Poplar Bluff Regional Medical Center
Poplar Bluff Regional Medical Center in Poplar Bluff, MO publishes cash prices for 341 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Missouri median for 179 of 338 procedures and below it for 156. By typical cash price it ranks #39 of 60 Missouri hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
3100 Oak Grove Rd, Poplar Bluff, MO 63901 Collected Sep 27, 2026 Source price file (573) 785-7721
Acute care hospital Emergency department CMS star rating 2 of 5 CCN 260119 · CMS hospital register
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Missouri | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views both sides CPT 73610 XR Ankle Complete Min 3 V Bilateral DR | $372.47 | $1,773.67 | $18.00–$1,596.30 | — | 79% |
| Ankle X-ray, complete, 3 or more views CPT 73610 LE-ANKLE 3VPLUS DR [BCE 161] | $186.24 | $886.84 | $18.00–$798.16 | 38% below | 79% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete Min 3 V Right CR | $109.25 | $520.26 | $18.00–$468.23 | 64% below | 79% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete Min 3 V Left CR | $109.25 | $520.26 | $18.00–$468.23 | 64% below | 79% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete Min 3 V Left DR | $186.24 | $886.84 | $18.00–$798.16 | 38% below | 79% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete Min 3 V Right DR | $186.24 | $886.84 | $18.00–$798.16 | 38% below | 79% |
| Ankle X-ray, complete, 3 or more views inpatient both sides CPT 73610 XR Ankle Complete Min 3 V Bilateral DR | $532.10 | $1,773.67 | $425.68–$1,596.30 | — | 70% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 LE-ANKLE 3VPLUS DR [BCE 161] | $266.05 | $886.84 | $212.84–$798.16 | — | 70% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Complete Min 3 V Right CR | $156.08 | $520.26 | $124.86–$468.23 | — | 70% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Complete Min 3 V Left CR | $156.08 | $520.26 | $124.86–$468.23 | — | 70% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Complete Min 3 V Right DR | $266.05 | $886.84 | $212.84–$798.16 | — | 70% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Complete Min 3 V Left DR | $266.05 | $886.84 | $212.84–$798.16 | — | 70% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 US LE Arterial Doppler Single Lvl Bilat | $158.20 | $753.31 | $27.30–$677.98 | — | 79% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 US UE Arterial Doppler Single Lvl Bilat | $158.20 | $753.31 | $27.30–$677.98 | — | 79% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US-EXT ARTERIAL LTD - Net Health - 207 | $158.20 | $753.31 | $27.30–$677.98 | 54% below | 79% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 NI Seg Pres w Dopp UE LE Single | $158.20 | $753.31 | $27.30–$677.98 | 54% below | 79% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 US UE Arterial Doppler Single Lvl Bilat | $225.99 | $753.31 | $180.79–$677.98 | — | 70% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 US LE Arterial Doppler Single Lvl Bilat | $225.99 | $753.31 | $180.79–$677.98 | — | 70% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 NI Seg Pres w Dopp UE LE Single | $225.99 | $753.31 | $180.79–$677.98 | — | 70% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US-EXT ARTERIAL LTD - Net Health - 207 | $225.99 | $753.31 | $180.79–$677.98 | — | 70% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 RF Esophagus Barium | $303.96 | $1,447.41 | $36.00–$1,302.67 | 30% below | 79% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 RF Esophagus Gastrografin | $303.96 | $1,447.41 | $36.00–$1,302.67 | 30% below | 79% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 RF Esophagus Barium | $434.22 | $1,447.41 | $347.38–$1,302.67 | — | 70% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 RF Esophagus Gastrografin | $434.22 | $1,447.41 | $347.38–$1,302.67 | — | 70% |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM Bone and or Joint Whole Body Scan 1 - NM Bone | $1,862.62 | $8,869.63 | $59.00–$7,982.67 | 25% above | 79% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM Bone and or Joint Whole Body Scan 1 - NM Bone | $2,660.89 | $8,869.63 | $2,128.71–$7,982.67 | — | 70% |
| Breast ultrasound, complete, one breast both sides CPT 76641 US Breast Complete Bilateral CM | $237.29 | $1,129.96 | $63.40–$1,016.96 | — | 79% |
| Breast ultrasound, complete, one breast one side CPT 76641 US Breast Complete Left CM | $237.29 | $1,129.96 | $63.40–$1,016.96 | 39% below | 79% |
| Breast ultrasound, complete, one breast one side CPT 76641 US Breast Complete Right CM | $237.29 | $1,129.96 | $63.40–$1,016.96 | 39% below | 79% |
| Breast ultrasound, complete, one breast one side CPT 76641 US Breast Complete Left | $237.29 | $1,129.96 | $63.40–$1,016.96 | 39% below | 79% |
| Breast ultrasound, complete, one breast one side CPT 76641 US Breast Complete Right | $237.29 | $1,129.96 | $63.40–$1,016.96 | 39% below | 79% |
| Breast ultrasound, complete, one breast inpatient both sides CPT 76641 US Breast Complete Bilateral CM | $338.99 | $1,129.96 | $271.19–$1,016.96 | — | 70% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Breast Complete Right CM | $338.99 | $1,129.96 | $271.19–$1,016.96 | — | 70% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Breast Complete Left | $338.99 | $1,129.96 | $271.19–$1,016.96 | — | 70% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Breast Complete Left CM | $338.99 | $1,129.96 | $271.19–$1,016.96 | — | 70% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Breast Complete Right | $338.99 | $1,129.96 | $271.19–$1,016.96 | — | 70% |
| Breast ultrasound, limited (one breast or one area) both sides CPT 76642 US Breast Limited Bilateral CM | $109.25 | $520.26 | $48.50–$468.23 | — | 79% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Limited Right CM | $237.29 | $1,129.96 | $48.50–$1,016.96 | 27% below | 79% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Limited Right | $237.29 | $1,129.96 | $48.50–$1,016.96 | 27% below | 79% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Limited Left | $237.29 | $1,129.96 | $48.50–$1,016.96 | 27% below | 79% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Limited Left CM | $237.29 | $1,129.96 | $48.50–$1,016.96 | 27% below | 79% |
| Breast ultrasound, limited (one breast or one area) inpatient both sides CPT 76642 US Breast Limited Bilateral CM | $156.08 | $520.26 | $124.86–$468.23 | — | 70% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Limited Right | $338.99 | $1,129.96 | $271.19–$1,016.96 | — | 70% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Limited Left | $338.99 | $1,129.96 | $271.19–$1,016.96 | — | 70% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Limited Right CM | $338.99 | $1,129.96 | $271.19–$1,016.96 | — | 70% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Limited Left CM | $338.99 | $1,129.96 | $271.19–$1,016.96 | — | 70% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA Chest for PE | $1,110.27 | $5,287.01 | $151.76–$4,758.31 | 43% below | 79% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA Chest | $1,110.27 | $5,287.01 | $151.76–$4,758.31 | 43% below | 79% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA Chest for PE | $1,586.10 | $5,287.01 | $1,268.88–$4,758.31 | — | 70% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA Chest | $1,586.10 | $5,287.01 | $1,268.88–$4,758.31 | — | 70% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abdomen Pelvis Stone Protocol | $2,339.06 | $11,138.37 | $108.30–$10,024.53 | 10% above | 79% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abdomen Pelvis WO | $2,339.06 | $11,138.37 | $108.30–$10,024.53 | 10% above | 79% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Abdomen Pelvis WO | $3,341.51 | $11,138.37 | $2,673.21–$10,024.53 | — | 70% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Abdomen Pelvis Stone Protocol | $3,341.51 | $11,138.37 | $2,673.21–$10,024.53 | — | 70% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abdomen Pelvis W | $2,764.70 | $13,165.25 | $206.27–$11,848.72 | 16% above | 79% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Enterography Abdomen Pelvis | $2,764.70 | $13,165.25 | $206.27–$11,848.72 | 16% above | 79% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Enterography Abdomen Pelvis | $3,949.58 | $13,165.25 | $3,159.66–$11,848.72 | — | 70% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abdomen Pelvis W | $3,949.58 | $13,165.25 | $3,159.66–$11,848.72 | — | 70% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abdomen Pelvis WWO | $3,200.93 | $15,242.52 | $272.95–$13,718.27 | 9% above | 79% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abdomen Pelvis WWO | $4,572.76 | $15,242.52 | $3,658.20–$13,718.27 | — | 70% |
| CT scan of the abdomen with contrast CPT 74160 CT Abdomen W | $1,348.09 | $6,419.49 | $151.76–$5,777.54 | 14% below | 79% |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT Abdomen W | $1,925.85 | $6,419.49 | $1,540.68–$5,777.54 | — | 70% |
| CT scan of the abdomen without contrast CPT 74150 CT Abdomen WO | $1,174.03 | $5,590.60 | $90.66–$5,031.54 | 9% above | 79% |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT Abdomen WO | $1,677.18 | $5,590.60 | $1,341.74–$5,031.54 | — | 70% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT Sinus WO | $1,234.08 | $5,876.56 | $90.66–$5,288.90 | 14% above | 79% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT Maxillofacial WO | $1,234.08 | $5,876.56 | $90.66–$5,288.90 | 14% above | 79% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Maxillofacial WO | $1,762.97 | $5,876.56 | $1,410.37–$5,288.90 | — | 70% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Sinus WO | $1,762.97 | $5,876.56 | $1,410.37–$5,288.90 | — | 70% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Head or Brain WO | $804.20 | $3,829.53 | $90.66–$3,446.58 | 36% below | 79% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Head Stroke Alert | $804.20 | $3,829.53 | $90.66–$3,446.58 | 36% below | 79% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head or Brain WO | $1,148.86 | $3,829.53 | $919.09–$3,446.58 | — | 70% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head Stroke Alert | $1,148.86 | $3,829.53 | $919.09–$3,446.58 | — | 70% |
| CT scan of the head with contrast CPT 70460 CT Head or Brain W | $1,006.31 | $4,791.95 | $151.76–$4,312.76 | 30% below | 79% |
| CT scan of the head with contrast inpatient CPT 70460 CT Head or Brain W | $1,437.59 | $4,791.95 | $1,150.07–$4,312.76 | — | 70% |
| CT scan of the head without and with contrast CPT 70470 CT Head or Brain WWO | $1,415.55 | $6,740.72 | $151.76–$6,066.65 | 21% below | 79% |
| CT scan of the head without and with contrast inpatient CPT 70470 CT Head or Brain WWO | $2,022.22 | $6,740.72 | $1,617.77–$6,066.65 | — | 70% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT Spine Lumbar WO | $1,320.32 | $6,287.22 | $90.66–$5,658.50 | 4% below | 79% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT Spine Lumbar WO | $1,886.17 | $6,287.22 | $1,508.93–$5,658.50 | — | 70% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT Spine Cervical WO | $1,307.88 | $6,228.01 | $90.66–$5,605.21 | 19% below | 79% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT Spine Cervical WO | $1,868.40 | $6,228.01 | $1,494.72–$5,605.21 | — | 70% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis W | $1,416.35 | $6,744.50 | $151.76–$6,070.05 | 13% below | 79% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis W | $2,023.35 | $6,744.50 | $1,618.68–$6,070.05 | — | 70% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US Carotid Duplex Bilateral | $548.13 | $2,610.12 | $70.00–$2,349.11 | — | 79% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 NI Duplex Scan Extracran Art Comp Bilat | $548.13 | $2,610.12 | $70.00–$2,349.11 | — | 79% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US Carotid Duplex Bilateral | $783.04 | $2,610.12 | $626.43–$2,349.11 | — | 70% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 NI Duplex Scan Extracran Art Comp Bilat | $783.04 | $2,610.12 | $626.43–$2,349.11 | — | 70% |
| Chest X-ray, 2 views CPT 71046 XR Chest 2 V CR | $109.25 | $520.26 | $21.87–$468.23 | 57% below | 79% |
| Chest X-ray, 2 views CPT 71046 CH-CHEST 2V DR [BCE 161] | $218.51 | $1,040.53 | $21.87–$936.48 | 13% below | 79% |
| Chest X-ray, 2 views CPT 71046 XR Chest 2 V DR | $218.51 | $1,040.53 | $21.87–$936.48 | 13% below | 79% |
| Chest X-ray, 2 views inpatient CPT 71046 XR Chest 2 V CR | $156.08 | $520.26 | $124.86–$468.23 | — | 70% |
| Chest X-ray, 2 views inpatient CPT 71046 XR Chest 2 V DR | $312.16 | $1,040.53 | $249.73–$936.48 | — | 70% |
| Chest X-ray, 2 views inpatient CPT 71046 CH-CHEST 2V DR [BCE 161] | $312.16 | $1,040.53 | $249.73–$936.48 | — | 70% |
| Chest X-ray, single view CPT 71045 XR Chest 1 V Frontal CR | $109.25 | $520.26 | $11.86–$468.23 | 48% below | 79% |
| Chest X-ray, single view CPT 71045 XR Chest 1 V Portable DR | $185.44 | $883.06 | $11.86–$794.75 | 12% below | 79% |
| Chest X-ray, single view CPT 71045 CH-CHEST 1V DR [BCE 161] | $185.44 | $883.06 | $11.86–$794.75 | 12% below | 79% |
| Chest X-ray, single view CPT 71045 XR Chest 1 V Frontal DR | $185.44 | $883.06 | $11.86–$794.75 | 12% below | 79% |
| Chest X-ray, single view inpatient CPT 71045 XR Chest 1 V Frontal CR | $156.08 | $520.26 | $124.86–$468.23 | — | 70% |
| Chest X-ray, single view inpatient CPT 71045 CH-CHEST 1V DR [BCE 161] | $264.92 | $883.06 | $211.93–$794.75 | — | 70% |
| Chest X-ray, single view inpatient CPT 71045 XR Chest 1 V Frontal DR | $264.92 | $883.06 | $211.93–$794.75 | — | 70% |
| Chest X-ray, single view inpatient CPT 71045 XR Chest 1 V Portable DR | $264.92 | $883.06 | $211.93–$794.75 | — | 70% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Retroperitoneal Complete | $247.34 | $1,177.83 | $44.00–$1,060.05 | 57% below | 79% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US Retroperitoneal Complete | $353.35 | $1,177.83 | $282.68–$1,060.05 | — | 70% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 BD Bone Density DEXA Axial Skeleton | $147.08 | $700.40 | $90.66–$630.36 | 57% below | 79% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 BD Bone Density DEXA Axial Skeleton | $210.12 | $700.40 | $168.10–$630.36 | — | 70% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US Pregnancy Complete w Detail | $260.57 | $1,240.81 | $145.14–$1,116.73 | 61% below | 79% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US Pregnancy Complete w Detail | $372.24 | $1,240.81 | $297.79–$1,116.73 | — | 70% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest Diagnostic WO | $1,184.61 | $5,640.99 | $90.66–$5,076.89 | 8% below | 79% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT High Resolution Chest | $1,184.61 | $5,640.99 | $90.66–$5,076.89 | 8% below | 79% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Chest Diagnostic WO | $1,692.30 | $5,640.99 | $1,353.84–$5,076.89 | — | 70% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT High Resolution Chest | $1,692.30 | $5,640.99 | $1,353.84–$5,076.89 | — | 70% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Chest Diagnostic W For PE | $1,312.91 | $6,251.95 | $151.76–$5,626.76 | 20% below | 79% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Chest Diagnostic W | $1,312.91 | $6,251.95 | $151.76–$5,626.76 | 20% below | 79% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Chest Diagnostic W For PE | $1,875.59 | $6,251.95 | $1,500.47–$5,626.76 | — | 70% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Chest Diagnostic W | $1,875.59 | $6,251.95 | $1,500.47–$5,626.76 | — | 70% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MG Mammo Diagnostic Bilateral WWO CAD CM | $79.89 | $380.43 | $76.09–$342.39 | — | 79% |
| Diagnostic mammogram, both breasts both sides CPT 77066 77066 BR-DIG MAMMO BILAT | $79.89 | $380.43 | $76.09–$342.39 | — | 79% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MG Mammo Diagnostic Bilateral WWO CAD | $79.89 | $380.43 | $76.09–$342.39 | — | 79% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 77066 BR-DIG MAMMO BILAT | $114.13 | $380.43 | $91.30–$342.39 | — | 70% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MG Mammo Diagnostic Bilateral WWO CAD | $114.13 | $380.43 | $91.30–$342.39 | — | 70% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MG Mammo Diagnostic Bilateral WWO CAD CM | $114.13 | $380.43 | $91.30–$342.39 | — | 70% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Diagnostic Right WWO CAD CM | $64.55 | $307.37 | $61.47–$276.63 | 72% below | 79% |
| Diagnostic mammogram, one breast one side CPT 77065 77065 BR-DIG MAMMO UNILAT | $64.55 | $307.37 | $61.47–$276.63 | 72% below | 79% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Diagnostic Left WWO CAD CM | $64.55 | $307.37 | $61.47–$276.63 | 72% below | 79% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Diagnostic Right WWO CAD | $64.55 | $307.37 | $61.47–$276.63 | 72% below | 79% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Diagnostic Left WWO CAD | $64.55 | $307.37 | $61.47–$276.63 | 72% below | 79% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 77065 BR-DIG MAMMO UNILAT | $92.21 | $307.37 | $73.77–$276.63 | — | 70% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Diagnostic Right WWO CAD | $92.21 | $307.37 | $73.77–$276.63 | — | 70% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Diagnostic Left WWO CAD CM | $92.21 | $307.37 | $73.77–$276.63 | — | 70% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Diagnostic Right WWO CAD CM | $92.21 | $307.37 | $73.77–$276.63 | — | 70% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Diagnostic Left WWO CAD | $92.21 | $307.37 | $73.77–$276.63 | — | 70% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 NI Duplex Scan Leg Arteries Comp Bilat | $310.83 | $1,480.16 | $73.00–$1,332.14 | — | 79% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US LE Arterial Duplex Bilateral | $497.07 | $2,367.00 | $73.00–$2,130.30 | — | 79% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US LE Arterial Bypass Grafts Comp Bilat | $497.07 | $2,367.00 | $73.00–$2,130.30 | — | 79% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 NI Duplex Scan Leg Arteries Comp Bilat | $444.05 | $1,480.16 | $355.24–$1,332.14 | — | 70% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US LE Arterial Bypass Grafts Comp Bilat | $710.10 | $2,367.00 | $568.08–$2,130.30 | — | 70% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US LE Arterial Duplex Bilateral | $710.10 | $2,367.00 | $568.08–$2,130.30 | — | 70% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 NI Duplex Venous Leg Comp Bilat | $310.83 | $1,480.16 | $42.00–$1,332.14 | — | 79% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 NI Duplex Venous Arm Comp Bilat | $310.83 | $1,480.16 | $42.00–$1,332.14 | — | 79% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US LE Venous Duplex Bilateral | $580.93 | $2,766.32 | $42.00–$2,489.69 | — | 79% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US UE Venous Mapping Duplex Bilateral | $580.93 | $2,766.32 | $42.00–$2,489.69 | — | 79% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US LE Venous Mapping Duplex Bilateral | $580.93 | $2,766.32 | $42.00–$2,489.69 | — | 79% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US UE Venous Duplex Bilateral | $580.93 | $2,766.32 | $42.00–$2,489.69 | — | 79% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 US Upper Extremity Veins Limited Bilater - US Uppe | $580.93 | $2,766.32 | $42.00–$2,489.69 | 28% below | 79% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 US Lower Extremity Veins Limited Bilater - US Lowe | $580.93 | $2,766.32 | $42.00–$2,489.69 | 28% below | 79% |
| Duplex ultrasound of the leg veins, both legs one side CPT 93970 NI Duplex Venous Leg Left | $215.79 | $1,027.55 | $42.00–$924.80 | 73% below | 79% |
| Duplex ultrasound of the leg veins, both legs one side CPT 93970 NI Duplex Venous Leg Right | $215.79 | $1,027.55 | $42.00–$924.80 | 73% below | 79% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 NI Duplex Venous Leg Comp Bilat | $444.05 | $1,480.16 | $355.24–$1,332.14 | — | 70% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 NI Duplex Venous Arm Comp Bilat | $444.05 | $1,480.16 | $355.24–$1,332.14 | — | 70% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US LE Venous Duplex Bilateral | $829.90 | $2,766.32 | $663.92–$2,489.69 | — | 70% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US UE Venous Mapping Duplex Bilateral | $829.90 | $2,766.32 | $663.92–$2,489.69 | — | 70% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US LE Venous Mapping Duplex Bilateral | $829.90 | $2,766.32 | $663.92–$2,489.69 | — | 70% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US UE Venous Duplex Bilateral | $829.90 | $2,766.32 | $663.92–$2,489.69 | — | 70% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US Upper Extremity Veins Limited Bilater - US Uppe | $829.90 | $2,766.32 | $663.92–$2,489.69 | — | 70% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US Lower Extremity Veins Limited Bilater - US Lowe | $829.90 | $2,766.32 | $663.92–$2,489.69 | — | 70% |
| Duplex ultrasound of the leg veins, both legs inpatient one side CPT 93970 NI Duplex Venous Leg Right | $308.27 | $1,027.55 | $246.61–$924.80 | — | 70% |
| Duplex ultrasound of the leg veins, both legs inpatient one side CPT 93970 NI Duplex Venous Leg Left | $308.27 | $1,027.55 | $246.61–$924.80 | — | 70% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US Transthoracic Echo 2D Doppler Comp | $1,334.34 | $6,353.99 | $257.51–$5,718.59 | 21% below | 79% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 NI Echo TTE 2D Complete w Color Doppler | $1,334.34 | $6,353.99 | $257.51–$5,718.59 | 21% below | 79% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 NI Echo TTE 2D Complete w Color Doppler | $1,906.20 | $6,353.99 | $1,524.96–$5,718.59 | — | 70% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US Transthoracic Echo 2D Doppler Comp | $1,906.20 | $6,353.99 | $1,524.96–$5,718.59 | — | 70% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM Hepatobiliary System Scan 1 | $1,066.62 | $5,079.15 | $312.39–$4,571.23 | 22% below | 79% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM Hepatobiliary System Scan 1 | $1,523.75 | $5,079.15 | $1,219.00–$4,571.23 | — | 70% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 CHRG - SLEEP TITRATE UNATT | $272.74 | $1,298.76 | $44.25–$1,168.88 | 59% below | 79% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 CHRG - SLEEP TITRATE UNATT | $389.63 | $1,298.76 | $311.70–$1,168.88 | — | 70% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 CHRG - POLYS-CPAP GT4 GE6YO | $2,200.70 | $10,479.54 | $205.37–$9,431.59 | 17% below | 79% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 CHRG - POLYS-CPAP GT4 GE6YO | $3,143.86 | $10,479.54 | $2,515.09–$9,431.59 | — | 70% |
| Knee X-ray, 3 views both sides CPT 73562 XR Knee 3 V Bilateral DR | $428.56 | $2,040.74 | $35.00–$1,836.67 | — | 79% |
| Knee X-ray, 3 views CPT 73562 LE-KNEE 3V DR [BCE 161] | $214.28 | $1,020.36 | $35.00–$918.32 | 21% below | 79% |
| Knee X-ray, 3 views one side CPT 73562 XR Knee 3 V Right CR | $109.25 | $520.26 | $35.00–$468.23 | 60% below | 79% |
| Knee X-ray, 3 views one side CPT 73562 XR Knee 3 V Left CR | $109.25 | $520.26 | $35.00–$468.23 | 60% below | 79% |
| Knee X-ray, 3 views one side CPT 73562 XR Knee 3 V Right DR | $214.28 | $1,020.36 | $35.00–$918.32 | 21% below | 79% |
| Knee X-ray, 3 views one side CPT 73562 XR Knee 3 V Left DR | $214.28 | $1,020.36 | $35.00–$918.32 | 21% below | 79% |
| Knee X-ray, 3 views inpatient both sides CPT 73562 XR Knee 3 V Bilateral DR | $612.22 | $2,040.74 | $489.78–$1,836.67 | — | 70% |
| Knee X-ray, 3 views inpatient CPT 73562 LE-KNEE 3V DR [BCE 161] | $306.11 | $1,020.36 | $244.89–$918.32 | — | 70% |
| Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 V Left CR | $156.08 | $520.26 | $124.86–$468.23 | — | 70% |
| Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 V Right CR | $156.08 | $520.26 | $124.86–$468.23 | — | 70% |
| Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 V Right DR | $306.11 | $1,020.36 | $244.89–$918.32 | — | 70% |
| Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 V Left DR | $306.11 | $1,020.36 | $244.89–$918.32 | — | 70% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen Common Bile Duct | $480.67 | $2,288.90 | $20.00–$2,060.01 | 7% below | 79% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Gallbladder | $480.67 | $2,288.90 | $20.00–$2,060.01 | 7% below | 79% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen Wall | $480.67 | $2,288.90 | $20.00–$2,060.01 | 7% below | 79% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen Limited | $480.67 | $2,288.90 | $20.00–$2,060.01 | 7% below | 79% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Spleen | $480.67 | $2,288.90 | $20.00–$2,060.01 | 7% below | 79% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Pylorus | $480.67 | $2,288.90 | $20.00–$2,060.01 | 7% below | 79% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Pancreas | $480.67 | $2,288.90 | $20.00–$2,060.01 | 7% below | 79% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Liver | $480.67 | $2,288.90 | $20.00–$2,060.01 | 7% below | 79% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen Ascites | $480.67 | $2,288.90 | $20.00–$2,060.01 | 7% below | 79% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Liver | $686.67 | $2,288.90 | $549.34–$2,060.01 | — | 70% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Spleen | $686.67 | $2,288.90 | $549.34–$2,060.01 | — | 70% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Pylorus | $686.67 | $2,288.90 | $549.34–$2,060.01 | — | 70% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Pancreas | $686.67 | $2,288.90 | $549.34–$2,060.01 | — | 70% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abdomen Ascites | $686.67 | $2,288.90 | $549.34–$2,060.01 | — | 70% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abdomen Common Bile Duct | $686.67 | $2,288.90 | $549.34–$2,060.01 | — | 70% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Gallbladder | $686.67 | $2,288.90 | $549.34–$2,060.01 | — | 70% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abdomen Wall | $686.67 | $2,288.90 | $549.34–$2,060.01 | — | 70% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abdomen Limited | $686.67 | $2,288.90 | $549.34–$2,060.01 | — | 70% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT Lung Low Dose Cancer Screening WO | $171.95 | $818.81 | $74.26–$736.93 | 60% below | 79% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT Lung Low Dose Cancer Screening WO | $245.64 | $818.81 | $196.51–$736.93 | — | 70% |
| MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI Hip Bilateral WO | $1,555.23 | $7,405.85 | $206.06–$6,665.26 | — | 79% |
| MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI Ankle Bilateral WO | $1,555.23 | $7,405.85 | $206.06–$6,665.26 | — | 79% |
| MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI Knee Bilateral WO | $1,555.23 | $7,405.85 | $206.06–$6,665.26 | — | 79% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle Left WO | $1,036.73 | $4,936.81 | $206.06–$4,443.13 | 44% below | 79% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Hip Right WO | $1,036.73 | $4,936.81 | $206.06–$4,443.13 | 44% below | 79% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Hip Left WO | $1,036.73 | $4,936.81 | $206.06–$4,443.13 | 44% below | 79% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee Right WO | $1,036.73 | $4,936.81 | $206.06–$4,443.13 | 44% below | 79% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle Right WO | $1,036.73 | $4,936.81 | $206.06–$4,443.13 | 44% below | 79% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee Left WO | $1,036.73 | $4,936.81 | $206.06–$4,443.13 | 44% below | 79% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 MRI Ankle Bilateral WO | $2,221.76 | $7,405.85 | $1,777.40–$6,665.26 | — | 70% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 MRI Hip Bilateral WO | $2,221.76 | $7,405.85 | $1,777.40–$6,665.26 | — | 70% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 MRI Knee Bilateral WO | $2,221.76 | $7,405.85 | $1,777.40–$6,665.26 | — | 70% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Ankle Right WO | $1,481.04 | $4,936.81 | $1,184.83–$4,443.13 | — | 70% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Hip Left WO | $1,481.04 | $4,936.81 | $1,184.83–$4,443.13 | — | 70% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Knee Right WO | $1,481.04 | $4,936.81 | $1,184.83–$4,443.13 | — | 70% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Knee Left WO | $1,481.04 | $4,936.81 | $1,184.83–$4,443.13 | — | 70% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Hip Right WO | $1,481.04 | $4,936.81 | $1,184.83–$4,443.13 | — | 70% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Ankle Left WO | $1,481.04 | $4,936.81 | $1,184.83–$4,443.13 | — | 70% |
| MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 MRI Hip Bilateral WWO | $1,979.28 | $9,425.16 | $304.45–$8,482.64 | — | 79% |
| MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 MRI Ankle Bilateral WWO | $1,979.28 | $9,425.16 | $304.45–$8,482.64 | — | 79% |
| MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 MRI Knee Bilateral WWO | $1,979.28 | $9,425.16 | $304.45–$8,482.64 | — | 79% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle Left WWO | $1,979.28 | $9,425.16 | $304.45–$8,482.64 | 11% below | 79% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Hip Right WWO | $1,979.28 | $9,425.16 | $304.45–$8,482.64 | 11% below | 79% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee Left WWO | $1,979.28 | $9,425.16 | $304.45–$8,482.64 | 11% below | 79% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee Right WWO | $1,979.28 | $9,425.16 | $304.45–$8,482.64 | 11% below | 79% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle Right WWO | $1,979.28 | $9,425.16 | $304.45–$8,482.64 | 11% below | 79% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Hip Left WWO | $1,979.28 | $9,425.16 | $304.45–$8,482.64 | 11% below | 79% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient both sides CPT 73723 MRI Knee Bilateral WWO | $2,827.55 | $9,425.16 | $2,262.04–$8,482.64 | — | 70% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient both sides CPT 73723 MRI Ankle Bilateral WWO | $2,827.55 | $9,425.16 | $2,262.04–$8,482.64 | — | 70% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient both sides CPT 73723 MRI Hip Bilateral WWO | $2,827.55 | $9,425.16 | $2,262.04–$8,482.64 | — | 70% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Ankle Right WWO | $2,827.55 | $9,425.16 | $2,262.04–$8,482.64 | — | 70% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Hip Left WWO | $2,827.55 | $9,425.16 | $2,262.04–$8,482.64 | — | 70% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Hip Right WWO | $2,827.55 | $9,425.16 | $2,262.04–$8,482.64 | — | 70% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Knee Left WWO | $2,827.55 | $9,425.16 | $2,262.04–$8,482.64 | — | 70% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Knee Right WWO | $2,827.55 | $9,425.16 | $2,262.04–$8,482.64 | — | 70% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Ankle Left WWO | $2,827.55 | $9,425.16 | $2,262.04–$8,482.64 | — | 70% |
| MRI of the abdomen without contrast CPT 74181 MRI MRCP WO | $1,049.96 | $4,999.80 | $206.06–$4,499.82 | 37% below | 79% |
| MRI of the abdomen without contrast CPT 74181 MRI Abdomen WO | $1,049.96 | $4,999.80 | $206.06–$4,499.82 | 37% below | 79% |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI MRCP WO | $1,499.94 | $4,999.80 | $1,199.95–$4,499.82 | — | 70% |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI Abdomen WO | $1,499.94 | $4,999.80 | $1,199.95–$4,499.82 | — | 70% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 74183- MR Abdomen WWO | $1,714.74 | $8,165.45 | $304.45–$7,348.90 | 29% below | 79% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Abdomen WWO | $1,714.74 | $8,165.45 | $304.45–$7,348.90 | 29% below | 79% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 74183- MR Abdomen WWO | $2,449.64 | $8,165.45 | $1,959.71–$7,348.90 | — | 70% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI Abdomen WWO | $2,449.64 | $8,165.45 | $1,959.71–$7,348.90 | — | 70% |
| MRI of the brain, no contrast dye CPT 70551 MRV Brain WO | $1,502.58 | $7,155.16 | $206.06–$6,439.64 | 7% below | 79% |
| MRI of the brain, no contrast dye CPT 70551 MRI Brain WO | $1,502.58 | $7,155.16 | $206.06–$6,439.64 | 7% below | 79% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain WO | $2,146.55 | $7,155.16 | $1,717.24–$6,439.64 | — | 70% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRV Brain WO | $2,146.55 | $7,155.16 | $1,717.24–$6,439.64 | — | 70% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI IAC WWO | $1,677.71 | $7,989.09 | $304.45–$7,190.18 | 34% below | 79% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Brain WWO | $1,677.71 | $7,989.09 | $304.45–$7,190.18 | 34% below | 79% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain WWO | $2,396.73 | $7,989.09 | $1,917.38–$7,190.18 | — | 70% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI IAC WWO | $2,396.73 | $7,989.09 | $1,917.38–$7,190.18 | — | 70% |
| MRI of the lower back, no contrast dye CPT 72148 MRI Spine Lumbar WO | $1,517.40 | $7,225.71 | $206.06–$6,503.14 | 18% below | 79% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Spine Lumbar WO | $2,167.71 | $7,225.71 | $1,734.17–$6,503.14 | — | 70% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI Spine Lumbar WWO | $2,210.76 | $10,527.41 | $304.45–$9,474.67 | 11% below | 79% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI Spine Lumbar WWO | $3,158.22 | $10,527.41 | $2,526.58–$9,474.67 | — | 70% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI Spine Thoracic WO | $1,715.54 | $8,169.23 | $206.06–$7,352.31 | 2% below | 79% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI Spine Thoracic WO | $2,450.77 | $8,169.23 | $1,960.62–$7,352.31 | — | 70% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI Spine Cervical WWO | $2,244.62 | $10,688.65 | $304.45–$9,619.78 | 10% below | 79% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI Spine Cervical WWO | $3,206.60 | $10,688.65 | $2,565.28–$9,619.78 | — | 70% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Spine Cervical WO | $1,992.25 | $9,486.89 | $206.06–$8,538.20 | 1% above | 79% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI Spine Cervical WO | $2,846.07 | $9,486.89 | $2,276.85–$8,538.20 | — | 70% |
| MRI of the pelvis without and with contrast CPT 72197 MRI Pelvis WWO | $1,714.74 | $8,165.45 | $304.45–$7,348.90 | 33% below | 79% |
| MRI of the pelvis without and with contrast CPT 72197 72197- MR Pelvis WWO | $1,714.74 | $8,165.45 | $304.45–$7,348.90 | 33% below | 79% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI Pelvis WWO | $2,449.64 | $8,165.45 | $1,959.71–$7,348.90 | — | 70% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 72197- MR Pelvis WWO | $2,449.64 | $8,165.45 | $1,959.71–$7,348.90 | — | 70% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI Pelvis WO | $1,582.47 | $7,535.59 | $206.06–$6,782.03 | 16% below | 79% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI Pelvis WO | $2,260.68 | $7,535.59 | $1,808.54–$6,782.03 | — | 70% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye both sides CPT 73221 MRI Wrist Bilateral WO | $1,442.00 | $6,866.69 | $206.06–$6,180.02 | — | 79% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye both sides CPT 73221 MRI Shoulder Bilateral WO | $1,442.00 | $6,866.69 | $206.06–$6,180.02 | — | 79% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye both sides CPT 73221 MRI Elbow Bilateral WO | $1,442.00 | $6,866.69 | $206.06–$6,180.02 | — | 79% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Elbow Left WO | $1,442.00 | $6,866.69 | $206.06–$6,180.02 | 22% below | 79% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Shoulder Left WO | $1,442.00 | $6,866.69 | $206.06–$6,180.02 | 22% below | 79% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Shoulder Right WO | $1,442.00 | $6,866.69 | $206.06–$6,180.02 | 22% below | 79% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Wrist Left WO | $1,442.00 | $6,866.69 | $206.06–$6,180.02 | 22% below | 79% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Wrist Right WO | $1,442.00 | $6,866.69 | $206.06–$6,180.02 | 22% below | 79% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Elbow Right WO | $1,442.00 | $6,866.69 | $206.06–$6,180.02 | 22% below | 79% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient both sides CPT 73221 MRI Shoulder Bilateral WO | $2,060.01 | $6,866.69 | $1,648.01–$6,180.02 | — | 70% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient both sides CPT 73221 MRI Elbow Bilateral WO | $2,060.01 | $6,866.69 | $1,648.01–$6,180.02 | — | 70% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient both sides CPT 73221 MRI Wrist Bilateral WO | $2,060.01 | $6,866.69 | $1,648.01–$6,180.02 | — | 70% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Shoulder Left WO | $2,060.01 | $6,866.69 | $1,648.01–$6,180.02 | — | 70% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Shoulder Right WO | $2,060.01 | $6,866.69 | $1,648.01–$6,180.02 | — | 70% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Elbow Right WO | $2,060.01 | $6,866.69 | $1,648.01–$6,180.02 | — | 70% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Wrist Right WO | $2,060.01 | $6,866.69 | $1,648.01–$6,180.02 | — | 70% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Elbow Left WO | $2,060.01 | $6,866.69 | $1,648.01–$6,180.02 | — | 70% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Wrist Left WO | $2,060.01 | $6,866.69 | $1,648.01–$6,180.02 | — | 70% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Myocardial Perfusion Rest Multi 1 | $2,062.61 | $9,821.97 | $266.71–$8,839.77 | 50% below | 79% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Myocardial Perfusion Stress Multi 1 | $2,062.61 | $9,821.97 | $266.71–$8,839.77 | 50% below | 79% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Myocardial Perfusion RestStr Mult Sc1 - NM Myoc | $2,062.61 | $9,821.97 | $266.71–$8,839.77 | 50% below | 79% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM Myocardial Perfusion Stress Multi 1 | $2,946.59 | $9,821.97 | $2,357.27–$8,839.77 | — | 70% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM Myocardial Perfusion Rest Multi 1 | $2,946.59 | $9,821.97 | $2,357.27–$8,839.77 | — | 70% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM Myocardial Perfusion RestStr Mult Sc1 - NM Myoc | $2,946.59 | $9,821.97 | $2,357.27–$8,839.77 | — | 70% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET w CT Scan Skull Base to Midthigh Sub Scan | $3,260.71 | $15,527.21 | $1,243.42–$13,974.49 | 29% below | 79% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET w CT Scan Skull Base to Midthigh Int Scan | $3,260.71 | $15,527.21 | $1,243.42–$13,974.49 | 29% below | 79% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET w CT Scan Skull Base to Midthigh Scan | $3,260.71 | $15,527.21 | $1,243.42–$13,974.49 | 29% below | 79% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET Tumor Imaging Skull Base to Midthigh Scan | $3,260.71 | $15,527.21 | $1,243.42–$13,974.49 | 29% below | 79% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET w CT Scan Skull Base to Midthigh Scan | $4,658.16 | $15,527.21 | $3,726.53–$13,974.49 | — | 70% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET w CT Scan Skull Base to Midthigh Int Scan | $4,658.16 | $15,527.21 | $3,726.53–$13,974.49 | — | 70% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET w CT Scan Skull Base to Midthigh Sub Scan | $4,658.16 | $15,527.21 | $3,726.53–$13,974.49 | — | 70% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET Tumor Imaging Skull Base to Midthigh Scan | $4,658.16 | $15,527.21 | $3,726.53–$13,974.49 | — | 70% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Pelvis Non OB Limited | $162.69 | $774.73 | $24.00–$697.26 | 61% below | 79% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Pelvis Non OB FU | $162.69 | $774.73 | $24.00–$697.26 | 61% below | 79% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Pelvis Non OB FU | $232.42 | $774.73 | $185.94–$697.26 | — | 70% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Pelvis Non OB Limited | $232.42 | $774.73 | $185.94–$697.26 | — | 70% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 76856 US-PELVIS NON OB | $506.86 | $2,413.61 | $40.00–$2,172.25 | 22% below | 79% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvis Non OB Complete | $506.86 | $2,413.61 | $40.00–$2,172.25 | 22% below | 79% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 76856 US-PELVIS NON OB | $724.08 | $2,413.61 | $579.27–$2,172.25 | — | 70% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US Pelvis Non OB Complete | $724.08 | $2,413.61 | $579.27–$2,172.25 | — | 70% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US Pregnancy After 1st Trimester Transabdominal | $451.83 | $2,151.59 | $56.00–$1,936.43 | 21% below | 79% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US Pregnancy After 1st Trimester Transabdominal | $645.48 | $2,151.59 | $516.38–$1,936.43 | — | 70% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US Pregnancy 1st Trimester Transabdominal | $424.06 | $2,019.32 | $42.75–$1,817.39 | 18% below | 79% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US Pregnancy 1st Trimester Transabdominal | $605.80 | $2,019.32 | $484.64–$1,817.39 | — | 70% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US Pregnancy Limited Placenta Location | $262.95 | $1,252.15 | $26.00–$1,126.94 | 30% below | 79% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US Pregnancy Limited | $262.95 | $1,252.15 | $26.00–$1,126.94 | 30% below | 79% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US Pregnancy Limited Fetal Position | $262.95 | $1,252.15 | $26.00–$1,126.94 | 30% below | 79% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US Pregnancy Limited Placenta Location | $375.65 | $1,252.15 | $300.52–$1,126.94 | — | 70% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US Pregnancy Limited Fetal Position | $375.65 | $1,252.15 | $300.52–$1,126.94 | — | 70% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US Pregnancy Limited | $375.65 | $1,252.15 | $300.52–$1,126.94 | — | 70% |
| Screening mammogram, both breasts both sides CPT 77067 MG Mammo Screen Bilateral WWO CAD | $66.14 | $314.93 | $62.99–$283.44 | — | 79% |
| Screening mammogram, both breasts both sides CPT 77067 77067 BR-DIG MAMMO SCRN BI | $66.14 | $314.93 | $62.99–$283.44 | — | 79% |
| Screening mammogram, both breasts both sides CPT 77067 MG Mammo Screen Bilateral WWO CAD CM | $66.14 | $314.93 | $62.99–$283.44 | — | 79% |
| Screening mammogram, both breasts one side CPT 77067 MG Mammo Screen Right WWO CAD | $56.08 | $267.06 | $53.41–$240.35 | 66% below | 79% |
| Screening mammogram, both breasts one side CPT 77067 MG Mammo Screen Left WWO CAD | $56.08 | $267.06 | $53.41–$240.35 | 66% below | 79% |
| Screening mammogram, both breasts one side CPT 77067 MG Mammo Screen Right WWO CAD CM | $56.08 | $267.06 | $53.41–$240.35 | 66% below | 79% |
| Screening mammogram, both breasts one side CPT 77067 MG Mammo Screen Left WWO CAD CM | $56.08 | $267.06 | $53.41–$240.35 | 66% below | 79% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 77067 BR-DIG MAMMO SCRN BI | $94.48 | $314.93 | $75.58–$283.44 | — | 70% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MG Mammo Screen Bilateral WWO CAD | $94.48 | $314.93 | $75.58–$283.44 | — | 70% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MG Mammo Screen Bilateral WWO CAD CM | $94.48 | $314.93 | $75.58–$283.44 | — | 70% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MG Mammo Screen Left WWO CAD CM | $80.12 | $267.06 | $64.09–$240.35 | — | 70% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MG Mammo Screen Right WWO CAD | $80.12 | $267.06 | $64.09–$240.35 | — | 70% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MG Mammo Screen Right WWO CAD CM | $80.12 | $267.06 | $64.09–$240.35 | — | 70% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MG Mammo Screen Left WWO CAD | $80.12 | $267.06 | $64.09–$240.35 | — | 70% |
| Shoulder X-ray, complete, 2 or more views both sides CPT 73030 XR Shoulder Comp Min 2 V Bilateral DR | $457.92 | $2,180.56 | $20.00–$1,962.50 | — | 79% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 UE-SHLDR 2VW PLUS DR [BCE 161] | $229.09 | $1,090.91 | $20.00–$981.82 | 16% below | 79% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete Min 2 V Left CR | $109.25 | $520.26 | $20.00–$468.23 | 60% below | 79% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete Min 2 V Right CR | $109.25 | $520.26 | $20.00–$468.23 | 60% below | 79% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete Min 2 V Left DR | $229.09 | $1,090.91 | $20.00–$981.82 | 16% below | 79% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete Min 2 V Right DR | $229.09 | $1,090.91 | $20.00–$981.82 | 16% below | 79% |
| Shoulder X-ray, complete, 2 or more views inpatient both sides CPT 73030 XR Shoulder Comp Min 2 V Bilateral DR | $654.17 | $2,180.56 | $523.33–$1,962.50 | — | 70% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 UE-SHLDR 2VW PLUS DR [BCE 161] | $327.27 | $1,090.91 | $261.82–$981.82 | — | 70% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Complete Min 2 V Left CR | $156.08 | $520.26 | $124.86–$468.23 | — | 70% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Complete Min 2 V Right CR | $156.08 | $520.26 | $124.86–$468.23 | — | 70% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Complete Min 2 V Left DR | $327.27 | $1,090.91 | $261.82–$981.82 | — | 70% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Complete Min 2 V Right DR | $327.27 | $1,090.91 | $261.82–$981.82 | — | 70% |
| Sleep study in a lab (polysomnography) CPT 95810 CHRG - POLYSOMNO GT4 GE6YO | $2,030.08 | $9,667.03 | $122.00–$8,700.33 | 25% below | 79% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 CHRG - POLYSOMNO GT4 GE6YO | $2,900.11 | $9,667.03 | $2,320.09–$8,700.33 | — | 70% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 NI Echo TTE 2D Rest Stress w Cont Monito | $1,334.34 | $6,353.99 | $218.53–$5,718.59 | 25% below | 79% |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 NI Echo TTE 2D Rest Stress w Cont Monito | $1,906.20 | $6,353.99 | $1,524.96–$5,718.59 | — | 70% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 RF Modified Barium Swallow | $276.44 | $1,316.40 | $29.00–$1,184.76 | 40% below | 79% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 RF Modified Barium Swallow | $394.92 | $1,316.40 | $315.94–$1,184.76 | — | 70% |
| Transvaginal pelvic ultrasound CPT 76830 76830 US-TRANSVAGINAL | $396.02 | $1,885.79 | $68.00–$1,697.21 | 32% below | 79% |
| Transvaginal pelvic ultrasound CPT 76830 US Transvaginal Non OB | $396.02 | $1,885.79 | $68.00–$1,697.21 | 32% below | 79% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 76830 US-TRANSVAGINAL | $565.74 | $1,885.79 | $452.59–$1,697.21 | — | 70% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US Transvaginal Non OB | $565.74 | $1,885.79 | $452.59–$1,697.21 | — | 70% |
| Transvaginal ultrasound during pregnancy CPT 76817 US Pregnancy Transvaginal | $167.45 | $797.40 | $58.50–$717.66 | 65% below | 79% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US Pregnancy Transvaginal | $239.22 | $797.40 | $191.38–$717.66 | — | 70% |
| Ultrasound of the abdomen, complete CPT 76700 US Abdomen Complete | $620.35 | $2,954.03 | $56.00–$2,658.63 | 23% below | 79% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdomen Complete | $886.21 | $2,954.03 | $708.97–$2,658.63 | — | 70% |
| Ultrasound of the scrotum and testicles CPT 76870 US Scrotum Contents | $416.65 | $1,984.05 | $31.00–$1,785.64 | 28% below | 79% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US Scrotum Contents | $595.22 | $1,984.05 | $476.17–$1,785.64 | — | 70% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Parathyroid | $393.63 | $1,874.45 | $54.00–$1,687.00 | 30% below | 79% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Head Neck Soft Tissue | $393.63 | $1,874.45 | $54.00–$1,687.00 | 30% below | 79% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Parotid | $393.63 | $1,874.45 | $54.00–$1,687.00 | 30% below | 79% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Thyroid | $393.63 | $1,874.45 | $54.00–$1,687.00 | 30% below | 79% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Parotid | $562.34 | $1,874.45 | $449.87–$1,687.00 | — | 70% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Thyroid | $562.34 | $1,874.45 | $449.87–$1,687.00 | — | 70% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Parathyroid | $562.34 | $1,874.45 | $449.87–$1,687.00 | — | 70% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Head Neck Soft Tissue | $562.34 | $1,874.45 | $449.87–$1,687.00 | — | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 EXTREMITY STUDY | $4,252.38 | $20,249.43 | $73.00–$18,224.49 | 623% above | 79% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 NI Duplex Venous Extremities Left | $215.79 | $1,027.55 | $73.00–$924.80 | 63% below | 79% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 NI Duplex Venous Extremities Right | $215.79 | $1,027.55 | $73.00–$924.80 | 63% below | 79% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 NI Duplex Venous Arm Left | $215.79 | $1,027.55 | $73.00–$924.80 | 63% below | 79% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 NI Duplex Venous Arm Right | $215.79 | $1,027.55 | $73.00–$924.80 | 63% below | 79% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US LE Venous Duplex Right | $341.79 | $1,627.55 | $73.00–$1,464.80 | 42% below | 79% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US UE Venous Mapping Duplex Left | $341.79 | $1,627.55 | $73.00–$1,464.80 | 42% below | 79% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Upper Extremity Veins Limited Left. | $341.79 | $1,627.55 | $73.00–$1,464.80 | 42% below | 79% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US LE Venous Mapping Duplex Left | $341.79 | $1,627.55 | $73.00–$1,464.80 | 42% below | 79% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US LE Venous Mapping Duplex Right | $341.79 | $1,627.55 | $73.00–$1,464.80 | 42% below | 79% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Upper Extremity Veins Limited Right | $341.79 | $1,627.55 | $73.00–$1,464.80 | 42% below | 79% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Lower Extremity Veins Limited Right | $341.79 | $1,627.55 | $73.00–$1,464.80 | 42% below | 79% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US UE Venous Mapping Duplex Right | $341.79 | $1,627.55 | $73.00–$1,464.80 | 42% below | 79% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Upper Extremity Veins Limited Left | $341.79 | $1,627.55 | $73.00–$1,464.80 | 42% below | 79% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US UE Venous Duplex Right | $341.79 | $1,627.55 | $73.00–$1,464.80 | 42% below | 79% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US UE Venous Duplex Left | $341.79 | $1,627.55 | $73.00–$1,464.80 | 42% below | 79% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Lower Extremity Veins Limited Left | $341.79 | $1,627.55 | $73.00–$1,464.80 | 42% below | 79% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US LE Venous Duplex Left | $341.79 | $1,627.55 | $73.00–$1,464.80 | 42% below | 79% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 NI Duplex Venous Extremities Left | $308.27 | $1,027.55 | $246.61–$924.80 | — | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 NI Duplex Venous Extremities Right | $308.27 | $1,027.55 | $246.61–$924.80 | — | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 NI Duplex Venous Arm Left | $308.27 | $1,027.55 | $246.61–$924.80 | — | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 NI Duplex Venous Arm Right | $308.27 | $1,027.55 | $246.61–$924.80 | — | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US UE Venous Duplex Right | $488.27 | $1,627.55 | $390.61–$1,464.80 | — | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Upper Extremity Veins Limited Left | $488.27 | $1,627.55 | $390.61–$1,464.80 | — | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US UE Venous Mapping Duplex Left | $488.27 | $1,627.55 | $390.61–$1,464.80 | — | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US LE Venous Duplex Right | $488.27 | $1,627.55 | $390.61–$1,464.80 | — | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Lower Extremity Veins Limited Left | $488.27 | $1,627.55 | $390.61–$1,464.80 | — | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US UE Venous Duplex Left | $488.27 | $1,627.55 | $390.61–$1,464.80 | — | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US UE Venous Mapping Duplex Right | $488.27 | $1,627.55 | $390.61–$1,464.80 | — | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Lower Extremity Veins Limited Right | $488.27 | $1,627.55 | $390.61–$1,464.80 | — | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Upper Extremity Veins Limited Right | $488.27 | $1,627.55 | $390.61–$1,464.80 | — | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US LE Venous Mapping Duplex Right | $488.27 | $1,627.55 | $390.61–$1,464.80 | — | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US LE Venous Mapping Duplex Left | $488.27 | $1,627.55 | $390.61–$1,464.80 | — | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Upper Extremity Veins Limited Left. | $488.27 | $1,627.55 | $390.61–$1,464.80 | — | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US LE Venous Duplex Left | $488.27 | $1,627.55 | $390.61–$1,464.80 | — | 70% |
| Wrist X-ray, complete, 3 or more views both sides CPT 73110 UE-WRIST 3VW BI DR [BCE 161] | $346.02 | $1,647.70 | $23.00–$1,482.93 | — | 79% |
| Wrist X-ray, complete, 3 or more views both sides CPT 73110 XR Wrist Complete Min 3 V Bilateral DR | $346.02 | $1,647.70 | $23.00–$1,482.93 | — | 79% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete w Navicular Lt CR | $101.16 | $481.72 | $23.00–$433.55 | 61% below | 79% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete w Navicular Rt CR | $101.16 | $481.72 | $23.00–$433.55 | 61% below | 79% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete Min 3 V Left CR | $109.25 | $520.26 | $23.00–$468.23 | 58% below | 79% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete Min 3 V Right CR | $109.25 | $520.26 | $23.00–$468.23 | 58% below | 79% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete Min 3 V Right DR | $173.01 | $823.86 | $23.00–$741.47 | 34% below | 79% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete Min 3 V Left DR | $173.01 | $823.86 | $23.00–$741.47 | 34% below | 79% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete w Navicular Lt DR | $173.01 | $823.86 | $23.00–$741.47 | 34% below | 79% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete w Navicular Rt DR | $173.01 | $823.86 | $23.00–$741.47 | 34% below | 79% |
| Wrist X-ray, complete, 3 or more views inpatient both sides CPT 73110 XR Wrist Complete Min 3 V Bilateral DR | $494.31 | $1,647.70 | $395.45–$1,482.93 | — | 70% |
| Wrist X-ray, complete, 3 or more views inpatient both sides CPT 73110 UE-WRIST 3VW BI DR [BCE 161] | $494.31 | $1,647.70 | $395.45–$1,482.93 | — | 70% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete w Navicular Lt CR | $144.52 | $481.72 | $115.61–$433.55 | — | 70% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete w Navicular Rt CR | $144.52 | $481.72 | $115.61–$433.55 | — | 70% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete Min 3 V Right CR | $156.08 | $520.26 | $124.86–$468.23 | — | 70% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete Min 3 V Left CR | $156.08 | $520.26 | $124.86–$468.23 | — | 70% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete Min 3 V Right DR | $247.16 | $823.86 | $197.73–$741.47 | — | 70% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete w Navicular Rt DR | $247.16 | $823.86 | $197.73–$741.47 | — | 70% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete w Navicular Lt DR | $247.16 | $823.86 | $197.73–$741.47 | — | 70% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete Min 3 V Left DR | $247.16 | $823.86 | $197.73–$741.47 | — | 70% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 LE-HIP PV UN2OR3V DR [BCE 161] | $166.92 | $794.88 | $27.84–$715.39 | 30% below | 79% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip Right w Pelvis 2 or 3 Views DR | $166.92 | $794.88 | $27.84–$715.39 | 30% below | 79% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip Left 2 or 3 Views DR | $166.92 | $794.88 | $27.84–$715.39 | 30% below | 79% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip Right 2 or 3 Views DR | $166.92 | $794.88 | $27.84–$715.39 | 30% below | 79% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip Left w Pelvis 2 or 3 Views DR | $166.92 | $794.88 | $27.84–$715.39 | 30% below | 79% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 LE-HIP PV UN2OR3V DR [BCE 161] | $238.46 | $794.88 | $190.77–$715.39 | — | 70% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip Left 2 or 3 Views DR | $238.46 | $794.88 | $190.77–$715.39 | — | 70% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip Left w Pelvis 2 or 3 Views DR | $238.46 | $794.88 | $190.77–$715.39 | — | 70% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip Right 2 or 3 Views DR | $238.46 | $794.88 | $190.77–$715.39 | — | 70% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip Right w Pelvis 2 or 3 Views DR | $238.46 | $794.88 | $190.77–$715.39 | — | 70% |
| X-ray of the abdomen, 1 view CPT 74018 XR Abdomen AP KUB CR | $109.25 | $520.26 | $20.26–$468.23 | 50% below | 79% |
| X-ray of the abdomen, 1 view CPT 74018 XR Abdomen AP KUB DR | $226.97 | $1,080.83 | $20.26–$972.75 | 4% above | 79% |
| X-ray of the abdomen, 1 view CPT 74018 CH-ABDOMEN 1 VIEW DR [BCE 161] | $226.97 | $1,080.83 | $20.26–$972.75 | 4% above | 79% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR Abdomen AP KUB CR | $156.08 | $520.26 | $124.86–$468.23 | — | 70% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR Abdomen AP KUB DR | $324.25 | $1,080.83 | $259.40–$972.75 | — | 70% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 CH-ABDOMEN 1 VIEW DR [BCE 161] | $324.25 | $1,080.83 | $259.40–$972.75 | — | 70% |
| X-ray of the ankle, 2 views both sides CPT 73600 XR Ankle 2 V Bilateral DR | $334.38 | $1,592.28 | $30.00–$1,433.05 | — | 79% |
| X-ray of the ankle, 2 views CPT 73600 LE-ANKLE 2V DR [BCE 161] | $167.19 | $796.13 | $30.00–$716.52 | 12% below | 79% |
| X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 V Right DR | $167.19 | $796.13 | $30.00–$716.52 | 12% below | 79% |
| X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 V Left DR | $167.19 | $796.13 | $30.00–$716.52 | 12% below | 79% |
| X-ray of the ankle, 2 views inpatient both sides CPT 73600 XR Ankle 2 V Bilateral DR | $477.68 | $1,592.28 | $382.15–$1,433.05 | — | 70% |
| X-ray of the ankle, 2 views inpatient CPT 73600 LE-ANKLE 2V DR [BCE 161] | $238.84 | $796.13 | $191.07–$716.52 | — | 70% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 V Right DR | $238.84 | $796.13 | $191.07–$716.52 | — | 70% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 V Left DR | $238.84 | $796.13 | $191.07–$716.52 | — | 70% |
| X-ray of the finger(s), 2 or more views both sides CPT 73140 XR Finger Min 2 V 2nd Digit Bilateral DR | $109.25 | $520.26 | $16.00–$468.23 | — | 79% |
| X-ray of the finger(s), 2 or more views CPT 73140 UE-FINGER S 2VPLS DR [BCE 161] | $139.94 | $666.39 | $16.00–$599.75 | 32% below | 79% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 5th Digit Left CR | $109.25 | $520.26 | $16.00–$468.23 | 47% below | 79% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 2nd Digit Left CR | $109.25 | $520.26 | $16.00–$468.23 | 47% below | 79% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V Thumb Left CR | $109.25 | $520.26 | $16.00–$468.23 | 47% below | 79% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 2nd Digit Right CR | $109.25 | $520.26 | $16.00–$468.23 | 47% below | 79% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V Thumb Right CR | $109.25 | $520.26 | $16.00–$468.23 | 47% below | 79% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 3rd Digit Left CR | $109.25 | $520.26 | $16.00–$468.23 | 47% below | 79% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 5th Digit Right CR | $109.25 | $520.26 | $16.00–$468.23 | 47% below | 79% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 4th Digit Left CR | $109.25 | $520.26 | $16.00–$468.23 | 47% below | 79% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 3rd Digit Right CR | $109.25 | $520.26 | $16.00–$468.23 | 47% below | 79% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 4th Digit Right CR | $109.25 | $520.26 | $16.00–$468.23 | 47% below | 79% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 2nd Digit Right DR | $139.94 | $666.39 | $16.00–$599.75 | 32% below | 79% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V Thumb Left DR | $139.94 | $666.39 | $16.00–$599.75 | 32% below | 79% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 5th Digit Right DR | $139.94 | $666.39 | $16.00–$599.75 | 32% below | 79% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 5th Digit Left DR | $139.94 | $666.39 | $16.00–$599.75 | 32% below | 79% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 4th Digit Right DR | $139.94 | $666.39 | $16.00–$599.75 | 32% below | 79% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 4th Digit Left DR | $139.94 | $666.39 | $16.00–$599.75 | 32% below | 79% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 3rd Digit Right DR | $139.94 | $666.39 | $16.00–$599.75 | 32% below | 79% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 3rd Digit Left DR | $139.94 | $666.39 | $16.00–$599.75 | 32% below | 79% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V Thumb Right DR | $139.94 | $666.39 | $16.00–$599.75 | 32% below | 79% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 2nd Digit Left DR | $139.94 | $666.39 | $16.00–$599.75 | 32% below | 79% |
| X-ray of the finger(s), 2 or more views inpatient both sides CPT 73140 XR Finger Min 2 V 2nd Digit Bilateral DR | $156.08 | $520.26 | $124.86–$468.23 | — | 70% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 UE-FINGER S 2VPLS DR [BCE 161] | $199.92 | $666.39 | $159.93–$599.75 | — | 70% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 2nd Digit Right CR | $156.08 | $520.26 | $124.86–$468.23 | — | 70% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 5th Digit Right CR | $156.08 | $520.26 | $124.86–$468.23 | — | 70% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 5th Digit Left CR | $156.08 | $520.26 | $124.86–$468.23 | — | 70% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 3rd Digit Right CR | $156.08 | $520.26 | $124.86–$468.23 | — | 70% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V Thumb Right CR | $156.08 | $520.26 | $124.86–$468.23 | — | 70% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 4th Digit Left CR | $156.08 | $520.26 | $124.86–$468.23 | — | 70% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 4th Digit Right CR | $156.08 | $520.26 | $124.86–$468.23 | — | 70% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 2nd Digit Left CR | $156.08 | $520.26 | $124.86–$468.23 | — | 70% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 3rd Digit Left CR | $156.08 | $520.26 | $124.86–$468.23 | — | 70% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V Thumb Left CR | $156.08 | $520.26 | $124.86–$468.23 | — | 70% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V Thumb Left DR | $199.92 | $666.39 | $159.93–$599.75 | — | 70% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 3rd Digit Right DR | $199.92 | $666.39 | $159.93–$599.75 | — | 70% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 3rd Digit Left DR | $199.92 | $666.39 | $159.93–$599.75 | — | 70% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 5th Digit Right DR | $199.92 | $666.39 | $159.93–$599.75 | — | 70% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 2nd Digit Right DR | $199.92 | $666.39 | $159.93–$599.75 | — | 70% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V Thumb Right DR | $199.92 | $666.39 | $159.93–$599.75 | — | 70% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 2nd Digit Left DR | $199.92 | $666.39 | $159.93–$599.75 | — | 70% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 4th Digit Right DR | $199.92 | $666.39 | $159.93–$599.75 | — | 70% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 5th Digit Left DR | $199.92 | $666.39 | $159.93–$599.75 | — | 70% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 4th Digit Left DR | $199.92 | $666.39 | $159.93–$599.75 | — | 70% |
| X-ray of the foot, 2 views both sides CPT 73620 XR Foot 2 V Bilateral DR | $144.44 | $687.80 | $23.00–$619.02 | — | 79% |
| X-ray of the foot, 2 views CPT 73620 LE-FOOT 2V DR [BCE 161] | $144.44 | $687.80 | $23.00–$619.02 | 27% below | 79% |
| X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 V Right CR | $109.25 | $520.26 | $23.00–$468.23 | 45% below | 79% |
| X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 V Left CR | $109.25 | $520.26 | $23.00–$468.23 | 45% below | 79% |
| X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 V Right DR | $144.44 | $687.80 | $23.00–$619.02 | 27% below | 79% |
| X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 V Left DR | $144.44 | $687.80 | $23.00–$619.02 | 27% below | 79% |
| X-ray of the foot, 2 views inpatient both sides CPT 73620 XR Foot 2 V Bilateral DR | $206.34 | $687.80 | $165.07–$619.02 | — | 70% |
| X-ray of the foot, 2 views inpatient CPT 73620 LE-FOOT 2V DR [BCE 161] | $206.34 | $687.80 | $165.07–$619.02 | — | 70% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 V Right CR | $156.08 | $520.26 | $124.86–$468.23 | — | 70% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 V Left CR | $156.08 | $520.26 | $124.86–$468.23 | — | 70% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 V Left DR | $206.34 | $687.80 | $165.07–$619.02 | — | 70% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 V Right DR | $206.34 | $687.80 | $165.07–$619.02 | — | 70% |
| X-ray of the foot, complete, 3 or more views both sides CPT 73630 XR Foot Complete Min 3 V Bilateral DR | $397.34 | $1,892.08 | $28.00–$1,702.87 | — | 79% |
| X-ray of the foot, complete, 3 or more views CPT 73630 LE-FOOT 3V PLUS DR [BCE 161] | $198.67 | $946.05 | $28.00–$851.44 | 28% below | 79% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete Min 3 V Right CR | $109.25 | $520.26 | $28.00–$468.23 | 60% below | 79% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete Min 3 V Left CR | $109.25 | $520.26 | $28.00–$468.23 | 60% below | 79% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete Min 3 V Right DR | $198.67 | $946.05 | $28.00–$851.44 | 28% below | 79% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete Min 3 V Left DR | $198.67 | $946.05 | $28.00–$851.44 | 28% below | 79% |
| X-ray of the foot, complete, 3 or more views inpatient both sides CPT 73630 XR Foot Complete Min 3 V Bilateral DR | $567.62 | $1,892.08 | $454.10–$1,702.87 | — | 70% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 LE-FOOT 3V PLUS DR [BCE 161] | $283.82 | $946.05 | $227.05–$851.44 | — | 70% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Complete Min 3 V Left CR | $156.08 | $520.26 | $124.86–$468.23 | — | 70% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Complete Min 3 V Right CR | $156.08 | $520.26 | $124.86–$468.23 | — | 70% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Complete Min 3 V Left DR | $283.82 | $946.05 | $227.05–$851.44 | — | 70% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Complete Min 3 V Right DR | $283.82 | $946.05 | $227.05–$851.44 | — | 70% |
| X-ray of the hand, 3 or more views both sides CPT 73130 UE-HAND 3VWS BI DR [BCE 161] | $388.61 | $1,850.52 | $25.00–$1,665.47 | — | 79% |
| X-ray of the hand, 3 or more views both sides CPT 73130 XR Hand Complete Min 3 V Bilateral DR | $388.61 | $1,850.52 | $25.00–$1,665.47 | — | 79% |
| X-ray of the hand, 3 or more views CPT 73130 UE-HAND 3V DR [BCE 161] | $194.43 | $925.88 | $25.00–$833.29 | 23% below | 79% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete Min 3 V Left CR | $109.25 | $520.26 | $25.00–$468.23 | 57% below | 79% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete Min 3 V Right CR | $109.25 | $520.26 | $25.00–$468.23 | 57% below | 79% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete Min 3 V Left DR | $194.43 | $925.88 | $25.00–$833.29 | 23% below | 79% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete Min 3 V Right DR | $194.43 | $925.88 | $25.00–$833.29 | 23% below | 79% |
| X-ray of the hand, 3 or more views inpatient both sides CPT 73130 XR Hand Complete Min 3 V Bilateral DR | $555.16 | $1,850.52 | $444.12–$1,665.47 | — | 70% |
| X-ray of the hand, 3 or more views inpatient both sides CPT 73130 UE-HAND 3VWS BI DR [BCE 161] | $555.16 | $1,850.52 | $444.12–$1,665.47 | — | 70% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 UE-HAND 3V DR [BCE 161] | $277.76 | $925.88 | $222.21–$833.29 | — | 70% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Complete Min 3 V Right CR | $156.08 | $520.26 | $124.86–$468.23 | — | 70% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Complete Min 3 V Left CR | $156.08 | $520.26 | $124.86–$468.23 | — | 70% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Complete Min 3 V Right DR | $277.76 | $925.88 | $222.21–$833.29 | — | 70% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Complete Min 3 V Left DR | $277.76 | $925.88 | $222.21–$833.29 | — | 70% |
| X-ray of the knee, 1 or 2 views both sides CPT 73560 XR Knee 1 or 2 V Bilateral DR | $348.67 | $1,660.31 | $25.00–$1,494.28 | — | 79% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 V Left CR | $109.25 | $520.26 | $25.00–$468.23 | 52% below | 79% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 V Right CR | $109.25 | $520.26 | $25.00–$468.23 | 52% below | 79% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 V Right DR | $148.41 | $706.70 | $25.00–$636.03 | 35% below | 79% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 V Left DR | $148.41 | $706.70 | $25.00–$636.03 | 35% below | 79% |
| X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 XR Knee 1 or 2 V Bilateral DR | $498.09 | $1,660.31 | $398.47–$1,494.28 | — | 70% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 V Right CR | $156.08 | $520.26 | $124.86–$468.23 | — | 70% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 V Left CR | $156.08 | $520.26 | $124.86–$468.23 | — | 70% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 V Left DR | $212.01 | $706.70 | $169.61–$636.03 | — | 70% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 V Right DR | $212.01 | $706.70 | $169.61–$636.03 | — | 70% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR Spine Lumbosacral 2 or 3 V CR | $147.08 | $700.40 | $28.00–$630.36 | 50% below | 79% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR Spine Lumbosacral 2 or 3 V DR | $229.88 | $1,094.69 | $28.00–$985.22 | 22% below | 79% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 SP-LS SPN 2 TO 3V DR [BCE 161] | $229.88 | $1,094.69 | $28.00–$985.22 | 22% below | 79% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR Spine Lumbosacral 2 or 3 V CR | $210.12 | $700.40 | $168.10–$630.36 | — | 70% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 SP-LS SPN 2 TO 3V DR [BCE 161] | $328.41 | $1,094.69 | $262.73–$985.22 | — | 70% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR Spine Lumbosacral 2 or 3 V DR | $328.41 | $1,094.69 | $262.73–$985.22 | — | 70% |
| X-ray of the lower back, 4 or more views CPT 72110 XR Spine Lumbosacral Minimum 4 V DR | $380.94 | $1,813.99 | $40.00–$1,632.59 | 11% below | 79% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR Spine Lumbosacral Minimum 4 V DR | $544.20 | $1,813.99 | $435.36–$1,632.59 | — | 70% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR Spine Thoracic 2 V CR | $147.08 | $700.40 | $24.00–$630.36 | 44% below | 79% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR Spine Thoracic 2 V DR | $179.36 | $854.09 | $24.00–$768.68 | 32% below | 79% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR Spine Thoracic 2 V CR | $210.12 | $700.40 | $168.10–$630.36 | — | 70% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR Spine Thoracic 2 V DR | $256.23 | $854.09 | $204.98–$768.68 | — | 70% |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR Nasal Bones Comp Minimum 3 V CR | $109.25 | $520.26 | $23.00–$468.23 | 56% below | 79% |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR Nasal Bones Comp Minimum 3 V DR | $214.28 | $1,020.36 | $23.00–$918.32 | 14% below | 79% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR Nasal Bones Comp Minimum 3 V CR | $156.08 | $520.26 | $124.86–$468.23 | — | 70% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR Nasal Bones Comp Minimum 3 V DR | $306.11 | $1,020.36 | $244.89–$918.32 | — | 70% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR Spine Cervical 2 or 3 V CR | $109.25 | $520.26 | $28.00–$468.23 | 64% below | 79% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR Spine Cervical 2 or 3 V DR | $217.19 | $1,034.22 | $28.00–$930.80 | 28% below | 79% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 SP-CERV SP 2TO3VW DR [BCE 161] | $217.19 | $1,034.22 | $28.00–$930.80 | 28% below | 79% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR Spine Cervical 2 or 3 V CR | $156.08 | $520.26 | $124.86–$468.23 | — | 70% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 SP-CERV SP 2TO3VW DR [BCE 161] | $310.27 | $1,034.22 | $248.21–$930.80 | — | 70% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR Spine Cervical 2 or 3 V DR | $310.27 | $1,034.22 | $248.21–$930.80 | — | 70% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR Pelvis 1 or 2 V DR | $133.33 | $634.90 | $21.00–$571.41 | 41% below | 79% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR Pelvis 1 or 2 V CR | $147.08 | $700.40 | $21.00–$630.36 | 35% below | 79% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR Pelvis 1 or 2 V DR | $190.47 | $634.90 | $152.38–$571.41 | — | 70% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR Pelvis 1 or 2 V CR | $210.12 | $700.40 | $168.10–$630.36 | — | 70% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR Sacrum Coccyx Minimum 2 V CR | $109.25 | $520.26 | $17.00–$468.23 | 58% below | 79% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR Sacrum Coccyx Minimum 2 V DR | $205.28 | $977.54 | $17.00–$879.79 | 22% below | 79% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR Sacrum Coccyx Minimum 2 V CR | $156.08 | $520.26 | $124.86–$468.23 | — | 70% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR Sacrum Coccyx Minimum 2 V DR | $293.26 | $977.54 | $234.61–$879.79 | — | 70% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Missouri | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alanine Aminotransferase | $85.98 | $409.41 | $4.69–$368.47 | 78% above | 79% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alanine Aminotransferase Body Fluid | $85.98 | $409.41 | $4.69–$368.47 | 78% above | 79% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alanine Aminotransferase | $122.82 | $409.41 | $98.26–$368.47 | — | 70% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alanine Aminotransferase Body Fluid | $122.82 | $409.41 | $98.26–$368.47 | — | 70% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Aspartate Aminotransferase | $252.90 | $1,204.29 | $4.58–$1,083.86 | 444% above | 79% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Aspartate Aminotransferase Body Fluid | $252.90 | $1,204.29 | $4.58–$1,083.86 | 444% above | 79% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Aspartate Aminotransferase | $361.29 | $1,204.29 | $289.03–$1,083.86 | — | 70% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Aspartate Aminotransferase Body Fluid | $361.29 | $1,204.29 | $289.03–$1,083.86 | — | 70% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatitis Panel Acute w/Reflex Confirmation - Send | $167.98 | $799.91 | $42.13–$719.92 | 29% below | 79% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatitis Panel Acute | $167.98 | $799.91 | $42.13–$719.92 | 29% below | 79% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hepatitis Panel Acute | $239.97 | $799.91 | $191.98–$719.92 | — | 70% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hepatitis Panel Acute w/Reflex Confirmation - Send | $239.97 | $799.91 | $191.98–$719.92 | — | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Oyster (f290) IgE - Send Out CQ | $3.86 | $18.36 | $3.67–$17.62 | 83% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 86003 Q113482 ALG IGE QT | $3.86 | $18.36 | $3.67–$17.62 | 83% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 E005-IgE Dog Hair/Dander LC | $17.88 | $85.15 | $4.62–$76.64 | 19% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 M003-IgE Aspergillus fumigatu LC | $17.88 | $85.15 | $4.62–$76.64 | 19% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F002-IgE Milk (Cow) LC | $17.88 | $85.15 | $4.62–$76.64 | 19% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 E001-IgE Cat Hair/Dander LC | $17.88 | $85.15 | $4.62–$76.64 | 19% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Chicken Feathers (e85) IgE - Send Out to CQ | $19.31 | $91.96 | $4.62–$82.76 | 13% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Egg White (f1) IgE - Send Out CQ | $19.31 | $91.96 | $4.62–$82.76 | 13% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Cockroach (i6) IgE - Send Out CQ | $19.31 | $91.96 | $4.62–$82.76 | 13% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Rough Marsh Elder (w16) IgE - Send Out CQ | $19.31 | $91.96 | $4.62–$82.76 | 13% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Raspberry Rf343 IgE (CQ) | $19.31 | $91.96 | $4.62–$82.76 | 13% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 White Ash (t15) IgE - Send Out CQ | $19.31 | $91.96 | $4.62–$82.76 | 13% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Gluten (f79) IgE - Send Out to CQ | $19.31 | $91.96 | $4.62–$82.76 | 13% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Penicillum Notatum (m1) IgE - Send Out CQ | $19.31 | $91.96 | $4.62–$82.76 | 13% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 K087-IgE Alpha-Amylase (LC) | $19.31 | $91.96 | $4.62–$82.76 | 13% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Cladosporium Herbarum IgE - Send Out CQ | $19.31 | $91.96 | $4.62–$82.76 | 13% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 86003 Q10659 ALLERGEN IGE | $19.31 | $91.96 | $4.62–$82.76 | 13% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Mucor Racemosus (m4) IgE - Send Out CQ | $19.31 | $91.96 | $4.62–$82.76 | 13% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RedDyeCQ | $19.31 | $91.96 | $4.62–$82.76 | 13% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Firebush (w17) IgE - Send Out CQ | $19.31 | $91.96 | $4.62–$82.76 | 13% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Cheese Mold Type (f82) IgE - Send Out CQ | $19.31 | $91.96 | $4.62–$82.76 | 13% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Yeast (f45) IgE - Send Out to CQ | $19.31 | $91.96 | $4.62–$82.76 | 13% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 English Plantain (w9) IgE - Send Out CQ | $19.31 | $91.96 | $4.62–$82.76 | 13% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Walnut Tree (t10) IgE - Send Out CQ | $19.31 | $91.96 | $4.62–$82.76 | 13% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Elm (t8) IgE - Send Out CQ | $19.31 | $91.96 | $4.62–$82.76 | 13% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Wheat (f4) IgE - Send Out CQ | $19.31 | $91.96 | $4.62–$82.76 | 13% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Dog Dander (e5) IgE - Send Out CQ | $19.31 | $91.96 | $4.62–$82.76 | 13% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Venison IgE - Send Out CQ | $19.31 | $91.96 | $4.62–$82.76 | 13% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Helminthosporium halodes IgE - Send Out CQ | $19.31 | $91.96 | $4.62–$82.76 | 13% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Tomato (f25) IgE - Send Out CQ | $19.31 | $91.96 | $4.62–$82.76 | 13% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Cat Dander (e1) IgE - Send Out CQ | $19.31 | $91.96 | $4.62–$82.76 | 13% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Bermuda Grass (g2) IgE - Send Out CQ | $19.31 | $91.96 | $4.62–$82.76 | 13% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Maple (Box Elder) (t1) IgE - Send Out Cq | $19.31 | $91.96 | $4.62–$82.76 | 13% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Beef (f27) IgE - Send Out CQ | $19.31 | $91.96 | $4.62–$82.76 | 13% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Alternaria Alternata IgE - Send Out CQ | $19.31 | $91.96 | $4.62–$82.76 | 13% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aspergillus Fumigatus IgE - Send Out to CQ | $19.31 | $91.96 | $4.62–$82.76 | 13% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Hickory Pecan Tree (t22) IgE - Send Out CQ | $19.31 | $91.96 | $4.62–$82.76 | 13% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aureobas pullulans IgE - Send Out CQ | $19.31 | $91.96 | $4.62–$82.76 | 13% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Milk (f2) IgE - Send Out CQ | $19.31 | $91.96 | $4.62–$82.76 | 13% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Oak (t7) IgE - Send Out CQ | $19.31 | $91.96 | $4.62–$82.76 | 13% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Timothy Grass (g6) IgE - Send Out CQ | $19.31 | $91.96 | $4.62–$82.76 | 13% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Horse Dander (e3) IgE - Send Out to CQ | $19.31 | $91.96 | $4.62–$82.76 | 13% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Strawberry (f44) IgE - Send Out CQ | $19.31 | $91.96 | $4.62–$82.76 | 13% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Sheep Sorrel IgE - Send Out CQ | $19.31 | $91.96 | $4.62–$82.76 | 13% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Soybean IgE - Send Out CQ | $19.31 | $91.96 | $4.62–$82.76 | 13% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Russian Thistle (w11) IgE Sendout to CQ | $19.31 | $91.96 | $4.62–$82.76 | 13% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Garlic (f47) IgE - Send Out CQ | $19.31 | $91.96 | $4.62–$82.76 | 13% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 86003 Q10715 ALLERGEN IGE | $19.31 | $91.96 | $4.62–$82.76 | 13% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 House Dust Greer H1 IgE - Send Out to CQ | $19.31 | $91.96 | $4.62–$82.76 | 13% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Lamb (f88) IgE (CQ) | $19.31 | $91.96 | $4.62–$82.76 | 13% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Johnson Grass (g10) IgE - Send Out to CQ | $19.31 | $91.96 | $4.62–$82.76 | 13% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Pork IgE - Send Out CQ | $19.31 | $91.96 | $4.62–$82.76 | 13% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Cottonwood (t14) IgE - Send Out CQ | $19.31 | $91.96 | $4.62–$82.76 | 13% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Peanut (f13) IgE - Send Out CQ | $19.31 | $91.96 | $4.62–$82.76 | 13% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Corn (f8) IgE - Send Out CQ | $19.31 | $91.96 | $4.62–$82.76 | 13% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Pea (f12) IgE - Send Out CQ | $19.31 | $91.96 | $4.62–$82.76 | 13% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Cocoa (f93) IgE - Send Out CQ | $19.31 | $91.96 | $4.62–$82.76 | 13% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Mucor racemosus IgE Quant | $19.31 | $91.96 | $4.62–$82.76 | 13% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Cinnamon (Rf220) IgE - Send Out CQ | $19.31 | $91.96 | $4.62–$82.76 | 13% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 White Mulberry (t70) IgE - Send Out CQ | $19.31 | $91.96 | $4.62–$82.76 | 13% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Cockroach (i6) IgE CQ | $19.31 | $91.96 | $4.62–$82.76 | 13% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Meadow Fscue (g4) IgE - Send Out to CQ | $19.31 | $91.96 | $4.62–$82.76 | 13% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Goose Feathers (e70) IgE - Send Out to CQ | $19.31 | $91.96 | $4.62–$82.76 | 13% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Rough Pigweed (w14) IgE - Send Out CQ | $19.31 | $91.96 | $4.62–$82.76 | 13% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 COMMRGWDIGECQ | $19.31 | $91.96 | $4.62–$82.76 | 13% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Food Allergy Profile w/Reflexes (CQ) | $19.31 | $91.96 | $4.62–$82.76 | 13% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Peanut, Total w/Rfx Peanut Comp Pnl (CQ) | $19.31 | $91.96 | $4.62–$82.76 | 13% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 86003 Q10649X ALG IGE QT | $19.31 | $91.96 | $4.62–$82.76 | 13% below | 79% |
| Allergy blood test, specific IgE, per allergen CPT 86003 86003 Q79138 ALG IGE QT | $19.31 | $91.96 | $4.62–$82.76 | 13% below | 79% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 Q113482 ALG IGE QT | $5.51 | $18.36 | $4.41–$16.52 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Oyster (f290) IgE - Send Out CQ | $5.51 | $18.36 | $4.41–$16.52 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 E005-IgE Dog Hair/Dander LC | $25.55 | $85.15 | $20.44–$76.64 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F002-IgE Milk (Cow) LC | $25.55 | $85.15 | $20.44–$76.64 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 E001-IgE Cat Hair/Dander LC | $25.55 | $85.15 | $20.44–$76.64 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M003-IgE Aspergillus fumigatu LC | $25.55 | $85.15 | $20.44–$76.64 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cinnamon (Rf220) IgE - Send Out CQ | $27.59 | $91.96 | $22.07–$82.76 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Cockroach (i6) IgE CQ | $27.59 | $91.96 | $22.07–$82.76 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Raspberry Rf343 IgE (CQ) | $27.59 | $91.96 | $22.07–$82.76 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 K087-IgE Alpha-Amylase (LC) | $27.59 | $91.96 | $22.07–$82.76 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RedDyeCQ | $27.59 | $91.96 | $22.07–$82.76 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Yeast (f45) IgE - Send Out to CQ | $27.59 | $91.96 | $22.07–$82.76 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Walnut Tree (t10) IgE - Send Out CQ | $27.59 | $91.96 | $22.07–$82.76 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Wheat (f4) IgE - Send Out CQ | $27.59 | $91.96 | $22.07–$82.76 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Venison IgE - Send Out CQ | $27.59 | $91.96 | $22.07–$82.76 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Tomato (f25) IgE - Send Out CQ | $27.59 | $91.96 | $22.07–$82.76 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Timothy Grass (g6) IgE - Send Out CQ | $27.59 | $91.96 | $22.07–$82.76 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Strawberry (f44) IgE - Send Out CQ | $27.59 | $91.96 | $22.07–$82.76 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Sheep Sorrel IgE - Send Out CQ | $27.59 | $91.96 | $22.07–$82.76 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Soybean IgE - Send Out CQ | $27.59 | $91.96 | $22.07–$82.76 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Russian Thistle (w11) IgE Sendout to CQ | $27.59 | $91.96 | $22.07–$82.76 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COMMRGWDIGECQ | $27.59 | $91.96 | $22.07–$82.76 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Food Allergy Profile w/Reflexes (CQ) | $27.59 | $91.96 | $22.07–$82.76 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Peanut, Total w/Rfx Peanut Comp Pnl (CQ) | $27.59 | $91.96 | $22.07–$82.76 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 Q10649X ALG IGE QT | $27.59 | $91.96 | $22.07–$82.76 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 Q79138 ALG IGE QT | $27.59 | $91.96 | $22.07–$82.76 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 Q10659 ALLERGEN IGE | $27.59 | $91.96 | $22.07–$82.76 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 Q10715 ALLERGEN IGE | $27.59 | $91.96 | $22.07–$82.76 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Lamb (f88) IgE (CQ) | $27.59 | $91.96 | $22.07–$82.76 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Mucor racemosus IgE Quant | $27.59 | $91.96 | $22.07–$82.76 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Pork IgE - Send Out CQ | $27.59 | $91.96 | $22.07–$82.76 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Peanut (f13) IgE - Send Out CQ | $27.59 | $91.96 | $22.07–$82.76 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Pea (f12) IgE - Send Out CQ | $27.59 | $91.96 | $22.07–$82.76 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 White Mulberry (t70) IgE - Send Out CQ | $27.59 | $91.96 | $22.07–$82.76 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Meadow Fscue (g4) IgE - Send Out to CQ | $27.59 | $91.96 | $22.07–$82.76 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rough Pigweed (w14) IgE - Send Out CQ | $27.59 | $91.96 | $22.07–$82.76 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rough Marsh Elder (w16) IgE - Send Out CQ | $27.59 | $91.96 | $22.07–$82.76 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 White Ash (t15) IgE - Send Out CQ | $27.59 | $91.96 | $22.07–$82.76 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Penicillum Notatum (m1) IgE - Send Out CQ | $27.59 | $91.96 | $22.07–$82.76 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cladosporium Herbarum IgE - Send Out CQ | $27.59 | $91.96 | $22.07–$82.76 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mucor Racemosus (m4) IgE - Send Out CQ | $27.59 | $91.96 | $22.07–$82.76 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cockroach (i6) IgE - Send Out CQ | $27.59 | $91.96 | $22.07–$82.76 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Egg White (f1) IgE - Send Out CQ | $27.59 | $91.96 | $22.07–$82.76 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aureobas pullulans IgE - Send Out CQ | $27.59 | $91.96 | $22.07–$82.76 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Oak (t7) IgE - Send Out CQ | $27.59 | $91.96 | $22.07–$82.76 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Milk (f2) IgE - Send Out CQ | $27.59 | $91.96 | $22.07–$82.76 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hickory Pecan Tree (t22) IgE - Send Out CQ | $27.59 | $91.96 | $22.07–$82.76 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aspergillus Fumigatus IgE - Send Out to CQ | $27.59 | $91.96 | $22.07–$82.76 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Alternaria Alternata IgE - Send Out CQ | $27.59 | $91.96 | $22.07–$82.76 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Beef (f27) IgE - Send Out CQ | $27.59 | $91.96 | $22.07–$82.76 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Maple (Box Elder) (t1) IgE - Send Out Cq | $27.59 | $91.96 | $22.07–$82.76 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Bermuda Grass (g2) IgE - Send Out CQ | $27.59 | $91.96 | $22.07–$82.76 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cat Dander (e1) IgE - Send Out CQ | $27.59 | $91.96 | $22.07–$82.76 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cheese Mold Type (f82) IgE - Send Out CQ | $27.59 | $91.96 | $22.07–$82.76 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Chicken Feathers (e85) IgE - Send Out to CQ | $27.59 | $91.96 | $22.07–$82.76 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cocoa (f93) IgE - Send Out CQ | $27.59 | $91.96 | $22.07–$82.76 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Corn (f8) IgE - Send Out CQ | $27.59 | $91.96 | $22.07–$82.76 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cottonwood (t14) IgE - Send Out CQ | $27.59 | $91.96 | $22.07–$82.76 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Johnson Grass (g10) IgE - Send Out to CQ | $27.59 | $91.96 | $22.07–$82.76 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 House Dust Greer H1 IgE - Send Out to CQ | $27.59 | $91.96 | $22.07–$82.76 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Horse Dander (e3) IgE - Send Out to CQ | $27.59 | $91.96 | $22.07–$82.76 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Dog Dander (e5) IgE - Send Out CQ | $27.59 | $91.96 | $22.07–$82.76 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Elm (t8) IgE - Send Out CQ | $27.59 | $91.96 | $22.07–$82.76 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 English Plantain (w9) IgE - Send Out CQ | $27.59 | $91.96 | $22.07–$82.76 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Firebush (w17) IgE - Send Out CQ | $27.59 | $91.96 | $22.07–$82.76 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Garlic (f47) IgE - Send Out CQ | $27.59 | $91.96 | $22.07–$82.76 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Gluten (f79) IgE - Send Out to CQ | $27.59 | $91.96 | $22.07–$82.76 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Goose Feathers (e70) IgE - Send Out to CQ | $27.59 | $91.96 | $22.07–$82.76 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Helminthosporium halodes IgE - Send Out CQ | $27.59 | $91.96 | $22.07–$82.76 | — | 70% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic Citrullinated Peptide Ab IgG IgA (LC) | $16.17 | $76.98 | $11.45–$69.28 | 80% below | 79% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic Citrullinated Peptide Ab IgG (CQ) | $17.46 | $83.14 | $11.45–$74.83 | 78% below | 79% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Cyclic Citrullinated Peptide Ab IgG IgA (LC) | $23.09 | $76.98 | $18.48–$69.28 | — | 70% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Cyclic Citrullinated Peptide Ab IgG (CQ) | $24.94 | $83.14 | $19.95–$74.83 | — | 70% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Anti Nuclear Antibody IFA w/Reflex Titer + Pattern | $110.05 | $524.04 | $10.69–$471.64 | 62% above | 79% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA IFA w/Rfx Titer/Pattern/Casc (CQ) | $110.05 | $524.04 | $10.69–$471.64 | 62% above | 79% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 86038 Q37491 ANA | $110.05 | $524.04 | $10.69–$471.64 | 62% above | 79% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 86038 Q19873 ANA | $110.05 | $524.04 | $10.69–$471.64 | 62% above | 79% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA Multiplex w/Rfx to DSDNA (CQ) | $110.05 | $524.04 | $10.69–$471.64 | 62% above | 79% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 86038 Q37491 ANA | $157.21 | $524.04 | $125.77–$471.64 | — | 70% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA Multiplex w/Rfx to DSDNA (CQ) | $157.21 | $524.04 | $125.77–$471.64 | — | 70% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 86038 Q19873 ANA | $157.21 | $524.04 | $125.77–$471.64 | — | 70% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Anti Nuclear Antibody IFA w/Reflex Titer + Pattern | $157.21 | $524.04 | $125.77–$471.64 | — | 70% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA IFA w/Rfx Titer/Pattern/Casc (CQ) | $157.21 | $524.04 | $125.77–$471.64 | — | 70% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B Type Natriuretic Peptide | $291.79 | $1,389.46 | $34.73–$1,250.51 | 138% above | 79% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B Type Natriuretic Peptide Prohormone | $291.79 | $1,389.46 | $34.73–$1,250.51 | 138% above | 79% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 proBNP, N-terminal (CQ) | $291.79 | $1,389.46 | $34.73–$1,250.51 | 138% above | 79% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B Type Natriuretic Peptide | $416.84 | $1,389.46 | $333.47–$1,250.51 | — | 70% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 proBNP, N-terminal (CQ) | $416.84 | $1,389.46 | $333.47–$1,250.51 | — | 70% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B Type Natriuretic Peptide Prohormone | $416.84 | $1,389.46 | $333.47–$1,250.51 | — | 70% |
| Basic metabolic panel (blood test) CPT 80048 BMPWTCA | $289.41 | $1,378.12 | $7.48–$1,240.31 | 133% above | 79% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BMPWTCA | $413.44 | $1,378.12 | $330.75–$1,240.31 | — | 70% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 SO 88305 Bill Surg Compre Review of Data | $304.22 | $1,448.67 | $28.00–$1,303.80 | 49% above | 79% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 SO PATHGROUP 88305 Cytopathology Non-Gyn FLD CEL B | $304.22 | $1,448.67 | $28.00–$1,303.80 | 49% above | 79% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 SO PATHGROUP 88305 Cytopathology Non-Gyn FNA CEL B | $304.22 | $1,448.67 | $28.00–$1,303.80 | 49% above | 79% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 $APRL 88305 Bill Surg Path Gross Lvl4 | $304.22 | $1,448.67 | $28.00–$1,303.80 | 49% above | 79% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 88305 P0NG CYTOFLD CEL BLK(88112) | $304.22 | $1,448.67 | $28.00–$1,303.80 | 49% above | 79% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 88305 P0NG CYTOFNA CEL BLK(88173) | $304.22 | $1,448.67 | $28.00–$1,303.80 | 49% above | 79% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 88305 AP Bill Non-Gyn Cytology Cell Block | $304.22 | $1,448.67 | $28.00–$1,303.80 | 49% above | 79% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 88305 AP Bill Surgical Pathology Level IV Complexi | $304.22 | $1,448.67 | $28.00–$1,303.80 | 49% above | 79% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 88305 AP Bill Bone Marrow Biopsy | $304.22 | $1,448.67 | $28.00–$1,303.80 | 49% above | 79% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 88305 P0NG CYTOFLD CEL BLK(88112) | $434.60 | $1,448.67 | $347.68–$1,303.80 | — | 70% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SO PATHGROUP 88305 Cytopathology Non-Gyn FNA CEL B | $434.60 | $1,448.67 | $347.68–$1,303.80 | — | 70% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SO 88305 Bill Surg Compre Review of Data | $434.60 | $1,448.67 | $347.68–$1,303.80 | — | 70% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 $APRL 88305 Bill Surg Path Gross Lvl4 | $434.60 | $1,448.67 | $347.68–$1,303.80 | — | 70% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 88305 AP Bill Bone Marrow Biopsy | $434.60 | $1,448.67 | $347.68–$1,303.80 | — | 70% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SO PATHGROUP 88305 Cytopathology Non-Gyn FLD CEL B | $434.60 | $1,448.67 | $347.68–$1,303.80 | — | 70% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 88305 P0NG CYTOFNA CEL BLK(88173) | $434.60 | $1,448.67 | $347.68–$1,303.80 | — | 70% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 88305 AP Bill Non-Gyn Cytology Cell Block | $434.60 | $1,448.67 | $347.68–$1,303.80 | — | 70% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 88305 AP Bill Surgical Pathology Level IV Complexi | $434.60 | $1,448.67 | $347.68–$1,303.80 | — | 70% |
| Blood culture for bacteria CPT 87040 Blood Culture | $255.81 | $1,218.14 | $9.13–$1,096.33 | 130% above | 79% |
| Blood culture for bacteria inpatient CPT 87040 Blood Culture | $365.44 | $1,218.14 | $292.35–$1,096.33 | — | 70% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 $ Contract Collection Charge Blood | $2.10 | $10.00 | $2.00–$23.35 | 88% below | 79% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION: Venous Draw Chg BCE | $21.43 | $102.04 | $9.09–$91.84 | 28% above | 79% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION: Venous Draw | $21.43 | $102.04 | $9.09–$91.84 | 28% above | 79% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION: Venous Draw Chg | $21.43 | $102.04 | $9.09–$91.84 | 28% above | 79% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 $ Contract Collection Charge Blood | $3.00 | $10.00 | $2.40–$9.00 | — | 70% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COLLECTION: Venous Draw | $30.61 | $102.04 | $24.49–$91.84 | — | 70% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COLLECTION: Venous Draw Chg BCE | $30.61 | $102.04 | $24.49–$91.84 | — | 70% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COLLECTION: Venous Draw Chg | $30.61 | $102.04 | $24.49–$91.84 | — | 70% |
| Blood glucose (sugar) test CPT 82947 Glucose 3 Hour Postprandial | $79.36 | $377.91 | $3.48–$340.12 | 143% above | 79% |
| Blood glucose (sugar) test CPT 82947 .Glucose Fasting | $79.36 | $377.91 | $3.48–$340.12 | 143% above | 79% |
| Blood glucose (sugar) test CPT 82947 .GTT 3rd Hr OB | $79.36 | $377.91 | $3.48–$340.12 | 143% above | 79% |
| Blood glucose (sugar) test CPT 82947 Glucose Level - Send Out CQ | $79.36 | $377.91 | $3.48–$340.12 | 143% above | 79% |
| Blood glucose (sugar) test CPT 82947 .GTT 2nd Hr OB | $79.36 | $377.91 | $3.48–$340.12 | 143% above | 79% |
| Blood glucose (sugar) test CPT 82947 Glucose Level | $79.36 | $377.91 | $3.48–$340.12 | 143% above | 79% |
| Blood glucose (sugar) test CPT 82947 .Glucose POC | $79.36 | $377.91 | $3.48–$340.12 | 143% above | 79% |
| Blood glucose (sugar) test CPT 82947 82947 GLUCOSE,SER PL OR WB | $79.36 | $377.91 | $3.48–$340.12 | 143% above | 79% |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose Level - Send Out CQ | $113.37 | $377.91 | $90.70–$340.12 | — | 70% |
| Blood glucose (sugar) test inpatient CPT 82947 .GTT 2nd Hr OB | $113.37 | $377.91 | $90.70–$340.12 | — | 70% |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose 3 Hour Postprandial | $113.37 | $377.91 | $90.70–$340.12 | — | 70% |
| Blood glucose (sugar) test inpatient CPT 82947 .GTT 3rd Hr OB | $113.37 | $377.91 | $90.70–$340.12 | — | 70% |
| Blood glucose (sugar) test inpatient CPT 82947 .Glucose POC | $113.37 | $377.91 | $90.70–$340.12 | — | 70% |
| Blood glucose (sugar) test inpatient CPT 82947 .Glucose Fasting | $113.37 | $377.91 | $90.70–$340.12 | — | 70% |
| Blood glucose (sugar) test inpatient CPT 82947 82947 GLUCOSE,SER PL OR WB | $113.37 | $377.91 | $90.70–$340.12 | — | 70% |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose Level | $113.37 | $377.91 | $90.70–$340.12 | — | 70% |
| Blood lead test CPT 83655 83655 Q33051 LEAD | $8.85 | $42.12 | $8.42–$40.79 | 84% below | 79% |
| Blood lead test CPT 83655 Lead Blood Pediatric (LC) | $67.11 | $319.59 | $10.71–$287.63 | 23% above | 79% |
| Blood lead test CPT 83655 Lead, Capillary CQ | $72.48 | $345.16 | $10.71–$310.64 | 33% above | 79% |
| Blood lead test CPT 83655 Lead Blood (CQ) | $72.48 | $345.16 | $10.71–$310.64 | 33% above | 79% |
| Blood lead test inpatient CPT 83655 83655 Q33051 LEAD | $12.64 | $42.12 | $10.11–$37.91 | — | 70% |
| Blood lead test inpatient CPT 83655 Lead Blood Pediatric (LC) | $95.88 | $319.59 | $76.70–$287.63 | — | 70% |
| Blood lead test inpatient CPT 83655 Lead, Capillary CQ | $103.55 | $345.16 | $82.84–$310.64 | — | 70% |
| Blood lead test inpatient CPT 83655 Lead Blood (CQ) | $103.55 | $345.16 | $82.84–$310.64 | — | 70% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCGQLS | $293.37 | $1,397.02 | $6.65–$1,257.32 | 450% above | 79% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCGQLS | $419.11 | $1,397.02 | $335.28–$1,257.32 | — | 70% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Ref Lab ABO/Rh | $106.34 | $506.40 | $2.99–$455.76 | 47% above | 79% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB Bill ABO Reverse | $106.34 | $506.40 | $2.99–$455.76 | 47% above | 79% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB Bill ABO Forward | $106.34 | $506.40 | $2.99–$455.76 | 47% above | 79% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 86900 BLOOD TYPING ABO | $106.34 | $506.40 | $2.99–$455.76 | 47% above | 79% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB Bill ABO | $106.34 | $506.40 | $2.99–$455.76 | 47% above | 79% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB Bill ABO Forward | $151.92 | $506.40 | $121.54–$455.76 | — | 70% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 86900 BLOOD TYPING ABO | $151.92 | $506.40 | $121.54–$455.76 | — | 70% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB Bill ABO Reverse | $151.92 | $506.40 | $121.54–$455.76 | — | 70% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB Bill ABO | $151.92 | $506.40 | $121.54–$455.76 | — | 70% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Ref Lab ABO/Rh | $151.92 | $506.40 | $121.54–$455.76 | — | 70% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C Reactive Protein (CQ) | $41.53 | $197.77 | $4.58–$177.99 | 30% below | 79% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C Reactive Protein | $41.53 | $197.77 | $4.58–$177.99 | 30% below | 79% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C Reactive Protein | $59.33 | $197.77 | $47.46–$177.99 | — | 70% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C Reactive Protein (CQ) | $59.33 | $197.77 | $47.46–$177.99 | — | 70% |
| C. difficile toxin gene test (stool PCR) CPT 87493 Clostridium difficile Toxin A B Amp Probe | $61.11 | $291.00 | $32.97–$261.90 | 56% below | 79% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLI PROBE - BCE | $61.11 | $291.00 | $32.97–$261.90 | 56% below | 79% |
| C. difficile toxin gene test (stool PCR) CPT 87493 Clostridium difficile Toxin PCR | $61.11 | $291.00 | $32.97–$261.90 | 56% below | 79% |
| C. difficile toxin gene test (stool PCR) CPT 87493 Verigene C difficile Panel | $61.11 | $291.00 | $32.97–$261.90 | 56% below | 79% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C difficile PCR w/reflex Toxin Confirmation | $61.11 | $291.00 | $32.97–$261.90 | 56% below | 79% |
| C. difficile toxin gene test (stool PCR) CPT 87493 Clostridium difficile by DNA Amp | $61.11 | $291.00 | $32.97–$261.90 | 56% below | 79% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF AMPLI PROBE - BCE | $87.30 | $291.00 | $69.84–$261.90 | — | 70% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Verigene C difficile Panel | $87.30 | $291.00 | $69.84–$261.90 | — | 70% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C difficile PCR w/reflex Toxin Confirmation | $87.30 | $291.00 | $69.84–$261.90 | — | 70% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Clostridium difficile by DNA Amp | $87.30 | $291.00 | $69.84–$261.90 | — | 70% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Clostridium difficile Toxin PCR | $87.30 | $291.00 | $69.84–$261.90 | — | 70% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Clostridium difficile Toxin A B Amp Probe | $87.30 | $291.00 | $69.84–$261.90 | — | 70% |
| CA 19-9 blood test (tumor marker) CPT 86301 Cancer 19-9 - Send Out to CQ | $56.88 | $270.84 | $18.41–$243.76 | 48% below | 79% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 Cancer 19-9 - Send Out to CQ | $81.25 | $270.84 | $65.00–$243.76 | — | 70% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Cancer 125 - Send Out to CQ | $282.26 | $1,344.11 | $18.41–$1,209.70 | 158% above | 79% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Cancer 125 - Send Out to CQ | $403.23 | $1,344.11 | $322.59–$1,209.70 | — | 70% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 PCR | $62.70 | $298.56 | $45.38–$268.70 | 37% below | 79% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 SARS-CoV-2 RNA Qual NAAT (CQ) | $62.70 | $298.56 | $45.38–$268.70 | 37% below | 79% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 SARS-CoV-2 RNA Qual NAAT (CQ) | $89.57 | $298.56 | $71.65–$268.70 | — | 70% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 PCR | $89.57 | $298.56 | $71.65–$268.70 | — | 70% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 87491 Q16506 C TRACH PRB | $69.84 | $332.56 | $31.04–$299.30 | 22% below | 79% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 87491 Q11363 CHLMYD TRACH | $69.84 | $332.56 | $31.04–$299.30 | 22% below | 79% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia DNA Amplified Probe 2 | $69.84 | $332.56 | $31.04–$299.30 | 22% below | 79% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 87491 CHLMYD TRACH DNA AMP | $69.84 | $332.56 | $31.04–$299.30 | 22% below | 79% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia DNA Amplified Probe | $69.84 | $332.56 | $31.04–$299.30 | 22% below | 79% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia Trachomatis RNA TMA - Send Out CQ | $69.84 | $332.56 | $31.04–$299.30 | 22% below | 79% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 87491 Q70051 CHLMYD TRACH | $69.84 | $332.56 | $31.04–$299.30 | 22% below | 79% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia Trachomatis RNA TMA - Send Out CQ | $99.77 | $332.56 | $79.81–$299.30 | — | 70% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 87491 CHLMYD TRACH DNA AMP | $99.77 | $332.56 | $79.81–$299.30 | — | 70% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 87491 Q16506 C TRACH PRB | $99.77 | $332.56 | $79.81–$299.30 | — | 70% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia DNA Amplified Probe | $99.77 | $332.56 | $79.81–$299.30 | — | 70% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 87491 Q70051 CHLMYD TRACH | $99.77 | $332.56 | $79.81–$299.30 | — | 70% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia DNA Amplified Probe 2 | $99.77 | $332.56 | $79.81–$299.30 | — | 70% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 87491 Q11363 CHLMYD TRACH | $99.77 | $332.56 | $79.81–$299.30 | — | 70% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID | $234.12 | $1,114.84 | $11.84–$1,003.36 | 127% above | 79% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel with LDL/HDL Ratio | $234.12 | $1,114.84 | $11.84–$1,003.36 | 127% above | 79% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID | $334.45 | $1,114.84 | $267.56–$1,003.36 | — | 70% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel with LDL/HDL Ratio | $334.45 | $1,114.84 | $267.56–$1,003.36 | — | 70% |
| Complete blood count (CBC) with differential CPT 85025 Complete Blood Count w/ 3 Part Diff Auto | $186.50 | $888.09 | $6.87–$799.28 | 250% above | 79% |
| Complete blood count (CBC) with differential CPT 85025 CBCADIFF | $186.50 | $888.09 | $6.87–$799.28 | 250% above | 79% |
| Complete blood count (CBC) with differential inpatient CPT 85025 Complete Blood Count w/ 3 Part Diff Auto | $266.43 | $888.09 | $213.14–$799.28 | — | 70% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBCADIFF | $266.43 | $888.09 | $213.14–$799.28 | — | 70% |
| Complete blood count (CBC), no differential CPT 85027 85027 CBC W-PLT | $126.18 | $600.88 | $5.72–$540.79 | 157% above | 79% |
| Complete blood count (CBC), no differential CPT 85027 CBC | $126.18 | $600.88 | $5.72–$540.79 | 157% above | 79% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC | $180.26 | $600.88 | $144.21–$540.79 | — | 70% |
| Complete blood count (CBC), no differential inpatient CPT 85027 85027 CBC W-PLT | $180.26 | $600.88 | $144.21–$540.79 | — | 70% |
| Comprehensive metabolic panel (blood test) CPT 80053 CMP | $373.00 | $1,776.19 | $9.34–$1,598.57 | 196% above | 79% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 CMP | $532.86 | $1,776.19 | $426.29–$1,598.57 | — | 70% |
| D-dimer blood test (blood clot marker) CPT 85379 D Dimer Quant | $242.85 | $1,156.42 | $9.00–$1,040.78 | 94% above | 79% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D Dimer Quant | $346.93 | $1,156.42 | $277.54–$1,040.78 | — | 70% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone Sulfate (CQ) | $254.75 | $1,213.10 | $19.66–$1,091.79 | 87% above | 79% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dehydroepiandrosterone Sulfate (CQ) | $363.93 | $1,213.10 | $291.14–$1,091.79 | — | 70% |
| Estradiol blood test CPT 82670 Estradiol Ultrasensitive LC-MS/MS - Send Out to CQ | $333.85 | $1,589.76 | $24.71–$1,430.78 | 132% above | 79% |
| Estradiol blood test CPT 82670 82670 Q36169 ESTRADIOL | $333.85 | $1,589.76 | $24.71–$1,430.78 | 132% above | 79% |
| Estradiol blood test CPT 82670 Estradiol - Send Out CQ | $333.85 | $1,589.76 | $24.71–$1,430.78 | 132% above | 79% |
| Estradiol blood test CPT 82670 Estradiol Level | $333.85 | $1,589.76 | $24.71–$1,430.78 | 132% above | 79% |
| Estradiol blood test inpatient CPT 82670 82670 Q36169 ESTRADIOL | $476.93 | $1,589.76 | $381.54–$1,430.78 | — | 70% |
| Estradiol blood test inpatient CPT 82670 Estradiol Ultrasensitive LC-MS/MS - Send Out to CQ | $476.93 | $1,589.76 | $381.54–$1,430.78 | — | 70% |
| Estradiol blood test inpatient CPT 82670 Estradiol - Send Out CQ | $476.93 | $1,589.76 | $381.54–$1,430.78 | — | 70% |
| Estradiol blood test inpatient CPT 82670 Estradiol Level | $476.93 | $1,589.76 | $381.54–$1,430.78 | — | 70% |
| FSH (follicle-stimulating hormone) test CPT 83001 Follicle Stimulating Hormone Serum | $207.13 | $986.35 | $16.43–$887.72 | 103% above | 79% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH and LH (CQ) | $207.13 | $986.35 | $16.43–$887.72 | 103% above | 79% |
| FSH (follicle-stimulating hormone) test CPT 83001 83001 Q7137 FSH | $207.13 | $986.35 | $16.43–$887.72 | 103% above | 79% |
| FSH (follicle-stimulating hormone) test CPT 83001 Follicle Stimulating Hormone (CQ) | $207.13 | $986.35 | $16.43–$887.72 | 103% above | 79% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 83001 Q7137 FSH | $295.91 | $986.35 | $236.72–$887.72 | — | 70% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH and LH (CQ) | $295.91 | $986.35 | $236.72–$887.72 | — | 70% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 Follicle Stimulating Hormone (CQ) | $295.91 | $986.35 | $236.72–$887.72 | — | 70% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 Follicle Stimulating Hormone Serum | $295.91 | $986.35 | $236.72–$887.72 | — | 70% |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin Stool - Send Out CQ | $89.15 | $424.53 | $17.36–$382.08 | 52% below | 79% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Calprotectin Stool - Send Out CQ | $127.36 | $424.53 | $101.89–$382.08 | — | 70% |
| Ferritin blood test (iron stores) CPT 82728 Ferritin CQ | $115.61 | $550.50 | $12.06–$495.45 | 38% above | 79% |
| Ferritin blood test (iron stores) CPT 82728 Ferritin | $115.61 | $550.50 | $12.06–$495.45 | 38% above | 79% |
| Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin | $165.15 | $550.50 | $132.12–$495.45 | — | 70% |
| Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin CQ | $165.15 | $550.50 | $132.12–$495.45 | — | 70% |
| Folate (folic acid) blood test CPT 82746 Folate Level | $66.40 | $316.19 | $13.00–$284.57 | 13% below | 79% |
| Folate (folic acid) blood test CPT 82746 Folate, Serum CQ | $66.40 | $316.19 | $13.00–$284.57 | 13% below | 79% |
| Folate (folic acid) blood test inpatient CPT 82746 Folate Level | $94.86 | $316.19 | $75.89–$284.57 | — | 70% |
| Folate (folic acid) blood test inpatient CPT 82746 Folate, Serum CQ | $94.86 | $316.19 | $75.89–$284.57 | — | 70% |
| Free T3 thyroid hormone test CPT 84481 Triiodothyronine 3 Free (CQ) | $227.77 | $1,084.61 | $14.98–$976.15 | 129% above | 79% |
| Free T3 thyroid hormone test CPT 84481 Triiodothyronine 3 Free | $227.77 | $1,084.61 | $14.98–$976.15 | 129% above | 79% |
| Free T3 thyroid hormone test inpatient CPT 84481 Triiodothyronine 3 Free | $325.38 | $1,084.61 | $260.31–$976.15 | — | 70% |
| Free T3 thyroid hormone test inpatient CPT 84481 Triiodothyronine 3 Free (CQ) | $325.38 | $1,084.61 | $260.31–$976.15 | — | 70% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4, Free CQ | $44.97 | $214.15 | $7.98–$192.74 | 39% below | 79% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine 4 Free | $44.97 | $214.15 | $7.98–$192.74 | 39% below | 79% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine 4 Free (CQ) | $44.97 | $214.15 | $7.98–$192.74 | 39% below | 79% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Thyroxine 4 Free | $64.25 | $214.15 | $51.40–$192.74 | — | 70% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Thyroxine 4 Free (CQ) | $64.25 | $214.15 | $51.40–$192.74 | — | 70% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4, Free CQ | $64.25 | $214.15 | $51.40–$192.74 | — | 70% |
| Free testosterone test CPT 84402 Testosterone Free Direct LC | $118.80 | $565.70 | $22.53–$509.13 | 5% below | 79% |
| Free testosterone test CPT 84402 Testosterone Free - Send Out CQ | $128.30 | $610.96 | $22.53–$549.86 | 2% above | 79% |
| Free testosterone test CPT 84402 84402 Q36170 TESTOST FREE | $128.30 | $610.96 | $22.53–$549.86 | 2% above | 79% |
| Free testosterone test inpatient CPT 84402 Testosterone Free Direct LC | $169.71 | $565.70 | $135.77–$509.13 | — | 70% |
| Free testosterone test inpatient CPT 84402 84402 Q36170 TESTOST FREE | $183.29 | $610.96 | $146.63–$549.86 | — | 70% |
| Free testosterone test inpatient CPT 84402 Testosterone Free - Send Out CQ | $183.29 | $610.96 | $146.63–$549.86 | — | 70% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 $ General Health Panel | $247.34 | $1,177.83 | $23.56–$1,060.05 | 10% below | 79% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 $ General Health Panel | $353.35 | $1,177.83 | $282.68–$1,060.05 | — | 70% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose 1 Hr Postprandial | $113.49 | $540.42 | $4.20–$486.38 | 167% above | 79% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose 2 Hour Postprandial | $113.49 | $540.42 | $4.20–$486.38 | 167% above | 79% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 .GTT 1st Hr OB | $113.49 | $540.42 | $4.20–$486.38 | 167% above | 79% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose 2 Hour Postprandial | $162.13 | $540.42 | $129.70–$486.38 | — | 70% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 .GTT 1st Hr OB | $162.13 | $540.42 | $129.70–$486.38 | — | 70% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose 1 Hr Postprandial | $162.13 | $540.42 | $129.70–$486.38 | — | 70% |
| Glucose tolerance test, 3 samples CPT 82951 .LTT Fasting | $13.44 | $64.00 | $11.38–$57.60 | 85% below | 79% |
| Glucose tolerance test, 3 samples CPT 82951 .GTT Fasting | $135.97 | $647.49 | $11.38–$582.74 | 49% above | 79% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 .LTT Fasting | $19.20 | $64.00 | $15.36–$57.60 | — | 70% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 .GTT Fasting | $194.25 | $647.49 | $155.40–$582.74 | — | 70% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 Q11363 N.GONORRHO DN | $80.42 | $382.96 | $31.04–$344.66 | 1% below | 79% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 Q70051 N.GONORRHO,DN | $80.42 | $382.96 | $31.04–$344.66 | 1% below | 79% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Gonorrhea Chlamydia RNA TMA (CQ) | $80.42 | $382.96 | $31.04–$344.66 | 1% below | 79% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Gonorrhea DNA Amplified Probe | $80.42 | $382.96 | $31.04–$344.66 | 1% below | 79% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 N.GONORRHO,DNA,AMPPR | $80.42 | $382.96 | $31.04–$344.66 | 1% below | 79% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Gonorrhea DNA Amplified Probe 2 | $80.42 | $382.96 | $31.04–$344.66 | 1% below | 79% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 Q16506 NG AMP PRB | $80.42 | $382.96 | $31.04–$344.66 | 1% below | 79% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 87591 Q11363 N.GONORRHO DN | $114.89 | $382.96 | $91.91–$344.66 | — | 70% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 87591 Q16506 NG AMP PRB | $114.89 | $382.96 | $91.91–$344.66 | — | 70% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 87591 Q70051 N.GONORRHO,DN | $114.89 | $382.96 | $91.91–$344.66 | — | 70% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Gonorrhea Chlamydia RNA TMA (CQ) | $114.89 | $382.96 | $91.91–$344.66 | — | 70% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Gonorrhea DNA Amplified Probe | $114.89 | $382.96 | $91.91–$344.66 | — | 70% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 87591 N.GONORRHO,DNA,AMPPR | $114.89 | $382.96 | $91.91–$344.66 | — | 70% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Gonorrhea DNA Amplified Probe 2 | $114.89 | $382.96 | $91.91–$344.66 | — | 70% |
| H. pylori antibody blood test CPT 86677 Heliobacter pylori Ab IgM (LC) | $128.11 | $610.03 | $14.90–$549.03 | 71% above | 79% |
| H. pylori antibody blood test CPT 86677 Heliobacter pylori Ab IgG | $138.35 | $658.83 | $14.90–$592.95 | 84% above | 79% |
| H. pylori antibody blood test inpatient CPT 86677 Heliobacter pylori Ab IgM (LC) | $183.01 | $610.03 | $146.41–$549.03 | — | 70% |
| H. pylori antibody blood test inpatient CPT 86677 Heliobacter pylori Ab IgG | $197.65 | $658.83 | $158.12–$592.95 | — | 70% |
| H. pylori stool antigen test CPT 87338 Heliobacter pylori Stool Ag EIA (LC) | $105.81 | $503.88 | $6.12–$453.49 | 12% below | 79% |
| H. pylori stool antigen test CPT 87338 Heliobacter pylori Ag EIA Stool (CQ) | $114.28 | $544.19 | $6.12–$489.77 | 5% below | 79% |
| H. pylori stool antigen test inpatient CPT 87338 Heliobacter pylori Stool Ag EIA (LC) | $151.16 | $503.88 | $120.93–$453.49 | — | 70% |
| H. pylori stool antigen test inpatient CPT 87338 Heliobacter pylori Ag EIA Stool (CQ) | $163.26 | $544.19 | $130.61–$489.77 | — | 70% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV1 RNA Quantitative Reflex HIV1 Genotype - Send | $666.64 | $3,174.48 | $75.27–$2,857.03 | 91% above | 79% |
| HIV viral load test (HIV-1 RNA, quantitative) one side CPT 87536 HIV 1 RNA Quantitative RT PCR - Send Out CQ | $666.64 | $3,174.48 | $75.27–$2,857.03 | 91% above | 79% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV1 RNA Quantitative Reflex HIV1 Genotype - Send | $952.34 | $3,174.48 | $761.88–$2,857.03 | — | 70% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient one side CPT 87536 HIV 1 RNA Quantitative RT PCR - Send Out CQ | $952.34 | $3,174.48 | $761.88–$2,857.03 | — | 70% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 SO 87624 AP Bill HPV High Risk Types | $46.29 | $220.45 | $31.04–$198.40 | 58% below | 79% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 SO 87624 AP Bill HPV High Risk Types | $66.14 | $220.45 | $52.91–$198.40 | — | 70% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c (CQ) | $255.81 | $1,218.14 | $8.59–$1,096.33 | 317% above | 79% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c | $255.81 | $1,218.14 | $8.59–$1,096.33 | 317% above | 79% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1c | $365.44 | $1,218.14 | $292.35–$1,096.33 | — | 70% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1c (CQ) | $365.44 | $1,218.14 | $292.35–$1,096.33 | — | 70% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Ab Qual (CQ) | $125.13 | $595.85 | $9.50–$536.26 | 82% above | 79% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Ab w/Interp | $125.13 | $595.85 | $9.50–$536.26 | 82% above | 79% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURF AB - BCE | $125.13 | $595.85 | $9.50–$536.26 | 82% above | 79% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Antibody w/Interp | $125.13 | $595.85 | $9.50–$536.26 | 82% above | 79% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURF AB - BCE | $178.76 | $595.85 | $143.00–$536.26 | — | 70% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis B Surface Ab Qual (CQ) | $178.76 | $595.85 | $143.00–$536.26 | — | 70% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis B Surface Ab w/Interp | $178.76 | $595.85 | $143.00–$536.26 | — | 70% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis B Surface Antibody w/Interp | $178.76 | $595.85 | $143.00–$536.26 | — | 70% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Ag w/Interp | $152.38 | $725.60 | $9.14–$653.04 | 136% above | 79% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Donor, Hep BS Ag w/Rfx Conf (CQ) | $152.38 | $725.60 | $9.14–$653.04 | 136% above | 79% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HBSAG- BCE | $152.38 | $725.60 | $9.14–$653.04 | 136% above | 79% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Antigen | $152.38 | $725.60 | $9.14–$653.04 | 136% above | 79% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Ag Confirmation (CQ) | $152.38 | $725.60 | $9.14–$653.04 | 136% above | 79% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Ag w/Reflex Confirm (CQ) | $152.38 | $725.60 | $9.14–$653.04 | 136% above | 79% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface Ag Confirmation (CQ) | $217.68 | $725.60 | $174.14–$653.04 | — | 70% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Donor, Hep BS Ag w/Rfx Conf (CQ) | $217.68 | $725.60 | $174.14–$653.04 | — | 70% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HBSAG- BCE | $217.68 | $725.60 | $174.14–$653.04 | — | 70% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface Ag w/Interp | $217.68 | $725.60 | $174.14–$653.04 | — | 70% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface Ag w/Reflex Confirm (CQ) | $217.68 | $725.60 | $174.14–$653.04 | — | 70% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface Antigen | $217.68 | $725.60 | $174.14–$653.04 | — | 70% |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Virus Antibody (LC) | $184.20 | $877.13 | $12.62–$789.42 | 117% above | 79% |
| Hepatitis C antibody blood test (screening) CPT 86803 HCAB2 | $198.93 | $947.30 | $12.62–$852.57 | 135% above | 79% |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C IgG Antibody | $198.93 | $947.30 | $12.62–$852.57 | 135% above | 79% |
| Hepatitis C antibody blood test (screening) one side CPT 86803 Hepatitis C Antibody w/Reflex HCV RNA Quan RT PCR | $198.93 | $947.30 | $12.62–$852.57 | 135% above | 79% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C Virus Antibody (LC) | $263.14 | $877.13 | $210.51–$789.42 | — | 70% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C IgG Antibody | $284.19 | $947.30 | $227.35–$852.57 | — | 70% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCAB2 | $284.19 | $947.30 | $227.35–$852.57 | — | 70% |
| Hepatitis C antibody blood test (screening) inpatient one side CPT 86803 Hepatitis C Antibody w/Reflex HCV RNA Quan RT PCR | $284.19 | $947.30 | $227.35–$852.57 | — | 70% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hepatitis C Virus RNA PCR Quant Reflex Geno (LC) | $257.68 | $1,227.05 | $37.89–$1,104.34 | 13% below | 79% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hepatitis C Virus RNA Quant PCR (CQ) | $278.29 | $1,325.21 | $37.89–$1,192.69 | 6% below | 79% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 .HCV RNA, Quantitative Real Time PCR (CQ) | $278.29 | $1,325.21 | $37.89–$1,192.69 | 6% below | 79% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hepatitis C Virus RNA Quant Progess Genotyping (CQ | $278.29 | $1,325.21 | $37.89–$1,192.69 | 6% below | 79% |
| Hepatitis C viral load (HCV RNA) test one side CPT 87522 Hepatitis C Virus RT PCR Quant Non-Graph (LC) | $257.68 | $1,227.05 | $37.89–$1,104.34 | 13% below | 79% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hepatitis C Virus RNA PCR Quant Reflex Geno (LC) | $368.12 | $1,227.05 | $294.49–$1,104.34 | — | 70% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 .HCV RNA, Quantitative Real Time PCR (CQ) | $397.56 | $1,325.21 | $318.05–$1,192.69 | — | 70% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hepatitis C Virus RNA Quant PCR (CQ) | $397.56 | $1,325.21 | $318.05–$1,192.69 | — | 70% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hepatitis C Virus RNA Quant Progess Genotyping (CQ | $397.56 | $1,325.21 | $318.05–$1,192.69 | — | 70% |
| Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 Hepatitis C Virus RT PCR Quant Non-Graph (LC) | $368.12 | $1,227.05 | $294.49–$1,104.34 | — | 70% |
| Herpes blood test, HSV-1 antibody CPT 86695 .Herpes Simplex Virus 1 IgM Titer - Send Out CQ | $86.50 | $411.92 | $11.67–$370.73 | 31% above | 79% |
| Herpes blood test, HSV-1 antibody CPT 86695 86695 Q17169 HSV1 | $86.50 | $411.92 | $11.67–$370.73 | 31% above | 79% |
| Herpes blood test, HSV-1 antibody CPT 86695 Herpes Simplex Virus 1 Type Specific Antibody IgG | $86.50 | $411.92 | $11.67–$370.73 | 31% above | 79% |
| Herpes blood test, HSV-1 antibody CPT 86695 86695 HERPES SIMP TYPE 1 | $86.50 | $411.92 | $11.67–$370.73 | 31% above | 79% |
| Herpes blood test, HSV-1 antibody CPT 86695 86695 Q8542XHSV1 | $86.50 | $411.92 | $11.67–$370.73 | 31% above | 79% |
| Herpes blood test, HSV-1 antibody CPT 86695 86695 Q90851HERPES SMP TP1 | $86.50 | $411.92 | $11.67–$370.73 | 31% above | 79% |
| Herpes blood test, HSV-1 antibody CPT 86695 86695 Q90849HERPES SMP TP1 | $86.50 | $411.92 | $11.67–$370.73 | 31% above | 79% |
| Herpes blood test, HSV-1 antibody CPT 86695 86695 Q6447 HERPES SMP TP1 | $86.50 | $411.92 | $11.67–$370.73 | 31% above | 79% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 Herpes Simplex Virus 1 Type Specific Antibody IgG | $123.58 | $411.92 | $98.86–$370.73 | — | 70% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 86695 Q17169 HSV1 | $123.58 | $411.92 | $98.86–$370.73 | — | 70% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 86695 Q6447 HERPES SMP TP1 | $123.58 | $411.92 | $98.86–$370.73 | — | 70% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 .Herpes Simplex Virus 1 IgM Titer - Send Out CQ | $123.58 | $411.92 | $98.86–$370.73 | — | 70% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 86695 Q8542XHSV1 | $123.58 | $411.92 | $98.86–$370.73 | — | 70% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 86695 Q90851HERPES SMP TP1 | $123.58 | $411.92 | $98.86–$370.73 | — | 70% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 86695 Q90849HERPES SMP TP1 | $123.58 | $411.92 | $98.86–$370.73 | — | 70% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 86695 HERPES SIMP TYPE 1 | $123.58 | $411.92 | $98.86–$370.73 | — | 70% |
| Herpes blood test, HSV-2 antibody CPT 86696 86696 Q8542X HSV2 | $26.45 | $125.97 | $17.12–$113.37 | 56% below | 79% |
| Herpes blood test, HSV-2 antibody CPT 86696 86696 Q90851HERPES SMP TP2 | $26.45 | $125.97 | $17.12–$113.37 | 56% below | 79% |
| Herpes blood test, HSV-2 antibody CPT 86696 86696 Q90849HERPES SMP TP2 | $26.45 | $125.97 | $17.12–$113.37 | 56% below | 79% |
| Herpes blood test, HSV-2 antibody CPT 86696 86696 Q6447 HERPES SMP TP2 | $26.45 | $125.97 | $17.12–$113.37 | 56% below | 79% |
| Herpes blood test, HSV-2 antibody CPT 86696 86696 Q17169 HSV2 | $26.45 | $125.97 | $17.12–$113.37 | 56% below | 79% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 86696 Q90849HERPES SMP TP2 | $37.79 | $125.97 | $30.23–$113.37 | — | 70% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 86696 Q90851HERPES SMP TP2 | $37.79 | $125.97 | $30.23–$113.37 | — | 70% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 86696 Q8542X HSV2 | $37.79 | $125.97 | $30.23–$113.37 | — | 70% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 86696 Q6447 HERPES SMP TP2 | $37.79 | $125.97 | $30.23–$113.37 | — | 70% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 86696 Q17169 HSV2 | $37.79 | $125.97 | $30.23–$113.37 | — | 70% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 Cardio IQ(R) hs-CRP CQ | $71.43 | $340.12 | $11.45–$306.11 | 1% above | 79% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C Reactive Protein High Sensitivity (CQ) | $71.43 | $340.12 | $11.45–$306.11 | 1% above | 79% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C Reactive Protein High Sensitivity (CQ) | $102.04 | $340.12 | $81.63–$306.11 | — | 70% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 Cardio IQ(R) hs-CRP CQ | $102.04 | $340.12 | $81.63–$306.11 | — | 70% |
| Homocysteine blood test CPT 83090 Homocysteine - Send Out to CQ | $571.67 | $2,722.24 | $15.85–$2,450.02 | 424% above | 79% |
| Homocysteine blood test inpatient CPT 83090 Homocysteine - Send Out to CQ | $816.67 | $2,722.24 | $653.34–$2,450.02 | — | 70% |
| Insulin blood test CPT 83525 Insulin LC | $176.11 | $838.64 | $10.11–$754.78 | 196% above | 79% |
| Insulin blood test CPT 83525 Insulin - Send Out to CQ | $190.20 | $905.73 | $10.11–$815.16 | 220% above | 79% |
| Insulin blood test inpatient CPT 83525 Insulin LC | $251.59 | $838.64 | $201.27–$754.78 | — | 70% |
| Insulin blood test inpatient CPT 83525 Insulin - Send Out to CQ | $271.72 | $905.73 | $217.38–$815.16 | — | 70% |
| Iron blood test (serum iron) CPT 83540 83540 Q7573 IRON | $66.40 | $316.19 | $5.72–$284.57 | 44% above | 79% |
| Iron blood test (serum iron) CPT 83540 83540 IRON | $66.40 | $316.19 | $5.72–$284.57 | 44% above | 79% |
| Iron blood test (serum iron) CPT 83540 IRON | $66.40 | $316.19 | $5.72–$284.57 | 44% above | 79% |
| Iron blood test (serum iron) inpatient CPT 83540 83540 IRON | $94.86 | $316.19 | $75.89–$284.57 | — | 70% |
| Iron blood test (serum iron) inpatient CPT 83540 83540 Q7573 IRON | $94.86 | $316.19 | $75.89–$284.57 | — | 70% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON | $94.86 | $316.19 | $75.89–$284.57 | — | 70% |
| Iron-binding capacity (TIBC) test CPT 83550 83550 Q7573 IRON BINDING C | $66.40 | $316.19 | $7.73–$284.57 | 2% below | 79% |
| Iron-binding capacity (TIBC) test CPT 83550 Total Iron Binding Capacity DM | $66.40 | $316.19 | $7.73–$284.57 | 2% below | 79% |
| Iron-binding capacity (TIBC) test CPT 83550 83550 IRON BINDING CAPACIT | $66.40 | $316.19 | $7.73–$284.57 | 2% below | 79% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 83550 IRON BINDING CAPACIT | $94.86 | $316.19 | $75.89–$284.57 | — | 70% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 Total Iron Binding Capacity DM | $94.86 | $316.19 | $75.89–$284.57 | — | 70% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 83550 Q7573 IRON BINDING C | $94.86 | $316.19 | $75.89–$284.57 | — | 70% |
| Kidney function blood test panel CPT 80069 RFP | $267.18 | $1,272.30 | $7.68–$1,145.07 | 151% above | 79% |
| Kidney function blood test panel inpatient CPT 80069 RFP | $381.69 | $1,272.30 | $305.35–$1,145.07 | — | 70% |
| LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone (CQ) | $232.79 | $1,108.54 | $16.38–$997.69 | 128% above | 79% |
| LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone | $232.79 | $1,108.54 | $16.38–$997.69 | 128% above | 79% |
| LH (luteinizing hormone) test CPT 83002 83002 Q7137 LH | $232.79 | $1,108.54 | $16.38–$997.69 | 128% above | 79% |
| LH (luteinizing hormone) test inpatient CPT 83002 83002 Q7137 LH | $332.56 | $1,108.54 | $266.05–$997.69 | — | 70% |
| LH (luteinizing hormone) test inpatient CPT 83002 Luteinizing Hormone | $332.56 | $1,108.54 | $266.05–$997.69 | — | 70% |
| LH (luteinizing hormone) test inpatient CPT 83002 Luteinizing Hormone (CQ) | $332.56 | $1,108.54 | $266.05–$997.69 | — | 70% |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase Level | $276.44 | $1,316.40 | $6.09–$1,184.76 | 339% above | 79% |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase Body Fluid | $276.44 | $1,316.40 | $6.09–$1,184.76 | 339% above | 79% |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase Peritoneal Fluid Sendout to CQ | $276.44 | $1,316.40 | $6.09–$1,184.76 | 339% above | 79% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase Level | $394.92 | $1,316.40 | $315.94–$1,184.76 | — | 70% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase Body Fluid | $394.92 | $1,316.40 | $315.94–$1,184.76 | — | 70% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase Peritoneal Fluid Sendout to CQ | $394.92 | $1,316.40 | $315.94–$1,184.76 | — | 70% |
| Liver function blood test panel CPT 80076 HFP | $310.83 | $1,480.16 | $7.23–$1,332.14 | 133% above | 79% |
| Liver function blood test panel inpatient CPT 80076 HFP | $444.05 | $1,480.16 | $355.24–$1,332.14 | — | 70% |
| Lyme disease antibody test CPT 86618 Borrelia burgdorferi Antibody Total EIA (CQ) | $42.86 | $204.08 | $15.06–$183.67 | 53% below | 79% |
| Lyme disease antibody test inpatient CPT 86618 Borrelia burgdorferi Antibody Total EIA (CQ) | $61.22 | $204.08 | $48.98–$183.67 | — | 70% |
| Magnesium blood test CPT 83735 Magnesium Urine | $296.02 | $1,409.62 | $5.93–$1,268.66 | 530% above | 79% |
| Magnesium blood test CPT 83735 Magnesium Red Blood Cell - Send Out to NQ CQ | $296.02 | $1,409.62 | $5.93–$1,268.66 | 530% above | 79% |
| Magnesium blood test CPT 83735 83735 Q14460 MAGNESIUM | $296.02 | $1,409.62 | $5.93–$1,268.66 | 530% above | 79% |
| Magnesium blood test CPT 83735 Magnesium Serum | $296.02 | $1,409.62 | $5.93–$1,268.66 | 530% above | 79% |
| Magnesium blood test CPT 83735 83735 Q442 MAGNESIUM | $296.02 | $1,409.62 | $5.93–$1,268.66 | 530% above | 79% |
| Magnesium blood test inpatient CPT 83735 Magnesium Red Blood Cell - Send Out to NQ CQ | $422.89 | $1,409.62 | $338.31–$1,268.66 | — | 70% |
| Magnesium blood test inpatient CPT 83735 83735 Q14460 MAGNESIUM | $422.89 | $1,409.62 | $338.31–$1,268.66 | — | 70% |
| Magnesium blood test inpatient CPT 83735 Magnesium Urine | $422.89 | $1,409.62 | $338.31–$1,268.66 | — | 70% |
| Magnesium blood test inpatient CPT 83735 Magnesium Serum | $422.89 | $1,409.62 | $338.31–$1,268.66 | — | 70% |
| Magnesium blood test inpatient CPT 83735 83735 Q442 MAGNESIUM | $422.89 | $1,409.62 | $338.31–$1,268.66 | — | 70% |
| Measles (rubeola) antibody test CPT 86765 Measles IgG (Rubeola) - Send Out CQ | $33.33 | $158.73 | $11.39–$142.86 | 44% below | 79% |
| Measles (rubeola) antibody test CPT 86765 Measles Antibody IgM IFA - Send Out CQ | $33.33 | $158.73 | $11.39–$142.86 | 44% below | 79% |
| Measles (rubeola) antibody test inpatient CPT 86765 Measles Antibody IgM IFA - Send Out CQ | $47.62 | $158.73 | $38.10–$142.86 | — | 70% |
| Measles (rubeola) antibody test inpatient CPT 86765 Measles IgG (Rubeola) - Send Out CQ | $47.62 | $158.73 | $38.10–$142.86 | — | 70% |
| Mono test (heterophile antibody, Monospot) CPT 86308 Mononucleosis Screen | $116.13 | $553.01 | $4.58–$497.71 | 184% above | 79% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Mononucleosis Screen | $165.90 | $553.01 | $132.72–$497.71 | — | 70% |
| Obstetric blood test panel CPT 80055 Obstetric Panel CS | $1,017.95 | $4,847.37 | $36.52–$4,362.63 | 208% above | 79% |
| Obstetric blood test panel inpatient CPT 80055 Obstetric Panel CS | $1,454.21 | $4,847.37 | $1,163.37–$4,362.63 | — | 70% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 84154 Q31348 PSA FREE | $49.21 | $234.31 | $16.27–$210.88 | 36% below | 79% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 84154 Q31348 PSA FREE | $70.29 | $234.31 | $56.23–$210.88 | — | 70% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate Specific Ag Total | $238.35 | $1,135.00 | $16.27–$1,021.50 | 209% above | 79% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 84153 Q31348 PSA TOTAL | $238.35 | $1,135.00 | $16.27–$1,021.50 | 209% above | 79% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostate Specific Ag Total | $340.50 | $1,135.00 | $272.40–$1,021.50 | — | 70% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 84153 Q31348 PSA TOTAL | $340.50 | $1,135.00 | $272.40–$1,021.50 | — | 70% |
| Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hormone Intact Intraop | $379.09 | $1,805.17 | $36.51–$1,624.65 | 122% above | 79% |
| Parathyroid hormone (PTH) blood test CPT 83970 zzParathyroid Hormone Intact (CQ) | $379.09 | $1,805.17 | $36.51–$1,624.65 | 122% above | 79% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH, Intact w/o Calcium CQ | $379.09 | $1,805.17 | $36.51–$1,624.65 | 122% above | 79% |
| Parathyroid hormone (PTH) blood test CPT 83970 83970 Q8837 PARATHORMONE P | $379.09 | $1,805.17 | $36.51–$1,624.65 | 122% above | 79% |
| Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hormone Intact | $379.09 | $1,805.17 | $36.51–$1,624.65 | 122% above | 79% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathyroid Hormone Intact | $541.55 | $1,805.17 | $433.24–$1,624.65 | — | 70% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathyroid Hormone Intact Intraop | $541.55 | $1,805.17 | $433.24–$1,624.65 | — | 70% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 zzParathyroid Hormone Intact (CQ) | $541.55 | $1,805.17 | $433.24–$1,624.65 | — | 70% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH, Intact w/o Calcium CQ | $541.55 | $1,805.17 | $433.24–$1,624.65 | — | 70% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 83970 Q8837 PARATHORMONE P | $541.55 | $1,805.17 | $433.24–$1,624.65 | — | 70% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 85730 Q7079 THROMBOPLAST T | $151.58 | $721.82 | $5.32–$649.64 | 188% above | 79% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Activated Partial Thromboplastin Time (CQ) | $151.58 | $721.82 | $5.32–$649.64 | 188% above | 79% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Partial Thromboplastin Time | $151.58 | $721.82 | $5.32–$649.64 | 188% above | 79% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Partial Thromboplastin Time | $216.55 | $721.82 | $173.24–$649.64 | — | 70% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Activated Partial Thromboplastin Time (CQ) | $216.55 | $721.82 | $173.24–$649.64 | — | 70% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 85730 Q7079 THROMBOPLAST T | $216.55 | $721.82 | $173.24–$649.64 | — | 70% |
| Progesterone blood test CPT 84144 Progesterone - Send Out CQ | $211.10 | $1,005.25 | $18.45–$904.72 | 91% above | 79% |
| Progesterone blood test inpatient CPT 84144 Progesterone - Send Out CQ | $301.58 | $1,005.25 | $241.26–$904.72 | — | 70% |
| Prolactin blood test CPT 84146 Prolactin Level | $256.34 | $1,220.66 | $17.14–$1,098.59 | 109% above | 79% |
| Prolactin blood test CPT 84146 Prolactin - Send Out to CQ | $256.34 | $1,220.66 | $17.14–$1,098.59 | 109% above | 79% |
| Prolactin blood test inpatient CPT 84146 Prolactin - Send Out to CQ | $366.20 | $1,220.66 | $292.96–$1,098.59 | — | 70% |
| Prolactin blood test inpatient CPT 84146 Prolactin Level | $366.20 | $1,220.66 | $292.96–$1,098.59 | — | 70% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time w/INR | $101.05 | $481.20 | $3.79–$433.08 | 261% above | 79% |
| Prothrombin time (PT/INR) clotting test CPT 85610 .Protime w/INR POC | $101.05 | $481.20 | $3.79–$433.08 | 261% above | 79% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time w/INR | $144.36 | $481.20 | $115.49–$433.08 | — | 70% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 .Protime w/INR POC | $144.36 | $481.20 | $115.49–$433.08 | — | 70% |
| Rapid flu test (influenza antigen) CPT 87804 Influenza A Antigen Result | $108.99 | $519.00 | $12.45–$467.10 | 82% above | 79% |
| Rapid flu test (influenza antigen) CPT 87804 Influenza B Antigen Result | $108.99 | $519.00 | $12.45–$467.10 | 82% above | 79% |
| Rapid flu test (influenza antigen) CPT 87804 87804 INFLUENZA ASSAY W-OP | $108.99 | $519.00 | $12.45–$467.10 | 82% above | 79% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 87804 INFLUENZA ASSAY W-OP | $155.70 | $519.00 | $124.56–$467.10 | — | 70% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza A Antigen Result | $155.70 | $519.00 | $124.56–$467.10 | — | 70% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza B Antigen Result | $155.70 | $519.00 | $124.56–$467.10 | — | 70% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 .Rapid Strep A POC | $20.90 | $99.52 | $12.87–$89.57 | 47% below | 79% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Streptococcus A Antigen IA1 | $20.90 | $99.52 | $12.87–$89.57 | 47% below | 79% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Rapid Strep A FIA | $20.90 | $99.52 | $12.87–$89.57 | 47% below | 79% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Rapid Strep A FIA | $29.86 | $99.52 | $23.88–$89.57 | — | 70% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 .Rapid Strep A POC | $29.86 | $99.52 | $23.88–$89.57 | — | 70% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Streptococcus A Antigen IA1 | $29.86 | $99.52 | $23.88–$89.57 | — | 70% |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Titer | $44.18 | $210.37 | $5.02–$189.33 | 1% below | 79% |
| Rheumatoid factor (RF) test CPT 86431 86431 Q37491 RHEUMATOID FA | $44.18 | $210.37 | $5.02–$189.33 | 1% below | 79% |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor (CQ) | $44.18 | $210.37 | $5.02–$189.33 | 1% below | 79% |
| Rheumatoid factor (RF) test inpatient CPT 86431 86431 Q37491 RHEUMATOID FA | $63.11 | $210.37 | $50.49–$189.33 | — | 70% |
| Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor Titer | $63.11 | $210.37 | $50.49–$189.33 | — | 70% |
| Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor (CQ) | $63.11 | $210.37 | $50.49–$189.33 | — | 70% |
| Rubella antibody test (immunity check) CPT 86762 Rubella IgG Antibody | $96.03 | $457.27 | $12.73–$411.54 | 82% above | 79% |
| Rubella antibody test (immunity check) CPT 86762 Rubella Antibody IgG - Send Out to CQ | $96.03 | $457.27 | $12.73–$411.54 | 82% above | 79% |
| Rubella antibody test (immunity check) CPT 86762 Rubella Antibody IgM - Send Out CQ | $96.03 | $457.27 | $12.73–$411.54 | 82% above | 79% |
| Rubella antibody test (immunity check) CPT 86762 86762 Q37673 RUBELLA AB IGG | $96.03 | $457.27 | $12.73–$411.54 | 82% above | 79% |
| Rubella antibody test (immunity check) CPT 86762 Rubella Ab IgG Auto w/Interp | $96.03 | $457.27 | $12.73–$411.54 | 82% above | 79% |
| Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Antibody IgG - Send Out to CQ | $137.18 | $457.27 | $109.74–$411.54 | — | 70% |
| Rubella antibody test (immunity check) inpatient CPT 86762 86762 Q37673 RUBELLA AB IGG | $137.18 | $457.27 | $109.74–$411.54 | — | 70% |
| Rubella antibody test (immunity check) inpatient CPT 86762 Rubella IgG Antibody | $137.18 | $457.27 | $109.74–$411.54 | — | 70% |
| Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Ab IgG Auto w/Interp | $137.18 | $457.27 | $109.74–$411.54 | — | 70% |
| Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Antibody IgM - Send Out CQ | $137.18 | $457.27 | $109.74–$411.54 | — | 70% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 ESRA | $166.66 | $793.62 | $2.39–$714.26 | 384% above | 79% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 ESRA | $238.09 | $793.62 | $190.47–$714.26 | — | 70% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 Semen Analysis w/Differential | $220.89 | $1,051.86 | $10.89–$946.67 | 88% above | 79% |
| Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 Semen Analysis w/Differential | $315.56 | $1,051.86 | $252.45–$946.67 | — | 70% |
| Stool ova and parasites exam CPT 87177 87177 Q681 OVA-PARASITES S | $318.24 | $1,515.43 | $7.87–$1,363.89 | 453% above | 79% |
| Stool ova and parasites exam inpatient CPT 87177 87177 Q681 OVA-PARASITES S | $454.63 | $1,515.43 | $363.70–$1,363.89 | — | 70% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 .POCFecOB | $76.45 | $364.06 | $3.87–$327.65 | 256% above | 79% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 FOBT | $76.45 | $364.06 | $3.87–$327.65 | 256% above | 79% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 FOBT | $109.22 | $364.06 | $87.37–$327.65 | — | 70% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 .POCFecOB | $109.22 | $364.06 | $87.37–$327.65 | — | 70% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rapid Plasma Reagin Titer w/Reflex Titer | $196.55 | $935.97 | $3.78–$842.37 | 564% above | 79% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR,(DX)w/Reflex to Titer & Confirmatory Testing C | $196.55 | $935.97 | $3.78–$842.37 | 564% above | 79% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rapid Plasma Reagin Qual | $196.55 | $935.97 | $3.78–$842.37 | 564% above | 79% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL, CSF CQ | $196.55 | $935.97 | $3.78–$842.37 | 564% above | 79% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rapid Plasma Reagin Monitor w/Reflex Titer (CQ) | $196.55 | $935.97 | $3.78–$842.37 | 564% above | 79% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL, SerumCQ | $196.55 | $935.97 | $3.78–$842.37 | 564% above | 79% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL, SerumCQ | $280.79 | $935.97 | $224.63–$842.37 | — | 70% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR,(DX)w/Reflex to Titer & Confirmatory Testing C | $280.79 | $935.97 | $224.63–$842.37 | — | 70% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Rapid Plasma Reagin Monitor w/Reflex Titer (CQ) | $280.79 | $935.97 | $224.63–$842.37 | — | 70% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Rapid Plasma Reagin Titer w/Reflex Titer | $280.79 | $935.97 | $224.63–$842.37 | — | 70% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL, CSF CQ | $280.79 | $935.97 | $224.63–$842.37 | — | 70% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Rapid Plasma Reagin Qual | $280.79 | $935.97 | $224.63–$842.37 | — | 70% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QuantiFERON-TB Gold Plus, 1 Tube CQ | $88.62 | $422.00 | $54.82–$379.80 | 53% below | 79% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Q36971 TB QFT PL 4TU - BCE | $88.62 | $422.00 | $54.82–$379.80 | 53% below | 79% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon(R)-TB Gold Plus, 4T, Incubated (CQ) | $88.62 | $422.00 | $54.82–$379.80 | 53% below | 79% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Q36971 TB QFT PL 4TU - BCE | $126.60 | $422.00 | $101.28–$379.80 | — | 70% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Quantiferon(R)-TB Gold Plus, 4T, Incubated (CQ) | $126.60 | $422.00 | $101.28–$379.80 | — | 70% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QuantiFERON-TB Gold Plus, 1 Tube CQ | $126.60 | $422.00 | $101.28–$379.80 | — | 70% |
| Testosterone blood test, total (not free testosterone) CPT 84403 84403 Q14966 TESTOST TOTAL | $97.07 | $462.24 | $22.83–$416.02 | 18% below | 79% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Total LC-MS/MS - Send Out to CQ | $282.79 | $1,346.63 | $22.83–$1,211.97 | 138% above | 79% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Total Males - Send Out CQ | $282.79 | $1,346.63 | $22.83–$1,211.97 | 138% above | 79% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Total | $282.79 | $1,346.63 | $22.83–$1,211.97 | 138% above | 79% |
| Testosterone blood test, total (not free testosterone) CPT 84403 84403 Q36170 TESTOST TOTAL | $282.79 | $1,346.63 | $22.83–$1,211.97 | 138% above | 79% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 84403 Q14966 TESTOST TOTAL | $138.67 | $462.24 | $110.94–$416.02 | — | 70% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone Total Males - Send Out CQ | $403.99 | $1,346.63 | $323.19–$1,211.97 | — | 70% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 84403 Q36170 TESTOST TOTAL | $403.99 | $1,346.63 | $323.19–$1,211.97 | — | 70% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone Total LC-MS/MS - Send Out to CQ | $403.99 | $1,346.63 | $323.19–$1,211.97 | — | 70% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone Total | $403.99 | $1,346.63 | $323.19–$1,211.97 | — | 70% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 86376 Q19873 MICROSOML AB | $82.27 | $391.77 | $12.87–$352.59 | 7% above | 79% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase Antibody (CQ) | $82.27 | $391.77 | $12.87–$352.59 | 7% above | 79% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Liver Kidney Microsome IgG - Send Out to CQ | $82.27 | $391.77 | $12.87–$352.59 | 7% above | 79% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 86376 Q37491 MICROSOMAL AB | $82.27 | $391.77 | $12.87–$352.59 | 7% above | 79% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 86376 Q19873 MICROSOML AB | $117.53 | $391.77 | $94.02–$352.59 | — | 70% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 86376 Q37491 MICROSOMAL AB | $117.53 | $391.77 | $94.02–$352.59 | — | 70% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Liver Kidney Microsome IgG - Send Out to CQ | $117.53 | $391.77 | $94.02–$352.59 | — | 70% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroid Peroxidase Antibody (CQ) | $117.53 | $391.77 | $94.02–$352.59 | — | 70% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 84443 NBS THYROID STIM TSH | $27.78 | $132.27 | $14.86–$119.04 | 39% below | 79% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone (CQ) | $237.56 | $1,131.22 | $14.86–$1,018.10 | 419% above | 79% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH w/Reflex to T4 Total | $237.56 | $1,131.22 | $14.86–$1,018.10 | 419% above | 79% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone | $237.56 | $1,131.22 | $14.86–$1,018.10 | 419% above | 79% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone w/Reflex to Free T4 | $237.56 | $1,131.22 | $14.86–$1,018.10 | 419% above | 79% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 84443 NBS THYROID STIM TSH | $39.68 | $132.27 | $31.74–$119.04 | — | 70% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stimulating Hormone (CQ) | $339.37 | $1,131.22 | $271.49–$1,018.10 | — | 70% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stimulating Hormone w/Reflex to Free T4 | $339.37 | $1,131.22 | $271.49–$1,018.10 | — | 70% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stimulating Hormone | $339.37 | $1,131.22 | $271.49–$1,018.10 | — | 70% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH w/Reflex to T4 Total | $339.37 | $1,131.22 | $271.49–$1,018.10 | — | 70% |
| Trichomonas test (NAAT) CPT 87661 Trichomonasvaginalis RNA,Qual TMA CQ | $149.20 | $710.48 | $31.04–$639.43 | 8% above | 79% |
| Trichomonas test (NAAT) CPT 87661 Trichomonas vaginalis RNA Ql TMA Males (CQ) | $149.20 | $710.48 | $31.04–$639.43 | 8% above | 79% |
| Trichomonas test (NAAT) inpatient CPT 87661 Trichomonas vaginalis RNA Ql TMA Males (CQ) | $213.14 | $710.48 | $170.52–$639.43 | — | 70% |
| Trichomonas test (NAAT) inpatient CPT 87661 Trichomonasvaginalis RNA,Qual TMA CQ | $213.14 | $710.48 | $170.52–$639.43 | — | 70% |
| Uric acid blood test CPT 84550 Uric Acid Level | $223.01 | $1,061.94 | $4.00–$955.75 | 428% above | 79% |
| Uric acid blood test inpatient CPT 84550 Uric Acid Level | $318.58 | $1,061.94 | $254.87–$955.75 | — | 70% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis w/Microscopic Automated | $104.76 | $498.84 | $2.80–$448.96 | 180% above | 79% |
| Urinalysis with microscope exam, automated CPT 81001 Perform Microscopic - Yes | $104.76 | $498.84 | $2.80–$448.96 | 180% above | 79% |
| Urinalysis with microscope exam, automated CPT 81001 .Bill Only DS Auto/MSc Reqd | $104.76 | $498.84 | $2.80–$448.96 | 180% above | 79% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis w/Microscopic Automated | $149.65 | $498.84 | $119.72–$448.96 | — | 70% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 .Bill Only DS Auto/MSc Reqd | $149.65 | $498.84 | $119.72–$448.96 | — | 70% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Perform Microscopic - Yes | $149.65 | $498.84 | $119.72–$448.96 | — | 70% |
| Urinalysis with microscope exam, manual CPT 81000 Urinalysis w/Microscopic Manual | $10.32 | $49.13 | $3.56–$44.22 | 68% below | 79% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 Urinalysis w/Microscopic Manual | $14.74 | $49.13 | $11.79–$44.22 | — | 70% |
| Urinalysis without microscope exam, automated CPT 81003 .Bill Only DS Auto/No MSc | $75.13 | $357.76 | $1.99–$321.98 | 274% above | 79% |
| Urinalysis without microscope exam, automated CPT 81003 Reflex Microscopic Type? - Not Required | $75.13 | $357.76 | $1.99–$321.98 | 274% above | 79% |
| Urinalysis without microscope exam, automated CPT 81003 Dipstick Type? - Auto | $75.13 | $357.76 | $1.99–$321.98 | 274% above | 79% |
| Urinalysis without microscope exam, automated CPT 81003 Perform Microscopic - No | $75.13 | $357.76 | $1.99–$321.98 | 274% above | 79% |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis w/o Microscopic Automated | $75.13 | $357.76 | $1.99–$321.98 | 274% above | 79% |
| Urinalysis without microscope exam, automated CPT 81003 Urine Color Urine Dipstick | $75.13 | $357.76 | $1.99–$321.98 | 274% above | 79% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Perform Microscopic - No | $107.33 | $357.76 | $85.86–$321.98 | — | 70% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 .Bill Only DS Auto/No MSc | $107.33 | $357.76 | $85.86–$321.98 | — | 70% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Dipstick Type? - Auto | $107.33 | $357.76 | $85.86–$321.98 | — | 70% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Reflex Microscopic Type? - Not Required | $107.33 | $357.76 | $85.86–$321.98 | — | 70% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urine Color Urine Dipstick | $107.33 | $357.76 | $85.86–$321.98 | — | 70% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis w/o Microscopic Automated | $107.33 | $357.76 | $85.86–$321.98 | — | 70% |
| Urinalysis without microscope exam, manual CPT 81002 Dipstick Type? - Manual | $52.64 | $250.68 | $3.08–$225.61 | 305% above | 79% |
| Urinalysis without microscope exam, manual CPT 81002 Ketones Ur Ql | $52.64 | $250.68 | $3.08–$225.61 | 305% above | 79% |
| Urinalysis without microscope exam, manual CPT 81002 .Bill Only DS Man/No MSc | $52.64 | $250.68 | $3.08–$225.61 | 305% above | 79% |
| Urinalysis without microscope exam, manual CPT 81002 .Urinalysis Manual w/o MicroSc POC | $52.64 | $250.68 | $3.08–$225.61 | 305% above | 79% |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis w/o Microscopic Manual | $52.64 | $250.68 | $3.08–$225.61 | 305% above | 79% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 .Urinalysis Manual w/o MicroSc POC | $75.20 | $250.68 | $60.16–$225.61 | — | 70% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis w/o Microscopic Manual | $75.20 | $250.68 | $60.16–$225.61 | — | 70% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 .Bill Only DS Man/No MSc | $75.20 | $250.68 | $60.16–$225.61 | — | 70% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Ketones Ur Ql | $75.20 | $250.68 | $60.16–$225.61 | — | 70% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Dipstick Type? - Manual | $75.20 | $250.68 | $60.16–$225.61 | — | 70% |
| Urine culture for bacteria, with colony count CPT 87086 Urine Culture Qn | $232.27 | $1,106.03 | $7.14–$995.43 | 260% above | 79% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 Urine Culture Qn | $331.81 | $1,106.03 | $265.45–$995.43 | — | 70% |
| Urine pregnancy test, read by color change CPT 81025 POC HCG Patient Test Result | $302.37 | $1,439.86 | $7.62–$1,295.87 | 507% above | 79% |
| Urine pregnancy test, read by color change CPT 81025 .HCG Urine Ql POC | $302.37 | $1,439.86 | $7.62–$1,295.87 | 507% above | 79% |
| Urine pregnancy test, read by color change CPT 81025 POC HCG Patient Test Result - Positive | $302.37 | $1,439.86 | $7.62–$1,295.87 | 507% above | 79% |
| Urine pregnancy test, read by color change CPT 81025 Human Chorionic Gonadotropin Urine Qual Manual | $302.37 | $1,439.86 | $7.62–$1,295.87 | 507% above | 79% |
| Urine pregnancy test, read by color change CPT 81025 POC HCG Patient Test Result - Negative | $302.37 | $1,439.86 | $7.62–$1,295.87 | 507% above | 79% |
| Urine pregnancy test, read by color change inpatient CPT 81025 POC HCG Patient Test Result - Negative | $431.96 | $1,439.86 | $345.57–$1,295.87 | — | 70% |
| Urine pregnancy test, read by color change inpatient CPT 81025 Human Chorionic Gonadotropin Urine Qual Manual | $431.96 | $1,439.86 | $345.57–$1,295.87 | — | 70% |
| Urine pregnancy test, read by color change inpatient CPT 81025 .HCG Urine Ql POC | $431.96 | $1,439.86 | $345.57–$1,295.87 | — | 70% |
| Urine pregnancy test, read by color change inpatient CPT 81025 POC HCG Patient Test Result - Positive | $431.96 | $1,439.86 | $345.57–$1,295.87 | — | 70% |
| Urine pregnancy test, read by color change inpatient CPT 81025 POC HCG Patient Test Result | $431.96 | $1,439.86 | $345.57–$1,295.87 | — | 70% |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 | $76.98 | $366.57 | $13.34–$329.91 | at median | 79% |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 Serum - Send Out CQ | $76.98 | $366.57 | $13.34–$329.91 | at median | 79% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B12 | $109.97 | $366.57 | $87.98–$329.91 | — | 70% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B12 Serum - Send Out CQ | $109.97 | $366.57 | $87.98–$329.91 | — | 70% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25-Hydroxy LC | $99.94 | $475.89 | $26.18–$428.30 | 26% below | 79% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25-Hydroxy D2 + D3 LC | $99.94 | $475.89 | $26.18–$428.30 | 26% below | 79% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25 OH LC-MS/MS - Send Out to CQ | $107.93 | $513.96 | $26.18–$462.56 | 21% below | 79% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25 hydroxy | $107.93 | $513.96 | $26.18–$462.56 | 21% below | 79% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25-Hydroxy D2 + D3 LC | $142.77 | $475.89 | $114.21–$428.30 | — | 70% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25-Hydroxy LC | $142.77 | $475.89 | $114.21–$428.30 | — | 70% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25 hydroxy | $154.19 | $513.96 | $123.35–$462.56 | — | 70% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25 OH LC-MS/MS - Send Out to CQ | $154.19 | $513.96 | $123.35–$462.56 | — | 70% |
| Zinc blood test CPT 84630 Zinc Plasma or Serum (LC) | $141.09 | $671.85 | $10.07–$604.67 | 131% above | 79% |
| Zinc blood test CPT 84630 Zinc, RBC (CQ) | $152.38 | $725.60 | $10.07–$653.04 | 149% above | 79% |
| Zinc blood test CPT 84630 Zinc 24 Hr Urine (CQ) | $152.38 | $725.60 | $10.07–$653.04 | 149% above | 79% |
| Zinc blood test CPT 84630 Zinc (CQ) | $152.38 | $725.60 | $10.07–$653.04 | 149% above | 79% |
| Zinc blood test inpatient CPT 84630 Zinc Plasma or Serum (LC) | $201.56 | $671.85 | $161.24–$604.67 | — | 70% |
| Zinc blood test inpatient CPT 84630 Zinc 24 Hr Urine (CQ) | $217.68 | $725.60 | $174.14–$653.04 | — | 70% |
| Zinc blood test inpatient CPT 84630 Zinc (CQ) | $217.68 | $725.60 | $174.14–$653.04 | — | 70% |
| Zinc blood test inpatient CPT 84630 Zinc, RBC (CQ) | $217.68 | $725.60 | $174.14–$653.04 | — | 70% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Human Chorionic Gonadotropin Quant | $263.75 | $1,255.93 | $11.54–$1,130.34 | 210% above | 79% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Human Chorionic Gonadotropin Total Quantitative - | $263.75 | $1,255.93 | $11.54–$1,130.34 | 210% above | 79% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Human Chorionic Gonadotropin Quant | $376.78 | $1,255.93 | $301.42–$1,130.34 | — | 70% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Human Chorionic Gonadotropin Total Quantitative - | $376.78 | $1,255.93 | $301.42–$1,130.34 | — | 70% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Missouri | Off list |
|---|---|---|---|---|---|
| Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 ARTHRD ANT NTRBDY CERVICAL | $65,720.91 | $312,956.70 | $363.00–$281,661.03 | 367% above | 79% |
| Appendectomy, open surgery CPT 44950 APPENDECTOMY | $28,063.15 | $133,634.07 | $320.00–$120,270.66 | 1752% above | 79% |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 SHO ARTHRS SRG RT8TR CUF RPR | $8,752.38 | $41,677.98 | $363.00–$37,510.18 | 40% below | 79% |
| Botox injections for chronic migraine CPT 64615 CHEMODENERV MUSC MIGRAINE | $3,404.79 | $16,213.29 | $138.60–$14,591.96 | 1210% above | 79% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 MG Breast Biopsy w Loc w Stereo 1 Lsn Lt | $1,063.18 | $5,062.78 | $250.00–$4,556.50 | 62% below | 79% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 MG Breast Biopsy w Loc w Stereo 1 Lsn Rt | $1,063.18 | $5,062.78 | $250.00–$4,556.50 | 62% below | 79% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 MG Breast Biopsy w Loc w Stereo 1 Lsn Lt | $1,518.83 | $5,062.78 | $1,215.07–$4,556.50 | — | 70% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 MG Breast Biopsy w Loc w Stereo 1 Lsn Rt | $1,518.83 | $5,062.78 | $1,215.07–$4,556.50 | — | 70% |
| Bunion correction with removal of part of the big toe joint CPT 28292 CORRECTION OF BUNION | $17,942.35 | $85,439.76 | $250.00–$76,895.78 | 1284% above | 79% |
| Cardiac catheterization with coronary angiogram CPT 93458 IC-L HRT ARTERY/VENTRICLE ANGIO [MOPB] | $8,907.31 | $42,415.76 | $165.64–$38,174.18 | 16% below | 79% |
| Cardiac catheterization with coronary angiogram CPT 93458 L HRT ARTERY/VENTRICLE ANGIO | $16,564.15 | $78,876.92 | $165.64–$70,989.23 | 57% above | 79% |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 IC-L HRT ARTERY/VENTRICLE ANGIO [MOPB] | $12,724.73 | $42,415.76 | $10,179.78–$38,174.18 | — | 70% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 ED Cardioversion Set up for procedure - Cardiovers | $862.40 | $4,106.66 | $52.02–$3,695.99 | 5% above | 79% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 $ED Cardioversion | $862.40 | $4,106.66 | $52.02–$3,695.99 | 5% above | 79% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 IC-CARDIOVERSION ELECTIVE EXT T [MOPB] | $862.40 | $4,106.66 | $76.00–$3,695.99 | 5% above | 79% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 $ED Cardioversion/Defibrillation | $862.40 | $4,106.66 | $52.02–$3,695.99 | 5% above | 79% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC, EXT | $1,213.41 | $5,778.15 | $76.00–$5,200.34 | 47% above | 79% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 IC-CARDIOVERSION ELECTIVE EXT T [MOPB] | $1,232.00 | $4,106.66 | $985.60–$3,695.99 | — | 70% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 ED Cardioversion Set up for procedure - Cardiovers | $1,232.00 | $4,106.66 | $985.60–$3,695.99 | — | 70% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 $ED Cardioversion/Defibrillation | $1,232.00 | $4,106.66 | $985.60–$3,695.99 | — | 70% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 $ED Cardioversion | $1,232.00 | $4,106.66 | $985.60–$3,695.99 | — | 70% |
| Carpal tunnel release, open surgery CPT 64721 CARPAL TUNNEL SURGERY | $15,729.12 | $74,900.55 | $320.00–$67,410.50 | 321% above | 79% |
| Cervical biopsy CPT 57500 BIOPSY OF CERVIX | $12,662.13 | $60,295.84 | $131.81–$54,266.26 | 1094% above | 79% |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUMCISION | $14,488.43 | $68,992.52 | $182.51–$62,093.27 | 328% above | 79% |
| Colonoscopy with polyp removal CPT 45385 LESION REMOVAL COLONOSCOPY | $6,624.51 | $31,545.28 | $250.00–$28,390.75 | 290% above | 79% |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY AND BIOPSY | $6,649.02 | $31,662.01 | $250.00–$28,495.81 | 265% above | 79% |
| Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC COLONOSCOPY | $5,130.89 | $24,432.82 | $250.00–$21,989.54 | 291% above | 79% |
| Coronary stent placement, one artery CPT 92928 IC-PERC CARD STENT/ANGIO 1 VSL [MOPB] | $17,539.50 | $83,521.42 | $320.00–$75,169.28 | 23% above | 79% |
| Coronary stent placement, one artery CPT 92928 PRQ TCAT PLMT NTRAC ST 1 LES | $33,442.74 | $159,251.13 | $320.00–$143,326.02 | 134% above | 79% |
| Coronary stent placement, one artery inpatient CPT 92928 IC-PERC CARD STENT/ANGIO 1 VSL [MOPB] | $25,056.43 | $83,521.42 | $20,045.14–$75,169.28 | — | 70% |
| Cystoscopy with ureteral stent placement CPT 52332 CYSTOSCOPY AND TREATMENT | $33,621.93 | $160,104.43 | $325.64–$144,093.99 | 466% above | 79% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOSCOPY | $15,355.07 | $73,119.36 | $190.76–$65,807.42 | 1137% above | 79% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION AND CURETTAGE | $21,040.52 | $100,192.93 | $267.01–$100,192.93 | 502% above | 79% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI | $405.48 | $1,930.87 | $13.10–$1,737.78 | 447% above | 79% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 IR Inj Catheter Placement C-T w Imaging | $1,156.30 | $5,506.20 | $225.18–$4,955.58 | 13% below | 79% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 NJX INTERLAMINAR CRV/THRC | $1,263.49 | $6,016.61 | $225.18–$5,414.95 | 5% below | 79% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 IR Inj Catheter Placement C-T w Imaging | $1,651.86 | $5,506.20 | $1,321.49–$4,955.58 | — | 70% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 IR Inj Paravert Facet Joint L S 1 Lvl | $834.09 | $3,971.87 | $155.35–$3,574.68 | 20% below | 79% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 CT Inj Paravert Facet Joint L S 1 Lvl | $834.09 | $3,971.87 | $155.35–$3,574.68 | 20% below | 79% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L/S 1 LEV | $1,455.48 | $6,930.86 | $155.35–$6,237.77 | 40% above | 79% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 IR Inj Paravert Facet Joint L S 1 Lvl | $1,191.56 | $3,971.87 | $953.25–$3,574.68 | — | 70% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 CT Inj Paravert Facet Joint L S 1 Lvl | $1,191.56 | $3,971.87 | $953.25–$3,574.68 | — | 70% |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 RPR AA HRN 1ST 3-10 RDC | $33,316.80 | $158,651.42 | $297.00–$142,786.28 | 358% above | 79% |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 RPR AA HRN 1ST < 3 CM RDC | $29,473.84 | $140,351.60 | $297.00–$126,316.44 | 404% above | 79% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DIAGNOSTIC SIGMOIDOSCOPY | $4,209.36 | $20,044.59 | $159.08–$18,040.13 | 271% above | 79% |
| Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY | $28,627.60 | $136,321.91 | $363.00–$122,689.72 | 297% above | 79% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAPARO CHOLECYSTECTOMY/GRAPH | $26,260.92 | $125,051.99 | $363.00–$112,546.79 | 255% above | 79% |
| Gallbladder removal, open surgery through a larger incision CPT 47600 REMOVAL OF GALLBLADDER | $38,358.32 | $182,658.67 | $297.00–$164,392.80 | 1719% above | 79% |
| Hammertoe correction surgery CPT 28285 REPAIR OF HAMMERTOE | $22,409.19 | $106,710.43 | $250.00–$96,039.39 | 828% above | 79% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 LIGATION OF HEMORRHOID(S) | $3,413.40 | $16,254.28 | $250.00–$14,628.85 | 151% above | 79% |
| Hemorrhoidectomy (internal and external), one area CPT 46255 HEMORRHOIDECTOMY | $16,140.44 | $76,859.24 | $297.00–$69,173.32 | 215% above | 79% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 S-INJ CATH HYSTERSO | $122.22 | $581.99 | $116.40–$701.16 | 57% below | 79% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 S-INJ CATH HYSTERSO | $174.60 | $581.99 | $139.68–$523.79 | — | 70% |
| Hysteroscopy with endometrial ablation CPT 58563 HYSTEROSCOPY, ABLATION | $19,130.61 | $91,098.14 | $363.00–$81,988.33 | 145% above | 79% |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTEROSCOPY, BIOPSY | $16,004.67 | $76,212.71 | $363.00–$68,591.44 | 251% above | 79% |
| IUD insertion (the device itself billed separately) CPT 58300 INSERT INTRAUTERINE DEVICE | $13,530.03 | $64,428.70 | $40.48–$57,985.83 | 2096% above | 79% |
| Incision and drainage of a simple or single skin abscess CPT 10060 DRAINAGE OF SKIN ABSCESS | $2,481.27 | $11,815.56 | $112.74–$10,634.00 | 981% above | 79% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 REPAIR INGUINAL HERNIA | $27,945.55 | $133,074.03 | $363.00–$119,766.63 | 328% above | 79% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECT TENDON/LIGAMENT/CYST | $4,001.59 | $19,055.17 | $52.42–$17,149.65 | 1804% above | 79% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 S-JNT ASP INJ MAJ UN | $197.71 | $941.49 | $58.55–$847.34 | 8% below | 79% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610 - Arthrocentesis, aspiration and/or injectio | $299.45 | $1,425.95 | $58.55–$1,283.36 | 39% above | 79% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJECT, JOINT/BURSA | $1,308.16 | $6,229.33 | $58.55–$5,606.40 | 506% above | 79% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 S-JNT ASP INJ MAJ UN | $282.45 | $941.49 | $225.96–$847.34 | — | 70% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 20610 - Arthrocentesis, aspiration and/or injectio | $427.79 | $1,425.95 | $342.23–$1,283.36 | — | 70% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 S-JOINT ASP-INJ IM | $342.84 | $1,632.58 | $49.25–$1,469.32 | 64% above | 79% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJECT, JOINT/BURSA | $2,926.93 | $13,937.74 | $49.25–$12,543.97 | 1299% above | 79% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 S-JOINT ASP-INJ IM | $489.77 | $1,632.58 | $391.82–$1,469.32 | — | 70% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJECT, JOINT/BURSA | $832.06 | $3,962.17 | $48.32–$3,565.95 | 303% above | 79% |
| Knee arthroscopy with meniscus trim CPT 29881 KNEE ARTHROSCOPY/SURGERY | $27,127.52 | $129,178.66 | $297.00–$116,260.79 | 292% above | 79% |
| Knee arthroscopy with removal of both torn meniscus parts CPT 29880 KNEE ARTHROSCOPY/SURGERY | $28,746.29 | $136,887.11 | $297.00–$123,198.40 | 294% above | 79% |
| Laparoscopic Roux-en-Y gastric bypass, standard limb length CPT 43644 LAP GASTRIC BYPASS/ROUX-EN-Y | $50,187.98 | $238,990.39 | $297.00–$215,091.35 | 97% above | 79% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPAROSCOPY, APPENDECTOMY | $28,934.78 | $137,784.68 | $363.00–$124,006.21 | 242% above | 79% |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 TLH W/T/O 250 G OR LESS | $32,088.52 | $152,802.49 | $363.00–$137,522.24 | 98% above | 79% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 LAPARO HERNIA REPAIR INITIAL | $32,566.14 | $155,076.87 | $363.00–$139,569.18 | 342% above | 79% |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 LAPARO HERNIA REPAIR RECUR | $27,245.91 | $129,742.44 | $363.00–$116,768.20 | 161% above | 79% |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAPAROSCOPY, REMOVE ADNEXA | $22,502.72 | $107,155.83 | $363.00–$96,440.25 | 110% above | 79% |
| Laparoscopic sleeve gastrectomy for weight loss CPT 43775 LAP SLEEVE GASTRECTOMY | $47,850.04 | $227,857.31 | $297.00–$205,071.58 | 126% above | 79% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAYER CLOSURE OF WOUND(S) | $16,557.73 | $78,846.33 | $227.30–$70,961.70 | 4260% above | 79% |
| Left heart catheterization, diagnostic one side CPT 93452 IC-LEFT HRT CATH W/VENTRICLGRPHY [MOPB] | $6,603.44 | $31,444.93 | $134.65–$28,300.44 | 6% below | 79% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 IC-LEFT HRT CATH W/VENTRICLGRPHY [MOPB] | $9,433.48 | $31,444.93 | $7,546.78–$28,300.44 | — | 70% |
| Lower-back epidural injection, with imaging guidance CPT 62323 IR Inj Catheter Placement L-S w Imaging | $1,135.14 | $5,405.42 | $220.85–$4,864.88 | 4% below | 79% |
| Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC | $1,486.15 | $7,076.91 | $220.85–$6,369.22 | 26% above | 79% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 IR Inj Catheter Placement L-S w Imaging | $1,621.63 | $5,405.42 | $1,297.30–$4,864.88 | — | 70% |
| Lower-back epidural injection, without imaging guidance CPT 62322 NJX INTERLAMINAR LMBR/SAC | $469.40 | $2,235.26 | $117.42–$2,011.73 | 59% below | 79% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ FORAMEN EPIDURAL L/S | $1,676.78 | $7,984.66 | $212.10–$7,186.19 | 12% above | 79% |
| Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 LOW BACK DISK SURGERY | $37,519.55 | $178,664.54 | $297.00–$160,798.09 | 181% above | 79% |
| Lumbar laminectomy (spinal decompression), one level CPT 63047 REMOVAL OF SPINAL LAMINA | $52,547.82 | $250,227.71 | $297.00–$225,204.94 | 246% above | 79% |
| Lumpectomy (partial mastectomy) CPT 19301 PARTIAL MASTECTOMY | $22,761.97 | $108,390.34 | $320.00–$97,551.31 | 1654% above | 79% |
| Mastectomy (total removal of the breast) CPT 19303 MAST SIMPLE COMPLETE | $46,839.07 | $223,043.20 | $320.00–$200,738.88 | 3070% above | 79% |
| Miscarriage treatment with D&C, first trimester CPT 59820 CARE OF MISCARRIAGE | $12,564.59 | $59,831.39 | $320.00–$53,848.25 | 158% above | 79% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 REMOVAL OF SKIN LESION | $21,505.45 | $102,406.92 | $111.29–$92,166.23 | 8656% above | 79% |
| Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE | $4,882.30 | $23,249.05 | $100.11–$20,924.15 | 2536% above | 79% |
| Occipital nerve block (injection for headaches) CPT 64405 INJECTION FOR NERVE BLOCK | $898.24 | $4,277.34 | $68.18–$3,849.61 | 150% above | 79% |
| Pacemaker implant (dual chamber) CPT 33208 INSERTION OF HEART PACEMAKER | $27,002.88 | $128,585.12 | $297.00–$115,726.61 | 55% above | 79% |
| Paracentesis with imaging guidance CPT 49083 IR Abdominal Paracentesis w Imaging | $607.91 | $2,894.82 | $247.99–$2,605.34 | 30% below | 79% |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING | $4,252.73 | $20,251.09 | $247.99–$18,225.98 | 393% above | 79% |
| Paracentesis with imaging guidance inpatient CPT 49083 IR Abdominal Paracentesis w Imaging | $868.45 | $2,894.82 | $694.76–$2,605.34 | — | 70% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED | $3,005.25 | $14,310.73 | $141.06–$12,879.66 | 642% above | 79% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTROY LUMB/SAC FACET JNT | $6,289.23 | $29,948.72 | $297.00–$26,953.85 | 333% above | 79% |
| Removal of a breast lump, open surgery CPT 19120 REMOVAL OF BREAST LESION | $8,213.15 | $39,110.23 | $320.00–$35,199.21 | 695% above | 79% |
| Removal of a foreign object under the skin, simple CPT 10120 REMOVE FOREIGN BODY | $4,969.78 | $23,665.64 | $132.55–$21,299.08 | 1532% above | 79% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLON CA SCRN NOT HI RSK IND | $4,897.70 | $23,322.39 | $297.00–$20,990.15 | 465% above | 79% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL SCRN; HI RISK IND | $4,960.61 | $23,621.97 | $297.00–$21,259.77 | 516% above | 79% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 Lithotripsy ESWL | $12,515.10 | $59,595.72 | $664.64–$53,636.15 | 29% above | 79% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 Extracorporeal Shockwave Lithotripsy | $12,515.10 | $59,595.72 | $664.64–$53,636.15 | 29% above | 79% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 Lithotripsy ESWL | $17,878.72 | $59,595.72 | $14,302.97–$53,636.15 | — | 70% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 Extracorporeal Shockwave Lithotripsy | $17,878.72 | $59,595.72 | $14,302.97–$53,636.15 | — | 70% |
| Short arm splint (forearm and hand) CPT 29125 SPLT SHRT ARM ST 0T - REDOC 182 | $167.98 | $799.91 | $60.37–$719.92 | 12% above | 79% |
| Short arm splint (forearm and hand) CPT 29125 SPLT SHRT ARM ST 0T - REDOC 184 | $167.98 | $799.91 | $60.37–$719.92 | 12% above | 79% |
| Short arm splint (forearm and hand) CPT 29125 SPLT SHRT ARM ST OT - REDOC 183 | $167.98 | $799.91 | $60.37–$719.92 | 12% above | 79% |
| Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT | $1,353.41 | $6,444.83 | $60.37–$5,800.35 | 805% above | 79% |
| Short arm splint (forearm and hand) inpatient CPT 29125 SPLT SHRT ARM ST 0T - REDOC 182 | $239.97 | $799.91 | $191.98–$719.92 | — | 70% |
| Short arm splint (forearm and hand) inpatient CPT 29125 SPLT SHRT ARM ST OT - REDOC 183 | $239.97 | $799.91 | $191.98–$719.92 | — | 70% |
| Short arm splint (forearm and hand) inpatient CPT 29125 SPLT SHRT ARM ST 0T - REDOC 184 | $239.97 | $799.91 | $191.98–$719.92 | — | 70% |
| Short leg splint (calf to foot) CPT 29515 APPLICATION LOWER LEG SPLINT | $1,863.82 | $8,875.32 | $66.57–$7,987.79 | 1029% above | 79% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 SHO ARTHRS SRG DSTL CLAVICLC | $8,752.38 | $41,677.98 | $297.00–$37,510.18 | 29% below | 79% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 SHOULDER ARTHROSCOPY/SURGERY | $8,752.38 | $41,677.98 | $158.97–$37,510.18 | 37% below | 79% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REPAIR SUPERFICIAL WOUND(S) | $1,163.08 | $5,538.47 | $82.78–$4,984.62 | 425% above | 79% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION | $3,037.06 | $14,462.17 | $106.69–$13,015.95 | 1059% above | 79% |
| Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAGS | $31,196.83 | $148,556.32 | $81.56–$133,700.69 | 20908% above | 79% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 S-SPINAL TAP DIAGNST | $492.31 | $2,344.32 | $128.31–$2,109.89 | 14% below | 79% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Lumbar Punctures w/o imaging | $492.31 | $2,344.32 | $128.31–$2,109.89 | 14% below | 79% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL FLUID TAP, DIAGNOSTIC | $5,218.83 | $24,851.56 | $128.31–$22,366.40 | 811% above | 79% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 S-SPINAL TAP DIAGNST | $703.30 | $2,344.32 | $562.64–$2,109.89 | — | 70% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Lumbar Punctures w/o imaging | $703.30 | $2,344.32 | $562.64–$2,109.89 | — | 70% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 REPAIR SUPERFICIAL WOUND(S) | $1,859.37 | $8,854.12 | $101.32–$7,968.71 | 544% above | 79% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REPAIR SUPERFICIAL WOUND(S) | $1,682.76 | $8,013.16 | $99.30–$7,211.84 | 533% above | 79% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LES | $3,427.54 | $16,321.63 | $85.48–$14,689.47 | 1629% above | 79% |
| Thoracentesis with imaging guidance CPT 32555 IR Thoracentesis w Imging Guidance | $2,307.58 | $10,988.47 | $250.00–$9,889.62 | 157% above | 79% |
| Thoracentesis with imaging guidance inpatient CPT 32555 IR Thoracentesis w Imging Guidance | $3,296.54 | $10,988.47 | $2,637.23–$9,889.62 | — | 70% |
| Total hip replacement CPT 27130 TOTAL HIP REPLACEMENT | $64,412.75 | $306,727.38 | $297.00–$276,054.64 | 1571% above | 79% |
| Total knee replacement CPT 27447 TOTAL KNEE REPLACEMENT | $59,151.60 | $281,674.30 | $297.00–$253,506.87 | 584% above | 79% |
| Total shoulder replacement CPT 23472 RECONSTRUCT SHOULDER JOINT | $74,187.38 | $353,273.24 | $297.00–$317,945.92 | 452% above | 79% |
| Total thyroid removal (thyroidectomy) CPT 60240 REMOVAL OF THYROID | $91,304.09 | $434,781.39 | $320.00–$391,303.25 | 557% above | 79% |
| Trigger finger release surgery CPT 26055 INCISE FINGER TENDON SHEATH | $14,121.15 | $67,243.57 | $250.00–$60,519.21 | 693% above | 79% |
| Trigger point injections, 1 or 2 muscles CPT 20552 S-INJ TRIG 1-2 MSCL | $194.17 | $924.63 | $46.89–$832.17 | 5% below | 79% |
| Trigger point injections, 1 or 2 muscles CPT 20552 NJX 1/MLT TRIGGER POINT 1/2 | $1,030.46 | $4,906.95 | $46.89–$4,416.26 | 404% above | 79% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 S-INJ TRIG 1-2 MSCL | $277.39 | $924.63 | $221.91–$832.17 | — | 70% |
| Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 LAPAROSCOPY, TUBAL CAUTERY | $19,128.96 | $91,090.30 | $342.43–$81,981.27 | 734% above | 79% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST 1ST LESION US IMAG | $1,171.16 | $5,576.93 | $250.00–$5,019.24 | 41% below | 79% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 IR US Breast Biopsy w Loc 1 Lesion Right | $797.32 | $3,796.77 | $250.00–$3,417.09 | 60% below | 79% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US Breast Biopsy w Loc 1 Lesion Left | $1,307.88 | $6,228.01 | $250.00–$5,605.21 | 35% below | 79% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US Breast Biopsy w Loc 1 Lesion Lt | $1,307.88 | $6,228.01 | $250.00–$5,605.21 | 35% below | 79% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US Breast Biopsy w Loc 1 Lesion Lt CM | $1,307.88 | $6,228.01 | $250.00–$5,605.21 | 35% below | 79% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US Breast Biopsy w Loc 1 Lesion Rt CM | $1,307.88 | $6,228.01 | $250.00–$5,605.21 | 35% below | 79% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US Breast Biopsy w Loc 1 Lesion Right | $1,307.88 | $6,228.01 | $250.00–$5,605.21 | 35% below | 79% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US Breast Biopsy w Loc 1 Lesion Rt | $1,307.88 | $6,228.01 | $250.00–$5,605.21 | 35% below | 79% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 IR US Breast Biopsy w Loc 1 Lesion Right | $1,139.03 | $3,796.77 | $911.22–$3,417.09 | — | 70% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 US Breast Biopsy w Loc 1 Lesion Left | $1,868.40 | $6,228.01 | $1,494.72–$5,605.21 | — | 70% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 US Breast Biopsy w Loc 1 Lesion Lt | $1,868.40 | $6,228.01 | $1,494.72–$5,605.21 | — | 70% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 US Breast Biopsy w Loc 1 Lesion Rt | $1,868.40 | $6,228.01 | $1,494.72–$5,605.21 | — | 70% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 US Breast Biopsy w Loc 1 Lesion Right | $1,868.40 | $6,228.01 | $1,494.72–$5,605.21 | — | 70% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 US Breast Biopsy w Loc 1 Lesion Lt CM | $1,868.40 | $6,228.01 | $1,494.72–$5,605.21 | — | 70% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 US Breast Biopsy w Loc 1 Lesion Rt CM | $1,868.40 | $6,228.01 | $1,494.72–$5,605.21 | — | 70% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 ESOPH ENDOSCOPY, DILATION | $6,900.52 | $32,859.64 | $363.00–$29,573.68 | 180% above | 79% |
| Upper endoscopy (EGD) with biopsy CPT 43239 UPPER GI ENDOSCOPY, BIOPSY | $6,886.19 | $32,791.37 | $297.00–$29,512.23 | 305% above | 79% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 UPPR GI SCOPE W/SUBMUC INJ | $7,563.03 | $36,014.44 | $250.00–$32,413.00 | 271% above | 79% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 OPERATIVE UPPER GI ENDOSCOPY | $8,141.86 | $38,770.75 | $250.00–$34,893.68 | 299% above | 79% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 UPPR GI ENDOSCOPY/GUIDE WIRE | $6,477.54 | $30,845.42 | $250.00–$27,760.88 | 376% above | 79% |
| Upper endoscopy (EGD), diagnostic CPT 43235 UPPR GI ENDOSCOPY, DIAGNOSIS | $7,839.98 | $37,333.26 | $247.83–$33,599.93 | 484% above | 79% |
| Wart removal, up to 14 warts CPT 17110 DESTRUCT LESION, 1-14 | $21,675.19 | $103,215.17 | $97.89–$92,893.65 | 13337% above | 79% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SKIN/TISSUE | $3,185.37 | $15,168.45 | $112.62–$13,651.61 | 703% above | 79% |
| Wrist fracture surgery (plate and screws), distal radius CPT 25607 OPTX DST RD XARTC FX/EPI SEP | $33,865.23 | $161,262.98 | $297.00–$145,136.68 | 560% above | 79% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Missouri | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 Blood transfusions | $405.54 | $1,931.14 | $35.96–$1,738.03 | 38% below | 79% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Administration Fee | $405.54 | $1,931.14 | $35.96–$1,738.03 | 38% below | 79% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Cryoprecipitate | $405.54 | $1,931.14 | $35.96–$1,738.03 | 38% below | 79% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Fresh frozen plasma | $405.54 | $1,931.14 | $35.96–$1,738.03 | 38% below | 79% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Packed red blood cells | $405.54 | $1,931.14 | $35.96–$1,738.03 | 38% below | 79% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Platelets (random donor) | $405.54 | $1,931.14 | $35.96–$1,738.03 | 38% below | 79% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Platelets (single donor) | $405.54 | $1,931.14 | $35.96–$1,738.03 | 38% below | 79% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Red blood cells (postoperati | $405.54 | $1,931.14 | $35.96–$1,738.03 | 38% below | 79% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Red blood cells (preoperativ | $405.54 | $1,931.14 | $35.96–$1,738.03 | 38% below | 79% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Whole blood | $405.54 | $1,931.14 | $35.96–$1,738.03 | 38% below | 79% |
| Blood transfusion (giving blood or blood components) CPT 36430 CHRG - BLOOD TRANSFUSION - Blood Transfusion Perfo | $405.54 | $1,931.14 | $35.96–$1,738.03 | 38% below | 79% |
| Blood transfusion (giving blood or blood components) CPT 36430 $ED Transfusion >2 yrs | $405.54 | $1,931.14 | $35.96–$1,738.03 | 38% below | 79% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Verified with Pt Information: - Transfu | $405.54 | $1,931.14 | $35.96–$1,738.03 | 38% below | 79% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION SERVICE | $4,345.54 | $20,693.04 | $35.96–$18,623.74 | 563% above | 79% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood transfusions | $579.34 | $1,931.14 | $463.47–$1,738.03 | — | 70% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Administration Fee | $579.34 | $1,931.14 | $463.47–$1,738.03 | — | 70% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Platelets (random donor) | $579.34 | $1,931.14 | $463.47–$1,738.03 | — | 70% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Platelets (single donor) | $579.34 | $1,931.14 | $463.47–$1,738.03 | — | 70% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Red blood cells (postoperati | $579.34 | $1,931.14 | $463.47–$1,738.03 | — | 70% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Red blood cells (preoperativ | $579.34 | $1,931.14 | $463.47–$1,738.03 | — | 70% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Whole blood | $579.34 | $1,931.14 | $463.47–$1,738.03 | — | 70% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 CHRG - BLOOD TRANSFUSION - Blood Transfusion Perfo | $579.34 | $1,931.14 | $463.47–$1,738.03 | — | 70% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 $ED Transfusion >2 yrs | $579.34 | $1,931.14 | $463.47–$1,738.03 | — | 70% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Verified with Pt Information: - Transfu | $579.34 | $1,931.14 | $463.47–$1,738.03 | — | 70% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Packed red blood cells | $579.34 | $1,931.14 | $463.47–$1,738.03 | — | 70% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Fresh frozen plasma | $579.34 | $1,931.14 | $463.47–$1,738.03 | — | 70% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Cryoprecipitate | $579.34 | $1,931.14 | $463.47–$1,738.03 | — | 70% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment Charge - Subsequent | $210.31 | $1,001.47 | $6.00–$901.32 | 38% above | 79% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Meter Dose Inhaler Charge - Subsequent | $210.31 | $1,001.47 | $6.00–$901.32 | 38% above | 79% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment Charge - Initial | $210.31 | $1,001.47 | $6.00–$901.32 | 38% above | 79% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment Charge - IPPB Initial | $210.31 | $1,001.47 | $6.00–$901.32 | 38% above | 79% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment Charge - IPV Initial | $210.31 | $1,001.47 | $6.00–$901.32 | 38% above | 79% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment Charge - IPV Subsequent | $210.31 | $1,001.47 | $6.00–$901.32 | 38% above | 79% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Meter Dose Inhaler Charge - Initial | $210.31 | $1,001.47 | $6.00–$901.32 | 38% above | 79% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment Charge - IPPB Subsequent | $210.31 | $1,001.47 | $6.00–$901.32 | 38% above | 79% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREATMENT | $2,911.52 | $13,864.36 | $6.00–$12,477.92 | 1810% above | 79% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Meter Dose Inhaler Charge - Subsequent | $300.44 | $1,001.47 | $240.35–$901.32 | — | 70% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Treatment Charge - IPV Initial | $300.44 | $1,001.47 | $240.35–$901.32 | — | 70% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Treatment Charge - IPV Subsequent | $300.44 | $1,001.47 | $240.35–$901.32 | — | 70% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Meter Dose Inhaler Charge - Initial | $300.44 | $1,001.47 | $240.35–$901.32 | — | 70% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Treatment Charge - Initial | $300.44 | $1,001.47 | $240.35–$901.32 | — | 70% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Treatment Charge - IPPB Initial | $300.44 | $1,001.47 | $240.35–$901.32 | — | 70% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Treatment Charge - IPPB Subsequent | $300.44 | $1,001.47 | $240.35–$901.32 | — | 70% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Treatment Charge - Subsequent | $300.44 | $1,001.47 | $240.35–$901.32 | — | 70% |
| Chemotherapy IV infusion, first hour CPT 96413 CHRG - CHEMO IV INFU 1ST HR | $364.01 | $1,733.37 | $104.03–$1,560.03 | 16% below | 79% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 CHRG - CHEMO IV INFU 1ST HR | $520.01 | $1,733.37 | $416.01–$1,560.03 | — | 70% |
| Critical care, first 30 to 74 minutes CPT 99291 99291 - Critical Care | $856.31 | $4,077.69 | $52.02–$3,669.92 | 36% below | 79% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 99291 - Critical Care | $1,223.31 | $4,077.69 | $978.65–$3,669.92 | — | 70% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG Including Recording Awake and Drowsy | $1,053.40 | $5,016.17 | $25.00–$4,514.55 | 18% above | 79% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 CHRG - EEG AWAKE DROWSY | $1,053.40 | $5,016.17 | $25.00–$4,514.55 | 18% above | 79% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 CHRG - EEG AWAKE DROWSY | $1,504.85 | $5,016.17 | $1,203.88–$4,514.55 | — | 70% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG Including Recording Awake and Drowsy | $1,504.85 | $5,016.17 | $1,203.88–$4,514.55 | — | 70% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG Series 3 Hours | $227.24 | $1,082.10 | $17.00–$973.89 | 19% above | 79% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG Series 6 Hours | $227.24 | $1,082.10 | $17.00–$973.89 | 19% above | 79% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ED EKG Series 3 Hours | $227.24 | $1,082.10 | $17.00–$973.89 | 19% above | 79% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG 12 Lead Series Now | $227.24 | $1,082.10 | $17.00–$973.89 | 19% above | 79% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ED EKG 12 Lead Series Now | $227.24 | $1,082.10 | $17.00–$973.89 | 19% above | 79% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ED EKG Series 1 Hour | $227.24 | $1,082.10 | $17.00–$973.89 | 19% above | 79% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG Series 1 Hour | $227.24 | $1,082.10 | $17.00–$973.89 | 19% above | 79% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Is the patient scheduled for a Cath Lab procedure | $227.24 | $1,082.10 | $17.00–$973.89 | 19% above | 79% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ED EKG Start Time | $227.24 | $1,082.10 | $17.00–$973.89 | 19% above | 79% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG BCE | $227.24 | $1,082.10 | $17.00–$973.89 | 19% above | 79% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG Series 6 Hours | $324.63 | $1,082.10 | $259.70–$973.89 | — | 70% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ED EKG Start Time | $324.63 | $1,082.10 | $259.70–$973.89 | — | 70% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG BCE | $324.63 | $1,082.10 | $259.70–$973.89 | — | 70% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG Series 3 Hours | $324.63 | $1,082.10 | $259.70–$973.89 | — | 70% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ED EKG Series 3 Hours | $324.63 | $1,082.10 | $259.70–$973.89 | — | 70% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG 12 Lead Series Now | $324.63 | $1,082.10 | $259.70–$973.89 | — | 70% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ED EKG 12 Lead Series Now | $324.63 | $1,082.10 | $259.70–$973.89 | — | 70% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ED EKG Series 1 Hour | $324.63 | $1,082.10 | $259.70–$973.89 | — | 70% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG Series 1 Hour | $324.63 | $1,082.10 | $259.70–$973.89 | — | 70% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Is the patient scheduled for a Cath Lab procedure | $324.63 | $1,082.10 | $259.70–$973.89 | — | 70% |
| Electroconvulsive therapy (ECT), one session CPT 90870 Electroconvulsive Therapy Procedure | $638.86 | $3,042.21 | $40.00–$2,737.99 | 52% below | 79% |
| Electroconvulsive therapy (ECT), one session CPT 90870 ECT 90870 | $638.86 | $3,042.21 | $40.00–$2,737.99 | 52% below | 79% |
| Electroconvulsive therapy (ECT), one session inpatient CPT 90870 Electroconvulsive Therapy Procedure | $912.66 | $3,042.21 | $730.13–$2,737.99 | — | 70% |
| Electroconvulsive therapy (ECT), one session inpatient CPT 90870 ECT 90870 | $912.66 | $3,042.21 | $730.13–$2,737.99 | — | 70% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 99281 - Level 1 | $139.94 | $666.39 | $10.70–$1,000.00 | at median | 79% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 99281 - Level 1 | $199.92 | $666.39 | $159.93–$599.75 | — | 70% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 99282 - Level 2 | $197.88 | $942.27 | $39.35–$1,000.00 | 18% below | 79% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 99282 - Level 2 | $282.68 | $942.27 | $226.14–$848.04 | — | 70% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 99283 - Level 3 | $294.96 | $1,404.58 | $52.02–$1,264.12 | 34% below | 79% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 99283 - Level 3 | $421.37 | $1,404.58 | $337.10–$1,264.12 | — | 70% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284 - Level 4 | $443.63 | $2,112.53 | $52.02–$1,901.28 | 35% below | 79% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 99284 - Level 4 | $633.76 | $2,112.53 | $507.01–$1,901.28 | — | 70% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 99285 - Level 5 | $646.53 | $3,078.73 | $52.02–$2,770.86 | 39% below | 79% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Trauma Notification Level - No Prior Notification | $695.26 | $3,310.74 | $52.02–$2,979.67 | 34% below | 79% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 99285 - Level 5 | $923.62 | $3,078.73 | $738.90–$2,770.86 | — | 70% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Trauma Notification Level - No Prior Notification | $993.22 | $3,310.74 | $794.58–$2,979.67 | — | 70% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Cardiac Stress Test | $463.21 | $2,205.76 | $32.03–$1,985.18 | 44% below | 79% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 NI Stress Test | $463.21 | $2,205.76 | $32.03–$1,985.18 | 44% below | 79% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 NI Stress Test | $661.73 | $2,205.76 | $529.38–$1,985.18 | — | 70% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Cardiac Stress Test | $661.73 | $2,205.76 | $529.38–$1,985.18 | — | 70% |
| Group psychotherapy session CPT 90853 BH CHRG - PSYCH GROUP THERAPY | $102.06 | $486.00 | $27.21–$437.40 | 52% below | 79% |
| Group psychotherapy session inpatient CPT 90853 BH CHRG - PSYCH GROUP THERAPY | $145.80 | $486.00 | $116.64–$437.40 | — | 70% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 CHRG - Inf/Inj/Hydration - IV HYDRATION 1 HR | $172.48 | $821.33 | $26.65–$1,000.00 | 30% below | 79% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hydration therapy 1st hour | $172.48 | $821.33 | $26.65–$739.20 | 30% below | 79% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 - Hydration, first hour | $172.48 | $821.33 | $26.65–$1,000.00 | 30% below | 79% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 OB CHRG - Inf/Inj/Hydration Once - IV HYDRATION 1 | $172.48 | $821.33 | $26.65–$739.20 | 30% below | 79% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Hydration therapy 1st hour | $246.40 | $821.33 | $197.12–$739.20 | — | 70% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 OB CHRG - Inf/Inj/Hydration Once - IV HYDRATION 1 | $246.40 | $821.33 | $197.12–$739.20 | — | 70% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 CHRG - Inf/Inj/Hydration - IV HYDRATION 1 HR | $246.40 | $821.33 | $197.12–$739.20 | — | 70% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360 - Hydration, first hour | $246.40 | $821.33 | $197.12–$739.20 | — | 70% |
| IV infusion of a medicine, first hour CPT 96365 OB CHRG - Inf/Inj/Hydration Once - IV THERAPY DX 1 | $203.17 | $967.46 | $50.84–$870.71 | 33% below | 79% |
| IV infusion of a medicine, first hour CPT 96365 CHRG - Inf/Inj/Hydration - IV THERAPY DX 1 HR | $203.17 | $967.46 | $50.84–$870.71 | 33% below | 79% |
| IV infusion of a medicine, first hour CPT 96365 96365 - IV tx, first hour | $203.17 | $967.46 | $50.84–$1,000.00 | 33% below | 79% |
| IV infusion of a medicine, first hour CPT 96365 Infusion 1st hour | $203.17 | $967.46 | $50.84–$870.71 | 33% below | 79% |
| IV infusion of a medicine, first hour inpatient CPT 96365 Infusion 1st hour | $290.24 | $967.46 | $232.19–$870.71 | — | 70% |
| IV infusion of a medicine, first hour inpatient CPT 96365 96365 - IV tx, first hour | $290.24 | $967.46 | $232.19–$870.71 | — | 70% |
| IV infusion of a medicine, first hour inpatient CPT 96365 CHRG - Inf/Inj/Hydration - IV THERAPY DX 1 HR | $290.24 | $967.46 | $232.19–$870.71 | — | 70% |
| IV infusion of a medicine, first hour inpatient CPT 96365 OB CHRG - Inf/Inj/Hydration Once - IV THERAPY DX 1 | $290.24 | $967.46 | $232.19–$870.71 | — | 70% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 OB CHRG - THERAPEUTIC DX SQ IM | $127.77 | $608.44 | $12.76–$547.60 | 31% above | 79% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 - Subq/IM Injection | $127.77 | $608.44 | $12.76–$1,000.00 | 31% above | 79% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM Injection | $127.77 | $608.44 | $12.76–$547.60 | 31% above | 79% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 CHRG - THERAPEUTIC DX SQ IM | $127.77 | $608.44 | $12.76–$547.60 | 31% above | 79% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM | $919.22 | $4,377.24 | $12.76–$3,939.52 | 846% above | 79% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM Injection | $182.53 | $608.44 | $146.03–$547.60 | — | 70% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 CHRG - THERAPEUTIC DX SQ IM | $182.53 | $608.44 | $146.03–$547.60 | — | 70% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 - Subq/IM Injection | $182.53 | $608.44 | $146.03–$547.60 | — | 70% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 OB CHRG - THERAPEUTIC DX SQ IM | $182.53 | $608.44 | $146.03–$547.60 | — | 70% |
| Neuromuscular re-education, 15 minutes CPT 97112 PT Neuromuscular Reeducation Units | $97.35 | $463.58 | $28.15–$417.22 | 10% above | 79% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR RE-EDUCATION EA 15 MIN PTA - Redoc 2 | $97.35 | $463.58 | $28.15–$417.22 | 10% above | 79% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULR RE-EDUCATION EA 15 MIN COTA - Redoc 1 | $97.35 | $463.58 | $28.15–$417.22 | 10% above | 79% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR RE-EDUCATION EA 15 MIN PTA - Redoc 1 | $97.35 | $463.58 | $28.15–$417.22 | 10% above | 79% |
| Neuromuscular re-education, 15 minutes CPT 97112 OT Neuromusclr Reeducation Assist Charge | $97.35 | $463.58 | $28.15–$417.22 | 10% above | 79% |
| Neuromuscular re-education, 15 minutes CPT 97112 PT Neuromuscular Reeducatn Assist Charge | $97.35 | $463.58 | $28.15–$417.22 | 10% above | 79% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEURO RE-ED-15 MIN - REDOC 185 | $97.35 | $463.58 | $28.15–$417.22 | 10% above | 79% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEURO RE-ED-15 MIN - REDOC 181 | $97.35 | $463.58 | $28.15–$417.22 | 10% above | 79% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEURO RE-ED-15 MIN - REDOC 257 | $97.35 | $463.58 | $28.15–$417.22 | 10% above | 79% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEURO RE-ED-15 MIN - REDOC 184 | $97.35 | $463.58 | $28.15–$417.22 | 10% above | 79% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEURO RE-ED-15 MIN - REDOC 183 | $97.35 | $463.58 | $28.15–$417.22 | 10% above | 79% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEURO RE-ED-15 MIN - REDOC 182 | $97.35 | $463.58 | $28.15–$417.22 | 10% above | 79% |
| Neuromuscular re-education, 15 minutes CPT 97112 PT Neuromuscular Reeducation Charges | $97.35 | $463.58 | $28.15–$417.22 | 10% above | 79% |
| Neuromuscular re-education, 15 minutes CPT 97112 OT Neuromuscular Reeducation Charges | $97.35 | $463.58 | $28.15–$417.22 | 10% above | 79% |
| Neuromuscular re-education, 15 minutes CPT 97112 OT Neuromuscular Reeducation Units | $97.35 | $463.58 | $28.15–$417.22 | 10% above | 79% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUR RE-ED-15MIN OT - REDOC 183 | $97.35 | $463.58 | $28.15–$417.22 | 10% above | 79% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUR RE-ED-15MIN PTA - REDOC 183 | $97.35 | $463.58 | $28.15–$417.22 | 10% above | 79% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUR RE-ED-15MIN PT - REDOC 257 | $97.35 | $463.58 | $28.15–$417.22 | 10% above | 79% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUR RE-ED-15MN COTA - REDOC 183 | $97.35 | $463.58 | $28.15–$417.22 | 10% above | 79% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUR RE-ED-15MIN PTA - REDOC 257 | $97.35 | $463.58 | $28.15–$417.22 | 10% above | 79% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUR RE-ED-15MIN PT - REDOC 183 | $97.35 | $463.58 | $28.15–$417.22 | 10% above | 79% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEURO RE-ED-15 MIN PT - REDOC 182 | $97.35 | $463.58 | $28.15–$417.22 | 10% above | 79% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEURO RE-ED-15 MIN PT - REDOC 184 | $97.35 | $463.58 | $28.15–$417.22 | 10% above | 79% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUR RE-ED-15MIN OT -REDOC 182 | $97.35 | $463.58 | $28.15–$417.22 | 10% above | 79% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUR RE-ED-15MN COTA -REDOC 182 | $97.35 | $463.58 | $28.15–$417.22 | 10% above | 79% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUR RE-ED-15MN COTA - REDOC 184 | $97.35 | $463.58 | $28.15–$417.22 | 10% above | 79% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUR RE-ED-15MIN OT - REDOC 184 | $97.35 | $463.58 | $28.15–$417.22 | 10% above | 79% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR RE-EDUCATION EA 15 MIN PTA - Redoc 1 | $139.07 | $463.58 | $111.26–$417.22 | — | 70% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT Neuromuscular Reeducation Charges | $139.07 | $463.58 | $111.26–$417.22 | — | 70% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUR RE-ED-15MN COTA - REDOC 184 | $139.07 | $463.58 | $111.26–$417.22 | — | 70% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEURO RE-ED-15 MIN - REDOC 257 | $139.07 | $463.58 | $111.26–$417.22 | — | 70% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUR RE-ED-15MIN PT - REDOC 183 | $139.07 | $463.58 | $111.26–$417.22 | — | 70% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEURO RE-ED-15 MIN - REDOC 181 | $139.07 | $463.58 | $111.26–$417.22 | — | 70% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEURO RE-ED-15 MIN - REDOC 185 | $139.07 | $463.58 | $111.26–$417.22 | — | 70% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT Neuromuscular Reeducatn Assist Charge | $139.07 | $463.58 | $111.26–$417.22 | — | 70% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT Neuromusclr Reeducation Assist Charge | $139.07 | $463.58 | $111.26–$417.22 | — | 70% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULR RE-EDUCATION EA 15 MIN COTA - Redoc 1 | $139.07 | $463.58 | $111.26–$417.22 | — | 70% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR RE-EDUCATION EA 15 MIN PTA - Redoc 2 | $139.07 | $463.58 | $111.26–$417.22 | — | 70% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT Neuromuscular Reeducation Units | $139.07 | $463.58 | $111.26–$417.22 | — | 70% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEURO RE-ED-15 MIN PT - REDOC 182 | $139.07 | $463.58 | $111.26–$417.22 | — | 70% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEURO RE-ED-15 MIN PT - REDOC 184 | $139.07 | $463.58 | $111.26–$417.22 | — | 70% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT Neuromuscular Reeducation Units | $139.07 | $463.58 | $111.26–$417.22 | — | 70% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUR RE-ED-15MIN OT - REDOC 184 | $139.07 | $463.58 | $111.26–$417.22 | — | 70% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUR RE-ED-15MIN OT -REDOC 182 | $139.07 | $463.58 | $111.26–$417.22 | — | 70% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUR RE-ED-15MN COTA -REDOC 182 | $139.07 | $463.58 | $111.26–$417.22 | — | 70% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUR RE-ED-15MIN OT - REDOC 183 | $139.07 | $463.58 | $111.26–$417.22 | — | 70% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT Neuromuscular Reeducation Charges | $139.07 | $463.58 | $111.26–$417.22 | — | 70% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUR RE-ED-15MIN PTA - REDOC 183 | $139.07 | $463.58 | $111.26–$417.22 | — | 70% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEURO RE-ED-15 MIN - REDOC 182 | $139.07 | $463.58 | $111.26–$417.22 | — | 70% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUR RE-ED-15MIN PT - REDOC 257 | $139.07 | $463.58 | $111.26–$417.22 | — | 70% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEURO RE-ED-15 MIN - REDOC 183 | $139.07 | $463.58 | $111.26–$417.22 | — | 70% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUR RE-ED-15MN COTA - REDOC 183 | $139.07 | $463.58 | $111.26–$417.22 | — | 70% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEURO RE-ED-15 MIN - REDOC 184 | $139.07 | $463.58 | $111.26–$417.22 | — | 70% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUR RE-ED-15MIN PTA - REDOC 257 | $139.07 | $463.58 | $111.26–$417.22 | — | 70% |
| New patient office visit, about 60 minutes CPT 99205 CHRG - WOUND CARE LEVEL 5 NEW PT | $361.89 | $1,723.29 | $12.00–$1,550.96 | 40% above | 79% |
| New patient office visit, about 60 minutes inpatient CPT 99205 CHRG - WOUND CARE LEVEL 5 NEW PT | $516.99 | $1,723.29 | $413.59–$1,550.96 | — | 70% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 CHRG - MNT INITIAL EA 15 MIN | $19.84 | $94.48 | $18.90–$85.03 | 55% below | 79% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 CHRG - MNT INITIAL EA 15 MIN | $28.34 | $94.48 | $22.68–$85.03 | — | 70% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL- LOW CMP OT - REDOC 183 | $138.88 | $661.35 | $88.39–$595.22 | at median | 79% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL- LOW CMP OT - REDOC 184 | $138.88 | $661.35 | $88.39–$595.22 | at median | 79% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL- LOW CMP OT - REDOC 182 | $138.88 | $661.35 | $88.39–$595.22 | at median | 79% |
| Occupational therapy evaluation, low complexity CPT 97165 IRF OT EVAL LOW | $138.88 | $661.35 | $88.39–$595.22 | at median | 79% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW Unit - Yes | $138.88 | $661.35 | $88.39–$595.22 | at median | 79% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL- LOW COMP - REDOC 185 | $138.88 | $661.35 | $88.39–$595.22 | at median | 79% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL- LOW CMP OT - REDOC 182 | $198.41 | $661.35 | $158.72–$595.22 | — | 70% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW Unit - Yes | $198.41 | $661.35 | $158.72–$595.22 | — | 70% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 IRF OT EVAL LOW | $198.41 | $661.35 | $158.72–$595.22 | — | 70% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL- LOW CMP OT - REDOC 183 | $198.41 | $661.35 | $158.72–$595.22 | — | 70% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL- LOW CMP OT - REDOC 184 | $198.41 | $661.35 | $158.72–$595.22 | — | 70% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL- LOW COMP - REDOC 185 | $198.41 | $661.35 | $158.72–$595.22 | — | 70% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL- HGH CMP PT - REDOC 257 | $124.07 | $590.80 | $86.18–$531.72 | 28% below | 79% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL- HGH COMP - REDOC 257 | $124.07 | $590.80 | $86.18–$531.72 | 28% below | 79% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 IRF PT EVAL HIGH | $124.07 | $590.80 | $86.18–$531.72 | 28% below | 79% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL- HGH COMP - REDOC 184 | $124.07 | $590.80 | $86.18–$531.72 | 28% below | 79% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH Unit - Yes | $124.07 | $590.80 | $86.18–$531.72 | 28% below | 79% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL- HGH COMP - REDOC 182 | $124.07 | $590.80 | $86.18–$531.72 | 28% below | 79% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL- HGH COMP - REDOC 181 | $124.07 | $590.80 | $86.18–$531.72 | 28% below | 79% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL- HGH COMP - REDOC 183 | $124.07 | $590.80 | $86.18–$531.72 | 28% below | 79% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL- HGH CMP PT - REDOC 183 | $124.07 | $590.80 | $86.18–$531.72 | 28% below | 79% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL- HGH CMP PT - REDOC 257 | $177.24 | $590.80 | $141.79–$531.72 | — | 70% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL- HGH COMP - REDOC 183 | $177.24 | $590.80 | $141.79–$531.72 | — | 70% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 IRF PT EVAL HIGH | $177.24 | $590.80 | $141.79–$531.72 | — | 70% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL- HGH COMP - REDOC 184 | $177.24 | $590.80 | $141.79–$531.72 | — | 70% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL- HGH CMP PT - REDOC 183 | $177.24 | $590.80 | $141.79–$531.72 | — | 70% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL- HGH COMP - REDOC 181 | $177.24 | $590.80 | $141.79–$531.72 | — | 70% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL- HGH COMP - REDOC 257 | $177.24 | $590.80 | $141.79–$531.72 | — | 70% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL- HGH COMP - REDOC 182 | $177.24 | $590.80 | $141.79–$531.72 | — | 70% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH Unit - Yes | $177.24 | $590.80 | $141.79–$531.72 | — | 70% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL- LOW COMP - REDOC 182 | $124.07 | $590.80 | $86.18–$531.72 | 2% below | 79% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL- LOW COMP - REDOC 184 | $124.07 | $590.80 | $86.18–$531.72 | 2% below | 79% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW Unit - Yes | $124.07 | $590.80 | $86.18–$531.72 | 2% below | 79% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL- LOW COMP - REDOC 181 | $124.07 | $590.80 | $86.18–$531.72 | 2% below | 79% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL- LOW CMP PT - REDOC 183 | $124.07 | $590.80 | $86.18–$531.72 | 2% below | 79% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 IRF PT EVAL LOW | $124.07 | $590.80 | $86.18–$531.72 | 2% below | 79% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL- LOW CMP PT - REDOC 257 | $124.07 | $590.80 | $86.18–$531.72 | 2% below | 79% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL- LOW COMP - REDOC 257 | $124.07 | $590.80 | $86.18–$531.72 | 2% below | 79% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL- LOW COMP - REDOC 183 | $124.07 | $590.80 | $86.18–$531.72 | 2% below | 79% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW Unit - Yes | $177.24 | $590.80 | $141.79–$531.72 | — | 70% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL- LOW CMP PT - REDOC 183 | $177.24 | $590.80 | $141.79–$531.72 | — | 70% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL- LOW CMP PT - REDOC 257 | $177.24 | $590.80 | $141.79–$531.72 | — | 70% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 IRF PT EVAL LOW | $177.24 | $590.80 | $141.79–$531.72 | — | 70% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL- LOW COMP - REDOC 257 | $177.24 | $590.80 | $141.79–$531.72 | — | 70% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL- LOW COMP - REDOC 181 | $177.24 | $590.80 | $141.79–$531.72 | — | 70% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL- LOW COMP - REDOC 184 | $177.24 | $590.80 | $141.79–$531.72 | — | 70% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL- LOW COMP - REDOC 183 | $177.24 | $590.80 | $141.79–$531.72 | — | 70% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL- LOW COMP - REDOC 182 | $177.24 | $590.80 | $141.79–$531.72 | — | 70% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD Unit - Yes | $124.07 | $590.80 | $86.18–$531.72 | 21% below | 79% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL- MOD COMP - REDOC 182 | $124.07 | $590.80 | $86.18–$531.72 | 21% below | 79% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 IRF PT EVAL MOD | $124.07 | $590.80 | $86.18–$531.72 | 21% below | 79% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL- MOD COMP - REDOC 184 | $124.07 | $590.80 | $86.18–$531.72 | 21% below | 79% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL- MOD COMP - REDOC 181 | $124.07 | $590.80 | $86.18–$531.72 | 21% below | 79% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL- MOD COMP - REDOC 257 | $124.07 | $590.80 | $86.18–$531.72 | 21% below | 79% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL- MOD CMP PT - REDOC 183 | $124.07 | $590.80 | $86.18–$531.72 | 21% below | 79% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL- MOD COMP - REDOC 183 | $124.07 | $590.80 | $86.18–$531.72 | 21% below | 79% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL- MOD CMP PT - REDOC 257 | $124.07 | $590.80 | $86.18–$531.72 | 21% below | 79% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT Eval Mod Assistant Unit - Yes | $420.03 | $2,000.16 | $86.18–$1,800.14 | 169% above | 79% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MOD Unit - Yes | $177.24 | $590.80 | $141.79–$531.72 | — | 70% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL- MOD COMP - REDOC 183 | $177.24 | $590.80 | $141.79–$531.72 | — | 70% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL- MOD COMP - REDOC 182 | $177.24 | $590.80 | $141.79–$531.72 | — | 70% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL- MOD COMP - REDOC 184 | $177.24 | $590.80 | $141.79–$531.72 | — | 70% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL- MOD CMP PT - REDOC 257 | $177.24 | $590.80 | $141.79–$531.72 | — | 70% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL- MOD CMP PT - REDOC 183 | $177.24 | $590.80 | $141.79–$531.72 | — | 70% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 IRF PT EVAL MOD | $177.24 | $590.80 | $141.79–$531.72 | — | 70% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL- MOD COMP - REDOC 257 | $177.24 | $590.80 | $141.79–$531.72 | — | 70% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL- MOD COMP - REDOC 181 | $177.24 | $590.80 | $141.79–$531.72 | — | 70% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT Eval Mod Assistant Unit - Yes | $600.05 | $2,000.16 | $480.04–$1,800.14 | — | 70% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THRPY-15 MIN - REDOC 257 | $34.92 | $166.28 | $23.90–$149.65 | 57% below | 79% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY EA 15 MINUTES PTA - Redoc 184 | $34.92 | $166.28 | $23.90–$149.65 | 57% below | 79% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT Manual Therapy Assistant Charges | $34.92 | $166.28 | $23.90–$149.65 | 57% below | 79% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY EA 15 MINUTES COTA - Redoc 185 | $34.92 | $166.28 | $23.90–$149.65 | 57% below | 79% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THRPY-15 MIN - REDOC 184 | $34.92 | $166.28 | $23.90–$149.65 | 57% below | 79% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY EA 15 MINUTES PTA - Redoc 257 | $34.92 | $166.28 | $23.90–$149.65 | 57% below | 79% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THRPY-15 MIN - REDOC 182 | $34.92 | $166.28 | $23.90–$149.65 | 57% below | 79% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT Manual Therapy Charges | $34.92 | $166.28 | $23.90–$149.65 | 57% below | 79% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT Manual Therapy Charges | $34.92 | $166.28 | $23.90–$149.65 | 57% below | 79% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT Manual Therapy Units | $34.92 | $166.28 | $23.90–$149.65 | 57% below | 79% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT Manual Therapy Units | $34.92 | $166.28 | $23.90–$149.65 | 57% below | 79% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MNL THRPY-15 MIN PT - REDOC 183 | $34.92 | $166.28 | $23.90–$149.65 | 57% below | 79% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 GAIT TRNNG-15MIN PTA - REDOC 257 | $34.92 | $166.28 | $23.90–$149.65 | 57% below | 79% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MNL THRPY-15 MIN OT - REDOC 183 | $34.92 | $166.28 | $23.90–$149.65 | 57% below | 79% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MNL THRPY-15 MIN PT - REDOC 257 | $34.92 | $166.28 | $23.90–$149.65 | 57% below | 79% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MNL THRPY-15MIN COTA - REDOC 183 | $34.92 | $166.28 | $23.90–$149.65 | 57% below | 79% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MNL THRPY-15 MIN PTA - REDOC 183 | $34.92 | $166.28 | $23.90–$149.65 | 57% below | 79% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MNL THRPY-15MIN COTA -REDOC 182 | $34.92 | $166.28 | $23.90–$149.65 | 57% below | 79% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MNL THRPY-15MIN COTA - REDOC 184 | $34.92 | $166.28 | $23.90–$149.65 | 57% below | 79% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MNL THRPY-15 MIN OT - REDOC 182 | $34.92 | $166.28 | $23.90–$149.65 | 57% below | 79% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THRPY-15 MIN PT - REDOC 184 | $34.92 | $166.28 | $23.90–$149.65 | 57% below | 79% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MNL THRPY-15 MIN OT - REDOC 184 | $34.92 | $166.28 | $23.90–$149.65 | 57% below | 79% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THRPY-15 MIN - REDOC 183 | $34.92 | $166.28 | $23.90–$149.65 | 57% below | 79% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY EA 15 MINUTES PTA - Redoc 181 | $34.92 | $166.28 | $23.90–$149.65 | 57% below | 79% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT Manual Therapy Assistant Charges | $34.92 | $166.28 | $23.90–$149.65 | 57% below | 79% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THRPY-15 MIN - REDOC 181 | $34.92 | $166.28 | $23.90–$149.65 | 57% below | 79% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY EA 15 MINUTES PTA - Redoc 182 | $34.92 | $166.28 | $23.90–$149.65 | 57% below | 79% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY EA 15 MINUTES PTA - Redoc 183 | $34.92 | $166.28 | $23.90–$149.65 | 57% below | 79% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THRPY-15 MIN - REDOC 185 | $34.92 | $166.28 | $23.90–$149.65 | 57% below | 79% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THRPY-15 MIN - REDOC 183 | $49.88 | $166.28 | $39.91–$149.65 | — | 70% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THRPY-15 MIN - REDOC 184 | $49.88 | $166.28 | $39.91–$149.65 | — | 70% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THRPY-15 MIN - REDOC 257 | $49.88 | $166.28 | $39.91–$149.65 | — | 70% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THRPY-15 MIN - REDOC 181 | $49.88 | $166.28 | $39.91–$149.65 | — | 70% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THRPY-15 MIN - REDOC 185 | $49.88 | $166.28 | $39.91–$149.65 | — | 70% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT Manual Therapy Assistant Charges | $49.88 | $166.28 | $39.91–$149.65 | — | 70% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT Manual Therapy Assistant Charges | $49.88 | $166.28 | $39.91–$149.65 | — | 70% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY EA 15 MINUTES PTA - Redoc 181 | $49.88 | $166.28 | $39.91–$149.65 | — | 70% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY EA 15 MINUTES PTA - Redoc 182 | $49.88 | $166.28 | $39.91–$149.65 | — | 70% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY EA 15 MINUTES PTA - Redoc 183 | $49.88 | $166.28 | $39.91–$149.65 | — | 70% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY EA 15 MINUTES PTA - Redoc 184 | $49.88 | $166.28 | $39.91–$149.65 | — | 70% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY EA 15 MINUTES COTA - Redoc 185 | $49.88 | $166.28 | $39.91–$149.65 | — | 70% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY EA 15 MINUTES PTA - Redoc 257 | $49.88 | $166.28 | $39.91–$149.65 | — | 70% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MNL THRPY-15 MIN OT - REDOC 184 | $49.88 | $166.28 | $39.91–$149.65 | — | 70% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THRPY-15 MIN PT - REDOC 184 | $49.88 | $166.28 | $39.91–$149.65 | — | 70% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MNL THRPY-15 MIN OT - REDOC 182 | $49.88 | $166.28 | $39.91–$149.65 | — | 70% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MNL THRPY-15MIN COTA - REDOC 184 | $49.88 | $166.28 | $39.91–$149.65 | — | 70% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MNL THRPY-15MIN COTA -REDOC 182 | $49.88 | $166.28 | $39.91–$149.65 | — | 70% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MNL THRPY-15 MIN PTA - REDOC 183 | $49.88 | $166.28 | $39.91–$149.65 | — | 70% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MNL THRPY-15MIN COTA - REDOC 183 | $49.88 | $166.28 | $39.91–$149.65 | — | 70% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MNL THRPY-15 MIN PT - REDOC 257 | $49.88 | $166.28 | $39.91–$149.65 | — | 70% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MNL THRPY-15 MIN OT - REDOC 183 | $49.88 | $166.28 | $39.91–$149.65 | — | 70% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 GAIT TRNNG-15MIN PTA - REDOC 257 | $49.88 | $166.28 | $39.91–$149.65 | — | 70% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MNL THRPY-15 MIN PT - REDOC 183 | $49.88 | $166.28 | $39.91–$149.65 | — | 70% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT Manual Therapy Units | $49.88 | $166.28 | $39.91–$149.65 | — | 70% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT Manual Therapy Units | $49.88 | $166.28 | $39.91–$149.65 | — | 70% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT Manual Therapy Charges | $49.88 | $166.28 | $39.91–$149.65 | — | 70% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT Manual Therapy Charges | $49.88 | $166.28 | $39.91–$149.65 | — | 70% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THRPY-15 MIN - REDOC 182 | $49.88 | $166.28 | $39.91–$149.65 | — | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER EXRCS-15MIN PT - REDOC 257 | $37.56 | $178.88 | $21.76–$160.99 | 52% below | 79% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCS-15 MIN - REDOC 185 | $37.56 | $178.88 | $21.76–$160.99 | 52% below | 79% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER EXRCS-15MIN PT - REDOC 183 | $37.56 | $178.88 | $21.76–$160.99 | 52% below | 79% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER EXRCS-15MIN OT - REDOC 183 | $37.56 | $178.88 | $21.76–$160.99 | 52% below | 79% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN PTA - Redoc 181 | $37.56 | $178.88 | $21.76–$160.99 | 52% below | 79% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN PTA - Redoc 182 | $37.56 | $178.88 | $21.76–$160.99 | 52% below | 79% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCS-15 MIN - REDOC 182 | $37.56 | $178.88 | $21.76–$160.99 | 52% below | 79% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER EXRCS-15MN COTA - REDOC 183 | $37.56 | $178.88 | $21.76–$160.99 | 52% below | 79% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER EXRCS-15MIN PTA - REDOC 257 | $37.56 | $178.88 | $21.76–$160.99 | 52% below | 79% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCS-15 MIN - REDOC 183 | $37.56 | $178.88 | $21.76–$160.99 | 52% below | 79% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Assistant Charge | $37.56 | $178.88 | $21.76–$160.99 | 52% below | 79% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Therapeutic Exercise Charges | $37.56 | $178.88 | $21.76–$160.99 | 52% below | 79% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCS-15 MIN - REDOC 181 | $37.56 | $178.88 | $21.76–$160.99 | 52% below | 79% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Charges | $37.56 | $178.88 | $21.76–$160.99 | 52% below | 79% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN PTA - Redoc 257 | $37.56 | $178.88 | $21.76–$160.99 | 52% below | 79% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER EXRCS-15MIN OT -REDOC 182 | $37.56 | $178.88 | $21.76–$160.99 | 52% below | 79% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCS-15 MIN - REDOC 184 | $37.56 | $178.88 | $21.76–$160.99 | 52% below | 79% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER EXRCS-15MN COTA -REDOC 182 | $37.56 | $178.88 | $21.76–$160.99 | 52% below | 79% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN COTA - Redoc 185 | $37.56 | $178.88 | $21.76–$160.99 | 52% below | 79% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Units | $37.56 | $178.88 | $21.76–$160.99 | 52% below | 79% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCS-15 MIN PT - REDOC 182 | $37.56 | $178.88 | $21.76–$160.99 | 52% below | 79% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Therapeutic Exercise Assistant Charge | $37.56 | $178.88 | $21.76–$160.99 | 52% below | 79% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER EXRCS-15MIN OT - REDOC 184 | $37.56 | $178.88 | $21.76–$160.99 | 52% below | 79% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN PTA - Redoc 184 | $37.56 | $178.88 | $21.76–$160.99 | 52% below | 79% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER EXRCS-15MN COTA - REDOC 184 | $37.56 | $178.88 | $21.76–$160.99 | 52% below | 79% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCS-15 MIN - REDOC 257 | $37.56 | $178.88 | $21.76–$160.99 | 52% below | 79% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCS-15 MIN PT - REDOC 184 | $37.56 | $178.88 | $21.76–$160.99 | 52% below | 79% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN PTA - Redoc 183 | $37.56 | $178.88 | $21.76–$160.99 | 52% below | 79% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Therapeutic Exercise Units | $37.56 | $178.88 | $21.76–$160.99 | 52% below | 79% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER EXRCS-15MIN PTA - REDOC 183 | $37.56 | $178.88 | $21.76–$160.99 | 52% below | 79% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCS-15 MIN - REDOC 183 | $53.66 | $178.88 | $42.93–$160.99 | — | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCS-15 MIN - REDOC 184 | $53.66 | $178.88 | $42.93–$160.99 | — | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCS-15 MIN - REDOC 257 | $53.66 | $178.88 | $42.93–$160.99 | — | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCS-15 MIN - REDOC 181 | $53.66 | $178.88 | $42.93–$160.99 | — | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCS-15 MIN - REDOC 185 | $53.66 | $178.88 | $42.93–$160.99 | — | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT Therapeutic Exercise Assistant Charge | $53.66 | $178.88 | $42.93–$160.99 | — | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Assistant Charge | $53.66 | $178.88 | $42.93–$160.99 | — | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN PTA - Redoc 181 | $53.66 | $178.88 | $42.93–$160.99 | — | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN PTA - Redoc 182 | $53.66 | $178.88 | $42.93–$160.99 | — | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN PTA - Redoc 183 | $53.66 | $178.88 | $42.93–$160.99 | — | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN PTA - Redoc 184 | $53.66 | $178.88 | $42.93–$160.99 | — | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN COTA - Redoc 185 | $53.66 | $178.88 | $42.93–$160.99 | — | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN PTA - Redoc 257 | $53.66 | $178.88 | $42.93–$160.99 | — | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT Therapeutic Exercise Units | $53.66 | $178.88 | $42.93–$160.99 | — | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THER EXRCS-15MIN PT - REDOC 183 | $53.66 | $178.88 | $42.93–$160.99 | — | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THER EXRCS-15MIN PTA - REDOC 257 | $53.66 | $178.88 | $42.93–$160.99 | — | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THER EXRCS-15MIN PT - REDOC 257 | $53.66 | $178.88 | $42.93–$160.99 | — | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THER EXRCS-15MN COTA - REDOC 183 | $53.66 | $178.88 | $42.93–$160.99 | — | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THER EXRCS-15MIN OT - REDOC 183 | $53.66 | $178.88 | $42.93–$160.99 | — | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THER EXRCS-15MIN PTA - REDOC 183 | $53.66 | $178.88 | $42.93–$160.99 | — | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCS-15 MIN PT - REDOC 184 | $53.66 | $178.88 | $42.93–$160.99 | — | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THER EXRCS-15MN COTA - REDOC 184 | $53.66 | $178.88 | $42.93–$160.99 | — | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THER EXRCS-15MIN OT - REDOC 184 | $53.66 | $178.88 | $42.93–$160.99 | — | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCS-15 MIN PT - REDOC 182 | $53.66 | $178.88 | $42.93–$160.99 | — | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THER EXRCS-15MN COTA -REDOC 182 | $53.66 | $178.88 | $42.93–$160.99 | — | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THER EXRCS-15MIN OT -REDOC 182 | $53.66 | $178.88 | $42.93–$160.99 | — | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Units | $53.66 | $178.88 | $42.93–$160.99 | — | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT Therapeutic Exercise Charges | $53.66 | $178.88 | $42.93–$160.99 | — | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Charges | $53.66 | $178.88 | $42.93–$160.99 | — | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCS-15 MIN - REDOC 182 | $53.66 | $178.88 | $42.93–$160.99 | — | 70% |
| Psychotherapy session, 30 minutes CPT 90832 BH CHRG - PSYCHOTHERAPY 30 MIN | $134.04 | $638.28 | $76.43–$574.45 | 3% above | 79% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 BH CHRG - PSYCHOTHERAPY 30 MIN | $191.48 | $638.28 | $153.19–$574.45 | — | 70% |
| Psychotherapy session, 60 minutes CPT 90837 BH CHRG - PSYCHOTHERAPY 60 MIN | $171.80 | $818.10 | $136.97–$736.29 | 16% below | 79% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 BH CHRG - PSYCHOTHERAPY 60 MIN | $245.43 | $818.10 | $196.34–$736.29 | — | 70% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHG SMOKE U 10 - Net Health | $18.60 | $88.58 | $13.12–$79.72 | 16% below | 79% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Behavior change Smoke Charge - 1-10 minutes | $33.33 | $158.73 | $13.12–$142.86 | 51% above | 79% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Tobacco counseling Charge - 3-10 minutes | $33.33 | $158.73 | $13.12–$142.86 | 51% above | 79% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 BEHAV CHG SMOKE U 10 - Net Health | $26.57 | $88.58 | $21.26–$79.72 | — | 70% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Tobacco counseling Charge - 3-10 minutes | $47.62 | $158.73 | $38.10–$142.86 | — | 70% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Behavior change Smoke Charge - 1-10 minutes | $47.62 | $158.73 | $38.10–$142.86 | — | 70% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Outpatient EM Charges - Level 2 EP | $47.88 | $228.01 | $45.60–$205.21 | 31% below | 79% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Outpatient EM Charges - Level 2 EP | $68.40 | $228.01 | $54.72–$205.21 | — | 70% |
| Speech and language evaluation CPT 92523 SLP Eval Lang Comprehension,Express Unit | $316.13 | $1,505.36 | $49.44–$1,354.82 | 16% above | 79% |
| Speech and language evaluation CPT 92523 SP SOUND LANG COMP - REDOC 187 | $316.13 | $1,505.36 | $49.44–$1,354.82 | 16% above | 79% |
| Speech and language evaluation CPT 92523 SP SOUND LANG COMP - REDOC 188 | $316.13 | $1,505.36 | $49.44–$1,354.82 | 16% above | 79% |
| Speech and language evaluation CPT 92523 SP SOUND LANG COMP - REDOC 178 | $316.13 | $1,505.36 | $49.44–$1,354.82 | 16% above | 79% |
| Speech and language evaluation CPT 92523 SP SOUND LANG COMP - REDOC 177 | $316.13 | $1,505.36 | $49.44–$1,354.82 | 16% above | 79% |
| Speech and language evaluation CPT 92523 Speech Evaluation with Language Charge | $316.13 | $1,505.36 | $49.44–$1,354.82 | 16% above | 79% |
| Speech and language evaluation CPT 92523 Speech Evaluation with Language Units | $316.13 | $1,505.36 | $49.44–$1,354.82 | 16% above | 79% |
| Speech and language evaluation CPT 92523 EVAL SP SND PROD CMP - REDOC 177 | $316.13 | $1,505.36 | $49.44–$1,354.82 | 16% above | 79% |
| Speech and language evaluation inpatient CPT 92523 Speech Evaluation with Language Charge | $451.61 | $1,505.36 | $361.29–$1,354.82 | — | 70% |
| Speech and language evaluation inpatient CPT 92523 SP SOUND LANG COMP - REDOC 188 | $451.61 | $1,505.36 | $361.29–$1,354.82 | — | 70% |
| Speech and language evaluation inpatient CPT 92523 Speech Evaluation with Language Units | $451.61 | $1,505.36 | $361.29–$1,354.82 | — | 70% |
| Speech and language evaluation inpatient CPT 92523 SP SOUND LANG COMP - REDOC 187 | $451.61 | $1,505.36 | $361.29–$1,354.82 | — | 70% |
| Speech and language evaluation inpatient CPT 92523 EVAL SP SND PROD CMP - REDOC 177 | $451.61 | $1,505.36 | $361.29–$1,354.82 | — | 70% |
| Speech and language evaluation inpatient CPT 92523 SP SOUND LANG COMP - REDOC 177 | $451.61 | $1,505.36 | $361.29–$1,354.82 | — | 70% |
| Speech and language evaluation inpatient CPT 92523 SLP Eval Lang Comprehension,Express Unit | $451.61 | $1,505.36 | $361.29–$1,354.82 | — | 70% |
| Speech and language evaluation inpatient CPT 92523 SP SOUND LANG COMP - REDOC 178 | $451.61 | $1,505.36 | $361.29–$1,354.82 | — | 70% |
| Speech therapy session, individual CPT 92507 SP-HEAR-TX-INDI VIST - REDOC 177 | $169.04 | $804.96 | $21.76–$724.46 | 6% above | 79% |
| Speech therapy session, individual CPT 92507 SP-HEAR-TX-INDI VIST - REDOC 187 | $169.04 | $804.96 | $21.76–$724.46 | 6% above | 79% |
| Speech therapy session, individual CPT 92507 SP-HEAR-TX-INDI VIST - REDOC 188 | $169.04 | $804.96 | $21.76–$724.46 | 6% above | 79% |
| Speech therapy session, individual CPT 92507 SP-HEAR-TX-INDI VIST - REDOC 178 | $169.04 | $804.96 | $21.76–$724.46 | 6% above | 79% |
| Speech therapy session, individual CPT 92507 SP-HEAR-TX-INDI - REDOC 177 | $169.04 | $804.96 | $21.76–$724.46 | 6% above | 79% |
| Speech therapy session, individual CPT 92507 SLP Auditory Processing Tx Units | $169.04 | $804.96 | $21.76–$724.46 | 6% above | 79% |
| Speech therapy session, individual CPT 92507 Speech Treatment Charge | $169.04 | $804.96 | $21.76–$724.46 | 6% above | 79% |
| Speech therapy session, individual CPT 92507 Speech Treatment Charge - Yes | $169.04 | $804.96 | $21.76–$724.46 | 6% above | 79% |
| Speech therapy session, individual inpatient CPT 92507 SP-HEAR-TX-INDI VIST - REDOC 187 | $241.49 | $804.96 | $193.19–$724.46 | — | 70% |
| Speech therapy session, individual inpatient CPT 92507 Speech Treatment Charge | $241.49 | $804.96 | $193.19–$724.46 | — | 70% |
| Speech therapy session, individual inpatient CPT 92507 Speech Treatment Charge - Yes | $241.49 | $804.96 | $193.19–$724.46 | — | 70% |
| Speech therapy session, individual inpatient CPT 92507 SLP Auditory Processing Tx Units | $241.49 | $804.96 | $193.19–$724.46 | — | 70% |
| Speech therapy session, individual inpatient CPT 92507 SP-HEAR-TX-INDI VIST - REDOC 177 | $241.49 | $804.96 | $193.19–$724.46 | — | 70% |
| Speech therapy session, individual inpatient CPT 92507 SP-HEAR-TX-INDI - REDOC 177 | $241.49 | $804.96 | $193.19–$724.46 | — | 70% |
| Speech therapy session, individual inpatient CPT 92507 SP-HEAR-TX-INDI VIST - REDOC 178 | $241.49 | $804.96 | $193.19–$724.46 | — | 70% |
| Speech therapy session, individual inpatient CPT 92507 SP-HEAR-TX-INDI VIST - REDOC 188 | $241.49 | $804.96 | $193.19–$724.46 | — | 70% |
| Spirometry (breathing test) CPT 94010 Pulmonary Function Test Charge - spirometry | $206.08 | $981.32 | $24.00–$883.19 | 9% below | 79% |
| Spirometry (breathing test) inpatient CPT 94010 Pulmonary Function Test Charge - spirometry | $294.40 | $981.32 | $235.52–$883.19 | — | 70% |
| Spirometry before and after a bronchodilator CPT 94060 Pulmonary Function Test Charge - Pre and post bron | $393.90 | $1,875.71 | $39.00–$1,688.14 | 11% below | 79% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 Pulmonary Function Test Charge - Pre and post bron | $562.71 | $1,875.71 | $450.17–$1,688.14 | — | 70% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THER ACTVT-15MIN PTA - REDOC 257 | $40.48 | $192.74 | $21.76–$173.47 | 51% below | 79% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAP ACTVTS-15 MIN - REDOC 184 | $40.48 | $192.74 | $21.76–$173.47 | 51% below | 79% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAP ACTVTS-15 MIN - REDOC 257 | $40.48 | $192.74 | $21.76–$173.47 | 51% below | 79% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT Therapeutic Activities Charge | $40.48 | $192.74 | $21.76–$173.47 | 51% below | 79% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT Therapeutic Activities Charges | $40.48 | $192.74 | $21.76–$173.47 | 51% below | 79% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT Therapeutic Activity Units | $40.48 | $192.74 | $21.76–$173.47 | 51% below | 79% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT Therapeutic Activities Units | $40.48 | $192.74 | $21.76–$173.47 | 51% below | 79% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THER ACTVT-15MIN OT - REDOC 183 | $40.48 | $192.74 | $21.76–$173.47 | 51% below | 79% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAP ACTVTS-15 MIN - REDOC 182 | $40.48 | $192.74 | $21.76–$173.47 | 51% below | 79% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAP ACTVTS-15 MIN - REDOC 181 | $40.48 | $192.74 | $21.76–$173.47 | 51% below | 79% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAP ACTVTS-15 MIN - REDOC 185 | $40.48 | $192.74 | $21.76–$173.47 | 51% below | 79% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT Therapeutic Activities Assist Charge | $40.48 | $192.74 | $21.76–$173.47 | 51% below | 79% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT Therapeutic Activities Assist Charges | $40.48 | $192.74 | $21.76–$173.47 | 51% below | 79% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THER ACTVT-15MIN PT - REDOC 257 | $40.48 | $192.74 | $21.76–$173.47 | 51% below | 79% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES DIR EA 15 MIN PTA - Redoc 1 | $40.48 | $192.74 | $21.76–$173.47 | 51% below | 79% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES DIR EA 15MIN COTA - Redoc 1 | $40.48 | $192.74 | $21.76–$173.47 | 51% below | 79% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THER ACTV-15MIN COTA - REDOC 183 | $40.48 | $192.74 | $21.76–$173.47 | 51% below | 79% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THER ACTVT-15MIN PTA - REDOC 183 | $40.48 | $192.74 | $21.76–$173.47 | 51% below | 79% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THER ACTVT-15MIN PT - REDOC 183 | $40.48 | $192.74 | $21.76–$173.47 | 51% below | 79% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THER ACTVT-15MIN OT - REDOC 182 | $40.48 | $192.74 | $21.76–$173.47 | 51% below | 79% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES DIR EA 15 MIN PTA - Redoc 2 | $40.48 | $192.74 | $21.76–$173.47 | 51% below | 79% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAP ACTVTS-15 MIN PT - REDOC 182 | $40.48 | $192.74 | $21.76–$173.47 | 51% below | 79% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THER ACTV-15MIN COTA - REDOC 182 | $40.48 | $192.74 | $21.76–$173.47 | 51% below | 79% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAP ACTVTS-15 MIN PT - REDOC 184 | $40.48 | $192.74 | $21.76–$173.47 | 51% below | 79% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THER ACTV-15MIN COTA - REDOC 184 | $40.48 | $192.74 | $21.76–$173.47 | 51% below | 79% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THER ACTVT-15MIN OT - REDOC 184 | $40.48 | $192.74 | $21.76–$173.47 | 51% below | 79% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAP ACTVTS-15 MIN - REDOC 183 | $40.48 | $192.74 | $21.76–$173.47 | 51% below | 79% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THER ACTVT-15MIN PT - REDOC 257 | $57.82 | $192.74 | $46.26–$173.47 | — | 70% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITIES DIR EA 15MIN COTA - Redoc 1 | $57.82 | $192.74 | $46.26–$173.47 | — | 70% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THER ACTVT-15MIN OT - REDOC 184 | $57.82 | $192.74 | $46.26–$173.47 | — | 70% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAP ACTVTS-15 MIN - REDOC 184 | $57.82 | $192.74 | $46.26–$173.47 | — | 70% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THER ACTVT-15MIN OT - REDOC 182 | $57.82 | $192.74 | $46.26–$173.47 | — | 70% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAP ACTVTS-15 MIN PT - REDOC 182 | $57.82 | $192.74 | $46.26–$173.47 | — | 70% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAP ACTVTS-15 MIN - REDOC 182 | $57.82 | $192.74 | $46.26–$173.47 | — | 70% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAP ACTVTS-15 MIN - REDOC 181 | $57.82 | $192.74 | $46.26–$173.47 | — | 70% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAP ACTVTS-15 MIN - REDOC 257 | $57.82 | $192.74 | $46.26–$173.47 | — | 70% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THER ACTV-15MIN COTA - REDOC 184 | $57.82 | $192.74 | $46.26–$173.47 | — | 70% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT Therapeutic Activities Charge | $57.82 | $192.74 | $46.26–$173.47 | — | 70% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THER ACTV-15MIN COTA - REDOC 182 | $57.82 | $192.74 | $46.26–$173.47 | — | 70% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT Therapeutic Activities Charges | $57.82 | $192.74 | $46.26–$173.47 | — | 70% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAP ACTVTS-15 MIN - REDOC 183 | $57.82 | $192.74 | $46.26–$173.47 | — | 70% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT Therapeutic Activity Units | $57.82 | $192.74 | $46.26–$173.47 | — | 70% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAP ACTVTS-15 MIN PT - REDOC 184 | $57.82 | $192.74 | $46.26–$173.47 | — | 70% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT Therapeutic Activities Units | $57.82 | $192.74 | $46.26–$173.47 | — | 70% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THER ACTVT-15MIN OT - REDOC 183 | $57.82 | $192.74 | $46.26–$173.47 | — | 70% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THER ACTVT-15MIN PTA - REDOC 257 | $57.82 | $192.74 | $46.26–$173.47 | — | 70% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAP ACTVTS-15 MIN - REDOC 185 | $57.82 | $192.74 | $46.26–$173.47 | — | 70% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT Therapeutic Activities Assist Charge | $57.82 | $192.74 | $46.26–$173.47 | — | 70% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT Therapeutic Activities Assist Charges | $57.82 | $192.74 | $46.26–$173.47 | — | 70% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITIES DIR EA 15 MIN PTA - Redoc 1 | $57.82 | $192.74 | $46.26–$173.47 | — | 70% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITIES DIR EA 15 MIN PTA - Redoc 2 | $57.82 | $192.74 | $46.26–$173.47 | — | 70% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THER ACTV-15MIN COTA - REDOC 183 | $57.82 | $192.74 | $46.26–$173.47 | — | 70% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THER ACTVT-15MIN PTA - REDOC 183 | $57.82 | $192.74 | $46.26–$173.47 | — | 70% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THER ACTVT-15MIN PT - REDOC 183 | $57.82 | $192.74 | $46.26–$173.47 | — | 70% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 CHRG- PHLEBOTOMY THERAPEUT | $153.17 | $729.38 | $74.89–$656.44 | 19% below | 79% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Therapeutic Phlebotomy | $153.17 | $729.38 | $74.89–$656.44 | 19% below | 79% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Therap Phlebotomy | $153.17 | $729.38 | $74.89–$656.44 | 19% below | 79% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Therap Phlebotomy | $218.81 | $729.38 | $175.05–$656.44 | — | 70% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 CHRG- PHLEBOTOMY THERAPEUT | $218.81 | $729.38 | $175.05–$656.44 | — | 70% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Therapeutic Phlebotomy | $218.81 | $729.38 | $175.05–$656.44 | — | 70% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Missouri | Off list |
|---|---|---|---|---|---|
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 00069-2377-10 - SARS-CoV-2 (COVID-19) mRNA-LNP vac | $260.46 | $1,240.29 | $158.84–$1,116.26 | 5% below | 79% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 00069-2528-10 - SARS-CoV-2 (COVID-19) mRNA-LNP vac | $260.46 | $1,240.29 | $158.84–$1,116.26 | 5% below | 79% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 00069-2432-10 - SARS-CoV-2 (COVID-19) mRNA-LNP vac | $260.46 | $1,240.29 | $158.84–$1,116.26 | 5% below | 79% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 00069-2528-10 - SARS-CoV-2 (COVID-19) mRNA-LNP vac | $372.09 | $1,240.29 | $297.67–$1,116.26 | — | 70% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 00069-2432-10 - SARS-CoV-2 (COVID-19) mRNA-LNP vac | $372.09 | $1,240.29 | $297.67–$1,116.26 | — | 70% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 00069-2377-10 - SARS-CoV-2 (COVID-19) mRNA-LNP vac | $372.09 | $1,240.29 | $297.67–$1,116.26 | — | 70% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 54569-4055-00 - varicella virus vaccine - Powder | $337.31 | $0.01 | $0.01–$121.65 | 85% above | -3373000% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 00006-4826-00 - varicella virus vaccine REC Inject | $337.31 | $1,606.22 | $51.53–$1,445.60 | 85% above | 79% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 00006-4827-00 - varicella virus vaccine REC Inject | $337.31 | $1,606.22 | $51.53–$1,445.60 | 85% above | 79% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 54569-4056-00 - varicella virus vaccine - Powder | $337.31 | $1,606.22 | $51.53–$1,445.60 | 85% above | 79% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 54569-4056-00 - varicella virus vaccine - Powder | $481.87 | $1,606.22 | $385.49–$1,445.60 | — | 70% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 54569-4055-00 - varicella virus vaccine - Powder | $481.87 | $0.01 | $0.01 | — | -4818600% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 00006-4827-00 - varicella virus vaccine REC Inject | $481.87 | $1,606.22 | $385.49–$1,445.60 | — | 70% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 00006-4826-00 - varicella virus vaccine REC Inject | $481.87 | $1,606.22 | $385.49–$1,445.60 | — | 70% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 49281-0424-50 - 2024-2025 influenza virus vaccine, | $183.71 | $874.80 | $13.12–$787.32 | 208% above | 79% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 19515-0810-52 - influenza virus vaccine, inactivat | $183.71 | $874.80 | $13.12–$787.32 | 208% above | 79% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 58160-0912-52 - influenza virus vaccine, inactivat | $183.71 | $874.80 | $13.12–$787.32 | 208% above | 79% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 49281-0425-50 - influenza virus vaccine, inactivat | $183.71 | $874.80 | $13.12–$787.32 | 208% above | 79% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 58160-0912-52 - influenza virus vaccine, inactivat | $262.44 | $874.80 | $209.95–$787.32 | — | 70% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 49281-0425-50 - influenza virus vaccine, inactivat | $262.44 | $874.80 | $209.95–$787.32 | — | 70% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 49281-0424-50 - 2024-2025 influenza virus vaccine, | $262.44 | $874.80 | $209.95–$787.32 | — | 70% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 19515-0810-52 - influenza virus vaccine, inactivat | $262.44 | $874.80 | $209.95–$787.32 | — | 70% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 00006-4121-02 - human papillomavirus vaccine 9-val | $535.70 | $2,550.97 | $13.14–$2,295.87 | 63% above | 79% |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 00006-4121-02 - human papillomavirus vaccine 9-val | $765.29 | $2,550.97 | $612.23–$2,295.87 | — | 70% |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 58160-0815-46 - hepatitis A-hepatitis B vaccine 72 | $213.89 | $1,018.54 | $91.28–$916.69 | 94% above | 79% |
| Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 58160-0815-46 - hepatitis A-hepatitis B vaccine 72 | $305.56 | $1,018.54 | $244.45–$916.69 | — | 70% |
| Hepatitis A vaccine, adult dose CPT 90632 00006-4841-00 - hepatitis A adult vaccine 50. Sus | $183.71 | $874.80 | $61.05–$787.32 | 122% above | 79% |
| Hepatitis A vaccine, adult dose CPT 90632 00006-4841-41 - hepatitis A adult vaccine 50 units | $183.71 | $874.80 | $61.05–$787.32 | 122% above | 79% |
| Hepatitis A vaccine, adult dose CPT 90632 00006-4096-02 - hepatitis A adult vaccine 50 units | $183.71 | $874.80 | $61.05–$787.32 | 122% above | 79% |
| Hepatitis A vaccine, adult dose CPT 90632 00006-4096-09 - hepatitis A adult vaccine 50 units | $183.71 | $874.80 | $61.05–$787.32 | 122% above | 79% |
| Hepatitis A vaccine, adult dose CPT 90632 58160-0826-48 - hepatitis A adult vaccine 1440 uni | $183.71 | $874.80 | $61.05–$787.32 | 122% above | 79% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 00006-4096-09 - hepatitis A adult vaccine 50 units | $262.44 | $874.80 | $209.95–$787.32 | — | 70% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 58160-0826-48 - hepatitis A adult vaccine 1440 uni | $262.44 | $874.80 | $209.95–$787.32 | — | 70% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 00006-4096-02 - hepatitis A adult vaccine 50 units | $262.44 | $874.80 | $209.95–$787.32 | — | 70% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 00006-4841-00 - hepatitis A adult vaccine 50. Sus | $262.44 | $874.80 | $209.95–$787.32 | — | 70% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 00006-4841-41 - hepatitis A adult vaccine 50 units | $262.44 | $874.80 | $209.95–$787.32 | — | 70% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 00006-4094-02 - hepatitis B adult vaccine 10 mcg/m | $183.71 | $874.80 | $56.70–$787.32 | 135% above | 79% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 58160-0857-01 - hepatitis B adult vaccine Susp | $183.71 | $874.80 | $56.70–$787.32 | 135% above | 79% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 58160-0821-32 - hepatitis B adult vaccine 20 mcg/m | $183.71 | $874.80 | $56.70–$787.32 | 135% above | 79% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 58160-0821-11 - hepatitis B adult vaccine Susp | $183.71 | $874.80 | $56.70–$787.32 | 135% above | 79% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 58160-0821-52 - hepatitis B adult vaccine 20 mcg/m | $183.71 | $874.80 | $56.70–$787.32 | 135% above | 79% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 58160-0821-52 - hepatitis B adult vaccine 20 mcg/m | $262.44 | $874.80 | $209.95–$787.32 | — | 70% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 00006-4094-02 - hepatitis B adult vaccine 10 mcg/m | $262.44 | $874.80 | $209.95–$787.32 | — | 70% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 58160-0821-11 - hepatitis B adult vaccine Susp | $262.44 | $874.80 | $209.95–$787.32 | — | 70% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 58160-0857-01 - hepatitis B adult vaccine Susp | $262.44 | $874.80 | $209.95–$787.32 | — | 70% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 58160-0821-32 - hepatitis B adult vaccine 20 mcg/m | $262.44 | $874.80 | $209.95–$787.32 | — | 70% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 49281-0125-65 - influenza virus vaccine, inactivat | $183.71 | $874.80 | $13.80–$787.32 | 81% above | 79% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 49281-0405-65 - 2019-2020 influenza virus vaccine, | $183.71 | $874.80 | $13.80–$787.32 | 81% above | 79% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 49281-0403-65 - influenza virus vaccine, inactivat | $183.71 | $874.80 | $13.80–$787.32 | 81% above | 79% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 49281-0124-65 - 2024-2025 influenza virus vaccine, | $183.71 | $874.80 | $13.80–$787.32 | 81% above | 79% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 49281-0124-65 - 2024-2025 influenza virus vaccine, | $262.44 | $874.80 | $209.95–$787.32 | — | 70% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 49281-0405-65 - 2019-2020 influenza virus vaccine, | $262.44 | $874.80 | $209.95–$787.32 | — | 70% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 49281-0403-65 - influenza virus vaccine, inactivat | $262.44 | $874.80 | $209.95–$787.32 | — | 70% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 49281-0125-65 - influenza virus vaccine, inactivat | $262.44 | $874.80 | $209.95–$787.32 | — | 70% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 49999-0422-01 - measles/mumps/rubella virus vaccin | $183.71 | $0.01 | $0.01–$81.79 | 10% above | -1837000% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 00006-4681-00 - measles/mumps/rubella virus vaccin | $183.71 | $874.80 | $34.64–$787.32 | 10% above | 79% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 49999-0422-01 - measles/mumps/rubella virus vaccin | $262.44 | $0.01 | $0.01 | — | -2624300% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 00006-4681-00 - measles/mumps/rubella virus vaccin | $262.44 | $874.80 | $209.95–$787.32 | — | 70% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 49281-0589-05 - meningococcal conjugate vaccine So | $184.74 | $879.73 | $61.58–$791.76 | 43% above | 79% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 46028-0208-01 - meningococcal conjugate vaccine RE | $266.54 | $1,269.23 | $65.60–$1,142.31 | 107% above | 79% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 49281-0589-05 - meningococcal conjugate vaccine So | $263.92 | $879.73 | $211.14–$791.76 | — | 70% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 46028-0208-01 - meningococcal conjugate vaccine RE | $380.77 | $1,269.23 | $304.62–$1,142.31 | — | 70% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 46028-0114-01 - meningococcal group B vaccine reco | $363.70 | $1,731.92 | $121.23–$1,558.73 | 18% above | 79% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 46028-0114-01 - meningococcal group B vaccine reco | $519.58 | $1,731.92 | $415.66–$1,558.73 | — | 70% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 00005-2000-02 - pneumococcal 20-valent conjugate v | $427.86 | $2,037.41 | $295.19–$1,833.67 | 20% below | 79% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 00005-2000-10 - pneumococcal 20-valent conjugate v | $427.86 | $2,037.41 | $295.19–$1,833.67 | 20% below | 79% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 00005-2000-10 - pneumococcal 20-valent conjugate v | $611.22 | $2,037.41 | $488.98–$1,833.67 | — | 70% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 00005-2000-02 - pneumococcal 20-valent conjugate v | $611.22 | $2,037.41 | $488.98–$1,833.67 | — | 70% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 00006-4837-03 - pneumococcal 23-polyvalent vaccine | $189.46 | $902.18 | $12.34–$811.96 | 2% above | 79% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 00006-4943-00 - pneumococcal 23-valent vaccine Sol | $189.46 | $902.18 | $12.34–$811.96 | 2% above | 79% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 00006-4943-01 - pneumococcal 23-polyvalent vaccine | $189.46 | $902.18 | $12.34–$811.96 | 2% above | 79% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 00006-4837-02 - pneumococcal 23-polyvalent vaccine | $189.46 | $902.18 | $12.34–$811.96 | 2% above | 79% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 00006-4943-00 - pneumococcal 23-valent vaccine Sol | $270.65 | $902.18 | $216.52–$811.96 | — | 70% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 00006-4837-03 - pneumococcal 23-polyvalent vaccine | $270.65 | $902.18 | $216.52–$811.96 | — | 70% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 00006-4837-02 - pneumococcal 23-polyvalent vaccine | $270.65 | $902.18 | $216.52–$811.96 | — | 70% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 00006-4943-01 - pneumococcal 23-polyvalent vaccine | $270.65 | $902.18 | $216.52–$811.96 | — | 70% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 49281-0575-00 - nirsevimab (cvx 306) alip preserva | $815.98 | $3,885.63 | $271.99–$3,497.07 | 32% below | 79% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 49281-0575-15 - nirsevimab (cvx 306) alip preserva | $815.98 | $3,885.63 | $271.99–$3,497.07 | 32% below | 79% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 49281-0575-00 - nirsevimab (cvx 306) alip preserva | $1,165.69 | $3,885.63 | $932.55–$3,497.07 | — | 70% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 49281-0575-15 - nirsevimab (cvx 306) alip preserva | $1,165.69 | $3,885.63 | $932.55–$3,497.07 | — | 70% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 00069-0344-05 - RSV vaccine, preF A-preF B, recomb | $467.81 | $2,227.68 | $155.94–$2,004.91 | at median | 79% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 00069-0344-01 - RSV vaccine, preF A-preF B, recomb | $467.81 | $2,227.68 | $155.94–$2,004.91 | at median | 79% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 00069-0344-05 - RSV vaccine, preF A-preF B, recomb | $668.30 | $2,227.68 | $534.64–$2,004.91 | — | 70% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 00069-0344-01 - RSV vaccine, preF A-preF B, recomb | $668.30 | $2,227.68 | $534.64–$2,004.91 | — | 70% |
| RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 58160-0848-11 - RSV vaccine preF3, recombinant pre | $467.91 | $2,228.12 | $155.97–$2,005.31 | 2% above | 79% |
| RSV vaccine with adjuvant (Arexvy), one dose for older adults inpatient CPT 90679 58160-0848-11 - RSV vaccine preF3, recombinant pre | $668.44 | $2,228.12 | $534.75–$2,005.31 | — | 70% |
| Rabies vaccine, one dose CPT 90675 49281-0252-51 - rabies vaccine, human diploid cell | $626.76 | $2,984.58 | $262.98–$2,686.12 | 28% below | 79% |
| Rabies vaccine, one dose CPT 90675 49999-0414-01 - rabies vaccine, human diploid cell | $626.76 | $2,984.58 | $262.98–$2,686.12 | 28% below | 79% |
| Rabies vaccine, one dose CPT 90675 49999-0414-01 - rabies vaccine human diploid cell | $626.76 | $2,984.58 | $262.98–$2,686.12 | 28% below | 79% |
| Rabies vaccine, one dose CPT 90675 49281-0250-51 - rabies vaccine, human diploid cell | $626.76 | $2,984.58 | $262.98–$2,686.12 | 28% below | 79% |
| Rabies vaccine, one dose CPT 90675 63851-0501-01 - rabies vaccine, purified chick emb | $718.93 | $3,423.46 | $262.98–$3,081.11 | 17% below | 79% |
| Rabies vaccine, one dose CPT 90675 63851-0501-02 - rabies vaccine, purified chick emb | $718.93 | $3,423.46 | $262.98–$3,081.11 | 17% below | 79% |
| Rabies vaccine, one dose CPT 90675 63851-0501-02 - rabies vaccine purified chick emb | $718.93 | $3,423.46 | $262.98–$3,081.11 | 17% below | 79% |
| Rabies vaccine, one dose CPT 90675 63851-0501-01 - rabies vaccine purified chick emb | $718.93 | $3,423.46 | $262.98–$3,081.11 | 17% below | 79% |
| Rabies vaccine, one dose CPT 90675 50632-0010-01 - rabies vaccine, purified chick emb | $718.93 | $3,423.46 | $262.98–$3,081.11 | 17% below | 79% |
| Rabies vaccine, one dose CPT 90675 58160-0964-12 - rabies vaccine, purified chick emb | $718.93 | $3,423.46 | $262.98–$3,081.11 | 17% below | 79% |
| Rabies vaccine, one dose inpatient CPT 90675 49281-0252-51 - rabies vaccine, human diploid cell | $895.37 | $2,984.58 | $716.30–$2,686.12 | — | 70% |
| Rabies vaccine, one dose inpatient CPT 90675 49999-0414-01 - rabies vaccine, human diploid cell | $895.37 | $2,984.58 | $716.30–$2,686.12 | — | 70% |
| Rabies vaccine, one dose inpatient CPT 90675 49999-0414-01 - rabies vaccine human diploid cell | $895.37 | $2,984.58 | $716.30–$2,686.12 | — | 70% |
| Rabies vaccine, one dose inpatient CPT 90675 49281-0250-51 - rabies vaccine, human diploid cell | $895.37 | $2,984.58 | $716.30–$2,686.12 | — | 70% |
| Rabies vaccine, one dose inpatient CPT 90675 63851-0501-01 - rabies vaccine, purified chick emb | $1,027.04 | $3,423.46 | $821.63–$3,081.11 | — | 70% |
| Rabies vaccine, one dose inpatient CPT 90675 63851-0501-02 - rabies vaccine, purified chick emb | $1,027.04 | $3,423.46 | $821.63–$3,081.11 | — | 70% |
| Rabies vaccine, one dose inpatient CPT 90675 50632-0010-01 - rabies vaccine, purified chick emb | $1,027.04 | $3,423.46 | $821.63–$3,081.11 | — | 70% |
| Rabies vaccine, one dose inpatient CPT 90675 63851-0501-01 - rabies vaccine purified chick emb | $1,027.04 | $3,423.46 | $821.63–$3,081.11 | — | 70% |
| Rabies vaccine, one dose inpatient CPT 90675 58160-0964-12 - rabies vaccine, purified chick emb | $1,027.04 | $3,423.46 | $821.63–$3,081.11 | — | 70% |
| Rabies vaccine, one dose inpatient CPT 90675 63851-0501-02 - rabies vaccine purified chick emb | $1,027.04 | $3,423.46 | $821.63–$3,081.11 | — | 70% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 58160-0819-12 - zoster vaccine, inactivated adjuva | $367.31 | $1,749.09 | $112.00–$1,574.18 | 53% above | 79% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 58160-0823-11 - zoster vaccine, inactivated adjuva | $367.31 | $1,749.09 | $112.00–$1,574.18 | 53% above | 79% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 58160-0819-12 - zoster vaccine, inactivated adjuva | $524.73 | $1,749.09 | $419.78–$1,574.18 | — | 70% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 58160-0823-11 - zoster vaccine, inactivated adjuva | $524.73 | $1,749.09 | $419.78–$1,574.18 | — | 70% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 49281-0291-83 - tetanus-diphtheria toxoids 5 units | $183.71 | $874.80 | $14.00–$787.32 | 157% above | 79% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 00006-4133-01 - tetanus-diphth toxoids (Td) adult/ | $183.71 | $874.80 | $14.00–$787.32 | 157% above | 79% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 00006-4133-41 - tetanus-diphtheria toxoids 2 units | $183.71 | $874.80 | $14.00–$787.32 | 157% above | 79% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 13533-0131-01 - tetanus-diphth toxoids (Td) adult/ | $183.71 | $874.80 | $14.00–$787.32 | 157% above | 79% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 17478-0131-01 - tetanus-diphth toxoids (Td) adult/ | $183.71 | $874.80 | $14.00–$787.32 | 157% above | 79% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 49281-0225-10 - diphtheria-tetanus toxoids (DT) pe | $183.71 | $874.80 | $14.00–$787.32 | 157% above | 79% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 49281-0215-15 - tetanus-diphtheria toxoids 5 units | $183.71 | $874.80 | $14.00–$787.32 | 157% above | 79% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 49281-0215-10 - tetanus-diphtheria toxoids 5 units | $183.71 | $874.80 | $14.00–$787.32 | 157% above | 79% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 49281-0291-10 - tetanus-diphtheria toxoids 5 units | $183.71 | $874.80 | $14.00–$787.32 | 157% above | 79% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 49281-0215-15 - tetanus-diphtheria toxoids 5 units | $262.44 | $874.80 | $209.95–$787.32 | — | 70% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 00006-4133-41 - tetanus-diphtheria toxoids 2 units | $262.44 | $874.80 | $209.95–$787.32 | — | 70% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 49281-0291-83 - tetanus-diphtheria toxoids 5 units | $262.44 | $874.80 | $209.95–$787.32 | — | 70% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 49281-0291-10 - tetanus-diphtheria toxoids 5 units | $262.44 | $874.80 | $209.95–$787.32 | — | 70% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 49281-0215-10 - tetanus-diphtheria toxoids 5 units | $262.44 | $874.80 | $209.95–$787.32 | — | 70% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 49281-0225-10 - diphtheria-tetanus toxoids (DT) pe | $262.44 | $874.80 | $209.95–$787.32 | — | 70% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 17478-0131-01 - tetanus-diphth toxoids (Td) adult/ | $262.44 | $874.80 | $209.95–$787.32 | — | 70% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 13533-0131-01 - tetanus-diphth toxoids (Td) adult/ | $262.44 | $874.80 | $209.95–$787.32 | — | 70% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 00006-4133-01 - tetanus-diphth toxoids (Td) adult/ | $262.44 | $874.80 | $209.95–$787.32 | — | 70% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 58160-0842-43 - tetanus/diphth/pertuss (Tdap) adul | $183.71 | $874.80 | $28.80–$787.32 | 82% above | 79% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 49281-0400-15 - tetanus/diphtheria/pertussis, acel | $183.71 | $874.80 | $28.80–$787.32 | 82% above | 79% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 49281-0400-15 - tetanus/diphtheria/pertussis acel | $183.71 | $874.80 | $28.80–$787.32 | 82% above | 79% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 58160-0842-11 - tetanus/diphtheria/pertussis, acel | $183.71 | $874.80 | $28.80–$787.32 | 82% above | 79% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 49281-0400-10 - tetanus/diphtheria/pertussis, acel | $183.71 | $874.80 | $28.80–$787.32 | 82% above | 79% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 49281-0400-10 - tetanus/diphtheria/pertussis acel | $183.71 | $874.80 | $28.80–$787.32 | 82% above | 79% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 58160-0842-52 - tetanus/diphtheria/pertussis, acel | $183.71 | $874.80 | $28.80–$787.32 | 82% above | 79% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 49281-0400-20 - tetanus/diphth/pertuss (Tdap) adul | $183.71 | $874.80 | $28.80–$787.32 | 82% above | 79% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 58160-0842-46 - tetanus/diphth/pertuss (Tdap) adul | $183.71 | $874.80 | $28.80–$787.32 | 82% above | 79% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VACCINE 7 YRS/> IM | $454.59 | $2,164.73 | $28.80–$1,948.26 | 349% above | 79% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 49281-0400-10 - tetanus/diphtheria/pertussis acel | $262.44 | $874.80 | $209.95–$787.32 | — | 70% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 58160-0842-46 - tetanus/diphth/pertuss (Tdap) adul | $262.44 | $874.80 | $209.95–$787.32 | — | 70% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 58160-0842-52 - tetanus/diphtheria/pertussis, acel | $262.44 | $874.80 | $209.95–$787.32 | — | 70% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 49281-0400-10 - tetanus/diphtheria/pertussis, acel | $262.44 | $874.80 | $209.95–$787.32 | — | 70% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 49281-0400-15 - tetanus/diphtheria/pertussis, acel | $262.44 | $874.80 | $209.95–$787.32 | — | 70% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 49281-0400-15 - tetanus/diphtheria/pertussis acel | $262.44 | $874.80 | $209.95–$787.32 | — | 70% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 49281-0400-20 - tetanus/diphth/pertuss (Tdap) adul | $262.44 | $874.80 | $209.95–$787.32 | — | 70% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 58160-0842-11 - tetanus/diphtheria/pertussis, acel | $262.44 | $874.80 | $209.95–$787.32 | — | 70% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 58160-0842-43 - tetanus/diphth/pertuss (Tdap) adul | $262.44 | $874.80 | $209.95–$787.32 | — | 70% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Pt. Location - Vaccine Charge - OB/Nursery | $47.09 | $224.23 | $13.14–$201.81 | 20% below | 79% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Pt. Location - Vaccine Charge - Emergency Departme | $98.67 | $469.88 | $13.14–$422.89 | 67% above | 79% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Pt. Location - Vaccine Charge - In House/Observati | $98.67 | $469.88 | $13.14–$422.89 | 67% above | 79% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 $ED Admin Vaccine | $98.67 | $469.88 | $13.14–$422.89 | 67% above | 79% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Pt. Location - Vaccine Charge - Infusion Center | $98.67 | $469.88 | $13.14–$422.89 | 67% above | 79% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMM ADM 1ST VACCINE - BCE | $98.67 | $469.88 | $13.14–$422.89 | 67% above | 79% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN | $417.14 | $1,986.37 | $13.14–$1,787.73 | 605% above | 79% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Pt. Location - Vaccine Charge - OB/Nursery | $67.27 | $224.23 | $53.82–$201.81 | — | 70% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Pt. Location - Vaccine Charge - Infusion Center | $140.96 | $469.88 | $112.77–$422.89 | — | 70% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Pt. Location - Vaccine Charge - Emergency Departme | $140.96 | $469.88 | $112.77–$422.89 | — | 70% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMM ADM 1ST VACCINE - BCE | $140.96 | $469.88 | $112.77–$422.89 | — | 70% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Pt. Location - Vaccine Charge - In House/Observati | $140.96 | $469.88 | $112.77–$422.89 | — | 70% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 $ED Admin Vaccine | $140.96 | $469.88 | $112.77–$422.89 | — | 70% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Pt. Location - Vaccine Charge - OB Obs/OP Addition | $47.09 | $224.23 | $12.95–$201.81 | 1% below | 79% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 OB CHRG - VACCINE ADM EA AD | $47.09 | $224.23 | $12.95–$201.81 | 1% below | 79% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 $ED Admin Vaccine Ea Add'l | $113.22 | $539.16 | $12.95–$485.24 | 139% above | 79% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Pt. Location - Vaccine Charge - ED Additional | $113.22 | $539.16 | $12.95–$485.24 | 139% above | 79% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Pt. Location - Vaccine Charge - Obs/OP Additional | $113.22 | $539.16 | $12.95–$485.24 | 139% above | 79% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 CHRG - VACCINE ADM EA AD | $113.22 | $539.16 | $12.95–$485.24 | 139% above | 79% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 OB CHRG - VACCINE ADM EA AD | $67.27 | $224.23 | $53.82–$201.81 | — | 70% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Pt. Location - Vaccine Charge - OB Obs/OP Addition | $67.27 | $224.23 | $53.82–$201.81 | — | 70% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Pt. Location - Vaccine Charge - Obs/OP Additional | $161.75 | $539.16 | $129.40–$485.24 | — | 70% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 CHRG - VACCINE ADM EA AD | $161.75 | $539.16 | $129.40–$485.24 | — | 70% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 $ED Admin Vaccine Ea Add'l | $161.75 | $539.16 | $129.40–$485.24 | — | 70% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Pt. Location - Vaccine Charge - ED Additional | $161.75 | $539.16 | $129.40–$485.24 | — | 70% |
Dental
| Procedure | Cash price | List price | Insurers pay | vs Missouri | Off list |
|---|---|---|---|---|---|
| Simple extraction of a tooth or exposed root that is above the gum CDT D7140 EXTRACTION ERUPTED TOOTH/EXR | $20,166.48 | $96,030.85 | $97.41–$86,427.77 | 304% above | 79% |