.70 | $454.00 | $129.39–$454.00 | — | 45% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 84403 L146688 TESTOST TOT 889 | $249.70 | $454.00 | $129.39–$454.00 | — | 45% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Liver Cytosol Autoantibodies (CQ) | $54.96 | $229.00 | $12.83–$229.00 | 34% below | 76% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase Antibody (RL) | $166.56 | $694.00 | $12.83–$694.00 | 100% above | 76% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase Antibody | $166.56 | $694.00 | $12.83–$694.00 | 100% above | 76% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase Antibody (CQ) | $166.56 | $694.00 | $12.83–$694.00 | 100% above | 76% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Liver Cytosol Type 1 Antibodies (LC) | $166.56 | $694.00 | $12.83–$694.00 | 100% above | 76% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Liver Kidney Microsomal Antibody (RL) | $166.56 | $694.00 | $12.83–$694.00 | 100% above | 76% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 86376 MICROSOMAL AB | $166.56 | $694.00 | $12.83–$694.00 | 100% above | 76% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Liver Cytosol Autoantibodies (CQ) | $125.95 | $229.00 | $65.27–$229.00 | — | 45% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Liver Kidney Microsomal Antibody (RL) | $381.70 | $694.00 | $197.79–$694.00 | — | 45% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroid Peroxidase Antibody (CQ) | $381.70 | $694.00 | $197.79–$694.00 | — | 45% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 86376 MICROSOMAL AB | $381.70 | $694.00 | $197.79–$694.00 | — | 45% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroid Peroxidase Antibody (RL) | $381.70 | $694.00 | $197.79–$694.00 | — | 45% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Liver Cytosol Type 1 Antibodies (LC) | $381.70 | $694.00 | $197.79–$694.00 | — | 45% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroid Peroxidase Antibody | $381.70 | $694.00 | $197.79–$694.00 | — | 45% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 84443 ASSAY THYROID STIM HORMONE | $14.64 | $61.00 | $14.64–$61.00 | 82% below | 76% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Cascade Profile LC | $62.88 | $262.00 | $14.81–$262.00 | 23% below | 76% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 84443 NBS THYROID STIM TSH | $62.88 | $262.00 | $14.81–$262.00 | 23% below | 76% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH Pregnancy LC | $65.34 | $272.25 | $14.81–$272.25 | 20% below | 76% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH Rfx on Abnormal to Free T4 LC | $65.34 | $272.25 | $14.81–$272.25 | 20% below | 76% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone | $82.32 | $343.00 | $14.81–$343.00 | 1% above | 76% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone w/Reflex to Free T4 | $82.32 | $343.00 | $14.81–$343.00 | 1% above | 76% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH (RL) | $82.32 | $343.00 | $14.81–$343.00 | 1% above | 76% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 84443 THYROID STIM TSH | $82.32 | $343.00 | $14.81–$343.00 | 1% above | 76% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 84443 ASSAY THYROID STIM HORMONE | $33.55 | $61.00 | $17.38–$61.00 | — | 45% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Cascade Profile LC | $144.10 | $262.00 | $74.67–$262.00 | — | 45% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 84443 NBS THYROID STIM TSH | $144.10 | $262.00 | $74.67–$262.00 | — | 45% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH Rfx on Abnormal to Free T4 LC | $149.74 | $272.25 | $77.59–$272.25 | — | 45% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH Pregnancy LC | $149.74 | $272.25 | $77.59–$272.25 | — | 45% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH (RL) | $188.65 | $343.00 | $97.75–$343.00 | — | 45% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 84443 THYROID STIM TSH | $188.65 | $343.00 | $97.75–$343.00 | — | 45% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stimulating Hormone w/Reflex to Free T4 | $188.65 | $343.00 | $97.75–$343.00 | — | 45% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stimulating Hormone | $188.65 | $343.00 | $97.75–$343.00 | — | 45% |
| Trichomonas test (NAAT) CPT 87661 87661 TRICHOMONAS VAGINALIS AMPLIF | $30.48 | $127.00 | $30.48–$127.00 | 68% below | 76% |
| Trichomonas test (NAAT) CPT 87661 87661 L196527 TVAG AMP PRB 889 | $56.40 | $235.00 | $30.95–$235.00 | 40% below | 76% |
| Trichomonas test (NAAT) CPT 87661 Trichomonas vaginalis RNA I | $75.12 | $313.00 | $30.95–$313.00 | 21% below | 76% |
| Trichomonas test (NAAT) CPT 87661 87661 T VAGINALIS AMP | $75.12 | $313.00 | $30.95–$313.00 | 21% below | 76% |
| Trichomonas test (NAAT) CPT 87661 87661 L183160 T VAG AMP 889 | $75.12 | $313.00 | $30.95–$313.00 | 21% below | 76% |
| Trichomonas test (NAAT) CPT 87661 87661 L188070 T VAG AMP 889 | $75.12 | $313.00 | $30.95–$313.00 | 21% below | 76% |
| Trichomonas test (NAAT) CPT 87661 87661 Pap IG, Ct-Ng TV LC | $75.12 | $313.00 | $30.95–$313.00 | 21% below | 76% |
| Trichomonas test (NAAT) CPT 87661 87661 L180039 T VAG AMP 889 | $75.12 | $313.00 | $30.95–$313.00 | 21% below | 76% |
| Trichomonas test (NAAT) CPT 87661 Trichomonas vaginalis RNA | $75.12 | $313.00 | $30.95–$313.00 | 21% below | 76% |
| Trichomonas test (NAAT) CPT 87661 87661 IGP, CtNgTv HPV Rfx 16/18,45 LC | $75.12 | $313.00 | $30.95–$313.00 | 21% below | 76% |
| Trichomonas test (NAAT) CPT 87661 Trichomonas vaginalis, NAA (LC) | $75.12 | $313.00 | $30.95–$313.00 | 21% below | 76% |
| Trichomonas test (NAAT) CPT 87661 87661 IGP, CtNgTv Rfx HPV ASCU LC | $75.12 | $313.00 | $30.95–$313.00 | 21% below | 76% |
| Trichomonas test (NAAT) CPT 87661 Trichomonas vaginalis, NAA (CQ) | $75.12 | $313.00 | $30.95–$313.00 | 21% below | 76% |
| Trichomonas test (NAAT) inpatient CPT 87661 87661 TRICHOMONAS VAGINALIS AMPLIF | $69.85 | $127.00 | $36.20–$127.00 | — | 45% |
| Trichomonas test (NAAT) inpatient CPT 87661 87661 L196527 TVAG AMP PRB 889 | $129.25 | $235.00 | $66.97–$235.00 | — | 45% |
| Trichomonas test (NAAT) inpatient CPT 87661 87661 IGP, CtNgTv Rfx HPV ASCU LC | $172.15 | $313.00 | $89.20–$313.00 | — | 45% |
| Trichomonas test (NAAT) inpatient CPT 87661 87661 L180039 T VAG AMP 889 | $172.15 | $313.00 | $89.20–$313.00 | — | 45% |
| Trichomonas test (NAAT) inpatient CPT 87661 87661 L188070 T VAG AMP 889 | $172.15 | $313.00 | $89.20–$313.00 | — | 45% |
| Trichomonas test (NAAT) inpatient CPT 87661 Trichomonas vaginalis RNA | $172.15 | $313.00 | $89.20–$313.00 | — | 45% |
| Trichomonas test (NAAT) inpatient CPT 87661 87661 T VAGINALIS AMP | $172.15 | $313.00 | $89.20–$313.00 | — | 45% |
| Trichomonas test (NAAT) inpatient CPT 87661 Trichomonas vaginalis RNA I | $172.15 | $313.00 | $89.20–$313.00 | — | 45% |
| Trichomonas test (NAAT) inpatient CPT 87661 Trichomonas vaginalis, NAA (LC) | $172.15 | $313.00 | $89.20–$313.00 | — | 45% |
| Trichomonas test (NAAT) inpatient CPT 87661 Trichomonas vaginalis, NAA (CQ) | $172.15 | $313.00 | $89.20–$313.00 | — | 45% |
| Trichomonas test (NAAT) inpatient CPT 87661 87661 L183160 T VAG AMP 889 | $172.15 | $313.00 | $89.20–$313.00 | — | 45% |
| Trichomonas test (NAAT) inpatient CPT 87661 87661 IGP, CtNgTv HPV Rfx 16/18,45 LC | $172.15 | $313.00 | $89.20–$313.00 | — | 45% |
| Trichomonas test (NAAT) inpatient CPT 87661 87661 Pap IG, Ct-Ng TV LC | $172.15 | $313.00 | $89.20–$313.00 | — | 45% |
| Uric acid blood test CPT 84550 Uric Acid Level | $30.72 | $128.00 | $3.99–$128.00 | 33% below | 76% |
| Uric acid blood test inpatient CPT 84550 84550 ASSAY OF BLOOD/URIC ACID | $9.35 | $17.00 | $4.84–$17.00 | — | 45% |
| Uric acid blood test inpatient CPT 84550 Uric Acid Level | $70.40 | $128.00 | $36.48–$128.00 | — | 45% |
| Urinalysis with microscope exam, automated CPT 81001 81001 Urinalysis Dipstick Auto w MicroSc POC AMB - | $4.08 | $17.00 | $2.80–$17.00 | 90% below | 76% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis Dipstick Auto w MicroSc POC AMB | $4.08 | $17.00 | $2.80–$17.00 | 90% below | 76% |
| Urinalysis with microscope exam, automated CPT 81001 Reflex Microscopic Type? - Manual | $26.12 | $108.84 | $2.80–$108.84 | 37% below | 76% |
| Urinalysis with microscope exam, automated CPT 81001 Reflex Microscopic Type? - Manual Micro | $26.12 | $108.84 | $2.80–$108.84 | 37% below | 76% |
| Urinalysis with microscope exam, automated CPT 81001 .Bill Only DS Auto/MSc Reqd | $32.64 | $136.00 | $2.80–$136.00 | 21% below | 76% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis w/Micro Auto Rfx Culture | $32.64 | $136.00 | $2.80–$136.00 | 21% below | 76% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 81001 Urinalysis Dipstick Auto w MicroSc POC AMB - | $9.35 | $17.00 | $4.84–$17.00 | — | 45% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis Dipstick Auto w MicroSc POC AMB | $9.35 | $17.00 | $4.84–$17.00 | — | 45% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Reflex Microscopic Type? - Manual | $59.86 | $108.84 | $31.02–$108.84 | — | 45% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Reflex Microscopic Type? - Manual Micro | $59.86 | $108.84 | $31.02–$108.84 | — | 45% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 .Bill Only DS Auto/MSc Reqd | $74.80 | $136.00 | $38.76–$136.00 | — | 45% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis w/Micro Auto Rfx Culture | $74.80 | $136.00 | $38.76–$136.00 | — | 45% |
| Urinalysis with microscope exam, manual CPT 81000 81000 Urinalysis Dipstick Manual w MicroSc POC | $3.84 | $16.00 | $3.55–$16.00 | 82% below | 76% |
| Urinalysis with microscope exam, manual CPT 81000 Urinalysis Dipstick POC AMB | $4.08 | $17.00 | $3.55–$17.00 | 81% below | 76% |
| Urinalysis with microscope exam, manual CPT 81000 81000 Urinalysis Dipstick POC AMB -BCE | $4.08 | $17.00 | $3.55–$17.00 | 81% below | 76% |
| Urinalysis with microscope exam, manual CPT 81000 .Bill Only DS Man/MSc Reqd | $69.36 | $289.00 | $3.55–$289.00 | 231% above | 76% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 81000 Urinalysis Dipstick Manual w MicroSc POC | $8.80 | $16.00 | $4.56–$16.00 | — | 45% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 Urinalysis Dipstick POC AMB | $9.35 | $17.00 | $4.84–$17.00 | — | 45% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 81000 Urinalysis Dipstick POC AMB -BCE | $9.35 | $17.00 | $4.84–$17.00 | — | 45% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 .Bill Only DS Man/MSc Reqd | $158.95 | $289.00 | $82.36–$289.00 | — | 45% |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis Dipstick Auto w/o MicroSc POC AMB | $2.88 | $12.00 | $1.98–$12.00 | 85% below | 76% |
| Urinalysis without microscope exam, automated CPT 81003 81003 Urinalysis Dipstick Auto w/o MicroSc POC AMB | $2.88 | $12.00 | $1.98–$12.00 | 85% below | 76% |
| Urinalysis without microscope exam, automated CPT 81003 Reflex Microscopic Type? - Not Required | $14.92 | $62.18 | $1.98–$62.18 | 23% below | 76% |
| Urinalysis without microscope exam, automated CPT 81003 Reflex Microscopic Type? - Not Indicated | $14.92 | $62.18 | $1.98–$62.18 | 23% below | 76% |
| Urinalysis without microscope exam, automated CPT 81003 Blood Urine Dipstick Auto | $20.64 | $86.00 | $1.98–$86.00 | 6% above | 76% |
| Urinalysis without microscope exam, automated CPT 81003 Protein Urine Dipstick Auto | $20.64 | $86.00 | $1.98–$86.00 | 6% above | 76% |
| Urinalysis without microscope exam, automated CPT 81003 Glucose Urine Dipstick Auto | $20.64 | $86.00 | $1.98–$86.00 | 6% above | 76% |
| Urinalysis without microscope exam, automated CPT 81003 Bilirubin Urine Dipstick Auto | $20.64 | $86.00 | $1.98–$86.00 | 6% above | 76% |
| Urinalysis without microscope exam, automated CPT 81003 Urine Color Urine Dipstick | $20.64 | $86.00 | $1.98–$86.00 | 6% above | 76% |
| Urinalysis without microscope exam, automated CPT 81003 .Bill Only DS Auto/No MSc | $20.64 | $86.00 | $1.98–$86.00 | 6% above | 76% |
| Urinalysis without microscope exam, automated CPT 81003 Dipstick Type? - Auto | $20.64 | $86.00 | $1.98–$86.00 | 6% above | 76% |
| Urinalysis without microscope exam, automated CPT 81003 Ketones Urine Dipstk Qual Automated | $20.64 | $86.00 | $1.98–$86.00 | 6% above | 76% |
| Urinalysis without microscope exam, automated CPT 81003 Specific Gravity Urine Auto | $20.64 | $86.00 | $1.98–$86.00 | 6% above | 76% |
| Urinalysis without microscope exam, automated CPT 81003 81003 L306266 UA AUTO WO S | $20.64 | $86.00 | $1.98–$86.00 | 6% above | 76% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis Dipstick Auto w/o MicroSc POC AMB | $6.60 | $12.00 | $3.42–$12.00 | — | 45% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 81003 Urinalysis Dipstick Auto w/o MicroSc POC AMB | $6.60 | $12.00 | $3.42–$12.00 | — | 45% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Reflex Microscopic Type? - Not Indicated | $34.20 | $62.18 | $17.72–$62.18 | — | 45% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Reflex Microscopic Type? - Not Required | $34.20 | $62.18 | $17.72–$62.18 | — | 45% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Ketones Urine Dipstk Qual Automated | $47.30 | $86.00 | $24.51–$86.00 | — | 45% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 81003 L306266 UA AUTO WO S | $47.30 | $86.00 | $24.51–$86.00 | — | 45% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Specific Gravity Urine Auto | $47.30 | $86.00 | $24.51–$86.00 | — | 45% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Dipstick Type? - Auto | $47.30 | $86.00 | $24.51–$86.00 | — | 45% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 .Bill Only DS Auto/No MSc | $47.30 | $86.00 | $24.51–$86.00 | — | 45% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urine Color Urine Dipstick | $47.30 | $86.00 | $24.51–$86.00 | — | 45% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Blood Urine Dipstick Auto | $47.30 | $86.00 | $24.51–$86.00 | — | 45% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Bilirubin Urine Dipstick Auto | $47.30 | $86.00 | $24.51–$86.00 | — | 45% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Glucose Urine Dipstick Auto | $47.30 | $86.00 | $24.51–$86.00 | — | 45% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Protein Urine Dipstick Auto | $47.30 | $86.00 | $24.51–$86.00 | — | 45% |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis Manual w/o MicroSc POC AMB | $3.36 | $14.00 | $3.07–$14.00 | 69% below | 76% |
| Urinalysis without microscope exam, manual CPT 81002 81002 Urinalysis Manual w/o MicroSc POC AMB -BCE | $3.36 | $14.00 | $3.07–$14.00 | 69% below | 76% |
| Urinalysis without microscope exam, manual CPT 81002 Ketones Ur Ql | $57.60 | $240.00 | $3.07–$240.00 | 432% above | 76% |
| Urinalysis without microscope exam, manual CPT 81002 .Urinalysis Manual w/o MicroSc POC | $57.60 | $240.00 | $3.07–$240.00 | 432% above | 76% |
| Urinalysis without microscope exam, manual CPT 81002 Specific Gravity Urine Manual | $57.60 | $240.00 | $3.07–$240.00 | 432% above | 76% |
| Urinalysis without microscope exam, manual CPT 81002 Dipstick Type? - Manual | $57.60 | $240.00 | $3.07–$240.00 | 432% above | 76% |
| Urinalysis without microscope exam, manual CPT 81002 .Bill Only DS Man/No MSc | $57.60 | $240.00 | $3.07–$240.00 | 432% above | 76% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis Manual w/o MicroSc POC AMB | $7.70 | $14.00 | $3.99–$14.00 | — | 45% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 81002 Urinalysis Manual w/o MicroSc POC AMB -BCE | $7.70 | $14.00 | $3.99–$14.00 | — | 45% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Ketones Ur Ql | $132.00 | $240.00 | $68.40–$240.00 | — | 45% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 .Bill Only DS Man/No MSc | $132.00 | $240.00 | $68.40–$240.00 | — | 45% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Dipstick Type? - Manual | $132.00 | $240.00 | $68.40–$240.00 | — | 45% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 .Urinalysis Manual w/o MicroSc POC | $132.00 | $240.00 | $68.40–$240.00 | — | 45% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Specific Gravity Urine Manual | $132.00 | $240.00 | $68.40–$240.00 | — | 45% |
| Urine culture for bacteria, with colony count CPT 87086 87086 URINE CULTURE/COLONY COUNT | $7.20 | $30.00 | $7.12–$30.00 | 83% below | 76% |
| Urine culture for bacteria, with colony count CPT 87086 Urine Culture Qn | $63.36 | $264.00 | $7.12–$264.00 | 53% above | 76% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 87086 URINE CULTURE/COLONY COUNT | $16.50 | $30.00 | $8.55–$30.00 | — | 45% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 Urine Culture Qn | $145.20 | $264.00 | $75.24–$264.00 | — | 45% |
| Urine pregnancy test, read by color change CPT 81025 81025 Urine Pregnancy POC AMB -BCE | $8.40 | $35.00 | $7.60–$35.00 | 84% below | 76% |
| Urine pregnancy test, read by color change CPT 81025 Urine Pregnancy POC AMB | $8.40 | $35.00 | $7.60–$35.00 | 84% below | 76% |
| Urine pregnancy test, read by color change CPT 81025 Human Chorionic Gonadotropin Urine Qual Manual | $37.68 | $157.00 | $7.60–$157.00 | 29% below | 76% |
| Urine pregnancy test, read by color change CPT 81025 .HCG Urine Ql POC | $37.68 | $157.00 | $7.60–$157.00 | 29% below | 76% |
| Urine pregnancy test, read by color change CPT 81025 POC HCG Patient Test Result | $37.68 | $157.00 | $7.60–$157.00 | 29% below | 76% |
| Urine pregnancy test, read by color change inpatient CPT 81025 81025 Urine Pregnancy POC AMB -BCE | $19.25 | $35.00 | $9.97–$35.00 | — | 45% |
| Urine pregnancy test, read by color change inpatient CPT 81025 Urine Pregnancy POC AMB | $19.25 | $35.00 | $9.97–$35.00 | — | 45% |
| Urine pregnancy test, read by color change inpatient CPT 81025 .HCG Urine Ql POC | $86.35 | $157.00 | $44.74–$157.00 | — | 45% |
| Urine pregnancy test, read by color change inpatient CPT 81025 Human Chorionic Gonadotropin Urine Qual Manual | $86.35 | $157.00 | $44.74–$157.00 | — | 45% |
| Urine pregnancy test, read by color change inpatient CPT 81025 POC HCG Patient Test Result | $86.35 | $157.00 | $44.74–$157.00 | — | 45% |
| Vitamin B12 (cobalamin) blood test CPT 82607 82607 VITAMIN B-12 | $13.20 | $55.00 | $13.20–$55.00 | 79% below | 76% |
| Vitamin B12 (cobalamin) blood test CPT 82607 82607 L810 VIT B12 IA 889 | $45.60 | $190.00 | $13.30–$190.00 | 29% below | 76% |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 Deficiency Cascade (LC) | $73.44 | $306.00 | $13.30–$306.00 | 15% above | 76% |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 | $73.44 | $306.00 | $13.30–$306.00 | 15% above | 76% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 82607 VITAMIN B-12 | $30.25 | $55.00 | $15.67–$55.00 | — | 45% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 82607 L810 VIT B12 IA 889 | $104.50 | $190.00 | $54.15–$190.00 | — | 45% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B12 Deficiency Cascade (LC) | $168.30 | $306.00 | $87.21–$306.00 | — | 45% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B12 | $168.30 | $306.00 | $87.21–$306.00 | — | 45% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 82306 VITAMIN D 25 HYDROXY | $25.68 | $107.00 | $25.68–$107.00 | 78% below | 76% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25 OH LC-MS/MS (RL) | $63.12 | $263.00 | $26.11–$263.00 | 46% below | 76% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25-Hydroxy D2 + D3 LC | $66.96 | $279.00 | $26.11–$279.00 | 43% below | 76% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25 OH D2 + D3 (RL) | $66.96 | $279.00 | $26.11–$279.00 | 43% below | 76% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25 OH (LC) | $66.96 | $279.00 | $26.11–$279.00 | 43% below | 76% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25 hydroxy | $66.96 | $279.00 | $26.11–$279.00 | 43% below | 76% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 82306 VITAMIN D 25OH | $66.96 | $279.00 | $26.11–$279.00 | 43% below | 76% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 82306 VITAMIN D 25 HYDROXY | $58.85 | $107.00 | $30.49–$107.00 | — | 45% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25 OH LC-MS/MS (RL) | $144.65 | $263.00 | $74.95–$263.00 | — | 45% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 82306 VITAMIN D 25OH | $153.45 | $279.00 | $79.51–$279.00 | — | 45% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25 hydroxy | $153.45 | $279.00 | $79.51–$279.00 | — | 45% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25 OH (LC) | $153.45 | $279.00 | $79.51–$279.00 | — | 45% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25-Hydroxy D2 + D3 LC | $153.45 | $279.00 | $79.51–$279.00 | — | 45% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25 OH D2 + D3 (RL) | $153.45 | $279.00 | $79.51–$279.00 | — | 45% |
| Zinc blood test CPT 84630 Zinc, Whole Blood LC | $86.64 | $361.00 | $10.04–$361.00 | 28% above | 76% |
| Zinc blood test CPT 84630 Zinc, RBC (RL) | $86.64 | $361.00 | $10.04–$361.00 | 28% above | 76% |
| Zinc blood test CPT 84630 Zinc Plasma or Serum (RL) | $86.64 | $361.00 | $10.04–$361.00 | 28% above | 76% |
| Zinc blood test inpatient CPT 84630 Zinc, Whole Blood LC | $198.55 | $361.00 | $102.88–$361.00 | — | 45% |
| Zinc blood test inpatient CPT 84630 Zinc Plasma or Serum (RL) | $198.55 | $361.00 | $102.88–$361.00 | — | 45% |
| Zinc blood test inpatient CPT 84630 Zinc, RBC (RL) | $198.55 | $361.00 | $102.88–$361.00 | — | 45% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 hCG Beta Sub unit Quant Level (RL) | $172.08 | $717.00 | $13.28–$717.00 | 124% above | 76% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 .ISTAT B-hCG Qual & Semi-Quant POC | $172.08 | $717.00 | $13.28–$717.00 | 124% above | 76% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Human Chorionic Gonadotropin Quant | $172.08 | $717.00 | $13.28–$717.00 | 124% above | 76% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 84702 HCG QUANT | $172.08 | $717.00 | $13.28–$717.00 | 124% above | 76% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 hCG, Beta Subunit, Qn (Serial) (LC) | $172.08 | $717.00 | $13.28–$717.00 | 124% above | 76% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 .ISTAT B-hCG POC Quant | $172.08 | $717.00 | $13.28–$717.00 | 124% above | 76% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 84702 HCG QUANT | $394.35 | $717.00 | $204.34–$717.00 | — | 45% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Human Chorionic Gonadotropin Quant | $394.35 | $717.00 | $204.34–$717.00 | — | 45% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 .ISTAT B-hCG Qual & Semi-Quant POC | $394.35 | $717.00 | $204.34–$717.00 | — | 45% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 hCG Beta Sub unit Quant Level (RL) | $394.35 | $717.00 | $204.34–$717.00 | — | 45% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 .ISTAT B-hCG POC Quant | $394.35 | $717.00 | $204.34–$717.00 | — | 45% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 hCG, Beta Subunit, Qn (Serial) (LC) | $394.35 | $717.00 | $204.34–$717.00 | — | 45% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Indiana | Off list |
|---|---|---|---|---|---|
| Adenoid removal (adenoidectomy), child under 12 inpatient CPT 42830 42830 REMOVAL OF ADENOIDS | $446.05 | $811.00 | $231.13–$811.00 | — | 45% |
| Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 22551 NECK SPINE FUSE&REMOV BEL C2 | $1,038.72 | $4,328.00 | $12,011.85–$55,821.75 | 94% below | 76% |
| Anterior cervical discectomy and fusion (ACDF), one level inpatient CPT 22551 22551 NECK SPINE FUSE&REMOV BEL C2 | $2,380.40 | $4,328.00 | $1,233.48–$4,328.00 | — | 45% |
| Appendectomy for a ruptured appendix with abscess or peritonitis CPT 44960 44960,AS APPENDECTOMY RUPTURED | $265.92 | $1,108.00 | $265.92–$15,567.36 | 67% below | 76% |
| Appendectomy for a ruptured appendix with abscess or peritonitis CPT 44960 44960,80 APPENDECTOMY RUPTURED | $265.92 | $1,108.00 | $265.92–$15,567.36 | 67% below | 76% |
| Appendectomy for a ruptured appendix with abscess or peritonitis CPT 44960 44960 APPENDECTOMY RUPTURED | $684.96 | $2,854.00 | $684.96–$15,567.36 | 16% below | 76% |
| Appendectomy for a ruptured appendix with abscess or peritonitis inpatient CPT 44960 44960,AS APPENDECTOMY RUPTURED | $609.40 | $1,108.00 | $315.78–$1,108.00 | — | 45% |
| Appendectomy for a ruptured appendix with abscess or peritonitis inpatient CPT 44960 44960,80 APPENDECTOMY RUPTURED | $609.40 | $1,108.00 | $315.78–$1,108.00 | — | 45% |
| Appendectomy for a ruptured appendix with abscess or peritonitis inpatient CPT 44960 44960 APPENDECTOMY RUPTURED | $1,795.75 | $3,265.00 | $930.52–$3,265.00 | — | 45% |
| Appendectomy, open surgery CPT 44950 44950 80 APPENDECTOMY | $195.60 | $815.00 | $6,065.80–$28,147.74 | 71% below | 76% |
| Appendectomy, open surgery CPT 44950 44950,AS APPENDECTOMY | $195.60 | $815.00 | $6,065.80–$28,147.74 | 71% below | 76% |
| Appendectomy, open surgery CPT 44950 44950 APPENDECTOMY | $548.16 | $2,284.00 | $6,065.80–$28,147.74 | 18% below | 76% |
| Appendectomy, open surgery inpatient CPT 44950 44950,AS APPENDECTOMY | $448.25 | $815.00 | $232.27–$815.00 | — | 45% |
| Appendectomy, open surgery inpatient CPT 44950 44950 80 APPENDECTOMY | $448.25 | $815.00 | $232.27–$815.00 | — | 45% |
| Appendectomy, open surgery inpatient CPT 44950 44950 APPENDECTOMY | $1,256.20 | $2,284.00 | $650.94–$2,284.00 | — | 45% |
| Arthroscopic ACL reconstruction or repair of the knee inpatient CPT 29888 29888,AS KNEE ARTHROSCOPY/SURGERY | $689.15 | $1,253.00 | $357.10–$1,253.00 | — | 45% |
| Arthroscopic ACL reconstruction or repair of the knee inpatient CPT 29888 29888,LT KNEE ARTHROSCOPY/SURGERY | $1,377.75 | $2,505.00 | $713.92–$2,505.00 | — | 45% |
| Arthroscopic ACL reconstruction or repair of the knee inpatient CPT 29888 29888 KNEE ARTHROSCOPY/SURGERY | $1,377.75 | $2,505.00 | $713.92–$2,505.00 | — | 45% |
| Arthroscopic ACL reconstruction or repair of the knee inpatient CPT 29888 29888,RT KNEE ARTHROSCOPY/SURGERY | $1,377.75 | $2,505.00 | $713.92–$2,505.00 | — | 45% |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 29827,LT ARTHROSCOP ROTATOR CUFF REPR | $970.56 | $4,044.00 | $6,798.89–$31,549.55 | 79% below | 76% |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 29827 ARTHROSCOP ROTATOR CUFF REPR | $970.56 | $4,044.00 | $6,798.89–$31,549.55 | 79% below | 76% |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 29827,RT ARTHROSCOP ROTATOR CUFF REPR | $970.56 | $4,044.00 | $6,798.89–$31,549.55 | 79% below | 76% |
| Arthroscopic rotator cuff repair of the shoulder inpatient CPT 29827 29827,AS ARTHROSCOP ROTATOR CUFF REPR | $740.30 | $1,346.00 | $383.61–$1,346.00 | — | 45% |
| Arthroscopic rotator cuff repair of the shoulder inpatient CPT 29827 29827,LT ARTHROSCOP ROTATOR CUFF REPR | $2,224.20 | $4,044.00 | $1,152.54–$4,044.00 | — | 45% |
| Arthroscopic rotator cuff repair of the shoulder inpatient CPT 29827 29827 ARTHROSCOP ROTATOR CUFF REPR | $2,224.20 | $4,044.00 | $1,152.54–$4,044.00 | — | 45% |
| Arthroscopic rotator cuff repair of the shoulder inpatient CPT 29827 29827,RT ARTHROSCOP ROTATOR CUFF REPR | $2,224.20 | $4,044.00 | $1,152.54–$4,044.00 | — | 45% |
| Botox injections for chronic migraine CPT 64615 64615 CHEMODENERV MUSC MIGRAINE | $69.60 | $290.00 | $287.60–$1,334.60 | 87% below | 76% |
| Botox injections for chronic migraine inpatient CPT 64615 64615 CHEMODENERV MUSC MIGRAINE | $159.50 | $290.00 | $82.65–$290.00 | — | 45% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 19081 50 BX BREAST 1ST LESION STRTCTC | $359.15 | $653.00 | $186.10–$653.00 | — | 45% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 27786,LT TREAT FX LATERAL MALLEOLUS | $190.08 | $792.00 | $231.12–$1,072.51 | 50% below | 76% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 27786,RT TREAT FX LATERAL MALLEOLUS | $190.08 | $792.00 | $231.12–$1,072.51 | 50% below | 76% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 27786 TREAT FX LATERAL MALLEOLUS | $190.08 | $792.00 | $231.12–$1,072.51 | 50% below | 76% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 27786,LT TREAT FX LATERAL MALLEOLUS | $435.60 | $792.00 | $225.72–$792.00 | — | 45% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 27786 TREAT FX LATERAL MALLEOLUS | $435.60 | $792.00 | $225.72–$792.00 | — | 45% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 27786,RT TREAT FX LATERAL MALLEOLUS | $435.60 | $792.00 | $225.72–$792.00 | — | 45% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 28470 CLOSED TX METATARSAL FX W/O MANIP | $137.52 | $573.00 | $231.12–$1,072.51 | 60% below | 76% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 28470,LT TREAT FX SINGLE METATARSAL | $137.52 | $573.00 | $231.12–$1,072.51 | 60% below | 76% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 28470,RT TREAT FX SINGLE METATARSAL | $137.52 | $573.00 | $231.12–$1,072.51 | 60% below | 76% |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 28470,LT TREAT FX SINGLE METATARSAL | $435.60 | $792.00 | $225.72–$792.00 | — | 45% |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 28470 CLOSED TX METATARSAL FX W/O MANIP | $435.60 | $792.00 | $225.72–$792.00 | — | 45% |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 28470,RT TREAT FX SINGLE METATARSAL | $435.60 | $792.00 | $225.72–$792.00 | — | 45% |
| Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 28296,LT CORRECTION OF BUNION | $421.44 | $1,756.00 | $3,065.78–$14,226.45 | 81% below | 76% |
| Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 28296,RT CORRECTION OF BUNION | $421.44 | $1,756.00 | $3,065.78–$14,226.45 | 81% below | 76% |
| Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 28296 CORRECTION OF BUNION | $421.44 | $1,756.00 | $3,065.78–$14,226.45 | 81% below | 76% |
| Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 28296 50 CORRECTION OF BUNION | $632.16 | $2,634.00 | $3,065.78–$14,226.45 | 71% below | 76% |
| Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 CORRECTION OF BUNION | $9,289.86 | $38,707.75 | $794.30–$38,707.75 | 324% above | 76% |
| Bunion correction with a bone cut near the head of the first metatarsal inpatient CPT 28296 28296,RT CORRECTION OF BUNION | $965.80 | $1,756.00 | $500.46–$1,756.00 | — | 45% |
| Bunion correction with a bone cut near the head of the first metatarsal inpatient CPT 28296 28296 CORRECTION OF BUNION | $965.80 | $1,756.00 | $500.46–$1,756.00 | — | 45% |
| Bunion correction with a bone cut near the head of the first metatarsal inpatient CPT 28296 28296,LT CORRECTION OF BUNION | $965.80 | $1,756.00 | $500.46–$1,756.00 | — | 45% |
| Bunion correction with a bone cut near the head of the first metatarsal inpatient CPT 28296 28296 50 CORRECTION OF BUNION | $1,448.70 | $2,634.00 | $750.69–$2,634.00 | — | 45% |
| Bunion correction with removal of part of the big toe joint CPT 28292 28292,RT CORRECTION OF BUNION | $554.40 | $2,310.00 | $3,065.78–$14,226.45 | 51% below | 76% |
| Bunion correction with removal of part of the big toe joint CPT 28292 28292 CORRECTION OF BUNION | $554.40 | $2,310.00 | $3,065.78–$14,226.45 | 51% below | 76% |
| Bunion correction with removal of part of the big toe joint CPT 28292 28292,LT CORRECTION OF BUNION | $554.40 | $2,310.00 | $3,065.78–$14,226.45 | 51% below | 76% |
| Bunion correction with removal of part of the big toe joint inpatient CPT 28292 28292,RT CORRECTION OF BUNION | $1,270.50 | $2,310.00 | $658.35–$2,310.00 | — | 45% |
| Bunion correction with removal of part of the big toe joint inpatient CPT 28292 28292 CORRECTION OF BUNION | $1,270.50 | $2,310.00 | $658.35–$2,310.00 | — | 45% |
| Bunion correction with removal of part of the big toe joint inpatient CPT 28292 28292,LT CORRECTION OF BUNION | $1,270.50 | $2,310.00 | $658.35–$2,310.00 | — | 45% |
| Cardiac catheterization with coronary angiogram CPT 93458 CC-L HRT ARTERY-VENT - GL 106 | $8,229.60 | $34,290.00 | $631.25–$34,290.00 | 14% below | 76% |
| Cardiac catheterization with coronary angiogram CPT 93458 CC-L HRT ARTERY-VENT - Dept 106 | $8,229.60 | $34,290.00 | $631.25–$34,290.00 | 14% below | 76% |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 CC-L HRT ARTERY-VENT - Dept 106 | $18,859.50 | $34,290.00 | $9,772.65–$34,290.00 | — | 45% |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 CC-L HRT ARTERY-VENT - GL 106 | $18,859.50 | $34,290.00 | $9,772.65–$34,290.00 | — | 45% |
| Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 93458 LEFT HEART CATH W/COR ANGIO & LEFT VENT | $1,466.85 | $2,667.00 | $760.09–$2,667.00 | — | 45% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 NI- CARDIOVERSION | $523.92 | $2,183.00 | $619.29–$2,873.72 | 62% below | 76% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 NI-CARDIOVERSION - GL 107 | $612.96 | $2,554.00 | $619.29–$2,873.72 | 56% below | 76% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 NI-CARDIOVERSION - Dept 107 | $612.96 | $2,554.00 | $619.29–$2,873.72 | 56% below | 76% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 $ED Cardioversion/Defibrillation | $761.28 | $3,172.00 | $139.38–$3,172.00 | 45% below | 76% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 NI-CARDIOVERSION - Dept 106 | $761.28 | $3,172.00 | $139.38–$3,172.00 | 45% below | 76% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 NI-CARDIOVERSION - GL 106 | $761.28 | $3,172.00 | $139.38–$3,172.00 | 45% below | 76% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 ED Cardioversion Set up for procedure - Cardiovers | $761.28 | $3,172.00 | $139.38–$3,172.00 | 45% below | 76% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC, EXT | $1,876.44 | $7,818.50 | $139.38–$7,818.50 | 35% above | 76% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 92960 CARDIOVERSION ELECTRIC EXT | $253.00 | $460.00 | $131.10–$460.00 | — | 45% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 NI- CARDIOVERSION | $1,200.65 | $2,183.00 | $622.15–$2,183.00 | — | 45% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 NI-CARDIOVERSION - GL 107 | $1,404.70 | $2,554.00 | $727.89–$2,554.00 | — | 45% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 NI-CARDIOVERSION - Dept 107 | $1,404.70 | $2,554.00 | $727.89–$2,554.00 | — | 45% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 NI-CARDIOVERSION - Dept 106 | $1,744.60 | $3,172.00 | $904.02–$3,172.00 | — | 45% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 NI-CARDIOVERSION - GL 106 | $1,744.60 | $3,172.00 | $904.02–$3,172.00 | — | 45% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 ED Cardioversion Set up for procedure - Cardiovers | $1,744.60 | $3,172.00 | $904.02–$3,172.00 | — | 45% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 $ED Cardioversion/Defibrillation | $1,744.60 | $3,172.00 | $904.02–$3,172.00 | — | 45% |
| Carpal tunnel release, open surgery CPT 64721 64721,LT CARPAL TUNNEL SURGERY | $386.64 | $1,611.00 | $1,829.65–$8,490.33 | 79% below | 76% |
| Carpal tunnel release, open surgery CPT 64721 64721 CARPAL TUNNEL SURGERY | $386.64 | $1,611.00 | $1,829.65–$8,490.33 | 79% below | 76% |
| Carpal tunnel release, open surgery CPT 64721 64721,RT CARPAL TUNNEL SURGERY | $386.64 | $1,611.00 | $1,829.65–$8,490.33 | 79% below | 76% |
| Carpal tunnel release, open surgery CPT 64721 64721 50 CARPAL TUNNEL SURGERY | $583.68 | $2,432.00 | $1,829.65–$8,490.33 | 69% below | 76% |
| Carpal tunnel release, open surgery CPT 64721 CARPAL TUNNEL SURGERY | $4,712.18 | $19,634.07 | $407.72–$19,634.07 | 153% above | 76% |
| Carpal tunnel release, open surgery inpatient CPT 64721 64721,RT CARPAL TUNNEL SURGERY | $886.05 | $1,611.00 | $459.13–$1,611.00 | — | 45% |
| Carpal tunnel release, open surgery inpatient CPT 64721 64721 CARPAL TUNNEL SURGERY | $886.05 | $1,611.00 | $459.13–$1,611.00 | — | 45% |
| Carpal tunnel release, open surgery inpatient CPT 64721 64721,LT CARPAL TUNNEL SURGERY | $886.05 | $1,611.00 | $459.13–$1,611.00 | — | 45% |
| Carpal tunnel release, open surgery inpatient CPT 64721 64721 50 CARPAL TUNNEL SURGERY | $1,337.60 | $2,432.00 | $693.12–$2,432.00 | — | 45% |
| Cataract surgery with lens implant CPT 66984 66984,52,55,LT CATARACT SURG W/IOL 1 STAGE,POSTOP | $444.96 | $1,854.00 | $2,162.37–$10,034.28 | 88% below | 76% |
| Cataract surgery with lens implant CPT 66984 66984,LT CATARACT SURG W/IOL 1 STAGE | $444.96 | $1,854.00 | $2,162.37–$10,034.28 | 88% below | 76% |
| Cataract surgery with lens implant CPT 66984 66984,RT CATARACT SURG W/IOL 1 STAGE | $444.96 | $1,854.00 | $2,162.37–$10,034.28 | 88% below | 76% |
| Cataract surgery with lens implant CPT 66984 66984 CATARACT SURG W/IOL 1 STAGE | $444.96 | $1,854.00 | $2,162.37–$10,034.28 | 88% below | 76% |
| Cataract surgery with lens implant inpatient CPT 66984 66984,RT CATARACT SURG W/IOL 1 STAGE | $1,019.70 | $1,854.00 | $528.39–$1,854.00 | — | 45% |
| Cataract surgery with lens implant inpatient CPT 66984 66984,LT CATARACT SURG W/IOL 1 STAGE | $1,019.70 | $1,854.00 | $528.39–$1,854.00 | — | 45% |
| Cataract surgery with lens implant inpatient CPT 66984 66984,52,55,LT CATARACT SURG W/IOL 1 STAGE,POSTOP | $1,019.70 | $1,854.00 | $528.39–$1,854.00 | — | 45% |
| Cataract surgery with lens implant inpatient CPT 66984 66984 CATARACT SURG W/IOL 1 STAGE | $1,019.70 | $1,854.00 | $528.39–$1,854.00 | — | 45% |
| Catheter ablation for atrial fibrillation CPT 93656 EP-ATR FIB PULM VN I - GL 107 | $25,544.88 | $106,437.00 | $24,422.18–$113,645.66 | 8% below | 76% |
| Catheter ablation for atrial fibrillation CPT 93656 EP-ATR FIB PULM VN I - Dept 107 | $25,544.88 | $106,437.00 | $24,422.18–$113,645.66 | 8% below | 76% |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 EP-ATR FIB PULM VN I - Dept 107 | $58,540.35 | $106,437.00 | $30,334.54–$106,437.00 | — | 45% |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 EP-ATR FIB PULM VN I - GL 107 | $58,540.35 | $106,437.00 | $30,334.54–$106,437.00 | — | 45% |
| Cervical biopsy inpatient CPT 57500 57500 BIOPSY OF CERVIX | $160.05 | $291.00 | $82.93–$291.00 | — | 45% |
| Cesarean delivery, including prenatal and postpartum care CPT 59510 59510 CESAREAN DELIVERY | $1,402.32 | $5,843.00 | $1,402.32–$5,843.00 | 29% below | 76% |
| Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 59510 CESAREAN DELIVERY | $3,213.65 | $5,843.00 | $1,665.25–$5,843.00 | — | 45% |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 54161 CIRCUM 28 DAYS OR OLDER | $177.36 | $739.00 | $1,958.63–$9,088.87 | 76% below | 76% |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUMCISION | $7,035.25 | $29,313.55 | $180.77–$29,313.55 | 866% above | 76% |
| Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 54161 CIRCUM 28 DAYS OR OLDER | $406.45 | $739.00 | $210.61–$739.00 | — | 45% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 54150,53 CIRCUMCISION W/REGIONL BLOCK | $88.32 | $368.00 | $1,958.63–$9,088.87 | 70% below | 76% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 54150 CIRCUMCISION W/REGIONL BLOCK | $88.32 | $368.00 | $1,958.63–$9,088.87 | 70% below | 76% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 54150,53 CIRCUMCISION W/REGIONL BLOCK | $202.40 | $368.00 | $104.88–$368.00 | — | 45% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 54150 CIRCUMCISION W/REGIONL BLOCK | $202.40 | $368.00 | $104.88–$368.00 | — | 45% |
| Circumcision, surgical, older than a newborn CPT 54160 54160 CIRCUMCISION NEONATE | $89.28 | $372.00 | $653.36–$3,031.79 | 52% below | 76% |
| Circumcision, surgical, older than a newborn inpatient CPT 54160 54160 CIRCUMCISION NEONATE | $204.60 | $372.00 | $106.02–$372.00 | — | 45% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 25600,RT TREAT FX DIST RAD | $186.00 | $775.00 | $231.12–$1,072.51 | 52% below | 76% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 25600,LT TREAT FX DIST RAD | $186.00 | $775.00 | $231.12–$1,072.51 | 52% below | 76% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 25600 TREAT FX DIST RAD | $186.00 | $775.00 | $231.12–$1,072.51 | 52% below | 76% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 25600 50 TREAT FX DIST RAD | $279.12 | $1,163.00 | $279.12–$1,163.00 | 28% below | 76% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 25600,RT TREAT FX DIST RAD | $427.35 | $777.00 | $221.44–$777.00 | — | 45% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 25600 TREAT FX DIST RAD | $427.35 | $777.00 | $221.44–$777.00 | — | 45% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 25600,LT TREAT FX DIST RAD | $427.35 | $777.00 | $221.44–$777.00 | — | 45% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 25600 50 TREAT FX DIST RAD | $639.65 | $1,163.00 | $331.45–$1,163.00 | — | 45% |
| Colonoscopy with endoscopic ultrasound CPT 45391 45391 COLONOSCOPY W/ENDOSCOPE US | $180.96 | $754.00 | $1,121.22–$5,202.90 | 21% below | 76% |
| Colonoscopy with endoscopic ultrasound inpatient CPT 45391 45391 COLONOSCOPY W/ENDOSCOPE US | $414.70 | $754.00 | $214.89–$754.00 | — | 45% |
| Colonoscopy with polyp removal CPT 45385 45385,52 COLONOSCOPY - SNARE | $209.04 | $871.00 | $1,121.22–$5,202.90 | 89% below | 76% |
| Colonoscopy with polyp removal CPT 45385 45385,53 COLONOSCOPY - SNARE | $209.04 | $871.00 | $1,121.22–$5,202.90 | 89% below | 76% |
| Colonoscopy with polyp removal CPT 45385 45385,53,PT COLONOSCOPY W/LESION REMOVAL,SCREENIN | $281.76 | $1,174.00 | $1,121.22–$5,202.90 | 85% below | 76% |
| Colonoscopy with polyp removal CPT 45385 45385,53 COLONOSCOPY W/LESION REMOVAL | $281.76 | $1,174.00 | $1,121.22–$5,202.90 | 85% below | 76% |
| Colonoscopy with polyp removal CPT 45385 45385,52,PT LESION REMOVAL COLONOSCOPY,SCREENING | $281.76 | $1,174.00 | $1,121.22–$5,202.90 | 85% below | 76% |
| Colonoscopy with polyp removal CPT 45385 45385,52,33 LESION REMOVAL COLONOSCOPY,PREVENTIVE | $281.76 | $1,174.00 | $1,121.22–$5,202.90 | 85% below | 76% |
| Colonoscopy with polyp removal CPT 45385 45385,52 LESION REMOVAL COLONOSCOPY | $281.76 | $1,174.00 | $1,121.22–$5,202.90 | 85% below | 76% |
| Colonoscopy with polyp removal CPT 45385 45385 COLONOSCOPY - SNARE | $281.76 | $1,174.00 | $1,121.22–$5,202.90 | 85% below | 76% |
| Colonoscopy with polyp removal CPT 45385 45385,53,33 COLONOSCOPY W/LESION REMOVAL,PREVENTI | $281.76 | $1,174.00 | $1,121.22–$5,202.90 | 85% below | 76% |
| Colonoscopy with polyp removal CPT 45385 LESION REMOVAL COLONOSCOPY | $2,990.46 | $12,460.25 | $405.04–$12,460.25 | 60% above | 76% |
| Colonoscopy with polyp removal inpatient CPT 45385 45385,53 COLONOSCOPY - SNARE | $479.05 | $871.00 | $248.23–$871.00 | — | 45% |
| Colonoscopy with polyp removal inpatient CPT 45385 45385,52 COLONOSCOPY - SNARE | $504.90 | $918.00 | $261.63–$918.00 | — | 45% |
| Colonoscopy with polyp removal inpatient CPT 45385 45385,53 COLONOSCOPY W/LESION REMOVAL | $645.70 | $1,174.00 | $334.59–$1,174.00 | — | 45% |
| Colonoscopy with polyp removal inpatient CPT 45385 45385,53,33 COLONOSCOPY W/LESION REMOVAL,PREVENTI | $645.70 | $1,174.00 | $334.59–$1,174.00 | — | 45% |
| Colonoscopy with polyp removal inpatient CPT 45385 45385 COLONOSCOPY - SNARE | $645.70 | $1,174.00 | $334.59–$1,174.00 | — | 45% |
| Colonoscopy with polyp removal inpatient CPT 45385 45385,53,PT COLONOSCOPY W/LESION REMOVAL,SCREENIN | $645.70 | $1,174.00 | $334.59–$1,174.00 | — | 45% |
| Colonoscopy with polyp removal inpatient CPT 45385 45385,52,PT LESION REMOVAL COLONOSCOPY,SCREENING | $645.70 | $1,174.00 | $334.59–$1,174.00 | — | 45% |
| Colonoscopy with polyp removal inpatient CPT 45385 45385,52,33 LESION REMOVAL COLONOSCOPY,PREVENTIVE | $645.70 | $1,174.00 | $334.59–$1,174.00 | — | 45% |
| Colonoscopy with polyp removal inpatient CPT 45385 45385,52 LESION REMOVAL COLONOSCOPY | $645.70 | $1,174.00 | $334.59–$1,174.00 | — | 45% |
| Colonoscopy with tissue sample CPT 45380 45380,53,PT COLONOSCOPY AND BIOPSY,SCREENING TEST | $237.36 | $989.00 | $1,121.22–$5,202.90 | 83% below | 76% |
| Colonoscopy with tissue sample CPT 45380 45380,52,59 COLONOSCOPY AND BIOPSY,DISTINCT PROCE | $237.36 | $989.00 | $1,121.22–$5,202.90 | 83% below | 76% |
| Colonoscopy with tissue sample CPT 45380 45380,53 COLONOSCOPY AND BIOPSY | $237.36 | $989.00 | $1,121.22–$5,202.90 | 83% below | 76% |
| Colonoscopy with tissue sample CPT 45380 45380,53,59 COLONOSCOPY AND BIOPSY,DISTINCT PROCE | $237.36 | $989.00 | $1,121.22–$5,202.90 | 83% below | 76% |
| Colonoscopy with tissue sample CPT 45380 45380,53,59,PT COLONOSCOPY AND BIOPSY,DISTINCT PR | $237.36 | $989.00 | $1,121.22–$5,202.90 | 83% below | 76% |
| Colonoscopy with tissue sample CPT 45380 45380,52,33 COLONOSCOPY AND BIOPSY,PREVENTIVE SER | $237.36 | $989.00 | $1,121.22–$5,202.90 | 83% below | 76% |
| Colonoscopy with tissue sample CPT 45380 45380 COLONOSCOPY AND BIOPSY | $237.36 | $989.00 | $1,121.22–$5,202.90 | 83% below | 76% |
| Colonoscopy with tissue sample CPT 45380 45380,52 COLONOSCOPY AND BIOPSY | $237.36 | $989.00 | $1,121.22–$5,202.90 | 83% below | 76% |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY AND BIOPSY | $2,888.45 | $12,035.22 | $384.68–$12,035.22 | 107% above | 76% |
| Colonoscopy with tissue sample inpatient CPT 45380 45380,52,33 COLONOSCOPY AND BIOPSY,PREVENTIVE SER | $543.95 | $989.00 | $281.86–$989.00 | — | 45% |
| Colonoscopy with tissue sample inpatient CPT 45380 45380,53,59 COLONOSCOPY AND BIOPSY,DISTINCT PROCE | $543.95 | $989.00 | $281.86–$989.00 | — | 45% |
| Colonoscopy with tissue sample inpatient CPT 45380 45380,53,59,PT COLONOSCOPY AND BIOPSY,DISTINCT PR | $543.95 | $989.00 | $281.86–$989.00 | — | 45% |
| Colonoscopy with tissue sample inpatient CPT 45380 45380,52,59 COLONOSCOPY AND BIOPSY,DISTINCT PROCE | $543.95 | $989.00 | $281.86–$989.00 | — | 45% |
| Colonoscopy with tissue sample inpatient CPT 45380 45380 COLONOSCOPY AND BIOPSY | $543.95 | $989.00 | $281.86–$989.00 | — | 45% |
| Colonoscopy with tissue sample inpatient CPT 45380 45380,53,PT COLONOSCOPY AND BIOPSY,SCREENING TEST | $543.95 | $989.00 | $281.86–$989.00 | — | 45% |
| Colonoscopy with tissue sample inpatient CPT 45380 45380,53 COLONOSCOPY AND BIOPSY | $744.70 | $1,354.00 | $385.89–$1,354.00 | — | 45% |
| Colonoscopy with tissue sample inpatient CPT 45380 45380,52 COLONOSCOPY AND BIOPSY | $744.70 | $1,354.00 | $385.89–$1,354.00 | — | 45% |
| Colonoscopy, diagnostic CPT 45378 45378,53 DIAGNOSTIC COLONOSCOPY | $198.72 | $828.00 | $871.34–$4,043.41 | 83% below | 76% |
| Colonoscopy, diagnostic CPT 45378 45378 DIAGNOSTIC COLONOSCOPY | $198.72 | $828.00 | $871.34–$4,043.41 | 83% below | 76% |
| Colonoscopy, diagnostic CPT 45378 45378,53,PT DIAGNOSTIC COLONOSCOPY,SCREENING TEST | $198.72 | $828.00 | $871.34–$4,043.41 | 83% below | 76% |
| Colonoscopy, diagnostic CPT 45378 45378,53,GZ DIAGNOSTIC COLONOSCOPY,ITEM OR SERVIC | $198.72 | $828.00 | $871.34–$4,043.41 | 83% below | 76% |
| Colonoscopy, diagnostic CPT 45378 45378,53,GA DIAGNOSTIC COLONOSCOPY,WAIVER OF LIAB | $198.72 | $828.00 | $871.34–$4,043.41 | 83% below | 76% |
| Colonoscopy, diagnostic CPT 45378 45378,53,AQ DIAGNOSTIC COLONOSCOPY,PHYSICIAN SERV | $198.72 | $828.00 | $871.34–$4,043.41 | 83% below | 76% |
| Colonoscopy, diagnostic CPT 45378 45378,53,79 DIAGNOSTIC COLONOSCOPY,UNRELATED PROC | $198.72 | $828.00 | $871.34–$4,043.41 | 83% below | 76% |
| Colonoscopy, diagnostic CPT 45378 45378,53,59 DIAGNOSTIC COLONOSCOPY,DISTINCT PROCE | $198.72 | $828.00 | $871.34–$4,043.41 | 83% below | 76% |
| Colonoscopy, diagnostic CPT 45378 45378,53,58 DIAGNOSTIC COLONOSCOPY,STAGED OR RELA | $198.72 | $828.00 | $871.34–$4,043.41 | 83% below | 76% |
| Colonoscopy, diagnostic CPT 45378 45378,53,33 DIAGNOSTIC COLONOSCOPY,PREVENTIVE SER | $198.72 | $828.00 | $871.34–$4,043.41 | 83% below | 76% |
| Colonoscopy, diagnostic CPT 45378 45378,52,GZ DIAGNOSTIC COLONOSCOPY,ITEM OR SERVIC | $198.72 | $828.00 | $871.34–$4,043.41 | 83% below | 76% |
| Colonoscopy, diagnostic CPT 45378 45378,52,GY DIAGNOSTIC COLONOSCOPY,ITEM OR SERVIC | $198.72 | $828.00 | $871.34–$4,043.41 | 83% below | 76% |
| Colonoscopy, diagnostic CPT 45378 45378,52,GA DIAGNOSTIC COLONOSCOPY,WAIVER OF LIAB | $198.72 | $828.00 | $871.34–$4,043.41 | 83% below | 76% |
| Colonoscopy, diagnostic CPT 45378 45378,52,51 DIAGNOSTIC COLONOSCOPY,MULTIPLE PROCE | $198.72 | $828.00 | $871.34–$4,043.41 | 83% below | 76% |
| Colonoscopy, diagnostic CPT 45378 45378,52 DIAGNOSTIC COLONOSCOPY | $198.72 | $828.00 | $871.34–$4,043.41 | 83% below | 76% |
| Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC COLONOSCOPY | $1,809.61 | $7,540.04 | $304.26–$7,540.04 | 56% above | 76% |
| Colonoscopy, diagnostic inpatient CPT 45378 45378 DIAGNOSTIC COLONOSCOPY | $455.40 | $828.00 | $235.98–$828.00 | — | 45% |
| Colonoscopy, diagnostic inpatient CPT 45378 45378,53,PT DIAGNOSTIC COLONOSCOPY,SCREENING TEST | $455.40 | $828.00 | $235.98–$828.00 | — | 45% |
| Colonoscopy, diagnostic inpatient CPT 45378 45378,53,GZ DIAGNOSTIC COLONOSCOPY,ITEM OR SERVIC | $455.40 | $828.00 | $235.98–$828.00 | — | 45% |
| Colonoscopy, diagnostic inpatient CPT 45378 45378,52,51 DIAGNOSTIC COLONOSCOPY,MULTIPLE PROCE | $455.40 | $828.00 | $235.98–$828.00 | — | 45% |
| Colonoscopy, diagnostic inpatient CPT 45378 45378,52,GA DIAGNOSTIC COLONOSCOPY,WAIVER OF LIAB | $455.40 | $828.00 | $235.98–$828.00 | — | 45% |
| Colonoscopy, diagnostic inpatient CPT 45378 45378,53,GA DIAGNOSTIC COLONOSCOPY,WAIVER OF LIAB | $455.40 | $828.00 | $235.98–$828.00 | — | 45% |
| Colonoscopy, diagnostic inpatient CPT 45378 45378,53,AQ DIAGNOSTIC COLONOSCOPY,PHYSICIAN SERV | $455.40 | $828.00 | $235.98–$828.00 | — | 45% |
| Colonoscopy, diagnostic inpatient CPT 45378 45378,53,79 DIAGNOSTIC COLONOSCOPY,UNRELATED PROC | $455.40 | $828.00 | $235.98–$828.00 | — | 45% |
| Colonoscopy, diagnostic inpatient CPT 45378 45378,52,GY DIAGNOSTIC COLONOSCOPY,ITEM OR SERVIC | $455.40 | $828.00 | $235.98–$828.00 | — | 45% |
| Colonoscopy, diagnostic inpatient CPT 45378 45378,53,59 DIAGNOSTIC COLONOSCOPY,DISTINCT PROCE | $455.40 | $828.00 | $235.98–$828.00 | — | 45% |
| Colonoscopy, diagnostic inpatient CPT 45378 45378,53,58 DIAGNOSTIC COLONOSCOPY,STAGED OR RELA | $455.40 | $828.00 | $235.98–$828.00 | — | 45% |
| Colonoscopy, diagnostic inpatient CPT 45378 45378,53,33 DIAGNOSTIC COLONOSCOPY,PREVENTIVE SER | $455.40 | $828.00 | $235.98–$828.00 | — | 45% |
| Colonoscopy, diagnostic inpatient CPT 45378 45378,52,GZ DIAGNOSTIC COLONOSCOPY,ITEM OR SERVIC | $455.40 | $828.00 | $235.98–$828.00 | — | 45% |
| Colonoscopy, diagnostic inpatient CPT 45378 45378,53 DIAGNOSTIC COLONOSCOPY | $455.40 | $828.00 | $235.98–$828.00 | — | 45% |
| Colonoscopy, diagnostic inpatient CPT 45378 45378,52 DIAGNOSTIC COLONOSCOPY | $677.60 | $1,232.00 | $351.12–$1,232.00 | — | 45% |
| Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 57460 BX OF CERVIX W/SCOPE LEEP | $343.20 | $624.00 | $177.84–$624.00 | — | 45% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 57454 BX/CURETT OF CERVIX W/SCOPE | $124.80 | $520.00 | $285.53–$1,324.95 | 62% below | 76% |
| Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 57454 BX/CURETT OF CERVIX W/SCOPE | $286.00 | $520.00 | $148.20–$520.00 | — | 45% |
| Complex cataract surgery with lens implant CPT 66982 66982 CATARACT SURGERY COMPLEX | $556.56 | $2,319.00 | $2,162.37–$10,034.28 | 68% below | 76% |
| Complex cataract surgery with lens implant CPT 66982 66982,RT CATARACT SURGERY COMPLEX | $556.56 | $2,319.00 | $2,162.37–$10,034.28 | 68% below | 76% |
| Complex cataract surgery with lens implant CPT 66982 66982,LT CATARACT SURGERY COMPLEX | $556.56 | $2,319.00 | $2,162.37–$10,034.28 | 68% below | 76% |
| Complex cataract surgery with lens implant inpatient CPT 66982 66982,LT CATARACT SURGERY COMPLEX | $1,275.45 | $2,319.00 | $660.91–$2,319.00 | — | 45% |
| Complex cataract surgery with lens implant inpatient CPT 66982 66982,RT CATARACT SURGERY COMPLEX | $1,275.45 | $2,319.00 | $660.91–$2,319.00 | — | 45% |
| Complex cataract surgery with lens implant inpatient CPT 66982 66982 CATARACT SURGERY COMPLEX | $1,275.45 | $2,319.00 | $660.91–$2,319.00 | — | 45% |
| Coronary stent placement, one artery CPT 92928 IC-PRQ CRD STN W-ANG - Dept 106 | $8,109.60 | $33,790.00 | $10,803.88–$50,193.36 | 48% below | 76% |
| Coronary stent placement, one artery CPT 92928 IC-PRQ CRD STN W-ANG - GL 106 | $8,109.60 | $33,790.00 | $10,803.88–$50,193.36 | 48% below | 76% |
| Coronary stent placement, one artery inpatient CPT 92928 IC-PRQ CRD STN W-ANG - GL 106 | $19,359.45 | $35,199.00 | $10,031.71–$35,199.00 | — | 45% |
| Coronary stent placement, one artery inpatient CPT 92928 IC-PRQ CRD STN W-ANG - Dept 106 | $19,359.45 | $35,199.00 | $10,031.71–$35,199.00 | — | 45% |
| Cystoscopy with ureteral stent placement CPT 52332 CYSTOSCOPY AND TREATMENT | $12,759.02 | $53,162.59 | $336.49–$53,162.59 | 114% above | 76% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 52000 CYSTOSCOPY | $113.52 | $473.00 | $653.36–$3,031.79 | 82% below | 76% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 52000,52 CYSTOSCOPY | $113.52 | $473.00 | $653.36–$3,031.79 | 82% below | 76% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOSCOPY | $3,848.66 | $16,036.09 | $197.85–$16,036.09 | 501% above | 76% |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 52000,52 CYSTOSCOPY | $260.15 | $473.00 | $134.80–$473.00 | — | 45% |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 52000 CYSTOSCOPY | $260.15 | $473.00 | $134.80–$473.00 | — | 45% |
| D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 58120 DILATION AND CURETTAGE | $458.15 | $833.00 | $237.40–$833.00 | — | 45% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 17000,LT DESTRUCT PREMALG LESION | $39.12 | $163.00 | $187.98–$872.34 | 74% below | 76% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 17000 DESTRUCT PREMALG LESION | $39.12 | $163.00 | $187.98–$872.34 | 74% below | 76% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 17000,RT DESTRUCT PREMALG LESION | $39.12 | $163.00 | $187.98–$872.34 | 74% below | 76% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 17000,LT DESTRUCT PREMALG LESION | $110.00 | $200.00 | $57.00–$200.00 | — | 45% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 17000,RT DESTRUCT PREMALG LESION | $110.00 | $200.00 | $57.00–$200.00 | — | 45% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 17000 DESTRUCT PREMALG LESION | $110.00 | $200.00 | $57.00–$200.00 | — | 45% |
| Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 69436 CREATE EARDRUM OPENING | $149.28 | $622.00 | $1,453.79–$6,746.19 | 53% below | 76% |
| Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 69436,LT CREATE EARDRUM OPENING | $149.28 | $622.00 | $1,453.79–$6,746.19 | 53% below | 76% |
| Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 69436,RT CREATE EARDRUM OPENING | $149.28 | $622.00 | $1,453.79–$6,746.19 | 53% below | 76% |
| Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 69436,50 CREATE EARDRUM OPENING | $223.92 | $933.00 | $1,453.79–$6,746.19 | 29% below | 76% |
| Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 69436 50 CREATE EARDRUM OPENING | $223.92 | $933.00 | $1,453.79–$6,746.19 | 29% below | 76% |
| Ear tube placement (tympanostomy) under general anesthesia, one ear inpatient CPT 69436 69436 CREATE EARDRUM OPENING | $342.10 | $622.00 | $177.27–$622.00 | — | 45% |
| Ear tube placement (tympanostomy) under general anesthesia, one ear inpatient CPT 69436 69436,RT CREATE EARDRUM OPENING | $342.10 | $622.00 | $177.27–$622.00 | — | 45% |
| Ear tube placement (tympanostomy) under general anesthesia, one ear inpatient CPT 69436 69436,LT CREATE EARDRUM OPENING | $342.10 | $622.00 | $177.27–$622.00 | — | 45% |
| Ear tube placement (tympanostomy) under general anesthesia, one ear inpatient CPT 69436 69436,50 CREATE EARDRUM OPENING | $513.15 | $933.00 | $265.90–$933.00 | — | 45% |
| Ear tube placement (tympanostomy) under general anesthesia, one ear inpatient CPT 69436 69436 50 CREATE EARDRUM OPENING | $513.15 | $933.00 | $265.90–$933.00 | — | 45% |
| Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 69433 CREATE EARDRUM OPENING | $81.12 | $338.00 | $505.33–$2,344.98 | 29% below | 76% |
| Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 69433 50 CREATE EARDRUM OPENING | $114.24 | $476.00 | $505.33–$2,344.98 | at median | 76% |
| Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 69433 CREATE EARDRUM OPENING | $185.90 | $338.00 | $96.33–$338.00 | — | 45% |
| Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 69433 50 CREATE EARDRUM OPENING | $261.80 | $476.00 | $135.66–$476.00 | — | 45% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 69209,50 REMOVAL IMPACTED CERUMEN USING IRRIGATION | $12.96 | $54.00 | $55.27–$256.49 | 90% below | 76% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 69209 50 REMOVAL IMPACTED CERUMEN USING IRRIGATION | $12.96 | $54.00 | $55.27–$256.49 | 90% below | 76% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI | $499.25 | $2,080.22 | $13.88–$2,277.00 | 293% above | 76% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 69209,RT REMOVAL IMPACTED CERUMEN USING IRRIGATION | $19.80 | $36.00 | $10.26–$36.00 | — | 45% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 69209,LT REMOVAL IMPACTED CERUMEN USING IRRIGATION | $19.80 | $36.00 | $10.26–$36.00 | — | 45% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 69209,53,LT REMOVAL IMPACTED CERUMEN USING IRRIGA | $19.80 | $36.00 | $10.26–$36.00 | — | 45% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 69209,53,59 REMOVAL IMPACTED CERUMEN USING IRRIGA | $19.80 | $36.00 | $10.26–$36.00 | — | 45% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 69209,53 REMOVAL IMPACTED CERUMEN USING IRRIGATIO | $19.80 | $36.00 | $10.26–$36.00 | — | 45% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 69209 REMOVAL IMPACTED CERUMEN USING IRRIGATION/LA | $19.80 | $36.00 | $10.26–$36.00 | — | 45% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 69209 50 REMOVAL IMPACTED CERUMEN USING IRRIGATION | $29.70 | $54.00 | $15.39–$54.00 | — | 45% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 69209,50 REMOVAL IMPACTED CERUMEN USING IRRIGATION | $29.70 | $54.00 | $15.39–$54.00 | — | 45% |
| Earwax removal with instruments, one ear CPT 69210 69210,LT REMOVE IMPACTED EAR WAX REQUIRING INSTRUM | $24.24 | $101.00 | $55.27–$256.49 | 78% below | 76% |
| Earwax removal with instruments, one ear CPT 69210 69210,RT REMOVE IMPACTED EAR WAX REQUIRING INSTRUM | $24.24 | $101.00 | $55.27–$256.49 | 78% below | 76% |
| Earwax removal with instruments, one ear CPT 69210 69210,53 REMOVE IMPACTED EAR WAX UNI | $24.24 | $101.00 | $55.27–$256.49 | 78% below | 76% |
| Earwax removal with instruments, one ear CPT 69210 69210 REMOVE IMPACTED EAR WAX REQUIRING INSTRUMENT | $24.24 | $101.00 | $55.27–$256.49 | 78% below | 76% |
| Earwax removal with instruments, one ear CPT 69210 69210,53,59,RT REMOVE IMPACTED EAR WAX UNI,DISTIN | $24.24 | $101.00 | $55.27–$256.49 | 78% below | 76% |
| Earwax removal with instruments, one ear CPT 69210 69210,50 REMOVE IMPACTED EAR WAX UNI | $44.64 | $186.00 | $55.27–$256.49 | 60% below | 76% |
| Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX | $4,019.81 | $16,749.20 | $43.50–$16,749.20 | 3535% above | 76% |
| Earwax removal with instruments, one ear inpatient CPT 69210 69210,RT REMOVE IMPACTED EAR WAX REQUIRING INSTRUM | $68.20 | $124.00 | $35.34–$124.00 | — | 45% |
| Earwax removal with instruments, one ear inpatient CPT 69210 69210 REMOVE IMPACTED EAR WAX REQUIRING INSTRUMENT | $68.20 | $124.00 | $35.34–$124.00 | — | 45% |
| Earwax removal with instruments, one ear inpatient CPT 69210 69210,53,59,RT REMOVE IMPACTED EAR WAX UNI,DISTIN | $68.20 | $124.00 | $35.34–$124.00 | — | 45% |
| Earwax removal with instruments, one ear inpatient CPT 69210 69210,LT REMOVE IMPACTED EAR WAX REQUIRING INSTRUM | $68.20 | $124.00 | $35.34–$124.00 | — | 45% |
| Earwax removal with instruments, one ear inpatient CPT 69210 69210,53 REMOVE IMPACTED EAR WAX UNI | $68.20 | $124.00 | $35.34–$124.00 | — | 45% |
| Earwax removal with instruments, one ear inpatient CPT 69210 69210,50 REMOVE IMPACTED EAR WAX UNI | $102.30 | $186.00 | $53.01–$186.00 | — | 45% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 58100,53 BIOPSY OF UTERUS LINING | $74.64 | $311.00 | $189.43–$879.04 | 47% below | 76% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 58100,52 BIOPSY OF UTERUS LINING | $74.64 | $311.00 | $189.43–$879.04 | 47% below | 76% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 58100 BIOPSY OF UTERUS LINING | $74.64 | $311.00 | $189.43–$879.04 | 47% below | 76% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 58100,53 BIOPSY OF UTERUS LINING | $181.50 | $330.00 | $94.05–$330.00 | — | 45% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 58100,52 BIOPSY OF UTERUS LINING | $181.50 | $330.00 | $94.05–$330.00 | — | 45% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 58100 BIOPSY OF UTERUS LINING | $181.50 | $330.00 | $94.05–$330.00 | — | 45% |
| Endoscopic sinus surgery: full ethmoid sinus opening inpatient CPT 31255 31255,RT REMOVAL OF ETHMOID SINUS | $565.95 | $1,029.00 | $293.26–$1,029.00 | — | 45% |
| Endoscopic sinus surgery: full ethmoid sinus opening inpatient CPT 31255 31255 REMOVAL OF ETHMOID SINUS | $565.95 | $1,029.00 | $293.26–$1,029.00 | — | 45% |
| Endoscopic sinus surgery: full ethmoid sinus opening inpatient CPT 31255 31255,LT REMOVAL OF ETHMOID SINUS | $565.95 | $1,029.00 | $293.26–$1,029.00 | — | 45% |
| Endoscopic sinus surgery: full ethmoid sinus opening inpatient CPT 31255 31255 50 REMOVAL OF ETHMOID SINUS | $849.75 | $1,545.00 | $440.32–$1,545.00 | — | 45% |
| Endoscopic sinus surgery: opening the frontal sinus CPT 31276 31276,LT SINUS ENDOSCOPY SURGICAL | $311.28 | $1,297.00 | $6,612.65–$30,685.37 | 71% below | 76% |
| Endoscopic sinus surgery: opening the frontal sinus CPT 31276 31276 SINUS ENDOSCOPY SURGICAL | $311.28 | $1,297.00 | $6,612.65–$30,685.37 | 71% below | 76% |
| Endoscopic sinus surgery: opening the frontal sinus CPT 31276 31276 50 SINUS ENDOSCOPY SURGICAL | $467.04 | $1,946.00 | $6,612.65–$30,685.37 | 57% below | 76% |
| Endoscopic sinus surgery: opening the frontal sinus inpatient CPT 31276 31276,LT SINUS ENDOSCOPY SURGICAL | $713.35 | $1,297.00 | $369.64–$1,297.00 | — | 45% |
| Endoscopic sinus surgery: opening the frontal sinus inpatient CPT 31276 31276 SINUS ENDOSCOPY SURGICAL | $713.35 | $1,297.00 | $369.64–$1,297.00 | — | 45% |
| Endoscopic sinus surgery: opening the frontal sinus inpatient CPT 31276 31276 50 SINUS ENDOSCOPY SURGICAL | $1,070.30 | $1,946.00 | $554.61–$1,946.00 | — | 45% |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus inpatient CPT 31256 31256 EXPLORATION MAXILLARY SINUS | $280.50 | $510.00 | $145.35–$510.00 | — | 45% |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus inpatient CPT 31256 31256,LT EXPLORATION MAXILLARY SINUS | $280.50 | $510.00 | $145.35–$510.00 | — | 45% |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue inpatient CPT 31267 31267,LT ENDOSCOPY MAXILLARY SINUS | $449.90 | $818.00 | $233.13–$818.00 | — | 45% |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue inpatient CPT 31267 31267 ENDOSCOPY MAXILLARY SINUS | $449.90 | $818.00 | $233.13–$818.00 | — | 45% |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue inpatient CPT 31267 31267,RT ENDOSCOPY MAXILLARY SINUS | $449.90 | $818.00 | $233.13–$818.00 | — | 45% |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue inpatient CPT 31267 31267 50 ENDOSCOPY MAXILLARY SINUS | $674.85 | $1,227.00 | $349.69–$1,227.00 | — | 45% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 S-DI C-T INJ W IM - Dept 106 | $733.44 | $3,056.00 | $661.39–$3,069.14 | 27% below | 76% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 IR-DI C-T INJ W IM - BCE | $777.36 | $3,239.00 | $233.81–$3,239.00 | 22% below | 76% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 IR Inj Catheter Placement C-T w Imaging - BCE | $777.36 | $3,239.00 | $233.81–$3,239.00 | 22% below | 76% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 S-DI C-T INJ W IM - Dept 106 | $1,680.80 | $3,056.00 | $870.96–$3,056.00 | — | 45% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 IR Inj Catheter Placement C-T w Imaging - BCE | $1,781.45 | $3,239.00 | $923.11–$3,239.00 | — | 45% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 IR-DI C-T INJ W IM - BCE | $1,781.45 | $3,239.00 | $923.11–$3,239.00 | — | 45% |
| Eye injection into the vitreous (intravitreal injection) CPT 67028 67028 INJECTION EYE DRUG | $61.20 | $255.00 | $309.49–$1,436.14 | 30% below | 76% |
| Eye injection into the vitreous (intravitreal injection) CPT 67028 67028,RT INJECTION EYE DRUG | $61.20 | $255.00 | $309.49–$1,436.14 | 30% below | 76% |
| Eye injection into the vitreous (intravitreal injection) CPT 67028 67028,LT INJECTION EYE DRUG | $61.20 | $255.00 | $309.49–$1,436.14 | 30% below | 76% |
| Eye injection into the vitreous (intravitreal injection) CPT 67028 INJECTION EYE DRUG | $16,196.37 | $67,484.87 | $102.44–$67,484.87 | 18517% above | 76% |
| Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 67028,RT INJECTION EYE DRUG | $140.25 | $255.00 | $72.67–$255.00 | — | 45% |
| Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 67028,LT INJECTION EYE DRUG | $140.25 | $255.00 | $72.67–$255.00 | — | 45% |
| Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 67028 INJECTION EYE DRUG | $140.25 | $255.00 | $72.67–$255.00 | — | 45% |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 RPR AA HRN 1ST 3-10 RDC | $36,315.56 | $151,314.85 | $504.30–$151,314.85 | 182% above | 76% |
| First repair of a front abdominal hernia larger than 10 cm CPT 49595 RPR AA HRN 1ST > 10 RDC | $51,584.27 | $214,934.47 | $680.52–$214,934.47 | 234% above | 76% |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 RPR AA HRN 1ST < 3 CM RDC | $22,908.72 | $95,452.98 | $301.74–$95,452.98 | 213% above | 76% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DIAGNOSTIC SIGMOIDOSCOPY | $1,971.79 | $8,215.80 | $166.40–$8,215.80 | 13% above | 76% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 45330,53,33 DIAGNOSTIC SIGMOIDOSCOPY,PREVENTIVE S | $134.75 | $245.00 | $69.82–$245.00 | — | 45% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 45330,52 DIAGNOSTIC SIGMOIDOSCOPY | $134.75 | $245.00 | $69.82–$245.00 | — | 45% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 45330,52,GY DIAGNOSTIC SIGMOIDOSCOPY,ITEM OR SERV | $134.75 | $245.00 | $69.82–$245.00 | — | 45% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 45330,53 DIAGNOSTIC SIGMOIDOSCOPY | $134.75 | $245.00 | $69.82–$245.00 | — | 45% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 45330,53,GA DIAGNOSTIC SIGMOIDOSCOPY,WAIVER OF LI | $134.75 | $245.00 | $69.82–$245.00 | — | 45% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 45330 DIAGNOSTIC SIGMOIDOSCOPY | $134.75 | $245.00 | $69.82–$245.00 | — | 45% |
| Gallbladder removal, laparoscopic CPT 47562 47562 LAPAROSCOPIC CHOLECYSTECTOMY | $591.60 | $2,465.00 | $5,664.50–$26,285.57 | 90% below | 76% |
| Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY | $32,554.22 | $135,642.60 | $587.64–$135,642.60 | 438% above | 76% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 47562,AS LAPAROSCOPIC CHOLECYSTECTOMY | $458.70 | $834.00 | $237.69–$834.00 | — | 45% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 47562,80 LAPAROSCOPIC CHOLECYSTECTOMY | $678.15 | $1,233.00 | $351.40–$1,233.00 | — | 45% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 47562 LAPAROSCOPIC CHOLECYSTECTOMY | $1,355.75 | $2,465.00 | $702.52–$2,465.00 | — | 45% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 47563 LAPARO CHOLECYSTECTOMY/GRAPH | $642.24 | $2,676.00 | $5,664.50–$26,285.57 | 87% below | 76% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 47563,52 LAPARO CHOLECYSTECTOMY/GRAPH | $642.24 | $2,676.00 | $5,664.50–$26,285.57 | 87% below | 76% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAPARO CHOLECYSTECTOMY/GRAPH | $32,189.61 | $134,123.38 | $638.54–$134,123.38 | 551% above | 76% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 47563,80 LAPARO CHOLECYSTECTOMY/GRAPH | $497.75 | $905.00 | $257.92–$905.00 | — | 45% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 47563,AS LAPARO CHOLECYSTECTOMY/GRAPH | $497.75 | $905.00 | $257.92–$905.00 | — | 45% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 47563 LAPARO CHOLECYSTECTOMY/GRAPH | $1,471.80 | $2,676.00 | $762.66–$2,676.00 | — | 45% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 47563,52 LAPARO CHOLECYSTECTOMY/GRAPH | $1,471.80 | $2,676.00 | $762.66–$2,676.00 | — | 45% |
| Gallbladder removal, open surgery through a larger incision CPT 47600 47600,AS REMOVAL OF GALLBLADDER | $324.96 | $1,354.00 | $324.96–$15,567.36 | 65% below | 76% |
| Gallbladder removal, open surgery through a larger incision CPT 47600 47600 REMOVAL OF GALLBLADDER | $842.64 | $3,511.00 | $842.64–$15,567.36 | 8% below | 76% |
| Gallbladder removal, open surgery through a larger incision inpatient CPT 47600 47600,AS REMOVAL OF GALLBLADDER | $744.70 | $1,354.00 | $385.89–$1,354.00 | — | 45% |
| Gallbladder removal, open surgery through a larger incision inpatient CPT 47600 47600,80 REMOVAL OF GALLBLADDER | $958.65 | $1,743.00 | $496.75–$1,743.00 | — | 45% |
| Gallbladder removal, open surgery through a larger incision inpatient CPT 47600 47600 REMOVAL OF GALLBLADDER | $1,931.05 | $3,511.00 | $1,000.63–$3,511.00 | — | 45% |
| Hammertoe correction surgery CPT 28285 REPAIR OF HAMMERTOE | $7,104.24 | $29,601.00 | $490.03–$29,601.00 | 11% above | 76% |
| Hammertoe correction surgery inpatient CPT 28285 28285,LT REPAIR OF HAMMERTOE | $744.70 | $1,354.00 | $385.89–$1,354.00 | — | 45% |
| Hammertoe correction surgery inpatient CPT 28285 28285,RT REPAIR OF HAMMERTOE | $744.70 | $1,354.00 | $385.89–$1,354.00 | — | 45% |
| Hammertoe correction surgery inpatient CPT 28285 28285 REPAIR OF HAMMERTOE | $744.70 | $1,354.00 | $385.89–$1,354.00 | — | 45% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 46221 LIGATION OF HEMORRHOID(S) | $129.12 | $538.00 | $871.34–$4,043.41 | 80% below | 76% |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 46221 LIGATION OF HEMORRHOID(S) | $343.75 | $625.00 | $178.12–$625.00 | — | 45% |
| Hemorrhoidectomy (internal and external), one area CPT 46255 46255 REMOVE INT/EXT HEM 1 GROUP | $321.84 | $1,341.00 | $2,600.72–$12,068.37 | 79% below | 76% |
| Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 46255 REMOVE INT/EXT HEM 1 GROUP | $737.55 | $1,341.00 | $382.18–$1,341.00 | — | 45% |
| Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 27132,LT TOTAL HIP ARTHROPLASTY | $925.92 | $3,858.00 | $12,011.85–$55,821.75 | 39% below | 76% |
| Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 27132 TOTAL HIP ARTHROPLASTY | $925.92 | $3,858.00 | $12,011.85–$55,821.75 | 39% below | 76% |
| Hip replacement after an earlier hip surgery (conversion to total hip) inpatient CPT 27132 27132 TOTAL HIP ARTHROPLASTY | $2,348.50 | $4,270.00 | $1,216.95–$4,270.00 | — | 45% |
| Hip replacement after an earlier hip surgery (conversion to total hip) inpatient CPT 27132 27132,LT TOTAL HIP ARTHROPLASTY | $2,348.50 | $4,270.00 | $1,216.95–$4,270.00 | — | 45% |
| Hysterectomy through an abdominal incision (total) CPT 58150 58150 TOTAL HYSTERECTOMY | $914.88 | $3,812.00 | $914.88–$21,750.33 | 16% below | 76% |
| Hysterectomy through an abdominal incision (total) inpatient CPT 58150 58150,80 TOTAL HYSTERECTOMY | $708.95 | $1,289.00 | $367.36–$1,289.00 | — | 45% |
| Hysterectomy through an abdominal incision (total) inpatient CPT 58150 58150 TOTAL HYSTERECTOMY | $2,096.60 | $3,812.00 | $1,086.42–$3,812.00 | — | 45% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 58340 CATHETER FOR HYSTEROGRAPHY | $53.04 | $221.00 | $53.04–$221.00 | 81% below | 76% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 S-INJ CATH HYSTERSO - BCE | $136.80 | $570.00 | $136.80–$570.00 | 52% below | 76% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 S-INJ CATH HYSTERSO | $198.72 | $828.00 | $198.72–$828.00 | 30% below | 76% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 58340 S-Inj Cath Hysterso | $198.72 | $828.00 | $198.72–$828.00 | 30% below | 76% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 58340 CATHETER FOR HYSTEROGRAPHY | $121.55 | $221.00 | $62.98–$221.00 | — | 45% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 S-INJ CATH HYSTERSO - BCE | $313.50 | $570.00 | $162.45–$570.00 | — | 45% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 58340 S-Inj Cath Hysterso | $455.40 | $828.00 | $235.98–$828.00 | — | 45% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 S-INJ CATH HYSTERSO | $455.40 | $828.00 | $235.98–$828.00 | — | 45% |
| Hysteroscopy with endometrial ablation inpatient CPT 58563 58563 HYSTEROSCOPY ABLATION | $718.85 | $1,307.00 | $372.49–$1,307.00 | — | 45% |
| Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 58558 HYSTEROSCOPY BIOPSY | $559.35 | $1,017.00 | $289.84–$1,017.00 | — | 45% |
| IUD insertion (the device itself billed separately) CPT 58300 58300,53,Q6 INSERT INTRAUTERINE DEVICE,SERVICE FU | $45.60 | $190.00 | $45.60–$190.00 | 83% below | 76% |
| IUD insertion (the device itself billed separately) CPT 58300 58300 INSERT INTRAUTERINE DEVICE | $45.60 | $190.00 | $45.60–$190.00 | 83% below | 76% |
| IUD insertion (the device itself billed separately) CPT 58300 58300,53 INSERT INTRAUTERINE DEVICE | $45.60 | $190.00 | $45.60–$190.00 | 83% below | 76% |
| IUD insertion (the device itself billed separately) CPT 58300 58300,52 INSERT INTRAUTERINE DEVICE | $45.60 | $190.00 | $45.60–$190.00 | 83% below | 76% |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 58300,53,Q6 INSERT INTRAUTERINE DEVICE,SERVICE FU | $104.50 | $190.00 | $54.15–$190.00 | — | 45% |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 58300 INSERT INTRAUTERINE DEVICE | $104.50 | $190.00 | $54.15–$190.00 | — | 45% |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 58300,52 INSERT INTRAUTERINE DEVICE | $104.50 | $190.00 | $54.15–$190.00 | — | 45% |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 58300,53 INSERT INTRAUTERINE DEVICE | $104.50 | $190.00 | $54.15–$190.00 | — | 45% |
| Incision and drainage of a simple or single skin abscess CPT 10060 10060,LT DRAINAGE OF SKIN ABSCESS | $55.20 | $230.00 | $187.98–$872.34 | 86% below | 76% |
| Incision and drainage of a simple or single skin abscess CPT 10060 10060 DRAINAGE OF SKIN ABSCESS | $55.20 | $230.00 | $187.98–$872.34 | 86% below | 76% |
| Incision and drainage of a simple or single skin abscess CPT 10060 10060,RT DRAINAGE OF SKIN ABSCESS | $55.20 | $230.00 | $187.98–$872.34 | 86% below | 76% |
| Incision and drainage of a simple or single skin abscess CPT 10060 DRAINAGE OF SKIN ABSCESS | $765.45 | $3,189.37 | $115.76–$3,189.37 | 89% above | 76% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 10060 DRAINAGE OF SKIN ABSCESS | $150.15 | $273.00 | $77.80–$273.00 | — | 45% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 10060,LT DRAINAGE OF SKIN ABSCESS | $150.15 | $273.00 | $77.80–$273.00 | — | 45% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 10060,RT DRAINAGE OF SKIN ABSCESS | $150.15 | $273.00 | $77.80–$273.00 | — | 45% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 49505,RT PRP I/HERN INIT REDUC>5 YR | $468.96 | $1,954.00 | $3,354.74–$15,567.36 | 91% below | 76% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 49505,LT PRP I/HERN INIT REDUC>5 YR | $468.96 | $1,954.00 | $3,354.74–$15,567.36 | 91% below | 76% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 49505 PRP I/HERN INIT REDUC>5 YR | $468.96 | $1,954.00 | $3,354.74–$15,567.36 | 91% below | 76% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 49505 50 PRP I/HERN INIT REDUC>5 YR | $703.44 | $2,931.00 | $3,354.74–$15,567.36 | 87% below | 76% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 REPAIR INGUINAL HERNIA | $43,970.30 | $183,209.60 | $467.34–$183,209.60 | 734% above | 76% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 49505,AS PRP I/HERN INIT REDUC >5 YR | $362.45 | $659.00 | $187.81–$659.00 | — | 45% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 49505,80 PRP I/HERN INIT REDUC >5 YR | $362.45 | $659.00 | $187.81–$659.00 | — | 45% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 49505,RT PRP I/HERN INIT REDUC>5 YR | $1,074.70 | $1,954.00 | $556.89–$1,954.00 | — | 45% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 49505,LT PRP I/HERN INIT REDUC>5 YR | $1,074.70 | $1,954.00 | $556.89–$1,954.00 | — | 45% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 49505 PRP I/HERN INIT REDUC>5 YR | $1,074.70 | $1,954.00 | $556.89–$1,954.00 | — | 45% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 49505 50 PRP I/HERN INIT REDUC>5 YR | $1,612.05 | $2,931.00 | $835.33–$2,931.00 | — | 45% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 20550,LT INJ TENDON SHEATH/LIGAMENT | $37.44 | $156.00 | $287.60–$1,334.60 | 93% below | 76% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 20550,RT INJ TENDON SHEATH/LIGAMENT | $37.44 | $156.00 | $287.60–$1,334.60 | 93% below | 76% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 20550 INJ TENDON SHEATH/LIGAMENT | $37.44 | $156.00 | $287.60–$1,334.60 | 93% below | 76% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 20550 50 INJ TENDON SHEATH/LIGAMENT | $50.88 | $212.00 | $287.60–$1,334.60 | 90% below | 76% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 20550 INJ TENDON SHEATH/LIGAMENT | $85.80 | $156.00 | $44.46–$156.00 | — | 45% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 20550,LT INJ TENDON SHEATH/LIGAMENT | $85.80 | $156.00 | $44.46–$156.00 | — | 45% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 20550,RT INJ TENDON SHEATH/LIGAMENT | $85.80 | $156.00 | $44.46–$156.00 | — | 45% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 20550 50 INJ TENDON SHEATH/LIGAMENT | $116.60 | $212.00 | $60.42–$212.00 | — | 45% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610 50 DRAIN/INJECT JOINT/BURSA | $62.40 | $260.00 | $287.60–$1,334.60 | 84% below | 76% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 S-JNT ASP INJ MAJ UN - BCE | $233.76 | $974.00 | $58.61–$2,277.00 | 39% below | 76% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 S-JOINT ASP-INJ LG | $323.04 | $1,346.00 | $58.61–$2,277.00 | 15% below | 76% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610 - Arthrocentesis, aspiration and/or injectio | $323.04 | $1,346.00 | $58.61–$2,277.00 | 15% below | 76% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJECT, JOINT/BURSA | $1,019.55 | $4,248.14 | $58.61–$4,248.14 | 167% above | 76% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 20610,RT DRAIN/INJECT JOINT/BURSA | $95.15 | $173.00 | $49.30–$173.00 | — | 45% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 20610,LT DRAIN/INJECT JOINT/BURSA | $95.15 | $173.00 | $49.30–$173.00 | — | 45% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 20610 DRAIN/INJECT JOINT/BURSA | $95.15 | $173.00 | $49.30–$173.00 | — | 45% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 20610 50 DRAIN/INJECT JOINT/BURSA | $201.30 | $366.00 | $104.31–$366.00 | — | 45% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 S-JNT ASP INJ MAJ UN - BCE | $535.70 | $974.00 | $277.59–$974.00 | — | 45% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 S-JOINT ASP-INJ LG | $740.30 | $1,346.00 | $383.61–$1,346.00 | — | 45% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 20610 - Arthrocentesis, aspiration and/or injectio | $740.30 | $1,346.00 | $383.61–$1,346.00 | — | 45% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 11981 INSERT DRUG IMPLANT DEVICE | $44.64 | $186.00 | $124.67–$578.50 | 85% below | 76% |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 11981 INSERT DRUG IMPLANT DEVICE | $166.65 | $303.00 | $86.35–$303.00 | — | 45% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605 50 DRAIN/INJECT JOINT/BURSA | $58.80 | $245.00 | $287.60–$1,334.60 | 83% below | 76% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 S-JOINT ASP-INJ IM - BCE | $233.76 | $974.00 | $49.79–$2,277.00 | 34% below | 76% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 S-JOINT ASP-INJ IM | $233.76 | $974.00 | $49.79–$2,277.00 | 34% below | 76% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJECT, JOINT/BURSA | $1,744.09 | $7,267.03 | $49.79–$7,267.03 | 391% above | 76% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 20605,LT DRAIN/INJECT JOINT/BURSA | $110.00 | $200.00 | $57.00–$200.00 | — | 45% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 20605 DRAIN/INJECT JOINT/BURSA | $110.00 | $200.00 | $57.00–$200.00 | — | 45% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 20605,RT DRAIN/INJECT JOINT/BURSA | $110.00 | $200.00 | $57.00–$200.00 | — | 45% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 20605 50 DRAIN/INJECT JOINT/BURSA | $134.75 | $245.00 | $69.82–$245.00 | — | 45% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 S-JOINT ASP-INJ IM | $535.70 | $974.00 | $277.59–$974.00 | — | 45% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 S-JOINT ASP-INJ IM - BCE | $535.70 | $974.00 | $277.59–$974.00 | — | 45% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 S-JOINT ASP-INJ SM - BCE | $322.08 | $1,342.00 | $48.85–$2,277.00 | 16% above | 76% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 S-JOINT ASP-INJ SM | $322.08 | $1,342.00 | $48.85–$2,277.00 | 16% above | 76% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 20600,LT DRAIN/INJECT JOINT/BURSA | $73.15 | $133.00 | $37.90–$133.00 | — | 45% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 20600 DRAIN/INJECT JOINT/BURSA | $73.15 | $133.00 | $37.90–$133.00 | — | 45% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 20600,RT DRAIN/INJECT JOINT/BURSA | $73.15 | $133.00 | $37.90–$133.00 | — | 45% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 S-JOINT ASP-INJ SM - BCE | $738.10 | $1,342.00 | $382.47–$1,342.00 | — | 45% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 S-JOINT ASP-INJ SM | $740.30 | $1,346.00 | $383.61–$1,346.00 | — | 45% |
| Knee arthroscopy with meniscus trim CPT 29881 29881,LT KNEE ARTHROSCOPY/SURGERY | $492.48 | $2,052.00 | $3,065.78–$14,226.45 | 86% below | 76% |
| Knee arthroscopy with meniscus trim CPT 29881 29881 KNEE ARTHROSCOPY/SURGERY | $492.48 | $2,052.00 | $3,065.78–$14,226.45 | 86% below | 76% |
| Knee arthroscopy with meniscus trim CPT 29881 29881,RT KNEE ARTHROSCOPY/SURGERY | $492.48 | $2,052.00 | $3,065.78–$14,226.45 | 86% below | 76% |
| Knee arthroscopy with meniscus trim inpatient CPT 29881 29881,AS KNEE ARTHROSCOPY/SURGERY | $377.85 | $687.00 | $195.79–$687.00 | — | 45% |
| Knee arthroscopy with meniscus trim inpatient CPT 29881 29881,LT KNEE ARTHROSCOPY/SURGERY | $1,128.60 | $2,052.00 | $584.82–$2,052.00 | — | 45% |
| Knee arthroscopy with meniscus trim inpatient CPT 29881 29881,RT KNEE ARTHROSCOPY/SURGERY | $1,128.60 | $2,052.00 | $584.82–$2,052.00 | — | 45% |
| Knee arthroscopy with meniscus trim inpatient CPT 29881 29881 KNEE ARTHROSCOPY/SURGERY | $1,128.60 | $2,052.00 | $584.82–$2,052.00 | — | 45% |
| Knee arthroscopy with removal of both torn meniscus parts CPT 29880 29880,LT KNEE ARTHROSCOPY/SURGERY | $511.68 | $2,132.00 | $3,065.78–$14,226.45 | 86% below | 76% |
| Knee arthroscopy with removal of both torn meniscus parts CPT 29880 29880 KNEE ARTHROSCOPY/SURGERY | $511.68 | $2,132.00 | $3,065.78–$14,226.45 | 86% below | 76% |
| Knee arthroscopy with removal of both torn meniscus parts CPT 29880 29880,RT KNEE ARTHROSCOPY/SURGERY | $511.68 | $2,132.00 | $3,065.78–$14,226.45 | 86% below | 76% |
| Knee arthroscopy with removal of both torn meniscus parts inpatient CPT 29880 29880,AS KNEE ARTHROSCOPY/SURGERY | $392.70 | $714.00 | $203.49–$714.00 | — | 45% |
| Knee arthroscopy with removal of both torn meniscus parts inpatient CPT 29880 29880,LT KNEE ARTHROSCOPY/SURGERY | $1,172.60 | $2,132.00 | $607.62–$2,132.00 | — | 45% |
| Knee arthroscopy with removal of both torn meniscus parts inpatient CPT 29880 29880 KNEE ARTHROSCOPY/SURGERY | $1,172.60 | $2,132.00 | $607.62–$2,132.00 | — | 45% |
| Knee arthroscopy with removal of both torn meniscus parts inpatient CPT 29880 29880,RT KNEE ARTHROSCOPY/SURGERY | $1,172.60 | $2,132.00 | $607.62–$2,132.00 | — | 45% |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 29877,LT KNEE ARTHROSCOPY/SURGERY | $564.96 | $2,354.00 | $3,065.78–$14,226.45 | 37% below | 76% |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 29877 KNEE ARTHROSCOPY/SURGERY | $564.96 | $2,354.00 | $3,065.78–$14,226.45 | 37% below | 76% |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 29877,RT KNEE ARTHROSCOPY/SURGERY | $564.96 | $2,354.00 | $3,065.78–$14,226.45 | 37% below | 76% |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) inpatient CPT 29877 29877,AS KNEE ARTHROSCOPY/SURGERY | $434.50 | $790.00 | $225.15–$790.00 | — | 45% |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) inpatient CPT 29877 29877,LT KNEE ARTHROSCOPY/SURGERY | $1,294.70 | $2,354.00 | $670.89–$2,354.00 | — | 45% |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) inpatient CPT 29877 29877 KNEE ARTHROSCOPY/SURGERY | $1,294.70 | $2,354.00 | $670.89–$2,354.00 | — | 45% |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) inpatient CPT 29877 29877,RT KNEE ARTHROSCOPY/SURGERY | $1,294.70 | $2,354.00 | $670.89–$2,354.00 | — | 45% |
| Laparoscopic Roux-en-Y gastric bypass, standard limb length CPT 43644 43644,80 LAP GASTRIC BYPASS/ROUX-EN-Y | $528.00 | $2,200.00 | $528.00–$26,285.57 | 20% below | 76% |
| Laparoscopic Roux-en-Y gastric bypass, standard limb length CPT 43644 43644,AS LAP GASTRIC BYPASS/ROUX-EN-Y | $528.00 | $2,200.00 | $528.00–$26,285.57 | 20% below | 76% |
| Laparoscopic Roux-en-Y gastric bypass, standard limb length CPT 43644 43644 LAP GASTRIC BYPASS/ROUX-EN-Y | $1,056.00 | $4,400.00 | $1,056.00–$26,285.57 | 60% above | 76% |
| Laparoscopic Roux-en-Y gastric bypass, standard limb length inpatient CPT 43644 43644,80 LAP GASTRIC BYPASS/ROUX-EN-Y | $1,210.00 | $2,200.00 | $627.00–$2,200.00 | — | 45% |
| Laparoscopic Roux-en-Y gastric bypass, standard limb length inpatient CPT 43644 43644,AS LAP GASTRIC BYPASS/ROUX-EN-Y | $1,210.00 | $2,200.00 | $627.00–$2,200.00 | — | 45% |
| Laparoscopic Roux-en-Y gastric bypass, standard limb length inpatient CPT 43644 43644 LAP GASTRIC BYPASS/ROUX-EN-Y | $2,420.00 | $4,400.00 | $1,254.00–$4,400.00 | — | 45% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 44970 LAPAROSCOPY APPENDECTOMY | $540.96 | $2,254.00 | $5,664.50–$26,285.57 | 89% below | 76% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPAROSCOPY, APPENDECTOMY | $29,300.26 | $122,084.40 | $536.66–$122,084.40 | 496% above | 76% |
| Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 44970,AS LAPAROSCOPY APPENDECTOMY | $418.55 | $761.00 | $216.88–$761.00 | — | 45% |
| Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 44970,80 LAPAROSCOPY APPENDECTOMY | $418.55 | $761.00 | $216.88–$761.00 | — | 45% |
| Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 44970 LAPAROSCOPY APPENDECTOMY | $1,239.70 | $2,254.00 | $642.39–$2,254.00 | — | 45% |
| Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 43280 LAPAROSCOPY FUNDOPLASTY | $659.28 | $2,747.00 | $9,950.63–$46,217.84 | 74% below | 76% |
| Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 LAPAROSCOPY, FUNDOPLASTY | $80,237.21 | $334,321.71 | $951.02–$334,321.71 | 3014% above | 76% |
| Laparoscopic fundoplication (anti-reflux surgery) inpatient CPT 43280 43280,AS LAPAROSCOPY FUNDOPLASTY | $755.70 | $1,374.00 | $391.59–$1,374.00 | — | 45% |
| Laparoscopic fundoplication (anti-reflux surgery) inpatient CPT 43280 43280,80 LAPAROSCOPY FUNDOPLASTY | $755.70 | $1,374.00 | $391.59–$1,374.00 | — | 45% |
| Laparoscopic fundoplication (anti-reflux surgery) inpatient CPT 43280 43280 LAPAROSCOPY FUNDOPLASTY | $2,225.30 | $4,046.00 | $1,153.11–$4,046.00 | — | 45% |
| Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 58570 TLH UTERUS 250 G OR LESS | $851.76 | $3,549.00 | $9,950.63–$46,217.84 | 73% below | 76% |
| Laparoscopic hysterectomy (uterus 250 g or less) inpatient CPT 58570 58570,80 TLH UTERUS 250 G OR LESS | $545.60 | $992.00 | $282.72–$992.00 | — | 45% |
| Laparoscopic hysterectomy (uterus 250 g or less) inpatient CPT 58570 58570 TLH UTERUS 250 G OR LESS | $1,951.95 | $3,549.00 | $1,011.46–$3,549.00 | — | 45% |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 58571 TLH W/T/O 250 G OR LESS | $950.16 | $3,959.00 | $9,950.63–$46,217.84 | 82% below | 76% |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries inpatient CPT 58571 58571,80 TLH W/T/O 250 G OR LESS | $625.35 | $1,137.00 | $324.04–$1,137.00 | — | 45% |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries inpatient CPT 58571 58571 TLH W/T/O 250 G OR LESS | $2,177.45 | $3,959.00 | $1,128.31–$3,959.00 | — | 45% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 49650 50 LAP ING HERNIA REPAIR INIT | $317.52 | $1,323.00 | $5,664.50–$26,285.57 | 93% below | 76% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 49650,50,AS LAP ING HERNIA REPAIR INIT | $317.52 | $1,323.00 | $5,664.50–$26,285.57 | 93% below | 76% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 49650,RT LAP ING HERNIA REPAIR INIT | $386.64 | $1,611.00 | $5,664.50–$26,285.57 | 91% below | 76% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 49650 LAP ING HERNIA REPAIR INIT | $386.64 | $1,611.00 | $5,664.50–$26,285.57 | 91% below | 76% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 49650,LT LAP ING HERNIA REPAIR INIT | $386.64 | $1,611.00 | $5,664.50–$26,285.57 | 91% below | 76% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 LAPARO HERNIA REPAIR INITIAL | $46,534.92 | $193,895.49 | $387.84–$193,895.49 | 982% above | 76% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 49650,80 LAP ING HERNIA REPAIR INIT | $297.55 | $541.00 | $154.18–$541.00 | — | 45% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 49650,AS LAP ING HERNIA REPAIR INIT | $297.55 | $541.00 | $154.18–$541.00 | — | 45% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 49650,LT LAP ING HERNIA REPAIR INIT | $886.05 | $1,611.00 | $459.13–$1,611.00 | — | 45% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 49650,RT LAP ING HERNIA REPAIR INIT | $886.05 | $1,611.00 | $459.13–$1,611.00 | — | 45% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 49650 LAP ING HERNIA REPAIR INIT | $886.05 | $1,611.00 | $459.13–$1,611.00 | — | 45% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 49650 50 LAP ING HERNIA REPAIR INIT | $1,329.35 | $2,417.00 | $688.84–$2,417.00 | — | 45% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 49650,50,AS LAP ING HERNIA REPAIR INIT | $1,329.35 | $2,417.00 | $688.84–$2,417.00 | — | 45% |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 49651 50 LAP ING HERNIA REPAIR RECUR | $482.40 | $2,010.00 | $5,664.50–$26,285.57 | 78% below | 76% |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 49651,RT LAP ING HERNIA REPAIR RECUR | $502.80 | $2,095.00 | $5,664.50–$26,285.57 | 77% below | 76% |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 49651,LT LAP ING HERNIA REPAIR RECUR | $502.80 | $2,095.00 | $5,664.50–$26,285.57 | 77% below | 76% |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 49651 LAP ING HERNIA REPAIR RECUR | $502.80 | $2,095.00 | $5,664.50–$26,285.57 | 77% below | 76% |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia inpatient CPT 49651 49651,AS LAP ING HERNIA REPAIR RECUR | $387.20 | $704.00 | $200.64–$704.00 | — | 45% |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia inpatient CPT 49651 49651 50 LAP ING HERNIA REPAIR RECUR | $1,105.50 | $2,010.00 | $572.85–$2,010.00 | — | 45% |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia inpatient CPT 49651 49651,LT LAP ING HERNIA REPAIR RECUR | $1,152.25 | $2,095.00 | $597.07–$2,095.00 | — | 45% |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia inpatient CPT 49651 49651 LAP ING HERNIA REPAIR RECUR | $1,152.25 | $2,095.00 | $597.07–$2,095.00 | — | 45% |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia inpatient CPT 49651 49651,RT LAP ING HERNIA REPAIR RECUR | $1,152.25 | $2,095.00 | $597.07–$2,095.00 | — | 45% |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 58661,LT LAPAROSCOPY REMOVE ADNEXA | $588.72 | $2,453.00 | $5,664.50–$26,285.57 | 71% below | 76% |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 58661,RT LAPAROSCOPY REMOVE ADNEXA | $588.72 | $2,453.00 | $5,664.50–$26,285.57 | 71% below | 76% |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 58661 LAPAROSCOPY REMOVE ADNEXA | $588.72 | $2,453.00 | $5,664.50–$26,285.57 | 71% below | 76% |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 58661,50 LAPAROSCOPY REMOVE ADNEXA | $1,324.80 | $5,520.00 | $5,664.50–$26,285.57 | 34% below | 76% |
| Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 58661,80 LAPAROSCOPY REMOVE ADNEXA | $454.30 | $826.00 | $235.41–$826.00 | — | 45% |
| Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 58661 50 80 LAPAROSCOPY REMOVE ADNEXA | $485.65 | $883.00 | $251.65–$883.00 | — | 45% |
| Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 58661,RT LAPAROSCOPY REMOVE ADNEXA | $1,349.15 | $2,453.00 | $699.10–$2,453.00 | — | 45% |
| Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 58661 LAPAROSCOPY REMOVE ADNEXA | $1,349.15 | $2,453.00 | $699.10–$2,453.00 | — | 45% |
| Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 58661,LT LAPAROSCOPY REMOVE ADNEXA | $1,349.15 | $2,453.00 | $699.10–$2,453.00 | — | 45% |
| Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 58661,50 LAPAROSCOPY REMOVE ADNEXA | $3,036.00 | $5,520.00 | $1,573.20–$5,520.00 | — | 45% |
| Laparoscopic sleeve gastrectomy for weight loss CPT 43775 43775 LAP SLEEVE GASTRECTOMY | $691.92 | $2,883.00 | $691.92–$26,285.57 | 60% below | 76% |
| Laparoscopic sleeve gastrectomy for weight loss inpatient CPT 43775 43775,AS LAP SLEEVE GASTRECTOMY | $396.55 | $721.00 | $205.48–$721.00 | — | 45% |
| Laparoscopic sleeve gastrectomy for weight loss inpatient CPT 43775 43775,80 LAP SLEEVE GASTRECTOMY | $396.55 | $721.00 | $205.48–$721.00 | — | 45% |
| Laparoscopic sleeve gastrectomy for weight loss inpatient CPT 43775 43775 LAP SLEEVE GASTRECTOMY | $1,585.65 | $2,883.00 | $821.65–$2,883.00 | — | 45% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 66821 AFTER CATARACT LASER SURGERY | $188.88 | $787.00 | $515.33–$2,391.35 | 30% below | 76% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 66821,RT AFTER CATARACT LASER SURGERY | $188.88 | $787.00 | $515.33–$2,391.35 | 30% below | 76% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 66821,LT AFTER CATARACT LASER SURGERY | $188.88 | $787.00 | $515.33–$2,391.35 | 30% below | 76% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 66821 50 AFTER CATARACT LASER SURGERY | $283.44 | $1,181.00 | $515.33–$2,391.35 | 5% above | 76% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 AFTER CATARACT LASER SURGERY | $15,731.94 | $65,549.75 | $300.05–$65,549.75 | 5735% above | 76% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 66821,LT AFTER CATARACT LASER SURGERY | $432.85 | $787.00 | $224.29–$787.00 | — | 45% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 66821 AFTER CATARACT LASER SURGERY | $432.85 | $787.00 | $224.29–$787.00 | — | 45% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 66821,RT AFTER CATARACT LASER SURGERY | $432.85 | $787.00 | $224.29–$787.00 | — | 45% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 66821 50 AFTER CATARACT LASER SURGERY | $649.55 | $1,181.00 | $336.58–$1,181.00 | — | 45% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 12031,LT INTMD RPR S/A/T/EXT 2.5 CM/< | $87.12 | $363.00 | $380.90–$1,767.49 | 81% below | 76% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 12031,RT INTMD RPR S/A/T/EXT 2.5 CM/< | $87.12 | $363.00 | $380.90–$1,767.49 | 81% below | 76% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 12031 INTMD RPR S/A/T/EXT 2.5 CM/< | $87.12 | $363.00 | $380.90–$1,767.49 | 81% below | 76% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 12031 INTMD RPR S/A/T/EXT 2.5 CM/< | $321.75 | $585.00 | $166.72–$585.00 | — | 45% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 12031,RT INTMD RPR S/A/T/EXT 2.5 CM/< | $321.75 | $585.00 | $166.72–$585.00 | — | 45% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 12031,LT INTMD RPR S/A/T/EXT 2.5 CM/< | $321.75 | $585.00 | $166.72–$585.00 | — | 45% |
| Left heart catheterization, diagnostic CPT 93452 CC-LHC VENT PUNC - GL 106 | $6,582.72 | $27,428.00 | $559.22–$27,428.00 | 15% below | 76% |
| Left heart catheterization, diagnostic CPT 93452 CC-LHC VENT PUNC - Dept 106 | $6,582.72 | $27,428.00 | $559.22–$27,428.00 | 15% below | 76% |
| Left heart catheterization, diagnostic inpatient CPT 93452 CC-LHC VENT PUNC - GL 106 | $15,085.40 | $27,428.00 | $7,816.98–$27,428.00 | — | 45% |
| Left heart catheterization, diagnostic inpatient CPT 93452 CC-LHC VENT PUNC - Dept 106 | $15,085.40 | $27,428.00 | $7,816.98–$27,428.00 | — | 45% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 93452 LEFT HEART CATH W/LEFT VENT | $1,209.45 | $2,199.00 | $626.71–$2,199.00 | — | 45% |
| Lower-back epidural injection, with imaging guidance CPT 62323 S-DI L-S INJ W IM - Dept 106 | $733.44 | $3,056.00 | $661.39–$3,069.14 | 38% below | 76% |
| Lower-back epidural injection, with imaging guidance CPT 62323 IR-DI L-S INJ W IM - BCE | $1,029.84 | $4,291.00 | $229.69–$4,291.00 | 13% below | 76% |
| Lower-back epidural injection, with imaging guidance CPT 62323 IR Inj Catheter Placement L-S w Imaging - BCE | $1,029.84 | $4,291.00 | $229.69–$4,291.00 | 13% below | 76% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 S-DI L-S INJ W IM - Dept 106 | $1,680.80 | $3,056.00 | $870.96–$3,056.00 | — | 45% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 IR Inj Catheter Placement L-S w Imaging - BCE | $2,360.05 | $4,291.00 | $1,222.93–$4,291.00 | — | 45% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 IR-DI L-S INJ W IM - BCE | $2,360.05 | $4,291.00 | $1,222.93–$4,291.00 | — | 45% |
| Lower-back epidural injection, without imaging guidance CPT 62322 62322 NJX INTERLAMINAR LMBR/SAC | $164.64 | $686.00 | $828.73–$3,845.62 | 87% below | 76% |
| Lower-back epidural injection, without imaging guidance CPT 62322 62322 INJECTION INTERLAMINAR | $164.64 | $686.00 | $828.73–$3,845.62 | 87% below | 76% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 62322 NJX INTERLAMINAR LMBR/SAC | $377.30 | $686.00 | $195.51–$686.00 | — | 45% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 62322 INJECTION INTERLAMINAR | $377.30 | $686.00 | $195.51–$686.00 | — | 45% |
| Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 63030 Low Back Disk Surgery | $862.80 | $3,595.00 | $6,798.89–$31,549.55 | 91% below | 76% |
| Lumbar discectomy or laminotomy to free a nerve root, one level inpatient CPT 63030 63030 Low Back Disk Surgery | $1,977.25 | $3,595.00 | $1,024.57–$3,595.00 | — | 45% |
| Lumbar laminectomy (spinal decompression), one level CPT 63047 63047 Removal of Spinal Lamina, Lumbar | $985.92 | $4,108.00 | $6,798.89–$31,549.55 | 90% below | 76% |
| Lumbar laminectomy (spinal decompression), one level inpatient CPT 63047 63047 Removal of Spinal Lamina, Lumbar | $2,259.40 | $4,108.00 | $1,170.78–$4,108.00 | — | 45% |
| Lumbar spinal fusion (posterior), one level CPT 22612 22612 Lumbar Spine Fusion | $1,151.76 | $4,799.00 | $16,393.19–$76,235.89 | 20% below | 76% |
| Lumbar spinal fusion (posterior), one level inpatient CPT 22612 22612 Lumbar Spine Fusion | $2,639.45 | $4,799.00 | $1,367.71–$4,799.00 | — | 45% |
| Lumpectomy (partial mastectomy) CPT 19301 19301,LT PARTIAL MASTECTOMY | $389.52 | $1,623.00 | $3,668.66–$17,024.04 | 74% below | 76% |
| Lumpectomy (partial mastectomy) CPT 19301 19301,RT PARTIAL MASTECTOMY | $389.52 | $1,623.00 | $3,668.66–$17,024.04 | 74% below | 76% |
| Lumpectomy (partial mastectomy) CPT 19301 19301 PARTIAL MASTECTOMY | $389.52 | $1,623.00 | $3,668.66–$17,024.04 | 74% below | 76% |
| Lumpectomy (partial mastectomy) CPT 19301 19301 50 PARTIAL MASTECTOMY | $558.48 | $2,327.00 | $3,668.66–$17,024.04 | 62% below | 76% |
| Lumpectomy (partial mastectomy) inpatient CPT 19301 19301,80 PARTIAL MASTECTOMY | $452.10 | $822.00 | $234.27–$822.00 | — | 45% |
| Lumpectomy (partial mastectomy) inpatient CPT 19301 19301,AS PARTIAL MASTECTOMY | $452.10 | $822.00 | $234.27–$822.00 | — | 45% |
| Lumpectomy (partial mastectomy) inpatient CPT 19301 19301 PARTIAL MASTECTOMY | $1,304.05 | $2,371.00 | $675.73–$2,371.00 | — | 45% |
| Lumpectomy (partial mastectomy) inpatient CPT 19301 19301,RT PARTIAL MASTECTOMY | $1,304.05 | $2,371.00 | $675.73–$2,371.00 | — | 45% |
| Lumpectomy (partial mastectomy) inpatient CPT 19301 19301,LT PARTIAL MASTECTOMY | $1,304.05 | $2,371.00 | $675.73–$2,371.00 | — | 45% |
| Lumpectomy (partial mastectomy) inpatient CPT 19301 19301 50 PARTIAL MASTECTOMY | $1,956.35 | $3,557.00 | $1,013.74–$3,557.00 | — | 45% |
| Mastectomy (total removal of the breast) CPT 19303 19303,RT MAST SIMPLE COMPLETE | $678.48 | $2,827.00 | $6,221.65–$28,871.01 | 67% below | 76% |
| Mastectomy (total removal of the breast) CPT 19303 19303,LT MAST SIMPLE COMPLETE | $678.48 | $2,827.00 | $6,221.65–$28,871.01 | 67% below | 76% |
| Mastectomy (total removal of the breast) CPT 19303 19303 MAST SIMPLE COMPLETE | $678.48 | $2,827.00 | $6,221.65–$28,871.01 | 67% below | 76% |
| Mastectomy (total removal of the breast) CPT 19303 19303 50 MAST SIMPLE COMPLETE | $864.48 | $3,602.00 | $6,221.65–$28,871.01 | 58% below | 76% |
| Mastectomy (total removal of the breast) inpatient CPT 19303 19303,AS MAST SIMPLE COMPLETE | $700.15 | $1,273.00 | $362.80–$1,273.00 | — | 45% |
| Mastectomy (total removal of the breast) inpatient CPT 19303 19303,LT MAST SIMPLE COMPLETE | $1,554.85 | $2,827.00 | $805.69–$2,827.00 | — | 45% |
| Mastectomy (total removal of the breast) inpatient CPT 19303 19303 MAST SIMPLE COMPLETE | $1,554.85 | $2,827.00 | $805.69–$2,827.00 | — | 45% |
| Mastectomy (total removal of the breast) inpatient CPT 19303 19303,RT MAST SIMPLE COMPLETE | $1,554.85 | $2,827.00 | $805.69–$2,827.00 | — | 45% |
| Mastectomy (total removal of the breast) inpatient CPT 19303 19303 50 MAST SIMPLE COMPLETE | $1,981.10 | $3,602.00 | $1,026.57–$3,602.00 | — | 45% |
| Miscarriage treatment with D&C, first trimester CPT 59820 59820 CARE OF MISCARRIAGE | $279.60 | $1,165.00 | $3,033.10–$14,074.81 | 82% below | 76% |
| Miscarriage treatment with D&C, first trimester inpatient CPT 59820 59820 CARE OF MISCARRIAGE | $640.75 | $1,165.00 | $332.02–$1,165.00 | — | 45% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 11400,LT EXC TR-EXT B9+MARG 0.5 CM< | $57.84 | $241.00 | $663.50–$3,078.90 | 87% below | 76% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 11400,RT EXC TR-EXT B9+MARG 0.5 CM< | $57.84 | $241.00 | $663.50–$3,078.90 | 87% below | 76% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 11400,52 EXC TR-EXT B9+MARG 0.5 CM< | $57.84 | $241.00 | $663.50–$3,078.90 | 87% below | 76% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 11400 EXC TR-EXT B9+MARG 0.5 CM< | $57.84 | $241.00 | $663.50–$3,078.90 | 87% below | 76% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 11400,52 EXC TR-EXT B9+MARG 0.5 CM< | $161.15 | $293.00 | $83.50–$293.00 | — | 45% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 11400,LT EXC TR-EXT B9+MARG 0.5 CM< | $161.15 | $293.00 | $83.50–$293.00 | — | 45% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 11400,RT EXC TR-EXT B9+MARG 0.5 CM< | $161.15 | $293.00 | $83.50–$293.00 | — | 45% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 11400 EXC TR-EXT B9+MARG 0.5 CM< | $161.15 | $293.00 | $83.50–$293.00 | — | 45% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 11440 EXC FACE-MM B9+MARG 0.5 CM/< | $58.56 | $244.00 | $663.50–$3,078.90 | 78% below | 76% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 11440,LT EXC FACE-MM B9+MARG 0.5 CM/< | $58.56 | $244.00 | $663.50–$3,078.90 | 78% below | 76% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 11440,RT EXC FACE-MM B9+MARG 0.5 CM/< | $58.56 | $244.00 | $663.50–$3,078.90 | 78% below | 76% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 11440,LT EXC FACE-MM B9+MARG 0.5 CM/< | $190.30 | $346.00 | $98.61–$346.00 | — | 45% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 11440 EXC FACE-MM B9+MARG 0.5 CM/< | $190.30 | $346.00 | $98.61–$346.00 | — | 45% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 11440,RT EXC FACE-MM B9+MARG 0.5 CM/< | $190.30 | $346.00 | $98.61–$346.00 | — | 45% |
| Nail removal (partial or complete), one nail CPT 11730 11730,LT REMOVAL OF NAIL PLATE | $46.32 | $193.00 | $187.98–$872.34 | 86% below | 76% |
| Nail removal (partial or complete), one nail CPT 11730 11730 REMOVAL OF NAIL PLATE | $46.32 | $193.00 | $187.98–$872.34 | 86% below | 76% |
| Nail removal (partial or complete), one nail CPT 11730 11730,53 REMOVAL OF NAIL PLATE | $46.32 | $193.00 | $187.98–$872.34 | 86% below | 76% |
| Nail removal (partial or complete), one nail CPT 11730 11730,RT REMOVAL OF NAIL PLATE | $46.32 | $193.00 | $187.98–$872.34 | 86% below | 76% |
| Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE | $631.10 | $2,629.59 | $103.51–$2,629.59 | 94% above | 76% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 11730,LT REMOVAL OF NAIL PLATE | $106.15 | $193.00 | $55.00–$193.00 | — | 45% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 11730,53 REMOVAL OF NAIL PLATE | $106.15 | $193.00 | $55.00–$193.00 | — | 45% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 11730,RT REMOVAL OF NAIL PLATE | $106.15 | $193.00 | $55.00–$193.00 | — | 45% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 11730 REMOVAL OF NAIL PLATE | $106.15 | $193.00 | $55.00–$193.00 | — | 45% |
| Occipital nerve block (injection for headaches) CPT 64405 64405,LT N BLOCK INJ OCCIPITAL | $57.12 | $238.00 | $287.60–$1,334.60 | 83% below | 76% |
| Occipital nerve block (injection for headaches) CPT 64405 64405,RT N BLOCK INJ OCCIPITAL | $57.12 | $238.00 | $287.60–$1,334.60 | 83% below | 76% |
| Occipital nerve block (injection for headaches) CPT 64405 64405 N BLOCK INJ OCCIPITAL | $57.12 | $238.00 | $287.60–$1,334.60 | 83% below | 76% |
| Occipital nerve block (injection for headaches) CPT 64405 64405 50 N BLOCK INJ OCCIPITAL | $182.88 | $762.00 | $287.60–$1,334.60 | 47% below | 76% |
| Occipital nerve block (injection for headaches) CPT 64405 INJECTION FOR NERVE BLOCK | $1,272.46 | $5,301.93 | $66.96–$5,301.93 | 269% above | 76% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 64405,LT N BLOCK INJ OCCIPITAL | $130.90 | $238.00 | $67.83–$238.00 | — | 45% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 64405,RT N BLOCK INJ OCCIPITAL | $130.90 | $238.00 | $67.83–$238.00 | — | 45% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 64405 N BLOCK INJ OCCIPITAL | $130.90 | $238.00 | $67.83–$238.00 | — | 45% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 64405 50 N BLOCK INJ OCCIPITAL | $419.10 | $762.00 | $217.17–$762.00 | — | 45% |
| Pacemaker implant (dual chamber) CPT 33208 INSERTION OF HEART PACEMAKER | $39,240.90 | $163,503.76 | $450.80–$163,503.76 | 225% above | 76% |
| Paracentesis with imaging guidance CPT 49083 S-ABD PARACEN W IMG - Dept 106 | $751.20 | $3,130.00 | $849.83–$3,943.50 | 44% below | 76% |
| Paracentesis with imaging guidance CPT 49083 US Paracentesis Abd w Image | $844.08 | $3,517.00 | $849.83–$3,943.50 | 37% below | 76% |
| Paracentesis with imaging guidance CPT 49083 CT Abdominal Paracentesis w Imaging | $844.08 | $3,517.00 | $849.83–$3,943.50 | 37% below | 76% |
| Paracentesis with imaging guidance CPT 49083 US Paracentesis Abd w Image W Labs | $844.08 | $3,517.00 | $849.83–$3,943.50 | 37% below | 76% |
| Paracentesis with imaging guidance CPT 49083 US Paracentesis Abd w Image WO Labs | $844.08 | $3,517.00 | $849.83–$3,943.50 | 37% below | 76% |
| Paracentesis with imaging guidance CPT 49083 IR Abdominal Paracentesis w Imaging - BCE | $995.28 | $4,147.00 | $257.81–$4,147.00 | 26% below | 76% |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING | $4,699.97 | $19,583.20 | $257.81–$19,583.20 | 250% above | 76% |
| Paracentesis with imaging guidance inpatient CPT 49083 49083 ABD PARACENTESIS W/IMAGING | $157.30 | $286.00 | $81.51–$286.00 | — | 45% |
| Paracentesis with imaging guidance inpatient CPT 49083 S-ABD PARACEN W IMG - Dept 106 | $1,721.50 | $3,130.00 | $892.05–$3,130.00 | — | 45% |
| Paracentesis with imaging guidance inpatient CPT 49083 US Paracentesis Abd w Image | $1,934.35 | $3,517.00 | $1,002.34–$3,517.00 | — | 45% |
| Paracentesis with imaging guidance inpatient CPT 49083 US Paracentesis Abd w Image W Labs | $1,934.35 | $3,517.00 | $1,002.34–$3,517.00 | — | 45% |
| Paracentesis with imaging guidance inpatient CPT 49083 US Paracentesis Abd w Image WO Labs | $1,934.35 | $3,517.00 | $1,002.34–$3,517.00 | — | 45% |
| Paracentesis with imaging guidance inpatient CPT 49083 CT Abdominal Paracentesis w Imaging | $1,934.35 | $3,517.00 | $1,002.34–$3,517.00 | — | 45% |
| Paracentesis with imaging guidance inpatient CPT 49083 IR Abdominal Paracentesis w Imaging - BCE | $2,280.85 | $4,147.00 | $1,181.89–$4,147.00 | — | 45% |
| Partial knee replacement (one compartment) CPT 27446 27446,LT REVISION OF KNEE JOINT | $996.96 | $4,154.00 | $12,011.85–$55,821.75 | 81% below | 76% |
| Partial knee replacement (one compartment) CPT 27446 27446,RT REVISION OF KNEE JOINT | $996.96 | $4,154.00 | $12,011.85–$55,821.75 | 81% below | 76% |
| Partial knee replacement (one compartment) CPT 27446 27446 REVISION OF KNEE JOINT | $996.96 | $4,154.00 | $12,011.85–$55,821.75 | 81% below | 76% |
| Partial knee replacement (one compartment) inpatient CPT 27446 27446,LT REVISION OF KNEE JOINT | $2,284.70 | $4,154.00 | $1,183.89–$4,154.00 | — | 45% |
| Partial knee replacement (one compartment) inpatient CPT 27446 27446 REVISION OF KNEE JOINT | $2,284.70 | $4,154.00 | $1,183.89–$4,154.00 | — | 45% |
| Partial knee replacement (one compartment) inpatient CPT 27446 27446,RT REVISION OF KNEE JOINT | $2,284.70 | $4,154.00 | $1,183.89–$4,154.00 | — | 45% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 11750 22 REMOVAL OF NAIL BED | $128.64 | $536.00 | $380.90–$1,767.49 | 79% below | 76% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 11750,LT REMOVAL OF NAIL BED | $132.96 | $554.00 | $380.90–$1,767.49 | 78% below | 76% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 11750,RT REMOVAL OF NAIL BED | $132.96 | $554.00 | $380.90–$1,767.49 | 78% below | 76% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 11750 REMOVAL OF NAIL BED | $132.96 | $554.00 | $380.90–$1,767.49 | 78% below | 76% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 11750 22 REMOVAL OF NAIL BED | $294.80 | $536.00 | $152.76–$536.00 | — | 45% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 11750 REMOVAL OF NAIL BED | $304.70 | $554.00 | $157.89–$554.00 | — | 45% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 11750,LT REMOVAL OF NAIL BED | $304.70 | $554.00 | $157.89–$554.00 | — | 45% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 11750,RT REMOVAL OF NAIL BED | $304.70 | $554.00 | $157.89–$554.00 | — | 45% |
| Prostate biopsy CPT 55700 S-PROSTATE NDL BX | $1,181.04 | $4,921.00 | $217.24–$4,921.00 | 63% below | 76% |
| Prostate biopsy inpatient CPT 55700 55700 BIOPSY OF PROSTATE | $199.65 | $363.00 | $103.45–$363.00 | — | 45% |
| Prostate biopsy inpatient CPT 55700 S-PROSTATE NDL BX | $2,706.55 | $4,921.00 | $1,402.48–$4,921.00 | — | 45% |
| Prostate removal (prostatectomy), laparoscopic inpatient CPT 55866 55866 LAPARO RADICAL PROSTATECTOMY | $1,927.20 | $3,504.00 | $998.64–$3,504.00 | — | 45% |
| Removal of a breast lump, open surgery CPT 19120 19120 REMOVAL OF BREAST LESION | $371.52 | $1,548.00 | $3,668.66–$17,024.04 | 67% below | 76% |
| Removal of a breast lump, open surgery CPT 19120 19120,LT REMOVAL OF BREAST LESION | $371.52 | $1,548.00 | $3,668.66–$17,024.04 | 67% below | 76% |
| Removal of a breast lump, open surgery CPT 19120 19120,RT REMOVAL OF BREAST LESION | $371.52 | $1,548.00 | $3,668.66–$17,024.04 | 67% below | 76% |
| Removal of a breast lump, open surgery CPT 19120 19120 50 REMOVAL OF BREAST LESION | $418.08 | $1,742.00 | $3,668.66–$17,024.04 | 62% below | 76% |
| Removal of a breast lump, open surgery CPT 19120 REMOVAL OF BREAST LESION | $6,977.73 | $29,073.88 | $464.04–$29,073.88 | 527% above | 76% |
| Removal of a breast lump, open surgery inpatient CPT 19120 19120,AS REMOVAL OF BREAST LESION | $286.00 | $520.00 | $148.20–$520.00 | — | 45% |
| Removal of a breast lump, open surgery inpatient CPT 19120 19120,RT REMOVAL OF BREAST LESION | $851.40 | $1,548.00 | $441.18–$1,548.00 | — | 45% |
| Removal of a breast lump, open surgery inpatient CPT 19120 19120 REMOVAL OF BREAST LESION | $851.40 | $1,548.00 | $441.18–$1,548.00 | — | 45% |
| Removal of a breast lump, open surgery inpatient CPT 19120 19120,LT REMOVAL OF BREAST LESION | $851.40 | $1,548.00 | $441.18–$1,548.00 | — | 45% |
| Removal of a breast lump, open surgery inpatient CPT 19120 19120 50 REMOVAL OF BREAST LESION | $958.10 | $1,742.00 | $496.47–$1,742.00 | — | 45% |
| Removal of a foreign object under the skin, simple CPT 10120 10120,52 REMOVE FOREIGN BODY | $63.36 | $264.00 | $380.90–$1,767.49 | 85% below | 76% |
| Removal of a foreign object under the skin, simple CPT 10120 10120,53 REMOVE FOREIGN BODY | $63.36 | $264.00 | $380.90–$1,767.49 | 85% below | 76% |
| Removal of a foreign object under the skin, simple CPT 10120 10120,RT REMOVE FOREIGN BODY | $63.36 | $264.00 | $380.90–$1,767.49 | 85% below | 76% |
| Removal of a foreign object under the skin, simple CPT 10120 10120,LT REMOVE FOREIGN BODY | $63.36 | $264.00 | $380.90–$1,767.49 | 85% below | 76% |
| Removal of a foreign object under the skin, simple CPT 10120 10120 REMOVE FOREIGN BODY | $63.36 | $264.00 | $380.90–$1,767.49 | 85% below | 76% |
| Removal of a foreign object under the skin, simple CPT 10120 REMOVE FOREIGN BODY | $805.84 | $3,357.68 | $136.65–$3,357.68 | 87% above | 76% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 10120,RT REMOVE FOREIGN BODY | $185.90 | $338.00 | $96.33–$338.00 | — | 45% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 10120,LT REMOVE FOREIGN BODY | $185.90 | $338.00 | $96.33–$338.00 | — | 45% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 10120 REMOVE FOREIGN BODY | $185.90 | $338.00 | $96.33–$338.00 | — | 45% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 10120,53 REMOVE FOREIGN BODY | $185.90 | $338.00 | $96.33–$338.00 | — | 45% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 10120,52 REMOVE FOREIGN BODY | $185.90 | $338.00 | $96.33–$338.00 | — | 45% |
| Removal of one lobe of the thyroid (lobectomy) CPT 60220 60220 PARTIAL REMOVAL OF THYROID | $644.64 | $2,686.00 | $5,664.50–$26,285.57 | 76% below | 76% |
| Removal of one lobe of the thyroid (lobectomy) CPT 60220 60220,RT PARTIAL REMOVAL OF THYROID | $644.64 | $2,686.00 | $5,664.50–$26,285.57 | 76% below | 76% |
| Removal of one lobe of the thyroid (lobectomy) CPT 60220 60220,LT PARTIAL REMOVAL OF THYROID | $644.64 | $2,686.00 | $5,664.50–$26,285.57 | 76% below | 76% |
| Removal of one lobe of the thyroid (lobectomy) inpatient CPT 60220 60220 AS PARTIAL REMOVAL OF THYROID | $496.10 | $902.00 | $257.07–$902.00 | — | 45% |
| Removal of one lobe of the thyroid (lobectomy) inpatient CPT 60220 60220,80 PARTIAL REMOVAL OF THYROID | $496.10 | $902.00 | $257.07–$902.00 | — | 45% |
| Removal of one lobe of the thyroid (lobectomy) inpatient CPT 60220 60220,AS PARTIAL REMOVAL OF THYROID | $496.10 | $902.00 | $257.07–$902.00 | — | 45% |
| Removal of one lobe of the thyroid (lobectomy) inpatient CPT 60220 60220,LT PARTIAL REMOVAL OF THYROID | $1,477.30 | $2,686.00 | $765.51–$2,686.00 | — | 45% |
| Removal of one lobe of the thyroid (lobectomy) inpatient CPT 60220 60220 PARTIAL REMOVAL OF THYROID | $1,477.30 | $2,686.00 | $765.51–$2,686.00 | — | 45% |
| Removal of one lobe of the thyroid (lobectomy) inpatient CPT 60220 60220,RT PARTIAL REMOVAL OF THYROID | $1,477.30 | $2,686.00 | $765.51–$2,686.00 | — | 45% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 G0121,52 COLON CA SCRN NOT HI RSK IND | $198.72 | $828.00 | $867.80–$4,043.41 | 88% below | 76% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 G0121,53 COLON CA SCRN NOT HI RSK IND | $198.72 | $828.00 | $867.80–$4,043.41 | 88% below | 76% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 G0121 COLON CA SCRN NOT HI RSK IND | $198.72 | $828.00 | $867.80–$4,043.41 | 88% below | 76% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLON CA SCRN NOT HI RSK IND | $1,812.65 | $7,552.71 | $304.42–$7,552.71 | 10% above | 76% |
| Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 G0121,53 COLON CA SCRN NOT HI RSK IND | $455.40 | $828.00 | $235.98–$828.00 | — | 45% |
| Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 G0121,52 COLON CA SCRN NOT HI RSK IND | $455.40 | $828.00 | $235.98–$828.00 | — | 45% |
| Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 G0121 COLON CA SCRN NOT HI RSK IND | $455.40 | $828.00 | $235.98–$828.00 | — | 45% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 G0105,53 COLORECTAL SCRN; HI RISK IND | $191.28 | $797.00 | $867.80–$4,043.41 | 85% below | 76% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 G0105 COLORECTAL SCRN; HI RISK IND | $191.28 | $797.00 | $867.80–$4,043.41 | 85% below | 76% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 G0105,53,GA COLORECTAL SCRN; HI RISK IND,WAIVER O | $191.28 | $797.00 | $867.80–$4,043.41 | 85% below | 76% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL SCRN; HI RISK IND | $1,628.67 | $6,786.12 | $304.26–$6,786.12 | 26% above | 76% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 G0105 COLORECTAL SCRN; HI RISK IND | $455.40 | $828.00 | $235.98–$828.00 | — | 45% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 G0105,53 COLORECTAL SCRN; HI RISK IND | $455.40 | $828.00 | $235.98–$828.00 | — | 45% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 G0105,53,GA COLORECTAL SCRN; HI RISK IND,WAIVER O | $455.40 | $828.00 | $235.98–$828.00 | — | 45% |
| Septoplasty to straighten the nasal septum CPT 30520 30520 REPAIR OF NASAL SEPTUM | $378.00 | $1,575.00 | $3,106.50–$14,415.41 | 85% below | 76% |
| Septoplasty to straighten the nasal septum CPT 30520 30520,50 REPAIR OF NASAL SEPTUM | $567.12 | $2,363.00 | $3,106.50–$14,415.41 | 77% below | 76% |
| Septoplasty to straighten the nasal septum inpatient CPT 30520 30520 REPAIR OF NASAL SEPTUM | $866.25 | $1,575.00 | $448.87–$1,575.00 | — | 45% |
| Septoplasty to straighten the nasal septum inpatient CPT 30520 30520,50 REPAIR OF NASAL SEPTUM | $1,299.65 | $2,363.00 | $673.45–$2,363.00 | — | 45% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 50590 FRAGMENTING OF KIDNEY STONE | $1,170.95 | $2,129.00 | $606.76–$2,129.00 | — | 45% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 50590,LT FRAGMENTING OF KIDNEY STONE | $1,170.95 | $2,129.00 | $606.76–$2,129.00 | — | 45% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 50590,RT FRAGMENTING OF KIDNEY STONE | $1,170.95 | $2,129.00 | $606.76–$2,129.00 | — | 45% |
| Short arm cast (elbow to hand) CPT 29075 29075 APPLICATION OF FOREARM CAST | $44.64 | $186.00 | $262.07–$1,216.10 | 83% below | 76% |
| Short arm cast (elbow to hand) CPT 29075 29075,RT APPLICATION OF FOREARM CAST | $44.64 | $186.00 | $262.07–$1,216.10 | 83% below | 76% |
| Short arm cast (elbow to hand) CPT 29075 29075,LT APPLICATION OF FOREARM CAST | $44.64 | $186.00 | $262.07–$1,216.10 | 83% below | 76% |
| Short arm cast (elbow to hand) inpatient CPT 29075 29075,LT APPLICATION OF FOREARM CAST | $130.35 | $237.00 | $67.54–$237.00 | — | 45% |
| Short arm cast (elbow to hand) inpatient CPT 29075 29075 APPLICATION OF FOREARM CAST | $130.35 | $237.00 | $67.54–$237.00 | — | 45% |
| Short arm cast (elbow to hand) inpatient CPT 29075 29075,RT APPLICATION OF FOREARM CAST | $130.35 | $237.00 | $67.54–$237.00 | — | 45% |
| Short arm splint (forearm and hand) CPT 29125 29125 APPLY FOREARM SPLINT | $31.68 | $132.00 | $124.67–$578.50 | 83% below | 76% |
| Short arm splint (forearm and hand) CPT 29125 29125,LT APPLY FOREARM SPLINT | $31.68 | $132.00 | $124.67–$578.50 | 83% below | 76% |
| Short arm splint (forearm and hand) CPT 29125 29125 50 APPLY FOREARM SPLINT | $54.48 | $227.00 | $124.67–$578.50 | 70% below | 76% |
| Short arm splint (forearm and hand) CPT 29125 SPLINT APPICATION SHORT ARM STATIC COTA - Redoc 18 | $170.88 | $712.00 | $62.16–$712.00 | 6% below | 76% |
| Short arm splint (forearm and hand) CPT 29125 SPLNT SHRT ARM STATC - REDOC 186 | $170.88 | $712.00 | $62.16–$712.00 | 6% below | 76% |
| Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT | $1,472.53 | $6,135.54 | $62.16–$6,135.54 | 710% above | 76% |
| Short arm splint (forearm and hand) inpatient CPT 29125 29125 APPLY FOREARM SPLINT | $83.05 | $151.00 | $43.03–$151.00 | — | 45% |
| Short arm splint (forearm and hand) inpatient CPT 29125 29125,LT APPLY FOREARM SPLINT | $83.05 | $151.00 | $43.03–$151.00 | — | 45% |
| Short arm splint (forearm and hand) inpatient CPT 29125 29125 50 APPLY FOREARM SPLINT | $124.85 | $227.00 | $64.69–$227.00 | — | 45% |
| Short arm splint (forearm and hand) inpatient CPT 29125 SPLNT SHRT ARM STATC - REDOC 186 | $391.60 | $712.00 | $202.92–$712.00 | — | 45% |
| Short arm splint (forearm and hand) inpatient CPT 29125 SPLINT APPICATION SHORT ARM STATIC COTA - Redoc 18 | $391.60 | $712.00 | $202.92–$712.00 | — | 45% |
| Short leg cast (below the knee) CPT 29405 29405,LT APPLY SHORT LEG CAST | $54.96 | $229.00 | $262.07–$1,216.10 | 83% below | 76% |
| Short leg cast (below the knee) CPT 29405 29405 APPLY SHORT LEG CAST | $54.96 | $229.00 | $262.07–$1,216.10 | 83% below | 76% |
| Short leg cast (below the knee) CPT 29405 29405,RT APPLY SHORT LEG CAST | $54.96 | $229.00 | $262.07–$1,216.10 | 83% below | 76% |
| Short leg cast (below the knee) inpatient CPT 29405 29405,RT APPLY SHORT LEG CAST | $125.95 | $229.00 | $65.27–$229.00 | — | 45% |
| Short leg cast (below the knee) inpatient CPT 29405 29405 APPLY SHORT LEG CAST | $125.95 | $229.00 | $65.27–$229.00 | — | 45% |
| Short leg cast (below the knee) inpatient CPT 29405 29405,LT APPLY SHORT LEG CAST | $125.95 | $229.00 | $65.27–$229.00 | — | 45% |
| Short leg splint (calf to foot) CPT 29515 29515 APPLICATION LOWER LEG SPLINT | $34.56 | $144.00 | $152.26–$706.54 | 81% below | 76% |
| Short leg splint (calf to foot) CPT 29515 29515,LT APPLICATION LOWER LEG SPLINT | $34.56 | $144.00 | $152.26–$706.54 | 81% below | 76% |
| Short leg splint (calf to foot) CPT 29515 29515,RT APPLICATION LOWER LEG SPLINT | $34.56 | $144.00 | $152.26–$706.54 | 81% below | 76% |
| Short leg splint (calf to foot) CPT 29515 APPLICATION LOWER LEG SPLINT | $1,725.33 | $7,188.86 | $67.55–$7,188.86 | 847% above | 76% |
| Short leg splint (calf to foot) inpatient CPT 29515 29515,RT APPLICATION LOWER LEG SPLINT | $105.05 | $191.00 | $54.43–$191.00 | — | 45% |
| Short leg splint (calf to foot) inpatient CPT 29515 29515 APPLICATION LOWER LEG SPLINT | $105.05 | $191.00 | $54.43–$191.00 | — | 45% |
| Short leg splint (calf to foot) inpatient CPT 29515 29515,LT APPLICATION LOWER LEG SPLINT | $105.05 | $191.00 | $54.43–$191.00 | — | 45% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 29824 SHOULDER ARTHROSCOPY/SURGERY | $555.12 | $2,313.00 | $3,065.78–$14,226.45 | 70% below | 76% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 29824,LT SHOULDER ARTHROSCOPY/SURGERY | $555.12 | $2,313.00 | $3,065.78–$14,226.45 | 70% below | 76% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 29824,RT SHOULDER ARTHROSCOPY/SURGERY | $555.12 | $2,313.00 | $3,065.78–$14,226.45 | 70% below | 76% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) inpatient CPT 29824 29824,AS SHOULDER ARTHROSCOPY/SURGERY | $466.95 | $849.00 | $241.96–$849.00 | — | 45% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) inpatient CPT 29824 29824,RT SHOULDER ARTHROSCOPY/SURGERY | $1,272.15 | $2,313.00 | $659.20–$2,313.00 | — | 45% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) inpatient CPT 29824 29824 SHOULDER ARTHROSCOPY/SURGERY | $1,272.15 | $2,313.00 | $659.20–$2,313.00 | — | 45% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) inpatient CPT 29824 29824,LT SHOULDER ARTHROSCOPY/SURGERY | $1,272.15 | $2,313.00 | $659.20–$2,313.00 | — | 45% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 29826,RT SHOULDER ARTHROSCOPY/SURGERY | $361.90 | $658.00 | $187.53–$658.00 | — | 45% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 29826,LT SHOULDER ARTHROSCOPY/SURGERY | $361.90 | $658.00 | $187.53–$658.00 | — | 45% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 29826 SHOULDER ARTHROSCOPY/SURGERY | $361.90 | $658.00 | $187.53–$658.00 | — | 45% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001 RPR S/N/AX/GEN/TRNK 2.5CM/< | $40.56 | $169.00 | $187.98–$872.34 | 84% below | 76% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001,RT RPR S/N/AX/GEN/TRNK 2.5CM/< | $40.56 | $169.00 | $187.98–$872.34 | 84% below | 76% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001,LT RPR S/N/AX/GEN/TRNK 2.5CM/< | $40.56 | $169.00 | $187.98–$872.34 | 84% below | 76% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REPAIR SUPERFICIAL WOUND(S) | $850.26 | $3,542.75 | $83.96–$3,542.75 | 229% above | 76% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 12001 RPR S/N/AX/GEN/TRNK 2.5CM/< | $92.95 | $169.00 | $48.16–$169.00 | — | 45% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 12001,LT RPR S/N/AX/GEN/TRNK 2.5CM/< | $92.95 | $169.00 | $48.16–$169.00 | — | 45% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 12001,RT RPR S/N/AX/GEN/TRNK 2.5CM/< | $92.95 | $169.00 | $48.16–$169.00 | — | 45% |
| Skin biopsy, punch, one lesion CPT 11104 11104 Punch bx Skin Single Lesion | $70.08 | $292.00 | $380.90–$1,767.49 | 82% below | 76% |
| Skin biopsy, punch, one lesion CPT 11104 11104 PUNCH BIOPSY OF SKIN (INCLUDING SIMPLE CLOSU | $70.08 | $292.00 | $380.90–$1,767.49 | 82% below | 76% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION | $635.52 | $2,648.00 | $110.73–$2,648.00 | 59% above | 76% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 11104 Punch bx Skin Single Lesion | $160.60 | $292.00 | $83.22–$292.00 | — | 45% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 11104 PUNCH BIOPSY OF SKIN (INCLUDING SIMPLE CLOSU | $160.60 | $292.00 | $83.22–$292.00 | — | 45% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 11600,LT EXC TR-EXT MAL+MARG 0.5 CM/< | $78.48 | $327.00 | $663.50–$3,078.90 | 65% below | 76% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 11600 EXC TR-EXT MAL+MARG 0.5 CM/< | $78.48 | $327.00 | $663.50–$3,078.90 | 65% below | 76% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 11600,LT EXC TR-EXT MAL+MARG 0.5 CM/< | $250.25 | $455.00 | $129.67–$455.00 | — | 45% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 11600 EXC TR-EXT MAL+MARG 0.5 CM/< | $250.25 | $455.00 | $129.67–$455.00 | — | 45% |
| Skin tag removal, up to 15 tags CPT 11200 11200,LT REMOVAL OF SKIN TAGS <W/15 | $41.04 | $171.00 | $187.98–$872.34 | 82% below | 76% |
| Skin tag removal, up to 15 tags CPT 11200 11200 REMOVAL OF SKIN TAGS <W/15 | $41.04 | $171.00 | $187.98–$872.34 | 82% below | 76% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 11200,LT REMOVAL OF SKIN TAGS <W/15 | $123.20 | $224.00 | $63.84–$224.00 | — | 45% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 11200 REMOVAL OF SKIN TAGS <W/15 | $123.20 | $224.00 | $63.84–$224.00 | — | 45% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 RF Lumbar Puncture w Fluoro Guidance | $236.64 | $986.00 | $129.75–$5,043.00 | 75% below | 76% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 62270 S-SPINAL TAP DIAGNST | $503.76 | $2,099.00 | $661.39–$3,069.14 | 47% below | 76% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 S-SPINAL TAP DIAGNST | $566.16 | $2,359.00 | $661.39–$3,069.14 | 41% below | 76% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 S-SPINAL TAP DIAGNST - GL 106 | $600.24 | $2,501.00 | $661.39–$3,069.14 | 37% below | 76% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 S-SPINAL TAP DIAGNST - Dept 106 | $600.24 | $2,501.00 | $661.39–$3,069.14 | 37% below | 76% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL FLUID TAP, DIAGNOSTIC | $5,985.36 | $24,939.01 | $129.75–$24,939.01 | 527% above | 76% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 62270 SPINAL FLUID TAP DIAGNOSTIC | $162.80 | $296.00 | $84.36–$296.00 | — | 45% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 RF Lumbar Puncture w Fluoro Guidance | $542.30 | $986.00 | $281.01–$986.00 | — | 45% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 62270 S-SPINAL TAP DIAGNST | $1,154.45 | $2,099.00 | $598.21–$2,099.00 | — | 45% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 S-SPINAL TAP DIAGNST | $1,297.45 | $2,359.00 | $672.31–$2,359.00 | — | 45% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 S-SPINAL TAP DIAGNST - Dept 106 | $1,375.55 | $2,501.00 | $712.78–$2,501.00 | — | 45% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 S-SPINAL TAP DIAGNST - GL 106 | $1,375.55 | $2,501.00 | $712.78–$2,501.00 | — | 45% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 12002,LT RPR S/N/AX/GEN/TRNK2.6-7.5CM | $53.76 | $224.00 | $187.98–$872.34 | 83% below | 76% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 12002 RPR S/N/AX/GEN/TRNK2.6-7.5CM | $53.76 | $224.00 | $187.98–$872.34 | 83% below | 76% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 12002,RT RPR S/N/AX/GEN/TRNK2.6-7.5CM | $53.76 | $224.00 | $187.98–$872.34 | 83% below | 76% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 REPAIR SUPERFICIAL WOUND(S) | $1,274.85 | $5,311.89 | $102.06–$5,311.89 | 312% above | 76% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 12002,LT RPR S/N/AX/GEN/TRNK2.6-7.5CM | $123.20 | $224.00 | $63.84–$224.00 | — | 45% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 12002 RPR S/N/AX/GEN/TRNK2.6-7.5CM | $123.20 | $224.00 | $63.84–$224.00 | — | 45% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 12002,RT RPR S/N/AX/GEN/TRNK2.6-7.5CM | $123.20 | $224.00 | $63.84–$224.00 | — | 45% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 12011,LT RPR F/E/E/N/L/M 2.5 CM/< | $50.88 | $212.00 | $187.98–$872.34 | 77% below | 76% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 12011 RPR F/E/E/N/L/M 2.5 CM/< | $50.88 | $212.00 | $187.98–$872.34 | 77% below | 76% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 12011,RT RPR F/E/E/N/L/M 2.5 CM/< | $50.88 | $212.00 | $187.98–$872.34 | 77% below | 76% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REPAIR SUPERFICIAL WOUND(S) | $1,633.86 | $6,807.76 | $100.24–$6,807.76 | 654% above | 76% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 12011 RPR F/E/E/N/L/M 2.5 CM/< | $116.60 | $212.00 | $60.42–$212.00 | — | 45% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 12011,RT RPR F/E/E/N/L/M 2.5 CM/< | $116.60 | $212.00 | $60.42–$212.00 | — | 45% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 12011,LT RPR F/E/E/N/L/M 2.5 CM/< | $116.60 | $212.00 | $60.42–$212.00 | — | 45% |
| TURP (transurethral resection of the prostate) CPT 52601 52601 PROSTATECTOMY (TURP) | $523.92 | $2,183.00 | $5,023.85–$23,312.72 | 86% below | 76% |
| TURP (transurethral resection of the prostate) CPT 52601 PROSTATECTOMY (TURP) | $26,437.36 | $110,155.65 | $662.67–$110,155.65 | 594% above | 76% |
| TURP (transurethral resection of the prostate) inpatient CPT 52601 52601 PROSTATECTOMY (TURP) | $1,200.65 | $2,183.00 | $622.15–$2,183.00 | — | 45% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 11102 Tangntl bx Skin Single Les | $55.68 | $232.00 | $380.90–$1,767.49 | 82% below | 76% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 11102 TANGENTIAL BIOPSY OF SKIN (EG, SHAVE, SCOOP, | $57.20 | $104.00 | $29.64–$104.00 | — | 45% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 11102 Tangntl bx Skin Single Les | $127.60 | $232.00 | $66.12–$232.00 | — | 45% |
| Thoracentesis with imaging guidance CPT 32555 S-THORACNTSIS W IMG - Dept 106 | $847.92 | $3,533.00 | $276.84–$3,533.00 | 23% below | 76% |
| Thoracentesis with imaging guidance CPT 32555 US Thoracentesis Aspiration WO Labs | $952.80 | $3,970.00 | $276.84–$3,970.00 | 13% below | 76% |
| Thoracentesis with imaging guidance CPT 32555 US Thoracentesis w Imging Guidance - US Thoracente | $952.80 | $3,970.00 | $276.84–$3,970.00 | 13% below | 76% |
| Thoracentesis with imaging guidance CPT 32555 US Thoracentesis Aspiration W Labs | $952.80 | $3,970.00 | $276.84–$3,970.00 | 13% below | 76% |
| Thoracentesis with imaging guidance CPT 32555 CT Thoracentesis w Imaging Guidance | $952.80 | $3,970.00 | $276.84–$3,970.00 | 13% below | 76% |
| Thoracentesis with imaging guidance CPT 32555 RF Thoracentesis w Imging Guidance - BCE | $1,054.32 | $4,393.00 | $276.84–$4,393.00 | 4% below | 76% |
| Thoracentesis with imaging guidance CPT 32555 IR Thoracentesis w Imging Guidance - BCE | $1,054.32 | $4,393.00 | $276.84–$4,393.00 | 4% below | 76% |
| Thoracentesis with imaging guidance inpatient CPT 32555 32555 ASPIRATE PLEURA W/ IMAGING | $163.35 | $297.00 | $84.64–$297.00 | — | 45% |
| Thoracentesis with imaging guidance inpatient CPT 32555 S-THORACNTSIS W IMG - Dept 106 | $1,943.15 | $3,533.00 | $1,006.90–$3,533.00 | — | 45% |
| Thoracentesis with imaging guidance inpatient CPT 32555 CT Thoracentesis w Imaging Guidance | $2,183.50 | $3,970.00 | $1,131.45–$3,970.00 | — | 45% |
| Thoracentesis with imaging guidance inpatient CPT 32555 US Thoracentesis Aspiration WO Labs | $2,183.50 | $3,970.00 | $1,131.45–$3,970.00 | — | 45% |
| Thoracentesis with imaging guidance inpatient CPT 32555 US Thoracentesis Aspiration W Labs | $2,183.50 | $3,970.00 | $1,131.45–$3,970.00 | — | 45% |
| Thoracentesis with imaging guidance inpatient CPT 32555 US Thoracentesis w Imging Guidance - US Thoracente | $2,183.50 | $3,970.00 | $1,131.45–$3,970.00 | — | 45% |
| Thoracentesis with imaging guidance inpatient CPT 32555 RF Thoracentesis w Imging Guidance - BCE | $2,416.15 | $4,393.00 | $1,252.00–$4,393.00 | — | 45% |
| Thoracentesis with imaging guidance inpatient CPT 32555 IR Thoracentesis w Imging Guidance - BCE | $2,416.15 | $4,393.00 | $1,252.00–$4,393.00 | — | 45% |
| Tonsil and adenoid removal, age 12 or older CPT 42821 42821 T&A Over 12/Adult | $280.56 | $1,169.00 | $3,106.50–$14,415.41 | 91% below | 76% |
| Tonsil and adenoid removal, age 12 or older CPT 42821 42821 REMOVE TONSILS AND ADENOIDS | $280.56 | $1,169.00 | $3,106.50–$14,415.41 | 91% below | 76% |
| Tonsil and adenoid removal, age 12 or older inpatient CPT 42821 42821 T&A Over 12/Adult | $642.95 | $1,169.00 | $333.16–$1,169.00 | — | 45% |
| Tonsil and adenoid removal, age 12 or older inpatient CPT 42821 42821 REMOVE TONSILS AND ADENOIDS | $642.95 | $1,169.00 | $333.16–$1,169.00 | — | 45% |
| Tonsil and adenoid removal, child under 12 inpatient CPT 42820 42820 REMOVE TONSILS AND ADENOIDS | $618.75 | $1,125.00 | $320.63–$1,125.00 | — | 45% |
| Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 42826 REMOVAL OF TONSILS | $234.48 | $977.00 | $3,106.50–$14,415.41 | 60% below | 76% |
| Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 42826,52 REMOVAL OF TONSILS | $234.48 | $977.00 | $3,106.50–$14,415.41 | 60% below | 76% |
| Tonsil removal (tonsillectomy) only, age 12 or older inpatient CPT 42826 42826,52 REMOVAL OF TONSILS | $537.35 | $977.00 | $278.44–$977.00 | — | 45% |
| Tonsil removal (tonsillectomy) only, age 12 or older inpatient CPT 42826 42826 REMOVAL OF TONSILS | $537.35 | $977.00 | $278.44–$977.00 | — | 45% |
| Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 42825 REMOVAL OF TONSILS | $245.04 | $1,021.00 | $5,546.73–$25,739.04 | 11% below | 76% |
| Tonsil removal (tonsillectomy) only, child under 12 inpatient CPT 42825 42825 REMOVAL OF TONSILS | $561.55 | $1,021.00 | $290.98–$1,021.00 | — | 45% |
| Total hip replacement CPT 27130 27130,RT TOTAL HIP ARTHROPLASTY | $1,300.08 | $5,417.00 | $12,011.85–$55,821.75 | 79% below | 76% |
| Total hip replacement CPT 27130 27130 TOTAL HIP ARTHROPLASTY | $1,300.08 | $5,417.00 | $12,011.85–$55,821.75 | 79% below | 76% |
| Total hip replacement CPT 27130 27130,LT TOTAL HIP ARTHROPLASTY | $1,300.08 | $5,417.00 | $12,011.85–$55,821.75 | 79% below | 76% |
| Total hip replacement inpatient CPT 27130 27130,AS TOTAL HIP ARTHROPLASTY | $950.95 | $1,729.00 | $492.76–$1,729.00 | — | 45% |
| Total hip replacement inpatient CPT 27130 27130,80 TOTAL HIP ARTHROPLASTY | $950.95 | $1,729.00 | $492.76–$1,729.00 | — | 45% |
| Total hip replacement inpatient CPT 27130 27130,LT TOTAL HIP ARTHROPLASTY | $2,979.35 | $5,417.00 | $1,543.84–$5,417.00 | — | 45% |
| Total hip replacement inpatient CPT 27130 27130 TOTAL HIP ARTHROPLASTY | $2,979.35 | $5,417.00 | $1,543.84–$5,417.00 | — | 45% |
| Total hip replacement inpatient CPT 27130 27130,RT TOTAL HIP ARTHROPLASTY | $2,979.35 | $5,417.00 | $1,543.84–$5,417.00 | — | 45% |
| Total knee replacement CPT 27447 27447 TOTAL KNEE ARTHROPLASTY | $780.48 | $3,252.00 | $12,011.85–$55,821.75 | 93% below | 76% |
| Total knee replacement CPT 27447 27447,RT TOTAL KNEE ARTHROPLASTY | $780.48 | $3,252.00 | $12,011.85–$55,821.75 | 93% below | 76% |
| Total knee replacement CPT 27447 27447,LT TOTAL KNEE ARTHROPLASTY | $780.48 | $3,252.00 | $12,011.85–$55,821.75 | 93% below | 76% |
| Total knee replacement CPT 27447 27447 50 TOTAL KNEE ARTHROPLASTY | $1,170.72 | $4,878.00 | $12,011.85–$55,821.75 | 90% below | 76% |
| Total knee replacement inpatient CPT 27447 27447,80 TOTAL KNEE ARTHROPLASTY | $950.40 | $1,728.00 | $492.48–$1,728.00 | — | 45% |
| Total knee replacement inpatient CPT 27447 27447,AS TOTAL KNEE ARTHROPLASTY | $950.40 | $1,728.00 | $492.48–$1,728.00 | — | 45% |
| Total knee replacement inpatient CPT 27447 27447,LT TOTAL KNEE ARTHROPLASTY | $2,112.00 | $3,840.00 | $1,094.40–$3,840.00 | — | 45% |
| Total knee replacement inpatient CPT 27447 27447,RT TOTAL KNEE ARTHROPLASTY | $2,112.00 | $3,840.00 | $1,094.40–$3,840.00 | — | 45% |
| Total knee replacement inpatient CPT 27447 27447 TOTAL KNEE ARTHROPLASTY | $2,112.00 | $3,840.00 | $1,094.40–$3,840.00 | — | 45% |
| Total knee replacement inpatient CPT 27447 27447 50 TOTAL KNEE ARTHROPLASTY | $2,682.90 | $4,878.00 | $1,390.23–$4,878.00 | — | 45% |
| Total shoulder replacement CPT 23472 23472 RECONSTRUCT SHOULDER JOINT | $1,318.56 | $5,494.00 | $16,393.19–$76,235.89 | 92% below | 76% |
| Total shoulder replacement CPT 23472 23472,LT RECONSTRUCT SHOULDER JOINT | $1,318.56 | $5,494.00 | $16,393.19–$76,235.89 | 92% below | 76% |
| Total shoulder replacement CPT 23472 23472,RT RECONSTRUCT SHOULDER JOINT | $1,318.56 | $5,494.00 | $16,393.19–$76,235.89 | 92% below | 76% |
| Total shoulder replacement CPT 23472 RECONSTRUCT SHOULDER JOINT | $27,588.73 | $114,953.04 | $1,298.97–$114,953.04 | 71% above | 76% |
| Total shoulder replacement inpatient CPT 23472 23472,AS RECONSTRUCT SHOULDER JOINT | $1,020.80 | $1,856.00 | $528.96–$1,856.00 | — | 45% |
| Total shoulder replacement inpatient CPT 23472 23472,80 RECONSTRUCT SHOULDER JOINT | $1,020.80 | $1,856.00 | $528.96–$1,856.00 | — | 45% |
| Total shoulder replacement inpatient CPT 23472 23472,RT RECONSTRUCT SHOULDER JOINT | $3,021.70 | $5,494.00 | $1,565.79–$5,494.00 | — | 45% |
| Total shoulder replacement inpatient CPT 23472 23472 RECONSTRUCT SHOULDER JOINT | $3,021.70 | $5,494.00 | $1,565.79–$5,494.00 | — | 45% |
| Total shoulder replacement inpatient CPT 23472 23472,LT RECONSTRUCT SHOULDER JOINT | $3,021.70 | $5,494.00 | $1,565.79–$5,494.00 | — | 45% |
| Total thyroid removal (thyroidectomy) CPT 60240 60240 REMOVAL OF THYROID | $711.60 | $2,965.00 | $5,664.50–$26,285.57 | 68% below | 76% |
| Total thyroid removal (thyroidectomy) CPT 60240 60240,RT REMOVAL OF THYROID | $711.60 | $2,965.00 | $5,664.50–$26,285.57 | 68% below | 76% |
| Total thyroid removal (thyroidectomy) inpatient CPT 60240 60240,80 REMOVAL OF THYROID | $644.60 | $1,172.00 | $334.02–$1,172.00 | — | 45% |
| Total thyroid removal (thyroidectomy) inpatient CPT 60240 60240,AS REMOVAL OF THYROID | $644.60 | $1,172.00 | $334.02–$1,172.00 | — | 45% |
| Total thyroid removal (thyroidectomy) inpatient CPT 60240 60240,RT REMOVAL OF THYROID | $1,910.70 | $3,474.00 | $990.09–$3,474.00 | — | 45% |
| Total thyroid removal (thyroidectomy) inpatient CPT 60240 60240 REMOVAL OF THYROID | $1,910.70 | $3,474.00 | $990.09–$3,474.00 | — | 45% |
| Trigger finger release surgery CPT 26055 26055 INCISE FINGER TENDON SHEATH | $282.24 | $1,176.00 | $1,506.64–$6,991.44 | 86% below | 76% |
| Trigger finger release surgery CPT 26055 26055,LT INCISE FINGER TENDON SHEATH | $282.24 | $1,176.00 | $1,506.64–$6,991.44 | 86% below | 76% |
| Trigger finger release surgery CPT 26055 26055,RT INCISE FINGER TENDON SHEATH | $282.24 | $1,176.00 | $1,506.64–$6,991.44 | 86% below | 76% |
| Trigger finger release surgery inpatient CPT 26055 26055,RT INCISE FINGER TENDON SHEATH | $646.80 | $1,176.00 | $335.16–$1,176.00 | — | 45% |
| Trigger finger release surgery inpatient CPT 26055 26055,LT INCISE FINGER TENDON SHEATH | $646.80 | $1,176.00 | $335.16–$1,176.00 | — | 45% |
| Trigger finger release surgery inpatient CPT 26055 26055 INCISE FINGER TENDON SHEATH | $646.80 | $1,176.00 | $335.16–$1,176.00 | — | 45% |
| Trigger point injections, 1 or 2 muscles CPT 20552 NJX 1/MLT TRIGGER POINT 1/2 | $1,792.11 | $7,467.11 | $47.50–$7,467.11 | 249% above | 76% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 20552 INJ TRIGGER POINT 1/2 MUSCL | $79.75 | $145.00 | $41.32–$145.00 | — | 45% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 20552,LT INJ TRIGGER POINT 2-Jan MUSCL | $79.75 | $145.00 | $41.32–$145.00 | — | 45% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 20552,RT INJ TRIGGER POINT 2-Jan MUSCL | $79.75 | $145.00 | $41.32–$145.00 | — | 45% |
| Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 58670 LAPAROSCOPY TUBAL CAUTERY | $335.28 | $1,397.00 | $5,664.50–$26,285.57 | 40% below | 76% |
| Tubal ligation, laparoscopic (tubes sealed by cautery) inpatient CPT 58670 58670 LAPAROSCOPY TUBAL CAUTERY | $768.35 | $1,397.00 | $398.14–$1,397.00 | — | 45% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US Breast Biopsy w Loc 1 Lesion Left | $735.12 | $3,063.00 | $1,547.51–$7,181.06 | 61% below | 76% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 19083 50 BX BREAST 1ST LESION US IMAG | $337.70 | $614.00 | $174.99–$614.00 | — | 45% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 US Breast Biopsy w Loc 1 Lesion Right | $1,684.65 | $3,063.00 | $872.95–$3,063.00 | — | 45% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 US Breast Biopsy w Loc 1 Lesion Left | $1,684.65 | $3,063.00 | $872.95–$3,063.00 | — | 45% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 ESOPH ENDOSCOPY, DILATION | $3,218.64 | $13,411.01 | $915.72–$13,411.01 | 7% above | 76% |
| Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 43249,52 ESOPH EGD DILATION <30 MM | $407.00 | $740.00 | $210.90–$740.00 | — | 45% |
| Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 43249 ESOPH EGD DILATION <30 MM | $407.00 | $740.00 | $210.90–$740.00 | — | 45% |
| Upper endoscopy (EGD) with biopsy CPT 43239 43239 EGD BIOPSY SINGLE/MULTIPLE | $157.68 | $657.00 | $849.83–$3,943.50 | 92% below | 76% |
| Upper endoscopy (EGD) with biopsy CPT 43239 43239,53 EGD BIOPSY SINGLE/MULTIPLE | $157.68 | $657.00 | $849.83–$3,943.50 | 92% below | 76% |
| Upper endoscopy (EGD) with biopsy CPT 43239 43239,52,58 EGD BIOPSY SINGLE/MULTIPLE,STAGED OR | $157.68 | $657.00 | $849.83–$3,943.50 | 92% below | 76% |
| Upper endoscopy (EGD) with biopsy CPT 43239 43239,52 EGD BIOPSY SINGLE/MULTIPLE | $157.68 | $657.00 | $849.83–$3,943.50 | 92% below | 76% |
| Upper endoscopy (EGD) with biopsy CPT 43239 43239 53 EGD BIOPSY SINGLE/MULTIPLE | $157.68 | $657.00 | $849.83–$3,943.50 | 92% below | 76% |
| Upper endoscopy (EGD) with biopsy CPT 43239 UPPER GI ENDOSCOPY, BIOPSY | $2,788.87 | $11,620.28 | $331.18–$11,620.28 | 42% above | 76% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 43239 EGD BIOPSY SINGLE/MULTIPLE | $361.35 | $657.00 | $187.24–$657.00 | — | 45% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 43239,53 EGD BIOPSY SINGLE/MULTIPLE | $361.35 | $657.00 | $187.24–$657.00 | — | 45% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 43239,52,58 EGD BIOPSY SINGLE/MULTIPLE,STAGED OR | $361.35 | $657.00 | $187.24–$657.00 | — | 45% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 43239,52 EGD BIOPSY SINGLE/MULTIPLE | $361.35 | $657.00 | $187.24–$657.00 | — | 45% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 43239 53 EGD BIOPSY SINGLE/MULTIPLE | $361.35 | $657.00 | $187.24–$657.00 | — | 45% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 43236 UPPR GI SCOPE W/SUBMUC INJ | $160.80 | $670.00 | $849.83–$3,943.50 | 87% below | 76% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 UPPR GI SCOPE W/SUBMUC INJ | $3,730.32 | $15,543.00 | $352.06–$15,543.00 | 204% above | 76% |
| Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 43236 UPPR GI SCOPE W/SUBMUC INJ | $368.50 | $670.00 | $190.95–$670.00 | — | 45% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 43251 EGD REMOVE LESION SNARE | $199.92 | $833.00 | $1,797.97–$8,343.27 | 90% below | 76% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 OPERATIVE UPPER GI ENDOSCOPY | $4,113.72 | $17,140.48 | $434.22–$17,140.48 | 106% above | 76% |
| Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 43251 EGD REMOVE LESION SNARE | $458.15 | $833.00 | $237.40–$833.00 | — | 45% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 UPPR GI ENDOSCOPY/GUIDE WIRE | $5,165.42 | $21,522.60 | $364.61–$21,522.60 | 135% above | 76% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 43248 EGD GUIDE WIRE INSERTION | $264.55 | $481.00 | $137.08–$481.00 | — | 45% |
| Upper endoscopy (EGD), diagnostic CPT 43235 43235 EGD DIAGNOSTIC BRUSH WASH | $133.44 | $556.00 | $849.83–$3,943.50 | 90% below | 76% |
| Upper endoscopy (EGD), diagnostic CPT 43235 43235,52 EGD DIAGNOSTIC BRUSH WASH | $133.44 | $556.00 | $849.83–$3,943.50 | 90% below | 76% |
| Upper endoscopy (EGD), diagnostic CPT 43235 43235,53 EGD DIAGNOSTIC BRUSH WASH | $133.44 | $556.00 | $849.83–$3,943.50 | 90% below | 76% |
| Upper endoscopy (EGD), diagnostic CPT 43235 43235,53,59 EGD DIAGNOSTIC BRUSH WASH,DISTINCT PR | $133.44 | $556.00 | $849.83–$3,943.50 | 90% below | 76% |
| Upper endoscopy (EGD), diagnostic CPT 43235 UPPR GI ENDOSCOPY, DIAGNOSIS | $9,692.65 | $40,386.06 | $256.15–$40,386.06 | 625% above | 76% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 43235,52 EGD DIAGNOSTIC BRUSH WASH | $305.80 | $556.00 | $158.46–$556.00 | — | 45% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 43235,53,59 EGD DIAGNOSTIC BRUSH WASH,DISTINCT PR | $305.80 | $556.00 | $158.46–$556.00 | — | 45% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 43235 EGD DIAGNOSTIC BRUSH WASH | $305.80 | $556.00 | $158.46–$556.00 | — | 45% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 43235,53 EGD DIAGNOSTIC BRUSH WASH | $305.80 | $556.00 | $158.46–$556.00 | — | 45% |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 43240 EGD W/TRANSMURAL DRAIN CYST | $362.16 | $1,509.00 | $5,688.27–$26,395.86 | 20% below | 76% |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall inpatient CPT 43240 43240 EGD W/TRANSMURAL DRAIN CYST | $829.95 | $1,509.00 | $430.06–$1,509.00 | — | 45% |
| Ureteroscopy with laser stone breaking (lithotripsy) inpatient CPT 52353 52353 CYSTOURETERO W/LITHOTRIPSY | $587.40 | $1,068.00 | $304.38–$1,068.00 | — | 45% |
| Ureteroscopy with laser stone breaking and stent placement CPT 52356 CYSTO/URETERO W/LITHOTRIPSY | $22,703.67 | $94,598.63 | $373.90–$94,598.63 | 99% above | 76% |
| Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 52356,52 CYSTO/URETERO W/LITHOTRIPSY | $596.75 | $1,085.00 | $309.22–$1,085.00 | — | 45% |
| Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 52356,RT CYSTO/URETERO W/LITHOTRIPSY | $596.75 | $1,085.00 | $309.22–$1,085.00 | — | 45% |
| Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 52356,LT CYSTO/URETERO W/LITHOTRIPSY | $596.75 | $1,085.00 | $309.22–$1,085.00 | — | 45% |
| Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 52356 CYSTO/URETERO W/LITHOTRIPSY | $596.75 | $1,085.00 | $309.22–$1,085.00 | — | 45% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 59610 VBAC DELIVERY | $1,329.12 | $5,538.00 | $1,329.12–$5,538.00 | 11% below | 76% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care inpatient CPT 59610 59610 VBAC DELIVERY | $3,045.90 | $5,538.00 | $1,578.33–$5,538.00 | — | 45% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 59400 Obstetric Care Routine | $1,270.56 | $5,294.00 | $1,270.56–$5,294.00 | 29% below | 76% |
| Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 59400 Obstetric Care Routine | $2,911.70 | $5,294.00 | $1,508.79–$5,294.00 | — | 45% |
| Vasectomy, one or both sides, including follow-up semen testing CPT 55250 55250 REMOVAL OF SPERM DUCT(S) | $203.28 | $847.00 | $1,958.63–$9,088.87 | 64% below | 76% |
| Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 55250 REMOVAL OF SPERM DUCT(S) | $469.70 | $854.00 | $243.39–$854.00 | — | 45% |
| Vein ablation, radiofrequency, first vein inpatient CPT 36475 36475,LT ENDOVENOUS RF 1ST VEIN | $738.65 | $1,343.00 | $382.75–$1,343.00 | — | 45% |
| Vein ablation, radiofrequency, first vein inpatient CPT 36475 36475,RT ENDOVENOUS RF 1ST VEIN | $738.65 | $1,343.00 | $382.75–$1,343.00 | — | 45% |
| Vein ablation, radiofrequency, first vein inpatient CPT 36475 36475 ENDOVENOUS RF 1ST VEIN | $738.65 | $1,343.00 | $382.75–$1,343.00 | — | 45% |
| Vein ablation, radiofrequency, first vein inpatient one side CPT 36475 36475,53,RT ENDOVENOUS RF 1ST VEIN,RIGHT SIDE | $738.65 | $1,343.00 | $382.75–$1,343.00 | — | 45% |
| Wart removal, up to 14 warts CPT 17110 17110,RT DESTRUCT B9 LESION 14-Jan | $40.08 | $167.00 | $187.98–$872.34 | 80% below | 76% |
| Wart removal, up to 14 warts CPT 17110 17110,LT DESTRUCT B9 LESION 14-Jan | $40.08 | $167.00 | $187.98–$872.34 | 80% below | 76% |
| Wart removal, up to 14 warts CPT 17110 17110 DESTRUCT B9 LESION 1-14 | $40.08 | $167.00 | $187.98–$872.34 | 80% below | 76% |
| Wart removal, up to 14 warts inpatient CPT 17110 17110,LT DESTRUCT B9 LESION 14-Jan | $147.40 | $268.00 | $76.38–$268.00 | — | 45% |
| Wart removal, up to 14 warts inpatient CPT 17110 17110 DESTRUCT B9 LESION 1-14 | $147.40 | $268.00 | $76.38–$268.00 | — | 45% |
| Wart removal, up to 14 warts inpatient CPT 17110 17110,RT DESTRUCT B9 LESION 14-Jan | $147.40 | $268.00 | $76.38–$268.00 | — | 45% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042,LT DEB SUBQ TISSUE 20 SQ CM/< | $56.40 | $235.00 | $380.90–$1,767.49 | 92% below | 76% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042,RT DEB SUBQ TISSUE 20 SQ CM/< | $56.40 | $235.00 | $380.90–$1,767.49 | 92% below | 76% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042 DEB SUBQ TISSUE 20 SQ CM/< | $56.40 | $235.00 | $380.90–$1,767.49 | 92% below | 76% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 11042,RT DEB SUBQ TISSUE 20 SQ CM/< | $129.25 | $235.00 | $66.97–$235.00 | — | 45% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 11042,LT DEB SUBQ TISSUE 20 SQ CM/< | $129.25 | $235.00 | $66.97–$235.00 | — | 45% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 11042 DEB SUBQ TISSUE 20 SQ CM/< | $129.25 | $235.00 | $66.97–$235.00 | — | 45% |
| Wrist fracture surgery (plate and screws), distal radius CPT 25607 25607,RT TREAT FX RAD EXTRA-ARTICUL | $406.80 | $1,695.00 | $6,798.89–$31,549.55 | 76% below | 76% |
| Wrist fracture surgery (plate and screws), distal radius CPT 25607 25607 TREAT FX RAD EXTRA-ARTICUL | $406.80 | $1,695.00 | $6,798.89–$31,549.55 | 76% below | 76% |
| Wrist fracture surgery (plate and screws), distal radius CPT 25607 25607,LT TREAT FX RAD EXTRA-ARTICUL | $406.80 | $1,695.00 | $6,798.89–$31,549.55 | 76% below | 76% |
| Wrist fracture surgery (plate and screws), distal radius inpatient CPT 25607 25607,RT TREAT FX RAD EXTRA-ARTICUL | $1,021.90 | $1,858.00 | $529.53–$1,858.00 | — | 45% |
| Wrist fracture surgery (plate and screws), distal radius inpatient CPT 25607 25607 TREAT FX RAD EXTRA-ARTICUL | $1,021.90 | $1,858.00 | $529.53–$1,858.00 | — | 45% |
| Wrist fracture surgery (plate and screws), distal radius inpatient CPT 25607 25607,LT TREAT FX RAD EXTRA-ARTICUL | $1,021.90 | $1,858.00 | $529.53–$1,858.00 | — | 45% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Indiana | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Verified with Pt Information: - Transfu | $386.64 | $1,611.00 | $413.37–$1,918.20 | 57% below | 76% |
| Blood transfusion (giving blood or blood components) CPT 36430 $ED Transfusion >2 yrs | $418.56 | $1,744.00 | $413.37–$1,918.20 | 54% below | 76% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Whole blood | $443.76 | $1,849.00 | $413.37–$1,918.20 | 51% below | 76% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Red blood cells (preoperativ | $443.76 | $1,849.00 | $413.37–$1,918.20 | 51% below | 76% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Red blood cells (postoperati | $443.76 | $1,849.00 | $413.37–$1,918.20 | 51% below | 76% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Platelets (single donor) | $443.76 | $1,849.00 | $413.37–$1,918.20 | 51% below | 76% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Platelets (random donor) | $443.76 | $1,849.00 | $413.37–$1,918.20 | 51% below | 76% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Packed red blood cells | $443.76 | $1,849.00 | $413.37–$1,918.20 | 51% below | 76% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Fresh frozen plasma | $443.76 | $1,849.00 | $413.37–$1,918.20 | 51% below | 76% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Cryoprecipitate | $443.76 | $1,849.00 | $413.37–$1,918.20 | 51% below | 76% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Administration Fee | $443.76 | $1,849.00 | $413.37–$1,918.20 | 51% below | 76% |
| Blood transfusion (giving blood or blood components) CPT 36430 CHRG - BLOOD TRANSFUSION Infusion 268 | $443.76 | $1,849.00 | $413.37–$1,918.20 | 51% below | 76% |
| Blood transfusion (giving blood or blood components) CPT 36430 CHRG - BLOOD TRANSFUSION - Blood Transfusion Perfo | $443.76 | $1,849.00 | $413.37–$1,918.20 | 51% below | 76% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood transfusions | $443.76 | $1,849.00 | $413.37–$1,918.20 | 51% below | 76% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION SERVICE | $11,461.41 | $47,755.89 | $38.05–$47,755.89 | 1173% above | 76% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 $ED Transfusion >2 yrs | $959.20 | $1,744.00 | $497.04–$1,744.00 | — | 45% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Verified with Pt Information: - Transfu | $959.20 | $1,744.00 | $497.04–$1,744.00 | — | 45% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Fresh frozen plasma | $1,016.95 | $1,849.00 | $526.96–$1,849.00 | — | 45% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Packed red blood cells | $1,016.95 | $1,849.00 | $526.96–$1,849.00 | — | 45% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Platelets (random donor) | $1,016.95 | $1,849.00 | $526.96–$1,849.00 | — | 45% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Platelets (single donor) | $1,016.95 | $1,849.00 | $526.96–$1,849.00 | — | 45% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Red blood cells (postoperati | $1,016.95 | $1,849.00 | $526.96–$1,849.00 | — | 45% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Red blood cells (preoperativ | $1,016.95 | $1,849.00 | $526.96–$1,849.00 | — | 45% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Whole blood | $1,016.95 | $1,849.00 | $526.96–$1,849.00 | — | 45% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 CHRG - BLOOD TRANSFUSION - Blood Transfusion Perfo | $1,016.95 | $1,849.00 | $526.96–$1,849.00 | — | 45% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood transfusions | $1,016.95 | $1,849.00 | $526.96–$1,849.00 | — | 45% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 CHRG - BLOOD TRANSFUSION Infusion 268 | $1,016.95 | $1,849.00 | $526.96–$1,849.00 | — | 45% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Administration Fee | $1,016.95 | $1,849.00 | $526.96–$1,849.00 | — | 45% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Cryoprecipitate | $1,016.95 | $1,849.00 | $526.96–$1,849.00 | — | 45% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment Charge - Initial | $104.40 | $435.00 | $205.17–$952.10 | 7% below | 76% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Meter Dose Inhaler Charge - Subsequent | $105.12 | $438.00 | $205.17–$952.10 | 7% below | 76% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 High Humidity Charge - Initial | $105.12 | $438.00 | $205.17–$952.10 | 7% below | 76% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 High Humidity Charge - Subsequent | $105.12 | $438.00 | $205.17–$952.10 | 7% below | 76% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment Charge - Subsequent | $105.12 | $438.00 | $205.17–$952.10 | 7% below | 76% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment Charge - IPPB Subsequent | $105.12 | $438.00 | $205.17–$952.10 | 7% below | 76% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment Charge - IPV Initial | $105.12 | $438.00 | $205.17–$952.10 | 7% below | 76% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment Charge - IPV Subsequent | $105.12 | $438.00 | $205.17–$952.10 | 7% below | 76% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Meter Dose Inhaler Charge - Initial | $105.12 | $438.00 | $205.17–$952.10 | 7% below | 76% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment Charge - IPPB Initial | $105.12 | $438.00 | $205.17–$952.10 | 7% below | 76% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 94640 AIRWAY INHALATION TREATMENT | $39.05 | $71.00 | $20.23–$71.00 | — | 45% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Treatment Charge - IPV Initial | $240.90 | $438.00 | $124.83–$438.00 | — | 45% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 High Humidity Charge - Initial | $240.90 | $438.00 | $124.83–$438.00 | — | 45% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 High Humidity Charge - Subsequent | $240.90 | $438.00 | $124.83–$438.00 | — | 45% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Treatment Charge - Subsequent | $240.90 | $438.00 | $124.83–$438.00 | — | 45% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Treatment Charge - IPPB Subsequent | $240.90 | $438.00 | $124.83–$438.00 | — | 45% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Treatment Charge - IPPB Initial | $240.90 | $438.00 | $124.83–$438.00 | — | 45% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Treatment Charge - Initial | $240.90 | $438.00 | $124.83–$438.00 | — | 45% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Meter Dose Inhaler Charge - Subsequent | $240.90 | $438.00 | $124.83–$438.00 | — | 45% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Meter Dose Inhaler Charge - Initial | $240.90 | $438.00 | $124.83–$438.00 | — | 45% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Treatment Charge - IPV Subsequent | $240.90 | $438.00 | $124.83–$438.00 | — | 45% |
| Chemotherapy IV infusion, first hour CPT 96413 96413 CHEMO IV INFUSION 1 HR | $113.52 | $473.00 | $309.49–$1,436.14 | 81% below | 76% |
| Chemotherapy IV infusion, first hour CPT 96413 CHRG - CHEMO IV INFU 1ST HR 261 | $317.28 | $1,322.00 | $309.49–$1,436.14 | 48% below | 76% |
| Chemotherapy IV infusion, first hour CPT 96413 CHRG - CHEMO IV INFU 1ST HR Infusion 268 | $317.28 | $1,322.00 | $309.49–$1,436.14 | 48% below | 76% |
| Chemotherapy IV infusion, first hour CPT 96413 CHRG - CHEMO IV INFU 1ST HR | $398.16 | $1,659.00 | $109.91–$1,659.00 | 34% below | 76% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 96413 CHEMO IV INFUSION 1 HR | $260.15 | $473.00 | $134.80–$473.00 | — | 45% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 CHRG - CHEMO IV INFU 1ST HR 261 | $727.10 | $1,322.00 | $376.77–$1,322.00 | — | 45% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 CHRG - CHEMO IV INFU 1ST HR Infusion 268 | $727.10 | $1,322.00 | $376.77–$1,322.00 | — | 45% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 CHRG - CHEMO IV INFU 1ST HR | $912.45 | $1,659.00 | $472.81–$1,659.00 | — | 45% |
| Comprehensive eye exam by an eye doctor, new patient CPT 92004 92004,25 EYE EXAM NEW PATIENT | $53.52 | $223.00 | $124.75–$578.85 | 16% below | 76% |
| Comprehensive eye exam by an eye doctor, new patient CPT 92004 92004 EYE EXAM NEW PATIENT | $53.52 | $223.00 | $124.75–$578.85 | 16% below | 76% |
| Comprehensive eye exam by an eye doctor, new patient inpatient CPT 92004 92004 EYE EXAM NEW PATIENT | $195.25 | $355.00 | $101.17–$355.00 | — | 45% |
| Comprehensive eye exam by an eye doctor, new patient inpatient CPT 92004 92004,25 EYE EXAM NEW PATIENT | $195.25 | $355.00 | $101.17–$355.00 | — | 45% |
| Comprehensive eye exam, returning patient CPT 92014 92014 EYE EXAM&TX ESTAB PT 1/>VST | $42.72 | $178.00 | $124.75–$578.85 | 11% below | 76% |
| Comprehensive eye exam, returning patient CPT 92014 92014,25 EYE EXAM&TX ESTAB PT 1/>VST | $42.72 | $178.00 | $124.75–$578.85 | 11% below | 76% |
| Comprehensive eye exam, returning patient inpatient CPT 92014 92014,25 EYE EXAM&TX ESTAB PT 1/>VST | $161.15 | $293.00 | $83.50–$293.00 | — | 45% |
| Comprehensive eye exam, returning patient inpatient CPT 92014 92014 EYE EXAM&TX ESTAB PT 1/>VST | $161.15 | $293.00 | $83.50–$293.00 | — | 45% |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 92557,52 COMPREHENSIVE HEARING TEST | $20.16 | $84.00 | $120.56–$559.48 | 88% below | 76% |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 92557 COMPREHENSIVE HEARING TEST | $20.16 | $84.00 | $120.56–$559.48 | 88% below | 76% |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 92557,LT COMPREHENSIVE HEARING TEST | $20.16 | $84.00 | $120.56–$559.48 | 88% below | 76% |
| Comprehensive hearing test: tone and speech audiometry, both ears one side CPT 92557 92557,52,RT COMPREHENSIVE HEARING TEST,RIGHT SIDE | $20.16 | $84.00 | $120.56–$559.48 | 88% below | 76% |
| Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 92557,LT COMPREHENSIVE HEARING TEST | $46.20 | $84.00 | $23.94–$84.00 | — | 45% |
| Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 92557 COMPREHENSIVE HEARING TEST | $46.20 | $84.00 | $23.94–$84.00 | — | 45% |
| Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 92557,52 COMPREHENSIVE HEARING TEST | $46.20 | $84.00 | $23.94–$84.00 | — | 45% |
| Comprehensive hearing test: tone and speech audiometry, both ears inpatient one side CPT 92557 92557,52,RT COMPREHENSIVE HEARING TEST,RIGHT SIDE | $46.20 | $84.00 | $23.94–$84.00 | — | 45% |
| Critical care, first 30 to 74 minutes CPT 99291 99291 - Critical Care | $1,589.52 | $6,623.00 | $249.98–$7,959.15 | 17% below | 76% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 99291 CRITICAL CARE FIRST HOUR | $281.60 | $512.00 | $145.92–$512.00 | — | 45% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 99291,25 CRITICAL CARE FIRST HOUR | $281.60 | $512.00 | $145.92–$512.00 | — | 45% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 99291 - Critical Care | $3,642.65 | $6,623.00 | $1,887.55–$6,623.00 | — | 45% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 95816 EEG AWAKE AND DROWSY | $351.84 | $1,466.00 | $296.48–$1,466.00 | 46% below | 76% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 CHRG - EEG AWAKE DROWSY | $487.20 | $2,030.00 | $217.03–$2,030.00 | 25% below | 76% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 95816,26 EEG AWAKE AND DROWSY | $117.15 | $213.00 | $60.70–$213.00 | — | 45% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 95816 26 EEG AWAKE AND DROWSY | $117.15 | $213.00 | $60.70–$213.00 | — | 45% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 95816 EEG AWAKE AND DROWSY | $806.30 | $1,466.00 | $417.81–$1,466.00 | — | 45% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 CHRG - EEG AWAKE DROWSY | $1,116.50 | $2,030.00 | $578.55–$2,030.00 | — | 45% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 EKG POC AMB | $16.56 | $69.00 | $12.97–$69.00 | 20% below | 76% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 93000 EKG POC AMB -BCE | $16.56 | $69.00 | $12.97–$69.00 | 20% below | 76% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 93000 EKG POC AMB -BCE | $37.95 | $69.00 | $19.66–$69.00 | — | 45% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 EKG POC AMB | $37.95 | $69.00 | $19.66–$69.00 | — | 45% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG 12 Lead Series Now | $97.44 | $406.00 | $59.29–$406.00 | 51% below | 76% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ED EKG 12 Lead Series Now | $126.48 | $527.00 | $59.29–$527.00 | 37% below | 76% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ED EKG Series 1 Hour | $126.48 | $527.00 | $59.29–$527.00 | 37% below | 76% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG Series 3 Hours | $126.48 | $527.00 | $59.29–$527.00 | 37% below | 76% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG Series 1 Hour | $126.48 | $527.00 | $59.29–$527.00 | 37% below | 76% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ED EKG Start Time | $126.48 | $527.00 | $59.29–$527.00 | 37% below | 76% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG 12 Lead Serial x 3 | $126.48 | $527.00 | $59.29–$527.00 | 37% below | 76% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ED EKG Series 3 Hours | $126.48 | $527.00 | $59.29–$527.00 | 37% below | 76% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Electrocardiogram 12 Lead | $126.48 | $527.00 | $59.29–$527.00 | 37% below | 76% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG Series 6 Hours | $126.48 | $527.00 | $59.29–$527.00 | 37% below | 76% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 93005 EKG POC Tracing Only AMB -BCE | $20.35 | $37.00 | $10.54–$37.00 | — | 45% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG POC Tracing Only AMB | $20.35 | $37.00 | $10.54–$37.00 | — | 45% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 93005 ELECTROCARDIOGRAM TRACING | $20.35 | $37.00 | $10.54–$37.00 | — | 45% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG 12 Lead Series Now | $223.30 | $406.00 | $115.71–$406.00 | — | 45% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG 12 Lead Serial x 3 | $289.85 | $527.00 | $150.19–$527.00 | — | 45% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ED EKG Start Time | $289.85 | $527.00 | $150.19–$527.00 | — | 45% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Electrocardiogram 12 Lead | $289.85 | $527.00 | $150.19–$527.00 | — | 45% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ED EKG Series 1 Hour | $289.85 | $527.00 | $150.19–$527.00 | — | 45% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG Series 1 Hour | $289.85 | $527.00 | $150.19–$527.00 | — | 45% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ED EKG 12 Lead Series Now | $289.85 | $527.00 | $150.19–$527.00 | — | 45% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG Series 3 Hours | $289.85 | $527.00 | $150.19–$527.00 | — | 45% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG Series 6 Hours | $289.85 | $527.00 | $150.19–$527.00 | — | 45% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ED EKG Series 3 Hours | $289.85 | $527.00 | $150.19–$527.00 | — | 45% |
| Electroconvulsive therapy (ECT), one session CPT 90870 90870 ELECTROCONVULSIVE THERAPY | $101.04 | $421.00 | $804.62–$3,733.73 | 89% below | 76% |
| Electroconvulsive therapy (ECT), one session CPT 90870 BH CHRG - ELECTROSHOCK THERAPY | $285.84 | $1,191.00 | $894.02–$3,733.73 | 68% below | 76% |
| Electroconvulsive therapy (ECT), one session CPT 90870 Electroconvulsive Therapy Procedure | $285.84 | $1,191.00 | $894.02–$3,733.73 | 68% below | 76% |
| Electroconvulsive therapy (ECT), one session inpatient CPT 90870 90870 ELECTROCONVULSIVE THERAPY | $231.55 | $421.00 | $119.98–$421.00 | — | 45% |
| Electroconvulsive therapy (ECT), one session inpatient CPT 90870 BH CHRG - ELECTROSHOCK THERAPY | $655.05 | $1,191.00 | $339.43–$1,191.00 | — | 45% |
| Electroconvulsive therapy (ECT), one session inpatient CPT 90870 Electroconvulsive Therapy Procedure | $655.05 | $1,191.00 | $339.43–$1,191.00 | — | 45% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 99281,25 EMERGENCY DEPT VISIT | $22.80 | $95.00 | $79.01–$366.63 | 85% below | 76% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 99281 EMERGENCY DEPT VISIT | $22.80 | $95.00 | $79.01–$366.63 | 85% below | 76% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 99281 - Level 1 | $106.32 | $443.00 | $10.35–$2,141.00 | 29% below | 76% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 99281,25 EMERGENCY DEPT VISIT | $52.25 | $95.00 | $27.07–$95.00 | — | 45% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 99281 EMERGENCY DEPT VISIT | $52.25 | $95.00 | $27.07–$95.00 | — | 45% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 99281 - Level 1 | $456.50 | $830.00 | $236.55–$830.00 | — | 45% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 99282 - Level 2 | $281.76 | $1,174.00 | $38.21–$2,141.00 | 10% below | 76% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 99282,25 EMERGENCY DEPT VISIT | $96.25 | $175.00 | $49.87–$175.00 | — | 45% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 99282 EMERGENCY DEPT VISIT | $96.25 | $175.00 | $49.87–$175.00 | — | 45% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 99282 - Level 2 | $645.70 | $1,174.00 | $334.59–$1,174.00 | — | 45% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 99283 - Level 3 | $437.28 | $1,822.00 | $64.70–$2,141.00 | 30% below | 76% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 99283 EMERGENCY DEPT VISIT | $143.55 | $261.00 | $74.38–$261.00 | — | 45% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 99283,25 EMERGENCY DEPT VISIT | $143.55 | $261.00 | $74.38–$261.00 | — | 45% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 99283 - Level 3 | $1,048.30 | $1,906.00 | $543.21–$1,906.00 | — | 45% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284 - Level 4 | $699.12 | $2,913.00 | $110.18–$2,913.00 | 32% below | 76% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 99284 EMERGENCY DEPT VISIT | $158.40 | $288.00 | $82.08–$288.00 | — | 45% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 99284,25 EMERGENCY DEPT VISIT | $158.40 | $288.00 | $82.08–$288.00 | — | 45% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 99284 - Level 4 | $1,602.15 | $2,913.00 | $830.20–$2,913.00 | — | 45% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 99285 - Level 5 | $1,252.32 | $5,218.00 | $159.69–$5,218.00 | 18% below | 76% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Trauma Notification Level - No Prior Notification | $4,601.04 | $19,171.00 | $159.69–$19,171.00 | 202% above | 76% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 99285,25 EMERGENCY DEPT VISIT | $235.40 | $428.00 | $121.98–$428.00 | — | 45% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 99285 EMERGENCY DEPT VISIT | $235.40 | $428.00 | $121.98–$428.00 | — | 45% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 99285 - Level 5 | $2,869.90 | $5,218.00 | $1,487.13–$5,218.00 | — | 45% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Trauma Notification Level - No Prior Notification | $10,544.05 | $19,171.00 | $5,463.73–$19,171.00 | — | 45% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 NI Stress Test | $667.92 | $2,783.00 | $34.01–$2,783.00 | 4% below | 76% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Cardiac Stress Test | $667.92 | $2,783.00 | $34.01–$2,783.00 | 4% below | 76% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 93017 STRESS TEST - TRACING ONLY | $89.10 | $162.00 | $46.17–$162.00 | — | 45% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Cardiac Stress Test | $1,530.65 | $2,783.00 | $793.15–$2,783.00 | — | 45% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 NI Stress Test | $1,530.65 | $2,783.00 | $793.15–$2,783.00 | — | 45% |
| Eye exam, returning patient, intermediate CPT 92012 92012,25 EYE EXAM ESTABLISH PATIENT | $28.08 | $117.00 | $124.75–$578.85 | 11% below | 76% |
| Eye exam, returning patient, intermediate CPT 92012 92012 EYE EXAM ESTABLISH PATIENT | $28.08 | $117.00 | $124.75–$578.85 | 11% below | 76% |
| Eye exam, returning patient, intermediate inpatient CPT 92012 92012 EYE EXAM ESTABLISH PATIENT | $111.10 | $202.00 | $57.57–$202.00 | — | 45% |
| Eye exam, returning patient, intermediate inpatient CPT 92012 92012,25 EYE EXAM ESTABLISH PATIENT | $111.10 | $202.00 | $57.57–$202.00 | — | 45% |
| Family therapy without the patient, 50 minutes CPT 90846 90846 FAMILY PSYTX W/O PATIENT | $63.60 | $265.00 | $166.31–$771.74 | 58% below | 76% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 90846 FAMILY PSYTX W/O PATIENT | $145.75 | $265.00 | $75.52–$265.00 | — | 45% |
| Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 93224 ECG MONIT/REPRT UP TO 48 HRS | $84.24 | $351.00 | $63.49–$351.00 | 11% below | 76% |
| Holter monitor, heart rhythm recording up to 48 hours, with report inpatient CPT 93224 93224 ECG MONIT/REPRT UP TO 48 HRS | $193.05 | $351.00 | $100.03–$351.00 | — | 45% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 HYDRATION IV INFUSION INIT | $34.32 | $143.00 | $199.30–$924.83 | 91% below | 76% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION 1 HR | $180.72 | $753.00 | $199.30–$924.83 | 51% below | 76% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 CHRG - Inf/Inj/Hydration 268 - IV HYDRATION 1 HR 9 | $191.52 | $798.00 | $199.30–$924.83 | 48% below | 76% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 OB CHRG - Inf/Inj/Hydration Once - IV HYDRATION 1 | $191.52 | $798.00 | $199.30–$924.83 | 48% below | 76% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 CHRG - Inf/Inj/Hydration - IV HYDRATION 1 HR | $191.52 | $798.00 | $199.30–$924.83 | 48% below | 76% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 CHRG - Inf/Inj/Hydration 261 - IV HYDRATION 1 HR | $191.52 | $798.00 | $199.30–$924.83 | 48% below | 76% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 CHRG - Inf/Inj/Hydration Peds Pulm - IV HYDRATION | $191.52 | $798.00 | $199.30–$924.83 | 48% below | 76% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hydration therapy 1st hour | $191.52 | $798.00 | $199.30–$924.83 | 48% below | 76% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION 1 HR - Dept 106 | $207.36 | $864.00 | $199.30–$924.83 | 44% below | 76% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION 1 HR - GL 106 | $207.36 | $864.00 | $199.30–$924.83 | 44% below | 76% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 - Hydration, first hour | $207.36 | $864.00 | $28.02–$2,141.00 | 44% below | 76% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360 HYDRATION IV INFUSION INIT | $119.35 | $217.00 | $61.84–$217.00 | — | 45% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION 1 HR | $414.15 | $753.00 | $214.60–$753.00 | — | 45% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 CHRG - Inf/Inj/Hydration Peds Pulm - IV HYDRATION | $438.90 | $798.00 | $227.43–$798.00 | — | 45% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 OB CHRG - Inf/Inj/Hydration Once - IV HYDRATION 1 | $438.90 | $798.00 | $227.43–$798.00 | — | 45% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 CHRG - Inf/Inj/Hydration 268 - IV HYDRATION 1 HR 9 | $438.90 | $798.00 | $227.43–$798.00 | — | 45% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 CHRG - Inf/Inj/Hydration 261 - IV HYDRATION 1 HR | $438.90 | $798.00 | $227.43–$798.00 | — | 45% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Hydration therapy 1st hour | $475.20 | $864.00 | $246.24–$864.00 | — | 45% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION 1 HR - GL 106 | $475.20 | $864.00 | $246.24–$864.00 | — | 45% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360 - Hydration, first hour | $475.20 | $864.00 | $246.24–$864.00 | — | 45% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 CHRG - Inf/Inj/Hydration - IV HYDRATION 1 HR | $475.20 | $864.00 | $246.24–$864.00 | — | 45% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION 1 HR - Dept 106 | $475.20 | $864.00 | $246.24–$864.00 | — | 45% |
| IV infusion of a medicine, first hour CPT 96365 96365 THER/PROPH/DIAG IV INF INIT | $41.04 | $171.00 | $199.30–$924.83 | 90% below | 76% |
| IV infusion of a medicine, first hour CPT 96365 Clinic Administration - 96365 Ther/Proph/Diag IV I | $41.04 | $171.00 | $199.30–$924.83 | 90% below | 76% |
| IV infusion of a medicine, first hour CPT 96365 IV Therapy DX 1HR - BCE | $186.96 | $779.00 | $199.30–$924.83 | 53% below | 76% |
| IV infusion of a medicine, first hour CPT 96365 CHRG - Inf/Inj/Hydration 261 - IV THERAPY DX 1 HR | $198.24 | $826.00 | $199.30–$924.83 | 50% below | 76% |
| IV infusion of a medicine, first hour CPT 96365 CHRG - Inf/Inj/Hydration Peds Pulm - IV THERAPY DX | $198.24 | $826.00 | $199.30–$924.83 | 50% below | 76% |
| IV infusion of a medicine, first hour CPT 96365 OB CHRG - Inf/Inj/Hydration Once - IV THERAPY DX 1 | $198.24 | $826.00 | $199.30–$924.83 | 50% below | 76% |
| IV infusion of a medicine, first hour CPT 96365 CHRG - Inf/Inj/Hydration 268 - IV THERAPY DX 1 HR | $198.24 | $826.00 | $199.30–$924.83 | 50% below | 76% |
| IV infusion of a medicine, first hour CPT 96365 IV THERAPY DX 1 HR- Outpatient Infusion Clinic | $198.24 | $826.00 | $199.30–$924.83 | 50% below | 76% |
| IV infusion of a medicine, first hour CPT 96365 Infusion 1st hour | $228.96 | $954.00 | $53.35–$954.00 | 43% below | 76% |
| IV infusion of a medicine, first hour CPT 96365 CHRG - Inf/Inj/Hydration - IV THERAPY DX 1 HR | $228.96 | $954.00 | $53.35–$954.00 | 43% below | 76% |
| IV infusion of a medicine, first hour CPT 96365 96365 - IV tx, first hour | $228.96 | $954.00 | $53.35–$2,141.00 | 43% below | 76% |
| IV infusion of a medicine, first hour inpatient CPT 96365 96365 THER/PROPH/DIAG IV INF INIT | $154.00 | $280.00 | $79.80–$280.00 | — | 45% |
| IV infusion of a medicine, first hour inpatient CPT 96365 Clinic Administration - 96365 Ther/Proph/Diag IV I | $154.00 | $280.00 | $79.80–$280.00 | — | 45% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV Therapy DX 1HR - BCE | $428.45 | $779.00 | $222.01–$779.00 | — | 45% |
| IV infusion of a medicine, first hour inpatient CPT 96365 CHRG - Inf/Inj/Hydration Peds Pulm - IV THERAPY DX | $454.30 | $826.00 | $235.41–$826.00 | — | 45% |
| IV infusion of a medicine, first hour inpatient CPT 96365 CHRG - Inf/Inj/Hydration 268 - IV THERAPY DX 1 HR | $454.30 | $826.00 | $235.41–$826.00 | — | 45% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV THERAPY DX 1 HR- Outpatient Infusion Clinic | $454.30 | $826.00 | $235.41–$826.00 | — | 45% |
| IV infusion of a medicine, first hour inpatient CPT 96365 OB CHRG - Inf/Inj/Hydration Once - IV THERAPY DX 1 | $454.30 | $826.00 | $235.41–$826.00 | — | 45% |
| IV infusion of a medicine, first hour inpatient CPT 96365 CHRG - Inf/Inj/Hydration 261 - IV THERAPY DX 1 HR | $454.30 | $826.00 | $235.41–$826.00 | — | 45% |
| IV infusion of a medicine, first hour inpatient CPT 96365 CHRG - Inf/Inj/Hydration - IV THERAPY DX 1 HR | $524.70 | $954.00 | $271.89–$954.00 | — | 45% |
| IV infusion of a medicine, first hour inpatient CPT 96365 Infusion 1st hour | $524.70 | $954.00 | $271.89–$954.00 | — | 45% |
| IV infusion of a medicine, first hour inpatient CPT 96365 96365 - IV tx, first hour | $524.70 | $954.00 | $271.89–$954.00 | — | 45% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM | $14.16 | $59.00 | $67.46–$313.06 | 86% below | 76% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372,25 THER/PROPH/DIAG INJ SC/IM | $14.16 | $59.00 | $67.46–$313.06 | 86% below | 76% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 - Subq/IM Injection | $58.08 | $242.00 | $13.11–$2,141.00 | 42% below | 76% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC DX SQ IM | $72.72 | $303.00 | $13.11–$600.00 | 27% below | 76% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 CHRG - THERAPEUTIC DX SQ IM | $77.04 | $321.00 | $13.11–$321.00 | 23% below | 76% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 CHRG - THERAPEUTIC DX SQ IM 261 | $77.04 | $321.00 | $13.11–$321.00 | 23% below | 76% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 CHRG - THERAPEUTIC DX SQ IM Peds Pulm | $77.04 | $321.00 | $13.11–$321.00 | 23% below | 76% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC DX SQ IM - BCE | $77.04 | $321.00 | $13.11–$600.00 | 23% below | 76% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 OB CHRG - THERAPEUTIC DX SQ IM | $77.04 | $321.00 | $13.11–$321.00 | 23% below | 76% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM Injection | $77.04 | $321.00 | $13.11–$321.00 | 23% below | 76% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 CHRG - THERAPEUTIC DX SQ IM Infusion 268 | $77.04 | $321.00 | $13.11–$321.00 | 23% below | 76% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM | $34.65 | $63.00 | $17.95–$63.00 | — | 45% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372,25 THER/PROPH/DIAG INJ SC/IM | $34.65 | $63.00 | $17.95–$63.00 | — | 45% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC DX SQ IM | $166.65 | $303.00 | $86.35–$303.00 | — | 45% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 - Subq/IM Injection | $166.65 | $303.00 | $86.35–$303.00 | — | 45% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 OB CHRG - THERAPEUTIC DX SQ IM | $176.55 | $321.00 | $91.48–$321.00 | — | 45% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM Injection | $176.55 | $321.00 | $91.48–$321.00 | — | 45% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC DX SQ IM - BCE | $176.55 | $321.00 | $91.48–$321.00 | — | 45% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 CHRG - THERAPEUTIC DX SQ IM Infusion 268 | $176.55 | $321.00 | $91.48–$321.00 | — | 45% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 CHRG - THERAPEUTIC DX SQ IM | $176.55 | $321.00 | $91.48–$321.00 | — | 45% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 CHRG - THERAPEUTIC DX SQ IM 261 | $176.55 | $321.00 | $91.48–$321.00 | — | 45% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 CHRG - THERAPEUTIC DX SQ IM Peds Pulm | $176.55 | $321.00 | $91.48–$321.00 | — | 45% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 90791 PSYCH DIAGNOSTIC EVALUATION | $59.76 | $249.00 | $166.31–$771.74 | 71% below | 76% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 90791 PSYCH DIAGNOSTIC EVALUATION | $182.05 | $331.00 | $94.33–$331.00 | — | 45% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 95910 NRV CNDJ TEST 7-8 STUDIES | $102.24 | $426.00 | $349.63–$1,622.45 | 83% below | 76% |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 95910 NRV CNDJ TEST 7-8 STUDIES | $272.80 | $496.00 | $141.36–$496.00 | — | 45% |
| Neuromuscular re-education, 15 minutes CPT 97112 97112 NEUROMUSCULAR REEDUCATION | $20.64 | $86.00 | $20.64–$94.26 | 70% below | 76% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEURO RE-ED-15 MIN - REDOC 185 | $66.72 | $278.00 | $27.83–$278.00 | 3% below | 76% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEURO RE-ED-15 MIN - UDS 181 | $66.72 | $278.00 | $27.83–$278.00 | 3% below | 76% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEURO RE-ED-15 MIN - UDS 185 | $66.72 | $278.00 | $27.83–$278.00 | 3% below | 76% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEURO RE-ED-15 MIN - REDOC 181 | $66.72 | $278.00 | $27.83–$278.00 | 3% below | 76% |
| Neuromuscular re-education, 15 minutes CPT 97112 PT Neuromuscular Reeducation Charges | $75.60 | $315.00 | $27.83–$315.00 | 10% above | 76% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULR RE-EDUCATION EA 15 MIN COTA - Redoc 1 | $75.60 | $315.00 | $27.83–$315.00 | 10% above | 76% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEURO RE-ED-15 MIN - REDOC 182 | $75.60 | $315.00 | $27.83–$315.00 | 10% above | 76% |
| Neuromuscular re-education, 15 minutes CPT 97112 PT Neuromuscular Reeducatn Assist Charge | $75.60 | $315.00 | $27.83–$315.00 | 10% above | 76% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEURO RE-ED-15 MIN - REDOC 186 | $75.60 | $315.00 | $27.83–$315.00 | 10% above | 76% |
| Neuromuscular re-education, 15 minutes CPT 97112 OT Neuromusclr Reeducation Assist Charge | $75.60 | $315.00 | $27.83–$315.00 | 10% above | 76% |
| Neuromuscular re-education, 15 minutes CPT 97112 PT Neuromuscular Reeducation Units | $75.60 | $315.00 | $27.83–$315.00 | 10% above | 76% |
| Neuromuscular re-education, 15 minutes CPT 97112 OT Neuromuscular Reeducation Units | $75.60 | $315.00 | $27.83–$315.00 | 10% above | 76% |
| Neuromuscular re-education, 15 minutes CPT 97112 OT Neuromuscular Reeducation Charges | $75.60 | $315.00 | $27.83–$315.00 | 10% above | 76% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR RE-EDUCATION EA 15 MIN PTA - Redoc 1 | $75.60 | $315.00 | $27.83–$315.00 | 10% above | 76% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 97112 NEUROMUSCULAR REEDUCATION | $47.30 | $86.00 | $24.51–$86.00 | — | 45% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEURO RE-ED-15 MIN - REDOC 181 | $152.90 | $278.00 | $79.23–$278.00 | — | 45% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEURO RE-ED-15 MIN - REDOC 185 | $152.90 | $278.00 | $79.23–$278.00 | — | 45% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEURO RE-ED-15 MIN - UDS 181 | $152.90 | $278.00 | $79.23–$278.00 | — | 45% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEURO RE-ED-15 MIN - UDS 185 | $152.90 | $278.00 | $79.23–$278.00 | — | 45% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT Neuromuscular Reeducation Units | $173.25 | $315.00 | $89.77–$315.00 | — | 45% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT Neuromuscular Reeducation Units | $173.25 | $315.00 | $89.77–$315.00 | — | 45% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT Neuromuscular Reeducation Charges | $173.25 | $315.00 | $89.77–$315.00 | — | 45% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT Neuromuscular Reeducation Charges | $173.25 | $315.00 | $89.77–$315.00 | — | 45% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEURO RE-ED-15 MIN - REDOC 182 | $173.25 | $315.00 | $89.77–$315.00 | — | 45% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEURO RE-ED-15 MIN - REDOC 186 | $173.25 | $315.00 | $89.77–$315.00 | — | 45% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULR RE-EDUCATION EA 15 MIN COTA - Redoc 1 | $173.25 | $315.00 | $89.77–$315.00 | — | 45% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR RE-EDUCATION EA 15 MIN PTA - Redoc 1 | $173.25 | $315.00 | $89.77–$315.00 | — | 45% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT Neuromusclr Reeducation Assist Charge | $173.25 | $315.00 | $89.77–$315.00 | — | 45% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT Neuromuscular Reeducatn Assist Charge | $173.25 | $315.00 | $89.77–$315.00 | — | 45% |
| New patient office visit, about 30 minutes CPT 99203 99203,25 OFFICE/OUTPATIENT VISIT NEW | $38.16 | $159.00 | $38.16–$159.00 | 71% below | 76% |
| New patient office visit, about 30 minutes CPT 99203 99203 OFFICE/OUTPATIENT VISIT NEW | $38.16 | $159.00 | $38.16–$159.00 | 71% below | 76% |
| New patient office visit, about 30 minutes inpatient CPT 99203 99203 OFFICE/OUTPATIENT VISIT NEW | $87.45 | $159.00 | $45.31–$159.00 | — | 45% |
| New patient office visit, about 30 minutes inpatient CPT 99203 99203,25 OFFICE/OUTPATIENT VISIT NEW | $87.45 | $159.00 | $45.31–$159.00 | — | 45% |
| New patient office visit, about 45 minutes CPT 99204 99204,25 OFFICE/OUTPATIENT VISIT NEW | $64.32 | $268.00 | $64.32–$268.00 | 57% below | 76% |
| New patient office visit, about 45 minutes CPT 99204 99204 OFFICE/OUTPATIENT VISIT NEW | $75.60 | $315.00 | $75.60–$315.00 | 50% below | 76% |
| New patient office visit, about 45 minutes inpatient CPT 99204 99204,25 OFFICE/OUTPATIENT VISIT NEW | $147.40 | $268.00 | $76.38–$268.00 | — | 45% |
| New patient office visit, about 45 minutes inpatient CPT 99204 99204 OFFICE/OUTPATIENT VISIT NEW | $173.25 | $315.00 | $89.77–$315.00 | — | 45% |
| New patient office visit, about 60 minutes CPT 99205 99205,LT OFFICE/OUTPATIENT VISIT NEW | $82.80 | $345.00 | $82.80–$345.00 | 56% below | 76% |
| New patient office visit, about 60 minutes CPT 99205 99205,25 OFFICE/OUTPATIENT VISIT NEW | $82.80 | $345.00 | $82.80–$345.00 | 56% below | 76% |
| New patient office visit, about 60 minutes CPT 99205 99205 OFFICE/OUTPATIENT VISIT NEW | $95.04 | $396.00 | $95.04–$396.00 | 49% below | 76% |
| New patient office visit, about 60 minutes inpatient CPT 99205 99205,25 OFFICE/OUTPATIENT VISIT NEW | $189.75 | $345.00 | $98.32–$345.00 | — | 45% |
| New patient office visit, about 60 minutes inpatient CPT 99205 99205,LT OFFICE/OUTPATIENT VISIT NEW | $189.75 | $345.00 | $98.32–$345.00 | — | 45% |
| New patient office visit, about 60 minutes inpatient CPT 99205 99205 OFFICE/OUTPATIENT VISIT NEW | $217.80 | $396.00 | $112.86–$396.00 | — | 45% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 99202 U3 OFFICE/OUTPATIENT VISIT NEW | $28.32 | $118.00 | $28.32–$118.00 | 72% below | 76% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 99202 OFFICE/OUTPATIENT VISIT NEW | $28.32 | $118.00 | $28.32–$118.00 | 72% below | 76% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 99202,25 OFFICE/OUTPATIENT VISIT NEW | $28.32 | $118.00 | $28.32–$118.00 | 72% below | 76% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 99202,25 OFFICE/OUTPATIENT VISIT NEW | $64.90 | $118.00 | $33.63–$118.00 | — | 45% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 99202 OFFICE/OUTPATIENT VISIT NEW | $64.90 | $118.00 | $33.63–$118.00 | — | 45% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 99202 U3 OFFICE/OUTPATIENT VISIT NEW | $64.90 | $118.00 | $33.63–$118.00 | — | 45% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 97802 MEDICAL NUTRITION INDIV IN | $18.24 | $76.00 | $18.24–$89.76 | 46% below | 76% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 CHRG - MNT INITIAL EA 15 MIN | $37.92 | $158.00 | $26.39–$158.00 | 13% above | 76% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 CHRG - DIABETIC EDUCATION - MNT INITIAL EA 15 MIN | $37.92 | $158.00 | $26.39–$158.00 | 13% above | 76% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 CHRG - 1-1 SESSION WITH RD-15 MIN | $37.92 | $158.00 | $26.39–$158.00 | 13% above | 76% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 97802 MEDICAL NUTRITION INDIV IN | $46.20 | $84.00 | $23.94–$84.00 | — | 45% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 CHRG - DIABETIC EDUCATION - MNT INITIAL EA 15 MIN | $86.90 | $158.00 | $45.03–$158.00 | — | 45% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 CHRG - 1-1 SESSION WITH RD-15 MIN | $86.90 | $158.00 | $45.03–$158.00 | — | 45% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 CHRG - MNT INITIAL EA 15 MIN | $86.90 | $158.00 | $45.03–$158.00 | — | 45% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL- LOW COMP - REDOC 186 | $186.00 | $775.00 | $85.73–$775.00 | 17% above | 76% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL- LOW COMP - REDOC 185 | $186.00 | $775.00 | $85.73–$775.00 | 17% above | 76% |
| Occupational therapy evaluation, low complexity CPT 97165 IRF OT EVAL LOW | $186.00 | $775.00 | $85.73–$775.00 | 17% above | 76% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW Unit - Yes | $186.00 | $775.00 | $85.73–$775.00 | 17% above | 76% |
| Occupational therapy evaluation, low complexity CPT 97165 OT Eval Low Assistant Unit - Yes | $196.56 | $819.00 | $85.73–$819.00 | 24% above | 76% |
| Occupational therapy evaluation, low complexity CPT 97165 OCCUPAT THERAPY EVAL LOW COMPLEXITY COTA - Redoc 1 | $196.56 | $819.00 | $85.73–$819.00 | 24% above | 76% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 IRF OT EVAL LOW | $426.25 | $775.00 | $220.87–$775.00 | — | 45% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW Unit - Yes | $426.25 | $775.00 | $220.87–$775.00 | — | 45% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL- LOW COMP - REDOC 186 | $426.25 | $775.00 | $220.87–$775.00 | — | 45% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL- LOW COMP - REDOC 185 | $426.25 | $775.00 | $220.87–$775.00 | — | 45% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OCCUPAT THERAPY EVAL LOW COMPLEXITY COTA - Redoc 1 | $450.45 | $819.00 | $233.41–$819.00 | — | 45% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT Eval Low Assistant Unit - Yes | $450.45 | $819.00 | $233.41–$819.00 | — | 45% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL- HGH COMP - REDOC 181 | $186.00 | $775.00 | $83.82–$775.00 | 19% below | 76% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH Unit - Yes | $186.00 | $775.00 | $83.82–$775.00 | 19% below | 76% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL- HGH COMP - REDOC 182 | $186.00 | $775.00 | $83.82–$775.00 | 19% below | 76% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 IRF PT EVAL HIGH | $186.00 | $775.00 | $83.82–$775.00 | 19% below | 76% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT Eval High Assistant Unit - Yes | $196.56 | $819.00 | $83.82–$819.00 | 15% below | 76% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PHYSICAL THERAPY EVAL HGH COMPLEXITY PTA - Redoc 1 | $196.56 | $819.00 | $83.82–$819.00 | 15% below | 76% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL- HGH COMP - REDOC 181 | $426.25 | $775.00 | $220.87–$775.00 | — | 45% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH Unit - Yes | $426.25 | $775.00 | $220.87–$775.00 | — | 45% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL- HGH COMP - REDOC 182 | $426.25 | $775.00 | $220.87–$775.00 | — | 45% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 IRF PT EVAL HIGH | $426.25 | $775.00 | $220.87–$775.00 | — | 45% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PHYSICAL THERAPY EVAL HGH COMPLEXITY PTA - Redoc 1 | $450.45 | $819.00 | $233.41–$819.00 | — | 45% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT Eval High Assistant Unit - Yes | $450.45 | $819.00 | $233.41–$819.00 | — | 45% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 IRF PT EVAL LOW | $186.00 | $775.00 | $83.82–$775.00 | 32% above | 76% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW Unit - Yes | $186.00 | $775.00 | $83.82–$775.00 | 32% above | 76% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL- LOW COMP - REDOC 182 | $186.00 | $775.00 | $83.82–$775.00 | 32% above | 76% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PHYSICAL THERAPY EVAL LOW COMPLEXITY PTA - Redoc 1 | $196.56 | $819.00 | $83.82–$819.00 | 40% above | 76% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT Eval Low Assistant Unit - Yes | $196.56 | $819.00 | $83.82–$819.00 | 40% above | 76% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL- LOW COMP - REDOC 182 | $426.25 | $775.00 | $220.87–$775.00 | — | 45% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW Unit - Yes | $426.25 | $775.00 | $220.87–$775.00 | — | 45% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 IRF PT EVAL LOW | $426.25 | $775.00 | $220.87–$775.00 | — | 45% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT Eval Low Assistant Unit - Yes | $450.45 | $819.00 | $233.41–$819.00 | — | 45% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PHYSICAL THERAPY EVAL LOW COMPLEXITY PTA - Redoc 1 | $450.45 | $819.00 | $233.41–$819.00 | — | 45% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL- MOD COMP - REDOC 182 | $186.00 | $775.00 | $83.82–$775.00 | 3% above | 76% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL- MOD COMP - REDOC 181 | $186.00 | $775.00 | $83.82–$775.00 | 3% above | 76% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD Unit - Yes | $186.00 | $775.00 | $83.82–$775.00 | 3% above | 76% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 IRF PT EVAL MOD | $196.56 | $819.00 | $83.82–$819.00 | 9% above | 76% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT Eval Mod Assistant Unit - Yes | $196.56 | $819.00 | $83.82–$819.00 | 9% above | 76% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PHYSICAL THERAPY EVAL MOD COMPLEXITY PTA - Redoc 1 | $196.56 | $819.00 | $83.82–$819.00 | 9% above | 76% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MOD Unit - Yes | $426.25 | $775.00 | $220.87–$775.00 | — | 45% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL- MOD COMP - REDOC 181 | $426.25 | $775.00 | $220.87–$775.00 | — | 45% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL- MOD COMP - REDOC 182 | $426.25 | $775.00 | $220.87–$775.00 | — | 45% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT Eval Mod Assistant Unit - Yes | $450.45 | $819.00 | $233.41–$819.00 | — | 45% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 IRF PT EVAL MOD | $450.45 | $819.00 | $233.41–$819.00 | — | 45% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PHYSICAL THERAPY EVAL MOD COMPLEXITY PTA - Redoc 1 | $450.45 | $819.00 | $233.41–$819.00 | — | 45% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 97140 ZM MANUAL THERAPY 1/> REGIONS | $16.80 | $70.00 | $16.80–$79.80 | 69% below | 76% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 97140 MANUAL THERAPY 1/> REGIONS | $16.80 | $70.00 | $16.80–$79.80 | 69% below | 76% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THRPY-15 MIN - UDS 181 | $74.88 | $312.00 | $23.55–$312.00 | 39% above | 76% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THRPY-15 MIN - REDOC 185 | $74.88 | $312.00 | $23.55–$312.00 | 39% above | 76% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THRPY-15 MIN - UDS 185 | $74.88 | $312.00 | $23.55–$312.00 | 39% above | 76% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THRPY-15 MIN - REDOC 181 | $74.88 | $312.00 | $23.55–$312.00 | 39% above | 76% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT Manual Therapy Assistant Charges | $85.20 | $355.00 | $23.55–$355.00 | 58% above | 76% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY EA 15 MINUTES PTA - Redoc 182 | $85.20 | $355.00 | $23.55–$355.00 | 58% above | 76% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY EA 15 MINUTES COTA - Redoc 185 | $85.20 | $355.00 | $23.55–$355.00 | 58% above | 76% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY EA 15 MINUTES COTA - Redoc 186 | $85.20 | $355.00 | $23.55–$355.00 | 58% above | 76% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT Manual Therapy Units | $85.20 | $355.00 | $23.55–$355.00 | 58% above | 76% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT Manual Therapy Units | $85.20 | $355.00 | $23.55–$355.00 | 58% above | 76% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT Manual Therapy Charges | $85.20 | $355.00 | $23.55–$355.00 | 58% above | 76% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THRPY-15 MIN - REDOC 186 | $85.20 | $355.00 | $23.55–$355.00 | 58% above | 76% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT Manual Therapy Charges | $85.20 | $355.00 | $23.55–$355.00 | 58% above | 76% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THRPY-15 MIN - REDOC 182 | $85.20 | $355.00 | $23.55–$355.00 | 58% above | 76% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT Manual Therapy Assistant Charges | $85.20 | $355.00 | $23.55–$355.00 | 58% above | 76% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY EA 15 MINUTES PTA - Redoc 181 | $85.20 | $355.00 | $23.55–$355.00 | 58% above | 76% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 97140 ZM MANUAL THERAPY 1/> REGIONS | $42.35 | $77.00 | $21.94–$77.00 | — | 45% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 97140 MANUAL THERAPY 1/> REGIONS | $42.35 | $77.00 | $21.94–$77.00 | — | 45% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THRPY-15 MIN - UDS 185 | $171.60 | $312.00 | $88.92–$312.00 | — | 45% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THRPY-15 MIN - REDOC 181 | $171.60 | $312.00 | $88.92–$312.00 | — | 45% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THRPY-15 MIN - UDS 181 | $171.60 | $312.00 | $88.92–$312.00 | — | 45% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THRPY-15 MIN - REDOC 185 | $171.60 | $312.00 | $88.92–$312.00 | — | 45% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY EA 15 MINUTES COTA - Redoc 185 | $195.25 | $355.00 | $101.17–$355.00 | — | 45% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT Manual Therapy Assistant Charges | $195.25 | $355.00 | $101.17–$355.00 | — | 45% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT Manual Therapy Assistant Charges | $195.25 | $355.00 | $101.17–$355.00 | — | 45% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY EA 15 MINUTES PTA - Redoc 181 | $195.25 | $355.00 | $101.17–$355.00 | — | 45% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY EA 15 MINUTES PTA - Redoc 182 | $195.25 | $355.00 | $101.17–$355.00 | — | 45% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY EA 15 MINUTES COTA - Redoc 186 | $195.25 | $355.00 | $101.17–$355.00 | — | 45% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT Manual Therapy Units | $195.25 | $355.00 | $101.17–$355.00 | — | 45% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT Manual Therapy Units | $195.25 | $355.00 | $101.17–$355.00 | — | 45% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT Manual Therapy Charges | $195.25 | $355.00 | $101.17–$355.00 | — | 45% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT Manual Therapy Charges | $195.25 | $355.00 | $101.17–$355.00 | — | 45% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THRPY-15 MIN - REDOC 186 | $195.25 | $355.00 | $101.17–$355.00 | — | 45% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THRPY-15 MIN - REDOC 182 | $195.25 | $355.00 | $101.17–$355.00 | — | 45% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 97110 THERAPEUTIC EXERCISES | $19.92 | $83.00 | $19.92–$83.67 | 63% below | 76% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN PTA - Redoc 182 | $75.60 | $315.00 | $24.70–$315.00 | 40% above | 76% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCS-15 MIN - REDOC 182 | $75.60 | $315.00 | $24.70–$315.00 | 40% above | 76% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN COTA - Redoc 186 | $75.60 | $315.00 | $24.70–$315.00 | 40% above | 76% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCS-15 MIN - REDOC 186 | $75.60 | $315.00 | $24.70–$315.00 | 40% above | 76% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCS-15 MIN - UDS 185 | $75.84 | $316.00 | $24.70–$316.00 | 40% above | 76% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCS-15 MIN - REDOC 181 | $75.84 | $316.00 | $24.70–$316.00 | 40% above | 76% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCS-15 MIN - UDS 181 | $75.84 | $316.00 | $24.70–$316.00 | 40% above | 76% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Units | $75.84 | $316.00 | $24.70–$316.00 | 40% above | 76% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN COTA - Redoc 185 | $75.84 | $316.00 | $24.70–$316.00 | 40% above | 76% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN PTA - Redoc 181 | $75.84 | $316.00 | $24.70–$316.00 | 40% above | 76% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Assistant Charge | $75.84 | $316.00 | $24.70–$316.00 | 40% above | 76% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Therapeutic Exercise Assistant Charge | $75.84 | $316.00 | $24.70–$316.00 | 40% above | 76% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCS-15 MIN - REDOC 185 | $75.84 | $316.00 | $24.70–$316.00 | 40% above | 76% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Charges | $75.84 | $316.00 | $24.70–$316.00 | 40% above | 76% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Therapeutic Exercise Charges | $75.84 | $316.00 | $24.70–$316.00 | 40% above | 76% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Therapeutic Exercise Units | $75.84 | $316.00 | $24.70–$316.00 | 40% above | 76% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 97110 THERAPEUTIC EXERCISES | $45.65 | $83.00 | $23.65–$83.00 | — | 45% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCS-15 MIN - REDOC 182 | $173.25 | $315.00 | $89.77–$315.00 | — | 45% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN COTA - Redoc 186 | $173.25 | $315.00 | $89.77–$315.00 | — | 45% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCS-15 MIN - REDOC 186 | $173.25 | $315.00 | $89.77–$315.00 | — | 45% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN PTA - Redoc 182 | $173.25 | $315.00 | $89.77–$315.00 | — | 45% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCS-15 MIN - UDS 181 | $173.80 | $316.00 | $90.06–$316.00 | — | 45% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Assistant Charge | $173.80 | $316.00 | $90.06–$316.00 | — | 45% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCS-15 MIN - UDS 185 | $173.80 | $316.00 | $90.06–$316.00 | — | 45% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCS-15 MIN - REDOC 185 | $173.80 | $316.00 | $90.06–$316.00 | — | 45% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN PTA - Redoc 181 | $173.80 | $316.00 | $90.06–$316.00 | — | 45% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN COTA - Redoc 185 | $173.80 | $316.00 | $90.06–$316.00 | — | 45% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT Therapeutic Exercise Units | $173.80 | $316.00 | $90.06–$316.00 | — | 45% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Units | $173.80 | $316.00 | $90.06–$316.00 | — | 45% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT Therapeutic Exercise Charges | $173.80 | $316.00 | $90.06–$316.00 | — | 45% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Charges | $173.80 | $316.00 | $90.06–$316.00 | — | 45% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCS-15 MIN - REDOC 181 | $173.80 | $316.00 | $90.06–$316.00 | — | 45% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT Therapeutic Exercise Assistant Charge | $173.80 | $316.00 | $90.06–$316.00 | — | 45% |
| Preventive checkup, new patient aged 18–39 CPT 99385 99385,25 PREV VISIT NEW AGE 18-39 | $46.08 | $192.00 | $46.08–$192.00 | 53% below | 76% |
| Preventive checkup, new patient aged 18–39 CPT 99385 99385 PREV VISIT NEW AGE 18-39 | $46.08 | $192.00 | $46.08–$192.00 | 53% below | 76% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 99385,25 PREV VISIT NEW AGE 18-39 | $105.60 | $192.00 | $54.72–$192.00 | — | 45% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 99385 PREV VISIT NEW AGE 18-39 | $105.60 | $192.00 | $54.72–$192.00 | — | 45% |
| Preventive checkup, new patient aged 40–64 CPT 99386 99386 PREV VISIT NEW AGE 40-64 | $55.92 | $233.00 | $55.92–$233.00 | 52% below | 76% |
| Preventive checkup, new patient aged 40–64 CPT 99386 99386,25 PREV VISIT NEW AGE 40-64 | $55.92 | $233.00 | $55.92–$233.00 | 52% below | 76% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 99386,25 PREV VISIT NEW AGE 40-64 | $128.15 | $233.00 | $66.41–$233.00 | — | 45% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 99386 PREV VISIT NEW AGE 40-64 | $128.15 | $233.00 | $66.41–$233.00 | — | 45% |
| Preventive checkup, new patient aged 65 or older CPT 99387 99387,25 INIT PM E/M NEW PAT 65+ YRS | $60.00 | $250.00 | $60.00–$250.00 | 51% below | 76% |
| Preventive checkup, new patient aged 65 or older CPT 99387 99387 INIT PM E/M NEW PAT 65+ YRS | $60.00 | $250.00 | $60.00–$250.00 | 51% below | 76% |
| Preventive checkup, new patient aged 65 or older inpatient CPT 99387 99387 INIT PM E/M NEW PAT 65+ YRS | $137.50 | $250.00 | $71.25–$250.00 | — | 45% |
| Preventive checkup, new patient aged 65 or older inpatient CPT 99387 99387,25 INIT PM E/M NEW PAT 65+ YRS | $137.50 | $250.00 | $71.25–$250.00 | — | 45% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 99395 PREV VISIT EST AGE 18-39 | $42.00 | $175.00 | $42.00–$175.00 | 45% below | 76% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 99395,25 PREV VISIT EST AGE 18-39 | $42.00 | $175.00 | $42.00–$175.00 | 45% below | 76% |
| Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 99395,25 PREV VISIT EST AGE 18-39 | $96.25 | $175.00 | $49.87–$175.00 | — | 45% |
| Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 99395 PREV VISIT EST AGE 18-39 | $96.25 | $175.00 | $49.87–$175.00 | — | 45% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 99396 PREV VISIT EST AGE 40-64 | $45.84 | $191.00 | $45.84–$191.00 | 45% below | 76% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 99396,25 PREV VISIT EST AGE 40-64 | $45.84 | $191.00 | $45.84–$191.00 | 45% below | 76% |
| Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 99396,25 PREV VISIT EST AGE 40-64 | $105.05 | $191.00 | $54.43–$191.00 | — | 45% |
| Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 99396 PREV VISIT EST AGE 40-64 | $105.05 | $191.00 | $54.43–$191.00 | — | 45% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 99397 PER PM REEVAL EST PAT 65+ YR | $48.00 | $200.00 | $48.00–$200.00 | 44% below | 76% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 99397,25 PER PM REEVAL EST PAT 65+ YR | $48.00 | $200.00 | $48.00–$200.00 | 44% below | 76% |
| Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 99397,25 PER PM REEVAL EST PAT 65+ YR | $110.00 | $200.00 | $57.00–$200.00 | — | 45% |
| Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 99397 PER PM REEVAL EST PAT 65+ YR | $110.00 | $200.00 | $57.00–$200.00 | — | 45% |
| Psychiatric evaluation with medical services CPT 90792 90792 PSYCH DIAG EVAL W/MED SRVCS | $52.32 | $218.00 | $166.31–$771.74 | 65% below | 76% |
| Psychiatric evaluation with medical services inpatient CPT 90792 90792 PSYCH DIAG EVAL W/MED SRVCS | $203.50 | $370.00 | $105.45–$370.00 | — | 45% |
| Psychotherapy session, 30 minutes CPT 90832 90832 PSYTX PT&/FAMILY 30 MINUTES | $21.36 | $89.00 | $166.31–$771.74 | 76% below | 76% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 90832 PSYTX PT&/FAMILY 30 MINUTES | $90.75 | $165.00 | $47.02–$165.00 | — | 45% |
| Psychotherapy session, 45 minutes CPT 90834 90834 PSYTX PT&/FAMILY 45 MINUTES | $31.92 | $133.00 | $166.31–$771.74 | 77% below | 76% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 90834 PSYTX PT&/FAMILY 45 MINUTES | $120.45 | $219.00 | $62.41–$219.00 | — | 45% |
| Psychotherapy session, 60 minutes CPT 90837 90837 PSYTX PT&/FAMILY 60 MINUTES | $48.24 | $201.00 | $166.31–$771.74 | 73% below | 76% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 90837 PSYTX PT&/FAMILY 60 MINUTES | $180.95 | $329.00 | $93.76–$329.00 | — | 45% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 99406 BEHAV CHNG SMOKING 3-10 MIN | $7.68 | $32.00 | $34.97–$162.89 | 73% below | 76% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 99406,25 BEHAV CHNG SMOKING 10-Mar MIN | $7.68 | $32.00 | $34.97–$162.89 | 73% below | 76% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Cardiac Rehab Charges - Smoking Cessation Counseli | $31.92 | $133.00 | $34.97–$162.89 | 12% above | 76% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Tobacco counseling Charge - 3-10 minutes | $33.36 | $139.00 | $34.97–$162.89 | 17% above | 76% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Behavior change Smoke Charge - 1-10 minutes | $33.36 | $139.00 | $34.97–$162.89 | 17% above | 76% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 99406 BEHAV CHNG SMOKING 3-10 MIN | $19.80 | $36.00 | $10.26–$36.00 | — | 45% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 99406,25 BEHAV CHNG SMOKING 10-Mar MIN | $19.80 | $36.00 | $10.26–$36.00 | — | 45% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Cardiac Rehab Charges - Smoking Cessation Counseli | $73.15 | $133.00 | $37.90–$133.00 | — | 45% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Behavior change Smoke Charge - 1-10 minutes | $76.45 | $139.00 | $39.61–$139.00 | — | 45% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Tobacco counseling Charge - 3-10 minutes | $76.45 | $139.00 | $39.61–$139.00 | — | 45% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 99215,95 TELEHEALTH CLINIC/OUTPATIENT VISIT EST | $54.96 | $229.00 | $54.96–$229.00 | 45% below | 76% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 99215 OFFICE/OUTPATIENT VISIT EST | $54.96 | $229.00 | $54.96–$229.00 | 45% below | 76% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 99215,25 OFFICE/OUTPATIENT VISIT EST | $54.96 | $229.00 | $54.96–$229.00 | 45% below | 76% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 99215,25 OFFICE/OUTPATIENT VISIT EST | $125.95 | $229.00 | $65.27–$229.00 | — | 45% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 99215,95 TELEHEALTH CLINIC/OUTPATIENT VISIT EST | $125.95 | $229.00 | $65.27–$229.00 | — | 45% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 99215 OFFICE/OUTPATIENT VISIT EST | $125.95 | $229.00 | $65.27–$229.00 | — | 45% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 CDL EXAM | $24.00 | $100.00 | $24.00–$100.00 | 57% below | 76% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213,25 OFFICE/OUTPATIENT VISIT EST | $25.20 | $105.00 | $25.20–$105.00 | 55% below | 76% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213,95 TELEHEALTH CLINIC/OUTPATIENT VISIT EST | $25.20 | $105.00 | $25.20–$105.00 | 55% below | 76% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213,LT OFFICE/OUTPATIENT VISIT EST | $25.20 | $105.00 | $25.20–$105.00 | 55% below | 76% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213 OFFICE/OUTPATIENT VISIT EST | $33.36 | $139.00 | $33.36–$139.00 | 41% below | 76% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Sports Physical | $19.25 | $35.00 | $9.97–$35.00 | — | 45% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 CDL EXAM | $55.00 | $100.00 | $28.50–$100.00 | — | 45% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 99213,LT OFFICE/OUTPATIENT VISIT EST | $57.75 | $105.00 | $29.92–$105.00 | — | 45% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 99213,95 TELEHEALTH CLINIC/OUTPATIENT VISIT EST | $57.75 | $105.00 | $29.92–$105.00 | — | 45% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 99213,25 OFFICE/OUTPATIENT VISIT EST | $57.75 | $105.00 | $29.92–$105.00 | — | 45% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 99213 OFFICE/OUTPATIENT VISIT EST | $76.45 | $139.00 | $39.61–$139.00 | — | 45% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214,25 OFFICE/OUTPATIENT VISIT EST | $38.88 | $162.00 | $38.88–$162.00 | 48% below | 76% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214,95 TELEHEALTH CLINIC/OUTPATIENT VISIT EST | $38.88 | $162.00 | $38.88–$162.00 | 48% below | 76% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214 OFFICE/OUTPATIENT VISIT EST | $38.88 | $162.00 | $38.88–$162.00 | 48% below | 76% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 99214,25 OFFICE/OUTPATIENT VISIT EST | $89.10 | $162.00 | $46.17–$162.00 | — | 45% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 99214,95 TELEHEALTH CLINIC/OUTPATIENT VISIT EST | $89.10 | $162.00 | $46.17–$162.00 | — | 45% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 99214 OFFICE/OUTPATIENT VISIT EST | $89.10 | $162.00 | $46.17–$162.00 | — | 45% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212,95 TELEHEALTH CLINIC/OUTPATIENT VISIT EST | $18.00 | $75.00 | $18.00–$75.00 | 57% below | 76% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212 OFFICE/OUTPATIENT VISIT EST | $18.00 | $75.00 | $18.00–$75.00 | 57% below | 76% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212,25 OFFICE/OUTPATIENT VISIT EST | $18.00 | $75.00 | $18.00–$75.00 | 57% below | 76% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 99212,25 OFFICE/OUTPATIENT VISIT EST | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 99212,95 TELEHEALTH CLINIC/OUTPATIENT VISIT EST | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 99212 OFFICE/OUTPATIENT VISIT EST | $41.25 | $75.00 | $21.37–$75.00 | — | 45% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 99243 OFFICE CONSULTATION | $59.76 | $249.00 | $59.76–$249.00 | 40% below | 76% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 99243,RT OFFICE CONSULTATION | $59.76 | $249.00 | $59.76–$249.00 | 40% below | 76% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 99243,25 OFFICE CONSULTATION | $59.76 | $249.00 | $59.76–$249.00 | 40% below | 76% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 99243,25 OFFICE CONSULTATION | $136.95 | $249.00 | $70.96–$249.00 | — | 45% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 99243 OFFICE CONSULTATION | $136.95 | $249.00 | $70.96–$249.00 | — | 45% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 99243,RT OFFICE CONSULTATION | $136.95 | $249.00 | $70.96–$249.00 | — | 45% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 99244 OFFICE CONSULTATION | $89.76 | $374.00 | $89.76–$374.00 | 36% below | 76% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 99244,25 OFFICE CONSULTATION | $89.76 | $374.00 | $89.76–$374.00 | 36% below | 76% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 99244,25 OFFICE CONSULTATION | $205.70 | $374.00 | $106.59–$374.00 | — | 45% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 99244 OFFICE CONSULTATION | $205.70 | $374.00 | $106.59–$374.00 | — | 45% |
| Speech and language evaluation CPT 92523 SP SOUND LANG COMP - REDOC 188 | $200.16 | $834.00 | $95.00–$834.00 | 2% below | 76% |
| Speech and language evaluation CPT 92523 SP SOUND LANG COMP - UDS 187 | $255.84 | $1,066.00 | $95.00–$1,066.00 | 25% above | 76% |
| Speech and language evaluation CPT 92523 Speech Evaluation with Language Units | $255.84 | $1,066.00 | $95.00–$1,066.00 | 25% above | 76% |
| Speech and language evaluation CPT 92523 Speech Evaluation with Language Charge - Yes | $255.84 | $1,066.00 | $95.00–$1,066.00 | 25% above | 76% |
| Speech and language evaluation CPT 92523 SP SOUND LANG COMP - REDOC 187 | $255.84 | $1,066.00 | $95.00–$1,066.00 | 25% above | 76% |
| Speech and language evaluation inpatient CPT 92523 SP SOUND LANG COMP - REDOC 188 | $458.70 | $834.00 | $237.69–$834.00 | — | 45% |
| Speech and language evaluation inpatient CPT 92523 Speech Evaluation with Language Charge - Yes | $586.30 | $1,066.00 | $303.81–$1,066.00 | — | 45% |
| Speech and language evaluation inpatient CPT 92523 SP SOUND LANG COMP - UDS 187 | $586.30 | $1,066.00 | $303.81–$1,066.00 | — | 45% |
| Speech and language evaluation inpatient CPT 92523 SP SOUND LANG COMP - REDOC 187 | $586.30 | $1,066.00 | $303.81–$1,066.00 | — | 45% |
| Speech and language evaluation inpatient CPT 92523 Speech Evaluation with Language Units | $586.30 | $1,066.00 | $303.81–$1,066.00 | — | 45% |
| Speech therapy session, individual CPT 92507 92507 EAR MICROSCOPY EXAMINATION | $48.96 | $204.00 | $48.96–$220.86 | 50% below | 76% |
| Speech therapy session, individual CPT 92507 SP-HEAR-TX-INDI VIST - REDOC 187 | $130.32 | $543.00 | $65.20–$543.00 | 32% above | 76% |
| Speech therapy session, individual CPT 92507 SP-HEAR-TX-INDI VIST - UDS 187 | $130.32 | $543.00 | $65.20–$543.00 | 32% above | 76% |
| Speech therapy session, individual CPT 92507 Speech Treatment Charge | $150.24 | $626.00 | $65.20–$626.00 | 52% above | 76% |
| Speech therapy session, individual CPT 92507 SP-HEAR-TX-INDI VIST - REDOC 188 | $150.24 | $626.00 | $65.20–$626.00 | 52% above | 76% |
| Speech therapy session, individual CPT 92507 SLP Auditory Processing Tx Units | $150.24 | $626.00 | $65.20–$626.00 | 52% above | 76% |
| Speech therapy session, individual CPT 92507 Speech Treatment Charge - Yes | $150.24 | $626.00 | $65.20–$626.00 | 52% above | 76% |
| Speech therapy session, individual inpatient CPT 92507 92507 EAR MICROSCOPY EXAMINATION | $112.20 | $204.00 | $58.14–$204.00 | — | 45% |
| Speech therapy session, individual inpatient CPT 92507 SP-HEAR-TX-INDI VIST - REDOC 187 | $298.65 | $543.00 | $154.75–$543.00 | — | 45% |
| Speech therapy session, individual inpatient CPT 92507 SP-HEAR-TX-INDI VIST - UDS 187 | $298.65 | $543.00 | $154.75–$543.00 | — | 45% |
| Speech therapy session, individual inpatient CPT 92507 SLP Auditory Processing Tx Units | $344.30 | $626.00 | $178.41–$626.00 | — | 45% |
| Speech therapy session, individual inpatient CPT 92507 Speech Treatment Charge - Yes | $344.30 | $626.00 | $178.41–$626.00 | — | 45% |
| Speech therapy session, individual inpatient CPT 92507 Speech Treatment Charge | $344.30 | $626.00 | $178.41–$626.00 | — | 45% |
| Speech therapy session, individual inpatient CPT 92507 SP-HEAR-TX-INDI VIST - REDOC 188 | $344.30 | $626.00 | $178.41–$626.00 | — | 45% |
| Spirometry (breathing test) CPT 94010 Spirometry POC AMB | $33.36 | $139.00 | $202.31–$938.83 | 86% below | 76% |
| Spirometry (breathing test) CPT 94010 94010 BREATHING CAPACITY TEST | $33.36 | $139.00 | $202.31–$938.83 | 86% below | 76% |
| Spirometry (breathing test) CPT 94010 94010 Spirometry POC AMB -BCE | $33.36 | $139.00 | $202.31–$938.83 | 86% below | 76% |
| Spirometry (breathing test) CPT 94010 Pulmonary Function Test Charge - spirometry | $181.68 | $757.00 | $202.31–$938.83 | 25% below | 76% |
| Spirometry (breathing test) inpatient CPT 94010 94010 TC BREATHING CAPACITY TEST | $37.40 | $68.00 | $19.38–$68.00 | — | 45% |
| Spirometry (breathing test) inpatient CPT 94010 94010 Spirometry POC AMB -BCE | $76.45 | $139.00 | $39.61–$139.00 | — | 45% |
| Spirometry (breathing test) inpatient CPT 94010 Spirometry POC AMB | $76.45 | $139.00 | $39.61–$139.00 | — | 45% |
| Spirometry (breathing test) inpatient CPT 94010 94010 BREATHING CAPACITY TEST | $76.45 | $139.00 | $39.61–$139.00 | — | 45% |
| Spirometry (breathing test) inpatient CPT 94010 Pulmonary Function Test Charge - spirometry | $416.35 | $757.00 | $215.74–$757.00 | — | 45% |
| Spirometry before and after a bronchodilator CPT 94060 94060 EVALUATION OF WHEEZING | $57.36 | $239.00 | $349.63–$1,622.45 | 89% below | 76% |
| Spirometry before and after a bronchodilator CPT 94060 94060 Spirometry (with Bronchodilator) POC AMB -BC | $57.36 | $239.00 | $349.63–$1,622.45 | 89% below | 76% |
| Spirometry before and after a bronchodilator CPT 94060 Spirometry (with Bronchodilator) POC AMB | $57.36 | $239.00 | $349.63–$1,622.45 | 89% below | 76% |
| Spirometry before and after a bronchodilator CPT 94060 Pulmonary Function Test Charge - Pre and post bron | $332.64 | $1,386.00 | $349.63–$1,622.45 | 39% below | 76% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 94060 TC EVALUATION OF WHEEZING | $64.90 | $118.00 | $33.63–$118.00 | — | 45% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 Spirometry (with Bronchodilator) POC AMB | $131.45 | $239.00 | $68.11–$239.00 | — | 45% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 94060 Spirometry (with Bronchodilator) POC AMB -BC | $131.45 | $239.00 | $68.11–$239.00 | — | 45% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 94060 EVALUATION OF WHEEZING | $131.45 | $239.00 | $68.11–$239.00 | — | 45% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 Pulmonary Function Test Charge - Pre and post bron | $762.30 | $1,386.00 | $395.01–$1,386.00 | — | 45% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 97530 THERAPEUTIC ACTIVITIES | $21.36 | $89.00 | $21.36–$100.32 | 63% below | 76% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAP ACTVTS-15 MIN - REDOC 182 | $43.68 | $182.00 | $29.62–$186.46 | 24% below | 76% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAP ACTVTS-15 MIN - REDOC 188 | $43.68 | $182.00 | $29.62–$186.46 | 24% below | 76% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAP ACTVTS-15 MIN - REDOC 186 | $43.68 | $182.00 | $29.62–$186.46 | 24% below | 76% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES DIR EA 15 MIN PTA - Redoc 1 | $66.72 | $278.00 | $29.62–$278.00 | 16% above | 76% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT Therapeutic Activities Units | $66.72 | $278.00 | $29.62–$278.00 | 16% above | 76% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT Therapeutic Activity Units | $66.72 | $278.00 | $29.62–$278.00 | 16% above | 76% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT Therapeutic Activities Assist Charges | $66.72 | $278.00 | $29.62–$278.00 | 16% above | 76% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES DIR EA 15MIN COTA - Redoc 1 | $66.72 | $278.00 | $29.62–$278.00 | 16% above | 76% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT Therapeutic Activities Charge | $66.72 | $278.00 | $29.62–$278.00 | 16% above | 76% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAP ACTVTS-15 MIN - REDOC 181 | $66.72 | $278.00 | $29.62–$278.00 | 16% above | 76% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAP ACTVTS-15 MIN - REDOC 185 | $66.72 | $278.00 | $29.62–$278.00 | 16% above | 76% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAP ACTVTS-15 MIN - UDS 181 | $66.72 | $278.00 | $29.62–$278.00 | 16% above | 76% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAP ACTVTS-15 MIN - UDS 185 | $66.72 | $278.00 | $29.62–$278.00 | 16% above | 76% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT Therapeutic Activities Assist Charge | $66.72 | $278.00 | $29.62–$278.00 | 16% above | 76% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT Therapeutic Activities Charges | $66.72 | $278.00 | $29.62–$278.00 | 16% above | 76% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 97530 THERAPEUTIC ACTIVITIES | $48.95 | $89.00 | $25.36–$89.00 | — | 45% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAP ACTVTS-15 MIN - REDOC 188 | $100.10 | $182.00 | $51.87–$182.00 | — | 45% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAP ACTVTS-15 MIN - REDOC 186 | $100.10 | $182.00 | $51.87–$182.00 | — | 45% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAP ACTVTS-15 MIN - REDOC 182 | $100.10 | $182.00 | $51.87–$182.00 | — | 45% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT Therapeutic Activities Charge | $152.90 | $278.00 | $79.23–$278.00 | — | 45% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT Therapeutic Activities Units | $152.90 | $278.00 | $79.23–$278.00 | — | 45% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITIES DIR EA 15MIN COTA - Redoc 1 | $152.90 | $278.00 | $79.23–$278.00 | — | 45% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITIES DIR EA 15 MIN PTA - Redoc 1 | $152.90 | $278.00 | $79.23–$278.00 | — | 45% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT Therapeutic Activities Charges | $152.90 | $278.00 | $79.23–$278.00 | — | 45% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT Therapeutic Activities Assist Charges | $152.90 | $278.00 | $79.23–$278.00 | — | 45% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT Therapeutic Activities Assist Charge | $152.90 | $278.00 | $79.23–$278.00 | — | 45% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAP ACTVTS-15 MIN - UDS 185 | $152.90 | $278.00 | $79.23–$278.00 | — | 45% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAP ACTVTS-15 MIN - UDS 181 | $152.90 | $278.00 | $79.23–$278.00 | — | 45% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAP ACTVTS-15 MIN - REDOC 185 | $152.90 | $278.00 | $79.23–$278.00 | — | 45% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAP ACTVTS-15 MIN - REDOC 181 | $152.90 | $278.00 | $79.23–$278.00 | — | 45% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT Therapeutic Activity Units | $152.90 | $278.00 | $79.23–$278.00 | — | 45% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 CHRG - PHLEBOTOMY THERAPEUT 39 | $194.40 | $810.00 | $79.66–$810.00 | 4% below | 76% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 CHRG- PHLEBOTOMY THERAPEUT | $194.40 | $810.00 | $79.66–$810.00 | 4% below | 76% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 CHRG - PHLEBOTOMY THERAPEUT 261 | $194.40 | $810.00 | $79.66–$810.00 | 4% below | 76% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 CHRG - PHLEBOTOMY THERAPEUT | $194.40 | $810.00 | $79.66–$810.00 | 4% below | 76% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Therapeutic Phlebotomy | $194.40 | $810.00 | $79.66–$810.00 | 4% below | 76% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 CHRG - PHLEBOTOMY THERAPEUT Infusion 268 | $194.40 | $810.00 | $79.66–$810.00 | 4% below | 76% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 CHRG - PHLEBOTOMY THERAPEUT Infusion 268 | $445.50 | $810.00 | $230.85–$810.00 | — | 45% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 CHRG - PHLEBOTOMY THERAPEUT 261 | $445.50 | $810.00 | $230.85–$810.00 | — | 45% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 CHRG- PHLEBOTOMY THERAPEUT | $445.50 | $810.00 | $230.85–$810.00 | — | 45% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 CHRG - PHLEBOTOMY THERAPEUT 39 | $445.50 | $810.00 | $230.85–$810.00 | — | 45% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Therapeutic Phlebotomy | $445.50 | $810.00 | $230.85–$810.00 | — | 45% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 CHRG - PHLEBOTOMY THERAPEUT | $445.50 | $810.00 | $230.85–$810.00 | — | 45% |
| Treadmill or drug stress test with ECG, supervision and report CPT 93015 93015 CARDIOVASCULAR STRESS TEST - COMPLETE | $72.24 | $301.00 | $66.64–$301.00 | 19% below | 76% |
| Treadmill or drug stress test with ECG, supervision and report inpatient CPT 93015 93015 CARDIOVASCULAR STRESS TEST - COMPLETE | $165.55 | $301.00 | $85.78–$301.00 | — | 45% |
| Visual field test, extended CPT 92083 92083 VISUAL FIELD EXAMINATION(S) | $51.12 | $213.00 | $124.67–$578.50 | 11% below | 76% |
| Visual field test, extended inpatient CPT 92083 92083 VISUAL FIELD EXAMINATION(S) | $117.15 | $213.00 | $60.70–$213.00 | — | 45% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Indiana | Off list |
|---|---|---|---|---|---|
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 00069-2377-10 - SARS-CoV-2 (COVID-19) mRNA-LNP vac | $443.81 | $1,849.20 | $155.07–$1,849.20 | 33% above | 76% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 00069-2432-10 - SARS-CoV-2 (COVID-19) mRNA-LNP vac | $443.81 | $1,849.20 | $155.07–$1,849.20 | 33% above | 76% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 00069-2377-10 - SARS-CoV-2 (COVID-19) mRNA-LNP vac | $1,017.06 | $1,849.20 | $527.02–$1,849.20 | — | 45% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 00069-2432-10 - SARS-CoV-2 (COVID-19) mRNA-LNP vac | $1,017.06 | $1,849.20 | $527.02–$1,849.20 | — | 45% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 90716,VFC CHICKEN POX VACCINE SC | $33.36 | $139.00 | $33.36–$463.97 | 91% below | 76% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 54569-4055-00 - varicella virus vaccine - Powder | $576.44 | $2,401.84 | $193.46–$2,401.84 | 53% above | 76% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 00006-4827-00 - varicella virus vaccine REC Inject | $576.44 | $2,401.84 | $193.46–$2,401.84 | 53% above | 76% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 00006-4826-00 - varicella virus vaccine REC Inject | $576.44 | $2,401.84 | $193.46–$2,401.84 | 53% above | 76% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 54569-4056-00 - varicella virus vaccine - Powder | $576.44 | $2,401.84 | $193.46–$2,401.84 | 53% above | 76% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 90716,VFC CHICKEN POX VACCINE SC | $98.45 | $179.00 | $51.01–$179.00 | — | 45% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 54569-4056-00 - varicella virus vaccine - Powder | $1,321.01 | $2,401.84 | $684.52–$2,401.84 | — | 45% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 00006-4826-00 - varicella virus vaccine REC Inject | $1,321.01 | $2,401.84 | $684.52–$2,401.84 | — | 45% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 00006-4827-00 - varicella virus vaccine REC Inject | $1,321.01 | $2,401.84 | $684.52–$2,401.84 | — | 45% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 54569-4055-00 - varicella virus vaccine - Powder | $1,321.01 | $2,401.84 | $684.52–$2,401.84 | — | 45% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 49281-0424-50 - 2024-2025 influenza virus vaccine, | $50.04 | $208.51 | $0.03–$208.51 | 25% above | 76% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 19515-0810-52 - influenza virus vaccine, inactivat | $50.04 | $208.51 | $0.03–$208.51 | 25% above | 76% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 49281-0424-50 - 2024-2025 influenza virus vaccine, | $114.68 | $208.51 | $59.43–$208.51 | — | 45% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 19515-0810-52 - influenza virus vaccine, inactivat | $114.68 | $208.51 | $59.43–$208.51 | — | 45% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 00006-4121-02 - human papillomavirus vaccine 9-val | $895.07 | $3,729.47 | $331.40–$3,729.47 | 42% above | 76% |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 00006-4121-02 - human papillomavirus vaccine 9-val | $2,051.21 | $3,729.47 | $1,062.90–$3,729.47 | — | 45% |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 58160-0815-46 - hepatitis A-hepatitis B vaccine 72 | $405.40 | $1,689.15 | $133.36–$1,689.15 | 70% above | 76% |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 58160-0815-11 - hepatitis A-hepatitis B vaccine Su | $405.40 | $1,689.15 | $133.36–$1,689.15 | 70% above | 76% |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 58160-0815-52 - hepatitis A-hepatitis B vaccine Su | $405.40 | $1,689.15 | $133.36–$1,689.15 | 70% above | 76% |
| Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 58160-0815-46 - hepatitis A-hepatitis B vaccine 72 | $929.03 | $1,689.15 | $481.41–$1,689.15 | — | 45% |
| Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 58160-0815-52 - hepatitis A-hepatitis B vaccine Su | $929.03 | $1,689.15 | $481.41–$1,689.15 | — | 45% |
| Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 58160-0815-11 - hepatitis A-hepatitis B vaccine Su | $929.03 | $1,689.15 | $481.41–$1,689.15 | — | 45% |
| Hepatitis A vaccine, adult dose CPT 90632 00006-4841-41 - hepatitis A adult vaccine 50 units | $223.21 | $930.03 | $85.28–$930.03 | 31% above | 76% |
| Hepatitis A vaccine, adult dose CPT 90632 00006-4096-09 - hepatitis A adult vaccine 50 units | $223.21 | $930.03 | $85.28–$930.03 | 31% above | 76% |
| Hepatitis A vaccine, adult dose CPT 90632 00006-4096-02 - hepatitis A adult vaccine 50 units | $223.21 | $930.03 | $85.28–$930.03 | 31% above | 76% |
| Hepatitis A vaccine, adult dose CPT 90632 00006-4841-00 - hepatitis A adult vaccine 50. Sus | $223.21 | $930.03 | $85.28–$930.03 | 31% above | 76% |
| Hepatitis A vaccine, adult dose CPT 90632 58160-0826-48 - hepatitis A adult vaccine 1440 uni | $266.14 | $1,108.90 | $85.28–$1,108.90 | 56% above | 76% |
| Hepatitis A vaccine, adult dose CPT 90632 58160-0826-11 - hepatitis A adult vaccine 1440. S | $266.14 | $1,108.90 | $85.28–$1,108.90 | 56% above | 76% |
| Hepatitis A vaccine, adult dose CPT 90632 58160-0826-52 - hepatitis A adult vaccine 1440. S | $266.14 | $1,108.90 | $85.28–$1,108.90 | 56% above | 76% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 00006-4841-00 - hepatitis A adult vaccine 50. Sus | $511.52 | $930.03 | $265.06–$930.03 | — | 45% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 00006-4096-02 - hepatitis A adult vaccine 50 units | $511.52 | $930.03 | $265.06–$930.03 | — | 45% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 00006-4096-09 - hepatitis A adult vaccine 50 units | $511.52 | $930.03 | $265.06–$930.03 | — | 45% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 00006-4841-41 - hepatitis A adult vaccine 50 units | $511.52 | $930.03 | $265.06–$930.03 | — | 45% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 58160-0826-11 - hepatitis A adult vaccine 1440. S | $609.90 | $1,108.90 | $316.04–$1,108.90 | — | 45% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 58160-0826-52 - hepatitis A adult vaccine 1440. S | $609.90 | $1,108.90 | $316.04–$1,108.90 | — | 45% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 58160-0826-48 - hepatitis A adult vaccine 1440 uni | $609.90 | $1,108.90 | $316.04–$1,108.90 | — | 45% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 58160-0821-11 - hepatitis B adult vaccine Susp | $231.16 | $963.16 | $66.86–$963.16 | 31% above | 76% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 58160-0857-01 - hepatitis B adult vaccine Susp | $231.16 | $963.16 | $66.86–$963.16 | 31% above | 76% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 58160-0821-32 - hepatitis B adult vaccine 20 mcg/m | $231.16 | $963.16 | $66.86–$963.16 | 31% above | 76% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 58160-0821-52 - hepatitis B adult vaccine 20 mcg/m | $231.16 | $963.16 | $66.86–$963.16 | 31% above | 76% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 58160-0821-11 - hepatitis B adult vaccine Susp | $529.74 | $963.16 | $274.50–$963.16 | — | 45% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 58160-0821-32 - hepatitis B adult vaccine 20 mcg/m | $529.74 | $963.16 | $274.50–$963.16 | — | 45% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 58160-0821-52 - hepatitis B adult vaccine 20 mcg/m | $529.74 | $963.16 | $274.50–$963.16 | — | 45% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 58160-0857-01 - hepatitis B adult vaccine Susp | $529.74 | $963.16 | $274.50–$963.16 | — | 45% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 49281-0405-65 - influenza virus vaccine, inactivat | $185.31 | $772.12 | $87.83–$772.12 | 3% above | 76% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 49281-0124-65 - 2024-2025 influenza virus vaccine, | $185.31 | $772.12 | $87.83–$772.12 | 3% above | 76% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 49281-0403-65 - influenza virus vaccine, inactivat | $185.31 | $772.12 | $87.83–$772.12 | 3% above | 76% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 49281-0124-65 - 2024-2025 influenza virus vaccine, | $424.67 | $772.12 | $220.05–$772.12 | — | 45% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 49281-0405-65 - influenza virus vaccine, inactivat | $424.67 | $772.12 | $220.05–$772.12 | — | 45% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 49281-0403-65 - influenza virus vaccine, inactivat | $424.67 | $772.12 | $220.05–$772.12 | — | 45% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 90707,VFC MMR VACCINE SC | $22.08 | $92.00 | $22.08–$253.20 | 90% below | 76% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 00006-4681-00 - measles/mumps/rubella virus vaccin | $277.13 | $1,154.69 | $96.72–$1,154.69 | 20% above | 76% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 49999-0422-01 - measles/mumps/rubella virus vaccin | $277.13 | $1,154.69 | $96.72–$1,154.69 | 20% above | 76% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 90707,VFC MMR VACCINE SC | $58.85 | $107.00 | $30.49–$107.00 | — | 45% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 49999-0422-01 - measles/mumps/rubella virus vaccin | $635.08 | $1,154.69 | $329.09–$1,154.69 | — | 45% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 00006-4681-00 - measles/mumps/rubella virus vaccin | $635.08 | $1,154.69 | $329.09–$1,154.69 | — | 45% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 90734,VFC MENINGOCOCCAL VACCINE IM | $40.80 | $170.00 | $40.80–$410.93 | 83% below | 76% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 49281-0589-05 - meningococcal conjugate vaccine So | $349.96 | $1,458.18 | $167.91–$1,458.18 | 46% above | 76% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 90734,VFC MENINGOCOCCAL VACCINE IM | $110.55 | $201.00 | $57.28–$201.00 | — | 45% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 49281-0589-05 - meningococcal conjugate vaccine So | $802.00 | $1,458.18 | $415.58–$1,458.18 | — | 45% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 46028-0114-01 - meningococcal group B vaccine reco | $689.34 | $2,872.23 | $238.78–$2,872.23 | 78% above | 76% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 46028-0114-01 - meningococcal group B vaccine reco | $1,579.73 | $2,872.23 | $818.59–$2,872.23 | — | 45% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 00005-2000-10 - pneumococcal 20-valent conjugate v | $827.73 | $3,448.89 | $287.54–$3,448.89 | 36% above | 76% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 00005-2000-02 - pneumococcal 20-valent conjugate v | $827.73 | $3,448.89 | $287.54–$3,448.89 | 36% above | 76% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 00005-2000-02 - pneumococcal 20-valent conjugate v | $1,896.89 | $3,448.89 | $982.93–$3,448.89 | — | 45% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 00005-2000-10 - pneumococcal 20-valent conjugate v | $1,896.89 | $3,448.89 | $982.93–$3,448.89 | — | 45% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 00006-4943-01 - pneumococcal 23-polyvalent vaccine | $360.56 | $1,502.32 | $119.43–$1,502.32 | 117% above | 76% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 00006-4837-03 - pneumococcal 23-polyvalent vaccine | $360.56 | $1,502.32 | $119.43–$1,502.32 | 117% above | 76% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 00006-4837-02 - pneumococcal 23-polyvalent vaccine | $360.56 | $1,502.32 | $119.43–$1,502.32 | 117% above | 76% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 00006-4943-00 - pneumococcal 23-valent vaccine Sol | $360.56 | $1,502.32 | $119.43–$1,502.32 | 117% above | 76% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 00006-4943-01 - pneumococcal 23-polyvalent vaccine | $826.28 | $1,502.32 | $428.16–$1,502.32 | — | 45% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 00006-4837-02 - pneumococcal 23-polyvalent vaccine | $826.28 | $1,502.32 | $428.16–$1,502.32 | — | 45% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 00006-4837-03 - pneumococcal 23-polyvalent vaccine | $826.28 | $1,502.32 | $428.16–$1,502.32 | — | 45% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 00006-4943-00 - pneumococcal 23-valent vaccine Sol | $826.28 | $1,502.32 | $428.16–$1,502.32 | — | 45% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 49281-0575-15 - nirsevimab (cvx 306) alip preserva | $1,379.96 | $5,749.83 | $560.03–$5,749.83 | 22% above | 76% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 49281-0575-00 - nirsevimab (cvx 306) alip preserva | $1,379.96 | $5,749.83 | $560.03–$5,749.83 | 22% above | 76% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 49281-0575-15 - nirsevimab (cvx 306) alip preserva | $3,162.41 | $5,749.83 | $1,638.70–$5,749.83 | — | 45% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 49281-0575-00 - nirsevimab (cvx 306) alip preserva | $3,162.41 | $5,749.83 | $1,638.70–$5,749.83 | — | 45% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 00069-0344-01 - RSV vaccine, preF A-preF B, recomb | $886.18 | $3,692.43 | $308.95–$3,692.43 | 42% above | 76% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 00069-0344-05 - RSV vaccine, preF A-preF B, recomb | $886.18 | $3,692.43 | $308.95–$3,692.43 | 42% above | 76% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 00069-0344-05 - RSV vaccine, preF A-preF B, recomb | $2,030.84 | $3,692.43 | $1,052.34–$3,692.43 | — | 45% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 00069-0344-01 - RSV vaccine, preF A-preF B, recomb | $2,030.84 | $3,692.43 | $1,052.34–$3,692.43 | — | 45% |
| RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 58160-0848-11 - RSV vaccine preF3, recombinant pre | $886.36 | $3,693.15 | $308.49–$3,693.15 | 25% above | 76% |
| RSV vaccine with adjuvant (Arexvy), one dose for older adults inpatient CPT 90679 58160-0848-11 - RSV vaccine preF3, recombinant pre | $2,031.23 | $3,693.15 | $1,052.55–$3,693.15 | — | 45% |
| Rabies vaccine, one dose CPT 90675 49281-0250-51 - rabies vaccine, human diploid cell | $1,124.67 | $4,686.11 | $443.30–$4,686.11 | 38% above | 76% |
| Rabies vaccine, one dose CPT 90675 49281-0250-51 - rabies vaccine human diploid cell | $1,124.67 | $4,686.11 | $443.30–$4,686.11 | 38% above | 76% |
| Rabies vaccine, one dose CPT 90675 49281-0250-10 - rabies vaccine, human diploid cell | $1,124.67 | $4,686.11 | $443.30–$4,686.11 | 38% above | 76% |
| Rabies vaccine, one dose CPT 90675 49999-0414-01 - rabies vaccine, human diploid cell | $1,124.67 | $4,686.11 | $443.30–$4,686.11 | 38% above | 76% |
| Rabies vaccine, one dose CPT 90675 49999-0414-01 - rabies vaccine human diploid cell | $1,124.67 | $4,686.11 | $443.30–$4,686.11 | 38% above | 76% |
| Rabies vaccine, one dose CPT 90675 63851-0501-02 - rabies vaccine purified chick emb | $1,341.75 | $5,590.62 | $443.30–$5,590.62 | 65% above | 76% |
| Rabies vaccine, one dose CPT 90675 58160-0964-12 - rabies vaccine, purified chick emb | $1,341.75 | $5,590.62 | $443.30–$5,590.62 | 65% above | 76% |
| Rabies vaccine, one dose CPT 90675 63851-0501-01 - rabies vaccine, purified chick emb | $1,341.75 | $5,590.62 | $443.30–$5,590.62 | 65% above | 76% |
| Rabies vaccine, one dose CPT 90675 58160-0964-12 - rabies vaccine purified chick emb | $1,341.75 | $5,590.62 | $443.30–$5,590.62 | 65% above | 76% |
| Rabies vaccine, one dose CPT 90675 63851-0501-02 - rabies vaccine, purified chick emb | $1,341.75 | $5,590.62 | $443.30–$5,590.62 | 65% above | 76% |
| Rabies vaccine, one dose CPT 90675 63851-0501-01 - rabies vaccine purified chick emb | $1,341.75 | $5,590.62 | $443.30–$5,590.62 | 65% above | 76% |
| Rabies vaccine, one dose inpatient CPT 90675 49281-0250-10 - rabies vaccine, human diploid cell | $2,577.36 | $4,686.11 | $1,335.54–$4,686.11 | — | 45% |
| Rabies vaccine, one dose inpatient CPT 90675 49281-0250-51 - rabies vaccine human diploid cell | $2,577.36 | $4,686.11 | $1,335.54–$4,686.11 | — | 45% |
| Rabies vaccine, one dose inpatient CPT 90675 49281-0250-51 - rabies vaccine, human diploid cell | $2,577.36 | $4,686.11 | $1,335.54–$4,686.11 | — | 45% |
| Rabies vaccine, one dose inpatient CPT 90675 49999-0414-01 - rabies vaccine, human diploid cell | $2,577.36 | $4,686.11 | $1,335.54–$4,686.11 | — | 45% |
| Rabies vaccine, one dose inpatient CPT 90675 49999-0414-01 - rabies vaccine human diploid cell | $2,577.36 | $4,686.11 | $1,335.54–$4,686.11 | — | 45% |
| Rabies vaccine, one dose inpatient CPT 90675 63851-0501-01 - rabies vaccine, purified chick emb | $3,074.84 | $5,590.62 | $1,593.33–$5,590.62 | — | 45% |
| Rabies vaccine, one dose inpatient CPT 90675 63851-0501-01 - rabies vaccine purified chick emb | $3,074.84 | $5,590.62 | $1,593.33–$5,590.62 | — | 45% |
| Rabies vaccine, one dose inpatient CPT 90675 63851-0501-02 - rabies vaccine purified chick emb | $3,074.84 | $5,590.62 | $1,593.33–$5,590.62 | — | 45% |
| Rabies vaccine, one dose inpatient CPT 90675 63851-0501-02 - rabies vaccine, purified chick emb | $3,074.84 | $5,590.62 | $1,593.33–$5,590.62 | — | 45% |
| Rabies vaccine, one dose inpatient CPT 90675 58160-0964-12 - rabies vaccine purified chick emb | $3,074.84 | $5,590.62 | $1,593.33–$5,590.62 | — | 45% |
| Rabies vaccine, one dose inpatient CPT 90675 58160-0964-12 - rabies vaccine, purified chick emb | $3,074.84 | $5,590.62 | $1,593.33–$5,590.62 | — | 45% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 58160-0819-12 - zoster vaccine inactivated adjuva | $640.86 | $2,670.25 | $217.02–$2,670.25 | 64% above | 76% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 58160-0823-11 - zoster vaccine, inactivated adjuva | $640.86 | $2,670.25 | $217.02–$2,670.25 | 64% above | 76% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 58160-0819-12 - zoster vaccine, inactivated adjuva | $640.86 | $2,670.25 | $217.02–$2,670.25 | 64% above | 76% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 58160-0823-11 - zoster vaccine inactivated adjuva | $640.86 | $2,670.25 | $217.02–$2,670.25 | 64% above | 76% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 58160-0823-11 - zoster vaccine inactivated adjuva | $1,468.64 | $2,670.25 | $761.02–$2,670.25 | — | 45% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 58160-0819-12 - zoster vaccine inactivated adjuva | $1,468.64 | $2,670.25 | $761.02–$2,670.25 | — | 45% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 58160-0819-12 - zoster vaccine, inactivated adjuva | $1,468.64 | $2,670.25 | $761.02–$2,670.25 | — | 45% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 58160-0823-11 - zoster vaccine, inactivated adjuva | $1,468.64 | $2,670.25 | $761.02–$2,670.25 | — | 45% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 90714,VFC TD VACCINE NO PRSRV 7/> IM | $15.84 | $66.00 | $15.84–$81.23 | 84% below | 76% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 00006-4133-01 - tetanus-diphth toxoids (Td) adult/ | $76.62 | $319.26 | $35.50–$319.26 | 24% below | 76% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 17478-0131-01 - tetanus-diphth toxoids (Td) adult/ | $76.62 | $319.26 | $35.50–$319.26 | 24% below | 76% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 00006-4133-41 - tetanus-diphtheria toxoids 2 units | $76.62 | $319.26 | $35.50–$319.26 | 24% below | 76% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 49281-0291-83 - tetanus-diphtheria toxoids 5 units | $99.60 | $415.02 | $35.50–$415.02 | 2% below | 76% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 49281-0291-10 - tetanus-diphtheria toxoids 5 units | $99.60 | $415.02 | $35.50–$415.02 | 2% below | 76% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 49281-0215-10 - tetanus-diphtheria toxoids 5 units | $99.60 | $415.02 | $35.50–$415.02 | 2% below | 76% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 49281-0215-15 - tetanus-diphtheria toxoids 5 units | $99.60 | $415.02 | $35.50–$415.02 | 2% below | 76% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 13533-0131-01 - tetanus-diphth toxoids (Td) adult/ | $99.60 | $415.02 | $35.50–$415.02 | 2% below | 76% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 49281-0225-10 - diphtheria-tetanus toxoids (DT) pe | $175.61 | $731.71 | $35.50–$731.71 | 73% above | 76% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 90714,VFC TD VACCINE NO PRSRV 7/> IM | $36.30 | $66.00 | $18.81–$66.00 | — | 45% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 00006-4133-01 - tetanus-diphth toxoids (Td) adult/ | $175.59 | $319.26 | $90.99–$319.26 | — | 45% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 17478-0131-01 - tetanus-diphth toxoids (Td) adult/ | $175.59 | $319.26 | $90.99–$319.26 | — | 45% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 00006-4133-41 - tetanus-diphtheria toxoids 2 units | $175.59 | $319.26 | $90.99–$319.26 | — | 45% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 13533-0131-01 - tetanus-diphth toxoids (Td) adult/ | $228.26 | $415.02 | $118.28–$415.02 | — | 45% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 49281-0215-15 - tetanus-diphtheria toxoids 5 units | $228.26 | $415.02 | $118.28–$415.02 | — | 45% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 49281-0291-10 - tetanus-diphtheria toxoids 5 units | $228.26 | $415.02 | $118.28–$415.02 | — | 45% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 49281-0215-10 - tetanus-diphtheria toxoids 5 units | $228.26 | $415.02 | $118.28–$415.02 | — | 45% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 49281-0291-83 - tetanus-diphtheria toxoids 5 units | $228.26 | $415.02 | $118.28–$415.02 | — | 45% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 49281-0225-10 - diphtheria-tetanus toxoids (DT) pe | $402.44 | $731.71 | $208.54–$731.71 | — | 45% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 90715,VFC TDAP VACCINE 7 YRS/> IM | $31.92 | $133.00 | $31.92–$133.00 | 74% below | 76% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 49281-0400-15 - tetanus/diphtheria/pertussis, acel | $126.23 | $525.94 | $49.34–$525.94 | 3% above | 76% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 49281-0400-10 - tetanus/diphtheria/pertussis acel | $126.23 | $525.94 | $49.34–$525.94 | 3% above | 76% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 49281-0400-20 - tetanus/diphth/pertuss (Tdap) adul | $126.23 | $525.94 | $49.34–$525.94 | 3% above | 76% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 49281-0400-10 - tetanus/diphtheria/pertussis, acel | $126.23 | $525.94 | $49.34–$525.94 | 3% above | 76% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 58160-0842-43 - tetanus/diphth/pertuss (Tdap) adul | $152.70 | $636.26 | $49.34–$636.26 | 24% above | 76% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 58160-0842-52 - tetanus/diphtheria/pertussis acel | $152.70 | $636.26 | $49.34–$636.26 | 24% above | 76% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 58160-0842-52 - tetanus/diphtheria/pertussis, acel | $152.70 | $636.26 | $49.34–$636.26 | 24% above | 76% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 58160-0842-11 - tetanus/diphtheria/pertussis acel | $152.70 | $636.26 | $49.34–$636.26 | 24% above | 76% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 58160-0842-11 - tetanus/diphtheria/pertussis, acel | $152.70 | $636.26 | $49.34–$636.26 | 24% above | 76% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 58160-0842-46 - tetanus/diphth/pertuss (Tdap) adul | $152.70 | $636.26 | $49.34–$636.26 | 24% above | 76% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 90715,VFC TDAP VACCINE 7 YRS/> IM | $73.15 | $133.00 | $37.90–$133.00 | — | 45% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 49281-0400-10 - tetanus/diphtheria/pertussis acel | $289.27 | $525.94 | $149.89–$525.94 | — | 45% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 49281-0400-15 - tetanus/diphtheria/pertussis, acel | $289.27 | $525.94 | $149.89–$525.94 | — | 45% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 49281-0400-10 - tetanus/diphtheria/pertussis, acel | $289.27 | $525.94 | $149.89–$525.94 | — | 45% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 49281-0400-20 - tetanus/diphth/pertuss (Tdap) adul | $289.27 | $525.94 | $149.89–$525.94 | — | 45% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 58160-0842-52 - tetanus/diphtheria/pertussis acel | $349.94 | $636.26 | $181.33–$636.26 | — | 45% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 58160-0842-46 - tetanus/diphth/pertuss (Tdap) adul | $349.94 | $636.26 | $181.33–$636.26 | — | 45% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 58160-0842-43 - tetanus/diphth/pertuss (Tdap) adul | $349.94 | $636.26 | $181.33–$636.26 | — | 45% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 58160-0842-52 - tetanus/diphtheria/pertussis, acel | $349.94 | $636.26 | $181.33–$636.26 | — | 45% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 58160-0842-11 - tetanus/diphtheria/pertussis acel | $349.94 | $636.26 | $181.33–$636.26 | — | 45% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 58160-0842-11 - tetanus/diphtheria/pertussis, acel | $349.94 | $636.26 | $181.33–$636.26 | — | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471,25 IMMUNIZATION ADMIN | $14.16 | $59.00 | $67.46–$313.06 | 76% below | 76% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 IMMUNIZATION ADMIN | $14.16 | $59.00 | $67.46–$313.06 | 76% below | 76% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Pt. Location - Vaccine Charge - In House/Observati | $14.16 | $59.00 | $67.46–$313.06 | 76% below | 76% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Pt. Location - Vaccine Charge - Infusion Center | $24.72 | $103.00 | $67.46–$313.06 | 58% below | 76% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Pt. Location - Vaccine Charge - Emergency Departme | $58.08 | $242.00 | $67.46–$313.06 | at median | 76% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Pt. Location - Vaccine Charge - Offsite ER | $58.08 | $242.00 | $67.46–$313.06 | at median | 76% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Pt. Location - Vaccine Charge - Peds Onc Clinic >1 | $59.76 | $249.00 | $67.46–$313.06 | 3% above | 76% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Pt. Location - Vaccine Charge - Outpatient Infusio | $59.76 | $249.00 | $67.46–$313.06 | 3% above | 76% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Pt. Location - Vaccine Charge - Industrial Medicin | $59.76 | $249.00 | $67.46–$313.06 | 3% above | 76% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMM ADM 1ST VACCINE - BCE | $59.76 | $249.00 | $67.46–$313.06 | 3% above | 76% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Pt. Location - Vaccine Charge - OB/Nursery | $59.76 | $249.00 | $67.46–$313.06 | 3% above | 76% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Pt. Location - Vaccine Charge - Peds Pulmonary | $59.76 | $249.00 | $67.46–$313.06 | 3% above | 76% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Pt. Location - Vaccine Charge - Renal Transplant | $59.76 | $249.00 | $67.46–$313.06 | 3% above | 76% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 VFC IMMUNIZATION ADMIN | $8.25 | $15.00 | $4.27–$15.00 | — | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 IMMUNIZATION ADMIN | $34.65 | $63.00 | $17.95–$63.00 | — | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471,25 IMMUNIZATION ADMIN | $34.65 | $63.00 | $17.95–$63.00 | — | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Pt. Location - Vaccine Charge - Emergency Departme | $133.10 | $242.00 | $68.97–$242.00 | — | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Pt. Location - Vaccine Charge - Offsite ER | $133.10 | $242.00 | $68.97–$242.00 | — | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Pt. Location - Vaccine Charge - Infusion Center | $133.10 | $242.00 | $68.97–$242.00 | — | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Pt. Location - Vaccine Charge - Peds Pulmonary | $136.95 | $249.00 | $70.96–$249.00 | — | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Pt. Location - Vaccine Charge - Renal Transplant | $136.95 | $249.00 | $70.96–$249.00 | — | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Pt. Location - Vaccine Charge - OB/Nursery | $136.95 | $249.00 | $70.96–$249.00 | — | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Pt. Location - Vaccine Charge - Peds Onc Clinic >1 | $136.95 | $249.00 | $70.96–$249.00 | — | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Pt. Location - Vaccine Charge - Outpatient Infusio | $136.95 | $249.00 | $70.96–$249.00 | — | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Pt. Location - Vaccine Charge - Industrial Medicin | $136.95 | $249.00 | $70.96–$249.00 | — | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMM ADM 1ST VACCINE - BCE | $136.95 | $249.00 | $70.96–$249.00 | — | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Pt. Location - Vaccine Charge - In House/Observati | $136.95 | $249.00 | $70.96–$249.00 | — | 45% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 VFC Immunization Admin, Each Addl | $3.60 | $15.00 | $3.60–$15.00 | 90% below | 76% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 Immunization Admin, Each Addl | $8.40 | $35.00 | $8.40–$35.00 | 77% below | 76% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Pt. Location - Vaccine Charge - Peds Onc Clinic >1 | $24.48 | $102.00 | $13.36–$102.00 | 34% below | 76% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Pt. Location - Vaccine Charge - Peds Pulmonary Add | $24.48 | $102.00 | $13.36–$102.00 | 34% below | 76% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Pt. Location - Vaccine Charge - OB Obs/OP Addition | $24.48 | $102.00 | $13.36–$102.00 | 34% below | 76% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Pt. Location - Vaccine Charge - Outpatient Infusio | $24.48 | $102.00 | $13.36–$102.00 | 34% below | 76% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMM ADM EA ADD VACCINE - BCE | $43.68 | $182.00 | $13.36–$182.00 | 17% above | 76% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Pt. Location - Vaccine Charge - ED Additional | $43.68 | $182.00 | $13.36–$182.00 | 17% above | 76% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Pt. Location - Vaccine Charge - Obs/OP Additional | $43.68 | $182.00 | $13.36–$182.00 | 17% above | 76% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Clinic Immunization Administration - 90472 Immuniz | $43.68 | $182.00 | $13.36–$182.00 | 17% above | 76% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Pt. Location - Vaccine Charge - Infusion Center Ad | $43.68 | $182.00 | $13.36–$182.00 | 17% above | 76% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472 VFC Immunization Admin, Each Addl | $8.25 | $15.00 | $4.27–$15.00 | — | 45% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472 Immunization Admin, Each Addl | $19.25 | $35.00 | $9.97–$35.00 | — | 45% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Pt. Location - Vaccine Charge - OB Obs/OP Addition | $56.10 | $102.00 | $29.07–$102.00 | — | 45% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Pt. Location - Vaccine Charge - Peds Pulmonary Add | $56.10 | $102.00 | $29.07–$102.00 | — | 45% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Pt. Location - Vaccine Charge - Peds Onc Clinic >1 | $56.10 | $102.00 | $29.07–$102.00 | — | 45% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Pt. Location - Vaccine Charge - Outpatient Infusio | $56.10 | $102.00 | $29.07–$102.00 | — | 45% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMM ADM EA ADD VACCINE - BCE | $100.10 | $182.00 | $51.87–$182.00 | — | 45% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Clinic Immunization Administration - 90472 Immuniz | $100.10 | $182.00 | $51.87–$182.00 | — | 45% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Pt. Location - Vaccine Charge - Infusion Center Ad | $100.10 | $182.00 | $51.87–$182.00 | — | 45% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Pt. Location - Vaccine Charge - ED Additional | $100.10 | $182.00 | $51.87–$182.00 | — | 45% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Pt. Location - Vaccine Charge - Obs/OP Additional | $100.10 | $182.00 | $51.87–$182.00 | — | 45% |