State University of Iowa
State University of Iowa in Iowa City, IA publishes cash prices for 347 common procedures listed here, from its own machine-readable price file updated Mar 11, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Iowa median for 284 of 338 procedures and below it for 52. By typical cash price it ranks #39 of 78 Iowa hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
200 Hawkins Dr., Iowa City, IA 52242 Collected Sep 27, 2026 Source price file (319) 356-1616
Acute care hospital Emergency department CMS star rating 2 of 5 CCN 160058 · CMS hospital register
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Iowa | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views CPT 73610 HB ANKLE COMPLETE (3 VIEW MINIMUM) | $433.30 | $619.00 | $59.58–$569.48 | 93% above | 30% |
| Ankle X-ray, complete, 3 or more views CPT 73610 HB ANKLE COMPLETE (3 VIEW MINIMUM) | $433.30 | $619.00 | $59.58–$569.48 | 93% above | 30% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HB ANKLE COMPLETE (3 VIEW MINIMUM) | $433.30 | $619.00 | $154.75–$569.48 | — | 30% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HB ANKLE COMPLETE (3 VIEW MINIMUM) | $433.30 | $619.00 | $154.75–$569.48 | — | 30% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HB STUDY OF UPPER/LOWER EXTREMITY ARTERIES, LIMITED | $641.90 | $917.00 | $124.93–$843.64 | 105% above | 30% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HB STUDY OF UPPER/LOWER EXTREMITY ARTERIES, LIMITED | $641.90 | $917.00 | $124.93–$843.64 | 105% above | 30% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HB STUDY OF UPPER/LOWER EXTREMITY ARTERIES, LIMITED | $641.90 | $917.00 | $229.25–$843.64 | — | 30% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HB STUDY OF UPPER/LOWER EXTREMITY ARTERIES, LIMITED | $641.90 | $917.00 | $229.25–$843.64 | — | 30% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 HB ESOPHAGRAM | $642.60 | $918.00 | $133.26–$844.56 | 78% above | 30% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 HB ESOPHAGRAM | $642.60 | $918.00 | $133.26–$844.56 | 78% above | 30% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HB ESOPHAGRAM | $642.60 | $918.00 | $229.50–$844.56 | — | 30% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HB ESOPHAGRAM | $642.60 | $918.00 | $229.50–$844.56 | — | 30% |
| Bone scan, whole body (nuclear medicine) CPT 78306 HB J591 W. BODY VAENA RESEARCH | $1,964.20 | $2,806.00 | $384.32–$2,581.52 | 63% above | 30% |
| Bone scan, whole body (nuclear medicine) CPT 78306 HB J591 W. BODY VAENA RESEARCH | $1,964.20 | $2,806.00 | $384.32–$2,581.52 | 63% above | 30% |
| Bone scan, whole body (nuclear medicine) CPT 78306 HB WHOLE BODY BONE 201408507, RESEARCH | $1,964.20 | $2,806.00 | $384.32–$2,581.52 | 63% above | 30% |
| Bone scan, whole body (nuclear medicine) CPT 78306 HB WHOLE BODY BONE 201408507, RESEARCH | $1,964.20 | $2,806.00 | $384.32–$2,581.52 | 63% above | 30% |
| Bone scan, whole body (nuclear medicine) CPT 78306 HB BONE IMAGING, WHOLE BODY | $2,075.50 | $2,965.00 | $384.32–$2,727.80 | 72% above | 30% |
| Bone scan, whole body (nuclear medicine) CPT 78306 HB BONE IMAGING, WHOLE BODY | $2,075.50 | $2,965.00 | $384.32–$2,727.80 | 72% above | 30% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HB WHOLE BODY BONE 201408507, RESEARCH | $1,964.20 | $2,806.00 | $701.50–$2,581.52 | — | 30% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HB J591 W. BODY VAENA RESEARCH | $1,964.20 | $2,806.00 | $701.50–$2,581.52 | — | 30% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HB J591 W. BODY VAENA RESEARCH | $1,964.20 | $2,806.00 | $701.50–$2,581.52 | — | 30% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HB WHOLE BODY BONE 201408507, RESEARCH | $1,964.20 | $2,806.00 | $701.50–$2,581.52 | — | 30% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HB BONE IMAGING, WHOLE BODY | $2,075.50 | $2,965.00 | $741.25–$2,727.80 | — | 30% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HB BONE IMAGING, WHOLE BODY | $2,075.50 | $2,965.00 | $741.25–$2,727.80 | — | 30% |
| Breast ultrasound, complete, one breast one side CPT 76641 HB ULTRASOUND, BREAST, UNILATERAL; COMPLETE | $593.60 | $848.00 | $100.50–$780.16 | 65% above | 30% |
| Breast ultrasound, complete, one breast one side CPT 76641 HB ULTRASOUND, BREAST, UNILATERAL; COMPLETE | $593.60 | $848.00 | $100.50–$780.16 | 65% above | 30% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 HB ULTRASOUND, BREAST, UNILATERAL; COMPLETE | $593.60 | $848.00 | $212.00–$780.16 | — | 30% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 HB ULTRASOUND, BREAST, UNILATERAL; COMPLETE | $593.60 | $848.00 | $212.00–$780.16 | — | 30% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 HB ULTRASOUND, BREAST, UNILATERAL; LIMITED | $563.50 | $805.00 | $83.66–$740.60 | 58% above | 30% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 HB ULTRASOUND, BREAST, UNILATERAL; LIMITED | $563.50 | $805.00 | $83.66–$740.60 | 58% above | 30% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HB ULTRASOUND, BREAST, UNILATERAL; LIMITED | $563.50 | $805.00 | $201.25–$740.60 | — | 30% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HB ULTRASOUND, BREAST, UNILATERAL; LIMITED | $563.50 | $805.00 | $201.25–$740.60 | — | 30% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HB CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST | $3,185.00 | $4,550.00 | $168.62–$4,186.00 | 50% above | 30% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HB CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST | $3,185.00 | $4,550.00 | $168.62–$4,186.00 | 50% above | 30% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HB CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST | $3,185.00 | $4,550.00 | $1,137.50–$4,186.00 | — | 30% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HB CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST | $3,185.00 | $4,550.00 | $1,137.50–$4,186.00 | — | 30% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HB CT HEART ANGIO W/CONTR AND 3D, ARTERIES AND BP GRAFT | $3,003.70 | $4,291.00 | $335.39–$3,947.72 | 100% above | 30% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HB CT HEART ANGIO W/CONTR AND 3D, ARTERIES AND BP GRAFT | $3,003.70 | $4,291.00 | $335.39–$3,947.72 | 100% above | 30% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HB CT HEART ANGIO W/CONTR AND 3D, ARTERIES AND BP GRAFT | $3,003.70 | $4,291.00 | $1,072.75–$3,947.72 | — | 30% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HB CT HEART ANGIO W/CONTR AND 3D, ARTERIES AND BP GRAFT | $3,003.70 | $4,291.00 | $1,072.75–$3,947.72 | — | 30% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 HB CT HEART CORONARY CALCIFICATION STUDY W/O CONTRAST | $607.60 | $868.00 | $83.66–$798.56 | 590% above | 30% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 HB CT HEART CORONARY CALCIFICATION STUDY W/O CONTRAST | $607.60 | $868.00 | $83.66–$798.56 | 590% above | 30% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HB CT HEART CORONARY CALCIFICATION STUDY W/O CONTRAST | $607.60 | $868.00 | $217.00–$798.56 | — | 30% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HB CT HEART CORONARY CALCIFICATION STUDY W/O CONTRAST | $607.60 | $868.00 | $217.00–$798.56 | — | 30% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HB CT ABDOMEN AND PELVIS W/O CONTRAST | $3,903.90 | $5,577.00 | $229.38–$5,130.84 | 45% above | 30% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HB CT ABDOMEN AND PELVIS W/O CONTRAST | $3,903.90 | $5,577.00 | $229.38–$5,130.84 | 45% above | 30% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HB CT ABDOMEN AND PELVIS W/O CONTRAST | $3,903.90 | $5,577.00 | $1,394.25–$5,130.84 | — | 30% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HB CT ABDOMEN AND PELVIS W/O CONTRAST | $3,903.90 | $5,577.00 | $1,394.25–$5,130.84 | — | 30% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HB CT ABDOMEN AND PELVIS W/CONTRAST | $5,236.00 | $7,480.00 | $335.39–$6,881.60 | 63% above | 30% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HB CT ABDOMEN AND PELVIS W/CONTRAST | $5,236.00 | $7,480.00 | $335.39–$6,881.60 | 63% above | 30% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HB CT ABDOMEN AND PELVIS W/CONTRAST | $5,236.00 | $7,480.00 | $1,870.00–$6,881.60 | — | 30% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HB CT ABDOMEN AND PELVIS W/CONTRAST | $5,236.00 | $7,480.00 | $1,870.00–$6,881.60 | — | 30% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HB CT ABDOMEN AND PELVIS W AND W/O CONTRAST | $5,685.40 | $8,122.00 | $335.39–$7,472.24 | 64% above | 30% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HB CT ABDOMEN AND PELVIS W AND W/O CONTRAST | $5,685.40 | $8,122.00 | $335.39–$7,472.24 | 64% above | 30% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HB CT ABDOMEN AND PELVIS W AND W/O CONTRAST | $5,685.40 | $8,122.00 | $2,030.50–$7,472.24 | — | 30% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HB CT ABDOMEN AND PELVIS W AND W/O CONTRAST | $5,685.40 | $8,122.00 | $2,030.50–$7,472.24 | — | 30% |
| CT scan of the abdomen with contrast CPT 74160 HB CT ABDOMEN, WITH CONTRAST | $2,679.60 | $3,828.00 | $168.62–$3,521.76 | 61% above | 30% |
| CT scan of the abdomen with contrast CPT 74160 HB CT ABDOMEN, WITH CONTRAST | $2,679.60 | $3,828.00 | $168.62–$3,521.76 | 61% above | 30% |
| CT scan of the abdomen with contrast inpatient CPT 74160 HB CT ABDOMEN, WITH CONTRAST | $2,679.60 | $3,828.00 | $957.00–$3,521.76 | — | 30% |
| CT scan of the abdomen with contrast inpatient CPT 74160 HB CT ABDOMEN, WITH CONTRAST | $2,679.60 | $3,828.00 | $957.00–$3,521.76 | — | 30% |
| CT scan of the abdomen without contrast CPT 74150 HB CT ABDOMEN, WITHOUT CONTRAST | $2,186.10 | $3,123.00 | $100.50–$2,873.16 | 65% above | 30% |
| CT scan of the abdomen without contrast CPT 74150 HB CT ABDOMEN, WITHOUT CONTRAST | $2,186.10 | $3,123.00 | $100.50–$2,873.16 | 65% above | 30% |
| CT scan of the abdomen without contrast inpatient CPT 74150 HB CT ABDOMEN, WITHOUT CONTRAST | $2,186.10 | $3,123.00 | $780.75–$2,873.16 | — | 30% |
| CT scan of the abdomen without contrast inpatient CPT 74150 HB CT ABDOMEN, WITHOUT CONTRAST | $2,186.10 | $3,123.00 | $780.75–$2,873.16 | — | 30% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HB CT MAXILLOFACIAL WITHOUT CONTRAST | $1,930.60 | $2,758.00 | $100.50–$2,537.36 | 50% above | 30% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HB CT MAXILLOFACIAL WITHOUT CONTRAST | $1,930.60 | $2,758.00 | $100.50–$2,537.36 | 50% above | 30% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HB CT MAXILLOFACIAL WITHOUT CONTRAST | $1,930.60 | $2,758.00 | $689.50–$2,537.36 | — | 30% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HB CT MAXILLOFACIAL WITHOUT CONTRAST | $1,930.60 | $2,758.00 | $689.50–$2,537.36 | — | 30% |
| CT scan of the head or brain, no contrast dye CPT 70450 HB CT BRAIN, WITHOUT CONTRAST | $2,018.10 | $2,883.00 | $100.50–$2,652.36 | 49% above | 30% |
| CT scan of the head or brain, no contrast dye CPT 70450 HB CT BRAIN, WITHOUT CONTRAST | $2,018.10 | $2,883.00 | $100.50–$2,652.36 | 49% above | 30% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HB CT BRAIN, WITHOUT CONTRAST | $2,018.10 | $2,883.00 | $720.75–$2,652.36 | — | 30% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HB CT BRAIN, WITHOUT CONTRAST | $2,018.10 | $2,883.00 | $720.75–$2,652.36 | — | 30% |
| CT scan of the head with contrast CPT 70460 HB CT BRAIN, WITH CONTRAST | $2,498.30 | $3,569.00 | $168.62–$3,283.48 | 66% above | 30% |
| CT scan of the head with contrast CPT 70460 HB CT BRAIN, WITH CONTRAST | $2,498.30 | $3,569.00 | $168.62–$3,283.48 | 66% above | 30% |
| CT scan of the head with contrast inpatient CPT 70460 HB CT BRAIN, WITH CONTRAST | $2,498.30 | $3,569.00 | $892.25–$3,283.48 | — | 30% |
| CT scan of the head with contrast inpatient CPT 70460 HB CT BRAIN, WITH CONTRAST | $2,498.30 | $3,569.00 | $892.25–$3,283.48 | — | 30% |
| CT scan of the head without and with contrast CPT 70470 HB CT BRAIN, WITH AND WITHOUT CONTRAST | $2,656.50 | $3,795.00 | $168.62–$3,491.40 | 48% above | 30% |
| CT scan of the head without and with contrast CPT 70470 HB CT BRAIN, WITH AND WITHOUT CONTRAST | $2,656.50 | $3,795.00 | $168.62–$3,491.40 | 48% above | 30% |
| CT scan of the head without and with contrast inpatient CPT 70470 HB CT BRAIN, WITH AND WITHOUT CONTRAST | $2,656.50 | $3,795.00 | $948.75–$3,491.40 | — | 30% |
| CT scan of the head without and with contrast inpatient CPT 70470 HB CT BRAIN, WITH AND WITHOUT CONTRAST | $2,656.50 | $3,795.00 | $948.75–$3,491.40 | — | 30% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 HB CT LUMBAR SPINE, WITHOUT CONTRAST | $2,326.10 | $3,323.00 | $100.50–$3,057.16 | 53% above | 30% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 HB CT LUMBAR SPINE, WITHOUT CONTRAST | $2,326.10 | $3,323.00 | $100.50–$3,057.16 | 53% above | 30% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HB CT LUMBAR SPINE, WITHOUT CONTRAST | $2,326.10 | $3,323.00 | $830.75–$3,057.16 | — | 30% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HB CT LUMBAR SPINE, WITHOUT CONTRAST | $2,326.10 | $3,323.00 | $830.75–$3,057.16 | — | 30% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 HB CT CERVICAL SPINE, WITHOUT CONTRAST | $2,326.10 | $3,323.00 | $100.50–$3,057.16 | 54% above | 30% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 HB CT CERVICAL SPINE, WITHOUT CONTRAST | $2,326.10 | $3,323.00 | $100.50–$3,057.16 | 54% above | 30% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HB CT CERVICAL SPINE, WITHOUT CONTRAST | $2,326.10 | $3,323.00 | $830.75–$3,057.16 | — | 30% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HB CT CERVICAL SPINE, WITHOUT CONTRAST | $2,326.10 | $3,323.00 | $830.75–$3,057.16 | — | 30% |
| CT scan of the pelvis, with contrast dye CPT 72193 HB CT PELVIS, WITH CONTRAST | $2,510.90 | $3,587.00 | $168.62–$3,300.04 | 44% above | 30% |
| CT scan of the pelvis, with contrast dye CPT 72193 HB CT PELVIS, WITH CONTRAST | $2,510.90 | $3,587.00 | $168.62–$3,300.04 | 44% above | 30% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HB CT PELVIS, WITH CONTRAST | $2,510.90 | $3,587.00 | $896.75–$3,300.04 | — | 30% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HB CT PELVIS, WITH CONTRAST | $2,510.90 | $3,587.00 | $896.75–$3,300.04 | — | 30% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HB DUPLEX SCAN OF EXTRACRANIAL ARTERIES; COMPLETE BILATERAL | $1,423.10 | $2,033.00 | $229.38–$1,870.36 | — | 30% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HB DUPLEX SCAN OF EXTRACRANIAL ARTERIES; COMPLETE BILATERAL | $1,423.10 | $2,033.00 | $229.38–$1,870.36 | — | 30% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HB DUPLEX SCAN OF EXTRACRANIAL ARTERIES; COMPLETE BILATERAL | $1,423.10 | $2,033.00 | $508.25–$1,870.36 | — | 30% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HB DUPLEX SCAN OF EXTRACRANIAL ARTERIES; COMPLETE BILATERAL | $1,423.10 | $2,033.00 | $508.25–$1,870.36 | — | 30% |
| Chest X-ray, 2 views CPT 71046 HB CHEST; 2 VIEW | $365.40 | $522.00 | $60.63–$480.24 | 79% above | 30% |
| Chest X-ray, 2 views CPT 71046 HB CHEST; 2 VIEW | $365.40 | $522.00 | $60.63–$480.24 | 79% above | 30% |
| Chest X-ray, 2 views inpatient CPT 71046 HB CHEST; 2 VIEW | $365.40 | $522.00 | $130.50–$480.24 | — | 30% |
| Chest X-ray, 2 views inpatient CPT 71046 HB CHEST; 2 VIEW | $365.40 | $522.00 | $130.50–$480.24 | — | 30% |
| Chest X-ray, single view CPT 71045 HB CHEST; SINGLE VIEW | $326.90 | $467.00 | $33.07–$429.64 | 95% above | 30% |
| Chest X-ray, single view CPT 71045 HB CHEST; SINGLE VIEW | $326.90 | $467.00 | $33.07–$429.64 | 95% above | 30% |
| Chest X-ray, single view inpatient CPT 71045 HB CHEST; SINGLE VIEW | $326.90 | $467.00 | $116.75–$429.64 | — | 30% |
| Chest X-ray, single view inpatient CPT 71045 HB CHEST; SINGLE VIEW | $326.90 | $467.00 | $116.75–$429.64 | — | 30% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HB US EXAM - RETROPERITONEAL, ENTIRE | $999.60 | $1,428.00 | $100.50–$1,313.76 | 64% above | 30% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HB US EXAM - RETROPERITONEAL, ENTIRE | $999.60 | $1,428.00 | $100.50–$1,313.76 | 64% above | 30% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HB US EXAM - RETROPERITONEAL, ENTIRE | $999.60 | $1,428.00 | $357.00–$1,313.76 | — | 30% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HB US EXAM - RETROPERITONEAL, ENTIRE | $999.60 | $1,428.00 | $357.00–$1,313.76 | — | 30% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 HB BONE DENSITOMETRY(DEXA), 1+ SITES, AXIAL | $543.20 | $776.00 | $100.50–$713.92 | 39% above | 30% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 HB BONE DENSITOMETRY(DEXA), 1+ SITES, AXIAL | $543.20 | $776.00 | $100.50–$713.92 | 39% above | 30% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HB BONE DENSITOMETRY(DEXA), 1+ SITES, AXIAL | $543.20 | $776.00 | $194.00–$713.92 | — | 30% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HB BONE DENSITOMETRY(DEXA), 1+ SITES, AXIAL | $543.20 | $776.00 | $194.00–$713.92 | — | 30% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HB BONE DENSITOMETRY(DEXA) 1+ SITES, APPENDICULAR | $329.00 | $470.00 | $53.08–$432.40 | 32% above | 30% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HB BONE DENSITOMETRY(DEXA) 1+ SITES, APPENDICULAR | $329.00 | $470.00 | $53.08–$432.40 | 32% above | 30% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HB BONE DENSITOMETRY(DEXA) 1+ SITES, APPENDICULAR | $329.00 | $470.00 | $117.50–$432.40 | — | 30% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HB BONE DENSITOMETRY(DEXA) 1+ SITES, APPENDICULAR | $329.00 | $470.00 | $117.50–$432.40 | — | 30% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HB US-FETAL AND MATERNAL EVAL AND FETAL ANATOMIC EXAM/1ST | $1,168.30 | $1,669.00 | $229.38–$1,535.48 | 90% above | 30% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HB US-FETAL AND MATERNAL EVAL AND FETAL ANATOMIC EXAM/1ST | $1,168.30 | $1,669.00 | $229.38–$1,535.48 | 90% above | 30% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HB US-FETAL AND MATERNAL EVAL AND FETAL ANATOMIC EXAM/1ST | $1,168.30 | $1,669.00 | $417.25–$1,535.48 | — | 30% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HB US-FETAL AND MATERNAL EVAL AND FETAL ANATOMIC EXAM/1ST | $1,168.30 | $1,669.00 | $417.25–$1,535.48 | — | 30% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HB CT CHEST, WITHOUT CONTRAST | $2,132.20 | $3,046.00 | $100.50–$2,802.32 | 54% above | 30% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HB CT CHEST, WITHOUT CONTRAST | $2,132.20 | $3,046.00 | $100.50–$2,802.32 | 54% above | 30% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HB CT CHEST, WITHOUT CONTRAST | $2,132.20 | $3,046.00 | $761.50–$2,802.32 | — | 30% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HB CT CHEST, WITHOUT CONTRAST | $2,132.20 | $3,046.00 | $761.50–$2,802.32 | — | 30% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HB CT CHEST, WITH CONTRAST | $2,766.40 | $3,952.00 | $168.62–$3,635.84 | 54% above | 30% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HB CT CHEST, WITH CONTRAST | $2,766.40 | $3,952.00 | $168.62–$3,635.84 | 54% above | 30% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HB CT CHEST, WITH CONTRAST | $2,766.40 | $3,952.00 | $988.00–$3,635.84 | — | 30% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HB CT CHEST, WITH CONTRAST | $2,766.40 | $3,952.00 | $988.00–$3,635.84 | — | 30% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HB DIGITAL DIAGNOSTIC BILATERAL MAMMOGRAM | $396.20 | $566.00 | $98.64–$520.72 | — | 30% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HB DIGITAL DIAGNOSTIC BILATERAL MAMMOGRAM | $396.20 | $566.00 | $97.92–$520.72 | — | 30% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HB DIGITAL DIAGNOSTIC BILATERAL MAMMOGRAM | $396.20 | $566.00 | $141.50–$520.72 | — | 30% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HB DIGITAL DIAGNOSTIC BILATERAL MAMMOGRAM | $396.20 | $566.00 | $141.50–$520.72 | — | 30% |
| Diagnostic mammogram, one breast one side CPT 77065 HB DIGITAL DIAGNOSTIC UNILATERAL MAMMOGRAM | $373.10 | $533.00 | $77.38–$490.36 | 28% above | 30% |
| Diagnostic mammogram, one breast one side CPT 77065 HB DIGITAL DIAGNOSTIC UNILATERAL MAMMOGRAM | $373.10 | $533.00 | $92.21–$490.36 | 28% above | 30% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HB DIGITAL DIAGNOSTIC UNILATERAL MAMMOGRAM | $373.10 | $533.00 | $133.25–$490.36 | — | 30% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HB DIGITAL DIAGNOSTIC UNILATERAL MAMMOGRAM | $373.10 | $533.00 | $133.25–$490.36 | — | 30% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HB DUPLEX SCAN LE ARTERIES/ARTERIAL BYPASS GRAFTS; COMPL BILATERAL | $1,241.80 | $1,774.00 | $229.38–$1,632.08 | — | 30% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HB DUPLEX SCAN LE ARTERIES/ARTERIAL BYPASS GRAFTS; COMPL BILATERAL | $1,241.80 | $1,774.00 | $229.38–$1,632.08 | — | 30% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HB DUPLEX SCAN LE ARTERIES/ARTERIAL BYPASS GRAFTS; COMPL BILATERAL | $1,241.80 | $1,774.00 | $443.50–$1,632.08 | — | 30% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HB DUPLEX SCAN LE ARTERIES/ARTERIAL BYPASS GRAFTS; COMPL BILATERAL | $1,241.80 | $1,774.00 | $443.50–$1,632.08 | — | 30% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HB DUPLEX SCAN EXTREMITY VEINS INCL COMPR RESP COMPL BILATERAL | $1,401.40 | $2,002.00 | $229.38–$1,841.84 | — | 30% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HB DUPLEX SCAN EXTREMITY VEINS INCL COMPR RESP COMPL BILATERAL | $1,401.40 | $2,002.00 | $229.38–$1,841.84 | — | 30% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HB DUPLEX SCAN EXTREMITY VEINS INCL COMPR RESP COMPL BILATERAL | $1,401.40 | $2,002.00 | $500.50–$1,841.84 | — | 30% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HB DUPLEX SCAN EXTREMITY VEINS INCL COMPR RESP COMPL BILATERAL | $1,401.40 | $2,002.00 | $500.50–$1,841.84 | — | 30% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HB TRANSTHOR ECHO,2D,W/DOPPLER AND COLOR FLOW (RESEARCH) | $1,821.40 | $2,602.00 | $525.29–$2,393.84 | 20% above | 30% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HB TRANSTHOR ECHO,2D,W/DOPPLER AND COLOR FLOW (RESEARCH) | $1,821.40 | $2,602.00 | $525.29–$2,393.84 | 20% above | 30% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HB ECHO W/AMYL NITRATE, 2D W/DOPPLER AND COLOR FLOW | $1,821.40 | $2,602.00 | $525.29–$2,393.84 | 20% above | 30% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HB ECHO W/AMYL NITRATE, 2D W/DOPPLER AND COLOR FLOW | $1,821.40 | $2,602.00 | $525.29–$2,393.84 | 20% above | 30% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HB TTE, 2D, W/DOPPLER AND COLOR FLOW W/CONTRAST | $3,003.70 | $4,291.00 | $525.29–$3,947.72 | 97% above | 30% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HB TTE, 2D, W/DOPPLER AND COLOR FLOW W/CONTRAST | $3,003.70 | $4,291.00 | $525.29–$3,947.72 | 97% above | 30% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HB TRANSTHORACIC ECHO, 2D, W/DOPPLER AND COLOR FLOW | $3,122.00 | $4,460.00 | $525.29–$4,103.20 | 105% above | 30% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HB TRANSTHORACIC ECHO, 2D, W/DOPPLER AND COLOR FLOW | $3,122.00 | $4,460.00 | $525.29–$4,103.20 | 105% above | 30% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HB ECHO W/AMYL NITRATE, 2D W/DOPPLER AND COLOR FLOW | $1,821.40 | $2,602.00 | $650.50–$2,393.84 | — | 30% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HB TRANSTHOR ECHO,2D,W/DOPPLER AND COLOR FLOW (RESEARCH) | $1,821.40 | $2,602.00 | $650.50–$2,393.84 | — | 30% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HB TRANSTHOR ECHO,2D,W/DOPPLER AND COLOR FLOW (RESEARCH) | $1,821.40 | $2,602.00 | $650.50–$2,393.84 | — | 30% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HB ECHO W/AMYL NITRATE, 2D W/DOPPLER AND COLOR FLOW | $1,821.40 | $2,602.00 | $650.50–$2,393.84 | — | 30% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HB TTE, 2D, W/DOPPLER AND COLOR FLOW W/CONTRAST | $3,003.70 | $4,291.00 | $1,072.75–$3,947.72 | — | 30% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HB TTE, 2D, W/DOPPLER AND COLOR FLOW W/CONTRAST | $3,003.70 | $4,291.00 | $1,072.75–$3,947.72 | — | 30% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HB TRANSTHORACIC ECHO, 2D, W/DOPPLER AND COLOR FLOW | $3,122.00 | $4,460.00 | $1,115.00–$4,103.20 | — | 30% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HB TRANSTHORACIC ECHO, 2D, W/DOPPLER AND COLOR FLOW | $3,122.00 | $4,460.00 | $1,115.00–$4,103.20 | — | 30% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HB HEPATOBILIARY IMAGING | $1,995.00 | $2,850.00 | $384.32–$2,622.00 | 72% above | 30% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HB HEPATOBILIARY IMAGING | $1,995.00 | $2,850.00 | $384.32–$2,622.00 | 72% above | 30% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HB HEPATOBILIARY IMAGING | $1,995.00 | $2,850.00 | $712.50–$2,622.00 | — | 30% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HB HEPATOBILIARY IMAGING | $1,995.00 | $2,850.00 | $712.50–$2,622.00 | — | 30% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HB SLEEP STD AIRFLOW HRT RATE AND O2 SAT EFFORT UNATT | $1,585.50 | $2,265.00 | $151.64–$2,083.80 | 188% above | 30% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HB SLEEP STD AIRFLOW HRT RATE AND O2 SAT EFFORT UNATT | $1,585.50 | $2,265.00 | $151.64–$2,083.80 | 188% above | 30% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HB SLEEP STD AIRFLOW HRT RATE AND O2 SAT EFFORT UNATT | $1,585.50 | $2,265.00 | $566.25–$2,083.80 | — | 30% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HB SLEEP STD AIRFLOW HRT RATE AND O2 SAT EFFORT UNATT | $1,585.50 | $2,265.00 | $566.25–$2,083.80 | — | 30% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HB POLYSOMNOGRAPHY W/CPAP/BPAP LTD STUDY W/INTERP | $3,959.20 | $5,656.00 | $825.54–$5,203.52 | 26% above | 30% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HB POLYSOMNOGRAPHY W/CPAP/BPAP LTD STUDY W/INTERP | $3,959.20 | $5,656.00 | $825.54–$5,203.52 | 26% above | 30% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HB POLYSOMNOGRAPHY WITH CPAP/BPAP INITIATION | $5,278.70 | $7,541.00 | $825.54–$6,937.72 | 68% above | 30% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HB POLYSOMNOGRAPHY WITH CPAP/BPAP INITIATION | $5,278.70 | $7,541.00 | $825.54–$6,937.72 | 68% above | 30% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HB POLYSOMNOGRAPHY W/CPAP/BPAP LTD STUDY W/INTERP | $3,959.20 | $5,656.00 | $1,414.00–$5,203.52 | — | 30% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HB POLYSOMNOGRAPHY W/CPAP/BPAP LTD STUDY W/INTERP | $3,959.20 | $5,656.00 | $1,414.00–$5,203.52 | — | 30% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HB POLYSOMNOGRAPHY WITH CPAP/BPAP INITIATION | $5,278.70 | $7,541.00 | $1,885.25–$6,937.72 | — | 30% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HB POLYSOMNOGRAPHY WITH CPAP/BPAP INITIATION | $5,278.70 | $7,541.00 | $1,885.25–$6,937.72 | — | 30% |
| Knee X-ray, 3 views CPT 73562 HB KNEE ANTERIOR POSTERIOR, LATERAL AND OBLIQUE, 3 VIEWS | $466.20 | $666.00 | $65.01–$612.72 | 116% above | 30% |
| Knee X-ray, 3 views CPT 73562 HB KNEE ANTERIOR POSTERIOR, LATERAL AND OBLIQUE, 3 VIEWS | $466.20 | $666.00 | $65.01–$612.72 | 116% above | 30% |
| Knee X-ray, 3 views inpatient CPT 73562 HB KNEE ANTERIOR POSTERIOR, LATERAL AND OBLIQUE, 3 VIEWS | $466.20 | $666.00 | $166.50–$612.72 | — | 30% |
| Knee X-ray, 3 views inpatient CPT 73562 HB KNEE ANTERIOR POSTERIOR, LATERAL AND OBLIQUE, 3 VIEWS | $466.20 | $666.00 | $166.50–$612.72 | — | 30% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HB US EXAM - ABDOMEN, LIMITED | $772.80 | $1,104.00 | $100.50–$1,015.68 | 58% above | 30% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HB US EXAM - ABDOMEN, LIMITED | $772.80 | $1,104.00 | $100.50–$1,015.68 | 58% above | 30% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HB US EXAM - ABDOMEN, LIMITED | $772.80 | $1,104.00 | $276.00–$1,015.68 | — | 30% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HB US EXAM - ABDOMEN, LIMITED | $772.80 | $1,104.00 | $276.00–$1,015.68 | — | 30% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HB LOW DOSE CT FOR LUNG CANCER SCREENING | $2,123.10 | $3,033.00 | $100.50–$2,790.36 | 398% above | 30% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HB LOW DOSE CT FOR LUNG CANCER SCREENING | $2,123.10 | $3,033.00 | $100.50–$2,790.36 | 398% above | 30% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HB LOW DOSE CT FOR LUNG CANCER SCREENING | $2,123.10 | $3,033.00 | $758.25–$2,790.36 | — | 30% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HB LOW DOSE CT FOR LUNG CANCER SCREENING | $2,123.10 | $3,033.00 | $758.25–$2,790.36 | — | 30% |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 HB ABBREVIATED MRI, BREAST, W CONTRAST, BILATERAL | $710.50 | $1,015.00 | $175.59–$933.80 | — | 30% |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 HB ABBREVIATED MRI, BREAST, W CONTRAST, BILATERAL | $710.50 | $1,015.00 | $210.71–$933.80 | — | 30% |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 HB MRI BREAST, BILATERAL, WITHOUT THEN WITH CONTRAST | $5,567.80 | $7,954.00 | $210.71–$7,317.68 | — | 30% |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 HB MRI BREAST, BILATERAL, WITHOUT THEN WITH CONTRAST | $5,567.80 | $7,954.00 | $855.49–$7,317.68 | — | 30% |
| MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 HB ABBREVIATED MRI, BREAST, W CONTRAST, BILATERAL | $710.50 | $1,015.00 | $253.75–$933.80 | — | 30% |
| MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 HB ABBREVIATED MRI, BREAST, W CONTRAST, BILATERAL | $710.50 | $1,015.00 | $253.75–$933.80 | — | 30% |
| MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 HB MRI BREAST, BILATERAL, WITHOUT THEN WITH CONTRAST | $5,567.80 | $7,954.00 | $1,988.50–$7,317.68 | — | 30% |
| MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 HB MRI BREAST, BILATERAL, WITHOUT THEN WITH CONTRAST | $5,567.80 | $7,954.00 | $1,988.50–$7,317.68 | — | 30% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HB MRI LOWER EXT JOINT, WITHOUT CONTRAST | $3,224.90 | $4,607.00 | $229.38–$4,238.44 | 44% above | 30% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HB MRI LOWER EXT JOINT, WITHOUT CONTRAST | $3,224.90 | $4,607.00 | $229.38–$4,238.44 | 44% above | 30% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HB MRI LOWER EXT JOINT, WITHOUT CONTRAST | $3,224.90 | $4,607.00 | $1,151.75–$4,238.44 | — | 30% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HB MRI LOWER EXT JOINT, WITHOUT CONTRAST | $3,224.90 | $4,607.00 | $1,151.75–$4,238.44 | — | 30% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HB MRI LOWER EXT JOINT, W/O THEN W/CONTRAST, ADDL SEQ | $4,533.90 | $6,477.00 | $335.39–$5,958.84 | 44% above | 30% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HB MRI LOWER EXT JOINT, W/O THEN W/CONTRAST, ADDL SEQ | $4,533.90 | $6,477.00 | $335.39–$5,958.84 | 44% above | 30% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HB MRI LOWER EXT JOINT, W/O THEN W/CONTRAST, ADDL SEQ | $4,533.90 | $6,477.00 | $1,619.25–$5,958.84 | — | 30% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HB MRI LOWER EXT JOINT, W/O THEN W/CONTRAST, ADDL SEQ | $4,533.90 | $6,477.00 | $1,619.25–$5,958.84 | — | 30% |
| MRI of the abdomen without contrast CPT 74181 HB MRI ABDOMEN, WITHOUT CONTRAST | $3,222.10 | $4,603.00 | $229.38–$4,234.76 | 56% above | 30% |
| MRI of the abdomen without contrast CPT 74181 HB MRI ABDOMEN, WITHOUT CONTRAST | $3,222.10 | $4,603.00 | $229.38–$4,234.76 | 56% above | 30% |
| MRI of the abdomen without contrast CPT 74181 HB MRI ABDOMEN W MRA ABDOMEN WO CONTRAST | $4,636.10 | $6,623.00 | $229.38–$6,093.16 | 125% above | 30% |
| MRI of the abdomen without contrast CPT 74181 HB MRI ABDOMEN W MRA ABDOMEN WO CONTRAST | $4,636.10 | $6,623.00 | $229.38–$6,093.16 | 125% above | 30% |
| MRI of the abdomen without contrast inpatient CPT 74181 HB MRI ABDOMEN, WITHOUT CONTRAST | $3,222.10 | $4,603.00 | $1,150.75–$4,234.76 | — | 30% |
| MRI of the abdomen without contrast inpatient CPT 74181 HB MRI ABDOMEN, WITHOUT CONTRAST | $3,222.10 | $4,603.00 | $1,150.75–$4,234.76 | — | 30% |
| MRI of the abdomen without contrast inpatient CPT 74181 HB MRI ABDOMEN W MRA ABDOMEN WO CONTRAST | $4,636.10 | $6,623.00 | $1,655.75–$6,093.16 | — | 30% |
| MRI of the abdomen without contrast inpatient CPT 74181 HB MRI ABDOMEN W MRA ABDOMEN WO CONTRAST | $4,636.10 | $6,623.00 | $1,655.75–$6,093.16 | — | 30% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 HB MRI ABDOMEN W MRA ABDOMEN W OR WO CONTRAST | $4,918.90 | $7,027.00 | $335.39–$6,464.84 | 47% above | 30% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 HB MRI ABDOMEN W MRA ABDOMEN W OR WO CONTRAST | $4,918.90 | $7,027.00 | $335.39–$6,464.84 | 47% above | 30% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 HB MRI ABDOMEN, WITHOUT THEN WITH CONTRAST, ADDL SEQ | $4,996.60 | $7,138.00 | $335.39–$6,566.96 | 50% above | 30% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 HB MRI ABDOMEN, WITHOUT THEN WITH CONTRAST, ADDL SEQ | $4,996.60 | $7,138.00 | $335.39–$6,566.96 | 50% above | 30% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HB MRI ABDOMEN W MRA ABDOMEN W OR WO CONTRAST | $4,918.90 | $7,027.00 | $1,756.75–$6,464.84 | — | 30% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HB MRI ABDOMEN W MRA ABDOMEN W OR WO CONTRAST | $4,918.90 | $7,027.00 | $1,756.75–$6,464.84 | — | 30% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HB MRI ABDOMEN, WITHOUT THEN WITH CONTRAST, ADDL SEQ | $4,996.60 | $7,138.00 | $1,784.50–$6,566.96 | — | 30% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HB MRI ABDOMEN, WITHOUT THEN WITH CONTRAST, ADDL SEQ | $4,996.60 | $7,138.00 | $1,784.50–$6,566.96 | — | 30% |
| MRI of the brain, no contrast dye CPT 70551 HB MRI BRAIN AND BRAIN STEM, WITHOUT CONTRAST | $3,390.80 | $4,844.00 | $229.38–$4,456.48 | 56% above | 30% |
| MRI of the brain, no contrast dye CPT 70551 HB MRI BRAIN AND BRAIN STEM, WITHOUT CONTRAST | $3,390.80 | $4,844.00 | $229.38–$4,456.48 | 56% above | 30% |
| MRI of the brain, no contrast dye CPT 70551 HB MRI BRAIN W MRA HEAD WO CONTRAST | $3,461.50 | $4,945.00 | $229.38–$4,549.40 | 59% above | 30% |
| MRI of the brain, no contrast dye CPT 70551 HB MRI BRAIN W MRA HEAD WO CONTRAST | $3,461.50 | $4,945.00 | $229.38–$4,549.40 | 59% above | 30% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HB MRI BRAIN AND BRAIN STEM, WITHOUT CONTRAST | $3,390.80 | $4,844.00 | $1,211.00–$4,456.48 | — | 30% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HB MRI BRAIN AND BRAIN STEM, WITHOUT CONTRAST | $3,390.80 | $4,844.00 | $1,211.00–$4,456.48 | — | 30% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HB MRI BRAIN W MRA HEAD WO CONTRAST | $3,461.50 | $4,945.00 | $1,236.25–$4,549.40 | — | 30% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HB MRI BRAIN W MRA HEAD WO CONTRAST | $3,461.50 | $4,945.00 | $1,236.25–$4,549.40 | — | 30% |
| MRI of the brain, with and without contrast dye CPT 70553 HB MRI BRAIN AND BRAIN STEM, WITH AND WITHOUT CONTRAST | $5,424.30 | $7,749.00 | $335.39–$7,129.08 | 54% above | 30% |
| MRI of the brain, with and without contrast dye CPT 70553 HB MRI BRAIN AND BRAIN STEM, WITH AND WITHOUT CONTRAST | $5,424.30 | $7,749.00 | $335.39–$7,129.08 | 54% above | 30% |
| MRI of the brain, with and without contrast dye CPT 70553 HB MRI BRAIN W MRA HEAD W OR WO CONTRAST | $7,605.50 | $10,865.00 | $335.39–$9,995.80 | 115% above | 30% |
| MRI of the brain, with and without contrast dye CPT 70553 HB MRI BRAIN W MRA HEAD W OR WO CONTRAST | $7,605.50 | $10,865.00 | $335.39–$9,995.80 | 115% above | 30% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HB MRI BRAIN AND BRAIN STEM, WITH AND WITHOUT CONTRAST | $5,424.30 | $7,749.00 | $1,937.25–$7,129.08 | — | 30% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HB MRI BRAIN AND BRAIN STEM, WITH AND WITHOUT CONTRAST | $5,424.30 | $7,749.00 | $1,937.25–$7,129.08 | — | 30% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HB MRI BRAIN W MRA HEAD W OR WO CONTRAST | $7,605.50 | $10,865.00 | $2,716.25–$9,995.80 | — | 30% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HB MRI BRAIN W MRA HEAD W OR WO CONTRAST | $7,605.50 | $10,865.00 | $2,716.25–$9,995.80 | — | 30% |
| MRI of the lower back, no contrast dye CPT 72148 HB MRI LUMBAR SPINE, WITHOUT CONTRAST | $3,475.50 | $4,965.00 | $229.38–$4,567.80 | 45% above | 30% |
| MRI of the lower back, no contrast dye CPT 72148 HB MRI LUMBAR SPINE, WITHOUT CONTRAST | $3,475.50 | $4,965.00 | $229.38–$4,567.80 | 45% above | 30% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HB MRI LUMBAR SPINE, WITHOUT CONTRAST | $3,475.50 | $4,965.00 | $1,241.25–$4,567.80 | — | 30% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HB MRI LUMBAR SPINE, WITHOUT CONTRAST | $3,475.50 | $4,965.00 | $1,241.25–$4,567.80 | — | 30% |
| MRI of the lower back, without and then with contrast dye CPT 72158 HB MRI LUMBAR SPINE, WITH AND WITHOUT CONTRAST | $5,315.10 | $7,593.00 | $335.39–$6,985.56 | 54% above | 30% |
| MRI of the lower back, without and then with contrast dye CPT 72158 HB MRI LUMBAR SPINE, WITH AND WITHOUT CONTRAST | $5,315.10 | $7,593.00 | $335.39–$6,985.56 | 54% above | 30% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HB MRI LUMBAR SPINE, WITH AND WITHOUT CONTRAST | $5,315.10 | $7,593.00 | $1,898.25–$6,985.56 | — | 30% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HB MRI LUMBAR SPINE, WITH AND WITHOUT CONTRAST | $5,315.10 | $7,593.00 | $1,898.25–$6,985.56 | — | 30% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HB MRI THORACIC SPINE, WITHOUT CONTRAST | $3,475.50 | $4,965.00 | $229.38–$4,567.80 | 49% above | 30% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HB MRI THORACIC SPINE, WITHOUT CONTRAST | $3,475.50 | $4,965.00 | $229.38–$4,567.80 | 49% above | 30% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HB MRI THORACIC SPINE, WITHOUT CONTRAST | $3,475.50 | $4,965.00 | $1,241.25–$4,567.80 | — | 30% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HB MRI THORACIC SPINE, WITHOUT CONTRAST | $3,475.50 | $4,965.00 | $1,241.25–$4,567.80 | — | 30% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 HB MRI CERVICAL SPINE, WITH AND WITHOUT CONTRAST | $5,315.10 | $7,593.00 | $335.39–$6,985.56 | 58% above | 30% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 HB MRI CERVICAL SPINE, WITH AND WITHOUT CONTRAST | $5,315.10 | $7,593.00 | $335.39–$6,985.56 | 58% above | 30% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HB MRI CERVICAL SPINE, WITH AND WITHOUT CONTRAST | $5,315.10 | $7,593.00 | $1,898.25–$6,985.56 | — | 30% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HB MRI CERVICAL SPINE, WITH AND WITHOUT CONTRAST | $5,315.10 | $7,593.00 | $1,898.25–$6,985.56 | — | 30% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 HB MRI CERVICAL SPINE, WITHOUT CONTRAST | $3,475.50 | $4,965.00 | $229.38–$4,567.80 | 53% above | 30% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 HB MRI CERVICAL SPINE, WITHOUT CONTRAST | $3,475.50 | $4,965.00 | $229.38–$4,567.80 | 53% above | 30% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HB MRI CERVICAL SPINE, WITHOUT CONTRAST | $3,475.50 | $4,965.00 | $1,241.25–$4,567.80 | — | 30% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HB MRI CERVICAL SPINE, WITHOUT CONTRAST | $3,475.50 | $4,965.00 | $1,241.25–$4,567.80 | — | 30% |
| MRI of the pelvis without and with contrast CPT 72197 HB MRI PELVIS, WITHOUT THEN WITH CONTRAST | $4,760.00 | $6,800.00 | $335.39–$6,256.00 | 48% above | 30% |
| MRI of the pelvis without and with contrast CPT 72197 HB MRI PELVIS, WITHOUT THEN WITH CONTRAST | $4,760.00 | $6,800.00 | $335.39–$6,256.00 | 48% above | 30% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 HB MRI PELVIS, WITHOUT THEN WITH CONTRAST | $4,760.00 | $6,800.00 | $1,700.00–$6,256.00 | — | 30% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 HB MRI PELVIS, WITHOUT THEN WITH CONTRAST | $4,760.00 | $6,800.00 | $1,700.00–$6,256.00 | — | 30% |
| MRI of the pelvis, no contrast dye CPT 72195 HB MRI PELVIS, WITHOUT CONTRAST | $3,374.70 | $4,821.00 | $229.38–$4,435.32 | 64% above | 30% |
| MRI of the pelvis, no contrast dye CPT 72195 HB MRI PELVIS, WITHOUT CONTRAST | $3,374.70 | $4,821.00 | $229.38–$4,435.32 | 64% above | 30% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 HB MRI PELVIS, WITHOUT CONTRAST | $3,374.70 | $4,821.00 | $1,205.25–$4,435.32 | — | 30% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 HB MRI PELVIS, WITHOUT CONTRAST | $3,374.70 | $4,821.00 | $1,205.25–$4,435.32 | — | 30% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HB MRI UPPER EXT JOINT, WITHOUT CONTRAST | $3,231.90 | $4,617.00 | $229.38–$4,247.64 | 45% above | 30% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HB MRI UPPER EXT JOINT, WITHOUT CONTRAST | $3,231.90 | $4,617.00 | $229.38–$4,247.64 | 45% above | 30% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HB MRI UPPER EXT JOINT, WITHOUT CONTRAST | $3,231.90 | $4,617.00 | $1,154.25–$4,247.64 | — | 30% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HB MRI UPPER EXT JOINT, WITHOUT CONTRAST | $3,231.90 | $4,617.00 | $1,154.25–$4,247.64 | — | 30% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HB MYOCARDIAL PERFUSION REST AND STRESS, SPECT | $5,245.80 | $7,494.00 | $1,011.67–$6,894.48 | 87% above | 30% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HB MYOCARDIAL PERFUSION REST AND STRESS, SPECT | $5,245.80 | $7,494.00 | $1,011.67–$6,894.48 | 87% above | 30% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HB MYOCARDIAL PERFUSION REST AND STRESS, SPECT | $5,245.80 | $7,494.00 | $1,873.50–$6,894.48 | — | 30% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HB MYOCARDIAL PERFUSION REST AND STRESS, SPECT | $5,245.80 | $7,494.00 | $1,873.50–$6,894.48 | — | 30% |
| OCT scan of the retina (optical coherence tomography) CPT 92134 HB CMPTR OPHTH IMAGE, POSTERIOR SEGMENT, RETINA - PERIMETRY LAB | $297.50 | $425.00 | $56.71–$391.00 | 80% above | 30% |
| OCT scan of the retina (optical coherence tomography) CPT 92134 HB CMPTR OPHTH IMAGE, POSTERIOR SEGMENT, RETINA | $297.50 | $425.00 | $56.71–$391.00 | 80% above | 30% |
| OCT scan of the retina (optical coherence tomography) CPT 92134 HB CMPTR OPHTH IMAGE, POSTERIOR SEGMENT, RETINA - PERIMETRY LAB | $297.50 | $425.00 | $56.71–$391.00 | 80% above | 30% |
| OCT scan of the retina (optical coherence tomography) CPT 92134 HB CMPTR OPHTH IMAGE, POSTERIOR SEGMENT, RETINA | $297.50 | $425.00 | $56.71–$391.00 | 80% above | 30% |
| OCT scan of the retina (optical coherence tomography) inpatient CPT 92134 HB CMPTR OPHTH IMAGE, POSTERIOR SEGMENT, RETINA | $297.50 | $425.00 | $106.25–$391.00 | — | 30% |
| OCT scan of the retina (optical coherence tomography) inpatient CPT 92134 HB CMPTR OPHTH IMAGE, POSTERIOR SEGMENT, RETINA | $297.50 | $425.00 | $106.25–$391.00 | — | 30% |
| OCT scan of the retina (optical coherence tomography) inpatient CPT 92134 HB CMPTR OPHTH IMAGE, POSTERIOR SEGMENT, RETINA - PERIMETRY LAB | $297.50 | $425.00 | $106.25–$391.00 | — | 30% |
| OCT scan of the retina (optical coherence tomography) inpatient CPT 92134 HB CMPTR OPHTH IMAGE, POSTERIOR SEGMENT, RETINA - PERIMETRY LAB | $297.50 | $425.00 | $106.25–$391.00 | — | 30% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 HB PET/CT F-18 SODIUM FLUORIDE BONE IMG, SKULL-THIGH | $8,457.40 | $12,082.00 | $1,374.67–$11,115.44 | 101% above | 30% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 HB PET/CT F-18 POSLUMA TUMOR IMAGING SKULL BASE TO MID-THIGH | $8,457.40 | $12,082.00 | $1,374.67–$11,115.44 | 101% above | 30% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 HB PET/CT GA-68 PSMA TUMOR IMAGING SKULL TO MID-THIGH | $8,457.40 | $12,082.00 | $1,374.67–$11,115.44 | 101% above | 30% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 HB PET/CT F-18 PYL TUMOR IMAGING SKULL TO MID-THIGH | $8,457.40 | $12,082.00 | $1,374.67–$11,115.44 | 101% above | 30% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 HB PET/CT, TUMOR IMAGING, SKULL TO MID THIGH | $8,457.40 | $12,082.00 | $1,374.67–$11,115.44 | 101% above | 30% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 HB PET/CT F-18 FLUCICLOVINE (AXUMIN) TUMOR IMAGING SKULL TO THIGH | $8,457.40 | $12,082.00 | $1,374.67–$11,115.44 | 101% above | 30% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 HB PET/CT GA-68 DOTATATE(NETSPOT), TUMOR IMAGING SKULL TO THIGH | $8,457.40 | $12,082.00 | $1,374.67–$11,115.44 | 101% above | 30% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 HB PET/CT GA-68 DOTATOC SKULL-THIGH | $8,457.40 | $12,082.00 | $1,374.67–$11,115.44 | 101% above | 30% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 HB PET/CT CU-64 DOTATATE TUMOR IMAGING SKULL TO MID-THIGH | $8,457.40 | $12,082.00 | $1,374.67–$11,115.44 | 101% above | 30% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 HB PET/CT F-18 FES TUMOR IMAGING SKULL TO MID-THIGH | $8,457.40 | $12,082.00 | $1,374.67–$11,115.44 | 101% above | 30% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 HB PET/CT F-18 PYL TUMOR IMAGING SKULL TO MID-THIGH | $8,457.40 | $12,082.00 | $1,374.67–$11,115.44 | 101% above | 30% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 HB PET/CT GA-68 PSMA TUMOR IMAGING SKULL TO MID-THIGH | $8,457.40 | $12,082.00 | $1,374.67–$11,115.44 | 101% above | 30% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 HB PET/CT F-18 POSLUMA TUMOR IMAGING SKULL BASE TO MID-THIGH | $8,457.40 | $12,082.00 | $1,374.67–$11,115.44 | 101% above | 30% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 HB PET/CT, TUMOR IMAGING, SKULL TO MID THIGH | $8,457.40 | $12,082.00 | $1,374.67–$11,115.44 | 101% above | 30% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 HB PET/CT F-18 SODIUM FLUORIDE BONE IMG, SKULL-THIGH | $8,457.40 | $12,082.00 | $1,374.67–$11,115.44 | 101% above | 30% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 HB PET/CT F-18 FLUCICLOVINE (AXUMIN) TUMOR IMAGING SKULL TO THIGH | $8,457.40 | $12,082.00 | $1,374.67–$11,115.44 | 101% above | 30% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 HB PET/CT GA-68 DOTATATE(NETSPOT), TUMOR IMAGING SKULL TO THIGH | $8,457.40 | $12,082.00 | $1,374.67–$11,115.44 | 101% above | 30% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 HB PET/CT GA-68 DOTATOC SKULL-THIGH | $8,457.40 | $12,082.00 | $1,374.67–$11,115.44 | 101% above | 30% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 HB PET/CT CU-64 DOTATATE TUMOR IMAGING SKULL TO MID-THIGH | $8,457.40 | $12,082.00 | $1,374.67–$11,115.44 | 101% above | 30% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 HB PET/CT F-18 FES TUMOR IMAGING SKULL TO MID-THIGH | $8,457.40 | $12,082.00 | $1,374.67–$11,115.44 | 101% above | 30% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HB PET/CT GA-68 DOTATATE(NETSPOT), TUMOR IMAGING SKULL TO THIGH | $8,457.40 | $12,082.00 | $3,020.50–$11,115.44 | — | 30% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HB PET/CT F-18 FES TUMOR IMAGING SKULL TO MID-THIGH | $8,457.40 | $12,082.00 | $3,020.50–$11,115.44 | — | 30% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HB PET/CT F-18 PYL TUMOR IMAGING SKULL TO MID-THIGH | $8,457.40 | $12,082.00 | $3,020.50–$11,115.44 | — | 30% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HB PET/CT GA-68 PSMA TUMOR IMAGING SKULL TO MID-THIGH | $8,457.40 | $12,082.00 | $3,020.50–$11,115.44 | — | 30% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HB PET/CT CU-64 DOTATATE TUMOR IMAGING SKULL TO MID-THIGH | $8,457.40 | $12,082.00 | $3,020.50–$11,115.44 | — | 30% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HB PET/CT GA-68 DOTATOC SKULL-THIGH | $8,457.40 | $12,082.00 | $3,020.50–$11,115.44 | — | 30% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HB PET/CT GA-68 DOTATATE(NETSPOT), TUMOR IMAGING SKULL TO THIGH | $8,457.40 | $12,082.00 | $3,020.50–$11,115.44 | — | 30% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HB PET/CT F-18 FLUCICLOVINE (AXUMIN) TUMOR IMAGING SKULL TO THIGH | $8,457.40 | $12,082.00 | $3,020.50–$11,115.44 | — | 30% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HB PET/CT F-18 FES TUMOR IMAGING SKULL TO MID-THIGH | $8,457.40 | $12,082.00 | $3,020.50–$11,115.44 | — | 30% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HB PET/CT F-18 PYL TUMOR IMAGING SKULL TO MID-THIGH | $8,457.40 | $12,082.00 | $3,020.50–$11,115.44 | — | 30% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HB PET/CT GA-68 PSMA TUMOR IMAGING SKULL TO MID-THIGH | $8,457.40 | $12,082.00 | $3,020.50–$11,115.44 | — | 30% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HB PET/CT F-18 SODIUM FLUORIDE BONE IMG, SKULL-THIGH | $8,457.40 | $12,082.00 | $3,020.50–$11,115.44 | — | 30% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HB PET/CT, TUMOR IMAGING, SKULL TO MID THIGH | $8,457.40 | $12,082.00 | $3,020.50–$11,115.44 | — | 30% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HB PET/CT, TUMOR IMAGING, SKULL TO MID THIGH | $8,457.40 | $12,082.00 | $3,020.50–$11,115.44 | — | 30% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HB PET/CT F-18 POSLUMA TUMOR IMAGING SKULL BASE TO MID-THIGH | $8,457.40 | $12,082.00 | $3,020.50–$11,115.44 | — | 30% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HB PET/CT F-18 SODIUM FLUORIDE BONE IMG, SKULL-THIGH | $8,457.40 | $12,082.00 | $3,020.50–$11,115.44 | — | 30% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HB PET/CT F-18 FLUCICLOVINE (AXUMIN) TUMOR IMAGING SKULL TO THIGH | $8,457.40 | $12,082.00 | $3,020.50–$11,115.44 | — | 30% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HB PET/CT GA-68 DOTATOC SKULL-THIGH | $8,457.40 | $12,082.00 | $3,020.50–$11,115.44 | — | 30% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HB PET/CT CU-64 DOTATATE TUMOR IMAGING SKULL TO MID-THIGH | $8,457.40 | $12,082.00 | $3,020.50–$11,115.44 | — | 30% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HB PET/CT F-18 POSLUMA TUMOR IMAGING SKULL BASE TO MID-THIGH | $8,457.40 | $12,082.00 | $3,020.50–$11,115.44 | — | 30% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HB ULTRASOUND, TRANSVAGINAL, FOLLICLE TRACKING | $351.40 | $502.00 | $100.50–$461.84 | at median | 30% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HB ULTRASOUND, TRANSVAGINAL, FOLLICLE TRACKING | $351.40 | $502.00 | $100.50–$461.84 | at median | 30% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HB ULTRASOUND, PELVIC (NONOBSTETRIC), LIMITED OR F-UP | $495.60 | $708.00 | $100.50–$651.36 | 40% above | 30% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HB ULTRASOUND, PELVIC (NONOBSTETRIC), LIMITED OR F-UP | $495.60 | $708.00 | $100.50–$651.36 | 40% above | 30% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HB ULTRASOUND MONITORING GYN LIMITED | $523.60 | $748.00 | $100.50–$688.16 | 48% above | 30% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HB ULTRASOUND MONITORING GYN LIMITED | $523.60 | $748.00 | $100.50–$688.16 | 48% above | 30% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HB ULTRASOUND, TRANSVAGINAL, FOLLICLE TRACKING | $351.40 | $502.00 | $125.50–$461.84 | — | 30% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HB ULTRASOUND, TRANSVAGINAL, FOLLICLE TRACKING | $351.40 | $502.00 | $125.50–$461.84 | — | 30% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HB ULTRASOUND, PELVIC (NONOBSTETRIC), LIMITED OR F-UP | $495.60 | $708.00 | $177.00–$651.36 | — | 30% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HB ULTRASOUND, PELVIC (NONOBSTETRIC), LIMITED OR F-UP | $495.60 | $708.00 | $177.00–$651.36 | — | 30% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HB ULTRASOUND MONITORING GYN LIMITED | $523.60 | $748.00 | $187.00–$688.16 | — | 30% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HB ULTRASOUND MONITORING GYN LIMITED | $523.60 | $748.00 | $187.00–$688.16 | — | 30% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HB ULTRASOUND, PELVIC (NONOBSTETRIC), COMPLETE | $762.30 | $1,089.00 | $100.50–$1,001.88 | 44% above | 30% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HB ULTRASOUND, PELVIC (NONOBSTETRIC), COMPLETE | $762.30 | $1,089.00 | $100.50–$1,001.88 | 44% above | 30% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HB ULTRASOUND, PELVIC (NONOBSTETRIC), COMPLETE | $762.30 | $1,089.00 | $272.25–$1,001.88 | — | 30% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HB ULTRASOUND, PELVIC (NONOBSTETRIC), COMPLETE | $762.30 | $1,089.00 | $272.25–$1,001.88 | — | 30% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HB US-FETAL AND MATERNAL EVAL/POST 1ST TRI/TRANSAB/1 GEST | $703.50 | $1,005.00 | $100.50–$924.60 | 28% above | 30% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HB US-FETAL AND MATERNAL EVAL/POST 1ST TRI/TRANSAB/1 GEST | $703.50 | $1,005.00 | $100.50–$924.60 | 28% above | 30% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HB US-FETAL AND MATERNAL EVAL/POST 1ST TRI/TRANSAB/1 GEST | $703.50 | $1,005.00 | $251.25–$924.60 | — | 30% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HB US-FETAL AND MATERNAL EVAL/POST 1ST TRI/TRANSAB/1 GEST | $703.50 | $1,005.00 | $251.25–$924.60 | — | 30% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HB US-FETAL AND MATERNAL EVAL/1ST TRI/TRANSAB/1ST GEST | $677.60 | $968.00 | $100.50–$890.56 | 52% above | 30% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HB US-FETAL AND MATERNAL EVAL/1ST TRI/TRANSAB/1ST GEST | $677.60 | $968.00 | $100.50–$890.56 | 52% above | 30% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HB US-FETAL AND MATERNAL EVAL/1ST TRI/TRANSAB/1ST GEST | $677.60 | $968.00 | $242.00–$890.56 | — | 30% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HB US-FETAL AND MATERNAL EVAL/1ST TRI/TRANSAB/1ST GEST | $677.60 | $968.00 | $242.00–$890.56 | — | 30% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HB ULTRASOUND MONITORING - OB, LIMITED | $490.00 | $700.00 | $100.50–$644.00 | 46% above | 30% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HB ULTRASOUND MONITORING - OB, LIMITED | $490.00 | $700.00 | $100.50–$644.00 | 46% above | 30% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HB ULTRASOUND MONITORING - OB, LIMITED | $490.00 | $700.00 | $175.00–$644.00 | — | 30% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HB ULTRASOUND MONITORING - OB, LIMITED | $490.00 | $700.00 | $175.00–$644.00 | — | 30% |
| Screening mammogram, both breasts CPT 77067 HB DIGITAL SCREENING MAMMOGRAM | $374.50 | $535.00 | $92.56–$492.20 | 22% above | 30% |
| Screening mammogram, both breasts CPT 77067 HB DIGITAL SCREENING MAMMOGRAM | $374.50 | $535.00 | $81.66–$492.20 | 22% above | 30% |
| Screening mammogram, both breasts inpatient CPT 77067 HB DIGITAL SCREENING MAMMOGRAM | $374.50 | $535.00 | $133.75–$492.20 | — | 30% |
| Screening mammogram, both breasts inpatient CPT 77067 HB DIGITAL SCREENING MAMMOGRAM | $374.50 | $535.00 | $133.75–$492.20 | — | 30% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 HB SHOULDER 2 VIEWS OR MORE | $445.20 | $636.00 | $65.01–$585.12 | 90% above | 30% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 HB SHOULDER 2 VIEWS OR MORE | $445.20 | $636.00 | $65.01–$585.12 | 90% above | 30% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HB SHOULDER 2 VIEWS OR MORE | $445.20 | $636.00 | $159.00–$585.12 | — | 30% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HB SHOULDER 2 VIEWS OR MORE | $445.20 | $636.00 | $159.00–$585.12 | — | 30% |
| Sleep study in a lab (polysomnography) CPT 95810 HB POLYSOMNOGRAPHIC RECORDING LTD STUDY W/INTERP | $3,653.30 | $5,219.00 | $825.54–$4,801.48 | 27% above | 30% |
| Sleep study in a lab (polysomnography) CPT 95810 HB POLYSOMNOGRAPHIC RECORDING LTD STUDY W/INTERP | $3,653.30 | $5,219.00 | $825.54–$4,801.48 | 27% above | 30% |
| Sleep study in a lab (polysomnography) CPT 95810 HB ALL NIGHT POLYSOMNOGRAPHY (INCL PO2 MONITRNG) | $4,875.50 | $6,965.00 | $825.54–$6,407.80 | 69% above | 30% |
| Sleep study in a lab (polysomnography) CPT 95810 HB ALL NIGHT POLYSOMNOGRAPHY (INCL PO2 MONITRNG) | $4,875.50 | $6,965.00 | $825.54–$6,407.80 | 69% above | 30% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HB POLYSOMNOGRAPHIC RECORDING LTD STUDY W/INTERP | $3,653.30 | $5,219.00 | $1,304.75–$4,801.48 | — | 30% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HB POLYSOMNOGRAPHIC RECORDING LTD STUDY W/INTERP | $3,653.30 | $5,219.00 | $1,304.75–$4,801.48 | — | 30% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HB ALL NIGHT POLYSOMNOGRAPHY (INCL PO2 MONITRNG) | $4,875.50 | $6,965.00 | $1,741.25–$6,407.80 | — | 30% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HB ALL NIGHT POLYSOMNOGRAPHY (INCL PO2 MONITRNG) | $4,875.50 | $6,965.00 | $1,741.25–$6,407.80 | — | 30% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HB TTE, 2D, W/STRESS TEST AND CONT ECG W/CONTRAST | $1,876.70 | $2,681.00 | $525.29–$2,466.52 | 29% above | 30% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HB TTE, 2D, W/STRESS TEST AND CONT ECG W/CONTRAST | $1,876.70 | $2,681.00 | $525.29–$2,466.52 | 29% above | 30% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HB TRANSTHORACIC ECHO, 2D, W/STRESS TEST AND CONT ECG | $2,576.70 | $3,681.00 | $525.29–$3,386.52 | 77% above | 30% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HB TRANSTHORACIC ECHO, 2D, W/STRESS TEST AND CONT ECG | $2,576.70 | $3,681.00 | $525.29–$3,386.52 | 77% above | 30% |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HB TTE, 2D, W/STRESS TEST AND CONT ECG W/CONTRAST | $1,876.70 | $2,681.00 | $670.25–$2,466.52 | — | 30% |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HB TTE, 2D, W/STRESS TEST AND CONT ECG W/CONTRAST | $1,876.70 | $2,681.00 | $670.25–$2,466.52 | — | 30% |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HB TRANSTHORACIC ECHO, 2D, W/STRESS TEST AND CONT ECG | $2,576.70 | $3,681.00 | $920.25–$3,386.52 | — | 30% |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HB TRANSTHORACIC ECHO, 2D, W/STRESS TEST AND CONT ECG | $2,576.70 | $3,681.00 | $920.25–$3,386.52 | — | 30% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 HB COOKIE SWALLOW SWALLOWING FUNCTION WITH VIDEO | $680.40 | $972.00 | $147.35–$894.24 | 69% above | 30% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 HB COOKIE SWALLOW SWALLOWING FUNCTION WITH VIDEO | $680.40 | $972.00 | $147.35–$894.24 | 69% above | 30% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HB COOKIE SWALLOW SWALLOWING FUNCTION WITH VIDEO | $680.40 | $972.00 | $243.00–$894.24 | — | 30% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HB COOKIE SWALLOW SWALLOWING FUNCTION WITH VIDEO | $680.40 | $972.00 | $243.00–$894.24 | — | 30% |
| Transvaginal pelvic ultrasound CPT 76830 HB ULTRASOUND, TRANSVAGINAL IVF COMPLETE | $351.40 | $502.00 | $100.50–$461.84 | 33% below | 30% |
| Transvaginal pelvic ultrasound CPT 76830 HB ULTRASOUND, TRANSVAGINAL IVF COMPLETE | $351.40 | $502.00 | $100.50–$461.84 | 33% below | 30% |
| Transvaginal pelvic ultrasound CPT 76830 HB ULTRASOUND, TRANSVAGINAL ENDO LIMITED | $625.80 | $894.00 | $100.50–$822.48 | 20% above | 30% |
| Transvaginal pelvic ultrasound CPT 76830 HB ULTRASOUND, TRANSVAGINAL GYN LIMITED | $625.80 | $894.00 | $100.50–$822.48 | 20% above | 30% |
| Transvaginal pelvic ultrasound CPT 76830 HB ULTRASOUND, TRANSVAGINAL ENDO LIMITED | $625.80 | $894.00 | $100.50–$822.48 | 20% above | 30% |
| Transvaginal pelvic ultrasound CPT 76830 HB ULTRASOUND, TRANSVAGINAL GYN LIMITED | $625.80 | $894.00 | $100.50–$822.48 | 20% above | 30% |
| Transvaginal pelvic ultrasound CPT 76830 HB ULTRASOUND, TRANSVAGINAL GYN COMPLETE | $754.60 | $1,078.00 | $100.50–$991.76 | 44% above | 30% |
| Transvaginal pelvic ultrasound CPT 76830 HB ULTRASOUND, TRANSVAGINAL GYN COMPLETE | $754.60 | $1,078.00 | $100.50–$991.76 | 44% above | 30% |
| Transvaginal pelvic ultrasound CPT 76830 HB ULTRASOUND, TRANSVAGINAL | $754.60 | $1,078.00 | $100.50–$991.76 | 44% above | 30% |
| Transvaginal pelvic ultrasound CPT 76830 HB ULTRASOUND, TRANSVAGINAL | $754.60 | $1,078.00 | $100.50–$991.76 | 44% above | 30% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HB ULTRASOUND, TRANSVAGINAL IVF COMPLETE | $351.40 | $502.00 | $125.50–$461.84 | — | 30% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HB ULTRASOUND, TRANSVAGINAL IVF COMPLETE | $351.40 | $502.00 | $125.50–$461.84 | — | 30% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HB ULTRASOUND, TRANSVAGINAL GYN LIMITED | $625.80 | $894.00 | $223.50–$822.48 | — | 30% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HB ULTRASOUND, TRANSVAGINAL ENDO LIMITED | $625.80 | $894.00 | $223.50–$822.48 | — | 30% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HB ULTRASOUND, TRANSVAGINAL GYN LIMITED | $625.80 | $894.00 | $223.50–$822.48 | — | 30% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HB ULTRASOUND, TRANSVAGINAL ENDO LIMITED | $625.80 | $894.00 | $223.50–$822.48 | — | 30% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HB ULTRASOUND, TRANSVAGINAL | $754.60 | $1,078.00 | $269.50–$991.76 | — | 30% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HB ULTRASOUND, TRANSVAGINAL GYN COMPLETE | $754.60 | $1,078.00 | $269.50–$991.76 | — | 30% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HB ULTRASOUND, TRANSVAGINAL | $754.60 | $1,078.00 | $269.50–$991.76 | — | 30% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HB ULTRASOUND, TRANSVAGINAL GYN COMPLETE | $754.60 | $1,078.00 | $269.50–$991.76 | — | 30% |
| Transvaginal ultrasound during pregnancy CPT 76817 HB ULTRASOUND-PREGNANT UTERUS, TRANSVAGINAL -ENDO/IVF | $584.50 | $835.00 | $100.50–$768.20 | 29% above | 30% |
| Transvaginal ultrasound during pregnancy CPT 76817 HB ULTRASOUND-PREGNANT UTERUS, TRANSVAGINAL -ENDO/IVF | $584.50 | $835.00 | $100.50–$768.20 | 29% above | 30% |
| Transvaginal ultrasound during pregnancy CPT 76817 HB ULTRASOUND - PREGNANT UTERUS, TRANSVAGINAL | $658.70 | $941.00 | $100.50–$865.72 | 45% above | 30% |
| Transvaginal ultrasound during pregnancy CPT 76817 HB ULTRASOUND - PREGNANT UTERUS, TRANSVAGINAL | $658.70 | $941.00 | $100.50–$865.72 | 45% above | 30% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 HB ULTRASOUND-PREGNANT UTERUS, TRANSVAGINAL -ENDO/IVF | $584.50 | $835.00 | $208.75–$768.20 | — | 30% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 HB ULTRASOUND-PREGNANT UTERUS, TRANSVAGINAL -ENDO/IVF | $584.50 | $835.00 | $208.75–$768.20 | — | 30% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 HB ULTRASOUND - PREGNANT UTERUS, TRANSVAGINAL | $658.70 | $941.00 | $235.25–$865.72 | — | 30% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 HB ULTRASOUND - PREGNANT UTERUS, TRANSVAGINAL | $658.70 | $941.00 | $235.25–$865.72 | — | 30% |
| Ultrasound of the abdomen, complete CPT 76700 HB US EXAM - ABDOMEN, ENTIRE | $1,175.30 | $1,679.00 | $100.50–$1,544.68 | 70% above | 30% |
| Ultrasound of the abdomen, complete CPT 76700 HB US EXAM - ABDOMEN, ENTIRE | $1,175.30 | $1,679.00 | $100.50–$1,544.68 | 70% above | 30% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HB US EXAM - ABDOMEN, ENTIRE | $1,175.30 | $1,679.00 | $419.75–$1,544.68 | — | 30% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HB US EXAM - ABDOMEN, ENTIRE | $1,175.30 | $1,679.00 | $419.75–$1,544.68 | — | 30% |
| Ultrasound of the scrotum and testicles CPT 76870 HB ULTRASOUND, SCROTUM | $872.90 | $1,247.00 | $100.50–$1,147.24 | 61% above | 30% |
| Ultrasound of the scrotum and testicles CPT 76870 HB ULTRASOUND, SCROTUM | $872.90 | $1,247.00 | $100.50–$1,147.24 | 61% above | 30% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 HB ULTRASOUND, SCROTUM | $872.90 | $1,247.00 | $311.75–$1,147.24 | — | 30% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 HB ULTRASOUND, SCROTUM | $872.90 | $1,247.00 | $311.75–$1,147.24 | — | 30% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HB ULTRASOUND, SOFT TISSUES OF HEAD AND NECK(THYROID) | $775.60 | $1,108.00 | $100.50–$1,019.36 | 68% above | 30% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HB ULTRASOUND, SOFT TISSUES OF HEAD AND NECK(THYROID) | $775.60 | $1,108.00 | $100.50–$1,019.36 | 68% above | 30% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HB ULTRASOUND, SOFT TISSUES OF HEAD AND NECK(THYROID) | $775.60 | $1,108.00 | $277.00–$1,019.36 | — | 30% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HB ULTRASOUND, SOFT TISSUES OF HEAD AND NECK(THYROID) | $775.60 | $1,108.00 | $277.00–$1,019.36 | — | 30% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HB UPPER GI TRACT, SINGLE CONTRAST | $858.90 | $1,227.00 | $164.68–$1,128.84 | 106% above | 30% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HB UPPER GI TRACT, SINGLE CONTRAST | $858.90 | $1,227.00 | $164.68–$1,128.84 | 106% above | 30% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HB UPPER GI TRACT, SINGLE CONTRAST | $858.90 | $1,227.00 | $306.75–$1,128.84 | — | 30% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HB UPPER GI TRACT, SINGLE CONTRAST | $858.90 | $1,227.00 | $306.75–$1,128.84 | — | 30% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HB DUPLEX SCAN EXTREMITY VEINS INCL COMPR RESP LTD UNILATERAL | $1,010.10 | $1,443.00 | $100.50–$1,327.56 | 56% above | 30% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HB DUPLEX SCAN EXTREMITY VEINS INCL COMPR RESP LTD UNILATERAL | $1,010.10 | $1,443.00 | $100.50–$1,327.56 | 56% above | 30% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HB DUPLEX SCAN EXTREMITY VEINS INCL COMPR RESP LTD UNILATERAL | $1,010.10 | $1,443.00 | $360.75–$1,327.56 | — | 30% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HB DUPLEX SCAN EXTREMITY VEINS INCL COMPR RESP LTD UNILATERAL | $1,010.10 | $1,443.00 | $360.75–$1,327.56 | — | 30% |
| Wrist X-ray, complete, 3 or more views CPT 73110 HB WRIST COMPLETE (3 VIEW MINIMUM) | $400.40 | $572.00 | $59.58–$526.24 | 81% above | 30% |
| Wrist X-ray, complete, 3 or more views CPT 73110 HB WRIST COMPLETE (3 VIEW MINIMUM) | $400.40 | $572.00 | $59.58–$526.24 | 81% above | 30% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HB WRIST COMPLETE (3 VIEW MINIMUM) | $400.40 | $572.00 | $143.00–$526.24 | — | 30% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HB WRIST COMPLETE (3 VIEW MINIMUM) | $400.40 | $572.00 | $143.00–$526.24 | — | 30% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HB HIP, UNILATERAL, W/PELVIS WHEN PERFORMED; 2-3 VIEWS | $605.50 | $865.00 | $83.66–$795.80 | 215% above | 30% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HB HIP, UNILATERAL, W/PELVIS WHEN PERFORMED; 2-3 VIEWS | $605.50 | $865.00 | $83.66–$795.80 | 215% above | 30% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HB HIP, UNILATERAL, W/PELVIS WHEN PERFORMED; 2-3 VIEWS | $605.50 | $865.00 | $216.25–$795.80 | — | 30% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HB HIP, UNILATERAL, W/PELVIS WHEN PERFORMED; 2-3 VIEWS | $605.50 | $865.00 | $216.25–$795.80 | — | 30% |
| X-ray of the abdomen, 1 view CPT 74018 HB ABDOMEN; SINGLE VIEW | $323.40 | $462.00 | $56.22–$425.04 | 83% above | 30% |
| X-ray of the abdomen, 1 view CPT 74018 HB ABDOMEN; SINGLE VIEW | $323.40 | $462.00 | $56.22–$425.04 | 83% above | 30% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 HB ABDOMEN; SINGLE VIEW | $323.40 | $462.00 | $115.50–$425.04 | — | 30% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 HB ABDOMEN; SINGLE VIEW | $323.40 | $462.00 | $115.50–$425.04 | — | 30% |
| X-ray of the ankle, 2 views CPT 73600 HB ANKLE ANTERIOR POSTERIOR AND LATERAL, 2 VIEWS | $365.40 | $522.00 | $55.26–$480.24 | 111% above | 30% |
| X-ray of the ankle, 2 views CPT 73600 HB ANKLE ANTERIOR POSTERIOR AND LATERAL, 2 VIEWS | $365.40 | $522.00 | $55.26–$480.24 | 111% above | 30% |
| X-ray of the ankle, 2 views inpatient CPT 73600 HB ANKLE ANTERIOR POSTERIOR AND LATERAL, 2 VIEWS | $365.40 | $522.00 | $130.50–$480.24 | — | 30% |
| X-ray of the ankle, 2 views inpatient CPT 73600 HB ANKLE ANTERIOR POSTERIOR AND LATERAL, 2 VIEWS | $365.40 | $522.00 | $130.50–$480.24 | — | 30% |
| X-ray of the finger(s), 2 or more views CPT 73140 HB FINGER MINIMUM OF 2 VIEWS | $301.00 | $430.00 | $47.66–$395.60 | 79% above | 30% |
| X-ray of the finger(s), 2 or more views CPT 73140 HB FINGER MINIMUM OF 2 VIEWS | $301.00 | $430.00 | $47.66–$395.60 | 79% above | 30% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 HB FINGER MINIMUM OF 2 VIEWS | $301.00 | $430.00 | $107.50–$395.60 | — | 30% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 HB FINGER MINIMUM OF 2 VIEWS | $301.00 | $430.00 | $107.50–$395.60 | — | 30% |
| X-ray of the foot, 2 views CPT 73620 HB FOOT ANTERIOR POSTERIOR, 2 VIEWS | $384.30 | $549.00 | $55.26–$505.08 | 136% above | 30% |
| X-ray of the foot, 2 views CPT 73620 HB FOOT ANTERIOR POSTERIOR, 2 VIEWS | $384.30 | $549.00 | $55.26–$505.08 | 136% above | 30% |
| X-ray of the foot, 2 views inpatient CPT 73620 HB FOOT ANTERIOR POSTERIOR, 2 VIEWS | $384.30 | $549.00 | $137.25–$505.08 | — | 30% |
| X-ray of the foot, 2 views inpatient CPT 73620 HB FOOT ANTERIOR POSTERIOR, 2 VIEWS | $384.30 | $549.00 | $137.25–$505.08 | — | 30% |
| X-ray of the foot, complete, 3 or more views CPT 73630 HB FOOT COMPLETE (3 VIEW MINIMUM) | $464.80 | $664.00 | $59.58–$610.88 | 111% above | 30% |
| X-ray of the foot, complete, 3 or more views CPT 73630 HB FOOT COMPLETE (3 VIEW MINIMUM) | $464.80 | $664.00 | $59.58–$610.88 | 111% above | 30% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HB FOOT COMPLETE (3 VIEW MINIMUM) | $464.80 | $664.00 | $166.00–$610.88 | — | 30% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HB FOOT COMPLETE (3 VIEW MINIMUM) | $464.80 | $664.00 | $166.00–$610.88 | — | 30% |
| X-ray of the hand, 3 or more views CPT 73130 HB HAND 3 VIEWS OR MORE | $413.00 | $590.00 | $59.58–$542.80 | 101% above | 30% |
| X-ray of the hand, 3 or more views CPT 73130 HB HAND 3 VIEWS OR MORE | $413.00 | $590.00 | $59.58–$542.80 | 101% above | 30% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 HB HAND 3 VIEWS OR MORE | $413.00 | $590.00 | $147.50–$542.80 | — | 30% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 HB HAND 3 VIEWS OR MORE | $413.00 | $590.00 | $147.50–$542.80 | — | 30% |
| X-ray of the knee, 1 or 2 views CPT 73560 HB KNEE ANTERIOR POSTERIOR AND LATERAL, 1 OR 2 VIEWS | $408.80 | $584.00 | $58.53–$537.28 | 105% above | 30% |
| X-ray of the knee, 1 or 2 views CPT 73560 HB KNEE ANTERIOR POSTERIOR AND LATERAL, 1 OR 2 VIEWS | $408.80 | $584.00 | $58.53–$537.28 | 105% above | 30% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 HB KNEE ANTERIOR POSTERIOR AND LATERAL, 1 OR 2 VIEWS | $408.80 | $584.00 | $146.00–$537.28 | — | 30% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 HB KNEE ANTERIOR POSTERIOR AND LATERAL, 1 OR 2 VIEWS | $408.80 | $584.00 | $146.00–$537.28 | — | 30% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HB LUMBAR SPINE 2 OR 3 VIEWS | $497.00 | $710.00 | $75.84–$653.20 | 74% above | 30% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HB LUMBAR SPINE 2 OR 3 VIEWS | $497.00 | $710.00 | $75.84–$653.20 | 74% above | 30% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HB LUMBAR SPINE 2 OR 3 VIEWS | $497.00 | $710.00 | $177.50–$653.20 | — | 30% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HB LUMBAR SPINE 2 OR 3 VIEWS | $497.00 | $710.00 | $177.50–$653.20 | — | 30% |
| X-ray of the lower back, 4 or more views CPT 72110 HB LUMBAR SPINE 4 VIEWS OR MORE | $680.40 | $972.00 | $100.50–$894.24 | 94% above | 30% |
| X-ray of the lower back, 4 or more views CPT 72110 HB LUMBAR SPINE 4 VIEWS OR MORE | $680.40 | $972.00 | $100.50–$894.24 | 94% above | 30% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HB LUMBAR SPINE 4 VIEWS OR MORE | $680.40 | $972.00 | $243.00–$894.24 | — | 30% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HB LUMBAR SPINE 4 VIEWS OR MORE | $680.40 | $972.00 | $243.00–$894.24 | — | 30% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HB THORACIC SPINE 2 VIEWS | $476.70 | $681.00 | $73.66–$626.52 | 89% above | 30% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HB THORACIC SPINE 2 VIEWS | $476.70 | $681.00 | $73.66–$626.52 | 89% above | 30% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HB THORACIC SPINE 2 VIEWS | $476.70 | $681.00 | $170.25–$626.52 | — | 30% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HB THORACIC SPINE 2 VIEWS | $476.70 | $681.00 | $170.25–$626.52 | — | 30% |
| X-ray of the nasal bones, 3 or more views CPT 70160 HB NASAL BONES, MINIMUM OF 3 VIEWS | $387.10 | $553.00 | $58.53–$508.76 | 96% above | 30% |
| X-ray of the nasal bones, 3 or more views CPT 70160 HB NASAL BONES, MINIMUM OF 3 VIEWS | $387.10 | $553.00 | $58.53–$508.76 | 96% above | 30% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HB NASAL BONES, MINIMUM OF 3 VIEWS | $387.10 | $553.00 | $138.25–$508.76 | — | 30% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HB NASAL BONES, MINIMUM OF 3 VIEWS | $387.10 | $553.00 | $138.25–$508.76 | — | 30% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HB CERVICAL SPINE 3 VIEWS OR LESS | $438.90 | $627.00 | $68.26–$576.84 | 75% above | 30% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HB CERVICAL SPINE 3 VIEWS OR LESS | $438.90 | $627.00 | $68.26–$576.84 | 75% above | 30% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HB CERVICAL SPINE 3 VIEWS OR LESS | $438.90 | $627.00 | $156.75–$576.84 | — | 30% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HB CERVICAL SPINE 3 VIEWS OR LESS | $438.90 | $627.00 | $156.75–$576.84 | — | 30% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HB PELVIS ANTERIOR POSTERIOR ONLY, 1 OR 2 VIEWS | $372.40 | $532.00 | $58.53–$489.44 | 89% above | 30% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HB PELVIS ANTERIOR POSTERIOR ONLY, 1 OR 2 VIEWS | $372.40 | $532.00 | $58.53–$489.44 | 89% above | 30% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HB PELVIS ANTERIOR POSTERIOR ONLY, 1 OR 2 VIEWS | $372.40 | $532.00 | $133.00–$489.44 | — | 30% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HB PELVIS ANTERIOR POSTERIOR ONLY, 1 OR 2 VIEWS | $372.40 | $532.00 | $133.00–$489.44 | — | 30% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HB SACRUM AND/OR COCCYX, 2 VIEW MINIMUM | $408.10 | $583.00 | $65.01–$536.36 | 85% above | 30% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HB SACRUM AND/OR COCCYX, 2 VIEW MINIMUM | $408.10 | $583.00 | $65.01–$536.36 | 85% above | 30% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HB SACRUM AND/OR COCCYX, 2 VIEW MINIMUM | $408.10 | $583.00 | $145.75–$536.36 | — | 30% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HB SACRUM AND/OR COCCYX, 2 VIEW MINIMUM | $408.10 | $583.00 | $145.75–$536.36 | — | 30% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Iowa | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HB HCV ALT | $52.50 | $75.00 | $5.04–$69.00 | 24% above | 30% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HB HCV ALT | $52.50 | $75.00 | $5.04–$69.00 | 24% above | 30% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HB ALANINE AMINOTRASFERASE (ALT) | $60.20 | $86.00 | $5.04–$79.12 | 43% above | 30% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HB ALANINE AMINOTRANSFERASE - MISC FLUID | $60.20 | $86.00 | $5.04–$79.12 | 43% above | 30% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HB ALANINE AMINOTRASFERASE (ALT) | $60.20 | $86.00 | $5.04–$79.12 | 43% above | 30% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HB ALANINE AMINOTRANSFERASE - MISC FLUID | $60.20 | $86.00 | $5.04–$79.12 | 43% above | 30% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HB HCV ALT | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HB HCV ALT | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HB ALANINE AMINOTRASFERASE (ALT) | $60.20 | $86.00 | $21.50–$79.12 | — | 30% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HB ALANINE AMINOTRANSFERASE - MISC FLUID | $60.20 | $86.00 | $21.50–$79.12 | — | 30% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HB ALANINE AMINOTRASFERASE (ALT) | $60.20 | $86.00 | $21.50–$79.12 | — | 30% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HB ALANINE AMINOTRANSFERASE - MISC FLUID | $60.20 | $86.00 | $21.50–$79.12 | — | 30% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HB ASPARTATE AMINOTRANFERASE (AST) | $50.40 | $72.00 | $4.92–$66.24 | 30% above | 30% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HB ASPARTATE AMINOTRANFERASE (AST) | $50.40 | $72.00 | $4.92–$66.24 | 30% above | 30% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HB ASPARTATE TRANSFERASE - MISC FLUID | $50.40 | $72.00 | $4.92–$66.24 | 30% above | 30% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HB ASPARTATE TRANSFERASE - MISC FLUID | $50.40 | $72.00 | $4.92–$66.24 | 30% above | 30% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HB ASPARTATE AMINOTRANFERASE (AST) | $50.40 | $72.00 | $18.00–$66.24 | — | 30% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HB ASPARTATE AMINOTRANFERASE (AST) | $50.40 | $72.00 | $18.00–$66.24 | — | 30% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HB ASPARTATE TRANSFERASE - MISC FLUID | $50.40 | $72.00 | $18.00–$66.24 | — | 30% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HB ASPARTATE TRANSFERASE - MISC FLUID | $50.40 | $72.00 | $18.00–$66.24 | — | 30% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HB HEPATITIS PANEL | $512.40 | $732.00 | $45.25–$673.44 | 124% above | 30% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HB HEPATITIS PANEL | $512.40 | $732.00 | $45.25–$673.44 | 124% above | 30% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HB HEPATITIS PANEL | $512.40 | $732.00 | $183.00–$673.44 | — | 30% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HB HEPATITIS PANEL | $512.40 | $732.00 | $183.00–$673.44 | — | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HB ALLERGEN, FOOD, BEEF | $52.50 | $75.00 | $4.96–$69.00 | 35% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HB SINGLE ALLERGEN WITHOUT IGE ATL | $52.50 | $75.00 | $4.96–$69.00 | 35% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HB ASPERGILLUS PRECIP PANEL | $52.50 | $75.00 | $4.96–$69.00 | 35% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HB INSECT ALLERGEN | $52.50 | $75.00 | $4.96–$69.00 | 35% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HB CHEMICAL/OCCUPATIONAL ALLERGEN | $52.50 | $75.00 | $4.96–$69.00 | 35% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HB ALLERGEN, FOOD, BEEF | $52.50 | $75.00 | $4.96–$69.00 | 35% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HB ALLERGEN, FOOD, PORK | $52.50 | $75.00 | $4.96–$69.00 | 35% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HB ALLERGEN, FEATHER MIX | $52.50 | $75.00 | $4.96–$69.00 | 35% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HB ALLERGEN SPECIFIC IGE | $52.50 | $75.00 | $4.96–$69.00 | 35% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HB ALLERGEN, FOOD, BEAN | $52.50 | $75.00 | $4.96–$69.00 | 35% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HB ALLERGEN, A. FUMIGATUS IGE | $52.50 | $75.00 | $4.96–$69.00 | 35% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HB SINGLE ALLERGEN WITHOUT IGE ATL | $52.50 | $75.00 | $4.96–$69.00 | 35% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HB ASPERGILLUS PRECIP PANEL | $52.50 | $75.00 | $4.96–$69.00 | 35% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HB INSECT ALLERGEN | $52.50 | $75.00 | $4.96–$69.00 | 35% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HB ALLERGEN, A. FUMIGATUS IGE | $52.50 | $75.00 | $4.96–$69.00 | 35% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HB ALLERGEN, FOOD, BEAN | $52.50 | $75.00 | $4.96–$69.00 | 35% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HB CHEMICAL/OCCUPATIONAL ALLERGEN | $52.50 | $75.00 | $4.96–$69.00 | 35% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HB ALLERGEN, FOOD, PORK | $52.50 | $75.00 | $4.96–$69.00 | 35% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HB ALLERGEN, FEATHER MIX | $52.50 | $75.00 | $4.96–$69.00 | 35% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HB ALLERGEN SPECIFIC IGE | $52.50 | $75.00 | $4.96–$69.00 | 35% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HB MOLD PANEL | $72.10 | $103.00 | $4.96–$94.76 | 85% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HB MOLD PANEL | $72.10 | $103.00 | $4.96–$94.76 | 85% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HB ALLERGEN, PEANUT COMPONENTS IGE | $98.70 | $141.00 | $4.96–$129.72 | 153% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HB ALLERGEN, PEANUT COMPONENTS IGE | $98.70 | $141.00 | $4.96–$129.72 | 153% above | 30% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HB ALLERGEN, FOOD, BEEF | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HB ALLERGEN, A. FUMIGATUS IGE | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HB ALLERGEN, FOOD, BEAN | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HB ALLERGEN SPECIFIC IGE | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HB ALLERGEN, FEATHER MIX | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HB ALLERGEN, FOOD, PORK | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HB ALLERGEN, FOOD, BEEF | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HB CHEMICAL/OCCUPATIONAL ALLERGEN | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HB INSECT ALLERGEN | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HB ASPERGILLUS PRECIP PANEL | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HB SINGLE ALLERGEN WITHOUT IGE ATL | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HB SINGLE ALLERGEN WITHOUT IGE ATL | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HB ASPERGILLUS PRECIP PANEL | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HB INSECT ALLERGEN | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HB CHEMICAL/OCCUPATIONAL ALLERGEN | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HB ALLERGEN, FOOD, PORK | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HB ALLERGEN, FEATHER MIX | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HB ALLERGEN SPECIFIC IGE | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HB ALLERGEN, A. FUMIGATUS IGE | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HB ALLERGEN, FOOD, BEAN | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HB MOLD PANEL | $72.10 | $103.00 | $25.75–$94.76 | — | 30% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HB MOLD PANEL | $72.10 | $103.00 | $25.75–$94.76 | — | 30% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HB ALLERGEN, PEANUT COMPONENTS IGE | $98.70 | $141.00 | $35.25–$129.72 | — | 30% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HB ALLERGEN, PEANUT COMPONENTS IGE | $98.70 | $141.00 | $35.25–$129.72 | — | 30% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HB CYCLIC CITRULLINATED PEPTIDE ANTIBODY | $75.60 | $108.00 | $12.30–$99.36 | 9% above | 30% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HB CYCLIC CITRULLINATED PEPTIDE ANTIBODY | $75.60 | $108.00 | $12.30–$99.36 | 9% above | 30% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HB CYCLIC CITRULLINATED PEPTIDE ANTIBODY | $75.60 | $108.00 | $27.00–$99.36 | — | 30% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HB CYCLIC CITRULLINATED PEPTIDE ANTIBODY | $75.60 | $108.00 | $27.00–$99.36 | — | 30% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HB ANTINUCLEAR AB (ALDP) | $52.50 | $75.00 | $11.49–$98.54 | 28% below | 30% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HB ANTINUCLEAR AB (ALDP) | $52.50 | $75.00 | $11.49–$98.54 | 28% below | 30% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HB ANTINUCLEAR ANTIBODIES | $181.30 | $259.00 | $11.49–$238.28 | 149% above | 30% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HB ANTINUCLEAR ANTIBODIES | $181.30 | $259.00 | $11.49–$238.28 | 149% above | 30% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HB ANTINUCLEAR AB (ALDP) | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HB ANTINUCLEAR AB (ALDP) | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HB ANTINUCLEAR ANTIBODIES | $181.30 | $259.00 | $64.75–$238.28 | — | 30% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HB ANTINUCLEAR ANTIBODIES | $181.30 | $259.00 | $64.75–$238.28 | — | 30% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HB B-TYPE NATRIURETIC PEPTIDE | $214.20 | $306.00 | $37.30–$281.52 | 37% above | 30% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HB B-TYPE NATRIURETIC PEPTIDE | $214.20 | $306.00 | $37.30–$281.52 | 37% above | 30% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HB B-NATRIURETIC PEPTIDE | $248.50 | $355.00 | $37.30–$326.60 | 58% above | 30% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HB B-NATRIURETIC PEPTIDE | $248.50 | $355.00 | $37.30–$326.60 | 58% above | 30% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HB ATRIAL NATRIURETIC FACTOR | $298.90 | $427.00 | $37.30–$392.84 | 91% above | 30% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HB ATRIAL NATRIURETIC FACTOR | $298.90 | $427.00 | $37.30–$392.84 | 91% above | 30% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HB B-TYPE NATRIURETIC PEPTIDE | $214.20 | $306.00 | $76.50–$281.52 | — | 30% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HB B-TYPE NATRIURETIC PEPTIDE | $214.20 | $306.00 | $76.50–$281.52 | — | 30% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HB B-NATRIURETIC PEPTIDE | $248.50 | $355.00 | $88.75–$326.60 | — | 30% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HB B-NATRIURETIC PEPTIDE | $248.50 | $355.00 | $88.75–$326.60 | — | 30% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HB ATRIAL NATRIURETIC FACTOR | $298.90 | $427.00 | $106.75–$392.84 | — | 30% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HB ATRIAL NATRIURETIC FACTOR | $298.90 | $427.00 | $106.75–$392.84 | — | 30% |
| Basic metabolic panel (blood test) CPT 80048 HB BASIC METABOLIC PANEL | $317.10 | $453.00 | $8.04–$416.76 | 283% above | 30% |
| Basic metabolic panel (blood test) CPT 80048 HB POC BASIC METABOLIC PANEL (POINT OF CARE) | $317.10 | $453.00 | $8.04–$416.76 | 283% above | 30% |
| Basic metabolic panel (blood test) CPT 80048 HB BASIC METABOLIC PANEL | $317.10 | $453.00 | $8.04–$416.76 | 283% above | 30% |
| Basic metabolic panel (blood test) CPT 80048 HB POC BASIC METABOLIC PANEL (POINT OF CARE) | $317.10 | $453.00 | $8.04–$416.76 | 283% above | 30% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HB BASIC METABOLIC PANEL | $317.10 | $453.00 | $113.25–$416.76 | — | 30% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HB BASIC METABOLIC PANEL | $317.10 | $453.00 | $113.25–$416.76 | — | 30% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HB POC BASIC METABOLIC PANEL (POINT OF CARE) | $317.10 | $453.00 | $113.25–$416.76 | — | 30% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HB POC BASIC METABOLIC PANEL (POINT OF CARE) | $317.10 | $453.00 | $113.25–$416.76 | — | 30% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HB SURG PATH - GROSS AND MICRO EXAM - LEVEL 4 | $294.00 | $420.00 | $50.10–$386.40 | 65% above | 30% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HB SURG PATH - GROSS AND MICRO EXAM - LEVEL 4 | $294.00 | $420.00 | $50.10–$386.40 | 65% above | 30% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HB SURG PATH - MICROSCOPIC EXAM - LEVEL 4 (DERM) | $367.50 | $525.00 | $50.10–$483.00 | 106% above | 30% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HB SURG PATH - GROSS AND MICRO EXAM - LEVEL 4 (OCULAR) | $367.50 | $525.00 | $50.10–$483.00 | 106% above | 30% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HB SURG PATH - GROSS AND MICRO EXAM - LEVEL 4 (OCULAR) | $367.50 | $525.00 | $50.10–$483.00 | 106% above | 30% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HB SURG PATH - MICROSCOPIC EXAM - LEVEL 4 (DERM) | $367.50 | $525.00 | $50.10–$483.00 | 106% above | 30% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HB SURG PATH - GROSS AND MICRO EXAM - LEVEL 4 | $294.00 | $420.00 | $105.00–$386.40 | — | 30% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HB SURG PATH - GROSS AND MICRO EXAM - LEVEL 4 | $294.00 | $420.00 | $105.00–$386.40 | — | 30% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HB SURG PATH - MICROSCOPIC EXAM - LEVEL 4 (DERM) | $367.50 | $525.00 | $131.25–$483.00 | — | 30% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HB SURG PATH - GROSS AND MICRO EXAM - LEVEL 4 (OCULAR) | $367.50 | $525.00 | $131.25–$483.00 | — | 30% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HB SURG PATH - MICROSCOPIC EXAM - LEVEL 4 (DERM) | $367.50 | $525.00 | $131.25–$483.00 | — | 30% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HB SURG PATH - GROSS AND MICRO EXAM - LEVEL 4 (OCULAR) | $367.50 | $525.00 | $131.25–$483.00 | — | 30% |
| Blood culture for bacteria CPT 87040 HB CULTURE, BLOOD | $167.30 | $239.00 | $9.80–$219.88 | 93% above | 30% |
| Blood culture for bacteria CPT 87040 HB CULTURE, BLOOD | $167.30 | $239.00 | $9.80–$219.88 | 93% above | 30% |
| Blood culture for bacteria inpatient CPT 87040 HB CULTURE, BLOOD | $167.30 | $239.00 | $59.75–$219.88 | — | 30% |
| Blood culture for bacteria inpatient CPT 87040 HB CULTURE, BLOOD | $167.30 | $239.00 | $59.75–$219.88 | — | 30% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HB COLLECTION OF VENOUS BLOOD BY VENIPUNCTURE | $29.40 | $42.00 | $8.64–$38.64 | 48% above | 30% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HB COLLECTION OF VENOUS BLOOD BY VENIPUNCTURE | $29.40 | $42.00 | $8.64–$38.64 | 48% above | 30% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HB PHLEBOTOMY - PFP | $31.50 | $45.00 | $8.64–$41.40 | 59% above | 30% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HB PHLEBOTOMY - PEDS CLINICS | $31.50 | $45.00 | $8.64–$41.40 | 59% above | 30% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HB PHLEBOTOMY - FCC | $31.50 | $45.00 | $8.64–$41.40 | 59% above | 30% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HB PHLEBOTOMY - PFP | $31.50 | $45.00 | $8.64–$41.40 | 59% above | 30% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HB PHLEBOTOMY - PEDS CLINICS | $31.50 | $45.00 | $8.64–$41.40 | 59% above | 30% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HB PHLEBOTOMY - FCC | $31.50 | $45.00 | $8.64–$41.40 | 59% above | 30% |
| Blood glucose (sugar) test CPT 82947 HB GLUCOSE, SERUM | $44.10 | $63.00 | $3.73–$57.96 | 31% above | 30% |
| Blood glucose (sugar) test CPT 82947 HB POC GLUCOSE (ISTAT) - TRANSPORT | $44.10 | $63.00 | $3.73–$57.96 | 31% above | 30% |
| Blood glucose (sugar) test CPT 82947 HB GLUCOSE; QUANT, BLOOD (EXC REAGENT STR) - PERFUSION | $44.10 | $63.00 | $3.73–$57.96 | 31% above | 30% |
| Blood glucose (sugar) test CPT 82947 HB GLUCOSE; QUANTITATIVE, BLOOD (EXCEPT REAGENT STR) | $44.10 | $63.00 | $3.73–$57.96 | 31% above | 30% |
| Blood glucose (sugar) test CPT 82947 HB GLUCOSE | $44.10 | $63.00 | $3.73–$57.96 | 31% above | 30% |
| Blood glucose (sugar) test CPT 82947 HB GLUCOSE, SERUM | $44.10 | $63.00 | $3.73–$57.96 | 31% above | 30% |
| Blood glucose (sugar) test CPT 82947 HB POC GLUCOSE (ISTAT) | $44.10 | $63.00 | $3.73–$57.96 | 31% above | 30% |
| Blood glucose (sugar) test CPT 82947 HB GLUCOSE; QUANT, BLOOD (EXC REAGENT STR) - ANESTHESIA | $44.10 | $63.00 | $3.73–$57.96 | 31% above | 30% |
| Blood glucose (sugar) test CPT 82947 HB POC GLUCOSE (ISTAT) - TRANSPORT | $44.10 | $63.00 | $3.73–$57.96 | 31% above | 30% |
| Blood glucose (sugar) test CPT 82947 HB POC GLUCOSE (ISTAT) | $44.10 | $63.00 | $3.73–$57.96 | 31% above | 30% |
| Blood glucose (sugar) test CPT 82947 HB GLUCOSE; QUANT, BLOOD (EXC REAGENT STR) - PERFUSION | $44.10 | $63.00 | $3.73–$57.96 | 31% above | 30% |
| Blood glucose (sugar) test CPT 82947 HB GLUCOSE; QUANT, BLOOD (EXC REAGENT STR) - ANESTHESIA | $44.10 | $63.00 | $3.73–$57.96 | 31% above | 30% |
| Blood glucose (sugar) test CPT 82947 HB GLUCOSE; QUANTITATIVE, BLOOD (EXCEPT REAGENT STR) | $44.10 | $63.00 | $3.73–$57.96 | 31% above | 30% |
| Blood glucose (sugar) test CPT 82947 HB GLUCOSE | $44.10 | $63.00 | $3.73–$57.96 | 31% above | 30% |
| Blood glucose (sugar) test CPT 82947 HB MAPS GLUCOSE QUANTITATIVE, PLASMA | $47.60 | $68.00 | $3.73–$62.56 | 42% above | 30% |
| Blood glucose (sugar) test CPT 82947 HB MAPS GLUCOSE QUANTITATIVE, PLASMA | $47.60 | $68.00 | $3.73–$62.56 | 42% above | 30% |
| Blood glucose (sugar) test inpatient CPT 82947 HB GLUCOSE; QUANTITATIVE, BLOOD (EXCEPT REAGENT STR) | $44.10 | $63.00 | $15.75–$57.96 | — | 30% |
| Blood glucose (sugar) test inpatient CPT 82947 HB POC GLUCOSE (ISTAT) | $44.10 | $63.00 | $15.75–$57.96 | — | 30% |
| Blood glucose (sugar) test inpatient CPT 82947 HB GLUCOSE | $44.10 | $63.00 | $15.75–$57.96 | — | 30% |
| Blood glucose (sugar) test inpatient CPT 82947 HB GLUCOSE; QUANT, BLOOD (EXC REAGENT STR) - PERFUSION | $44.10 | $63.00 | $15.75–$57.96 | — | 30% |
| Blood glucose (sugar) test inpatient CPT 82947 HB GLUCOSE, SERUM | $44.10 | $63.00 | $15.75–$57.96 | — | 30% |
| Blood glucose (sugar) test inpatient CPT 82947 HB GLUCOSE; QUANT, BLOOD (EXC REAGENT STR) - ANESTHESIA | $44.10 | $63.00 | $15.75–$57.96 | — | 30% |
| Blood glucose (sugar) test inpatient CPT 82947 HB POC GLUCOSE (ISTAT) | $44.10 | $63.00 | $15.75–$57.96 | — | 30% |
| Blood glucose (sugar) test inpatient CPT 82947 HB POC GLUCOSE (ISTAT) - TRANSPORT | $44.10 | $63.00 | $15.75–$57.96 | — | 30% |
| Blood glucose (sugar) test inpatient CPT 82947 HB GLUCOSE, SERUM | $44.10 | $63.00 | $15.75–$57.96 | — | 30% |
| Blood glucose (sugar) test inpatient CPT 82947 HB GLUCOSE | $44.10 | $63.00 | $15.75–$57.96 | — | 30% |
| Blood glucose (sugar) test inpatient CPT 82947 HB GLUCOSE; QUANTITATIVE, BLOOD (EXCEPT REAGENT STR) | $44.10 | $63.00 | $15.75–$57.96 | — | 30% |
| Blood glucose (sugar) test inpatient CPT 82947 HB POC GLUCOSE (ISTAT) - TRANSPORT | $44.10 | $63.00 | $15.75–$57.96 | — | 30% |
| Blood glucose (sugar) test inpatient CPT 82947 HB GLUCOSE; QUANT, BLOOD (EXC REAGENT STR) - ANESTHESIA | $44.10 | $63.00 | $15.75–$57.96 | — | 30% |
| Blood glucose (sugar) test inpatient CPT 82947 HB GLUCOSE; QUANT, BLOOD (EXC REAGENT STR) - PERFUSION | $44.10 | $63.00 | $15.75–$57.96 | — | 30% |
| Blood glucose (sugar) test inpatient CPT 82947 HB MAPS GLUCOSE QUANTITATIVE, PLASMA | $47.60 | $68.00 | $17.00–$62.56 | — | 30% |
| Blood glucose (sugar) test inpatient CPT 82947 HB MAPS GLUCOSE QUANTITATIVE, PLASMA | $47.60 | $68.00 | $17.00–$62.56 | — | 30% |
| Blood lead test CPT 83655 HB HEAVY METAL SCREEN, LEAD | $52.50 | $75.00 | $11.50–$80.37 | at median | 30% |
| Blood lead test CPT 83655 HB HEAVY METAL SCREEN, LEAD | $52.50 | $75.00 | $11.50–$80.37 | at median | 30% |
| Blood lead test CPT 83655 HB LEAD, URINE | $52.50 | $75.00 | $11.50–$80.37 | at median | 30% |
| Blood lead test CPT 83655 HB LEAD, URINE | $52.50 | $75.00 | $11.50–$80.37 | at median | 30% |
| Blood lead test CPT 83655 HB LEAD, VENOUS, CONFIRMATION | $52.50 | $75.00 | $11.50–$80.37 | at median | 30% |
| Blood lead test CPT 83655 HB LEAD, CAPILLARY (MAILOUT) | $52.50 | $75.00 | $11.50–$80.37 | at median | 30% |
| Blood lead test CPT 83655 HB LEAD, CAPILLARY (MAILOUT) | $52.50 | $75.00 | $11.50–$80.37 | at median | 30% |
| Blood lead test CPT 83655 HB LEAD, VENOUS, CONFIRMATION | $52.50 | $75.00 | $11.50–$80.37 | at median | 30% |
| Blood lead test CPT 83655 HB LEAD, BLOOD | $79.10 | $113.00 | $11.50–$103.96 | 51% above | 30% |
| Blood lead test CPT 83655 HB LEAD, BLOOD | $79.10 | $113.00 | $11.50–$103.96 | 51% above | 30% |
| Blood lead test inpatient CPT 83655 HB HEAVY METAL SCREEN, LEAD | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| Blood lead test inpatient CPT 83655 HB LEAD, CAPILLARY (MAILOUT) | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| Blood lead test inpatient CPT 83655 HB LEAD, VENOUS, CONFIRMATION | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| Blood lead test inpatient CPT 83655 HB HEAVY METAL SCREEN, LEAD | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| Blood lead test inpatient CPT 83655 HB LEAD, URINE | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| Blood lead test inpatient CPT 83655 HB LEAD, VENOUS, CONFIRMATION | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| Blood lead test inpatient CPT 83655 HB LEAD, CAPILLARY (MAILOUT) | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| Blood lead test inpatient CPT 83655 HB LEAD, URINE | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| Blood lead test inpatient CPT 83655 HB LEAD, BLOOD | $79.10 | $113.00 | $28.25–$103.96 | — | 30% |
| Blood lead test inpatient CPT 83655 HB LEAD, BLOOD | $79.10 | $113.00 | $28.25–$103.96 | — | 30% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HB PREGNANCY TEST | $96.60 | $138.00 | $7.14–$126.96 | 57% above | 30% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HB PREGNANCY TEST | $96.60 | $138.00 | $7.14–$126.96 | 57% above | 30% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HB PREGNANCY TEST | $96.60 | $138.00 | $34.50–$126.96 | — | 30% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HB PREGNANCY TEST | $96.60 | $138.00 | $34.50–$126.96 | — | 30% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HB VA ABO BLOOD TYPING | $50.40 | $72.00 | $2.99–$66.24 | 12% below | 30% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HB VA ABO BLOOD TYPING | $50.40 | $72.00 | $2.99–$66.24 | 12% below | 30% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HB LC AMBUL ABO RH BMT | $79.10 | $113.00 | $2.99–$103.96 | 38% above | 30% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HB LC AMBUL ABO RH BMT | $79.10 | $113.00 | $2.99–$103.96 | 38% above | 30% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HB ABO BLOOD TYPING | $106.40 | $152.00 | $2.99–$139.84 | 86% above | 30% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HB ABO BLOOD TYPING | $106.40 | $152.00 | $2.99–$139.84 | 86% above | 30% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HB ABO (REVERSE TYPE ONLY) | $106.40 | $152.00 | $2.99–$139.84 | 86% above | 30% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HB ABO (REVERSE TYPE ONLY) | $106.40 | $152.00 | $2.99–$139.84 | 86% above | 30% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HB LC AMBUL STAT ABO RH BMT | $231.00 | $330.00 | $2.99–$303.60 | 304% above | 30% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HB LC AMBUL STAT ABO RH BMT | $231.00 | $330.00 | $2.99–$303.60 | 304% above | 30% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HB VA ABO BLOOD TYPING | $50.40 | $72.00 | $18.00–$66.24 | — | 30% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HB VA ABO BLOOD TYPING | $50.40 | $72.00 | $18.00–$66.24 | — | 30% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HB LC AMBUL ABO RH BMT | $79.10 | $113.00 | $28.25–$103.96 | — | 30% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HB LC AMBUL ABO RH BMT | $79.10 | $113.00 | $28.25–$103.96 | — | 30% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HB ABO BLOOD TYPING | $106.40 | $152.00 | $38.00–$139.84 | — | 30% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HB ABO (REVERSE TYPE ONLY) | $106.40 | $152.00 | $38.00–$139.84 | — | 30% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HB ABO BLOOD TYPING | $106.40 | $152.00 | $38.00–$139.84 | — | 30% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HB ABO (REVERSE TYPE ONLY) | $106.40 | $152.00 | $38.00–$139.84 | — | 30% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HB LC AMBUL STAT ABO RH BMT | $231.00 | $330.00 | $82.50–$303.60 | — | 30% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HB LC AMBUL STAT ABO RH BMT | $231.00 | $330.00 | $82.50–$303.60 | — | 30% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HB C-REACTIVE PROTEIN - MISC FLUID | $41.30 | $59.00 | $4.92–$54.28 | 28% below | 30% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HB C-REACTIVE PROTEIN - MISC FLUID | $41.30 | $59.00 | $4.92–$54.28 | 28% below | 30% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HB CRP-SF (MAILOUT) | $52.50 | $75.00 | $4.92–$69.00 | 9% below | 30% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HB CRP-SF (MAILOUT) | $52.50 | $75.00 | $4.92–$69.00 | 9% below | 30% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HB C-REACTIVE PROTEIN | $59.50 | $85.00 | $4.92–$78.20 | 3% above | 30% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HB C-REACTIVE PROTEIN | $59.50 | $85.00 | $4.92–$78.20 | 3% above | 30% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HB C-REACTIVE PROTEIN (IBDSGI) | $65.10 | $93.00 | $4.92–$85.56 | 13% above | 30% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HB C-REACTIVE PROTEIN (IBDSGI) | $65.10 | $93.00 | $4.92–$85.56 | 13% above | 30% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HB C-REACTIVE PROTEIN - MISC FLUID | $41.30 | $59.00 | $14.75–$54.28 | — | 30% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HB C-REACTIVE PROTEIN - MISC FLUID | $41.30 | $59.00 | $14.75–$54.28 | — | 30% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HB CRP-SF (MAILOUT) | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HB CRP-SF (MAILOUT) | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HB C-REACTIVE PROTEIN | $59.50 | $85.00 | $21.25–$78.20 | — | 30% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HB C-REACTIVE PROTEIN | $59.50 | $85.00 | $21.25–$78.20 | — | 30% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HB C-REACTIVE PROTEIN (IBDSGI) | $65.10 | $93.00 | $23.25–$85.56 | — | 30% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HB C-REACTIVE PROTEIN (IBDSGI) | $65.10 | $93.00 | $23.25–$85.56 | — | 30% |
| C. difficile toxin gene test (stool PCR) CPT 87493 HB C.DIFFICILE TOXIN A AND B | $240.10 | $343.00 | $35.41–$315.56 | 122% above | 30% |
| C. difficile toxin gene test (stool PCR) CPT 87493 HB C.DIFFICILE TOXIN A AND B | $240.10 | $343.00 | $35.41–$315.56 | 122% above | 30% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HB C.DIFFICILE TOXIN A AND B | $240.10 | $343.00 | $85.75–$315.56 | — | 30% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HB C.DIFFICILE TOXIN A AND B | $240.10 | $343.00 | $85.75–$315.56 | — | 30% |
| CA 19-9 blood test (tumor marker) CPT 86301 HB CA 19.9 | $123.20 | $176.00 | $19.77–$161.92 | 28% above | 30% |
| CA 19-9 blood test (tumor marker) CPT 86301 HB CA 19.9 | $123.20 | $176.00 | $19.77–$161.92 | 28% above | 30% |
| CA 19-9 blood test (tumor marker) CPT 86301 HB CARBOHYDRATE ANTIGEN 19.9 | $172.20 | $246.00 | $19.77–$226.32 | 80% above | 30% |
| CA 19-9 blood test (tumor marker) CPT 86301 HB CARBOHYDRATE ANTIGEN 19.9 | $172.20 | $246.00 | $19.77–$226.32 | 80% above | 30% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 HB CA 19.9 | $123.20 | $176.00 | $44.00–$161.92 | — | 30% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 HB CA 19.9 | $123.20 | $176.00 | $44.00–$161.92 | — | 30% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 HB CARBOHYDRATE ANTIGEN 19.9 | $172.20 | $246.00 | $61.50–$226.32 | — | 30% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 HB CARBOHYDRATE ANTIGEN 19.9 | $172.20 | $246.00 | $61.50–$226.32 | — | 30% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HB CANCER ANTIGEN 125 | $158.90 | $227.00 | $19.77–$208.84 | 39% above | 30% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HB CANCER ANTIGEN 125 | $158.90 | $227.00 | $19.77–$208.84 | 39% above | 30% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HB CANCER ANTIGEN 125-SERUM | $200.20 | $286.00 | $19.77–$263.12 | 75% above | 30% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HB CANCER ANTIGEN 125-SERUM | $200.20 | $286.00 | $19.77–$263.12 | 75% above | 30% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HB CANCER ANTIGEN 125 | $158.90 | $227.00 | $56.75–$208.84 | — | 30% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HB CANCER ANTIGEN 125 | $158.90 | $227.00 | $56.75–$208.84 | — | 30% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HB CANCER ANTIGEN 125-SERUM | $200.20 | $286.00 | $71.50–$263.12 | — | 30% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HB CANCER ANTIGEN 125-SERUM | $200.20 | $286.00 | $71.50–$263.12 | — | 30% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HB SARS-COV-2 COVID-19 AMP PRB (ARUP) | $133.00 | $190.00 | $47.50–$191.75 | 16% above | 30% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HB SARS-COV-2 COVID-19 AMP PRB (ARUP) | $133.00 | $190.00 | $47.50–$191.75 | 16% above | 30% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HB POC SARS-COV-2 (POINT OF CARE) | $175.70 | $251.00 | $48.74–$230.92 | 53% above | 30% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HB POC SARS-COV-2 (POINT OF CARE) | $175.70 | $251.00 | $48.74–$230.92 | 53% above | 30% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HB SARS-COV-2 COVID-19 AMP PRB | $407.40 | $582.00 | $48.74–$535.44 | 255% above | 30% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HB SARS-COV-2 COVID-19 AMP PRB | $407.40 | $582.00 | $48.74–$535.44 | 255% above | 30% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HB SARS-COV-2 COVID-19 AMP PRB (ARUP) | $133.00 | $190.00 | $47.50–$174.80 | — | 30% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HB SARS-COV-2 COVID-19 AMP PRB (ARUP) | $133.00 | $190.00 | $47.50–$174.80 | — | 30% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HB POC SARS-COV-2 (POINT OF CARE) | $175.70 | $251.00 | $62.75–$230.92 | — | 30% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HB POC SARS-COV-2 (POINT OF CARE) | $175.70 | $251.00 | $62.75–$230.92 | — | 30% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HB SARS-COV-2 COVID-19 AMP PRB | $407.40 | $582.00 | $145.50–$535.44 | — | 30% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HB SARS-COV-2 COVID-19 AMP PRB | $407.40 | $582.00 | $145.50–$535.44 | — | 30% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HB CHLAMYDIA TRACHOMATIS AMPLIFIED RNA (MAILOUT) | $46.20 | $66.00 | $16.50–$230.53 | 54% below | 30% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HB CHLAMYDIA TRACHOMATIS AMPLIFIED RNA (MAILOUT) | $46.20 | $66.00 | $16.50–$230.53 | 54% below | 30% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HB C. TRACHOMATIS AMPLIFIED | $52.50 | $75.00 | $18.75–$230.53 | 47% below | 30% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HB C. TRACHOMATIS AMPLIFIED | $52.50 | $75.00 | $18.75–$230.53 | 47% below | 30% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HB CHLAMYDIA TRACHOMATIS AMP-DNA | $65.10 | $93.00 | $23.25–$230.53 | 35% below | 30% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HB CHLAMYDIA TRACHOMATIS AMP-DNA | $65.10 | $93.00 | $23.25–$230.53 | 35% below | 30% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HB CHLAMYDIA TRACH AMPLIFIED DNA | $105.70 | $151.00 | $33.34–$230.53 | 6% above | 30% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HB CHLAMYDIA TRACH AMPLIFIED DNA | $105.70 | $151.00 | $33.34–$230.53 | 6% above | 30% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HB SHL CHLAMYDIA TRACHOMATIS BY TMA | $113.40 | $162.00 | $33.34–$230.53 | 14% above | 30% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HB SHL CHLAMYDIA TRACHOMATIS BY TMA | $113.40 | $162.00 | $33.34–$230.53 | 14% above | 30% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HB CHLAMYDIA BY PCR | $299.60 | $428.00 | $33.34–$393.76 | 201% above | 30% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HB CHLAMYDIA BY PCR | $299.60 | $428.00 | $33.34–$393.76 | 201% above | 30% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HB CHLAMYDIA TRACHOMATIS AMPLIFIED RNA (MAILOUT) | $46.20 | $66.00 | $16.50–$60.72 | — | 30% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HB CHLAMYDIA TRACHOMATIS AMPLIFIED RNA (MAILOUT) | $46.20 | $66.00 | $16.50–$60.72 | — | 30% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HB C. TRACHOMATIS AMPLIFIED | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HB C. TRACHOMATIS AMPLIFIED | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HB CHLAMYDIA TRACHOMATIS AMP-DNA | $65.10 | $93.00 | $23.25–$85.56 | — | 30% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HB CHLAMYDIA TRACHOMATIS AMP-DNA | $65.10 | $93.00 | $23.25–$85.56 | — | 30% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HB CHLAMYDIA TRACH AMPLIFIED DNA | $105.70 | $151.00 | $37.75–$138.92 | — | 30% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HB CHLAMYDIA TRACH AMPLIFIED DNA | $105.70 | $151.00 | $37.75–$138.92 | — | 30% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HB SHL CHLAMYDIA TRACHOMATIS BY TMA | $113.40 | $162.00 | $40.50–$149.04 | — | 30% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HB SHL CHLAMYDIA TRACHOMATIS BY TMA | $113.40 | $162.00 | $40.50–$149.04 | — | 30% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HB CHLAMYDIA BY PCR | $299.60 | $428.00 | $107.00–$393.76 | — | 30% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HB CHLAMYDIA BY PCR | $299.60 | $428.00 | $107.00–$393.76 | — | 30% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HB LIPOPROTEIN PROFILE | $52.50 | $75.00 | $12.72–$88.81 | 38% below | 30% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HB LIPOPROTEIN PROFILE | $52.50 | $75.00 | $12.72–$88.81 | 38% below | 30% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HB LIPID PANEL | $201.60 | $288.00 | $12.72–$264.96 | 137% above | 30% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HB LIPID PANEL | $201.60 | $288.00 | $12.72–$264.96 | 137% above | 30% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HB LIPOPROTEIN PROFILE | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HB LIPOPROTEIN PROFILE | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HB LIPID PANEL | $201.60 | $288.00 | $72.00–$264.96 | — | 30% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HB LIPID PANEL | $201.60 | $288.00 | $72.00–$264.96 | — | 30% |
| Complete blood count (CBC) with differential CPT 85025 HB CBC WITH AUTOMATED DIFFERENTIAL | $113.40 | $162.00 | $7.38–$149.04 | 84% above | 30% |
| Complete blood count (CBC) with differential CPT 85025 HB POC CBC WITH 3 PART DIFFERENTIAL (POINT OF CARE) | $113.40 | $162.00 | $7.38–$149.04 | 84% above | 30% |
| Complete blood count (CBC) with differential CPT 85025 HB CBC WITH AUTOMATED DIFFERENTIAL | $113.40 | $162.00 | $7.38–$149.04 | 84% above | 30% |
| Complete blood count (CBC) with differential CPT 85025 HB POC CBC WITH 3 PART DIFFERENTIAL (POINT OF CARE) | $113.40 | $162.00 | $7.38–$149.04 | 84% above | 30% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HB POC CBC WITH 3 PART DIFFERENTIAL (POINT OF CARE) | $113.40 | $162.00 | $40.50–$149.04 | — | 30% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HB POC CBC WITH 3 PART DIFFERENTIAL (POINT OF CARE) | $113.40 | $162.00 | $40.50–$149.04 | — | 30% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HB CBC WITH AUTOMATED DIFFERENTIAL | $113.40 | $162.00 | $40.50–$149.04 | — | 30% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HB CBC WITH AUTOMATED DIFFERENTIAL | $113.40 | $162.00 | $40.50–$149.04 | — | 30% |
| Complete blood count (CBC), no differential CPT 85027 HB COMPLETE BLOOD COUNT | $82.60 | $118.00 | $6.15–$108.56 | 84% above | 30% |
| Complete blood count (CBC), no differential CPT 85027 HB COMPLETE BLOOD COUNT | $82.60 | $118.00 | $6.15–$108.56 | 84% above | 30% |
| Complete blood count (CBC), no differential CPT 85027 HB POC COMPLETE BLOOD COUNT W/O DIFF (POINT OF CARE) | $82.60 | $118.00 | $6.15–$108.56 | 84% above | 30% |
| Complete blood count (CBC), no differential CPT 85027 HB POC COMPLETE BLOOD COUNT W/O DIFF (POINT OF CARE) | $82.60 | $118.00 | $6.15–$108.56 | 84% above | 30% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HB POC COMPLETE BLOOD COUNT W/O DIFF (POINT OF CARE) | $82.60 | $118.00 | $29.50–$108.56 | — | 30% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HB COMPLETE BLOOD COUNT | $82.60 | $118.00 | $29.50–$108.56 | — | 30% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HB POC COMPLETE BLOOD COUNT W/O DIFF (POINT OF CARE) | $82.60 | $118.00 | $29.50–$108.56 | — | 30% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HB COMPLETE BLOOD COUNT | $82.60 | $118.00 | $29.50–$108.56 | — | 30% |
| Comprehensive metabolic panel (blood test) CPT 80053 HB POC COMPREHENSIVE METABOLIC PANEL (POINT OF CARE) | $561.40 | $802.00 | $10.03–$737.84 | 373% above | 30% |
| Comprehensive metabolic panel (blood test) CPT 80053 HB COMPREHENSIVE METABOLIC PANEL | $561.40 | $802.00 | $10.03–$737.84 | 373% above | 30% |
| Comprehensive metabolic panel (blood test) CPT 80053 HB POC COMPREHENSIVE METABOLIC PANEL (POINT OF CARE) | $561.40 | $802.00 | $10.03–$737.84 | 373% above | 30% |
| Comprehensive metabolic panel (blood test) CPT 80053 HB COMPREHENSIVE METABOLIC PANEL | $561.40 | $802.00 | $10.03–$737.84 | 373% above | 30% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HB COMPREHENSIVE METABOLIC PANEL | $561.40 | $802.00 | $200.50–$737.84 | — | 30% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HB POC COMPREHENSIVE METABOLIC PANEL (POINT OF CARE) | $561.40 | $802.00 | $200.50–$737.84 | — | 30% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HB POC COMPREHENSIVE METABOLIC PANEL (POINT OF CARE) | $561.40 | $802.00 | $200.50–$737.84 | — | 30% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HB COMPREHENSIVE METABOLIC PANEL | $561.40 | $802.00 | $200.50–$737.84 | — | 30% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HB DHEA-S, DEHYDROEPIANDROS SULFATE | $212.10 | $303.00 | $21.12–$278.76 | 90% above | 30% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HB DHEA-S, DEHYDROEPIANDROS SULFATE | $212.10 | $303.00 | $21.12–$278.76 | 90% above | 30% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HB DHEA-S, DEHYDROEPIANDROS SULFATE | $212.10 | $303.00 | $75.75–$278.76 | — | 30% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HB DHEA-S, DEHYDROEPIANDROS SULFATE | $212.10 | $303.00 | $75.75–$278.76 | — | 30% |
| Estradiol blood test CPT 82670 HB ESTRADIOL BY LC/MS/MS | $70.70 | $101.00 | $25.25–$184.00 | 46% below | 30% |
| Estradiol blood test CPT 82670 HB ESTRADIOL BY LC/MS/MS | $70.70 | $101.00 | $25.25–$184.00 | 46% below | 30% |
| Estradiol blood test CPT 82670 HB ESTRADIOL | $214.90 | $307.00 | $26.54–$282.44 | 65% above | 30% |
| Estradiol blood test CPT 82670 HB ESTRADIOL | $214.90 | $307.00 | $26.54–$282.44 | 65% above | 30% |
| Estradiol blood test CPT 82670 HB ESTRADIOL, SERUM | $218.40 | $312.00 | $26.54–$287.04 | 68% above | 30% |
| Estradiol blood test CPT 82670 HB ESTRADIOL, SERUM | $218.40 | $312.00 | $26.54–$287.04 | 68% above | 30% |
| Estradiol blood test inpatient CPT 82670 HB ESTRADIOL BY LC/MS/MS | $70.70 | $101.00 | $25.25–$92.92 | — | 30% |
| Estradiol blood test inpatient CPT 82670 HB ESTRADIOL BY LC/MS/MS | $70.70 | $101.00 | $25.25–$92.92 | — | 30% |
| Estradiol blood test inpatient CPT 82670 HB ESTRADIOL | $214.90 | $307.00 | $76.75–$282.44 | — | 30% |
| Estradiol blood test inpatient CPT 82670 HB ESTRADIOL | $214.90 | $307.00 | $76.75–$282.44 | — | 30% |
| Estradiol blood test inpatient CPT 82670 HB ESTRADIOL, SERUM | $218.40 | $312.00 | $78.00–$287.04 | — | 30% |
| Estradiol blood test inpatient CPT 82670 HB ESTRADIOL, SERUM | $218.40 | $312.00 | $78.00–$287.04 | — | 30% |
| FSH (follicle-stimulating hormone) test CPT 83001 HB FSH, FOLLICLE STIMULATING HORMONE | $161.00 | $230.00 | $17.65–$211.60 | 74% above | 30% |
| FSH (follicle-stimulating hormone) test CPT 83001 HB FSH, FOLLICLE STIMULATING HORMONE | $161.00 | $230.00 | $17.65–$211.60 | 74% above | 30% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 HB FSH, FOLLICLE STIMULATING HORMONE | $161.00 | $230.00 | $57.50–$211.60 | — | 30% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 HB FSH, FOLLICLE STIMULATING HORMONE | $161.00 | $230.00 | $57.50–$211.60 | — | 30% |
| Fecal calprotectin (stool inflammation test) CPT 83993 HB CALPROTECTIN, FECAL | $147.00 | $210.00 | $18.65–$295.63 | 8% below | 30% |
| Fecal calprotectin (stool inflammation test) CPT 83993 HB CALPROTECTIN, FECAL | $147.00 | $210.00 | $18.65–$295.63 | 8% below | 30% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HB CALPROTECTIN, FECAL | $147.00 | $210.00 | $52.50–$193.20 | — | 30% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HB CALPROTECTIN, FECAL | $147.00 | $210.00 | $52.50–$193.20 | — | 30% |
| Ferritin blood test (iron stores) CPT 82728 HB FERRITIN | $152.60 | $218.00 | $12.95–$200.56 | 79% above | 30% |
| Ferritin blood test (iron stores) CPT 82728 HB FERRITIN | $152.60 | $218.00 | $12.95–$200.56 | 79% above | 30% |
| Ferritin blood test (iron stores) inpatient CPT 82728 HB FERRITIN | $152.60 | $218.00 | $54.50–$200.56 | — | 30% |
| Ferritin blood test (iron stores) inpatient CPT 82728 HB FERRITIN | $152.60 | $218.00 | $54.50–$200.56 | — | 30% |
| Folate (folic acid) blood test CPT 82746 HB MAPS FOLIC ACID, PLASMA | $47.60 | $68.00 | $13.97–$97.29 | 46% below | 30% |
| Folate (folic acid) blood test CPT 82746 HB MAPS FOLIC ACID, PLASMA | $47.60 | $68.00 | $13.97–$97.29 | 46% below | 30% |
| Folate (folic acid) blood test CPT 82746 HB FOLIC ACID | $127.40 | $182.00 | $13.97–$167.44 | 44% above | 30% |
| Folate (folic acid) blood test CPT 82746 HB FOLIC ACID | $127.40 | $182.00 | $13.97–$167.44 | 44% above | 30% |
| Folate (folic acid) blood test inpatient CPT 82746 HB MAPS FOLIC ACID, PLASMA | $47.60 | $68.00 | $17.00–$62.56 | — | 30% |
| Folate (folic acid) blood test inpatient CPT 82746 HB MAPS FOLIC ACID, PLASMA | $47.60 | $68.00 | $17.00–$62.56 | — | 30% |
| Folate (folic acid) blood test inpatient CPT 82746 HB FOLIC ACID | $127.40 | $182.00 | $45.50–$167.44 | — | 30% |
| Folate (folic acid) blood test inpatient CPT 82746 HB FOLIC ACID | $127.40 | $182.00 | $45.50–$167.44 | — | 30% |
| Free T3 thyroid hormone test CPT 84481 HB FREE TRIIODOTHYRONINE | $161.00 | $230.00 | $16.09–$211.60 | 60% above | 30% |
| Free T3 thyroid hormone test CPT 84481 HB FREE TRIIODOTHYRONINE | $161.00 | $230.00 | $16.09–$211.60 | 60% above | 30% |
| Free T3 thyroid hormone test inpatient CPT 84481 HB FREE TRIIODOTHYRONINE | $161.00 | $230.00 | $57.50–$211.60 | — | 30% |
| Free T3 thyroid hormone test inpatient CPT 84481 HB FREE TRIIODOTHYRONINE | $161.00 | $230.00 | $57.50–$211.60 | — | 30% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HB FREE THYROXINE | $82.60 | $118.00 | $8.57–$108.56 | 27% above | 30% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HB FREE THYROXINE | $82.60 | $118.00 | $8.57–$108.56 | 27% above | 30% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HB FREE T4 (BY EQUILIBRIUM DIALYSIS) | $134.40 | $192.00 | $8.57–$176.64 | 107% above | 30% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HB FREE T4 (BY EQUILIBRIUM DIALYSIS) | $134.40 | $192.00 | $8.57–$176.64 | 107% above | 30% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HB FREE THYROXINE | $82.60 | $118.00 | $29.50–$108.56 | — | 30% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HB FREE THYROXINE | $82.60 | $118.00 | $29.50–$108.56 | — | 30% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HB FREE T4 (BY EQUILIBRIUM DIALYSIS) | $134.40 | $192.00 | $48.00–$176.64 | — | 30% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HB FREE T4 (BY EQUILIBRIUM DIALYSIS) | $134.40 | $192.00 | $48.00–$176.64 | — | 30% |
| Free testosterone test CPT 84402 HB FREE TESTOSTERONE, PLASMA | $13.30 | $19.00 | $4.75–$167.09 | 87% below | 30% |
| Free testosterone test CPT 84402 HB FREE TESTOSTERONE, PLASMA | $13.30 | $19.00 | $4.75–$167.09 | 87% below | 30% |
| Free testosterone test inpatient CPT 84402 HB FREE TESTOSTERONE, PLASMA | $13.30 | $19.00 | $4.75–$17.48 | — | 30% |
| Free testosterone test inpatient CPT 84402 HB FREE TESTOSTERONE, PLASMA | $13.30 | $19.00 | $4.75–$17.48 | — | 30% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HB GLUCOSE - 2 HR PP | $35.70 | $51.00 | $4.51–$46.92 | 1% below | 30% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HB GLUCOSE - 2 HR PP | $35.70 | $51.00 | $4.51–$46.92 | 1% below | 30% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HB GLUCOSE - 2 HR PP | $35.70 | $51.00 | $12.75–$46.92 | — | 30% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HB GLUCOSE - 2 HR PP | $35.70 | $51.00 | $12.75–$46.92 | — | 30% |
| Glucose tolerance test, 3 samples CPT 82951 HB GTT 3 SPECIMENS | $122.50 | $175.00 | $12.23–$161.00 | 45% above | 30% |
| Glucose tolerance test, 3 samples CPT 82951 HB GTT 3 SPECIMENS | $122.50 | $175.00 | $12.23–$161.00 | 45% above | 30% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HB GTT 3 SPECIMENS | $122.50 | $175.00 | $43.75–$161.00 | — | 30% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HB GTT 3 SPECIMENS | $122.50 | $175.00 | $43.75–$161.00 | — | 30% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HB NEISSERIA GONORRHOEAE AMPLIFIED RNA (MAILOUT) | $46.20 | $66.00 | $16.50–$230.53 | 49% below | 30% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HB NEISSERIA GONORRHOEAE AMPLIFIED RNA (MAILOUT) | $46.20 | $66.00 | $16.50–$230.53 | 49% below | 30% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HB N. GONORRHOEAE AMPLIFIED | $52.50 | $75.00 | $18.75–$230.53 | 42% below | 30% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HB N. GONORRHOEAE AMPLIFIED | $52.50 | $75.00 | $18.75–$230.53 | 42% below | 30% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HB N GONORRHOEAE AMP-DNA | $65.10 | $93.00 | $23.25–$230.53 | 28% below | 30% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HB N GONORRHOEAE AMP-DNA | $65.10 | $93.00 | $23.25–$230.53 | 28% below | 30% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HB SHL NEISSERIA GONORRHOEAE BY TMA | $113.40 | $162.00 | $33.34–$230.53 | 25% above | 30% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HB SHL NEISSERIA GONORRHOEAE BY TMA | $113.40 | $162.00 | $33.34–$230.53 | 25% above | 30% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HB N GONORRHEA PCR | $299.60 | $428.00 | $33.34–$393.76 | 230% above | 30% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HB N GONORRHEA PCR | $299.60 | $428.00 | $33.34–$393.76 | 230% above | 30% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HB NEISSERIA GONORRHOEAE AMPLIFIED RNA (MAILOUT) | $46.20 | $66.00 | $16.50–$60.72 | — | 30% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HB NEISSERIA GONORRHOEAE AMPLIFIED RNA (MAILOUT) | $46.20 | $66.00 | $16.50–$60.72 | — | 30% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HB N. GONORRHOEAE AMPLIFIED | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HB N. GONORRHOEAE AMPLIFIED | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HB N GONORRHOEAE AMP-DNA | $65.10 | $93.00 | $23.25–$85.56 | — | 30% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HB N GONORRHOEAE AMP-DNA | $65.10 | $93.00 | $23.25–$85.56 | — | 30% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HB SHL NEISSERIA GONORRHOEAE BY TMA | $113.40 | $162.00 | $40.50–$149.04 | — | 30% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HB SHL NEISSERIA GONORRHOEAE BY TMA | $113.40 | $162.00 | $40.50–$149.04 | — | 30% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HB N GONORRHEA PCR | $299.60 | $428.00 | $107.00–$393.76 | — | 30% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HB N GONORRHEA PCR | $299.60 | $428.00 | $107.00–$393.76 | — | 30% |
| H. pylori antibody blood test CPT 86677 HB HELICOBACTER | $52.50 | $75.00 | $16.01–$95.16 | 34% below | 30% |
| H. pylori antibody blood test CPT 86677 HB HELICOBACTER | $52.50 | $75.00 | $16.01–$95.16 | 34% below | 30% |
| H. pylori antibody blood test CPT 86677 HB HELICOBACTER PYLORI ANTIBODY, IGA | $52.50 | $75.00 | $16.01–$95.16 | 34% below | 30% |
| H. pylori antibody blood test CPT 86677 HB HELICOBACTER PYLORI ANTIBODY, IGA | $52.50 | $75.00 | $16.01–$95.16 | 34% below | 30% |
| H. pylori antibody blood test CPT 86677 HB HELICOBACTER PYLORI ANTIBODY, IGG | $93.80 | $134.00 | $16.01–$123.28 | 17% above | 30% |
| H. pylori antibody blood test CPT 86677 HB HELICOBACTER PYLORI ANTIBODY, IGG | $93.80 | $134.00 | $16.01–$123.28 | 17% above | 30% |
| H. pylori antibody blood test inpatient CPT 86677 HB HELICOBACTER | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| H. pylori antibody blood test inpatient CPT 86677 HB HELICOBACTER | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| H. pylori antibody blood test inpatient CPT 86677 HB HELICOBACTER PYLORI ANTIBODY, IGA | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| H. pylori antibody blood test inpatient CPT 86677 HB HELICOBACTER PYLORI ANTIBODY, IGA | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| H. pylori antibody blood test inpatient CPT 86677 HB HELICOBACTER PYLORI ANTIBODY, IGG | $93.80 | $134.00 | $33.50–$123.28 | — | 30% |
| H. pylori antibody blood test inpatient CPT 86677 HB HELICOBACTER PYLORI ANTIBODY, IGG | $93.80 | $134.00 | $33.50–$123.28 | — | 30% |
| H. pylori stool antigen test CPT 87338 HB HELICOBACTER PYLORI ANTIGEN, STOOL | $121.10 | $173.00 | $13.66–$159.16 | 8% above | 30% |
| H. pylori stool antigen test CPT 87338 HB HELICOBACTER PYLORI ANTIGEN, STOOL | $121.10 | $173.00 | $13.66–$159.16 | 8% above | 30% |
| H. pylori stool antigen test CPT 87338 HB H. PYLORI STOOL, MCD | $516.60 | $738.00 | $13.66–$678.96 | 361% above | 30% |
| H. pylori stool antigen test CPT 87338 HB H. PYLORI STOOL, MCD | $516.60 | $738.00 | $13.66–$678.96 | 361% above | 30% |
| H. pylori stool antigen test inpatient CPT 87338 HB HELICOBACTER PYLORI ANTIGEN, STOOL | $121.10 | $173.00 | $43.25–$159.16 | — | 30% |
| H. pylori stool antigen test inpatient CPT 87338 HB HELICOBACTER PYLORI ANTIGEN, STOOL | $121.10 | $173.00 | $43.25–$159.16 | — | 30% |
| H. pylori stool antigen test inpatient CPT 87338 HB H. PYLORI STOOL, MCD | $516.60 | $738.00 | $184.50–$678.96 | — | 30% |
| H. pylori stool antigen test inpatient CPT 87338 HB H. PYLORI STOOL, MCD | $516.60 | $738.00 | $184.50–$678.96 | — | 30% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HB HIV-1 RNA DETECT/QUANT | $182.00 | $260.00 | $65.00–$560.46 | 33% below | 30% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HB HIV-1 RNA DETECT/QUANT | $182.00 | $260.00 | $65.00–$560.46 | 33% below | 30% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HB HIV 1 RNA QUANTIFICATION, PLASMA | $420.00 | $600.00 | $80.85–$560.46 | 56% above | 30% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HB HIV QUANT PCR | $420.00 | $600.00 | $80.85–$560.46 | 56% above | 30% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HB HIV 1 RNA QUANTIFICATION, PLASMA | $420.00 | $600.00 | $80.85–$560.46 | 56% above | 30% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HB HIV QUANT PCR | $420.00 | $600.00 | $80.85–$560.46 | 56% above | 30% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HB HIV QUANTITATIVE RNA PCR REPORT | $633.50 | $905.00 | $80.85–$832.60 | 135% above | 30% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HB HIV QUANTITATIVE RNA PCR REPORT | $633.50 | $905.00 | $80.85–$832.60 | 135% above | 30% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HB HIV-1 RNA DETECT/QUANT | $182.00 | $260.00 | $65.00–$239.20 | — | 30% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HB HIV-1 RNA DETECT/QUANT | $182.00 | $260.00 | $65.00–$239.20 | — | 30% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HB HIV QUANT PCR | $420.00 | $600.00 | $150.00–$552.00 | — | 30% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HB HIV 1 RNA QUANTIFICATION, PLASMA | $420.00 | $600.00 | $150.00–$552.00 | — | 30% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HB HIV QUANT PCR | $420.00 | $600.00 | $150.00–$552.00 | — | 30% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HB HIV 1 RNA QUANTIFICATION, PLASMA | $420.00 | $600.00 | $150.00–$552.00 | — | 30% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HB HIV QUANTITATIVE RNA PCR REPORT | $633.50 | $905.00 | $226.25–$832.60 | — | 30% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HB HIV QUANTITATIVE RNA PCR REPORT | $633.50 | $905.00 | $226.25–$832.60 | — | 30% |
| HIV-1 and HIV-2 antibody test CPT 86703 HB HIV-1/2 ANTIBODY | $52.50 | $75.00 | $13.02–$77.20 | 8% above | 30% |
| HIV-1 and HIV-2 antibody test CPT 86703 HB HIV-1/2 ANTIBODY | $52.50 | $75.00 | $13.02–$77.20 | 8% above | 30% |
| HIV-1 and HIV-2 antibody test CPT 86703 HB POC HIV ORAQUIK (POINT OF CARE) | $71.40 | $102.00 | $13.02–$93.84 | 47% above | 30% |
| HIV-1 and HIV-2 antibody test CPT 86703 HB POC HIV ORAQUIK (POINT OF CARE) | $71.40 | $102.00 | $13.02–$93.84 | 47% above | 30% |
| HIV-1 and HIV-2 antibody test CPT 86703 HB HIV ANTIBODY SCREEN (ORAQUICK) | $79.80 | $114.00 | $13.02–$104.88 | 64% above | 30% |
| HIV-1 and HIV-2 antibody test CPT 86703 HB HIV ANTIBODY SCREEN (ORAQUICK) | $79.80 | $114.00 | $13.02–$104.88 | 64% above | 30% |
| HIV-1 and HIV-2 antibody test CPT 86703 HB HIV 1/2 AB CADAVER | $389.20 | $556.00 | $13.02–$511.52 | 701% above | 30% |
| HIV-1 and HIV-2 antibody test CPT 86703 HB HIV 1/2 AB CADAVER | $389.20 | $556.00 | $13.02–$511.52 | 701% above | 30% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HB HIV-1/2 ANTIBODY | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HB HIV-1/2 ANTIBODY | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HB POC HIV ORAQUIK (POINT OF CARE) | $71.40 | $102.00 | $25.50–$93.84 | — | 30% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HB POC HIV ORAQUIK (POINT OF CARE) | $71.40 | $102.00 | $25.50–$93.84 | — | 30% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HB HIV ANTIBODY SCREEN (ORAQUICK) | $79.80 | $114.00 | $28.50–$104.88 | — | 30% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HB HIV ANTIBODY SCREEN (ORAQUICK) | $79.80 | $114.00 | $28.50–$104.88 | — | 30% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HB HIV 1/2 AB CADAVER | $389.20 | $556.00 | $139.00–$511.52 | — | 30% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HB HIV 1/2 AB CADAVER | $389.20 | $556.00 | $139.00–$511.52 | — | 30% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HB HIV ANTIGEN/ANTIBODY COMBO | $153.30 | $219.00 | $22.88–$201.48 | 104% above | 30% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HB HIV ANTIGEN/ANTIBODY COMBO | $153.30 | $219.00 | $22.88–$201.48 | 104% above | 30% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HB HIV ANTIGEN/ANTIBODY COMBO (HIV-1 AND HIV-2) | $155.40 | $222.00 | $22.88–$204.24 | 107% above | 30% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HB HIV ANTIGEN/ANTIBODY COMBO (HIV-1 AND HIV-2) | $155.40 | $222.00 | $22.88–$204.24 | 107% above | 30% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HB HIV ANTIGEN/ANTIBODY COMBO | $153.30 | $219.00 | $54.75–$201.48 | — | 30% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HB HIV ANTIGEN/ANTIBODY COMBO | $153.30 | $219.00 | $54.75–$201.48 | — | 30% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HB HIV ANTIGEN/ANTIBODY COMBO (HIV-1 AND HIV-2) | $155.40 | $222.00 | $55.50–$204.24 | — | 30% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HB HIV ANTIGEN/ANTIBODY COMBO (HIV-1 AND HIV-2) | $155.40 | $222.00 | $55.50–$204.24 | — | 30% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HB HUMAN PAPILLOMAVIRUS, HIGH-RISK TYPES | $100.80 | $144.00 | $33.34–$179.34 | 6% above | 30% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HB HUMAN PAPILLOMAVIRUS, HIGH-RISK TYPES | $100.80 | $144.00 | $33.34–$179.34 | 6% above | 30% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HB HUMAN PAPILLOMAVIRUS(HPV) DNA PROBE,HIGH RISK | $223.30 | $319.00 | $33.34–$293.48 | 136% above | 30% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HB HUMAN PAPILLOMAVIRUS(HPV) DNA PROBE,HIGH RISK | $223.30 | $319.00 | $33.34–$293.48 | 136% above | 30% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HB HUMAN PAPILLOMAVIRUS, HIGH RISK | $336.70 | $481.00 | $33.34–$442.52 | 256% above | 30% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HB HUMAN PAPILLOMAVIRUS, HIGH RISK | $336.70 | $481.00 | $33.34–$442.52 | 256% above | 30% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HB HPV DNA PROBE, TISSUE TESTING | $524.30 | $749.00 | $33.34–$689.08 | 454% above | 30% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HB HPV DNA PROBE, TISSUE TESTING | $524.30 | $749.00 | $33.34–$689.08 | 454% above | 30% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HB HUMAN PAPILLOMAVIRUS, HIGH-RISK TYPES | $100.80 | $144.00 | $36.00–$132.48 | — | 30% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HB HUMAN PAPILLOMAVIRUS, HIGH-RISK TYPES | $100.80 | $144.00 | $36.00–$132.48 | — | 30% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HB HUMAN PAPILLOMAVIRUS(HPV) DNA PROBE,HIGH RISK | $223.30 | $319.00 | $79.75–$293.48 | — | 30% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HB HUMAN PAPILLOMAVIRUS(HPV) DNA PROBE,HIGH RISK | $223.30 | $319.00 | $79.75–$293.48 | — | 30% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HB HUMAN PAPILLOMAVIRUS, HIGH RISK | $336.70 | $481.00 | $120.25–$442.52 | — | 30% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HB HUMAN PAPILLOMAVIRUS, HIGH RISK | $336.70 | $481.00 | $120.25–$442.52 | — | 30% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HB HPV DNA PROBE, TISSUE TESTING | $524.30 | $749.00 | $187.25–$689.08 | — | 30% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HB HPV DNA PROBE, TISSUE TESTING | $524.30 | $749.00 | $187.25–$689.08 | — | 30% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HB HEMOGLOBIN A1C | $110.60 | $158.00 | $9.22–$145.36 | 82% above | 30% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HB HEMOGLOBIN A1C | $110.60 | $158.00 | $9.22–$145.36 | 82% above | 30% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HB POC HEMOGLOBIN A1C | $116.90 | $167.00 | $9.22–$153.64 | 92% above | 30% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HB POC HEMOGLOBIN A1C | $116.90 | $167.00 | $9.22–$153.64 | 92% above | 30% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HB HEMOGLOBIN A1C | $110.60 | $158.00 | $39.50–$145.36 | — | 30% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HB HEMOGLOBIN A1C | $110.60 | $158.00 | $39.50–$145.36 | — | 30% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HB POC HEMOGLOBIN A1C | $116.90 | $167.00 | $41.75–$153.64 | — | 30% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HB POC HEMOGLOBIN A1C | $116.90 | $167.00 | $41.75–$153.64 | — | 30% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HB HEP B SURFACE ANTIBODY - QUALIT | $135.10 | $193.00 | $10.20–$177.56 | 99% above | 30% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HB HEP B SURFACE ANTIBODY - QUALIT | $135.10 | $193.00 | $10.20–$177.56 | 99% above | 30% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HB HEP B SURFACE ANTIBODY - QUALIT | $135.10 | $193.00 | $48.25–$177.56 | — | 30% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HB HEP B SURFACE ANTIBODY - QUALIT | $135.10 | $193.00 | $48.25–$177.56 | — | 30% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HB HEPATITIS B SURFACE ANTIGEN | $121.10 | $173.00 | $9.81–$159.16 | 85% above | 30% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HB HEPATITIS B SURFACE ANTIGEN | $121.10 | $173.00 | $9.81–$159.16 | 85% above | 30% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HB HEP B ANTIGEN CADAVER | $255.50 | $365.00 | $9.81–$335.80 | 290% above | 30% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HB HEP B ANTIGEN CADAVER | $255.50 | $365.00 | $9.81–$335.80 | 290% above | 30% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HB HEPATITIS B SURFACE ANTIGEN | $121.10 | $173.00 | $43.25–$159.16 | — | 30% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HB HEPATITIS B SURFACE ANTIGEN | $121.10 | $173.00 | $43.25–$159.16 | — | 30% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HB HEP B ANTIGEN CADAVER | $255.50 | $365.00 | $91.25–$335.80 | — | 30% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HB HEP B ANTIGEN CADAVER | $255.50 | $365.00 | $91.25–$335.80 | — | 30% |
| Hepatitis C antibody blood test (screening) CPT 86803 HB HEPATITIS C AB - DONOR | $52.50 | $75.00 | $13.56–$93.04 | 33% below | 30% |
| Hepatitis C antibody blood test (screening) CPT 86803 HB HEPATITIS C AB - DONOR | $52.50 | $75.00 | $13.56–$93.04 | 33% below | 30% |
| Hepatitis C antibody blood test (screening) CPT 86803 HB HEP C VIRUS AB CADAVER | $73.50 | $105.00 | $13.56–$96.60 | 6% below | 30% |
| Hepatitis C antibody blood test (screening) CPT 86803 HB HEPATITIS C AB-ALT METHOD DONOR | $73.50 | $105.00 | $13.56–$96.60 | 6% below | 30% |
| Hepatitis C antibody blood test (screening) CPT 86803 HB HEP C VIRUS AB CADAVER | $73.50 | $105.00 | $13.56–$96.60 | 6% below | 30% |
| Hepatitis C antibody blood test (screening) CPT 86803 HB HEPATITIS C AB-ALT METHOD DONOR | $73.50 | $105.00 | $13.56–$96.60 | 6% below | 30% |
| Hepatitis C antibody blood test (screening) CPT 86803 HB HEPATITIS C ANTIBODY | $152.60 | $218.00 | $13.56–$200.56 | 96% above | 30% |
| Hepatitis C antibody blood test (screening) CPT 86803 HB HEPATITIS C ANTIBODY | $152.60 | $218.00 | $13.56–$200.56 | 96% above | 30% |
| Hepatitis C antibody blood test (screening) CPT 86803 HB HEP C CONFIRMATION - CADAVER | $171.50 | $245.00 | $13.56–$225.40 | 120% above | 30% |
| Hepatitis C antibody blood test (screening) CPT 86803 HB HEP C CONFIRMATION - CADAVER | $171.50 | $245.00 | $13.56–$225.40 | 120% above | 30% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HB HEPATITIS C AB - DONOR | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HB HEPATITIS C AB - DONOR | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HB HEP C VIRUS AB CADAVER | $73.50 | $105.00 | $26.25–$96.60 | — | 30% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HB HEPATITIS C AB-ALT METHOD DONOR | $73.50 | $105.00 | $26.25–$96.60 | — | 30% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HB HEPATITIS C AB-ALT METHOD DONOR | $73.50 | $105.00 | $26.25–$96.60 | — | 30% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HB HEP C VIRUS AB CADAVER | $73.50 | $105.00 | $26.25–$96.60 | — | 30% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HB HEPATITIS C ANTIBODY | $152.60 | $218.00 | $54.50–$200.56 | — | 30% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HB HEPATITIS C ANTIBODY | $152.60 | $218.00 | $54.50–$200.56 | — | 30% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HB HEP C CONFIRMATION - CADAVER | $171.50 | $245.00 | $61.25–$225.40 | — | 30% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HB HEP C CONFIRMATION - CADAVER | $171.50 | $245.00 | $61.25–$225.40 | — | 30% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HB HCV QUANT PCR | $208.60 | $298.00 | $40.70–$341.44 | 19% below | 30% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HB HCV QUANT PCR | $208.60 | $298.00 | $40.70–$341.44 | 19% below | 30% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HB HEPATITIS C VIRUS BY QUANTITATIVE PCR | $223.30 | $319.00 | $40.70–$341.44 | 13% below | 30% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HB HEPATITIS C VIRUS BY QUANTITATIVE PCR | $223.30 | $319.00 | $40.70–$341.44 | 13% below | 30% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HB HCV QUANTITATIVE PCR - REPORT | $359.10 | $513.00 | $40.70–$471.96 | 39% above | 30% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HB HCV QUANTITATIVE PCR - REPORT | $359.10 | $513.00 | $40.70–$471.96 | 39% above | 30% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HB HCV QUANT PCR | $208.60 | $298.00 | $74.50–$274.16 | — | 30% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HB HCV QUANT PCR | $208.60 | $298.00 | $74.50–$274.16 | — | 30% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HB HEPATITIS C VIRUS BY QUANTITATIVE PCR | $223.30 | $319.00 | $79.75–$293.48 | — | 30% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HB HEPATITIS C VIRUS BY QUANTITATIVE PCR | $223.30 | $319.00 | $79.75–$293.48 | — | 30% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HB HCV QUANTITATIVE PCR - REPORT | $359.10 | $513.00 | $128.25–$471.96 | — | 30% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HB HCV QUANTITATIVE PCR - REPORT | $359.10 | $513.00 | $128.25–$471.96 | — | 30% |
| Herpes blood test, HSV-1 antibody CPT 86695 HB HSV 1 TYPE SPECIFIC IGG AB QNT | $127.40 | $182.00 | $12.53–$167.44 | 90% above | 30% |
| Herpes blood test, HSV-1 antibody CPT 86695 HB HSV 1 TYPE SPECIFIC IGG AB QNT | $127.40 | $182.00 | $12.53–$167.44 | 90% above | 30% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HB HSV 1 TYPE SPECIFIC IGG AB QNT | $127.40 | $182.00 | $45.50–$167.44 | — | 30% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HB HSV 1 TYPE SPECIFIC IGG AB QNT | $127.40 | $182.00 | $45.50–$167.44 | — | 30% |
| Herpes blood test, HSV-2 antibody CPT 86696 HB HSV 2 TYPE SPECIFIC IGG AB QNT | $127.40 | $182.00 | $18.38–$167.44 | 120% above | 30% |
| Herpes blood test, HSV-2 antibody CPT 86696 HB HSV 2 TYPE SPECIFIC IGG AB QNT | $127.40 | $182.00 | $18.38–$167.44 | 120% above | 30% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HB HSV 2 TYPE SPECIFIC IGG AB QNT | $127.40 | $182.00 | $45.50–$167.44 | — | 30% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HB HSV 2 TYPE SPECIFIC IGG AB QNT | $127.40 | $182.00 | $45.50–$167.44 | — | 30% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HB HIGH SENSITIVITY C-REACTIVE PROTEIN | $151.20 | $216.00 | $12.30–$198.72 | 94% above | 30% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HB HIGH SENSITIVITY C-REACTIVE PROTEIN | $151.20 | $216.00 | $12.30–$198.72 | 94% above | 30% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HB HIGH SENSITIVITY C-REACTIVE PROTEIN | $151.20 | $216.00 | $54.00–$198.72 | — | 30% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HB HIGH SENSITIVITY C-REACTIVE PROTEIN | $151.20 | $216.00 | $54.00–$198.72 | — | 30% |
| Homocysteine blood test CPT 83090 HB HOMOCYSTEINE | $165.90 | $237.00 | $17.02–$218.04 | 75% above | 30% |
| Homocysteine blood test CPT 83090 HB HOMOCYSTEINE | $165.90 | $237.00 | $17.02–$218.04 | 75% above | 30% |
| Homocysteine blood test inpatient CPT 83090 HB HOMOCYSTEINE | $165.90 | $237.00 | $59.25–$218.04 | — | 30% |
| Homocysteine blood test inpatient CPT 83090 HB HOMOCYSTEINE | $165.90 | $237.00 | $59.25–$218.04 | — | 30% |
| Insulin blood test CPT 83525 HB TOTAL INSULIN, SERUM | $52.50 | $75.00 | $10.86–$71.82 | 32% below | 30% |
| Insulin blood test CPT 83525 HB TOTAL INSULIN, SERUM | $52.50 | $75.00 | $10.86–$71.82 | 32% below | 30% |
| Insulin blood test CPT 83525 HB INSULIN R | $52.50 | $75.00 | $10.86–$71.82 | 32% below | 30% |
| Insulin blood test CPT 83525 HB INSULIN R | $52.50 | $75.00 | $10.86–$71.82 | 32% below | 30% |
| Insulin blood test CPT 83525 HB INSULIN ASSAY, SERUM | $75.60 | $108.00 | $10.86–$99.36 | 2% below | 30% |
| Insulin blood test CPT 83525 HB INSULIN ASSAY, SERUM | $75.60 | $108.00 | $10.86–$99.36 | 2% below | 30% |
| Insulin blood test CPT 83525 HB INSULIN, PLASMA TOTAL | $108.50 | $155.00 | $10.86–$142.60 | 41% above | 30% |
| Insulin blood test CPT 83525 HB INSULIN, PLASMA TOTAL | $108.50 | $155.00 | $10.86–$142.60 | 41% above | 30% |
| Insulin blood test inpatient CPT 83525 HB TOTAL INSULIN, SERUM | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| Insulin blood test inpatient CPT 83525 HB INSULIN R | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| Insulin blood test inpatient CPT 83525 HB INSULIN R | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| Insulin blood test inpatient CPT 83525 HB TOTAL INSULIN, SERUM | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| Insulin blood test inpatient CPT 83525 HB INSULIN ASSAY, SERUM | $75.60 | $108.00 | $27.00–$99.36 | — | 30% |
| Insulin blood test inpatient CPT 83525 HB INSULIN ASSAY, SERUM | $75.60 | $108.00 | $27.00–$99.36 | — | 30% |
| Insulin blood test inpatient CPT 83525 HB INSULIN, PLASMA TOTAL | $108.50 | $155.00 | $38.75–$142.60 | — | 30% |
| Insulin blood test inpatient CPT 83525 HB INSULIN, PLASMA TOTAL | $108.50 | $155.00 | $38.75–$142.60 | — | 30% |
| Iron blood test (serum iron) CPT 83540 HB IRON, SERUM | $60.90 | $87.00 | $6.15–$80.04 | 53% above | 30% |
| Iron blood test (serum iron) CPT 83540 HB IRON, SERUM | $60.90 | $87.00 | $6.15–$80.04 | 53% above | 30% |
| Iron blood test (serum iron) CPT 83540 HB IRON, LIVER TISSUE | $157.50 | $225.00 | $6.15–$207.00 | 295% above | 30% |
| Iron blood test (serum iron) CPT 83540 HB IRON, LIVER TISSUE | $157.50 | $225.00 | $6.15–$207.00 | 295% above | 30% |
| Iron blood test (serum iron) CPT 83540 HB IRON, URINE | $217.00 | $310.00 | $6.15–$285.20 | 444% above | 30% |
| Iron blood test (serum iron) CPT 83540 HB IRON, URINE | $217.00 | $310.00 | $6.15–$285.20 | 444% above | 30% |
| Iron blood test (serum iron) inpatient CPT 83540 HB IRON, SERUM | $60.90 | $87.00 | $21.75–$80.04 | — | 30% |
| Iron blood test (serum iron) inpatient CPT 83540 HB IRON, SERUM | $60.90 | $87.00 | $21.75–$80.04 | — | 30% |
| Iron blood test (serum iron) inpatient CPT 83540 HB IRON, LIVER TISSUE | $157.50 | $225.00 | $56.25–$207.00 | — | 30% |
| Iron blood test (serum iron) inpatient CPT 83540 HB IRON, LIVER TISSUE | $157.50 | $225.00 | $56.25–$207.00 | — | 30% |
| Iron blood test (serum iron) inpatient CPT 83540 HB IRON, URINE | $217.00 | $310.00 | $77.50–$285.20 | — | 30% |
| Iron blood test (serum iron) inpatient CPT 83540 HB IRON, URINE | $217.00 | $310.00 | $77.50–$285.20 | — | 30% |
| Iron-binding capacity (TIBC) test CPT 83550 HB IRON BINDING CAPACITY | $74.20 | $106.00 | $8.30–$97.52 | 53% above | 30% |
| Iron-binding capacity (TIBC) test CPT 83550 HB IRON BINDING CAPACITY | $74.20 | $106.00 | $8.30–$97.52 | 53% above | 30% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 HB IRON BINDING CAPACITY | $74.20 | $106.00 | $26.50–$97.52 | — | 30% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 HB IRON BINDING CAPACITY | $74.20 | $106.00 | $26.50–$97.52 | — | 30% |
| Kidney function blood test panel CPT 80069 HB RENAL FUNCTION PANEL | $497.70 | $711.00 | $8.25–$654.12 | 468% above | 30% |
| Kidney function blood test panel CPT 80069 HB RENAL FUNCTION PANEL | $497.70 | $711.00 | $8.25–$654.12 | 468% above | 30% |
| Kidney function blood test panel inpatient CPT 80069 HB RENAL FUNCTION PANEL | $497.70 | $711.00 | $177.75–$654.12 | — | 30% |
| Kidney function blood test panel inpatient CPT 80069 HB RENAL FUNCTION PANEL | $497.70 | $711.00 | $177.75–$654.12 | — | 30% |
| LH (luteinizing hormone) test CPT 83002 HB LUTEINIZING HORMONE (LH), PEDIATRIC | $54.60 | $78.00 | $17.59–$122.66 | 41% below | 30% |
| LH (luteinizing hormone) test CPT 83002 HB LUTEINIZING HORMONE (LH), PEDIATRIC | $54.60 | $78.00 | $17.59–$122.66 | 41% below | 30% |
| LH (luteinizing hormone) test CPT 83002 HB LH, LUTENIZING HORMONE | $161.00 | $230.00 | $17.59–$211.60 | 74% above | 30% |
| LH (luteinizing hormone) test CPT 83002 HB LH, LUTENIZING HORMONE | $161.00 | $230.00 | $17.59–$211.60 | 74% above | 30% |
| LH (luteinizing hormone) test inpatient CPT 83002 HB LUTEINIZING HORMONE (LH), PEDIATRIC | $54.60 | $78.00 | $19.50–$71.76 | — | 30% |
| LH (luteinizing hormone) test inpatient CPT 83002 HB LUTEINIZING HORMONE (LH), PEDIATRIC | $54.60 | $78.00 | $19.50–$71.76 | — | 30% |
| LH (luteinizing hormone) test inpatient CPT 83002 HB LH, LUTENIZING HORMONE | $161.00 | $230.00 | $57.50–$211.60 | — | 30% |
| LH (luteinizing hormone) test inpatient CPT 83002 HB LH, LUTENIZING HORMONE | $161.00 | $230.00 | $57.50–$211.60 | — | 30% |
| Lipase blood test (pancreas enzyme) CPT 83690 HB LIPASE - MISC FLUID | $74.90 | $107.00 | $6.55–$98.44 | 18% above | 30% |
| Lipase blood test (pancreas enzyme) CPT 83690 HB LIPASE | $74.90 | $107.00 | $6.55–$98.44 | 18% above | 30% |
| Lipase blood test (pancreas enzyme) CPT 83690 HB LIPASE - MISC FLUID | $74.90 | $107.00 | $6.55–$98.44 | 18% above | 30% |
| Lipase blood test (pancreas enzyme) CPT 83690 HB LIPASE | $74.90 | $107.00 | $6.55–$98.44 | 18% above | 30% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 HB LIPASE | $74.90 | $107.00 | $26.75–$98.44 | — | 30% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 HB LIPASE - MISC FLUID | $74.90 | $107.00 | $26.75–$98.44 | — | 30% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 HB LIPASE - MISC FLUID | $74.90 | $107.00 | $26.75–$98.44 | — | 30% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 HB LIPASE | $74.90 | $107.00 | $26.75–$98.44 | — | 30% |
| Liver function blood test panel CPT 80076 HB HEPATIC FUNCTION PANEL | $357.00 | $510.00 | $7.76–$469.20 | 323% above | 30% |
| Liver function blood test panel CPT 80076 HB HEPATIC FUNCTION PANEL | $357.00 | $510.00 | $7.76–$469.20 | 323% above | 30% |
| Liver function blood test panel inpatient CPT 80076 HB HEPATIC FUNCTION PANEL | $357.00 | $510.00 | $127.50–$469.20 | — | 30% |
| Liver function blood test panel inpatient CPT 80076 HB HEPATIC FUNCTION PANEL | $357.00 | $510.00 | $127.50–$469.20 | — | 30% |
| Lyme disease antibody test CPT 86618 HB BORRELIA BURGDORFERI ANTIBODY, BY ELISA, CSF | $52.50 | $75.00 | $16.18–$112.09 | 41% below | 30% |
| Lyme disease antibody test CPT 86618 HB BORRELIA BURGDORFERI ANTIBODY, BY ELISA, CSF | $52.50 | $75.00 | $16.18–$112.09 | 41% below | 30% |
| Lyme disease antibody test CPT 86618 HB B. BURGDORFERI LYME, SERUM | $91.70 | $131.00 | $16.18–$120.52 | 4% above | 30% |
| Lyme disease antibody test CPT 86618 HB B. BURGDORFERI LYME, SERUM | $91.70 | $131.00 | $16.18–$120.52 | 4% above | 30% |
| Lyme disease antibody test CPT 86618 HB LYME DISEASE AB, ACUTE TOTAL | $104.30 | $149.00 | $16.18–$137.08 | 18% above | 30% |
| Lyme disease antibody test CPT 86618 HB LYME DISEASE AB, ACUTE TOTAL | $104.30 | $149.00 | $16.18–$137.08 | 18% above | 30% |
| Lyme disease antibody test CPT 86618 HB LYME DISEASE AB, ACUTE IGM | $109.90 | $157.00 | $16.18–$144.44 | 24% above | 30% |
| Lyme disease antibody test CPT 86618 HB LYME DISEASE AB, ACUTE IGM | $109.90 | $157.00 | $16.18–$144.44 | 24% above | 30% |
| Lyme disease antibody test CPT 86618 HB LYME DISEASE AB, LATE | $110.60 | $158.00 | $16.18–$145.36 | 25% above | 30% |
| Lyme disease antibody test CPT 86618 HB LYME DISEASE AB, LATE | $110.60 | $158.00 | $16.18–$145.36 | 25% above | 30% |
| Lyme disease antibody test CPT 86618 HB LYME AB, (LATE DISEASE) MAILOUT | $115.50 | $165.00 | $16.18–$151.80 | 31% above | 30% |
| Lyme disease antibody test CPT 86618 HB LYME AB, (LATE DISEASE) MAILOUT | $115.50 | $165.00 | $16.18–$151.80 | 31% above | 30% |
| Lyme disease antibody test CPT 86618 HB LYME DISEASE, ACUTE DISEASE (MAILOUT) | $115.50 | $165.00 | $16.18–$151.80 | 31% above | 30% |
| Lyme disease antibody test CPT 86618 HB LYME DISEASE, ACUTE DISEASE (MAILOUT) | $115.50 | $165.00 | $16.18–$151.80 | 31% above | 30% |
| Lyme disease antibody test inpatient CPT 86618 HB BORRELIA BURGDORFERI ANTIBODY, BY ELISA, CSF | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| Lyme disease antibody test inpatient CPT 86618 HB BORRELIA BURGDORFERI ANTIBODY, BY ELISA, CSF | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| Lyme disease antibody test inpatient CPT 86618 HB B. BURGDORFERI LYME, SERUM | $91.70 | $131.00 | $32.75–$120.52 | — | 30% |
| Lyme disease antibody test inpatient CPT 86618 HB B. BURGDORFERI LYME, SERUM | $91.70 | $131.00 | $32.75–$120.52 | — | 30% |
| Lyme disease antibody test inpatient CPT 86618 HB LYME DISEASE AB, ACUTE TOTAL | $104.30 | $149.00 | $37.25–$137.08 | — | 30% |
| Lyme disease antibody test inpatient CPT 86618 HB LYME DISEASE AB, ACUTE TOTAL | $104.30 | $149.00 | $37.25–$137.08 | — | 30% |
| Lyme disease antibody test inpatient CPT 86618 HB LYME DISEASE AB, ACUTE IGM | $109.90 | $157.00 | $39.25–$144.44 | — | 30% |
| Lyme disease antibody test inpatient CPT 86618 HB LYME DISEASE AB, ACUTE IGM | $109.90 | $157.00 | $39.25–$144.44 | — | 30% |
| Lyme disease antibody test inpatient CPT 86618 HB LYME DISEASE AB, LATE | $110.60 | $158.00 | $39.50–$145.36 | — | 30% |
| Lyme disease antibody test inpatient CPT 86618 HB LYME DISEASE AB, LATE | $110.60 | $158.00 | $39.50–$145.36 | — | 30% |
| Lyme disease antibody test inpatient CPT 86618 HB LYME DISEASE, ACUTE DISEASE (MAILOUT) | $115.50 | $165.00 | $41.25–$151.80 | — | 30% |
| Lyme disease antibody test inpatient CPT 86618 HB LYME AB, (LATE DISEASE) MAILOUT | $115.50 | $165.00 | $41.25–$151.80 | — | 30% |
| Lyme disease antibody test inpatient CPT 86618 HB LYME DISEASE, ACUTE DISEASE (MAILOUT) | $115.50 | $165.00 | $41.25–$151.80 | — | 30% |
| Lyme disease antibody test inpatient CPT 86618 HB LYME AB, (LATE DISEASE) MAILOUT | $115.50 | $165.00 | $41.25–$151.80 | — | 30% |
| Magnesium blood test CPT 83735 HB MAGNESIUM - MISC FLUID | $48.30 | $69.00 | $6.37–$63.48 | at median | 30% |
| Magnesium blood test CPT 83735 HB MAGNESIUM, URINE QUANTITATVE, 24 HOUR | $48.30 | $69.00 | $6.37–$63.48 | at median | 30% |
| Magnesium blood test CPT 83735 HB MAGNESIUM, URINE QUANTITATVE, 24 HOUR | $48.30 | $69.00 | $6.37–$63.48 | at median | 30% |
| Magnesium blood test CPT 83735 HB MAGNESIUM - MISC FLUID | $48.30 | $69.00 | $6.37–$63.48 | at median | 30% |
| Magnesium blood test CPT 83735 HB MAGNESIUM, URINE STONE | $52.50 | $75.00 | $6.37–$69.00 | 8% above | 30% |
| Magnesium blood test CPT 83735 HB MAGNESIUM, URINE RANDOM, SUPRA | $52.50 | $75.00 | $6.37–$69.00 | 8% above | 30% |
| Magnesium blood test CPT 83735 HB MAGNESIUM, URINE RANDOM, SUPRA | $52.50 | $75.00 | $6.37–$69.00 | 8% above | 30% |
| Magnesium blood test CPT 83735 HB MAGNESIUM, URINE STONE | $52.50 | $75.00 | $6.37–$69.00 | 8% above | 30% |
| Magnesium blood test CPT 83735 HB MAGNESIUM, URINE QUANTITATIVE RANDOM | $69.30 | $99.00 | $6.37–$91.08 | 43% above | 30% |
| Magnesium blood test CPT 83735 HB MAGNESIUM, URINE QUANTITATIVE RANDOM | $69.30 | $99.00 | $6.37–$91.08 | 43% above | 30% |
| Magnesium blood test CPT 83735 HB MAGNESIUM | $69.30 | $99.00 | $6.37–$91.08 | 43% above | 30% |
| Magnesium blood test CPT 83735 HB MAGNESIUM | $69.30 | $99.00 | $6.37–$91.08 | 43% above | 30% |
| Magnesium blood test CPT 83735 HB, RBC MAGNESIUM | $77.70 | $111.00 | $6.37–$102.12 | 60% above | 30% |
| Magnesium blood test CPT 83735 HB, RBC MAGNESIUM | $77.70 | $111.00 | $6.37–$102.12 | 60% above | 30% |
| Magnesium blood test inpatient CPT 83735 HB MAGNESIUM, URINE QUANTITATVE, 24 HOUR | $48.30 | $69.00 | $17.25–$63.48 | — | 30% |
| Magnesium blood test inpatient CPT 83735 HB MAGNESIUM - MISC FLUID | $48.30 | $69.00 | $17.25–$63.48 | — | 30% |
| Magnesium blood test inpatient CPT 83735 HB MAGNESIUM - MISC FLUID | $48.30 | $69.00 | $17.25–$63.48 | — | 30% |
| Magnesium blood test inpatient CPT 83735 HB MAGNESIUM, URINE QUANTITATVE, 24 HOUR | $48.30 | $69.00 | $17.25–$63.48 | — | 30% |
| Magnesium blood test inpatient CPT 83735 HB MAGNESIUM, URINE STONE | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| Magnesium blood test inpatient CPT 83735 HB MAGNESIUM, URINE RANDOM, SUPRA | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| Magnesium blood test inpatient CPT 83735 HB MAGNESIUM, URINE RANDOM, SUPRA | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| Magnesium blood test inpatient CPT 83735 HB MAGNESIUM, URINE STONE | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| Magnesium blood test inpatient CPT 83735 HB MAGNESIUM, URINE QUANTITATIVE RANDOM | $69.30 | $99.00 | $24.75–$91.08 | — | 30% |
| Magnesium blood test inpatient CPT 83735 HB MAGNESIUM | $69.30 | $99.00 | $24.75–$91.08 | — | 30% |
| Magnesium blood test inpatient CPT 83735 HB MAGNESIUM, URINE QUANTITATIVE RANDOM | $69.30 | $99.00 | $24.75–$91.08 | — | 30% |
| Magnesium blood test inpatient CPT 83735 HB MAGNESIUM | $69.30 | $99.00 | $24.75–$91.08 | — | 30% |
| Magnesium blood test inpatient CPT 83735 HB, RBC MAGNESIUM | $77.70 | $111.00 | $27.75–$102.12 | — | 30% |
| Magnesium blood test inpatient CPT 83735 HB, RBC MAGNESIUM | $77.70 | $111.00 | $27.75–$102.12 | — | 30% |
| Measles (rubeola) antibody test CPT 86765 HB SHL RUBEOLA ANTIBODY | $52.50 | $75.00 | $12.24–$84.59 | 4% below | 30% |
| Measles (rubeola) antibody test CPT 86765 HB SHL RUBEOLA ANTIBODY | $52.50 | $75.00 | $12.24–$84.59 | 4% below | 30% |
| Measles (rubeola) antibody test CPT 86765 HB RUBEOLA IGG ANTIBODY DETECTION | $112.00 | $160.00 | $12.24–$147.20 | 105% above | 30% |
| Measles (rubeola) antibody test CPT 86765 HB RUBEOLA IGG ANTIBODY DETECTION | $112.00 | $160.00 | $12.24–$147.20 | 105% above | 30% |
| Measles (rubeola) antibody test inpatient CPT 86765 HB SHL RUBEOLA ANTIBODY | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| Measles (rubeola) antibody test inpatient CPT 86765 HB SHL RUBEOLA ANTIBODY | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| Measles (rubeola) antibody test inpatient CPT 86765 HB RUBEOLA IGG ANTIBODY DETECTION | $112.00 | $160.00 | $40.00–$147.20 | — | 30% |
| Measles (rubeola) antibody test inpatient CPT 86765 HB RUBEOLA IGG ANTIBODY DETECTION | $112.00 | $160.00 | $40.00–$147.20 | — | 30% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HB HETEROPHILE, SLIDE TEST FOR INFECTIOUS MONO | $74.90 | $107.00 | $4.92–$98.44 | 54% above | 30% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HB HETEROPHILE, SLIDE TEST FOR INFECTIOUS MONO | $74.90 | $107.00 | $4.92–$98.44 | 54% above | 30% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HB HETEROPHILE ANTIBODY | $74.90 | $107.00 | $4.92–$98.44 | 54% above | 30% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HB HETEROPHILE ANTIBODY | $74.90 | $107.00 | $4.92–$98.44 | 54% above | 30% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HB HETEROPHILE ANTIBODY | $74.90 | $107.00 | $26.75–$98.44 | — | 30% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HB HETEROPHILE, SLIDE TEST FOR INFECTIOUS MONO | $74.90 | $107.00 | $26.75–$98.44 | — | 30% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HB HETEROPHILE ANTIBODY | $74.90 | $107.00 | $26.75–$98.44 | — | 30% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HB HETEROPHILE, SLIDE TEST FOR INFECTIOUS MONO | $74.90 | $107.00 | $26.75–$98.44 | — | 30% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HB FREE PROSTATIC ANTIGEN | $181.30 | $259.00 | $17.47–$238.28 | 86% above | 30% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HB FREE PROSTATIC ANTIGEN | $181.30 | $259.00 | $17.47–$238.28 | 86% above | 30% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HB FREE PROSTATIC ANTIGEN | $181.30 | $259.00 | $64.75–$238.28 | — | 30% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HB FREE PROSTATIC ANTIGEN | $181.30 | $259.00 | $64.75–$238.28 | — | 30% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HB PROSTATE SPECIFIC ANTIGEN | $181.30 | $259.00 | $17.47–$238.28 | 88% above | 30% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HB PROSTATE SPECIFIC ANTIGEN | $181.30 | $259.00 | $17.47–$238.28 | 88% above | 30% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HB PROSTATE SPECIFIC ANTIGEN | $181.30 | $259.00 | $64.75–$238.28 | — | 30% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HB PROSTATE SPECIFIC ANTIGEN | $181.30 | $259.00 | $64.75–$238.28 | — | 30% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HB CERVICAL/VAGINAL CYTOLOGY-THIN LAYER PREP, DX | $221.20 | $316.00 | $19.25–$290.72 | 282% above | 30% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HB CERVICAL/VAGINAL CYTOLOGY-THIN LAYER PREP, DX | $221.20 | $316.00 | $19.25–$290.72 | 282% above | 30% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HB CERVICAL/VAGINAL CYTOLOGY-THIN LAYER PREP, DX | $221.20 | $316.00 | $79.00–$290.72 | — | 30% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HB CERVICAL/VAGINAL CYTOLOGY-THIN LAYER PREP, DX | $221.20 | $316.00 | $79.00–$290.72 | — | 30% |
| Parathyroid hormone (PTH) blood test CPT 83970 HB PARATHYROID HORMONE | $265.30 | $379.00 | $39.22–$348.68 | 50% above | 30% |
| Parathyroid hormone (PTH) blood test CPT 83970 HB INTEROPERATIVE PTH | $265.30 | $379.00 | $39.22–$348.68 | 50% above | 30% |
| Parathyroid hormone (PTH) blood test CPT 83970 HB PARATHYROID HORMONE | $265.30 | $379.00 | $39.22–$348.68 | 50% above | 30% |
| Parathyroid hormone (PTH) blood test CPT 83970 HB INTEROPERATIVE PTH | $265.30 | $379.00 | $39.22–$348.68 | 50% above | 30% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HB PARATHYROID HORMONE | $265.30 | $379.00 | $94.75–$348.68 | — | 30% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HB INTEROPERATIVE PTH | $265.30 | $379.00 | $94.75–$348.68 | — | 30% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HB INTEROPERATIVE PTH | $265.30 | $379.00 | $94.75–$348.68 | — | 30% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HB PARATHYROID HORMONE | $265.30 | $379.00 | $94.75–$348.68 | — | 30% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HB PARTIAL THROMBOPLASTIN TIME (PTT) | $69.30 | $99.00 | $5.71–$91.08 | 54% above | 30% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HB PARTIAL THROMBOPLASTIN TIME (PTT) | $69.30 | $99.00 | $5.71–$91.08 | 54% above | 30% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HB PARTIAL THROMBOPLASTIN TIME (PTT) | $69.30 | $99.00 | $24.75–$91.08 | — | 30% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HB PARTIAL THROMBOPLASTIN TIME (PTT) | $69.30 | $99.00 | $24.75–$91.08 | — | 30% |
| Progesterone blood test CPT 84144 HB PROGESTERONE, SERUM | $209.30 | $299.00 | $19.82–$275.08 | 115% above | 30% |
| Progesterone blood test CPT 84144 HB PROGESTERONE, SERUM | $209.30 | $299.00 | $19.82–$275.08 | 115% above | 30% |
| Progesterone blood test inpatient CPT 84144 HB PROGESTERONE, SERUM | $209.30 | $299.00 | $74.75–$275.08 | — | 30% |
| Progesterone blood test inpatient CPT 84144 HB PROGESTERONE, SERUM | $209.30 | $299.00 | $74.75–$275.08 | — | 30% |
| Prolactin blood test CPT 84146 HB PROLACTIN, SERUM | $168.00 | $240.00 | $18.41–$220.80 | 68% above | 30% |
| Prolactin blood test CPT 84146 HB PROLACTIN, SERUM | $168.00 | $240.00 | $18.41–$220.80 | 68% above | 30% |
| Prolactin blood test inpatient CPT 84146 HB PROLACTIN, SERUM | $168.00 | $240.00 | $60.00–$220.80 | — | 30% |
| Prolactin blood test inpatient CPT 84146 HB PROLACTIN, SERUM | $168.00 | $240.00 | $60.00–$220.80 | — | 30% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HB PROTHROMBIN TIME (INTERNATIONAL NORMALIZED RATIO, INR) | $48.30 | $69.00 | $4.08–$63.48 | 47% above | 30% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HB PROTHROMBIN TIME (INTERNATIONAL NORMALIZED RATIO, INR) | $48.30 | $69.00 | $4.08–$63.48 | 47% above | 30% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HB PROTHROMBIN TIME | $69.30 | $99.00 | $4.08–$91.08 | 111% above | 30% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HB INTERNATIONAL NORMALIZED RATIO, INR - PHARM CLINIC | $69.30 | $99.00 | $4.08–$91.08 | 111% above | 30% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HB INTERNATIONAL NORMALIZED RATIO, INR - PHARM CLINIC | $69.30 | $99.00 | $4.08–$91.08 | 111% above | 30% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HB PROTHROMBIN TIME | $69.30 | $99.00 | $4.08–$91.08 | 111% above | 30% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HB PROTHROMBIN TIME (INTERNATIONAL NORMALIZED RATIO, INR) | $48.30 | $69.00 | $17.25–$63.48 | — | 30% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HB PROTHROMBIN TIME (INTERNATIONAL NORMALIZED RATIO, INR) | $48.30 | $69.00 | $17.25–$63.48 | — | 30% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HB INTERNATIONAL NORMALIZED RATIO, INR - PHARM CLINIC | $69.30 | $99.00 | $24.75–$91.08 | — | 30% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HB INTERNATIONAL NORMALIZED RATIO, INR - PHARM CLINIC | $69.30 | $99.00 | $24.75–$91.08 | — | 30% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HB PROTHROMBIN TIME | $69.30 | $99.00 | $24.75–$91.08 | — | 30% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HB PROTHROMBIN TIME | $69.30 | $99.00 | $24.75–$91.08 | — | 30% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HB RAPID STREP | $126.70 | $181.00 | $15.70–$166.52 | 153% above | 30% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HB RAPID STREP | $126.70 | $181.00 | $15.70–$166.52 | 153% above | 30% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HB RAPID STREP | $126.70 | $181.00 | $45.25–$166.52 | — | 30% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HB RAPID STREP | $126.70 | $181.00 | $45.25–$166.52 | — | 30% |
| Rheumatoid factor (RF) test CPT 86431 HB RHEUMATOID FACTOR | $73.50 | $105.00 | $5.39–$96.60 | 51% above | 30% |
| Rheumatoid factor (RF) test CPT 86431 HB RHEUMATOID FACTOR | $73.50 | $105.00 | $5.39–$96.60 | 51% above | 30% |
| Rheumatoid factor (RF) test CPT 86431 HB RHEUMATOID FACTOR QUANT | $209.30 | $299.00 | $5.39–$275.08 | 331% above | 30% |
| Rheumatoid factor (RF) test CPT 86431 HB RHEUMATOID FACTOR QUANT | $209.30 | $299.00 | $5.39–$275.08 | 331% above | 30% |
| Rheumatoid factor (RF) test inpatient CPT 86431 HB RHEUMATOID FACTOR | $73.50 | $105.00 | $26.25–$96.60 | — | 30% |
| Rheumatoid factor (RF) test inpatient CPT 86431 HB RHEUMATOID FACTOR | $73.50 | $105.00 | $26.25–$96.60 | — | 30% |
| Rheumatoid factor (RF) test inpatient CPT 86431 HB RHEUMATOID FACTOR QUANT | $209.30 | $299.00 | $74.75–$275.08 | — | 30% |
| Rheumatoid factor (RF) test inpatient CPT 86431 HB RHEUMATOID FACTOR QUANT | $209.30 | $299.00 | $74.75–$275.08 | — | 30% |
| Rubella antibody test (immunity check) CPT 86762 HB RUBELLA IGG | $103.60 | $148.00 | $13.67–$136.16 | 76% above | 30% |
| Rubella antibody test (immunity check) CPT 86762 HB RUBELLA IGG | $103.60 | $148.00 | $13.67–$136.16 | 76% above | 30% |
| Rubella antibody test (immunity check) CPT 86762 HB RUBELLA IGM | $151.20 | $216.00 | $13.67–$198.72 | 157% above | 30% |
| Rubella antibody test (immunity check) CPT 86762 HB RUBELLA IGM | $151.20 | $216.00 | $13.67–$198.72 | 157% above | 30% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HB RUBELLA IGG | $103.60 | $148.00 | $37.00–$136.16 | — | 30% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HB RUBELLA IGG | $103.60 | $148.00 | $37.00–$136.16 | — | 30% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HB RUBELLA IGM | $151.20 | $216.00 | $54.00–$198.72 | — | 30% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HB RUBELLA IGM | $151.20 | $216.00 | $54.00–$198.72 | — | 30% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HB SED RATE | $46.90 | $67.00 | $2.57–$61.64 | 40% above | 30% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HB SED RATE | $46.90 | $67.00 | $2.57–$61.64 | 40% above | 30% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HB SEDIMENTATION RATE | $60.90 | $87.00 | $2.57–$80.04 | 81% above | 30% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HB SEDIMENTATION RATE | $60.90 | $87.00 | $2.57–$80.04 | 81% above | 30% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HB ACETONE QUAL | $77.70 | $111.00 | $2.57–$102.12 | 131% above | 30% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HB ACETONE QUAL | $77.70 | $111.00 | $2.57–$102.12 | 131% above | 30% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HB SED RATE | $46.90 | $67.00 | $16.75–$61.64 | — | 30% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HB SED RATE | $46.90 | $67.00 | $16.75–$61.64 | — | 30% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HB SEDIMENTATION RATE | $60.90 | $87.00 | $21.75–$80.04 | — | 30% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HB SEDIMENTATION RATE | $60.90 | $87.00 | $21.75–$80.04 | — | 30% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HB ACETONE QUAL | $77.70 | $111.00 | $27.75–$102.12 | — | 30% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HB ACETONE QUAL | $77.70 | $111.00 | $27.75–$102.12 | — | 30% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 HB SEMEN ANALYSIS;COMPLETE(VOLUME,COUNT,MOTILITY,DIFF) | $161.00 | $230.00 | $11.69–$211.60 | 185% above | 30% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 HB SEMEN ANALYSIS;COMPLETE(VOLUME,COUNT,MOTILITY,DIFF) | $161.00 | $230.00 | $11.69–$211.60 | 185% above | 30% |
| Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 HB SEMEN ANALYSIS;COMPLETE(VOLUME,COUNT,MOTILITY,DIFF) | $161.00 | $230.00 | $57.50–$211.60 | — | 30% |
| Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 HB SEMEN ANALYSIS;COMPLETE(VOLUME,COUNT,MOTILITY,DIFF) | $161.00 | $230.00 | $57.50–$211.60 | — | 30% |
| Stool ova and parasites exam CPT 87177 HB SHL OVA AND PARASITES EXAMINATION | $52.50 | $75.00 | $8.46–$69.00 | 12% above | 30% |
| Stool ova and parasites exam CPT 87177 HB SHL OVA AND PARASITES EXAMINATION | $52.50 | $75.00 | $8.46–$69.00 | 12% above | 30% |
| Stool ova and parasites exam CPT 87177 HB OVA AND PARASITES EXAMINATION | $69.30 | $99.00 | $8.46–$91.08 | 48% above | 30% |
| Stool ova and parasites exam CPT 87177 HB OVA AND PARASITES EXAMINATION | $69.30 | $99.00 | $8.46–$91.08 | 48% above | 30% |
| Stool ova and parasites exam CPT 87177 HB T. CRUZI, WET PREP | $360.50 | $515.00 | $8.46–$473.80 | 669% above | 30% |
| Stool ova and parasites exam CPT 87177 HB T. CRUZI, WET PREP | $360.50 | $515.00 | $8.46–$473.80 | 669% above | 30% |
| Stool ova and parasites exam inpatient CPT 87177 HB SHL OVA AND PARASITES EXAMINATION | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| Stool ova and parasites exam inpatient CPT 87177 HB SHL OVA AND PARASITES EXAMINATION | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| Stool ova and parasites exam inpatient CPT 87177 HB OVA AND PARASITES EXAMINATION | $69.30 | $99.00 | $24.75–$91.08 | — | 30% |
| Stool ova and parasites exam inpatient CPT 87177 HB OVA AND PARASITES EXAMINATION | $69.30 | $99.00 | $24.75–$91.08 | — | 30% |
| Stool ova and parasites exam inpatient CPT 87177 HB T. CRUZI, WET PREP | $360.50 | $515.00 | $128.75–$473.80 | — | 30% |
| Stool ova and parasites exam inpatient CPT 87177 HB T. CRUZI, WET PREP | $360.50 | $515.00 | $128.75–$473.80 | — | 30% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HB GUAIAC - BLOOD FECES FOR COLORECTAL CANCER SCREENING | $60.90 | $87.00 | $4.16–$80.04 | 85% above | 30% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HB GUAIAC - BLOOD FECES FOR COLORECTAL CANCER SCREENING | $60.90 | $87.00 | $4.16–$80.04 | 85% above | 30% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HB GUAIAC - BLOOD FECES FOR COLORECTAL CANCER SCREENING | $60.90 | $87.00 | $21.75–$80.04 | — | 30% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HB GUAIAC - BLOOD FECES FOR COLORECTAL CANCER SCREENING | $60.90 | $87.00 | $21.75–$80.04 | — | 30% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HB FECAL OCCULT BLOOD IMMUNOASSAY DIAGNOSTIC | $126.00 | $180.00 | $15.12–$165.60 | 119% above | 30% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HB FECAL OCCULT BLOOD IMMUNOASSAY DIAGNOSTIC | $126.00 | $180.00 | $15.12–$165.60 | 119% above | 30% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HB FECAL OCCULT BLOOD IMMUNOASSAY (QUIDEL) DIAGNOSTIC | $170.80 | $244.00 | $15.12–$224.48 | 197% above | 30% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HB FECAL OCCULT BLOOD IMMUNOASSAY (QUIDEL) DIAGNOSTIC | $170.80 | $244.00 | $15.12–$224.48 | 197% above | 30% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HB FECAL OCCULT BLOOD IMMUNOASSAY DIAGNOSTIC | $126.00 | $180.00 | $45.00–$165.60 | — | 30% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HB FECAL OCCULT BLOOD IMMUNOASSAY DIAGNOSTIC | $126.00 | $180.00 | $45.00–$165.60 | — | 30% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HB FECAL OCCULT BLOOD IMMUNOASSAY (QUIDEL) DIAGNOSTIC | $170.80 | $244.00 | $61.00–$224.48 | — | 30% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HB FECAL OCCULT BLOOD IMMUNOASSAY (QUIDEL) DIAGNOSTIC | $170.80 | $244.00 | $61.00–$224.48 | — | 30% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HB SYPHILIS TEST, NON-TREPONEMAL AB (RPR) | $36.40 | $52.00 | $4.06–$47.84 | 25% below | 30% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HB SYPHILIS TEST, NON-TREPONEMAL AB (RPR) | $36.40 | $52.00 | $4.06–$47.84 | 25% below | 30% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HB RPR, SYPHILIS SEROLOGY | $52.50 | $75.00 | $4.06–$69.00 | 8% above | 30% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HB TREPONEMA PALLIDUM | $52.50 | $75.00 | $4.06–$69.00 | 8% above | 30% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HB SYPHILIS TPPA SERIES-DONOR | $52.50 | $75.00 | $4.06–$69.00 | 8% above | 30% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HB RPR, SYPHILIS SEROLOGY | $52.50 | $75.00 | $4.06–$69.00 | 8% above | 30% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HB TREPONEMA PALLIDUM CSF | $52.50 | $75.00 | $4.06–$69.00 | 8% above | 30% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HB TREPONEMA PALLIDUM | $52.50 | $75.00 | $4.06–$69.00 | 8% above | 30% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HB SYPHILIS TPPA SERIES-DONOR | $52.50 | $75.00 | $4.06–$69.00 | 8% above | 30% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HB TREPONEMA PALLIDUM CSF | $52.50 | $75.00 | $4.06–$69.00 | 8% above | 30% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HB SYPHILIS TEST, NON-TREPONEMAL AB (RPR) | $36.40 | $52.00 | $13.00–$47.84 | — | 30% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HB SYPHILIS TEST, NON-TREPONEMAL AB (RPR) | $36.40 | $52.00 | $13.00–$47.84 | — | 30% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HB SYPHILIS TPPA SERIES-DONOR | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HB RPR, SYPHILIS SEROLOGY | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HB TREPONEMA PALLIDUM CSF | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HB TREPONEMA PALLIDUM | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HB TREPONEMA PALLIDUM CSF | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HB TREPONEMA PALLIDUM | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HB SYPHILIS TPPA SERIES-DONOR | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HB RPR, SYPHILIS SEROLOGY | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HB M TUBERCULOSIS BY QUANTIFERON IN TUBE LATENT | $124.60 | $178.00 | $44.50–$408.16 | 21% below | 30% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HB M TUBERCULOSIS BY QUANTIFERON IN TUBE LATENT | $124.60 | $178.00 | $44.50–$408.16 | 21% below | 30% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HB M TUBERCULOSIS BY QUANTIFERON | $177.10 | $253.00 | $58.88–$408.16 | 13% above | 30% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HB M TUBERCULOSIS BY QUANTIFERON | $177.10 | $253.00 | $58.88–$408.16 | 13% above | 30% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HB SHL QUANTIFERON TB GOLD | $297.50 | $425.00 | $58.88–$408.16 | 89% above | 30% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HB SHL QUANTIFERON TB GOLD | $297.50 | $425.00 | $58.88–$408.16 | 89% above | 30% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HB QUANTIFERON-TB GOLD | $501.20 | $716.00 | $58.88–$658.72 | 219% above | 30% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HB QUANTIFERON-TB GOLD | $501.20 | $716.00 | $58.88–$658.72 | 219% above | 30% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HB M TUBERCULOSIS BY QUANTIFERON IN TUBE LATENT | $124.60 | $178.00 | $44.50–$163.76 | — | 30% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HB M TUBERCULOSIS BY QUANTIFERON IN TUBE LATENT | $124.60 | $178.00 | $44.50–$163.76 | — | 30% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HB M TUBERCULOSIS BY QUANTIFERON | $177.10 | $253.00 | $63.25–$232.76 | — | 30% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HB M TUBERCULOSIS BY QUANTIFERON | $177.10 | $253.00 | $63.25–$232.76 | — | 30% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HB SHL QUANTIFERON TB GOLD | $297.50 | $425.00 | $106.25–$391.00 | — | 30% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HB SHL QUANTIFERON TB GOLD | $297.50 | $425.00 | $106.25–$391.00 | — | 30% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HB QUANTIFERON-TB GOLD | $501.20 | $716.00 | $179.00–$658.72 | — | 30% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HB QUANTIFERON-TB GOLD | $501.20 | $716.00 | $179.00–$658.72 | — | 30% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HB TESTOSTERONE, FREE AND TOTAL (INCLUDES SHBG) | $56.70 | $81.00 | $20.25–$171.31 | 45% below | 30% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HB TESTOSTERONE, FREE AND TOTAL (INCLUDES SHBG) | $56.70 | $81.00 | $20.25–$171.31 | 45% below | 30% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HB TESTOSTERONE | $86.80 | $124.00 | $24.52–$171.31 | 16% below | 30% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HB TESTOSTERONE | $86.80 | $124.00 | $24.52–$171.31 | 16% below | 30% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HB TESTOSTERONE, TOTAL-SERUM | $160.30 | $229.00 | $24.52–$210.68 | 55% above | 30% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HB TESTOSTERONE, TOTAL-SERUM | $160.30 | $229.00 | $24.52–$210.68 | 55% above | 30% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HB TESTOSTERONE, FREE AND TOTAL (INCLUDES SHBG) | $56.70 | $81.00 | $20.25–$74.52 | — | 30% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HB TESTOSTERONE, FREE AND TOTAL (INCLUDES SHBG) | $56.70 | $81.00 | $20.25–$74.52 | — | 30% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HB TESTOSTERONE | $86.80 | $124.00 | $31.00–$114.08 | — | 30% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HB TESTOSTERONE | $86.80 | $124.00 | $31.00–$114.08 | — | 30% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HB TESTOSTERONE, TOTAL-SERUM | $160.30 | $229.00 | $57.25–$210.68 | — | 30% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HB TESTOSTERONE, TOTAL-SERUM | $160.30 | $229.00 | $57.25–$210.68 | — | 30% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HB LIVER-KIDNEY MICROSOME ANTIBODY, IGG | $52.50 | $75.00 | $13.82–$95.16 | 31% below | 30% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HB LIVER-KIDNEY MICROSOME ANTIBODY, IGG | $52.50 | $75.00 | $13.82–$95.16 | 31% below | 30% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HB CUINDEX MICROSOMAL AB | $169.40 | $242.00 | $13.82–$222.64 | 124% above | 30% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HB CUINDEX MICROSOMAL AB | $169.40 | $242.00 | $13.82–$222.64 | 124% above | 30% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HB THYROID PEROXIDASE AUTOANTIBODIES | $217.00 | $310.00 | $13.82–$285.20 | 187% above | 30% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HB THYROID PEROXIDASE AUTOANTIBODIES | $217.00 | $310.00 | $13.82–$285.20 | 187% above | 30% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HB LIVER-KIDNEY MICROSOME ANTIBODY, IGG | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HB LIVER-KIDNEY MICROSOME ANTIBODY, IGG | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HB CUINDEX MICROSOMAL AB | $169.40 | $242.00 | $60.50–$222.64 | — | 30% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HB CUINDEX MICROSOMAL AB | $169.40 | $242.00 | $60.50–$222.64 | — | 30% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HB THYROID PEROXIDASE AUTOANTIBODIES | $217.00 | $310.00 | $77.50–$285.20 | — | 30% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HB THYROID PEROXIDASE AUTOANTIBODIES | $217.00 | $310.00 | $77.50–$285.20 | — | 30% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HB CUINDEX TSH | $155.40 | $222.00 | $15.96–$204.24 | 60% above | 30% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HB CUINDEX TSH | $155.40 | $222.00 | $15.96–$204.24 | 60% above | 30% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HB THYROID STIMULATING HORMONE (TSH), SERUM | $158.90 | $227.00 | $15.96–$208.84 | 64% above | 30% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HB THYROID STIMULATING HORMONE (TSH), SERUM | $158.90 | $227.00 | $15.96–$208.84 | 64% above | 30% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HB CUINDEX TSH | $155.40 | $222.00 | $55.50–$204.24 | — | 30% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HB CUINDEX TSH | $155.40 | $222.00 | $55.50–$204.24 | — | 30% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HB THYROID STIMULATING HORMONE (TSH), SERUM | $158.90 | $227.00 | $56.75–$208.84 | — | 30% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HB THYROID STIMULATING HORMONE (TSH), SERUM | $158.90 | $227.00 | $56.75–$208.84 | — | 30% |
| Trichomonas test (NAAT) CPT 87661 HB TRICHOMONAS VAGINALIS DETECTION BY NUCLEIC ACID(TVAGMALE) | $145.60 | $208.00 | $33.34–$191.36 | 57% above | 30% |
| Trichomonas test (NAAT) CPT 87661 HB TRICHOMONAS VAGINALIS DETECTION BY NUCLEIC ACID(TVAGMALE) | $145.60 | $208.00 | $33.34–$191.36 | 57% above | 30% |
| Trichomonas test (NAAT) CPT 87661 HB TRICHOMONAS | $198.80 | $284.00 | $33.34–$261.28 | 115% above | 30% |
| Trichomonas test (NAAT) CPT 87661 HB TRICHOMONAS | $198.80 | $284.00 | $33.34–$261.28 | 115% above | 30% |
| Trichomonas test (NAAT) CPT 87661 HB TRICHOMONAS PCR | $198.80 | $284.00 | $33.34–$261.28 | 115% above | 30% |
| Trichomonas test (NAAT) CPT 87661 HB TRICHOMONAS PCR | $198.80 | $284.00 | $33.34–$261.28 | 115% above | 30% |
| Trichomonas test (NAAT) inpatient CPT 87661 HB TRICHOMONAS VAGINALIS DETECTION BY NUCLEIC ACID(TVAGMALE) | $145.60 | $208.00 | $52.00–$191.36 | — | 30% |
| Trichomonas test (NAAT) inpatient CPT 87661 HB TRICHOMONAS VAGINALIS DETECTION BY NUCLEIC ACID(TVAGMALE) | $145.60 | $208.00 | $52.00–$191.36 | — | 30% |
| Trichomonas test (NAAT) inpatient CPT 87661 HB TRICHOMONAS PCR | $198.80 | $284.00 | $71.00–$261.28 | — | 30% |
| Trichomonas test (NAAT) inpatient CPT 87661 HB TRICHOMONAS | $198.80 | $284.00 | $71.00–$261.28 | — | 30% |
| Trichomonas test (NAAT) inpatient CPT 87661 HB TRICHOMONAS PCR | $198.80 | $284.00 | $71.00–$261.28 | — | 30% |
| Trichomonas test (NAAT) inpatient CPT 87661 HB TRICHOMONAS | $198.80 | $284.00 | $71.00–$261.28 | — | 30% |
| Uric acid blood test CPT 84550 HB MAPS URIC ACID, PLASMA | $47.60 | $68.00 | $4.29–$62.56 | 36% above | 30% |
| Uric acid blood test CPT 84550 HB MAPS URIC ACID, PLASMA | $47.60 | $68.00 | $4.29–$62.56 | 36% above | 30% |
| Uric acid blood test CPT 84550 HB URIC ACID | $49.70 | $71.00 | $4.29–$65.32 | 42% above | 30% |
| Uric acid blood test CPT 84550 HB URIC ACID | $49.70 | $71.00 | $4.29–$65.32 | 42% above | 30% |
| Uric acid blood test inpatient CPT 84550 HB MAPS URIC ACID, PLASMA | $47.60 | $68.00 | $17.00–$62.56 | — | 30% |
| Uric acid blood test inpatient CPT 84550 HB MAPS URIC ACID, PLASMA | $47.60 | $68.00 | $17.00–$62.56 | — | 30% |
| Uric acid blood test inpatient CPT 84550 HB URIC ACID | $49.70 | $71.00 | $17.75–$65.32 | — | 30% |
| Uric acid blood test inpatient CPT 84550 HB URIC ACID | $49.70 | $71.00 | $17.75–$65.32 | — | 30% |
| Urinalysis with microscope exam, automated CPT 81001 HB URINALYSIS +MICROSCOPIC | $67.20 | $96.00 | $3.01–$88.32 | 62% above | 30% |
| Urinalysis with microscope exam, automated CPT 81001 HB URINALYSIS +MICROSCOPIC | $67.20 | $96.00 | $3.01–$88.32 | 62% above | 30% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HB URINALYSIS +MICROSCOPIC | $67.20 | $96.00 | $24.00–$88.32 | — | 30% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HB URINALYSIS +MICROSCOPIC | $67.20 | $96.00 | $24.00–$88.32 | — | 30% |
| Urinalysis with microscope exam, manual CPT 81000 HB URINALYSIS WITH MICROSCOPY | $63.00 | $90.00 | $3.82–$82.80 | 145% above | 30% |
| Urinalysis with microscope exam, manual CPT 81000 HB URINALYSIS WITH MICROSCOPY | $63.00 | $90.00 | $3.82–$82.80 | 145% above | 30% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 HB URINALYSIS WITH MICROSCOPY | $63.00 | $90.00 | $22.50–$82.80 | — | 30% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 HB URINALYSIS WITH MICROSCOPY | $63.00 | $90.00 | $22.50–$82.80 | — | 30% |
| Urinalysis without microscope exam, automated CPT 81003 HB POC URINALYSIS WITHOUT MICROSCOPE | $49.70 | $71.00 | $2.14–$65.32 | 93% above | 30% |
| Urinalysis without microscope exam, automated CPT 81003 HB URINALYSIS | $49.70 | $71.00 | $2.14–$65.32 | 93% above | 30% |
| Urinalysis without microscope exam, automated CPT 81003 HB URINALYSIS | $49.70 | $71.00 | $2.14–$65.32 | 93% above | 30% |
| Urinalysis without microscope exam, automated CPT 81003 HB POC URINALYSIS WITHOUT MICROSCOPE | $49.70 | $71.00 | $2.14–$65.32 | 93% above | 30% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HB URINALYSIS | $49.70 | $71.00 | $17.75–$65.32 | — | 30% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HB URINALYSIS | $49.70 | $71.00 | $17.75–$65.32 | — | 30% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HB POC URINALYSIS WITHOUT MICROSCOPE | $49.70 | $71.00 | $17.75–$65.32 | — | 30% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HB POC URINALYSIS WITHOUT MICROSCOPE | $49.70 | $71.00 | $17.75–$65.32 | — | 30% |
| Urinalysis without microscope exam, manual CPT 81002 HB URINALYSIS WITHOUT MICROSCOPE | $56.00 | $80.00 | $3.31–$73.60 | 141% above | 30% |
| Urinalysis without microscope exam, manual CPT 81002 HB URINE REDUCING SUBSTANCE | $56.00 | $80.00 | $3.31–$73.60 | 141% above | 30% |
| Urinalysis without microscope exam, manual CPT 81002 HB URINALYSIS WITHOUT MICROSCOPE | $56.00 | $80.00 | $3.31–$73.60 | 141% above | 30% |
| Urinalysis without microscope exam, manual CPT 81002 HB SPECIFIC GRAVITY | $56.00 | $80.00 | $3.31–$73.60 | 141% above | 30% |
| Urinalysis without microscope exam, manual CPT 81002 HB URINE REDUCING SUBSTANCE | $56.00 | $80.00 | $3.31–$73.60 | 141% above | 30% |
| Urinalysis without microscope exam, manual CPT 81002 HB SPECIFIC GRAVITY | $56.00 | $80.00 | $3.31–$73.60 | 141% above | 30% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HB URINALYSIS WITHOUT MICROSCOPE | $56.00 | $80.00 | $20.00–$73.60 | — | 30% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HB URINALYSIS WITHOUT MICROSCOPE | $56.00 | $80.00 | $20.00–$73.60 | — | 30% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HB SPECIFIC GRAVITY | $56.00 | $80.00 | $20.00–$73.60 | — | 30% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HB URINE REDUCING SUBSTANCE | $56.00 | $80.00 | $20.00–$73.60 | — | 30% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HB URINE REDUCING SUBSTANCE | $56.00 | $80.00 | $20.00–$73.60 | — | 30% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HB SPECIFIC GRAVITY | $56.00 | $80.00 | $20.00–$73.60 | — | 30% |
| Urine culture for bacteria, with colony count CPT 87086 HB QUANTITATIVE URINE CULTURE | $135.80 | $194.00 | $7.67–$178.48 | 132% above | 30% |
| Urine culture for bacteria, with colony count CPT 87086 HB QUANTITATIVE URINE CULTURE | $135.80 | $194.00 | $7.67–$178.48 | 132% above | 30% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 HB QUANTITATIVE URINE CULTURE | $135.80 | $194.00 | $48.50–$178.48 | — | 30% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 HB QUANTITATIVE URINE CULTURE | $135.80 | $194.00 | $48.50–$178.48 | — | 30% |
| Urine pregnancy test, read by color change CPT 81025 HB URINE PREGNANCY TEST | $34.30 | $49.00 | $8.18–$64.83 | 18% below | 30% |
| Urine pregnancy test, read by color change CPT 81025 HB URINE PREGNANCY TEST | $34.30 | $49.00 | $8.18–$64.83 | 18% below | 30% |
| Urine pregnancy test, read by color change inpatient CPT 81025 HB URINE PREGNANCY TEST | $34.30 | $49.00 | $12.25–$45.08 | — | 30% |
| Urine pregnancy test, read by color change inpatient CPT 81025 HB URINE PREGNANCY TEST | $34.30 | $49.00 | $12.25–$45.08 | — | 30% |
| Vitamin B12 (cobalamin) blood test CPT 82607 HB VITAMIN B12 | $71.40 | $102.00 | $14.33–$99.40 | 15% below | 30% |
| Vitamin B12 (cobalamin) blood test CPT 82607 HB VITAMIN B12 | $71.40 | $102.00 | $14.33–$99.40 | 15% below | 30% |
| Vitamin B12 (cobalamin) blood test CPT 82607 HB VITAMIN B-12 | $151.90 | $217.00 | $14.33–$199.64 | 82% above | 30% |
| Vitamin B12 (cobalamin) blood test CPT 82607 HB VITAMIN B-12 | $151.90 | $217.00 | $14.33–$199.64 | 82% above | 30% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HB VITAMIN B12 | $71.40 | $102.00 | $25.50–$93.84 | — | 30% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HB VITAMIN B12 | $71.40 | $102.00 | $25.50–$93.84 | — | 30% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HB VITAMIN B-12 | $151.90 | $217.00 | $54.25–$199.64 | — | 30% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HB VITAMIN B-12 | $151.90 | $217.00 | $54.25–$199.64 | — | 30% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HB VITAMIN D, 25-HYDROXY | $207.90 | $297.00 | $28.12–$273.24 | 66% above | 30% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HB VITAMIN D, 25-HYDROXY | $207.90 | $297.00 | $28.12–$273.24 | 66% above | 30% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HB VITAMIN D, 25-HYDROXY | $207.90 | $297.00 | $74.25–$273.24 | — | 30% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HB VITAMIN D, 25-HYDROXY | $207.90 | $297.00 | $74.25–$273.24 | — | 30% |
| Zinc blood test CPT 84630 HB ZINC, SERUM | $52.50 | $75.00 | $10.82–$74.01 | at median | 30% |
| Zinc blood test CPT 84630 HB ZINC, SERUM | $52.50 | $75.00 | $10.82–$74.01 | at median | 30% |
| Zinc blood test inpatient CPT 84630 HB ZINC, SERUM | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| Zinc blood test inpatient CPT 84630 HB ZINC, SERUM | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HB SHL AFP QUAD SCREEN, HCG QUART | $52.50 | $75.00 | $14.30–$99.40 | 41% below | 30% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HB SHL FIRST TRIMESTER SCREEN, HCG QUANT | $52.50 | $75.00 | $14.30–$99.40 | 41% below | 30% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HB SHL INTEGRATED SCREEN, HCG, QUANT | $52.50 | $75.00 | $14.30–$99.40 | 41% below | 30% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HB SHL FIRST TRIMESTER SCREEN, HCG QUANT | $52.50 | $75.00 | $14.30–$99.40 | 41% below | 30% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HB SHL INTEGRATED SCREEN, HCG, QUANT | $52.50 | $75.00 | $14.30–$99.40 | 41% below | 30% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HB SHL AFP QUAD SCREEN, HCG QUART | $52.50 | $75.00 | $14.30–$99.40 | 41% below | 30% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HB CHORIONIC GONAD BETA-SUBUNIT, CSF | $91.70 | $131.00 | $14.30–$120.52 | 3% above | 30% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HB CHORIONIC GONAD BETA-SUBUNIT, CSF | $91.70 | $131.00 | $14.30–$120.52 | 3% above | 30% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HB HCG, QUANT-SERUM,HUM CHOR GON | $131.60 | $188.00 | $14.30–$172.96 | 48% above | 30% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HB HCG, QUANT-SERUM,HUM CHOR GON | $131.60 | $188.00 | $14.30–$172.96 | 48% above | 30% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HB SHL INTEGRATED SCREEN, HCG, QUANT | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HB SHL FIRST TRIMESTER SCREEN, HCG QUANT | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HB SHL AFP QUAD SCREEN, HCG QUART | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HB SHL AFP QUAD SCREEN, HCG QUART | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HB SHL FIRST TRIMESTER SCREEN, HCG QUANT | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HB SHL INTEGRATED SCREEN, HCG, QUANT | $52.50 | $75.00 | $18.75–$69.00 | — | 30% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HB CHORIONIC GONAD BETA-SUBUNIT, CSF | $91.70 | $131.00 | $32.75–$120.52 | — | 30% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HB CHORIONIC GONAD BETA-SUBUNIT, CSF | $91.70 | $131.00 | $32.75–$120.52 | — | 30% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HB HCG, QUANT-SERUM,HUM CHOR GON | $131.60 | $188.00 | $47.00–$172.96 | — | 30% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HB HCG, QUANT-SERUM,HUM CHOR GON | $131.60 | $188.00 | $47.00–$172.96 | — | 30% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Iowa | Off list |
|---|---|---|---|---|---|
| Botox injections for chronic migraine CPT 64615 HB CHEMODENERVATE MUSCLE(S) FACIAL/TRIGEM/CERV/ACC (MIGRAINE) | $1,113.00 | $1,590.00 | $286.09–$3,702.31 | 184% above | 30% |
| Botox injections for chronic migraine CPT 64615 HB CHEMODENERVATE MUSCLE(S) FACIAL/TRIGEM/CERV/ACC (MIGRAINE) | $1,113.00 | $1,590.00 | $286.09–$3,702.31 | 184% above | 30% |
| Botox injections for chronic migraine inpatient CPT 64615 HB CHEMODENERVATE MUSCLE(S) FACIAL/TRIGEM/CERV/ACC (MIGRAINE) | $1,113.00 | $1,590.00 | $397.50–$1,462.80 | — | 30% |
| Botox injections for chronic migraine inpatient CPT 64615 HB CHEMODENERVATE MUSCLE(S) FACIAL/TRIGEM/CERV/ACC (MIGRAINE) | $1,113.00 | $1,590.00 | $397.50–$1,462.80 | — | 30% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HB BREAST BX W/STEREOTACTIC/LOCAL DVC/SPECIMEN, 1ST LESION | $5,198.90 | $7,427.00 | $1,570.32–$6,832.84 | 83% above | 30% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HB BREAST BX W/STEREOTACTIC/LOCAL DVC/SPECIMEN, 1ST LESION | $5,198.90 | $7,427.00 | $1,570.32–$6,832.84 | 83% above | 30% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HB BREAST BX W/STEREOTACTIC/LOCAL DVC/SPECIMEN, 1ST LESION | $5,198.90 | $7,427.00 | $1,856.75–$6,832.84 | — | 30% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HB BREAST BX W/STEREOTACTIC/LOCAL DVC/SPECIMEN, 1ST LESION | $5,198.90 | $7,427.00 | $1,856.75–$6,832.84 | — | 30% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HB CLOSED TRTMT DISTAL FIBULAR FRACT(LAT/MALL) W/O MANIP | $614.60 | $878.00 | $219.50–$3,702.31 | 42% above | 30% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HB CLOSED TRTMT DISTAL FIBULAR FRACT(LAT/MALL) W/O MANIP | $614.60 | $878.00 | $219.50–$3,702.31 | 42% above | 30% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HB CLOSED TRTMT DISTAL FIBULAR FRACT(LAT/MALL) W/O MANIP | $614.60 | $878.00 | $219.50–$807.76 | — | 30% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HB CLOSED TRTMT DISTAL FIBULAR FRACT(LAT/MALL) W/O MANIP | $614.60 | $878.00 | $219.50–$807.76 | — | 30% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HB CLOSED TRTMT METATARSAL FRACTURE W/O MANIP, EACH | $927.50 | $1,325.00 | $232.49–$3,702.31 | 149% above | 30% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HB CLOSED TRTMT METATARSAL FRACTURE W/O MANIP, EACH | $927.50 | $1,325.00 | $232.49–$3,702.31 | 149% above | 30% |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 HB CLOSED TRTMT METATARSAL FRACTURE W/O MANIP, EACH | $927.50 | $1,325.00 | $331.25–$1,219.00 | — | 30% |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 HB CLOSED TRTMT METATARSAL FRACTURE W/O MANIP, EACH | $927.50 | $1,325.00 | $331.25–$1,219.00 | — | 30% |
| Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 HB CORRJ HALLUX VALGUS W BNIONECTOMY W SESAMOIDECTOMY W DISTAL METAR OSTEO | $7,750.40 | $11,072.00 | $2,768.00–$10,239.96 | 326% above | 30% |
| Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 HB CORRJ HALLUX VALGUS W BNIONECTOMY W SESAMOIDECTOMY W DISTAL METAR OSTEO | $7,750.40 | $11,072.00 | $2,768.00–$10,239.96 | 326% above | 30% |
| Bunion correction with a bone cut near the head of the first metatarsal inpatient CPT 28296 HB CORRJ HALLUX VALGUS W BNIONECTOMY W SESAMOIDECTOMY W DISTAL METAR OSTEO | $7,750.40 | $11,072.00 | $2,768.00–$10,186.24 | — | 30% |
| Bunion correction with a bone cut near the head of the first metatarsal inpatient CPT 28296 HB CORRJ HALLUX VALGUS W BNIONECTOMY W SESAMOIDECTOMY W DISTAL METAR OSTEO | $7,750.40 | $11,072.00 | $2,768.00–$10,186.24 | — | 30% |
| Cardiac catheterization with coronary angiogram one side CPT 93458 HB CORONARY ARTERY ANGIO W/LEFT HEART CATH | $10,917.90 | $15,597.00 | $3,116.60–$14,349.24 | 6% above | 30% |
| Cardiac catheterization with coronary angiogram one side CPT 93458 HB CORONARY ARTERY ANGIO W/LEFT HEART CATH | $10,917.90 | $15,597.00 | $3,116.60–$14,349.24 | 6% above | 30% |
| Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 HB CORONARY ARTERY ANGIO W/LEFT HEART CATH | $10,917.90 | $15,597.00 | $3,899.25–$14,349.24 | — | 30% |
| Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 HB CORONARY ARTERY ANGIO W/LEFT HEART CATH | $10,917.90 | $15,597.00 | $3,899.25–$14,349.24 | — | 30% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HB CARDIOVERSION, ELECTIVE, EXTERNAL | $1,659.70 | $2,371.00 | $592.75–$2,181.32 | 107% above | 30% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HB CARDIOVERSION, ELECTIVE, EXTERNAL | $1,659.70 | $2,371.00 | $592.75–$2,181.32 | 107% above | 30% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HB CARDIOVERSION, ELECTIVE, EXTERNAL | $1,659.70 | $2,371.00 | $592.75–$2,181.32 | — | 30% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HB CARDIOVERSION, ELECTIVE, EXTERNAL | $1,659.70 | $2,371.00 | $592.75–$2,181.32 | — | 30% |
| Carpal tunnel release, open surgery CPT 64721 HB NEUROPLASTY/TRANSPOSITION; MEDIAN NERVE AT CARPAL TUNNEL | $4,187.40 | $5,982.00 | $1,495.50–$7,681.67 | 149% above | 30% |
| Carpal tunnel release, open surgery CPT 64721 HB NEUROPLASTY/TRANSPOSITION; MEDIAN NERVE AT CARPAL TUNNEL | $4,187.40 | $5,982.00 | $1,495.50–$7,681.67 | 149% above | 30% |
| Carpal tunnel release, open surgery inpatient CPT 64721 HB NEUROPLASTY/TRANSPOSITION; MEDIAN NERVE AT CARPAL TUNNEL | $4,187.40 | $5,982.00 | $1,495.50–$5,503.44 | — | 30% |
| Carpal tunnel release, open surgery inpatient CPT 64721 HB NEUROPLASTY/TRANSPOSITION; MEDIAN NERVE AT CARPAL TUNNEL | $4,187.40 | $5,982.00 | $1,495.50–$5,503.44 | — | 30% |
| Cataract surgery with lens implant CPT 66984 HB CATARACT REMOVAL INSERTION OF LENS | $4,571.70 | $6,531.00 | $1,632.75–$7,681.67 | 11% below | 30% |
| Cataract surgery with lens implant CPT 66984 HB CATARACT REMOVAL INSERTION OF LENS | $4,571.70 | $6,531.00 | $1,632.75–$7,681.67 | 11% below | 30% |
| Cataract surgery with lens implant inpatient CPT 66984 HB CATARACT REMOVAL INSERTION OF LENS | $4,571.70 | $6,531.00 | $1,632.75–$6,008.52 | — | 30% |
| Cataract surgery with lens implant inpatient CPT 66984 HB CATARACT REMOVAL INSERTION OF LENS | $4,571.70 | $6,531.00 | $1,632.75–$6,008.52 | — | 30% |
| Catheter ablation for atrial fibrillation CPT 93656 HB EP EVAL TRANSSEPTAL TX ATRIAL FIB ISOLAT PULM VEIN | $44,719.50 | $63,885.00 | $6,882.00–$58,774.20 | 40% above | 30% |
| Catheter ablation for atrial fibrillation CPT 93656 HB EP EVAL TRANSSEPTAL TX ATRIAL FIB ISOLAT PULM VEIN | $44,719.50 | $63,885.00 | $15,971.25–$58,774.20 | 40% above | 30% |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 HB EP EVAL TRANSSEPTAL TX ATRIAL FIB ISOLAT PULM VEIN | $44,719.50 | $63,885.00 | $15,971.25–$58,774.20 | — | 30% |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 HB EP EVAL TRANSSEPTAL TX ATRIAL FIB ISOLAT PULM VEIN | $44,719.50 | $63,885.00 | $15,971.25–$58,774.20 | — | 30% |
| Cervical biopsy CPT 57500 HB BIOPSY OF CERVIX, SINGLE OR MULTIPLE, OR LOCAL EXC OF LESION | $1,279.60 | $1,828.00 | $457.00–$4,938.06 | 254% above | 30% |
| Cervical biopsy CPT 57500 HB BIOPSY OF CERVIX, SINGLE OR MULTIPLE, OR LOCAL EXC OF LESION | $1,279.60 | $1,828.00 | $457.00–$4,938.06 | 254% above | 30% |
| Cervical biopsy inpatient CPT 57500 HB BIOPSY OF CERVIX, SINGLE OR MULTIPLE, OR LOCAL EXC OF LESION | $1,279.60 | $1,828.00 | $457.00–$1,681.76 | — | 30% |
| Cervical biopsy inpatient CPT 57500 HB BIOPSY OF CERVIX, SINGLE OR MULTIPLE, OR LOCAL EXC OF LESION | $1,279.60 | $1,828.00 | $457.00–$1,681.76 | — | 30% |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 HB CIRCUMCISION W/O CLAMP OR OTHER DEVICE, NOT NEWBORN | $2,997.40 | $4,282.00 | $1,070.50–$7,681.67 | 397% above | 30% |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 HB CIRCUMCISION W/O CLAMP OR OTHER DEVICE, NOT NEWBORN | $2,997.40 | $4,282.00 | $1,070.50–$7,681.67 | 397% above | 30% |
| Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 HB CIRCUMCISION W/O CLAMP OR OTHER DEVICE, NOT NEWBORN | $2,997.40 | $4,282.00 | $1,070.50–$3,939.44 | — | 30% |
| Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 HB CIRCUMCISION W/O CLAMP OR OTHER DEVICE, NOT NEWBORN | $2,997.40 | $4,282.00 | $1,070.50–$3,939.44 | — | 30% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HB CIRCUMCISION USING CLAMP OR OTHER DEVICE | $1,341.20 | $1,916.00 | $479.00–$7,681.67 | 76% above | 30% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HB CIRCUMCISION USING CLAMP OR OTHER DEVICE | $1,341.20 | $1,916.00 | $479.00–$7,681.67 | 76% above | 30% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HB CIRCUMCISION USING CLAMP OR OTHER DEVICE | $1,341.20 | $1,916.00 | $479.00–$1,762.72 | — | 30% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HB CIRCUMCISION USING CLAMP OR OTHER DEVICE | $1,341.20 | $1,916.00 | $479.00–$1,762.72 | — | 30% |
| Circumcision, surgical, older than a newborn CPT 54160 HB CIRCUMCISION, NEWBORN, WITHOUT CLAMP | $739.90 | $1,057.00 | $264.25–$7,681.67 | 2% below | 30% |
| Circumcision, surgical, older than a newborn CPT 54160 HB CIRCUMCISION, NEWBORN, WITHOUT CLAMP | $739.90 | $1,057.00 | $264.25–$7,681.67 | 2% below | 30% |
| Circumcision, surgical, older than a newborn inpatient CPT 54160 HB CIRCUMCISION, NEWBORN, WITHOUT CLAMP | $739.90 | $1,057.00 | $264.25–$972.44 | — | 30% |
| Circumcision, surgical, older than a newborn inpatient CPT 54160 HB CIRCUMCISION, NEWBORN, WITHOUT CLAMP | $739.90 | $1,057.00 | $264.25–$972.44 | — | 30% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HB CLOSED TRTMT DISTAL RADIAL FRACT (COLLES) W/O MANIP | $927.50 | $1,325.00 | $232.49–$3,702.31 | 118% above | 30% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HB CLOSED TRTMT DISTAL RADIAL FRACT (COLLES) W/O MANIP | $927.50 | $1,325.00 | $232.49–$3,702.31 | 118% above | 30% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HB CLOSED TRTMT DISTAL RADIAL FRACT (COLLES) W/O MANIP | $927.50 | $1,325.00 | $331.25–$1,219.00 | — | 30% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HB CLOSED TRTMT DISTAL RADIAL FRACT (COLLES) W/O MANIP | $927.50 | $1,325.00 | $331.25–$1,219.00 | — | 30% |
| Colonoscopy with endoscopic ultrasound CPT 45391 HB LONG COLONOSCOPY W/ ENDOSCOPIC ULTRASOUND EXAM | $3,593.10 | $5,133.00 | $1,142.75–$6,173.85 | 427% above | 30% |
| Colonoscopy with endoscopic ultrasound CPT 45391 HB LONG COLONOSCOPY W/ ENDOSCOPIC ULTRASOUND EXAM | $3,593.10 | $5,133.00 | $1,142.75–$6,173.85 | 427% above | 30% |
| Colonoscopy with endoscopic ultrasound inpatient CPT 45391 HB LONG COLONOSCOPY W/ ENDOSCOPIC ULTRASOUND EXAM | $3,593.10 | $5,133.00 | $1,283.25–$4,722.36 | — | 30% |
| Colonoscopy with endoscopic ultrasound inpatient CPT 45391 HB LONG COLONOSCOPY W/ ENDOSCOPIC ULTRASOUND EXAM | $3,593.10 | $5,133.00 | $1,283.25–$4,722.36 | — | 30% |
| Colonoscopy with polyp removal CPT 45385 HB LONG COLONOSCOPY W/SNARE POLYPECTOMY | $3,736.60 | $5,338.00 | $1,142.75–$6,173.85 | 162% above | 30% |
| Colonoscopy with polyp removal CPT 45385 HB LONG COLONOSCOPY W/SNARE POLYPECTOMY | $3,736.60 | $5,338.00 | $1,142.75–$6,173.85 | 162% above | 30% |
| Colonoscopy with polyp removal inpatient CPT 45385 HB LONG COLONOSCOPY W/SNARE POLYPECTOMY | $3,736.60 | $5,338.00 | $1,334.50–$4,910.96 | — | 30% |
| Colonoscopy with polyp removal inpatient CPT 45385 HB LONG COLONOSCOPY W/SNARE POLYPECTOMY | $3,736.60 | $5,338.00 | $1,334.50–$4,910.96 | — | 30% |
| Colonoscopy with tissue sample CPT 45380 HB LONG COLONOSCOPY W/ BIOPSY, SINGLE OR MULTIPLE | $3,479.00 | $4,970.00 | $1,142.75–$6,173.85 | 152% above | 30% |
| Colonoscopy with tissue sample CPT 45380 HB LONG COLONOSCOPY W/ BIOPSY, SINGLE OR MULTIPLE | $3,479.00 | $4,970.00 | $1,142.75–$6,173.85 | 152% above | 30% |
| Colonoscopy with tissue sample inpatient CPT 45380 HB LONG COLONOSCOPY W/ BIOPSY, SINGLE OR MULTIPLE | $3,479.00 | $4,970.00 | $1,242.50–$4,572.40 | — | 30% |
| Colonoscopy with tissue sample inpatient CPT 45380 HB LONG COLONOSCOPY W/ BIOPSY, SINGLE OR MULTIPLE | $3,479.00 | $4,970.00 | $1,242.50–$4,572.40 | — | 30% |
| Colonoscopy, diagnostic CPT 45378 HB LONG COLONOSCOPY, DIAGNOSTIC | $2,935.10 | $4,193.00 | $883.62–$6,173.85 | 170% above | 30% |
| Colonoscopy, diagnostic CPT 45378 HB LONG COLONOSCOPY, DIAGNOSTIC | $2,935.10 | $4,193.00 | $883.62–$6,173.85 | 170% above | 30% |
| Colonoscopy, diagnostic inpatient CPT 45378 HB LONG COLONOSCOPY, DIAGNOSTIC | $2,935.10 | $4,193.00 | $1,048.25–$3,857.56 | — | 30% |
| Colonoscopy, diagnostic inpatient CPT 45378 HB LONG COLONOSCOPY, DIAGNOSTIC | $2,935.10 | $4,193.00 | $1,048.25–$3,857.56 | — | 30% |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 HB COLPOSCOPY OF CERVIX W/ LOOP ELECTRODE BIOPSY(S) | $3,054.80 | $4,364.00 | $1,091.00–$7,681.67 | 305% above | 30% |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 HB COLPOSCOPY OF CERVIX W/ LOOP ELECTRODE BIOPSY(S) | $3,054.80 | $4,364.00 | $1,091.00–$7,681.67 | 305% above | 30% |
| Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 HB COLPOSCOPY OF CERVIX W/ LOOP ELECTRODE BIOPSY(S) | $3,054.80 | $4,364.00 | $1,091.00–$4,014.88 | — | 30% |
| Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 HB COLPOSCOPY OF CERVIX W/ LOOP ELECTRODE BIOPSY(S) | $3,054.80 | $4,364.00 | $1,091.00–$4,014.88 | — | 30% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 HB COLPOSCOPY OF CERVIX W/ BIOPSY(S) OF CERVIX AND ECC | $1,167.60 | $1,668.00 | $292.95–$3,702.31 | 225% above | 30% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 HB COLPOSCOPY OF CERVIX W/ BIOPSY(S) OF CERVIX AND ECC | $1,167.60 | $1,668.00 | $292.95–$3,702.31 | 225% above | 30% |
| Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 HB COLPOSCOPY OF CERVIX W/ BIOPSY(S) OF CERVIX AND ECC | $1,167.60 | $1,668.00 | $417.00–$1,534.56 | — | 30% |
| Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 HB COLPOSCOPY OF CERVIX W/ BIOPSY(S) OF CERVIX AND ECC | $1,167.60 | $1,668.00 | $417.00–$1,534.56 | — | 30% |
| Complex cataract surgery with lens implant CPT 66982 HB CATARACT SURGERY COMPLEX | $2,841.30 | $4,059.00 | $1,014.75–$7,681.67 | 38% below | 30% |
| Complex cataract surgery with lens implant CPT 66982 HB CATARACT SURGERY COMPLEX | $2,841.30 | $4,059.00 | $1,014.75–$7,681.67 | 38% below | 30% |
| Complex cataract surgery with lens implant inpatient CPT 66982 HB CATARACT SURGERY COMPLEX | $2,841.30 | $4,059.00 | $1,014.75–$3,734.28 | — | 30% |
| Complex cataract surgery with lens implant inpatient CPT 66982 HB CATARACT SURGERY COMPLEX | $2,841.30 | $4,059.00 | $1,014.75–$3,734.28 | — | 30% |
| Coronary stent placement, one artery CPT 92928 HB PERC TRLUML CORONARY STENT W/ANGIO ONE ART/BRNCH | $11,769.10 | $16,813.00 | $4,203.25–$24,797.23 | 19% below | 30% |
| Coronary stent placement, one artery CPT 92928 HB PERC TRLUML CORONARY STENT W/ANGIO ONE ART/BRNCH | $11,769.10 | $16,813.00 | $4,203.25–$24,797.23 | 19% below | 30% |
| Coronary stent placement, one artery CPT 92928 HB PERC TRLUML CORONARY DES W/ANGIO ONE ART/BRANCH | $21,855.40 | $31,222.00 | $6,734.00–$28,724.24 | 51% above | 30% |
| Coronary stent placement, one artery CPT 92928 HB PERC TRLUML CORONARY DES W/ANGIO ONE ART/BRANCH | $21,855.40 | $31,222.00 | $7,805.50–$28,724.24 | 51% above | 30% |
| Coronary stent placement, one artery inpatient CPT 92928 HB PERC TRLUML CORONARY STENT W/ANGIO ONE ART/BRNCH | $11,769.10 | $16,813.00 | $4,203.25–$15,467.96 | — | 30% |
| Coronary stent placement, one artery inpatient CPT 92928 HB PERC TRLUML CORONARY STENT W/ANGIO ONE ART/BRNCH | $11,769.10 | $16,813.00 | $4,203.25–$15,467.96 | — | 30% |
| Coronary stent placement, one artery inpatient CPT 92928 HB PERC TRLUML CORONARY DES W/ANGIO ONE ART/BRANCH | $21,855.40 | $31,222.00 | $7,805.50–$28,724.24 | — | 30% |
| Coronary stent placement, one artery inpatient CPT 92928 HB PERC TRLUML CORONARY DES W/ANGIO ONE ART/BRANCH | $21,855.40 | $31,222.00 | $7,805.50–$28,724.24 | — | 30% |
| Cystoscopy with ureteral stent placement CPT 52332 HB CYSTOURETHROSCOPY W/ INSERTION OF INDWELLING URETERAL STENT | $5,789.70 | $8,271.00 | $2,067.75–$7,681.67 | 252% above | 30% |
| Cystoscopy with ureteral stent placement CPT 52332 HB CYSTOURETHROSCOPY W/ INSERTION OF INDWELLING URETERAL STENT | $5,789.70 | $8,271.00 | $2,067.75–$7,681.67 | 252% above | 30% |
| Cystoscopy with ureteral stent placement inpatient CPT 52332 HB CYSTOURETHROSCOPY W/ INSERTION OF INDWELLING URETERAL STENT | $5,789.70 | $8,271.00 | $2,067.75–$7,609.32 | — | 30% |
| Cystoscopy with ureteral stent placement inpatient CPT 52332 HB CYSTOURETHROSCOPY W/ INSERTION OF INDWELLING URETERAL STENT | $5,789.70 | $8,271.00 | $2,067.75–$7,609.32 | — | 30% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HB CYSTOURETHROSCOPY - URODYNAMICS | $2,151.80 | $3,074.00 | $646.90–$4,938.06 | 169% above | 30% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HB CYSTOURETHROSCOPY | $2,151.80 | $3,074.00 | $646.90–$4,938.06 | 169% above | 30% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HB CYSTOURETHROSCOPY - URODYNAMICS | $2,151.80 | $3,074.00 | $646.90–$4,938.06 | 169% above | 30% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HB CYSTOURETHROSCOPY | $2,151.80 | $3,074.00 | $646.90–$4,938.06 | 169% above | 30% |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HB CYSTOURETHROSCOPY | $2,151.80 | $3,074.00 | $768.50–$2,828.08 | — | 30% |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HB CYSTOURETHROSCOPY | $2,151.80 | $3,074.00 | $768.50–$2,828.08 | — | 30% |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HB CYSTOURETHROSCOPY - URODYNAMICS | $2,151.80 | $3,074.00 | $768.50–$2,828.08 | — | 30% |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HB CYSTOURETHROSCOPY - URODYNAMICS | $2,151.80 | $3,074.00 | $768.50–$2,828.08 | — | 30% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 HB D AND C, DIAGNOSTIC AND /OR THERAPEUTIC (N0N-OB) | $4,186.70 | $5,981.00 | $1,495.25–$7,681.67 | 413% above | 30% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 HB D AND C, DIAGNOSTIC AND /OR THERAPEUTIC (N0N-OB) | $4,186.70 | $5,981.00 | $1,495.25–$7,681.67 | 413% above | 30% |
| D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 HB D AND C, DIAGNOSTIC AND /OR THERAPEUTIC (N0N-OB) | $4,186.70 | $5,981.00 | $1,495.25–$5,502.52 | — | 30% |
| D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 HB D AND C, DIAGNOSTIC AND /OR THERAPEUTIC (N0N-OB) | $4,186.70 | $5,981.00 | $1,495.25–$5,502.52 | — | 30% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HB DESTRUCTION, ANY METHOD, 1ST LESION | $207.90 | $297.00 | $74.25–$3,702.31 | 40% above | 30% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HB DESTRUCTION, ANY METHOD, 1ST LESION | $207.90 | $297.00 | $74.25–$3,702.31 | 40% above | 30% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 HB DESTRUCTION, ANY METHOD, 1ST LESION | $207.90 | $297.00 | $74.25–$273.24 | — | 30% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 HB DESTRUCTION, ANY METHOD, 1ST LESION | $207.90 | $297.00 | $74.25–$273.24 | — | 30% |
| Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 HB TYMPANOSTOMY (W/ VENT TUBE INSERT) LOCAL ANESTHESIA | $3,697.40 | $5,282.00 | $493.56–$4,859.44 | 906% above | 30% |
| Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 HB TYMPANOSTOMY (W/ VENT TUBE INSERT) LOCAL ANESTHESIA | $3,697.40 | $5,282.00 | $493.56–$4,859.44 | 906% above | 30% |
| Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 HB TYMPANOSTOMY (W/ VENT TUBE INSERT) LOCAL ANESTHESIA | $3,697.40 | $5,282.00 | $1,320.50–$4,859.44 | — | 30% |
| Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 HB TYMPANOSTOMY (W/ VENT TUBE INSERT) LOCAL ANESTHESIA | $3,697.40 | $5,282.00 | $1,320.50–$4,859.44 | — | 30% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 HB REMOVAL IMPACTED CERUMEN BY IRRIGATION/LAVAGE | $237.30 | $339.00 | $56.71–$3,702.31 | 251% above | 30% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 HB REMOVAL IMPACTED CERUMEN BY IRRIGATION/LAVAGE | $237.30 | $339.00 | $56.71–$3,702.31 | 251% above | 30% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HB REMOVAL IMPACTED CERUMEN BY IRRIGATION/LAVAGE | $237.30 | $339.00 | $84.75–$311.88 | — | 30% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HB REMOVAL IMPACTED CERUMEN BY IRRIGATION/LAVAGE | $237.30 | $339.00 | $84.75–$311.88 | — | 30% |
| Earwax removal with instruments, one ear CPT 69210 HB REMOVAL OF IMPACTED CERUMEN, ONE OR BOTH EARS | $237.30 | $339.00 | $56.71–$3,702.31 | 129% above | 30% |
| Earwax removal with instruments, one ear CPT 69210 HB REMOVAL OF IMPACTED CERUMEN, ONE OR BOTH EARS | $237.30 | $339.00 | $56.71–$3,702.31 | 129% above | 30% |
| Earwax removal with instruments, one ear inpatient CPT 69210 HB REMOVAL OF IMPACTED CERUMEN, ONE OR BOTH EARS | $237.30 | $339.00 | $84.75–$311.88 | — | 30% |
| Earwax removal with instruments, one ear inpatient CPT 69210 HB REMOVAL OF IMPACTED CERUMEN, ONE OR BOTH EARS | $237.30 | $339.00 | $84.75–$311.88 | — | 30% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HB ENDOMETRIAL SAMPLING (BIOPSY) W/O CERVICAL DILATION | $723.80 | $1,034.00 | $194.36–$3,702.31 | 184% above | 30% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HB ENDOMETRIAL SAMPLING (BIOPSY) W/O CERVICAL DILATION | $723.80 | $1,034.00 | $194.36–$3,702.31 | 184% above | 30% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 HB ENDOMETRIAL SAMPLING (BIOPSY) W/O CERVICAL DILATION | $723.80 | $1,034.00 | $258.50–$951.28 | — | 30% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 HB ENDOMETRIAL SAMPLING (BIOPSY) W/O CERVICAL DILATION | $723.80 | $1,034.00 | $258.50–$951.28 | — | 30% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HB INJECTION(S), EPIDURAL/ SUBARACHNOID; CERVICAL OR THORACIC; W/IMG | $2,382.80 | $3,404.00 | $671.18–$3,131.68 | 98% above | 30% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HB INJECTION(S), EPIDURAL/ SUBARACHNOID; CERVICAL OR THORACIC; W/IMG | $2,382.80 | $3,404.00 | $671.18–$3,131.68 | 98% above | 30% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HB INJECTION(S), EPIDURAL/ SUBARACHNOID; CERVICAL OR THORACIC; W/IMG | $2,382.80 | $3,404.00 | $851.00–$3,131.68 | — | 30% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HB INJECTION(S), EPIDURAL/ SUBARACHNOID; CERVICAL OR THORACIC; W/IMG | $2,382.80 | $3,404.00 | $851.00–$3,131.68 | — | 30% |
| Eye injection into the vitreous (intravitreal injection) CPT 67028 HB INJECTION, INTRAVITREAL | $676.20 | $966.00 | $241.50–$3,702.31 | 65% above | 30% |
| Eye injection into the vitreous (intravitreal injection) CPT 67028 HB INJECTION, INTRAVITREAL | $676.20 | $966.00 | $241.50–$3,702.31 | 65% above | 30% |
| Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 HB INJECTION, INTRAVITREAL | $676.20 | $966.00 | $241.50–$888.72 | — | 30% |
| Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 HB INJECTION, INTRAVITREAL | $676.20 | $966.00 | $241.50–$888.72 | — | 30% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HB INJ PARAVERT FACET JNT W/IMAGE GUIDE L/S SINGLE LEVEL | $2,548.00 | $3,640.00 | $850.28–$4,938.06 | 102% above | 30% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HB INJ PARAVERT FACET JNT W/IMAGE GUIDE L/S SINGLE LEVEL | $2,548.00 | $3,640.00 | $850.28–$4,938.06 | 102% above | 30% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HB INJ PARAVERT FACET JNT W/IMAGE GUIDE L/S SINGLE LEVEL | $2,548.00 | $3,640.00 | $910.00–$3,348.80 | — | 30% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HB INJ PARAVERT FACET JNT W/IMAGE GUIDE L/S SINGLE LEVEL | $2,548.00 | $3,640.00 | $910.00–$3,348.80 | — | 30% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HB FLEXIBLE SIGMOIDOSCOPY, DIAGNOSTIC | $1,761.90 | $2,517.00 | $629.25–$4,938.06 | 216% above | 30% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HB FLEXIBLE SIGMOIDOSCOPY, DIAGNOSTIC | $1,761.90 | $2,517.00 | $629.25–$4,938.06 | 216% above | 30% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 HB FLEXIBLE SIGMOIDOSCOPY, DIAGNOSTIC | $1,761.90 | $2,517.00 | $629.25–$2,315.64 | — | 30% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 HB FLEXIBLE SIGMOIDOSCOPY, DIAGNOSTIC | $1,761.90 | $2,517.00 | $629.25–$2,315.64 | — | 30% |
| Hammertoe correction surgery CPT 28285 HB CORRECTION HAMMERTOE | $5,152.00 | $7,360.00 | $1,840.00–$7,681.67 | 186% above | 30% |
| Hammertoe correction surgery CPT 28285 HB CORRECTION HAMMERTOE | $5,152.00 | $7,360.00 | $1,840.00–$7,681.67 | 186% above | 30% |
| Hammertoe correction surgery inpatient CPT 28285 HB CORRECTION HAMMERTOE | $5,152.00 | $7,360.00 | $1,840.00–$6,771.20 | — | 30% |
| Hammertoe correction surgery inpatient CPT 28285 HB CORRECTION HAMMERTOE | $5,152.00 | $7,360.00 | $1,840.00–$6,771.20 | — | 30% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 HB HEMORRHOIDECTOMY, INTERNAL, BY RUBBER BAND LIGATION(S) | $653.80 | $934.00 | $233.50–$4,938.06 | at median | 30% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 HB HEMORRHOIDECTOMY, INTERNAL, BY RUBBER BAND LIGATION(S) | $653.80 | $934.00 | $233.50–$4,938.06 | at median | 30% |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HB HEMORRHOIDECTOMY, INTERNAL, BY RUBBER BAND LIGATION(S) | $653.80 | $934.00 | $233.50–$859.28 | — | 30% |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HB HEMORRHOIDECTOMY, INTERNAL, BY RUBBER BAND LIGATION(S) | $653.80 | $934.00 | $233.50–$859.28 | — | 30% |
| Hysterectomy through an abdominal incision (total) CPT 58150 HB HYSTERECTOMY, ABDOMINAL | $5,399.10 | $7,713.00 | $844.33–$10,239.96 | 100% above | 30% |
| Hysterectomy through an abdominal incision (total) CPT 58150 HB HYSTERECTOMY, ABDOMINAL | $5,399.10 | $7,713.00 | $844.33–$10,239.96 | 100% above | 30% |
| Hysterectomy through an abdominal incision (total) inpatient CPT 58150 HB HYSTERECTOMY, ABDOMINAL | $5,399.10 | $7,713.00 | $1,928.25–$7,095.96 | — | 30% |
| Hysterectomy through an abdominal incision (total) inpatient CPT 58150 HB HYSTERECTOMY, ABDOMINAL | $5,399.10 | $7,713.00 | $1,928.25–$7,095.96 | — | 30% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HB INJECTION PROC FOR HYSTEROSALPINGOGRAM OR SIS | $613.90 | $877.00 | $219.25–$3,702.31 | 84% above | 30% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HB INJECTION PROC FOR HYSTEROSALPINGOGRAM OR SIS | $613.90 | $877.00 | $151.72–$3,702.31 | 84% above | 30% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HB INJECTION PROC FOR HYSTEROSALPINGOGRAM OR SIS | $613.90 | $877.00 | $219.25–$806.84 | — | 30% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HB INJECTION PROC FOR HYSTEROSALPINGOGRAM OR SIS | $613.90 | $877.00 | $219.25–$806.84 | — | 30% |
| Hysteroscopy with endometrial ablation CPT 58563 HB HYSTEROSCOPY WITH ENDOMETRIAL ABLATION | $5,270.30 | $7,529.00 | $1,882.25–$10,239.96 | 32% above | 30% |
| Hysteroscopy with endometrial ablation CPT 58563 HB HYSTEROSCOPY WITH ENDOMETRIAL ABLATION | $5,270.30 | $7,529.00 | $1,882.25–$10,239.96 | 32% above | 30% |
| Hysteroscopy with endometrial ablation inpatient CPT 58563 HB HYSTEROSCOPY WITH ENDOMETRIAL ABLATION | $5,270.30 | $7,529.00 | $1,882.25–$6,926.68 | — | 30% |
| Hysteroscopy with endometrial ablation inpatient CPT 58563 HB HYSTEROSCOPY WITH ENDOMETRIAL ABLATION | $5,270.30 | $7,529.00 | $1,882.25–$6,926.68 | — | 30% |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HB HYSTEROSCOPY WITH BIOPSY AND/OR POLYPECTOMY | $6,409.90 | $9,157.00 | $2,289.25–$8,424.44 | 90% above | 30% |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HB HYSTEROSCOPY WITH BIOPSY AND/OR POLYPECTOMY | $6,409.90 | $9,157.00 | $2,289.25–$8,424.44 | 90% above | 30% |
| Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 HB HYSTEROSCOPY WITH BIOPSY AND/OR POLYPECTOMY | $6,409.90 | $9,157.00 | $2,289.25–$8,424.44 | — | 30% |
| Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 HB HYSTEROSCOPY WITH BIOPSY AND/OR POLYPECTOMY | $6,409.90 | $9,157.00 | $2,289.25–$8,424.44 | — | 30% |
| IUD insertion (the device itself billed separately) CPT 58300 HB IUD INSERTION FOR ENDOMETRIAL HYPERPLASIA | $298.20 | $426.00 | $72.31–$3,702.31 | 15% above | 30% |
| IUD insertion (the device itself billed separately) CPT 58300 HB IUD INSERTION FOR ENDOMETRIAL HYPERPLASIA | $298.20 | $426.00 | $72.31–$3,702.31 | 15% above | 30% |
| IUD insertion (the device itself billed separately) CPT 58300 HB INSERTION OF INTRAUTERINE DEVICE (IUD) | $617.40 | $882.00 | $72.31–$3,702.31 | 138% above | 30% |
| IUD insertion (the device itself billed separately) CPT 58300 HB INSERTION OF INTRAUTERINE DEVICE (IUD) | $617.40 | $882.00 | $72.31–$3,702.31 | 138% above | 30% |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 HB IUD INSERTION FOR ENDOMETRIAL HYPERPLASIA | $298.20 | $426.00 | $106.50–$391.92 | — | 30% |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 HB IUD INSERTION FOR ENDOMETRIAL HYPERPLASIA | $298.20 | $426.00 | $106.50–$391.92 | — | 30% |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 HB INSERTION OF INTRAUTERINE DEVICE (IUD) | $617.40 | $882.00 | $220.50–$811.44 | — | 30% |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 HB INSERTION OF INTRAUTERINE DEVICE (IUD) | $617.40 | $882.00 | $220.50–$811.44 | — | 30% |
| Incision and drainage of a simple or single skin abscess CPT 10060 HB INCISION AND DRAINAGE, ABSCESS, SIMPLE OR SINGLE | $600.60 | $858.00 | $192.58–$3,702.31 | 147% above | 30% |
| Incision and drainage of a simple or single skin abscess CPT 10060 HB INCISION AND DRAINAGE, ABSCESS, SIMPLE OR SINGLE | $600.60 | $858.00 | $192.58–$3,702.31 | 147% above | 30% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HB INCISION AND DRAINAGE, ABSCESS, SIMPLE OR SINGLE | $600.60 | $858.00 | $214.50–$789.36 | — | 30% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HB INCISION AND DRAINAGE, ABSCESS, SIMPLE OR SINGLE | $600.60 | $858.00 | $214.50–$789.36 | — | 30% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HB TRIGGER FINGER INJECTION | $478.80 | $684.00 | $171.00–$3,702.31 | 100% above | 30% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HB TRIGGER FINGER INJECTION | $478.80 | $684.00 | $171.00–$3,702.31 | 100% above | 30% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HB INJECTION(S), SINGLE TENDON SHEATH OR LIGAMENT | $589.40 | $842.00 | $210.50–$3,702.31 | 146% above | 30% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HB INJECTION(S), SINGLE TENDON SHEATH OR LIGAMENT | $589.40 | $842.00 | $210.50–$3,702.31 | 146% above | 30% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HB TRIGGER FINGER INJECTION | $478.80 | $684.00 | $171.00–$629.28 | — | 30% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HB TRIGGER FINGER INJECTION | $478.80 | $684.00 | $171.00–$629.28 | — | 30% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HB INJECTION(S), SINGLE TENDON SHEATH OR LIGAMENT | $589.40 | $842.00 | $210.50–$774.64 | — | 30% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HB INJECTION(S), SINGLE TENDON SHEATH OR LIGAMENT | $589.40 | $842.00 | $210.50–$774.64 | — | 30% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HB ARTHROCENTESIS, ASPIRATION OR INJECTION OF MAJOR JOINT OR BURSA | $786.10 | $1,123.00 | $280.75–$3,702.31 | 129% above | 30% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HB ARTHROCENTESIS, ASPIRATION OR INJECTION OF MAJOR JOINT OR BURSA | $786.10 | $1,123.00 | $280.75–$3,702.31 | 129% above | 30% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HB ARTHROCENTESIS, ASPIRATION OR INJECTION OF MAJOR JOINT OR BURSA | $786.10 | $1,123.00 | $280.75–$1,033.16 | — | 30% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HB ARTHROCENTESIS, ASPIRATION OR INJECTION OF MAJOR JOINT OR BURSA | $786.10 | $1,123.00 | $280.75–$1,033.16 | — | 30% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 HB INSERT DRUG DELIVERY IMPLANT | $546.70 | $781.00 | $124.93–$3,702.31 | 98% above | 30% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 HB INSERT DRUG DELIVERY IMPLANT | $546.70 | $781.00 | $124.93–$3,702.31 | 98% above | 30% |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 HB INSERT DRUG DELIVERY IMPLANT | $546.70 | $781.00 | $195.25–$718.52 | — | 30% |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 HB INSERT DRUG DELIVERY IMPLANT | $546.70 | $781.00 | $195.25–$718.52 | — | 30% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HB ARTHROCENTESIS, ASPIRATION OR INJECTION INTERMEDIATE JOINT OR BURSA | $686.70 | $981.00 | $245.25–$3,702.31 | 140% above | 30% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HB ARTHROCENTESIS, ASPIRATION OR INJECTION INTERMEDIATE JOINT OR BURSA | $686.70 | $981.00 | $245.25–$3,702.31 | 140% above | 30% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HB ARTHROCENTESIS, ASPIRATION OR INJECTION INTERMEDIATE JOINT OR BURSA | $686.70 | $981.00 | $245.25–$902.52 | — | 30% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HB ARTHROCENTESIS, ASPIRATION OR INJECTION INTERMEDIATE JOINT OR BURSA | $686.70 | $981.00 | $245.25–$902.52 | — | 30% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HB ARTHROCENTESIS, ASPIRATION OR INJECTION OF SMALL JOINT OR BURSA | $588.00 | $840.00 | $210.00–$3,702.31 | 116% above | 30% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HB ARTHROCENTESIS, ASPIRATION OR INJECTION OF SMALL JOINT OR BURSA | $588.00 | $840.00 | $210.00–$3,702.31 | 116% above | 30% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HB ARTHROCENTESIS, ASPIRATION OR INJECTION OF SMALL JOINT OR BURSA | $588.00 | $840.00 | $210.00–$772.80 | — | 30% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HB ARTHROCENTESIS, ASPIRATION OR INJECTION OF SMALL JOINT OR BURSA | $588.00 | $840.00 | $210.00–$772.80 | — | 30% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 HB PHOTOCOAGULATION - CAPSULOTOMY | $2,367.40 | $3,382.00 | $528.73–$4,938.06 | 246% above | 30% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 HB PHOTOCOAGULATION - CAPSULOTOMY | $2,367.40 | $3,382.00 | $528.73–$4,938.06 | 246% above | 30% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 HB PHOTOCOAGULATION - CAPSULOTOMY | $2,367.40 | $3,382.00 | $845.50–$3,111.44 | — | 30% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 HB PHOTOCOAGULATION - CAPSULOTOMY | $2,367.40 | $3,382.00 | $845.50–$3,111.44 | — | 30% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HB INTERM WOUND REPAIR-SCLP/AX/TK/EXT TO 2.5CM | $646.80 | $924.00 | $231.00–$3,702.31 | 82% above | 30% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HB INTERM WOUND REPAIR-SCLP/AX/TK/EXT TO 2.5CM | $646.80 | $924.00 | $231.00–$3,702.31 | 82% above | 30% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HB INTERM WOUND REPAIR-SCLP/AX/TK/EXT TO 2.5CM | $646.80 | $924.00 | $231.00–$850.08 | — | 30% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HB INTERM WOUND REPAIR-SCLP/AX/TK/EXT TO 2.5CM | $646.80 | $924.00 | $231.00–$850.08 | — | 30% |
| Left heart catheterization, diagnostic one side CPT 93452 HB LEFT HEART CATH W/VENTRICULOGRAPHY | $14,440.30 | $20,629.00 | $3,116.60–$18,978.68 | 96% above | 30% |
| Left heart catheterization, diagnostic one side CPT 93452 HB LEFT HEART CATH W/VENTRICULOGRAPHY | $14,440.30 | $20,629.00 | $3,116.60–$18,978.68 | 96% above | 30% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 HB LEFT HEART CATH W/VENTRICULOGRAPHY | $14,440.30 | $20,629.00 | $5,157.25–$18,978.68 | — | 30% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 HB LEFT HEART CATH W/VENTRICULOGRAPHY | $14,440.30 | $20,629.00 | $5,157.25–$18,978.68 | — | 30% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HB INJECTION(S), EPIDURAL/ SUBARACHNOID; LUMBAR OR SACRAL; W/IMG | $2,382.80 | $3,404.00 | $671.18–$3,131.68 | 108% above | 30% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HB INJECTION(S), EPIDURAL/ SUBARACHNOID; LUMBAR OR SACRAL; W/IMG | $2,382.80 | $3,404.00 | $671.18–$3,131.68 | 108% above | 30% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HB INJECTION(S), EPIDURAL/ SUBARACHNOID; LUMBAR OR SACRAL; W/IMG | $2,382.80 | $3,404.00 | $851.00–$3,131.68 | — | 30% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HB INJECTION(S), EPIDURAL/ SUBARACHNOID; LUMBAR OR SACRAL; W/IMG | $2,382.80 | $3,404.00 | $851.00–$3,131.68 | — | 30% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HB INJECTION(S), EPIDURAL/ SUBARACHNOID; LUMBAR OR SACRAL; W/O IMG | $1,664.60 | $2,378.00 | $594.50–$4,938.06 | 138% above | 30% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HB INJECTION(S), EPIDURAL/ SUBARACHNOID; LUMBAR OR SACRAL; W/O IMG | $1,664.60 | $2,378.00 | $594.50–$4,938.06 | 138% above | 30% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HB INJECTION(S), EPIDURAL/ SUBARACHNOID; LUMBAR OR SACRAL; W/O IMG | $1,664.60 | $2,378.00 | $594.50–$2,187.76 | — | 30% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HB INJECTION(S), EPIDURAL/ SUBARACHNOID; LUMBAR OR SACRAL; W/O IMG | $1,664.60 | $2,378.00 | $594.50–$2,187.76 | — | 30% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HB INJ TRANSFORAMEN EPIDURAL LUMB/SACR INCL IMAGING, SINGLE LVL | $2,382.80 | $3,404.00 | $850.28–$4,938.06 | 83% above | 30% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HB INJ TRANSFORAMEN EPIDURAL LUMB/SACR INCL IMAGING, SINGLE LVL | $2,382.80 | $3,404.00 | $850.28–$4,938.06 | 83% above | 30% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HB INJ TRANSFORAMEN EPIDURAL LUMB/SACR INCL IMAGING, SINGLE LVL | $2,382.80 | $3,404.00 | $851.00–$3,131.68 | — | 30% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HB INJ TRANSFORAMEN EPIDURAL LUMB/SACR INCL IMAGING, SINGLE LVL | $2,382.80 | $3,404.00 | $851.00–$3,131.68 | — | 30% |
| Miscarriage treatment with D&C, first trimester CPT 59820 HB CLINICAL SURGICAL PROCEDURE (MISSED AB 1ST) | $2,774.10 | $3,963.00 | $990.75–$7,681.67 | 151% above | 30% |
| Miscarriage treatment with D&C, first trimester CPT 59820 HB CLINICAL SURGICAL PROCEDURE (MISSED AB 1ST) | $2,774.10 | $3,963.00 | $990.75–$7,681.67 | 151% above | 30% |
| Miscarriage treatment with D&C, first trimester inpatient CPT 59820 HB CLINICAL SURGICAL PROCEDURE (MISSED AB 1ST) | $2,774.10 | $3,963.00 | $990.75–$3,645.96 | — | 30% |
| Miscarriage treatment with D&C, first trimester inpatient CPT 59820 HB CLINICAL SURGICAL PROCEDURE (MISSED AB 1ST) | $2,774.10 | $3,963.00 | $990.75–$3,645.96 | — | 30% |
| Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals CPT 17311 HB MOHS-HD/NK/HND/FT/GEN-FIRST STAGE, TO 5 BLOCKS | $1,561.00 | $2,230.00 | $557.50–$3,702.31 | 50% above | 30% |
| Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals CPT 17311 HB MOHS-HD/NK/HND/FT/GEN-FIRST STAGE, TO 5 BLOCKS | $1,561.00 | $2,230.00 | $557.50–$3,702.31 | 50% above | 30% |
| Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals inpatient CPT 17311 HB MOHS-HD/NK/HND/FT/GEN-FIRST STAGE, TO 5 BLOCKS | $1,561.00 | $2,230.00 | $557.50–$2,051.60 | — | 30% |
| Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals inpatient CPT 17311 HB MOHS-HD/NK/HND/FT/GEN-FIRST STAGE, TO 5 BLOCKS | $1,561.00 | $2,230.00 | $557.50–$2,051.60 | — | 30% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HB EXCISION BENIGN LESION-TRUNK/ARMS/LEGS TO .5CM | $731.50 | $1,045.00 | $261.25–$4,938.06 | 164% above | 30% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HB EXCISION BENIGN LESION-TRUNK/ARMS/LEGS TO .5CM | $731.50 | $1,045.00 | $261.25–$4,938.06 | 164% above | 30% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HB EXCISION BENIGN LESION-TRUNK/ARMS/LEGS TO .5CM | $731.50 | $1,045.00 | $261.25–$961.40 | — | 30% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HB EXCISION BENIGN LESION-TRUNK/ARMS/LEGS TO .5CM | $731.50 | $1,045.00 | $261.25–$961.40 | — | 30% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HB EXC BENIGN LESION-FACE/EAR/EYE/NOSE/LIP/MM TO .5CM | $1,206.80 | $1,724.00 | $431.00–$4,938.06 | 172% above | 30% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HB EXC BENIGN LESION-FACE/EAR/EYE/NOSE/LIP/MM TO .5CM | $1,206.80 | $1,724.00 | $431.00–$4,938.06 | 172% above | 30% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 HB EXC BENIGN LESION-FACE/EAR/EYE/NOSE/LIP/MM TO .5CM | $1,206.80 | $1,724.00 | $431.00–$1,586.08 | — | 30% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 HB EXC BENIGN LESION-FACE/EAR/EYE/NOSE/LIP/MM TO .5CM | $1,206.80 | $1,724.00 | $431.00–$1,586.08 | — | 30% |
| Nail removal (partial or complete), one nail CPT 11730 HB AVULSION,NAIL PLATE,PARTIAL/COMPLETE,SIMPLE,SINGLE | $510.30 | $729.00 | $182.25–$3,702.31 | 140% above | 30% |
| Nail removal (partial or complete), one nail CPT 11730 HB AVULSION,NAIL PLATE,PARTIAL/COMPLETE,SIMPLE,SINGLE | $510.30 | $729.00 | $182.25–$3,702.31 | 140% above | 30% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 HB AVULSION,NAIL PLATE,PARTIAL/COMPLETE,SIMPLE,SINGLE | $510.30 | $729.00 | $182.25–$670.68 | — | 30% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 HB AVULSION,NAIL PLATE,PARTIAL/COMPLETE,SIMPLE,SINGLE | $510.30 | $729.00 | $182.25–$670.68 | — | 30% |
| Occipital nerve block (injection for headaches) CPT 64405 HB INJECTION, ANESTHETIC AGENT, GREATER OCCIPITAL NERVE | $1,171.10 | $1,673.00 | $286.09–$3,702.31 | 190% above | 30% |
| Occipital nerve block (injection for headaches) CPT 64405 HB INJECTION, ANESTHETIC AGENT, GREATER OCCIPITAL NERVE | $1,171.10 | $1,673.00 | $286.09–$3,702.31 | 190% above | 30% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 HB INJECTION, ANESTHETIC AGENT, GREATER OCCIPITAL NERVE | $1,171.10 | $1,673.00 | $418.25–$1,539.16 | — | 30% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 HB INJECTION, ANESTHETIC AGENT, GREATER OCCIPITAL NERVE | $1,171.10 | $1,673.00 | $418.25–$1,539.16 | — | 30% |
| Pacemaker implant (dual chamber) CPT 33208 HB PACEMAKER INSERTION; ATRIAL AND VENTRICULAR | $18,246.90 | $26,067.00 | $6,516.75–$23,981.64 | 14% above | 30% |
| Pacemaker implant (dual chamber) CPT 33208 HB PACEMAKER INSERTION; ATRIAL AND VENTRICULAR | $18,246.90 | $26,067.00 | $6,516.75–$23,981.64 | 14% above | 30% |
| Pacemaker implant (dual chamber) inpatient CPT 33208 HB PACEMAKER INSERTION; ATRIAL AND VENTRICULAR | $18,246.90 | $26,067.00 | $6,516.75–$23,981.64 | — | 30% |
| Pacemaker implant (dual chamber) inpatient CPT 33208 HB PACEMAKER INSERTION; ATRIAL AND VENTRICULAR | $18,246.90 | $26,067.00 | $6,516.75–$23,981.64 | — | 30% |
| Paracentesis with imaging guidance CPT 49083 HB ABDOMINAL PARACENTESIS W/ IMAGING GUIDANCE | $2,207.80 | $3,154.00 | $788.50–$6,173.85 | 99% above | 30% |
| Paracentesis with imaging guidance CPT 49083 HB ABDOMINAL PARACENTESIS W/ IMAGING GUIDANCE | $2,207.80 | $3,154.00 | $788.50–$6,173.85 | 99% above | 30% |
| Paracentesis with imaging guidance inpatient CPT 49083 HB ABDOMINAL PARACENTESIS W/ IMAGING GUIDANCE | $2,207.80 | $3,154.00 | $788.50–$2,901.68 | — | 30% |
| Paracentesis with imaging guidance inpatient CPT 49083 HB ABDOMINAL PARACENTESIS W/ IMAGING GUIDANCE | $2,207.80 | $3,154.00 | $788.50–$2,901.68 | — | 30% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HB EXCISION, NAIL AND MATRIX, PARTIAL/COMPLETE, PERM | $1,322.30 | $1,889.00 | $387.22–$3,702.31 | 208% above | 30% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HB EXCISION, NAIL AND MATRIX, PARTIAL/COMPLETE, PERM | $1,322.30 | $1,889.00 | $387.22–$3,702.31 | 208% above | 30% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HB EXCISION, NAIL AND MATRIX, PARTIAL/COMPLETE, PERM | $1,322.30 | $1,889.00 | $472.25–$1,737.88 | — | 30% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HB EXCISION, NAIL AND MATRIX, PARTIAL/COMPLETE, PERM | $1,322.30 | $1,889.00 | $472.25–$1,737.88 | — | 30% |
| Prostate biopsy CPT 55700 HB BIOPSY, PROSTATE; NEEDLE OR PUNCH, SINGLE OR MULTIPLE | $3,383.10 | $4,833.00 | $1,208.25–$6,173.85 | 151% above | 30% |
| Prostate biopsy CPT 55700 HB BIOPSY, PROSTATE; NEEDLE OR PUNCH, SINGLE OR MULTIPLE | $3,383.10 | $4,833.00 | $836.11–$6,173.85 | 151% above | 30% |
| Prostate biopsy inpatient CPT 55700 HB BIOPSY, PROSTATE; NEEDLE OR PUNCH, SINGLE OR MULTIPLE | $3,383.10 | $4,833.00 | $1,208.25–$4,446.36 | — | 30% |
| Prostate biopsy inpatient CPT 55700 HB BIOPSY, PROSTATE; NEEDLE OR PUNCH, SINGLE OR MULTIPLE | $3,383.10 | $4,833.00 | $1,208.25–$4,446.36 | — | 30% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HB DESTR BY NEUROLYTIC W/IMG LUMBAR/SACRAL SINGLE FACET JNT | $3,384.50 | $4,835.00 | $1,208.75–$7,681.67 | 65% above | 30% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HB DESTR BY NEUROLYTIC W/IMG LUMBAR/SACRAL SINGLE FACET JNT | $3,384.50 | $4,835.00 | $1,208.75–$7,681.67 | 65% above | 30% |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HB DESTR BY NEUROLYTIC W/IMG LUMBAR/SACRAL SINGLE FACET JNT | $3,384.50 | $4,835.00 | $1,208.75–$4,448.20 | — | 30% |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HB DESTR BY NEUROLYTIC W/IMG LUMBAR/SACRAL SINGLE FACET JNT | $3,384.50 | $4,835.00 | $1,208.75–$4,448.20 | — | 30% |
| Removal of a breast lump, open surgery CPT 19120 HB EXC BENIGN/MALIGNANT TUMOR/TISSUE-BREAST, OPEN | $3,019.80 | $4,314.00 | $1,078.50–$7,681.67 | 115% above | 30% |
| Removal of a breast lump, open surgery CPT 19120 HB EXC BENIGN/MALIGNANT TUMOR/TISSUE-BREAST, OPEN | $3,019.80 | $4,314.00 | $1,078.50–$7,681.67 | 115% above | 30% |
| Removal of a breast lump, open surgery inpatient CPT 19120 HB EXC BENIGN/MALIGNANT TUMOR/TISSUE-BREAST, OPEN | $3,019.80 | $4,314.00 | $1,078.50–$3,968.88 | — | 30% |
| Removal of a breast lump, open surgery inpatient CPT 19120 HB EXC BENIGN/MALIGNANT TUMOR/TISSUE-BREAST, OPEN | $3,019.80 | $4,314.00 | $1,078.50–$3,968.88 | — | 30% |
| Removal of a foreign object under the skin, simple CPT 10120 HB INCISION AND REMOVAL FOREIGN BODY, SUBCUT, SIMPLE | $1,543.50 | $2,205.00 | $387.22–$3,702.31 | 417% above | 30% |
| Removal of a foreign object under the skin, simple CPT 10120 HB INCISION AND REMOVAL FOREIGN BODY, SUBCUT, SIMPLE | $1,543.50 | $2,205.00 | $387.22–$3,702.31 | 417% above | 30% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 HB INCISION AND REMOVAL FOREIGN BODY, SUBCUT, SIMPLE | $1,543.50 | $2,205.00 | $551.25–$2,028.60 | — | 30% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 HB INCISION AND REMOVAL FOREIGN BODY, SUBCUT, SIMPLE | $1,543.50 | $2,205.00 | $551.25–$2,028.60 | — | 30% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 HB COLORECTAL CANCER SCREENING; NON-HIGH RISK | $3,101.70 | $4,431.00 | $883.62–$4,938.06 | 216% above | 30% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 HB COLORECTAL CANCER SCREENING; NON-HIGH RISK | $3,101.70 | $4,431.00 | $883.62–$4,938.06 | 216% above | 30% |
| Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 HB COLORECTAL CANCER SCREENING; NON-HIGH RISK | $3,101.70 | $4,431.00 | $1,107.75–$4,076.52 | — | 30% |
| Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 HB COLORECTAL CANCER SCREENING; NON-HIGH RISK | $3,101.70 | $4,431.00 | $1,107.75–$4,076.52 | — | 30% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 HB COLORECTAL SCREEN HI RISK IND | $3,101.70 | $4,431.00 | $883.62–$4,938.06 | 185% above | 30% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 HB COLORECTAL SCREEN HI RISK IND | $3,101.70 | $4,431.00 | $883.62–$4,938.06 | 185% above | 30% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 HB COLORECTAL SCREEN HI RISK IND | $3,101.70 | $4,431.00 | $1,107.75–$4,076.52 | — | 30% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 HB COLORECTAL SCREEN HI RISK IND | $3,101.70 | $4,431.00 | $1,107.75–$4,076.52 | — | 30% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 HB EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY | $10,299.80 | $14,714.00 | $3,342.70–$14,812.97 | 353% above | 30% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 HB EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY | $10,299.80 | $14,714.00 | $3,342.70–$14,812.97 | 353% above | 30% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 HB EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY | $10,299.80 | $14,714.00 | $3,678.50–$13,536.88 | — | 30% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 HB EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY | $10,299.80 | $14,714.00 | $3,678.50–$13,536.88 | — | 30% |
| Short arm cast (elbow to hand) CPT 29075 HB CAST, PLASTER, SHORT ARM, ADULT | $270.20 | $386.00 | $96.50–$3,702.31 | 19% above | 30% |
| Short arm cast (elbow to hand) CPT 29075 HB CAST, PLASTER, SHORT ARM, ADULT | $270.20 | $386.00 | $96.50–$3,702.31 | 19% above | 30% |
| Short arm cast (elbow to hand) CPT 29075 HB CAST, PLASTER, THUMB SPICA, ADULT | $295.40 | $422.00 | $105.50–$3,702.31 | 30% above | 30% |
| Short arm cast (elbow to hand) CPT 29075 HB CAST, PLASTER, THUMB SPICA, ADULT | $295.40 | $422.00 | $105.50–$3,702.31 | 30% above | 30% |
| Short arm cast (elbow to hand) CPT 29075 HB CAST, PLASTER, SHORT ARM, CHILD | $328.30 | $469.00 | $117.25–$3,702.31 | 45% above | 30% |
| Short arm cast (elbow to hand) CPT 29075 HB CAST, PLASTER, SHORT ARM, CHILD | $328.30 | $469.00 | $117.25–$3,702.31 | 45% above | 30% |
| Short arm cast (elbow to hand) CPT 29075 HB CAST, SYNTHETIC, SHORT ARM, CHILD | $340.90 | $487.00 | $121.75–$3,702.31 | 50% above | 30% |
| Short arm cast (elbow to hand) CPT 29075 HB CAST, SYNTHETIC, SHORT ARM, CHILD | $340.90 | $487.00 | $121.75–$3,702.31 | 50% above | 30% |
| Short arm cast (elbow to hand) CPT 29075 HB CAST APPLICATION, SHORT ARM (ELBOW TO FINGER) | $360.50 | $515.00 | $128.75–$3,702.31 | 59% above | 30% |
| Short arm cast (elbow to hand) CPT 29075 HB CAST APPLICATION, SHORT ARM (ELBOW TO FINGER) | $360.50 | $515.00 | $128.75–$3,702.31 | 59% above | 30% |
| Short arm cast (elbow to hand) CPT 29075 HB CAST, SHORT ARM W/WATERPROOF PADDING, CHILD | $402.50 | $575.00 | $143.75–$3,702.31 | 77% above | 30% |
| Short arm cast (elbow to hand) CPT 29075 HB CAST, SHORT ARM W/WATERPROOF PADDING, CHILD | $402.50 | $575.00 | $143.75–$3,702.31 | 77% above | 30% |
| Short arm cast (elbow to hand) CPT 29075 HB CAST, THUMB SPICA W/WATERPROOF PADDING, CHILD | $416.50 | $595.00 | $148.75–$3,702.31 | 84% above | 30% |
| Short arm cast (elbow to hand) CPT 29075 HB CAST, THUMB SPICA W/WATERPROOF PADDING, CHILD | $416.50 | $595.00 | $148.75–$3,702.31 | 84% above | 30% |
| Short arm cast (elbow to hand) CPT 29075 HB CAST, SHORT ARM W/WATERPROOF PADDING, ADULT | $487.20 | $696.00 | $174.00–$3,702.31 | 115% above | 30% |
| Short arm cast (elbow to hand) CPT 29075 HB CAST, SHORT ARM W/WATERPROOF PADDING, ADULT | $487.20 | $696.00 | $174.00–$3,702.31 | 115% above | 30% |
| Short arm cast (elbow to hand) CPT 29075 HB CAST, SYNTHETIC, THUMB SPICA, CHILD | $499.10 | $713.00 | $178.25–$3,702.31 | 120% above | 30% |
| Short arm cast (elbow to hand) CPT 29075 HB CAST, SYNTHETIC, THUMB SPICA, CHILD | $499.10 | $713.00 | $178.25–$3,702.31 | 120% above | 30% |
| Short arm cast (elbow to hand) CPT 29075 HB CAST, SYNTHETIC, SHORT ARM, ADULT | $514.50 | $735.00 | $183.75–$3,702.31 | 127% above | 30% |
| Short arm cast (elbow to hand) CPT 29075 HB CAST, SYNTHETIC, SHORT ARM, ADULT | $514.50 | $735.00 | $183.75–$3,702.31 | 127% above | 30% |
| Short arm cast (elbow to hand) CPT 29075 HB CAST, SYNTHETIC, THUMB SPICA, ADULT | $528.50 | $755.00 | $188.75–$3,702.31 | 133% above | 30% |
| Short arm cast (elbow to hand) CPT 29075 HB CAST, SYNTHETIC, THUMB SPICA, ADULT | $528.50 | $755.00 | $188.75–$3,702.31 | 133% above | 30% |
| Short arm cast (elbow to hand) inpatient CPT 29075 HB CAST, PLASTER, SHORT ARM, ADULT | $270.20 | $386.00 | $96.50–$355.12 | — | 30% |
| Short arm cast (elbow to hand) inpatient CPT 29075 HB CAST, PLASTER, SHORT ARM, ADULT | $270.20 | $386.00 | $96.50–$355.12 | — | 30% |
| Short arm cast (elbow to hand) inpatient CPT 29075 HB CAST, PLASTER, THUMB SPICA, ADULT | $295.40 | $422.00 | $105.50–$388.24 | — | 30% |
| Short arm cast (elbow to hand) inpatient CPT 29075 HB CAST, PLASTER, THUMB SPICA, ADULT | $295.40 | $422.00 | $105.50–$388.24 | — | 30% |
| Short arm cast (elbow to hand) inpatient CPT 29075 HB CAST, PLASTER, SHORT ARM, CHILD | $328.30 | $469.00 | $117.25–$431.48 | — | 30% |
| Short arm cast (elbow to hand) inpatient CPT 29075 HB CAST, PLASTER, SHORT ARM, CHILD | $328.30 | $469.00 | $117.25–$431.48 | — | 30% |
| Short arm cast (elbow to hand) inpatient CPT 29075 HB CAST, SYNTHETIC, SHORT ARM, CHILD | $340.90 | $487.00 | $121.75–$448.04 | — | 30% |
| Short arm cast (elbow to hand) inpatient CPT 29075 HB CAST, SYNTHETIC, SHORT ARM, CHILD | $340.90 | $487.00 | $121.75–$448.04 | — | 30% |
| Short arm cast (elbow to hand) inpatient CPT 29075 HB CAST APPLICATION, SHORT ARM (ELBOW TO FINGER) | $360.50 | $515.00 | $128.75–$473.80 | — | 30% |
| Short arm cast (elbow to hand) inpatient CPT 29075 HB CAST APPLICATION, SHORT ARM (ELBOW TO FINGER) | $360.50 | $515.00 | $128.75–$473.80 | — | 30% |
| Short arm cast (elbow to hand) inpatient CPT 29075 HB CAST, SHORT ARM W/WATERPROOF PADDING, CHILD | $402.50 | $575.00 | $143.75–$529.00 | — | 30% |
| Short arm cast (elbow to hand) inpatient CPT 29075 HB CAST, SHORT ARM W/WATERPROOF PADDING, CHILD | $402.50 | $575.00 | $143.75–$529.00 | — | 30% |
| Short arm cast (elbow to hand) inpatient CPT 29075 HB CAST, THUMB SPICA W/WATERPROOF PADDING, CHILD | $416.50 | $595.00 | $148.75–$547.40 | — | 30% |
| Short arm cast (elbow to hand) inpatient CPT 29075 HB CAST, THUMB SPICA W/WATERPROOF PADDING, CHILD | $416.50 | $595.00 | $148.75–$547.40 | — | 30% |
| Short arm cast (elbow to hand) inpatient CPT 29075 HB CAST, SHORT ARM W/WATERPROOF PADDING, ADULT | $487.20 | $696.00 | $174.00–$640.32 | — | 30% |
| Short arm cast (elbow to hand) inpatient CPT 29075 HB CAST, SHORT ARM W/WATERPROOF PADDING, ADULT | $487.20 | $696.00 | $174.00–$640.32 | — | 30% |
| Short arm cast (elbow to hand) inpatient CPT 29075 HB CAST, SYNTHETIC, THUMB SPICA, CHILD | $499.10 | $713.00 | $178.25–$655.96 | — | 30% |
| Short arm cast (elbow to hand) inpatient CPT 29075 HB CAST, SYNTHETIC, THUMB SPICA, CHILD | $499.10 | $713.00 | $178.25–$655.96 | — | 30% |
| Short arm cast (elbow to hand) inpatient CPT 29075 HB CAST, SYNTHETIC, SHORT ARM, ADULT | $514.50 | $735.00 | $183.75–$676.20 | — | 30% |
| Short arm cast (elbow to hand) inpatient CPT 29075 HB CAST, SYNTHETIC, SHORT ARM, ADULT | $514.50 | $735.00 | $183.75–$676.20 | — | 30% |
| Short arm cast (elbow to hand) inpatient CPT 29075 HB CAST, SYNTHETIC, THUMB SPICA, ADULT | $528.50 | $755.00 | $188.75–$694.60 | — | 30% |
| Short arm cast (elbow to hand) inpatient CPT 29075 HB CAST, SYNTHETIC, THUMB SPICA, ADULT | $528.50 | $755.00 | $188.75–$694.60 | — | 30% |
| Short arm splint (forearm and hand) CPT 29125 HB SPLINT APPLICATION, SHORT ARM | $364.00 | $520.00 | $124.93–$3,702.31 | 107% above | 30% |
| Short arm splint (forearm and hand) CPT 29125 HB SPLINT APPLICATION, SHORT ARM | $364.00 | $520.00 | $124.93–$3,702.31 | 107% above | 30% |
| Short arm splint (forearm and hand) inpatient CPT 29125 HB SPLINT APPLICATION, SHORT ARM | $364.00 | $520.00 | $130.00–$478.40 | — | 30% |
| Short arm splint (forearm and hand) inpatient CPT 29125 HB SPLINT APPLICATION, SHORT ARM | $364.00 | $520.00 | $130.00–$478.40 | — | 30% |
| Short leg cast (below the knee) CPT 29405 HB CAST APPLICATION, SHORT LEG | $378.70 | $541.00 | $135.25–$3,702.31 | 57% above | 30% |
| Short leg cast (below the knee) CPT 29405 HB CAST APPLICATION, SHORT LEG | $378.70 | $541.00 | $135.25–$3,702.31 | 57% above | 30% |
| Short leg cast (below the knee) CPT 29405 HB CAST APPLICATION, PLASTER, SHORT LEG, CHILD | $577.50 | $825.00 | $206.25–$3,702.31 | 140% above | 30% |
| Short leg cast (below the knee) CPT 29405 HB CAST APPLICATION, SYNTHETIC, SHORT LEG, ADULT | $577.50 | $825.00 | $206.25–$3,702.31 | 140% above | 30% |
| Short leg cast (below the knee) CPT 29405 HB CAST APPLICATION, PLASTER, SHORT LEG, ADULT | $577.50 | $825.00 | $206.25–$3,702.31 | 140% above | 30% |
| Short leg cast (below the knee) CPT 29405 HB CAST APPLICATION, PLASTER, SHORT LEG, ADULT | $577.50 | $825.00 | $206.25–$3,702.31 | 140% above | 30% |
| Short leg cast (below the knee) CPT 29405 HB CAST APPLICATION, SYNTHETIC, SHORT LEG, CHILD | $577.50 | $825.00 | $206.25–$3,702.31 | 140% above | 30% |
| Short leg cast (below the knee) CPT 29405 HB CAST APPLICATION, SYNTHETIC, SHORT LEG, ADULT | $577.50 | $825.00 | $206.25–$3,702.31 | 140% above | 30% |
| Short leg cast (below the knee) CPT 29405 HB CAST APPLICATION, PLASTER, SHORT LEG, CHILD | $577.50 | $825.00 | $206.25–$3,702.31 | 140% above | 30% |
| Short leg cast (below the knee) CPT 29405 HB CAST APPLICATION, SYNTHETIC, SHORT LEG, CHILD | $577.50 | $825.00 | $206.25–$3,702.31 | 140% above | 30% |
| Short leg cast (below the knee) CPT 29405 HB CAST APPLIC, SHORT LEG, W/WATERPROOF PADDING, ADULT | $884.80 | $1,264.00 | $257.40–$3,702.31 | 267% above | 30% |
| Short leg cast (below the knee) CPT 29405 HB CAST APPLIC, SHORT LEG, W/WATERPROOF PADDING, ADULT | $884.80 | $1,264.00 | $257.40–$3,702.31 | 267% above | 30% |
| Short leg cast (below the knee) inpatient CPT 29405 HB CAST APPLICATION, SHORT LEG | $378.70 | $541.00 | $135.25–$497.72 | — | 30% |
| Short leg cast (below the knee) inpatient CPT 29405 HB CAST APPLICATION, SHORT LEG | $378.70 | $541.00 | $135.25–$497.72 | — | 30% |
| Short leg cast (below the knee) inpatient CPT 29405 HB CAST APPLICATION, PLASTER, SHORT LEG, ADULT | $577.50 | $825.00 | $206.25–$759.00 | — | 30% |
| Short leg cast (below the knee) inpatient CPT 29405 HB CAST APPLICATION, PLASTER, SHORT LEG, CHILD | $577.50 | $825.00 | $206.25–$759.00 | — | 30% |
| Short leg cast (below the knee) inpatient CPT 29405 HB CAST APPLICATION, SYNTHETIC, SHORT LEG, ADULT | $577.50 | $825.00 | $206.25–$759.00 | — | 30% |
| Short leg cast (below the knee) inpatient CPT 29405 HB CAST APPLICATION, PLASTER, SHORT LEG, CHILD | $577.50 | $825.00 | $206.25–$759.00 | — | 30% |
| Short leg cast (below the knee) inpatient CPT 29405 HB CAST APPLICATION, SYNTHETIC, SHORT LEG, ADULT | $577.50 | $825.00 | $206.25–$759.00 | — | 30% |
| Short leg cast (below the knee) inpatient CPT 29405 HB CAST APPLICATION, SYNTHETIC, SHORT LEG, CHILD | $577.50 | $825.00 | $206.25–$759.00 | — | 30% |
| Short leg cast (below the knee) inpatient CPT 29405 HB CAST APPLICATION, PLASTER, SHORT LEG, ADULT | $577.50 | $825.00 | $206.25–$759.00 | — | 30% |
| Short leg cast (below the knee) inpatient CPT 29405 HB CAST APPLICATION, SYNTHETIC, SHORT LEG, CHILD | $577.50 | $825.00 | $206.25–$759.00 | — | 30% |
| Short leg cast (below the knee) inpatient CPT 29405 HB CAST APPLIC, SHORT LEG, W/WATERPROOF PADDING, ADULT | $884.80 | $1,264.00 | $316.00–$1,162.88 | — | 30% |
| Short leg cast (below the knee) inpatient CPT 29405 HB CAST APPLIC, SHORT LEG, W/WATERPROOF PADDING, ADULT | $884.80 | $1,264.00 | $316.00–$1,162.88 | — | 30% |
| Short leg splint (calf to foot) CPT 29515 HB SPLINT APPLICATION, SYNTHETIC, SHORT LEG | $305.90 | $437.00 | $109.25–$3,702.31 | 84% above | 30% |
| Short leg splint (calf to foot) CPT 29515 HB SPLINT APPLICATION, SYNTHETIC, SHORT LEG | $305.90 | $437.00 | $109.25–$3,702.31 | 84% above | 30% |
| Short leg splint (calf to foot) CPT 29515 HB SPLINT APPLICATION, PLASTER, SHORT LEG | $331.80 | $474.00 | $118.50–$3,702.31 | 100% above | 30% |
| Short leg splint (calf to foot) CPT 29515 HB SPLINT APPLICATION, PLASTER, SHORT LEG | $331.80 | $474.00 | $118.50–$3,702.31 | 100% above | 30% |
| Short leg splint (calf to foot) CPT 29515 HB SPLINT APPLICATION, PLASTER, SHORT LEG, W/JONES DRESSING | $396.90 | $567.00 | $141.75–$3,702.31 | 139% above | 30% |
| Short leg splint (calf to foot) CPT 29515 HB SPLINT APPLICATION, PLASTER, SHORT LEG, W/JONES DRESSING | $396.90 | $567.00 | $141.75–$3,702.31 | 139% above | 30% |
| Short leg splint (calf to foot) CPT 29515 HB SPLINT APPLICATION, SHORT LEG | $398.30 | $569.00 | $142.25–$3,702.31 | 140% above | 30% |
| Short leg splint (calf to foot) CPT 29515 HB SPLINT APPLICATION, SHORT LEG | $398.30 | $569.00 | $142.25–$3,702.31 | 140% above | 30% |
| Short leg splint (calf to foot) inpatient CPT 29515 HB SPLINT APPLICATION, SYNTHETIC, SHORT LEG | $305.90 | $437.00 | $109.25–$402.04 | — | 30% |
| Short leg splint (calf to foot) inpatient CPT 29515 HB SPLINT APPLICATION, SYNTHETIC, SHORT LEG | $305.90 | $437.00 | $109.25–$402.04 | — | 30% |
| Short leg splint (calf to foot) inpatient CPT 29515 HB SPLINT APPLICATION, PLASTER, SHORT LEG | $331.80 | $474.00 | $118.50–$436.08 | — | 30% |
| Short leg splint (calf to foot) inpatient CPT 29515 HB SPLINT APPLICATION, PLASTER, SHORT LEG | $331.80 | $474.00 | $118.50–$436.08 | — | 30% |
| Short leg splint (calf to foot) inpatient CPT 29515 HB SPLINT APPLICATION, PLASTER, SHORT LEG, W/JONES DRESSING | $396.90 | $567.00 | $141.75–$521.64 | — | 30% |
| Short leg splint (calf to foot) inpatient CPT 29515 HB SPLINT APPLICATION, PLASTER, SHORT LEG, W/JONES DRESSING | $396.90 | $567.00 | $141.75–$521.64 | — | 30% |
| Short leg splint (calf to foot) inpatient CPT 29515 HB SPLINT APPLICATION, SHORT LEG | $398.30 | $569.00 | $142.25–$523.48 | — | 30% |
| Short leg splint (calf to foot) inpatient CPT 29515 HB SPLINT APPLICATION, SHORT LEG | $398.30 | $569.00 | $142.25–$523.48 | — | 30% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HB SIMPLE WOUND REPAIR-SCLP/NK/AX/GEN/TK/EXT TO 2.5CM | $553.70 | $791.00 | $192.58–$3,702.31 | 149% above | 30% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HB SIMPLE WOUND REPAIR-SCLP/NK/AX/GEN/TK/EXT TO 2.5CM | $553.70 | $791.00 | $192.58–$3,702.31 | 149% above | 30% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HB SIMPLE WOUND REPAIR-SCLP/NK/AX/GEN/TK/EXT TO 2.5CM | $553.70 | $791.00 | $197.75–$727.72 | — | 30% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HB SIMPLE WOUND REPAIR-SCLP/NK/AX/GEN/TK/EXT TO 2.5CM | $553.70 | $791.00 | $197.75–$727.72 | — | 30% |
| Skin biopsy, punch, one lesion CPT 11104 HB PUNCH BIOPSY SKIN SINGLE LESION | $265.30 | $379.00 | $94.75–$3,702.31 | 3% above | 30% |
| Skin biopsy, punch, one lesion CPT 11104 HB PUNCH BIOPSY SKIN SINGLE LESION | $265.30 | $379.00 | $94.75–$3,702.31 | 3% above | 30% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 HB PUNCH BIOPSY SKIN SINGLE LESION | $265.30 | $379.00 | $94.75–$348.68 | — | 30% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 HB PUNCH BIOPSY SKIN SINGLE LESION | $265.30 | $379.00 | $94.75–$348.68 | — | 30% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 HB EXCISION MALIGNANT LESION-TRUNK/ARMS/LEGS TO .5CM | $973.00 | $1,390.00 | $347.50–$4,938.06 | 142% above | 30% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 HB EXCISION MALIGNANT LESION-TRUNK/ARMS/LEGS TO .5CM | $973.00 | $1,390.00 | $347.50–$4,938.06 | 142% above | 30% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 HB EXCISION MALIGNANT LESION-TRUNK/ARMS/LEGS TO .5CM | $973.00 | $1,390.00 | $347.50–$1,278.80 | — | 30% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 HB EXCISION MALIGNANT LESION-TRUNK/ARMS/LEGS TO .5CM | $973.00 | $1,390.00 | $347.50–$1,278.80 | — | 30% |
| Skin tag removal, up to 15 tags CPT 11200 HB REMOVAL OF SKIN TAGS, ANY AREA, UP TO 15 | $268.80 | $384.00 | $96.00–$3,702.31 | 57% above | 30% |
| Skin tag removal, up to 15 tags CPT 11200 HB REMOVAL OF SKIN TAGS, ANY AREA, UP TO 15 | $268.80 | $384.00 | $96.00–$3,702.31 | 57% above | 30% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 HB REMOVAL OF SKIN TAGS, ANY AREA, UP TO 15 | $268.80 | $384.00 | $96.00–$353.28 | — | 30% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 HB REMOVAL OF SKIN TAGS, ANY AREA, UP TO 15 | $268.80 | $384.00 | $96.00–$353.28 | — | 30% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HB SPINAL PUNCTURE, LUMBAR, DIAGNOSTIC | $1,189.30 | $1,699.00 | $424.75–$4,938.06 | 145% above | 30% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HB SPINAL PUNCTURE, LUMBAR, DIAGNOSTIC | $1,189.30 | $1,699.00 | $424.75–$4,938.06 | 145% above | 30% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HB SPINAL PUNCTURE, LUMBAR, DIAGNOSTIC | $1,189.30 | $1,699.00 | $424.75–$1,563.08 | — | 30% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HB SPINAL PUNCTURE, LUMBAR, DIAGNOSTIC | $1,189.30 | $1,699.00 | $424.75–$1,563.08 | — | 30% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HB SIMPLE WOUND REPAIR-SCLP/NK/AX/GEN/TK/EXT 2.6-7.5CM | $602.00 | $860.00 | $192.58–$3,702.31 | 148% above | 30% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HB SIMPLE WOUND REPAIR-SCLP/NK/AX/GEN/TK/EXT 2.6-7.5CM | $602.00 | $860.00 | $192.58–$3,702.31 | 148% above | 30% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HB SIMPLE WOUND REPAIR-SCLP/NK/AX/GEN/TK/EXT 2.6-7.5CM | $602.00 | $860.00 | $215.00–$791.20 | — | 30% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HB SIMPLE WOUND REPAIR-SCLP/NK/AX/GEN/TK/EXT 2.6-7.5CM | $602.00 | $860.00 | $215.00–$791.20 | — | 30% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HB SIMPLE REPAIR-FACE/EAR/EYE/NOSE/LIP/MM UP TO 2.5CM | $577.50 | $825.00 | $192.58–$3,702.31 | 133% above | 30% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HB SIMPLE REPAIR-FACE/EAR/EYE/NOSE/LIP/MM UP TO 2.5CM | $577.50 | $825.00 | $192.58–$3,702.31 | 133% above | 30% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HB SIMPLE REPAIR-FACE/EAR/EYE/NOSE/LIP/MM UP TO 2.5CM | $577.50 | $825.00 | $206.25–$759.00 | — | 30% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HB SIMPLE REPAIR-FACE/EAR/EYE/NOSE/LIP/MM UP TO 2.5CM | $577.50 | $825.00 | $206.25–$759.00 | — | 30% |
| TURP (transurethral resection of the prostate) CPT 52601 HB TRANSURETHRAL ELECTROSURGICAL RESECTION PROSTATE | $10,584.00 | $15,120.00 | $3,780.00–$13,910.40 | 321% above | 30% |
| TURP (transurethral resection of the prostate) CPT 52601 HB TRANSURETHRAL ELECTROSURGICAL RESECTION PROSTATE | $10,584.00 | $15,120.00 | $3,780.00–$13,910.40 | 321% above | 30% |
| TURP (transurethral resection of the prostate) inpatient CPT 52601 HB TRANSURETHRAL ELECTROSURGICAL RESECTION PROSTATE | $10,584.00 | $15,120.00 | $3,780.00–$13,910.40 | — | 30% |
| TURP (transurethral resection of the prostate) inpatient CPT 52601 HB TRANSURETHRAL ELECTROSURGICAL RESECTION PROSTATE | $10,584.00 | $15,120.00 | $3,780.00–$13,910.40 | — | 30% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 HB TANGENTIAL BIOPSY SKIN SINGLE LESION | $315.00 | $450.00 | $112.50–$3,702.31 | 65% above | 30% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 HB TANGENTIAL BIOPSY SKIN SINGLE LESION | $315.00 | $450.00 | $112.50–$3,702.31 | 65% above | 30% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HB TANGENTIAL BIOPSY SKIN SINGLE LESION | $315.00 | $450.00 | $112.50–$414.00 | — | 30% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HB TANGENTIAL BIOPSY SKIN SINGLE LESION | $315.00 | $450.00 | $112.50–$414.00 | — | 30% |
| Thoracentesis with imaging guidance CPT 32555 HB THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING GUIDANCE | $2,375.10 | $3,393.00 | $599.21–$4,938.06 | 159% above | 30% |
| Thoracentesis with imaging guidance CPT 32555 HB THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING GUIDANCE | $2,375.10 | $3,393.00 | $599.21–$4,938.06 | 159% above | 30% |
| Thoracentesis with imaging guidance inpatient CPT 32555 HB THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING GUIDANCE | $2,375.10 | $3,393.00 | $848.25–$3,121.56 | — | 30% |
| Thoracentesis with imaging guidance inpatient CPT 32555 HB THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING GUIDANCE | $2,375.10 | $3,393.00 | $848.25–$3,121.56 | — | 30% |
| Trigger finger release surgery CPT 26055 HB TENDON SHEATH INCISION | $2,470.30 | $3,529.00 | $882.25–$6,173.85 | 54% above | 30% |
| Trigger finger release surgery CPT 26055 HB TENDON SHEATH INCISION | $2,470.30 | $3,529.00 | $882.25–$6,173.85 | 54% above | 30% |
| Trigger finger release surgery inpatient CPT 26055 HB TENDON SHEATH INCISION | $2,470.30 | $3,529.00 | $882.25–$3,246.68 | — | 30% |
| Trigger finger release surgery inpatient CPT 26055 HB TENDON SHEATH INCISION | $2,470.30 | $3,529.00 | $882.25–$3,246.68 | — | 30% |
| Trigger point injections, 1 or 2 muscles CPT 20552 HB INJECTION, SINGLE/MULTIPLE TRIGGER PTS, 1-2 MUSCLES | $641.20 | $916.00 | $229.00–$3,702.31 | 162% above | 30% |
| Trigger point injections, 1 or 2 muscles CPT 20552 HB INJECTION, SINGLE/MULTIPLE TRIGGER PTS, 1-2 MUSCLES | $641.20 | $916.00 | $229.00–$3,702.31 | 162% above | 30% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HB INJECTION, SINGLE/MULTIPLE TRIGGER PTS, 1-2 MUSCLES | $641.20 | $916.00 | $229.00–$842.72 | — | 30% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HB INJECTION, SINGLE/MULTIPLE TRIGGER PTS, 1-2 MUSCLES | $641.20 | $916.00 | $229.00–$842.72 | — | 30% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HB US BREAST BX W/STEREOTCT/LOCAL DVC/SPECIMEN, 1ST LESION | $3,637.90 | $5,197.00 | $1,299.25–$6,173.85 | 75% above | 30% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HB US BREAST BX W/STEREOTCT/LOCAL DVC/SPECIMEN, 1ST LESION | $3,637.90 | $5,197.00 | $1,299.25–$6,173.85 | 75% above | 30% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HB US BREAST BX W/STEREOTCT/LOCAL DVC/SPECIMEN, 1ST LESION | $3,637.90 | $5,197.00 | $1,299.25–$4,781.24 | — | 30% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HB US BREAST BX W/STEREOTCT/LOCAL DVC/SPECIMEN, 1ST LESION | $3,637.90 | $5,197.00 | $1,299.25–$4,781.24 | — | 30% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 HB GASTROSCOPY/PANENDO W/ BALLOON DIL (LESS TH 30MM DIAM) | $2,867.90 | $4,097.00 | $1,024.25–$6,173.85 | 36% above | 30% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 HB GASTROSCOPY/PANENDO W/ BALLOON DIL (LESS TH 30MM DIAM) | $2,867.90 | $4,097.00 | $1,024.25–$6,173.85 | 36% above | 30% |
| Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 HB GASTROSCOPY/PANENDO W/ BALLOON DIL (LESS TH 30MM DIAM) | $2,867.90 | $4,097.00 | $1,024.25–$3,769.24 | — | 30% |
| Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 HB GASTROSCOPY/PANENDO W/ BALLOON DIL (LESS TH 30MM DIAM) | $2,867.90 | $4,097.00 | $1,024.25–$3,769.24 | — | 30% |
| Upper endoscopy (EGD) with biopsy CPT 43239 HB GASTROSCOPY/PANENDO W/BIOPSY, SINGLE OR MULTIPLE | $2,832.90 | $4,047.00 | $871.92–$6,173.85 | 124% above | 30% |
| Upper endoscopy (EGD) with biopsy CPT 43239 HB GASTROSCOPY/PANENDO W/BIOPSY, SINGLE OR MULTIPLE | $2,832.90 | $4,047.00 | $871.92–$6,173.85 | 124% above | 30% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HB GASTROSCOPY/PANENDO W/BIOPSY, SINGLE OR MULTIPLE | $2,832.90 | $4,047.00 | $1,011.75–$3,723.24 | — | 30% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HB GASTROSCOPY/PANENDO W/BIOPSY, SINGLE OR MULTIPLE | $2,832.90 | $4,047.00 | $1,011.75–$3,723.24 | — | 30% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 HB GASTROSCOPY/PANENDO W/ SUBMUCOSAL INJECTION | $2,843.40 | $4,062.00 | $871.92–$6,173.85 | 206% above | 30% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 HB GASTROSCOPY/PANENDO W/ SUBMUCOSAL INJECTION | $2,843.40 | $4,062.00 | $871.92–$6,173.85 | 206% above | 30% |
| Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 HB GASTROSCOPY/PANENDO W/ SUBMUCOSAL INJECTION | $2,843.40 | $4,062.00 | $1,015.50–$3,737.04 | — | 30% |
| Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 HB GASTROSCOPY/PANENDO W/ SUBMUCOSAL INJECTION | $2,843.40 | $4,062.00 | $1,015.50–$3,737.04 | — | 30% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 HB GASTROSCOPY/PANENDO W/SNARE POLYPECTOMY | $3,301.20 | $4,716.00 | $1,179.00–$6,173.85 | 183% above | 30% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 HB GASTROSCOPY/PANENDO W/SNARE POLYPECTOMY | $3,301.20 | $4,716.00 | $1,179.00–$6,173.85 | 183% above | 30% |
| Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 HB GASTROSCOPY/PANENDO W/SNARE POLYPECTOMY | $3,301.20 | $4,716.00 | $1,179.00–$4,338.72 | — | 30% |
| Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 HB GASTROSCOPY/PANENDO W/SNARE POLYPECTOMY | $3,301.20 | $4,716.00 | $1,179.00–$4,338.72 | — | 30% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 HB GASTROSCOPY/PANENDO W/ DILATION OVER GUIDEWIRE | $2,837.10 | $4,053.00 | $871.92–$6,173.85 | 189% above | 30% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 HB GASTROSCOPY/PANENDO W/ DILATION OVER GUIDEWIRE | $2,837.10 | $4,053.00 | $871.92–$6,173.85 | 189% above | 30% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 HB GASTROSCOPY/PANENDO W/ DILATION OVER GUIDEWIRE | $2,837.10 | $4,053.00 | $1,013.25–$3,728.76 | — | 30% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 HB GASTROSCOPY/PANENDO W/ DILATION OVER GUIDEWIRE | $2,837.10 | $4,053.00 | $1,013.25–$3,728.76 | — | 30% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HB GASTROSCOPY/PANENDO, DIAGNOSTIC | $2,382.80 | $3,404.00 | $851.00–$6,173.85 | 145% above | 30% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HB GASTROSCOPY/PANENDO, DIAGNOSTIC | $2,382.80 | $3,404.00 | $851.00–$6,173.85 | 145% above | 30% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HB GASTROSCOPY/PANENDO, DIAGNOSTIC | $2,382.80 | $3,404.00 | $851.00–$3,131.68 | — | 30% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HB GASTROSCOPY/PANENDO, DIAGNOSTIC | $2,382.80 | $3,404.00 | $851.00–$3,131.68 | — | 30% |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 HB GASTROSCOPY/PANENDO W/DRAINAGE OF PSEUDOCYST | $3,509.80 | $5,014.00 | $1,253.50–$7,681.67 | 299% above | 30% |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 HB GASTROSCOPY/PANENDO W/DRAINAGE OF PSEUDOCYST | $3,509.80 | $5,014.00 | $1,253.50–$7,681.67 | 299% above | 30% |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall inpatient CPT 43240 HB GASTROSCOPY/PANENDO W/DRAINAGE OF PSEUDOCYST | $3,509.80 | $5,014.00 | $1,253.50–$4,612.88 | — | 30% |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall inpatient CPT 43240 HB GASTROSCOPY/PANENDO W/DRAINAGE OF PSEUDOCYST | $3,509.80 | $5,014.00 | $1,253.50–$4,612.88 | — | 30% |
| Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 HB CYSTO W/ URETEROSCOPY AND /OR PYELOSCOPY W/ LITHOTRIPSY | $5,012.70 | $7,161.00 | $1,790.25–$12,800.97 | 294% above | 30% |
| Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 HB CYSTO W/ URETEROSCOPY AND /OR PYELOSCOPY W/ LITHOTRIPSY | $5,012.70 | $7,161.00 | $1,790.25–$12,800.97 | 294% above | 30% |
| Ureteroscopy with laser stone breaking (lithotripsy) inpatient CPT 52353 HB CYSTO W/ URETEROSCOPY AND /OR PYELOSCOPY W/ LITHOTRIPSY | $5,012.70 | $7,161.00 | $1,790.25–$6,588.12 | — | 30% |
| Ureteroscopy with laser stone breaking (lithotripsy) inpatient CPT 52353 HB CYSTO W/ URETEROSCOPY AND /OR PYELOSCOPY W/ LITHOTRIPSY | $5,012.70 | $7,161.00 | $1,790.25–$6,588.12 | — | 30% |
| Ureteroscopy with laser stone breaking and stent placement CPT 52356 HB CYSTO W/LITHO INCL INSERT INDWELLING URETERAL STENT | $10,422.30 | $14,889.00 | $3,722.25–$13,697.88 | 102% above | 30% |
| Ureteroscopy with laser stone breaking and stent placement CPT 52356 HB CYSTO W/LITHO INCL INSERT INDWELLING URETERAL STENT | $10,422.30 | $14,889.00 | $3,722.25–$13,697.88 | 102% above | 30% |
| Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 HB CYSTO W/LITHO INCL INSERT INDWELLING URETERAL STENT | $10,422.30 | $14,889.00 | $3,722.25–$13,697.88 | — | 30% |
| Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 HB CYSTO W/LITHO INCL INSERT INDWELLING URETERAL STENT | $10,422.30 | $14,889.00 | $3,722.25–$13,697.88 | — | 30% |
| Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 HB VASECTOMY, UNILATERAL OR BILATERAL | $3,358.60 | $4,798.00 | $1,199.50–$7,681.67 | — | 30% |
| Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 HB VASECTOMY, UNILATERAL OR BILATERAL | $3,358.60 | $4,798.00 | $1,199.50–$7,681.67 | — | 30% |
| Vasectomy, one or both sides, including follow-up semen testing inpatient both sides CPT 55250 HB VASECTOMY, UNILATERAL OR BILATERAL | $3,358.60 | $4,798.00 | $1,199.50–$4,414.16 | — | 30% |
| Vasectomy, one or both sides, including follow-up semen testing inpatient both sides CPT 55250 HB VASECTOMY, UNILATERAL OR BILATERAL | $3,358.60 | $4,798.00 | $1,199.50–$4,414.16 | — | 30% |
| Vein ablation, radiofrequency, first vein CPT 36475 HB ENDOVENOUS ABLATION THERAPY, EXTREMITY, INITIAL VEIN | $5,210.80 | $7,444.00 | $1,861.00–$10,239.96 | 6% below | 30% |
| Vein ablation, radiofrequency, first vein CPT 36475 HB ENDOVENOUS ABLATION THERAPY, EXTREMITY, INITIAL VEIN | $5,210.80 | $7,444.00 | $1,861.00–$10,239.96 | 6% below | 30% |
| Vein ablation, radiofrequency, first vein inpatient CPT 36475 HB ENDOVENOUS ABLATION THERAPY, EXTREMITY, INITIAL VEIN | $5,210.80 | $7,444.00 | $1,861.00–$6,848.48 | — | 30% |
| Vein ablation, radiofrequency, first vein inpatient CPT 36475 HB ENDOVENOUS ABLATION THERAPY, EXTREMITY, INITIAL VEIN | $5,210.80 | $7,444.00 | $1,861.00–$6,848.48 | — | 30% |
| Wart removal, up to 14 warts CPT 17110 HB DESTRUCTION, ANY METHOD, BENIGN LESION S, UP TO 14 | $219.80 | $314.00 | $78.50–$3,702.31 | 8% above | 30% |
| Wart removal, up to 14 warts CPT 17110 HB DESTRUCTION, ANY METHOD, BENIGN LESION S, UP TO 14 | $219.80 | $314.00 | $78.50–$3,702.31 | 8% above | 30% |
| Wart removal, up to 14 warts inpatient CPT 17110 HB DESTRUCTION, ANY METHOD, BENIGN LESION S, UP TO 14 | $219.80 | $314.00 | $78.50–$288.88 | — | 30% |
| Wart removal, up to 14 warts inpatient CPT 17110 HB DESTRUCTION, ANY METHOD, BENIGN LESION S, UP TO 14 | $219.80 | $314.00 | $78.50–$288.88 | — | 30% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HB DEBRIDEMENT, SUBCUTANEOUS TISSUE, UP TO 20 SQ CM | $750.40 | $1,072.00 | $268.00–$3,089.00 | 79% above | 30% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HB DEBRIDEMENT, SUBCUTANEOUS TISSUE, UP TO 20 SQ CM | $750.40 | $1,072.00 | $268.00–$986.24 | 79% above | 30% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HB DEBRIDEMENT, SUBCUTANEOUS TISSUE, UP TO 20 SQ CM | $750.40 | $1,072.00 | $268.00–$986.24 | — | 30% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HB DEBRIDEMENT, SUBCUTANEOUS TISSUE, UP TO 20 SQ CM | $750.40 | $1,072.00 | $268.00–$986.24 | — | 30% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Iowa | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 HB TRANSFUSION, BLOOD OR BLOOD COMPONENTS | $1,449.00 | $2,070.00 | $423.71–$2,301.00 | 165% above | 30% |
| Blood transfusion (giving blood or blood components) CPT 36430 HB TRANSFUSION, BLOOD OR BLOOD COMPONENTS | $1,449.00 | $2,070.00 | $423.71–$1,904.40 | 165% above | 30% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HB TRANSFUSION, BLOOD OR BLOOD COMPONENTS | $1,449.00 | $2,070.00 | $517.50–$1,904.40 | — | 30% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HB TRANSFUSION, BLOOD OR BLOOD COMPONENTS | $1,449.00 | $2,070.00 | $517.50–$1,904.40 | — | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB AEROSOL INHALATION TREATMENT - PULMONARY REHAB | $156.10 | $223.00 | $55.75–$221.04 | 41% above | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB AEROSOL INHALATION TREATMENT - PULMONARY REHAB | $156.10 | $223.00 | $55.75–$221.04 | 41% above | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB INHALATION TRTMT FOR ACUTE AIRWAY OBSTRUCTION | $252.70 | $361.00 | $90.25–$332.12 | 129% above | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB INHALATION TRTMT FOR ACUTE AIRWAY OBSTRUCTION | $252.70 | $361.00 | $90.25–$332.12 | 129% above | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HB AEROSOL INHALATION TREATMENT - PULMONARY REHAB | $156.10 | $223.00 | $55.75–$205.16 | — | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HB AEROSOL INHALATION TREATMENT - PULMONARY REHAB | $156.10 | $223.00 | $55.75–$205.16 | — | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HB INHALATION TRTMT FOR ACUTE AIRWAY OBSTRUCTION | $252.70 | $361.00 | $90.25–$332.12 | — | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HB INHALATION TRTMT FOR ACUTE AIRWAY OBSTRUCTION | $252.70 | $361.00 | $90.25–$332.12 | — | 30% |
| Chemotherapy IV infusion, first hour CPT 96413 HB CHEMO ADMIN, IV, INITIAL OR SINGLE, UP TO 1 HOUR | $906.50 | $1,295.00 | $317.54–$1,191.40 | 67% above | 30% |
| Chemotherapy IV infusion, first hour CPT 96413 HB CHEMO ADMIN, IV, INITIAL OR SINGLE, UP TO 1 HOUR | $906.50 | $1,295.00 | $317.54–$1,191.40 | 67% above | 30% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 HB CHEMO ADMIN, IV, INITIAL OR SINGLE, UP TO 1 HOUR | $906.50 | $1,295.00 | $323.75–$1,191.40 | — | 30% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 HB CHEMO ADMIN, IV, INITIAL OR SINGLE, UP TO 1 HOUR | $906.50 | $1,295.00 | $323.75–$1,191.40 | — | 30% |
| Comprehensive eye exam by an eye doctor, new patient CPT 92004 HB EYE EXAM, NEW PATIENT, COMPREHENSIVE | $233.10 | $333.00 | $83.25–$306.36 | 11% below | 30% |
| Comprehensive eye exam by an eye doctor, new patient CPT 92004 HB EYE EXAM, NEW PATIENT, COMPREHENSIVE | $233.10 | $333.00 | $83.25–$306.36 | 11% below | 30% |
| Comprehensive eye exam by an eye doctor, new patient inpatient CPT 92004 HB EYE EXAM, NEW PATIENT, COMPREHENSIVE | $233.10 | $333.00 | $83.25–$306.36 | — | 30% |
| Comprehensive eye exam by an eye doctor, new patient inpatient CPT 92004 HB EYE EXAM, NEW PATIENT, COMPREHENSIVE | $233.10 | $333.00 | $83.25–$306.36 | — | 30% |
| Comprehensive eye exam, returning patient CPT 92014 HB EYE EXAM, ESTABLISHED PATIENT, COMPREHENSIVE | $233.10 | $333.00 | $83.25–$306.36 | 1% below | 30% |
| Comprehensive eye exam, returning patient CPT 92014 HB EYE EXAM, ESTABLISHED PATIENT, COMPREHENSIVE | $233.10 | $333.00 | $83.25–$306.36 | 1% below | 30% |
| Comprehensive eye exam, returning patient inpatient CPT 92014 HB EYE EXAM, ESTABLISHED PATIENT, COMPREHENSIVE | $233.10 | $333.00 | $83.25–$306.36 | — | 30% |
| Comprehensive eye exam, returning patient inpatient CPT 92014 HB EYE EXAM, ESTABLISHED PATIENT, COMPREHENSIVE | $233.10 | $333.00 | $83.25–$306.36 | — | 30% |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 HB COMPREHENSIVE AUDIOMETRY THRESHOLD EVAL/SPEECH RECOGNITION | $372.40 | $532.00 | $123.70–$489.44 | 269% above | 30% |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 HB COMPREHENSIVE AUDIOMETRY THRESHOLD EVAL/SPEECH RECOGNITION | $372.40 | $532.00 | $123.70–$489.44 | 269% above | 30% |
| Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 HB COMPREHENSIVE AUDIOMETRY THRESHOLD EVAL/SPEECH RECOGNITION | $372.40 | $532.00 | $133.00–$489.44 | — | 30% |
| Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 HB COMPREHENSIVE AUDIOMETRY THRESHOLD EVAL/SPEECH RECOGNITION | $372.40 | $532.00 | $133.00–$489.44 | — | 30% |
| Critical care, first 30 to 74 minutes CPT 99291 HB ER VISIT, LEVEL 6, CRITICAL CARE INITIAL 30-74 MINUTES (99291) | $3,701.60 | $5,288.00 | $794.09–$5,004.70 | 323% above | 30% |
| Critical care, first 30 to 74 minutes CPT 99291 HB ER VISIT, LEVEL 6, CRITICAL CARE INITIAL 30-74 MINUTES (99291) | $3,701.60 | $5,288.00 | $794.09–$5,004.70 | 323% above | 30% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 HB ER VISIT, LEVEL 6, CRITICAL CARE INITIAL 30-74 MINUTES (99291) | $3,701.60 | $5,288.00 | $1,322.00–$4,864.96 | — | 30% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 HB ER VISIT, LEVEL 6, CRITICAL CARE INITIAL 30-74 MINUTES (99291) | $3,701.60 | $5,288.00 | $1,322.00–$4,864.96 | — | 30% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 HB EEG - ROUTINE (AWAKE AND DROWSY) 20-40 MIN | $914.20 | $1,306.00 | $207.58–$1,201.52 | 44% above | 30% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 HB EEG - ROUTINE (AWAKE AND DROWSY) 20-40 MIN | $914.20 | $1,306.00 | $207.58–$1,201.52 | 44% above | 30% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HB EEG - ROUTINE (AWAKE AND DROWSY) 20-40 MIN | $914.20 | $1,306.00 | $326.50–$1,201.52 | — | 30% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HB EEG - ROUTINE (AWAKE AND DROWSY) 20-40 MIN | $914.20 | $1,306.00 | $326.50–$1,201.52 | — | 30% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HB ELECTROCARDIOGRAM | $259.00 | $370.00 | $56.71–$340.40 | 63% above | 30% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HB ELECTROCARDIOGRAM | $259.00 | $370.00 | $56.71–$340.40 | 63% above | 30% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HB ELECTROCARDIOGRAM (PULM REHAB) | $310.80 | $444.00 | $56.71–$408.48 | 95% above | 30% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HB ELECTROCARDIOGRAM (PULM REHAB) | $310.80 | $444.00 | $56.71–$408.48 | 95% above | 30% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HB ELECTROCARDIOGRAM | $259.00 | $370.00 | $92.50–$340.40 | — | 30% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HB ELECTROCARDIOGRAM | $259.00 | $370.00 | $92.50–$340.40 | — | 30% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HB ELECTROCARDIOGRAM (PULM REHAB) | $310.80 | $444.00 | $111.00–$408.48 | — | 30% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HB ELECTROCARDIOGRAM (PULM REHAB) | $310.80 | $444.00 | $111.00–$408.48 | — | 30% |
| Electroconvulsive therapy (ECT), one session CPT 90870 HB ELECTROCONVULSIVE THERAPY (ECT) | $1,026.20 | $1,466.00 | $366.50–$1,607.55 | 41% above | 30% |
| Electroconvulsive therapy (ECT), one session CPT 90870 HB ELECTROCONVULSIVE THERAPY (ECT) | $1,026.20 | $1,466.00 | $366.50–$1,607.55 | 41% above | 30% |
| Electroconvulsive therapy (ECT), one session inpatient CPT 90870 HB ELECTROCONVULSIVE THERAPY (ECT) | $1,026.20 | $1,466.00 | $366.50–$1,607.55 | — | 30% |
| Electroconvulsive therapy (ECT), one session inpatient CPT 90870 HB ELECTROCONVULSIVE THERAPY (ECT) | $1,026.20 | $1,466.00 | $278.93–$1,607.55 | — | 30% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HB ER VISIT, LEVEL 1, BRIEF (99281) | $297.50 | $425.00 | $11.49–$580.80 | 341% above | 30% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HB ER VISIT, LEVEL 1, BRIEF (99281) | $297.50 | $425.00 | $11.49–$580.80 | 341% above | 30% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HB ER VISIT, LEVEL 1, BRIEF (99281) | $297.50 | $425.00 | $106.25–$391.00 | — | 30% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HB ER VISIT, LEVEL 1, BRIEF (99281) | $297.50 | $425.00 | $106.25–$391.00 | — | 30% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HB ER VISIT, LEVEL 2, LIMITED (99282) | $543.20 | $776.00 | $147.61–$713.92 | 279% above | 30% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HB ER VISIT, LEVEL 2, LIMITED (99282) | $543.20 | $776.00 | $147.61–$713.92 | 279% above | 30% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HB ER VISIT, LEVEL 2, LIMITED (99282) | $543.20 | $776.00 | $194.00–$713.92 | — | 30% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HB ER VISIT, LEVEL 2, LIMITED (99282) | $543.20 | $776.00 | $194.00–$713.92 | — | 30% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HB ER VISIT, LEVEL 3, INTERMEDIATE (99283) | $1,017.10 | $1,453.00 | $262.42–$1,450.75 | 265% above | 30% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HB ER VISIT, LEVEL 3, INTERMEDIATE (99283) | $1,017.10 | $1,453.00 | $262.42–$1,450.75 | 265% above | 30% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HB ER VISIT, LEVEL 3, INTERMEDIATE (99283) | $1,017.10 | $1,453.00 | $363.25–$1,336.76 | — | 30% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HB ER VISIT, LEVEL 3, INTERMEDIATE (99283) | $1,017.10 | $1,453.00 | $363.25–$1,336.76 | — | 30% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HB ER VISIT, LEVEL 4, COMPLEX - MODERATE (99284) | $1,736.00 | $2,480.00 | $401.13–$4,586.07 | 233% above | 30% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HB ER VISIT, LEVEL 4, COMPLEX - MODERATE (99284) | $1,736.00 | $2,480.00 | $401.13–$4,586.07 | 233% above | 30% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HB ER VISIT, LEVEL 4, COMPLEX - MODERATE (99284) | $1,736.00 | $2,480.00 | $620.00–$2,281.60 | — | 30% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HB ER VISIT, LEVEL 4, COMPLEX - MODERATE (99284) | $1,736.00 | $2,480.00 | $620.00–$2,281.60 | — | 30% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HB ER VISIT, LEVEL 5, COMPLEX - HIGH (99285) | $2,945.60 | $4,208.00 | $572.51–$4,586.07 | 286% above | 30% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HB ER VISIT, LEVEL 5, COMPLEX - HIGH (99285) | $2,945.60 | $4,208.00 | $572.51–$4,586.07 | 286% above | 30% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HB ER VISIT, LEVEL 5, COMPLEX - HIGH (99285) | $2,945.60 | $4,208.00 | $1,052.00–$3,871.36 | — | 30% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HB ER VISIT, LEVEL 5, COMPLEX - HIGH (99285) | $2,945.60 | $4,208.00 | $1,052.00–$3,871.36 | — | 30% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HB ECG MONITORED EXERCISE EVALUATION | $440.30 | $629.00 | $157.25–$578.68 | 35% below | 30% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HB ECG MONITORED EXERCISE EVALUATION | $440.30 | $629.00 | $157.25–$578.68 | 35% below | 30% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HB EXERCISE AND EKG MONITORING | $617.40 | $882.00 | $207.58–$811.44 | 8% below | 30% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HB EXERCISE AND EKG MONITORING | $617.40 | $882.00 | $207.58–$811.44 | 8% below | 30% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HB BICYCLE STRESS ECG, RESIDENT MD | $923.30 | $1,319.00 | $207.58–$1,213.48 | 37% above | 30% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HB BICYCLE STRESS - ECG, STAFF MD OR PA MONITORING | $923.30 | $1,319.00 | $207.58–$1,213.48 | 37% above | 30% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HB BICYCLE STRESS - ECG, STAFF MD OR PA MONITORING | $923.30 | $1,319.00 | $207.58–$1,213.48 | 37% above | 30% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HB BICYCLE STRESS ECG, RESIDENT MD | $923.30 | $1,319.00 | $207.58–$1,213.48 | 37% above | 30% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HB CARDIOVASCULAR STRESS TEST | $975.10 | $1,393.00 | $207.58–$1,281.56 | 45% above | 30% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HB PHARMACOLOGIC STRESS ECG, STAFF MD OR PA MONITORING | $975.10 | $1,393.00 | $207.58–$1,281.56 | 45% above | 30% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HB CV STRESS TEST EXERCISE - CARDIAC REHAB/PEDS DX | $975.10 | $1,393.00 | $207.58–$1,281.56 | 45% above | 30% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HB CV STRESS TEST EXERCISE | $975.10 | $1,393.00 | $207.58–$1,281.56 | 45% above | 30% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HB CV STRESS TEST EXERCISE | $975.10 | $1,393.00 | $207.58–$1,281.56 | 45% above | 30% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HB CV STRESS TEST EXERCISE - CARDIAC REHAB/PEDS DX | $975.10 | $1,393.00 | $207.58–$1,281.56 | 45% above | 30% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HB TREADMILL STRESS ECG, RESIDENT MD MONITORING | $975.10 | $1,393.00 | $207.58–$1,281.56 | 45% above | 30% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HB TREADMILL STRESS ECG, STAFF MD OR PA MONITORING | $975.10 | $1,393.00 | $207.58–$1,281.56 | 45% above | 30% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HB PHARMACOLOGIC STRESS ECG, STAFF MD OR PA MONITORING | $975.10 | $1,393.00 | $207.58–$1,281.56 | 45% above | 30% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HB PHARMACOLOGIC STRESS ECG, RESIDENT MD | $975.10 | $1,393.00 | $207.58–$1,281.56 | 45% above | 30% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HB CARDIOVASCULAR STRESS TEST | $975.10 | $1,393.00 | $207.58–$1,281.56 | 45% above | 30% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HB TREADMILL STRESS ECG, RESIDENT MD MONITORING | $975.10 | $1,393.00 | $207.58–$1,281.56 | 45% above | 30% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HB TREADMILL STRESS ECG, STAFF MD OR PA MONITORING | $975.10 | $1,393.00 | $207.58–$1,281.56 | 45% above | 30% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HB PHARMACOLOGIC STRESS ECG, RESIDENT MD | $975.10 | $1,393.00 | $207.58–$1,281.56 | 45% above | 30% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HB ECG MONITORED EXERCISE EVALUATION | $440.30 | $629.00 | $157.25–$578.68 | — | 30% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HB ECG MONITORED EXERCISE EVALUATION | $440.30 | $629.00 | $157.25–$578.68 | — | 30% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HB EXERCISE AND EKG MONITORING | $617.40 | $882.00 | $220.50–$811.44 | — | 30% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HB EXERCISE AND EKG MONITORING | $617.40 | $882.00 | $220.50–$811.44 | — | 30% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HB BICYCLE STRESS ECG, RESIDENT MD | $923.30 | $1,319.00 | $329.75–$1,213.48 | — | 30% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HB BICYCLE STRESS - ECG, STAFF MD OR PA MONITORING | $923.30 | $1,319.00 | $329.75–$1,213.48 | — | 30% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HB BICYCLE STRESS ECG, RESIDENT MD | $923.30 | $1,319.00 | $329.75–$1,213.48 | — | 30% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HB BICYCLE STRESS - ECG, STAFF MD OR PA MONITORING | $923.30 | $1,319.00 | $329.75–$1,213.48 | — | 30% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HB CV STRESS TEST EXERCISE - CARDIAC REHAB/PEDS DX | $975.10 | $1,393.00 | $348.25–$1,281.56 | — | 30% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HB TREADMILL STRESS ECG, STAFF MD OR PA MONITORING | $975.10 | $1,393.00 | $348.25–$1,281.56 | — | 30% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HB PHARMACOLOGIC STRESS ECG, RESIDENT MD | $975.10 | $1,393.00 | $348.25–$1,281.56 | — | 30% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HB PHARMACOLOGIC STRESS ECG, STAFF MD OR PA MONITORING | $975.10 | $1,393.00 | $348.25–$1,281.56 | — | 30% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HB CV STRESS TEST EXERCISE | $975.10 | $1,393.00 | $348.25–$1,281.56 | — | 30% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HB CV STRESS TEST EXERCISE - CARDIAC REHAB/PEDS DX | $975.10 | $1,393.00 | $348.25–$1,281.56 | — | 30% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HB TREADMILL STRESS ECG, RESIDENT MD MONITORING | $975.10 | $1,393.00 | $348.25–$1,281.56 | — | 30% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HB CARDIOVASCULAR STRESS TEST | $975.10 | $1,393.00 | $348.25–$1,281.56 | — | 30% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HB CV STRESS TEST EXERCISE | $975.10 | $1,393.00 | $348.25–$1,281.56 | — | 30% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HB PHARMACOLOGIC STRESS ECG, STAFF MD OR PA MONITORING | $975.10 | $1,393.00 | $348.25–$1,281.56 | — | 30% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HB PHARMACOLOGIC STRESS ECG, RESIDENT MD | $975.10 | $1,393.00 | $348.25–$1,281.56 | — | 30% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HB TREADMILL STRESS ECG, STAFF MD OR PA MONITORING | $975.10 | $1,393.00 | $348.25–$1,281.56 | — | 30% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HB TREADMILL STRESS ECG, RESIDENT MD MONITORING | $975.10 | $1,393.00 | $348.25–$1,281.56 | — | 30% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HB CARDIOVASCULAR STRESS TEST | $975.10 | $1,393.00 | $348.25–$1,281.56 | — | 30% |
| Eye exam, returning patient, intermediate CPT 92012 HB EYE EXAM, ESTABLISHED PATIENT, INTERMEDIATE | $233.10 | $333.00 | $83.25–$306.36 | 30% above | 30% |
| Eye exam, returning patient, intermediate CPT 92012 HB EYE EXAM, ESTABLISHED PATIENT, INTERMEDIATE | $233.10 | $333.00 | $83.25–$306.36 | 30% above | 30% |
| Eye exam, returning patient, intermediate inpatient CPT 92012 HB EYE EXAM, ESTABLISHED PATIENT, INTERMEDIATE | $233.10 | $333.00 | $83.25–$306.36 | — | 30% |
| Eye exam, returning patient, intermediate inpatient CPT 92012 HB EYE EXAM, ESTABLISHED PATIENT, INTERMEDIATE | $233.10 | $333.00 | $83.25–$306.36 | — | 30% |
| Family therapy with the patient, 50 minutes CPT 90847 HB FAMILY PSYCHOTHERAPY - WITH PATIENT VISIT | $210.00 | $300.00 | $75.00–$276.00 | 10% below | 30% |
| Family therapy with the patient, 50 minutes CPT 90847 HB FAMILY PSYCHOTHERAPY - WITH PATIENT VISIT | $210.00 | $300.00 | $75.00–$276.00 | 10% below | 30% |
| Family therapy with the patient, 50 minutes CPT 90847 HB FAMILY PSYCHOTHERAPY - WITH PATIENT, PEDS | $242.90 | $347.00 | $86.75–$319.24 | 4% above | 30% |
| Family therapy with the patient, 50 minutes CPT 90847 HB FAMILY PSYCHOTHERAPY - WITH PATIENT (ARNP) | $242.90 | $347.00 | $86.75–$319.24 | 4% above | 30% |
| Family therapy with the patient, 50 minutes CPT 90847 HB FAMILY THERAPY - WITH PATIENT (CP) | $242.90 | $347.00 | $86.75–$319.24 | 4% above | 30% |
| Family therapy with the patient, 50 minutes CPT 90847 HB OUTPT FAMILY PSYCHOTHERAPY W/PATIENT, CHEM DEP (SW) | $242.90 | $347.00 | $86.75–$319.24 | 4% above | 30% |
| Family therapy with the patient, 50 minutes CPT 90847 HB OUTPT FAMILY PSYCHOTHERAPY W/PATIENT, CHEM DEP (SW) | $242.90 | $347.00 | $86.75–$319.24 | 4% above | 30% |
| Family therapy with the patient, 50 minutes CPT 90847 HB OUTPT FAMILY PSYCHOTHERAPY W/PATIENT, CHEM DEP (ARNP) | $242.90 | $347.00 | $86.75–$319.24 | 4% above | 30% |
| Family therapy with the patient, 50 minutes CPT 90847 HB OUTPT FAMILY PSYCHOTHERAPY W/PATIENT, CHEM DEP (ARNP) | $242.90 | $347.00 | $86.75–$319.24 | 4% above | 30% |
| Family therapy with the patient, 50 minutes CPT 90847 HB FAMILY PSYCHOTHERAPY - WITH PATIENT (LMHC) | $242.90 | $347.00 | $86.75–$319.24 | 4% above | 30% |
| Family therapy with the patient, 50 minutes CPT 90847 HB FAMILY THERAPY - WITH PATIENT - CLINICAL PSYCH | $242.90 | $347.00 | $86.75–$319.24 | 4% above | 30% |
| Family therapy with the patient, 50 minutes CPT 90847 HB FAMILY THERAPY - WITH PATIENT, SPINE (CP) | $242.90 | $347.00 | $86.75–$319.24 | 4% above | 30% |
| Family therapy with the patient, 50 minutes CPT 90847 HB FAMILY PSYCHOTHERAPY - WITH PATIENT, PEDS | $242.90 | $347.00 | $86.75–$319.24 | 4% above | 30% |
| Family therapy with the patient, 50 minutes CPT 90847 HB FAMILY PSYCHOTHERAPY - WITH PATIENT (SW) | $242.90 | $347.00 | $86.75–$319.24 | 4% above | 30% |
| Family therapy with the patient, 50 minutes CPT 90847 HB FAMILY PSYCHOTHERAPY - WITH PATIENT (ARNP) | $242.90 | $347.00 | $86.75–$319.24 | 4% above | 30% |
| Family therapy with the patient, 50 minutes CPT 90847 HB FAMILY THERAPY - WITH PATIENT (CP) | $242.90 | $347.00 | $86.75–$319.24 | 4% above | 30% |
| Family therapy with the patient, 50 minutes CPT 90847 HB FAMILY THERAPY - WITH PATIENT, SPINE (CP) | $242.90 | $347.00 | $86.75–$319.24 | 4% above | 30% |
| Family therapy with the patient, 50 minutes CPT 90847 HB FAMILY PSYCHOTHERAPY - WITH PATIENT (SW) | $242.90 | $347.00 | $86.75–$319.24 | 4% above | 30% |
| Family therapy with the patient, 50 minutes CPT 90847 HB FAMILY PSYCHOTHERAPY - WITH PATIENT (LMHC) | $242.90 | $347.00 | $86.75–$319.24 | 4% above | 30% |
| Family therapy with the patient, 50 minutes CPT 90847 HB FAMILY THERAPY - WITH PATIENT - CLINICAL PSYCH | $242.90 | $347.00 | $86.75–$319.24 | 4% above | 30% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HB FAMILY PSYCHOTHERAPY - WITH PATIENT VISIT | $210.00 | $300.00 | $75.00–$276.00 | — | 30% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HB FAMILY PSYCHOTHERAPY - WITH PATIENT VISIT | $210.00 | $300.00 | $75.00–$276.00 | — | 30% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HB OUTPT FAMILY PSYCHOTHERAPY W/PATIENT, CHEM DEP (ARNP) | $242.90 | $347.00 | $86.75–$319.24 | — | 30% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HB FAMILY PSYCHOTHERAPY - WITH PATIENT (LMHC) | $242.90 | $347.00 | $86.75–$319.24 | — | 30% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HB FAMILY THERAPY - WITH PATIENT - CLINICAL PSYCH | $242.90 | $347.00 | $86.75–$319.24 | — | 30% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HB FAMILY THERAPY - WITH PATIENT, SPINE (CP) | $242.90 | $347.00 | $86.75–$319.24 | — | 30% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HB FAMILY PSYCHOTHERAPY - WITH PATIENT, PEDS | $242.90 | $347.00 | $86.75–$319.24 | — | 30% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HB FAMILY PSYCHOTHERAPY - WITH PATIENT (SW) | $242.90 | $347.00 | $86.75–$319.24 | — | 30% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HB FAMILY PSYCHOTHERAPY - WITH PATIENT (ARNP) | $242.90 | $347.00 | $86.75–$319.24 | — | 30% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HB FAMILY THERAPY - WITH PATIENT (CP) | $242.90 | $347.00 | $86.75–$319.24 | — | 30% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HB OUTPT FAMILY PSYCHOTHERAPY W/PATIENT, CHEM DEP (SW) | $242.90 | $347.00 | $86.75–$319.24 | — | 30% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HB OUTPT FAMILY PSYCHOTHERAPY W/PATIENT, CHEM DEP (ARNP) | $242.90 | $347.00 | $86.75–$319.24 | — | 30% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HB FAMILY PSYCHOTHERAPY - WITH PATIENT (LMHC) | $242.90 | $347.00 | $86.75–$319.24 | — | 30% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HB FAMILY THERAPY - WITH PATIENT - CLINICAL PSYCH | $242.90 | $347.00 | $86.75–$319.24 | — | 30% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HB FAMILY THERAPY - WITH PATIENT, SPINE (CP) | $242.90 | $347.00 | $86.75–$319.24 | — | 30% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HB FAMILY PSYCHOTHERAPY - WITH PATIENT, PEDS | $242.90 | $347.00 | $86.75–$319.24 | — | 30% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HB FAMILY PSYCHOTHERAPY - WITH PATIENT (SW) | $242.90 | $347.00 | $86.75–$319.24 | — | 30% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HB FAMILY PSYCHOTHERAPY - WITH PATIENT (ARNP) | $242.90 | $347.00 | $86.75–$319.24 | — | 30% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HB FAMILY THERAPY - WITH PATIENT (CP) | $242.90 | $347.00 | $86.75–$319.24 | — | 30% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HB OUTPT FAMILY PSYCHOTHERAPY W/PATIENT, CHEM DEP (SW) | $242.90 | $347.00 | $86.75–$319.24 | — | 30% |
| Family therapy without the patient, 50 minutes CPT 90846 HB FAMILY PSYCHOTHERAPY - WITHOUT PATIENT VISIT | $129.50 | $185.00 | $46.25–$179.16 | 43% below | 30% |
| Family therapy without the patient, 50 minutes CPT 90846 HB FAMILY PSYCHOTHERAPY - WITHOUT PATIENT VISIT | $129.50 | $185.00 | $46.25–$179.16 | 43% below | 30% |
| Family therapy without the patient, 50 minutes CPT 90846 HB FAMILY PSYCHOTHERAPY W/O PATIENT, CHEM DEP (ARNP) | $291.20 | $416.00 | $104.00–$382.72 | 29% above | 30% |
| Family therapy without the patient, 50 minutes CPT 90846 HB FAMILY PSYCHOTHERAPY WITHOUT PATIENT (CP) | $291.20 | $416.00 | $104.00–$382.72 | 29% above | 30% |
| Family therapy without the patient, 50 minutes CPT 90846 HB FAMILY PSYCHOTHERAPY W/O PATIENT (SW) | $291.20 | $416.00 | $104.00–$382.72 | 29% above | 30% |
| Family therapy without the patient, 50 minutes CPT 90846 HB FAMILY PSYCHOTHERAPY - WITHOUT PATIENT (ARNP) | $291.20 | $416.00 | $104.00–$382.72 | 29% above | 30% |
| Family therapy without the patient, 50 minutes CPT 90846 HB FAMILY PSYCHOTHERAPY - WITHOUT PATIENT, PEDS | $291.20 | $416.00 | $104.00–$382.72 | 29% above | 30% |
| Family therapy without the patient, 50 minutes CPT 90846 HB FAMILY PSYCHOTHERAPY W/O PATIENT (LMHC) | $291.20 | $416.00 | $104.00–$382.72 | 29% above | 30% |
| Family therapy without the patient, 50 minutes CPT 90846 HB FAMILY PSYCHOTHERAPY W/O PATIENT, CHEM DEP (SW) | $291.20 | $416.00 | $104.00–$382.72 | 29% above | 30% |
| Family therapy without the patient, 50 minutes CPT 90846 HB FAMILY PSYCHOTHERAPY W/O PATIENT, CHEM DEP (SW) | $291.20 | $416.00 | $104.00–$382.72 | 29% above | 30% |
| Family therapy without the patient, 50 minutes CPT 90846 HB FAMILY PSYCHOTHERAPY W/O PATIENT (LMHC) | $291.20 | $416.00 | $104.00–$382.72 | 29% above | 30% |
| Family therapy without the patient, 50 minutes CPT 90846 HB FAMILY PSYCHOTHERAPY - WITHOUT PATIENT, PEDS | $291.20 | $416.00 | $104.00–$382.72 | 29% above | 30% |
| Family therapy without the patient, 50 minutes CPT 90846 HB FAMILY PSYCHOTHERAPY - WITHOUT PATIENT (ARNP) | $291.20 | $416.00 | $104.00–$382.72 | 29% above | 30% |
| Family therapy without the patient, 50 minutes CPT 90846 HB FAMILY PSYCHOTHERAPY W/O PATIENT (SW) | $291.20 | $416.00 | $104.00–$382.72 | 29% above | 30% |
| Family therapy without the patient, 50 minutes CPT 90846 HB FAMILY PSYCHOTHERAPY WITHOUT PATIENT (CP) | $291.20 | $416.00 | $104.00–$382.72 | 29% above | 30% |
| Family therapy without the patient, 50 minutes CPT 90846 HB FAMILY PSYCHOTHERAPY W/O PATIENT, CHEM DEP (ARNP) | $291.20 | $416.00 | $104.00–$382.72 | 29% above | 30% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HB FAMILY PSYCHOTHERAPY - WITHOUT PATIENT VISIT | $129.50 | $185.00 | $46.25–$170.20 | — | 30% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HB FAMILY PSYCHOTHERAPY - WITHOUT PATIENT VISIT | $129.50 | $185.00 | $46.25–$170.20 | — | 30% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HB FAMILY PSYCHOTHERAPY - WITHOUT PATIENT, PEDS | $291.20 | $416.00 | $104.00–$382.72 | — | 30% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HB FAMILY PSYCHOTHERAPY - WITHOUT PATIENT (ARNP) | $291.20 | $416.00 | $104.00–$382.72 | — | 30% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HB FAMILY PSYCHOTHERAPY W/O PATIENT (SW) | $291.20 | $416.00 | $104.00–$382.72 | — | 30% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HB FAMILY PSYCHOTHERAPY WITHOUT PATIENT (CP) | $291.20 | $416.00 | $104.00–$382.72 | — | 30% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HB FAMILY PSYCHOTHERAPY W/O PATIENT, CHEM DEP (ARNP) | $291.20 | $416.00 | $104.00–$382.72 | — | 30% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HB FAMILY PSYCHOTHERAPY W/O PATIENT, CHEM DEP (SW) | $291.20 | $416.00 | $104.00–$382.72 | — | 30% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HB FAMILY PSYCHOTHERAPY W/O PATIENT (LMHC) | $291.20 | $416.00 | $104.00–$382.72 | — | 30% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HB FAMILY PSYCHOTHERAPY W/O PATIENT (LMHC) | $291.20 | $416.00 | $104.00–$382.72 | — | 30% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HB FAMILY PSYCHOTHERAPY WITHOUT PATIENT (CP) | $291.20 | $416.00 | $104.00–$382.72 | — | 30% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HB FAMILY PSYCHOTHERAPY W/O PATIENT (SW) | $291.20 | $416.00 | $104.00–$382.72 | — | 30% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HB FAMILY PSYCHOTHERAPY - WITHOUT PATIENT (ARNP) | $291.20 | $416.00 | $104.00–$382.72 | — | 30% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HB FAMILY PSYCHOTHERAPY - WITHOUT PATIENT, PEDS | $291.20 | $416.00 | $104.00–$382.72 | — | 30% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HB FAMILY PSYCHOTHERAPY W/O PATIENT, CHEM DEP (SW) | $291.20 | $416.00 | $104.00–$382.72 | — | 30% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HB FAMILY PSYCHOTHERAPY W/O PATIENT, CHEM DEP (ARNP) | $291.20 | $416.00 | $104.00–$382.72 | — | 30% |
| Group psychotherapy session CPT 90853 HB GROUP PSYCHOTHERAPY VISIT | $93.10 | $133.00 | $33.25–$122.36 | 58% below | 30% |
| Group psychotherapy session CPT 90853 HB GROUP PSYCHOTHERAPY VISIT | $93.10 | $133.00 | $33.25–$122.36 | 58% below | 30% |
| Group psychotherapy session CPT 90853 HB GROUP PSYCHOTHERAPY, CHEM DEP (SW) | $93.80 | $134.00 | $33.50–$123.28 | 58% below | 30% |
| Group psychotherapy session CPT 90853 HB GROUP PSYCHOTHERAPY, CHEM DEP(ARNP) | $93.80 | $134.00 | $33.50–$123.28 | 58% below | 30% |
| Group psychotherapy session CPT 90853 HB GROUP PSYCHOTHERAPY, CHEM DEP (PHD) | $93.80 | $134.00 | $33.50–$123.28 | 58% below | 30% |
| Group psychotherapy session CPT 90853 HB GROUP PSYCHOTHERAPY (CP) | $93.80 | $134.00 | $33.50–$123.28 | 58% below | 30% |
| Group psychotherapy session CPT 90853 HB GROUP PSYCHOTHERAPY (SW) | $93.80 | $134.00 | $33.50–$123.28 | 58% below | 30% |
| Group psychotherapy session CPT 90853 HB GROUP PSYCHOTHERAPY (ARNP) | $93.80 | $134.00 | $33.50–$123.28 | 58% below | 30% |
| Group psychotherapy session CPT 90853 HB GROUP PSYCHOTHERAPY (LMHC) | $93.80 | $134.00 | $33.50–$123.28 | 58% below | 30% |
| Group psychotherapy session CPT 90853 HB GROUP PSYCHOTHERAPY, PEDS | $93.80 | $134.00 | $33.50–$123.28 | 58% below | 30% |
| Group psychotherapy session CPT 90853 HB GROUP PSYCHOTHERAPY (SW) | $93.80 | $134.00 | $33.50–$123.28 | 58% below | 30% |
| Group psychotherapy session CPT 90853 HB GROUP PSYCHOTHERAPY (ARNP) | $93.80 | $134.00 | $33.50–$123.28 | 58% below | 30% |
| Group psychotherapy session CPT 90853 HB GROUP PSYCHOTHERAPY (CP) | $93.80 | $134.00 | $33.50–$123.28 | 58% below | 30% |
| Group psychotherapy session CPT 90853 HB GROUP PSYCHOTHERAPY, CHEM DEP (PHD) | $93.80 | $134.00 | $33.50–$123.28 | 58% below | 30% |
| Group psychotherapy session CPT 90853 HB GROUP PSYCHOTHERAPY, CHEM DEP(ARNP) | $93.80 | $134.00 | $33.50–$123.28 | 58% below | 30% |
| Group psychotherapy session CPT 90853 HB GROUP PSYCHOTHERAPY, CHEM DEP (SW) | $93.80 | $134.00 | $33.50–$123.28 | 58% below | 30% |
| Group psychotherapy session CPT 90853 HB GROUP PSYCHOTHERAPY (LMHC) | $93.80 | $134.00 | $33.50–$123.28 | 58% below | 30% |
| Group psychotherapy session CPT 90853 HB GROUP PSYCHOTHERAPY, PEDS | $93.80 | $134.00 | $33.50–$123.28 | 58% below | 30% |
| Group psychotherapy session inpatient CPT 90853 HB GROUP PSYCHOTHERAPY VISIT | $93.10 | $133.00 | $33.25–$122.36 | — | 30% |
| Group psychotherapy session inpatient CPT 90853 HB GROUP PSYCHOTHERAPY VISIT | $93.10 | $133.00 | $33.25–$122.36 | — | 30% |
| Group psychotherapy session inpatient CPT 90853 HB GROUP PSYCHOTHERAPY, PEDS | $93.80 | $134.00 | $33.50–$123.28 | — | 30% |
| Group psychotherapy session inpatient CPT 90853 HB GROUP PSYCHOTHERAPY (LMHC) | $93.80 | $134.00 | $33.50–$123.28 | — | 30% |
| Group psychotherapy session inpatient CPT 90853 HB GROUP PSYCHOTHERAPY (SW) | $93.80 | $134.00 | $33.50–$123.28 | — | 30% |
| Group psychotherapy session inpatient CPT 90853 HB GROUP PSYCHOTHERAPY (ARNP) | $93.80 | $134.00 | $33.50–$123.28 | — | 30% |
| Group psychotherapy session inpatient CPT 90853 HB GROUP PSYCHOTHERAPY (CP) | $93.80 | $134.00 | $33.50–$123.28 | — | 30% |
| Group psychotherapy session inpatient CPT 90853 HB GROUP PSYCHOTHERAPY, CHEM DEP (PHD) | $93.80 | $134.00 | $33.50–$123.28 | — | 30% |
| Group psychotherapy session inpatient CPT 90853 HB GROUP PSYCHOTHERAPY, CHEM DEP(ARNP) | $93.80 | $134.00 | $33.50–$123.28 | — | 30% |
| Group psychotherapy session inpatient CPT 90853 HB GROUP PSYCHOTHERAPY, CHEM DEP (SW) | $93.80 | $134.00 | $33.50–$123.28 | — | 30% |
| Group psychotherapy session inpatient CPT 90853 HB GROUP PSYCHOTHERAPY, CHEM DEP (SW) | $93.80 | $134.00 | $33.50–$123.28 | — | 30% |
| Group psychotherapy session inpatient CPT 90853 HB GROUP PSYCHOTHERAPY, CHEM DEP(ARNP) | $93.80 | $134.00 | $33.50–$123.28 | — | 30% |
| Group psychotherapy session inpatient CPT 90853 HB GROUP PSYCHOTHERAPY, CHEM DEP (PHD) | $93.80 | $134.00 | $33.50–$123.28 | — | 30% |
| Group psychotherapy session inpatient CPT 90853 HB GROUP PSYCHOTHERAPY (CP) | $93.80 | $134.00 | $33.50–$123.28 | — | 30% |
| Group psychotherapy session inpatient CPT 90853 HB GROUP PSYCHOTHERAPY (ARNP) | $93.80 | $134.00 | $33.50–$123.28 | — | 30% |
| Group psychotherapy session inpatient CPT 90853 HB GROUP PSYCHOTHERAPY (SW) | $93.80 | $134.00 | $33.50–$123.28 | — | 30% |
| Group psychotherapy session inpatient CPT 90853 HB GROUP PSYCHOTHERAPY, PEDS | $93.80 | $134.00 | $33.50–$123.28 | — | 30% |
| Group psychotherapy session inpatient CPT 90853 HB GROUP PSYCHOTHERAPY (LMHC) | $93.80 | $134.00 | $33.50–$123.28 | — | 30% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HB IV INFUSION, HYDRATION; INITIAL, UP TO ONE HOUR | $681.10 | $973.00 | $204.20–$895.16 | 143% above | 30% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HB IV INFUSION, HYDRATION; INITIAL, UP TO ONE HOUR | $681.10 | $973.00 | $204.20–$895.16 | 143% above | 30% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HB IV INFUSION, HYDRATION; INITIAL, UP TO ONE HOUR | $681.10 | $973.00 | $243.25–$895.16 | — | 30% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HB IV INFUSION, HYDRATION; INITIAL, UP TO ONE HOUR | $681.10 | $973.00 | $243.25–$895.16 | — | 30% |
| IV infusion of a medicine, first hour CPT 96365 HB GALERA RESEARCH INFUSION | $617.40 | $882.00 | $204.20–$811.44 | 96% above | 30% |
| IV infusion of a medicine, first hour CPT 96365 HB GALERA RESEARCH INFUSION | $617.40 | $882.00 | $204.20–$811.44 | 96% above | 30% |
| IV infusion of a medicine, first hour CPT 96365 HB IV INFUSION, THER/PROPH/DIAG; INITIAL, TO ONE HOUR | $654.50 | $935.00 | $204.20–$860.20 | 108% above | 30% |
| IV infusion of a medicine, first hour CPT 96365 HB IV INFUSION, THER/PROPH/DIAG; INITIAL, TO ONE HOUR | $654.50 | $935.00 | $204.20–$860.20 | 108% above | 30% |
| IV infusion of a medicine, first hour CPT 96365 HB IV INFUSION, IMMUNOGLOBULIN OR HIGH RISK DRUG, FIRST HOUR | $763.00 | $1,090.00 | $204.20–$1,002.80 | 143% above | 30% |
| IV infusion of a medicine, first hour CPT 96365 HB IV INFUSION, IMMUNOGLOBULIN OR HIGH RISK DRUG, FIRST HOUR | $763.00 | $1,090.00 | $204.20–$1,002.80 | 143% above | 30% |
| IV infusion of a medicine, first hour inpatient CPT 96365 HB GALERA RESEARCH INFUSION | $617.40 | $882.00 | $220.50–$811.44 | — | 30% |
| IV infusion of a medicine, first hour inpatient CPT 96365 HB GALERA RESEARCH INFUSION | $617.40 | $882.00 | $220.50–$811.44 | — | 30% |
| IV infusion of a medicine, first hour inpatient CPT 96365 HB IV INFUSION, THER/PROPH/DIAG; INITIAL, TO ONE HOUR | $654.50 | $935.00 | $233.75–$860.20 | — | 30% |
| IV infusion of a medicine, first hour inpatient CPT 96365 HB IV INFUSION, THER/PROPH/DIAG; INITIAL, TO ONE HOUR | $654.50 | $935.00 | $233.75–$860.20 | — | 30% |
| IV infusion of a medicine, first hour inpatient CPT 96365 HB IV INFUSION, IMMUNOGLOBULIN OR HIGH RISK DRUG, FIRST HOUR | $763.00 | $1,090.00 | $272.50–$1,002.80 | — | 30% |
| IV infusion of a medicine, first hour inpatient CPT 96365 HB IV INFUSION, IMMUNOGLOBULIN OR HIGH RISK DRUG, FIRST HOUR | $763.00 | $1,090.00 | $272.50–$1,002.80 | — | 30% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HB INJECTION, SUBCUTANEOUS OR INTRAMUSCULAR | $100.10 | $143.00 | $35.75–$131.56 | 17% above | 30% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HB INJECTION, SUBCUTANEOUS OR INTRAMUSCULAR | $100.10 | $143.00 | $35.75–$179.00 | 17% above | 30% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HB INJECTION, SUBCUTANEOUS OR INTRAMUSCULAR | $100.10 | $143.00 | $35.75–$131.56 | — | 30% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HB INJECTION, SUBCUTANEOUS OR INTRAMUSCULAR | $100.10 | $143.00 | $35.75–$131.56 | — | 30% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HB EVALUATION (HSP/PHYS) | $47.60 | $68.00 | $17.00–$179.16 | 81% below | 30% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HB EVALUATION (HSP/PHYS) | $47.60 | $68.00 | $17.00–$179.16 | 81% below | 30% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HB EVALUATION (HSP) | $87.50 | $125.00 | $31.25–$179.16 | 66% below | 30% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HB EVALUATION (HSP) | $87.50 | $125.00 | $31.25–$179.16 | 66% below | 30% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HB PSYCHIATRIC DIAGNOSTIC EVALUATION VISIT | $198.80 | $284.00 | $71.00–$261.28 | 22% below | 30% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HB PSYCHIATRIC DIAGNOSTIC EVALUATION VISIT | $198.80 | $284.00 | $71.00–$261.28 | 22% below | 30% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HB PSYCHIATRIC DIAGNOSTIC EVALUATION (LMHC) | $352.10 | $503.00 | $125.75–$462.76 | 38% above | 30% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HB REMEDIAL REASSESSMENT | $352.10 | $503.00 | $125.75–$462.76 | 38% above | 30% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HB PSYCHIATRIC DIAGNOSTIC EVALUATION, PEDS - BIOBEHAVIORAL | $352.10 | $503.00 | $125.75–$462.76 | 38% above | 30% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HB PSYCHIATRIC DIAGNOSTIC EVALUATION (LMHC) | $352.10 | $503.00 | $125.75–$462.76 | 38% above | 30% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HB PSYCHIATRIC DIAGNOSTIC EVALUATION, CHEM DEP (ARNP) | $352.10 | $503.00 | $125.75–$462.76 | 38% above | 30% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HB PSYCHIATRIC DIAGNOSTIC EVALUATION, CHEM DEP (SW) | $352.10 | $503.00 | $125.75–$462.76 | 38% above | 30% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HB PSYCHIATRIC DIAGNOSTIC EVALUATION - ADULT (CP) | $352.10 | $503.00 | $125.75–$462.76 | 38% above | 30% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HB PSYCHIATRIC DIAGNOSTIC EVALUATION - CHILD (CP) | $352.10 | $503.00 | $125.75–$462.76 | 38% above | 30% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HB PSYCHIATRIC DIAGNOSTIC EVALUATION (ARNP) | $352.10 | $503.00 | $125.75–$462.76 | 38% above | 30% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HB PSYCHIATRIC DIAGNOSTIC EVALUATION (SW) | $352.10 | $503.00 | $125.75–$462.76 | 38% above | 30% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HB PSYCHIATRIC DIAGNOSTIC EVALUATION, PEDS | $352.10 | $503.00 | $125.75–$462.76 | 38% above | 30% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HB REMEDIAL ASSESSMENT | $352.10 | $503.00 | $125.75–$462.76 | 38% above | 30% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HB REMEDIAL REASSESSMENT | $352.10 | $503.00 | $125.75–$462.76 | 38% above | 30% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HB PSYCHIATRIC DIAGNOSTIC EVALUATION, PEDS - BIOBEHAVIORAL | $352.10 | $503.00 | $125.75–$462.76 | 38% above | 30% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HB REMEDIAL ASSESSMENT | $352.10 | $503.00 | $125.75–$462.76 | 38% above | 30% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HB PSYCHIATRIC DIAGNOSTIC EVALUATION, PEDS | $352.10 | $503.00 | $125.75–$462.76 | 38% above | 30% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HB PSYCHIATRIC DIAGNOSTIC EVALUATION (SW) | $352.10 | $503.00 | $125.75–$462.76 | 38% above | 30% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HB PSYCHIATRIC DIAGNOSTIC EVALUATION (ARNP) | $352.10 | $503.00 | $125.75–$462.76 | 38% above | 30% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HB PSYCHIATRIC DIAGNOSTIC EVALUATION - CHILD (CP) | $352.10 | $503.00 | $125.75–$462.76 | 38% above | 30% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HB PSYCHIATRIC DIAGNOSTIC EVALUATION - ADULT (CP) | $352.10 | $503.00 | $125.75–$462.76 | 38% above | 30% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HB PSYCHIATRIC DIAGNOSTIC EVALUATION, CHEM DEP (SW) | $352.10 | $503.00 | $125.75–$462.76 | 38% above | 30% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HB PSYCHIATRIC DIAGNOSTIC EVALUATION, CHEM DEP (ARNP) | $352.10 | $503.00 | $125.75–$462.76 | 38% above | 30% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HB EVALUATION (HSP/PHYS) | $47.60 | $68.00 | $17.00–$62.56 | — | 30% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HB EVALUATION (HSP/PHYS) | $47.60 | $68.00 | $17.00–$62.56 | — | 30% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HB EVALUATION (HSP) | $87.50 | $125.00 | $31.25–$115.00 | — | 30% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HB EVALUATION (HSP) | $87.50 | $125.00 | $31.25–$115.00 | — | 30% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HB PSYCHIATRIC DIAGNOSTIC EVALUATION VISIT | $198.80 | $284.00 | $71.00–$261.28 | — | 30% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HB PSYCHIATRIC DIAGNOSTIC EVALUATION VISIT | $198.80 | $284.00 | $71.00–$261.28 | — | 30% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HB PSYCHIATRIC DIAGNOSTIC EVALUATION - CHILD (CP) | $352.10 | $503.00 | $125.75–$462.76 | — | 30% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HB PSYCHIATRIC DIAGNOSTIC EVALUATION (ARNP) | $352.10 | $503.00 | $125.75–$462.76 | — | 30% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HB PSYCHIATRIC DIAGNOSTIC EVALUATION (SW) | $352.10 | $503.00 | $125.75–$462.76 | — | 30% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HB PSYCHIATRIC DIAGNOSTIC EVALUATION, PEDS | $352.10 | $503.00 | $125.75–$462.76 | — | 30% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HB REMEDIAL ASSESSMENT | $352.10 | $503.00 | $125.75–$462.76 | — | 30% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HB REMEDIAL REASSESSMENT | $352.10 | $503.00 | $125.75–$462.76 | — | 30% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HB PSYCHIATRIC DIAGNOSTIC EVALUATION, PEDS - BIOBEHAVIORAL | $352.10 | $503.00 | $125.75–$462.76 | — | 30% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HB PSYCHIATRIC DIAGNOSTIC EVALUATION (LMHC) | $352.10 | $503.00 | $125.75–$462.76 | — | 30% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HB REMEDIAL ASSESSMENT | $352.10 | $503.00 | $125.75–$462.76 | — | 30% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HB PSYCHIATRIC DIAGNOSTIC EVALUATION (SW) | $352.10 | $503.00 | $125.75–$462.76 | — | 30% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HB PSYCHIATRIC DIAGNOSTIC EVALUATION - CHILD (CP) | $352.10 | $503.00 | $125.75–$462.76 | — | 30% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HB PSYCHIATRIC DIAGNOSTIC EVALUATION, CHEM DEP (ARNP) | $352.10 | $503.00 | $125.75–$462.76 | — | 30% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HB PSYCHIATRIC DIAGNOSTIC EVALUATION, CHEM DEP (SW) | $352.10 | $503.00 | $125.75–$462.76 | — | 30% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HB PSYCHIATRIC DIAGNOSTIC EVALUATION - ADULT (CP) | $352.10 | $503.00 | $125.75–$462.76 | — | 30% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HB PSYCHIATRIC DIAGNOSTIC EVALUATION (ARNP) | $352.10 | $503.00 | $125.75–$462.76 | — | 30% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HB PSYCHIATRIC DIAGNOSTIC EVALUATION, CHEM DEP (ARNP) | $352.10 | $503.00 | $125.75–$462.76 | — | 30% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HB PSYCHIATRIC DIAGNOSTIC EVALUATION, CHEM DEP (SW) | $352.10 | $503.00 | $125.75–$462.76 | — | 30% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HB PSYCHIATRIC DIAGNOSTIC EVALUATION (LMHC) | $352.10 | $503.00 | $125.75–$462.76 | — | 30% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HB PSYCHIATRIC DIAGNOSTIC EVALUATION - ADULT (CP) | $352.10 | $503.00 | $125.75–$462.76 | — | 30% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HB PSYCHIATRIC DIAGNOSTIC EVALUATION, PEDS - BIOBEHAVIORAL | $352.10 | $503.00 | $125.75–$462.76 | — | 30% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HB REMEDIAL REASSESSMENT | $352.10 | $503.00 | $125.75–$462.76 | — | 30% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HB PSYCHIATRIC DIAGNOSTIC EVALUATION, PEDS | $352.10 | $503.00 | $125.75–$462.76 | — | 30% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 HB NERVE CONDUCTION STUDY, 7-8 STUDIES | $1,732.50 | $2,475.00 | $301.80–$2,277.00 | 218% above | 30% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 HB NERVE CONDUCTION STUDY, 7-8 STUDIES | $1,732.50 | $2,475.00 | $301.80–$2,277.00 | 218% above | 30% |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 HB NERVE CONDUCTION STUDY, 7-8 STUDIES | $1,732.50 | $2,475.00 | $618.75–$2,277.00 | — | 30% |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 HB NERVE CONDUCTION STUDY, 7-8 STUDIES | $1,732.50 | $2,475.00 | $618.75–$2,277.00 | — | 30% |
| Neuromuscular re-education, 15 minutes CPT 97112 HB NEUROMUSCULAR RE-EDUCATION (15 MINUTES) | $156.10 | $223.00 | $25.96–$205.16 | 71% above | 30% |
| Neuromuscular re-education, 15 minutes CPT 97112 HB NEUROMUSCULAR RE-EDUCATION (15 MINUTES) | $156.10 | $223.00 | $25.96–$225.00 | 71% above | 30% |
| Neuromuscular re-education, 15 minutes CPT 97112 HB NEUROMUSCULAR RE-EDUCATION (15 MIN) - OT | $164.50 | $235.00 | $25.96–$225.00 | 80% above | 30% |
| Neuromuscular re-education, 15 minutes CPT 97112 HB NEUROMUSCULAR RE-EDUCATION (15 MIN) - OT | $164.50 | $235.00 | $25.96–$216.20 | 80% above | 30% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HB NEUROMUSCULAR RE-EDUCATION (15 MINUTES) | $156.10 | $223.00 | $55.75–$205.16 | — | 30% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HB NEUROMUSCULAR RE-EDUCATION (15 MINUTES) | $156.10 | $223.00 | $55.75–$205.16 | — | 30% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HB NEUROMUSCULAR RE-EDUCATION (15 MIN) - OT | $164.50 | $235.00 | $58.75–$216.20 | — | 30% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HB NEUROMUSCULAR RE-EDUCATION (15 MIN) - OT | $164.50 | $235.00 | $58.75–$216.20 | — | 30% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HB MEDICAL NUTRITION THERAPY-INITIAL, 15MIN (DIABETIC) | $73.50 | $105.00 | $15.19–$96.60 | 72% above | 30% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HB MEDICAL NUTRITION THERAPY-INITIAL, 15 MIN (RENAL) | $73.50 | $105.00 | $15.19–$96.60 | 72% above | 30% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HB MEDICAL NUTRITION THERAPY-INITIAL, 15MIN (DIABETIC) | $73.50 | $105.00 | $15.19–$96.60 | 72% above | 30% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HB MEDICAL NUTRITION THERAPY, INITIAL, EACH 15 MIN | $73.50 | $105.00 | $15.19–$96.60 | 72% above | 30% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HB MEDICAL NUTRITION THERAPY-INITIAL, 15 MIN (RENAL) | $73.50 | $105.00 | $15.19–$96.60 | 72% above | 30% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HB MEDICAL NUTRITION THERAPY, INITIAL, EACH 15 MIN | $73.50 | $105.00 | $15.19–$96.60 | 72% above | 30% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HB MEDICAL NUTRITION THERAPY-INITIAL, 15 MIN (RENAL) | $73.50 | $105.00 | $26.25–$96.60 | — | 30% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HB MEDICAL NUTRITION THERAPY-INITIAL, 15MIN (DIABETIC) | $73.50 | $105.00 | $26.25–$96.60 | — | 30% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HB MEDICAL NUTRITION THERAPY, INITIAL, EACH 15 MIN | $73.50 | $105.00 | $26.25–$96.60 | — | 30% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HB MEDICAL NUTRITION THERAPY-INITIAL, 15 MIN (RENAL) | $73.50 | $105.00 | $26.25–$96.60 | — | 30% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HB MEDICAL NUTRITION THERAPY, INITIAL, EACH 15 MIN | $73.50 | $105.00 | $26.25–$96.60 | — | 30% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HB MEDICAL NUTRITION THERAPY-INITIAL, 15MIN (DIABETIC) | $73.50 | $105.00 | $26.25–$96.60 | — | 30% |
| Occupational therapy evaluation, low complexity CPT 97165 HB OCCUPATIONAL THERAPY EVAL; LOW COMPLEXITY | $247.80 | $354.00 | $61.24–$325.68 | 38% above | 30% |
| Occupational therapy evaluation, low complexity CPT 97165 HB OCCUPATIONAL THERAPY EVAL; LOW COMPLEXITY | $247.80 | $354.00 | $71.16–$325.68 | 38% above | 30% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 HB OCCUPATIONAL THERAPY EVAL; LOW COMPLEXITY | $247.80 | $354.00 | $88.50–$325.68 | — | 30% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 HB OCCUPATIONAL THERAPY EVAL; LOW COMPLEXITY | $247.80 | $354.00 | $88.50–$325.68 | — | 30% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HB PHYSICAL THERAPY EVAL; HIGH COMPLEXITY | $374.50 | $535.00 | $73.33–$492.20 | 75% above | 30% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HB PHYSICAL THERAPY EVAL; HIGH COMPLEXITY | $374.50 | $535.00 | $73.33–$492.20 | 75% above | 30% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HB PT EVAL; HIGH COMPLEXITY - PULM REHAB | $374.50 | $535.00 | $73.33–$492.20 | 75% above | 30% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HB PT EVAL; HIGH COMPLEXITY - SPINE PT | $374.50 | $535.00 | $73.33–$492.20 | 75% above | 30% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HB PT EVAL; HIGH COMPLEXITY - PULM REHAB | $374.50 | $535.00 | $73.33–$492.20 | 75% above | 30% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HB PT EVAL; HIGH COMPLEXITY - SPINE PT | $374.50 | $535.00 | $73.33–$492.20 | 75% above | 30% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HB PHYSICAL THERAPY EVAL; HIGH COMPLEXITY | $374.50 | $535.00 | $133.75–$492.20 | — | 30% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HB PT EVAL; HIGH COMPLEXITY - PULM REHAB | $374.50 | $535.00 | $133.75–$492.20 | — | 30% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HB PT EVAL; HIGH COMPLEXITY - SPINE PT | $374.50 | $535.00 | $133.75–$492.20 | — | 30% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HB PHYSICAL THERAPY EVAL; HIGH COMPLEXITY | $374.50 | $535.00 | $133.75–$492.20 | — | 30% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HB PT EVAL; HIGH COMPLEXITY - PULM REHAB | $374.50 | $535.00 | $133.75–$492.20 | — | 30% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HB PT EVAL; HIGH COMPLEXITY - SPINE PT | $374.50 | $535.00 | $133.75–$492.20 | — | 30% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HB PT EVAL; LOW COMPLEXITY - SPINE PT | $234.50 | $335.00 | $57.95–$308.20 | 20% above | 30% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HB PT EVAL; LOW COMPLEXITY - PULM REHAB | $234.50 | $335.00 | $57.95–$308.20 | 20% above | 30% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HB PT EVAL; LOW COMPLEXITY - PULM REHAB | $234.50 | $335.00 | $73.33–$308.20 | 20% above | 30% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HB PT EVAL; LOW COMPLEXITY - SPINE PT | $234.50 | $335.00 | $73.33–$308.20 | 20% above | 30% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HB PHYSICAL THERAPY EVAL; LOW COMPLEXITY | $247.80 | $354.00 | $61.24–$325.68 | 27% above | 30% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HB PHYSICAL THERAPY EVAL; LOW COMPLEXITY | $247.80 | $354.00 | $73.33–$325.68 | 27% above | 30% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HB PT EVAL; LOW COMPLEXITY - PULM REHAB | $234.50 | $335.00 | $83.75–$308.20 | — | 30% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HB PT EVAL; LOW COMPLEXITY - SPINE PT | $234.50 | $335.00 | $83.75–$308.20 | — | 30% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HB PT EVAL; LOW COMPLEXITY - PULM REHAB | $234.50 | $335.00 | $83.75–$308.20 | — | 30% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HB PT EVAL; LOW COMPLEXITY - SPINE PT | $234.50 | $335.00 | $83.75–$308.20 | — | 30% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HB PHYSICAL THERAPY EVAL; LOW COMPLEXITY | $247.80 | $354.00 | $88.50–$325.68 | — | 30% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HB PHYSICAL THERAPY EVAL; LOW COMPLEXITY | $247.80 | $354.00 | $88.50–$325.68 | — | 30% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HB PT EVAL; MODERATE COMPLEXITY - PULM REHAB | $196.70 | $281.00 | $70.25–$258.52 | 2% below | 30% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HB PT EVAL; MODERATE COMPLEXITY - SPINE PT | $196.70 | $281.00 | $70.25–$258.52 | 2% below | 30% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HB PT EVAL; MODERATE COMPLEXITY - SPINE PT | $196.70 | $281.00 | $48.61–$258.52 | 2% below | 30% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HB PT EVAL; MODERATE COMPLEXITY - PULM REHAB | $196.70 | $281.00 | $48.61–$258.52 | 2% below | 30% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HB PHYSICAL THERAPY EVAL; MODERATE COMPLEXITY | $319.20 | $456.00 | $73.33–$419.52 | 60% above | 30% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HB PHYSICAL THERAPY EVAL; MODERATE COMPLEXITY | $319.20 | $456.00 | $73.33–$419.52 | 60% above | 30% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HB PT EVAL; MODERATE COMPLEXITY - SPINE PT | $196.70 | $281.00 | $70.25–$258.52 | — | 30% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HB PT EVAL; MODERATE COMPLEXITY - SPINE PT | $196.70 | $281.00 | $70.25–$258.52 | — | 30% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HB PT EVAL; MODERATE COMPLEXITY - PULM REHAB | $196.70 | $281.00 | $70.25–$258.52 | — | 30% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HB PT EVAL; MODERATE COMPLEXITY - PULM REHAB | $196.70 | $281.00 | $70.25–$258.52 | — | 30% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HB PHYSICAL THERAPY EVAL; MODERATE COMPLEXITY | $319.20 | $456.00 | $114.00–$419.52 | — | 30% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HB PHYSICAL THERAPY EVAL; MODERATE COMPLEXITY | $319.20 | $456.00 | $114.00–$419.52 | — | 30% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HB ACUPRESSURE WITH EAR SEEDS | $56.70 | $81.00 | $14.01–$225.00 | 41% below | 30% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HB ACUPRESSURE WITH EAR SEEDS | $56.70 | $81.00 | $20.25–$139.76 | 41% below | 30% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HB MANUAL THERAPY TECHNIQUES, PER 15 MINUTES | $156.10 | $223.00 | $23.28–$225.00 | 61% above | 30% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HB MANUAL THERAPY TECHNIQUES, PER 15 MINUTES - OT | $156.10 | $223.00 | $23.28–$225.00 | 61% above | 30% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HB MANUAL THERAPY TECHNIQUES, PER 15 MINUTES - SPINE PT | $156.10 | $223.00 | $23.28–$225.00 | 61% above | 30% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HB MANUAL THERAPY TECHNIQUES, PER 15 MINUTES - OT | $156.10 | $223.00 | $23.28–$205.16 | 61% above | 30% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HB MANUAL THERAPY TECHNIQUES, PER 15 MINUTES - SPINE PT | $156.10 | $223.00 | $23.28–$205.16 | 61% above | 30% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HB MANUAL THERAPY TECHNIQUES, PER 15 MINUTES | $156.10 | $223.00 | $23.28–$205.16 | 61% above | 30% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HB ACUPRESSURE WITH EAR SEEDS | $56.70 | $81.00 | $20.25–$74.52 | — | 30% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HB ACUPRESSURE WITH EAR SEEDS | $56.70 | $81.00 | $20.25–$74.52 | — | 30% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HB MANUAL THERAPY TECHNIQUES, PER 15 MINUTES - OT | $156.10 | $223.00 | $55.75–$205.16 | — | 30% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HB MANUAL THERAPY TECHNIQUES, PER 15 MINUTES - SPINE PT | $156.10 | $223.00 | $55.75–$205.16 | — | 30% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HB MANUAL THERAPY TECHNIQUES, PER 15 MINUTES | $156.10 | $223.00 | $55.75–$205.16 | — | 30% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HB MANUAL THERAPY TECHNIQUES, PER 15 MINUTES - SPINE PT | $156.10 | $223.00 | $55.75–$205.16 | — | 30% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HB MANUAL THERAPY TECHNIQUES, PER 15 MINUTES - OT | $156.10 | $223.00 | $55.75–$205.16 | — | 30% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HB MANUAL THERAPY TECHNIQUES, PER 15 MINUTES | $156.10 | $223.00 | $55.75–$205.16 | — | 30% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB RESPIRATORY THER PROC, OTHER, INDIV, PER 15MIN | $146.30 | $209.00 | $24.88–$225.00 | 61% above | 30% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB RESPIRATORY THER PROC, OTHER, INDIV, PER 15MIN | $146.30 | $209.00 | $24.88–$192.28 | 61% above | 30% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB THERAPEUTIC EXERCISE (15 MINUTES) - PULM REHAB | $170.80 | $244.00 | $24.88–$224.48 | 88% above | 30% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB THERAPEUTIC EXERCISE (15 MINUTES) - PULM REHAB | $170.80 | $244.00 | $24.88–$225.00 | 88% above | 30% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB THERAPEUTIC EXERCISE (15 MINUTES) - OT | $171.50 | $245.00 | $24.88–$225.40 | 89% above | 30% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB THERAPEUTIC EXERCISE (15 MINUTES) - SPINE PT | $171.50 | $245.00 | $24.88–$225.40 | 89% above | 30% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB THERAPEUTIC EXERCISE (15 MINUTES) | $171.50 | $245.00 | $24.88–$225.40 | 89% above | 30% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB THERAPEUTIC EXERCISE (15 MINUTES) - OT | $171.50 | $245.00 | $24.88–$225.40 | 89% above | 30% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB THERAPEUTIC EXERCISE (15 MINUTES) - SPINE PT | $171.50 | $245.00 | $24.88–$225.40 | 89% above | 30% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB THERAPEUTIC EXERCISE (15 MINUTES) | $171.50 | $245.00 | $24.88–$225.40 | 89% above | 30% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB RESPIRATORY THER PROC, STRG/ENDUR, INDIV, PER 15MIN | $208.60 | $298.00 | $24.88–$274.16 | 130% above | 30% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB RESPIRATORY THER PROC, STRG/ENDUR, INDIV, PER 15MIN | $208.60 | $298.00 | $24.88–$274.16 | 130% above | 30% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HB RESPIRATORY THER PROC, OTHER, INDIV, PER 15MIN | $146.30 | $209.00 | $52.25–$192.28 | — | 30% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HB RESPIRATORY THER PROC, OTHER, INDIV, PER 15MIN | $146.30 | $209.00 | $52.25–$192.28 | — | 30% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HB THERAPEUTIC EXERCISE (15 MINUTES) - PULM REHAB | $170.80 | $244.00 | $61.00–$224.48 | — | 30% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HB THERAPEUTIC EXERCISE (15 MINUTES) - PULM REHAB | $170.80 | $244.00 | $61.00–$224.48 | — | 30% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HB THERAPEUTIC EXERCISE (15 MINUTES) - SPINE PT | $171.50 | $245.00 | $61.25–$225.40 | — | 30% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HB THERAPEUTIC EXERCISE (15 MINUTES) | $171.50 | $245.00 | $61.25–$225.40 | — | 30% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HB THERAPEUTIC EXERCISE (15 MINUTES) - SPINE PT | $171.50 | $245.00 | $61.25–$225.40 | — | 30% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HB THERAPEUTIC EXERCISE (15 MINUTES) - OT | $171.50 | $245.00 | $61.25–$225.40 | — | 30% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HB THERAPEUTIC EXERCISE (15 MINUTES) - OT | $171.50 | $245.00 | $61.25–$225.40 | — | 30% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HB THERAPEUTIC EXERCISE (15 MINUTES) | $171.50 | $245.00 | $61.25–$225.40 | — | 30% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HB RESPIRATORY THER PROC, STRG/ENDUR, INDIV, PER 15MIN | $208.60 | $298.00 | $74.50–$274.16 | — | 30% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HB RESPIRATORY THER PROC, STRG/ENDUR, INDIV, PER 15MIN | $208.60 | $298.00 | $74.50–$274.16 | — | 30% |
| Preventive checkup, new patient aged 18–39 CPT 99385 HB PREVENTIVE VISIT, NEW, 18 - 39 | $461.30 | $659.00 | $55.00–$606.28 | 134% above | 30% |
| Preventive checkup, new patient aged 18–39 CPT 99385 HB PREVENTIVE VISIT, NEW, 18 - 39 | $461.30 | $659.00 | $55.00–$606.28 | 134% above | 30% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 HB PREVENTIVE VISIT, NEW, 18 - 39 | $461.30 | $659.00 | $164.75–$606.28 | — | 30% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 HB PREVENTIVE VISIT, NEW, 18 - 39 | $461.30 | $659.00 | $164.75–$606.28 | — | 30% |
| Preventive checkup, new patient aged 40–64 CPT 99386 HB PREVENTIVE VISIT, NEW, 40 - 64 | $520.10 | $743.00 | $55.00–$683.56 | 151% above | 30% |
| Preventive checkup, new patient aged 40–64 CPT 99386 HB PREVENTIVE VISIT, NEW, 40 - 64 | $520.10 | $743.00 | $55.00–$683.56 | 151% above | 30% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 HB PREVENTIVE VISIT, NEW, 40 - 64 | $520.10 | $743.00 | $185.75–$683.56 | — | 30% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 HB PREVENTIVE VISIT, NEW, 40 - 64 | $520.10 | $743.00 | $185.75–$683.56 | — | 30% |
| Preventive checkup, new patient aged 65 or older CPT 99387 HB PREVENTIVE VISIT, NEW, 65 AND OVER | $520.10 | $743.00 | $55.00–$683.56 | 111% above | 30% |
| Preventive checkup, new patient aged 65 or older CPT 99387 HB PREVENTIVE VISIT, NEW, 65 AND OVER | $520.10 | $743.00 | $55.00–$683.56 | 111% above | 30% |
| Preventive checkup, new patient aged 65 or older inpatient CPT 99387 HB PREVENTIVE VISIT, NEW, 65 AND OVER | $520.10 | $743.00 | $185.75–$683.56 | — | 30% |
| Preventive checkup, new patient aged 65 or older inpatient CPT 99387 HB PREVENTIVE VISIT, NEW, 65 AND OVER | $520.10 | $743.00 | $185.75–$683.56 | — | 30% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 HB PREVENTIVE VISIT, ESTABLISHED, 18 - 39 | $315.00 | $450.00 | $55.00–$414.00 | 91% above | 30% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 HB PREVENTIVE VISIT, ESTABLISHED, 18 - 39 | $315.00 | $450.00 | $55.00–$414.00 | 91% above | 30% |
| Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 HB PREVENTIVE VISIT, ESTABLISHED, 18 - 39 | $315.00 | $450.00 | $112.50–$414.00 | — | 30% |
| Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 HB PREVENTIVE VISIT, ESTABLISHED, 18 - 39 | $315.00 | $450.00 | $112.50–$414.00 | — | 30% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 HB PREVENTIVE VISIT, ESTABLISHED, 40 - 64 | $368.20 | $526.00 | $55.00–$483.92 | 97% above | 30% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 HB PREVENTIVE VISIT, ESTABLISHED, 40 - 64 | $368.20 | $526.00 | $55.00–$483.92 | 97% above | 30% |
| Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 HB PREVENTIVE VISIT, ESTABLISHED, 40 - 64 | $368.20 | $526.00 | $131.50–$483.92 | — | 30% |
| Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 HB PREVENTIVE VISIT, ESTABLISHED, 40 - 64 | $368.20 | $526.00 | $131.50–$483.92 | — | 30% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 HB PREVENTIVE VISIT, ESTABLISHED, 65 AND OVER | $403.20 | $576.00 | $55.00–$529.92 | 90% above | 30% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 HB PREVENTIVE VISIT, ESTABLISHED, 65 AND OVER | $403.20 | $576.00 | $55.00–$529.92 | 90% above | 30% |
| Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 HB PREVENTIVE VISIT, ESTABLISHED, 65 AND OVER | $403.20 | $576.00 | $144.00–$529.92 | — | 30% |
| Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 HB PREVENTIVE VISIT, ESTABLISHED, 65 AND OVER | $403.20 | $576.00 | $144.00–$529.92 | — | 30% |
| Psychiatric evaluation with medical services CPT 90792 HB PSYCHIATRIC DIAGNOSTIC EVALUATION W/MEDICAL SVCS VISIT | $198.80 | $284.00 | $71.00–$261.28 | 15% below | 30% |
| Psychiatric evaluation with medical services CPT 90792 HB PSYCHIATRIC DIAGNOSTIC EVALUATION W/MEDICAL SVCS VISIT | $198.80 | $284.00 | $71.00–$261.28 | 15% below | 30% |
| Psychiatric evaluation with medical services inpatient CPT 90792 HB PSYCHIATRIC DIAGNOSTIC EVALUATION W/MEDICAL SVCS VISIT | $198.80 | $284.00 | $71.00–$261.28 | — | 30% |
| Psychiatric evaluation with medical services inpatient CPT 90792 HB PSYCHIATRIC DIAGNOSTIC EVALUATION W/MEDICAL SVCS VISIT | $198.80 | $284.00 | $71.00–$261.28 | — | 30% |
| Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 HB PSYCHOLOGICAL TEST EVAL SVC PSYCHOLOGIST FIRST HOUR | $408.10 | $583.00 | $145.75–$536.36 | 43% above | 30% |
| Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 HB PSYCHOLOGICAL TEST EVAL SVC PSYCHOLOGIST FIRST HOUR | $408.10 | $583.00 | $145.75–$536.36 | 43% above | 30% |
| Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 HB PSYCHOLOGICAL TEST EVAL SVC PSYCHOLOGIST FIRST HOUR | $408.10 | $583.00 | $145.75–$536.36 | — | 30% |
| Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 HB PSYCHOLOGICAL TEST EVAL SVC PSYCHOLOGIST FIRST HOUR | $408.10 | $583.00 | $145.75–$536.36 | — | 30% |
| Psychotherapy for crisis, first 60 minutes CPT 90839 HB PSYCHOTHERAPY FOR CRISIS VISIT | $153.30 | $219.00 | $54.75–$201.48 | 43% below | 30% |
| Psychotherapy for crisis, first 60 minutes CPT 90839 HB PSYCHOTHERAPY FOR CRISIS VISIT | $153.30 | $219.00 | $54.75–$201.48 | 43% below | 30% |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 HB PSYCHOTHERAPY FOR CRISIS VISIT | $153.30 | $219.00 | $54.75–$201.48 | — | 30% |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 HB PSYCHOTHERAPY FOR CRISIS VISIT | $153.30 | $219.00 | $54.75–$201.48 | — | 30% |
| Psychotherapy session, 30 minutes CPT 90832 HB PSYCHOTHERAPY, 30 MIN W/PATIENT AND /OR FAMILY MEMBER VISIT | $93.80 | $134.00 | $33.50–$179.16 | 45% below | 30% |
| Psychotherapy session, 30 minutes CPT 90832 HB PSYCHOTHERAPY, 30 MIN W/PATIENT AND /OR FAMILY MEMBER VISIT | $93.80 | $134.00 | $33.50–$179.16 | 45% below | 30% |
| Psychotherapy session, 30 minutes CPT 90832 HB PSYCHOTHERAPY, 30 MIN W/PATIENT AND /OR FAMILY MEMBER, PEDS (SW) | $161.70 | $231.00 | $57.75–$212.52 | 5% below | 30% |
| Psychotherapy session, 30 minutes CPT 90832 HB PSYCHOTHERAPY, 30 MIN W/PT AND /OR FAMILY MEMBER (SW) | $161.70 | $231.00 | $57.75–$212.52 | 5% below | 30% |
| Psychotherapy session, 30 minutes CPT 90832 HB PSYCHOTHERAPY, 30 MIN W/PT AND /OR FAMILY MEMBER(ARNP) | $161.70 | $231.00 | $57.75–$212.52 | 5% below | 30% |
| Psychotherapy session, 30 minutes CPT 90832 HB PSYCHOTHERAPY, 30 MIN W/PATIENT AND /OR FAMILY MEMBER (CP) | $161.70 | $231.00 | $57.75–$212.52 | 5% below | 30% |
| Psychotherapy session, 30 minutes CPT 90832 HB PSYCHOTHERAPY, 30 MIN W/PT AND /OR FAMILY MEMBER, CHEM DEP (SW) | $161.70 | $231.00 | $57.75–$212.52 | 5% below | 30% |
| Psychotherapy session, 30 minutes CPT 90832 HB PSYCHOTHERAPY, 30 MIN W/PT AND /OR FAMILY MEMBER, CHEM DEP(ARNP) | $161.70 | $231.00 | $57.75–$212.52 | 5% below | 30% |
| Psychotherapy session, 30 minutes CPT 90832 HB PSYCHOTHERAPY, 30 MIN W/PATIENT AND /OR FAMILY - BIOBEHAVIORAL | $161.70 | $231.00 | $57.75–$212.52 | 5% below | 30% |
| Psychotherapy session, 30 minutes CPT 90832 HB PSYCHOTHERAPY, 30 MIN W/PT AND /OR FAMILY MEMBER (LMHC) | $161.70 | $231.00 | $57.75–$212.52 | 5% below | 30% |
| Psychotherapy session, 30 minutes CPT 90832 HB PSYCHOTHERAPY, 30 MIN W/PATIENT AND /OR FAMILY - BIOBEHAVIORAL | $161.70 | $231.00 | $57.75–$212.52 | 5% below | 30% |
| Psychotherapy session, 30 minutes CPT 90832 HB PSYCHOTHERAPY, 30 MIN W/PATIENT AND /OR FAMILY MEMBER, PEDS (SW) | $161.70 | $231.00 | $57.75–$212.52 | 5% below | 30% |
| Psychotherapy session, 30 minutes CPT 90832 HB PSYCHOTHERAPY, 30 MIN W/PATIENT AND /OR FAMILY MEMBER, PEDS | $161.70 | $231.00 | $57.75–$212.52 | 5% below | 30% |
| Psychotherapy session, 30 minutes CPT 90832 HB PSYCHOTHERAPY, 30 MIN W/PT AND /OR FAMILY MEMBER (SW) | $161.70 | $231.00 | $57.75–$212.52 | 5% below | 30% |
| Psychotherapy session, 30 minutes CPT 90832 HB PSYCHOTHERAPY, 30 MIN W/PT AND /OR FAMILY MEMBER(ARNP) | $161.70 | $231.00 | $57.75–$212.52 | 5% below | 30% |
| Psychotherapy session, 30 minutes CPT 90832 HB PSYCHOTHERAPY, 30 MIN W/PATIENT AND /OR FAMILY MEMBER (CP) | $161.70 | $231.00 | $57.75–$212.52 | 5% below | 30% |
| Psychotherapy session, 30 minutes CPT 90832 HB PSYCHOTHERAPY, 30 MIN W/PT AND /OR FAMILY MEMBER, CHEM DEP (SW) | $161.70 | $231.00 | $57.75–$212.52 | 5% below | 30% |
| Psychotherapy session, 30 minutes CPT 90832 HB PSYCHOTHERAPY, 30 MIN W/PT AND /OR FAMILY MEMBER, CHEM DEP(ARNP) | $161.70 | $231.00 | $57.75–$212.52 | 5% below | 30% |
| Psychotherapy session, 30 minutes CPT 90832 HB PSYCHOTHERAPY, 30 MIN W/PT AND /OR FAMILY MEMBER (LMHC) | $161.70 | $231.00 | $57.75–$212.52 | 5% below | 30% |
| Psychotherapy session, 30 minutes CPT 90832 HB PSYCHOTHERAPY, 30 MIN W/PATIENT AND /OR FAMILY MEMBER, PEDS | $161.70 | $231.00 | $57.75–$212.52 | 5% below | 30% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HB PSYCHOTHERAPY, 30 MIN W/PATIENT AND /OR FAMILY MEMBER VISIT | $93.80 | $134.00 | $33.50–$123.28 | — | 30% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HB PSYCHOTHERAPY, 30 MIN W/PATIENT AND /OR FAMILY MEMBER VISIT | $93.80 | $134.00 | $33.50–$123.28 | — | 30% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HB PSYCHOTHERAPY, 30 MIN W/PATIENT AND /OR FAMILY MEMBER, PEDS (SW) | $161.70 | $231.00 | $57.75–$212.52 | — | 30% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HB PSYCHOTHERAPY, 30 MIN W/PT AND /OR FAMILY MEMBER (LMHC) | $161.70 | $231.00 | $57.75–$212.52 | — | 30% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HB PSYCHOTHERAPY, 30 MIN W/PATIENT AND /OR FAMILY - BIOBEHAVIORAL | $161.70 | $231.00 | $57.75–$212.52 | — | 30% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HB PSYCHOTHERAPY, 30 MIN W/PATIENT AND /OR FAMILY MEMBER, PEDS (SW) | $161.70 | $231.00 | $57.75–$212.52 | — | 30% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HB PSYCHOTHERAPY, 30 MIN W/PATIENT AND /OR FAMILY MEMBER, PEDS | $161.70 | $231.00 | $57.75–$212.52 | — | 30% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HB PSYCHOTHERAPY, 30 MIN W/PT AND /OR FAMILY MEMBER (SW) | $161.70 | $231.00 | $57.75–$212.52 | — | 30% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HB PSYCHOTHERAPY, 30 MIN W/PT AND /OR FAMILY MEMBER(ARNP) | $161.70 | $231.00 | $57.75–$212.52 | — | 30% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HB PSYCHOTHERAPY, 30 MIN W/PATIENT AND /OR FAMILY MEMBER (CP) | $161.70 | $231.00 | $57.75–$212.52 | — | 30% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HB PSYCHOTHERAPY, 30 MIN W/PT AND /OR FAMILY MEMBER, CHEM DEP (SW) | $161.70 | $231.00 | $57.75–$212.52 | — | 30% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HB PSYCHOTHERAPY, 30 MIN W/PT AND /OR FAMILY MEMBER, CHEM DEP(ARNP) | $161.70 | $231.00 | $57.75–$212.52 | — | 30% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HB PSYCHOTHERAPY, 30 MIN W/PT AND /OR FAMILY MEMBER (LMHC) | $161.70 | $231.00 | $57.75–$212.52 | — | 30% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HB PSYCHOTHERAPY, 30 MIN W/PATIENT AND /OR FAMILY - BIOBEHAVIORAL | $161.70 | $231.00 | $57.75–$212.52 | — | 30% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HB PSYCHOTHERAPY, 30 MIN W/PATIENT AND /OR FAMILY MEMBER, PEDS | $161.70 | $231.00 | $57.75–$212.52 | — | 30% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HB PSYCHOTHERAPY, 30 MIN W/PT AND /OR FAMILY MEMBER (SW) | $161.70 | $231.00 | $57.75–$212.52 | — | 30% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HB PSYCHOTHERAPY, 30 MIN W/PT AND /OR FAMILY MEMBER(ARNP) | $161.70 | $231.00 | $57.75–$212.52 | — | 30% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HB PSYCHOTHERAPY, 30 MIN W/PATIENT AND /OR FAMILY MEMBER (CP) | $161.70 | $231.00 | $57.75–$212.52 | — | 30% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HB PSYCHOTHERAPY, 30 MIN W/PT AND /OR FAMILY MEMBER, CHEM DEP (SW) | $161.70 | $231.00 | $57.75–$212.52 | — | 30% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HB PSYCHOTHERAPY, 30 MIN W/PT AND /OR FAMILY MEMBER, CHEM DEP(ARNP) | $161.70 | $231.00 | $57.75–$212.52 | — | 30% |
| Psychotherapy session, 45 minutes CPT 90834 HB PSYCHOTHERAPY, 45 MIN W/PATIENT AND /OR FAMILY MEMBER VISIT | $163.10 | $233.00 | $58.25–$214.36 | 27% below | 30% |
| Psychotherapy session, 45 minutes CPT 90834 HB PSYCHOTHERAPY, 45 MIN W/PATIENT AND /OR FAMILY MEMBER VISIT | $163.10 | $233.00 | $58.25–$214.36 | 27% below | 30% |
| Psychotherapy session, 45 minutes CPT 90834 HB PSYCHOTHERAPY, 45 MIN W/PATIENT AND /OR FAMILY MEMBER, PEDS (SW) | $205.80 | $294.00 | $73.50–$270.48 | 8% below | 30% |
| Psychotherapy session, 45 minutes CPT 90834 HB PSYCHOTHERAPY, 45 MIN W/PT AND /OR FAMILY MEMBER, CHEM DEP (SW) | $205.80 | $294.00 | $73.50–$270.48 | 8% below | 30% |
| Psychotherapy session, 45 minutes CPT 90834 HB PSYCHOTHERAPY, 45 MIN W/PATIENT AND /OR FAMILY MEMBER, PEDS | $205.80 | $294.00 | $73.50–$270.48 | 8% below | 30% |
| Psychotherapy session, 45 minutes CPT 90834 HB PSYCHOTHERAPY, 45 MIN W/PT AND /OR FAMILY MEMBER (SW) | $205.80 | $294.00 | $73.50–$270.48 | 8% below | 30% |
| Psychotherapy session, 45 minutes CPT 90834 HB PSYCHOTHERAPY, 45 MIN W/PT AND /OR FAMILY MEMBER(ARNP) | $205.80 | $294.00 | $73.50–$270.48 | 8% below | 30% |
| Psychotherapy session, 45 minutes CPT 90834 HB PSYCHOTHERAPY, 45 MIN W/PT AND /OR FAMILY MEMBER (CP) | $205.80 | $294.00 | $73.50–$270.48 | 8% below | 30% |
| Psychotherapy session, 45 minutes CPT 90834 HB PSYCHOTHERAPY, 45 MIN W/PT AND /OR FAMILY MEMBER, CHEM DEP (SW) | $205.80 | $294.00 | $73.50–$270.48 | 8% below | 30% |
| Psychotherapy session, 45 minutes CPT 90834 HB PSYCHOTHERAPY, 45 MIN W/PT AND /OR FAMILY MEMBER, CHEM DEP(ARNP) | $205.80 | $294.00 | $73.50–$270.48 | 8% below | 30% |
| Psychotherapy session, 45 minutes CPT 90834 HB PSYCHOTHERAPY, 45 MIN W/PT AND /OR FAMILY MEMBER (LMHC) | $205.80 | $294.00 | $73.50–$270.48 | 8% below | 30% |
| Psychotherapy session, 45 minutes CPT 90834 HB PSYCHOTHERAPY, 45 MIN W/PATIENT AND /OR FAMILY - BIOBEHAVIORAL | $205.80 | $294.00 | $73.50–$270.48 | 8% below | 30% |
| Psychotherapy session, 45 minutes CPT 90834 HB PSYCHOTHERAPY, 45 MIN W/PT AND /OR FAMILY MEMBER(ARNP) | $205.80 | $294.00 | $73.50–$270.48 | 8% below | 30% |
| Psychotherapy session, 45 minutes CPT 90834 HB PSYCHOTHERAPY, 45 MIN W/PT AND /OR FAMILY MEMBER (CP) | $205.80 | $294.00 | $73.50–$270.48 | 8% below | 30% |
| Psychotherapy session, 45 minutes CPT 90834 HB PSYCHOTHERAPY, 45 MIN W/PT AND /OR FAMILY MEMBER (LMHC) | $205.80 | $294.00 | $73.50–$270.48 | 8% below | 30% |
| Psychotherapy session, 45 minutes CPT 90834 HB PSYCHOTHERAPY, 45 MIN W/PATIENT AND /OR FAMILY - BIOBEHAVIORAL | $205.80 | $294.00 | $73.50–$270.48 | 8% below | 30% |
| Psychotherapy session, 45 minutes CPT 90834 HB PSYCHOTHERAPY, 45 MIN W/PATIENT AND /OR FAMILY MEMBER, PEDS (SW) | $205.80 | $294.00 | $73.50–$270.48 | 8% below | 30% |
| Psychotherapy session, 45 minutes CPT 90834 HB PSYCHOTHERAPY, 45 MIN W/PT AND /OR FAMILY MEMBER, CHEM DEP(ARNP) | $205.80 | $294.00 | $73.50–$270.48 | 8% below | 30% |
| Psychotherapy session, 45 minutes CPT 90834 HB PSYCHOTHERAPY, 45 MIN W/PATIENT AND /OR FAMILY MEMBER, PEDS | $205.80 | $294.00 | $73.50–$270.48 | 8% below | 30% |
| Psychotherapy session, 45 minutes CPT 90834 HB PSYCHOTHERAPY, 45 MIN W/PT AND /OR FAMILY MEMBER (SW) | $205.80 | $294.00 | $73.50–$270.48 | 8% below | 30% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HB PSYCHOTHERAPY, 45 MIN W/PATIENT AND /OR FAMILY MEMBER VISIT | $163.10 | $233.00 | $58.25–$214.36 | — | 30% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HB PSYCHOTHERAPY, 45 MIN W/PATIENT AND /OR FAMILY MEMBER VISIT | $163.10 | $233.00 | $58.25–$214.36 | — | 30% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HB PSYCHOTHERAPY, 45 MIN W/PT AND /OR FAMILY MEMBER, CHEM DEP(ARNP) | $205.80 | $294.00 | $73.50–$270.48 | — | 30% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HB PSYCHOTHERAPY, 45 MIN W/PATIENT AND /OR FAMILY MEMBER, PEDS | $205.80 | $294.00 | $73.50–$270.48 | — | 30% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HB PSYCHOTHERAPY, 45 MIN W/PATIENT AND /OR FAMILY MEMBER, PEDS (SW) | $205.80 | $294.00 | $73.50–$270.48 | — | 30% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HB PSYCHOTHERAPY, 45 MIN W/PATIENT AND /OR FAMILY - BIOBEHAVIORAL | $205.80 | $294.00 | $73.50–$270.48 | — | 30% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HB PSYCHOTHERAPY, 45 MIN W/PT AND /OR FAMILY MEMBER (LMHC) | $205.80 | $294.00 | $73.50–$270.48 | — | 30% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HB PSYCHOTHERAPY, 45 MIN W/PT AND /OR FAMILY MEMBER (LMHC) | $205.80 | $294.00 | $73.50–$270.48 | — | 30% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HB PSYCHOTHERAPY, 45 MIN W/PATIENT AND /OR FAMILY - BIOBEHAVIORAL | $205.80 | $294.00 | $73.50–$270.48 | — | 30% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HB PSYCHOTHERAPY, 45 MIN W/PT AND /OR FAMILY MEMBER(ARNP) | $205.80 | $294.00 | $73.50–$270.48 | — | 30% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HB PSYCHOTHERAPY, 45 MIN W/PATIENT AND /OR FAMILY MEMBER, PEDS (SW) | $205.80 | $294.00 | $73.50–$270.48 | — | 30% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HB PSYCHOTHERAPY, 45 MIN W/PT AND /OR FAMILY MEMBER (CP) | $205.80 | $294.00 | $73.50–$270.48 | — | 30% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HB PSYCHOTHERAPY, 45 MIN W/PT AND /OR FAMILY MEMBER, CHEM DEP (SW) | $205.80 | $294.00 | $73.50–$270.48 | — | 30% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HB PSYCHOTHERAPY, 45 MIN W/PATIENT AND /OR FAMILY MEMBER, PEDS | $205.80 | $294.00 | $73.50–$270.48 | — | 30% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HB PSYCHOTHERAPY, 45 MIN W/PT AND /OR FAMILY MEMBER (SW) | $205.80 | $294.00 | $73.50–$270.48 | — | 30% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HB PSYCHOTHERAPY, 45 MIN W/PT AND /OR FAMILY MEMBER, CHEM DEP(ARNP) | $205.80 | $294.00 | $73.50–$270.48 | — | 30% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HB PSYCHOTHERAPY, 45 MIN W/PT AND /OR FAMILY MEMBER, CHEM DEP (SW) | $205.80 | $294.00 | $73.50–$270.48 | — | 30% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HB PSYCHOTHERAPY, 45 MIN W/PT AND /OR FAMILY MEMBER (CP) | $205.80 | $294.00 | $73.50–$270.48 | — | 30% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HB PSYCHOTHERAPY, 45 MIN W/PT AND /OR FAMILY MEMBER(ARNP) | $205.80 | $294.00 | $73.50–$270.48 | — | 30% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HB PSYCHOTHERAPY, 45 MIN W/PT AND /OR FAMILY MEMBER (SW) | $205.80 | $294.00 | $73.50–$270.48 | — | 30% |
| Psychotherapy session, 60 minutes CPT 90837 HB PSYCHOTHERAPY, 60 MIN W/PATIENT AND /OR FAMILY MEMBER VISIT | $173.60 | $248.00 | $62.00–$228.16 | 39% below | 30% |
| Psychotherapy session, 60 minutes CPT 90837 HB PSYCHOTHERAPY, 60 MIN W/PATIENT AND /OR FAMILY MEMBER VISIT | $173.60 | $248.00 | $62.00–$228.16 | 39% below | 30% |
| Psychotherapy session, 60 minutes CPT 90837 HB PSYCHOTHERAPY, 60 MIN W/PATIENT AND /OR FAMILY MEMBER, PEDS | $243.60 | $348.00 | $87.00–$320.16 | 15% below | 30% |
| Psychotherapy session, 60 minutes CPT 90837 HB PSYCHOTHERAPY, 60 MIN W/PATIENT AND /OR FAMILY - BIOBEHAVIORAL | $243.60 | $348.00 | $87.00–$320.16 | 15% below | 30% |
| Psychotherapy session, 60 minutes CPT 90837 HB PSYCHOTHERAPY, 60 MIN W/PT AND /OR FAMILY MEMBER(ARNP) | $243.60 | $348.00 | $87.00–$320.16 | 15% below | 30% |
| Psychotherapy session, 60 minutes CPT 90837 HB PSYCHOTHERAPY, 60 MIN W/PT AND /OR FAMILY MEMBER (LMHC) | $243.60 | $348.00 | $87.00–$320.16 | 15% below | 30% |
| Psychotherapy session, 60 minutes CPT 90837 HB PSYCHOTHERAPY, 60 MIN W/PT AND /OR FAMILY MEMBER, CHEM DEP (SW) | $243.60 | $348.00 | $87.00–$320.16 | 15% below | 30% |
| Psychotherapy session, 60 minutes CPT 90837 HB PSYCHOTHERAPY, 60 MIN W/PATIENT AND /OR FAMILY MEMBER (CP) | $243.60 | $348.00 | $87.00–$320.16 | 15% below | 30% |
| Psychotherapy session, 60 minutes CPT 90837 HB PSYCHOTHERAPY, 60 MIN W/PATIENT AND /OR FAMILY MEMBER, SPINE(CP) | $243.60 | $348.00 | $87.00–$320.16 | 15% below | 30% |
| Psychotherapy session, 60 minutes CPT 90837 HB PSYCHOTHERAPY, 60 MIN W/PATIENT AND /OR FAMILY MEMBER, SPINE(CP) | $243.60 | $348.00 | $87.00–$320.16 | 15% below | 30% |
| Psychotherapy session, 60 minutes CPT 90837 HB PSYCHOTHERAPY, 60 MIN W/PT AND /OR FAMILY MEMBER (SW) | $243.60 | $348.00 | $87.00–$320.16 | 15% below | 30% |
| Psychotherapy session, 60 minutes CPT 90837 HB PSYCHOTHERAPY, 60 MIN W/PT AND /OR FAMILY MEMBER (SW) | $243.60 | $348.00 | $87.00–$320.16 | 15% below | 30% |
| Psychotherapy session, 60 minutes CPT 90837 HB PSYCHOTHERAPY, 60 MIN W/PATIENT AND /OR FAMILY MEMBER, PEDS (SW) | $243.60 | $348.00 | $87.00–$320.16 | 15% below | 30% |
| Psychotherapy session, 60 minutes CPT 90837 HB PSYCHOTHERAPY, 60 MIN W/PT AND /OR FAMILY MEMBER, CHEM DEP(ARNP) | $243.60 | $348.00 | $87.00–$320.16 | 15% below | 30% |
| Psychotherapy session, 60 minutes CPT 90837 HB PSYCHOTHERAPY, 60 MIN W/PT AND /OR FAMILY MEMBER, CHEM DEP(ARNP) | $243.60 | $348.00 | $87.00–$320.16 | 15% below | 30% |
| Psychotherapy session, 60 minutes CPT 90837 HB PSYCHOTHERAPY, 60 MIN W/PT AND /OR FAMILY MEMBER, CHEM DEP (SW) | $243.60 | $348.00 | $87.00–$320.16 | 15% below | 30% |
| Psychotherapy session, 60 minutes CPT 90837 HB PSYCHOTHERAPY, 60 MIN W/PATIENT AND /OR FAMILY - BIOBEHAVIORAL | $243.60 | $348.00 | $87.00–$320.16 | 15% below | 30% |
| Psychotherapy session, 60 minutes CPT 90837 HB PSYCHOTHERAPY, 60 MIN W/PT AND /OR FAMILY MEMBER (LMHC) | $243.60 | $348.00 | $87.00–$320.16 | 15% below | 30% |
| Psychotherapy session, 60 minutes CPT 90837 HB PSYCHOTHERAPY, 60 MIN W/PATIENT AND /OR FAMILY MEMBER (CP) | $243.60 | $348.00 | $87.00–$320.16 | 15% below | 30% |
| Psychotherapy session, 60 minutes CPT 90837 HB PSYCHOTHERAPY, 60 MIN W/PT AND /OR FAMILY MEMBER(ARNP) | $243.60 | $348.00 | $87.00–$320.16 | 15% below | 30% |
| Psychotherapy session, 60 minutes CPT 90837 HB PSYCHOTHERAPY, 60 MIN W/PATIENT AND /OR FAMILY MEMBER, PEDS (SW) | $243.60 | $348.00 | $87.00–$320.16 | 15% below | 30% |
| Psychotherapy session, 60 minutes CPT 90837 HB PSYCHOTHERAPY, 60 MIN W/PATIENT AND /OR FAMILY MEMBER, PEDS | $243.60 | $348.00 | $87.00–$320.16 | 15% below | 30% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HB PSYCHOTHERAPY, 60 MIN W/PATIENT AND /OR FAMILY MEMBER VISIT | $173.60 | $248.00 | $62.00–$228.16 | — | 30% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HB PSYCHOTHERAPY, 60 MIN W/PATIENT AND /OR FAMILY MEMBER VISIT | $173.60 | $248.00 | $62.00–$228.16 | — | 30% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HB PSYCHOTHERAPY, 60 MIN W/PATIENT AND /OR FAMILY - BIOBEHAVIORAL | $243.60 | $348.00 | $87.00–$320.16 | — | 30% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HB PSYCHOTHERAPY, 60 MIN W/PT AND /OR FAMILY MEMBER, CHEM DEP(ARNP) | $243.60 | $348.00 | $87.00–$320.16 | — | 30% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HB PSYCHOTHERAPY, 60 MIN W/PT AND /OR FAMILY MEMBER, CHEM DEP (SW) | $243.60 | $348.00 | $87.00–$320.16 | — | 30% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HB PSYCHOTHERAPY, 60 MIN W/PATIENT AND /OR FAMILY MEMBER (CP) | $243.60 | $348.00 | $87.00–$320.16 | — | 30% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HB PSYCHOTHERAPY, 60 MIN W/PT AND /OR FAMILY MEMBER(ARNP) | $243.60 | $348.00 | $87.00–$320.16 | — | 30% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HB PSYCHOTHERAPY, 60 MIN W/PT AND /OR FAMILY MEMBER (SW) | $243.60 | $348.00 | $87.00–$320.16 | — | 30% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HB PSYCHOTHERAPY, 60 MIN W/PATIENT AND /OR FAMILY MEMBER, PEDS | $243.60 | $348.00 | $87.00–$320.16 | — | 30% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HB PSYCHOTHERAPY, 60 MIN W/PATIENT AND /OR FAMILY MEMBER, SPINE(CP) | $243.60 | $348.00 | $87.00–$320.16 | — | 30% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HB PSYCHOTHERAPY, 60 MIN W/PATIENT AND /OR FAMILY MEMBER, PEDS (SW) | $243.60 | $348.00 | $87.00–$320.16 | — | 30% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HB PSYCHOTHERAPY, 60 MIN W/PT AND /OR FAMILY MEMBER (LMHC) | $243.60 | $348.00 | $87.00–$320.16 | — | 30% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HB PSYCHOTHERAPY, 60 MIN W/PT AND /OR FAMILY MEMBER, CHEM DEP(ARNP) | $243.60 | $348.00 | $87.00–$320.16 | — | 30% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HB PSYCHOTHERAPY, 60 MIN W/PT AND /OR FAMILY MEMBER, CHEM DEP (SW) | $243.60 | $348.00 | $87.00–$320.16 | — | 30% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HB PSYCHOTHERAPY, 60 MIN W/PATIENT AND /OR FAMILY MEMBER (CP) | $243.60 | $348.00 | $87.00–$320.16 | — | 30% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HB PSYCHOTHERAPY, 60 MIN W/PT AND /OR FAMILY MEMBER(ARNP) | $243.60 | $348.00 | $87.00–$320.16 | — | 30% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HB PSYCHOTHERAPY, 60 MIN W/PT AND /OR FAMILY MEMBER (SW) | $243.60 | $348.00 | $87.00–$320.16 | — | 30% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HB PSYCHOTHERAPY, 60 MIN W/PATIENT AND /OR FAMILY MEMBER, PEDS | $243.60 | $348.00 | $87.00–$320.16 | — | 30% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HB PSYCHOTHERAPY, 60 MIN W/PATIENT AND /OR FAMILY MEMBER, SPINE(CP) | $243.60 | $348.00 | $87.00–$320.16 | — | 30% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HB PSYCHOTHERAPY, 60 MIN W/PATIENT AND /OR FAMILY MEMBER, PEDS (SW) | $243.60 | $348.00 | $87.00–$320.16 | — | 30% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HB PSYCHOTHERAPY, 60 MIN W/PATIENT AND /OR FAMILY - BIOBEHAVIORAL | $243.60 | $348.00 | $87.00–$320.16 | — | 30% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HB PSYCHOTHERAPY, 60 MIN W/PT AND /OR FAMILY MEMBER (LMHC) | $243.60 | $348.00 | $87.00–$320.16 | — | 30% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 HB SMOKING CESSATION COUNSELING - INTERMEDIATE - CARDIAC REHAB | $59.50 | $85.00 | $21.25–$78.20 | 62% above | 30% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 HB SMOKING CESSATION COUNSELING - INTERMEDIATE | $59.50 | $85.00 | $21.25–$78.20 | 62% above | 30% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 HB SMOKING CESSATION COUNSELING - INTERMEDIATE - PULM REHAB | $59.50 | $85.00 | $21.25–$78.20 | 62% above | 30% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 HB SMOKING CESSATION COUNSELING - INTERMEDIATE - CARDIAC REHAB | $59.50 | $85.00 | $21.25–$78.20 | 62% above | 30% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 HB SMOKING CESSATION COUNSELING - INTERMEDIATE - PULM REHAB | $59.50 | $85.00 | $21.25–$78.20 | 62% above | 30% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 HB SMOKING CESSATION COUNSELING - INTERMEDIATE | $59.50 | $85.00 | $21.25–$78.20 | 62% above | 30% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HB SMOKING CESSATION COUNSELING - INTERMEDIATE - PULM REHAB | $59.50 | $85.00 | $21.25–$78.20 | — | 30% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HB SMOKING CESSATION COUNSELING - INTERMEDIATE - CARDIAC REHAB | $59.50 | $85.00 | $21.25–$78.20 | — | 30% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HB SMOKING CESSATION COUNSELING - INTERMEDIATE | $59.50 | $85.00 | $21.25–$78.20 | — | 30% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HB SMOKING CESSATION COUNSELING - INTERMEDIATE - PULM REHAB | $59.50 | $85.00 | $21.25–$78.20 | — | 30% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HB SMOKING CESSATION COUNSELING - INTERMEDIATE - CARDIAC REHAB | $59.50 | $85.00 | $21.25–$78.20 | — | 30% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HB SMOKING CESSATION COUNSELING - INTERMEDIATE | $59.50 | $85.00 | $21.25–$78.20 | — | 30% |
| Speech and language evaluation CPT 92523 HB EVAL SPEECH SOUND PRODUCTION/COMPREHENSION/EXPRESSION | $522.20 | $746.00 | $129.06–$686.32 | 72% above | 30% |
| Speech and language evaluation CPT 92523 HB EVAL SPEECH SOUND PRODUCTION/COMPREHENSION/EXPRESSION (ED SVC) | $522.20 | $746.00 | $139.44–$686.32 | 72% above | 30% |
| Speech and language evaluation CPT 92523 HB EVAL SPEECH SOUND PRODUCTION/COMPREHENSION/EXPRESSION | $522.20 | $746.00 | $139.44–$686.32 | 72% above | 30% |
| Speech and language evaluation CPT 92523 HB EVAL SPEECH SOUND PRODUCTION/COMPREHENSION/EXPRESSION (ED SVC) | $522.20 | $746.00 | $129.06–$686.32 | 72% above | 30% |
| Speech and language evaluation inpatient CPT 92523 HB EVAL SPEECH SOUND PRODUCTION/COMPREHENSION/EXPRESSION | $522.20 | $746.00 | $186.50–$686.32 | — | 30% |
| Speech and language evaluation inpatient CPT 92523 HB EVAL SPEECH SOUND PRODUCTION/COMPREHENSION/EXPRESSION (ED SVC) | $522.20 | $746.00 | $186.50–$686.32 | — | 30% |
| Speech and language evaluation inpatient CPT 92523 HB EVAL SPEECH SOUND PRODUCTION/COMPREHENSION/EXPRESSION | $522.20 | $746.00 | $186.50–$686.32 | — | 30% |
| Speech and language evaluation inpatient CPT 92523 HB EVAL SPEECH SOUND PRODUCTION/COMPREHENSION/EXPRESSION (ED SVC) | $522.20 | $746.00 | $186.50–$686.32 | — | 30% |
| Speech therapy session, individual CPT 92507 HB TRTMT OF SPEECH, LANGUAGE, COMM - LTD | $301.00 | $430.00 | $74.39–$395.60 | 38% above | 30% |
| Speech therapy session, individual CPT 92507 HB TRTMT OF SPEECH, LANGUAGE, COMM - LTD | $301.00 | $430.00 | $76.38–$395.60 | 38% above | 30% |
| Speech therapy session, individual CPT 92507 HB TRTMT OF SPEECH, LANGUAGE, COMM (ED SVC) | $311.50 | $445.00 | $76.38–$409.40 | 43% above | 30% |
| Speech therapy session, individual CPT 92507 HB TRTMT OF SPEECH, LANGUAGE, COMM (ED SVC) | $311.50 | $445.00 | $76.38–$409.40 | 43% above | 30% |
| Speech therapy session, individual CPT 92507 HB TRTMT OF SPEECH, LANGUAGE, COMM | $470.40 | $672.00 | $76.38–$618.24 | 116% above | 30% |
| Speech therapy session, individual CPT 92507 HB TRTMT OF SPEECH, LANGUAGE, COMM | $470.40 | $672.00 | $76.38–$618.24 | 116% above | 30% |
| Speech therapy session, individual inpatient CPT 92507 HB TRTMT OF SPEECH, LANGUAGE, COMM - LTD | $301.00 | $430.00 | $107.50–$395.60 | — | 30% |
| Speech therapy session, individual inpatient CPT 92507 HB TRTMT OF SPEECH, LANGUAGE, COMM - LTD | $301.00 | $430.00 | $107.50–$395.60 | — | 30% |
| Speech therapy session, individual inpatient CPT 92507 HB TRTMT OF SPEECH, LANGUAGE, COMM (ED SVC) | $311.50 | $445.00 | $111.25–$409.40 | — | 30% |
| Speech therapy session, individual inpatient CPT 92507 HB TRTMT OF SPEECH, LANGUAGE, COMM (ED SVC) | $311.50 | $445.00 | $111.25–$409.40 | — | 30% |
| Speech therapy session, individual inpatient CPT 92507 HB TRTMT OF SPEECH, LANGUAGE, COMM | $470.40 | $672.00 | $168.00–$618.24 | — | 30% |
| Speech therapy session, individual inpatient CPT 92507 HB TRTMT OF SPEECH, LANGUAGE, COMM | $470.40 | $672.00 | $168.00–$618.24 | — | 30% |
| Spirometry (breathing test) CPT 94010 HB SPIROMETRY PERFORMED BY NEUROLOGY | $387.10 | $553.00 | $138.25–$508.76 | 109% above | 30% |
| Spirometry (breathing test) CPT 94010 HB SPIROMETRY PERFORMED BY NEUROLOGY | $387.10 | $553.00 | $138.25–$508.76 | 109% above | 30% |
| Spirometry (breathing test) CPT 94010 HB SPIROMETRY | $410.20 | $586.00 | $146.50–$539.12 | 122% above | 30% |
| Spirometry (breathing test) CPT 94010 HB SPIROMETRY | $410.20 | $586.00 | $146.50–$539.12 | 122% above | 30% |
| Spirometry (breathing test) inpatient CPT 94010 HB SPIROMETRY PERFORMED BY NEUROLOGY | $387.10 | $553.00 | $138.25–$508.76 | — | 30% |
| Spirometry (breathing test) inpatient CPT 94010 HB SPIROMETRY PERFORMED BY NEUROLOGY | $387.10 | $553.00 | $138.25–$508.76 | — | 30% |
| Spirometry (breathing test) inpatient CPT 94010 HB SPIROMETRY | $410.20 | $586.00 | $146.50–$539.12 | — | 30% |
| Spirometry (breathing test) inpatient CPT 94010 HB SPIROMETRY | $410.20 | $586.00 | $146.50–$539.12 | — | 30% |
| Spirometry before and after a bronchodilator CPT 94060 HB SPIROMETRY, PRE AND POST BRONCHODILATION | $713.30 | $1,019.00 | $254.75–$937.48 | 84% above | 30% |
| Spirometry before and after a bronchodilator CPT 94060 HB SPIROMETRY, PRE AND POST BRONCHODILATION | $713.30 | $1,019.00 | $254.75–$937.48 | 84% above | 30% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 HB SPIROMETRY, PRE AND POST BRONCHODILATION | $713.30 | $1,019.00 | $254.75–$937.48 | — | 30% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 HB SPIROMETRY, PRE AND POST BRONCHODILATION | $713.30 | $1,019.00 | $254.75–$937.48 | — | 30% |
| TMS (transcranial magnetic stimulation), first session with mapping CPT 90867 HB THETA BURST STIMULATION (ITBS); INITIAL | $315.70 | $451.00 | $112.75–$414.92 | 36% below | 30% |
| TMS (transcranial magnetic stimulation), first session with mapping CPT 90867 HB REPETITIVE TRANSCRANIAL MAGNETIC STIMULATION (TMS); INITIAL | $315.70 | $451.00 | $112.75–$414.92 | 36% below | 30% |
| TMS (transcranial magnetic stimulation), first session with mapping CPT 90867 HB REPETITIVE TRANSCRANIAL MAGNETIC STIMULATION (TMS); INITIAL | $315.70 | $451.00 | $112.75–$414.92 | 36% below | 30% |
| TMS (transcranial magnetic stimulation), first session with mapping CPT 90867 HB THETA BURST STIMULATION (ITBS); INITIAL | $315.70 | $451.00 | $112.75–$414.92 | 36% below | 30% |
| TMS (transcranial magnetic stimulation), first session with mapping inpatient CPT 90867 HB REPETITIVE TRANSCRANIAL MAGNETIC STIMULATION (TMS); INITIAL | $315.70 | $451.00 | $112.75–$414.92 | — | 30% |
| TMS (transcranial magnetic stimulation), first session with mapping inpatient CPT 90867 HB THETA BURST STIMULATION (ITBS); INITIAL | $315.70 | $451.00 | $112.75–$414.92 | — | 30% |
| TMS (transcranial magnetic stimulation), first session with mapping inpatient CPT 90867 HB REPETITIVE TRANSCRANIAL MAGNETIC STIMULATION (TMS); INITIAL | $315.70 | $451.00 | $112.75–$414.92 | — | 30% |
| TMS (transcranial magnetic stimulation), first session with mapping inpatient CPT 90867 HB THETA BURST STIMULATION (ITBS); INITIAL | $315.70 | $451.00 | $112.75–$414.92 | — | 30% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HB TREATMENT THERAPEUTIC ACTIVITY-FUNCT TRNG, EA 15MIN | $156.10 | $223.00 | $30.83–$225.00 | 53% above | 30% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HB TREATMENT THERAPEUTIC ACTIVITY-FUNCT TRNG, EA 15MIN | $156.10 | $223.00 | $30.83–$205.16 | 53% above | 30% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HB FEEDING THERAPY, PER 15 MIN | $171.50 | $245.00 | $30.83–$225.40 | 68% above | 30% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HB THERAPEUTIC ACTIVITY-FUNCTIONAL TRAINING PER 15MIN | $171.50 | $245.00 | $30.83–$225.40 | 68% above | 30% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HB THERAPEUTIC ACTIVITY-FUNCTIONAL TRAINING PER 15MIN-SPINE | $171.50 | $245.00 | $30.83–$225.40 | 68% above | 30% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HB THERAPEUTIC ACTIVITY-FUNCTIONAL TRNG PER 15MIN-PULM REHAB | $171.50 | $245.00 | $30.83–$225.40 | 68% above | 30% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HB THERAPEUTIC ACTIVITY-FUNCTIONAL TRAINING PER 15MIN - OT | $171.50 | $245.00 | $30.83–$225.40 | 68% above | 30% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HB FEEDING THERAPY, PER 15 MIN | $171.50 | $245.00 | $30.83–$225.40 | 68% above | 30% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HB THERAPEUTIC ACTIVITY-FUNCTIONAL TRAINING PER 15MIN | $171.50 | $245.00 | $30.83–$225.40 | 68% above | 30% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HB THERAPEUTIC ACTIVITY-FUNCTIONAL TRNG PER 15MIN-PULM REHAB | $171.50 | $245.00 | $30.83–$225.40 | 68% above | 30% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HB THERAPEUTIC ACTIVITY-FUNCTIONAL TRAINING PER 15MIN - OT | $171.50 | $245.00 | $30.83–$225.40 | 68% above | 30% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HB THERAPEUTIC ACTIVITY-FUNCTIONAL TRAINING PER 15MIN-SPINE | $171.50 | $245.00 | $30.83–$225.40 | 68% above | 30% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HB TREATMENT THERAPEUTIC ACTIVITY-FUNCT TRNG, EA 15MIN | $156.10 | $223.00 | $55.75–$205.16 | — | 30% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HB TREATMENT THERAPEUTIC ACTIVITY-FUNCT TRNG, EA 15MIN | $156.10 | $223.00 | $55.75–$205.16 | — | 30% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HB THERAPEUTIC ACTIVITY-FUNCTIONAL TRAINING PER 15MIN-SPINE | $171.50 | $245.00 | $61.25–$225.40 | — | 30% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HB THERAPEUTIC ACTIVITY-FUNCTIONAL TRAINING PER 15MIN | $171.50 | $245.00 | $61.25–$225.40 | — | 30% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HB THERAPEUTIC ACTIVITY-FUNCTIONAL TRAINING PER 15MIN-SPINE | $171.50 | $245.00 | $61.25–$225.40 | — | 30% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HB THERAPEUTIC ACTIVITY-FUNCTIONAL TRNG PER 15MIN-PULM REHAB | $171.50 | $245.00 | $61.25–$225.40 | — | 30% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HB THERAPEUTIC ACTIVITY-FUNCTIONAL TRAINING PER 15MIN - OT | $171.50 | $245.00 | $61.25–$225.40 | — | 30% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HB FEEDING THERAPY, PER 15 MIN | $171.50 | $245.00 | $61.25–$225.40 | — | 30% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HB THERAPEUTIC ACTIVITY-FUNCTIONAL TRAINING PER 15MIN | $171.50 | $245.00 | $61.25–$225.40 | — | 30% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HB THERAPEUTIC ACTIVITY-FUNCTIONAL TRNG PER 15MIN-PULM REHAB | $171.50 | $245.00 | $61.25–$225.40 | — | 30% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HB THERAPEUTIC ACTIVITY-FUNCTIONAL TRAINING PER 15MIN - OT | $171.50 | $245.00 | $61.25–$225.40 | — | 30% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HB FEEDING THERAPY, PER 15 MIN | $171.50 | $245.00 | $61.25–$225.40 | — | 30% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HB THERAPEUTIC PHLEBOTOMY (SINGLE UNIT) | $657.30 | $939.00 | $124.93–$863.88 | 234% above | 30% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HB THERAPEUTIC PHLEBOTOMY (SINGLE UNIT) | $657.30 | $939.00 | $124.93–$863.88 | 234% above | 30% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HB THERAPEUTIC PHLEBOTOMY (SINGLE UNIT) | $657.30 | $939.00 | $234.75–$863.88 | — | 30% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HB THERAPEUTIC PHLEBOTOMY (SINGLE UNIT) | $657.30 | $939.00 | $234.75–$863.88 | — | 30% |
| Visual field test, extended both sides CPT 92083 HB GOLDMAN PERIMETRY (BILATERAL) | $300.30 | $429.00 | $107.25–$394.68 | — | 30% |
| Visual field test, extended both sides CPT 92083 HB GOLDMAN PERIMETRY (BILATERAL) | $300.30 | $429.00 | $107.25–$394.68 | — | 30% |
| Visual field test, extended both sides CPT 92083 HB AUTO PERIMETRY (BILATERAL) | $352.80 | $504.00 | $124.93–$463.68 | — | 30% |
| Visual field test, extended both sides CPT 92083 HB AUTO PERIMETRY (BILATERAL) | $352.80 | $504.00 | $124.93–$463.68 | — | 30% |
| Visual field test, extended inpatient both sides CPT 92083 HB GOLDMAN PERIMETRY (BILATERAL) | $300.30 | $429.00 | $107.25–$394.68 | — | 30% |
| Visual field test, extended inpatient both sides CPT 92083 HB GOLDMAN PERIMETRY (BILATERAL) | $300.30 | $429.00 | $107.25–$394.68 | — | 30% |
| Visual field test, extended inpatient both sides CPT 92083 HB AUTO PERIMETRY (BILATERAL) | $352.80 | $504.00 | $126.00–$463.68 | — | 30% |
| Visual field test, extended inpatient both sides CPT 92083 HB AUTO PERIMETRY (BILATERAL) | $352.80 | $504.00 | $126.00–$463.68 | — | 30% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Iowa | Off list |
|---|---|---|---|---|---|
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HB INJECTION, VFC, SINGLE | $13.78 | $19.68 | $4.92–$72.68 | 61% below | 30% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HB INJECTION, VFC, SINGLE | $13.78 | $19.68 | $4.92–$72.68 | 61% below | 30% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HB IMMUNIZATION ADMINISTRATION, SINGLE | $61.60 | $88.00 | $22.00–$80.96 | 76% above | 30% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HB INJECTION, INFLUENZA VACCINE, SINGLE | $61.60 | $88.00 | $22.00–$80.96 | 76% above | 30% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HB IMMUNIZATION ADMINISTRATION, SINGLE | $61.60 | $88.00 | $22.00–$80.96 | 76% above | 30% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HB INJECTION, PNEUMOCOCCAL VACCINE, SINGLE | $61.60 | $88.00 | $22.00–$80.96 | 76% above | 30% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HB INJECTION, HEPATITIS B VACCINE, SINGLE | $61.60 | $88.00 | $22.00–$80.96 | 76% above | 30% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HB INJECTION, HEPATITIS B VACCINE, SINGLE | $61.60 | $88.00 | $22.00–$80.96 | 76% above | 30% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HB INJECTION, PNEUMOCOCCAL VACCINE, SINGLE | $61.60 | $88.00 | $22.00–$80.96 | 76% above | 30% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HB INJECTION, INFLUENZA VACCINE, SINGLE | $61.60 | $88.00 | $22.00–$80.96 | 76% above | 30% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HB INJECTION, VFC, SINGLE | $13.78 | $19.68 | $4.92–$18.11 | — | 30% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HB INJECTION, VFC, SINGLE | $13.78 | $19.68 | $4.92–$18.11 | — | 30% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HB INJECTION, PNEUMOCOCCAL VACCINE, SINGLE | $61.60 | $88.00 | $22.00–$80.96 | — | 30% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HB IMMUNIZATION ADMINISTRATION, SINGLE | $61.60 | $88.00 | $22.00–$80.96 | — | 30% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HB INJECTION, INFLUENZA VACCINE, SINGLE | $61.60 | $88.00 | $22.00–$80.96 | — | 30% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HB IMMUNIZATION ADMINISTRATION, SINGLE | $61.60 | $88.00 | $22.00–$80.96 | — | 30% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HB INJECTION, HEPATITIS B VACCINE, SINGLE | $61.60 | $88.00 | $22.00–$80.96 | — | 30% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HB INJECTION, HEPATITIS B VACCINE, SINGLE | $61.60 | $88.00 | $22.00–$80.96 | — | 30% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HB INJECTION, INFLUENZA VACCINE, SINGLE | $61.60 | $88.00 | $22.00–$80.96 | — | 30% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HB INJECTION, PNEUMOCOCCAL VACCINE, SINGLE | $61.60 | $88.00 | $22.00–$80.96 | — | 30% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HB INJECTION, VFC, EACH ADDITIONAL | $13.78 | $19.68 | $4.92–$57.23 | 52% below | 30% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HB INJECTION, VFC, EACH ADDITIONAL | $13.78 | $19.68 | $3.40–$57.23 | 52% below | 30% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HB IMMUNIZATION ADMINISTRATION, EACH ADDITIONAL | $61.60 | $88.00 | $22.00–$80.96 | 114% above | 30% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HB INJECTION, PNEUMOCOCCAL VACCINE, SINGLE , EA ADDITIONAL | $61.60 | $88.00 | $15.22–$80.96 | 114% above | 30% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HB INJECTION, INFLUENZA VACCINE, EA ADDITIONAL | $61.60 | $88.00 | $15.22–$80.96 | 114% above | 30% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HB IMMUNIZATION ADMINISTRATION, EACH ADDITIONAL | $61.60 | $88.00 | $15.22–$80.96 | 114% above | 30% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HB INJECTION, INFLUENZA VACCINE, EA ADDITIONAL | $61.60 | $88.00 | $22.00–$80.96 | 114% above | 30% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HB INJECTION, PNEUMOCOCCAL VACCINE, SINGLE , EA ADDITIONAL | $61.60 | $88.00 | $22.00–$80.96 | 114% above | 30% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HB INJECTION, HEPATITIS B VACCINE, SINGLE, EA ADDITIONAL | $61.60 | $88.00 | $22.00–$80.96 | 114% above | 30% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HB INJECTION, HEPATITIS B VACCINE, SINGLE, EA ADDITIONAL | $61.60 | $88.00 | $15.22–$80.96 | 114% above | 30% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HB INJECTION, VFC, EACH ADDITIONAL | $13.78 | $19.68 | $4.92–$18.11 | — | 30% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HB INJECTION, VFC, EACH ADDITIONAL | $13.78 | $19.68 | $4.92–$18.11 | — | 30% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HB INJECTION, HEPATITIS B VACCINE, SINGLE, EA ADDITIONAL | $61.60 | $88.00 | $22.00–$80.96 | — | 30% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HB INJECTION, PNEUMOCOCCAL VACCINE, SINGLE , EA ADDITIONAL | $61.60 | $88.00 | $22.00–$80.96 | — | 30% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HB INJECTION, HEPATITIS B VACCINE, SINGLE, EA ADDITIONAL | $61.60 | $88.00 | $22.00–$80.96 | — | 30% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HB INJECTION, INFLUENZA VACCINE, EA ADDITIONAL | $61.60 | $88.00 | $22.00–$80.96 | — | 30% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HB IMMUNIZATION ADMINISTRATION, EACH ADDITIONAL | $61.60 | $88.00 | $22.00–$80.96 | — | 30% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HB INJECTION, INFLUENZA VACCINE, EA ADDITIONAL | $61.60 | $88.00 | $22.00–$80.96 | — | 30% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HB IMMUNIZATION ADMINISTRATION, EACH ADDITIONAL | $61.60 | $88.00 | $22.00–$80.96 | — | 30% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HB INJECTION, PNEUMOCOCCAL VACCINE, SINGLE , EA ADDITIONAL | $61.60 | $88.00 | $22.00–$80.96 | — | 30% |
Dental
| Procedure | Cash price | List price | Insurers pay | vs Iowa | Off list |
|---|---|---|---|---|---|
| Dental implant, surgical placement CDT D6010 HB SURGICAL PLACEMENT IMPLANT BODY; ENDOSTEAL IMPLANT | $2,347.80 | $3,354.00 | $838.50–$3,085.68 | — | 30% |
| Dental implant, surgical placement CDT D6010 HB SURGICAL PLACEMENT IMPLANT BODY; ENDOSTEAL IMPLANT | $2,347.80 | $3,354.00 | $580.24–$3,085.68 | — | 30% |
| Dental implant, surgical placement inpatient CDT D6010 HB SURGICAL PLACEMENT IMPLANT BODY; ENDOSTEAL IMPLANT | $2,347.80 | $3,354.00 | $838.50–$3,085.68 | — | 30% |
| Dental implant, surgical placement inpatient CDT D6010 HB SURGICAL PLACEMENT IMPLANT BODY; ENDOSTEAL IMPLANT | $2,347.80 | $3,354.00 | $838.50–$3,085.68 | — | 30% |
| Removal of an impacted tooth fully covered by bone, often a wisdom tooth CDT D7240 HB IMPACTION (COMPLETE BONY) AND REMOVAL OF TOOTH | $292.60 | $418.00 | $104.50–$1,611.40 | — | 30% |
| Removal of an impacted tooth fully covered by bone, often a wisdom tooth CDT D7240 HB IMPACTION (COMPLETE BONY) AND REMOVAL OF TOOTH | $292.60 | $418.00 | $104.50–$1,611.40 | — | 30% |
| Removal of an impacted tooth fully covered by bone, often a wisdom tooth inpatient CDT D7240 HB IMPACTION (COMPLETE BONY) AND REMOVAL OF TOOTH | $292.60 | $418.00 | $104.50–$384.56 | — | 30% |
| Removal of an impacted tooth fully covered by bone, often a wisdom tooth inpatient CDT D7240 HB IMPACTION (COMPLETE BONY) AND REMOVAL OF TOOTH | $292.60 | $418.00 | $104.50–$384.56 | — | 30% |
| Simple extraction of a tooth or exposed root that is above the gum CDT D7140 HB EXTRACTION, ERUPTED TOOTH OR EXPOSED ROOT | $91.00 | $130.00 | $32.50–$1,611.40 | 100% below | 30% |
| Simple extraction of a tooth or exposed root that is above the gum CDT D7140 HB EXTRACTION, ERUPTED TOOTH OR EXPOSED ROOT | $91.00 | $130.00 | $32.50–$1,611.40 | 100% below | 30% |
| Simple extraction of a tooth or exposed root that is above the gum inpatient CDT D7140 HB EXTRACTION, ERUPTED TOOTH OR EXPOSED ROOT | $91.00 | $130.00 | $32.50–$119.60 | — | 30% |
| Simple extraction of a tooth or exposed root that is above the gum inpatient CDT D7140 HB EXTRACTION, ERUPTED TOOTH OR EXPOSED ROOT | $91.00 | $130.00 | $32.50–$119.60 | — | 30% |