Hospital Chicago-Naperville-Elgin, IL-IN

Mercy Medical Center

Mercy Medical Center in Aurora, IL publishes cash prices for 358 common procedures listed here, from its own machine-readable price file updated Sep 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Illinois median for 318 of 354 procedures and above it for 19. By typical cash price it ranks #2 of 114 Illinois hospitals and #2 of 62 hospitals in the Chicago, IL area, cheapest first. Select a procedure to compare it with other hospitals nearby.

1325 N. Highland, Aurora, Illinois 60506 Collected Sep 22, 2026 Source price file Check a bill from this hospital (630) 859-2222

Acute care hospital Nonprofit hospital Emergency department CMS star rating 3 of 5 CCN 140174 · CMS hospital register NPI 1598503922

Financial assistance

Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply

Mercy Medical Center is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.

You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.

Source: IRS, section 501(r) requirements for nonprofit hospitals.

State law

This state limits hospital bills for lower-income patients

Illinois law (Hospital Uninsured Patient Discount Act, 210 ILCS 89): an uninsured Illinois resident with family income up to 600% of the federal poverty level (300% at rural and critical access hospitals) can apply for a discount that brings the bill down to about 135% of the hospital's cost; up to 200% (125% at rural hospitals) medically necessary care is free. A hospital may collect no more than 25% of family income in 12 months. Ask the billing office for the application. Other states' laws.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Illinois	Off list
Abdominal X-ray, 2 views CPT 74019 XR ABDOMEN 2 VIEWS	$111.00	$937.00	$26.32–$937.00	66% below	88%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE COMPLETE LEFT, 3 VIEW	$92.00	$759.00	$29.75–$759.00	73% below	88%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE COMPLETE RIGHT, 3 VIEW	$92.00	$759.00	$29.75–$759.00	73% below	88%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 DOPPLER LOWER EXT ART LIM BIL	$141.00	$447.00	$73.91–$447.00	66% below	68%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 DOPPLER UPPER EXT ART LIM BIL	$141.00	$447.00	$73.91–$447.00	66% below	68%
Ankle-brachial index (ABI), blood pressure test for leg arteries one side CPT 93922 DOPPLER LOWER EXT ART LIM RT	$141.00	$447.00	$73.91–$447.00	66% below	68%
Ankle-brachial index (ABI), blood pressure test for leg arteries one side CPT 93922 DOPPLER UPPER EXT ART LIM LT	$141.00	$447.00	$73.91–$447.00	66% below	68%
Ankle-brachial index (ABI), blood pressure test for leg arteries one side CPT 93922 DOPPLER UPPER EXT ART LIM RT	$141.00	$447.00	$73.91–$447.00	66% below	68%
Ankle-brachial index (ABI), blood pressure test for leg arteries one side CPT 93922 DOPPLER LOWER EXT ART LIM LT	$141.00	$447.00	$73.91–$447.00	66% below	68%
Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGRAM	$187.00	$1,338.00	$68.51–$1,338.00	69% below	86%
Bone scan, whole body (nuclear medicine) CPT 78306 BONE SCAN WHOLE BODY	$426.00	$2,796.00	$227.39–$2,796.00	73% below	85%
Breast ultrasound, limited (one breast or one area) both sides CPT 76642 US BREAST BILATERAL LIMITED	$92.00	$1,713.00	$53.76–$1,713.00	—	95%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LEFT LIMITED	$92.00	$1,140.00	$53.76–$1,713.00	79% below	92%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST RIGHT LIMITED	$92.00	$1,140.00	$53.76–$1,713.00	79% below	92%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 ABD/PEL ANGIO W/WO CONT	$372.00	$7,698.00	$286.05–$7,698.00	90% below	95%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CCTA-CARDIAC ANGIO W	$372.00	$1,011.00	$221.90–$1,011.00	79% below	63%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT CHEST HEALTHY HRT	$92.00	$49.00	$11.32–$49.00	58% below	-88%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 ABDOMEN/PELVIS W/O CONTRAST	$254.00	$7,672.00	$106.49–$7,672.00	93% below	97%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ENTEROGRAPHY ABD/PEL W/CONT	$372.00	$1,630.00	$222.78–$9,474.00	92% below	77%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 ABDOMEN/PELVIS WITH CONTRAST	$372.00	$9,474.00	$222.78–$9,474.00	92% below	96%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 ABDOMEN/PELVIS W/WO CONTRAST	$372.00	$11,594.00	$252.53–$11,594.00	93% below	97%
CT scan of the abdomen with contrast CPT 74160 ABDOMEN WITH CONTRAST	$187.00	$5,444.00	$176.81–$5,444.00	92% below	97%
CT scan of the head with contrast CPT 70460 HEAD W/CONTRAST	$187.00	$4,139.00	$99.29–$4,139.00	90% below	95%
CT scan of the head without and with contrast CPT 70470 HEAD W/WO CONTRAST	$187.00	$4,554.00	$118.16–$4,554.00	92% below	96%
CT scan of the pelvis, with contrast dye CPT 72193 PELVIS W/CONTRAST	$187.00	$3,591.00	$177.50–$3,591.00	91% below	95%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 DUPLEX CAROTID BILATERAL	$254.00	$3,288.00	$156.48–$3,288.00	—	92%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 STROKE US CAROTID DOPPLER	$254.00	$3,288.00	$156.48–$3,288.00	69% below	92%
Chest X-ray, 2 views CPT 71046 CHEST PA & LAT 2 VIEWS	$92.00	$937.00	$23.92–$937.00	70% below	90%
Chest X-ray, single view CPT 71045 CHEST PORTABLE 1 VIEW	$92.00	$852.00	$17.74–$852.00	64% below	89%
Chest X-ray, single view CPT 71045 CHEST AP ONLY 1 VIEW	$92.00	$852.00	$17.74–$852.00	64% below	89%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE LEFT	$92.00	$601.00	$26.32–$601.00	65% below	85%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE RIGHT	$92.00	$601.00	$26.32–$601.00	65% below	85%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 BONE DENSITY	$111.00	$1,173.00	$31.12–$1,173.00	77% below	91%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CHEST WITH CONTRAST	$187.00	$3,723.00	$116.44–$3,723.00	92% below	95%
Diagnostic mammogram, both breasts both sides CPT 77066 DIGITAL DIAG MAMMO BILATERAL	$114.00	$917.00	$59.97–$917.00	—	88%
Diagnostic mammogram, one breast one side CPT 77065 MAMM DIAGNOSTIC RIGHT	$88.00	$718.00	$59.97–$718.00	71% below	88%
Diagnostic mammogram, one breast one side CPT 77065 MAMM DIAGNOSTIC LEFT	$88.00	$718.00	$59.97–$718.00	71% below	88%
Duplex ultrasound of the leg arteries, both legs CPT 93925 DOPPLER LEGS ARTERIAL FLOW	$254.00	$2,802.00	$207.15–$2,802.00	76% below	91%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VENOUS IMG EXTREM BILAT	$254.00	$1,663.00	$156.82–$1,663.00	—	85%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO COM 2D/M&PW/CW WO CON	$582.00	$5,189.00	$133.50–$5,189.00	73% below	89%
Elbow X-ray, 2 views one side CPT 73070 ELBOW LEFT 2 VIEWS	$92.00	$403.00	$22.20–$403.00	67% below	77%
Elbow X-ray, 2 views one side CPT 73070 ELBOW RIGHT 2 VIEWS	$92.00	$403.00	$22.20–$403.00	67% below	77%
Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW COMPLETE LEFT MIN 3V	$92.00	$793.00	$25.63–$793.00	73% below	88%
Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW COMPLETE RIGHT MIN 3V	$92.00	$793.00	$25.63–$793.00	73% below	88%
Facial bones X-ray, complete, 3 or more views CPT 70150 FACIAL BONES MIN 3 VIEWS	$111.00	$832.00	$35.58–$832.00	73% below	87%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM LEFT 2 VIEWS	$92.00	$734.00	$22.20–$734.00	71% below	87%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM RIGHT 2 VIEWS	$92.00	$734.00	$22.20–$734.00	71% below	87%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY SYS IMAGE W/GLBD	$426.00	$2,330.00	$259.20–$2,330.00	72% below	82%
Hand X-ray, 2 views both sides CPT 73120 HAND BILATERAL 2 VIEWS	$111.00	$779.00	$24.26–$779.00	—	86%
Hand X-ray, 2 views one side CPT 73120 HAND RIGHT 2 VIEWS	$111.00	$520.00	$24.26–$779.00	60% below	79%
Hand X-ray, 2 views one side CPT 73120 HAND LEFT 2 VIEWS	$111.00	$520.00	$24.26–$779.00	60% below	79%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 HEEL/OSCALSIS LEFT MIN 2 VIEWS	$92.00	$407.00	$21.52–$407.00	62% below	77%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 HEEL/OSCALSIS RIGHT MIN 2 VIEW	$92.00	$407.00	$21.52–$407.00	62% below	77%
Knee X-ray, 3 views one side CPT 73562 KNEE LEFT 3 VIEWS	$92.00	$870.00	$34.21–$870.00	74% below	89%
Knee X-ray, 3 views one side CPT 73562 KNEE RIGHT 3 VIEWS	$92.00	$870.00	$34.21–$870.00	74% below	89%
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE LEFT MIN 4 VIEWS	$111.00	$972.00	$39.70–$972.00	75% below	89%
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE RIGHT MIN 4 VIEWS	$111.00	$972.00	$39.70–$972.00	75% below	89%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ABDOMEN, R/O ASCITES	$111.00	$2,743.00	$60.62–$2,743.00	84% below	96%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ABDOMEN LIMITED	$111.00	$2,743.00	$60.62–$2,743.00	84% below	96%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 EXTREMITY NON VASC LIMITED BIL	$111.00	$1,737.00	$20.06–$1,737.00	64% below	94%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US EXT W/DOC LIMITED	$111.00	$1,158.00	$20.06–$1,737.00	64% below	90%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT THORAX LUNG CANCER SCR C	$111.00	$99.00	$22.87–$99.00	80% below	-12%
Lower leg X-ray (tibia and fibula), 2 views both sides CPT 73590 LOWER LEG/TIB FIB BILATERAL	$92.00	$861.00	$24.60–$861.00	—	89%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 LOWER LEG TIB/FIB RIGHT 2 VIEW	$92.00	$593.00	$24.60–$861.00	72% below	84%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 LOWER LEG TIB/FIB LEFT 2 VIEWS	$92.00	$593.00	$24.60–$861.00	72% below	84%
MR angiography (MRA) of the head without contrast CPT 70544 MRA HEAD W/O CONTRAST	$254.00	$4,883.00	$164.71–$4,883.00	90% below	95%
MR angiography (MRA) of the head without contrast CPT 70544 MRV HEAD W/O CON	$254.00	$4,883.00	$164.71–$4,883.00	90% below	95%
MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 HIPS BILATERAL	$254.00	$6,811.00	$145.94–$6,811.00	—	96%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 KNEE LEFT W/O CONTRAST	$254.00	$4,540.00	$145.94–$6,811.00	91% below	94%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 ANKLE RIGHT W/O CONTRAST	$254.00	$4,540.00	$145.94–$6,811.00	91% below	94%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 KNEE RIGHT W/O CONTRAST	$254.00	$4,540.00	$145.94–$6,811.00	91% below	94%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 FOOT RIGHT W/O CONTRAST	$254.00	$4,540.00	$145.94–$6,811.00	91% below	94%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 FOOT LEFT W/O CONTRAST	$254.00	$4,540.00	$145.94–$6,811.00	91% below	94%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 ANKLE LEFT W/O CONTRAST	$254.00	$4,540.00	$145.94–$6,811.00	91% below	94%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 LEFT HIP W/O CONTRAST	$254.00	$4,540.00	$145.94–$6,811.00	91% below	94%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 RIGHT HIP W/O CONTRAST	$254.00	$4,540.00	$145.94–$6,811.00	91% below	94%
MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 BILATERAL HIP W/WO CONTRAST	$372.00	$8,220.00	$290.60–$8,220.00	—	95%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 KNEE LEFT W/WO CONTRAST	$372.00	$5,479.00	$290.60–$8,220.00	89% below	93%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 LEFT HIP W/WO CONTRAST	$372.00	$5,479.00	$290.60–$8,220.00	89% below	93%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 ANKLE RIGHT W/WO CONTRAST	$372.00	$5,479.00	$290.60–$8,220.00	89% below	93%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 ANKLE LEFT W/WO CONTRAST	$372.00	$5,479.00	$290.60–$8,220.00	89% below	93%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 FOOT LEFT W/WO CONTRAST	$372.00	$5,479.00	$290.60–$8,220.00	89% below	93%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 KNEE RIGHT W/WO CONTRAST	$372.00	$5,479.00	$290.60–$8,220.00	89% below	93%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 RIGHT HIP W/WO CONTRAST	$372.00	$5,479.00	$290.60–$8,220.00	89% below	93%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 FOOT RIGHT W/WO CONTRAST	$372.00	$5,479.00	$290.60–$8,220.00	89% below	93%
MRI of the abdomen without contrast CPT 74181 CHOLANGIOPANCREATOGRAPHY	$254.00	$4,726.00	$131.19–$4,726.00	91% below	95%
MRI of the abdomen without contrast CPT 74181 ABDOMEN W/O CONTRAST	$254.00	$4,726.00	$131.19–$4,726.00	91% below	95%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI DYNAMIC LIVER SCAN	$372.00	$6,367.00	$241.55–$6,367.00	90% below	94%
MRI of the abdomen, without and then with contrast dye CPT 74183 ABDOMEN W/WO CONTRAST - 74183 - 61000005	$372.00	$6,367.00	$241.55–$6,367.00	90% below	94%
MRI of the abdomen, without and then with contrast dye CPT 74183 MR DYNAMIC PANCREAS SCAN	$372.00	$6,367.00	$241.55–$6,367.00	90% below	94%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI DYNAMIC KIDNEY SCAN	$372.00	$6,367.00	$241.55–$6,367.00	90% below	94%
MRI of the brain, no contrast dye CPT 70551 STROKE MRI HEAS W/O>24	$254.00	$5,792.00	$131.53–$5,792.00	91% below	96%
MRI of the brain, no contrast dye CPT 70551 BRAIN W/O CONTRAST	$254.00	$5,792.00	$131.53–$5,792.00	91% below	96%
MRI of the brain, no contrast dye CPT 70551 IAC W/O CONTRAST	$254.00	$5,792.00	$131.53–$5,792.00	91% below	96%
MRI of the brain, no contrast dye CPT 70551 PITUITARY W/O CONTRAST	$254.00	$5,623.00	$131.53–$5,792.00	91% below	95%
MRI of the brain, no contrast dye CPT 70551 STROKE MRI HEAD W/O<24	$254.00	$5,792.00	$131.53–$5,792.00	91% below	96%
MRI of the brain, with and without contrast dye CPT 70553 PITUITARY W/WO CONTRAST	$372.00	$6,388.00	$218.23–$6,581.00	91% below	94%
MRI of the brain, with and without contrast dye CPT 70553 IAC W/WO CONTRAST	$372.00	$6,388.00	$218.23–$6,581.00	91% below	94%
MRI of the brain, with and without contrast dye CPT 70553 BRAIN W/WO CONTRAST	$372.00	$6,581.00	$218.23–$6,581.00	91% below	94%
MRI of the lower back, no contrast dye CPT 72148 LUMBAR SPINE W/O CONTRAST - 72148 - 61000320	$254.00	$5,151.00	$127.07–$5,151.00	91% below	95%
MRI of the lower back, no contrast dye CPT 72148 MRI L-SPINE SURVEY WO CONTRAST	$254.00	$5,151.00	$127.07–$5,151.00	91% below	95%
MRI of the lower back, without and then with contrast dye CPT 72158 LUMBAR SPINE W/WO CONTRAST	$372.00	$6,604.00	$219.25–$6,604.00	91% below	94%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 THORACIC SPINE WITHOUTCONTRAST	$254.00	$4,772.00	$126.05–$4,772.00	91% below	95%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T-SPINE SURVEY WO CONTRAST	$254.00	$4,772.00	$126.05–$4,772.00	91% below	95%
MRI of the neck (cervical spine) without and with contrast CPT 72156 CERVICAL SPINE W/WO CONTRAST	$372.00	$6,607.00	$218.91–$6,607.00	91% below	94%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C-SPINE SURVEY WO CONTRAST	$254.00	$6,444.00	$126.39–$6,444.00	91% below	96%
MRI of the neck (cervical spine), no contrast dye CPT 72141 CERVICAL SPINE W/O CONTRAST - 72141 - 61000135	$254.00	$6,444.00	$126.39–$6,444.00	91% below	96%
MRI of the pelvis without and with contrast CPT 72197 MR PROSTATE WWO AT IND WKST EX	$372.00	$7,558.00	$239.84–$7,558.00	90% below	95%
MRI of the pelvis without and with contrast CPT 72197 PELVIS W/WO CONTRAST - 72197 - 61000435	$372.00	$7,558.00	$239.84–$7,558.00	90% below	95%
MRI of the pelvis, no contrast dye CPT 72195 PELVIS W/O CONTRAST - 72195 - 61000445	$254.00	$6,875.00	$165.49–$6,875.00	91% below	96%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 WRIST LEFT W/O CONTRAST	$254.00	$5,263.00	$146.28–$5,263.00	91% below	95%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 WRIST RIGHT W/O CONTRAST	$254.00	$5,263.00	$146.28–$5,263.00	91% below	95%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 HAND LEFT W/O CONTRAST	$254.00	$5,263.00	$146.28–$5,263.00	91% below	95%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 SHOULDER LT W/O CONTRAST	$254.00	$5,263.00	$146.28–$5,263.00	91% below	95%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 ELBOW LEFT W/O CONTRAST	$254.00	$5,263.00	$146.28–$5,263.00	91% below	95%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 ELBOW RIGHT W/O CONTRAST	$254.00	$5,263.00	$146.28–$5,263.00	91% below	95%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 HAND RIGHT W/O CONTRAST	$254.00	$5,263.00	$146.28–$5,263.00	91% below	95%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 SHOULDER RT W/O CONTRAST	$254.00	$5,263.00	$146.28–$5,263.00	91% below	95%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 SPINE XR CERVICAL	$111.00	$1,247.00	$43.47–$1,247.00	80% below	91%
Neck soft tissue CT scan with contrast CPT 70491 SOFT TISSUE NECK W/CONTRAST	$187.00	$3,144.00	$123.64–$3,144.00	91% below	94%
Neck soft tissue X-ray CPT 70360 NECK SOFT TISSUE	$92.00	$614.00	$23.23–$614.00	65% below	85%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 MYOC PERF SPEC STRES RST MULTI	$1,380.00	$9,862.00	$364.66–$9,862.00	65% below	86%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 PELVIC LIMITED	$111.00	$1,073.00	$28.38–$1,073.00	79% below	90%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 PELVIC ULTRASOUND (NON OB)	$111.00	$2,348.00	$75.03–$2,348.00	86% below	95%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB PREGNANCY COMP > 14 WEEKS	$111.00	$1,800.00	$91.74–$1,800.00	85% below	94%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB PREG 1ST TRI SGL/1ST FETUS	$111.00	$1,202.00	$72.63–$1,202.00	84% below	91%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB PREGNANCY LIMITED	$111.00	$1,427.00	$52.39–$1,427.00	79% below	92%
Rib X-ray, one side, 2 views one side CPT 71100 RIBS RIGHT NO CHEST	$92.00	$328.00	$26.66–$328.00	73% below	72%
Rib X-ray, one side, 2 views one side CPT 71100 RIBS LEFT NO CHEST	$92.00	$328.00	$26.66–$328.00	73% below	72%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS LT INCL PA CXR MIN 3V	$111.00	$1,053.00	$30.09–$1,053.00	77% below	89%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS RT INCL PA CXR MIN 3V	$111.00	$1,053.00	$30.09–$1,053.00	77% below	89%
Screening mammogram, both breasts both sides CPT 77067 DIGITAL SCREEN MAM BI	$93.00	$783.00	$59.97–$783.00	—	88%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER RIGHT - 2 VIEWS	$92.00	$829.00	$27.69–$829.00	74% below	89%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER LEFT - 2 VIEWS	$92.00	$829.00	$27.69–$829.00	74% below	89%
Sinus X-ray, complete, 3 or more views CPT 70220 SINUS COMPLETE MIN 3 VIEWS	$92.00	$925.00	$28.38–$925.00	76% below	90%
Skull X-ray, fewer than 4 views CPT 70250 SKULL XR PARTIAL	$111.00	$803.00	$28.03–$803.00	64% below	86%
Swallow study (modified barium swallow, video X-ray) CPT 74230 VIDEO SWALLOW	$187.00	$819.00	$98.35–$819.00	69% below	77%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR LEFT MIN 2 VIEWS	$92.00	$719.00	$28.03–$719.00	67% below	87%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR RIGHT MIN 2 VIEWS	$92.00	$719.00	$28.03–$719.00	67% below	87%
Toe X-ray, 2 or more views one side CPT 73660 TOE(S) RIGHT MIN 2 VIEWS	$92.00	$578.00	$23.23–$578.00	60% below	84%
Toe X-ray, 2 or more views one side CPT 73660 TOE(S) LEFT MIN 2 VIEWS	$92.00	$578.00	$23.23–$578.00	60% below	84%
Transvaginal pelvic ultrasound CPT 76830 TRANVAGINAL PELVIS	$111.00	$1,653.00	$87.97–$1,653.00	83% below	93%
Transvaginal ultrasound during pregnancy CPT 76817 OB TRANSVAGINAL	$111.00	$1,028.00	$59.25–$1,028.00	79% below	89%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN; COMPLETE	$111.00	$2,494.00	$79.39–$2,494.00	89% below	96%
Ultrasound of the scrotum and testicles CPT 76870 TESTICULAR	$111.00	$1,835.00	$61.47–$1,835.00	85% below	94%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUES HEAD/NK	$111.00	$2,103.00	$84.63–$2,103.00	84% below	95%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI	$187.00	$1,130.00	$86.69–$1,811.00	73% below	83%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI SMALL BOWEL	$187.00	$1,811.00	$86.69–$1,811.00	73% below	90%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS LEFT MIN 2 VIEWS	$92.00	$569.00	$24.95–$569.00	69% below	84%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS RIGHT MIN 2 VIEWS	$92.00	$569.00	$24.95–$569.00	69% below	84%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS IMG EXTREM LT	$111.00	$1,510.00	$98.95–$1,510.00	84% below	93%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS IMG EXTREM RT	$111.00	$1,510.00	$98.95–$1,510.00	84% below	93%
Wrist X-ray, 2 views one side CPT 73100 WRIST XR LT 2 VWS	$92.00	$493.00	$27.00–$493.00	66% below	81%
Wrist X-ray, 2 views one side CPT 73100 WRIST XR RT 2 VWS	$92.00	$493.00	$27.00–$493.00	66% below	81%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST LEFT COMPLETE MIN 3 V	$92.00	$722.00	$35.24–$722.00	72% below	87%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST RIGHT COMPLETE MIN 3V	$92.00	$722.00	$35.24–$722.00	72% below	87%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP PELVIS RIGHT 2-3 VIEWS	$92.00	$730.00	$39.35–$730.00	70% below	87%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP PELVIS LEFT 2-3 VIEWS	$92.00	$730.00	$39.35–$730.00	70% below	87%
X-ray of the abdomen, 1 view CPT 74018 ABDOMEN KUB 1 VIEW	$92.00	$852.00	$21.86–$852.00	65% below	89%
X-ray of the abdomen, 1 view CPT 74018 BABYGRAM	$92.00	$320.00	$21.86–$852.00	65% below	71%
X-ray of the abdomen, 1 view CPT 74018 ABDOMEN PORTABLE 1 VIEW	$92.00	$852.00	$21.86–$852.00	65% below	89%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE 2 VIEW LEFT	$92.00	$456.00	$25.29–$456.00	67% below	80%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE 2 VIEW RIGHT	$92.00	$456.00	$25.29–$456.00	67% below	80%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER(S) LT MIN 2 VIEWS	$92.00	$511.00	$33.87–$511.00	65% below	82%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER(S) RT MIN 2 VIEWS	$92.00	$511.00	$33.87–$511.00	65% below	82%
X-ray of the foot, 2 views one side CPT 73620 FOOT, LEFT MIN 2V	$92.00	$674.00	$21.86–$674.00	67% below	86%
X-ray of the foot, 2 views one side CPT 73620 FOOT RIGHT, MIN 2V	$92.00	$674.00	$21.86–$674.00	67% below	86%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT COMPLETE RIGHT, MIN 3V	$92.00	$780.00	$27.00–$780.00	73% below	88%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT COMPLETE LEFT, MIN 3V	$92.00	$780.00	$27.00–$780.00	73% below	88%
X-ray of the hand, 3 or more views one side CPT 73130 HAND COMPLETE LEFT, MIN 3V	$92.00	$688.00	$30.44–$688.00	73% below	87%
X-ray of the hand, 3 or more views one side CPT 73130 HAND COMPLETE RIGHT, MIN 3V	$92.00	$688.00	$30.44–$688.00	73% below	87%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE LEFT 1-2 VIEWS	$92.00	$620.00	$27.35–$620.00	68% below	85%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE RIGHT 1-2 VIEWS	$92.00	$620.00	$27.35–$620.00	68% below	85%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LUMBAR SPINE MIN 3 VIEWS	$111.00	$994.00	$30.78–$994.00	75% below	89%
X-ray of the lower back, 4 or more views CPT 72110 SPINE XR LUMBAR COMPL	$111.00	$1,495.00	$42.10–$1,495.00	81% below	93%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR THORACIC SPINE AP & LAT	$111.00	$957.00	$24.26–$957.00	70% below	88%
X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES MIN 3 VIEWS	$92.00	$643.00	$30.09–$643.00	69% below	86%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CV SPINE-2	$92.00	$988.00	$30.44–$988.00	74% below	91%
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS PORTABLE	$111.00	$524.00	$20.49–$524.00	68% below	79%
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS	$111.00	$524.00	$20.49–$524.00	68% below	79%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM & COCCYX MIN 2 VIEWS	$92.00	$888.00	$24.60–$888.00	73% below	90%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Illinois	Off list
ACTH blood test CPT 82024 ADRENOCORTICOTROPHIC HORMONE	$38.00	$771.00	$23.17–$771.00	81% below	95%
ACTH blood test CPT 82024 CORTICOTROPIN RELEASING HORMON	$38.00	$771.00	$23.17–$771.00	81% below	95%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT, LIVER FIBROSIS	$5.00	$296.00	$3.18–$296.00	91% below	98%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT (SGPT)	$5.00	$296.00	$3.18–$296.00	91% below	98%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST, LIVER FIBROSIS	$5.00	$261.00	$3.11–$261.00	91% below	98%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST (SGOT)	$5.00	$261.00	$3.11–$261.00	91% below	98%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL (A,B,C)	$47.00	$688.00	$9.20–$688.00	82% below	93%
Albumin blood test CPT 82040 ALBUMIN - 82040 - 30000520	$4.00	$144.00	$2.97–$144.00	91% below	97%
Albumin blood test CPT 82040 ALBUMIN SERUM	$4.00	$144.00	$2.97–$144.00	91% below	97%
Albumin blood test CPT 82040 *ALBUMIN FOR TESTOSTERONE	$4.00	$144.00	$2.97–$144.00	91% below	97%
Aldosterone blood test CPT 82088 ALDOSTERONE	$40.00	$608.00	$24.45–$608.00	76% below	93%
Aldosterone blood test CPT 82088 ALDOSTERONE, 24 HOUR URINE	$40.00	$608.00	$24.45–$608.00	76% below	93%
Alkaline phosphatase (ALP) blood test CPT 84075 ALK PHOS, BONE SPECIFIC	$5.00	$135.00	$3.11–$135.00	91% below	96%
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE	$5.00	$135.00	$3.11–$135.00	91% below	96%
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE QUEST	$5.00	$135.00	$3.11–$135.00	91% below	96%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN MOLD PROFILE	$5.00	$906.00	$3.13–$1,293.00	82% below	99%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,HELMENTHOSPORIUM	$5.00	$757.00	$3.13–$1,293.00	82% below	99%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN-FORMALDEHYDE	$5.00	$757.00	$3.13–$1,293.00	82% below	99%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,HORMODENDRUM	$5.00	$757.00	$3.13–$1,293.00	82% below	99%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,BOTRYTIS CINEREA	$5.00	$757.00	$3.13–$1,293.00	82% below	99%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, TILAPIA	$5.00	$757.00	$3.13–$1,293.00	82% below	99%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, FOOD PORK IGE	$5.00	$503.00	$3.13–$1,293.00	82% below	99%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN NUT PROFILE	$5.00	$955.00	$3.13–$1,293.00	82% below	99%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN GROUP - 86003 - 30010720	$5.00	$1,257.00	$3.13–$1,293.00	82% below	100%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN GLUTEN	$5.00	$503.00	$3.13–$1,293.00	82% below	99%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, FUNGI/MOLD IGE	$5.00	$503.00	$3.13–$1,293.00	82% below	99%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN FOOD PANEL #1	$5.00	$906.00	$3.13–$1,293.00	82% below	99%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, FOOD BEEF IGE	$5.00	$503.00	$3.13–$1,293.00	82% below	99%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SEAFOOD PROFILE	$5.00	$955.00	$3.13–$1,293.00	82% below	99%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN GROUP 28	$5.00	$1,293.00	$3.13–$1,293.00	82% below	100%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IgE ,QNT	$5.00	$122.00	$3.13–$1,293.00	82% below	96%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN TREE PROFILE	$5.00	$1,156.00	$3.13–$1,293.00	82% below	100%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, CATFISH	$5.00	$879.00	$3.13–$1,293.00	82% below	99%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN FOOD ALLERGY PROFILE	$5.00	$1,257.00	$3.13–$1,293.00	82% below	100%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN GROUP 20	$5.00	$1,293.00	$3.13–$1,293.00	82% below	100%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN GROUP 30	$5.00	$1,293.00	$3.13–$1,293.00	82% below	100%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN WEED PROFILE	$5.00	$1,208.00	$3.13–$1,293.00	82% below	100%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN DUST PROFILE	$5.00	$955.00	$3.13–$1,293.00	82% below	99%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN INSECT VENOM PROFILE	$5.00	$804.00	$3.13–$1,293.00	82% below	99%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN GRASS PROFILE	$5.00	$1,156.00	$3.13–$1,293.00	82% below	100%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PISTACHIO	$5.00	$503.00	$3.13–$1,293.00	82% below	99%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN ANIMAL PROFILE	$5.00	$906.00	$3.13–$1,293.00	82% below	99%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN CEREAL PROFILE	$5.00	$906.00	$3.13–$1,293.00	82% below	99%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN GROUP - 86003 - 30010700	$5.00	$1,293.00	$3.13–$1,293.00	82% below	100%
Alpha-fetoprotein (AFP) blood test CPT 82105 *ALPHA FETOPROTEIN MATERNAL	$16.00	$268.00	$10.06–$268.00	85% below	94%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROTEIN TUMOR MARKER	$16.00	$268.00	$10.06–$268.00	85% below	94%
Ammonia blood test CPT 82140 AMMONIA	$14.00	$255.00	$8.74–$255.00	87% below	95%
Ammonia blood test CPT 82140 AMMONIUM 24 HOUR URINE	$14.00	$255.00	$8.74–$255.00	87% below	95%
Amylase blood test CPT 82150 AMYLASE, BODY FLUID	$6.00	$320.00	$3.89–$320.00	93% below	98%
Amylase blood test CPT 82150 AMYLASE, RANDOM URINE	$6.00	$320.00	$3.89–$320.00	93% below	98%
Amylase blood test CPT 82150 AMYLASE	$6.00	$320.00	$3.89–$320.00	93% below	98%
Amylase blood test CPT 82150 AMYLASE, 2 HR URINE	$6.00	$320.00	$3.89–$320.00	93% below	98%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYC CITRULLINATED PEP, AB	$12.00	$152.00	$7.77–$153.00	86% below	92%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 ANTI-CYCLIC CITRULLINE PEP AB	$12.00	$153.00	$7.77–$153.00	86% below	92%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTI-NUCLEAR ANTIBODY SCREEN	$12.00	$186.00	$7.25–$186.00	87% below	94%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BRAIN NATIURETIC PEPTIDE CHF	$39.00	$136.00	$23.56–$136.00	79% below	71%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CSF CULTURE	$8.00	$335.00	$5.17–$335.00	91% below	98%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE OTHR SPECIMN AEROBIC	$8.00	$140.00	$5.17–$335.00	91% below	94%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 EAR CULTURE	$8.00	$335.00	$5.17–$335.00	91% below	98%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 EYE CULTURE	$8.00	$335.00	$5.17–$335.00	91% below	98%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 GENITAL CULTURE	$8.00	$335.00	$5.17–$335.00	91% below	98%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 NASOPHARYNGEAL CULTURE	$8.00	$335.00	$5.17–$335.00	91% below	98%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 MISCELLANEOUS CULTURE	$8.00	$335.00	$5.17–$335.00	91% below	98%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 NOSE CULTURE	$8.00	$335.00	$5.17–$335.00	91% below	98%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 SPUTUM CULTURE	$8.00	$335.00	$5.17–$335.00	91% below	98%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 TISSUE (BIOPSY) CULTURE	$8.00	$335.00	$5.17–$335.00	91% below	98%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 WOUND CULTURE	$8.00	$335.00	$5.17–$335.00	91% below	98%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 ABSCESS CULTURE	$8.00	$335.00	$5.17–$335.00	91% below	98%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 BRONCHIAL WASHING CULTURE	$8.00	$335.00	$5.17–$335.00	91% below	98%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 BONE CULTURE	$8.00	$335.00	$5.17–$335.00	91% below	98%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 BONE MARROW CULTURE	$8.00	$335.00	$5.17–$335.00	91% below	98%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 BODY FLUID CULTURE	$8.00	$335.00	$5.17–$335.00	91% below	98%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 BRONCHIAL ASPIRATE CULTURE	$8.00	$335.00	$5.17–$335.00	91% below	98%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 BRONCHOALVEOLAR LAVAGE CULTURE	$8.00	$335.00	$5.17–$335.00	91% below	98%
Bilirubin blood test, total CPT 82247 BILIRUBIN, TOTAL, BODY FLUID	$5.00	$96.00	$3.01–$96.00	92% below	95%
Bilirubin blood test, total CPT 82247 BILIRUBIN, TOTAL	$5.00	$96.00	$3.01–$96.00	92% below	95%
Bilirubin blood test, total CPT 82247 BILIRUBIN, CORD	$5.00	$96.00	$3.01–$96.00	92% below	95%
Bilirubin blood test, total CPT 82247 BILIRUBIN, NEONATAL TOTAL	$5.00	$96.00	$3.01–$96.00	92% below	95%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 GROSS & MICROSCOPIC - LEVEL 4	$55.00	$1,000.00	$36.27–$1,201.00	78% below	95%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 RENAL BX SURG G & M, U OF C*	$55.00	$1,201.00	$36.27–$1,201.00	78% below	95%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 NERBX-Nerve Biopsy	$55.00	$1,000.00	$36.27–$1,201.00	78% below	95%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 CELL BLOCK	$55.00	$1,000.00	$36.27–$1,201.00	78% below	95%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 DRAW FEE BAND AND HOLD	$9.00	$69.00	$3.43–$69.00	62% below	87%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 ADMINISTRATION CHARGE	$9.00	$69.00	$3.43–$69.00	62% below	87%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 BLOOD DRAW	$9.00	$69.00	$3.43–$69.00	62% below	87%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 DRAW & PREP, BLOOD CULTURE	$9.00	$69.00	$3.43–$69.00	62% below	87%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE BLOOD COLLECTION	$9.00	$69.00	$3.43–$69.00	62% below	87%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 DRAW FEE-ROUTINE	$9.00	$69.00	$3.43–$69.00	62% below	87%
Blood glucose (sugar) test CPT 82947 GLUCOSE	$3.00	$100.00	$2.36–$100.00	93% below	97%
Blood lead test CPT 83655 LEAD SCREEN	$12.00	$125.00	$7.27–$125.00	78% below	90%
Blood lead test CPT 83655 OHS LEAD SCREENING GROUP	$12.00	$125.00	$7.27–$125.00	78% below	90%
Blood lead test CPT 83655 LEAD, URINE - 83655 - 30003865	$12.00	$125.00	$7.27–$125.00	78% below	90%
Blood lead test CPT 83655 LEAD, URINE - 83655 - 30101855	$12.00	$125.00	$7.27–$125.00	78% below	90%
Blood lead test CPT 83655 LEAD BLOOD	$12.00	$125.00	$7.27–$125.00	78% below	90%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG SERUM QUALITATIVE	$7.00	$258.00	$4.51–$258.00	92% below	97%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPE	$141.00	$152.00	$3.00–$152.00	68% above	7%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 CORD BLOOD TYPE	$141.00	$152.00	$3.00–$152.00	68% above	7%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 SECOND BLOOD TYPE	$141.00	—	$3.00–$152.00	68% above	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPE HBC	$141.00	$152.00	$3.00–$152.00	68% above	7%
Blood urea nitrogen (BUN) test CPT 84520 BLOOD UREA NITROGEN	$3.00	$207.00	$2.37–$207.00	94% below	99%
Blood urea nitrogen (BUN) test CPT 84520 BLOOD UREA NITROGEN, BODY FLD	$3.00	$207.00	$2.37–$207.00	94% below	99%
C-peptide blood test CPT 84681 C-PEPTIDE	$20.00	$470.00	$12.17–$470.00	81% below	96%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 IBD-C-REATIVE PROTEIN	$5.00	$166.00	$3.11–$166.00	93% below	97%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN	$5.00	$166.00	$3.11–$166.00	93% below	97%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN BF QUEST	$5.00	$166.00	$3.11–$166.00	93% below	97%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN, TITER	$5.00	$166.00	$3.11–$166.00	93% below	97%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFFICILE PCR	$37.00	$166.00	$22.36–$166.00	80% below	78%
CA 19-9 blood test (tumor marker) CPT 86301 CANCER ANTIGEN 19-9	$20.00	$419.00	$11.72–$419.00	82% below	95%
CA-125 blood test (ovarian cancer marker) CPT 86304 CANCER ANTIGEN 125	$20.00	$513.00	$11.72–$513.00	88% below	96%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 HI SENSITIVITY/PRE-OP	$51.00	$216.00	$30.79–$216.00	56% below	76%
Calcium blood test, total CPT 82310 CALCIUM	$5.00	$231.00	$3.10–$231.00	89% below	98%
Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANTIGEN	$18.00	$448.00	$11.38–$448.00	87% below	96%
Carcinoembryonic antigen (CEA) test CPT 82378 CEA BODY FLUID	$18.00	$448.00	$11.38–$448.00	87% below	96%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER VIRUS AB, IGG	$12.00	$135.00	$7.73–$161.00	83% below	91%
Chickenpox (varicella) immunity blood test CPT 86787 ANTIBODY:VARICELLA-ZOSTER	$12.00	$161.00	$7.73–$161.00	83% below	93%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER VIRUS AB, IGM	$12.00	$135.00	$7.73–$161.00	83% below	91%
Chickenpox (varicella) immunity blood test CPT 86787 VZV TOTAL IGM ACIF IFA CSF	$12.00	$135.00	$7.73–$161.00	83% below	91%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C.TRACHMATIS BY PCR	$35.00	$386.00	$21.05–$386.00	72% below	91%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C.TRACHOMATIS BY TMA	$35.00	$386.00	$21.05–$386.00	72% below	91%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA BY DNA PROBE	$35.00	$386.00	$21.05–$386.00	72% below	91%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$13.00	$581.00	$8.03–$581.00	90% below	98%
Complete blood count (CBC) with differential CPT 85025 COMPLETE BLOOD COUNT	$7.00	$250.00	$4.66–$250.00	91% below	97%
Complete blood count (CBC), no differential CPT 85027 CBC NO DIFF	$6.00	$123.00	$3.88–$123.00	91% below	95%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL	$10.00	$626.00	$6.34–$626.00	94% below	98%
Cortisol blood test, total CPT 82533 CORTISOL, RANDOM	$16.00	$272.00	$9.78–$272.00	86% below	94%
Cortisol blood test, total CPT 82533 CORTISOL AM	$16.00	$272.00	$9.78–$272.00	86% below	94%
Cortisol blood test, total CPT 82533 CORTISOL RANDOM URINE	$16.00	$272.00	$9.78–$272.00	86% below	94%
Cortisol blood test, total CPT 82533 CORTISOL PM	$16.00	$272.00	$9.78–$272.00	86% below	94%
Cortisol blood test, total CPT 82533 CORTISOL #3, CORT STIM PANEL	$16.00	$272.00	$9.78–$272.00	86% below	94%
Creatine kinase (CK) blood test, total CPT 82550 CREATININE KINASE TOTAL	$6.00	$228.00	$3.91–$228.00	90% below	97%
Creatine kinase (CK) blood test, total CPT 82550 CREATINE PHOSPHOKINASE	$6.00	$228.00	$3.91–$228.00	90% below	97%
Creatinine blood test CPT 82565 CREATINE	$5.00	$216.00	$3.07–$216.00	89% below	98%
Creatinine blood test CPT 82565 CREATININE	$5.00	$216.00	$3.07–$216.00	89% below	98%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV NEGATIVE CHARGE	$14.00	$167.00	$8.63–$167.00	84% below	92%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV, IGG	$14.00	$167.00	$8.63–$167.00	84% below	92%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER, QUANTITATIVE	$10.00	$175.00	$4.51–$175.00	92% below	94%
DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE SULFATE	$22.00	$306.00	$13.34–$306.00	80% below	93%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN MECONIUM 9 W/RFX	$62.00	$358.00	$37.28–$22,118.00	38% below	83%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN CLASS LIST A	$62.00	$358.00	$37.28–$22,118.00	38% below	83%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen 9 Panel, Serum	$62.00	$358.00	$37.28–$22,118.00	38% below	83%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN SER TOX	$62.00	$358.00	$37.28–$22,118.00	38% below	83%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG PANEL 9 UR W/CONFIRMATION	$62.00	$358.00	$37.28–$22,118.00	38% below	83%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG ABUSE PANEL 8 W CONFRIM	$62.00	$358.00	$37.28–$22,118.00	38% below	83%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN UMBILICAL CORD	$62.00	$358.00	$37.28–$22,118.00	38% below	83%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN UR, GEN	$62.00	$358.00	$37.28–$22,118.00	38% below	83%
Drug screen by lab instrument (any number of drug classes) CPT 80307 BUPRENORPHINE UM SCREEN	$62.00	$358.00	$37.28–$22,118.00	38% below	83%
Drug screen by lab instrument (any number of drug classes) CPT 80307 NICOTINE (COTININE)	$62.00	$358.00	$37.28–$22,118.00	38% below	83%
Drug screen by lab instrument (any number of drug classes) CPT 80307 OXYCODONE	$62.00	$358.00	$37.28–$22,118.00	38% below	83%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Pain Management Panel w/INTRP	$62.00	$358.00	$37.28–$22,118.00	38% below	83%
Drug screen by lab instrument (any number of drug classes) CPT 80307 FLUNITRAZEPAM & MET, SERUM	$62.00	$358.00	$37.28–$22,118.00	38% below	83%
Drug screen by lab instrument (any number of drug classes) CPT 80307 GAMMA-HYDROXYBUT AC,UR	$62.00	$358.00	$37.28–$22,118.00	38% below	83%
Drug screen by lab instrument (any number of drug classes) CPT 80307 NICOTINE (COTININE) URINE	$62.00	$358.00	$37.28–$22,118.00	38% below	83%
Drug screen by lab instrument (any number of drug classes) CPT 80307 FLUNITRAZEPAM & MET, URINE	$62.00	$358.00	$37.28–$22,118.00	38% below	83%
Drug screen by lab instrument (any number of drug classes) CPT 80307 ECSTACY	$62.00	$358.00	$37.28–$22,118.00	38% below	83%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug test prsmv chem anlyzr	$62.00	$22,118.00	$37.28–$22,118.00	38% below	100%
Drug screen by lab instrument (any number of drug classes) CPT 80307 G-HYDROXYBUT AC	$62.00	$358.00	$37.28–$22,118.00	38% below	83%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTES	$7.00	$267.00	$4.21–$267.00	93% below	97%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV CAPSID AG, IGG	$18.00	$311.00	$10.88–$311.00	83% below	94%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV CAPSID AG, IGM	$18.00	$311.00	$10.88–$311.00	83% below	94%
Estradiol blood test CPT 82670 ESTRADIOL	$27.00	$718.00	$13.00–$718.00	75% below	96%
Estradiol blood test CPT 82670 ESTRADIOL, SENSITIVE	$27.00	$684.00	$13.00–$718.00	75% below	96%
Estradiol blood test CPT 82670 ESTRADIOL BY TMS	$27.00	$718.00	$13.00–$718.00	75% below	96%
FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIMULATING HORMONE	$18.00	$399.00	$11.15–$399.00	85% below	95%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN, FECAL	$19.00	$158.00	$11.78–$158.00	89% below	88%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$13.00	$400.00	$8.18–$400.00	90% below	97%
Fibrinogen blood test CPT 85384 FIBRINOGEN, ACTIVITY	$9.00	$41.00	$4.51–$41.00	89% below	78%
Fibrinogen blood test CPT 85384 LUPUS FIBRINOGEN CHARGE	$9.00	$41.00	$4.51–$41.00	89% below	78%
Folate (folic acid) blood test CPT 82746 FOLIC ACID (FOLATE)	$14.00	$228.00	$8.82–$228.00	88% below	94%
Free T3 thyroid hormone test CPT 84481 T3(TRI-IODOTHYRONINE), FREE	$16.00	$454.00	$10.16–$454.00	87% below	96%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 (THYROXINE), FREE	$9.00	$256.00	$5.41–$256.00	92% below	96%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE, DIRECT DIALYSIS	$9.00	$256.00	$5.41–$256.00	92% below	96%
Free testosterone test CPT 84402 TESTOST FREE (FEMALE OR CHILD)	$25.00	$535.00	$13.44–$535.00	80% below	95%
Free testosterone test CPT 84402 TESTOSTERONE, FREE	$25.00	$535.00	$13.44–$535.00	80% below	95%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT, LIVER FIBROSIS	$7.00	$105.00	$4.32–$105.00	88% below	93%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GAMMA GLUTAMYL TRANSFERASE	$7.00	$105.00	$4.32–$105.00	88% below	93%
Glucose tolerance test, 3 samples CPT 82951 GTT, SPECIMENS 1-3	$12.00	$342.00	$7.72–$342.00	91% below	96%
Glucose tolerance test, 3 samples CPT 82951 GESTATIONAL GTT 2 HOUR	$12.00	$342.00	$7.72–$342.00	91% below	96%
Glucose tolerance test, 3 samples CPT 82951 GESTATIONAL GTT 3 HOUR	$12.00	$342.00	$7.72–$342.00	91% below	96%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE BY PCR	$35.00	$379.00	$21.05–$379.00	71% below	91%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE BY TMA	$35.00	$379.00	$21.05–$379.00	71% below	91%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC BY DNA PROBE	$35.00	$379.00	$21.05–$379.00	71% below	91%
H. pylori antibody blood test CPT 86677 H. PYLORI IGG ANTIBODY QUANT	$16.00	$173.00	$10.11–$173.00	86% below	91%
H. pylori stool antigen test CPT 87338 H. PYLORI ANTIGEN STOOL	$14.00	$217.00	$8.63–$227.00	88% below	94%
H. pylori stool antigen test CPT 87338 H. PYLORI AG STOOL	$14.00	$227.00	$8.63–$227.00	88% below	94%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV VIRAL LOAD	$85.00	$403.00	$43.65–$403.00	75% below	79%
HIV-1 and HIV-2 antibody test CPT 86703 HIV 1&2 ANTIBODY SCREEN	$13.00	$218.00	$8.23–$218.00	89% below	94%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV1 ANTIGEN W/HIV1&2 ANTI SGL	$24.00	$136.00	$10.73–$136.00	79% below	82%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1/2 AG/AB	$24.00	$136.00	$10.73–$136.00	79% below	82%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV1/2 AG/AB 5TH GENERATION	$24.00	$136.00	$10.73–$136.00	79% below	82%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH RISK PCR	$35.00	$157.00	$21.05–$157.00	76% below	78%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HUMAN PAPILLOMA VIRUS	$35.00	$157.00	$21.05–$157.00	76% below	78%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV E6/E7 REC W/R GT16 18/45	$35.00	$157.00	$21.05–$157.00	76% below	78%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C (GLYCOSYLATED)	$9.00	$245.00	$5.50–$245.00	90% below	96%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE AB, TOTAL	$12.00	$76.00	$7.23–$76.00	85% below	84%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE AB, QUAL	$10.00	$180.00	$6.44–$180.00	89% below	94%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIGEN	$10.00	$255.00	$6.20–$255.00	89% below	96%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY	$14.00	$401.00	$8.56–$401.00	88% below	97%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV QT BY PCR	$42.00	$653.00	$25.70–$653.00	84% below	94%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C BRANCH DNA, QUANT	$42.00	$653.00	$25.70–$653.00	84% below	94%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C RNA PCR, QNT PANEL	$42.00	$653.00	$25.70–$653.00	84% below	94%
Herpes blood test, HSV-1 antibody CPT 86695 ANTIBODY:HERPES SIMPLEX,TYPE1	$13.00	$204.00	$7.91–$204.00	81% below	94%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX, TYPE 1, IGG	$13.00	$170.00	$7.91–$204.00	81% below	92%
Herpes blood test, HSV-1 antibody CPT 86695 HSV TYPE 1, IGG CSF	$13.00	$204.00	$7.91–$204.00	81% below	94%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 IGM	$13.00	$170.00	$7.91–$204.00	81% below	92%
Herpes blood test, HSV-1 antibody CPT 86695 HSV1 IGM TITER (CSF)	$13.00	$170.00	$7.91–$204.00	81% below	92%
Herpes blood test, HSV-2 antibody CPT 86696 HSV2 IGM TITER (CSF)	$19.00	$210.00	$11.61–$252.00	79% below	91%
Herpes blood test, HSV-2 antibody CPT 86696 HSV TYPE 2, IGG CSF	$19.00	$210.00	$11.61–$252.00	79% below	91%
Herpes blood test, HSV-2 antibody CPT 86696 ANTIBODY:HERPES SIMPLEX,TYPE2	$19.00	$252.00	$11.61–$252.00	79% below	92%
Herpes blood test, HSV-2 antibody CPT 86696 HSV2 IGG INHIBITION IA	$19.00	$210.00	$11.61–$252.00	79% below	91%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2, IGG	$19.00	$210.00	$11.61–$252.00	79% below	91%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 IGM	$19.00	$210.00	$11.61–$252.00	79% below	91%
High-sensitivity CRP (hs-CRP) test CPT 86141 CARDIAC CRP HIGHLY SENSITIVE	$12.00	$159.00	$7.77–$159.00	87% below	92%
Homocysteine blood test CPT 83090 HOMOCYSTEINE	$17.00	$700.00	$10.75–$700.00	86% below	98%
Homocysteine blood test CPT 83090 HOMOCYSTEINE, URINE QUEST	$17.00	$700.00	$10.75–$700.00	86% below	98%
Insulin blood test CPT 83525 INSULIN TOTAL	$11.00	$235.00	$6.86–$235.00	85% below	95%
Insulin blood test CPT 83525 INSULIN	$11.00	$235.00	$6.86–$235.00	85% below	95%
Iron blood test (serum iron) CPT 83540 IRON, TISSUE	$6.00	$170.00	$3.88–$170.00	92% below	96%
Iron blood test (serum iron) CPT 83540 IRON (FE)	$6.00	$170.00	$3.88–$170.00	92% below	96%
Iron-binding capacity (TIBC) test CPT 83550 TOTAL IRON BINDING CAPACITY	$8.00	$197.00	$5.24–$197.00	90% below	96%
LH (luteinizing hormone) test CPT 83002 LUTENINIZING HORMONE	$18.00	$426.00	$11.11–$426.00	84% below	96%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID, CSF	$11.00	$210.00	$6.94–$210.00	88% below	95%
Lactate (lactic acid) blood test CPT 83605 LACTATE	$11.00	$210.00	$6.94–$210.00	88% below	95%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID	$11.00	$210.00	$6.94–$210.00	88% below	95%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE,BODY FLD	$6.00	$244.00	$3.62–$244.00	89% below	98%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE - 83615 - 30000620	$6.00	$244.00	$3.62–$244.00	89% below	98%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE - 83615 - 30005525	$6.00	$244.00	$3.62–$244.00	89% below	98%
Lactate dehydrogenase (LDH) blood test CPT 83615 CSF,LD	$6.00	$244.00	$3.62–$244.00	89% below	98%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE, BODY FLUID	$6.00	$454.00	$4.13–$454.00	93% below	99%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$6.00	$454.00	$4.13–$454.00	93% below	99%
Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODY	$17.00	$455.00	$10.22–$455.00	77% below	96%
Magnesium blood test CPT 83735 MAGNESIUM,RBC	$6.00	$240.00	$4.02–$240.00	91% below	98%
Magnesium blood test CPT 83735 MAGNESIUM, 24 HR URINE	$6.00	$240.00	$4.02–$240.00	91% below	98%
Magnesium blood test CPT 83735 MAGNESIUM, RANDOM URINE	$6.00	$240.00	$4.02–$240.00	91% below	98%
Magnesium blood test CPT 83735 MAGNESIUM	$6.00	$240.00	$4.02–$240.00	91% below	98%
Measles (rubeola) antibody test CPT 86765 ANTIBODY:RUBEOLA	$12.00	$155.00	$7.73–$155.00	84% below	92%
Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY (MEASLES),IGG	$12.00	$127.00	$7.73–$155.00	84% below	91%
Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY (MEASLES),IGM	$12.00	$127.00	$7.73–$155.00	84% below	91%
Measles (rubeola) antibody test CPT 86765 MEASLES IGG IGM PANEL IFA CSF	$12.00	$127.00	$7.73–$155.00	84% below	91%
Mumps immunity blood test CPT 86735 MUMPS VIRUS AB IGG	$13.00	$130.00	$7.83–$157.00	83% below	90%
Mumps immunity blood test CPT 86735 MUMPS IGG IGM PANEL IFA CSF	$13.00	$130.00	$7.83–$157.00	83% below	90%
Mumps immunity blood test CPT 86735 OHS MUMPS ANTIBODY IGG	$13.00	$130.00	$7.83–$157.00	83% below	90%
Mumps immunity blood test CPT 86735 MUMPS VIRUS AB IGM	$13.00	$130.00	$7.83–$157.00	83% below	90%
Mumps immunity blood test CPT 86735 ANTIBODY:MUMPS	$13.00	$157.00	$7.83–$157.00	83% below	92%
Obstetric blood test panel CPT 80055 OB PRENATAL PANEL	$47.00	$432.00	$9.20–$432.00	78% below	89%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE - 84154 - 30006600	$18.00	$259.00	$11.03–$259.00	82% below	93%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE - 84154 - 30190055	$18.00	$259.00	$11.03–$259.00	82% below	93%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC AG (PSA)	$18.00	$286.00	$11.03–$286.00	84% below	94%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL	$18.00	$286.00	$11.03–$286.00	84% below	94%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATIC SPECIFIC AG, DIAG	$18.00	$286.00	$11.03–$286.00	84% below	94%
Pap test (liquid-based, automated screening with review) CPT 88175 PAP THIN LAYER (IMAGING)	$26.00	$176.00	$15.97–$176.00	80% below	85%
Pap test (liquid-based, automated screening with review) CPT 88175 PAP, THIN LAYER, DIAGNOSTIC	$26.00	$176.00	$15.97–$176.00	80% below	85%
Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT INTERAOPERATIVE	$41.00	$636.00	$24.77–$636.00	82% below	94%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID INTACT*	$41.00	$636.00	$24.77–$636.00	82% below	94%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT-LA SCREEN (PTT-D)	$6.00	$167.00	$3.61–$242.00	91% below	96%
Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBO PLASTIN TIME	$6.00	$242.00	$3.61–$242.00	91% below	98%
Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBOPLASTIN TIME	$6.00	$167.00	$3.61–$242.00	91% below	96%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT INHIBITOR SCREEN, 1HR	$6.00	$88.00	$3.61–$242.00	91% below	93%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT MIXING STUDIES	$6.00	$88.00	$3.61–$242.00	91% below	93%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT LUPUS ANTICOAGULANT EVAL	$6.00	$167.00	$3.61–$242.00	91% below	96%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS	$4.00	$102.00	$2.84–$102.00	93% below	96%
Potassium blood test CPT 84132 POTASSIUM	$4.00	$101.00	$2.86–$101.00	91% below	96%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 FETAL CHRMOML ANEUPLOIDY	$759.00	$2,180.00	$436.00–$2,180.00	14% below	65%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 NIPT FETAL ANEUPLOIDY	$759.00	$2,180.00	$436.00–$2,180.00	14% below	65%
Progesterone blood test CPT 84144 PROGESTERONE	$20.00	$678.00	$12.52–$678.00	86% below	97%
Prolactin blood test CPT 84146 PROLACTIN	$19.00	$499.00	$11.63–$499.00	85% below	96%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME - 85610 - 30000115	$4.00	$122.00	$2.57–$176.00	90% below	97%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME - 85610 - 30120255	$4.00	$176.00	$2.57–$176.00	90% below	98%
Prothrombin time (PT/INR) clotting test CPT 85610 LUPUS PROTHROMBIN TIME	$4.00	$122.00	$2.57–$176.00	90% below	97%
Prothrombin time (PT/INR) clotting test CPT 85610 PT INHIBITOR SCREEN	$4.00	$176.00	$2.57–$176.00	90% below	98%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A/B ANTIGEN	$16.00	$191.00	$9.93–$191.00	78% below	92%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 RAPID STREP SCREEN - GROUP A	$16.00	$184.00	$9.92–$184.00	74% below	91%
Renin blood test CPT 84244 DIRECT RENIN	$21.00	$272.00	$13.19–$272.00	82% below	92%
Renin blood test CPT 84244 RENIN ACTIVITY	$21.00	$272.00	$13.19–$272.00	82% below	92%
Rh blood typing CPT 86901 SECOND RH	$39.00	—	$3.31–$115.00	43% below	—
Rh blood typing CPT 86901 RH TYPE HBC	$39.00	$115.00	$3.31–$115.00	43% below	66%
Rh blood typing CPT 86901 RH TYPE	$39.00	$115.00	$3.31–$115.00	43% below	66%
Rh blood typing CPT 86901 CORD BLOOD RH	$39.00	$115.00	$3.31–$115.00	43% below	66%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR, BF	$5.00	$20.00	$3.40–$147.00	92% below	75%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT	$5.00	$147.00	$3.40–$147.00	92% below	97%
Rheumatoid factor (RF) test CPT 86431 RHEUMATIOD FACTOR, BODY FLUID	$5.00	$147.00	$3.40–$147.00	92% below	97%
Rubella antibody test (immunity check) CPT 86762 RUBELLA, IGM	$14.00	$141.00	$8.63–$141.00	81% below	90%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY, IGM	$14.00	$141.00	$8.63–$141.00	81% below	90%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY QUANTITATIVE	$14.00	$141.00	$8.63–$141.00	81% below	90%
Sodium blood test CPT 84295 SODIUM	$4.00	$88.00	$2.89–$88.00	92% below	95%
Stool ova and parasites exam CPT 87177 OVA AND PARASITES	$8.00	$140.00	$5.34–$140.00	89% below	94%
Syphilis antibody test (Treponema pallidum) CPT 86780 CSF FTA-ABS	$13.00	$69.00	$7.94–$69.00	80% below	81%
Syphilis antibody test (Treponema pallidum) CPT 86780 FTA (TREPONEMA) ANTIBODIES	$13.00	$69.00	$7.94–$69.00	80% below	81%
Syphilis antibody test (Treponema pallidum) CPT 86780 SYPHILLIS AB (T Pallidum)	$13.00	$69.00	$7.94–$69.00	80% below	81%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL, CSF	$4.00	$141.00	$2.56–$141.00	92% below	97%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR SCREEN	$4.00	$141.00	$2.56–$141.00	92% below	97%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON-TB GOLD	$61.00	$256.00	$37.19–$256.00	72% below	76%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, TOTAL	$25.00	$605.00	$13.44–$605.00	80% below	96%
Testosterone blood test, total (not free testosterone) CPT 84403 *TESTOSTERONE TOTAL	$25.00	$605.00	$13.44–$605.00	80% below	96%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDATE ANTIBODIES	$14.00	$268.00	$8.73–$268.00	82% below	95%
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER KIDNEY MICROSOMAL SCREEN	$14.00	$268.00	$8.73–$268.00	82% below	95%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH (CASCADE)	$16.00	$350.00	$10.08–$350.00	86% below	95%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE	$16.00	$350.00	$10.08–$350.00	86% below	95%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH NEONATAL SCREEN	$16.00	$350.00	$10.08–$350.00	86% below	95%
Total IgE blood test CPT 82785 IMMUNOGLOBULIN E QUANTITATIVE	$16.00	$224.00	$9.88–$224.00	82% below	93%
Total IgE blood test CPT 82785 ALLERGEN TOTAL IgE	$16.00	$224.00	$9.88–$224.00	82% below	93%
Total cholesterol blood test CPT 82465 CHOLESTEROL	$4.00	$120.00	$2.61–$120.00	91% below	97%
Total cholesterol blood test CPT 82465 CHOLESTEROL, BODY FLUID	$4.00	$120.00	$2.61–$120.00	91% below	97%
Total thyroxine (T4) blood test CPT 84436 THYROXINE, T4 TOTAL	$6.00	$232.00	$4.12–$232.00	93% below	97%
Total triiodothyronine (T3) blood test CPT 84480 T3 (TRI-IODOTHRONINE), TOTAL	$14.00	$254.00	$8.51–$254.00	85% below	94%
Transferrin blood test CPT 84466 TRANSFERRIN	$12.00	$111.00	$7.66–$111.00	87% below	89%
Trichomonas test (NAAT) CPT 87661 T.BAGINALIS BY PCR	$35.00	$132.00	$21.05–$132.00	72% below	73%
Triglycerides blood test CPT 84478 TRIGLYCERIDES, BODY FLUID	$5.00	$170.00	$3.44–$170.00	89% below	97%
Triglycerides blood test CPT 84478 TRIGLYCERIDES	$5.00	$170.00	$3.44–$170.00	89% below	97%
Triglycerides blood test CPT 84478 ASSAY OF TRIGLYCERIDES	$5.00	$170.00	$3.44–$170.00	89% below	97%
Troponin test, quantitative CPT 84484 TROPONIN I	$12.00	$453.00	$7.48–$453.00	92% below	97%
Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE	$8.00	$180.00	$4.84–$180.00	91% below	96%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN, RANDOM URINE	$5.00	$233.00	$3.07–$233.00	92% below	98%
Urine pregnancy test, read by color change CPT 81025 HCG, URINE	$8.00	$348.00	$3.07–$348.00	89% below	98%
Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST	$8.00	$348.00	$3.07–$348.00	89% below	98%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12	$15.00	$244.00	$9.05–$244.00	88% below	94%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY	$29.00	$721.00	$17.76–$721.00	84% below	96%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 OH (D2,D3) GROUP	$29.00	$721.00	$17.76–$721.00	84% below	96%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D, 1, 25-DIHYDROXY	$38.00	$653.00	$23.10–$653.00	80% below	94%
Zinc blood test CPT 84630 ZINC,NUTRITIONAL	$11.00	$302.00	$6.83–$302.00	85% below	96%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG SERUM QUANTITATIVE	$15.00	$344.00	$9.03–$344.00	86% below	96%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG TUMOR MARKER	$15.00	$344.00	$9.03–$344.00	86% below	96%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG INTACT (TRIPLE)*	$15.00	$344.00	$9.03–$344.00	86% below	96%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Illinois	Off list
Adenoid removal (adenoidectomy), child under 12 CPT 42830 Removal of adenoids	$3,535.00	$11,795.00	$208.40–$11,795.00	33% below	70%
Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 NECK SPINE FUSE&REMOV BEL C2	$13,690.00	$13,572.80	$1,837.00–$13,572.80	12% above	-1%
Appendectomy, open surgery CPT 44950 Appendectomy	$6,903.00	$22,024.00	$679.95–$22,024.00	51% above	69%
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 Knee arthroscopy/surgery - 29888 - OR36029888	$7,737.00	$70,372.00	$558.00–$70,372.00	40% below	89%
Arthroscopic rotator cuff repair of the shoulder CPT 29827 Sho arthrs srg rt8tr cuf rpr	$7,737.00	$24,936.00	$785.00–$24,936.02	17% below	69%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BRE STEREO SPEC IN LES L	$1,761.00	$6,525.00	$148.58–$6,525.00	43% below	73%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BRE STEREO SPEC IN LES R	$1,761.00	$6,525.00	$148.58–$6,525.00	43% below	73%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Treatment of ankle fracture - 27786 -	$263.00	$15,255.30	$249.88–$15,255.33	37% below	98%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Treat metatarsal fracture - 28470 -	$263.00	$12,862.66	$220.29–$12,862.66	59% below	98%
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 Cor hlx vlgs dstl mtar osteo	$3,489.00	$17,003.00	$512.42–$17,003.00	13% below	79%
Bunion correction with removal of part of the big toe joint CPT 28292 Cor hlx vlgs rsc prx phlx bs	$3,489.00	$14,854.00	$486.91–$14,854.00	at median	77%
Cardiac catheterization with coronary angiogram CPT 93458 LHC/COR/LV W/INJ	$3,457.00	$31,567.00	$743.56–$31,567.00	66% below	89%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION - 92960 - 48100320	$704.00	$3,624.00	$99.85–$3,624.00	41% below	81%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION - 92960 - 45000170	$704.00	$3,624.00	$99.85–$3,624.00	41% below	81%
Carpal tunnel release, open surgery CPT 64721 Carpal tunnel surgery	$2,082.00	$11,139.00	$456.01–$11,139.00	41% below	81%
Cataract surgery with lens implant CPT 66984 Xcapsl ctrc rmvl w/o ecp	$2,460.00	$12,955.00	$483.74–$12,955.00	62% below	81%
Catheter ablation for atrial fibrillation CPT 93656 COMP EPS TRSEP W ABLAT AF PVI	$27,872.00	$50,449.00	$232.00–$50,449.00	1% below	45%
Cervical biopsy CPT 57500 BIOPSY OF CERVIX	$982.00	$15,100.00	$74.76–$15,100.00	3% above	93%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 Circum 28 days or older	$2,229.00	$10,894.00	$194.21–$10,894.00	4% below	80%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION W/REGIONAL BLOCK	$2,229.00	$3,887.00	$91.18–$6,952.00	7% above	43%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision w/regionl block	$2,229.00	$6,952.00	$91.18–$6,952.00	7% above	68%
Circumcision, surgical, older than a newborn CPT 54160 CIRCUMCISION	$743.00	$3,887.00	$142.40–$5,626.00	36% below	81%
Circumcision, surgical, older than a newborn CPT 54160 Circumcision neonate	$743.00	$5,626.00	$142.40–$5,626.00	36% below	87%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 Bx of cervix w/scope leep	$3,451.00	$12,914.00	$155.54–$12,914.00	10% above	73%
Complex cataract surgery with lens implant CPT 66982 Xcapsl ctrc rmvl cplx wo ecp	$2,460.00	$16,088.00	$660.62–$16,088.00	65% below	85%
Coronary stent placement, one artery CPT 92928 DE STENT/PTCA MAJ CA OR BRAN	$12,310.00	$25,789.00	$527.18–$25,789.00	12% below	52%
Coronary stent placement, one artery CPT 92928 STENT/PTCA MAJ ART OR BRANCH	$12,310.00	$25,789.00	$527.18–$25,789.00	12% below	52%
Cystoscopy with ureteral stent placement CPT 52332 Cystoscopy and treatment - 52332 - OR36052332	$3,758.00	$14,602.00	$150.51–$14,602.00	10% below	74%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystourethroscopy	$743.00	$18,490.00	$77.05–$18,490.00	41% below	96%
D&C (dilation and curettage), not related to pregnancy CPT 58120 Dilation and curettage	$3,451.00	$13,742.00	$229.26–$13,742.00	7% above	75%
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 Create eardrum opening	$1,654.00	$7,606.00	$154.19–$7,606.00	1% below	78%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI - 69209 - 45060460	$62.00	$147.00	$17.74–$147.00	46% below	58%
Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED CERUMEN	$62.00	$209.00	$29.13–$7,606.00	50% below	70%
Earwax removal with instruments, one ear CPT 69210 Remove impacted ear wax uni - 69210 - OR36069210	$62.00	$7,606.00	$29.13–$7,606.00	50% below	99%
Earwax removal with instruments, one ear CPT 69210 IMPACTED CERUMEN	$62.00	$273.00	$29.13–$7,606.00	50% below	77%
Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 Nsl/sins ndsc w/tot ethmdct	$7,525.00	$28,587.00	$297.25–$28,587.00	at median	74%
Endoscopic sinus surgery: opening the frontal sinus CPT 31276 NSLSINS NDSC FRNT TISS RMVL	$7,525.00	$8,618.66	$346.05–$8,618.66	at median	13%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 EXPLORATION MAXILLARY SINUS	$3,975.00	$8,618.70	$165.44–$8,618.70	at median	54%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 ENDOSCOPY MAXILLARY SINUS	$7,525.00	$7,791.86	$243.55–$7,791.86	at median	3%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INJ INTERLAMNR CRV/THRC W/GUID	$752.00	$1,578.00	$101.32–$7,606.00	58% below	52%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Njx interlaminar crv/thrc	$752.00	$7,606.00	$101.32–$7,606.00	58% below	90%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ ANES FACET LUMB SING INIT	$943.00	$2,164.00	$86.19–$7,606.00	39% below	56%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Inj paravert f jnt l/s 1 lev	$943.00	$7,606.00	$86.19–$7,606.00	39% below	88%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 Rpr aa hrn 1st 3-10 rdc	$6,903.00	$61,410.00	$597.51–$61,410.00	41% below	89%
First repair of a front abdominal hernia larger than 10 cm CPT 49595 Rpr aa hrn 1st > 10 rdc	$6,903.00	$70,942.00	$800.71–$70,942.00	44% below	90%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 Rpr aa hrn 1st < 3 cm rdc	$3,818.00	$41,120.00	$357.36–$41,120.00	51% below	91%
Gallbladder removal, laparoscopic CPT 47562 Laparoscopic cholecystectomy	$6,446.00	$42,080.00	$708.63–$42,080.00	2% below	85%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 Laparo cholecystectomy/graph	$6,446.00	$43,034.00	$768.55–$43,034.00	54% below	85%
Hammertoe correction surgery CPT 28285 Repair of hammertoe	$3,489.00	$13,324.20	$392.53–$13,324.20	at median	74%
Hemorrhoidectomy (internal and external), one area CPT 46255 Remove intext hem 1 group	$2,959.00	$13,082.50	$379.59–$13,082.50	5% above	77%
Hysteroscopy with endometrial ablation CPT 58563 Hysteroscopy ablation	$5,334.00	$15,587.00	$239.46–$15,587.00	12% below	66%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 Hysteroscopy biopsy	$3,451.00	$18,276.00	$225.13–$18,276.00	at median	81%
Incision and drainage of a simple or single skin abscess CPT 10060 INCISION & DRAINAGE SIMP/SING	$213.00	$344.00	$68.80–$17,883.00	46% below	38%
Incision and drainage of a simple or single skin abscess CPT 10060 I&d abscess simple/single	$213.00	$17,883.00	$68.80–$17,883.00	46% below	99%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 Prp i/hern init reduc >5 yr	$3,818.00	$36,561.00	$567.57–$36,561.00	12% below	90%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound both sides CPT 20610 ARTHROCENTESIS LG JNT BILAT	$327.00	$836.00	$43.54–$7,606.00	—	61%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Drain/inj joint/bursa w/o us	$327.00	$7,606.00	$43.54–$7,606.00	35% below	96%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENT LARGE JT	$327.00	$836.00	$43.54–$7,606.00	35% below	61%
Joint injection or drainage, medium joint (wrist, elbow, ankle) both sides CPT 20605 ARTHROCENTESIS MED JNT BILAT	$327.00	$592.00	$34.48–$592.00	—	45%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 JOINT ASPIRATION, INTERMEDIAT	$327.00	$592.00	$34.48–$592.00	21% below	45%
Joint injection or drainage, small joint (fingers, toes) both sides CPT 20600 ARTHROCENTESIS SM JNT BILAT	$327.00	$684.00	$33.81–$684.00	—	52%
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 Knee arthroscopy/surgery - 29882 - OR36029882	$3,489.00	$46,283.00	$558.00–$46,283.00	40% below	92%
Knee arthroscopy with meniscus trim CPT 29881 Knee arthroscopy/surgery - 29881 - OR36029881	$3,489.00	$29,076.00	$559.90–$29,076.00	50% below	88%
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 Knee arthroscopy/surgery - 29880 - OR36029880	$3,489.00	$39,400.00	$579.23–$39,400.00	42% below	91%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 Laparoscopy appendectomy	$6,446.00	$26,077.00	$646.85–$26,077.00	at median	75%
Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 Tlh uterus 250 g or less	$11,335.00	$46,794.00	$799.78–$46,794.00	59% below	76%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 Tlh w/t/o 250 g or less	$11,335.00	$51,842.00	$915.18–$51,842.00	at median	78%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 Lap ing hernia repair init	$6,446.00	$55,535.00	$472.06–$55,535.00	4% below	88%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 Lap ing hernia repair recur	$6,446.00	$66,653.00	$613.01–$66,653.00	2% below	90%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 Laparoscopy remove adnexa	$6,446.00	$38,197.00	$647.62–$38,197.00	at median	83%
Left heart catheterization, diagnostic one side CPT 93452 LEFT HEART CATH/LV	$3,457.00	$26,067.00	$663.63–$26,067.00	52% below	87%
Lower-back epidural injection, with imaging guidance CPT 62323 INJ INTERLAMNR LUMB/SAC W/GUID	$752.00	$1,985.00	$94.64–$7,606.00	49% below	62%
Lower-back epidural injection, with imaging guidance CPT 62323 Njx interlaminar lmbr/sac	$752.00	$7,606.00	$94.64–$7,606.00	49% below	90%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 NRV BLK TRNF EPI BUMB BIL	$943.00	$3,051.00	$105.22–$7,606.00	34% below	69%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Njx aa&/strd tfrm epi l/s 1	$943.00	$7,606.00	$105.22–$7,606.00	34% below	88%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 NRV BLK TRNF EPI LUMB COMPLETE	$943.00	$2,034.00	$105.22–$7,606.00	34% below	54%
Miscarriage treatment with D&C, first trimester CPT 59820 Care of miscarriage	$3,451.00	$13,501.00	$395.04–$13,501.00	at median	74%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Exc face-mm b9+marg 0.5 cm<	$755.00	$6,541.25	$102.56–$6,541.25	10% above	88%
Nail removal (partial or complete), one nail CPT 11730 REM. OF NAIL (FINGER/TOE) INIT	$213.00	$696.00	$51.39–$696.00	26% below	69%
Nail removal (partial or complete), one nail CPT 11730 NAIL AVULSION, SIMPLE	$213.00	$320.00	$51.39–$696.00	26% below	33%
Paracentesis with imaging guidance CPT 49083 PARACENTESIS W IMAGING GUID	$967.00	$2,166.00	$99.28–$2,166.00	33% below	55%
Paracentesis with imaging guidance CPT 49083 Abd paracentesis w/imaging	$967.00	$2,085.00	$99.28–$2,166.00	33% below	54%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Removal of nail bed	$433.00	$7,481.00	$99.19–$7,481.00	31% below	94%
Prostate biopsy CPT 55700 BX, PROSTATE	$2,138.00	$6,867.00	$488.00–$6,867.00	34% below	69%
Prostate removal (prostatectomy), laparoscopic CPT 55866 Laps surg prst8ect rpbic rad	$11,335.00	$110,154.00	$1,166.86–$110,154.00	87% below	90%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Destroy lumb/sac facet jnt	$2,082.00	$16,676.00	$182.74–$16,676.00	25% below	88%
Removal of a breast lump, open surgery CPT 19120 Removal of breast lesion	$4,175.00	$14,862.00	$451.06–$14,862.00	45% above	72%
Removal of a foreign object under the skin, simple CPT 10120 FOREIGN BODY REMOVAL, SIMPLE	$433.00	$254.00	$50.80–$273.00	10% below	-70%
Removal of a foreign object under the skin, simple CPT 10120 FOREIGN BODY REMOVAL, INTERMED	$433.00	$273.00	$50.80–$273.00	10% below	-59%
Removal of one lobe of the thyroid (lobectomy) CPT 60220 Partial removal of thyroid	$6,446.00	$36,770.00	$488.00–$36,770.00	at median	82%
Septoplasty to straighten the nasal septum CPT 30520 Repair of nasal septum	$3,535.00	$9,173.76	$650.37–$9,173.76	44% below	61%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 Fragmenting of kidney stone	$3,758.00	$24,167.00	$559.36–$24,167.00	47% below	84%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 Sho arthrs srg dstl claviclc	$3,489.00	$19,368.67	$694.15–$19,368.67	50% below	82%
Skin tag removal, up to 15 tags CPT 11200 REM SKIN/FIB TAGS UP TO 15 LES	$213.00	$310.00	$62.00–$310.00	15% below	31%
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE - 62270 - 33010280	$752.00	$2,150.00	$66.79–$2,150.00	21% below	65%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Rpr s/n/ax/gen/trnk2.6-7.5cm	$213.00	$11,644.00	$64.23–$11,644.00	49% below	98%
TURP (transurethral resection of the prostate) CPT 52601 Prostatectomy (turp)	$5,717.00	$28,881.00	$565.11–$28,881.00	at median	80%
Thoracentesis with imaging guidance CPT 32555 Aspirate pleura w/ imaging	$668.00	$1,424.00	$100.39–$1,458.00	47% below	53%
Thoracentesis with imaging guidance CPT 32555 THORACENT ASP PLUER SPACE W IG - 32555 - 35044205	$668.00	$1,458.00	$100.39–$1,458.00	47% below	54%
Thoracentesis with imaging guidance CPT 32555 THORACENT ASP PLUER SPACE W IG - 32555 - 35044200	$668.00	$1,458.00	$100.39–$1,458.00	47% below	54%
Tonsil and adenoid removal, age 12 or older CPT 42821 Remove tonsils and adenoids - 42821 - OR36042821	$3,535.00	$21,652.00	$291.91–$21,652.00	49% below	84%
Tonsil and adenoid removal, child under 12 CPT 42820 Remove tonsils and adenoids - 42820 - OR36042820	$6,312.00	$18,188.00	$279.84–$18,188.00	11% below	65%
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 Removal of tonsils	$3,535.00	$18,918.00	$247.42–$18,918.00	at median	81%
Total hip replacement CPT 27130 Total hip arthroplasty	$13,690.00	$53,856.00	$1,281.40–$53,856.00	13% above	75%
Total knee replacement CPT 27447 Total knee arthroplasty	$13,690.00	$48,304.00	$1,277.91–$48,304.00	18% above	72%
Total shoulder replacement CPT 23472 Reconstruct shoulder joint	$18,697.00	$61,088.00	$1,429.48–$61,088.00	89% above	69%
Total thyroid removal (thyroidectomy) CPT 60240 Removal of thyroid - 60240 - OR36060240	$6,446.00	$45,509.00	$917.68–$45,509.00	60% below	86%
Trigger finger release surgery CPT 26055 Incise finger tendon sheath	$1,714.00	$11,234.00	$307.75–$11,234.00	at median	85%
Trigger point injections, 1 or 2 muscles CPT 20552 Inj trigger point 1/2 muscl	$327.00	$5,611.00	$38.02–$5,611.00	37% below	94%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER PNT 1-2 GROUPS	$327.00	$650.00	$38.02–$5,611.00	37% below	50%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 US BX BRE SPEC IN LES R	$1,761.00	$5,778.00	$140.57–$14,862.00	29% below	70%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Bx breast 1st lesion us imag	$1,761.00	$14,862.00	$140.57–$14,862.00	29% below	88%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 US BX BRE SPEC IN LES L	$1,761.00	$5,778.00	$140.57–$14,862.00	29% below	70%
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 Cystouretero w/lithotripsy	$5,717.00	$18,988.00	$371.23–$18,988.00	67% below	70%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 Cysto/uretero w/lithotripsy	$5,717.00	$22,559.00	$395.10–$22,559.00	44% below	75%
Wart removal, up to 14 warts CPT 17110 Destruct b9 lesion 1-14	$213.00	$19,784.00	$65.43–$19,784.00	11% below	99%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Dbrdmt subq tis 1st 20sqcm/<	$433.00	$17,281.00	$59.87–$17,281.00	37% below	97%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 Optx dst rd xartc fx/epi sep	$7,737.00	$36,390.00	$756.80–$36,390.00	at median	79%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Illinois	Off list
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION ADMIN PER DAY	$470.00	$921.00	$49.46–$921.00	47% below	49%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION 2 UNITS	$470.00	$921.00	$49.46–$921.00	47% below	49%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER INITIAL	$233.00	$395.00	$9.17–$395.00	21% above	41%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER TX, INITIAL	$233.00	$395.00	$9.17–$395.00	21% above	41%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEB TX SUBSEQUENT SAME DAY	$233.00	$395.00	$9.17–$395.00	21% above	41%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SPUTUM INDUCTION	$233.00	$395.00	$9.17–$395.00	21% above	41%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 METERED DOSE TREATMENT INITIAL	$233.00	$395.00	$9.17–$395.00	21% above	41%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 CONTINUOUS NEBULIZER INITIAL	$233.00	$395.00	$9.17–$395.00	21% above	41%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL SUBSEQUENT	$233.00	$395.00	$9.17–$395.00	21% above	41%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL TREATMENT	$233.00	$395.00	$9.17–$395.00	21% above	41%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 METERED DOSE TREATMENT	$233.00	$395.00	$9.17–$395.00	21% above	41%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SPUTUM INDUCTION SUBSEQUENT	$233.00	$395.00	$9.17–$395.00	21% above	41%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUSION 1 HOUR	$352.00	$2,014.00	$138.42–$2,014.00	45% below	83%
Critical care, first 30 to 74 minutes CPT 99291 ED LEVEL 6	$880.00	$8,466.00	$212.88–$8,466.00	58% below	90%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM - 93005 - 48000215	$62.00	$548.00	$7.45–$548.00	73% below	89%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM - 93005 - 45000375	$62.00	$548.00	$7.45–$548.00	73% below	89%
Electroconvulsive therapy (ECT), one session CPT 90870 ECT SINGLE	$915.00	$2,452.00	$101.76–$7,729.00	1% above	63%
Electroconvulsive therapy (ECT), one session CPT 90870 Electroconvulsive therapy	$915.00	$7,729.00	$101.76–$7,729.00	1% above	88%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED LEVEL 1	$89.00	$522.00	$11.90–$522.00	60% below	83%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED LEVEL 2	$163.00	$599.00	$43.62–$599.00	59% below	73%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED LEVEL 3	$291.00	$1,286.00	$75.26–$1,286.00	58% below	77%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED LEVEL 4	$444.00	$2,344.00	$128.31–$2,344.00	61% below	81%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED LEVEL 5	$635.00	$5,377.00	$185.25–$5,377.00	60% below	88%
Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST	$230.00	$2,507.00	$40.63–$2,507.00	76% below	91%
Family therapy with the patient, 50 minutes CPT 90847 FAMILY THERAPY W PT EA 50 MIN	$189.00	$1,298.00	$104.24–$1,298.00	5% above	85%
Family therapy without the patient, 50 minutes CPT 90846 FAMILY THERAPY W/O PT EA 50MIN	$189.00	$1,298.00	$100.80–$1,298.00	3% above	85%
Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY	$108.00	$224.00	$24.84–$224.00	16% below	52%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION UP TO 1 HOUR - 96360 - 51001010	$226.00	$911.00	$34.44–$911.00	33% below	75%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION UP TO 1 HOUR - 96360 - 26020080	$226.00	$911.00	$34.44–$911.00	33% below	75%
IV infusion of a medicine, first hour CPT 96365 INF IV THER/PROP/DIAG INI	$226.00	$1,342.00	$69.80–$1,342.00	45% below	83%
IV push of a medicine, first drug CPT 96374 ECHO CONTRAST IV PUSH DEFINITY	$226.00	$481.00	$39.14–$481.00	5% above	53%
IV push of a medicine, first drug CPT 96374 INJECTION IV INITIAL	$226.00	$481.00	$39.14–$481.00	5% above	53%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION SUB Q/IM	$76.00	$379.00	$15.91–$379.00	30% below	80%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DIAGNOSTIC EVAL	$189.00	$1,298.00	$138.92–$1,298.00	29% below	85%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR RE ED/EA 15 - 97112 - 43000235	$33.00	$278.00	$31.85–$278.00	72% below	88%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR RE ED/EA 15 - 97112 - 42000235	$33.00	$278.00	$31.85–$278.00	72% below	88%
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEXITY	$102.00	$617.00	$97.35–$617.00	60% below	83%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEXITY	$99.00	$745.00	$94.76–$745.00	71% below	87%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEXITY	$99.00	$617.00	$94.74–$617.00	56% below	84%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MODERATE COMPLEXITY	$99.00	$678.00	$94.75–$678.00	68% below	85%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY/EA 15 - 97140 - 43000180	$28.00	$340.00	$27.01–$340.00	79% below	92%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY/EA 15 - 97140 - 42000180	$28.00	$340.00	$27.01–$340.00	79% below	92%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISE/EA 15 - 97110 - 43000330	$29.00	$378.00	$28.30–$378.00	74% below	92%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISE/EA 15 - 97110 - 42000330	$29.00	$378.00	$28.30–$378.00	74% below	92%
Psychiatric evaluation with medical services CPT 90792 PSYCH DIAGNOSTIC EVAL W/MEDS	$189.00	$1,298.00	$165.08–$1,298.00	47% below	85%
Psychotherapy for crisis, first 60 minutes CPT 90839 PSYTX CRISIS INITIAL 60 MIN	$189.00	$1,298.00	$131.45–$1,298.00	24% below	85%
Psychotherapy session, 30 minutes CPT 90832 PSYCHOTHERAPY 30 MIN	$189.00	$1,298.00	$70.30–$1,298.00	at median	85%
Psychotherapy session, 45 minutes CPT 90834 PSYCHOTHERAPY 45 MIN	$189.00	$1,298.00	$93.12–$1,298.00	2% below	85%
Psychotherapy session, 60 minutes CPT 90837 PSYCHOTHERAPY 60 MIN	$189.00	$1,298.00	$136.90–$1,298.00	34% below	85%
Speech and language evaluation CPT 92523 SPEECH SOUND LANG COMPREHEN	$230.00	$888.00	$149.00–$888.00	34% below	74%
Speech therapy session, individual CPT 92507 SPEECH/VOICE/LANGUAGE TREATMEN	$77.00	$433.00	$73.71–$433.00	55% below	82%
Spirometry (breathing test) CPT 94010 SPIROMETRY	$230.00	$342.00	$22.20–$342.00	24% below	33%
Spirometry (breathing test) CPT 94010 PFT BEDSIDE	$230.00	$342.00	$22.20–$342.00	24% below	33%
Spirometry before and after a bronchodilator CPT 94060 PRE/POST SPIROMETRY	$397.00	$1,563.00	$34.21–$1,563.00	27% below	75%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES / 15 MI	$35.00	$326.00	$34.17–$326.00	72% below	89%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES/EA 15	$35.00	$326.00	$34.17–$326.00	72% below	89%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOTOMY	$141.00	$789.00	$94.33–$789.00	34% below	82%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY, THERAPEUTIC	$141.00	$789.00	$94.33–$789.00	34% below	82%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Illinois	Off list
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN ONE VACCINE	$76.00	$136.00	$22.78–$136.00	32% above	44%

Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More

Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More

List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More

Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More

Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.

Off list How much lower the cash price is than the list price.

No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More

Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.

Source file: https://mercymedcenter.com/wp-content/uploads/2026/09/0006446_MercyMedicalCenter_standardcharges.json