Mvhs
Mvhs in Utica, NY publishes cash prices for 411 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the New York median for 241 of 406 procedures and above it for 164. By typical cash price it ranks #37 of 93 New York hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
111 Hospital Drive Utica, NY 13502 Collected Sep 27, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views CPT 73610 HC Ankle Complete 3+ Views-50 | $370.80 | $618.00 | $12.63–$463.50 | 86% above | 40% |
| Ankle X-ray, complete, 3 or more views CPT 73610 HC Ankle Complete 3+ Views-50 | $370.80 | $618.00 | $12.63–$463.50 | 86% above | 40% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 HC Ankle Complete 3+ Views-Lt | $370.80 | $618.00 | $12.63–$463.50 | 86% above | 40% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 HC Ankle Complete 3+ Views-Rt | $370.80 | $618.00 | $12.63–$463.50 | 86% above | 40% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 HC Ankle Complete 3+ Views-Rt | $370.80 | $618.00 | $12.63–$463.50 | 86% above | 40% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 HC Ankle Complete 3+ Views-Lt | $370.80 | $618.00 | $12.63–$463.50 | 86% above | 40% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC Ankle Complete 3+ Views-50 | $370.80 | $618.00 | $12.63–$463.50 | — | 40% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC Ankle Complete 3+ Views-50 | $370.80 | $618.00 | $12.63–$463.50 | — | 40% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 HC Ankle Complete 3+ Views-Lt | $370.80 | $618.00 | $12.63–$463.50 | — | 40% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 HC Ankle Complete 3+ Views-Lt | $370.80 | $618.00 | $12.63–$463.50 | — | 40% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 HC Ankle Complete 3+ Views-Rt | $370.80 | $618.00 | $12.63–$463.50 | — | 40% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 HC Ankle Complete 3+ Views-Rt | $370.80 | $618.00 | $12.63–$463.50 | — | 40% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC US Ankle/Brachial Indices | $792.60 | $1,321.00 | $61.00–$990.75 | 194% above | 40% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC US Ankle/Brachial Indices | $792.60 | $1,321.00 | $61.00–$990.75 | 194% above | 40% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC US Ankle/Brachial Indices | $792.60 | $1,321.00 | $61.00–$990.75 | — | 40% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC US Ankle/Brachial Indices | $792.60 | $1,321.00 | $61.00–$990.75 | — | 40% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 HC Barium Swallow/Esophagus | $568.80 | $948.00 | $20.20–$711.00 | 69% above | 40% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 HC Barium Swallow/Esophagus | $568.80 | $948.00 | $20.20–$711.00 | 69% above | 40% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC Barium Swallow/Esophagus | $568.80 | $948.00 | $20.20–$711.00 | — | 40% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC Barium Swallow/Esophagus | $568.80 | $948.00 | $20.20–$711.00 | — | 40% |
| Bone scan, whole body (nuclear medicine) CPT 78306 HC Bone &/Joint Imaging Whole Body | $2,552.40 | $4,254.00 | $60.60–$3,190.50 | 198% above | 40% |
| Bone scan, whole body (nuclear medicine) CPT 78306 HC Bone &/Joint Imaging Whole Body | $2,552.40 | $4,254.00 | $60.60–$3,190.50 | 198% above | 40% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC Bone &/Joint Imaging Whole Body | $2,552.40 | $4,254.00 | $60.60–$3,190.50 | — | 40% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC Bone &/Joint Imaging Whole Body | $2,552.40 | $4,254.00 | $60.60–$3,190.50 | — | 40% |
| Breast ultrasound, complete, one breast CPT 76641 US Breast Uni Real Time With Image Complete | $115.20 | $192.00 | $23.10–$156.21 | 64% below | 40% |
| Breast ultrasound, complete, one breast CPT 76641 HC US Breast Complete-50 | $744.00 | $1,240.00 | $32.79–$930.00 | 135% above | 40% |
| Breast ultrasound, complete, one breast CPT 76641 HC US Breast Complete-50 | $744.00 | $1,240.00 | $32.79–$930.00 | 135% above | 40% |
| Breast ultrasound, complete, one breast one side CPT 76641 HC US Breast Complete-Lt | $744.00 | $1,240.00 | $32.79–$930.00 | 135% above | 40% |
| Breast ultrasound, complete, one breast one side CPT 76641 HC US Breast Complete-Lt | $744.00 | $1,240.00 | $32.79–$930.00 | 135% above | 40% |
| Breast ultrasound, complete, one breast one side CPT 76641 HC US Breast Complete-Rt | $744.00 | $1,240.00 | $32.79–$930.00 | 135% above | 40% |
| Breast ultrasound, complete, one breast one side CPT 76641 HC US Breast Complete-Rt | $744.00 | $1,240.00 | $32.79–$930.00 | 135% above | 40% |
| Breast ultrasound, complete, one breast inpatient CPT 76641 US Breast Uni Real Time With Image Complete | $115.20 | $192.00 | $23.10–$156.21 | — | 40% |
| Breast ultrasound, complete, one breast inpatient CPT 76641 HC US Breast Complete-50 | $744.00 | $1,240.00 | $32.79–$930.00 | — | 40% |
| Breast ultrasound, complete, one breast inpatient CPT 76641 HC US Breast Complete-50 | $744.00 | $1,240.00 | $32.79–$930.00 | — | 40% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 HC US Breast Complete-Lt | $744.00 | $1,240.00 | $32.79–$930.00 | — | 40% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 HC US Breast Complete-Rt | $744.00 | $1,240.00 | $32.79–$930.00 | — | 40% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 HC US Breast Complete-Rt | $744.00 | $1,240.00 | $32.79–$930.00 | — | 40% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 HC US Breast Complete-Lt | $744.00 | $1,240.00 | $32.79–$930.00 | — | 40% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 US Breast Uni Real Time With Image Limited | $96.00 | $160.00 | $21.35–$130.25 | 57% below | 40% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 US Breast Uni Real Time With Image Limited | $96.00 | $160.00 | $21.35–$130.25 | 57% below | 40% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 HC US Breat Limited Diagnostic-50 | $688.20 | $1,147.00 | $26.93–$860.25 | 209% above | 40% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 HC US Breat Limited Diagnostic-50 | $688.20 | $1,147.00 | $26.93–$860.25 | 209% above | 40% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC US Breat Limited Diagnostic-Lt | $688.20 | $1,147.00 | $26.93–$860.25 | 209% above | 40% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC US Breat Limited Diagnostic-Rt | $688.20 | $1,147.00 | $26.93–$860.25 | 209% above | 40% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC US Breat Limited Diagnostic-Lt | $688.20 | $1,147.00 | $26.93–$860.25 | 209% above | 40% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC US Breat Limited Diagnostic-Rt | $688.20 | $1,147.00 | $26.93–$860.25 | 209% above | 40% |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 US Breast Uni Real Time With Image Limited | $96.00 | $160.00 | $21.35–$130.25 | — | 40% |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 US Breast Uni Real Time With Image Limited | $96.00 | $160.00 | $21.35–$130.25 | — | 40% |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HC US Breat Limited Diagnostic-50 | $688.20 | $1,147.00 | $26.93–$860.25 | — | 40% |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HC US Breat Limited Diagnostic-50 | $688.20 | $1,147.00 | $26.93–$860.25 | — | 40% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC US Breat Limited Diagnostic-Lt | $688.20 | $1,147.00 | $26.93–$860.25 | — | 40% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC US Breat Limited Diagnostic-Rt | $688.20 | $1,147.00 | $26.93–$860.25 | — | 40% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC US Breat Limited Diagnostic-Rt | $688.20 | $1,147.00 | $26.93–$860.25 | — | 40% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC US Breat Limited Diagnostic-Lt | $688.20 | $1,147.00 | $26.93–$860.25 | — | 40% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CT Angio Chest | $2,866.20 | $4,777.00 | $141.40–$3,582.75 | 152% above | 40% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CT Angio Chest | $2,866.20 | $4,777.00 | $141.40–$3,582.75 | 152% above | 40% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CT Angio Chest | $2,866.20 | $4,777.00 | $141.40–$3,582.75 | — | 40% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CT Angio Chest | $2,866.20 | $4,777.00 | $141.40–$3,582.75 | — | 40% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CT Angio Hrt W/3d Image | $1,598.40 | $2,664.00 | $435.49–$1,998.00 | 55% above | 40% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CT Angio Hrt W/3d Image | $1,598.40 | $2,664.00 | $435.49–$1,998.00 | 55% above | 40% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC CT Angio Hrt W/3d Image | $1,598.40 | $2,664.00 | $435.49–$1,998.00 | — | 40% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC CT Angio Hrt W/3d Image | $1,598.40 | $2,664.00 | $435.49–$1,998.00 | — | 40% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT Heart WO Dye Qual Calc | $114.02 | $330.00 | $87.22–$1,595.00 | 29% below | 65% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT Heart WO Dye Qual Calc | $114.02 | $330.00 | $87.22–$1,595.00 | 29% below | 65% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CT Heart WO Dye Qual Calc | $114.02 | $330.00 | $87.22–$1,595.00 | — | 65% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CT Heart WO Dye Qual Calc | $114.02 | $330.00 | $87.22–$1,595.00 | — | 65% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT Abd/Pevis W/O Contrast | $3,400.80 | $5,668.00 | $69.38–$1,595.00 | 230% above | 40% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT Abd/Pevis W/O Contrast | $3,400.80 | $5,668.00 | $69.38–$4,251.00 | 230% above | 40% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT Abd/Pevis W/O Contrast | $3,400.80 | $5,668.00 | $69.38–$4,251.00 | — | 40% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT Abd/Pevis W/O Contrast | $3,400.80 | $5,668.00 | $69.38–$4,251.00 | — | 40% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT Abd/Pelvis W/Contrast | $3,646.20 | $6,077.00 | $65.41–$4,557.75 | 134% above | 40% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT Abd/Pelvis W/Contrast | $3,646.20 | $6,077.00 | $65.41–$4,557.75 | 134% above | 40% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT Abd/Pelvis W/Contrast | $3,646.20 | $6,077.00 | $65.41–$4,557.75 | — | 40% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT Abd/Pelvis W/Contrast | $3,646.20 | $6,077.00 | $65.41–$4,557.75 | — | 40% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT a/P W& W/O Contrast | $3,701.40 | $6,169.00 | $138.11–$4,626.75 | 127% above | 40% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT a/P W& W/O Contrast | $3,701.40 | $6,169.00 | $138.11–$4,626.75 | 127% above | 40% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT a/P W& W/O Contrast | $3,701.40 | $6,169.00 | $138.11–$4,626.75 | — | 40% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT a/P W& W/O Contrast | $3,701.40 | $6,169.00 | $138.11–$4,626.75 | — | 40% |
| CT scan of the abdomen with contrast CPT 74160 HC CT Abdomen W/Contrast | $2,385.00 | $3,975.00 | $171.70–$2,981.25 | 135% above | 40% |
| CT scan of the abdomen with contrast CPT 74160 HC CT Abdomen W/Contrast | $2,385.00 | $3,975.00 | $171.70–$2,981.25 | 135% above | 40% |
| CT scan of the abdomen with contrast inpatient CPT 74160 HC CT Abdomen W/Contrast | $2,385.00 | $3,975.00 | $171.70–$2,981.25 | — | 40% |
| CT scan of the abdomen with contrast inpatient CPT 74160 HC CT Abdomen W/Contrast | $2,385.00 | $3,975.00 | $171.70–$2,981.25 | — | 40% |
| CT scan of the abdomen without contrast CPT 74150 HC CT Abdomen W/O Contrast | $2,040.00 | $3,400.00 | $119.55–$2,550.00 | 156% above | 40% |
| CT scan of the abdomen without contrast CPT 74150 HC CT Abdomen W/O Contrast | $2,040.00 | $3,400.00 | $119.55–$2,550.00 | 156% above | 40% |
| CT scan of the abdomen without contrast inpatient CPT 74150 HC CT Abdomen W/O Contrast | $2,040.00 | $3,400.00 | $119.55–$2,550.00 | — | 40% |
| CT scan of the abdomen without contrast inpatient CPT 74150 HC CT Abdomen W/O Contrast | $2,040.00 | $3,400.00 | $119.55–$2,550.00 | — | 40% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT Maxiollafacial W/O Con | $1,890.00 | $3,150.00 | $119.55–$2,362.50 | 171% above | 40% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT Maxiollafacial W/O Con | $1,890.00 | $3,150.00 | $119.55–$2,362.50 | 171% above | 40% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT Maxiollafacial W/O Con | $1,890.00 | $3,150.00 | $119.55–$2,362.50 | — | 40% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT Maxiollafacial W/O Con | $1,890.00 | $3,150.00 | $119.55–$2,362.50 | — | 40% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT Head W/O Contrast | $1,782.60 | $2,971.00 | $72.72–$2,228.25 | 158% above | 40% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT Head W/O Contrast | $1,782.60 | $2,971.00 | $72.72–$2,228.25 | 158% above | 40% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT Head W/O Contrast | $1,782.60 | $2,971.00 | $72.72–$2,228.25 | — | 40% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT Head W/O Contrast | $1,782.60 | $2,971.00 | $72.72–$2,228.25 | — | 40% |
| CT scan of the head with contrast CPT 70460 HC CT Head/Brain W/ Contrast | $2,005.80 | $3,343.00 | $146.45–$2,507.25 | 129% above | 40% |
| CT scan of the head with contrast CPT 70460 HC CT Head/Brain W/ Contrast | $2,005.80 | $3,343.00 | $146.45–$2,507.25 | 129% above | 40% |
| CT scan of the head with contrast inpatient CPT 70460 HC CT Head/Brain W/ Contrast | $2,005.80 | $3,343.00 | $146.45–$2,507.25 | — | 40% |
| CT scan of the head with contrast inpatient CPT 70460 HC CT Head/Brain W/ Contrast | $2,005.80 | $3,343.00 | $146.45–$2,507.25 | — | 40% |
| CT scan of the head without and with contrast CPT 70470 HC CT Head W & W/O Contrast | $2,456.40 | $4,094.00 | $200.13–$3,070.50 | 136% above | 40% |
| CT scan of the head without and with contrast CPT 70470 HC CT Head W & W/O Contrast | $2,456.40 | $4,094.00 | $200.13–$3,070.50 | 136% above | 40% |
| CT scan of the head without and with contrast inpatient CPT 70470 HC CT Head W & W/O Contrast | $2,456.40 | $4,094.00 | $200.13–$3,070.50 | — | 40% |
| CT scan of the head without and with contrast inpatient CPT 70470 HC CT Head W & W/O Contrast | $2,456.40 | $4,094.00 | $200.13–$3,070.50 | — | 40% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT Lumbar Spine W/O Contr | $1,959.00 | $3,265.00 | $119.55–$2,448.75 | 135% above | 40% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT Lumbar Spine W/O Contr | $1,959.00 | $3,265.00 | $119.55–$2,448.75 | 135% above | 40% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT Lumbar Spine W/O Contr | $1,959.00 | $3,265.00 | $119.55–$2,448.75 | — | 40% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT Lumbar Spine W/O Contr | $1,959.00 | $3,265.00 | $119.55–$2,448.75 | — | 40% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT Cervical Spine W/O Con | $1,969.20 | $3,282.00 | $84.84–$2,461.50 | 131% above | 40% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT Cervical Spine W/O Con | $1,969.20 | $3,282.00 | $84.84–$2,461.50 | 131% above | 40% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT Cervical Spine W/O Con | $1,969.20 | $3,282.00 | $84.84–$2,461.50 | — | 40% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT Cervical Spine W/O Con | $1,969.20 | $3,282.00 | $84.84–$2,461.50 | — | 40% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT Pelvis W/Contrast | $2,273.40 | $3,789.00 | $171.70–$2,841.75 | 152% above | 40% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT Pelvis W/Contrast | $2,273.40 | $3,789.00 | $171.70–$2,841.75 | 152% above | 40% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT Pelvis W/Contrast | $2,273.40 | $3,789.00 | $171.70–$2,841.75 | — | 40% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT Pelvis W/Contrast | $2,273.40 | $3,789.00 | $171.70–$2,841.75 | — | 40% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Duplex Scan Extracranial Art Compl Bi Study | $216.60 | $361.00 | $25.55–$293.12 | — | 40% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC US Carotid Dup Bilat Comp | $762.00 | $1,270.00 | $109.08–$952.50 | — | 40% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC US Carotid Dup Bilat Comp | $762.00 | $1,270.00 | $109.08–$952.50 | — | 40% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 Duplex Scan Extracranial Art Compl Bi Study | $216.60 | $361.00 | $25.55–$293.12 | — | 40% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC US Carotid Dup Bilat Comp | $762.00 | $1,270.00 | $109.08–$952.50 | — | 40% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC US Carotid Dup Bilat Comp | $762.00 | $1,270.00 | $109.08–$952.50 | — | 40% |
| Chest X-ray, 2 views CPT 71046 HC Xr Chest 2 View | $386.40 | $644.00 | $15.15–$483.00 | 92% above | 40% |
| Chest X-ray, 2 views CPT 71046 HC Xr Chest 2 View | $386.40 | $644.00 | $15.15–$483.00 | 92% above | 40% |
| Chest X-ray, 2 views inpatient CPT 71046 HC Xr Chest 2 View | $386.40 | $644.00 | $15.15–$483.00 | — | 40% |
| Chest X-ray, 2 views inpatient CPT 71046 HC Xr Chest 2 View | $386.40 | $644.00 | $15.15–$483.00 | — | 40% |
| Chest X-ray, single view CPT 71045 HC Chest 1 View | $267.60 | $446.00 | $6.06–$334.50 | 44% above | 40% |
| Chest X-ray, single view CPT 71045 HC Chest 1 View | $267.60 | $446.00 | $6.06–$334.50 | 44% above | 40% |
| Chest X-ray, single view inpatient CPT 71045 HC Chest 1 View | $267.60 | $446.00 | $6.06–$334.50 | — | 40% |
| Chest X-ray, single view inpatient CPT 71045 HC Chest 1 View | $267.60 | $446.00 | $6.06–$334.50 | — | 40% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Retroperitoneal Real Time W/Image Complete | $122.40 | $204.00 | $23.10–$165.54 | 66% below | 40% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US Retroperitneal Comp | $1,287.00 | $2,145.00 | $60.60–$1,608.75 | 258% above | 40% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US Retroperitneal Comp | $1,287.00 | $2,145.00 | $60.60–$1,608.75 | 258% above | 40% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US Retroperitoneal Real Time W/Image Complete | $122.40 | $204.00 | $23.10–$165.54 | — | 40% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US Retroperitneal Comp | $1,287.00 | $2,145.00 | $60.60–$1,608.75 | — | 40% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US Retroperitneal Comp | $1,287.00 | $2,145.00 | $60.60–$1,608.75 | — | 40% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC Bone Density 1 or > Sites | $966.00 | $1,610.00 | $39.40–$1,207.50 | 302% above | 40% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC Bone Density 1 or > Sites | $966.00 | $1,610.00 | $39.40–$1,207.50 | 302% above | 40% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC Bone Density 1 or > Sites | $966.00 | $1,610.00 | $39.40–$1,207.50 | — | 40% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC Bone Density 1 or > Sites | $966.00 | $1,610.00 | $39.40–$1,207.50 | — | 40% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC Bone Density-Append Skel | $470.40 | $784.00 | $49.00–$588.00 | 226% above | 40% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC Bone Density-Append Skel | $470.40 | $784.00 | $49.00–$588.00 | 226% above | 40% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC Bone Density-Append Skel | $470.40 | $784.00 | $49.00–$588.00 | — | 40% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC Bone Density-Append Skel | $470.40 | $784.00 | $49.00–$588.00 | — | 40% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Diagnostic Computed Tomography Thorax W/O Cntrst | $115.20 | $192.00 | $44.92–$192.00 | 86% below | 40% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT Thorax W/O Contrast | $2,053.80 | $3,423.00 | $119.55–$2,567.25 | 152% above | 40% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT Thorax W/O Contrast | $2,053.80 | $3,423.00 | $119.55–$2,567.25 | 152% above | 40% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 Diagnostic Computed Tomography Thorax W/O Cntrst | $115.20 | $192.00 | $44.92–$192.00 | — | 40% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 Diagnostic Computed Tomography Thorax W/O Cntrst | $115.20 | $192.00 | $44.92–$192.00 | — | 40% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT Thorax W/O Contrast | $2,053.80 | $3,423.00 | $119.55–$2,567.25 | — | 40% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT Thorax W/O Contrast | $2,053.80 | $3,423.00 | $119.55–$2,567.25 | — | 40% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT Thorax W/ Contrast | $2,325.60 | $3,876.00 | $171.70–$2,907.00 | 124% above | 40% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT Thorax W/ Contrast | $2,325.60 | $3,876.00 | $171.70–$2,907.00 | 124% above | 40% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT Thorax W/ Contrast | $2,325.60 | $3,876.00 | $171.70–$2,907.00 | — | 40% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT Thorax W/ Contrast | $2,325.60 | $3,876.00 | $171.70–$2,907.00 | — | 40% |
| Diagnostic mammogram, both breasts CPT 77066 HC Mammo Dx Incl Cad Bil-Gg | $653.40 | $1,089.00 | $97.97–$816.75 | 175% above | 40% |
| Diagnostic mammogram, both breasts CPT 77066 HC Mammo Dx Incl Cad Bil-Gg | $653.40 | $1,089.00 | $97.97–$816.75 | 175% above | 40% |
| Diagnostic mammogram, both breasts CPT 77066 HC Mammo Dx Incl Cad Bil | $664.20 | $1,107.00 | $97.97–$830.25 | 180% above | 40% |
| Diagnostic mammogram, both breasts CPT 77066 HC Mammo Dx Incl Cad Bil | $664.20 | $1,107.00 | $97.97–$830.25 | 180% above | 40% |
| Diagnostic mammogram, both breasts inpatient CPT 77066 HC Mammo Dx Incl Cad Bil-Gg | $653.40 | $1,089.00 | $97.97–$816.75 | — | 40% |
| Diagnostic mammogram, both breasts inpatient CPT 77066 HC Mammo Dx Incl Cad Bil-Gg | $653.40 | $1,089.00 | $97.97–$816.75 | — | 40% |
| Diagnostic mammogram, both breasts inpatient CPT 77066 HC Mammo Dx Incl Cad Bil | $664.20 | $1,107.00 | $97.97–$830.25 | — | 40% |
| Diagnostic mammogram, both breasts inpatient CPT 77066 HC Mammo Dx Incl Cad Bil | $664.20 | $1,107.00 | $97.97–$830.25 | — | 40% |
| Diagnostic mammogram, one breast CPT 77065 HC Dx Mammo Incl Cad Uni | $532.20 | $887.00 | $81.78–$665.25 | 100% above | 40% |
| Diagnostic mammogram, one breast CPT 77065 HC Dx Mammo Incl Cad Uni | $532.20 | $887.00 | $81.78–$665.25 | 100% above | 40% |
| Diagnostic mammogram, one breast one side CPT 77065 HC Mammo Dx Incl Cad Uni-Gg/Lt | $532.20 | $887.00 | $81.78–$665.25 | 100% above | 40% |
| Diagnostic mammogram, one breast one side CPT 77065 HC Mammo Dx Incl Cad Uni-Gg/Lt | $532.20 | $887.00 | $81.78–$665.25 | 100% above | 40% |
| Diagnostic mammogram, one breast one side CPT 77065 HC Mammo Dx Incl Cad Uni-Gg/Rt | $532.20 | $887.00 | $81.78–$665.25 | 100% above | 40% |
| Diagnostic mammogram, one breast one side CPT 77065 HC Mammo Dx Incl Cad Uni-Gg/Rt | $532.20 | $887.00 | $81.78–$665.25 | 100% above | 40% |
| Diagnostic mammogram, one breast one side CPT 77065 HC Mammo Dx Incl Cad Uni-Rt | $541.80 | $903.00 | $81.78–$677.25 | 103% above | 40% |
| Diagnostic mammogram, one breast one side CPT 77065 HC Mammo Dx Incl Cad Uni-Rt | $541.80 | $903.00 | $81.78–$677.25 | 103% above | 40% |
| Diagnostic mammogram, one breast one side CPT 77065 HC Mammo Dx Incl Cad Uni-Lt | $541.80 | $903.00 | $81.78–$677.25 | 103% above | 40% |
| Diagnostic mammogram, one breast one side CPT 77065 HC Mammo Dx Incl Cad Uni-Lt | $541.80 | $903.00 | $81.78–$677.25 | 103% above | 40% |
| Diagnostic mammogram, one breast inpatient CPT 77065 HC Dx Mammo Incl Cad Uni | $532.20 | $887.00 | $81.78–$665.25 | — | 40% |
| Diagnostic mammogram, one breast inpatient CPT 77065 HC Dx Mammo Incl Cad Uni | $532.20 | $887.00 | $81.78–$665.25 | — | 40% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HC Mammo Dx Incl Cad Uni-Gg/Lt | $532.20 | $887.00 | $81.78–$665.25 | — | 40% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HC Mammo Dx Incl Cad Uni-Gg/Rt | $532.20 | $887.00 | $81.78–$665.25 | — | 40% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HC Mammo Dx Incl Cad Uni-Gg/Rt | $532.20 | $887.00 | $81.78–$665.25 | — | 40% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HC Mammo Dx Incl Cad Uni-Gg/Lt | $532.20 | $887.00 | $81.78–$665.25 | — | 40% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HC Mammo Dx Incl Cad Uni-Lt | $541.80 | $903.00 | $81.78–$677.25 | — | 40% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HC Mammo Dx Incl Cad Uni-Rt | $541.80 | $903.00 | $81.78–$677.25 | — | 40% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HC Mammo Dx Incl Cad Uni-Lt | $541.80 | $903.00 | $81.78–$677.25 | — | 40% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HC Mammo Dx Incl Cad Uni-Rt | $541.80 | $903.00 | $81.78–$677.25 | — | 40% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study | $271.20 | $452.00 | $24.85–$367.89 | — | 40% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC Art Duplx Lower Ext-Bilat | $957.00 | $1,595.00 | $109.08–$1,196.25 | — | 40% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC Art Duplx Lower Ext-Bilat | $957.00 | $1,595.00 | $109.08–$1,196.25 | — | 40% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study | $271.20 | $452.00 | $24.85–$367.89 | — | 40% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC Art Duplx Lower Ext-Bilat | $957.00 | $1,595.00 | $109.08–$1,196.25 | — | 40% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC Art Duplx Lower Ext-Bilat | $957.00 | $1,595.00 | $109.08–$1,196.25 | — | 40% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Dup-Scan Xtr Veins Complete Bilateral Study | $210.00 | $350.00 | $21.70–$427.86 | — | 40% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC Duplex Ext Veins; Bilat | $1,732.80 | $2,888.00 | $109.08–$2,166.00 | — | 40% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC Duplex Ext Veins; Bilat | $1,732.80 | $2,888.00 | $109.08–$2,166.00 | — | 40% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Dup-Scan Xtr Veins Complete Bilateral Study | $210.00 | $350.00 | $21.70–$427.86 | — | 40% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC Duplex Ext Veins; Bilat | $1,732.80 | $2,888.00 | $109.08–$2,166.00 | — | 40% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC Duplex Ext Veins; Bilat | $1,732.80 | $2,888.00 | $109.08–$2,166.00 | — | 40% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echo Tthrc R-T 2d W/Wom-Mode Compl Spec&Colr D | $172.80 | $288.00 | $36.05–$288.00 | 84% below | 40% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC Echocardiogram 2d/M W/Dop | $1,080.60 | $1,801.00 | $208.57–$1,959.69 | 1% below | 40% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC Echocardiogram 2d/M W/Dop | $1,080.60 | $1,801.00 | $208.57–$1,959.69 | 1% below | 40% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC Echocardiogram 2d/M W/Dop - Pediatric | $1,080.60 | $1,801.00 | $208.57–$1,959.69 | 1% below | 40% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC Echocardiogram 2d/M W/Dop - Pediatric | $1,080.60 | $1,801.00 | $208.57–$1,959.69 | 1% below | 40% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Echo Tthrc R-T 2d W/Wom-Mode Compl Spec&Colr D | $172.80 | $288.00 | $36.05–$288.00 | — | 40% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC Echocardiogram 2d/M W/Dop | $1,080.60 | $1,801.00 | $208.57–$1,959.69 | — | 40% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC Echocardiogram 2d/M W/Dop - Pediatric | $1,080.60 | $1,801.00 | $208.57–$1,959.69 | — | 40% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC Echocardiogram 2d/M W/Dop | $1,080.60 | $1,801.00 | $208.57–$1,959.69 | — | 40% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC Echocardiogram 2d/M W/Dop - Pediatric | $1,080.60 | $1,801.00 | $208.57–$1,959.69 | — | 40% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC Hida Scan | $1,033.80 | $1,723.00 | $104.78–$1,433.76 | 8% above | 40% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC Hida Scan | $1,033.80 | $1,723.00 | $104.78–$1,433.76 | 8% above | 40% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC Hida Scan | $1,033.80 | $1,723.00 | $104.78–$1,433.76 | — | 40% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC Hida Scan | $1,033.80 | $1,723.00 | $104.78–$1,433.76 | — | 40% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Sleep Std Airflow Hrt Rate&O2 Sat Effort Unatt | $118.80 | $198.00 | $30.45–$161.27 | 63% below | 40% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC Sleep Study Unatt&Resp Efft, Professional Component | $334.20 | $557.00 | $86.00–$774.40 | 4% above | 40% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC Sleep Study Unatt&Resp Efft, Professional Component | $334.20 | $557.00 | $86.00–$774.40 | 4% above | 40% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 Sleep Std Airflow Hrt Rate&O2 Sat Effort Unatt | $118.80 | $198.00 | $30.45–$161.27 | — | 40% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 Sleep Std Airflow Hrt Rate&O2 Sat Effort Unatt | $118.80 | $198.00 | $30.45–$161.27 | — | 40% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HC Sleep Study Unatt&Resp Efft, Professional Component | $334.20 | $557.00 | $86.00–$774.40 | — | 40% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HC Sleep Study Unatt&Resp Efft, Professional Component | $334.20 | $557.00 | $86.00–$774.40 | — | 40% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd | $810.00 | $1,350.00 | $42.35–$1,097.64 | 63% below | 40% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd | $810.00 | $1,350.00 | $42.35–$1,097.64 | 63% below | 40% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC Polysomnography W/Cpap | $4,990.20 | $8,317.00 | $561.38–$6,237.75 | 127% above | 40% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC Polysomnography W/Cpap | $4,990.20 | $8,317.00 | $561.38–$6,237.75 | 127% above | 40% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd | $810.00 | $1,350.00 | $42.35–$1,097.64 | — | 40% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC Polysomnography W/Cpap | $4,990.20 | $8,317.00 | $561.38–$6,237.75 | — | 40% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC Polysomnography W/Cpap | $4,990.20 | $8,317.00 | $561.38–$6,237.75 | — | 40% |
| Knee X-ray, 3 views CPT 73562 HC Xr Knee 3 View -50 | $277.80 | $463.00 | $15.15–$347.25 | 65% above | 40% |
| Knee X-ray, 3 views CPT 73562 HC Xr Knee 3 View -50 | $277.80 | $463.00 | $15.15–$347.25 | 65% above | 40% |
| Knee X-ray, 3 views one side CPT 73562 HC Xr Knee 3 View -Rt | $277.80 | $463.00 | $15.15–$347.25 | 65% above | 40% |
| Knee X-ray, 3 views one side CPT 73562 HC Xr Knee 3 View -Rt | $277.80 | $463.00 | $15.15–$347.25 | 65% above | 40% |
| Knee X-ray, 3 views one side CPT 73562 HC Xr Knee 3 View -Lt | $277.80 | $463.00 | $15.15–$347.25 | 65% above | 40% |
| Knee X-ray, 3 views one side CPT 73562 HC Xr Knee 3 View -Lt | $277.80 | $463.00 | $15.15–$347.25 | 65% above | 40% |
| Knee X-ray, 3 views inpatient CPT 73562 HC Xr Knee 3 View -50 | $277.80 | $463.00 | $15.15–$347.25 | — | 40% |
| Knee X-ray, 3 views inpatient CPT 73562 HC Xr Knee 3 View -50 | $277.80 | $463.00 | $15.15–$347.25 | — | 40% |
| Knee X-ray, 3 views inpatient one side CPT 73562 HC Xr Knee 3 View -Rt | $277.80 | $463.00 | $15.15–$347.25 | — | 40% |
| Knee X-ray, 3 views inpatient one side CPT 73562 HC Xr Knee 3 View -Lt | $277.80 | $463.00 | $15.15–$347.25 | — | 40% |
| Knee X-ray, 3 views inpatient one side CPT 73562 HC Xr Knee 3 View -Lt | $277.80 | $463.00 | $15.15–$347.25 | — | 40% |
| Knee X-ray, 3 views inpatient one side CPT 73562 HC Xr Knee 3 View -Rt | $277.80 | $463.00 | $15.15–$347.25 | — | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdominal Real Time W/Image Limited | $99.00 | $165.00 | $12.95–$134.30 | 68% below | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdominal Real Time W/Image Limited | $99.00 | $165.00 | $12.95–$134.30 | 68% below | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US Abdominal Limited | $1,030.20 | $1,717.00 | $40.40–$1,287.75 | 235% above | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US Abdominal Limited | $1,030.20 | $1,717.00 | $40.40–$1,287.75 | 235% above | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abdominal Real Time W/Image Limited | $99.00 | $165.00 | $12.95–$134.30 | — | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abdominal Real Time W/Image Limited | $99.00 | $165.00 | $12.95–$134.30 | — | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US Abdominal Limited | $1,030.20 | $1,717.00 | $40.40–$1,287.75 | — | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US Abdominal Limited | $1,030.20 | $1,717.00 | $40.40–$1,287.75 | — | 40% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT Thorax Lung Ca Screen W/O Cont, Low Dose | $1,930.80 | $3,218.00 | $21.11–$2,413.50 | 360% above | 40% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT Thorax Lung Ca Screen W/O Cont, Low Dose | $1,930.80 | $3,218.00 | $21.11–$2,413.50 | 360% above | 40% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC CT Thorax Lung Ca Screen W/O Cont, Low Dose | $1,930.80 | $3,218.00 | $21.11–$2,413.50 | — | 40% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC CT Thorax Lung Ca Screen W/O Cont, Low Dose | $1,930.80 | $3,218.00 | $21.11–$2,413.50 | — | 40% |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI Breast Without&With Contrast W/Cad Bilateral | $390.60 | $651.00 | $155.40–$590.57 | — | 40% |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI Breast Without&With Contrast W/Cad Bilateral | $390.60 | $651.00 | $155.40–$590.57 | — | 40% |
| MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 MRI Breast Without&With Contrast W/Cad Bilateral | $390.60 | $651.00 | $155.40–$590.57 | — | 40% |
| MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 MRI Breast Without&With Contrast W/Cad Bilateral | $390.60 | $651.00 | $155.40–$590.57 | — | 40% |
| MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 HC MRI Lwr Ext Joint W/O Bilat | $1,527.60 | $2,546.00 | $271.74–$1,909.50 | — | 40% |
| MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 HC MRI Lwr Ext Joint W/O Bilat | $1,527.60 | $2,546.00 | $271.74–$1,909.50 | — | 40% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 HC MRI Lwr Extrm Jnt W/O Con-Rt | $786.60 | $1,311.00 | $271.74–$1,136.25 | 22% below | 40% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 HC MRI Lwr Extrm Jnt W/O Con- Lt | $786.60 | $1,311.00 | $271.74–$1,136.25 | 22% below | 40% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 HC MRI Lwr Extrm Jnt W/O Con-Rt | $786.60 | $1,311.00 | $271.74–$1,136.25 | 22% below | 40% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 HC MRI Lwr Extrm Jnt W/O Con- Lt | $786.60 | $1,311.00 | $271.74–$1,136.25 | 22% below | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 HC MRI Lwr Ext Joint W/O Bilat | $1,527.60 | $2,546.00 | $271.74–$1,909.50 | — | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 HC MRI Lwr Ext Joint W/O Bilat | $1,527.60 | $2,546.00 | $271.74–$1,909.50 | — | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 HC MRI Lwr Extrm Jnt W/O Con-Rt | $786.60 | $1,311.00 | $271.74–$1,136.25 | — | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 HC MRI Lwr Extrm Jnt W/O Con- Lt | $786.60 | $1,311.00 | $271.74–$1,136.25 | — | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 HC MRI Lwr Extrm Jnt W/O Con-Rt | $786.60 | $1,311.00 | $271.74–$1,136.25 | — | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 HC MRI Lwr Extrm Jnt W/O Con- Lt | $786.60 | $1,311.00 | $271.74–$1,136.25 | — | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HC MRI Lwr Ext Jnt W/&W/O Cn-Lt | $1,854.00 | $3,090.00 | $401.48–$2,317.50 | 1% above | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HC MRI Lwr Ext Jnt W/&W/O Cn-Rt | $1,854.00 | $3,090.00 | $401.48–$2,317.50 | 1% above | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HC MRI Lwr Ext Jnt W/&W/O Cn-Rt | $1,854.00 | $3,090.00 | $401.48–$2,317.50 | 1% above | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HC MRI Lwr Ext Jnt W/&W/O Cn-Lt | $1,854.00 | $3,090.00 | $401.48–$2,317.50 | 1% above | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HC MRI Rt Lwr Ext Joint W/WO | $2,032.80 | $3,388.00 | $401.48–$2,541.00 | 11% above | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HC MRI Rt Lwr Ext Joint W/WO | $2,032.80 | $3,388.00 | $401.48–$2,541.00 | 11% above | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 HC MRI Lwr Ext Jnt W/&W/O Cn-Lt | $1,854.00 | $3,090.00 | $401.48–$2,317.50 | — | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 HC MRI Lwr Ext Jnt W/&W/O Cn-Lt | $1,854.00 | $3,090.00 | $401.48–$2,317.50 | — | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 HC MRI Lwr Ext Jnt W/&W/O Cn-Rt | $1,854.00 | $3,090.00 | $401.48–$2,317.50 | — | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 HC MRI Lwr Ext Jnt W/&W/O Cn-Rt | $1,854.00 | $3,090.00 | $401.48–$2,317.50 | — | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 HC MRI Rt Lwr Ext Joint W/WO | $2,032.80 | $3,388.00 | $401.48–$2,541.00 | — | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 HC MRI Rt Lwr Ext Joint W/WO | $2,032.80 | $3,388.00 | $401.48–$2,541.00 | — | 40% |
| MRI of the abdomen without contrast CPT 74181 HC MRI Abdomen W/O Contrast | $1,527.60 | $2,546.00 | $271.74–$1,909.50 | 50% above | 40% |
| MRI of the abdomen without contrast CPT 74181 HC MRI Abdomen W/O Contrast | $1,527.60 | $2,546.00 | $271.74–$1,909.50 | 50% above | 40% |
| MRI of the abdomen without contrast inpatient CPT 74181 HC MRI Abdomen W/O Contrast | $1,527.60 | $2,546.00 | $271.74–$1,909.50 | — | 40% |
| MRI of the abdomen without contrast inpatient CPT 74181 HC MRI Abdomen W/O Contrast | $1,527.60 | $2,546.00 | $271.74–$1,909.50 | — | 40% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI Abdomen W/WO Contrast | $2,032.80 | $3,388.00 | $401.48–$2,541.00 | 23% above | 40% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI Abdomen W/WO Contrast | $2,032.80 | $3,388.00 | $401.48–$2,541.00 | 23% above | 40% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI Abdomen W/WO Contrast | $2,032.80 | $3,388.00 | $401.48–$2,541.00 | — | 40% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI Abdomen W/WO Contrast | $2,032.80 | $3,388.00 | $401.48–$2,541.00 | — | 40% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI Brain+Stem W/Out Cont | $1,527.60 | $2,546.00 | $271.74–$1,909.50 | 54% above | 40% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI Brain+Stem W/Out Cont | $1,527.60 | $2,546.00 | $271.74–$1,909.50 | 54% above | 40% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI Brain+Stem W/Out Cont | $1,527.60 | $2,546.00 | $271.74–$1,909.50 | — | 40% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI Brain+Stem W/Out Cont | $1,527.60 | $2,546.00 | $271.74–$1,909.50 | — | 40% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI Brain W/WO Contrast | $1,854.00 | $3,090.00 | $401.48–$2,317.50 | 16% above | 40% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI Brain W/WO Contrast | $1,854.00 | $3,090.00 | $401.48–$2,317.50 | 16% above | 40% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI Brain W/WO Contrast | $1,854.00 | $3,090.00 | $401.48–$2,317.50 | — | 40% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI Brain W/WO Contrast | $1,854.00 | $3,090.00 | $401.48–$2,317.50 | — | 40% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI Lumbar Spine W/O | $1,527.60 | $2,546.00 | $271.74–$1,909.50 | 43% above | 40% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI Lumbar Spine W/O | $1,527.60 | $2,546.00 | $271.74–$1,909.50 | 43% above | 40% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI Lumbar Spine W/O | $1,527.60 | $2,546.00 | $271.74–$1,909.50 | — | 40% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI Lumbar Spine W/O | $1,527.60 | $2,546.00 | $271.74–$1,909.50 | — | 40% |
| MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI Spn Cnl Lumbar W/WO | $1,854.00 | $3,090.00 | $303.00–$2,317.50 | 12% above | 40% |
| MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI Spn Cnl Lumbar W/WO | $1,854.00 | $3,090.00 | $303.00–$2,317.50 | 12% above | 40% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI Spn Cnl Lumbar W/WO | $1,854.00 | $3,090.00 | $303.00–$2,317.50 | — | 40% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI Spn Cnl Lumbar W/WO | $1,854.00 | $3,090.00 | $303.00–$2,317.50 | — | 40% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI Thoracic Spine W/O | $1,527.60 | $2,546.00 | $271.74–$1,909.50 | 52% above | 40% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI Thoracic Spine W/O | $1,527.60 | $2,546.00 | $271.74–$1,909.50 | 52% above | 40% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI Thoracic Spine W/O | $1,527.60 | $2,546.00 | $271.74–$1,909.50 | — | 40% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI Thoracic Spine W/O | $1,527.60 | $2,546.00 | $271.74–$1,909.50 | — | 40% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI Spnl Cnl Cerv W/WO Cont | $1,854.00 | $3,090.00 | $401.48–$2,317.50 | 15% above | 40% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI Spnl Cnl Cerv W/WO Cont | $1,854.00 | $3,090.00 | $401.48–$2,317.50 | 15% above | 40% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI Spnl Cnl Cerv W/WO Cont | $1,854.00 | $3,090.00 | $401.48–$2,317.50 | — | 40% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI Spnl Cnl Cerv W/WO Cont | $1,854.00 | $3,090.00 | $401.48–$2,317.50 | — | 40% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI Spine Cerv; WO Contr | $1,527.60 | $2,546.00 | $271.74–$1,909.50 | 53% above | 40% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI Spine Cerv; WO Contr | $1,527.60 | $2,546.00 | $271.74–$1,909.50 | 53% above | 40% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI Spine Cerv; WO Contr | $1,527.60 | $2,546.00 | $271.74–$1,909.50 | — | 40% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI Spine Cerv; WO Contr | $1,527.60 | $2,546.00 | $271.74–$1,909.50 | — | 40% |
| MRI of the pelvis without and with contrast CPT 72197 HC MRI Bony Pelvis W/WO Cont | $1,854.00 | $3,090.00 | $401.48–$2,317.50 | 21% above | 40% |
| MRI of the pelvis without and with contrast CPT 72197 HC MRI Bony Pelvis W/WO Cont | $1,854.00 | $3,090.00 | $401.48–$2,317.50 | 21% above | 40% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI Bony Pelvis W/WO Cont | $1,854.00 | $3,090.00 | $401.48–$2,317.50 | — | 40% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI Bony Pelvis W/WO Cont | $1,854.00 | $3,090.00 | $401.48–$2,317.50 | — | 40% |
| MRI of the pelvis, no contrast dye CPT 72195 HC MRI Pelvis W/Out Contrast | $1,527.60 | $2,546.00 | $271.74–$1,909.50 | 54% above | 40% |
| MRI of the pelvis, no contrast dye CPT 72195 HC MRI Pelvis W/Out Contrast | $1,527.60 | $2,546.00 | $271.74–$1,909.50 | 54% above | 40% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI Pelvis W/Out Contrast | $1,527.60 | $2,546.00 | $271.74–$1,909.50 | — | 40% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI Pelvis W/Out Contrast | $1,527.60 | $2,546.00 | $271.74–$1,909.50 | — | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye both sides CPT 73221 HC MRI Upr Ext Any Joint W/O Cont Bilat | $2,160.60 | $3,601.00 | $271.74–$2,700.75 | — | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye both sides CPT 73221 HC MRI Upr Ext Any Joint W/O Cont Bilat | $2,160.60 | $3,601.00 | $271.74–$2,700.75 | — | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 HC MRI Upr Ext Any Joint WO Contrast- Rt | $1,440.60 | $2,401.00 | $271.74–$1,800.75 | 20% above | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 HC MRI Upr Ext Any Joint W/O Contrast-Lt | $1,440.60 | $2,401.00 | $271.74–$1,800.75 | 20% above | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 HC MRI Upr Ext Any Joint WO Contrast- Rt | $1,440.60 | $2,401.00 | $271.74–$1,800.75 | 20% above | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 HC MRI Upr Ext Any Joint W/O Contrast-Lt | $1,440.60 | $2,401.00 | $271.74–$1,800.75 | 20% above | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient both sides CPT 73221 HC MRI Upr Ext Any Joint W/O Cont Bilat | $2,160.60 | $3,601.00 | $271.74–$2,700.75 | — | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient both sides CPT 73221 HC MRI Upr Ext Any Joint W/O Cont Bilat | $2,160.60 | $3,601.00 | $271.74–$2,700.75 | — | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 HC MRI Upr Ext Any Joint W/O Contrast-Lt | $1,440.60 | $2,401.00 | $271.74–$1,800.75 | — | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 HC MRI Upr Ext Any Joint WO Contrast- Rt | $1,440.60 | $2,401.00 | $271.74–$1,800.75 | — | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 HC MRI Upr Ext Any Joint WO Contrast- Rt | $1,440.60 | $2,401.00 | $271.74–$1,800.75 | — | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 HC MRI Upr Ext Any Joint W/O Contrast-Lt | $1,440.60 | $2,401.00 | $271.74–$1,800.75 | — | 40% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC Ht Muscle Image Spect Mult | $3,469.20 | $5,782.00 | $241.13–$4,643.19 | 57% above | 40% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC Ht Muscle Image Spect Mult | $3,469.20 | $5,782.00 | $241.13–$4,643.19 | 57% above | 40% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC Ht Muscle Image Spect Mult | $3,469.20 | $5,782.00 | $241.13–$4,643.19 | — | 40% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC Ht Muscle Image Spect Mult | $3,469.20 | $5,782.00 | $241.13–$4,643.19 | — | 40% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC Pet/CT Skull-Thigh Reduced -52 | $6,509.40 | $10,849.00 | $682.76–$8,136.75 | 75% above | 40% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC Pet/CT Skull-Thigh Reduced -52 | $6,509.40 | $10,849.00 | $682.76–$8,136.75 | 75% above | 40% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC Pet/CT Skull-Thigh | $6,996.00 | $11,660.00 | $682.76–$8,745.00 | 88% above | 40% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC Pet/CT Skull-Thigh | $6,996.00 | $11,660.00 | $682.76–$8,745.00 | 88% above | 40% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HC Pet/CT Skull-Thigh Reduced -52 | $6,509.40 | $10,849.00 | $682.76–$8,136.75 | — | 40% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HC Pet/CT Skull-Thigh Reduced -52 | $6,509.40 | $10,849.00 | $682.76–$8,136.75 | — | 40% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HC Pet/CT Skull-Thigh | $6,996.00 | $11,660.00 | $682.76–$8,745.00 | — | 40% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HC Pet/CT Skull-Thigh | $6,996.00 | $11,660.00 | $682.76–$8,745.00 | — | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US Pelvis Limited | $639.60 | $1,066.00 | $40.40–$799.50 | 152% above | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US Pelvis Limited | $639.60 | $1,066.00 | $40.40–$799.50 | 152% above | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up one side CPT 76857 HC US Pelvis Limited -Lt | $629.40 | $1,049.00 | $40.40–$786.75 | 148% above | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up one side CPT 76857 HC US Pelvis Limited -Lt | $629.40 | $1,049.00 | $40.40–$786.75 | 148% above | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US Pelvis Limited | $639.60 | $1,066.00 | $40.40–$799.50 | — | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US Pelvis Limited | $639.60 | $1,066.00 | $40.40–$799.50 | — | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient one side CPT 76857 HC US Pelvis Limited -Lt | $629.40 | $1,049.00 | $40.40–$786.75 | — | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient one side CPT 76857 HC US Pelvis Limited -Lt | $629.40 | $1,049.00 | $40.40–$786.75 | — | 40% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvic Nonobstetric Real-Time Image Complete | $121.20 | $202.00 | $22.05–$163.85 | 67% below | 40% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US Pelvis Complete | $1,120.20 | $1,867.00 | $55.55–$1,400.25 | 209% above | 40% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US Pelvis Complete | $1,120.20 | $1,867.00 | $55.55–$1,400.25 | 209% above | 40% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US Pelvic Nonobstetric Real-Time Image Complete | $121.20 | $202.00 | $22.05–$163.85 | — | 40% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US Pelvis Complete | $1,120.20 | $1,867.00 | $55.55–$1,400.25 | — | 40% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US Pelvis Complete | $1,120.20 | $1,867.00 | $55.55–$1,400.25 | — | 40% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US OB >14wks First Gest | $865.20 | $1,442.00 | $55.55–$1,081.50 | 167% above | 40% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US OB >14wks First Gest | $865.20 | $1,442.00 | $55.55–$1,081.50 | 167% above | 40% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US OB >14wks First Gest | $865.20 | $1,442.00 | $55.55–$1,081.50 | — | 40% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US OB >14wks First Gest | $865.20 | $1,442.00 | $55.55–$1,081.50 | — | 40% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US OB <14wks First Gest | $655.20 | $1,092.00 | $55.55–$819.00 | 113% above | 40% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US OB <14wks First Gest | $655.20 | $1,092.00 | $55.55–$819.00 | 113% above | 40% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC US OB <14wks First Gest | $655.20 | $1,092.00 | $55.55–$819.00 | — | 40% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC US OB <14wks First Gest | $655.20 | $1,092.00 | $55.55–$819.00 | — | 40% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US OB Limited | $359.40 | $599.00 | $25.25–$588.00 | 16% above | 40% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US OB Limited | $359.40 | $599.00 | $25.25–$588.00 | 16% above | 40% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US OB Limited | $359.40 | $599.00 | $25.25–$588.00 | — | 40% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US OB Limited | $359.40 | $599.00 | $25.25–$588.00 | — | 40% |
| Screening mammogram, both breasts both sides CPT 77067 HC Scr Mammo Bi Incl Cad-Rt | $644.40 | $1,074.00 | $86.54–$805.50 | — | 40% |
| Screening mammogram, both breasts both sides CPT 77067 HC Scr Mammo Bi Incl Cad-Rt | $644.40 | $1,074.00 | $86.54–$805.50 | — | 40% |
| Screening mammogram, both breasts both sides CPT 77067 HC Scr Mammo Bi Incl Cad Reduced -Rt/52 | $654.60 | $1,091.00 | $86.54–$818.25 | — | 40% |
| Screening mammogram, both breasts both sides CPT 77067 HC Scr Mammo Bi Incl Cad Reduced -Lt/52 | $654.60 | $1,091.00 | $86.54–$818.25 | — | 40% |
| Screening mammogram, both breasts both sides CPT 77067 HC Scr Mammo Bi Incl Cad Reduced -Lt/52 | $654.60 | $1,091.00 | $86.54–$818.25 | — | 40% |
| Screening mammogram, both breasts both sides CPT 77067 HC Scr Mammo Bi Incl Cad | $654.60 | $1,091.00 | $86.54–$818.25 | — | 40% |
| Screening mammogram, both breasts both sides CPT 77067 HC Scr Mammo Bi Incl Cad Reduced -Rt/52 | $654.60 | $1,091.00 | $86.54–$818.25 | — | 40% |
| Screening mammogram, both breasts both sides CPT 77067 HC Scr Mammo Bi Incl Cad | $717.60 | $1,196.00 | $86.54–$382.00 | — | 40% |
| Screening mammogram, both breasts one side CPT 77067 HC Scr Mammo Incl Cad -Lt | $644.40 | $1,074.00 | $86.54–$805.50 | 177% above | 40% |
| Screening mammogram, both breasts one side CPT 77067 HC Scr Mammo Incl Cad -Lt | $644.40 | $1,074.00 | $86.54–$805.50 | 177% above | 40% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC Scr Mammo Bi Incl Cad-Rt | $644.40 | $1,074.00 | $86.54–$805.50 | — | 40% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC Scr Mammo Bi Incl Cad-Rt | $644.40 | $1,074.00 | $86.54–$805.50 | — | 40% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC Scr Mammo Bi Incl Cad Reduced -Rt/52 | $654.60 | $1,091.00 | $86.54–$818.25 | — | 40% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC Scr Mammo Bi Incl Cad Reduced -Lt/52 | $654.60 | $1,091.00 | $86.54–$818.25 | — | 40% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC Scr Mammo Bi Incl Cad Reduced -Lt/52 | $654.60 | $1,091.00 | $86.54–$818.25 | — | 40% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC Scr Mammo Bi Incl Cad Reduced -Rt/52 | $654.60 | $1,091.00 | $86.54–$818.25 | — | 40% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC Scr Mammo Bi Incl Cad | $654.60 | $1,091.00 | $86.54–$818.25 | — | 40% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC Scr Mammo Bi Incl Cad | $654.60 | $1,091.00 | $86.54–$818.25 | — | 40% |
| Screening mammogram, both breasts inpatient one side CPT 77067 HC Scr Mammo Incl Cad -Lt | $644.40 | $1,074.00 | $86.54–$805.50 | — | 40% |
| Screening mammogram, both breasts inpatient one side CPT 77067 HC Scr Mammo Incl Cad -Lt | $644.40 | $1,074.00 | $86.54–$805.50 | — | 40% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 HC Shoulder Comp-Min 2v-50 | $400.20 | $667.00 | $15.15–$500.25 | 98% above | 40% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 HC Shoulder Comp-Min 2v-50 | $400.20 | $667.00 | $15.15–$500.25 | 98% above | 40% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 HC Shoulder Comp-Min 2v-Rt | $378.00 | $630.00 | $15.15–$472.50 | 87% above | 40% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 HC Shoulder Comp-Min 2v-Lt | $378.00 | $630.00 | $15.15–$472.50 | 87% above | 40% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 HC Shoulder Comp-Min 2v-Lt | $378.00 | $630.00 | $15.15–$472.50 | 87% above | 40% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 HC Shoulder Comp-Min 2v-Rt | $378.00 | $630.00 | $15.15–$472.50 | 87% above | 40% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC Shoulder Comp-Min 2v-50 | $400.20 | $667.00 | $15.15–$500.25 | — | 40% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC Shoulder Comp-Min 2v-50 | $400.20 | $667.00 | $15.15–$500.25 | — | 40% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 HC Shoulder Comp-Min 2v-Rt | $378.00 | $630.00 | $15.15–$472.50 | — | 40% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 HC Shoulder Comp-Min 2v-Lt | $378.00 | $630.00 | $15.15–$472.50 | — | 40% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 HC Shoulder Comp-Min 2v-Lt | $378.00 | $630.00 | $15.15–$472.50 | — | 40% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 HC Shoulder Comp-Min 2v-Rt | $378.00 | $630.00 | $15.15–$472.50 | — | 40% |
| Sleep study in a lab (polysomnography) CPT 95810 Polysom 6/>Yrs Sleep 4/> Addl Param Attnd | $771.00 | $1,285.00 | $40.95–$1,044.95 | 63% below | 40% |
| Sleep study in a lab (polysomnography) CPT 95810 Polysom 6/>Yrs Sleep 4/> Addl Param Attnd | $771.00 | $1,285.00 | $40.95–$1,044.95 | 63% below | 40% |
| Sleep study in a lab (polysomnography) CPT 95810 HC Polysomnogram | $4,658.40 | $7,764.00 | $306.43–$5,823.00 | 122% above | 40% |
| Sleep study in a lab (polysomnography) CPT 95810 HC Polysomnogram | $4,658.40 | $7,764.00 | $306.43–$5,823.00 | 122% above | 40% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 Polysom 6/>Yrs Sleep 4/> Addl Param Attnd | $771.00 | $1,285.00 | $40.95–$1,044.95 | — | 40% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC Polysomnogram | $4,658.40 | $7,764.00 | $306.43–$5,823.00 | — | 40% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC Polysomnogram | $4,658.40 | $7,764.00 | $306.43–$5,823.00 | — | 40% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC Stress Echo | $973.20 | $1,622.00 | $143.42–$1,959.69 | 14% below | 40% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC Stress Echo | $973.20 | $1,622.00 | $143.42–$1,959.69 | 14% below | 40% |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HC Stress Echo | $973.20 | $1,622.00 | $143.42–$1,959.69 | — | 40% |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HC Stress Echo | $973.20 | $1,622.00 | $143.42–$1,959.69 | — | 40% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 HC Swallowing Function/Video | $490.80 | $818.00 | $20.20–$629.07 | 46% above | 40% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 HC Swallowing Function/Video | $490.80 | $818.00 | $20.20–$629.07 | 46% above | 40% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC Swallowing Function/Video | $490.80 | $818.00 | $20.20–$629.07 | — | 40% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC Swallowing Function/Video | $490.80 | $818.00 | $20.20–$629.07 | — | 40% |
| Transvaginal pelvic ultrasound CPT 76830 HC US Non-OB Transvaginal | $888.60 | $1,481.00 | $60.60–$1,110.75 | 156% above | 40% |
| Transvaginal pelvic ultrasound CPT 76830 HC US Non-OB Transvaginal | $888.60 | $1,481.00 | $60.60–$1,110.75 | 156% above | 40% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC US Non-OB Transvaginal | $888.60 | $1,481.00 | $60.60–$1,110.75 | — | 40% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC US Non-OB Transvaginal | $888.60 | $1,481.00 | $60.60–$1,110.75 | — | 40% |
| Transvaginal ultrasound during pregnancy CPT 76817 HC US OB/Transvaginal | $670.20 | $1,117.00 | $60.60–$837.75 | 141% above | 40% |
| Transvaginal ultrasound during pregnancy CPT 76817 HC US OB/Transvaginal | $670.20 | $1,117.00 | $60.60–$837.75 | 141% above | 40% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC US OB/Transvaginal | $670.20 | $1,117.00 | $60.60–$837.75 | — | 40% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC US OB/Transvaginal | $670.20 | $1,117.00 | $60.60–$837.75 | — | 40% |
| Ultrasound of the abdomen, complete CPT 76700 US Abdominal Real Time W/Image Documentation | $131.40 | $219.00 | $25.55–$177.99 | 69% below | 40% |
| Ultrasound of the abdomen, complete CPT 76700 US Abdominal Real Time W/Image Documentation | $131.40 | $219.00 | $25.55–$177.99 | 69% below | 40% |
| Ultrasound of the abdomen, complete CPT 76700 HC US Abdominal Complete | $1,332.00 | $2,220.00 | $60.60–$1,665.00 | 213% above | 40% |
| Ultrasound of the abdomen, complete CPT 76700 HC US Abdominal Complete | $1,332.00 | $2,220.00 | $60.60–$1,665.00 | 213% above | 40% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdominal Real Time W/Image Documentation | $131.40 | $219.00 | $25.55–$177.99 | — | 40% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdominal Real Time W/Image Documentation | $131.40 | $219.00 | $25.55–$177.99 | — | 40% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US Abdominal Complete | $1,332.00 | $2,220.00 | $60.60–$1,665.00 | — | 40% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US Abdominal Complete | $1,332.00 | $2,220.00 | $60.60–$1,665.00 | — | 40% |
| Ultrasound of the scrotum and testicles CPT 76870 HC US Scrotal/Testicular | $885.60 | $1,476.00 | $30.30–$1,107.00 | 151% above | 40% |
| Ultrasound of the scrotum and testicles CPT 76870 HC US Scrotal/Testicular | $885.60 | $1,476.00 | $30.30–$1,107.00 | 151% above | 40% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 HC US Scrotal/Testicular | $885.60 | $1,476.00 | $30.30–$1,107.00 | — | 40% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 HC US Scrotal/Testicular | $885.60 | $1,476.00 | $30.30–$1,107.00 | — | 40% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Soft Tissue Head & Neck Real Time Imge Docm | $124.80 | $208.00 | $17.85–$168.83 | 60% below | 40% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US-Soft Tissue Head&Neck | $790.20 | $1,317.00 | $30.30–$987.75 | 152% above | 40% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US-Soft Tissue Head&Neck | $790.20 | $1,317.00 | $30.30–$987.75 | 152% above | 40% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Soft Tissue Head & Neck Real Time Imge Docm | $124.80 | $208.00 | $17.85–$168.83 | — | 40% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US-Soft Tissue Head&Neck | $790.20 | $1,317.00 | $30.30–$987.75 | — | 40% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US-Soft Tissue Head&Neck | $790.20 | $1,317.00 | $30.30–$987.75 | — | 40% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC Xr Upr GI Trc Single Contrast Study | $904.20 | $1,507.00 | $30.30–$1,130.25 | 115% above | 40% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC Xr Upr GI Trc Single Contrast Study | $904.20 | $1,507.00 | $30.30–$1,130.25 | 115% above | 40% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC Xr Upr GI Trc Single Contrast Study | $904.20 | $1,507.00 | $30.30–$1,130.25 | — | 40% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC Xr Upr GI Trc Single Contrast Study | $904.20 | $1,507.00 | $30.30–$1,130.25 | — | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC Duplex Ext Veins; Unil/Limit | $983.40 | $1,639.00 | $93.93–$1,229.25 | 182% above | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC Duplex Ext Veins; Unil/Limit | $983.40 | $1,639.00 | $93.93–$1,229.25 | 182% above | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC Dplx Ext Veins Uni/Lmtd ( Multiple Exams) | $1,390.20 | $2,317.00 | $93.93–$1,737.75 | 299% above | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC Dplx Ext Veins Uni/Lmtd ( Multiple Exams) | $1,390.20 | $2,317.00 | $93.93–$1,737.75 | 299% above | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Dup-Scan Xtr Veins Unilateral/Limited Study | $133.20 | $222.00 | $14.00–$180.27 | 62% below | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC Duplex Ext Veins; Unil/Limit-Rt | $1,151.40 | $1,919.00 | $93.93–$1,439.25 | 230% above | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC Duplex Ext Veins; Unil/Limit-Lt | $1,151.40 | $1,919.00 | $93.93–$1,439.25 | 230% above | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC Duplex Ext Veins; Unil/Limit-Rt | $1,151.40 | $1,919.00 | $93.93–$1,439.25 | 230% above | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC Duplex Ext Veins; Unil/Limit-Lt | $1,151.40 | $1,919.00 | $93.93–$1,439.25 | 230% above | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC Duplex Ext Veins; Unil/Limit | $983.40 | $1,639.00 | $93.93–$1,229.25 | — | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC Duplex Ext Veins; Unil/Limit | $983.40 | $1,639.00 | $93.93–$1,229.25 | — | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC Dplx Ext Veins Uni/Lmtd ( Multiple Exams) | $1,390.20 | $2,317.00 | $93.93–$1,737.75 | — | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC Dplx Ext Veins Uni/Lmtd ( Multiple Exams) | $1,390.20 | $2,317.00 | $93.93–$1,737.75 | — | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Dup-Scan Xtr Veins Unilateral/Limited Study | $133.20 | $222.00 | $14.00–$180.27 | — | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC Duplex Ext Veins; Unil/Limit-Rt | $1,151.40 | $1,919.00 | $93.93–$1,439.25 | — | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC Duplex Ext Veins; Unil/Limit-Lt | $1,151.40 | $1,919.00 | $93.93–$1,439.25 | — | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC Duplex Ext Veins; Unil/Limit-Lt | $1,151.40 | $1,919.00 | $93.93–$1,439.25 | — | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC Duplex Ext Veins; Unil/Limit-Rt | $1,151.40 | $1,919.00 | $93.93–$1,439.25 | — | 40% |
| Wrist X-ray, complete, 3 or more views CPT 73110 HC Xr Wrist Comp-Min 3view-50 | $366.00 | $610.00 | $12.63–$457.50 | 91% above | 40% |
| Wrist X-ray, complete, 3 or more views CPT 73110 HC Xr Wrist Comp-Min 3view-50 | $366.00 | $610.00 | $12.63–$457.50 | 91% above | 40% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 HC Xr Wrist Comp-Min 3view-Lt | $366.00 | $610.00 | $12.63–$457.50 | 91% above | 40% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 HC Xr Wrist Comp-Min 3view-Rt | $366.00 | $610.00 | $12.63–$457.50 | 91% above | 40% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 HC Xr Wrist Comp-Min 3view-Rt | $366.00 | $610.00 | $12.63–$457.50 | 91% above | 40% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 HC Xr Wrist Comp-Min 3view-Lt | $366.00 | $610.00 | $12.63–$457.50 | 91% above | 40% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC Xr Wrist Comp-Min 3view-50 | $366.00 | $610.00 | $12.63–$457.50 | — | 40% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC Xr Wrist Comp-Min 3view-50 | $366.00 | $610.00 | $12.63–$457.50 | — | 40% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 HC Xr Wrist Comp-Min 3view-Rt | $366.00 | $610.00 | $12.63–$457.50 | — | 40% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 HC Xr Wrist Comp-Min 3view-Lt | $366.00 | $610.00 | $12.63–$457.50 | — | 40% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 HC Xr Wrist Comp-Min 3view-Lt | $366.00 | $610.00 | $12.63–$457.50 | — | 40% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 HC Xr Wrist Comp-Min 3view-Rt | $366.00 | $610.00 | $12.63–$457.50 | — | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC X-Ray Exam Hip Uni 2-3 Views-Lt | $493.20 | $822.00 | $12.59–$616.50 | 170% above | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC X-Ray Exam Hip Uni 2-3 Views-Lt | $493.20 | $822.00 | $12.59–$616.50 | 170% above | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC X-Ray Exam Hip Uni 2-3 Views-Rt | $493.20 | $822.00 | $12.59–$616.50 | 170% above | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC X-Ray Exam Hip Uni 2-3 Views-Rt | $493.20 | $822.00 | $12.59–$616.50 | 170% above | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HC X-Ray Exam Hip Uni 2-3 Views-Rt | $493.20 | $822.00 | $12.59–$616.50 | — | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HC X-Ray Exam Hip Uni 2-3 Views-Rt | $493.20 | $822.00 | $12.59–$616.50 | — | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HC X-Ray Exam Hip Uni 2-3 Views-Lt | $493.20 | $822.00 | $12.59–$616.50 | — | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HC X-Ray Exam Hip Uni 2-3 Views-Lt | $493.20 | $822.00 | $12.59–$616.50 | — | 40% |
| X-ray of the abdomen, 1 view CPT 74018 HC Xr Abdomen 1 V (Kub) | $356.40 | $594.00 | $10.10–$445.50 | 77% above | 40% |
| X-ray of the abdomen, 1 view CPT 74018 HC Xr Abdomen 1 V (Kub) | $356.40 | $594.00 | $10.10–$445.50 | 77% above | 40% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 HC Xr Abdomen 1 V (Kub) | $356.40 | $594.00 | $10.10–$445.50 | — | 40% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 HC Xr Abdomen 1 V (Kub) | $356.40 | $594.00 | $10.10–$445.50 | — | 40% |
| X-ray of the ankle, 2 views CPT 73600 HC Xr Ankle 2 View -50 | $225.00 | $375.00 | $10.10–$312.11 | 41% above | 40% |
| X-ray of the ankle, 2 views CPT 73600 HC Xr Ankle 2 View -50 | $225.00 | $375.00 | $10.10–$312.11 | 41% above | 40% |
| X-ray of the ankle, 2 views one side CPT 73600 HC Xr Ankle 2 View -Lt | $225.00 | $375.00 | $10.10–$312.11 | 41% above | 40% |
| X-ray of the ankle, 2 views one side CPT 73600 HC Xr Ankle 2 View -Lt | $225.00 | $375.00 | $10.10–$312.11 | 41% above | 40% |
| X-ray of the ankle, 2 views one side CPT 73600 HC Xr Ankle 2 View -Rt | $225.00 | $375.00 | $10.10–$312.11 | 41% above | 40% |
| X-ray of the ankle, 2 views one side CPT 73600 HC Xr Ankle 2 View -Rt | $225.00 | $375.00 | $10.10–$312.11 | 41% above | 40% |
| X-ray of the ankle, 2 views inpatient CPT 73600 HC Xr Ankle 2 View -50 | $225.00 | $375.00 | $10.10–$312.11 | — | 40% |
| X-ray of the ankle, 2 views inpatient CPT 73600 HC Xr Ankle 2 View -50 | $225.00 | $375.00 | $10.10–$312.11 | — | 40% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 HC Xr Ankle 2 View -Lt | $225.00 | $375.00 | $10.10–$312.11 | — | 40% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 HC Xr Ankle 2 View -Rt | $225.00 | $375.00 | $10.10–$312.11 | — | 40% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 HC Xr Ankle 2 View -Rt | $225.00 | $375.00 | $10.10–$312.11 | — | 40% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 HC Xr Ankle 2 View -Lt | $225.00 | $375.00 | $10.10–$312.11 | — | 40% |
| X-ray of the finger(s), 2 or more views CPT 73140 HC Xr Finger(S) Min 2 View | $258.60 | $431.00 | $7.58–$323.25 | 64% above | 40% |
| X-ray of the finger(s), 2 or more views CPT 73140 HC Xr Finger(S) Min 2 View | $258.60 | $431.00 | $7.58–$323.25 | 64% above | 40% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 HC Xr Finger(S) Min 2 View -Lt | $258.60 | $431.00 | $7.58–$323.25 | 64% above | 40% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 HC Xr Finger(S) Min 2 View -Rt | $258.60 | $431.00 | $7.58–$323.25 | 64% above | 40% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 HC Xr Finger(S) Min 2 View -Lt | $258.60 | $431.00 | $7.58–$323.25 | 64% above | 40% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 HC Xr Finger(S) Min 2 View -Rt | $258.60 | $431.00 | $7.58–$323.25 | 64% above | 40% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC Xr Finger(S) Min 2 View | $258.60 | $431.00 | $7.58–$323.25 | — | 40% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC Xr Finger(S) Min 2 View | $258.60 | $431.00 | $7.58–$323.25 | — | 40% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 HC Xr Finger(S) Min 2 View -Lt | $258.60 | $431.00 | $7.58–$323.25 | — | 40% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 HC Xr Finger(S) Min 2 View -Rt | $258.60 | $431.00 | $7.58–$323.25 | — | 40% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 HC Xr Finger(S) Min 2 View -Rt | $258.60 | $431.00 | $7.58–$323.25 | — | 40% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 HC Xr Finger(S) Min 2 View -Lt | $258.60 | $431.00 | $7.58–$323.25 | — | 40% |
| X-ray of the foot, 2 views CPT 73620 HC Xr Foot -2 View-50 | $228.60 | $381.00 | $10.10–$312.11 | 37% above | 40% |
| X-ray of the foot, 2 views CPT 73620 HC Xr Foot -2 View-50 | $228.60 | $381.00 | $10.10–$312.11 | 37% above | 40% |
| X-ray of the foot, 2 views one side CPT 73620 HC Xr Foot -2 View-Lt | $228.60 | $381.00 | $10.10–$312.11 | 37% above | 40% |
| X-ray of the foot, 2 views one side CPT 73620 HC Xr Foot -2 View-Rt | $228.60 | $381.00 | $10.10–$312.11 | 37% above | 40% |
| X-ray of the foot, 2 views one side CPT 73620 HC Xr Foot -2 View-Rt | $228.60 | $381.00 | $10.10–$312.11 | 37% above | 40% |
| X-ray of the foot, 2 views one side CPT 73620 HC Xr Foot -2 View-Lt | $228.60 | $381.00 | $10.10–$312.11 | 37% above | 40% |
| X-ray of the foot, 2 views inpatient CPT 73620 HC Xr Foot -2 View-50 | $228.60 | $381.00 | $10.10–$312.11 | — | 40% |
| X-ray of the foot, 2 views inpatient CPT 73620 HC Xr Foot -2 View-50 | $228.60 | $381.00 | $10.10–$312.11 | — | 40% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 HC Xr Foot -2 View-Rt | $228.60 | $381.00 | $10.10–$312.11 | — | 40% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 HC Xr Foot -2 View-Lt | $228.60 | $381.00 | $10.10–$312.11 | — | 40% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 HC Xr Foot -2 View-Rt | $228.60 | $381.00 | $10.10–$312.11 | — | 40% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 HC Xr Foot -2 View-Lt | $228.60 | $381.00 | $10.10–$312.11 | — | 40% |
| X-ray of the foot, complete, 3 or more views CPT 73630 HC Xr Foot Comp Min -3 View-50 | $400.20 | $667.00 | $7.58–$500.25 | 123% above | 40% |
| X-ray of the foot, complete, 3 or more views CPT 73630 HC Xr Foot Comp Min -3 View-50 | $400.20 | $667.00 | $7.58–$500.25 | 123% above | 40% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 HC Xr Foot Comp Min -3 View-Lt | $400.20 | $667.00 | $7.58–$500.25 | 123% above | 40% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 HC Xr Foot Comp Min -3 View-Rt | $400.20 | $667.00 | $7.58–$500.25 | 123% above | 40% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 HC Xr Foot Comp Min -3 View-Rt | $400.20 | $667.00 | $7.58–$500.25 | 123% above | 40% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 HC Xr Foot Comp Min -3 View-Lt | $400.20 | $667.00 | $7.58–$500.25 | 123% above | 40% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC Xr Foot Comp Min -3 View-50 | $400.20 | $667.00 | $7.58–$500.25 | — | 40% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC Xr Foot Comp Min -3 View-50 | $400.20 | $667.00 | $7.58–$500.25 | — | 40% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 HC Xr Foot Comp Min -3 View-Rt | $400.20 | $667.00 | $7.58–$500.25 | — | 40% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 HC Xr Foot Comp Min -3 View-Lt | $400.20 | $667.00 | $7.58–$500.25 | — | 40% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 HC Xr Foot Comp Min -3 View-Rt | $400.20 | $667.00 | $7.58–$500.25 | — | 40% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 HC Xr Foot Comp Min -3 View-Lt | $400.20 | $667.00 | $7.58–$500.25 | — | 40% |
| X-ray of the hand, 3 or more views CPT 73130 HC Hand Complete Min 3v -50 | $383.40 | $639.00 | $12.63–$479.25 | 90% above | 40% |
| X-ray of the hand, 3 or more views CPT 73130 HC Hand Complete Min 3v -50 | $383.40 | $639.00 | $12.63–$479.25 | 90% above | 40% |
| X-ray of the hand, 3 or more views one side CPT 73130 HC Hand Complete Min 3v -Lt | $383.40 | $639.00 | $12.63–$479.25 | 90% above | 40% |
| X-ray of the hand, 3 or more views one side CPT 73130 HC Hand Complete Min 3v -Lt | $383.40 | $639.00 | $12.63–$479.25 | 90% above | 40% |
| X-ray of the hand, 3 or more views one side CPT 73130 HC Hand Complete Min 3v -Rt | $383.40 | $639.00 | $12.63–$479.25 | 90% above | 40% |
| X-ray of the hand, 3 or more views one side CPT 73130 HC Hand Complete Min 3v -Rt | $383.40 | $639.00 | $12.63–$479.25 | 90% above | 40% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 HC Hand Complete Min 3v -50 | $383.40 | $639.00 | $12.63–$479.25 | — | 40% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 HC Hand Complete Min 3v -50 | $383.40 | $639.00 | $12.63–$479.25 | — | 40% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 HC Hand Complete Min 3v -Rt | $383.40 | $639.00 | $12.63–$479.25 | — | 40% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 HC Hand Complete Min 3v -Rt | $383.40 | $639.00 | $12.63–$479.25 | — | 40% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 HC Hand Complete Min 3v -Lt | $383.40 | $639.00 | $12.63–$479.25 | — | 40% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 HC Hand Complete Min 3v -Lt | $383.40 | $639.00 | $12.63–$479.25 | — | 40% |
| X-ray of the knee, 1 or 2 views CPT 73560 HC Xr Knee-1 or 2 View-50 | $213.60 | $356.00 | $10.10–$312.11 | 16% above | 40% |
| X-ray of the knee, 1 or 2 views CPT 73560 HC Xr Knee-1 or 2 View-50 | $213.60 | $356.00 | $10.10–$312.11 | 16% above | 40% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 HC Xr Knee-1 or 2 View-Rt | $217.20 | $362.00 | $10.10–$312.11 | 18% above | 40% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 HC Xr Knee-1 or 2 View-Rt | $217.20 | $362.00 | $10.10–$312.11 | 18% above | 40% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 HC Xr Knee-1 or 2 View-Lt | $217.20 | $362.00 | $10.10–$312.11 | 18% above | 40% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 HC Xr Knee-1 or 2 View-Lt | $217.20 | $362.00 | $10.10–$312.11 | 18% above | 40% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC Xr Knee-1 or 2 View-50 | $213.60 | $356.00 | $10.10–$312.11 | — | 40% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC Xr Knee-1 or 2 View-50 | $213.60 | $356.00 | $10.10–$312.11 | — | 40% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 HC Xr Knee-1 or 2 View-Lt | $217.20 | $362.00 | $10.10–$312.11 | — | 40% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 HC Xr Knee-1 or 2 View-Rt | $217.20 | $362.00 | $10.10–$312.11 | — | 40% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 HC Xr Knee-1 or 2 View-Rt | $217.20 | $362.00 | $10.10–$312.11 | — | 40% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 HC Xr Knee-1 or 2 View-Lt | $217.20 | $362.00 | $10.10–$312.11 | — | 40% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC Xr Ls Spine 2 or 3 View | $491.40 | $819.00 | $15.15–$614.25 | 86% above | 40% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC Xr Ls Spine 2 or 3 View | $491.40 | $819.00 | $15.15–$614.25 | 86% above | 40% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC Xr Ls Spine 2 or 3 View | $491.40 | $819.00 | $15.15–$614.25 | — | 40% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC Xr Ls Spine 2 or 3 View | $491.40 | $819.00 | $15.15–$614.25 | — | 40% |
| X-ray of the lower back, 4 or more views CPT 72110 HC Xr Ls Spine Min 4 View | $690.60 | $1,151.00 | $30.30–$863.25 | 150% above | 40% |
| X-ray of the lower back, 4 or more views CPT 72110 HC Xr Ls Spine Min 4 View | $690.60 | $1,151.00 | $30.30–$863.25 | 150% above | 40% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC Xr Ls Spine Min 4 View | $690.60 | $1,151.00 | $30.30–$863.25 | — | 40% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC Xr Ls Spine Min 4 View | $690.60 | $1,151.00 | $30.30–$863.25 | — | 40% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC Xr Thoracic Spine -2 View | $229.80 | $383.00 | $15.15–$374.95 | 14% above | 40% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC Xr Thoracic Spine -2 View | $229.80 | $383.00 | $15.15–$374.95 | 14% above | 40% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC Xr Thoracic Spine -2 View | $229.80 | $383.00 | $15.15–$374.95 | — | 40% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC Xr Thoracic Spine -2 View | $229.80 | $383.00 | $15.15–$374.95 | — | 40% |
| X-ray of the nasal bones, 3 or more views CPT 70160 HC Xr Nasal Bones Min 3 View | $363.60 | $606.00 | $15.15–$454.50 | 80% above | 40% |
| X-ray of the nasal bones, 3 or more views CPT 70160 HC Xr Nasal Bones Min 3 View | $363.60 | $606.00 | $15.15–$454.50 | 80% above | 40% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC Xr Nasal Bones Min 3 View | $363.60 | $606.00 | $15.15–$454.50 | — | 40% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC Xr Nasal Bones Min 3 View | $363.60 | $606.00 | $15.15–$454.50 | — | 40% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC Xr C Spine 2 or 3 Views | $296.40 | $494.00 | $15.15–$370.50 | 47% above | 40% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC Xr C Spine 2 or 3 Views | $296.40 | $494.00 | $15.15–$370.50 | 47% above | 40% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC Xr C Spine 2 or 3 Views | $296.40 | $494.00 | $15.15–$370.50 | — | 40% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC Xr C Spine 2 or 3 Views | $296.40 | $494.00 | $15.15–$370.50 | — | 40% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HC Xr Pelvis 1 or 2 View | $374.40 | $624.00 | $7.58–$468.00 | 69% above | 40% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HC Xr Pelvis 1 or 2 View | $374.40 | $624.00 | $7.58–$468.00 | 69% above | 40% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC Xr Pelvis 1 or 2 View | $374.40 | $624.00 | $7.58–$468.00 | — | 40% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC Xr Pelvis 1 or 2 View | $374.40 | $624.00 | $7.58–$468.00 | — | 40% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC Xr Sacrum/Coccyx Min 2 VI | $375.00 | $625.00 | $15.15–$468.75 | 86% above | 40% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC Xr Sacrum/Coccyx Min 2 VI | $375.00 | $625.00 | $15.15–$468.75 | 86% above | 40% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC Xr Sacrum/Coccyx Min 2 VI | $375.00 | $625.00 | $15.15–$468.75 | — | 40% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC Xr Sacrum/Coccyx Min 2 VI | $375.00 | $625.00 | $15.15–$468.75 | — | 40% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC Alanine Amino | $27.60 | $46.00 | $5.04–$34.50 | 18% above | 40% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC Alanine Amino | $27.60 | $46.00 | $5.04–$34.50 | 18% above | 40% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC Alanine Amino | $27.60 | $46.00 | $5.04–$34.50 | — | 40% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC Alanine Amino | $27.60 | $46.00 | $5.04–$34.50 | — | 40% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC Sgot (Ast) | $17.40 | $29.00 | $4.92–$21.75 | 31% below | 40% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC Sgot (Ast) | $17.40 | $29.00 | $4.92–$21.75 | 31% below | 40% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC Sgot (Ast) | $17.40 | $29.00 | $4.92–$21.75 | — | 40% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC Sgot (Ast) | $17.40 | $29.00 | $4.92–$21.75 | — | 40% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC Acute Hepatitis Panel | $161.40 | $269.00 | $47.63–$201.75 | 6% below | 40% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC Acute Hepatitis Panel | $161.40 | $269.00 | $47.63–$201.75 | 6% below | 40% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC Acute Hepatitis Panel | $161.40 | $269.00 | $47.63–$201.75 | — | 40% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC Acute Hepatitis Panel | $161.40 | $269.00 | $47.63–$201.75 | — | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Specific Ige Ea | $33.60 | $56.00 | $3.69–$42.00 | 110% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Specific Ige Ea | $33.60 | $56.00 | $3.69–$42.00 | 110% above | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Specific Ige Ea | $33.60 | $56.00 | $3.69–$42.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Specific Ige Ea | $33.60 | $56.00 | $3.69–$42.00 | — | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CCP Antibody | $73.20 | $122.00 | $12.30–$91.50 | 56% above | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CCP Antibody | $73.20 | $122.00 | $12.30–$91.50 | 56% above | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CCP Antibody | $73.20 | $122.00 | $12.30–$91.50 | — | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CCP Antibody | $73.20 | $122.00 | $12.30–$91.50 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC Antinuclear Ab (Ana | $64.80 | $108.00 | $5.25–$81.00 | 48% above | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC Antinuclear Ab (Ana | $64.80 | $108.00 | $5.25–$81.00 | 48% above | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANA, by IFA, HEp-2 | $81.00 | $135.00 | $5.25–$101.25 | 85% above | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANA, by IFA, HEp-2 | $81.00 | $135.00 | $5.25–$101.25 | 85% above | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC Antinuclear Ab (Ana | $64.80 | $108.00 | $5.25–$81.00 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC Antinuclear Ab (Ana | $64.80 | $108.00 | $5.25–$81.00 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANA, by IFA, HEp-2 | $81.00 | $135.00 | $5.25–$101.25 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANA, by IFA, HEp-2 | $81.00 | $135.00 | $5.25–$101.25 | — | 40% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC Probnp Panel | $210.00 | $350.00 | $34.41–$262.50 | 71% above | 40% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC Probnp Panel | $210.00 | $350.00 | $34.41–$262.50 | 71% above | 40% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC Natriuretic Peptide | $274.20 | $457.00 | $34.41–$342.75 | 123% above | 40% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC Natriuretic Peptide | $274.20 | $457.00 | $34.41–$342.75 | 123% above | 40% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC Probnp Panel | $210.00 | $350.00 | $34.41–$262.50 | — | 40% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC Probnp Panel | $210.00 | $350.00 | $34.41–$262.50 | — | 40% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC Natriuretic Peptide | $274.20 | $457.00 | $34.41–$342.75 | — | 40% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC Natriuretic Peptide | $274.20 | $457.00 | $34.41–$342.75 | — | 40% |
| Basic metabolic panel (blood test) CPT 80048 HC Basic Metabolic Panel | $63.00 | $105.00 | $7.32–$78.75 | 1% above | 40% |
| Basic metabolic panel (blood test) CPT 80048 HC Basic Metabolic Panel | $63.00 | $105.00 | $7.32–$78.75 | 1% above | 40% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC Basic Metabolic Panel | $63.00 | $105.00 | $7.32–$78.75 | — | 40% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC Basic Metabolic Panel | $63.00 | $105.00 | $7.32–$78.75 | — | 40% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC Cell Block, Any Tech Comp | $303.00 | $505.00 | $26.17–$378.75 | 68% above | 40% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC Cell Block, Any Tech Comp | $303.00 | $505.00 | $26.17–$378.75 | 68% above | 40% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC Level IV-Hosp Send Out | $303.00 | $505.00 | $26.17–$378.75 | 68% above | 40% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC Level IV-Hosp Send Out | $303.00 | $505.00 | $26.17–$378.75 | 68% above | 40% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC Tissue Exam Level IV | $303.00 | $505.00 | $26.17–$378.75 | 68% above | 40% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC Level IV Surg Path Gross & Microscopic | $546.00 | $910.00 | $26.17–$682.50 | 203% above | 40% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC Level IV Surg Path Gross & Microscopic | $546.00 | $910.00 | $26.17–$682.50 | 203% above | 40% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC Tissue Exam Level IV | $4,908.79 | $8,181.31 | $1.80–$5,993.00 | 2627% above | 40% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC Tissue Exam Level IV | $303.00 | $505.00 | $26.17–$378.75 | — | 40% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC Cell Block, Any Tech Comp | $303.00 | $505.00 | $26.17–$378.75 | — | 40% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC Cell Block, Any Tech Comp | $303.00 | $505.00 | $26.17–$378.75 | — | 40% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC Level IV-Hosp Send Out | $303.00 | $505.00 | $26.17–$378.75 | — | 40% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC Level IV-Hosp Send Out | $303.00 | $505.00 | $26.17–$378.75 | — | 40% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC Tissue Exam Level IV | $303.00 | $505.00 | $26.17–$378.75 | — | 40% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC Level IV Surg Path Gross & Microscopic | $546.00 | $910.00 | $26.17–$682.50 | — | 40% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC Level IV Surg Path Gross & Microscopic | $546.00 | $910.00 | $26.17–$682.50 | — | 40% |
| Blood culture for bacteria CPT 87040 HC Blood Culture | $51.00 | $85.00 | $8.23–$63.75 | 27% below | 40% |
| Blood culture for bacteria CPT 87040 HC Blood Culture | $51.00 | $85.00 | $8.23–$63.75 | 27% below | 40% |
| Blood culture for bacteria CPT 87040 HC Blood Culture #2 | $197.40 | $329.00 | $8.23–$246.75 | 183% above | 40% |
| Blood culture for bacteria CPT 87040 HC Blood Culture #2 | $197.40 | $329.00 | $8.23–$246.75 | 183% above | 40% |
| Blood culture for bacteria CPT 87040 HC Blood Cultrue #3 | $197.40 | $329.00 | $8.23–$246.75 | 183% above | 40% |
| Blood culture for bacteria CPT 87040 HC Blood Cultrue #3 | $197.40 | $329.00 | $8.23–$246.75 | 183% above | 40% |
| Blood culture for bacteria inpatient CPT 87040 HC Blood Culture | $51.00 | $85.00 | $8.23–$63.75 | — | 40% |
| Blood culture for bacteria inpatient CPT 87040 HC Blood Culture | $51.00 | $85.00 | $8.23–$63.75 | — | 40% |
| Blood culture for bacteria inpatient CPT 87040 HC Blood Culture #2 | $197.40 | $329.00 | $8.23–$246.75 | — | 40% |
| Blood culture for bacteria inpatient CPT 87040 HC Blood Culture #2 | $197.40 | $329.00 | $8.23–$246.75 | — | 40% |
| Blood culture for bacteria inpatient CPT 87040 HC Blood Cultrue #3 | $197.40 | $329.00 | $8.23–$246.75 | — | 40% |
| Blood culture for bacteria inpatient CPT 87040 HC Blood Cultrue #3 | $197.40 | $329.00 | $8.23–$246.75 | — | 40% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC Venipuncture * | $6.60 | $11.00 | $2.91–$12.61 | 58% below | 40% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC Venipuncture * | $6.60 | $11.00 | $2.91–$12.61 | 58% below | 40% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC Venipuncture * | $6.60 | $11.00 | $2.91–$12.61 | — | 40% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC Venipuncture * | $6.60 | $11.00 | $2.91–$12.61 | — | 40% |
| Blood glucose (sugar) test CPT 82947 HC Glucose, Random Blood | $10.80 | $18.00 | $3.73–$13.50 | 40% below | 40% |
| Blood glucose (sugar) test CPT 82947 HC Glucose, Random Blood | $10.80 | $18.00 | $3.73–$13.50 | 40% below | 40% |
| Blood glucose (sugar) test CPT 82947 HC Istat Glucose Blood Qt | $15.00 | $25.00 | $3.73–$18.75 | 17% below | 40% |
| Blood glucose (sugar) test CPT 82947 HC Istat Glucose Blood Qt | $15.00 | $25.00 | $3.73–$18.75 | 17% below | 40% |
| Blood glucose (sugar) test CPT 82947 HC Blood Glucose | $18.00 | $30.00 | $3.73–$22.50 | at median | 40% |
| Blood glucose (sugar) test CPT 82947 HC Blood Glucose | $18.00 | $30.00 | $3.73–$22.50 | at median | 40% |
| Blood glucose (sugar) test inpatient CPT 82947 HC Glucose, Random Blood | $10.80 | $18.00 | $3.73–$13.50 | — | 40% |
| Blood glucose (sugar) test inpatient CPT 82947 HC Glucose, Random Blood | $10.80 | $18.00 | $3.73–$13.50 | — | 40% |
| Blood glucose (sugar) test inpatient CPT 82947 HC Istat Glucose Blood Qt | $15.00 | $25.00 | $3.73–$18.75 | — | 40% |
| Blood glucose (sugar) test inpatient CPT 82947 HC Istat Glucose Blood Qt | $15.00 | $25.00 | $3.73–$18.75 | — | 40% |
| Blood glucose (sugar) test inpatient CPT 82947 HC Blood Glucose | $18.00 | $30.00 | $3.73–$22.50 | — | 40% |
| Blood glucose (sugar) test inpatient CPT 82947 HC Blood Glucose | $18.00 | $30.00 | $3.73–$22.50 | — | 40% |
| Blood lead test CPT 83655 Assay of Lead | $18.60 | $31.00 | $10.85–$12.46 | 57% below | 40% |
| Blood lead test CPT 83655 Assay of Lead | $18.60 | $31.00 | $10.85–$12.46 | 57% below | 40% |
| Blood lead test CPT 83655 HC Lead Testing POC | $27.60 | $46.00 | $11.50–$34.79 | 36% below | 40% |
| Blood lead test CPT 83655 HC Lead Testing POC | $27.60 | $46.00 | $11.50–$34.79 | 36% below | 40% |
| Blood lead test CPT 83655 HC Lead Blood | $47.40 | $79.00 | $11.50–$59.25 | 10% above | 40% |
| Blood lead test CPT 83655 HC Lead Blood | $47.40 | $79.00 | $11.50–$59.25 | 10% above | 40% |
| Blood lead test CPT 83655 HC Assay of Lead (POC) | $93.60 | $156.00 | $11.50–$117.00 | 118% above | 40% |
| Blood lead test CPT 83655 HC Assay of Lead (POC) | $93.60 | $156.00 | $11.50–$117.00 | 118% above | 40% |
| Blood lead test CPT 83655 HC Lead-Urine | $114.00 | $190.00 | $11.50–$142.50 | 165% above | 40% |
| Blood lead test CPT 83655 HC Lead-Urine | $114.00 | $190.00 | $11.50–$142.50 | 165% above | 40% |
| Blood lead test inpatient CPT 83655 Assay of Lead | $18.60 | $31.00 | $10.85–$12.46 | — | 40% |
| Blood lead test inpatient CPT 83655 HC Lead Testing POC | $27.60 | $46.00 | $11.50–$34.79 | — | 40% |
| Blood lead test inpatient CPT 83655 HC Lead Testing POC | $27.60 | $46.00 | $11.50–$34.79 | — | 40% |
| Blood lead test inpatient CPT 83655 HC Lead Blood | $47.40 | $79.00 | $11.50–$59.25 | — | 40% |
| Blood lead test inpatient CPT 83655 HC Lead Blood | $47.40 | $79.00 | $11.50–$59.25 | — | 40% |
| Blood lead test inpatient CPT 83655 HC Assay of Lead (POC) | $93.60 | $156.00 | $11.50–$117.00 | — | 40% |
| Blood lead test inpatient CPT 83655 HC Assay of Lead (POC) | $93.60 | $156.00 | $11.50–$117.00 | — | 40% |
| Blood lead test inpatient CPT 83655 HC Lead-Urine | $114.00 | $190.00 | $11.50–$142.50 | — | 40% |
| Blood lead test inpatient CPT 83655 HC Lead-Urine | $114.00 | $190.00 | $11.50–$142.50 | — | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Lab | $37.80 | $63.00 | $2.02–$47.25 | 7% above | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Lab | $37.80 | $63.00 | $2.02–$47.25 | 7% above | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Lab | $37.80 | $63.00 | $2.02–$47.25 | — | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Lab | $37.80 | $63.00 | $2.02–$47.25 | — | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC Abo Typing | $23.40 | $39.00 | $2.84–$477.17 | 85% below | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC Abo Typing | $23.40 | $39.00 | $2.84–$477.17 | 85% below | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC Arc Abo Typing | $59.40 | $99.00 | $2.84–$477.17 | 61% below | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC Arc Abo Typing | $59.40 | $99.00 | $2.84–$477.17 | 61% below | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC Abo Typing | $23.40 | $39.00 | $2.84–$477.17 | — | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC Abo Typing | $23.40 | $39.00 | $2.84–$477.17 | — | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC Arc Abo Typing | $59.40 | $99.00 | $2.84–$477.17 | — | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC Arc Abo Typing | $59.40 | $99.00 | $2.84–$477.17 | — | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC Ibd Sgi Diagnostic | $13.80 | $23.00 | $4.14–$17.25 | 53% below | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC Ibd Sgi Diagnostic | $13.80 | $23.00 | $4.14–$17.25 | 53% below | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-Reactive Protein | $30.00 | $50.00 | $4.14–$37.50 | 2% above | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-Reactive Protein | $30.00 | $50.00 | $4.14–$37.50 | 2% above | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC Ibd Sgi Diagnostic | $13.80 | $23.00 | $4.14–$17.25 | — | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC Ibd Sgi Diagnostic | $13.80 | $23.00 | $4.14–$17.25 | — | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-Reactive Protein | $30.00 | $50.00 | $4.14–$37.50 | — | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-Reactive Protein | $30.00 | $50.00 | $4.14–$37.50 | — | 40% |
| C. difficile toxin gene test (stool PCR) CPT 87493 HC C Diff Amplified Probe | $73.80 | $123.00 | $32.51–$107.08 | 41% below | 40% |
| C. difficile toxin gene test (stool PCR) CPT 87493 HC C Diff Amplified Probe | $73.80 | $123.00 | $32.51–$107.08 | 41% below | 40% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC C Diff Amplified Probe | $73.80 | $123.00 | $32.51–$107.08 | — | 40% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC C Diff Amplified Probe | $73.80 | $123.00 | $32.51–$107.08 | — | 40% |
| CA 19-9 blood test (tumor marker) CPT 86301 HC Ca 19-9 | $59.40 | $99.00 | $19.77–$74.25 | 21% below | 40% |
| CA 19-9 blood test (tumor marker) CPT 86301 HC Ca 19-9 | $59.40 | $99.00 | $19.77–$74.25 | 21% below | 40% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC Ca 19-9 | $59.40 | $99.00 | $19.77–$74.25 | — | 40% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC Ca 19-9 | $59.40 | $99.00 | $19.77–$74.25 | — | 40% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HC Ca 125 Qnt | $59.40 | $99.00 | $19.77–$74.25 | 28% below | 40% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HC Ca 125 Qnt | $59.40 | $99.00 | $19.77–$74.25 | 28% below | 40% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HC Ref Ca 125 | $207.00 | $345.00 | $19.77–$258.75 | 151% above | 40% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HC Ref Ca 125 | $207.00 | $345.00 | $19.77–$258.75 | 151% above | 40% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC Ca 125 Qnt | $59.40 | $99.00 | $19.77–$74.25 | — | 40% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC Ca 125 Qnt | $59.40 | $99.00 | $19.77–$74.25 | — | 40% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC Ref Ca 125 | $207.00 | $345.00 | $19.77–$258.75 | — | 40% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC Ref Ca 125 | $207.00 | $345.00 | $19.77–$258.75 | — | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Iadna Sars-Cov-2 Covid-19 Amplified Probe Tq | $171.00 | $285.00 | $48.74–$99.75 | 49% above | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC Sars-Cov-2 Covid-19 Amp Prb | $174.60 | $291.00 | $30.79–$218.25 | 52% above | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC Sars-Cov-2 Covid-19 Amp Prb | $174.60 | $291.00 | $30.79–$218.25 | 52% above | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC Covid -19 (Mayo) | $340.80 | $568.00 | $30.79–$426.00 | 196% above | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC Covid -19 (Mayo) | $340.80 | $568.00 | $30.79–$426.00 | 196% above | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Iadna Sars-Cov-2 Covid-19 Amplified Probe Tq | $171.00 | $285.00 | $48.74–$99.75 | — | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC Sars-Cov-2 Covid-19 Amp Prb | $174.60 | $291.00 | $30.79–$218.25 | — | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC Sars-Cov-2 Covid-19 Amp Prb | $174.60 | $291.00 | $30.79–$218.25 | — | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC Covid -19 (Mayo) | $340.80 | $568.00 | $30.79–$426.00 | — | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC Covid -19 (Mayo) | $340.80 | $568.00 | $30.79–$426.00 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC Misc. C.Trach/N.Gonor Amplified Rna | $53.40 | $89.00 | $21.64–$100.82 | 38% below | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC Misc. C.Trach/N.Gonor Amplified Rna | $53.40 | $89.00 | $21.64–$100.82 | 38% below | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Lab | $121.80 | $203.00 | $21.64–$152.25 | 41% above | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Lab | $121.80 | $203.00 | $21.64–$152.25 | 41% above | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC Misc. C.Trach/N.Gonor Amplified Rna | $53.40 | $89.00 | $21.64–$100.82 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC Misc. C.Trach/N.Gonor Amplified Rna | $53.40 | $89.00 | $21.64–$100.82 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Lab | $121.80 | $203.00 | $21.64–$152.25 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Lab | $121.80 | $203.00 | $21.64–$152.25 | — | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lp+Lipoel Panel | $34.80 | $58.00 | $6.10–$43.50 | 52% below | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lp+Lipoel Panel | $34.80 | $58.00 | $6.10–$43.50 | 52% below | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Lipid Profile | $98.40 | $164.00 | $6.10–$123.00 | 35% above | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Lipid Profile | $98.40 | $164.00 | $6.10–$123.00 | 35% above | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lp+Lipoel Panel | $34.80 | $58.00 | $6.10–$43.50 | — | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lp+Lipoel Panel | $34.80 | $58.00 | $6.10–$43.50 | — | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC Lipid Profile | $98.40 | $164.00 | $6.10–$123.00 | — | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC Lipid Profile | $98.40 | $164.00 | $6.10–$123.00 | — | 40% |
| Complete blood count (CBC) with differential CPT 85025 HC Cbc W/ Differential | $34.20 | $57.00 | $3.20–$42.75 | 18% below | 40% |
| Complete blood count (CBC) with differential CPT 85025 HC Cbc W/ Differential | $34.20 | $57.00 | $3.20–$42.75 | 18% below | 40% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC Cbc W/ Differential | $34.20 | $57.00 | $3.20–$42.75 | — | 40% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC Cbc W/ Differential | $34.20 | $57.00 | $3.20–$42.75 | — | 40% |
| Complete blood count (CBC), no differential CPT 85027 HC Cbc (Hemagram) | $30.00 | $50.00 | $3.20–$37.50 | 3% below | 40% |
| Complete blood count (CBC), no differential CPT 85027 HC Cbc (Hemagram) | $30.00 | $50.00 | $3.20–$37.50 | 3% below | 40% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC Cbc (Hemagram) | $30.00 | $50.00 | $3.20–$37.50 | — | 40% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC Cbc (Hemagram) | $30.00 | $50.00 | $3.20–$37.50 | — | 40% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC Compre Metabolic Panel | $98.40 | $164.00 | $10.03–$123.00 | 4% above | 40% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC Compre Metabolic Panel | $98.40 | $164.00 | $10.03–$123.00 | 4% above | 40% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC Compre Metabolic Panel | $98.40 | $164.00 | $10.03–$123.00 | — | 40% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC Compre Metabolic Panel | $98.40 | $164.00 | $10.03–$123.00 | — | 40% |
| D-dimer blood test (blood clot marker) CPT 85379 HC D-Dimer | $45.00 | $75.00 | $10.18–$56.25 | 22% above | 40% |
| D-dimer blood test (blood clot marker) CPT 85379 HC D-Dimer | $45.00 | $75.00 | $10.18–$56.25 | 22% above | 40% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 HC D-Dimer | $45.00 | $75.00 | $10.18–$56.25 | — | 40% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 HC D-Dimer | $45.00 | $75.00 | $10.18–$56.25 | — | 40% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HC Dhea-Sulfate | $580.20 | $967.00 | $22.23–$725.25 | 499% above | 40% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HC Dhea-Sulfate | $580.20 | $967.00 | $22.23–$725.25 | 499% above | 40% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC Dhea-Sulfate | $580.20 | $967.00 | $22.23–$725.25 | — | 40% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC Dhea-Sulfate | $580.20 | $967.00 | $22.23–$725.25 | — | 40% |
| Estradiol blood test CPT 82670 HC Estradiol | $59.40 | $99.00 | $26.17–$80.27 | 41% below | 40% |
| Estradiol blood test CPT 82670 HC Estradiol | $59.40 | $99.00 | $26.17–$80.27 | 41% below | 40% |
| Estradiol blood test inpatient CPT 82670 HC Estradiol | $59.40 | $99.00 | $26.17–$80.27 | — | 40% |
| Estradiol blood test inpatient CPT 82670 HC Estradiol | $59.40 | $99.00 | $26.17–$80.27 | — | 40% |
| FSH (follicle-stimulating hormone) test CPT 83001 HC Fsh | $34.20 | $57.00 | $15.07–$53.38 | 55% below | 40% |
| FSH (follicle-stimulating hormone) test CPT 83001 HC Fsh | $34.20 | $57.00 | $15.07–$53.38 | 55% below | 40% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC Fsh | $34.20 | $57.00 | $15.07–$53.38 | — | 40% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC Fsh | $34.20 | $57.00 | $15.07–$53.38 | — | 40% |
| Fecal calprotectin (stool inflammation test) CPT 83993 HC Calprotectin, Fecal | $90.00 | $150.00 | $11.39–$112.50 | 16% below | 40% |
| Fecal calprotectin (stool inflammation test) CPT 83993 HC Calprotectin, Fecal | $90.00 | $150.00 | $11.39–$112.50 | 16% below | 40% |
| Fecal calprotectin (stool inflammation test) CPT 83993 HC Calprotectin, Fecal (Mayo) | $510.00 | $850.00 | $11.39–$637.50 | 376% above | 40% |
| Fecal calprotectin (stool inflammation test) CPT 83993 HC Calprotectin, Fecal (Mayo) | $510.00 | $850.00 | $11.39–$637.50 | 376% above | 40% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC Calprotectin, Fecal | $90.00 | $150.00 | $11.39–$112.50 | — | 40% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC Calprotectin, Fecal | $90.00 | $150.00 | $11.39–$112.50 | — | 40% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC Calprotectin, Fecal (Mayo) | $510.00 | $850.00 | $11.39–$637.50 | — | 40% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC Calprotectin, Fecal (Mayo) | $510.00 | $850.00 | $11.39–$637.50 | — | 40% |
| Ferritin blood test (iron stores) CPT 82728 HC Ferritin | $357.60 | $596.00 | $12.95–$447.00 | 433% above | 40% |
| Ferritin blood test (iron stores) CPT 82728 HC Ferritin | $357.60 | $596.00 | $12.95–$447.00 | 433% above | 40% |
| Ferritin blood test (iron stores) inpatient CPT 82728 HC Ferritin | $357.60 | $596.00 | $12.95–$447.00 | — | 40% |
| Ferritin blood test (iron stores) inpatient CPT 82728 HC Ferritin | $357.60 | $596.00 | $12.95–$447.00 | — | 40% |
| Folate (folic acid) blood test CPT 82746 HC Folate | $66.00 | $110.00 | $12.63–$82.50 | 8% above | 40% |
| Folate (folic acid) blood test CPT 82746 HC Folate | $66.00 | $110.00 | $12.63–$82.50 | 8% above | 40% |
| Folate (folic acid) blood test inpatient CPT 82746 HC Folate | $66.00 | $110.00 | $12.63–$82.50 | — | 40% |
| Folate (folic acid) blood test inpatient CPT 82746 HC Folate | $66.00 | $110.00 | $12.63–$82.50 | — | 40% |
| Free T3 thyroid hormone test CPT 84481 HC T3, Free | $49.20 | $82.00 | $9.09–$61.50 | 45% below | 40% |
| Free T3 thyroid hormone test CPT 84481 HC T3, Free | $49.20 | $82.00 | $9.09–$61.50 | 45% below | 40% |
| Free T3 thyroid hormone test inpatient CPT 84481 HC T3, Free | $49.20 | $82.00 | $9.09–$61.50 | — | 40% |
| Free T3 thyroid hormone test inpatient CPT 84481 HC T3, Free | $49.20 | $82.00 | $9.09–$61.50 | — | 40% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC Thyroxine (Free T4) | $59.40 | $99.00 | $8.57–$74.25 | 6% below | 40% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC Thyroxine (Free T4) | $59.40 | $99.00 | $8.57–$74.25 | 6% below | 40% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC Thyroxine (Free T4) | $59.40 | $99.00 | $8.57–$74.25 | — | 40% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC Thyroxine (Free T4) | $59.40 | $99.00 | $8.57–$74.25 | — | 40% |
| Free testosterone test CPT 84402 HC Free Testosterone | $46.80 | $78.00 | $20.62–$73.18 | 49% below | 40% |
| Free testosterone test CPT 84402 HC Free Testosterone | $46.80 | $78.00 | $20.62–$73.18 | 49% below | 40% |
| Free testosterone test inpatient CPT 84402 HC Free Testosterone | $46.80 | $78.00 | $20.62–$73.18 | — | 40% |
| Free testosterone test inpatient CPT 84402 HC Free Testosterone | $46.80 | $78.00 | $20.62–$73.18 | — | 40% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC Glucose; Post Glucose Dose | $18.00 | $30.00 | $4.75–$22.50 | 15% below | 40% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC Glucose; Post Glucose Dose | $18.00 | $30.00 | $4.75–$22.50 | 15% below | 40% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC Glucose; Post Glucose Dose | $18.00 | $30.00 | $4.75–$22.50 | — | 40% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC Glucose; Post Glucose Dose | $18.00 | $30.00 | $4.75–$22.50 | — | 40% |
| Glucose tolerance test, 3 samples CPT 82951 HC Glucose Tolerance Test (Gtt) 3 Specm | $52.20 | $87.00 | $6.91–$65.25 | 13% below | 40% |
| Glucose tolerance test, 3 samples CPT 82951 HC Glucose Tolerance Test (Gtt) 3 Specm | $52.20 | $87.00 | $6.91–$65.25 | 13% below | 40% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HC Glucose Tolerance Test (Gtt) 3 Specm | $52.20 | $87.00 | $6.91–$65.25 | — | 40% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HC Glucose Tolerance Test (Gtt) 3 Specm | $52.20 | $87.00 | $6.91–$65.25 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC Misc. C.Trach/N.Gonor Amplified Rna | $53.40 | $89.00 | $21.64–$100.82 | 47% below | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC Misc. C.Trach/N.Gonor Amplified Rna | $53.40 | $89.00 | $21.64–$100.82 | 47% below | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Lab | $73.80 | $123.00 | $21.64–$100.82 | 27% below | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Lab | $73.80 | $123.00 | $21.64–$100.82 | 27% below | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC Neisseria Amplif Na Probe | $121.80 | $203.00 | $21.64–$152.25 | 21% above | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC Neisseria Amplif Na Probe | $121.80 | $203.00 | $21.64–$152.25 | 21% above | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC Misc. C.Trach/N.Gonor Amplified Rna | $53.40 | $89.00 | $21.64–$100.82 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC Misc. C.Trach/N.Gonor Amplified Rna | $53.40 | $89.00 | $21.64–$100.82 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Lab | $73.80 | $123.00 | $21.64–$100.82 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Lab | $73.80 | $123.00 | $21.64–$100.82 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC Neisseria Amplif Na Probe | $121.80 | $203.00 | $21.64–$152.25 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC Neisseria Amplif Na Probe | $121.80 | $203.00 | $21.64–$152.25 | — | 40% |
| H. pylori antibody blood test CPT 86677 HC H Pylori Igm,Igg,Iga Ab | $66.00 | $110.00 | $8.11–$82.50 | 26% above | 40% |
| H. pylori antibody blood test CPT 86677 HC H Pylori Igm,Igg,Iga Ab | $66.00 | $110.00 | $8.11–$82.50 | 26% above | 40% |
| H. pylori antibody blood test CPT 86677 HC Ab; Helicobacter Pylori | $472.20 | $787.00 | $8.11–$590.25 | 799% above | 40% |
| H. pylori antibody blood test CPT 86677 HC Ab; Helicobacter Pylori | $472.20 | $787.00 | $8.11–$590.25 | 799% above | 40% |
| H. pylori antibody blood test inpatient CPT 86677 HC H Pylori Igm,Igg,Iga Ab | $66.00 | $110.00 | $8.11–$82.50 | — | 40% |
| H. pylori antibody blood test inpatient CPT 86677 HC H Pylori Igm,Igg,Iga Ab | $66.00 | $110.00 | $8.11–$82.50 | — | 40% |
| H. pylori antibody blood test inpatient CPT 86677 HC Ab; Helicobacter Pylori | $472.20 | $787.00 | $8.11–$590.25 | — | 40% |
| H. pylori antibody blood test inpatient CPT 86677 HC Ab; Helicobacter Pylori | $472.20 | $787.00 | $8.11–$590.25 | — | 40% |
| H. pylori stool antigen test CPT 87338 HC H.Pylori Antigen Stool | $111.60 | $186.00 | $8.11–$139.50 | 78% above | 40% |
| H. pylori stool antigen test CPT 87338 HC H.Pylori Antigen Stool | $111.60 | $186.00 | $8.11–$139.50 | 78% above | 40% |
| H. pylori stool antigen test inpatient CPT 87338 HC H.Pylori Antigen Stool | $111.60 | $186.00 | $8.11–$139.50 | — | 40% |
| H. pylori stool antigen test inpatient CPT 87338 HC H.Pylori Antigen Stool | $111.60 | $186.00 | $8.11–$139.50 | — | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC Ref Hiv 1 Rna Detect and Quant | $186.60 | $311.00 | $80.85–$244.50 | 20% below | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC Ref Hiv 1 Rna Detect and Quant | $186.60 | $311.00 | $80.85–$244.50 | 20% below | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC Viral Load Rna by Pcr | $234.00 | $390.00 | $80.85–$292.50 | at median | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC Viral Load Rna by Pcr | $234.00 | $390.00 | $80.85–$292.50 | at median | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV-1 Quant & Reverse Transcrpt | $251.40 | $419.00 | $80.85–$314.25 | 7% above | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV-1 Quant & Reverse Transcrpt | $251.40 | $419.00 | $80.85–$314.25 | 7% above | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC Hiv-1 Quant & Reverse Transcrip | $1,083.00 | $1,805.00 | $80.85–$1,353.75 | 363% above | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC Hiv-1 Quant & Reverse Transcrip | $1,083.00 | $1,805.00 | $80.85–$1,353.75 | 363% above | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC Ref Hiv 1 Rna Detect and Quant | $186.60 | $311.00 | $80.85–$244.50 | — | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC Ref Hiv 1 Rna Detect and Quant | $186.60 | $311.00 | $80.85–$244.50 | — | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC Viral Load Rna by Pcr | $234.00 | $390.00 | $80.85–$292.50 | — | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC Viral Load Rna by Pcr | $234.00 | $390.00 | $80.85–$292.50 | — | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV-1 Quant & Reverse Transcrpt | $251.40 | $419.00 | $80.85–$314.25 | — | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV-1 Quant & Reverse Transcrpt | $251.40 | $419.00 | $80.85–$314.25 | — | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC Hiv-1 Quant & Reverse Transcrip | $1,083.00 | $1,805.00 | $80.85–$1,353.75 | — | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC Hiv-1 Quant & Reverse Transcrip | $1,083.00 | $1,805.00 | $80.85–$1,353.75 | — | 40% |
| HIV-1 and HIV-2 antibody test CPT 86703 HC POC Hiv-1/Hiv-2 Single Result | $19.80 | $33.00 | $8.72–$39.39 | 65% below | 40% |
| HIV-1 and HIV-2 antibody test CPT 86703 HC POC Hiv-1/Hiv-2 Single Result | $19.80 | $33.00 | $8.72–$39.39 | 65% below | 40% |
| HIV-1 and HIV-2 antibody test CPT 86703 Lab | $186.60 | $311.00 | $13.71–$233.25 | 227% above | 40% |
| HIV-1 and HIV-2 antibody test CPT 86703 Lab | $186.60 | $311.00 | $13.71–$233.25 | 227% above | 40% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC POC Hiv-1/Hiv-2 Single Result | $19.80 | $33.00 | $8.72–$39.39 | — | 40% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC POC Hiv-1/Hiv-2 Single Result | $19.80 | $33.00 | $8.72–$39.39 | — | 40% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 Lab | $186.60 | $311.00 | $13.71–$233.25 | — | 40% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 Lab | $186.60 | $311.00 | $13.71–$233.25 | — | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab | $34.20 | $57.00 | $15.07–$69.18 | 58% below | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab | $34.20 | $57.00 | $15.07–$69.18 | 58% below | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Lab | $49.20 | $82.00 | $18.67–$69.18 | 40% below | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Lab | $49.20 | $82.00 | $18.67–$69.18 | 40% below | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab | $34.20 | $57.00 | $15.07–$69.18 | — | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab | $34.20 | $57.00 | $15.07–$69.18 | — | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Lab | $49.20 | $82.00 | $18.67–$69.18 | — | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Lab | $49.20 | $82.00 | $18.67–$69.18 | — | 40% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC Hpv High Risk Types | $133.20 | $222.00 | $28.13–$166.50 | 50% above | 40% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC Hpv High Risk Types | $133.20 | $222.00 | $28.13–$166.50 | 50% above | 40% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 Lab | $135.00 | $225.00 | $28.13–$168.75 | 52% above | 40% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 Lab | $135.00 | $225.00 | $28.13–$168.75 | 52% above | 40% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC Hpv, Thinprep | $136.20 | $227.00 | $28.13–$170.25 | 53% above | 40% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC Hpv, Thinprep | $136.20 | $227.00 | $28.13–$170.25 | 53% above | 40% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC Hpv High Risk Types | $133.20 | $222.00 | $28.13–$166.50 | — | 40% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC Hpv High Risk Types | $133.20 | $222.00 | $28.13–$166.50 | — | 40% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Lab | $135.00 | $225.00 | $28.13–$168.75 | — | 40% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Lab | $135.00 | $225.00 | $28.13–$168.75 | — | 40% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC Hpv, Thinprep | $136.20 | $227.00 | $28.13–$170.25 | — | 40% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC Hpv, Thinprep | $136.20 | $227.00 | $28.13–$170.25 | — | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC Hemoglobin Glyco A1c POCT | $21.60 | $36.00 | $9.22–$27.90 | 48% below | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC Hemoglobin Glyco A1c POCT | $21.60 | $36.00 | $9.22–$27.90 | 48% below | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC Hemoglobin(Hgb)A1c Rfix | $73.80 | $123.00 | $9.22–$92.25 | 79% above | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC Hemoglobin(Hgb)A1c Rfix | $73.80 | $123.00 | $9.22–$92.25 | 79% above | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC Glycohemoglobin | $183.60 | $306.00 | $9.22–$229.50 | 346% above | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC Glycohemoglobin | $183.60 | $306.00 | $9.22–$229.50 | 346% above | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC Hemoglobin Glyco A1c POCT | $21.60 | $36.00 | $9.22–$27.90 | — | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC Hemoglobin Glyco A1c POCT | $21.60 | $36.00 | $9.22–$27.90 | — | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC Hemoglobin(Hgb)A1c Rfix | $73.80 | $123.00 | $9.22–$92.25 | — | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC Hemoglobin(Hgb)A1c Rfix | $73.80 | $123.00 | $9.22–$92.25 | — | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC Glycohemoglobin | $183.60 | $306.00 | $9.22–$229.50 | — | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC Glycohemoglobin | $183.60 | $306.00 | $9.22–$229.50 | — | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC Hepatitis B Surface Ab | $259.20 | $432.00 | $10.20–$324.00 | 502% above | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC Hepatitis B Surface Ab | $259.20 | $432.00 | $10.20–$324.00 | 502% above | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC Hepatitis B Surface Ab | $259.20 | $432.00 | $10.20–$324.00 | — | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC Hepatitis B Surface Ab | $259.20 | $432.00 | $10.20–$324.00 | — | 40% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC Hepatitis B Surface Ag | $259.20 | $432.00 | $9.81–$324.00 | 593% above | 40% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC Hepatitis B Surface Ag | $259.20 | $432.00 | $9.81–$324.00 | 593% above | 40% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC Hepatitis B Surface Ag | $259.20 | $432.00 | $9.81–$324.00 | — | 40% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC Hepatitis B Surface Ag | $259.20 | $432.00 | $9.81–$324.00 | — | 40% |
| Hepatitis C antibody blood test (screening) CPT 86803 HC Hepatitis C Ab | $34.80 | $58.00 | $10.10–$46.35 | 42% below | 40% |
| Hepatitis C antibody blood test (screening) CPT 86803 HC Hepatitis C Ab | $34.80 | $58.00 | $10.10–$46.35 | 42% below | 40% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC Hepatitis C Ab | $34.80 | $58.00 | $10.10–$46.35 | — | 40% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC Hepatitis C Ab | $34.80 | $58.00 | $10.10–$46.35 | — | 40% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC Hepatitis C Revrs Trnscrpj | $331.20 | $552.00 | $40.70–$414.00 | 150% above | 40% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC Hepatitis C Revrs Trnscrpj | $331.20 | $552.00 | $40.70–$414.00 | 150% above | 40% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC Hepatitis C Revrs Trnscrpj | $331.20 | $552.00 | $40.70–$414.00 | — | 40% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC Hepatitis C Revrs Trnscrpj | $331.20 | $552.00 | $40.70–$414.00 | — | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 Lab | $51.00 | $85.00 | $12.53–$63.75 | 29% above | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 Lab | $51.00 | $85.00 | $12.53–$63.75 | 29% above | 40% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 Lab | $51.00 | $85.00 | $12.53–$63.75 | — | 40% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 Lab | $51.00 | $85.00 | $12.53–$63.75 | — | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC Ab; Hsv Type 2 | $43.20 | $72.00 | $14.65–$55.59 | 27% below | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC Ab; Hsv Type 2 | $43.20 | $72.00 | $14.65–$55.59 | 27% below | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 Lab | $49.20 | $82.00 | $14.65–$61.50 | 17% below | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 Lab | $49.20 | $82.00 | $14.65–$61.50 | 17% below | 40% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC Ab; Hsv Type 2 | $43.20 | $72.00 | $14.65–$55.59 | — | 40% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC Ab; Hsv Type 2 | $43.20 | $72.00 | $14.65–$55.59 | — | 40% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 Lab | $49.20 | $82.00 | $14.65–$61.50 | — | 40% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 Lab | $49.20 | $82.00 | $14.65–$61.50 | — | 40% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-Reactive Protein Hs | $68.40 | $114.00 | $10.35–$85.50 | 44% above | 40% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-Reactive Protein Hs | $68.40 | $114.00 | $10.35–$85.50 | 44% above | 40% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC C-Reactive Protein Hs | $68.40 | $114.00 | $10.35–$85.50 | — | 40% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC C-Reactive Protein Hs | $68.40 | $114.00 | $10.35–$85.50 | — | 40% |
| Homocysteine blood test CPT 83090 HC Homocystine | $95.40 | $159.00 | $17.02–$119.25 | 24% above | 40% |
| Homocysteine blood test CPT 83090 HC Homocystine | $95.40 | $159.00 | $17.02–$119.25 | 24% above | 40% |
| Homocysteine blood test inpatient CPT 83090 HC Homocystine | $95.40 | $159.00 | $17.02–$119.25 | — | 40% |
| Homocysteine blood test inpatient CPT 83090 HC Homocystine | $95.40 | $159.00 | $17.02–$119.25 | — | 40% |
| Insulin blood test CPT 83525 HC Insulin | $64.80 | $108.00 | $11.43–$81.00 | 38% above | 40% |
| Insulin blood test CPT 83525 HC Insulin | $64.80 | $108.00 | $11.43–$81.00 | 38% above | 40% |
| Insulin blood test inpatient CPT 83525 HC Insulin | $64.80 | $108.00 | $11.43–$81.00 | — | 40% |
| Insulin blood test inpatient CPT 83525 HC Insulin | $64.80 | $108.00 | $11.43–$81.00 | — | 40% |
| Iron blood test (serum iron) CPT 83540 HC Iron | $167.40 | $279.00 | $5.08–$209.25 | 447% above | 40% |
| Iron blood test (serum iron) CPT 83540 HC Iron | $167.40 | $279.00 | $5.08–$209.25 | 447% above | 40% |
| Iron blood test (serum iron) inpatient CPT 83540 HC Iron | $167.40 | $279.00 | $5.08–$209.25 | — | 40% |
| Iron blood test (serum iron) inpatient CPT 83540 HC Iron | $167.40 | $279.00 | $5.08–$209.25 | — | 40% |
| Iron-binding capacity (TIBC) test CPT 83550 HC Iron Binding Capacity | $315.00 | $525.00 | $5.08–$393.75 | 656% above | 40% |
| Iron-binding capacity (TIBC) test CPT 83550 HC Iron Binding Capacity | $315.00 | $525.00 | $5.08–$393.75 | 656% above | 40% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 HC Iron Binding Capacity | $315.00 | $525.00 | $5.08–$393.75 | — | 40% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 HC Iron Binding Capacity | $315.00 | $525.00 | $5.08–$393.75 | — | 40% |
| Kidney function blood test panel CPT 80069 HC Renal Function Panel | $40.80 | $68.00 | $8.25–$51.00 | 38% below | 40% |
| Kidney function blood test panel CPT 80069 HC Renal Function Panel | $40.80 | $68.00 | $8.25–$51.00 | 38% below | 40% |
| Kidney function blood test panel inpatient CPT 80069 HC Renal Function Panel | $40.80 | $68.00 | $8.25–$51.00 | — | 40% |
| Kidney function blood test panel inpatient CPT 80069 HC Renal Function Panel | $40.80 | $68.00 | $8.25–$51.00 | — | 40% |
| LH (luteinizing hormone) test CPT 83002 HC Lh | $34.20 | $57.00 | $15.07–$53.21 | 56% below | 40% |
| LH (luteinizing hormone) test CPT 83002 HC Lh | $34.20 | $57.00 | $15.07–$53.21 | 56% below | 40% |
| LH (luteinizing hormone) test inpatient CPT 83002 HC Lh | $34.20 | $57.00 | $15.07–$53.21 | — | 40% |
| LH (luteinizing hormone) test inpatient CPT 83002 HC Lh | $34.20 | $57.00 | $15.07–$53.21 | — | 40% |
| Lipase blood test (pancreas enzyme) CPT 83690 HC Lipase | $31.20 | $52.00 | $5.81–$39.00 | 8% below | 40% |
| Lipase blood test (pancreas enzyme) CPT 83690 HC Lipase | $31.20 | $52.00 | $5.81–$39.00 | 8% below | 40% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC Lipase | $31.20 | $52.00 | $5.81–$39.00 | — | 40% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC Lipase | $31.20 | $52.00 | $5.81–$39.00 | — | 40% |
| Liver function blood test panel CPT 80076 HC Hepatic Function Panel | $43.20 | $72.00 | $7.32–$54.00 | 42% below | 40% |
| Liver function blood test panel CPT 80076 HC Hepatic Function Panel | $43.20 | $72.00 | $7.32–$54.00 | 42% below | 40% |
| Liver function blood test panel inpatient CPT 80076 HC Hepatic Function Panel | $43.20 | $72.00 | $7.32–$54.00 | — | 40% |
| Liver function blood test panel inpatient CPT 80076 HC Hepatic Function Panel | $43.20 | $72.00 | $7.32–$54.00 | — | 40% |
| Lyme disease antibody test CPT 86618 HC Lyme Igg/Igm Ab | $31.20 | $52.00 | $13.74–$48.93 | 32% below | 40% |
| Lyme disease antibody test CPT 86618 HC Lyme Igg/Igm Ab | $31.20 | $52.00 | $13.74–$48.93 | 32% below | 40% |
| Lyme disease antibody test inpatient CPT 86618 HC Lyme Igg/Igm Ab | $31.20 | $52.00 | $13.74–$48.93 | — | 40% |
| Lyme disease antibody test inpatient CPT 86618 HC Lyme Igg/Igm Ab | $31.20 | $52.00 | $13.74–$48.93 | — | 40% |
| Magnesium blood test CPT 83735 HC Ref Lab Magnesium | $18.60 | $31.00 | $5.08–$23.25 | 36% below | 40% |
| Magnesium blood test CPT 83735 HC Ref Lab Magnesium | $18.60 | $31.00 | $5.08–$23.25 | 36% below | 40% |
| Magnesium blood test CPT 83735 HC Magnesium | $31.20 | $52.00 | $5.08–$39.00 | 7% above | 40% |
| Magnesium blood test CPT 83735 HC Magnesium | $31.20 | $52.00 | $5.08–$39.00 | 7% above | 40% |
| Magnesium blood test CPT 83735 HC Magnesium, RBC | $38.40 | $64.00 | $5.08–$48.00 | 32% above | 40% |
| Magnesium blood test CPT 83735 HC Magnesium, RBC | $38.40 | $64.00 | $5.08–$48.00 | 32% above | 40% |
| Magnesium blood test CPT 83735 HC Magnesium, Feces | $62.40 | $104.00 | $5.08–$78.00 | 114% above | 40% |
| Magnesium blood test CPT 83735 HC Magnesium, Feces | $62.40 | $104.00 | $5.08–$78.00 | 114% above | 40% |
| Magnesium blood test inpatient CPT 83735 HC Ref Lab Magnesium | $18.60 | $31.00 | $5.08–$23.25 | — | 40% |
| Magnesium blood test inpatient CPT 83735 HC Ref Lab Magnesium | $18.60 | $31.00 | $5.08–$23.25 | — | 40% |
| Magnesium blood test inpatient CPT 83735 HC Magnesium | $31.20 | $52.00 | $5.08–$39.00 | — | 40% |
| Magnesium blood test inpatient CPT 83735 HC Magnesium | $31.20 | $52.00 | $5.08–$39.00 | — | 40% |
| Magnesium blood test inpatient CPT 83735 HC Magnesium, RBC | $38.40 | $64.00 | $5.08–$48.00 | — | 40% |
| Magnesium blood test inpatient CPT 83735 HC Magnesium, RBC | $38.40 | $64.00 | $5.08–$48.00 | — | 40% |
| Magnesium blood test inpatient CPT 83735 HC Magnesium, Feces | $62.40 | $104.00 | $5.08–$78.00 | — | 40% |
| Magnesium blood test inpatient CPT 83735 HC Magnesium, Feces | $62.40 | $104.00 | $5.08–$78.00 | — | 40% |
| Measles (rubeola) antibody test CPT 86765 HC Rubeola (Measles) Ab Igg | $23.40 | $39.00 | $10.31–$37.01 | 48% below | 40% |
| Measles (rubeola) antibody test CPT 86765 HC Rubeola (Measles) Ab Igg | $23.40 | $39.00 | $10.31–$37.01 | 48% below | 40% |
| Measles (rubeola) antibody test CPT 86765 HC Rubeola | $55.20 | $92.00 | $12.88–$69.00 | 22% above | 40% |
| Measles (rubeola) antibody test CPT 86765 HC Rubeola | $55.20 | $92.00 | $12.88–$69.00 | 22% above | 40% |
| Measles (rubeola) antibody test CPT 86765 HC Rubeola (Measles) Ab, Igg | $71.40 | $119.00 | $12.88–$89.25 | 58% above | 40% |
| Measles (rubeola) antibody test CPT 86765 HC Rubeola (Measles) Ab, Igg | $71.40 | $119.00 | $12.88–$89.25 | 58% above | 40% |
| Measles (rubeola) antibody test CPT 86765 HC Rubeola Antibody Igm | $82.20 | $137.00 | $12.88–$102.75 | 81% above | 40% |
| Measles (rubeola) antibody test CPT 86765 HC Rubeola Antibody Igm | $82.20 | $137.00 | $12.88–$102.75 | 81% above | 40% |
| Measles (rubeola) antibody test inpatient CPT 86765 HC Rubeola (Measles) Ab Igg | $23.40 | $39.00 | $10.31–$37.01 | — | 40% |
| Measles (rubeola) antibody test inpatient CPT 86765 HC Rubeola (Measles) Ab Igg | $23.40 | $39.00 | $10.31–$37.01 | — | 40% |
| Measles (rubeola) antibody test inpatient CPT 86765 HC Rubeola | $55.20 | $92.00 | $12.88–$69.00 | — | 40% |
| Measles (rubeola) antibody test inpatient CPT 86765 HC Rubeola | $55.20 | $92.00 | $12.88–$69.00 | — | 40% |
| Measles (rubeola) antibody test inpatient CPT 86765 HC Rubeola (Measles) Ab, Igg | $71.40 | $119.00 | $12.88–$89.25 | — | 40% |
| Measles (rubeola) antibody test inpatient CPT 86765 HC Rubeola (Measles) Ab, Igg | $71.40 | $119.00 | $12.88–$89.25 | — | 40% |
| Measles (rubeola) antibody test inpatient CPT 86765 HC Rubeola Antibody Igm | $82.20 | $137.00 | $12.88–$102.75 | — | 40% |
| Measles (rubeola) antibody test inpatient CPT 86765 HC Rubeola Antibody Igm | $82.20 | $137.00 | $12.88–$102.75 | — | 40% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HC Mono Test | $29.40 | $49.00 | $4.78–$36.75 | 22% below | 40% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HC Mono Test | $29.40 | $49.00 | $4.78–$36.75 | 22% below | 40% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC Mono Test | $29.40 | $49.00 | $4.78–$36.75 | — | 40% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC Mono Test | $29.40 | $49.00 | $4.78–$36.75 | — | 40% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC Psa Free | $72.60 | $121.00 | $18.39–$90.75 | 23% above | 40% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC Psa Free | $72.60 | $121.00 | $18.39–$90.75 | 23% above | 40% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC Psa Free | $72.60 | $121.00 | $18.39–$90.75 | — | 40% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC Psa Free | $72.60 | $121.00 | $18.39–$90.75 | — | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC Psa Total | $79.80 | $133.00 | $17.47–$99.75 | 22% above | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC Psa Total | $79.80 | $133.00 | $17.47–$99.75 | 22% above | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC Psa Total | $79.80 | $133.00 | $17.47–$99.75 | — | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC Psa Total | $79.80 | $133.00 | $17.47–$99.75 | — | 40% |
| Pap test (liquid-based, automated screening with review) CPT 88175 HC Thinprep W/Auto Screen | $375.60 | $626.00 | $26.61–$469.50 | 483% above | 40% |
| Pap test (liquid-based, automated screening with review) CPT 88175 HC Thinprep W/Auto Screen | $375.60 | $626.00 | $26.61–$469.50 | 483% above | 40% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC Thinprep W/Auto Screen | $375.60 | $626.00 | $26.61–$469.50 | — | 40% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC Thinprep W/Auto Screen | $375.60 | $626.00 | $26.61–$469.50 | — | 40% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC Cp Cerv/Vag; Atl; Manual Scrn | $86.40 | $144.00 | $11.10–$108.00 | 18% above | 40% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC Cp Cerv/Vag; Atl; Manual Scrn | $86.40 | $144.00 | $11.10–$108.00 | 18% above | 40% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC Cp Cerv/Vag; Atl; Manual Scrn | $86.40 | $144.00 | $11.10–$108.00 | — | 40% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC Cp Cerv/Vag; Atl; Manual Scrn | $86.40 | $144.00 | $11.10–$108.00 | — | 40% |
| Parathyroid hormone (PTH) blood test CPT 83970 HC Parathormon | $409.80 | $683.00 | $39.22–$512.25 | 202% above | 40% |
| Parathyroid hormone (PTH) blood test CPT 83970 HC Parathormon | $409.80 | $683.00 | $39.22–$512.25 | 202% above | 40% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC Parathormon | $409.80 | $683.00 | $39.22–$512.25 | — | 40% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC Parathormon | $409.80 | $683.00 | $39.22–$512.25 | — | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC Antiphospholipid Syndrome Comp | $16.80 | $28.00 | $5.71–$21.00 | 44% below | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC Antiphospholipid Syndrome Comp | $16.80 | $28.00 | $5.71–$21.00 | 44% below | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC Ptt | $32.40 | $54.00 | $5.71–$40.50 | 9% above | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC Ptt | $32.40 | $54.00 | $5.71–$40.50 | 9% above | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Antiphospholipid Syndrome Comp | $16.80 | $28.00 | $5.71–$21.00 | — | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Antiphospholipid Syndrome Comp | $16.80 | $28.00 | $5.71–$21.00 | — | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Ptt | $32.40 | $54.00 | $5.71–$40.50 | — | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Ptt | $32.40 | $54.00 | $5.71–$40.50 | — | 40% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HC Maternit21 Plus | $896.40 | $1,494.00 | $1.06–$2,180.83 | 7% below | 40% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HC Maternit21 Plus | $896.40 | $1,494.00 | $1.06–$2,180.83 | 7% below | 40% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 HC Maternit21 Plus | $896.40 | $1,494.00 | $1.06–$2,180.83 | — | 40% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 HC Maternit21 Plus | $896.40 | $1,494.00 | $1.06–$2,180.83 | — | 40% |
| Progesterone blood test CPT 84144 HC Progesterone | $88.20 | $147.00 | $19.82–$110.25 | at median | 40% |
| Progesterone blood test CPT 84144 HC Progesterone | $88.20 | $147.00 | $19.82–$110.25 | at median | 40% |
| Progesterone blood test inpatient CPT 84144 HC Progesterone | $88.20 | $147.00 | $19.82–$110.25 | — | 40% |
| Progesterone blood test inpatient CPT 84144 HC Progesterone | $88.20 | $147.00 | $19.82–$110.25 | — | 40% |
| Prolactin blood test CPT 84146 HC Prolactin | $98.40 | $164.00 | $18.41–$123.00 | 38% above | 40% |
| Prolactin blood test CPT 84146 HC Prolactin | $98.40 | $164.00 | $18.41–$123.00 | 38% above | 40% |
| Prolactin blood test inpatient CPT 84146 HC Prolactin | $98.40 | $164.00 | $18.41–$123.00 | — | 40% |
| Prolactin blood test inpatient CPT 84146 HC Prolactin | $98.40 | $164.00 | $18.41–$123.00 | — | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time | $11.40 | $19.00 | $4.08–$6.65 | 40% below | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time | $11.40 | $19.00 | $4.08–$6.65 | 40% below | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC Pt / Inr Testing | $16.80 | $28.00 | $3.95–$21.00 | 11% below | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC Pt / Inr Testing | $16.80 | $28.00 | $3.95–$21.00 | 11% below | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC Protime | $18.00 | $30.00 | $3.95–$22.50 | 5% below | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC Protime | $18.00 | $30.00 | $3.95–$22.50 | 5% below | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC Prothrombin Time | $28.80 | $48.00 | $3.95–$36.00 | 52% above | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC Prothrombin Time | $28.80 | $48.00 | $3.95–$36.00 | 52% above | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time | $11.40 | $19.00 | $4.08–$6.65 | — | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC Pt / Inr Testing | $16.80 | $28.00 | $3.95–$21.00 | — | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC Pt / Inr Testing | $16.80 | $28.00 | $3.95–$21.00 | — | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC Protime | $18.00 | $30.00 | $3.95–$22.50 | — | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC Protime | $18.00 | $30.00 | $3.95–$22.50 | — | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC Prothrombin Time | $28.80 | $48.00 | $3.95–$36.00 | — | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC Prothrombin Time | $28.80 | $48.00 | $3.95–$36.00 | — | 40% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC Strep a Assay W/Optic | $18.00 | $30.00 | $15.70–$47.49 | 55% below | 40% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC Strep a Assay W/Optic | $18.00 | $30.00 | $15.70–$47.49 | 55% below | 40% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC Strep a Assay W/Optic | $18.00 | $30.00 | $15.70–$47.49 | — | 40% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC Strep a Assay W/Optic | $18.00 | $30.00 | $15.70–$47.49 | — | 40% |
| Rheumatoid factor (RF) test CPT 86431 HC Rheumatoid Arth Factor | $39.00 | $65.00 | $5.25–$48.75 | 42% above | 40% |
| Rheumatoid factor (RF) test CPT 86431 HC Rheumatoid Arth Factor | $39.00 | $65.00 | $5.25–$48.75 | 42% above | 40% |
| Rheumatoid factor (RF) test inpatient CPT 86431 HC Rheumatoid Arth Factor | $39.00 | $65.00 | $5.25–$48.75 | — | 40% |
| Rheumatoid factor (RF) test inpatient CPT 86431 HC Rheumatoid Arth Factor | $39.00 | $65.00 | $5.25–$48.75 | — | 40% |
| Rubella antibody test (immunity check) CPT 86762 HC Rubella Titer | $45.60 | $76.00 | $13.67–$57.00 | 7% above | 40% |
| Rubella antibody test (immunity check) CPT 86762 HC Rubella Titer | $45.60 | $76.00 | $13.67–$57.00 | 7% above | 40% |
| Rubella antibody test (immunity check) CPT 86762 HC Rubella - Igm - Abs | $52.20 | $87.00 | $13.67–$65.25 | 23% above | 40% |
| Rubella antibody test (immunity check) CPT 86762 HC Rubella - Igm - Abs | $52.20 | $87.00 | $13.67–$65.25 | 23% above | 40% |
| Rubella antibody test (immunity check) CPT 86762 HC Rubella - Igg - Abs | $163.20 | $272.00 | $13.67–$204.00 | 284% above | 40% |
| Rubella antibody test (immunity check) CPT 86762 HC Rubella - Igg - Abs | $163.20 | $272.00 | $13.67–$204.00 | 284% above | 40% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC Rubella Titer | $45.60 | $76.00 | $13.67–$57.00 | — | 40% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC Rubella Titer | $45.60 | $76.00 | $13.67–$57.00 | — | 40% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC Rubella - Igm - Abs | $52.20 | $87.00 | $13.67–$65.25 | — | 40% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC Rubella - Igm - Abs | $52.20 | $87.00 | $13.67–$65.25 | — | 40% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC Rubella - Igg - Abs | $163.20 | $272.00 | $13.67–$204.00 | — | 40% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC Rubella - Igg - Abs | $163.20 | $272.00 | $13.67–$204.00 | — | 40% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC Sed Rate | $23.40 | $39.00 | $2.02–$29.25 | 6% below | 40% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC Sed Rate | $23.40 | $39.00 | $2.02–$29.25 | 6% below | 40% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC Sed Rate | $23.40 | $39.00 | $2.02–$29.25 | — | 40% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC Sed Rate | $23.40 | $39.00 | $2.02–$29.25 | — | 40% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 HC Semen Analysis | $31.80 | $53.00 | $12.31–$39.75 | 14% below | 40% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 HC Semen Analysis | $31.80 | $53.00 | $12.31–$39.75 | 14% below | 40% |
| Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 HC Semen Analysis | $31.80 | $53.00 | $12.31–$39.75 | — | 40% |
| Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 HC Semen Analysis | $31.80 | $53.00 | $12.31–$39.75 | — | 40% |
| Stool ova and parasites exam CPT 87177 HC Conc. Microscopic O+P | $163.20 | $272.00 | $8.46–$204.00 | 321% above | 40% |
| Stool ova and parasites exam CPT 87177 HC Conc. Microscopic O+P | $163.20 | $272.00 | $8.46–$204.00 | 321% above | 40% |
| Stool ova and parasites exam inpatient CPT 87177 HC Conc. Microscopic O+P | $163.20 | $272.00 | $8.46–$204.00 | — | 40% |
| Stool ova and parasites exam inpatient CPT 87177 HC Conc. Microscopic O+P | $163.20 | $272.00 | $8.46–$204.00 | — | 40% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Blood Occult Peroxidase Actv Qual Feces 1 Deter | $9.60 | $16.00 | $4.16–$5.60 | 37% below | 40% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Blood Occult Peroxidase Actv Qual Feces 1 Deter | $9.60 | $16.00 | $4.16–$5.60 | 37% below | 40% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HC Screening Fecal Occult Bl | $12.60 | $21.00 | $3.43–$15.75 | 17% below | 40% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HC Screening Fecal Occult Bl | $12.60 | $21.00 | $3.43–$15.75 | 17% below | 40% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HC Occult Blood - Screening | $16.20 | $27.00 | $3.43–$20.25 | 7% above | 40% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HC Occult Blood - Screening | $16.20 | $27.00 | $3.43–$20.25 | 7% above | 40% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Blood Occult Peroxidase Actv Qual Feces 1 Deter | $9.60 | $16.00 | $4.16–$5.60 | — | 40% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC Screening Fecal Occult Bl | $12.60 | $21.00 | $3.43–$15.75 | — | 40% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC Screening Fecal Occult Bl | $12.60 | $21.00 | $3.43–$15.75 | — | 40% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC Occult Blood - Screening | $16.20 | $27.00 | $3.43–$20.25 | — | 40% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC Occult Blood - Screening | $16.20 | $27.00 | $3.43–$20.25 | — | 40% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC Occult Bld Fhg Qual 1-3 | $45.00 | $75.00 | $3.43–$56.25 | at median | 40% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC Occult Bld Fhg Qual 1-3 | $45.00 | $75.00 | $3.43–$56.25 | at median | 40% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC Occult Bld Fhg Qual 1-3 | $45.00 | $75.00 | $3.43–$56.25 | — | 40% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC Occult Bld Fhg Qual 1-3 | $45.00 | $75.00 | $3.43–$56.25 | — | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Lab | $27.00 | $45.00 | $3.30–$33.75 | 47% above | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Lab | $27.00 | $45.00 | $3.30–$33.75 | 47% above | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC Vdrl (CSF) | $41.40 | $69.00 | $3.30–$51.75 | 125% above | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC Vdrl (CSF) | $41.40 | $69.00 | $3.30–$51.75 | 125% above | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC Vdrl (Rpr) | $60.00 | $100.00 | $3.30–$75.00 | 226% above | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC Vdrl (Rpr) | $60.00 | $100.00 | $3.30–$75.00 | 226% above | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Lab | $27.00 | $45.00 | $3.30–$33.75 | — | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Lab | $27.00 | $45.00 | $3.30–$33.75 | — | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC Vdrl (CSF) | $41.40 | $69.00 | $3.30–$51.75 | — | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC Vdrl (CSF) | $41.40 | $69.00 | $3.30–$51.75 | — | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC Vdrl (Rpr) | $60.00 | $100.00 | $3.30–$75.00 | — | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC Vdrl (Rpr) | $60.00 | $100.00 | $3.30–$75.00 | — | 40% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Hctb Test Cell Immun Measure | $113.40 | $189.00 | $49.95–$178.07 | 24% below | 40% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Hctb Test Cell Immun Measure | $113.40 | $189.00 | $49.95–$178.07 | 24% below | 40% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Hctb Test Cell Immun Measure | $113.40 | $189.00 | $49.95–$178.07 | — | 40% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Hctb Test Cell Immun Measure | $113.40 | $189.00 | $49.95–$178.07 | — | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC Testosterone, Total | $49.20 | $82.00 | $21.67–$74.15 | 43% below | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC Testosterone, Total | $49.20 | $82.00 | $21.67–$74.15 | 43% below | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC Testosterone-Total | $578.40 | $964.00 | $24.52–$723.00 | 566% above | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC Testosterone-Total | $578.40 | $964.00 | $24.52–$723.00 | 566% above | 40% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC Testosterone, Total | $49.20 | $82.00 | $21.67–$74.15 | — | 40% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC Testosterone, Total | $49.20 | $82.00 | $21.67–$74.15 | — | 40% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC Testosterone-Total | $578.40 | $964.00 | $24.52–$723.00 | — | 40% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC Testosterone-Total | $578.40 | $964.00 | $24.52–$723.00 | — | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC Microsomal Ab Each | $34.20 | $57.00 | $13.82–$42.75 | 32% below | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC Microsomal Ab Each | $34.20 | $57.00 | $13.82–$42.75 | 32% below | 40% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC Microsomal Ab Each | $34.20 | $57.00 | $13.82–$42.75 | — | 40% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC Microsomal Ab Each | $34.20 | $57.00 | $13.82–$42.75 | — | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Thyroid Stim. Hormone | $98.40 | $164.00 | $9.09–$123.00 | 25% above | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Thyroid Stim. Hormone | $98.40 | $164.00 | $9.09–$123.00 | 25% above | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC Thyroid Stim. Hormone | $98.40 | $164.00 | $9.09–$123.00 | — | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC Thyroid Stim. Hormone | $98.40 | $164.00 | $9.09–$123.00 | — | 40% |
| Trichomonas test (NAAT) CPT 87661 Lab | $72.60 | $121.00 | $21.64–$100.82 | 1% below | 40% |
| Trichomonas test (NAAT) CPT 87661 Lab | $72.60 | $121.00 | $21.64–$100.82 | 1% below | 40% |
| Trichomonas test (NAAT) CPT 87661 HC Hologic Trich, amplified probe | $75.60 | $126.00 | $21.64–$100.82 | 3% above | 40% |
| Trichomonas test (NAAT) CPT 87661 HC Hologic Trich, amplified probe | $75.60 | $126.00 | $21.64–$100.82 | 3% above | 40% |
| Trichomonas test (NAAT) inpatient CPT 87661 Lab | $72.60 | $121.00 | $21.64–$100.82 | — | 40% |
| Trichomonas test (NAAT) inpatient CPT 87661 Lab | $72.60 | $121.00 | $21.64–$100.82 | — | 40% |
| Trichomonas test (NAAT) inpatient CPT 87661 HC Hologic Trich, amplified probe | $75.60 | $126.00 | $21.64–$100.82 | — | 40% |
| Trichomonas test (NAAT) inpatient CPT 87661 HC Hologic Trich, amplified probe | $75.60 | $126.00 | $21.64–$100.82 | — | 40% |
| Uric acid blood test CPT 84550 HC Uric Acid | $18.60 | $31.00 | $4.29–$23.25 | 21% below | 40% |
| Uric acid blood test CPT 84550 HC Uric Acid | $18.60 | $31.00 | $4.29–$23.25 | 21% below | 40% |
| Uric acid blood test inpatient CPT 84550 HC Uric Acid | $18.60 | $31.00 | $4.29–$23.25 | — | 40% |
| Uric acid blood test inpatient CPT 84550 HC Uric Acid | $18.60 | $31.00 | $4.29–$23.25 | — | 40% |
| Urinalysis with microscope exam, automated CPT 81001 HC Autom Urine Dip W Micro | $19.20 | $32.00 | $3.01–$24.00 | 35% below | 40% |
| Urinalysis with microscope exam, automated CPT 81001 HC Autom Urine Dip W Micro | $19.20 | $32.00 | $3.01–$24.00 | 35% below | 40% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC Autom Urine Dip W Micro | $19.20 | $32.00 | $3.01–$24.00 | — | 40% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC Autom Urine Dip W Micro | $19.20 | $32.00 | $3.01–$24.00 | — | 40% |
| Urinalysis without microscope exam, automated CPT 81003 Urnls Dip Stick/Tablet Rgnt Auto W/O Microscopy | $9.60 | $16.00 | $2.02–$5.60 | 44% below | 40% |
| Urinalysis without microscope exam, automated CPT 81003 Urnls Dip Stick/Tablet Rgnt Auto W/O Microscopy | $9.60 | $16.00 | $2.02–$5.60 | 44% below | 40% |
| Urinalysis without microscope exam, automated CPT 81003 HC Urinalysis Auto W/O Micro | $14.40 | $24.00 | $2.02–$18.00 | 15% below | 40% |
| Urinalysis without microscope exam, automated CPT 81003 HC Urinalysis Auto W/O Micro | $14.40 | $24.00 | $2.02–$18.00 | 15% below | 40% |
| Urinalysis without microscope exam, automated CPT 81003 HC Autom Urinalysis WO Micro | $16.20 | $27.00 | $2.02–$20.25 | 5% below | 40% |
| Urinalysis without microscope exam, automated CPT 81003 HC Autom Urinalysis WO Micro | $16.20 | $27.00 | $2.02–$20.25 | 5% below | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urnls Dip Stick/Tablet Rgnt Auto W/O Microscopy | $9.60 | $16.00 | $2.02–$5.60 | — | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC Urinalysis Auto W/O Micro | $14.40 | $24.00 | $2.02–$18.00 | — | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC Urinalysis Auto W/O Micro | $14.40 | $24.00 | $2.02–$18.00 | — | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC Autom Urinalysis WO Micro | $16.20 | $27.00 | $2.02–$20.25 | — | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC Autom Urinalysis WO Micro | $16.20 | $27.00 | $2.02–$20.25 | — | 40% |
| Urinalysis without microscope exam, manual CPT 81002 HC N-Autom Urinalys WO Micro | $15.60 | $26.00 | $2.02–$19.50 | 32% above | 40% |
| Urinalysis without microscope exam, manual CPT 81002 HC N-Autom Urinalys WO Micro | $15.60 | $26.00 | $2.02–$19.50 | 32% above | 40% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC N-Autom Urinalys WO Micro | $15.60 | $26.00 | $2.02–$19.50 | — | 40% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC N-Autom Urinalys WO Micro | $15.60 | $26.00 | $2.02–$19.50 | — | 40% |
| Urine culture for bacteria, with colony count CPT 87086 HC Culture Urine | $147.60 | $246.00 | $7.67–$184.50 | 249% above | 40% |
| Urine culture for bacteria, with colony count CPT 87086 HC Culture Urine | $147.60 | $246.00 | $7.67–$184.50 | 249% above | 40% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 HC Culture Urine | $147.60 | $246.00 | $7.67–$184.50 | — | 40% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 HC Culture Urine | $147.60 | $246.00 | $7.67–$184.50 | — | 40% |
| Urine pregnancy test, read by color change CPT 81025 Urine Pregnancy Test Visual Color Cmprsn Meths | $21.60 | $36.00 | $2.02–$12.60 | 30% below | 40% |
| Urine pregnancy test, read by color change CPT 81025 Urine Pregnancy Test Visual Color Cmprsn Meths | $21.60 | $36.00 | $2.02–$12.60 | 30% below | 40% |
| Urine pregnancy test, read by color change CPT 81025 Lab | $25.20 | $42.00 | $2.02–$31.50 | 19% below | 40% |
| Urine pregnancy test, read by color change CPT 81025 Lab | $25.20 | $42.00 | $2.02–$31.50 | 19% below | 40% |
| Urine pregnancy test, read by color change CPT 81025 HC Urine Preg Test (Visual) | $115.20 | $192.00 | $2.02–$144.00 | 271% above | 40% |
| Urine pregnancy test, read by color change CPT 81025 HC Urine Preg Test (Visual) | $115.20 | $192.00 | $2.02–$144.00 | 271% above | 40% |
| Urine pregnancy test, read by color change inpatient CPT 81025 Urine Pregnancy Test Visual Color Cmprsn Meths | $21.60 | $36.00 | $2.02–$12.60 | — | 40% |
| Urine pregnancy test, read by color change inpatient CPT 81025 Lab | $25.20 | $42.00 | $2.02–$31.50 | — | 40% |
| Urine pregnancy test, read by color change inpatient CPT 81025 Lab | $25.20 | $42.00 | $2.02–$31.50 | — | 40% |
| Urine pregnancy test, read by color change inpatient CPT 81025 HC Urine Preg Test (Visual) | $115.20 | $192.00 | $2.02–$144.00 | — | 40% |
| Urine pregnancy test, read by color change inpatient CPT 81025 HC Urine Preg Test (Visual) | $115.20 | $192.00 | $2.02–$144.00 | — | 40% |
| Vitamin B12 (cobalamin) blood test CPT 82607 HC B12 | $66.00 | $110.00 | $12.63–$82.50 | 3% above | 40% |
| Vitamin B12 (cobalamin) blood test CPT 82607 HC B12 | $66.00 | $110.00 | $12.63–$82.50 | 3% above | 40% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC B12 | $66.00 | $110.00 | $12.63–$82.50 | — | 40% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC B12 | $66.00 | $110.00 | $12.63–$82.50 | — | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC Vitamin D-25 Oh | $59.40 | $99.00 | $26.17–$85.04 | 33% below | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC Vitamin D-25 Oh | $59.40 | $99.00 | $26.17–$85.04 | 33% below | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC Vitamin D-25 Oh | $59.40 | $99.00 | $26.17–$85.04 | — | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC Vitamin D-25 Oh | $59.40 | $99.00 | $26.17–$85.04 | — | 40% |
| Zinc blood test CPT 84630 HC Zinc | $56.40 | $94.00 | $7.98–$70.50 | 63% above | 40% |
| Zinc blood test CPT 84630 HC Zinc | $56.40 | $94.00 | $7.98–$70.50 | 63% above | 40% |
| Zinc blood test inpatient CPT 84630 HC Zinc | $56.40 | $94.00 | $7.98–$70.50 | — | 40% |
| Zinc blood test inpatient CPT 84630 HC Zinc | $56.40 | $94.00 | $7.98–$70.50 | — | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC First Trimester Scrn W/Nt | $40.80 | $68.00 | $12.49–$51.00 | 33% below | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC First Trimester Scrn W/Nt | $40.80 | $68.00 | $12.49–$51.00 | 33% below | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC Beta Hcg-Tumor Marker | $43.80 | $73.00 | $12.49–$54.75 | 28% below | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC Beta Hcg-Tumor Marker | $43.80 | $73.00 | $12.49–$54.75 | 28% below | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC Beta Hcg - Quant | $77.40 | $129.00 | $12.49–$96.75 | 27% above | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC Beta Hcg - Quant | $77.40 | $129.00 | $12.49–$96.75 | 27% above | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC First Trimester Scrn W/Nt | $40.80 | $68.00 | $12.49–$51.00 | — | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC First Trimester Scrn W/Nt | $40.80 | $68.00 | $12.49–$51.00 | — | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC Beta Hcg-Tumor Marker | $43.80 | $73.00 | $12.49–$54.75 | — | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC Beta Hcg-Tumor Marker | $43.80 | $73.00 | $12.49–$54.75 | — | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC Beta Hcg - Quant | $77.40 | $129.00 | $12.49–$96.75 | — | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC Beta Hcg - Quant | $77.40 | $129.00 | $12.49–$96.75 | — | 40% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| Adenoid removal (adenoidectomy), child under 12 CPT 42830 Adenoidectomy Primary <Age 12 | $9,012.71 | $15,021.18 | $1.80–$11,890.71 | 135% above | 40% |
| Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 Arthrd Ant Interbody Decompress Cervical Belw C2 | $1,414.80 | $2,358.00 | $10.82–$1,218.74 | 89% below | 40% |
| Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 Arthrd Ant Interbody Decompress Cervical Belw C2 | $29,256.01 | $48,760.01 | $11.72–$46,045.22 | 137% above | 40% |
| Anterior cervical discectomy and fusion (ACDF), one level inpatient CPT 22551 Arthrd Ant Interbody Decompress Cervical Belw C2 | $1,414.80 | $2,358.00 | $10.82–$1,218.74 | — | 40% |
| Appendectomy, open surgery CPT 44950 Appendectomy | $516.00 | $860.00 | $145.98–$464.75 | 67% below | 40% |
| Appendectomy, open surgery inpatient CPT 44950 Appendectomy | $516.00 | $860.00 | $145.98–$464.75 | — | 40% |
| Appendectomy, open surgery inpatient CPT 44950 Appendectomy | $516.00 | $860.00 | $145.98–$464.75 | — | 40% |
| Arthroscopic ACL reconstruction or repair of the knee CPT 29888 Arthrs Aided Ant Cruciate Ligm Rpr/Agmntj/Rcnstj | $822.00 | $1,370.00 | $33.57–$688.29 | 84% below | 40% |
| Arthroscopic ACL reconstruction or repair of the knee CPT 29888 Arthrs Aided Ant Cruciate Ligm Rpr/Agmntj/Rcnstj | $45,432.82 | $75,721.37 | $55.80–$46,045.22 | 793% above | 40% |
| Arthroscopic ACL reconstruction or repair of the knee inpatient CPT 29888 Arthrs Aided Ant Cruciate Ligm Rpr/Agmntj/Rcnstj | $822.00 | $1,370.00 | $33.57–$688.29 | — | 40% |
| Arthroscopic ACL reconstruction or repair of the knee inpatient CPT 29888 Arthrs Aided Ant Cruciate Ligm Rpr/Agmntj/Rcnstj | $822.00 | $1,370.00 | $33.57–$688.29 | — | 40% |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 Surgical Arthroscopy Shoulder W/Rotator Cuff Rpr | $901.20 | $1,502.00 | $64.94–$755.07 | 81% below | 40% |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 Surgical Arthroscopy Shoulder W/Rotator Cuff Rpr | $20,720.20 | $34,533.67 | $10.00–$26,024.01 | 339% above | 40% |
| Arthroscopic rotator cuff repair of the shoulder inpatient CPT 29827 Surgical Arthroscopy Shoulder W/Rotator Cuff Rpr | $901.20 | $1,502.00 | $64.94–$755.07 | — | 40% |
| Arthroscopic rotator cuff repair of the shoulder inpatient CPT 29827 Surgical Arthroscopy Shoulder W/Rotator Cuff Rpr | $901.20 | $1,502.00 | $64.94–$755.07 | — | 40% |
| Balloon dilation of the maxillary sinus opening, one side CPT 31295 Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus | $9,282.18 | $15,470.30 | $40.74–$25,311.19 | 13% above | 40% |
| Botox injections for chronic migraine CPT 64615 Chemodervate Facial/Trigem/Cerv Musc Migraine | $176.40 | $294.00 | $34.34–$119.67 | 50% below | 40% |
| Botox injections for chronic migraine CPT 64615 Chemodervate Facial/Trigem/Cerv Musc Migraine | $176.40 | $294.00 | $34.34–$119.67 | 50% below | 40% |
| Botox injections for chronic migraine CPT 64615 HC Chemodervate Facial/Trigem/Cerv Musc Migraine | $678.60 | $1,131.00 | $86.00–$1,100.86 | 94% above | 40% |
| Botox injections for chronic migraine CPT 64615 HC Chemodervate Facial/Trigem/Cerv Musc Migraine | $678.60 | $1,131.00 | $86.00–$1,100.86 | 94% above | 40% |
| Botox injections for chronic migraine inpatient CPT 64615 Chemodervate Facial/Trigem/Cerv Musc Migraine | $176.40 | $294.00 | $34.34–$119.67 | — | 40% |
| Botox injections for chronic migraine inpatient CPT 64615 Chemodervate Facial/Trigem/Cerv Musc Migraine | $176.40 | $294.00 | $34.34–$119.67 | — | 40% |
| Botox injections for chronic migraine inpatient CPT 64615 HC Chemodervate Facial/Trigem/Cerv Musc Migraine | $678.60 | $1,131.00 | $86.00–$1,100.86 | — | 40% |
| Botox injections for chronic migraine inpatient CPT 64615 HC Chemodervate Facial/Trigem/Cerv Musc Migraine | $678.60 | $1,131.00 | $86.00–$1,100.86 | — | 40% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Bx Breast W/Device 1st Lesion Stereotactic Guid | $4,971.98 | $8,286.63 | $60.90–$5,993.00 | 71% above | 40% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Cltx Dstl Fibular Fx Lat Malls W/O Manj | $250.80 | $418.00 | $64.32–$271.03 | 47% below | 40% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC Treat Ankle Fracture | $347.28 | $578.80 | $86.00–$2,469.00 | 27% below | 40% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC Treat Ankle Fracture | $1,068.00 | $1,780.00 | $86.00–$2,469.00 | 124% above | 40% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 Cltx Dstl Fibular Fx Lat Malls W/O Manj | $250.80 | $418.00 | $64.32–$271.03 | — | 40% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 Cltx Dstl Fibular Fx Lat Malls W/O Manj | $250.80 | $418.00 | $64.32–$271.03 | — | 40% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HC Treat Ankle Fracture | $1,068.00 | $1,780.00 | $86.00–$2,469.00 | — | 40% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HC Treat Ankle Fracture | $1,068.00 | $1,780.00 | $86.00–$2,469.00 | — | 40% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Cltx Metatarsal Fracture W/O Manipulation Each | $178.80 | $298.00 | $44.76–$184.11 | 55% below | 40% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Cltx Metatarsal Fracture W/O Manipulation Each | $178.80 | $298.00 | $44.76–$184.11 | 55% below | 40% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC Treat Metatarsal Fracture | $805.20 | $1,342.00 | $86.00–$1,006.50 | 101% above | 40% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC Treat Metatarsal Fracture | $805.20 | $1,342.00 | $86.00–$1,006.50 | 101% above | 40% |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 Cltx Metatarsal Fracture W/O Manipulation Each | $178.80 | $298.00 | $44.76–$184.11 | — | 40% |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 Cltx Metatarsal Fracture W/O Manipulation Each | $178.80 | $298.00 | $44.76–$184.11 | — | 40% |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 HC Treat Metatarsal Fracture | $805.20 | $1,342.00 | $86.00–$1,006.50 | — | 40% |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 HC Treat Metatarsal Fracture | $805.20 | $1,342.00 | $86.00–$1,006.50 | — | 40% |
| Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 Corrj Hlx Vlgs Bncty Sesmdc Dstl Metar Osteot | $22,047.79 | $36,746.31 | $10.33–$11,734.85 | 474% above | 40% |
| Cardiac catheterization with coronary angiogram CPT 93458 HC L Hrt Art/Ventricle Angio | $21,631.20 | $36,052.00 | $1,504.22–$27,039.00 | 270% above | 40% |
| Cardiac catheterization with coronary angiogram CPT 93458 HC L Hrt Art/Ventricle Angio | $23,203.79 | $38,672.99 | $2.20–$11,627.01 | 297% above | 40% |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 HC L Hrt Art/Ventricle Angio | $21,631.20 | $36,052.00 | $1,504.22–$27,039.00 | — | 40% |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 HC L Hrt Art/Ventricle Angio | $21,631.20 | $36,052.00 | $1,504.22–$27,039.00 | — | 40% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC Cardioversion Ext Elective | $1,633.80 | $2,723.00 | $142.00–$2,370.44 | 64% above | 40% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC Cardioversion Ext Elective | $6,400.45 | $10,667.41 | $1.53–$2,370.44 | 544% above | 40% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC Cardioversion Ext Elective | $1,633.80 | $2,723.00 | $142.00–$2,370.44 | — | 40% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC Cardioversion Ext Elective | $1,633.80 | $2,723.00 | $142.00–$2,370.44 | — | 40% |
| Carpal tunnel release, open surgery CPT 64721 Neuroplasty &/Transpos Median Nrv Carpal Tunne | $342.00 | $570.00 | $3.19–$439.61 | 85% below | 40% |
| Carpal tunnel release, open surgery CPT 64721 Neuroplasty &/Transpos Median Nrv Carpal Tunne | $8,760.11 | $14,600.19 | $3.60–$7,003.34 | 279% above | 40% |
| Carpal tunnel release, open surgery inpatient CPT 64721 Neuroplasty &/Transpos Median Nrv Carpal Tunne | $342.00 | $570.00 | $3.19–$439.61 | — | 40% |
| Carpal tunnel release, open surgery inpatient CPT 64721 Neuroplasty &/Transpos Median Nrv Carpal Tunne | $550.20 | $917.00 | $3.19–$439.61 | — | 40% |
| Catheter ablation for atrial fibrillation CPT 93656 HC Eps W/Afib Ablation | $17,900.40 | $29,834.00 | $1,016.89–$93,741.98 | 38% below | 40% |
| Catheter ablation for atrial fibrillation CPT 93656 HC Eps W/Afib Ablation | $17,900.40 | $29,834.00 | $1,016.89–$93,741.98 | 38% below | 40% |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 HC Eps W/Afib Ablation | $17,900.40 | $29,834.00 | $1,016.89–$93,741.98 | — | 40% |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 HC Eps W/Afib Ablation | $17,900.40 | $29,834.00 | $1,016.89–$93,741.98 | — | 40% |
| Cervical biopsy CPT 57500 HC Biopsy of Cervix | $171.60 | $286.00 | $75.59–$3,303.30 | 85% below | 40% |
| Cervical biopsy CPT 57500 HC Biopsy of Cervix | $640.32 | $1,067.20 | $40.74–$3,303.30 | 45% below | 40% |
| Cervical biopsy inpatient CPT 57500 HC Biopsy of Cervix | $171.60 | $286.00 | $75.59–$3,303.30 | — | 40% |
| Cervical biopsy inpatient CPT 57500 HC Biopsy of Cervix | $171.60 | $286.00 | $75.59–$3,303.30 | — | 40% |
| Cesarean delivery, including prenatal and postpartum care CPT 59510 OB Antepartum Care Cesarean Dlvr & Postpartum | $1,922.40 | $3,204.00 | $560.70–$1,880.90 | 20% below | 40% |
| Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 OB Antepartum Care Cesarean Dlvr & Postpartum | $1,922.40 | $3,204.00 | $560.70–$1,880.90 | — | 40% |
| Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 OB Antepartum Care Cesarean Dlvr & Postpartum | $1,922.40 | $3,204.00 | $560.70–$1,880.90 | — | 40% |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 HC Circumcision,excise other than- clamp, device, dorsal slit, >28 DAYS | $3,271.80 | $5,453.00 | $299.00–$7,497.04 | 30% above | 40% |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 HC Circumcision,excise other than- clamp, device, dorsal slit, >28 DAYS | $3,271.80 | $5,453.00 | $299.00–$7,497.04 | 30% above | 40% |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 Circumcision Age >28 Days | $13,113.44 | $21,855.74 | $8.10–$7,497.04 | 420% above | 40% |
| Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 HC Circumcision,excise other than- clamp, device, dorsal slit, >28 DAYS | $3,271.80 | $5,453.00 | $299.00–$7,497.04 | — | 40% |
| Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 HC Circumcision,excise other than- clamp, device, dorsal slit, >28 DAYS | $3,271.80 | $5,453.00 | $299.00–$7,497.04 | — | 40% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision W/Clamp/Oth Dev W/Block | $82.80 | $138.00 | $24.15–$69.09 | 91% below | 40% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC Circumcision W/Clamp/Oth Dev W/Block | $3,076.20 | $5,127.00 | $126.00–$7,497.04 | 245% above | 40% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC Circumcision W/Clamp/Oth Dev W/Block | $3,076.20 | $5,127.00 | $126.00–$7,497.04 | 245% above | 40% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 Circumcision W/Clamp/Oth Dev W/Block | $82.80 | $138.00 | $24.15–$69.09 | — | 40% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 Circumcision W/Clamp/Oth Dev W/Block | $82.80 | $138.00 | $24.15–$69.09 | — | 40% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC Circumcision W/Clamp/Oth Dev W/Block | $3,076.20 | $5,127.00 | $126.00–$7,497.04 | — | 40% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC Circumcision W/Clamp/Oth Dev W/Block | $3,076.20 | $5,127.00 | $126.00–$7,497.04 | — | 40% |
| Circumcision, surgical, older than a newborn CPT 54160 Circumcision Neonate | $126.00 | $210.00 | $36.51–$105.14 | 87% below | 40% |
| Circumcision, surgical, older than a newborn CPT 54160 HC Circumcision, excise other than- clamp, device, dorsal slit, = OR <28 DAYS | $1,032.00 | $1,720.00 | $229.00–$6,168.00 | 8% above | 40% |
| Circumcision, surgical, older than a newborn CPT 54160 HC Circumcision, excise other than- clamp, device, dorsal slit, = OR <28 DAYS | $1,032.00 | $1,720.00 | $229.00–$6,168.00 | 8% above | 40% |
| Circumcision, surgical, older than a newborn inpatient CPT 54160 Circumcision Neonate | $126.00 | $210.00 | $36.51–$105.14 | — | 40% |
| Circumcision, surgical, older than a newborn inpatient CPT 54160 Circumcision Neonate | $126.00 | $210.00 | $36.51–$105.14 | — | 40% |
| Circumcision, surgical, older than a newborn inpatient CPT 54160 HC Circumcision, excise other than- clamp, device, dorsal slit, = OR <28 DAYS | $1,032.00 | $1,720.00 | $229.00–$6,168.00 | — | 40% |
| Circumcision, surgical, older than a newborn inpatient CPT 54160 HC Circumcision, excise other than- clamp, device, dorsal slit, = OR <28 DAYS | $1,032.00 | $1,720.00 | $229.00–$6,168.00 | — | 40% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Cltx Dstl Radial Fx/Epiphysl Sep W/O Mnpj | $286.20 | $477.00 | $58.88–$298.02 | 42% below | 40% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Cltx Dstl Radial Fx/Epiphysl Sep W/O Mnpj | $286.20 | $477.00 | $58.88–$298.02 | 42% below | 40% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC Cld Tx Radial Fx W/O Mani | $1,195.80 | $1,993.00 | $86.00–$2,267.00 | 141% above | 40% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC Cld Tx Radial Fx W/O Mani | $1,195.80 | $1,993.00 | $86.00–$2,267.00 | 141% above | 40% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 Cltx Dstl Radial Fx/Epiphysl Sep W/O Mnpj | $286.20 | $477.00 | $58.88–$298.02 | — | 40% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 Cltx Dstl Radial Fx/Epiphysl Sep W/O Mnpj | $286.20 | $477.00 | $58.88–$298.02 | — | 40% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC Cld Tx Radial Fx W/O Mani | $1,195.80 | $1,993.00 | $86.00–$2,267.00 | — | 40% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC Cld Tx Radial Fx W/O Mani | $1,195.80 | $1,993.00 | $86.00–$2,267.00 | — | 40% |
| Colonoscopy with endoscopic ultrasound CPT 45391 Colsc Flx W/Ndsc US Xm Rctm Et Al Lmtd&Adj Strux | $205.80 | $343.00 | $60.03–$177.70 | 85% below | 40% |
| Colonoscopy with endoscopic ultrasound CPT 45391 Colsc Flx W/Ndsc US Xm Rctm Et Al Lmtd&Adj Strux | $10,056.51 | $16,760.85 | $9.00–$9,954.75 | 621% above | 40% |
| Colonoscopy with endoscopic ultrasound inpatient CPT 45391 Colsc Flx W/Ndsc US Xm Rctm Et Al Lmtd&Adj Strux | $205.80 | $343.00 | $60.03–$177.70 | — | 40% |
| Colonoscopy with endoscopic ultrasound inpatient CPT 45391 Colsc Flx W/Ndsc US Xm Rctm Et Al Lmtd&Adj Strux | $205.80 | $343.00 | $60.03–$177.70 | — | 40% |
| Colonoscopy with polyp removal CPT 45385 Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq | $202.80 | $338.00 | $59.15–$175.41 | 84% below | 40% |
| Colonoscopy with polyp removal CPT 45385 Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq | $5,402.02 | $9,003.37 | $4.50–$5,993.00 | 336% above | 40% |
| Colonoscopy with polyp removal inpatient CPT 45385 Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq | $202.80 | $338.00 | $59.15–$175.41 | — | 40% |
| Colonoscopy with polyp removal inpatient CPT 45385 Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq | $202.80 | $338.00 | $59.15–$175.41 | — | 40% |
| Colonoscopy with tissue sample CPT 45380 Colonoscopy W/Biopsy Single/Multiple | $160.80 | $268.00 | $23.45–$164.68 | 85% below | 40% |
| Colonoscopy with tissue sample CPT 45380 Colonoscopy W/Biopsy Single/Multiple | $4,370.57 | $7,284.29 | $6.00–$5,993.00 | 304% above | 40% |
| Colonoscopy with tissue sample inpatient CPT 45380 Colonoscopy W/Biopsy Single/Multiple | $160.80 | $268.00 | $23.45–$164.68 | — | 40% |
| Colonoscopy with tissue sample inpatient CPT 45380 Colonoscopy W/Biopsy Single/Multiple | $564.60 | $941.00 | $23.45–$164.68 | — | 40% |
| Colonoscopy, diagnostic CPT 45378 Colonoscopy Flx Dx W/Collj Spec When Pfrmd | $493.20 | $822.00 | $19.83–$143.85 | 55% below | 40% |
| Colonoscopy, diagnostic CPT 45378 Colonoscopy Flx Dx W/Collj Spec When Pfrmd | $3,683.15 | $6,138.59 | $4.50–$5,993.00 | 234% above | 40% |
| Colonoscopy, diagnostic inpatient CPT 45378 Colonoscopy Flx Dx W/Collj Spec When Pfrmd | $147.60 | $246.00 | $19.83–$143.85 | — | 40% |
| Colonoscopy, diagnostic inpatient CPT 45378 Colonoscopy Flx Dx W/Collj Spec When Pfrmd | $493.20 | $822.00 | $19.83–$143.85 | — | 40% |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 Colposcopy Cervix Vag Loop Eltrd Bx Cervix | $353.40 | $589.00 | $40.24–$239.42 | 91% below | 40% |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 Colposcopy Cervix Vag Loop Eltrd Bx Cervix | $9,773.18 | $16,288.64 | $1.80–$11,609.77 | 160% above | 40% |
| Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 Colposcopy Cervix Vag Loop Eltrd Bx Cervix | $353.40 | $589.00 | $40.24–$239.42 | — | 40% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Colposcopy Cervix Bx Cervix & Endocrv Curretage | $190.20 | $317.00 | $30.45–$128.76 | 52% below | 40% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 HC Colp Cervix W Bx & Curett | $276.00 | $460.00 | $86.00–$1,092.90 | 30% below | 40% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 HC Colp Cervix W Bx & Curett | $989.40 | $1,649.00 | $61.11–$1,092.90 | 150% above | 40% |
| Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 Colposcopy Cervix Bx Cervix & Endocrv Curretage | $104.40 | $174.00 | $30.45–$128.76 | — | 40% |
| Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 Colposcopy Cervix Bx Cervix & Endocrv Curretage | $190.20 | $317.00 | $30.45–$128.76 | — | 40% |
| Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 HC Colp Cervix W Bx & Curett | $276.00 | $460.00 | $86.00–$1,092.90 | — | 40% |
| Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 HC Colp Cervix W Bx & Curett | $276.00 | $460.00 | $86.00–$1,092.90 | — | 40% |
| Coronary stent placement, one artery CPT 92928 HC Prq Stent W/Angio 1 Vsl | $12,123.60 | $20,206.00 | $559.23–$41,402.60 | 13% below | 40% |
| Coronary stent placement, one artery CPT 92928 HC Prq Stent W/Angio 1 Vsl | $12,123.60 | $20,206.00 | $559.23–$41,402.60 | 13% below | 40% |
| Coronary stent placement, one artery inpatient CPT 92928 HC Prq Stent W/Angio 1 Vsl | $12,123.60 | $20,206.00 | $559.23–$41,402.60 | — | 40% |
| Coronary stent placement, one artery inpatient CPT 92928 HC Prq Stent W/Angio 1 Vsl | $12,123.60 | $20,206.00 | $559.23–$41,402.60 | — | 40% |
| Cystoscopy with ureteral stent placement CPT 52332 Cysto W/Insert Ureteral Stent | $9,745.86 | $16,243.10 | $3.60–$12,642.15 | 139% above | 40% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC Cystourethroscopy | $268.20 | $447.00 | $86.00–$2,500.82 | 80% below | 40% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC Cystourethroscopy | $347.04 | $578.40 | $9.71–$2,500.82 | 75% below | 40% |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HC Cystourethroscopy | $268.20 | $447.00 | $86.00–$2,500.82 | — | 40% |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HC Cystourethroscopy | $268.20 | $447.00 | $86.00–$2,500.82 | — | 40% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 Dilation & Curettage Dx&/Ther Nonobstetric | $20,123.12 | $33,538.54 | $1.80–$21,681.95 | 470% above | 40% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruction Premalignant Lesion 1st | $76.20 | $127.00 | $12.28–$51.79 | 68% below | 40% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruction Premalignant Lesion 1st | $76.20 | $127.00 | $12.28–$51.79 | 68% below | 40% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC Destroy B/Pre-M Les 1st | $100.80 | $168.00 | $44.40–$719.56 | 57% below | 40% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC Destroy B/Pre-M Les 1st | $100.80 | $168.00 | $44.40–$719.56 | 57% below | 40% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 Destruction Premalignant Lesion 1st | $76.20 | $127.00 | $12.28–$51.79 | — | 40% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 Destruction Premalignant Lesion 1st | $76.20 | $127.00 | $12.28–$51.79 | — | 40% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 HC Destroy B/Pre-M Les 1st | $100.80 | $168.00 | $44.40–$719.56 | — | 40% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 HC Destroy B/Pre-M Les 1st | $100.80 | $168.00 | $44.40–$719.56 | — | 40% |
| Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 Tympanostomy General Anesthesia | $6,422.93 | $10,704.89 | $3.60–$7,234.50 | 266% above | 40% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 HC Remove Impacted Ear Wax Uni | $98.40 | $164.00 | $43.35–$2,267.00 | 2% below | 40% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 HC Remove Impacted Ear Wax Uni | $832.20 | $1,387.00 | $16.10–$2,267.00 | 727% above | 40% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 Removal Impacted Cerumen Irrigation/Lvg Unilat | $19.20 | $32.00 | $4.23–$19.66 | 81% below | 40% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 Removal Impacted Cerumen Irrigation/Lvg Unilat | $19.20 | $32.00 | $4.23–$19.66 | 81% below | 40% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HC Remove Impacted Ear Wax Uni | $98.40 | $164.00 | $43.35–$2,267.00 | — | 40% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HC Remove Impacted Ear Wax Uni | $98.40 | $164.00 | $43.35–$2,267.00 | — | 40% |
| Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 Removal Impacted Cerumen Irrigation/Lvg Unilat | $19.20 | $32.00 | $4.23–$19.66 | — | 40% |
| Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 Removal Impacted Cerumen Irrigation/Lvg Unilat | $19.20 | $32.00 | $4.23–$19.66 | — | 40% |
| Earwax removal with instruments, one ear CPT 69210 HC Remove Impacted Ear Wax | $126.60 | $211.00 | $38.00–$2,267.00 | 2% above | 40% |
| Earwax removal with instruments, one ear CPT 69210 HC Remove Impacted Ear Wax | $859.80 | $1,433.00 | $26.11–$2,267.00 | 589% above | 40% |
| Earwax removal with instruments, one ear one side CPT 69210 Removal Impacted Cerumen Instrumentation Unilat | $55.20 | $92.00 | $2.00–$86.46 | 56% below | 40% |
| Earwax removal with instruments, one ear one side CPT 69210 Removal Impacted Cerumen Instrumentation Unilat | $55.20 | $92.00 | $2.00–$86.46 | 56% below | 40% |
| Earwax removal with instruments, one ear inpatient CPT 69210 HC Remove Impacted Ear Wax | $126.60 | $211.00 | $38.00–$2,267.00 | — | 40% |
| Earwax removal with instruments, one ear inpatient CPT 69210 HC Remove Impacted Ear Wax | $126.60 | $211.00 | $38.00–$2,267.00 | — | 40% |
| Earwax removal with instruments, one ear inpatient one side CPT 69210 Removal Impacted Cerumen Instrumentation Unilat | $55.20 | $92.00 | $2.00–$86.46 | — | 40% |
| Earwax removal with instruments, one ear inpatient one side CPT 69210 Removal Impacted Cerumen Instrumentation Unilat | $55.20 | $92.00 | $2.00–$86.46 | — | 40% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Endometrial Bx W/WO Endocervix Bx W/O Dilat Spx | $49.20 | $82.00 | $14.35–$76.12 | 89% below | 40% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Biopsy Endometrial | $183.00 | $305.00 | $80.00–$725.08 | 58% below | 40% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Biopsy Endometrial | $183.00 | $305.00 | $80.00–$725.08 | 58% below | 40% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 Endometrial Bx W/WO Endocervix Bx W/O Dilat Spx | $49.20 | $82.00 | $14.35–$76.12 | — | 40% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 Endometrial Bx W/WO Endocervix Bx W/O Dilat Spx | $49.20 | $82.00 | $14.35–$76.12 | — | 40% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 Biopsy Endometrial | $183.00 | $305.00 | $80.00–$725.08 | — | 40% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 Biopsy Endometrial | $183.00 | $305.00 | $80.00–$725.08 | — | 40% |
| Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 Nasal/Sinus Ndsc W/Total Ethoidectomy | $9,190.09 | $15,316.82 | $20.37–$25,311.19 | 21% above | 40% |
| Endoscopic sinus surgery: opening the frontal sinus CPT 31276 Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus | $9,281.29 | $15,468.81 | $40.74–$25,311.19 | 20% above | 40% |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 Nasal/Sinus Endoscopy W/Maxillary Antrostomy | $10,663.69 | $17,772.82 | $40.74–$25,311.19 | 144% above | 40% |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 Nsl/Sinus Ndsc Max Antrost W/Rmvl Tiss Max Sinus | $9,281.29 | $15,468.81 | $40.74–$25,311.19 | 20% above | 40% |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 Rpr Aa Hernia 1st 3-10 Cm Reducible | $457.80 | $763.00 | $10.27–$763.00 | 94% below | 40% |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 Rpr Aa Hernia 1st 3-10 Cm Reducible | $14,125.12 | $23,541.86 | $375.06–$23,218.00 | 91% above | 40% |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm inpatient CPT 49593 Rpr Aa Hernia 1st 3-10 Cm Reducible | $457.80 | $763.00 | $10.27–$763.00 | — | 40% |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm inpatient CPT 49593 Rpr Aa Hernia 1st 3-10 Cm Reducible | $457.80 | $763.00 | $10.27–$763.00 | — | 40% |
| First repair of a front abdominal hernia larger than 10 cm CPT 49595 Rpr Aa Hernia 1st > 10 Cm Reducible | $618.00 | $1,030.00 | $360.50–$1,030.00 | 92% below | 40% |
| First repair of a front abdominal hernia larger than 10 cm CPT 49595 Rpr Aa Hernia 1st > 10 Cm Reducible | $14,693.18 | $24,488.64 | $3.94–$23,218.00 | 99% above | 40% |
| First repair of a front abdominal hernia larger than 10 cm inpatient CPT 49595 Rpr Aa Hernia 1st > 10 Cm Reducible | $618.00 | $1,030.00 | $360.50–$1,030.00 | — | 40% |
| First repair of a front abdominal hernia larger than 10 cm inpatient CPT 49595 Rpr Aa Hernia 1st > 10 Cm Reducible | $618.00 | $1,030.00 | $360.50–$1,030.00 | — | 40% |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 Rpr Aa Hernia 1st < 3 Cm Reducible | $273.60 | $456.00 | $159.60–$456.00 | 93% below | 40% |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 Rpr Aa Hernia 1st < 3 Cm Reducible | $13,926.14 | $23,210.24 | $4.64–$12,840.91 | 233% above | 40% |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 Rpr Aa Hernia 1st < 3 Cm Reducible | $273.60 | $456.00 | $159.60–$456.00 | — | 40% |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 Rpr Aa Hernia 1st < 3 Cm Reducible | $273.60 | $456.00 | $159.60–$456.00 | — | 40% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Sigmoidoscopy Diag/Flex | $291.60 | $486.00 | $86.00–$3,335.24 | 73% below | 40% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Sigmoidoscopy Diag/Flex | $291.60 | $486.00 | $86.00–$3,335.24 | 73% below | 40% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Sigmoidoscopy Flx Dx W/Collj Spec Br/Wa if Pfrmd | $3,657.25 | $6,095.42 | $1.35–$4,217.00 | 239% above | 40% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 Sigmoidoscopy Flx Dx W/Collj Spec Br/Wa if Pfrmd | $246.00 | $410.00 | $13.48–$71.75 | — | 40% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 Sigmoidoscopy Diag/Flex | $291.60 | $486.00 | $86.00–$3,335.24 | — | 40% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 Sigmoidoscopy Diag/Flex | $291.60 | $486.00 | $86.00–$3,335.24 | — | 40% |
| Gallbladder removal, laparoscopic CPT 47562 Laparoscopy Surg Cholecystectomy | $532.80 | $888.00 | $5.34–$488.30 | 74% below | 40% |
| Gallbladder removal, laparoscopic CPT 47562 Laparoscopy Surg Cholecystectomy | $19,207.60 | $32,012.67 | $4.64–$21,681.95 | 838% above | 40% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 Laparoscopy Surg Cholecystectomy | $532.80 | $888.00 | $5.34–$488.30 | — | 40% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 Laparoscopy Surg Cholecystectomy | $532.80 | $888.00 | $5.34–$488.30 | — | 40% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 Laps Surg Cholecystectomy W/Cholangiography | $579.00 | $965.00 | $5.50–$530.78 | 91% below | 40% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 Laps Surg Cholecystectomy W/Cholangiography | $21,738.31 | $36,230.52 | $4.29–$21,681.95 | 231% above | 40% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 Laps Surg Cholecystectomy W/Cholangiography | $579.00 | $965.00 | $5.50–$530.78 | — | 40% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 Laps Surg Cholecystectomy W/Cholangiography | $579.00 | $965.00 | $5.50–$530.78 | — | 40% |
| Gallbladder removal, open surgery through a larger incision CPT 47600 Cholecystectomy | $861.00 | $1,435.00 | $235.21–$775.18 | 22% below | 40% |
| Gallbladder removal, open surgery through a larger incision inpatient CPT 47600 Cholecystectomy | $861.00 | $1,435.00 | $235.21–$775.18 | — | 40% |
| Gallbladder removal, open surgery through a larger incision inpatient CPT 47600 Cholecystectomy | $861.00 | $1,435.00 | $235.21–$775.18 | — | 40% |
| Hammertoe correction surgery CPT 28285 Correction Hammertoe | $16,818.75 | $28,031.25 | $10.33–$11,734.85 | 338% above | 40% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 Hemorhoid Int Band Ligate | $230.40 | $384.00 | $86.00–$3,335.24 | 79% below | 40% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 Hemorrhoidectomy Internal Rubber Band Ligations | $372.60 | $621.00 | $41.34–$252.51 | 65% below | 40% |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 Hemorhoid Int Band Ligate | $230.40 | $384.00 | $86.00–$3,335.24 | — | 40% |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 Hemorhoid Int Band Ligate | $230.40 | $384.00 | $86.00–$3,335.24 | — | 40% |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 Hemorrhoidectomy Internal Rubber Band Ligations | $372.60 | $621.00 | $41.34–$252.51 | — | 40% |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 Hemorrhoidectomy Internal Rubber Band Ligations | $372.60 | $621.00 | $41.34–$252.51 | — | 40% |
| Hemorrhoidectomy (internal and external), one area CPT 46255 Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group | $288.60 | $481.00 | $77.97–$271.64 | 91% below | 40% |
| Hemorrhoidectomy (internal and external), one area CPT 46255 Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group | $10,439.84 | $17,399.74 | $5.40–$9,954.75 | 222% above | 40% |
| Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group | $288.60 | $481.00 | $77.97–$271.64 | — | 40% |
| Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group | $288.60 | $481.00 | $77.97–$271.64 | — | 40% |
| Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 Conv Prev Hip Tot Hip Arthrp W/WO Agrft/Algrft | $1,401.60 | $2,336.00 | $99.88–$1,168.00 | 51% below | 40% |
| Hip replacement after an earlier hip surgery (conversion to total hip) inpatient CPT 27132 Conv Prev Hip Tot Hip Arthrp W/WO Agrft/Algrft | $1,401.60 | $2,336.00 | $99.88–$1,168.00 | — | 40% |
| Hip replacement after an earlier hip surgery (conversion to total hip) inpatient CPT 27132 Conv Prev Hip Tot Hip Arthrp W/WO Agrft/Algrft | $1,401.60 | $2,336.00 | $99.88–$1,168.00 | — | 40% |
| Hysterectomy through an abdominal incision (total) CPT 58150 Total Abdominal Hysterect W/WO Rmvl Tube Ovary | $20,537.42 | $34,229.04 | $8.10–$7,628.00 | 877% above | 40% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Cath & Saline/Contrast Sonohyster/Hysterosalpi | $10,103.39 | $16,838.99 | $3.00–$2,107.00 | 3829% above | 40% |
| Hysteroscopy with endometrial ablation CPT 58563 Hysteroscopy Endometrial Ablation | $17,519.99 | $29,199.99 | $4.64–$17,941.01 | 200% above | 40% |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HC Hysteroscopy Biopsy | $2,353.20 | $3,922.00 | $303.00–$11,609.77 | 52% below | 40% |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HC Hysteroscopy Biopsy | $13,134.22 | $21,890.37 | $1.80–$11,609.77 | 165% above | 40% |
| Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 HC Hysteroscopy Biopsy | $2,353.20 | $3,922.00 | $303.00–$11,609.77 | — | 40% |
| Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 HC Hysteroscopy Biopsy | $2,353.20 | $3,922.00 | $303.00–$11,609.77 | — | 40% |
| IUD insertion (the device itself billed separately) CPT 58300 Insertion Intrauterine Device Iud | $121.20 | $202.00 | $14.81–$164.41 | 50% below | 40% |
| IUD insertion (the device itself billed separately) CPT 58300 HC Iud Insertion | $171.00 | $285.00 | $45.96–$213.75 | 30% below | 40% |
| IUD insertion (the device itself billed separately) CPT 58300 HC Iud Insertion | $16,069.64 | $26,782.74 | $4.64–$17,941.01 | 6472% above | 40% |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 Insertion Intrauterine Device Iud | $121.20 | $202.00 | $14.81–$164.41 | — | 40% |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 HC Iud Insertion | $171.00 | $285.00 | $45.96–$213.75 | — | 40% |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 HC Iud Insertion | $171.00 | $285.00 | $45.96–$213.75 | — | 40% |
| Incision and drainage of a simple or single skin abscess CPT 10060 Incision & Drainage Abscess Simple/Single | $75.60 | $126.00 | $21.84–$100.18 | 79% below | 40% |
| Incision and drainage of a simple or single skin abscess CPT 10060 Incision & Drainage Abscess Simple/Single | $147.60 | $246.00 | $21.84–$100.18 | 59% below | 40% |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC I&D Abscess/Single/Simple | $156.60 | $261.00 | $68.98–$2,267.00 | 57% below | 40% |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC I&D Abscess/Single/Simple | $1,527.62 | $2,546.04 | $11.36–$2,267.00 | 320% above | 40% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Incision & Drainage Abscess Simple/Single | $75.60 | $126.00 | $21.84–$100.18 | — | 40% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Incision & Drainage Abscess Simple/Single | $75.60 | $126.00 | $21.84–$100.18 | — | 40% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC I&D Abscess/Single/Simple | $156.60 | $261.00 | $68.98–$2,267.00 | — | 40% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC I&D Abscess/Single/Simple | $156.60 | $261.00 | $68.98–$2,267.00 | — | 40% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible | $423.60 | $706.00 | $33.51–$584.39 | 89% below | 40% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible | $12,449.92 | $20,749.86 | $4.64–$12,840.91 | 218% above | 40% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible | $423.60 | $706.00 | $33.51–$584.39 | — | 40% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible | $423.60 | $706.00 | $33.51–$584.39 | — | 40% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Injection 1 Tendon Sheath/Ligament Aponeurosis | $69.60 | $116.00 | $9.63–$86.46 | 83% below | 40% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Injection 1 Tendon Sheath/Ligament Aponeurosis | $69.60 | $116.00 | $9.63–$86.46 | 83% below | 40% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC Inj(S) Single T-Sheath/Li | $94.80 | $158.00 | $41.76–$1,100.86 | 77% below | 40% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC Inj(S) Single T-Sheath/Li | $160.67 | $267.78 | $3.60–$1,100.86 | 61% below | 40% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Injection 1 Tendon Sheath/Ligament Aponeurosis | $69.60 | $116.00 | $9.63–$86.46 | — | 40% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Injection 1 Tendon Sheath/Ligament Aponeurosis | $69.60 | $116.00 | $9.63–$86.46 | — | 40% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC Inj(S) Single T-Sheath/Li | $94.80 | $158.00 | $41.76–$1,100.86 | — | 40% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC Inj(S) Single T-Sheath/Li | $94.80 | $158.00 | $41.76–$1,100.86 | — | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocentesis Aspir&/Inj Major Jt/Bursa W/O US | $78.60 | $131.00 | $10.13–$80.06 | 78% below | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocentesis Aspir&/Inj Major Jt/Bursa W/O US | $78.60 | $131.00 | $10.13–$80.06 | 78% below | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC Drain/Inj Major Joint/Bursa W/O US | $270.60 | $451.00 | $69.00–$2,267.00 | 26% below | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC Asp/Inj Maj Joint/Bursa -50 | $283.20 | $472.00 | $69.00–$1,100.86 | 22% below | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC Asp/Inj Maj Joint/Bursa -50 | $283.20 | $472.00 | $69.00–$1,100.86 | 22% below | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC Drain/Inj Major Joint/Bursa W/O US | $4,837.80 | $8,063.00 | $12.67–$2,267.00 | 1225% above | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Arthrocentesis Aspir&/Inj Major Jt/Bursa W/O US | $78.60 | $131.00 | $10.13–$80.06 | — | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Arthrocentesis Aspir&/Inj Major Jt/Bursa W/O US | $78.60 | $131.00 | $10.13–$80.06 | — | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC Drain/Inj Major Joint/Bursa W/O US | $270.60 | $451.00 | $69.00–$2,267.00 | — | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC Drain/Inj Major Joint/Bursa W/O US | $270.60 | $451.00 | $69.00–$2,267.00 | — | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC Asp/Inj Maj Joint/Bursa -50 | $283.20 | $472.00 | $69.00–$1,100.86 | — | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC Asp/Inj Maj Joint/Bursa -50 | $283.20 | $472.00 | $69.00–$1,100.86 | — | 40% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 HC Insertion Drug Implant Device | $116.40 | $194.00 | $51.27–$477.17 | 56% below | 40% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insertion Drug Delivery Implant | $123.00 | $205.00 | $22.95–$83.26 | 53% below | 40% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insertion Drug Delivery Implant | $123.00 | $205.00 | $22.95–$83.26 | 53% below | 40% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 HC Insertion Drug Implant Device | $3,801.77 | $6,336.28 | $10.33–$1,351.88 | 1339% above | 40% |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 HC Insertion Drug Implant Device | $116.40 | $194.00 | $51.27–$477.17 | — | 40% |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 HC Insertion Drug Implant Device | $116.40 | $194.00 | $51.27–$477.17 | — | 40% |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 Insertion Drug Delivery Implant | $123.00 | $205.00 | $22.95–$83.26 | — | 40% |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 Insertion Drug Delivery Implant | $123.00 | $205.00 | $22.95–$83.26 | — | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) both sides CPT 20605 HC Drain/Inj Inter Jt/Bursa W/O US( Bilateral) | $575.40 | $959.00 | $63.00–$2,267.00 | — | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) both sides CPT 20605 HC Drain/Inj Inter Jt/Bursa W/O US( Bilateral) | $3,767.86 | $6,279.77 | $13.88–$2,267.00 | — | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arthrocentesis Aspir&/Inj Interm Jt/Burs W/O US | $65.40 | $109.00 | $2.16–$66.79 | 81% below | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC Asp/Inj Med Joint/Bursa | $99.00 | $165.00 | $43.61–$2,267.00 | 72% below | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC Asp/Inj Med Joint/Bursa | $99.00 | $165.00 | $43.61–$2,267.00 | 72% below | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient both sides CPT 20605 HC Drain/Inj Inter Jt/Bursa W/O US( Bilateral) | $575.40 | $959.00 | $63.00–$2,267.00 | — | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient both sides CPT 20605 HC Drain/Inj Inter Jt/Bursa W/O US( Bilateral) | $575.40 | $959.00 | $63.00–$2,267.00 | — | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC Asp/Inj Med Joint/Bursa | $99.00 | $165.00 | $43.61–$2,267.00 | — | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC Asp/Inj Med Joint/Bursa | $99.00 | $165.00 | $43.61–$2,267.00 | — | 40% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Arthrocentesis Aspir&/Inj Small Jt/Bursa W/O US | $64.20 | $107.00 | $0.31–$65.58 | 82% below | 40% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC Arthrocentesis-Small Jnt | $86.40 | $144.00 | $38.06–$1,100.86 | 75% below | 40% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC Arthrocentesis-Small Jnt | $8,467.97 | $14,113.28 | $5.00–$7,003.34 | 2324% above | 40% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Arthrocentesis Aspir&/Inj Small Jt/Bursa W/O US | $64.20 | $107.00 | $0.31–$65.58 | — | 40% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC Arthrocentesis-Small Jnt | $86.40 | $144.00 | $38.06–$1,100.86 | — | 40% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC Arthrocentesis-Small Jnt | $86.40 | $144.00 | $38.06–$1,100.86 | — | 40% |
| Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 Arthroscopy Kne Surg Meniscus Rpr Medial/Lateral | $585.00 | $975.00 | $23.89–$496.61 | 75% below | 40% |
| Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 Arthroscopy Kne Surg Meniscus Rpr Medial/Lateral | $38,435.28 | $64,058.80 | $10.33–$46,045.22 | 1540% above | 40% |
| Knee arthroscopy with meniscus repair (one side of the knee) inpatient CPT 29882 Arthroscopy Kne Surg Meniscus Rpr Medial/Lateral | $585.00 | $975.00 | $23.89–$496.61 | — | 40% |
| Knee arthroscopy with meniscus repair (one side of the knee) inpatient CPT 29882 Arthroscopy Kne Surg Meniscus Rpr Medial/Lateral | $585.00 | $975.00 | $23.89–$496.61 | — | 40% |
| Knee arthroscopy with meniscus trim CPT 29881 Arthrs Knee Surg W/Meniscectomy Med/Lat W/Shvg | $461.40 | $769.00 | $18.84–$398.66 | 88% below | 40% |
| Knee arthroscopy with meniscus trim CPT 29881 Arthrs Knee Surg W/Meniscectomy Med/Lat W/Shvg | $14,881.01 | $24,801.69 | $3.48–$11,734.85 | 288% above | 40% |
| Knee arthroscopy with meniscus trim inpatient CPT 29881 Arthrs Knee Surg W/Meniscectomy Med/Lat W/Shvg | $461.40 | $769.00 | $18.84–$398.66 | — | 40% |
| Knee arthroscopy with meniscus trim inpatient CPT 29881 Arthrs Knee Surg W/Meniscectomy Med/Lat W/Shvg | $461.40 | $769.00 | $18.84–$398.66 | — | 40% |
| Knee arthroscopy with removal of both torn meniscus parts CPT 29880 Arthrs Knee Surg Meniscectomy Med&Lat W/Shaving | $478.80 | $798.00 | $139.65–$412.11 | 73% below | 40% |
| Knee arthroscopy with removal of both torn meniscus parts CPT 29880 Arthrs Knee Surg Meniscectomy Med&Lat W/Shaving | $68,300.92 | $113,834.87 | $10.33–$46,045.22 | 3819% above | 40% |
| Knee arthroscopy with removal of both torn meniscus parts inpatient CPT 29880 Arthrs Knee Surg Meniscectomy Med&Lat W/Shaving | $478.80 | $798.00 | $139.65–$412.11 | — | 40% |
| Knee arthroscopy with removal of both torn meniscus parts inpatient CPT 29880 Arthrs Knee Surg Meniscectomy Med&Lat W/Shaving | $478.80 | $798.00 | $139.65–$412.11 | — | 40% |
| Laparoscopic Roux-en-Y gastric bypass, standard limb length CPT 43644 Laps Gstr Rstcv Px W/Byp Roux-en-Y Limb <150 Cm | $1,389.60 | $2,316.00 | $12.52–$1,273.66 | 59% below | 40% |
| Laparoscopic Roux-en-Y gastric bypass, standard limb length CPT 43644 Laps Gstr Rstcv Px W/Byp Roux-en-Y Limb <150 Cm | $31,374.78 | $52,291.30 | $8.10–$9,751.00 | 817% above | 40% |
| Laparoscopic Roux-en-Y gastric bypass, standard limb length inpatient CPT 43644 Laps Gstr Rstcv Px W/Byp Roux-en-Y Limb <150 Cm | $1,389.60 | $2,316.00 | $12.52–$1,273.66 | — | 40% |
| Laparoscopic Roux-en-Y gastric bypass, standard limb length inpatient CPT 43644 Laps Gstr Rstcv Px W/Byp Roux-en-Y Limb <150 Cm | $1,389.60 | $2,316.00 | $12.52–$1,273.66 | — | 40% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 Laparoscopic Appendectomy | $486.00 | $810.00 | $4.29–$445.53 | 87% below | 40% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 Laparoscopic Appendectomy | $23,778.38 | $39,630.64 | $81.48–$21,681.95 | 558% above | 40% |
| Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 Laparoscopic Appendectomy | $486.00 | $810.00 | $4.29–$445.53 | — | 40% |
| Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 Laparoscopic Appendectomy | $486.00 | $810.00 | $4.29–$445.53 | — | 40% |
| Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 Laps Surg Esopg/Gstr Fundoplasty | $862.80 | $1,438.00 | $248.21–$790.93 | 74% below | 40% |
| Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 Laps Surg Esopg/Gstr Fundoplasty | $32,170.13 | $53,616.89 | $10.15–$38,123.31 | 886% above | 40% |
| Laparoscopic fundoplication (anti-reflux surgery) inpatient CPT 43280 Laps Surg Esopg/Gstr Fundoplasty | $862.80 | $1,438.00 | $248.21–$790.93 | — | 40% |
| Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 Laparoscopy W Total Hysterectomy Uterus 250 Gm/< | $33,829.16 | $56,381.93 | $27.27–$38,123.31 | 556% above | 40% |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 Laps Total Hysterect 250 Gm/< W/Rmvl Tube/Ovary | $712.20 | $1,187.00 | $207.73–$640.68 | 88% below | 40% |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 Laps Total Hysterect 250 Gm/< W/Rmvl Tube/Ovary | $28,168.67 | $46,947.79 | $4.64–$38,123.31 | 382% above | 40% |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries inpatient CPT 58571 Laps Total Hysterect 250 Gm/< W/Rmvl Tube/Ovary | $712.20 | $1,187.00 | $207.73–$640.68 | — | 40% |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries inpatient CPT 58571 Laps Total Hysterect 250 Gm/< W/Rmvl Tube/Ovary | $712.20 | $1,187.00 | $207.73–$640.68 | — | 40% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 Laparoscopy Surg Rpr Initial Inguinal Hernia | $351.00 | $585.00 | $3.10–$488.21 | 73% below | 40% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 Laparoscopy Surg Rpr Initial Inguinal Hernia | $25,892.72 | $43,154.53 | $18.81–$21,681.95 | 1884% above | 40% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 Laparoscopy Surg Rpr Initial Inguinal Hernia | $351.00 | $585.00 | $3.10–$488.21 | — | 40% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 Laparoscopy Surg Rpr Initial Inguinal Hernia | $351.00 | $585.00 | $3.10–$488.21 | — | 40% |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 Laps Surg Rpr Recurrent Inguinal Hernia | $457.80 | $763.00 | $124.74–$633.03 | 93% below | 40% |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 Laps Surg Rpr Recurrent Inguinal Hernia | $26,007.91 | $43,346.51 | $5.71–$21,681.95 | 277% above | 40% |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia inpatient CPT 49651 Laps Surg Rpr Recurrent Inguinal Hernia | $457.80 | $763.00 | $124.74–$633.03 | — | 40% |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 Laparoscopy W/Rmvl Adnexal Structures | $511.20 | $852.00 | $5.02–$680.98 | 82% below | 40% |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 Laparoscopy W/Rmvl Adnexal Structures | $20,521.79 | $34,202.98 | $8.10–$21,681.95 | 611% above | 40% |
| Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 Laparoscopy W/Rmvl Adnexal Structures | $511.20 | $852.00 | $5.02–$680.98 | — | 40% |
| Laparoscopic sleeve gastrectomy for weight loss CPT 43775 Laps Gstrc Rstrictiv Px Longitudinal Gastrectomy | $37,713.71 | $62,856.18 | $6.51–$9,751.00 | 873% above | 40% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Repair Intermediate S/a/T/E 2.5 Cm/< | $106.20 | $177.00 | $1.10–$104.15 | 81% below | 40% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC Intmd Wnd Repair S/a/T/Ext | $1,172.40 | $1,954.00 | $86.00–$2,267.00 | 111% above | 40% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC Intmd Wnd Repair S/a/T/Ext | $4,547.69 | $7,579.49 | $1.70–$2,267.00 | 718% above | 40% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Repair Intermediate S/a/T/E 2.5 Cm/< | $106.20 | $177.00 | $1.10–$104.15 | — | 40% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Repair Intermediate S/a/T/E 2.5 Cm/< | $106.20 | $177.00 | $1.10–$104.15 | — | 40% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC Intmd Wnd Repair S/a/T/Ext | $1,172.40 | $1,954.00 | $86.00–$2,267.00 | — | 40% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC Intmd Wnd Repair S/a/T/Ext | $1,172.40 | $1,954.00 | $86.00–$2,267.00 | — | 40% |
| Left heart catheterization, diagnostic CPT 93452 HC L Hrt Cath W/Njx L Ventriculography Img S&I | $6,400.20 | $10,667.00 | $1,208.29–$11,627.01 | 5% above | 40% |
| Left heart catheterization, diagnostic CPT 93452 HC L Hrt Cath W/Njx L Ventriculography Img S&I | $6,400.20 | $10,667.00 | $1,208.29–$11,627.01 | 5% above | 40% |
| Left heart catheterization, diagnostic inpatient CPT 93452 HC L Hrt Cath W/Njx L Ventriculography Img S&I | $6,400.20 | $10,667.00 | $1,208.29–$11,627.01 | — | 40% |
| Left heart catheterization, diagnostic inpatient CPT 93452 HC L Hrt Cath W/Njx L Ventriculography Img S&I | $6,400.20 | $10,667.00 | $1,208.29–$11,627.01 | — | 40% |
| Lower-back epidural injection, with imaging guidance CPT 62323 Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn | $9,073.01 | $15,121.69 | $7.20–$4,217.00 | 550% above | 40% |
| Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 Laminotomy Dcmprn Nrv Root 1 Ntrspc Lumbar | $702.60 | $1,171.00 | $204.93–$684.58 | 92% below | 40% |
| Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 Laminotomy Dcmprn Nrv Root 1 Ntrspc Lumbar | $17,734.45 | $29,557.42 | $9.00–$26,024.01 | 110% above | 40% |
| Lumbar discectomy or laminotomy to free a nerve root, one level inpatient CPT 63030 Laminotomy Dcmprn Nrv Root 1 Ntrspc Lumbar | $702.60 | $1,171.00 | $204.93–$684.58 | — | 40% |
| Lumbar discectomy or laminotomy to free a nerve root, one level inpatient CPT 63030 Laminotomy Dcmprn Nrv Root 1 Ntrspc Lumbar | $702.60 | $1,171.00 | $204.93–$684.58 | — | 40% |
| Lumbar laminectomy (spinal decompression), one level CPT 63047 Lam Facetectomy & Foramotomy 1 Vrt Sgm Lumbar | $847.80 | $1,413.00 | $69.79–$811.45 | 90% below | 40% |
| Lumbar laminectomy (spinal decompression), one level CPT 63047 Lam Facetectomy & Foramotomy 1 Vrt Sgm Lumbar | $18,296.26 | $30,493.76 | $3.94–$26,024.01 | 116% above | 40% |
| Lumbar laminectomy (spinal decompression), one level inpatient CPT 63047 Lam Facetectomy & Foramotomy 1 Vrt Sgm Lumbar | $847.80 | $1,413.00 | $69.79–$811.45 | — | 40% |
| Lumbar laminectomy (spinal decompression), one level inpatient CPT 63047 Lam Facetectomy & Foramotomy 1 Vrt Sgm Lumbar | $847.80 | $1,413.00 | $69.79–$811.45 | — | 40% |
| Lumpectomy (partial mastectomy) CPT 19301 Mastectomy Partial | $460.20 | $767.00 | $4.32–$728.27 | 70% below | 40% |
| Lumpectomy (partial mastectomy) CPT 19301 Mastectomy Partial | $15,843.04 | $26,405.06 | $61.27–$23,814.59 | 948% above | 40% |
| Lumpectomy (partial mastectomy) inpatient CPT 19301 Mastectomy Partial | $460.20 | $767.00 | $4.32–$728.27 | — | 40% |
| Lumpectomy (partial mastectomy) inpatient CPT 19301 Mastectomy Partial | $460.20 | $767.00 | $4.32–$728.27 | — | 40% |
| Mastectomy (total removal of the breast) CPT 19303 Mastectomy Simple Complete | $668.40 | $1,114.00 | $194.95–$702.85 | 69% below | 40% |
| Mastectomy (total removal of the breast) CPT 19303 Mastectomy Simple Complete | $26,954.70 | $44,924.50 | $283.41–$23,814.59 | 1131% above | 40% |
| Mastectomy (total removal of the breast) inpatient CPT 19303 Mastectomy Simple Complete | $668.40 | $1,114.00 | $194.95–$702.85 | — | 40% |
| Mastectomy (total removal of the breast) inpatient CPT 19303 Mastectomy Simple Complete | $668.40 | $1,114.00 | $194.95–$702.85 | — | 40% |
| Miscarriage treatment with D&C, first trimester CPT 59820 Tx Missed Abortion First Trimester Surgical | $300.60 | $501.00 | $87.68–$268.03 | 92% below | 40% |
| Miscarriage treatment with D&C, first trimester CPT 59820 Tx Missed Abortion First Trimester Surgical | $10,341.22 | $17,235.36 | $1.80–$11,609.77 | 172% above | 40% |
| Miscarriage treatment with D&C, first trimester inpatient CPT 59820 Tx Missed Abortion First Trimester Surgical | $300.60 | $501.00 | $87.68–$268.03 | — | 40% |
| Miscarriage treatment with D&C, first trimester inpatient CPT 59820 Tx Missed Abortion First Trimester Surgical | $300.60 | $501.00 | $87.68–$268.03 | — | 40% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L 0.5 Cm/< | $59.40 | $99.00 | $17.33–$99.37 | 93% below | 40% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC Exc Benign Les 0.5cm Or< | $445.80 | $743.00 | $77.00–$2,539.68 | 49% below | 40% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC Exc Benign Les 0.5cm Or< | $445.80 | $743.00 | $77.00–$2,539.68 | 49% below | 40% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L 0.5 Cm/< | $6,924.38 | $11,540.64 | $18.81–$4,217.00 | 692% above | 40% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L 0.5 Cm/< | $59.40 | $99.00 | $17.33–$99.37 | — | 40% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L 0.5 Cm/< | $59.40 | $99.00 | $17.33–$99.37 | — | 40% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HC Exc Benign Les 0.5cm Or< | $445.80 | $743.00 | $77.00–$2,539.68 | — | 40% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HC Exc Benign Les 0.5cm Or< | $445.80 | $743.00 | $77.00–$2,539.68 | — | 40% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC Exc Face-Mm B9+Marg 0.5cm/< | $418.20 | $697.00 | $86.00–$2,539.68 | 54% below | 40% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC Exc Face-Mm B9+Marg 0.5cm/< | $418.20 | $697.00 | $86.00–$2,539.68 | 54% below | 40% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Exc B9 Lesion Mrgn Xcp Sk Tg F/E/E/N/L/M 0.5cm/< | $3,504.71 | $5,841.19 | $93.77–$4,217.00 | 286% above | 40% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 HC Exc Face-Mm B9+Marg 0.5cm/< | $418.20 | $697.00 | $86.00–$2,539.68 | — | 40% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 HC Exc Face-Mm B9+Marg 0.5cm/< | $418.20 | $697.00 | $86.00–$2,539.68 | — | 40% |
| Nail removal (partial or complete), one nail CPT 11730 Avulsion Nail Plate Partial/Complete Simple 1 | $128.40 | $214.00 | $0.46–$179.03 | 55% below | 40% |
| Nail removal (partial or complete), one nail CPT 11730 HC Avulsion Nail Plate/Singl | $157.80 | $263.00 | $69.51–$2,267.00 | 44% below | 40% |
| Nail removal (partial or complete), one nail CPT 11730 HC Avulsion Nail Plate/Singl | $4,459.28 | $7,432.14 | $2.70–$2,267.00 | 1473% above | 40% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 Avulsion Nail Plate Partial/Complete Simple 1 | $128.40 | $214.00 | $0.46–$179.03 | — | 40% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 Avulsion Nail Plate Partial/Complete Simple 1 | $128.40 | $214.00 | $0.46–$179.03 | — | 40% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 HC Avulsion Nail Plate/Singl | $157.80 | $263.00 | $69.51–$2,267.00 | — | 40% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 HC Avulsion Nail Plate/Singl | $157.80 | $263.00 | $69.51–$2,267.00 | — | 40% |
| Occipital nerve block (injection for headaches) CPT 64405 HC Inj Anesth G Occip Nerve | $192.00 | $320.00 | $86.00–$1,100.86 | 51% below | 40% |
| Occipital nerve block (injection for headaches) CPT 64405 HC Inj Anesth G Occip Nerve | $192.00 | $320.00 | $86.00–$1,100.86 | 51% below | 40% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 HC Inj Anesth G Occip Nerve | $192.00 | $320.00 | $86.00–$1,100.86 | — | 40% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 HC Inj Anesth G Occip Nerve | $192.00 | $320.00 | $86.00–$1,100.86 | — | 40% |
| Pacemaker implant (dual chamber) CPT 33208 HC Insrt/Rpl Ppm Dual Wf | $8,648.40 | $14,414.00 | $807.00–$37,485.50 | 30% below | 40% |
| Pacemaker implant (dual chamber) CPT 33208 HC Insrt/Rpl Ppm Dual Wf | $34,034.96 | $56,724.94 | $4.50–$37,485.50 | 175% above | 40% |
| Pacemaker implant (dual chamber) inpatient CPT 33208 HC Insrt/Rpl Ppm Dual Wf | $8,648.40 | $14,414.00 | $807.00–$37,485.50 | — | 40% |
| Pacemaker implant (dual chamber) inpatient CPT 33208 HC Insrt/Rpl Ppm Dual Wf | $8,648.40 | $14,414.00 | $807.00–$37,485.50 | — | 40% |
| Paracentesis with imaging guidance CPT 49083 HC Paracentesis W/Imag Guid | $658.80 | $1,098.00 | $290.20–$3,252.85 | 47% below | 40% |
| Paracentesis with imaging guidance CPT 49083 HC Paracentesis W/Imag Guid | $658.80 | $1,098.00 | $290.20–$3,252.85 | 47% below | 40% |
| Paracentesis with imaging guidance CPT 49083 HC Abd Paracentesis W/Imaging | $679.80 | $1,133.00 | $299.45–$3,252.85 | 45% below | 40% |
| Paracentesis with imaging guidance CPT 49083 HC Abd Paracentesis W/Imaging | $8,228.56 | $13,714.26 | $85.89–$3,252.85 | 564% above | 40% |
| Paracentesis with imaging guidance inpatient CPT 49083 HC Paracentesis W/Imag Guid | $658.80 | $1,098.00 | $290.20–$3,252.85 | — | 40% |
| Paracentesis with imaging guidance inpatient CPT 49083 HC Paracentesis W/Imag Guid | $658.80 | $1,098.00 | $290.20–$3,252.85 | — | 40% |
| Paracentesis with imaging guidance inpatient CPT 49083 HC Abd Paracentesis W/Imaging | $679.80 | $1,133.00 | $299.45–$3,252.85 | — | 40% |
| Paracentesis with imaging guidance inpatient CPT 49083 HC Abd Paracentesis W/Imaging | $679.80 | $1,133.00 | $299.45–$3,252.85 | — | 40% |
| Partial knee replacement (one compartment) CPT 27446 Arthrp Knee Condyle&Plateau Medial/Lat Cmprt | $966.60 | $1,611.00 | $39.47–$808.89 | 90% below | 40% |
| Partial knee replacement (one compartment) CPT 27446 Arthrp Knee Condyle&Plateau Medial/Lat Cmprt | $32,873.14 | $54,788.57 | $6.96–$46,045.22 | 251% above | 40% |
| Partial knee replacement (one compartment) inpatient CPT 27446 Arthrp Knee Condyle&Plateau Medial/Lat Cmprt | $966.60 | $1,611.00 | $39.47–$808.89 | — | 40% |
| Partial knee replacement (one compartment) inpatient CPT 27446 Arthrp Knee Condyle&Plateau Medial/Lat Cmprt | $966.60 | $1,611.00 | $39.47–$808.89 | — | 40% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Excision Nail&Nail Matrix Prtl/Compl Perm Rmvl | $181.20 | $302.00 | $21.00–$123.05 | 69% below | 40% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC Exc Nail/Matrix Permanent | $322.20 | $537.00 | $86.00–$1,457.94 | 45% below | 40% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC Exc Nail/Matrix Permanent | $322.20 | $537.00 | $86.00–$1,457.94 | 45% below | 40% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Excision Nail&Nail Matrix Prtl/Compl Perm Rmvl | $72.00 | $120.00 | $21.00–$123.05 | — | 40% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Excision Nail&Nail Matrix Prtl/Compl Perm Rmvl | $181.20 | $302.00 | $21.00–$123.05 | — | 40% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC Exc Nail/Matrix Permanent | $322.20 | $537.00 | $86.00–$1,457.94 | — | 40% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC Exc Nail/Matrix Permanent | $322.20 | $537.00 | $86.00–$1,457.94 | — | 40% |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 Laps Surg Prst8ect Rpbic Rad W/Nerve Sparing | $1,032.60 | $1,721.00 | $9.64–$860.63 | 92% below | 40% |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 Laps Surg Prst8ect Rpbic Rad W/Nerve Sparing | $40,013.40 | $66,689.00 | $122.22–$38,123.31 | 225% above | 40% |
| Prostate removal (prostatectomy), laparoscopic inpatient CPT 55866 Laps Surg Prst8ect Rpbic Rad W/Nerve Sparing | $1,032.60 | $1,721.00 | $9.64–$860.63 | — | 40% |
| Removal of a breast lump, open surgery CPT 19120 Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion | $650.40 | $1,084.00 | $85.58–$464.95 | 85% below | 40% |
| Removal of a breast lump, open surgery CPT 19120 HC Biopsy Excisional Breast | $967.20 | $1,612.00 | $86.00–$14,042.49 | 77% below | 40% |
| Removal of a breast lump, open surgery CPT 19120 HC Biopsy Excisional Breast | $13,307.15 | $22,178.58 | $3.40–$14,042.49 | 211% above | 40% |
| Removal of a breast lump, open surgery inpatient CPT 19120 Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion | $293.40 | $489.00 | $85.58–$464.95 | — | 40% |
| Removal of a breast lump, open surgery inpatient CPT 19120 Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion | $650.40 | $1,084.00 | $85.58–$464.95 | — | 40% |
| Removal of a breast lump, open surgery inpatient CPT 19120 HC Biopsy Excisional Breast | $967.20 | $1,612.00 | $86.00–$14,042.49 | — | 40% |
| Removal of a breast lump, open surgery inpatient CPT 19120 HC Biopsy Excisional Breast | $967.20 | $1,612.00 | $86.00–$14,042.49 | — | 40% |
| Removal of a foreign object under the skin, simple CPT 10120 Incision & Removal Foreign Body Subq Tiss Simple | $74.40 | $124.00 | $21.61–$122.32 | 87% below | 40% |
| Removal of a foreign object under the skin, simple CPT 10120 Incision & Removal Foreign Body Subq Tiss Simple | $180.60 | $301.00 | $21.61–$122.32 | 67% below | 40% |
| Removal of a foreign object under the skin, simple CPT 10120 HC I&R Foreign Body/Simple | $249.60 | $416.00 | $86.00–$2,267.00 | 55% below | 40% |
| Removal of a foreign object under the skin, simple CPT 10120 HC I&R Foreign Body/Simple | $986.98 | $1,644.97 | $90.00–$2,267.00 | 78% above | 40% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 Incision & Removal Foreign Body Subq Tiss Simple | $74.40 | $124.00 | $21.61–$122.32 | — | 40% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 Incision & Removal Foreign Body Subq Tiss Simple | $74.40 | $124.00 | $21.61–$122.32 | — | 40% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 HC I&R Foreign Body/Simple | $249.60 | $416.00 | $86.00–$2,267.00 | — | 40% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 HC I&R Foreign Body/Simple | $249.60 | $416.00 | $86.00–$2,267.00 | — | 40% |
| Removal of one lobe of the thyroid (lobectomy) CPT 60220 Total Thyroid Lobectomy Uni W/WO Isthmusectomy | $498.60 | $831.00 | $145.43–$495.61 | 93% below | 40% |
| Removal of one lobe of the thyroid (lobectomy) CPT 60220 Total Thyroid Lobectomy Uni W/WO Isthmusectomy | $15,860.72 | $26,434.54 | $44.28–$21,681.95 | 130% above | 40% |
| Removal of one lobe of the thyroid (lobectomy) inpatient CPT 60220 Total Thyroid Lobectomy Uni W/WO Isthmusectomy | $498.60 | $831.00 | $145.43–$495.61 | — | 40% |
| Removal of one lobe of the thyroid (lobectomy) inpatient CPT 60220 Total Thyroid Lobectomy Uni W/WO Isthmusectomy | $498.60 | $831.00 | $145.43–$495.61 | — | 40% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Colon ca scrn not hi rsk ind | $493.20 | $822.00 | $43.23–$143.85 | 54% below | 40% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Colon ca scrn not hi rsk ind | $3,147.88 | $5,246.47 | $2.61–$4,217.00 | 192% above | 40% |
| Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 Colon ca scrn not hi rsk ind | $493.20 | $822.00 | $43.23–$143.85 | — | 40% |
| Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 Colon ca scrn not hi rsk ind | $493.20 | $822.00 | $43.23–$143.85 | — | 40% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Colorectal scrn; hi risk ind | $147.60 | $246.00 | $19.77–$143.85 | 86% below | 40% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Colorectal scrn; hi risk ind | $3,659.78 | $6,099.64 | $2.70–$4,217.00 | 239% above | 40% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 Colorectal scrn; hi risk ind | $147.60 | $246.00 | $19.77–$143.85 | — | 40% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 Colorectal scrn; hi risk ind | $147.60 | $246.00 | $19.77–$143.85 | — | 40% |
| Septoplasty to straighten the nasal septum CPT 30520 Septoplasty/Submucous Resecj W/WO Cartilage Grf | $8,145.02 | $13,575.03 | $37.62–$11,890.71 | 112% above | 40% |
| Short arm cast (elbow to hand) CPT 29075 Application Cast Elbow to Finger Short Arm | $53.40 | $89.00 | $14.80–$75.49 | 83% below | 40% |
| Short arm cast (elbow to hand) CPT 29075 Application Forearm Cast | $67.80 | $113.00 | $29.87–$1,003.10 | 78% below | 40% |
| Short arm cast (elbow to hand) CPT 29075 Application Cast Elbow to Finger Short Arm | $111.60 | $186.00 | $14.80–$75.49 | 64% below | 40% |
| Short arm cast (elbow to hand) CPT 29075 Application Forearm Cast | $379.56 | $632.60 | $37.32–$1,003.10 | 21% above | 40% |
| Short arm cast (elbow to hand) inpatient CPT 29075 Application Cast Elbow to Finger Short Arm | $53.40 | $89.00 | $14.80–$75.49 | — | 40% |
| Short arm cast (elbow to hand) inpatient CPT 29075 Application Forearm Cast | $67.80 | $113.00 | $29.87–$1,003.10 | — | 40% |
| Short arm cast (elbow to hand) inpatient CPT 29075 Application Forearm Cast | $67.80 | $113.00 | $29.87–$1,003.10 | — | 40% |
| Short arm cast (elbow to hand) inpatient CPT 29075 Application Cast Elbow to Finger Short Arm | $111.60 | $186.00 | $14.80–$75.49 | — | 40% |
| Short arm splint (forearm and hand) CPT 29125 Application Short Arm Splint Forearm-Hand Static | $34.20 | $57.00 | $9.98–$61.27 | 82% below | 40% |
| Short arm splint (forearm and hand) CPT 29125 Application Short Arm Splint Forearm-Hand Static | $90.60 | $151.00 | $9.98–$61.27 | 51% below | 40% |
| Short arm splint (forearm and hand) CPT 29125 HC Apply Forearm Splint | $204.60 | $341.00 | $54.00–$2,267.00 | 10% above | 40% |
| Short arm splint (forearm and hand) CPT 29125 HC Apply Forearm Splint | $204.60 | $341.00 | $54.00–$2,267.00 | 10% above | 40% |
| Short arm splint (forearm and hand) inpatient CPT 29125 Application Short Arm Splint Forearm-Hand Static | $34.20 | $57.00 | $9.98–$61.27 | — | 40% |
| Short arm splint (forearm and hand) inpatient CPT 29125 Application Short Arm Splint Forearm-Hand Static | $90.60 | $151.00 | $9.98–$61.27 | — | 40% |
| Short arm splint (forearm and hand) inpatient CPT 29125 HC Apply Forearm Splint | $204.60 | $341.00 | $54.00–$2,267.00 | — | 40% |
| Short arm splint (forearm and hand) inpatient CPT 29125 HC Apply Forearm Splint | $204.60 | $341.00 | $54.00–$2,267.00 | — | 40% |
| Short leg cast (below the knee) CPT 29405 Application Short Leg Cast Below Knee-Toe | $49.80 | $83.00 | $14.53–$68.11 | 85% below | 40% |
| Short leg cast (below the knee) CPT 29405 HC Apply Short Leg Cast | $62.40 | $104.00 | $27.49–$1,003.10 | 81% below | 40% |
| Short leg cast (below the knee) CPT 29405 HC Apply Short Leg Cast | $62.40 | $104.00 | $27.49–$1,003.10 | 81% below | 40% |
| Short leg cast (below the knee) CPT 29405 Application Short Leg Cast Below Knee-Toe | $100.20 | $167.00 | $14.53–$68.11 | 70% below | 40% |
| Short leg cast (below the knee) inpatient CPT 29405 Application Short Leg Cast Below Knee-Toe | $49.80 | $83.00 | $14.53–$68.11 | — | 40% |
| Short leg cast (below the knee) inpatient CPT 29405 HC Apply Short Leg Cast | $62.40 | $104.00 | $27.49–$1,003.10 | — | 40% |
| Short leg cast (below the knee) inpatient CPT 29405 HC Apply Short Leg Cast | $62.40 | $104.00 | $27.49–$1,003.10 | — | 40% |
| Short leg cast (below the knee) inpatient CPT 29405 Application Short Leg Cast Below Knee-Toe | $100.20 | $167.00 | $14.53–$68.11 | — | 40% |
| Short leg splint (calf to foot) CPT 29515 Application Short Leg Splint Calf to Foot | $42.60 | $71.00 | $11.37–$95.93 | 78% below | 40% |
| Short leg splint (calf to foot) CPT 29515 Application Short Leg Splint Calf to Foot | $42.60 | $71.00 | $11.37–$95.93 | 78% below | 40% |
| Short leg splint (calf to foot) CPT 29515 HC Applica Lower Leg Splint | $241.80 | $403.00 | $67.00–$2,267.00 | 26% above | 40% |
| Short leg splint (calf to foot) CPT 29515 HC Applica Lower Leg Splint | $241.80 | $403.00 | $67.00–$2,267.00 | 26% above | 40% |
| Short leg splint (calf to foot) inpatient CPT 29515 Application Short Leg Splint Calf to Foot | $42.60 | $71.00 | $11.37–$95.93 | — | 40% |
| Short leg splint (calf to foot) inpatient CPT 29515 Application Short Leg Splint Calf to Foot | $42.60 | $71.00 | $11.37–$95.93 | — | 40% |
| Short leg splint (calf to foot) inpatient CPT 29515 HC Applica Lower Leg Splint | $241.80 | $403.00 | $67.00–$2,267.00 | — | 40% |
| Short leg splint (calf to foot) inpatient CPT 29515 HC Applica Lower Leg Splint | $241.80 | $403.00 | $67.00–$2,267.00 | — | 40% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 Surgical Arthroscopy Shoulder Dstl Claviculc | $576.00 | $960.00 | $42.50–$494.14 | 66% below | 40% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 Surgical Arthroscopy Shoulder Dstl Claviculc | $17,137.06 | $28,561.77 | $3.94–$11,734.85 | 911% above | 40% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) inpatient CPT 29824 Surgical Arthroscopy Shoulder Dstl Claviculc | $576.00 | $960.00 | $42.50–$494.14 | — | 40% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) inpatient CPT 29824 Surgical Arthroscopy Shoulder Dstl Claviculc | $576.00 | $960.00 | $42.50–$494.14 | — | 40% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Surgical Arthroscopy Sho W/Coracoacrm Ligm Rls | $20,414.50 | $34,024.17 | $5.00–$26,024.01 | 1336% above | 40% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simple Repair Scalp/Neck/Ax/Genit/Trunk 2.5cm/< | $130.20 | $217.00 | $9.10–$87.97 | 54% below | 40% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC Repair Simple 2.5cm Or< | $609.60 | $1,016.00 | $86.00–$2,267.00 | 114% above | 40% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC Repair Simple 2.5cm Or< | $2,086.00 | $3,476.67 | $28.34–$2,267.00 | 634% above | 40% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Simple Repair Scalp/Neck/Ax/Genit/Trunk 2.5cm/< | $31.20 | $52.00 | $9.10–$87.97 | — | 40% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Simple Repair Scalp/Neck/Ax/Genit/Trunk 2.5cm/< | $130.20 | $217.00 | $9.10–$87.97 | — | 40% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC Repair Simple 2.5cm Or< | $609.60 | $1,016.00 | $86.00–$2,267.00 | — | 40% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC Repair Simple 2.5cm Or< | $609.60 | $1,016.00 | $86.00–$2,267.00 | — | 40% |
| Skin biopsy, punch, one lesion CPT 11104 Punch Biopsy Skin Single Lesion | $139.20 | $232.00 | $9.63–$94.25 | 75% below | 40% |
| Skin biopsy, punch, one lesion CPT 11104 Punch Biopsy Skin Single Lesion | $139.20 | $232.00 | $9.63–$94.25 | 75% below | 40% |
| Skin biopsy, punch, one lesion CPT 11104 HC Punch Bx Skin 1st | $208.20 | $347.00 | $86.00–$1,457.94 | 63% below | 40% |
| Skin biopsy, punch, one lesion CPT 11104 HC Punch Bx Skin 1st | $3,000.60 | $5,001.00 | $36.78–$1,457.94 | 429% above | 40% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 Punch Biopsy Skin Single Lesion | $139.20 | $232.00 | $9.63–$94.25 | — | 40% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 Punch Biopsy Skin Single Lesion | $139.20 | $232.00 | $9.63–$94.25 | — | 40% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 HC Punch Bx Skin 1st | $208.20 | $347.00 | $86.00–$1,457.94 | — | 40% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 HC Punch Bx Skin 1st | $208.20 | $347.00 | $86.00–$1,457.94 | — | 40% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< | $227.40 | $379.00 | $25.38–$154.16 | 73% below | 40% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 HC Exc Mal Les 0.5cm Or< | $270.60 | $451.00 | $86.00–$2,539.68 | 67% below | 40% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 HC Exc Mal Les 0.5cm Or< | $357.12 | $595.20 | $20.37–$2,539.68 | 57% below | 40% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< | $227.40 | $379.00 | $25.38–$154.16 | — | 40% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 HC Exc Mal Les 0.5cm Or< | $270.60 | $451.00 | $86.00–$2,539.68 | — | 40% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 HC Exc Mal Les 0.5cm Or< | $270.60 | $451.00 | $86.00–$2,539.68 | — | 40% |
| Skin tag removal, up to 15 tags CPT 11200 Rmvl Skin Tags Mlt Fibrq Tags Any Up to&Inc 15 | $106.20 | $177.00 | $0.50–$71.83 | 63% below | 40% |
| Skin tag removal, up to 15 tags CPT 11200 HC Remove Skin Tags>&=15 | $262.20 | $437.00 | $62.00–$719.56 | 9% below | 40% |
| Skin tag removal, up to 15 tags CPT 11200 HC Remove Skin Tags>&=15 | $262.20 | $437.00 | $62.00–$719.56 | 9% below | 40% |
| Skin tag removal, up to 15 tags CPT 11200 Rmvl Skin Tags Mlt Fibrq Tags Any Up to&Inc 15 | $7,270.07 | $12,116.78 | $8.10–$2,107.00 | 2413% above | 40% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 Rmvl Skin Tags Mlt Fibrq Tags Any Up to&Inc 15 | $106.20 | $177.00 | $0.50–$71.83 | — | 40% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 Rmvl Skin Tags Mlt Fibrq Tags Any Up to&Inc 15 | $106.20 | $177.00 | $0.50–$71.83 | — | 40% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 HC Remove Skin Tags>&=15 | $262.20 | $437.00 | $62.00–$719.56 | — | 40% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 HC Remove Skin Tags>&=15 | $262.20 | $437.00 | $62.00–$719.56 | — | 40% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC Spinal Puncture Lumbar Diagnostic | $1,428.00 | $2,380.00 | $84.00–$2,531.60 | 51% above | 40% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC Spinal Puncture Lumbar Diagnostic | $6,975.92 | $11,626.53 | $0.36–$2,531.60 | 637% above | 40% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC Spinal Puncture Lumbar Diagnostic | $1,428.00 | $2,380.00 | $84.00–$2,531.60 | — | 40% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC Spinal Puncture Lumbar Diagnostic | $1,428.00 | $2,380.00 | $84.00–$2,531.60 | — | 40% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Smpl Repair Scalp/Neck/Ax/Genit/Trunk 2.6-7.5cm | $40.80 | $68.00 | $11.90–$107.59 | 88% below | 40% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC Sreps/N/a/G/Tr/E; 2.6-7.5cm | $599.40 | $999.00 | $86.00–$2,267.00 | 73% above | 40% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC Sreps/N/a/G/Tr/E; 2.6-7.5cm | $2,392.21 | $3,987.01 | $37.32–$2,267.00 | 591% above | 40% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Smpl Repair Scalp/Neck/Ax/Genit/Trunk 2.6-7.5cm | $40.80 | $68.00 | $11.90–$107.59 | — | 40% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Smpl Repair Scalp/Neck/Ax/Genit/Trunk 2.6-7.5cm | $40.80 | $68.00 | $11.90–$107.59 | — | 40% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC Sreps/N/a/G/Tr/E; 2.6-7.5cm | $599.40 | $999.00 | $86.00–$2,267.00 | — | 40% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC Sreps/N/a/G/Tr/E; 2.6-7.5cm | $599.40 | $999.00 | $86.00–$2,267.00 | — | 40% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Simple Repair F/E/E/N/L/M 2.5cm/< | $38.40 | $64.00 | $11.20–$41.97 | 87% below | 40% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC Repair Sup Face 2.5/Less | $599.40 | $999.00 | $86.00–$2,267.00 | 98% above | 40% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC Repair Sup Face 2.5/Less | $2,012.71 | $3,354.51 | $20.31–$2,267.00 | 565% above | 40% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Simple Repair F/E/E/N/L/M 2.5cm/< | $38.40 | $64.00 | $11.20–$41.97 | — | 40% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Simple Repair F/E/E/N/L/M 2.5cm/< | $38.40 | $64.00 | $11.20–$41.97 | — | 40% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC Repair Sup Face 2.5/Less | $599.40 | $999.00 | $86.00–$2,267.00 | — | 40% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC Repair Sup Face 2.5/Less | $599.40 | $999.00 | $86.00–$2,267.00 | — | 40% |
| TURP (transurethral resection of the prostate) CPT 52601 Trurl Electrosurg Rescj Prostate Bleed Complete | $696.00 | $1,160.00 | $203.00–$579.86 | 88% below | 40% |
| TURP (transurethral resection of the prostate) CPT 52601 Trurl Electrosurg Rescj Prostate Bleed Complete | $16,514.68 | $27,524.47 | $3.86–$19,229.79 | 175% above | 40% |
| TURP (transurethral resection of the prostate) inpatient CPT 52601 Trurl Electrosurg Rescj Prostate Bleed Complete | $696.00 | $1,160.00 | $203.00–$579.86 | — | 40% |
| TURP (transurethral resection of the prostate) inpatient CPT 52601 Trurl Electrosurg Rescj Prostate Bleed Complete | $696.00 | $1,160.00 | $203.00–$579.86 | — | 40% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangential Biopsy Skin Single Lesion | $109.80 | $183.00 | $10.98–$74.33 | 76% below | 40% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC Tangential Bx Skin 1st | $162.60 | $271.00 | $86.00–$1,457.94 | 64% below | 40% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC Tangential Bx Skin 1st | $162.60 | $271.00 | $86.00–$1,457.94 | 64% below | 40% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangential Biopsy Skin Single Lesion | $3,643.69 | $6,072.82 | $20.37–$2,107.00 | 707% above | 40% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Tangential Biopsy Skin Single Lesion | $109.80 | $183.00 | $10.98–$74.33 | — | 40% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Tangential Biopsy Skin Single Lesion | $109.80 | $183.00 | $10.98–$74.33 | — | 40% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC Tangential Bx Skin 1st | $162.60 | $271.00 | $86.00–$1,457.94 | — | 40% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC Tangential Bx Skin 1st | $162.60 | $271.00 | $86.00–$1,457.94 | — | 40% |
| Thoracentesis with imaging guidance CPT 32555 Thoracentesis Needle/Cath Pleura W/Imaging | $357.00 | $595.00 | $11.81–$362.95 | 71% below | 40% |
| Thoracentesis with imaging guidance CPT 32555 HC Aspirate Pleura W/ Imaging | $766.20 | $1,277.00 | $112.55–$4,217.00 | 38% below | 40% |
| Thoracentesis with imaging guidance CPT 32555 HC Aspirate Pleura W/ Imaging | $2,705.40 | $4,509.00 | $91.04–$4,217.00 | 120% above | 40% |
| Thoracentesis with imaging guidance inpatient CPT 32555 Thoracentesis Needle/Cath Pleura W/Imaging | $357.00 | $595.00 | $11.81–$362.95 | — | 40% |
| Thoracentesis with imaging guidance inpatient CPT 32555 HC Aspirate Pleura W/ Imaging | $766.20 | $1,277.00 | $112.55–$4,217.00 | — | 40% |
| Thoracentesis with imaging guidance inpatient CPT 32555 HC Aspirate Pleura W/ Imaging | $766.20 | $1,277.00 | $112.55–$4,217.00 | — | 40% |
| Tonsil and adenoid removal, age 12 or older CPT 42821 Tonsillectomy & Adenoidectomy Age 12/> | $9,639.97 | $16,066.61 | $22.14–$11,890.71 | 151% above | 40% |
| Tonsil and adenoid removal, child under 12 CPT 42820 Tonsillectomy & Adenoidectomy <Age 12 | $9,165.73 | $15,276.21 | $1.16–$21,231.14 | 31% above | 40% |
| Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 Tonsillectomy Primary/Secondary Age 12/> | $9,233.35 | $15,388.92 | $37.62–$11,890.71 | 141% above | 40% |
| Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 Tonsillectomy Primary/Secondary <Age 12 | $8,169.84 | $13,616.40 | $1.80–$21,231.14 | 17% above | 40% |
| Total hip replacement CPT 27130 Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft | $1,079.40 | $1,799.00 | $77.17–$899.52 | 73% below | 40% |
| Total hip replacement CPT 27130 Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft | $40,235.78 | $67,059.64 | $4.64–$46,045.22 | 908% above | 40% |
| Total hip replacement inpatient CPT 27130 Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft | $1,079.40 | $1,799.00 | $77.17–$899.52 | — | 40% |
| Total hip replacement inpatient CPT 27130 Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft | $1,079.40 | $1,799.00 | $77.17–$899.52 | — | 40% |
| Total knee replacement CPT 27447 Arthrp Kne Condyle&Platu Medial&Lat Compartments | $1,078.20 | $1,797.00 | $77.01–$898.42 | 92% below | 40% |
| Total knee replacement CPT 27447 Arthrp Kne Condyle&Platu Medial&Lat Compartments | $36,057.85 | $60,096.41 | $8.10–$46,045.22 | 159% above | 40% |
| Total knee replacement inpatient CPT 27447 Arthrp Kne Condyle&Platu Medial&Lat Compartments | $1,078.20 | $1,797.00 | $77.01–$898.42 | — | 40% |
| Total knee replacement inpatient CPT 27447 Arthrp Kne Condyle&Platu Medial&Lat Compartments | $1,078.20 | $1,797.00 | $77.01–$898.42 | — | 40% |
| Total shoulder replacement CPT 23472 Arthroplasty Glenohumeral Joint Total Shoulder | $1,213.80 | $2,023.00 | $86.47–$1,011.55 | 73% below | 40% |
| Total shoulder replacement CPT 23472 Arthroplasty Glenohumeral Joint Total Shoulder | $54,961.78 | $91,602.96 | $10.00–$62,884.06 | 1143% above | 40% |
| Total shoulder replacement inpatient CPT 23472 Arthroplasty Glenohumeral Joint Total Shoulder | $1,213.80 | $2,023.00 | $86.47–$1,011.55 | — | 40% |
| Total shoulder replacement inpatient CPT 23472 Arthroplasty Glenohumeral Joint Total Shoulder | $1,213.80 | $2,023.00 | $86.47–$1,011.55 | — | 40% |
| Total thyroid removal (thyroidectomy) CPT 60240 Thyroidectomy Total/Complete | $645.00 | $1,075.00 | $188.13–$641.10 | 88% below | 40% |
| Total thyroid removal (thyroidectomy) CPT 60240 Thyroidectomy Total/Complete | $17,190.98 | $28,651.64 | $8.50–$21,681.95 | 218% above | 40% |
| Total thyroid removal (thyroidectomy) inpatient CPT 60240 Thyroidectomy Total/Complete | $645.00 | $1,075.00 | $188.13–$641.10 | — | 40% |
| Total thyroid removal (thyroidectomy) inpatient CPT 60240 Thyroidectomy Total/Complete | $645.00 | $1,075.00 | $188.13–$641.10 | — | 40% |
| Trigger finger release surgery CPT 26055 Tendon Sheath Incision | $718.20 | $1,197.00 | $2.24–$487.04 | 62% below | 40% |
| Trigger finger release surgery CPT 26055 Tendon Sheath Incision | $8,589.05 | $14,315.09 | $8.10–$5,993.00 | 354% above | 40% |
| Trigger finger release surgery inpatient CPT 26055 Tendon Sheath Incision | $252.00 | $420.00 | $2.24–$487.04 | — | 40% |
| Trigger finger release surgery inpatient CPT 26055 Tendon Sheath Incision | $718.20 | $1,197.00 | $2.24–$487.04 | — | 40% |
| Trigger point injections, 1 or 2 muscles CPT 20552 Injection Single/Mlt Trigger Point 1/2 Muscles | $59.40 | $99.00 | $9.09–$40.43 | 83% below | 40% |
| Trigger point injections, 1 or 2 muscles CPT 20552 Injection Single/Mlt Trigger Point 1/2 Muscles | $59.40 | $99.00 | $9.09–$40.43 | 83% below | 40% |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC Inj(S) Trig-P 1or2 Mus. | $100.20 | $167.00 | $44.14–$1,100.86 | 71% below | 40% |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC Inj(S) Trig-P 1or2 Mus. | $100.20 | $167.00 | $44.14–$1,100.86 | 71% below | 40% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Injection Single/Mlt Trigger Point 1/2 Muscles | $59.40 | $99.00 | $9.09–$40.43 | — | 40% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Injection Single/Mlt Trigger Point 1/2 Muscles | $59.40 | $99.00 | $9.09–$40.43 | — | 40% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC Inj(S) Trig-P 1or2 Mus. | $100.20 | $167.00 | $44.14–$1,100.86 | — | 40% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC Inj(S) Trig-P 1or2 Mus. | $100.20 | $167.00 | $44.14–$1,100.86 | — | 40% |
| Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 Laparoscopy Fulguration Oviducts | $23,993.24 | $39,988.74 | $142.59–$21,681.95 | 463% above | 40% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC Bx Breast W/Device 1st Lesion US Guid | $1,715.40 | $2,859.00 | $86.00–$5,923.36 | 38% below | 40% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC Bx Breast W/Device 1st Lesion US Guid | $4,839.61 | $8,066.02 | $60.90–$5,993.00 | 74% above | 40% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC Bx Breast W/Device 1st Lesion US Guid | $1,715.40 | $2,859.00 | $86.00–$5,923.36 | — | 40% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC Bx Breast W/Device 1st Lesion US Guid | $1,715.40 | $2,859.00 | $86.00–$5,923.36 | — | 40% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Egd Balloon Dilation Esophagus <30 Mm Diam | $1,348.80 | $2,248.00 | $35.88–$393.40 | 40% below | 40% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Egd Balloon Dilation Esophagus <30 Mm Diam | $5,213.75 | $8,689.58 | $3.24–$6,882.06 | 132% above | 40% |
| Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 Egd Balloon Dilation Esophagus <30 Mm Diam | $1,348.80 | $2,248.00 | $35.88–$393.40 | — | 40% |
| Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 Egd Balloon Dilation Esophagus <30 Mm Diam | $1,348.80 | $2,248.00 | $35.88–$393.40 | — | 40% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Egd Transoral Biopsy Single/Multiple | $4,983.92 | $8,306.53 | $6.00–$6,882.06 | 339% above | 40% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 Esophagogastroduodenoscopy Submucosal Injection | $7,579.24 | $12,632.06 | $20.37–$6,882.06 | 583% above | 40% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Egd Removal Tumor Polyp/Other Lesion Snare Tech | $625.20 | $1,042.00 | $45.68–$182.35 | 72% below | 40% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Egd Removal Tumor Polyp/Other Lesion Snare Tech | $8,035.03 | $13,391.72 | $1.80–$6,882.06 | 258% above | 40% |
| Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 Egd Removal Tumor Polyp/Other Lesion Snare Tech | $625.20 | $1,042.00 | $45.68–$182.35 | — | 40% |
| Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 Egd Removal Tumor Polyp/Other Lesion Snare Tech | $625.20 | $1,042.00 | $45.68–$182.35 | — | 40% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 Egd Insert Guide Wire Dilator Passage Esophagus | $5,308.80 | $8,848.00 | $2.25–$5,993.00 | 378% above | 40% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Esophagogastroduodenoscopy Transoral Diagnostic | $3,665.60 | $6,109.33 | $1.80–$5,993.00 | 230% above | 40% |
| Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 Cysto W/Ureteroscopy W/Lithotripsy | $369.60 | $616.00 | $107.80–$308.15 | 94% below | 40% |
| Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 Cysto W/Ureteroscopy W/Lithotripsy | $14,889.16 | $24,815.27 | $2.32–$19,229.79 | 148% above | 40% |
| Ureteroscopy with laser stone breaking (lithotripsy) inpatient CPT 52353 Cysto W/Ureteroscopy W/Lithotripsy | $369.60 | $616.00 | $107.80–$308.15 | — | 40% |
| Ureteroscopy with laser stone breaking (lithotripsy) inpatient CPT 52353 Cysto W/Ureteroscopy W/Lithotripsy | $369.60 | $616.00 | $107.80–$308.15 | — | 40% |
| Ureteroscopy with laser stone breaking and stent placement CPT 52356 Cysto/Uretero W/Lithotripsy &Indwell Stent Insrt | $17,622.97 | $29,371.62 | $1.80–$19,229.79 | 193% above | 40% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 Routine OB Care Vag Dlvry & Postpartum Care Vb | $1,812.00 | $3,020.00 | $528.50–$1,771.21 | 44% below | 40% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care inpatient CPT 59610 Routine OB Care Vag Dlvry & Postpartum Care Vb | $1,812.00 | $3,020.00 | $528.50–$1,771.21 | — | 40% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care inpatient CPT 59610 Routine OB Care Vag Dlvry & Postpartum Care Vb | $1,812.00 | $3,020.00 | $528.50–$1,771.21 | — | 40% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 OB Care Antepartum Vag Dlvr & Postpartum | $1,736.40 | $2,894.00 | $506.45–$1,691.77 | 45% below | 40% |
| Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 OB Care Antepartum Vag Dlvr & Postpartum | $1,736.40 | $2,894.00 | $506.45–$1,691.77 | — | 40% |
| Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 OB Care Antepartum Vag Dlvr & Postpartum | $1,736.40 | $2,894.00 | $506.45–$1,691.77 | — | 40% |
| Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 Vasectomy Uni/Bi Spx W/Postop Semen Exams | $201.00 | $335.00 | $58.18–$170.30 | — | 40% |
| Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 HC Vasectomy Uni/Bilat | $1,247.40 | $2,079.00 | $86.00–$7,497.04 | — | 40% |
| Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 HC Vasectomy Uni/Bilat | $1,247.40 | $2,079.00 | $86.00–$7,497.04 | — | 40% |
| Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 Vasectomy Uni/Bi Spx W/Postop Semen Exams | $9,270.51 | $15,450.85 | $8.10–$7,497.04 | — | 40% |
| Vasectomy, one or both sides, including follow-up semen testing inpatient both sides CPT 55250 Vasectomy Uni/Bi Spx W/Postop Semen Exams | $201.00 | $335.00 | $58.18–$170.30 | — | 40% |
| Vasectomy, one or both sides, including follow-up semen testing inpatient both sides CPT 55250 Vasectomy Uni/Bi Spx W/Postop Semen Exams | $201.00 | $335.00 | $58.18–$170.30 | — | 40% |
| Vasectomy, one or both sides, including follow-up semen testing inpatient both sides CPT 55250 HC Vasectomy Uni/Bilat | $1,247.40 | $2,079.00 | $86.00–$7,497.04 | — | 40% |
| Vasectomy, one or both sides, including follow-up semen testing inpatient both sides CPT 55250 HC Vasectomy Uni/Bilat | $1,247.40 | $2,079.00 | $86.00–$7,497.04 | — | 40% |
| Vein ablation, radiofrequency, first vein CPT 36475 Endovenous Rf 1st Vein | $505.37 | $842.28 | $86.00–$11,324.13 | 87% below | 40% |
| Vein ablation, radiofrequency, first vein CPT 36475 Endoven Abltj Incmptnt Vein Xtr Rf 1st Vein | $1,203.60 | $2,006.00 | $70.35–$1,223.88 | 68% below | 40% |
| Vein ablation, radiofrequency, first vein CPT 36475 Endovenous Rf 1st Vein | $2,021.40 | $3,369.00 | $86.00–$11,324.13 | 46% below | 40% |
| Vein ablation, radiofrequency, first vein inpatient CPT 36475 Endoven Abltj Incmptnt Vein Xtr Rf 1st Vein | $1,203.60 | $2,006.00 | $70.35–$1,223.88 | — | 40% |
| Vein ablation, radiofrequency, first vein inpatient CPT 36475 Endovenous Rf 1st Vein | $2,021.40 | $3,369.00 | $86.00–$11,324.13 | — | 40% |
| Vein ablation, radiofrequency, first vein inpatient CPT 36475 Endovenous Rf 1st Vein | $2,021.40 | $3,369.00 | $86.00–$11,324.13 | — | 40% |
| Wart removal, up to 14 warts CPT 17110 Destruction Benign Lesions Up to 14 | $127.20 | $212.00 | $7.21–$298.04 | 46% below | 40% |
| Wart removal, up to 14 warts CPT 17110 Destruction Benign Lesions Up to 14 | $127.20 | $212.00 | $7.21–$298.04 | 46% below | 40% |
| Wart removal, up to 14 warts CPT 17110 HC Destr Benign Lesions 1-14 | $151.80 | $253.00 | $52.00–$719.56 | 36% below | 40% |
| Wart removal, up to 14 warts CPT 17110 HC Destr Benign Lesions 1-14 | $151.80 | $253.00 | $52.00–$719.56 | 36% below | 40% |
| Wart removal, up to 14 warts inpatient CPT 17110 Destruction Benign Lesions Up to 14 | $127.20 | $212.00 | $7.21–$298.04 | — | 40% |
| Wart removal, up to 14 warts inpatient CPT 17110 Destruction Benign Lesions Up to 14 | $127.20 | $212.00 | $7.21–$298.04 | — | 40% |
| Wart removal, up to 14 warts inpatient CPT 17110 HC Destr Benign Lesions 1-14 | $151.80 | $253.00 | $52.00–$719.56 | — | 40% |
| Wart removal, up to 14 warts inpatient CPT 17110 HC Destr Benign Lesions 1-14 | $151.80 | $253.00 | $52.00–$719.56 | — | 40% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC Debride Skin/ Sq Tissue | $196.20 | $327.00 | $86.00–$3,015.00 | 73% below | 40% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC Debride Skin/ Sq Tissue | $1,675.64 | $2,792.73 | $53.55–$2,267.00 | 133% above | 40% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC Debride Skin/ Sq Tissue | $196.20 | $327.00 | $86.00–$3,015.00 | — | 40% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC Debride Skin/ Sq Tissue | $196.20 | $327.00 | $86.00–$3,015.00 | — | 40% |
| Wrist fracture surgery (plate and screws), distal radius CPT 25607 Optx Dstl Rdl X-Artic Fx/Epiphysl Separation | $634.20 | $1,057.00 | $46.38–$539.29 | 73% below | 40% |
| Wrist fracture surgery (plate and screws), distal radius CPT 25607 Optx Dstl Rdl X-Artic Fx/Epiphysl Separation | $24,230.44 | $40,384.06 | $1.80–$26,024.01 | 949% above | 40% |
| Wrist fracture surgery (plate and screws), distal radius inpatient CPT 25607 Optx Dstl Rdl X-Artic Fx/Epiphysl Separation | $634.20 | $1,057.00 | $46.38–$539.29 | — | 40% |
| Wrist fracture surgery (plate and screws), distal radius inpatient CPT 25607 Optx Dstl Rdl X-Artic Fx/Epiphysl Separation | $634.20 | $1,057.00 | $46.38–$539.29 | — | 40% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 HC Blood Transfusion | $958.20 | $1,597.00 | $8.08–$1,582.25 | 31% above | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 HC Blood Transfusion | $958.20 | $1,597.00 | $8.08–$1,582.25 | 31% above | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC Blood Transfusion | $958.20 | $1,597.00 | $8.08–$1,582.25 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC Blood Transfusion | $958.20 | $1,597.00 | $8.08–$1,582.25 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC Airway Inhalation Trmt-Inhaler | $82.80 | $138.00 | $3.03–$785.35 | 63% below | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC Airway Inhalation Trmt | $82.80 | $138.00 | $3.03–$785.35 | 63% below | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC Airway Inhalation Trmt | $82.80 | $138.00 | $3.03–$785.35 | 63% below | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC Airway Inhalation Trmt-Inhaler | $82.80 | $138.00 | $3.03–$785.35 | 63% below | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC Airway Inhalation Trmt-Inhaler | $82.80 | $138.00 | $3.03–$785.35 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC Airway Inhalation Trmt | $82.80 | $138.00 | $3.03–$785.35 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC Airway Inhalation Trmt | $82.80 | $138.00 | $3.03–$785.35 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC Airway Inhalation Trmt-Inhaler | $82.80 | $138.00 | $3.03–$785.35 | — | 40% |
| Chemotherapy IV infusion, first hour CPT 96413 HC Chemo IV Inf Up to 1 Hour | $1,489.80 | $2,483.00 | $35.35–$1,862.25 | 153% above | 40% |
| Chemotherapy IV infusion, first hour CPT 96413 HC Chemo IV Inf Up to 1 Hour | $26,077.86 | $43,463.10 | $9.32–$15,792.00 | 4335% above | 40% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 HC Chemo IV Inf Up to 1 Hour | $1,489.80 | $2,483.00 | $35.35–$1,862.25 | — | 40% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 HC Chemo IV Inf Up to 1 Hour | $1,489.80 | $2,483.00 | $35.35–$1,862.25 | — | 40% |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 HC Audiometry-Air/Bone W/Spe | $99.60 | $166.00 | $25.25–$461.48 | 59% below | 40% |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 HC Audiometry-Air/Bone W/Spe | $99.60 | $166.00 | $25.25–$461.48 | 59% below | 40% |
| Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 HC Audiometry-Air/Bone W/Spe | $99.60 | $166.00 | $25.25–$461.48 | — | 40% |
| Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 HC Audiometry-Air/Bone W/Spe | $99.60 | $166.00 | $25.25–$461.48 | — | 40% |
| Critical care, first 30 to 74 minutes CPT 99291 Critical Care Ill/Injured Patient Init 30-74 Min | $356.40 | $594.00 | $84.68–$483.83 | 77% below | 40% |
| Critical care, first 30 to 74 minutes CPT 99291 HC Critical Care 30-74 Min | $3,759.00 | $6,265.00 | $242.13–$4,698.75 | 144% above | 40% |
| Critical care, first 30 to 74 minutes CPT 99291 HC Critical Care 30-74 Min | $3,759.00 | $6,265.00 | $242.13–$4,698.75 | 144% above | 40% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 HC Critical Care 30-74 Min | $3,759.00 | $6,265.00 | $242.13–$4,698.75 | — | 40% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 HC Critical Care 30-74 Min | $3,759.00 | $6,265.00 | $242.13–$4,698.75 | — | 40% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Ecg Routine Ecg W/Least 12 Lds W/I&R | $17.40 | $29.00 | $10.15–$23.95 | 65% below | 40% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Ecg Routine Ecg W/Least 12 Lds W/I&R | $17.40 | $29.00 | $10.15–$23.95 | 65% below | 40% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 Ecg Routine Ecg W/Least 12 Lds W/I&R | $17.40 | $29.00 | $10.15–$23.95 | — | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC Electrocardiogram Tracing | $180.00 | $300.00 | $7.58–$225.00 | 25% above | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC Electrocardiogram Tracing | $4,602.79 | $7,671.31 | $6.58–$2,267.00 | 3094% above | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC Electrocardiogram Tracing | $180.00 | $300.00 | $7.58–$225.00 | — | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC Electrocardiogram Tracing | $180.00 | $300.00 | $7.58–$225.00 | — | 40% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ED Lwbs Visit Lev I | $75.00 | $125.00 | $22.00–$2,267.00 | 48% below | 40% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ED Lwbs Visit Lev I | $75.00 | $125.00 | $22.00–$2,267.00 | 48% below | 40% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ED Visit Lev I | $568.20 | $947.00 | $22.00–$2,267.00 | 292% above | 40% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ED Visit Lev I | $568.20 | $947.00 | $22.00–$2,267.00 | 292% above | 40% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC ED Lwbs Visit Lev I | $75.00 | $125.00 | $22.00–$2,267.00 | — | 40% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC ED Lwbs Visit Lev I | $75.00 | $125.00 | $22.00–$2,267.00 | — | 40% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC ED Visit Lev I | $568.20 | $947.00 | $22.00–$2,267.00 | — | 40% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC ED Visit Lev I | $568.20 | $947.00 | $22.00–$2,267.00 | — | 40% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ED Visit Lev II | $772.80 | $1,288.00 | $34.00–$2,267.00 | 147% above | 40% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ED Visit Lev II | $772.80 | $1,288.00 | $34.00–$2,267.00 | 147% above | 40% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC ED Visit Lev II | $772.80 | $1,288.00 | $34.00–$2,267.00 | — | 40% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC ED Visit Lev II | $772.80 | $1,288.00 | $34.00–$2,267.00 | — | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ED Visit Lev III | $1,204.20 | $2,007.00 | $62.00–$2,267.00 | 165% above | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ED Visit Lev III | $1,204.20 | $2,007.00 | $62.00–$2,267.00 | 165% above | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC ED Visit Lev III | $1,204.20 | $2,007.00 | $62.00–$2,267.00 | — | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC ED Visit Lev III | $1,204.20 | $2,007.00 | $62.00–$2,267.00 | — | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ER Level IV | $1,593.00 | $2,655.00 | $94.00–$2,267.00 | 139% above | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ER Level IV | $1,593.00 | $2,655.00 | $94.00–$2,267.00 | 139% above | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Emergency Department Visit Moderate Mdm | $136.80 | $228.00 | $45.02–$159.45 | — | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC ER Level IV | $1,593.00 | $2,655.00 | $94.00–$2,267.00 | — | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC ER Level IV | $1,593.00 | $2,655.00 | $94.00–$2,267.00 | — | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency Department Visit High Mdm | $198.60 | $331.00 | $67.19–$231.03 | 77% below | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ER Level V | $2,616.00 | $4,360.00 | $149.00–$3,270.00 | 206% above | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ER Level V | $6,411.79 | $10,686.32 | $12.00–$2,267.00 | 651% above | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Emergency Department Visit High Mdm | $198.60 | $331.00 | $67.19–$231.03 | — | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Emergency Department Visit High Mdm | $198.60 | $331.00 | $67.19–$231.03 | — | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC ER Level V | $2,616.00 | $4,360.00 | $149.00–$3,270.00 | — | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC ER Level V | $2,616.00 | $4,360.00 | $149.00–$3,270.00 | — | 40% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC Cvslr Stress Test; Tracing | $906.60 | $1,511.00 | $30.30–$1,133.25 | 57% above | 40% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC Cvslr Stress Test; Tracing | $906.60 | $1,511.00 | $30.30–$1,133.25 | 57% above | 40% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC Cvslr Stress Test; Tracing | $906.60 | $1,511.00 | $30.30–$1,133.25 | — | 40% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC Cvslr Stress Test; Tracing | $906.60 | $1,511.00 | $30.30–$1,133.25 | — | 40% |
| Family therapy with the patient, 50 minutes CPT 90847 Family Psychotherapy W/Patient Present 50 Mins | $130.20 | $217.00 | $52.03–$176.92 | 48% below | 40% |
| Family therapy with the patient, 50 minutes CPT 90847 Family Psychotherapy W/Patient Present 50 Mins | $130.20 | $217.00 | $52.03–$176.92 | 48% below | 40% |
| Family therapy with the patient, 50 minutes CPT 90847 HC Fam Psych Thrpy W/Pt Prsnt | $310.80 | $518.00 | $95.28–$388.50 | 23% above | 40% |
| Family therapy with the patient, 50 minutes CPT 90847 HC Fam Psych Thrpy W/Pt Prsnt | $310.80 | $518.00 | $95.28–$388.50 | 23% above | 40% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 Family Psychotherapy W/Patient Present 50 Mins | $130.20 | $217.00 | $52.03–$176.92 | — | 40% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 Family Psychotherapy W/Patient Present 50 Mins | $130.20 | $217.00 | $52.03–$176.92 | — | 40% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC Fam Psych Thrpy W/Pt Prsnt | $310.80 | $518.00 | $95.28–$388.50 | — | 40% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC Fam Psych Thrpy W/Pt Prsnt | $310.80 | $518.00 | $95.28–$388.50 | — | 40% |
| Family therapy without the patient, 50 minutes CPT 90846 Family Psychotherapy W/O Patient Present 50 Mins | $126.00 | $210.00 | $43.35–$170.78 | 50% below | 40% |
| Family therapy without the patient, 50 minutes CPT 90846 HC Fam Psych W/O Patient | $292.20 | $487.00 | $91.20–$365.25 | 15% above | 40% |
| Family therapy without the patient, 50 minutes CPT 90846 HC Fam Psych W/O Patient | $292.20 | $487.00 | $91.20–$365.25 | 15% above | 40% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 Family Psychotherapy W/O Patient Present 50 Mins | $126.00 | $210.00 | $43.35–$170.78 | — | 40% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HC Fam Psych W/O Patient | $292.20 | $487.00 | $91.20–$365.25 | — | 40% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HC Fam Psych W/O Patient | $292.20 | $487.00 | $91.20–$365.25 | — | 40% |
| Group psychotherapy session CPT 90853 HC Grp Psych (Other T/Family | $54.00 | $90.00 | $23.79–$86.00 | 64% below | 40% |
| Group psychotherapy session CPT 90853 HC Grp Psych (Other T/Family | $54.00 | $90.00 | $23.79–$86.00 | 64% below | 40% |
| Group psychotherapy session inpatient CPT 90853 HC Grp Psych (Other T/Family | $54.00 | $90.00 | $23.79–$86.00 | — | 40% |
| Group psychotherapy session inpatient CPT 90853 HC Grp Psych (Other T/Family | $54.00 | $90.00 | $23.79–$86.00 | — | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV Hydration Init 31-60 Mins | $842.40 | $1,404.00 | $35.35–$2,267.00 | 142% above | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV Hydration Init 31-60 Mins | $842.40 | $1,404.00 | $35.35–$2,267.00 | 142% above | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV Hydration Init 31-60 Mins | $842.40 | $1,404.00 | $35.35–$2,267.00 | — | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV Hydration Init 31-60 Mins | $842.40 | $1,404.00 | $35.35–$2,267.00 | — | 40% |
| IV infusion of a medicine, first hour CPT 96365 HC IV Inf Tx/Dx First Hour | $842.40 | $1,404.00 | $35.35–$2,267.00 | 125% above | 40% |
| IV infusion of a medicine, first hour CPT 96365 HC IV Inf Tx/Dx First Hour | $842.40 | $1,404.00 | $35.35–$2,267.00 | 125% above | 40% |
| IV infusion of a medicine, first hour inpatient CPT 96365 HC IV Inf Tx/Dx First Hour | $842.40 | $1,404.00 | $35.35–$2,267.00 | — | 40% |
| IV infusion of a medicine, first hour inpatient CPT 96365 HC IV Inf Tx/Dx First Hour | $842.40 | $1,404.00 | $35.35–$2,267.00 | — | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Therapeutic Prophylactic/Dx Injection Subq/Im | $18.00 | $30.00 | $10.50–$24.09 | 79% below | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Therapeutic Prophylactic/Dx Injection Subq/Im | $18.00 | $30.00 | $10.50–$24.09 | 79% below | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC Inj Sq/Im (Non Hormonal) | $72.60 | $121.00 | $13.36–$2,267.00 | 14% below | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC Inj Sq/Im (Non Hormonal) | $72.60 | $121.00 | $13.36–$2,267.00 | 14% below | 40% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Therapeutic Prophylactic/Dx Injection Subq/Im | $18.00 | $30.00 | $10.50–$24.09 | — | 40% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Therapeutic Prophylactic/Dx Injection Subq/Im | $18.00 | $30.00 | $10.50–$24.09 | — | 40% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC Inj Sq/Im (Non Hormonal) | $72.60 | $121.00 | $13.36–$2,267.00 | — | 40% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC Inj Sq/Im (Non Hormonal) | $72.60 | $121.00 | $13.36–$2,267.00 | — | 40% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psychiatric Diagnostic Evaluation | $205.20 | $342.00 | $59.85–$278.24 | 5% below | 40% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psychiatric Diagnostic Evaluation | $205.20 | $342.00 | $59.85–$278.24 | 5% below | 40% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Office Visit | $210.00 | $350.00 | $92.51–$262.50 | 3% below | 40% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Office Visit | $210.00 | $350.00 | $92.51–$262.50 | 3% below | 40% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Psychiatric Diagnostic Evaluation | $205.20 | $342.00 | $59.85–$278.24 | — | 40% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Psychiatric Diagnostic Evaluation | $205.20 | $342.00 | $59.85–$278.24 | — | 40% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Office Visit | $210.00 | $350.00 | $92.51–$262.50 | — | 40% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Office Visit | $210.00 | $350.00 | $92.51–$262.50 | — | 40% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC Neuromuscular Reeducat Ea 15 Mins | $75.00 | $125.00 | $16.00–$150.00 | 11% below | 40% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC Neuromuscular Reeducat Ea 15 Mins | $75.00 | $125.00 | $16.00–$150.00 | 11% below | 40% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC Neuromuscular Reeducat Ea 15 Mins | $75.00 | $125.00 | $16.00–$150.00 | — | 40% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC Neuromuscular Reeducat Ea 15 Mins | $75.00 | $125.00 | $16.00–$150.00 | — | 40% |
| New patient office visit, about 30 minutes CPT 99203 Office/Outpatient New Low Mdm 30 Minutes | $135.60 | $226.00 | $31.50–$184.01 | 31% below | 40% |
| New patient office visit, about 30 minutes CPT 99203 Office/Outpatient New Low Mdm 30 Minutes | $135.60 | $226.00 | $31.50–$184.01 | 31% below | 40% |
| New patient office visit, about 30 minutes inpatient CPT 99203 Office/Outpatient New Low Mdm 30 Minutes | $135.60 | $226.00 | $31.50–$184.01 | — | 40% |
| New patient office visit, about 30 minutes inpatient CPT 99203 Office/Outpatient New Low Mdm 30 Minutes | $135.60 | $226.00 | $31.50–$184.01 | — | 40% |
| New patient office visit, about 45 minutes CPT 99204 Office/Outpatient New Moderate Mdm 45 Minutes | $205.20 | $342.00 | $51.10–$278.11 | 29% below | 40% |
| New patient office visit, about 45 minutes CPT 99204 Office/Outpatient New Moderate Mdm 45 Minutes | $205.20 | $342.00 | $51.10–$278.11 | 29% below | 40% |
| New patient office visit, about 45 minutes inpatient CPT 99204 Office/Outpatient New Moderate Mdm 45 Minutes | $205.20 | $342.00 | $51.10–$278.11 | — | 40% |
| New patient office visit, about 45 minutes inpatient CPT 99204 Office/Outpatient New Moderate Mdm 45 Minutes | $205.20 | $342.00 | $51.10–$278.11 | — | 40% |
| New patient office visit, about 60 minutes CPT 99205 Office/Outpatient New High Mdm 60 Minutes | $119.40 | $199.00 | $69.65–$370.89 | 58% below | 40% |
| New patient office visit, about 60 minutes CPT 99205 Office/Outpatient New High Mdm 60 Minutes | $273.60 | $456.00 | $69.65–$370.89 | 3% below | 40% |
| New patient office visit, about 60 minutes inpatient CPT 99205 Office/Outpatient New High Mdm 60 Minutes | $119.40 | $199.00 | $69.65–$370.89 | — | 40% |
| New patient office visit, about 60 minutes inpatient CPT 99205 Office/Outpatient New High Mdm 60 Minutes | $273.60 | $456.00 | $69.65–$370.89 | — | 40% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 Office/Outpatient New Sf Mdm 15 Minutes | $87.00 | $145.00 | $18.20–$117.80 | 45% below | 40% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 Office/Outpatient New Sf Mdm 15 Minutes | $87.00 | $145.00 | $18.20–$117.80 | 45% below | 40% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Office/Outpatient New Sf Mdm 15 Minutes | $87.00 | $145.00 | $18.20–$117.80 | — | 40% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Office/Outpatient New Sf Mdm 15 Minutes | $87.00 | $145.00 | $18.20–$117.80 | — | 40% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Medical Nutrition Assmt&Ivntj Indiv Each 15 Mi | $42.60 | $71.00 | $24.85–$58.12 | 25% below | 40% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC Nutr.Coun.Init/15 Min | $46.20 | $77.00 | $20.35–$57.75 | 19% below | 40% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC Nutr.Coun.Init/15 Min | $46.20 | $77.00 | $20.35–$57.75 | 19% below | 40% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Medical Nutrition Assmt&Ivntj Indiv Each 15 Mi | $42.60 | $71.00 | $24.85–$58.12 | — | 40% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC Nutr.Coun.Init/15 Min | $46.20 | $77.00 | $20.35–$57.75 | — | 40% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC Nutr.Coun.Init/15 Min | $46.20 | $77.00 | $20.35–$57.75 | — | 40% |
| Occupational therapy evaluation, low complexity CPT 97165 HC Ot Eval Low Complexity | $156.00 | $260.00 | $68.72–$281.56 | 9% below | 40% |
| Occupational therapy evaluation, low complexity CPT 97165 HC Ot Eval Low Complexity | $156.00 | $260.00 | $68.72–$281.56 | 9% below | 40% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 HC Ot Eval Low Complexity | $156.00 | $260.00 | $68.72–$281.56 | — | 40% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 HC Ot Eval Low Complexity | $156.00 | $260.00 | $68.72–$281.56 | — | 40% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC Pt Eval High Complexity | $198.60 | $331.00 | $87.48–$274.27 | 31% below | 40% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC Pt Eval High Complexity | $198.60 | $331.00 | $87.48–$274.27 | 31% below | 40% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC Pt Eval High Complexity | $198.60 | $331.00 | $87.48–$274.27 | — | 40% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC Pt Eval High Complexity | $198.60 | $331.00 | $87.48–$274.27 | — | 40% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC Pt Eval Low Complexity | $156.00 | $260.00 | $68.72–$274.27 | 13% below | 40% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC Pt Eval Low Complexity | $156.00 | $260.00 | $68.72–$274.27 | 13% below | 40% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC Pt Eval Low Complexity | $156.00 | $260.00 | $68.72–$274.27 | — | 40% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC Pt Eval Low Complexity | $156.00 | $260.00 | $68.72–$274.27 | — | 40% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC Pt Eval Moderate Complexity | $178.80 | $298.00 | $78.76–$274.27 | 25% below | 40% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC Pt Eval Moderate Complexity | $178.80 | $298.00 | $78.76–$274.27 | 25% below | 40% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC Pt Eval Moderate Complexity | $178.80 | $298.00 | $78.76–$274.27 | — | 40% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC Pt Eval Moderate Complexity | $178.80 | $298.00 | $78.76–$274.27 | — | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Traction Manual | $82.20 | $137.00 | $16.00–$150.00 | 1% below | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Joint Mobilization | $82.20 | $137.00 | $16.00–$150.00 | 1% below | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Joint Mobilization | $82.20 | $137.00 | $16.00–$150.00 | 1% below | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Traction Manual | $82.20 | $137.00 | $16.00–$150.00 | 1% below | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Soft Tissue Mobilization | $83.40 | $139.00 | $16.00–$150.00 | at median | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Manual Therapy Techniques | $83.40 | $139.00 | $16.00–$150.00 | at median | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Manual Lymphatic Drainage | $83.40 | $139.00 | $16.00–$150.00 | at median | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Manual Lymphatic Drainage | $83.40 | $139.00 | $16.00–$150.00 | at median | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Ot Manual Therapy | $83.40 | $139.00 | $16.00–$150.00 | at median | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Manual Therapy Techniques | $83.40 | $139.00 | $16.00–$150.00 | at median | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Ot Manual Therapy | $83.40 | $139.00 | $16.00–$150.00 | at median | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Soft Tissue Mobilization | $83.40 | $139.00 | $16.00–$150.00 | at median | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC Joint Mobilization | $82.20 | $137.00 | $16.00–$150.00 | — | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC Joint Mobilization | $82.20 | $137.00 | $16.00–$150.00 | — | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC Traction Manual | $82.20 | $137.00 | $16.00–$150.00 | — | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC Traction Manual | $82.20 | $137.00 | $16.00–$150.00 | — | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC Soft Tissue Mobilization | $83.40 | $139.00 | $16.00–$150.00 | — | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC Soft Tissue Mobilization | $83.40 | $139.00 | $16.00–$150.00 | — | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC Manual Therapy Techniques | $83.40 | $139.00 | $16.00–$150.00 | — | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC Manual Therapy Techniques | $83.40 | $139.00 | $16.00–$150.00 | — | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC Manual Lymphatic Drainage | $83.40 | $139.00 | $16.00–$150.00 | — | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC Manual Lymphatic Drainage | $83.40 | $139.00 | $16.00–$150.00 | — | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC Ot Manual Therapy | $83.40 | $139.00 | $16.00–$150.00 | — | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC Ot Manual Therapy | $83.40 | $139.00 | $16.00–$150.00 | — | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Therapeutic Exercise Ea 15 Min | $73.80 | $123.00 | $16.00–$150.00 | 10% below | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Therapeutic Exercise Ea 15 Min | $73.80 | $123.00 | $16.00–$150.00 | 10% below | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Therapeutic Exercise Ea 15 Min | $73.80 | $123.00 | $16.00–$150.00 | — | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Therapeutic Exercise Ea 15 Min | $73.80 | $123.00 | $16.00–$150.00 | — | 40% |
| Preventive checkup, new patient aged 18–39 CPT 99385 HC Pe New Age 18-39 | $84.00 | $140.00 | $37.00–$105.00 | 58% below | 40% |
| Preventive checkup, new patient aged 18–39 CPT 99385 HC Pe New Age 18-39 | $84.00 | $140.00 | $37.00–$105.00 | 58% below | 40% |
| Preventive checkup, new patient aged 18–39 CPT 99385 Initial Preventive Medicine New Pt Age 18-39yrs | $156.11 | $260.18 | $37.20–$211.76 | 22% below | 40% |
| Preventive checkup, new patient aged 18–39 CPT 99385 Initial Preventive Medicine New Pt Age 18-39yrs | $156.11 | $260.18 | $37.20–$211.76 | 22% below | 40% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 HC Pe New Age 18-39 | $84.00 | $140.00 | $37.00–$105.00 | — | 40% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 HC Pe New Age 18-39 | $84.00 | $140.00 | $37.00–$105.00 | — | 40% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 Initial Preventive Medicine New Pt Age 18-39yrs | $156.11 | $260.18 | $37.20–$211.76 | — | 40% |
| Preventive checkup, new patient aged 40–64 CPT 99386 Initial Preventive Medicine New Patient 40-64yrs | $180.62 | $301.04 | $45.71–$245.02 | 13% below | 40% |
| Preventive checkup, new patient aged 40–64 CPT 99386 Initial Preventive Medicine New Patient 40-64yrs | $180.62 | $301.04 | $45.71–$245.02 | 13% below | 40% |
| Preventive checkup, new patient aged 40–64 CPT 99386 HC Pe New Age 40-64 | $210.60 | $351.00 | $86.00–$263.25 | 2% above | 40% |
| Preventive checkup, new patient aged 40–64 CPT 99386 HC Pe New Age 40-64 | $210.60 | $351.00 | $86.00–$263.25 | 2% above | 40% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 Initial Preventive Medicine New Patient 40-64yrs | $180.62 | $301.04 | $45.71–$245.02 | — | 40% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 HC Pe New Age 40-64 | $210.60 | $351.00 | $86.00–$263.25 | — | 40% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 HC Pe New Age 40-64 | $210.60 | $351.00 | $86.00–$263.25 | — | 40% |
| Preventive checkup, new patient aged 65 or older CPT 99387 Initial Preventive Medicine New Patient 65yrs&> | $195.72 | $326.20 | $49.67–$265.49 | 22% below | 40% |
| Preventive checkup, new patient aged 65 or older CPT 99387 Initial Preventive Medicine New Patient 65yrs&> | $195.72 | $326.20 | $49.67–$265.49 | 22% below | 40% |
| Preventive checkup, new patient aged 65 or older CPT 99387 HC Pe New 65 & Over | $256.80 | $428.00 | $86.00–$321.00 | 3% above | 40% |
| Preventive checkup, new patient aged 65 or older CPT 99387 HC Pe New 65 & Over | $256.80 | $428.00 | $86.00–$321.00 | 3% above | 40% |
| Preventive checkup, new patient aged 65 or older inpatient CPT 99387 Initial Preventive Medicine New Patient 65yrs&> | $195.72 | $326.20 | $49.67–$265.49 | — | 40% |
| Preventive checkup, new patient aged 65 or older inpatient CPT 99387 HC Pe New 65 & Over | $256.80 | $428.00 | $86.00–$321.00 | — | 40% |
| Preventive checkup, new patient aged 65 or older inpatient CPT 99387 HC Pe New 65 & Over | $256.80 | $428.00 | $86.00–$321.00 | — | 40% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 Periodic Preventive Med Est Patient 18-39 Yrs | $141.02 | $235.04 | $33.05–$191.29 | 22% below | 40% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 Periodic Preventive Med Est Patient 18-39 Yrs | $141.02 | $235.04 | $33.05–$191.29 | 22% below | 40% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 HC Pe Est Age 18-39 | $148.20 | $247.00 | $65.28–$185.25 | 18% below | 40% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 HC Pe Est Age 18-39 | $148.20 | $247.00 | $65.28–$185.25 | 18% below | 40% |
| Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 Periodic Preventive Med Est Patient 18-39 Yrs | $141.02 | $235.04 | $33.05–$191.29 | — | 40% |
| Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 HC Pe Est Age 18-39 | $148.20 | $247.00 | $65.28–$185.25 | — | 40% |
| Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 HC Pe Est Age 18-39 | $148.20 | $247.00 | $65.28–$185.25 | — | 40% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 Periodic Preventive Med Est Patient 40-64yrs | $149.59 | $249.32 | $37.20–$202.93 | 23% below | 40% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 Periodic Preventive Med Est Patient 40-64yrs | $149.59 | $249.32 | $37.20–$202.93 | 23% below | 40% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 HC Pe Est Age 40-64 | $161.40 | $269.00 | $71.10–$201.75 | 17% below | 40% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 HC Pe Est Age 40-64 | $161.40 | $269.00 | $71.10–$201.75 | 17% below | 40% |
| Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 Periodic Preventive Med Est Patient 40-64yrs | $149.59 | $249.32 | $37.20–$202.93 | — | 40% |
| Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 HC Pe Est Age 40-64 | $161.40 | $269.00 | $71.10–$201.75 | — | 40% |
| Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 HC Pe Est Age 40-64 | $161.40 | $269.00 | $71.10–$201.75 | — | 40% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 Periodic Preventive Med Est Patient 65yrs& Older | $161.22 | $268.70 | $41.56–$218.70 | 19% below | 40% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 Periodic Preventive Med Est Patient 65yrs& Older | $161.22 | $268.70 | $41.56–$218.70 | 19% below | 40% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 HC Pe Est 65 & Over | $211.20 | $352.00 | $86.00–$264.00 | 6% above | 40% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 HC Pe Est 65 & Over | $211.20 | $352.00 | $86.00–$264.00 | 6% above | 40% |
| Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 Periodic Preventive Med Est Patient 65yrs& Older | $161.22 | $268.70 | $41.56–$218.70 | — | 40% |
| Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 HC Pe Est 65 & Over | $211.20 | $352.00 | $86.00–$264.00 | — | 40% |
| Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 HC Pe Est 65 & Over | $211.20 | $352.00 | $86.00–$264.00 | — | 40% |
| Psychiatric evaluation with medical services CPT 90792 Psychiatric Diagnostic Eval W/Medical Services | $117.00 | $195.00 | $68.25–$255.40 | 59% below | 40% |
| Psychiatric evaluation with medical services CPT 90792 Psychiatric Diagnostic Eval W/Medical Services | $117.00 | $195.00 | $68.25–$255.40 | 59% below | 40% |
| Psychiatric evaluation with medical services CPT 90792 HC Psychiatric Eval W/Medicl | $122.40 | $204.00 | $53.92–$166.31 | 57% below | 40% |
| Psychiatric evaluation with medical services CPT 90792 HC Psychiatric Eval W/Medicl | $122.40 | $204.00 | $53.92–$166.31 | 57% below | 40% |
| Psychiatric evaluation with medical services inpatient CPT 90792 Psychiatric Diagnostic Eval W/Medical Services | $117.00 | $195.00 | $68.25–$255.40 | — | 40% |
| Psychiatric evaluation with medical services inpatient CPT 90792 Psychiatric Diagnostic Eval W/Medical Services | $117.00 | $195.00 | $68.25–$255.40 | — | 40% |
| Psychiatric evaluation with medical services inpatient CPT 90792 HC Psychiatric Eval W/Medicl | $122.40 | $204.00 | $53.92–$166.31 | — | 40% |
| Psychiatric evaluation with medical services inpatient CPT 90792 HC Psychiatric Eval W/Medicl | $122.40 | $204.00 | $53.92–$166.31 | — | 40% |
| Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 HC Psycl Tst Eval Phys/Qhp 1st | $253.20 | $422.00 | $111.53–$368.50 | 27% below | 40% |
| Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 HC Psycl Tst Eval Phys/Qhp 1st | $253.20 | $422.00 | $111.53–$368.50 | 27% below | 40% |
| Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 HC Psycl Tst Eval Phys/Qhp 1st | $253.20 | $422.00 | $111.53–$368.50 | — | 40% |
| Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 HC Psycl Tst Eval Phys/Qhp 1st | $253.20 | $422.00 | $111.53–$368.50 | — | 40% |
| Psychotherapy for crisis, first 60 minutes CPT 90839 Office Visit | $185.40 | $309.00 | $81.67–$234.69 | 22% below | 40% |
| Psychotherapy for crisis, first 60 minutes CPT 90839 Office Visit | $185.40 | $309.00 | $81.67–$234.69 | 22% below | 40% |
| Psychotherapy for crisis, first 60 minutes CPT 90839 Psychotherapy for Crisis Initial 60 Minutes | $189.60 | $316.00 | $77.31–$257.26 | 20% below | 40% |
| Psychotherapy for crisis, first 60 minutes CPT 90839 Psychotherapy for Crisis Initial 60 Minutes | $189.60 | $316.00 | $77.31–$257.26 | 20% below | 40% |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 Office Visit | $185.40 | $309.00 | $81.67–$234.69 | — | 40% |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 Office Visit | $185.40 | $309.00 | $81.67–$234.69 | — | 40% |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 Psychotherapy for Crisis Initial 60 Minutes | $189.60 | $316.00 | $77.31–$257.26 | — | 40% |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 Psychotherapy for Crisis Initial 60 Minutes | $189.60 | $316.00 | $77.31–$257.26 | — | 40% |
| Psychotherapy session, 30 minutes CPT 90832 Office Visit | $93.60 | $156.00 | $32.00–$117.00 | 53% below | 40% |
| Psychotherapy session, 30 minutes CPT 90832 Office Visit | $93.60 | $156.00 | $32.00–$117.00 | 53% below | 40% |
| Psychotherapy session, 30 minutes CPT 90832 Psychotherapy W/Patient 30 Minutes | $101.40 | $169.00 | $25.21–$137.88 | 49% below | 40% |
| Psychotherapy session, 30 minutes CPT 90832 Psychotherapy W/Patient 30 Minutes | $101.40 | $169.00 | $25.21–$137.88 | 49% below | 40% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Office Visit | $93.60 | $156.00 | $32.00–$117.00 | — | 40% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Office Visit | $93.60 | $156.00 | $32.00–$117.00 | — | 40% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Psychotherapy W/Patient 30 Minutes | $101.40 | $169.00 | $25.21–$137.88 | — | 40% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Psychotherapy W/Patient 30 Minutes | $101.40 | $169.00 | $25.21–$137.88 | — | 40% |
| Psychotherapy session, 45 minutes CPT 90834 Office Visit | $122.40 | $204.00 | $53.92–$153.00 | 52% below | 40% |
| Psychotherapy session, 45 minutes CPT 90834 Office Visit | $122.40 | $204.00 | $53.92–$153.00 | 52% below | 40% |
| Psychotherapy session, 45 minutes CPT 90834 Psychotherapy W/Patient 45 Minutes | $135.00 | $225.00 | $37.79–$182.82 | 47% below | 40% |
| Psychotherapy session, 45 minutes CPT 90834 Psychotherapy W/Patient 45 Minutes | $135.00 | $225.00 | $37.79–$182.82 | 47% below | 40% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Office Visit | $122.40 | $204.00 | $53.92–$153.00 | — | 40% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Office Visit | $122.40 | $204.00 | $53.92–$153.00 | — | 40% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Psychotherapy W/Patient 45 Minutes | $135.00 | $225.00 | $37.79–$182.82 | — | 40% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Psychotherapy W/Patient 45 Minutes | $135.00 | $225.00 | $37.79–$182.82 | — | 40% |
| Psychotherapy session, 60 minutes CPT 90837 Office Visit | $136.20 | $227.00 | $60.00–$170.25 | 54% below | 40% |
| Psychotherapy session, 60 minutes CPT 90837 Office Visit | $136.20 | $227.00 | $60.00–$170.25 | 54% below | 40% |
| Psychotherapy session, 60 minutes CPT 90837 Psychotherapy W/Patient 60 Minutes | $198.00 | $330.00 | $57.05–$268.26 | 33% below | 40% |
| Psychotherapy session, 60 minutes CPT 90837 Psychotherapy W/Patient 60 Minutes | $198.00 | $330.00 | $57.05–$268.26 | 33% below | 40% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Office Visit | $136.20 | $227.00 | $60.00–$170.25 | — | 40% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Office Visit | $136.20 | $227.00 | $60.00–$170.25 | — | 40% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Psychotherapy W/Patient 60 Minutes | $198.00 | $330.00 | $57.05–$268.26 | — | 40% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Psychotherapy W/Patient 60 Minutes | $198.00 | $330.00 | $57.05–$268.26 | — | 40% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Tobacco Use Cessation Intermediate 3-10 Minutes | $18.00 | $30.00 | $9.14–$24.14 | 57% below | 40% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Tobacco Use Cessation Intermediate 3-10 Minutes | $18.00 | $30.00 | $9.14–$24.14 | 57% below | 40% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC Smoking/Tobacco 3-10 Min | $43.80 | $73.00 | $19.29–$134.38 | 4% above | 40% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC Smoking/Tobacco 3-10 Min | $43.80 | $73.00 | $19.29–$134.38 | 4% above | 40% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Tobacco Use Cessation Intermediate 3-10 Minutes | $18.00 | $30.00 | $9.14–$24.14 | — | 40% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Tobacco Use Cessation Intermediate 3-10 Minutes | $18.00 | $30.00 | $9.14–$24.14 | — | 40% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC Smoking/Tobacco 3-10 Min | $43.80 | $73.00 | $19.29–$134.38 | — | 40% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC Smoking/Tobacco 3-10 Min | $43.80 | $73.00 | $19.29–$134.38 | — | 40% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Office/Outpatient Established High Mdm 40 Min | $222.60 | $371.00 | $48.89–$302.30 | 5% below | 40% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Office/Outpatient Established High Mdm 40 Min | $222.60 | $371.00 | $48.89–$302.30 | 5% below | 40% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Office/Outpatient Established High Mdm 40 Min | $222.60 | $371.00 | $48.89–$302.30 | — | 40% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Office/Outpatient Established High Mdm 40 Min | $222.60 | $371.00 | $48.89–$302.30 | — | 40% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Office/Outpatient Established Low Mdm 20 Min | $110.40 | $184.00 | $21.76–$149.53 | 35% below | 40% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Office/Outpatient Established Low Mdm 20 Min | $110.40 | $184.00 | $21.76–$149.53 | 35% below | 40% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Office/Outpatient Established Low Mdm 20 Min | $110.40 | $184.00 | $21.76–$149.53 | — | 40% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Office/Outpatient Established Low Mdm 20 Min | $110.40 | $184.00 | $21.76–$149.53 | — | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Office/Outpatient Established Mod Mdm 30 Min | $157.20 | $262.00 | $34.03–$213.04 | 18% below | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Office/Outpatient Established Mod Mdm 30 Min | $157.20 | $262.00 | $34.03–$213.04 | 18% below | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Office/Outpatient Established Mod Mdm 30 Min | $64.20 | $107.00 | $34.03–$213.04 | — | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Office/Outpatient Established Mod Mdm 30 Min | $157.20 | $262.00 | $34.03–$213.04 | — | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office/Outpatient Established Sf Mdm 10 Min | $68.40 | $114.00 | $11.47–$93.04 | 47% below | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office/Outpatient Established Sf Mdm 10 Min | $68.40 | $114.00 | $11.47–$93.04 | 47% below | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Office/Outpatient Established Sf Mdm 10 Min | $23.40 | $39.00 | $11.47–$93.04 | — | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Office/Outpatient Established Sf Mdm 10 Min | $68.40 | $114.00 | $11.47–$93.04 | — | 40% |
| Speech and language evaluation CPT 92523 HC Speech Sound Lang Comprehen | $375.60 | $626.00 | $58.42–$636.31 | 4% below | 40% |
| Speech and language evaluation CPT 92523 HC Speech Sound Lang Comprehen | $375.60 | $626.00 | $58.42–$636.31 | 4% below | 40% |
| Speech and language evaluation inpatient CPT 92523 HC Speech Sound Lang Comprehen | $375.60 | $626.00 | $58.42–$636.31 | — | 40% |
| Speech and language evaluation inpatient CPT 92523 HC Speech Sound Lang Comprehen | $375.60 | $626.00 | $58.42–$636.31 | — | 40% |
| Speech therapy session, individual CPT 92507 Fax Cmn Speech Tx 30 Min | $36.00 | $60.00 | $4.75–$242.00 | 80% below | 40% |
| Speech therapy session, individual CPT 92507 Fax Cmn Speech Tx 30 Min | $36.00 | $60.00 | $4.75–$242.00 | 80% below | 40% |
| Speech therapy session, individual CPT 92507 HC Speech Tx | $154.80 | $258.00 | $4.75–$242.00 | 15% below | 40% |
| Speech therapy session, individual CPT 92507 HC Speech Tx | $154.80 | $258.00 | $4.75–$242.00 | 15% below | 40% |
| Speech therapy session, individual inpatient CPT 92507 Fax Cmn Speech Tx 30 Min | $36.00 | $60.00 | $4.75–$242.00 | — | 40% |
| Speech therapy session, individual inpatient CPT 92507 Fax Cmn Speech Tx 30 Min | $36.00 | $60.00 | $4.75–$242.00 | — | 40% |
| Speech therapy session, individual inpatient CPT 92507 HC Speech Tx | $154.80 | $258.00 | $4.75–$242.00 | — | 40% |
| Speech therapy session, individual inpatient CPT 92507 HC Speech Tx | $154.80 | $258.00 | $4.75–$242.00 | — | 40% |
| Spirometry (breathing test) CPT 94010 Spmtry W/Vc Expiratory Flo W/WO Mxml Vol Vntj | $34.20 | $57.00 | $3.50–$46.16 | 85% below | 40% |
| Spirometry (breathing test) CPT 94010 Spmtry W/Vc Expiratory Flo W/WO Mxml Vol Vntj | $34.20 | $57.00 | $3.50–$46.16 | 85% below | 40% |
| Spirometry (breathing test) CPT 94010 HC Simple Spirometry | $243.60 | $406.00 | $15.15–$774.40 | 5% above | 40% |
| Spirometry (breathing test) CPT 94010 HC Simple Spirometry | $243.60 | $406.00 | $15.15–$774.40 | 5% above | 40% |
| Spirometry (breathing test) one side CPT 94010 HC Simple Spirometry-Lt | $98.40 | $164.00 | $15.15–$774.40 | 58% below | 40% |
| Spirometry (breathing test) one side CPT 94010 HC Simple Spirometry-Lt | $98.40 | $164.00 | $15.15–$774.40 | 58% below | 40% |
| Spirometry (breathing test) inpatient CPT 94010 Spmtry W/Vc Expiratory Flo W/WO Mxml Vol Vntj | $34.20 | $57.00 | $3.50–$46.16 | — | 40% |
| Spirometry (breathing test) inpatient CPT 94010 Spmtry W/Vc Expiratory Flo W/WO Mxml Vol Vntj | $34.20 | $57.00 | $3.50–$46.16 | — | 40% |
| Spirometry (breathing test) inpatient CPT 94010 HC Simple Spirometry | $243.60 | $406.00 | $15.15–$774.40 | — | 40% |
| Spirometry (breathing test) inpatient CPT 94010 HC Simple Spirometry | $243.60 | $406.00 | $15.15–$774.40 | — | 40% |
| Spirometry (breathing test) inpatient one side CPT 94010 HC Simple Spirometry-Lt | $98.40 | $164.00 | $15.15–$774.40 | — | 40% |
| Spirometry (breathing test) inpatient one side CPT 94010 HC Simple Spirometry-Lt | $98.40 | $164.00 | $15.15–$774.40 | — | 40% |
| Spirometry before and after a bronchodilator CPT 94060 Brncdilat Rspse Spmtry Pre&Post-Brncdilat Admn | $49.80 | $83.00 | $4.55–$67.45 | 87% below | 40% |
| Spirometry before and after a bronchodilator CPT 94060 HC Pre/Post Bd Spirometry | $557.40 | $929.00 | $25.25–$1,338.31 | 49% above | 40% |
| Spirometry before and after a bronchodilator CPT 94060 HC Pre/Post Bd Spirometry | $557.40 | $929.00 | $25.25–$1,338.31 | 49% above | 40% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 Brncdilat Rspse Spmtry Pre&Post-Brncdilat Admn | $49.80 | $83.00 | $4.55–$67.45 | — | 40% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 HC Pre/Post Bd Spirometry | $557.40 | $929.00 | $25.25–$1,338.31 | — | 40% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 HC Pre/Post Bd Spirometry | $557.40 | $929.00 | $25.25–$1,338.31 | — | 40% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC Therapeutic Activities | $118.80 | $198.00 | $2.37–$150.00 | 27% above | 40% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC Therapeutic Activities | $118.80 | $198.00 | $2.37–$150.00 | 27% above | 40% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC Sp Rehab Dining 1 to 1 | $120.00 | $200.00 | $2.37–$242.00 | 28% above | 40% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC Sp Rehab Dining 1 to 1 | $120.00 | $200.00 | $2.37–$242.00 | 28% above | 40% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC Therapeutic Act Ea. 15min | $121.20 | $202.00 | $2.37–$151.50 | 30% above | 40% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC Therapeutic Act Ea. 15min | $121.20 | $202.00 | $2.37–$151.50 | 30% above | 40% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC Therapeutic Activities | $118.80 | $198.00 | $2.37–$150.00 | — | 40% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC Therapeutic Activities | $118.80 | $198.00 | $2.37–$150.00 | — | 40% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC Sp Rehab Dining 1 to 1 | $120.00 | $200.00 | $2.37–$242.00 | — | 40% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC Sp Rehab Dining 1 to 1 | $120.00 | $200.00 | $2.37–$242.00 | — | 40% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC Therapeutic Act Ea. 15min | $121.20 | $202.00 | $2.37–$151.50 | — | 40% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC Therapeutic Act Ea. 15min | $121.20 | $202.00 | $2.37–$151.50 | — | 40% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC Therapeutic Phelbotomy | $185.40 | $309.00 | $10.10–$477.17 | 13% below | 40% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC Therapeutic Phelbotomy | $185.40 | $309.00 | $10.10–$477.17 | 13% below | 40% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC Therapeutic Phelbotomy | $185.40 | $309.00 | $10.10–$477.17 | — | 40% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC Therapeutic Phelbotomy | $185.40 | $309.00 | $10.10–$477.17 | — | 40% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 HC (Pfizer) SARSCV2 VAC 30MCG TRS-SUC IM | $358.80 | $598.00 | $76.19–$598.00 | 45% above | 40% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 HC (Pfizer) SARSCV2 VAC 30MCG TRS-SUC IM | $358.80 | $598.00 | $76.19–$598.00 | 45% above | 40% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 Sarscov2 Vacc 30mcg/0.3ml Tris-Sucrose Im Use | $363.60 | $606.00 | $143.59–$212.10 | 47% above | 40% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 Sarscov2 Vacc 30mcg/0.3ml Tris-Sucrose Im Use | $363.60 | $606.00 | $143.59–$212.10 | 47% above | 40% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 HC (Pfizer) SARSCV2 VAC 30MCG TRS-SUC IM | $358.80 | $598.00 | $76.19–$598.00 | — | 40% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 HC (Pfizer) SARSCV2 VAC 30MCG TRS-SUC IM | $358.80 | $598.00 | $76.19–$598.00 | — | 40% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 Sarscov2 Vacc 30mcg/0.3ml Tris-Sucrose Im Use | $363.60 | $606.00 | $143.59–$212.10 | — | 40% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Var Vaccine Live for Subcutaneous Use | $125.40 | $209.00 | $73.15–$192.15 | 41% below | 40% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Var Vaccine Live for Subcutaneous Use | $125.40 | $209.00 | $73.15–$192.15 | 41% below | 40% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Varicella Admin Medicaid | $155.40 | $259.00 | $51.59–$194.25 | 26% below | 40% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Varicella Admin Medicaid | $155.40 | $259.00 | $51.59–$194.25 | 26% below | 40% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP | $565.84 | $943.07 | $51.59–$707.30 | 168% above | 40% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 Var Vaccine Live for Subcutaneous Use | $125.40 | $209.00 | $73.15–$192.15 | — | 40% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 Varicella Admin Medicaid | $155.40 | $259.00 | $51.59–$194.25 | — | 40% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 Varicella Admin Medicaid | $155.40 | $259.00 | $51.59–$194.25 | — | 40% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP | $565.84 | $943.07 | $51.59–$707.30 | — | 40% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Iiv3 Vacc Preservative Free 0.5 Ml Dosage Im Use | $13.80 | $23.00 | $8.05–$23.00 | 56% below | 40% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Iiv3 Vacc Preservative Free 0.5 Ml Dosage Im Use | $13.80 | $23.00 | $8.05–$23.00 | 56% below | 40% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE | $40.42 | $67.37 | $8.58–$67.37 | 30% above | 40% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 HC Iiv3 Vacc No Prsv 0.5 Ml Im | $65.40 | $109.00 | $13.89–$109.00 | 110% above | 40% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 HC Iiv3 Vacc No Prsv 0.5 Ml Im | $65.40 | $109.00 | $13.89–$109.00 | 110% above | 40% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Iiv3 Vacc Preservative Free 0.5 Ml Dosage Im Use | $13.80 | $23.00 | $8.05–$23.00 | — | 40% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE | $40.42 | $67.37 | $8.58–$67.37 | — | 40% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 HC Iiv3 Vacc No Prsv 0.5 Ml Im | $65.40 | $109.00 | $13.89–$109.00 | — | 40% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 HC Iiv3 Vacc No Prsv 0.5 Ml Im | $65.40 | $109.00 | $13.89–$109.00 | — | 40% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 9vhpv Vacc 2/3 Dose Sched Im Use | $204.60 | $341.00 | $119.35–$322.99 | 64% below | 40% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 9vhpv Vacc 2/3 Dose Sched Im Use | $204.60 | $341.00 | $119.35–$322.99 | 64% below | 40% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Hpv 9 Admin Mcd | $257.40 | $429.00 | $171.60–$321.75 | 55% below | 40% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Hpv 9 Admin Mcd | $257.40 | $429.00 | $171.60–$321.75 | 55% below | 40% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HUMAN PAPILLOMAVIRUS VACCINE, 9-VALENT (WRAPPED) | $640.69 | $1,067.82 | $223.89–$800.87 | 13% above | 40% |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 9vhpv Vacc 2/3 Dose Sched Im Use | $204.60 | $341.00 | $119.35–$322.99 | — | 40% |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 Hpv 9 Admin Mcd | $257.40 | $429.00 | $171.60–$321.75 | — | 40% |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 Hpv 9 Admin Mcd | $257.40 | $429.00 | $171.60–$321.75 | — | 40% |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HUMAN PAPILLOMAVIRUS VACCINE, 9-VALENT (WRAPPED) | $640.69 | $1,067.82 | $223.89–$800.87 | — | 40% |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 Hepatitis a & B Vaccine Hepa-Hepb Adult Im | $84.60 | $141.00 | $49.35–$139.05 | 60% below | 40% |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 Hepatitis a & B Vaccine Hepa-Hepb Adult Im | $84.60 | $141.00 | $49.35–$139.05 | 60% below | 40% |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HC Hep a/Hep B Vacc Adult Im Twinrix | $104.40 | $174.00 | $69.60–$133.77 | 50% below | 40% |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HC Hep a/Hep B Vacc Adult Im Twinrix | $104.40 | $174.00 | $69.60–$133.77 | 50% below | 40% |
| Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 Hepatitis a & B Vaccine Hepa-Hepb Adult Im | $84.60 | $141.00 | $49.35–$139.05 | — | 40% |
| Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HC Hep a/Hep B Vacc Adult Im Twinrix | $104.40 | $174.00 | $69.60–$133.77 | — | 40% |
| Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HC Hep a/Hep B Vacc Adult Im Twinrix | $104.40 | $174.00 | $69.60–$133.77 | — | 40% |
| Hepatitis A vaccine, adult dose CPT 90632 Hepa Vaccine Adult Dose for Intramuscular Use | $54.60 | $91.00 | $31.85–$91.00 | 47% below | 40% |
| Hepatitis A vaccine, adult dose CPT 90632 Hepa Vaccine Adult Dose for Intramuscular Use | $54.60 | $91.00 | $31.85–$91.00 | 47% below | 40% |
| Hepatitis A vaccine, adult dose CPT 90632 HC Hep a Vaccine Adult Im | $69.60 | $116.00 | $46.40–$87.00 | 32% below | 40% |
| Hepatitis A vaccine, adult dose CPT 90632 HC Hep a Vaccine Adult Im | $69.60 | $116.00 | $46.40–$87.00 | 32% below | 40% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 Hepa Vaccine Adult Dose for Intramuscular Use | $54.60 | $91.00 | $31.85–$91.00 | — | 40% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HC Hep a Vaccine Adult Im | $69.60 | $116.00 | $46.40–$87.00 | — | 40% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HC Hep a Vaccine Adult Im | $69.60 | $116.00 | $46.40–$87.00 | — | 40% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepb Vaccine Adult 3 Dose Schedule for Im Use | $55.20 | $92.00 | $32.20–$92.00 | 32% below | 40% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HC Hepatitis B Adult | $73.80 | $123.00 | $15.67–$116.13 | 9% below | 40% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HC Hepatitis B Adult | $73.80 | $123.00 | $15.67–$116.13 | 9% below | 40% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML (WRAPPED) | $292.04 | $486.74 | $49.01–$365.06 | 260% above | 40% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Hepb Vaccine Adult 3 Dose Schedule for Im Use | $55.20 | $92.00 | $32.20–$92.00 | — | 40% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HC Hepatitis B Adult | $73.80 | $123.00 | $15.67–$116.13 | — | 40% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HC Hepatitis B Adult | $73.80 | $123.00 | $15.67–$116.13 | — | 40% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML (WRAPPED) | $292.04 | $486.74 | $49.01–$365.06 | — | 40% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Iiv Vaccine Preserv Free Increased Ag Content Im | $50.40 | $84.00 | $29.40–$84.00 | 55% below | 40% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Iiv Vaccine Preserv Free Increased Ag Content Im | $50.40 | $84.00 | $29.40–$84.00 | 55% below | 40% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 HC Influenza Vaccine- High Dose | $60.00 | $100.00 | $12.74–$121.11 | 46% below | 40% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 HC Influenza Vaccine- High Dose | $60.00 | $100.00 | $12.74–$121.11 | 46% below | 40% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLU VACCINE TS2025-26(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $167.70 | $279.50 | $35.61–$209.63 | 50% above | 40% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 HC Influenza Vaccine - High Dose | $182.40 | $304.00 | $38.73–$228.00 | 63% above | 40% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 HC Influenza Vaccine - High Dose | $182.40 | $304.00 | $38.73–$228.00 | 63% above | 40% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 Iiv Vaccine Preserv Free Increased Ag Content Im | $50.40 | $84.00 | $29.40–$84.00 | — | 40% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 HC Influenza Vaccine- High Dose | $60.00 | $100.00 | $12.74–$121.11 | — | 40% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 HC Influenza Vaccine- High Dose | $60.00 | $100.00 | $12.74–$121.11 | — | 40% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLU VACCINE TS2025-26(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $167.70 | $279.50 | $35.61–$209.63 | — | 40% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 HC Influenza Vaccine - High Dose | $182.40 | $304.00 | $38.73–$228.00 | — | 40% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 HC Influenza Vaccine - High Dose | $182.40 | $304.00 | $38.73–$228.00 | — | 40% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 Measles Mumps Rubella Virus Vaccine Live Subq | $58.80 | $98.00 | $34.30–$98.00 | 46% below | 40% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 Measles Mumps Rubella Virus Vaccine Live Subq | $58.80 | $98.00 | $34.30–$98.00 | 46% below | 40% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 Mmr Admin Medicaid | $73.20 | $122.00 | $32.24–$91.50 | 33% below | 40% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 Mmr Admin Medicaid | $73.20 | $122.00 | $32.24–$91.50 | 33% below | 40% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT | $380.23 | $633.72 | $43.30–$475.29 | 248% above | 40% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 Measles Mumps Rubella Virus Vaccine Live Subq | $58.80 | $98.00 | $34.30–$98.00 | — | 40% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 Mmr Admin Medicaid | $73.20 | $122.00 | $32.24–$91.50 | — | 40% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 Mmr Admin Medicaid | $73.20 | $122.00 | $32.24–$91.50 | — | 40% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT | $380.23 | $633.72 | $43.30–$475.29 | — | 40% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 Menactra Admin Medicaid | $281.40 | $469.00 | $85.89–$351.75 | 45% above | 40% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 Menactra Admin Medicaid | $281.40 | $469.00 | $85.89–$351.75 | 45% above | 40% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 Menactra Admin Medicaid | $281.40 | $469.00 | $85.89–$351.75 | — | 40% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 Menactra Admin Medicaid | $281.40 | $469.00 | $85.89–$351.75 | — | 40% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $600.85 | $1,001.42 | $123.70–$1,001.42 | 40% above | 40% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Pcv20 Vaccine for Intramuscular Use | $629.40 | $1,049.00 | $288.33–$388.00 | 47% above | 40% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Pcv20 Vaccine for Intramuscular Use | $629.40 | $1,049.00 | $288.33–$388.00 | 47% above | 40% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 HC Pcv20 Vaccine Im | $636.60 | $1,061.00 | $135.17–$1,061.00 | 49% above | 40% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 HC Pcv20 Vaccine Im | $636.60 | $1,061.00 | $135.17–$1,061.00 | 49% above | 40% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $600.85 | $1,001.42 | $123.70–$1,001.42 | — | 40% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 Pcv20 Vaccine for Intramuscular Use | $629.40 | $1,049.00 | $288.33–$388.00 | — | 40% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 HC Pcv20 Vaccine Im | $636.60 | $1,061.00 | $135.17–$1,061.00 | — | 40% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 HC Pcv20 Vaccine Im | $636.60 | $1,061.00 | $135.17–$1,061.00 | — | 40% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 HC Pneumococcal Poly | $144.60 | $241.00 | $30.70–$220.23 | 2% above | 40% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 HC Pneumococcal Poly | $144.60 | $241.00 | $30.70–$220.23 | 2% above | 40% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION (WRAPPED) | $228.03 | $380.05 | $48.42–$285.04 | 61% above | 40% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 HC Pneumococcal 23-Valent Vaccine (Pneumovax-23 (Known as)) (0.5 Ml) Solution | $275.40 | $459.00 | $58.48–$344.25 | 94% above | 40% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 HC Pneumococcal 23-Valent Vaccine (Pneumovax-23 (Known as)) (0.5 Ml) Solution | $275.40 | $459.00 | $58.48–$344.25 | 94% above | 40% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 HC Pneumococcal Poly | $144.60 | $241.00 | $30.70–$220.23 | — | 40% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 HC Pneumococcal Poly | $144.60 | $241.00 | $30.70–$220.23 | — | 40% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION (WRAPPED) | $228.03 | $380.05 | $48.42–$285.04 | — | 40% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 HC Pneumococcal 23-Valent Vaccine (Pneumovax-23 (Known as)) (0.5 Ml) Solution | $275.40 | $459.00 | $58.48–$344.25 | — | 40% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 HC Pneumococcal 23-Valent Vaccine (Pneumovax-23 (Known as)) (0.5 Ml) Solution | $275.40 | $459.00 | $58.48–$344.25 | — | 40% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 Rsv Monoclonal Antb Seasonal Dose 0.5ml Im Use | $250.20 | $417.00 | $145.95–$417.00 | 76% below | 40% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 Rsv Monoclonal Antb Seasonal Dose 0.5ml Im Use | $250.20 | $417.00 | $145.95–$417.00 | 76% below | 40% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 HC Rsv Monoc Antb Seasn .5ml Im | $641.40 | $1,069.00 | $255.70–$1,309.77 | 38% below | 40% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 HC Rsv Monoc Antb Seasn .5ml Im | $641.40 | $1,069.00 | $255.70–$1,309.77 | 38% below | 40% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE | $1,158.94 | $1,931.57 | $462.03–$1,931.57 | 12% above | 40% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 Rsv Monoclonal Antb Seasonal Dose 0.5ml Im Use | $250.20 | $417.00 | $145.95–$417.00 | — | 40% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 HC Rsv Monoc Antb Seasn .5ml Im | $641.40 | $1,069.00 | $255.70–$1,309.77 | — | 40% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 HC Rsv Monoc Antb Seasn .5ml Im | $641.40 | $1,069.00 | $255.70–$1,309.77 | — | 40% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE | $1,158.94 | $1,931.57 | $462.03–$1,931.57 | — | 40% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 HC Rsv Vacc Pref Bivalent Im | $849.60 | $1,416.00 | $297.07–$1,416.00 | 111% above | 40% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 HC Rsv Vacc Pref Bivalent Im | $849.60 | $1,416.00 | $297.07–$1,416.00 | 111% above | 40% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 Rsv Vaccine Pref Subunit Bivalent for Im Use | $929.40 | $1,549.00 | $300.90–$542.15 | 131% above | 40% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 HC Rsv Vacc Pref Bivalent Im | $849.60 | $1,416.00 | $297.07–$1,416.00 | — | 40% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 HC Rsv Vacc Pref Bivalent Im | $849.60 | $1,416.00 | $297.07–$1,416.00 | — | 40% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 Rsv Vaccine Pref Subunit Bivalent for Im Use | $929.40 | $1,549.00 | $300.90–$542.15 | — | 40% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION | $1,827.66 | $3,046.10 | $315.22–$2,284.58 | 281% above | 40% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION | $1,827.66 | $3,046.10 | $315.22–$2,284.58 | — | 40% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Hzv Zoster Vacc Recombinant Adjuvanted Im Use | $186.60 | $311.00 | $108.85–$226.28 | 32% below | 40% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Hzv Zoster Vacc Recombinant Adjuvanted Im Use | $186.60 | $311.00 | $108.85–$226.28 | 32% below | 40% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 HC Zoster Vaccine | $249.60 | $416.00 | $99.51–$498.69 | 9% below | 40% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 HC Zoster Vaccine | $249.60 | $416.00 | $99.51–$498.69 | 9% below | 40% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 Hzv Zoster Vacc Recombinant Adjuvanted Im Use | $186.60 | $311.00 | $108.85–$226.28 | — | 40% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 HC Zoster Vaccine | $249.60 | $416.00 | $99.51–$498.69 | — | 40% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 HC Zoster Vaccine | $249.60 | $416.00 | $99.51–$498.69 | — | 40% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 HC Td Vac. >7 Im -Nc | $27.60 | $46.00 | $12.16–$34.50 | 51% below | 40% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 HC Td Vac. >7 Im -Nc | $27.60 | $46.00 | $12.16–$34.50 | 51% below | 40% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML (WRAPPED) | $88.93 | $148.22 | $26.17–$111.17 | 59% above | 40% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 HC Td Vac. >7 Im -Nc | $27.60 | $46.00 | $12.16–$34.50 | — | 40% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 HC Td Vac. >7 Im -Nc | $27.60 | $46.00 | $12.16–$34.50 | — | 40% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML (WRAPPED) | $88.93 | $148.22 | $26.17–$111.17 | — | 40% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap Vaccine 7 Yrs/> Im | $48.00 | $80.00 | $28.00–$51.18 | 15% below | 40% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap Vaccine 7 Yrs/> Im | $48.00 | $80.00 | $28.00–$51.18 | 15% below | 40% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HC Boostrix Vaccine | $64.80 | $108.00 | $28.54–$81.00 | 15% above | 40% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HC Boostrix Vaccine | $64.80 | $108.00 | $28.54–$81.00 | 15% above | 40% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE | $96.92 | $161.54 | $39.69–$121.16 | 72% above | 40% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUS(AC),TETANUS(PF) 0.5 ML IM INJ (WRAPPED) | $98.75 | $164.58 | $39.69–$123.44 | 76% above | 40% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tdap Vaccine 7 Yrs/> Im | $48.00 | $80.00 | $28.00–$51.18 | — | 40% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 HC Boostrix Vaccine | $64.80 | $108.00 | $28.54–$81.00 | — | 40% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 HC Boostrix Vaccine | $64.80 | $108.00 | $28.54–$81.00 | — | 40% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE | $96.92 | $161.54 | $39.69–$121.16 | — | 40% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH,PERTUS(AC),TETANUS(PF) 0.5 ML IM INJ (WRAPPED) | $98.75 | $164.58 | $39.69–$123.44 | — | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Im Adm Prq ID Subq/Im Njxs 1 Vaccine | $25.20 | $42.00 | $13.94–$34.42 | 66% below | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Im Adm Prq ID Subq/Im Njxs 1 Vaccine | $25.20 | $42.00 | $13.94–$34.42 | 66% below | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Admin Hepb Vaccine | $42.60 | $71.00 | $10.00–$258.23 | 43% below | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Admin Hepb Vaccine | $42.60 | $71.00 | $10.00–$258.23 | 43% below | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Admin Pneumo Vaccine | $42.60 | $71.00 | $10.00–$258.23 | 43% below | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Admin Pneumo Vaccine | $42.60 | $71.00 | $10.00–$258.23 | 43% below | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Admin Flu Vaccine | $43.20 | $72.00 | $10.00–$258.23 | 42% below | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Admin Flu Vaccine | $43.20 | $72.00 | $10.00–$258.23 | 42% below | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Immunization Admin Single/First | $99.00 | $165.00 | $10.00–$258.23 | 33% above | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Immunization Admin Single/First | $99.00 | $165.00 | $10.00–$258.23 | 33% above | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Im Adm Prq ID Subq/Im Njxs 1 Vaccine | $25.20 | $42.00 | $13.94–$34.42 | — | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Im Adm Prq ID Subq/Im Njxs 1 Vaccine | $25.20 | $42.00 | $13.94–$34.42 | — | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC Admin Hepb Vaccine | $42.60 | $71.00 | $10.00–$258.23 | — | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC Admin Hepb Vaccine | $42.60 | $71.00 | $10.00–$258.23 | — | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC Admin Pneumo Vaccine | $42.60 | $71.00 | $10.00–$258.23 | — | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC Admin Pneumo Vaccine | $42.60 | $71.00 | $10.00–$258.23 | — | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC Admin Flu Vaccine | $43.20 | $72.00 | $10.00–$258.23 | — | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC Admin Flu Vaccine | $43.20 | $72.00 | $10.00–$258.23 | — | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC Immunization Admin Single/First | $99.00 | $165.00 | $10.00–$258.23 | — | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC Immunization Admin Single/First | $99.00 | $165.00 | $10.00–$258.23 | — | 40% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Im Adm Prq ID Subq/Im Njxs Ea Vaccine | $18.60 | $31.00 | $10.85–$25.07 | 42% below | 40% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Im Adm Prq ID Subq/Im Njxs Ea Vaccine | $18.60 | $31.00 | $10.85–$25.07 | 42% below | 40% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC Immunization Admin Ea.Add | $20.40 | $34.00 | $8.99–$25.50 | 36% below | 40% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC Immunization Admin Ea.Add | $20.40 | $34.00 | $8.99–$25.50 | 36% below | 40% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Im Adm Prq ID Subq/Im Njxs Ea Vaccine | $18.60 | $31.00 | $10.85–$25.07 | — | 40% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Im Adm Prq ID Subq/Im Njxs Ea Vaccine | $18.60 | $31.00 | $10.85–$25.07 | — | 40% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC Immunization Admin Ea.Add | $20.40 | $34.00 | $8.99–$25.50 | — | 40% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC Immunization Admin Ea.Add | $20.40 | $34.00 | $8.99–$25.50 | — | 40% |
Dental
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| Deep cleaning (scaling and root planing), 4 or more teeth in one quadrant CDT D4341 HC Prdontal Scaling&Root Planing 4/More Teeth-Quad | $151.80 | $253.00 | $66.87–$2,621.00 | 84% below | 40% |
| Deep cleaning (scaling and root planing), 4 or more teeth in one quadrant CDT D4341 HC Prdontal Scaling&Root Planing 4/More Teeth-Quad | $151.80 | $253.00 | $66.87–$2,621.00 | 84% below | 40% |
| Deep cleaning (scaling and root planing), 4 or more teeth in one quadrant inpatient CDT D4341 HC Prdontal Scaling&Root Planing 4/More Teeth-Quad | $151.80 | $253.00 | $66.87–$2,621.00 | — | 40% |
| Deep cleaning (scaling and root planing), 4 or more teeth in one quadrant inpatient CDT D4341 HC Prdontal Scaling&Root Planing 4/More Teeth-Quad | $151.80 | $253.00 | $66.87–$2,621.00 | — | 40% |
| Dental implant, surgical placement CDT D6010 HC Surg Placement Implant Body: Endosteal Implant | $1,419.00 | $2,365.00 | $946.00–$2,621.00 | 32% above | 40% |
| Dental implant, surgical placement CDT D6010 HC Surg Placement Implant Body: Endosteal Implant | $1,419.00 | $2,365.00 | $946.00–$2,621.00 | 32% above | 40% |
| Dental implant, surgical placement inpatient CDT D6010 HC Surg Placement Implant Body: Endosteal Implant | $1,419.00 | $2,365.00 | $946.00–$2,621.00 | — | 40% |
| Dental implant, surgical placement inpatient CDT D6010 HC Surg Placement Implant Body: Endosteal Implant | $1,419.00 | $2,365.00 | $946.00–$2,621.00 | — | 40% |
| Porcelain crown CDT D2740 HC Crown - Porcelain/Ceramic | $985.80 | $1,643.00 | $434.24–$2,621.00 | 9% below | 40% |
| Porcelain crown CDT D2740 HC Crown - Porcelain/Ceramic | $985.80 | $1,643.00 | $434.24–$2,621.00 | 9% below | 40% |
| Porcelain crown inpatient CDT D2740 HC Crown - Porcelain/Ceramic | $985.80 | $1,643.00 | $434.24–$2,621.00 | — | 40% |
| Porcelain crown inpatient CDT D2740 HC Crown - Porcelain/Ceramic | $985.80 | $1,643.00 | $434.24–$2,621.00 | — | 40% |
| Removal of an impacted tooth fully covered by bone, often a wisdom tooth CDT D7240 HC Removal of Impacted Tooth - Completely Bony | $257.40 | $429.00 | $113.38–$2,621.00 | 68% below | 40% |
| Removal of an impacted tooth fully covered by bone, often a wisdom tooth CDT D7240 HC Removal of Impacted Tooth - Completely Bony | $257.40 | $429.00 | $113.38–$2,621.00 | 68% below | 40% |
| Removal of an impacted tooth fully covered by bone, often a wisdom tooth inpatient CDT D7240 HC Removal of Impacted Tooth - Completely Bony | $257.40 | $429.00 | $113.38–$2,621.00 | — | 40% |
| Removal of an impacted tooth fully covered by bone, often a wisdom tooth inpatient CDT D7240 HC Removal of Impacted Tooth - Completely Bony | $257.40 | $429.00 | $113.38–$2,621.00 | — | 40% |
| Root canal treatment on a molar (back tooth), not including the final crown CDT D3330 HC Endodontic Therapy Molar Tooth | $789.00 | $1,315.00 | $347.55–$2,621.00 | 27% below | 40% |
| Root canal treatment on a molar (back tooth), not including the final crown CDT D3330 HC Endodontic Therapy Molar Tooth | $789.00 | $1,315.00 | $347.55–$2,621.00 | 27% below | 40% |
| Root canal treatment on a molar (back tooth), not including the final crown inpatient CDT D3330 HC Endodontic Therapy Molar Tooth | $789.00 | $1,315.00 | $347.55–$2,621.00 | — | 40% |
| Root canal treatment on a molar (back tooth), not including the final crown inpatient CDT D3330 HC Endodontic Therapy Molar Tooth | $789.00 | $1,315.00 | $347.55–$2,621.00 | — | 40% |
| Routine teeth cleaning (prophylaxis), adult or teen CDT D1110 HC Prophylaxis - Adult | $93.00 | $155.00 | $40.97–$2,621.00 | 39% below | 40% |
| Routine teeth cleaning (prophylaxis), adult or teen CDT D1110 HC Prophylaxis - Adult | $93.00 | $155.00 | $40.97–$2,621.00 | 39% below | 40% |
| Routine teeth cleaning (prophylaxis), adult or teen inpatient CDT D1110 HC Prophylaxis - Adult | $93.00 | $155.00 | $40.97–$2,621.00 | — | 40% |
| Routine teeth cleaning (prophylaxis), adult or teen inpatient CDT D1110 HC Prophylaxis - Adult | $93.00 | $155.00 | $40.97–$2,621.00 | — | 40% |
| Simple extraction of a tooth or exposed root that is above the gum CDT D7140 HC Extraction Erupted Tooth or Exposed Root | $99.00 | $165.00 | $43.61–$2,621.00 | 71% below | 40% |
| Simple extraction of a tooth or exposed root that is above the gum CDT D7140 HC Extraction Erupted Tooth or Exposed Root | $99.00 | $165.00 | $43.61–$2,621.00 | 71% below | 40% |
| Simple extraction of a tooth or exposed root that is above the gum inpatient CDT D7140 HC Extraction Erupted Tooth or Exposed Root | $99.00 | $165.00 | $43.61–$2,621.00 | — | 40% |
| Simple extraction of a tooth or exposed root that is above the gum inpatient CDT D7140 HC Extraction Erupted Tooth or Exposed Root | $99.00 | $165.00 | $43.61–$2,621.00 | — | 40% |
Source file: http://www.mvhealthsystem.org/wp-content/uploads/2026/08/161576637_mvhs-inc_standardcharges.zip