Hospital Chicago-Naperville-Elgin, IL-IN

Northwest Health - Porter

Listed in its price file as “Porter Hospital LLC”.

Northwest Health - Porter in Valparaiso, IN publishes cash prices for 411 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 Indiana median for 262 of 408 procedures and below it for 141. By typical cash price it ranks #65 of 89 Indiana hospitals and #46 of 63 hospitals in the Chicago, IL area, cheapest first. Click a procedure to compare it with other hospitals nearby.

85 East US Hwy 6, Valparaiso, IN 46383 Collected Sep 27, 2026 Source price file (219) 983-8300

Acute care hospital Emergency department CMS star rating 2 of 5 CCN 150035 · CMS hospital register NPI 1215151154

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Indiana	Off list
Abdominal CT scan without and with contrast CPT 74170 CT Abdomen WWO	$2,171.88	$8,044.00	$163.75–$6,756.96	71% above	73%
Abdominal CT scan without and with contrast CPT 74170 74170 CT-ABDOMEN WWO	$2,171.88	$8,044.00	$163.75–$6,756.96	71% above	73%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT Abdomen WWO	$2,895.84	$8,044.00	$1,930.56–$6,756.96	—	64%
Abdominal CT scan without and with contrast inpatient CPT 74170 74170 CT-ABDOMEN WWO	$2,895.84	$8,044.00	$1,930.56–$6,756.96	—	64%
Abdominal X-ray, 2 views CPT 74019 XR Abd Flat Upright DR	$186.03	$689.00	$33.68–$578.76	31% below	73%
Abdominal X-ray, 2 views CPT 74019 XR Abdomen Complete DR	$186.03	$689.00	$33.68–$578.76	31% below	73%
Abdominal X-ray, 2 views CPT 74019 XR ABDOMEN 2V CR - XR Abdomen 2V CR	$186.03	$689.00	$33.68–$578.76	31% below	73%
Abdominal X-ray, 2 views CPT 74019 XR ABDOMEN 2V DR - XR Abdomen 2V DR	$186.03	$689.00	$33.68–$578.76	31% below	73%
Abdominal X-ray, 2 views CPT 74019 XR Abd w Decub or Upright DR	$186.03	$689.00	$33.68–$578.76	31% below	73%
Abdominal X-ray, 2 views inpatient CPT 74019 XR Abdomen Complete DR	$248.04	$689.00	$165.36–$578.76	—	64%
Abdominal X-ray, 2 views inpatient CPT 74019 XR Abd w Decub or Upright DR	$248.04	$689.00	$165.36–$578.76	—	64%
Abdominal X-ray, 2 views inpatient CPT 74019 XR ABDOMEN 2V CR - XR Abdomen 2V CR	$248.04	$689.00	$165.36–$578.76	—	64%
Abdominal X-ray, 2 views inpatient CPT 74019 XR Abd Flat Upright DR	$248.04	$689.00	$165.36–$578.76	—	64%
Abdominal X-ray, 2 views inpatient CPT 74019 XR ABDOMEN 2V DR - XR Abdomen 2V DR	$248.04	$689.00	$165.36–$578.76	—	64%
Ankle X-ray, complete, 3 or more views both sides CPT 73610 XR Ankle Complete Min 3 V Bilateral DR	$439.83	$1,629.00	$34.49–$1,368.36	—	73%
Ankle X-ray, complete, 3 or more views CPT 73610 LE-ANKLE 3VPLUS DR [BCE 161]	$220.05	$815.00	$34.49–$684.60	12% above	73%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete Min 3 V Left DR	$220.05	$815.00	$34.49–$684.60	12% above	73%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete Min 3 V Left CR	$220.05	$815.00	$34.49–$684.60	12% above	73%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete Min 3 V Right CR	$220.05	$815.00	$34.49–$684.60	12% above	73%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete Min 3 V Right DR	$220.05	$815.00	$34.49–$684.60	12% above	73%
Ankle X-ray, complete, 3 or more views inpatient both sides CPT 73610 XR Ankle Complete Min 3 V Bilateral DR	$586.44	$1,629.00	$390.96–$1,368.36	—	64%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 LE-ANKLE 3VPLUS DR [BCE 161]	$293.40	$815.00	$195.60–$684.60	—	64%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Complete Min 3 V Left CR	$293.40	$815.00	$195.60–$684.60	—	64%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Complete Min 3 V Left DR	$293.40	$815.00	$195.60–$684.60	—	64%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Complete Min 3 V Right DR	$293.40	$815.00	$195.60–$684.60	—	64%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Complete Min 3 V Right CR	$293.40	$815.00	$195.60–$684.60	—	64%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 US UE Arterial Doppler Single Lvl Bilat	$121.77	$451.00	$76.95–$1,120.00	—	73%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 US LE Arterial Doppler Single Lvl Bilat	$121.77	$451.00	$76.95–$1,120.00	—	73%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 US LE Arterial Doppler Single Lvl Bilat	$162.36	$451.00	$108.24–$378.84	—	64%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 US UE Arterial Doppler Single Lvl Bilat	$162.36	$451.00	$108.24–$378.84	—	64%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Wrist Right WO	$686.07	$2,541.00	$97.84–$2,134.44	15% below	73%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Hand Right WO	$686.07	$2,541.00	$97.84–$2,134.44	15% below	73%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Elbow Right WO	$686.07	$2,541.00	$97.84–$2,134.44	15% below	73%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Humerus Right WO	$686.07	$2,541.00	$97.84–$2,134.44	15% below	73%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Shoulder Left WO	$686.07	$2,541.00	$97.84–$2,134.44	15% below	73%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Forearm Left WO	$686.07	$2,541.00	$97.84–$2,134.44	15% below	73%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Humerus Left WO	$686.07	$2,541.00	$97.84–$2,134.44	15% below	73%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Forearm Right WO	$686.07	$2,541.00	$97.84–$2,134.44	15% below	73%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Hand Left WO	$686.07	$2,541.00	$97.84–$2,134.44	15% below	73%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Shoulder Right WO	$686.07	$2,541.00	$97.84–$2,134.44	15% below	73%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Elbow Left WO	$686.07	$2,541.00	$97.84–$2,134.44	15% below	73%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Wrist Left WO	$686.07	$2,541.00	$97.84–$2,134.44	15% below	73%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Wrist Right WO	$914.76	$2,541.00	$609.84–$2,134.44	—	64%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Wrist Left WO	$914.76	$2,541.00	$609.84–$2,134.44	—	64%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Shoulder Right WO	$914.76	$2,541.00	$609.84–$2,134.44	—	64%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Shoulder Left WO	$914.76	$2,541.00	$609.84–$2,134.44	—	64%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Humerus Right WO	$914.76	$2,541.00	$609.84–$2,134.44	—	64%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Elbow Left WO	$914.76	$2,541.00	$609.84–$2,134.44	—	64%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Elbow Right WO	$914.76	$2,541.00	$609.84–$2,134.44	—	64%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Forearm Left WO	$914.76	$2,541.00	$609.84–$2,134.44	—	64%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Forearm Right WO	$914.76	$2,541.00	$609.84–$2,134.44	—	64%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Hand Left WO	$914.76	$2,541.00	$609.84–$2,134.44	—	64%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Hand Right WO	$914.76	$2,541.00	$609.84–$2,134.44	—	64%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Humerus Left WO	$914.76	$2,541.00	$609.84–$2,134.44	—	64%
Barium swallow (esophagus X-ray with contrast) CPT 74220 RF Esophagus Barium	$334.53	$1,239.00	$88.16–$1,040.76	29% below	73%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 RF Esophagus Barium	$446.04	$1,239.00	$297.36–$1,040.76	—	64%
Bone scan, whole body (nuclear medicine) CPT 78306 NM Bone and or Joint Whole Body Scan 1 - NM Bone	$1,579.50	$5,850.00	$241.14–$4,914.00	at median	73%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM Bone and or Joint Whole Body Scan 1 - NM Bone	$2,106.00	$5,850.00	$1,404.00–$4,914.00	—	64%
Breast ultrasound, complete, one breast both sides CPT 76641 US Breast Complete Bilateral CM	$464.67	$1,721.00	$65.38–$1,445.64	—	73%
Breast ultrasound, complete, one breast both sides CPT 76641 US Breast Complete Bilateral	$930.15	$3,445.00	$65.38–$2,893.80	—	73%
Breast ultrasound, complete, one breast one side CPT 76641 US Breast Complete Right CM	$464.67	$1,721.00	$65.38–$1,445.64	7% above	73%
Breast ultrasound, complete, one breast one side CPT 76641 US Breast Complete Left	$464.67	$1,721.00	$65.38–$1,445.64	7% above	73%
Breast ultrasound, complete, one breast one side CPT 76641 US Breast Complete Right	$464.67	$1,721.00	$65.38–$1,445.64	7% above	73%
Breast ultrasound, complete, one breast one side CPT 76641 US Breast Complete Left CM	$464.67	$1,721.00	$65.38–$1,445.64	7% above	73%
Breast ultrasound, complete, one breast inpatient both sides CPT 76641 US Breast Complete Bilateral CM	$619.56	$1,721.00	$413.04–$1,445.64	—	64%
Breast ultrasound, complete, one breast inpatient both sides CPT 76641 US Breast Complete Bilateral	$1,240.20	$3,445.00	$826.80–$2,893.80	—	64%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Breast Complete Right	$619.56	$1,721.00	$413.04–$1,445.64	—	64%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Breast Complete Left	$619.56	$1,721.00	$413.04–$1,445.64	—	64%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Breast Complete Right CM	$619.56	$1,721.00	$413.04–$1,445.64	—	64%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Breast Complete Left CM	$619.56	$1,721.00	$413.04–$1,445.64	—	64%
Breast ultrasound, limited (one breast or one area) both sides CPT 76642 US Breast Limited Bilateral	$930.15	$3,445.00	$49.49–$2,893.80	—	73%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Limited Right	$464.67	$1,721.00	$49.49–$1,445.64	43% above	73%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Limited Left	$464.67	$1,721.00	$49.49–$1,445.64	43% above	73%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Limited Right CM	$464.67	$1,721.00	$49.49–$1,445.64	43% above	73%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Limited Left CM	$464.67	$1,721.00	$49.49–$1,445.64	43% above	73%
Breast ultrasound, limited (one breast or one area) inpatient both sides CPT 76642 US Breast Limited Bilateral	$1,240.20	$3,445.00	$826.80–$2,893.80	—	64%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Limited Left	$619.56	$1,721.00	$413.04–$1,445.64	—	64%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Limited Right	$619.56	$1,721.00	$413.04–$1,445.64	—	64%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Limited Right CM	$619.56	$1,721.00	$413.04–$1,445.64	—	64%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Limited Left CM	$619.56	$1,721.00	$413.04–$1,445.64	—	64%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA Abdomen Pelvis	$3,228.93	$11,959.00	$328.54–$10,045.56	71% above	73%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 74174 CTA Abdomen Pelvis	$3,228.93	$11,959.00	$328.54–$10,045.56	71% above	73%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 74174 CTA Abdomen Pelvis	$4,305.24	$11,959.00	$2,870.16–$10,045.56	—	64%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA Abdomen Pelvis	$4,305.24	$11,959.00	$2,870.16–$10,045.56	—	64%
CT angiography (CTA) of the head CPT 70496 70496 CTA Head - BCE	$1,644.64	$6,091.26	$163.90–$5,116.66	29% above	73%
CT angiography (CTA) of the head CPT 70496 CTA Head	$1,726.92	$6,396.00	$163.90–$5,372.64	36% above	73%
CT angiography (CTA) of the head CPT 70496 70496 CTA Head	$1,726.92	$6,396.00	$163.90–$5,372.64	36% above	73%
CT angiography (CTA) of the head inpatient CPT 70496 70496 CTA Head - BCE	$2,192.85	$6,091.26	$1,461.90–$5,116.66	—	64%
CT angiography (CTA) of the head inpatient CPT 70496 70496 CTA Head	$2,302.56	$6,396.00	$1,535.04–$5,372.64	—	64%
CT angiography (CTA) of the head inpatient CPT 70496 CTA Head	$2,302.56	$6,396.00	$1,535.04–$5,372.64	—	64%
CT angiography (CTA) of the neck CPT 70498 70498 CTA Neck - BCE	$1,644.64	$6,091.26	$163.90–$5,116.66	35% above	73%
CT angiography (CTA) of the neck CPT 70498 70498 CTA Neck	$1,726.92	$6,396.00	$163.90–$5,372.64	42% above	73%
CT angiography (CTA) of the neck CPT 70498 CTA Neck	$1,726.92	$6,396.00	$163.90–$5,372.64	42% above	73%
CT angiography (CTA) of the neck inpatient CPT 70498 70498 CTA Neck - BCE	$2,192.85	$6,091.26	$1,461.90–$5,116.66	—	64%
CT angiography (CTA) of the neck inpatient CPT 70498 70498 CTA Neck	$2,302.56	$6,396.00	$1,535.04–$5,372.64	—	64%
CT angiography (CTA) of the neck inpatient CPT 70498 CTA Neck	$2,302.56	$6,396.00	$1,535.04–$5,372.64	—	64%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA Chest for PE	$1,726.92	$6,396.00	$163.90–$5,372.64	37% above	73%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA Chest	$1,726.92	$6,396.00	$163.90–$5,372.64	37% above	73%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 71275 CTA Chest	$1,726.92	$6,396.00	$163.90–$5,372.64	37% above	73%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA Chest for PE	$2,302.56	$6,396.00	$1,535.04–$5,372.64	—	64%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 71275 CTA Chest	$2,302.56	$6,396.00	$1,535.04–$5,372.64	—	64%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA Chest	$2,302.56	$6,396.00	$1,535.04–$5,372.64	—	64%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT Angio Heart Function W	$1,174.77	$4,351.00	$328.26–$3,654.84	41% above	73%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT Angio Heart Function W	$1,566.36	$4,351.00	$1,044.24–$3,654.84	—	64%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT Heart WO	$362.34	$1,342.00	$80.84–$1,295.00	76% above	73%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT Heart WO	$483.12	$1,342.00	$322.08–$1,127.28	—	64%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abdomen Pelvis Stone Protocol	$2,447.55	$9,065.00	$222.37–$7,614.60	133% above	73%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abdomen Pelvis WO	$2,447.55	$9,065.00	$222.37–$7,614.60	133% above	73%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 74176 CT-ABD PELVIS WO	$2,447.55	$9,065.00	$222.37–$7,614.60	133% above	73%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Abdomen Pelvis WO	$3,263.40	$9,065.00	$2,175.60–$7,614.60	—	64%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 74176 CT-ABD PELVIS WO	$3,263.40	$9,065.00	$2,175.60–$7,614.60	—	64%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Abdomen Pelvis Stone Protocol	$3,263.40	$9,065.00	$2,175.60–$7,614.60	—	64%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 74177 CT-ABD PELVIS W	$3,299.67	$12,221.00	$328.83–$10,265.64	119% above	73%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abdomen Pelvis W	$3,299.67	$12,221.00	$328.83–$10,265.64	119% above	73%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Enterography Abdomen Pelvis	$3,299.67	$12,221.00	$328.83–$10,265.64	119% above	73%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Enterography Abdomen Pelvis	$4,399.56	$12,221.00	$2,933.04–$10,265.64	—	64%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abdomen Pelvis W	$4,399.56	$12,221.00	$2,933.04–$10,265.64	—	64%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 74177 CT-ABD PELVIS W	$4,399.56	$12,221.00	$2,933.04–$10,265.64	—	64%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 74178 CT-ABD PELVIS WW	$4,727.16	$17,508.00	$328.69–$14,706.72	176% above	73%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abd Pelvis WWO Urology Protocol	$4,727.16	$17,508.00	$328.69–$14,706.72	176% above	73%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abdomen Pelvis WWO	$4,727.16	$17,508.00	$328.69–$14,706.72	176% above	73%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abd Pelvis WWO Urology Protocol	$6,302.88	$17,508.00	$4,201.92–$14,706.72	—	64%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 74178 CT-ABD PELVIS WW	$6,302.88	$17,508.00	$4,201.92–$14,706.72	—	64%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abdomen Pelvis WWO	$6,302.88	$17,508.00	$4,201.92–$14,706.72	—	64%
CT scan of the abdomen with contrast CPT 74160 CT Abdomen W Pancreatic Protocol	$1,692.90	$6,270.00	$163.75–$5,266.80	59% above	73%
CT scan of the abdomen with contrast CPT 74160 CT Abdomen W	$1,692.90	$6,270.00	$163.75–$5,266.80	59% above	73%
CT scan of the abdomen with contrast CPT 74160 CT Abdomen W Liver Protocol 3Phase	$1,692.90	$6,270.00	$163.75–$5,266.80	59% above	73%
CT scan of the abdomen with contrast CPT 74160 74160 CT-ABDOMEN W	$1,692.90	$6,270.00	$163.75–$5,266.80	59% above	73%
CT scan of the abdomen with contrast inpatient CPT 74160 CT Abdomen W Liver Protocol 3Phase	$2,257.20	$6,270.00	$1,504.80–$5,266.80	—	64%
CT scan of the abdomen with contrast inpatient CPT 74160 CT Abdomen W Pancreatic Protocol	$2,257.20	$6,270.00	$1,504.80–$5,266.80	—	64%
CT scan of the abdomen with contrast inpatient CPT 74160 74160 CT-ABDOMEN W	$2,257.20	$6,270.00	$1,504.80–$5,266.80	—	64%
CT scan of the abdomen with contrast inpatient CPT 74160 CT Abdomen W	$2,257.20	$6,270.00	$1,504.80–$5,266.80	—	64%
CT scan of the abdomen without contrast CPT 74150 CT Abdomen WO	$1,224.18	$4,534.00	$97.68–$3,808.56	45% above	73%
CT scan of the abdomen without contrast CPT 74150 74150 CT-ABDOMEN WO	$1,224.18	$4,534.00	$97.68–$3,808.56	45% above	73%
CT scan of the abdomen without contrast inpatient CPT 74150 CT Abdomen WO	$1,632.24	$4,534.00	$1,088.16–$3,808.56	—	64%
CT scan of the abdomen without contrast inpatient CPT 74150 74150 CT-ABDOMEN WO	$1,632.24	$4,534.00	$1,088.16–$3,808.56	—	64%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT Sinus WO	$1,224.18	$4,534.00	$97.98–$3,808.56	47% above	73%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT Maxillofacial WO	$1,224.18	$4,534.00	$97.98–$3,808.56	47% above	73%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Maxillofacial WO	$1,632.24	$4,534.00	$1,088.16–$3,808.56	—	64%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Sinus WO	$1,632.24	$4,534.00	$1,088.16–$3,808.56	—	64%
CT scan of the head or brain, no contrast dye CPT 70450 CT Head or Brain WO	$1,121.58	$4,154.00	$97.84–$3,489.36	42% above	73%
CT scan of the head or brain, no contrast dye CPT 70450 CT Head Stroke Alert	$1,121.58	$4,154.00	$97.84–$3,489.36	42% above	73%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head or Brain WO	$1,495.44	$4,154.00	$996.96–$3,489.36	—	64%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head Stroke Alert	$1,495.44	$4,154.00	$996.96–$3,489.36	—	64%
CT scan of the head with contrast CPT 70460 CT Head or Brain W	$1,733.67	$6,421.00	$163.76–$5,393.64	99% above	73%
CT scan of the head with contrast inpatient CPT 70460 CT Head or Brain W	$2,311.56	$6,421.00	$1,541.04–$5,393.64	—	64%
CT scan of the head without and with contrast CPT 70470 CT Head or Brain WWO	$1,820.34	$6,742.00	$163.61–$5,663.28	75% above	73%
CT scan of the head without and with contrast inpatient CPT 70470 CT Head or Brain WWO	$2,427.12	$6,742.00	$1,618.08–$5,663.28	—	64%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 72131 CT-LUMB SPINE WO	$1,224.18	$4,534.00	$97.68–$3,808.56	38% above	73%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT Spine Lumbar WO	$1,224.18	$4,534.00	$97.68–$3,808.56	38% above	73%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT Spine Lumbar WO	$1,632.24	$4,534.00	$1,088.16–$3,808.56	—	64%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 72131 CT-LUMB SPINE WO	$1,632.24	$4,534.00	$1,088.16–$3,808.56	—	64%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT Spine Cervical WO	$1,224.18	$4,534.00	$97.68–$3,808.56	47% above	73%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 72125 CT-CERV SPINE WO	$1,224.18	$4,534.00	$97.68–$3,808.56	47% above	73%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 72125 CT-CERV SPINE WO	$1,632.24	$4,534.00	$1,088.16–$3,808.56	—	64%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT Spine Cervical WO	$1,632.24	$4,534.00	$1,088.16–$3,808.56	—	64%
CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis W	$1,605.69	$5,947.00	$163.75–$4,995.48	67% above	73%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis W	$2,140.92	$5,947.00	$1,427.28–$4,995.48	—	64%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US Carotid Duplex Bilateral	$653.40	$2,420.00	$175.68–$2,032.80	—	73%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 NI Duplex Scan Extracran Art Comp Bilat	$653.40	$2,420.00	$175.68–$2,032.80	—	73%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 NI Duplex Scan Extracran Art Comp Bilat	$871.20	$2,420.00	$580.80–$2,032.80	—	64%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US Carotid Duplex Bilateral	$871.20	$2,420.00	$580.80–$2,032.80	—	64%
Chest CT scan without and with contrast CPT 71270 71270 CT-CHEST DIAG WWO	$2,171.88	$8,044.00	$163.90–$6,756.96	105% above	73%
Chest CT scan without and with contrast CPT 71270 CT Chest Diagnostic WWO	$2,171.88	$8,044.00	$163.90–$6,756.96	105% above	73%
Chest CT scan without and with contrast inpatient CPT 71270 CT Chest Diagnostic WWO	$2,895.84	$8,044.00	$1,930.56–$6,756.96	—	64%
Chest CT scan without and with contrast inpatient CPT 71270 71270 CT-CHEST DIAG WWO	$2,895.84	$8,044.00	$1,930.56–$6,756.96	—	64%
Chest X-ray, 2 views both sides CPT 71046 XR Chest Decubitus Bilat DR	$281.61	$1,043.00	$30.87–$876.12	—	73%
Chest X-ray, 2 views CPT 71046 XR Chest 2 V DR	$268.32	$993.77	$30.87–$834.77	29% above	73%
Chest X-ray, 2 views CPT 71046 CH-CHEST 2V DR [BCE 161]	$281.61	$1,043.00	$30.87–$876.12	36% above	73%
Chest X-ray, 2 views CPT 71046 XR Chest 2 V CR	$281.61	$1,043.00	$30.87–$876.12	36% above	73%
Chest X-ray, 2 views one side CPT 71046 XR Chest 1V w Decubitus Rt DR	$281.61	$1,043.00	$30.87–$876.12	36% above	73%
Chest X-ray, 2 views one side CPT 71046 XR Chest 1V w Decubitus Lt DR	$281.61	$1,043.00	$30.87–$876.12	36% above	73%
Chest X-ray, 2 views inpatient both sides CPT 71046 XR Chest Decubitus Bilat DR	$375.48	$1,043.00	$250.32–$876.12	—	64%
Chest X-ray, 2 views inpatient CPT 71046 XR Chest 2 V DR	$357.76	$993.77	$238.50–$834.77	—	64%
Chest X-ray, 2 views inpatient CPT 71046 XR Chest 2 V CR	$375.48	$1,043.00	$250.32–$876.12	—	64%
Chest X-ray, 2 views inpatient CPT 71046 CH-CHEST 2V DR [BCE 161]	$375.48	$1,043.00	$250.32–$876.12	—	64%
Chest X-ray, 2 views inpatient one side CPT 71046 XR Chest 1V w Decubitus Rt DR	$375.48	$1,043.00	$250.32–$876.12	—	64%
Chest X-ray, 2 views inpatient one side CPT 71046 XR Chest 1V w Decubitus Lt DR	$375.48	$1,043.00	$250.32–$876.12	—	64%
Chest X-ray, single view CPT 71045 XR Chest 1 V Portable CR	$152.82	$566.00	$23.68–$475.44	6% below	73%
Chest X-ray, single view CPT 71045 XR Chest Stereo Frontal DR	$152.82	$566.00	$23.68–$475.44	6% below	73%
Chest X-ray, single view CPT 71045 XR Stroke Chest 1V Portable DR	$152.82	$566.00	$23.68–$475.44	6% below	73%
Chest X-ray, single view CPT 71045 XR Chest 1 V Portable DR	$152.82	$566.00	$23.68–$475.44	6% below	73%
Chest X-ray, single view CPT 71045 XR Chest 1 V Frontal CR	$152.82	$566.00	$23.68–$475.44	6% below	73%
Chest X-ray, single view CPT 71045 CH-CHEST 1V DR [BCE 161]	$152.82	$566.00	$23.68–$475.44	6% below	73%
Chest X-ray, single view CPT 71045 XR Chest 1 V Frontal DR	$152.82	$566.00	$23.68–$475.44	6% below	73%
Chest X-ray, single view CPT 71045 XR Chest 1V DR	$152.82	$566.00	$23.68–$475.44	6% below	73%
Chest X-ray, single view one side CPT 71045 XR Chest Decubitus Lat Lt DR	$152.82	$566.00	$23.68–$475.44	6% below	73%
Chest X-ray, single view one side CPT 71045 XR Chest Decubitus Lat Rt DR	$152.82	$566.00	$23.68–$475.44	6% below	73%
Chest X-ray, single view inpatient CPT 71045 XR Chest 1 V Portable DR	$203.76	$566.00	$135.84–$475.44	—	64%
Chest X-ray, single view inpatient CPT 71045 XR Chest 1 V Portable CR	$203.76	$566.00	$135.84–$475.44	—	64%
Chest X-ray, single view inpatient CPT 71045 XR Chest 1 V Frontal DR	$203.76	$566.00	$135.84–$475.44	—	64%
Chest X-ray, single view inpatient CPT 71045 XR Chest Stereo Frontal DR	$203.76	$566.00	$135.84–$475.44	—	64%
Chest X-ray, single view inpatient CPT 71045 XR Stroke Chest 1V Portable DR	$203.76	$566.00	$135.84–$475.44	—	64%
Chest X-ray, single view inpatient CPT 71045 XR Chest 1 V Frontal CR	$203.76	$566.00	$135.84–$475.44	—	64%
Chest X-ray, single view inpatient CPT 71045 CH-CHEST 1V DR [BCE 161]	$203.76	$566.00	$135.84–$475.44	—	64%
Chest X-ray, single view inpatient CPT 71045 XR Chest 1V DR	$203.76	$566.00	$135.84–$475.44	—	64%
Chest X-ray, single view inpatient one side CPT 71045 XR Chest Decubitus Lat Lt DR	$203.76	$566.00	$135.84–$475.44	—	64%
Chest X-ray, single view inpatient one side CPT 71045 XR Chest Decubitus Lat Rt DR	$203.76	$566.00	$135.84–$475.44	—	64%
Collarbone (clavicle) X-ray, complete CPT 73000 UE-CLAVICLE DR [BCE 161]	$220.05	$815.00	$31.06–$684.60	15% above	73%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR Clavicle Right DR	$220.05	$815.00	$31.06–$684.60	15% above	73%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR Clavicle Right CR	$220.05	$815.00	$31.06–$684.60	15% above	73%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR Clavicle Left CR	$220.05	$815.00	$31.06–$684.60	15% above	73%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR Clavicle Left DR	$220.05	$815.00	$31.06–$684.60	15% above	73%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 UE-CLAVICLE DR [BCE 161]	$293.40	$815.00	$195.60–$684.60	—	64%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR Clavicle Left DR	$293.40	$815.00	$195.60–$684.60	—	64%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR Clavicle Right DR	$293.40	$815.00	$195.60–$684.60	—	64%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR Clavicle Right CR	$293.40	$815.00	$195.60–$684.60	—	64%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR Clavicle Left CR	$293.40	$815.00	$195.60–$684.60	—	64%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Retroperitoneal Complete	$686.07	$2,541.00	$97.70–$2,134.44	34% above	73%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US Retroperitoneal Complete	$914.76	$2,541.00	$609.84–$2,134.44	—	64%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 BD Bone Density DEXA Axial Skeleton	$294.84	$1,092.00	$36.73–$917.28	2% above	73%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 BD Bone Density DEXA Axial Skeleton	$393.12	$1,092.00	$262.08–$917.28	—	64%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 BD Bone Density DEXA App Skeleton	$130.41	$483.00	$29.61–$405.72	10% below	73%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 BD Bone Density DEXA App Skeleton	$173.88	$483.00	$115.92–$405.72	—	64%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 76811 US-PLV PRG 2T DETAIL	$822.96	$3,048.00	$171.64–$2,560.32	48% above	73%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US Pregnancy Complete w Detail	$822.96	$3,048.00	$171.64–$2,560.32	48% above	73%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 76811 US-PLV PRG 2T DETAIL	$1,097.28	$3,048.00	$731.52–$2,560.32	—	64%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US Pregnancy Complete w Detail	$1,097.28	$3,048.00	$731.52–$2,560.32	—	64%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT High Resolution Chest	$1,224.18	$4,534.00	$97.68–$3,808.56	47% above	73%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest Diagnostic WO	$1,224.18	$4,534.00	$97.68–$3,808.56	47% above	73%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 71250 CT-CHEST DIAG WO	$1,224.18	$4,534.00	$97.68–$3,808.56	47% above	73%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Chest Diagnostic WO	$1,632.24	$4,534.00	$1,088.16–$3,808.56	—	64%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT High Resolution Chest	$1,632.24	$4,534.00	$1,088.16–$3,808.56	—	64%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 71250 CT-CHEST DIAG WO	$1,632.24	$4,534.00	$1,088.16–$3,808.56	—	64%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 71260 CT-CHEST DIAG W	$1,692.90	$6,270.00	$163.61–$5,266.80	85% above	73%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Chest Diagnostic W	$1,692.90	$6,270.00	$163.61–$5,266.80	85% above	73%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Chest Diagnostic W	$2,257.20	$6,270.00	$1,504.80–$5,266.80	—	64%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 71260 CT-CHEST DIAG W	$2,257.20	$6,270.00	$1,504.80–$5,266.80	—	64%
Diagnostic mammogram, both breasts both sides CPT 77066 MG Mammo Diagnostic Bilateral WWO CAD CM	$264.06	$978.00	$90.50–$821.52	—	73%
Diagnostic mammogram, both breasts both sides CPT 77066 77066 BR-DIG MAMMO BILAT	$264.06	$978.00	$90.50–$821.52	—	73%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 77066 BR-DIG MAMMO BILAT	$352.08	$978.00	$234.72–$821.52	—	64%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MG Mammo Diagnostic Bilateral WWO CAD CM	$352.08	$978.00	$234.72–$821.52	—	64%
Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Diagnostic Left WWO CAD CM	$180.09	$667.00	$70.61–$560.28	19% below	73%
Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Diagnostic Left WWO CAD	$180.09	$667.00	$70.61–$560.28	19% below	73%
Diagnostic mammogram, one breast one side CPT 77065 77065 BR-DIG MAMMO UNILAT	$180.09	$667.00	$70.61–$560.28	19% below	73%
Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Diagnostic Right WWO CAD CM	$180.09	$667.00	$70.61–$560.28	19% below	73%
Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Diagnostic Right WWO CAD	$180.09	$667.00	$70.61–$560.28	19% below	73%
Diagnostic mammogram, one breast inpatient one side CPT 77065 77065 BR-DIG MAMMO UNILAT	$240.12	$667.00	$160.08–$560.28	—	64%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Diagnostic Right WWO CAD CM	$240.12	$667.00	$160.08–$560.28	—	64%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Diagnostic Right WWO CAD	$240.12	$667.00	$160.08–$560.28	—	64%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Diagnostic Left WWO CAD CM	$240.12	$667.00	$160.08–$560.28	—	64%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Diagnostic Left WWO CAD	$240.12	$667.00	$160.08–$560.28	—	64%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US LE Arterial Duplex Bilateral	$726.57	$2,691.00	$220.43–$2,260.44	—	73%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US LE Arterial Bypass Grafts Comp Bilat	$726.57	$2,691.00	$220.43–$2,260.44	—	73%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 NI Duplex Scan Leg Arteries Comp Bilat	$726.57	$2,691.00	$220.43–$2,260.44	—	73%
Duplex ultrasound of the leg arteries, both legs CPT 93925 LOWER EXTREMITY STUDY	$766.77	$2,839.89	$220.43–$2,385.51	19% below	73%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 NI Duplex Scan Leg Arteries Comp Bilat	$968.76	$2,691.00	$645.84–$2,260.44	—	64%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US LE Arterial Bypass Grafts Comp Bilat	$968.76	$2,691.00	$645.84–$2,260.44	—	64%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US LE Arterial Duplex Bilateral	$968.76	$2,691.00	$645.84–$2,260.44	—	64%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 NI Duplex Venous Extremities Comp Bilat	$744.93	$2,759.00	$170.94–$2,317.56	—	73%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US LE Venous Mapping Duplex Bilateral	$744.93	$2,759.00	$170.94–$2,317.56	—	73%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US Venous Insufficiency Doppler Bilat	$744.93	$2,759.00	$170.94–$2,317.56	—	73%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US UE Venous Duplex Bilateral	$744.93	$2,759.00	$170.94–$2,317.56	—	73%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US UE Venous Mapping Duplex Bilateral	$744.93	$2,759.00	$170.94–$2,317.56	—	73%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 NI Duplex Venous Leg Comp Bilat	$744.93	$2,759.00	$170.94–$2,317.56	—	73%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 NI Duplex Venous Arm Comp Bilat	$744.93	$2,759.00	$170.94–$2,317.56	—	73%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US LE Venous Insufficiency Duplex Bilat	$744.93	$2,759.00	$170.94–$2,317.56	—	73%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US LE Venous Duplex Bilateral	$744.93	$2,759.00	$170.94–$2,317.56	—	73%
Duplex ultrasound of the leg veins, both legs CPT 93970 US Lower Extremity Veins Limited Bilater - US Lowe	$744.93	$2,759.00	$170.94–$2,317.56	42% below	73%
Duplex ultrasound of the leg veins, both legs CPT 93970 US Upper Extremity Veins Limited Bilater - US Uppe	$744.93	$2,759.00	$170.94–$2,317.56	42% below	73%
Duplex ultrasound of the leg veins, both legs one side CPT 93970 NI Duplex Venous Leg Left	$493.56	$1,828.00	$170.94–$1,535.52	61% below	73%
Duplex ultrasound of the leg veins, both legs one side CPT 93970 NI Duplex Venous Leg Right	$493.56	$1,828.00	$170.94–$1,535.52	61% below	73%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 NI Duplex Venous Leg Comp Bilat	$993.24	$2,759.00	$662.16–$2,317.56	—	64%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US Venous Insufficiency Doppler Bilat	$993.24	$2,759.00	$662.16–$2,317.56	—	64%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US LE Venous Insufficiency Duplex Bilat	$993.24	$2,759.00	$662.16–$2,317.56	—	64%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 NI Duplex Venous Arm Comp Bilat	$993.24	$2,759.00	$662.16–$2,317.56	—	64%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 NI Duplex Venous Extremities Comp Bilat	$993.24	$2,759.00	$662.16–$2,317.56	—	64%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US LE Venous Mapping Duplex Bilateral	$993.24	$2,759.00	$662.16–$2,317.56	—	64%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US UE Venous Duplex Bilateral	$993.24	$2,759.00	$662.16–$2,317.56	—	64%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US UE Venous Mapping Duplex Bilateral	$993.24	$2,759.00	$662.16–$2,317.56	—	64%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US LE Venous Duplex Bilateral	$993.24	$2,759.00	$662.16–$2,317.56	—	64%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US Lower Extremity Veins Limited Bilater - US Lowe	$993.24	$2,759.00	$662.16–$2,317.56	—	64%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US Upper Extremity Veins Limited Bilater - US Uppe	$993.24	$2,759.00	$662.16–$2,317.56	—	64%
Duplex ultrasound of the leg veins, both legs inpatient one side CPT 93970 NI Duplex Venous Leg Right	$658.08	$1,828.00	$438.72–$1,535.52	—	64%
Duplex ultrasound of the leg veins, both legs inpatient one side CPT 93970 NI Duplex Venous Leg Left	$658.08	$1,828.00	$438.72–$1,535.52	—	64%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 NI Pediatric Echo Complete w Color Dop	$876.42	$3,246.00	$184.65–$2,726.64	47% below	73%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 NI Echo TTE 2D Complete w Color Doppler	$876.42	$3,246.00	$184.65–$2,726.64	47% below	73%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER COMPLETE	$6,160.15	$22,815.38	$184.65–$19,164.92	273% above	73%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 NI Pediatric Echo Complete w Color Dop	$1,168.56	$3,246.00	$779.04–$2,726.64	—	64%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 NI Echo TTE 2D Complete w Color Doppler	$1,168.56	$3,246.00	$779.04–$2,726.64	—	64%
Elbow X-ray, 2 views one side CPT 73070 XR Elbow 2 V Left CR	$164.70	$610.00	$27.34–$512.40	1% below	73%
Elbow X-ray, 2 views one side CPT 73070 XR Elbow 2 V Right DR	$164.70	$610.00	$27.34–$512.40	1% below	73%
Elbow X-ray, 2 views one side CPT 73070 XR Elbow 2 V Right CR	$164.70	$610.00	$27.34–$512.40	1% below	73%
Elbow X-ray, 2 views one side CPT 73070 XR Elbow 2 V Left DR	$164.70	$610.00	$27.34–$512.40	1% below	73%
Elbow X-ray, 2 views inpatient one side CPT 73070 XR Elbow 2 V Right DR	$219.60	$610.00	$146.40–$512.40	—	64%
Elbow X-ray, 2 views inpatient one side CPT 73070 XR Elbow 2 V Right CR	$219.60	$610.00	$146.40–$512.40	—	64%
Elbow X-ray, 2 views inpatient one side CPT 73070 XR Elbow 2 V Left DR	$219.60	$610.00	$146.40–$512.40	—	64%
Elbow X-ray, 2 views inpatient one side CPT 73070 XR Elbow 2 V Left CR	$219.60	$610.00	$146.40–$512.40	—	64%
Elbow X-ray, complete, 3 or more views CPT 73080 UE-ELBOW 3V DR [BCE 161]	$220.05	$815.00	$30.77–$684.60	14% below	73%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR Elbow Complete Min 3 V Right CR - XR Elbow Com	$220.05	$815.00	$30.77–$684.60	14% below	73%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR Elbow Complete Min 3 V Left DR	$220.05	$815.00	$30.77–$684.60	14% below	73%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR Elbow Complete Min 3 V Right DR	$220.05	$815.00	$30.77–$684.60	14% below	73%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR Elbow Complete Min 3 V Left CR	$220.05	$815.00	$30.77–$684.60	14% below	73%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 UE-ELBOW 3V DR [BCE 161]	$293.40	$815.00	$195.60–$684.60	—	64%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR Elbow Complete Min 3 V Right CR - XR Elbow Com	$293.40	$815.00	$195.60–$684.60	—	64%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR Elbow Complete Min 3 V Left CR	$293.40	$815.00	$195.60–$684.60	—	64%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR Elbow Complete Min 3 V Right DR	$293.40	$815.00	$195.60–$684.60	—	64%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR Elbow Complete Min 3 V Left DR	$293.40	$815.00	$195.60–$684.60	—	64%
Eye socket (orbit) CT scan without contrast CPT 70480 CT Orbit WO	$1,224.18	$4,534.00	$97.84–$3,808.56	51% above	73%
Eye socket (orbit) CT scan without contrast CPT 70480 CT Mastoids WO	$1,224.18	$4,534.00	$97.84–$3,808.56	51% above	73%
Eye socket (orbit) CT scan without contrast CPT 70480 CT Sella WO	$1,224.18	$4,534.00	$97.84–$3,808.56	51% above	73%
Eye socket (orbit) CT scan without contrast CPT 70480 CT IAC Temporal WO	$1,224.18	$4,534.00	$97.84–$3,808.56	51% above	73%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT Mastoids WO	$1,632.24	$4,534.00	$1,088.16–$3,808.56	—	64%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT Orbit WO	$1,632.24	$4,534.00	$1,088.16–$3,808.56	—	64%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT IAC Temporal WO	$1,632.24	$4,534.00	$1,088.16–$3,808.56	—	64%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT Sella WO	$1,632.24	$4,534.00	$1,088.16–$3,808.56	—	64%
Facial bones X-ray, complete, 3 or more views CPT 70150 XR Facial Bones Comp Minimum 3 V DR	$220.05	$815.00	$43.66–$684.60	19% below	73%
Facial bones X-ray, complete, 3 or more views CPT 70150 XR Facial Bones Comp Minimum 3 V CR	$220.05	$815.00	$43.66–$684.60	19% below	73%
Facial bones X-ray, complete, 3 or more views CPT 70150 XR Zygomatic Arches Minimum 3V CR	$220.05	$815.00	$43.66–$684.60	19% below	73%
Facial bones X-ray, complete, 3 or more views CPT 70150 XR Zygomatic Arches Minimum 3V DR	$220.05	$815.00	$43.66–$684.60	19% below	73%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 XR Zygomatic Arches Minimum 3V CR	$293.40	$815.00	$195.60–$684.60	—	64%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 XR Zygomatic Arches Minimum 3V DR	$293.40	$815.00	$195.60–$684.60	—	64%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 XR Facial Bones Comp Minimum 3 V CR	$293.40	$815.00	$195.60–$684.60	—	64%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 XR Facial Bones Comp Minimum 3 V DR	$293.40	$815.00	$195.60–$684.60	—	64%
Forearm X-ray (radius and ulna), 2 views CPT 73090 UE-FOREARM 2V DR [BCE 161]	$220.05	$815.00	$27.03–$684.60	18% above	73%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR Forearm 2 V Right DR	$220.05	$815.00	$27.03–$684.60	18% above	73%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR Forearm 2 V Left CR	$220.05	$815.00	$27.03–$684.60	18% above	73%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR Forearm 2 V Right CR	$220.05	$815.00	$27.03–$684.60	18% above	73%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR Forearm 2 V Left DR	$220.05	$815.00	$27.03–$684.60	18% above	73%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 UE-FOREARM 2V DR [BCE 161]	$293.40	$815.00	$195.60–$684.60	—	64%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR Forearm 2 V Left CR	$293.40	$815.00	$195.60–$684.60	—	64%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR Forearm 2 V Left DR	$293.40	$815.00	$195.60–$684.60	—	64%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR Forearm 2 V Right DR	$293.40	$815.00	$195.60–$684.60	—	64%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR Forearm 2 V Right CR	$293.40	$815.00	$195.60–$684.60	—	64%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM Hepatobiliary System Scan 1	$1,030.59	$3,817.00	$264.54–$3,206.28	22% below	73%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM Hepatobiliary System Scan 1	$1,374.12	$3,817.00	$916.08–$3,206.28	—	64%
Hand X-ray, 2 views one side CPT 73120 XR Hand 2 V Right DR	$153.36	$568.00	$29.20–$477.12	11% below	73%
Hand X-ray, 2 views one side CPT 73120 XR Hand 2 V Left CR	$153.36	$568.00	$29.20–$477.12	11% below	73%
Hand X-ray, 2 views one side CPT 73120 XR Hand 2 V Left DR	$153.36	$568.00	$29.20–$477.12	11% below	73%
Hand X-ray, 2 views one side CPT 73120 XR Hand 2 V Right CR	$153.36	$568.00	$29.20–$477.12	11% below	73%
Hand X-ray, 2 views inpatient one side CPT 73120 XR Hand 2 V Right DR	$204.48	$568.00	$136.32–$477.12	—	64%
Hand X-ray, 2 views inpatient one side CPT 73120 XR Hand 2 V Left CR	$204.48	$568.00	$136.32–$477.12	—	64%
Hand X-ray, 2 views inpatient one side CPT 73120 XR Hand 2 V Left DR	$204.48	$568.00	$136.32–$477.12	—	64%
Hand X-ray, 2 views inpatient one side CPT 73120 XR Hand 2 V Right CR	$204.48	$568.00	$136.32–$477.12	—	64%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR Calcaneus 2 V Left DR	$153.36	$568.00	$26.41–$477.12	29% below	73%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR Calcaneus 2 V Right DR	$153.36	$568.00	$26.41–$477.12	29% below	73%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR Calcaneus 2 V Left DR	$204.48	$568.00	$136.32–$477.12	—	64%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR Calcaneus 2 V Right DR	$204.48	$568.00	$136.32–$477.12	—	64%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 CHRG - POLYS-CPAP GT4 GE6YO	$2,269.08	$8,404.00	$477.30–$7,059.36	32% below	73%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 CHRG - POLYS-CPAP GT4 GE6YO	$3,025.44	$8,404.00	$2,016.96–$7,059.36	—	64%
Knee X-ray, 3 views CPT 73562 LE-KNEE 3V DR [BCE 161]	$220.05	$815.00	$39.47–$684.60	4% below	73%
Knee X-ray, 3 views one side CPT 73562 XR Knee 3 V Right DR	$220.05	$815.00	$39.47–$684.60	4% below	73%
Knee X-ray, 3 views one side CPT 73562 XR Knee 3 V Right CR	$220.05	$815.00	$39.47–$684.60	4% below	73%
Knee X-ray, 3 views one side CPT 73562 XR Knee 3 V Left DR	$220.05	$815.00	$39.47–$684.60	4% below	73%
Knee X-ray, 3 views one side CPT 73562 XR Knee 3 V Left CR	$220.05	$815.00	$39.47–$684.60	4% below	73%
Knee X-ray, 3 views inpatient CPT 73562 LE-KNEE 3V DR [BCE 161]	$293.40	$815.00	$195.60–$684.60	—	64%
Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 V Right DR	$293.40	$815.00	$195.60–$684.60	—	64%
Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 V Right CR	$293.40	$815.00	$195.60–$684.60	—	64%
Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 V Left DR	$293.40	$815.00	$195.60–$684.60	—	64%
Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 V Left CR	$293.40	$815.00	$195.60–$684.60	—	64%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee Complete 4 V Right CR	$245.16	$908.00	$46.04–$762.72	6% below	73%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee 4 V w Patella Left CR	$245.16	$908.00	$46.04–$762.72	6% below	73%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee Complete 4 V Left CR	$245.16	$908.00	$46.04–$762.72	6% below	73%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee 4 V w Patella Right CR	$245.16	$908.00	$46.04–$762.72	6% below	73%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee Complete 4 V Right DR	$245.16	$908.00	$46.04–$762.72	6% below	73%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee Complete 4 V Left DR	$245.16	$908.00	$46.04–$762.72	6% below	73%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee 4 V w Patella Left DR	$245.16	$908.00	$46.04–$762.72	6% below	73%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee 4 V w Patella Right DR	$245.16	$908.00	$46.04–$762.72	6% below	73%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR Knee Complete 4 V Left CR	$326.88	$908.00	$217.92–$762.72	—	64%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR Knee 4 V w Patella Left DR	$326.88	$908.00	$217.92–$762.72	—	64%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR Knee 4 V w Patella Right CR	$326.88	$908.00	$217.92–$762.72	—	64%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR Knee 4 V w Patella Right DR	$326.88	$908.00	$217.92–$762.72	—	64%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR Knee 4 V w Patella Left CR	$326.88	$908.00	$217.92–$762.72	—	64%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR Knee Complete 4 V Left DR	$326.88	$908.00	$217.92–$762.72	—	64%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR Knee Complete 4 V Right DR	$326.88	$908.00	$217.92–$762.72	—	64%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR Knee Complete 4 V Right CR	$326.88	$908.00	$217.92–$762.72	—	64%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Ankle Left WO	$1,422.09	$5,267.00	$97.68–$4,424.28	81% above	73%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Hip Left WO	$1,422.09	$5,267.00	$97.68–$4,424.28	81% above	73%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Hip Right WO	$1,422.09	$5,267.00	$97.68–$4,424.28	81% above	73%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Knee Left WO	$1,422.09	$5,267.00	$97.68–$4,424.28	81% above	73%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Tibia Fibula Right WO	$1,422.09	$5,267.00	$97.68–$4,424.28	81% above	73%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Tibia Fibula Left WO	$1,422.09	$5,267.00	$97.68–$4,424.28	81% above	73%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Knee Right WO	$1,422.09	$5,267.00	$97.68–$4,424.28	81% above	73%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Ankle Right WO	$1,422.09	$5,267.00	$97.68–$4,424.28	81% above	73%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Femur Left WO	$1,422.09	$5,267.00	$97.68–$4,424.28	81% above	73%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Femur Right WO	$1,422.09	$5,267.00	$97.68–$4,424.28	81% above	73%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Foot Left WO	$1,422.09	$5,267.00	$97.68–$4,424.28	81% above	73%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Foot Right WO	$1,422.09	$5,267.00	$97.68–$4,424.28	81% above	73%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Foot Right WO	$1,896.12	$5,267.00	$1,264.08–$4,424.28	—	64%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Knee Right WO	$1,896.12	$5,267.00	$1,264.08–$4,424.28	—	64%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Knee Left WO	$1,896.12	$5,267.00	$1,264.08–$4,424.28	—	64%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Femur Left WO	$1,896.12	$5,267.00	$1,264.08–$4,424.28	—	64%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Tibia Fibula Right WO	$1,896.12	$5,267.00	$1,264.08–$4,424.28	—	64%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Foot Left WO	$1,896.12	$5,267.00	$1,264.08–$4,424.28	—	64%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Tibia Fibula Left WO	$1,896.12	$5,267.00	$1,264.08–$4,424.28	—	64%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Femur Right WO	$1,896.12	$5,267.00	$1,264.08–$4,424.28	—	64%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Hip Right WO	$1,896.12	$5,267.00	$1,264.08–$4,424.28	—	64%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Ankle Left WO	$1,896.12	$5,267.00	$1,264.08–$4,424.28	—	64%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Hip Left WO	$1,896.12	$5,267.00	$1,264.08–$4,424.28	—	64%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Ankle Right WO	$1,896.12	$5,267.00	$1,264.08–$4,424.28	—	64%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Gallbladder	$461.70	$1,710.00	$80.71–$1,436.40	1% above	73%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen Limited	$461.70	$1,710.00	$80.71–$1,436.40	1% above	73%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Pylorus	$461.70	$1,710.00	$80.71–$1,436.40	1% above	73%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen Common Bile Duct	$461.70	$1,710.00	$80.71–$1,436.40	1% above	73%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen Wall	$461.70	$1,710.00	$80.71–$1,436.40	1% above	73%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen Ascites	$461.70	$1,710.00	$80.71–$1,436.40	1% above	73%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Liver	$461.70	$1,710.00	$80.71–$1,436.40	1% above	73%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Pancreas	$461.70	$1,710.00	$80.71–$1,436.40	1% above	73%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Spleen	$461.70	$1,710.00	$80.71–$1,436.40	1% above	73%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abdomen Limited	$615.60	$1,710.00	$410.40–$1,436.40	—	64%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Spleen	$615.60	$1,710.00	$410.40–$1,436.40	—	64%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Pylorus	$615.60	$1,710.00	$410.40–$1,436.40	—	64%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Pancreas	$615.60	$1,710.00	$410.40–$1,436.40	—	64%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Liver	$615.60	$1,710.00	$410.40–$1,436.40	—	64%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Gallbladder	$615.60	$1,710.00	$410.40–$1,436.40	—	64%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abdomen Wall	$615.60	$1,710.00	$410.40–$1,436.40	—	64%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abdomen Common Bile Duct	$615.60	$1,710.00	$410.40–$1,436.40	—	64%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abdomen Ascites	$615.60	$1,710.00	$410.40–$1,436.40	—	64%
Limited ultrasound of an arm or leg (non-vascular) both sides CPT 76882 Us Extremity Non Vascular Limited Bilat - US Extre	$246.78	$914.00	$29.64–$767.76	—	73%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US Extremity Non Vascular Limited - zzUS Extremity	$123.66	$458.00	$29.64–$384.72	59% below	73%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Axilla Left	$123.66	$458.00	$29.64–$384.72	59% below	73%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Extremity Non Vascular Limited Rt	$123.66	$458.00	$29.64–$384.72	59% below	73%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Extremity Non Vascular Limited Lt	$123.66	$458.00	$29.64–$384.72	59% below	73%
Limited ultrasound of an arm or leg (non-vascular) inpatient both sides CPT 76882 Us Extremity Non Vascular Limited Bilat - US Extre	$329.04	$914.00	$219.36–$767.76	—	64%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US Extremity Non Vascular Limited - zzUS Extremity	$164.88	$458.00	$109.92–$384.72	—	64%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Extremity Non Vascular Limited Lt	$164.88	$458.00	$109.92–$384.72	—	64%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Extremity Non Vascular Limited Rt	$164.88	$458.00	$109.92–$384.72	—	64%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Axilla Left	$164.88	$458.00	$109.92–$384.72	—	64%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT Lung Low Dose Cancer Screening WO	$147.42	$546.00	$79.35–$1,295.00	23% below	73%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT Lung Low Dose Cancer Screening WO	$196.56	$546.00	$131.04–$458.64	—	64%
Lower leg X-ray (tibia and fibula), 2 views both sides CPT 73590 XR Tibia Fibula Bilateral DR	$307.53	$1,139.00	$29.20–$956.76	—	73%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 LE-TIB FIB 2V DR [BCE 161]	$153.36	$568.00	$29.20–$477.12	23% below	73%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tibia Fibula Right CR	$153.36	$568.00	$29.20–$477.12	23% below	73%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tibia Fibula Right DR	$153.36	$568.00	$29.20–$477.12	23% below	73%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tibia Fibula Left DR	$153.36	$568.00	$29.20–$477.12	23% below	73%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tibia Fibula Left CR	$153.36	$568.00	$29.20–$477.12	23% below	73%
Lower leg X-ray (tibia and fibula), 2 views inpatient both sides CPT 73590 XR Tibia Fibula Bilateral DR	$410.04	$1,139.00	$273.36–$956.76	—	64%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 LE-TIB FIB 2V DR [BCE 161]	$204.48	$568.00	$136.32–$477.12	—	64%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR Tibia Fibula Left CR	$204.48	$568.00	$136.32–$477.12	—	64%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR Tibia Fibula Right DR	$204.48	$568.00	$136.32–$477.12	—	64%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR Tibia Fibula Right CR	$204.48	$568.00	$136.32–$477.12	—	64%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR Tibia Fibula Left DR	$204.48	$568.00	$136.32–$477.12	—	64%
MR angiography (MRA) of the head without contrast CPT 70544 MRA Head WO	$1,254.69	$4,647.00	$222.37–$3,903.48	16% above	73%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA Head WO	$1,672.92	$4,647.00	$1,115.28–$3,903.48	—	64%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle Left WO	$1,253.61	$4,643.00	$222.07–$3,900.12	22% above	73%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee Right WO	$1,253.61	$4,643.00	$222.07–$3,900.12	22% above	73%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle Right WO	$1,253.61	$4,643.00	$222.07–$3,900.12	22% above	73%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee Left WO	$1,253.61	$4,643.00	$222.07–$3,900.12	22% above	73%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Hip Left WO	$1,253.61	$4,643.00	$222.07–$3,900.12	22% above	73%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Hip Right WO	$1,253.61	$4,643.00	$222.07–$3,900.12	22% above	73%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Knee Left WO	$1,671.48	$4,643.00	$1,114.32–$3,900.12	—	64%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Hip Left WO	$1,671.48	$4,643.00	$1,114.32–$3,900.12	—	64%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Ankle Right WO	$1,671.48	$4,643.00	$1,114.32–$3,900.12	—	64%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Knee Right WO	$1,671.48	$4,643.00	$1,114.32–$3,900.12	—	64%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Hip Right WO	$1,671.48	$4,643.00	$1,114.32–$3,900.12	—	64%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Ankle Left WO	$1,671.48	$4,643.00	$1,114.32–$3,900.12	—	64%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee Right WWO	$2,534.76	$9,388.00	$328.69–$7,885.92	75% above	73%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee Left WWO	$2,534.76	$9,388.00	$328.69–$7,885.92	75% above	73%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Hip Right WWO	$2,534.76	$9,388.00	$328.69–$7,885.92	75% above	73%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Hip Left WWO	$2,534.76	$9,388.00	$328.69–$7,885.92	75% above	73%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle Right WWO	$2,534.76	$9,388.00	$328.69–$7,885.92	75% above	73%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle Left WWO	$2,534.76	$9,388.00	$328.69–$7,885.92	75% above	73%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Hip Right WWO	$3,379.68	$9,388.00	$2,253.12–$7,885.92	—	64%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Hip Left WWO	$3,379.68	$9,388.00	$2,253.12–$7,885.92	—	64%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Ankle Right WWO	$3,379.68	$9,388.00	$2,253.12–$7,885.92	—	64%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Knee Right WWO	$3,379.68	$9,388.00	$2,253.12–$7,885.92	—	64%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Ankle Left WWO	$3,379.68	$9,388.00	$2,253.12–$7,885.92	—	64%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Knee Left WWO	$3,379.68	$9,388.00	$2,253.12–$7,885.92	—	64%
MRI of the abdomen without contrast CPT 74181 MRI Abdomen WO	$1,626.75	$6,025.00	$222.22–$5,061.00	52% above	73%
MRI of the abdomen without contrast CPT 74181 MRI MRCP WO	$1,626.75	$6,025.00	$222.22–$5,061.00	52% above	73%
MRI of the abdomen without contrast inpatient CPT 74181 MRI MRCP WO	$2,169.00	$6,025.00	$1,446.00–$5,061.00	—	64%
MRI of the abdomen without contrast inpatient CPT 74181 MRI Abdomen WO	$2,169.00	$6,025.00	$1,446.00–$5,061.00	—	64%
MRI of the abdomen, without and then with contrast dye CPT 74183 74183- MR Abdomen WWO	$2,395.71	$8,873.00	$328.54–$7,453.32	52% above	73%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Abdomen WWO	$2,395.71	$8,873.00	$328.54–$7,453.32	52% above	73%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI MRCP WWO	$2,395.71	$8,873.00	$328.54–$7,453.32	52% above	73%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI Abdomen WWO	$3,194.28	$8,873.00	$2,129.52–$7,453.32	—	64%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 74183- MR Abdomen WWO	$3,194.28	$8,873.00	$2,129.52–$7,453.32	—	64%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI MRCP WWO	$3,194.28	$8,873.00	$2,129.52–$7,453.32	—	64%
MRI of the brain, no contrast dye CPT 70551 MRV Brain WO	$1,537.92	$5,696.00	$222.22–$4,784.64	49% above	73%
MRI of the brain, no contrast dye CPT 70551 MRI Brain WO	$1,537.92	$5,696.00	$222.22–$4,784.64	49% above	73%
MRI of the brain, no contrast dye inpatient CPT 70551 MRV Brain WO	$2,050.56	$5,696.00	$1,367.04–$4,784.64	—	64%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain WO	$2,050.56	$5,696.00	$1,367.04–$4,784.64	—	64%
MRI of the brain, with and without contrast dye CPT 70553 MRI IAC WWO	$2,412.45	$8,935.00	$328.54–$7,505.40	75% above	73%
MRI of the brain, with and without contrast dye CPT 70553 MRI Brain WWO	$2,412.45	$8,935.00	$328.54–$7,505.40	75% above	73%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain WWO	$3,216.60	$8,935.00	$2,144.40–$7,505.40	—	64%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI IAC WWO	$3,216.60	$8,935.00	$2,144.40–$7,505.40	—	64%
MRI of the lower back, no contrast dye CPT 72148 MRI Spine Lumbar WO	$1,596.51	$5,913.00	$222.22–$4,966.92	54% above	73%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Spine Lumbar WO	$2,128.68	$5,913.00	$1,419.12–$4,966.92	—	64%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI Spine Lumbar WWO	$2,529.36	$9,368.00	$328.54–$7,869.12	73% above	73%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI Spine Lumbar WWO	$3,372.48	$9,368.00	$2,248.32–$7,869.12	—	64%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI Spine Thoracic WO	$1,530.36	$5,668.00	$222.22–$4,761.12	49% above	73%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI Spine Thoracic WO	$2,040.48	$5,668.00	$1,360.32–$4,761.12	—	64%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI Spine Cervical WWO	$2,640.33	$9,779.00	$328.54–$8,214.36	80% above	73%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI Spine Cervical WWO	$3,520.44	$9,779.00	$2,346.96–$8,214.36	—	64%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Spine Cervical WO	$1,529.82	$5,666.00	$222.22–$4,759.44	47% above	73%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI Spine Cervical WO	$2,039.76	$5,666.00	$1,359.84–$4,759.44	—	64%
MRI of the pelvis without and with contrast CPT 72197 72197- MR Pelvis WWO	$2,574.99	$9,537.00	$328.54–$8,011.08	77% above	73%
MRI of the pelvis without and with contrast CPT 72197 MRI Prostate WWO	$2,574.99	$9,537.00	$328.54–$8,011.08	77% above	73%
MRI of the pelvis without and with contrast CPT 72197 MRI Pelvis WWO	$2,574.99	$9,537.00	$328.54–$8,011.08	77% above	73%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI Pelvis WWO	$3,433.32	$9,537.00	$2,288.88–$8,011.08	—	64%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI Prostate WWO	$3,433.32	$9,537.00	$2,288.88–$8,011.08	—	64%
MRI of the pelvis without and with contrast inpatient CPT 72197 72197- MR Pelvis WWO	$3,433.32	$9,537.00	$2,288.88–$8,011.08	—	64%
MRI of the pelvis, no contrast dye CPT 72195 MRI Pelvis WO	$1,428.84	$5,292.00	$222.36–$4,445.28	32% above	73%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI Pelvis WO	$1,905.12	$5,292.00	$1,270.08–$4,445.28	—	64%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Elbow Right WO	$1,392.12	$5,156.00	$222.07–$4,331.04	31% above	73%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Wrist Left WO	$1,392.12	$5,156.00	$222.07–$4,331.04	31% above	73%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Shoulder Right WO	$1,392.12	$5,156.00	$222.07–$4,331.04	31% above	73%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Elbow Left WO	$1,392.12	$5,156.00	$222.07–$4,331.04	31% above	73%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Shoulder Left WO	$1,392.12	$5,156.00	$222.07–$4,331.04	31% above	73%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Wrist Right WO	$1,392.12	$5,156.00	$222.07–$4,331.04	31% above	73%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Shoulder Left WO	$1,856.16	$5,156.00	$1,237.44–$4,331.04	—	64%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Wrist Right WO	$1,856.16	$5,156.00	$1,237.44–$4,331.04	—	64%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Shoulder Right WO	$1,856.16	$5,156.00	$1,237.44–$4,331.04	—	64%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Wrist Left WO	$1,856.16	$5,156.00	$1,237.44–$4,331.04	—	64%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Elbow Right WO	$1,856.16	$5,156.00	$1,237.44–$4,331.04	—	64%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Elbow Left WO	$1,856.16	$5,156.00	$1,237.44–$4,331.04	—	64%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR Spine Cervical Minimum 4 V DR	$330.75	$1,225.00	$51.28–$1,029.00	5% below	73%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR Spine Cervical Minimum 4 V CR	$330.75	$1,225.00	$51.28–$1,029.00	5% below	73%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 XR Spine Cervical Minimum 4 V CR	$441.00	$1,225.00	$294.00–$1,029.00	—	64%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 XR Spine Cervical Minimum 4 V DR	$441.00	$1,225.00	$294.00–$1,029.00	—	64%
Neck soft tissue CT scan with contrast CPT 70491 CT Soft Tissue Neck W	$1,540.08	$5,704.00	$163.61–$4,791.36	57% above	73%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT Soft Tissue Neck W	$2,053.44	$5,704.00	$1,368.96–$4,791.36	—	64%
Neck soft tissue CT scan without contrast CPT 70490 CT Soft Tissue Neck WO	$1,224.18	$4,534.00	$97.98–$3,808.56	47% above	73%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT Soft Tissue Neck WO	$1,632.24	$4,534.00	$1,088.16–$3,808.56	—	64%
Neck soft tissue X-ray CPT 70360 XR Neck Soft Tissue DR	$153.36	$568.00	$28.94–$477.12	11% below	73%
Neck soft tissue X-ray CPT 70360 XR Neck Soft Tissue CR	$153.36	$568.00	$28.94–$477.12	11% below	73%
Neck soft tissue X-ray inpatient CPT 70360 XR Neck Soft Tissue CR	$204.48	$568.00	$136.32–$477.12	—	64%
Neck soft tissue X-ray inpatient CPT 70360 XR Neck Soft Tissue DR	$204.48	$568.00	$136.32–$477.12	—	64%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Myocardial Perfusion Rest Multi 1	$1,859.76	$6,888.00	$398.57–$5,785.92	50% below	73%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Myocardial Perfusion RestStr Mult Sc1 - NM Myoc	$1,859.76	$6,888.00	$398.57–$5,785.92	50% below	73%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM Myocardial Perfusion Rest Multi 1	$2,479.68	$6,888.00	$1,653.12–$5,785.92	—	64%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM Myocardial Perfusion RestStr Mult Sc1 - NM Myoc	$2,479.68	$6,888.00	$1,653.12–$5,785.92	—	64%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET w CT Skull Base to Midthigh:Proste Scan	$2,694.33	$9,979.00	$1,000.00–$8,382.36	34% below	73%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET w CT Skull Base to Midth:Endocrine Scan	$2,694.33	$9,979.00	$1,000.00–$8,382.36	34% below	73%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET w CT Skull Base to Midth Int:Endocri Scan	$2,694.33	$9,979.00	$1,000.00–$8,382.36	34% below	73%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET w CT Skull Base to Midth Sub:Proste Scan	$2,694.33	$9,979.00	$1,000.00–$8,382.36	34% below	73%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET w CT Skull Base to Midth Int:Proste Scan	$2,694.33	$9,979.00	$1,000.00–$8,382.36	34% below	73%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET w CT Scan Skull Base to Midthigh Scan	$2,694.33	$9,979.00	$1,000.00–$8,382.36	34% below	73%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET w CT Skull Base to Midth Sub:Endocri Scan	$2,694.33	$9,979.00	$1,000.00–$8,382.36	34% below	73%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET w CT Skull Base to Midthigh:Proste Scan	$3,592.44	$9,979.00	$2,394.96–$8,382.36	—	64%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET w CT Skull Base to Midth Int:Endocri Scan	$3,592.44	$9,979.00	$2,394.96–$8,382.36	—	64%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET w CT Skull Base to Midth Int:Proste Scan	$3,592.44	$9,979.00	$2,394.96–$8,382.36	—	64%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET w CT Skull Base to Midth Sub:Proste Scan	$3,592.44	$9,979.00	$2,394.96–$8,382.36	—	64%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET w CT Skull Base to Midth Sub:Endocri Scan	$3,592.44	$9,979.00	$2,394.96–$8,382.36	—	64%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET w CT Skull Base to Midth:Endocrine Scan	$3,592.44	$9,979.00	$2,394.96–$8,382.36	—	64%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET w CT Scan Skull Base to Midthigh Scan	$3,592.44	$9,979.00	$2,394.96–$8,382.36	—	64%
Pelvic CT scan without contrast CPT 72192 CT Pelvis WO	$1,224.18	$4,534.00	$97.68–$3,808.56	47% above	73%
Pelvic CT scan without contrast inpatient CPT 72192 CT Pelvis WO	$1,632.24	$4,534.00	$1,088.16–$3,808.56	—	64%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Pelvis Non OB FU	$264.33	$979.00	$47.98–$822.36	20% below	73%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Pelvis Non OB Limited	$264.33	$979.00	$47.98–$822.36	20% below	73%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Pelvis Non OB Limited	$352.44	$979.00	$234.96–$822.36	—	64%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Pelvis Non OB FU	$352.44	$979.00	$234.96–$822.36	—	64%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 76856 US-PELVIS NON OB	$637.47	$2,361.00	$97.70–$1,983.24	38% above	73%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvis Non OB Complete	$637.47	$2,361.00	$97.70–$1,983.24	38% above	73%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US Pelvis Non OB Complete	$849.96	$2,361.00	$566.64–$1,983.24	—	64%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 76856 US-PELVIS NON OB	$849.96	$2,361.00	$566.64–$1,983.24	—	64%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US Pregnancy After 1st Trimester Transabdominal	$692.01	$2,563.00	$97.70–$2,152.92	25% above	73%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 76805 US-PELVIS PREG	$692.01	$2,563.00	$97.70–$2,152.92	25% above	73%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US Pregnancy After 1st Trimester Transabdominal	$922.68	$2,563.00	$615.12–$2,152.92	—	64%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 76805 US-PELVIS PREG	$922.68	$2,563.00	$615.12–$2,152.92	—	64%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US Pregnancy 1st Trimester Transabdominal	$692.01	$2,563.00	$97.84–$2,152.92	37% above	73%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 76801 US PREGNANT UTERUS 14 WK TRANSABDL 1/1ST GES	$692.01	$2,563.00	$97.84–$2,152.92	37% above	73%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US Pregnancy 1st Trimester Transabdominal	$922.68	$2,563.00	$615.12–$2,152.92	—	64%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 76801 US PREGNANT UTERUS 14 WK TRANSABDL 1/1ST GES	$922.68	$2,563.00	$615.12–$2,152.92	—	64%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US Pregnancy Limited	$228.96	$848.00	$76.35–$712.32	41% below	73%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US Pregnancy Limited Fetal Position	$228.96	$848.00	$76.35–$712.32	41% below	73%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US Pregnancy Limited Placenta Location	$228.96	$848.00	$76.35–$712.32	41% below	73%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US Pregnancy Limited Fetal Position	$305.28	$848.00	$203.52–$712.32	—	64%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US Pregnancy Limited Placenta Location	$305.28	$848.00	$203.52–$712.32	—	64%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US Pregnancy Limited	$305.28	$848.00	$203.52–$712.32	—	64%
Rib X-ray, one side, 2 views one side CPT 71100 XR Ribs 2 V Left DR	$237.33	$879.00	$33.66–$738.36	16% above	73%
Rib X-ray, one side, 2 views one side CPT 71100 XR Ribs 2 V Right CR	$237.33	$879.00	$33.66–$738.36	16% above	73%
Rib X-ray, one side, 2 views one side CPT 71100 XR Ribs 2 V Left CR	$237.33	$879.00	$33.66–$738.36	16% above	73%
Rib X-ray, one side, 2 views one side CPT 71100 XR Ribs 2 V Right DR	$237.33	$879.00	$33.66–$738.36	16% above	73%
Rib X-ray, one side, 2 views one side CPT 71100 CH-RIBS UNILAT DR [BCE 161]	$237.33	$879.00	$33.66–$738.36	16% above	73%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR Ribs 2 V Left CR	$316.44	$879.00	$210.96–$738.36	—	64%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 CH-RIBS UNILAT DR [BCE 161]	$316.44	$879.00	$210.96–$738.36	—	64%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR Ribs 2 V Right CR	$316.44	$879.00	$210.96–$738.36	—	64%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR Ribs 2 V Left DR	$316.44	$879.00	$210.96–$738.36	—	64%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR Ribs 2 V Right DR	$316.44	$879.00	$210.96–$738.36	—	64%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR Ribs w PA Chest Left Min 3 V DR	$237.33	$879.00	$38.90–$738.36	2% below	73%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR Ribs w PA Chest Right Min 3 V CR	$237.33	$879.00	$38.90–$738.36	2% below	73%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR Ribs w PA Chest Right Min 3 V DR	$237.33	$879.00	$38.90–$738.36	2% below	73%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR Ribs w PA Chest Left Min 3 V CR	$237.33	$879.00	$38.90–$738.36	2% below	73%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR Ribs w PA Chest Right Min 3 V DR	$316.44	$879.00	$210.96–$738.36	—	64%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR Ribs w PA Chest Right Min 3 V CR	$316.44	$879.00	$210.96–$738.36	—	64%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR Ribs w PA Chest Left Min 3 V CR	$316.44	$879.00	$210.96–$738.36	—	64%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR Ribs w PA Chest Left Min 3 V DR	$316.44	$879.00	$210.96–$738.36	—	64%
Screening mammogram, both breasts both sides CPT 77067 MG Mammo Screen Bilateral WWO CAD	$259.74	$962.00	$74.42–$808.08	—	73%
Screening mammogram, both breasts both sides CPT 77067 77067 BR-DIG MAMMO SCRN BI	$259.74	$962.00	$74.42–$808.08	—	73%
Screening mammogram, both breasts both sides CPT 77067 MG Mammo Screen Bilateral WWO CAD CM	$259.74	$962.00	$74.42–$808.08	—	73%
Screening mammogram, both breasts CPT 77067 77067 BR-DIG MAMMO SCRN UN	$198.99	$737.00	$74.42–$619.08	20% below	73%
Screening mammogram, both breasts one side CPT 77067 MG Mammo Screen Left WWO CAD CM	$259.74	$962.00	$74.42–$808.08	4% above	73%
Screening mammogram, both breasts one side CPT 77067 MG Mammo Screen Right WWO CAD CM	$259.74	$962.00	$74.42–$808.08	4% above	73%
Screening mammogram, both breasts one side CPT 77067 MG Mammo Screen Right WWO CAD	$259.74	$962.00	$74.42–$808.08	4% above	73%
Screening mammogram, both breasts one side CPT 77067 MG Mammo Screen Left WWO CAD	$259.74	$962.00	$74.42–$808.08	4% above	73%
Screening mammogram, both breasts inpatient both sides CPT 77067 77067 BR-DIG MAMMO SCRN BI	$346.32	$962.00	$230.88–$808.08	—	64%
Screening mammogram, both breasts inpatient both sides CPT 77067 MG Mammo Screen Bilateral WWO CAD	$346.32	$962.00	$230.88–$808.08	—	64%
Screening mammogram, both breasts inpatient both sides CPT 77067 MG Mammo Screen Bilateral WWO CAD CM	$346.32	$962.00	$230.88–$808.08	—	64%
Screening mammogram, both breasts inpatient CPT 77067 77067 BR-DIG MAMMO SCRN UN	$265.32	$737.00	$176.88–$619.08	—	64%
Screening mammogram, both breasts inpatient one side CPT 77067 MG Mammo Screen Left WWO CAD	$346.32	$962.00	$230.88–$808.08	—	64%
Screening mammogram, both breasts inpatient one side CPT 77067 MG Mammo Screen Right WWO CAD CM	$346.32	$962.00	$230.88–$808.08	—	64%
Screening mammogram, both breasts inpatient one side CPT 77067 MG Mammo Screen Right WWO CAD	$346.32	$962.00	$230.88–$808.08	—	64%
Screening mammogram, both breasts inpatient one side CPT 77067 MG Mammo Screen Left WWO CAD CM	$346.32	$962.00	$230.88–$808.08	—	64%
Shoulder X-ray, complete, 2 or more views CPT 73030 UE-SHLDR 2VW PLUS DR [BCE 161]	$220.05	$815.00	$33.27–$684.60	5% above	73%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete Min 2 V Left DR	$220.05	$815.00	$33.27–$684.60	5% above	73%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete Min 2 V Right CR	$220.05	$815.00	$33.27–$684.60	5% above	73%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete Min 2 V Left CR	$220.05	$815.00	$33.27–$684.60	5% above	73%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete Min 2 V Right DR	$220.05	$815.00	$33.27–$684.60	5% above	73%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 UE-SHLDR 2VW PLUS DR [BCE 161]	$293.40	$815.00	$195.60–$684.60	—	64%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Complete Min 2 V Left CR	$293.40	$815.00	$195.60–$684.60	—	64%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Complete Min 2 V Right DR	$293.40	$815.00	$195.60–$684.60	—	64%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Complete Min 2 V Right CR	$293.40	$815.00	$195.60–$684.60	—	64%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Complete Min 2 V Left DR	$293.40	$815.00	$195.60–$684.60	—	64%
Sinus X-ray, complete, 3 or more views CPT 70220 XR Sinuses Paranasal Complete DR	$220.05	$815.00	$35.21–$684.60	22% below	73%
Sinus X-ray, complete, 3 or more views CPT 70220 XR Sinuses Paranasal Complete CR	$220.05	$815.00	$35.21–$684.60	22% below	73%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 XR Sinuses Paranasal Complete DR	$293.40	$815.00	$195.60–$684.60	—	64%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 XR Sinuses Paranasal Complete CR	$293.40	$815.00	$195.60–$684.60	—	64%
Skull X-ray, fewer than 4 views CPT 70250 XR Skull Less Than 4 V CR	$269.73	$999.00	$33.27–$839.16	16% above	73%
Skull X-ray, fewer than 4 views CPT 70250 XR Skull Less Than 4 V DR	$269.73	$999.00	$33.27–$839.16	16% above	73%
Skull X-ray, fewer than 4 views inpatient CPT 70250 XR Skull Less Than 4 V DR	$359.64	$999.00	$239.76–$839.16	—	64%
Skull X-ray, fewer than 4 views inpatient CPT 70250 XR Skull Less Than 4 V CR	$359.64	$999.00	$239.76–$839.16	—	64%
Sleep study in a lab (polysomnography) CPT 95810 CHRG - POLYSOMNO GT4 GE6YO	$2,141.10	$7,930.00	$455.23–$6,661.20	23% below	73%
Sleep study in a lab (polysomnography) inpatient CPT 95810 CHRG - POLYSOMNO GT4 GE6YO	$2,854.80	$7,930.00	$1,903.20–$6,661.20	—	64%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 NI Echo TTE 2D Rest Stress w Cont Monito	$876.42	$3,246.00	$219.13–$2,726.64	51% below	73%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 NI Echo TTE 2D Rest Stress w Cont Monito	$1,168.56	$3,246.00	$779.04–$2,726.64	—	64%
Swallow study (modified barium swallow, video X-ray) CPT 74230 RF Modified Barium Swallow	$316.44	$1,172.00	$112.14–$984.48	14% below	73%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 RF Modified Barium Swallow	$421.92	$1,172.00	$281.28–$984.48	—	64%
Thigh bone (femur) X-ray, 2 or more views both sides CPT 73552 XR Femur Minimum 2 Views Bilat DR	$640.44	$2,372.00	$33.27–$1,992.48	—	73%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR Femur Minimum 2 Views Right DR	$321.03	$1,189.00	$33.27–$998.76	60% above	73%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR Femur Minimum 2 Views Left CR	$321.03	$1,189.00	$33.27–$998.76	60% above	73%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR Femur Minimum 2 Views Left DR	$321.03	$1,189.00	$33.27–$998.76	60% above	73%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR Femur Minimum 2 Views Right CR	$321.03	$1,189.00	$33.27–$998.76	60% above	73%
Thigh bone (femur) X-ray, 2 or more views inpatient both sides CPT 73552 XR Femur Minimum 2 Views Bilat DR	$853.92	$2,372.00	$569.28–$1,992.48	—	64%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR Femur Minimum 2 Views Right CR	$428.04	$1,189.00	$285.36–$998.76	—	64%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR Femur Minimum 2 Views Left DR	$428.04	$1,189.00	$285.36–$998.76	—	64%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR Femur Minimum 2 Views Left CR	$428.04	$1,189.00	$285.36–$998.76	—	64%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR Femur Minimum 2 Views Right DR	$428.04	$1,189.00	$285.36–$998.76	—	64%
Thoracic spine (mid back) CT scan without contrast CPT 72128 72128 CT-THOR SPINE W	$1,224.18	$4,534.00	$97.68–$3,808.56	40% above	73%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT Spine Thoracic WO	$1,224.18	$4,534.00	$97.68–$3,808.56	40% above	73%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT Spine Thoracic WO	$1,632.24	$4,534.00	$1,088.16–$3,808.56	—	64%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 72128 CT-THOR SPINE W	$1,632.24	$4,534.00	$1,088.16–$3,808.56	—	64%
Toe X-ray, 2 or more views CPT 73660 LE-TOE S 2VPLUS DR [BCE 161]	$153.36	$568.00	$26.65–$477.12	3% above	73%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes 3rd Digit Min 2 V Right CR	$153.36	$568.00	$26.65–$477.12	3% above	73%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes 5th Digit Min 2 V Left DR	$153.36	$568.00	$26.65–$477.12	3% above	73%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes 3rd Digit Min 2 V Left DR	$153.36	$568.00	$26.65–$477.12	3% above	73%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes 5th Digit Min 2 V Left CR	$153.36	$568.00	$26.65–$477.12	3% above	73%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes 4th Digit Min 2 V Right DR	$153.36	$568.00	$26.65–$477.12	3% above	73%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes 4th Digit Min 2 V Right CR	$153.36	$568.00	$26.65–$477.12	3% above	73%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes 3rd Digit Min 2 V Left CR	$153.36	$568.00	$26.65–$477.12	3% above	73%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes Great Min 2 V Left DR	$153.36	$568.00	$26.65–$477.12	3% above	73%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes 4th Digit Min 2 V Left DR	$153.36	$568.00	$26.65–$477.12	3% above	73%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes Great Min 2 V Left CR	$153.36	$568.00	$26.65–$477.12	3% above	73%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes 2nd Digit Min 2 V Right DR	$153.36	$568.00	$26.65–$477.12	3% above	73%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes 5th Digit Min 2 V Right DR	$153.36	$568.00	$26.65–$477.12	3% above	73%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes 2nd Digit Min 2 V Right CR	$153.36	$568.00	$26.65–$477.12	3% above	73%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes 4th Digit Min 2 V Left CR	$153.36	$568.00	$26.65–$477.12	3% above	73%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes Great Min 2 V Right DR	$153.36	$568.00	$26.65–$477.12	3% above	73%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes 2nd Digit Min 2 V Left DR	$153.36	$568.00	$26.65–$477.12	3% above	73%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes 5th Digit Min 2 V Right CR	$153.36	$568.00	$26.65–$477.12	3% above	73%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes 2nd Digit Min 2 V Left CR	$153.36	$568.00	$26.65–$477.12	3% above	73%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes 3rd Digit Min 2 V Right DR	$153.36	$568.00	$26.65–$477.12	3% above	73%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes Great Min 2 V Right CR	$153.36	$568.00	$26.65–$477.12	3% above	73%
Toe X-ray, 2 or more views inpatient CPT 73660 LE-TOE S 2VPLUS DR [BCE 161]	$204.48	$568.00	$136.32–$477.12	—	64%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 2nd Digit Min 2 V Right DR	$204.48	$568.00	$136.32–$477.12	—	64%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 2nd Digit Min 2 V Left CR	$204.48	$568.00	$136.32–$477.12	—	64%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 2nd Digit Min 2 V Left DR	$204.48	$568.00	$136.32–$477.12	—	64%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 2nd Digit Min 2 V Right CR	$204.48	$568.00	$136.32–$477.12	—	64%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 3rd Digit Min 2 V Left CR	$204.48	$568.00	$136.32–$477.12	—	64%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 3rd Digit Min 2 V Left DR	$204.48	$568.00	$136.32–$477.12	—	64%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 3rd Digit Min 2 V Right CR	$204.48	$568.00	$136.32–$477.12	—	64%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 3rd Digit Min 2 V Right DR	$204.48	$568.00	$136.32–$477.12	—	64%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 4th Digit Min 2 V Left CR	$204.48	$568.00	$136.32–$477.12	—	64%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 4th Digit Min 2 V Left DR	$204.48	$568.00	$136.32–$477.12	—	64%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 4th Digit Min 2 V Right CR	$204.48	$568.00	$136.32–$477.12	—	64%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 4th Digit Min 2 V Right DR	$204.48	$568.00	$136.32–$477.12	—	64%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 5th Digit Min 2 V Left CR	$204.48	$568.00	$136.32–$477.12	—	64%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 5th Digit Min 2 V Left DR	$204.48	$568.00	$136.32–$477.12	—	64%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 5th Digit Min 2 V Right CR	$204.48	$568.00	$136.32–$477.12	—	64%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 5th Digit Min 2 V Right DR	$204.48	$568.00	$136.32–$477.12	—	64%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes Great Min 2 V Left CR	$204.48	$568.00	$136.32–$477.12	—	64%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes Great Min 2 V Left DR	$204.48	$568.00	$136.32–$477.12	—	64%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes Great Min 2 V Right CR	$204.48	$568.00	$136.32–$477.12	—	64%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes Great Min 2 V Right DR	$204.48	$568.00	$136.32–$477.12	—	64%
Transvaginal pelvic ultrasound CPT 76830 US Transvaginal Non OB	$406.89	$1,507.00	$97.70–$1,265.88	at median	73%
Transvaginal pelvic ultrasound CPT 76830 76830 US-TRANSVAGINAL	$406.89	$1,507.00	$97.70–$1,265.88	at median	73%
Transvaginal pelvic ultrasound inpatient CPT 76830 US Transvaginal Non OB	$542.52	$1,507.00	$361.68–$1,265.88	—	64%
Transvaginal pelvic ultrasound inpatient CPT 76830 76830 US-TRANSVAGINAL	$542.52	$1,507.00	$361.68–$1,265.88	—	64%
Transvaginal ultrasound during pregnancy CPT 76817 US Pregnancy Transvaginal	$537.03	$1,989.00	$87.12–$1,670.76	45% above	73%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US Pregnancy Transvaginal	$716.04	$1,989.00	$477.36–$1,670.76	—	64%
Ultrasound of the abdomen, complete CPT 76700 US Abdomen Complete	$686.07	$2,541.00	$97.70–$2,134.44	31% above	73%
Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdomen Complete	$914.76	$2,541.00	$609.84–$2,134.44	—	64%
Ultrasound of the scrotum and testicles CPT 76870 US Scrotum Contents	$303.75	$1,125.00	$92.12–$945.00	29% below	73%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US Scrotum Contents	$405.00	$1,125.00	$270.00–$945.00	—	64%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Head Neck Soft Tissue	$536.49	$1,987.00	$97.70–$1,669.08	26% above	73%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Parotid	$536.49	$1,987.00	$97.70–$1,669.08	26% above	73%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Thyroid	$536.49	$1,987.00	$97.70–$1,669.08	26% above	73%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Parathyroid	$536.49	$1,987.00	$97.70–$1,669.08	26% above	73%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Parathyroid	$715.32	$1,987.00	$476.88–$1,669.08	—	64%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Head Neck Soft Tissue	$715.32	$1,987.00	$476.88–$1,669.08	—	64%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Thyroid	$715.32	$1,987.00	$476.88–$1,669.08	—	64%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Parotid	$715.32	$1,987.00	$476.88–$1,669.08	—	64%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 RF Upper GI w or wo KUB Barium	$490.86	$1,818.00	$114.18–$1,527.12	6% below	73%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 74240 FL-UPPER GI SINGLE	$490.86	$1,818.00	$114.18–$1,527.12	6% below	73%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 RF Upper GI w or wo KUB Gastrografin	$490.86	$1,818.00	$114.18–$1,527.12	6% below	73%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 RF Upper GI w or wo KUB Barium	$654.48	$1,818.00	$436.32–$1,527.12	—	64%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 RF Upper GI w or wo KUB Gastrografin	$654.48	$1,818.00	$436.32–$1,527.12	—	64%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 74240 FL-UPPER GI SINGLE	$654.48	$1,818.00	$436.32–$1,527.12	—	64%
Upper arm X-ray (humerus), 2 views CPT 73060 UE-HUMERUS DR [BCE 161]	$153.36	$568.00	$29.82–$477.12	21% below	73%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR Humerus Min 2 V Right DR	$153.36	$568.00	$29.82–$477.12	21% below	73%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR Humerus Min 2 V Right CR	$153.36	$568.00	$29.82–$477.12	21% below	73%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR Humerus Min 2 V Left DR	$153.36	$568.00	$29.82–$477.12	21% below	73%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR Humerus Min 2 V Left CR	$153.36	$568.00	$29.82–$477.12	21% below	73%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 UE-HUMERUS DR [BCE 161]	$204.48	$568.00	$136.32–$477.12	—	64%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR Humerus Min 2 V Right DR	$204.48	$568.00	$136.32–$477.12	—	64%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR Humerus Min 2 V Left CR	$204.48	$568.00	$136.32–$477.12	—	64%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR Humerus Min 2 V Left DR	$204.48	$568.00	$136.32–$477.12	—	64%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR Humerus Min 2 V Right CR	$204.48	$568.00	$136.32–$477.12	—	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 NI Duplex Venous Leg Limited	$493.56	$1,828.00	$97.84–$1,535.52	24% below	73%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 NI Duplex Venous Arm Limited	$493.56	$1,828.00	$97.84–$1,535.52	24% below	73%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Upper Extremity Veins Limited Right	$493.56	$1,828.00	$97.84–$1,535.52	24% below	73%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US LE Venous Mapping Duplex Right	$493.56	$1,828.00	$97.84–$1,535.52	24% below	73%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US LE Venous Mapping Duplex Left	$493.56	$1,828.00	$97.84–$1,535.52	24% below	73%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US UE Venous Mapping Duplex Right	$493.56	$1,828.00	$97.84–$1,535.52	24% below	73%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 NI Duplex Venous Arm Left	$493.56	$1,828.00	$97.84–$1,535.52	24% below	73%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US UE Venous Mapping Duplex Left	$493.56	$1,828.00	$97.84–$1,535.52	24% below	73%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Venous Insufficiency Doppler Left	$493.56	$1,828.00	$97.84–$1,535.52	24% below	73%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Venous Insufficiency Doppler Right	$493.56	$1,828.00	$97.84–$1,535.52	24% below	73%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Upper Extremity Veins Limited Left.	$493.56	$1,828.00	$97.84–$1,535.52	24% below	73%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 NI Duplex Venous Extremities Right	$493.56	$1,828.00	$97.84–$1,535.52	24% below	73%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 NI Duplex Venous Extremities Left	$493.56	$1,828.00	$97.84–$1,535.52	24% below	73%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Upper Extremity Veins Limited Left	$493.56	$1,828.00	$97.84–$1,535.52	24% below	73%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US UE Venous Duplex Right	$493.56	$1,828.00	$97.84–$1,535.52	24% below	73%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US UE Venous Duplex Left	$493.56	$1,828.00	$97.84–$1,535.52	24% below	73%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Lower Extremity Veins Limited Left	$493.56	$1,828.00	$97.84–$1,535.52	24% below	73%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US LE Venous Duplex Right	$493.56	$1,828.00	$97.84–$1,535.52	24% below	73%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US LE Venous Duplex Left	$493.56	$1,828.00	$97.84–$1,535.52	24% below	73%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Lower Extremity Veins Limited Right	$493.56	$1,828.00	$97.84–$1,535.52	24% below	73%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 NI Duplex Venous Arm Right	$493.56	$1,828.00	$97.84–$1,535.52	24% below	73%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 NI Duplex Venous Arm Limited	$658.08	$1,828.00	$438.72–$1,535.52	—	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 NI Duplex Venous Leg Limited	$658.08	$1,828.00	$438.72–$1,535.52	—	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Upper Extremity Veins Limited Left	$658.08	$1,828.00	$438.72–$1,535.52	—	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US UE Venous Duplex Right	$658.08	$1,828.00	$438.72–$1,535.52	—	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US UE Venous Duplex Left	$658.08	$1,828.00	$438.72–$1,535.52	—	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 NI Duplex Venous Arm Right	$658.08	$1,828.00	$438.72–$1,535.52	—	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Lower Extremity Veins Limited Left	$658.08	$1,828.00	$438.72–$1,535.52	—	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US LE Venous Duplex Right	$658.08	$1,828.00	$438.72–$1,535.52	—	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Lower Extremity Veins Limited Right	$658.08	$1,828.00	$438.72–$1,535.52	—	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US LE Venous Duplex Left	$658.08	$1,828.00	$438.72–$1,535.52	—	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Upper Extremity Veins Limited Right	$658.08	$1,828.00	$438.72–$1,535.52	—	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 NI Duplex Venous Arm Left	$658.08	$1,828.00	$438.72–$1,535.52	—	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US UE Venous Mapping Duplex Left	$658.08	$1,828.00	$438.72–$1,535.52	—	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US UE Venous Mapping Duplex Right	$658.08	$1,828.00	$438.72–$1,535.52	—	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US LE Venous Mapping Duplex Left	$658.08	$1,828.00	$438.72–$1,535.52	—	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US LE Venous Mapping Duplex Right	$658.08	$1,828.00	$438.72–$1,535.52	—	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Venous Insufficiency Doppler Right	$658.08	$1,828.00	$438.72–$1,535.52	—	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Venous Insufficiency Doppler Left	$658.08	$1,828.00	$438.72–$1,535.52	—	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Upper Extremity Veins Limited Left.	$658.08	$1,828.00	$438.72–$1,535.52	—	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 NI Duplex Venous Extremities Right	$658.08	$1,828.00	$438.72–$1,535.52	—	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 NI Duplex Venous Extremities Left	$658.08	$1,828.00	$438.72–$1,535.52	—	64%
Wrist X-ray, 2 views CPT 73100 UE-WRIST 2V DR [BCE 161]	$153.36	$568.00	$31.99–$477.12	3% below	73%
Wrist X-ray, 2 views one side CPT 73100 XR Wrist 2 V Right DR	$153.36	$568.00	$31.99–$477.12	3% below	73%
Wrist X-ray, 2 views one side CPT 73100 XR Wrist 2 V Right CR	$153.36	$568.00	$31.99–$477.12	3% below	73%
Wrist X-ray, 2 views one side CPT 73100 XR Wrist 2 V Left DR	$153.36	$568.00	$31.99–$477.12	3% below	73%
Wrist X-ray, 2 views one side CPT 73100 XR Wrist 2 V Left CR	$153.36	$568.00	$31.99–$477.12	3% below	73%
Wrist X-ray, 2 views inpatient CPT 73100 UE-WRIST 2V DR [BCE 161]	$204.48	$568.00	$136.32–$477.12	—	64%
Wrist X-ray, 2 views inpatient one side CPT 73100 XR Wrist 2 V Left DR	$204.48	$568.00	$136.32–$477.12	—	64%
Wrist X-ray, 2 views inpatient one side CPT 73100 XR Wrist 2 V Right CR	$204.48	$568.00	$136.32–$477.12	—	64%
Wrist X-ray, 2 views inpatient one side CPT 73100 XR Wrist 2 V Right DR	$204.48	$568.00	$136.32–$477.12	—	64%
Wrist X-ray, 2 views inpatient one side CPT 73100 XR Wrist 2 V Left CR	$204.48	$568.00	$136.32–$477.12	—	64%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete Min 3 V Right DR	$220.05	$815.00	$39.75–$684.60	14% below	73%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete Min 3 V Right CR	$220.05	$815.00	$39.75–$684.60	14% below	73%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete Min 3 V Left DR	$220.05	$815.00	$39.75–$684.60	14% below	73%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete Min 3 V Left CR	$220.05	$815.00	$39.75–$684.60	14% below	73%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete w Navicular Lt CR	$220.05	$815.00	$39.75–$684.60	14% below	73%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete w Navicular Lt DR	$220.05	$815.00	$39.75–$684.60	14% below	73%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete w Navicular Rt CR	$220.05	$815.00	$39.75–$684.60	14% below	73%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete w Navicular Rt DR	$220.05	$815.00	$39.75–$684.60	14% below	73%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete w Navicular Rt DR	$293.40	$815.00	$195.60–$684.60	—	64%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete Min 3 V Left CR	$293.40	$815.00	$195.60–$684.60	—	64%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete Min 3 V Left DR	$293.40	$815.00	$195.60–$684.60	—	64%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete Min 3 V Right CR	$293.40	$815.00	$195.60–$684.60	—	64%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete w Navicular Lt CR	$293.40	$815.00	$195.60–$684.60	—	64%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete w Navicular Lt DR	$293.40	$815.00	$195.60–$684.60	—	64%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete w Navicular Rt CR	$293.40	$815.00	$195.60–$684.60	—	64%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete Min 3 V Right DR	$293.40	$815.00	$195.60–$684.60	—	64%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 LE-HIP PV UN2OR3V DR [BCE 161]	$220.05	$815.00	$45.42–$684.60	18% below	73%
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	$220.05	$815.00	$45.42–$684.60	18% below	73%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip Left w Pelvis 2 or 3 Views CR	$220.05	$815.00	$45.42–$684.60	18% below	73%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip Left 2 or 3 Views CR	$220.05	$815.00	$45.42–$684.60	18% below	73%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip Right 2 or 3 Views CR	$220.05	$815.00	$45.42–$684.60	18% below	73%
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	$220.05	$815.00	$45.42–$684.60	18% below	73%
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	$220.05	$815.00	$45.42–$684.60	18% below	73%
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	$220.05	$815.00	$45.42–$684.60	18% below	73%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip Right w Pelvis 2 or 3 Views CR	$220.05	$815.00	$45.42–$684.60	18% below	73%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 LE-HIP PV UN2OR3V DR [BCE 161]	$293.40	$815.00	$195.60–$684.60	—	64%
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	$293.40	$815.00	$195.60–$684.60	—	64%
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	$293.40	$815.00	$195.60–$684.60	—	64%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip Right 2 or 3 Views CR	$293.40	$815.00	$195.60–$684.60	—	64%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip Left 2 or 3 Views CR	$293.40	$815.00	$195.60–$684.60	—	64%
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	$293.40	$815.00	$195.60–$684.60	—	64%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip Left w Pelvis 2 or 3 Views CR	$293.40	$815.00	$195.60–$684.60	—	64%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip Right w Pelvis 2 or 3 Views CR	$293.40	$815.00	$195.60–$684.60	—	64%
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	$293.40	$815.00	$195.60–$684.60	—	64%
X-ray of the abdomen, 1 view CPT 74018 XR Abdomen AP KUB DR	$186.03	$689.00	$27.70–$578.76	17% below	73%
X-ray of the abdomen, 1 view CPT 74018 CH-ABDOMEN 1 VIEW DR [BCE 161]	$186.03	$689.00	$27.70–$578.76	17% below	73%
X-ray of the abdomen, 1 view CPT 74018 XR Abdomen AP KUB CR	$186.03	$689.00	$27.70–$578.76	17% below	73%
X-ray of the abdomen, 1 view one side CPT 74018 XR Abdomen 1V Decub Lt DR	$186.03	$689.00	$27.70–$578.76	17% below	73%
X-ray of the abdomen, 1 view one side CPT 74018 XR Abdomen 1V Decub Rt DR	$186.03	$689.00	$27.70–$578.76	17% below	73%
X-ray of the abdomen, 1 view inpatient CPT 74018 CH-ABDOMEN 1 VIEW DR [BCE 161]	$248.04	$689.00	$165.36–$578.76	—	64%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR Abdomen AP KUB DR	$248.04	$689.00	$165.36–$578.76	—	64%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR Abdomen AP KUB CR	$248.04	$689.00	$165.36–$578.76	—	64%
X-ray of the abdomen, 1 view inpatient one side CPT 74018 XR Abdomen 1V Decub Rt DR	$248.04	$689.00	$165.36–$578.76	—	64%
X-ray of the abdomen, 1 view inpatient one side CPT 74018 XR Abdomen 1V Decub Lt DR	$248.04	$689.00	$165.36–$578.76	—	64%
X-ray of the ankle, 2 views CPT 73600 LE-ANKLE 2V DR [BCE 161]	$153.36	$568.00	$30.13–$477.12	4% below	73%
X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 V Left DR	$153.36	$568.00	$30.13–$477.12	4% below	73%
X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 V Right DR	$153.36	$568.00	$30.13–$477.12	4% below	73%
X-ray of the ankle, 2 views inpatient CPT 73600 LE-ANKLE 2V DR [BCE 161]	$204.48	$568.00	$136.32–$477.12	—	64%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 V Right DR	$204.48	$568.00	$136.32–$477.12	—	64%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 V Left DR	$204.48	$568.00	$136.32–$477.12	—	64%
X-ray of the finger(s), 2 or more views CPT 73140 UE-FINGER S 2VPLS DR [BCE 161]	$153.36	$568.00	$36.56–$477.12	2% below	73%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 3rd Digit Right CR	$153.36	$568.00	$36.56–$477.12	2% below	73%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 2nd Digit Left CR	$153.36	$568.00	$36.56–$477.12	2% below	73%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 2nd Digit Left DR	$153.36	$568.00	$36.56–$477.12	2% below	73%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 2nd Digit Right CR	$153.36	$568.00	$36.56–$477.12	2% below	73%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 2nd Digit Right DR	$153.36	$568.00	$36.56–$477.12	2% below	73%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 3rd Digit Left CR	$153.36	$568.00	$36.56–$477.12	2% below	73%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 3rd Digit Left DR	$153.36	$568.00	$36.56–$477.12	2% below	73%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 3rd Digit Right DR	$153.36	$568.00	$36.56–$477.12	2% below	73%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 4th Digit Left CR	$153.36	$568.00	$36.56–$477.12	2% below	73%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 4th Digit Left DR	$153.36	$568.00	$36.56–$477.12	2% below	73%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 4th Digit Right CR	$153.36	$568.00	$36.56–$477.12	2% below	73%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 4th Digit Right DR	$153.36	$568.00	$36.56–$477.12	2% below	73%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 5th Digit Left CR	$153.36	$568.00	$36.56–$477.12	2% below	73%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 5th Digit Left DR	$153.36	$568.00	$36.56–$477.12	2% below	73%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 5th Digit Right CR	$153.36	$568.00	$36.56–$477.12	2% below	73%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V 5th Digit Right DR	$153.36	$568.00	$36.56–$477.12	2% below	73%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V Thumb Left CR	$153.36	$568.00	$36.56–$477.12	2% below	73%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V Thumb Left DR	$153.36	$568.00	$36.56–$477.12	2% below	73%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V Thumb Right CR	$153.36	$568.00	$36.56–$477.12	2% below	73%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger Min 2 V Thumb Right DR	$153.36	$568.00	$36.56–$477.12	2% below	73%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 UE-FINGER S 2VPLS DR [BCE 161]	$204.48	$568.00	$136.32–$477.12	—	64%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 3rd Digit Left DR	$204.48	$568.00	$136.32–$477.12	—	64%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 3rd Digit Right CR	$204.48	$568.00	$136.32–$477.12	—	64%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 3rd Digit Right DR	$204.48	$568.00	$136.32–$477.12	—	64%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 5th Digit Right DR	$204.48	$568.00	$136.32–$477.12	—	64%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V Thumb Left CR	$204.48	$568.00	$136.32–$477.12	—	64%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V Thumb Left DR	$204.48	$568.00	$136.32–$477.12	—	64%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V Thumb Right CR	$204.48	$568.00	$136.32–$477.12	—	64%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 5th Digit Left DR	$204.48	$568.00	$136.32–$477.12	—	64%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V Thumb Right DR	$204.48	$568.00	$136.32–$477.12	—	64%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 4th Digit Right CR	$204.48	$568.00	$136.32–$477.12	—	64%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 2nd Digit Left CR	$204.48	$568.00	$136.32–$477.12	—	64%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 4th Digit Left CR	$204.48	$568.00	$136.32–$477.12	—	64%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 5th Digit Right CR	$204.48	$568.00	$136.32–$477.12	—	64%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 2nd Digit Left DR	$204.48	$568.00	$136.32–$477.12	—	64%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 2nd Digit Right CR	$204.48	$568.00	$136.32–$477.12	—	64%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 4th Digit Left DR	$204.48	$568.00	$136.32–$477.12	—	64%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 2nd Digit Right DR	$204.48	$568.00	$136.32–$477.12	—	64%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 3rd Digit Left CR	$204.48	$568.00	$136.32–$477.12	—	64%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 5th Digit Left CR	$204.48	$568.00	$136.32–$477.12	—	64%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger Min 2 V 4th Digit Right DR	$204.48	$568.00	$136.32–$477.12	—	64%
X-ray of the foot, 2 views CPT 73620 LE-FOOT 2V DR [BCE 161]	$153.36	$568.00	$26.72–$477.12	7% below	73%
X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 V Right CR	$153.36	$568.00	$26.72–$477.12	7% below	73%
X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 V Left DR	$153.36	$568.00	$26.72–$477.12	7% below	73%
X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 V Left CR	$153.36	$568.00	$26.72–$477.12	7% below	73%
X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 V Right DR	$153.36	$568.00	$26.72–$477.12	7% below	73%
X-ray of the foot, 2 views inpatient CPT 73620 LE-FOOT 2V DR [BCE 161]	$204.48	$568.00	$136.32–$477.12	—	64%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 V Left CR	$204.48	$568.00	$136.32–$477.12	—	64%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 V Right DR	$204.48	$568.00	$136.32–$477.12	—	64%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 V Right CR	$204.48	$568.00	$136.32–$477.12	—	64%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 V Left DR	$204.48	$568.00	$136.32–$477.12	—	64%
X-ray of the foot, complete, 3 or more views CPT 73630 LE-FOOT 3V PLUS DR [BCE 161]	$220.05	$815.00	$31.70–$684.60	10% above	73%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete Min 3 V Right CR	$220.05	$815.00	$31.70–$684.60	10% above	73%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete Min 3 V Right DR	$220.05	$815.00	$31.70–$684.60	10% above	73%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete Min 3 V Left DR	$220.05	$815.00	$31.70–$684.60	10% above	73%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete Min 3 V Left CR	$220.05	$815.00	$31.70–$684.60	10% above	73%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 LE-FOOT 3V PLUS DR [BCE 161]	$293.40	$815.00	$195.60–$684.60	—	64%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Complete Min 3 V Right CR	$293.40	$815.00	$195.60–$684.60	—	64%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Complete Min 3 V Right DR	$293.40	$815.00	$195.60–$684.60	—	64%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Complete Min 3 V Left CR	$293.40	$815.00	$195.60–$684.60	—	64%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Complete Min 3 V Left DR	$293.40	$815.00	$195.60–$684.60	—	64%
X-ray of the hand, 3 or more views CPT 73130 UE-HAND 3V DR [BCE 161]	$220.05	$815.00	$35.42–$684.60	9% above	73%
X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete Min 3 V Left DR	$220.05	$815.00	$35.42–$684.60	9% above	73%
X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete Min 3 V Left CR	$220.05	$815.00	$35.42–$684.60	9% above	73%
X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete Min 3 V Right CR	$220.05	$815.00	$35.42–$684.60	9% above	73%
X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete Min 3 V Right DR	$220.05	$815.00	$35.42–$684.60	9% above	73%
X-ray of the hand, 3 or more views inpatient CPT 73130 UE-HAND 3V DR [BCE 161]	$293.40	$815.00	$195.60–$684.60	—	64%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Complete Min 3 V Right CR	$293.40	$815.00	$195.60–$684.60	—	64%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Complete Min 3 V Right DR	$293.40	$815.00	$195.60–$684.60	—	64%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Complete Min 3 V Left DR	$293.40	$815.00	$195.60–$684.60	—	64%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Complete Min 3 V Left CR	$293.40	$815.00	$195.60–$684.60	—	64%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 V Right DR	$153.36	$568.00	$31.99–$477.12	27% below	73%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 V Right CR	$153.36	$568.00	$31.99–$477.12	27% below	73%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 V Left DR	$153.36	$568.00	$31.99–$477.12	27% below	73%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 V Left CR	$153.36	$568.00	$31.99–$477.12	27% below	73%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 V Left CR	$204.48	$568.00	$136.32–$477.12	—	64%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 V Left DR	$204.48	$568.00	$136.32–$477.12	—	64%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 V Right DR	$204.48	$568.00	$136.32–$477.12	—	64%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 V Right CR	$204.48	$568.00	$136.32–$477.12	—	64%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR Spine Lumbosacral 2 or 3 V CR	$270.81	$1,003.00	$37.68–$842.52	8% above	73%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 SP-LS SPN 2 TO 3V DR [BCE 161]	$270.81	$1,003.00	$37.68–$842.52	8% above	73%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR Spine Lumbosacral 2 or 3 V DR	$270.81	$1,003.00	$37.68–$842.52	8% above	73%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 SP-LS SPN 2 TO 3V DR [BCE 161]	$361.08	$1,003.00	$240.72–$842.52	—	64%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR Spine Lumbosacral 2 or 3 V DR	$361.08	$1,003.00	$240.72–$842.52	—	64%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR Spine Lumbosacral 2 or 3 V CR	$361.08	$1,003.00	$240.72–$842.52	—	64%
X-ray of the lower back, 4 or more views CPT 72110 XR Spine Lumbosacral Minimum 4 V CR	$400.14	$1,482.00	$49.71–$1,244.88	15% above	73%
X-ray of the lower back, 4 or more views CPT 72110 XR Spine Lumbosacral Minimum 4 V DR	$400.14	$1,482.00	$49.71–$1,244.88	15% above	73%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR Spine Lumbosacral Minimum 4 V CR	$533.52	$1,482.00	$355.68–$1,244.88	—	64%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR Spine Lumbosacral Minimum 4 V DR	$533.52	$1,482.00	$355.68–$1,244.88	—	64%
X-ray of the nasal bones, 3 or more views CPT 70160 XR Nasal Bones Comp Minimum 3 V CR	$220.05	$815.00	$34.80–$684.60	8% above	73%
X-ray of the nasal bones, 3 or more views CPT 70160 XR Nasal Bones Comp Minimum 3 V DR	$220.05	$815.00	$34.80–$684.60	8% above	73%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR Nasal Bones Comp Minimum 3 V CR	$293.40	$815.00	$195.60–$684.60	—	64%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR Nasal Bones Comp Minimum 3 V DR	$293.40	$815.00	$195.60–$684.60	—	64%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 SP-CERV SP 2TO3VW DR [BCE 161]	$250.29	$927.00	$37.06–$778.68	at median	73%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR Spine Cervical 2 or 3 V DR	$250.29	$927.00	$37.06–$778.68	at median	73%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR Spine Cervical 2 or 3 V CR	$250.29	$927.00	$37.06–$778.68	at median	73%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 SP-CERV SP 2TO3VW DR [BCE 161]	$333.72	$927.00	$222.48–$778.68	—	64%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR Spine Cervical 2 or 3 V DR	$333.72	$927.00	$222.48–$778.68	—	64%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR Spine Cervical 2 or 3 V CR	$333.72	$927.00	$222.48–$778.68	—	64%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR Pelvis 1 or 2 V CR	$155.52	$576.00	$26.13–$483.84	21% below	73%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR Pelvis 1 or 2 V DR	$155.52	$576.00	$26.13–$483.84	21% below	73%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR Pelvis 1 or 2 V DR	$207.36	$576.00	$138.24–$483.84	—	64%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR Pelvis 1 or 2 V CR	$207.36	$576.00	$138.24–$483.84	—	64%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR Sacrum Coccyx Minimum 2 V DR	$195.21	$723.00	$29.84–$607.32	11% below	73%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR Sacrum Coccyx Minimum 2 V CR	$195.21	$723.00	$29.84–$607.32	11% below	73%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR Sacrum Coccyx Minimum 2 V CR	$260.28	$723.00	$173.52–$607.32	—	64%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR Sacrum Coccyx Minimum 2 V DR	$260.28	$723.00	$173.52–$607.32	—	64%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Indiana	Off list
ACTH blood test CPT 82024 Adrenocorticotropic Hormone (CQ)	$196.56	$728.00	$32.00–$611.52	25% below	73%
ACTH blood test inpatient CPT 82024 Adrenocorticotropic Hormone (CQ)	$262.08	$728.00	$174.72–$611.52	—	64%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alanine Aminotransferase	$56.16	$208.00	$4.67–$174.72	101% above	73%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 84460 TRANSFERASE ALT	$56.16	$208.00	$4.67–$174.72	101% above	73%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alanine Aminotransferase Body Fluid	$56.16	$208.00	$4.67–$174.72	101% above	73%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alanine Aminotransferase Body Fluid	$74.88	$208.00	$49.92–$174.72	—	64%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 84460 TRANSFERASE ALT	$74.88	$208.00	$49.92–$174.72	—	64%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alanine Aminotransferase	$74.88	$208.00	$49.92–$174.72	—	64%
AST (aspartate aminotransferase) enzyme test CPT 84450 Aspartate Aminotransferase Body Fluid	$63.45	$235.00	$4.57–$197.40	119% above	73%
AST (aspartate aminotransferase) enzyme test CPT 84450 Aspartate Aminotransferase	$63.45	$235.00	$4.57–$197.40	119% above	73%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Aspartate Aminotransferase	$84.60	$235.00	$56.40–$197.40	—	64%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Aspartate Aminotransferase Body Fluid	$84.60	$235.00	$56.40–$197.40	—	64%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatitis Panel Acute	$414.18	$1,534.00	$32.00–$1,288.56	31% above	73%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatitis Panel Acute w/Reflex Confirmation - Send	$414.18	$1,534.00	$32.00–$1,288.56	31% above	73%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hepatitis Panel Acute	$552.24	$1,534.00	$368.16–$1,288.56	—	64%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hepatitis Panel Acute w/Reflex Confirmation - Send	$552.24	$1,534.00	$368.16–$1,288.56	—	64%
Albumin blood test CPT 82040 Albumin Level	$36.99	$137.00	$4.37–$115.08	60% above	73%
Albumin blood test CPT 82040 82040 Q12971 ALB SER	$36.99	$137.00	$4.37–$115.08	60% above	73%
Albumin blood test CPT 82040 82040 Q7085 ALB SER	$36.99	$137.00	$4.37–$115.08	60% above	73%
Albumin blood test CPT 82040 82040 ALBUMIN SERUM	$36.99	$137.00	$4.37–$115.08	60% above	73%
Albumin blood test CPT 82040 82040 Q14966 ALBUMIN SERUM	$36.99	$137.00	$4.37–$115.08	60% above	73%
Albumin blood test inpatient CPT 82040 82040 Q7085 ALB SER	$49.32	$137.00	$32.88–$115.08	—	64%
Albumin blood test inpatient CPT 82040 82040 Q12971 ALB SER	$49.32	$137.00	$32.88–$115.08	—	64%
Albumin blood test inpatient CPT 82040 Albumin Level	$49.32	$137.00	$32.88–$115.08	—	64%
Albumin blood test inpatient CPT 82040 82040 Q14966 ALBUMIN SERUM	$49.32	$137.00	$32.88–$115.08	—	64%
Albumin blood test inpatient CPT 82040 82040 ALBUMIN SERUM	$49.32	$137.00	$32.88–$115.08	—	64%
Aldosterone blood test CPT 82088 Aldosterone LC-MS/MS - Send Out to CQ	$274.59	$1,017.00	$32.00–$854.28	33% above	73%
Aldosterone blood test CPT 82088 Aldosterone 24 Hr Urine - Send Out to CQ	$274.59	$1,017.00	$32.00–$854.28	33% above	73%
Aldosterone blood test CPT 82088 82088 Q16845 ALDOSTERONE	$274.59	$1,017.00	$32.00–$854.28	33% above	73%
Aldosterone blood test inpatient CPT 82088 82088 Q16845 ALDOSTERONE	$366.12	$1,017.00	$244.08–$854.28	—	64%
Aldosterone blood test inpatient CPT 82088 Aldosterone 24 Hr Urine - Send Out to CQ	$366.12	$1,017.00	$244.08–$854.28	—	64%
Aldosterone blood test inpatient CPT 82088 Aldosterone LC-MS/MS - Send Out to CQ	$366.12	$1,017.00	$244.08–$854.28	—	64%
Alkaline phosphatase (ALP) blood test CPT 84075 84075 PHOSPHATASE ALKALINE	$46.17	$171.00	$4.57–$143.64	42% above	73%
Alkaline phosphatase (ALP) blood test CPT 84075 Alkaline Phosphatase (CQ)	$46.17	$171.00	$4.57–$143.64	42% above	73%
Alkaline phosphatase (ALP) blood test CPT 84075 Alkaline Phosphatase	$46.17	$171.00	$4.57–$143.64	42% above	73%
Alkaline phosphatase (ALP) blood test CPT 84075 84075 Q231 PHOSPHATASE ALK	$46.17	$171.00	$4.57–$143.64	42% above	73%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 84075 Q231 PHOSPHATASE ALK	$61.56	$171.00	$41.04–$143.64	—	64%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 84075 PHOSPHATASE ALKALINE	$61.56	$171.00	$41.04–$143.64	—	64%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Alkaline Phosphatase	$61.56	$171.00	$41.04–$143.64	—	64%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Alkaline Phosphatase (CQ)	$61.56	$171.00	$41.04–$143.64	—	64%
Allergy blood test, specific IgE, per allergen CPT 86003 Sheep Sorrel IgE - Send Out CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Tomato (f25) IgE - Send Out CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Timothy Grass (g6) IgE - Send Out CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Tilapia IgE - Send Out CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Sunflower Seed IgE - Send Out CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Cockroach (i6) IgE CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Clam (f207) IgE CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 K087-IgE Alpha-Amylase (LC)	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Fusarium moniliforme (m9) IgE (CQ)	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Halibut (Rf303) IgE (CQ)	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Mackeral (Rf206) IgE (CQ)	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Candida albicans (m5) IgE CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Amoxicillin (c6) IgE Sendout to CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Perennial Rye Grass (g5) IgE Sendout to CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Trout f204 IgE Sendout to CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Strawberry (f44) IgE - Send Out CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Giant Ragweed Tall w3 IgE Sendout to CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Squid IgE - Send Out CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Soybean IgE - Send Out CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Shrimp IgE - Send Out CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Cocklebur w13 IgE Sendout to CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Sesame Seed IgE - Send Out CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Scallop IgE - Send Out CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Salmon IgE - Send Out to CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Russian Thistle (w11) IgE Sendout to CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Rice IgE - Send Out CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Pumpkin (f225) IgE - Send Out CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Paper Wasp (i4) IgE - Send Out to CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Potato IgE - Send Out to CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Pork IgE - Send Out CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Pine Nut (Rf253) IgE Sendout to CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Phoma betae (m13) IgE- Send Out CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Penicilloyl V (C2) IgE - Send Out CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Penicilloyl G (C1) IgE - Send Out CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Peanut (f13) IgE - Send Out CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Pecan Nut (f201) IgE - Send Out CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Pineapple IgE - Send Out to CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Oyster (f290) IgE - Send Out CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Orchard Grass Cocksfoot IgE - Send Out CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Perch Ocean IgE - Send Out CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Oat (f7) IgE - Send Out CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Oak (t7) IgE - Send Out CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Mountain Cedar (t6) IgE - Send Out CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Milk (f2) IgE - Send Out CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Macadamia Nut (Rf345) IgE - Send Out CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Lobster (f80) IgE - Send Out to CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Lambs Quarters IgE - Send Out to CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 June Grass Kentucky Blue IgE - Send Out CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Johnson Grass (g10) IgE - Send Out to CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Honey Bee (i1) IgE - Send Out CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Hazelnut (f17) IgE - Send Out CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Goose Feathers (e70) IgE - Send Out to CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Firebush (w17) IgE - Send Out CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 English Plantain (w9) IgE - Send Out CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Elm (t8) IgE - Send Out CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Egg Yolk (f75) IgE - Send Out CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Dog Dander (e5) IgE - Send Out CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen D farinae IgE (CQ)	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Cashew Nut (f202) IgE - Send Out CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Crab (f23) IgE - Send Out to CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Cottonwood (t14) IgE - Send Out CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Corn (f8) IgE - Send Out CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Codfish (f3) IgE - Send Out CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Coconut (f36) IgE - Send Out CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Clam (f207) IgE - Send Out CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Cinnamon (Rf220) IgE - Send Out CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Chestnut Sweet (f299) IgE - Send Out CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Chicken Meat (f83) IgE - Send Out CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Cat Dander (e1) IgE - Send Out CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Brazil Nut (f18) IgE - Send Out CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Bermuda Grass (g2) IgE - Send Out CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Maple (Box Elder) (t1) IgE - Send Out Cq	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Blue Mussel (f37) IgE - Send Out CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Birch (t3) IgE - Send Out CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Beef (f27) IgE - Send Out CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Banana (f92) IgE- Send Out CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Alternaria Alternata IgE - Send Out CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Almond (f20) IgE- Send Out CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Aspergillus Fumigatus IgE - Send Out to CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Hickory Pecan Tree (t22) IgE - Send Out CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Hickory White IgE - Send Out CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Egg White (f1) IgE - Send Out CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Cockroach (i6) IgE - Send Out CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Yellow Hornet (i5) IgE - Send Out to CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Pstach (f203) IgE - Send Out CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen D pteronyssinus IgE (CQ)	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Mucor Racemosus (m4) IgE - Send Out CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Cladosporium Herbarum IgE - Send Out CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Penicillum Notatum (m1) IgE - Send Out CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 White Ash (t15) IgE - Send Out CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Sycmore IgE - Send Out CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Rough Marsh Elder (w16) IgE - Send Out CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Rough Pigweed (w14) IgE - Send Out CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Yellow Jacket (i3) IgE - Send Out to CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 White Mulberry (t70) IgE - Send Out CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Yeast (f45) IgE - Send Out to CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Watermelon (Rf329) IgE**CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Trichophyton mentagrophytes (var i) m211 IgE (CQ)	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Fire Ant (i70) IgE CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Trichophytonn++rubrumn++(m205) IgE (CQ)	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Hickory Shagbark IgE (CQ)	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 86003 Q79188 ALG IGE QT	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 86003 Q122172 ALLEG IGE QT	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 86003 Q10646 ALG IGE QT	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Mucor racemosus IgE Quant	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen White-Faced Hornet (i2) IgE (CQ)	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Food Allergy Profile w/Reflexes (CQ)	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Tuna (f40) IgE - Send Out CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Wheat (f4) IgE - Send Out CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Whole Egg (f245) IgE - Send Out to CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Walnut (f256) IgE - Send Out CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 Walnut Tree (t10) IgE - Send Out CQ	$15.39	$57.00	$4.61–$47.88	20% below	73%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Crab (f23) IgE - Send Out to CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cottonwood (t14) IgE - Send Out CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Yellow Jacket (i3) IgE - Send Out to CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Corn (f8) IgE - Send Out CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen White-Faced Hornet (i2) IgE (CQ)	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Peanut (f13) IgE - Send Out CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 White Ash (t15) IgE - Send Out CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Pecan Nut (f201) IgE - Send Out CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Walnut (f256) IgE - Send Out CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Pineapple IgE - Send Out to CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Oyster (f290) IgE - Send Out CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Orchard Grass Cocksfoot IgE - Send Out CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Perch Ocean IgE - Send Out CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Oat (f7) IgE - Send Out CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Tilapia IgE - Send Out CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Oak (t7) IgE - Send Out CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Timothy Grass (g6) IgE - Send Out CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mountain Cedar (t6) IgE - Send Out CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Tomato (f25) IgE - Send Out CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Milk (f2) IgE - Send Out CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Macadamia Nut (Rf345) IgE - Send Out CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Lobster (f80) IgE - Send Out to CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Lambs Quarters IgE - Send Out to CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Tuna (f40) IgE - Send Out CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 June Grass Kentucky Blue IgE - Send Out CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Johnson Grass (g10) IgE - Send Out to CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Honey Bee (i1) IgE - Send Out CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hazelnut (f17) IgE - Send Out CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Goose Feathers (e70) IgE - Send Out to CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Sycmore IgE - Send Out CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Firebush (w17) IgE - Send Out CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Food Allergy Profile w/Reflexes (CQ)	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 English Plantain (w9) IgE - Send Out CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Elm (t8) IgE - Send Out CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Egg Yolk (f75) IgE - Send Out CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Dog Dander (e5) IgE - Send Out CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rough Marsh Elder (w16) IgE - Send Out CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen D farinae IgE (CQ)	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cashew Nut (f202) IgE - Send Out CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rough Pigweed (w14) IgE - Send Out CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Codfish (f3) IgE - Send Out CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Coconut (f36) IgE - Send Out CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 White Mulberry (t70) IgE - Send Out CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Clam (f207) IgE - Send Out CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Yeast (f45) IgE - Send Out to CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mackeral (Rf206) IgE (CQ)	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Halibut (Rf303) IgE (CQ)	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Fusarium moniliforme (m9) IgE (CQ)	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 K087-IgE Alpha-Amylase (LC)	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Clam (f207) IgE CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Cockroach (i6) IgE CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cinnamon (Rf220) IgE - Send Out CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Chestnut Sweet (f299) IgE - Send Out CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Watermelon (Rf329) IgE**CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Chicken Meat (f83) IgE - Send Out CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cat Dander (e1) IgE - Send Out CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Brazil Nut (f18) IgE - Send Out CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Bermuda Grass (g2) IgE - Send Out CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Maple (Box Elder) (t1) IgE - Send Out Cq	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Blue Mussel (f37) IgE - Send Out CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Trichophyton mentagrophytes (var i) m211 IgE (CQ)	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Birch (t3) IgE - Send Out CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Beef (f27) IgE - Send Out CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Fire Ant (i70) IgE CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Banana (f92) IgE- Send Out CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Alternaria Alternata IgE - Send Out CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Trichophytonn++rubrumn++(m205) IgE (CQ)	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Almond (f20) IgE- Send Out CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Candida albicans (m5) IgE CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Amoxicillin (c6) IgE Sendout to CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aspergillus Fumigatus IgE - Send Out to CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Perennial Rye Grass (g5) IgE Sendout to CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Hickory Shagbark IgE (CQ)	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Trout f204 IgE Sendout to CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Sunflower Seed IgE - Send Out CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hickory Pecan Tree (t22) IgE - Send Out CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Giant Ragweed Tall w3 IgE Sendout to CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Strawberry (f44) IgE - Send Out CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Sheep Sorrel IgE - Send Out CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hickory White IgE - Send Out CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Squid IgE - Send Out CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 Q79188 ALG IGE QT	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Soybean IgE - Send Out CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Egg White (f1) IgE - Send Out CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Wheat (f4) IgE - Send Out CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cocklebur w13 IgE Sendout to CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Shrimp IgE - Send Out CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cockroach (i6) IgE - Send Out CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Sesame Seed IgE - Send Out CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 Q122172 ALLEG IGE QT	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Scallop IgE - Send Out CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Yellow Hornet (i5) IgE - Send Out to CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Salmon IgE - Send Out to CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Walnut Tree (t10) IgE - Send Out CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Russian Thistle (w11) IgE Sendout to CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Pstach (f203) IgE - Send Out CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rice IgE - Send Out CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 Q10646 ALG IGE QT	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Pumpkin (f225) IgE - Send Out CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen D pteronyssinus IgE (CQ)	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Paper Wasp (i4) IgE - Send Out to CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Whole Egg (f245) IgE - Send Out to CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Potato IgE - Send Out to CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mucor Racemosus (m4) IgE - Send Out CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Pork IgE - Send Out CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Mucor racemosus IgE Quant	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Pine Nut (Rf253) IgE Sendout to CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cladosporium Herbarum IgE - Send Out CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Phoma betae (m13) IgE- Send Out CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Penicilloyl V (C2) IgE - Send Out CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Penicillum Notatum (m1) IgE - Send Out CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Penicilloyl G (C1) IgE - Send Out CQ	$20.52	$57.00	$13.68–$47.88	—	64%
Alpha-fetoprotein (AFP) blood test CPT 82105 Maternal Serum Alpha-Fetoprotein - Send Out to CQ	$205.20	$760.00	$14.79–$638.40	100% above	73%
Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha Fetoprotein Tumor Marker (CQ)	$205.20	$760.00	$14.79–$638.40	100% above	73%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Maternal Serum Alpha-Fetoprotein - Send Out to CQ	$273.60	$760.00	$182.40–$638.40	—	64%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Alpha Fetoprotein Tumor Marker (CQ)	$273.60	$760.00	$182.40–$638.40	—	64%
Ammonia blood test CPT 82140 Ammonia Level	$61.83	$229.00	$12.85–$192.36	48% below	73%
Ammonia blood test inpatient CPT 82140 Ammonia Level	$82.44	$229.00	$54.96–$192.36	—	64%
Amylase blood test CPT 82150 Amylase Peri Fluid - Send Out CQ	$75.06	$278.00	$5.72–$233.52	48% above	73%
Amylase blood test CPT 82150 Amylase Blood	$75.06	$278.00	$5.72–$233.52	48% above	73%
Amylase blood test CPT 82150 Amylase 24 Hour Urine	$75.06	$278.00	$5.72–$233.52	48% above	73%
Amylase blood test CPT 82150 Pancreatic Amylase Blood	$75.06	$278.00	$5.72–$233.52	48% above	73%
Amylase blood test CPT 82150 Amylase Urine	$75.06	$278.00	$5.72–$233.52	48% above	73%
Amylase blood test CPT 82150 Amylase Urine Timed	$75.06	$278.00	$5.72–$233.52	48% above	73%
Amylase blood test CPT 82150 Amylase Body Fluid	$75.06	$278.00	$5.72–$233.52	48% above	73%
Amylase blood test inpatient CPT 82150 Pancreatic Amylase Blood	$100.08	$278.00	$66.72–$233.52	—	64%
Amylase blood test inpatient CPT 82150 Amylase 24 Hour Urine	$100.08	$278.00	$66.72–$233.52	—	64%
Amylase blood test inpatient CPT 82150 Amylase Urine	$100.08	$278.00	$66.72–$233.52	—	64%
Amylase blood test inpatient CPT 82150 Amylase Blood	$100.08	$278.00	$66.72–$233.52	—	64%
Amylase blood test inpatient CPT 82150 Amylase Body Fluid	$100.08	$278.00	$66.72–$233.52	—	64%
Amylase blood test inpatient CPT 82150 Amylase Urine Timed	$100.08	$278.00	$66.72–$233.52	—	64%
Amylase blood test inpatient CPT 82150 Amylase Peri Fluid - Send Out CQ	$100.08	$278.00	$66.72–$233.52	—	64%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic Citrullinated Peptide Ab IgG (CQ)	$138.24	$512.00	$11.42–$430.08	161% above	73%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Cyclic Citrullinated Peptide Ab IgG (CQ)	$184.32	$512.00	$122.88–$430.08	—	64%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANAchoice (R) Specific Ab Cascad Rf (CQ)	$105.57	$391.00	$10.66–$328.44	76% above	73%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA Multiplex w/Rfx to DSDNA (CQ)	$105.57	$391.00	$10.66–$328.44	76% above	73%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Anti Nuclear Antibody IFA w/Reflex Titer + Pattern	$105.57	$391.00	$10.66–$328.44	76% above	73%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANAchoice (R) Specific Ab Cascad Rf (CQ)	$140.76	$391.00	$93.84–$328.44	—	64%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA Multiplex w/Rfx to DSDNA (CQ)	$140.76	$391.00	$93.84–$328.44	—	64%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Anti Nuclear Antibody IFA w/Reflex Titer + Pattern	$140.76	$391.00	$93.84–$328.44	—	64%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B Type Natriuretic Peptide	$98.55	$365.00	$32.00–$306.60	42% below	73%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B Type Natriuretic Peptide Prohormone	$98.55	$365.00	$32.00–$306.60	42% below	73%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B Type Natriuretic Peptide Prohormone	$131.40	$365.00	$87.60–$306.60	—	64%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B Type Natriuretic Peptide	$131.40	$365.00	$87.60–$306.60	—	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Nasopharyngeal Culture without Gram Stain	$65.88	$244.00	$7.60–$204.96	29% below	73%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 87070 CULTURE BACTERIA OTH	$65.88	$244.00	$7.60–$204.96	29% below	73%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Catheter Tip Culture	$65.88	$244.00	$7.60–$204.96	29% below	73%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Miscellaneous Culture without Gram Stain	$65.88	$244.00	$7.60–$204.96	29% below	73%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Aerobic Culture without Gram Stain	$65.88	$244.00	$7.60–$204.96	29% below	73%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bronchial Culture without Gram Stain	$65.88	$244.00	$7.60–$204.96	29% below	73%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Abscess Culture without Gram Stain	$65.88	$244.00	$7.60–$204.96	29% below	73%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Aspirate Culture without Gram Stain	$65.88	$244.00	$7.60–$204.96	29% below	73%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Transfusion Reaction Culture	$65.88	$244.00	$7.60–$204.96	29% below	73%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Gastric Culture without Gram Stain	$65.88	$244.00	$7.60–$204.96	29% below	73%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Foreign Body Culture	$65.88	$244.00	$7.60–$204.96	29% below	73%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Respiratory Culture without Gram Stain	$65.88	$244.00	$7.60–$204.96	29% below	73%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bronchial Alveolar Lavage Culture without Gram Sta	$65.88	$244.00	$7.60–$204.96	29% below	73%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bronchial Brush Culture without Gram Stain	$65.88	$244.00	$7.60–$204.96	29% below	73%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bronchial Wash Culture without Gram Stain	$65.88	$244.00	$7.60–$204.96	29% below	73%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bone Culture	$65.88	$244.00	$7.60–$204.96	29% below	73%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Trachea Culture without Gram Stain	$65.88	$244.00	$7.60–$204.96	29% below	73%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Feeding Tube Culture	$65.88	$244.00	$7.60–$204.96	29% below	73%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Sinus Culture without Gram Stain	$65.88	$244.00	$7.60–$204.96	29% below	73%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Skin Culture without Gram Stain Panel	$65.88	$244.00	$7.60–$204.96	29% below	73%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Body Fluid Culture without Gram Stain	$65.88	$244.00	$7.60–$204.96	29% below	73%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bone Marrow Culture	$65.88	$244.00	$7.60–$204.96	29% below	73%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Cerebrospinal Fluid Culture without Gram Stain	$65.88	$244.00	$7.60–$204.96	29% below	73%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Ear Culture without Gram Stain	$65.88	$244.00	$7.60–$204.96	29% below	73%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Eye Culture without Gram Stain	$65.88	$244.00	$7.60–$204.96	29% below	73%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Genital Culture without Gram Stain	$65.88	$244.00	$7.60–$204.96	29% below	73%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Medical Device Culture	$65.88	$244.00	$7.60–$204.96	29% below	73%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Nasal Culture without Gram Stain	$65.88	$244.00	$7.60–$204.96	29% below	73%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Sputum Culture without Gram Stain	$65.88	$244.00	$7.60–$204.96	29% below	73%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Throat Culture	$65.88	$244.00	$7.60–$204.96	29% below	73%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Tissue Culture without Gram Stain	$65.88	$244.00	$7.60–$204.96	29% below	73%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Wound Culture without Gram stain	$65.88	$244.00	$7.60–$204.96	29% below	73%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 zzEnvironmental Culture	$74.79	$277.00	$7.60–$232.68	20% below	73%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Transfusion Reaction Culture	$87.84	$244.00	$58.56–$204.96	—	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Aspirate Culture without Gram Stain	$87.84	$244.00	$58.56–$204.96	—	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Respiratory Culture without Gram Stain	$87.84	$244.00	$58.56–$204.96	—	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Bronchial Alveolar Lavage Culture without Gram Sta	$87.84	$244.00	$58.56–$204.96	—	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Tissue Culture without Gram Stain	$87.84	$244.00	$58.56–$204.96	—	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Bronchial Brush Culture without Gram Stain	$87.84	$244.00	$58.56–$204.96	—	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Bronchial Wash Culture without Gram Stain	$87.84	$244.00	$58.56–$204.96	—	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Bone Culture	$87.84	$244.00	$58.56–$204.96	—	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Catheter Tip Culture	$87.84	$244.00	$58.56–$204.96	—	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Trachea Culture without Gram Stain	$87.84	$244.00	$58.56–$204.96	—	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Wound Culture without Gram stain	$87.84	$244.00	$58.56–$204.96	—	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Feeding Tube Culture	$87.84	$244.00	$58.56–$204.96	—	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Sinus Culture without Gram Stain	$87.84	$244.00	$58.56–$204.96	—	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 87070 CULTURE BACTERIA OTH	$87.84	$244.00	$58.56–$204.96	—	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Skin Culture without Gram Stain Panel	$87.84	$244.00	$58.56–$204.96	—	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Body Fluid Culture without Gram Stain	$87.84	$244.00	$58.56–$204.96	—	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Bone Marrow Culture	$87.84	$244.00	$58.56–$204.96	—	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Cerebrospinal Fluid Culture without Gram Stain	$87.84	$244.00	$58.56–$204.96	—	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Ear Culture without Gram Stain	$87.84	$244.00	$58.56–$204.96	—	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Throat Culture	$87.84	$244.00	$58.56–$204.96	—	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Foreign Body Culture	$87.84	$244.00	$58.56–$204.96	—	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Gastric Culture without Gram Stain	$87.84	$244.00	$58.56–$204.96	—	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Miscellaneous Culture without Gram Stain	$87.84	$244.00	$58.56–$204.96	—	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Nasopharyngeal Culture without Gram Stain	$87.84	$244.00	$58.56–$204.96	—	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Aerobic Culture without Gram Stain	$87.84	$244.00	$58.56–$204.96	—	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Bronchial Culture without Gram Stain	$87.84	$244.00	$58.56–$204.96	—	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Eye Culture without Gram Stain	$87.84	$244.00	$58.56–$204.96	—	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Genital Culture without Gram Stain	$87.84	$244.00	$58.56–$204.96	—	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Medical Device Culture	$87.84	$244.00	$58.56–$204.96	—	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Nasal Culture without Gram Stain	$87.84	$244.00	$58.56–$204.96	—	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Sputum Culture without Gram Stain	$87.84	$244.00	$58.56–$204.96	—	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Abscess Culture without Gram Stain	$87.84	$244.00	$58.56–$204.96	—	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 zzEnvironmental Culture	$99.72	$277.00	$66.48–$232.68	—	64%
Basic metabolic panel (blood test) CPT 80048 BMPWTCA	$110.16	$408.00	$7.46–$342.72	36% above	73%
Basic metabolic panel (blood test) inpatient CPT 80048 BMPWTCA	$146.88	$408.00	$97.92–$342.72	—	64%
Bilirubin blood test, total CPT 82247 Bilirubin Total Body Fluid	$53.46	$198.00	$4.43–$166.32	59% above	73%
Bilirubin blood test, total CPT 82247 Bilirubin Total Cord Blood	$53.46	$198.00	$4.43–$166.32	59% above	73%
Bilirubin blood test, total CPT 82247 Bilirubin Total	$53.46	$198.00	$4.43–$166.32	59% above	73%
Bilirubin blood test, total CPT 82247 Bilirubin Total Neo	$53.46	$198.00	$4.43–$166.32	59% above	73%
Bilirubin blood test, total CPT 82247 82247 BILIRUBIN TOTAL	$53.46	$198.00	$4.43–$166.32	59% above	73%
Bilirubin blood test, total inpatient CPT 82247 Bilirubin Total Body Fluid	$71.28	$198.00	$47.52–$166.32	—	64%
Bilirubin blood test, total inpatient CPT 82247 Bilirubin Total	$71.28	$198.00	$47.52–$166.32	—	64%
Bilirubin blood test, total inpatient CPT 82247 82247 BILIRUBIN TOTAL	$71.28	$198.00	$47.52–$166.32	—	64%
Bilirubin blood test, total inpatient CPT 82247 Bilirubin Total Neo	$71.28	$198.00	$47.52–$166.32	—	64%
Bilirubin blood test, total inpatient CPT 82247 Bilirubin Total Cord Blood	$71.28	$198.00	$47.52–$166.32	—	64%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 88305 AP Bill Surgical Pathology Level IV Complexi	$208.98	$774.00	$27.96–$650.16	19% below	73%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Histopathology Special Stains-Misc Sendout to CQ	$208.98	$774.00	$27.96–$650.16	19% below	73%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 88305 AP Bill Non-Gyn Cytology Cell Block	$208.98	$774.00	$27.96–$650.16	19% below	73%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 SO CC 88305 N31000300 TIS EX PTH	$208.98	$774.00	$27.96–$650.16	19% below	73%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 $APRL 88305 Bill Surg Path Gross Lvl4	$208.98	$774.00	$27.96–$650.16	19% below	73%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 SO 88305 Bill Surg Compre Review of Data	$208.98	$774.00	$27.96–$650.16	19% below	73%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 88305 AP Bill Bone Marrow Biopsy	$208.98	$774.00	$27.96–$650.16	19% below	73%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SO 88305 Bill Surg Compre Review of Data	$278.64	$774.00	$185.76–$650.16	—	64%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SO CC 88305 N31000300 TIS EX PTH	$278.64	$774.00	$185.76–$650.16	—	64%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Histopathology Special Stains-Misc Sendout to CQ	$278.64	$774.00	$185.76–$650.16	—	64%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 88305 AP Bill Surgical Pathology Level IV Complexi	$278.64	$774.00	$185.76–$650.16	—	64%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 88305 AP Bill Bone Marrow Biopsy	$278.64	$774.00	$185.76–$650.16	—	64%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 $APRL 88305 Bill Surg Path Gross Lvl4	$278.64	$774.00	$185.76–$650.16	—	64%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 88305 AP Bill Non-Gyn Cytology Cell Block	$278.64	$774.00	$185.76–$650.16	—	64%
Blood culture for bacteria CPT 87040 Blood Culture	$84.51	$313.00	$9.10–$262.92	35% below	73%
Blood culture for bacteria inpatient CPT 87040 Blood Culture	$112.68	$313.00	$75.12–$262.92	—	64%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 $ Contract Collection Charge Blood	$2.70	$10.00	$2.40–$39.00	84% below	73%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION: Venous Draw Chg	$21.33	$79.00	$8.24–$66.36	27% above	73%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION: Venous Draw	$21.33	$79.00	$8.24–$66.36	27% above	73%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION: Venous Draw Chg BCE	$21.33	$79.00	$8.24–$66.36	27% above	73%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 DRAWING BLOOD	$1,093.54	$4,050.16	$8.24–$3,402.13	6409% above	73%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 $ Contract Collection Charge Blood	$3.60	$10.00	$2.40–$8.40	—	64%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COLLECTION: Venous Draw Chg	$28.44	$79.00	$18.96–$66.36	—	64%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COLLECTION: Venous Draw Chg BCE	$28.44	$79.00	$18.96–$66.36	—	64%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COLLECTION: Venous Draw	$28.44	$79.00	$18.96–$66.36	—	64%
Blood glucose (sugar) test CPT 82947 .Glucose POC	$31.32	$116.00	$3.47–$97.44	17% above	73%
Blood glucose (sugar) test CPT 82947 82947 GLUCOSE,SER PL OR WB	$31.32	$116.00	$3.47–$97.44	17% above	73%
Blood glucose (sugar) test CPT 82947 Glucose Level	$31.32	$116.00	$3.47–$97.44	17% above	73%
Blood glucose (sugar) test CPT 82947 .GTT 2nd Hr OB	$31.32	$116.00	$3.47–$97.44	17% above	73%
Blood glucose (sugar) test CPT 82947 Glucose 3 Hour Postprandial	$31.32	$116.00	$3.47–$97.44	17% above	73%
Blood glucose (sugar) test CPT 82947 Glucose 4 Hour Postprandial	$31.32	$116.00	$3.47–$97.44	17% above	73%
Blood glucose (sugar) test CPT 82947 .GTT 3rd Hr OB	$31.32	$116.00	$3.47–$97.44	17% above	73%
Blood glucose (sugar) test CPT 82947 .Glucose Fasting	$31.32	$116.00	$3.47–$97.44	17% above	73%
Blood glucose (sugar) test inpatient CPT 82947 Glucose 4 Hour Postprandial	$41.76	$116.00	$27.84–$97.44	—	64%
Blood glucose (sugar) test inpatient CPT 82947 Glucose Level	$41.76	$116.00	$27.84–$97.44	—	64%
Blood glucose (sugar) test inpatient CPT 82947 .Glucose POC	$41.76	$116.00	$27.84–$97.44	—	64%
Blood glucose (sugar) test inpatient CPT 82947 82947 GLUCOSE,SER PL OR WB	$41.76	$116.00	$27.84–$97.44	—	64%
Blood glucose (sugar) test inpatient CPT 82947 Glucose 3 Hour Postprandial	$41.76	$116.00	$27.84–$97.44	—	64%
Blood glucose (sugar) test inpatient CPT 82947 .GTT 3rd Hr OB	$41.76	$116.00	$27.84–$97.44	—	64%
Blood glucose (sugar) test inpatient CPT 82947 .GTT 2nd Hr OB	$41.76	$116.00	$27.84–$97.44	—	64%
Blood glucose (sugar) test inpatient CPT 82947 .Glucose Fasting	$41.76	$116.00	$27.84–$97.44	—	64%
Blood lead test CPT 83655 83655 Q7655 LEAD	$136.89	$507.00	$10.68–$425.88	92% above	73%
Blood lead test CPT 83655 83655 Q7507 LEAD	$136.89	$507.00	$10.68–$425.88	92% above	73%
Blood lead test CPT 83655 83655 Q35386 LEAD	$136.89	$507.00	$10.68–$425.88	92% above	73%
Blood lead test CPT 83655 Lead Blood (CQ)	$136.89	$507.00	$10.68–$425.88	92% above	73%
Blood lead test CPT 83655 83655 Q33051 LEAD	$136.89	$507.00	$10.68–$425.88	92% above	73%
Blood lead test inpatient CPT 83655 83655 Q7655 LEAD	$182.52	$507.00	$121.68–$425.88	—	64%
Blood lead test inpatient CPT 83655 83655 Q35386 LEAD	$182.52	$507.00	$121.68–$425.88	—	64%
Blood lead test inpatient CPT 83655 Lead Blood (CQ)	$182.52	$507.00	$121.68–$425.88	—	64%
Blood lead test inpatient CPT 83655 83655 Q7507 LEAD	$182.52	$507.00	$121.68–$425.88	—	64%
Blood lead test inpatient CPT 83655 83655 Q33051 LEAD	$182.52	$507.00	$121.68–$425.88	—	64%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 hCG Qual, Urine CQ	$61.83	$229.00	$6.63–$192.36	19% below	73%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCGQLS	$61.83	$229.00	$6.63–$192.36	19% below	73%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCGQLS	$82.44	$229.00	$54.96–$192.36	—	64%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 hCG Qual, Urine CQ	$82.44	$229.00	$54.96–$192.36	—	64%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB Bill ABO Forward	$37.53	$139.00	$2.99–$140.77	27% below	73%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB Bill ABO Reverse	$37.53	$139.00	$2.99–$140.77	27% below	73%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB Bill ABO	$37.53	$139.00	$2.99–$140.77	27% below	73%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 86900 BLOOD TYPING ABO	$37.53	$139.00	$2.99–$140.77	27% below	73%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB Bill ABO Reverse	$50.04	$139.00	$33.36–$116.76	—	64%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB Bill ABO	$50.04	$139.00	$33.36–$116.76	—	64%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB Bill ABO Forward	$50.04	$139.00	$33.36–$116.76	—	64%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 86900 BLOOD TYPING ABO	$50.04	$139.00	$33.36–$116.76	—	64%
Blood urea nitrogen (BUN) test CPT 84520 Blood Urea Nitrogen	$39.69	$147.00	$3.48–$123.48	65% above	73%
Blood urea nitrogen (BUN) test CPT 84520 Urea Nitrogen Body Fluid	$39.69	$147.00	$3.48–$123.48	65% above	73%
Blood urea nitrogen (BUN) test inpatient CPT 84520 Blood Urea Nitrogen	$52.92	$147.00	$35.28–$123.48	—	64%
Blood urea nitrogen (BUN) test inpatient CPT 84520 Urea Nitrogen Body Fluid	$52.92	$147.00	$35.28–$123.48	—	64%
C-peptide blood test CPT 84681 C Peptide- Send Out to CQ	$215.19	$797.00	$18.35–$669.48	62% above	73%
C-peptide blood test inpatient CPT 84681 C Peptide- Send Out to CQ	$286.92	$797.00	$191.28–$669.48	—	64%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C Reactive Protein	$66.42	$246.00	$4.57–$206.64	5% below	73%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C Reactive Protein	$88.56	$246.00	$59.04–$206.64	—	64%
C. difficile toxin gene test (stool PCR) CPT 87493 C difficile DNA Amp w/reflex Toxin Confirmation	$81.54	$302.00	$32.00–$253.68	40% below	73%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLI PROBE - BCE	$81.54	$302.00	$32.00–$253.68	40% below	73%
C. difficile toxin gene test (stool PCR) CPT 87493 Clostridium difficile by DNA Amp	$81.54	$302.00	$32.00–$253.68	40% below	73%
C. difficile toxin gene test (stool PCR) CPT 87493 Clostridium difficile Toxin A B Amp Probe	$81.54	$302.00	$32.00–$253.68	40% below	73%
C. difficile toxin gene test (stool PCR) CPT 87493 Clostridium difficile Toxin PCR	$81.54	$302.00	$32.00–$253.68	40% below	73%
C. difficile toxin gene test (stool PCR) CPT 87493 C diff AB PCR	$81.54	$302.00	$32.00–$253.68	40% below	73%
C. difficile toxin gene test (stool PCR) CPT 87493 C difficile PCR w/reflex Toxin Confirmation	$81.54	$302.00	$32.00–$253.68	40% below	73%
C. difficile toxin gene test (stool PCR) CPT 87493 Verigene C difficile Panel	$81.54	$302.00	$32.00–$253.68	40% below	73%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C difficile DNA Amp w/reflex Toxin Confirmation	$108.72	$302.00	$72.48–$253.68	—	64%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Clostridium difficile Toxin PCR	$108.72	$302.00	$72.48–$253.68	—	64%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Verigene C difficile Panel	$108.72	$302.00	$72.48–$253.68	—	64%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Clostridium difficile by DNA Amp	$108.72	$302.00	$72.48–$253.68	—	64%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C difficile PCR w/reflex Toxin Confirmation	$108.72	$302.00	$72.48–$253.68	—	64%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C diff AB PCR	$108.72	$302.00	$72.48–$253.68	—	64%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Clostridium difficile Toxin A B Amp Probe	$108.72	$302.00	$72.48–$253.68	—	64%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF AMPLI PROBE - BCE	$108.72	$302.00	$72.48–$253.68	—	64%
CA 19-9 blood test (tumor marker) CPT 86301 Cancer 19-9 - Send Out to CQ	$127.71	$473.00	$18.35–$397.32	12% below	73%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 Cancer 19-9 - Send Out to CQ	$170.28	$473.00	$113.52–$397.32	—	64%
CA-125 blood test (ovarian cancer marker) CPT 86304 Cancer Antigen 125	$217.89	$807.00	$18.35–$677.88	33% above	73%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Cancer Antigen 125	$290.52	$807.00	$193.68–$677.88	—	64%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 PCR	$42.39	$157.00	$32.00–$131.88	60% below	73%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 SARS-CoV-2 RNA Qual NAAT (CQ)	$92.07	$341.00	$32.00–$286.44	13% below	73%
COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 COVID-19 RT-PCR LIAT	$42.39	$157.00	$32.00–$131.88	60% below	73%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 PCR	$56.52	$157.00	$37.68–$131.88	—	64%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 SARS-CoV-2 RNA Qual NAAT (CQ)	$122.76	$341.00	$81.84–$286.44	—	64%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient one side CPT 87635 COVID-19 RT-PCR LIAT	$56.52	$157.00	$37.68–$131.88	—	64%
Calcium blood test, total CPT 82310 Calcium Level	$45.63	$169.00	$4.55–$141.96	68% above	73%
Calcium blood test, total CPT 82310 Calcium Urine	$45.63	$169.00	$4.55–$141.96	68% above	73%
Calcium blood test, total CPT 82310 Calcium BF	$45.63	$169.00	$4.55–$141.96	68% above	73%
Calcium blood test, total inpatient CPT 82310 Calcium Level	$60.84	$169.00	$40.56–$141.96	—	64%
Calcium blood test, total inpatient CPT 82310 Calcium Urine	$60.84	$169.00	$40.56–$141.96	—	64%
Calcium blood test, total inpatient CPT 82310 Calcium BF	$60.84	$169.00	$40.56–$141.96	—	64%
Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic Antigen Pancreatic Cyst (CQ)	$97.47	$361.00	$16.72–$303.24	23% below	73%
Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic Antigen	$97.47	$361.00	$16.72–$303.24	23% below	73%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Carcinoembryonic Antigen Pancreatic Cyst (CQ)	$129.96	$361.00	$86.64–$303.24	—	64%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Carcinoembryonic Antigen	$129.96	$361.00	$86.64–$303.24	—	64%
Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster Virus Ab IgG Screen	$92.88	$344.00	$11.36–$288.96	9% below	73%
Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster Virus IgG (CQ)	$92.88	$344.00	$11.36–$288.96	9% below	73%
Chickenpox (varicella) immunity blood test CPT 86787 86787 Q34128 VARICELLA-ZOS	$92.88	$344.00	$11.36–$288.96	9% below	73%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella Zoster Virus IgG (CQ)	$123.84	$344.00	$82.56–$288.96	—	64%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 86787 Q34128 VARICELLA-ZOS	$123.84	$344.00	$82.56–$288.96	—	64%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella Zoster Virus Ab IgG Screen	$123.84	$344.00	$82.56–$288.96	—	64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 87491 Q11363 CHLMYD TRACH	$88.56	$328.00	$30.95–$275.52	13% below	73%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia DNA Amplified Probe 2	$88.56	$328.00	$30.95–$275.52	13% below	73%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 87491 CHLMYD TRACH DNA AMP	$88.56	$328.00	$30.95–$275.52	13% below	73%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia DNA Amplified Probe	$88.56	$328.00	$30.95–$275.52	13% below	73%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 87491 Q91913 C TRACH PRB	$88.56	$328.00	$30.95–$275.52	13% below	73%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 87491 Q10120 C TRACH PRB	$88.56	$328.00	$30.95–$275.52	13% below	73%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 87491 Q70051 CHLMYD TRACH	$88.56	$328.00	$30.95–$275.52	13% below	73%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia DNA Amplified Probe	$118.08	$328.00	$78.72–$275.52	—	64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 87491 Q11363 CHLMYD TRACH	$118.08	$328.00	$78.72–$275.52	—	64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 87491 Q10120 C TRACH PRB	$118.08	$328.00	$78.72–$275.52	—	64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia DNA Amplified Probe 2	$118.08	$328.00	$78.72–$275.52	—	64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 87491 Q91913 C TRACH PRB	$118.08	$328.00	$78.72–$275.52	—	64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 87491 CHLMYD TRACH DNA AMP	$118.08	$328.00	$78.72–$275.52	—	64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 87491 Q70051 CHLMYD TRACH	$118.08	$328.00	$78.72–$275.52	—	64%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID	$169.29	$627.00	$11.81–$526.68	53% above	73%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LipidRfxLDLDM	$169.29	$627.00	$11.81–$526.68	53% above	73%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel with LDL/HDL Ratio	$169.29	$627.00	$11.81–$526.68	53% above	73%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 80061 Q92145 LIPID PANEL	$183.33	$679.00	$11.81–$570.36	66% above	73%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LipidRfxLDLDM	$225.72	$627.00	$150.48–$526.68	—	64%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel with LDL/HDL Ratio	$225.72	$627.00	$150.48–$526.68	—	64%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID	$225.72	$627.00	$150.48–$526.68	—	64%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 80061 Q92145 LIPID PANEL	$244.44	$679.00	$162.96–$570.36	—	64%
Complete blood count (CBC) with differential CPT 85025 CBCADIFF	$94.50	$350.00	$6.85–$294.00	135% above	73%
Complete blood count (CBC) with differential CPT 85025 Complete Blood Count w/ 3 Part Diff Auto LNI (UC)	$94.50	$350.00	$6.85–$294.00	135% above	73%
Complete blood count (CBC) with differential CPT 85025 Complete Blood Count w/ 3 Part Diff Auto	$94.50	$350.00	$6.85–$294.00	135% above	73%
Complete blood count (CBC) with differential CPT 85025 Complete Blood Count w/Diff Auto	$94.50	$350.00	$6.85–$294.00	135% above	73%
Complete blood count (CBC) with differential inpatient CPT 85025 Complete Blood Count w/Diff Auto	$126.00	$350.00	$84.00–$294.00	—	64%
Complete blood count (CBC) with differential inpatient CPT 85025 Complete Blood Count w/ 3 Part Diff Auto LNI (UC)	$126.00	$350.00	$84.00–$294.00	—	64%
Complete blood count (CBC) with differential inpatient CPT 85025 CBCADIFF	$126.00	$350.00	$84.00–$294.00	—	64%
Complete blood count (CBC) with differential inpatient CPT 85025 Complete Blood Count w/ 3 Part Diff Auto	$126.00	$350.00	$84.00–$294.00	—	64%
Complete blood count (CBC), no differential CPT 85027 Complete Blood Count w/o Diff	$85.32	$316.00	$5.71–$265.44	181% above	73%
Complete blood count (CBC), no differential CPT 85027 85027 CBC W-PLT	$85.32	$316.00	$5.71–$265.44	181% above	73%
Complete blood count (CBC), no differential CPT 85027 CBC	$85.32	$316.00	$5.71–$265.44	181% above	73%
Complete blood count (CBC), no differential inpatient CPT 85027 Complete Blood Count w/o Diff	$113.76	$316.00	$75.84–$265.44	—	64%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC	$113.76	$316.00	$75.84–$265.44	—	64%
Complete blood count (CBC), no differential inpatient CPT 85027 85027 CBC W-PLT	$113.76	$316.00	$75.84–$265.44	—	64%
Comprehensive metabolic panel (blood test) CPT 80053 CMP	$166.59	$617.00	$9.31–$518.28	62% above	73%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 CMP	$222.12	$617.00	$148.08–$518.28	—	64%
Cortisol blood test, total CPT 82533 Cortisol 60 Minute	$120.69	$447.00	$14.37–$375.48	27% above	73%
Cortisol blood test, total CPT 82533 Cortisol 90 Minute	$120.69	$447.00	$14.37–$375.48	27% above	73%
Cortisol blood test, total CPT 82533 Cortisol Baseline	$120.69	$447.00	$14.37–$375.48	27% above	73%
Cortisol blood test, total CPT 82533 Cortisol 30 Minute	$120.69	$447.00	$14.37–$375.48	27% above	73%
Cortisol blood test, total CPT 82533 Cortisol PM	$120.69	$447.00	$14.37–$375.48	27% above	73%
Cortisol blood test, total CPT 82533 Cortisol AM	$120.69	$447.00	$14.37–$375.48	27% above	73%
Cortisol blood test, total CPT 82533 Cortisol Level	$120.69	$447.00	$14.37–$375.48	27% above	73%
Cortisol blood test, total inpatient CPT 82533 Cortisol Level	$160.92	$447.00	$107.28–$375.48	—	64%
Cortisol blood test, total inpatient CPT 82533 Cortisol 60 Minute	$160.92	$447.00	$107.28–$375.48	—	64%
Cortisol blood test, total inpatient CPT 82533 Cortisol AM	$160.92	$447.00	$107.28–$375.48	—	64%
Cortisol blood test, total inpatient CPT 82533 Cortisol 30 Minute	$160.92	$447.00	$107.28–$375.48	—	64%
Cortisol blood test, total inpatient CPT 82533 Cortisol Baseline	$160.92	$447.00	$107.28–$375.48	—	64%
Cortisol blood test, total inpatient CPT 82533 Cortisol PM	$160.92	$447.00	$107.28–$375.48	—	64%
Cortisol blood test, total inpatient CPT 82533 Cortisol 90 Minute	$160.92	$447.00	$107.28–$375.48	—	64%
Creatine kinase (CK) blood test, total CPT 82550 82550 CREATINE KINASE TOTAL	$54.27	$201.00	$5.74–$168.84	40% above	73%
Creatine kinase (CK) blood test, total CPT 82550 Creatine Kinase w/Reflex CKMB/Relative Index	$54.27	$201.00	$5.74–$168.84	40% above	73%
Creatine kinase (CK) blood test, total CPT 82550 Creatine Kinase	$54.27	$201.00	$5.74–$168.84	40% above	73%
Creatine kinase (CK) blood test, total inpatient CPT 82550 82550 CREATINE KINASE TOTAL	$72.36	$201.00	$48.24–$168.84	—	64%
Creatine kinase (CK) blood test, total inpatient CPT 82550 Creatine Kinase w/Reflex CKMB/Relative Index	$72.36	$201.00	$48.24–$168.84	—	64%
Creatine kinase (CK) blood test, total inpatient CPT 82550 Creatine Kinase	$72.36	$201.00	$48.24–$168.84	—	64%
Creatinine blood test CPT 82565 ISCREA	$34.29	$127.00	$4.52–$106.68	19% above	73%
Creatinine blood test CPT 82565 CREA	$34.29	$127.00	$4.52–$106.68	19% above	73%
Creatinine blood test CPT 82565 Creatinine Blood	$34.29	$127.00	$4.52–$106.68	19% above	73%
Creatinine blood test CPT 82565 .Creatinine POC	$34.29	$127.00	$4.52–$106.68	19% above	73%
Creatinine blood test CPT 82565 .ISTAT Creatinine Level POC	$34.29	$127.00	$4.52–$106.68	19% above	73%
Creatinine blood test inpatient CPT 82565 .ISTAT Creatinine Level POC	$45.72	$127.00	$30.48–$106.68	—	64%
Creatinine blood test inpatient CPT 82565 CREA	$45.72	$127.00	$30.48–$106.68	—	64%
Creatinine blood test inpatient CPT 82565 Creatinine Blood	$45.72	$127.00	$30.48–$106.68	—	64%
Creatinine blood test inpatient CPT 82565 ISCREA	$45.72	$127.00	$30.48–$106.68	—	64%
Creatinine blood test inpatient CPT 82565 .Creatinine POC	$45.72	$127.00	$30.48–$106.68	—	64%
Cytomegalovirus (CMV) antibody test CPT 86644 86644 CMV AB	$71.82	$266.00	$12.69–$223.44	8% below	73%
Cytomegalovirus (CMV) antibody test CPT 86644 86644 Q6732 CMV AB	$71.82	$266.00	$12.69–$223.44	8% below	73%
Cytomegalovirus (CMV) antibody test CPT 86644 Cytomegalovirus Antibody IgG (CQ)	$71.82	$266.00	$12.69–$223.44	8% below	73%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 86644 Q6732 CMV AB	$95.76	$266.00	$63.84–$223.44	—	64%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 86644 CMV AB	$95.76	$266.00	$63.84–$223.44	—	64%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Cytomegalovirus Antibody IgG (CQ)	$95.76	$266.00	$63.84–$223.44	—	64%
D-dimer blood test (blood clot marker) CPT 85379 D Dimer Quant	$132.03	$489.00	$8.98–$410.76	8% above	73%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D Dimer Quant	$176.04	$489.00	$117.36–$410.76	—	64%
DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone Sulfate (CQ)	$146.61	$543.00	$19.61–$456.12	4% below	73%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dehydroepiandrosterone Sulfate (CQ)	$195.48	$543.00	$130.32–$456.12	—	64%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Monitoring, Pnl 8 w/Conf, Urine (CQ)	$175.77	$651.00	$32.00–$546.84	56% above	73%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Amphetamines Urine Sendout to CQ	$175.77	$651.00	$32.00–$546.84	56% above	73%
Drug screen by lab instrument (any number of drug classes) CPT 80307 UDS11QA	$175.77	$651.00	$32.00–$546.84	56% above	73%
Drug screen by lab instrument (any number of drug classes) CPT 80307 UOpiQl	$175.77	$651.00	$32.00–$546.84	56% above	73%
Drug screen by lab instrument (any number of drug classes) CPT 80307 UCocQl	$175.77	$651.00	$32.00–$546.84	56% above	73%
Drug screen by lab instrument (any number of drug classes) CPT 80307 UBenzQl	$175.77	$651.00	$32.00–$546.84	56% above	73%
Drug screen by lab instrument (any number of drug classes) CPT 80307 UAmpQl	$175.77	$651.00	$32.00–$546.84	56% above	73%
Drug screen by lab instrument (any number of drug classes) CPT 80307 UDS10QualAuto	$175.77	$651.00	$32.00–$546.84	56% above	73%
Drug screen by lab instrument (any number of drug classes) CPT 80307 UDS10AQualAuto	$175.77	$651.00	$32.00–$546.84	56% above	73%
Drug screen by lab instrument (any number of drug classes) CPT 80307 UDS10BQualAuto	$175.77	$651.00	$32.00–$546.84	56% above	73%
Drug screen by lab instrument (any number of drug classes) CPT 80307 UBarbQl	$175.77	$651.00	$32.00–$546.84	56% above	73%
Drug screen by lab instrument (any number of drug classes) CPT 80307 UDS 8C Qual Auto	$175.77	$651.00	$32.00–$546.84	56% above	73%
Drug screen by lab instrument (any number of drug classes) CPT 80307 UDS12QualAuto	$175.77	$651.00	$32.00–$546.84	56% above	73%
Drug screen by lab instrument (any number of drug classes) CPT 80307 UDS6QualAuto	$175.77	$651.00	$32.00–$546.84	56% above	73%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Comp. Drug Scr, Umbilical Cord Tissue CQ	$175.77	$651.00	$32.00–$546.84	56% above	73%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Meconium Panel 8 MedTox RLNI	$175.77	$651.00	$32.00–$546.84	56% above	73%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Urine Drug Screen Panel 7 Qual Auto	$175.77	$651.00	$32.00–$546.84	56% above	73%
Drug screen by lab instrument (any number of drug classes) CPT 80307 UDS13QualAuto	$175.77	$651.00	$32.00–$546.84	56% above	73%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Benzodiazepine Screen, Urine (LC)	$175.77	$651.00	$32.00–$546.84	56% above	73%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Amphetamine Screen, Urine (LC)	$175.77	$651.00	$32.00–$546.84	56% above	73%
Drug screen by lab instrument (any number of drug classes) CPT 80307 oxyCODONE Qual Urine	$175.77	$651.00	$32.00–$546.84	56% above	73%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen 9 Meconium - Send Out CQ	$175.77	$651.00	$32.00–$546.84	56% above	73%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Urine Drug Screen 7A Qual CS Auto	$175.77	$651.00	$32.00–$546.84	56% above	73%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Abuse Screen 7 Serum - Send Out CQ	$175.77	$651.00	$32.00–$546.84	56% above	73%
Drug screen by lab instrument (any number of drug classes) CPT 80307 clonazePAM as Metabolite Screen, Urine (CQ)	$175.77	$651.00	$32.00–$546.84	56% above	73%
Drug screen by lab instrument (any number of drug classes) CPT 80307 UDS8AQualAuto	$175.77	$651.00	$32.00–$546.84	56% above	73%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HYDROcodone Qual Urine	$175.77	$651.00	$32.00–$546.84	56% above	73%
Drug screen by lab instrument (any number of drug classes) CPT 80307 UDS9AQualAuto	$175.77	$651.00	$32.00–$546.84	56% above	73%
Drug screen by lab instrument (any number of drug classes) CPT 80307 UTHCQl	$175.77	$651.00	$32.00–$546.84	56% above	73%
Drug screen by lab instrument (any number of drug classes) CPT 80307 UPCPQl	$175.77	$651.00	$32.00–$546.84	56% above	73%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Methadone Qual	$175.77	$651.00	$32.00–$546.84	56% above	73%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UDS9AQualAuto	$234.36	$651.00	$156.24–$546.84	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UDS8AQualAuto	$234.36	$651.00	$156.24–$546.84	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Amphetamines Urine Sendout to CQ	$234.36	$651.00	$156.24–$546.84	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Screen 9 Meconium - Send Out CQ	$234.36	$651.00	$156.24–$546.84	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Urine Drug Screen 7A Qual CS Auto	$234.36	$651.00	$156.24–$546.84	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Abuse Screen 7 Serum - Send Out CQ	$234.36	$651.00	$156.24–$546.84	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 clonazePAM as Metabolite Screen, Urine (CQ)	$234.36	$651.00	$156.24–$546.84	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Methadone Qual	$234.36	$651.00	$156.24–$546.84	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Monitoring, Pnl 8 w/Conf, Urine (CQ)	$234.36	$651.00	$156.24–$546.84	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UDS11QA	$234.36	$651.00	$156.24–$546.84	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UDS12QualAuto	$234.36	$651.00	$156.24–$546.84	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UDS6QualAuto	$234.36	$651.00	$156.24–$546.84	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UDS 8C Qual Auto	$234.36	$651.00	$156.24–$546.84	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UDS10BQualAuto	$234.36	$651.00	$156.24–$546.84	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UDS10AQualAuto	$234.36	$651.00	$156.24–$546.84	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UDS10QualAuto	$234.36	$651.00	$156.24–$546.84	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UAmpQl	$234.36	$651.00	$156.24–$546.84	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UBarbQl	$234.36	$651.00	$156.24–$546.84	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UBenzQl	$234.36	$651.00	$156.24–$546.84	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UCocQl	$234.36	$651.00	$156.24–$546.84	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UOpiQl	$234.36	$651.00	$156.24–$546.84	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UPCPQl	$234.36	$651.00	$156.24–$546.84	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UTHCQl	$234.36	$651.00	$156.24–$546.84	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HYDROcodone Qual Urine	$234.36	$651.00	$156.24–$546.84	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 oxyCODONE Qual Urine	$234.36	$651.00	$156.24–$546.84	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Amphetamine Screen, Urine (LC)	$234.36	$651.00	$156.24–$546.84	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Benzodiazepine Screen, Urine (LC)	$234.36	$651.00	$156.24–$546.84	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UDS13QualAuto	$234.36	$651.00	$156.24–$546.84	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Urine Drug Screen Panel 7 Qual Auto	$234.36	$651.00	$156.24–$546.84	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Meconium Panel 8 MedTox RLNI	$234.36	$651.00	$156.24–$546.84	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Comp. Drug Scr, Umbilical Cord Tissue CQ	$234.36	$651.00	$156.24–$546.84	—	64%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 LYTES	$107.46	$398.00	$6.18–$334.32	67% above	73%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolytes Urine Panel	$107.46	$398.00	$6.18–$334.32	67% above	73%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Electrolytes Urine Panel	$143.28	$398.00	$95.52–$334.32	—	64%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 LYTES	$143.28	$398.00	$95.52–$334.32	—	64%
Epstein-Barr virus (EBV) antibody test CPT 86665 86665 Q6421EPSTE-BARR VCA	$81.00	$300.00	$16.00–$252.00	5% below	73%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 86665 Q6421EPSTE-BARR VCA	$108.00	$300.00	$72.00–$252.00	—	64%
Estradiol blood test CPT 82670 Estradiol Level	$74.25	$275.00	$24.64–$231.00	44% below	73%
Estradiol blood test CPT 82670 Estradiol - Send Out CQ	$74.25	$275.00	$24.64–$231.00	44% below	73%
Estradiol blood test CPT 82670 82670 Q36169 ESTRADIOL	$74.25	$275.00	$24.64–$231.00	44% below	73%
Estradiol blood test CPT 82670 Estradiol Ultrasensitive LC-MS/MS - Send Out to CQ	$74.25	$275.00	$24.64–$231.00	44% below	73%
Estradiol blood test inpatient CPT 82670 82670 Q36169 ESTRADIOL	$99.00	$275.00	$66.00–$231.00	—	64%
Estradiol blood test inpatient CPT 82670 Estradiol - Send Out CQ	$99.00	$275.00	$66.00–$231.00	—	64%
Estradiol blood test inpatient CPT 82670 Estradiol Ultrasensitive LC-MS/MS - Send Out to CQ	$99.00	$275.00	$66.00–$231.00	—	64%
Estradiol blood test inpatient CPT 82670 Estradiol Level	$99.00	$275.00	$66.00–$231.00	—	64%
FSH (follicle-stimulating hormone) test CPT 83001 Follicle Stimulating Hormone Serum	$153.63	$569.00	$16.39–$477.96	20% above	73%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Follicle Stimulating Hormone Serum	$204.84	$569.00	$136.56–$477.96	—	64%
Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin Stool - Send Out CQ	$230.04	$852.00	$17.32–$715.68	29% above	73%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Calprotectin Stool - Send Out CQ	$306.72	$852.00	$204.48–$715.68	—	64%
Ferritin blood test (iron stores) CPT 82728 Ferritin	$74.79	$277.00	$12.02–$232.68	4% below	73%
Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin	$99.72	$277.00	$66.48–$232.68	—	64%
Fibrinogen blood test CPT 85384 Fibrinogen Level	$42.39	$157.00	$8.58–$131.88	33% below	73%
Fibrinogen blood test inpatient CPT 85384 Fibrinogen Level	$56.52	$157.00	$37.68–$131.88	—	64%
Folate (folic acid) blood test CPT 82746 Folate Level	$128.79	$477.00	$12.97–$400.68	68% above	73%
Folate (folic acid) blood test CPT 82746 Folate, Serum CQ	$128.79	$477.00	$12.97–$400.68	68% above	73%
Folate (folic acid) blood test inpatient CPT 82746 Folate Level	$171.72	$477.00	$114.48–$400.68	—	64%
Folate (folic acid) blood test inpatient CPT 82746 Folate, Serum CQ	$171.72	$477.00	$114.48–$400.68	—	64%
Free T3 thyroid hormone test CPT 84481 Triiodothyronine 3 Free	$124.74	$462.00	$14.94–$388.08	17% below	73%
Free T3 thyroid hormone test inpatient CPT 84481 Triiodothyronine 3 Free	$166.32	$462.00	$110.88–$388.08	—	64%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine 4 Free Direct Dialysis (CQ)	$162.00	$600.00	$7.96–$504.00	100% above	73%
Free T4 (free thyroxine) thyroid blood test CPT 84439 .Thyroxine (T4) Free, Direct, S LC	$162.00	$600.00	$7.96–$504.00	100% above	73%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine 4 Free	$162.00	$600.00	$7.96–$504.00	100% above	73%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Thyroxine 4 Free Direct Dialysis (CQ)	$216.00	$600.00	$144.00–$504.00	—	64%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Thyroxine 4 Free	$216.00	$600.00	$144.00–$504.00	—	64%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 .Thyroxine (T4) Free, Direct, S LC	$216.00	$600.00	$144.00–$504.00	—	64%
Free testosterone test CPT 84402 Testosterone Free - Send Out CQ	$117.99	$437.00	$22.46–$367.08	41% above	73%
Free testosterone test CPT 84402 84402 TESTOSTERONE, FREE	$117.99	$437.00	$22.46–$367.08	41% above	73%
Free testosterone test CPT 84402 84402 Q36170 TESTOST FREE	$117.99	$437.00	$22.46–$367.08	41% above	73%
Free testosterone test inpatient CPT 84402 Testosterone Free - Send Out CQ	$157.32	$437.00	$104.88–$367.08	—	64%
Free testosterone test inpatient CPT 84402 84402 Q36170 TESTOST FREE	$157.32	$437.00	$104.88–$367.08	—	64%
Free testosterone test inpatient CPT 84402 84402 TESTOSTERONE, FREE	$157.32	$437.00	$104.88–$367.08	—	64%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 Gamma Glutamyl Transferase	$65.61	$243.00	$6.35–$204.12	93% above	73%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 82977 GGT	$65.61	$243.00	$6.35–$204.12	93% above	73%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT - BCE	$65.61	$243.00	$6.35–$204.12	93% above	73%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 Gamma Glutamyl Transferase Body Fluid	$65.61	$243.00	$6.35–$204.12	93% above	73%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT - BCE	$87.48	$243.00	$58.32–$204.12	—	64%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Gamma Glutamyl Transferase Body Fluid	$87.48	$243.00	$58.32–$204.12	—	64%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Gamma Glutamyl Transferase	$87.48	$243.00	$58.32–$204.12	—	64%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 82977 GGT	$87.48	$243.00	$58.32–$204.12	—	64%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 $ General Health Panel	$405.54	$1,502.00	$32.00–$1,261.68	32% above	73%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 $ General Health Panel	$540.72	$1,502.00	$360.48–$1,261.68	—	64%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose 2 Hour Postprandial	$34.29	$127.00	$4.19–$106.68	17% below	73%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose 1 Hr Postprandial	$34.29	$127.00	$4.19–$106.68	17% below	73%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 .GTT 1st Hr OB	$34.29	$127.00	$4.19–$106.68	17% below	73%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 .GTT 1st Hr OB	$45.72	$127.00	$30.48–$106.68	—	64%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose 1 Hr Postprandial	$45.72	$127.00	$30.48–$106.68	—	64%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose 2 Hour Postprandial	$45.72	$127.00	$30.48–$106.68	—	64%
Glucose tolerance test, 3 samples CPT 82951 .GTT Fasting	$90.99	$337.00	$11.35–$283.08	23% above	73%
Glucose tolerance test, 3 samples inpatient CPT 82951 .GTT Fasting	$121.32	$337.00	$80.88–$283.08	—	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 Q91913 NG AMP PRB	$88.56	$328.00	$30.95–$275.52	11% below	73%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 Q70051 N.GONORRHO,DN	$88.56	$328.00	$30.95–$275.52	11% below	73%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 Q10120 NG AMP PRB	$88.56	$328.00	$30.95–$275.52	11% below	73%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Gonorrhea DNA Amplified Probe	$88.56	$328.00	$30.95–$275.52	11% below	73%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 N.GONORRHO,DNA,AMPPR	$88.56	$328.00	$30.95–$275.52	11% below	73%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Gonorrhea DNA Amplified Probe 2	$88.56	$328.00	$30.95–$275.52	11% below	73%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 Q11363 N.GONORRHO DN	$88.56	$328.00	$30.95–$275.52	11% below	73%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 87591 Q11363 N.GONORRHO DN	$118.08	$328.00	$78.72–$275.52	—	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 87591 Q70051 N.GONORRHO,DN	$118.08	$328.00	$78.72–$275.52	—	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 87591 Q10120 NG AMP PRB	$118.08	$328.00	$78.72–$275.52	—	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 87591 Q91913 NG AMP PRB	$118.08	$328.00	$78.72–$275.52	—	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Gonorrhea DNA Amplified Probe	$118.08	$328.00	$78.72–$275.52	—	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 87591 N.GONORRHO,DNA,AMPPR	$118.08	$328.00	$78.72–$275.52	—	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Gonorrhea DNA Amplified Probe 2	$118.08	$328.00	$78.72–$275.52	—	64%
H. pylori stool antigen test CPT 87338 Heliobacter pylori Ag EIA Stool (CQ)	$35.10	$130.00	$12.68–$109.20	72% below	73%
H. pylori stool antigen test CPT 87338 Heliobacter pylori Fecal IA	$35.10	$130.00	$12.68–$109.20	72% below	73%
H. pylori stool antigen test inpatient CPT 87338 Heliobacter pylori Fecal IA	$46.80	$130.00	$31.20–$109.20	—	64%
H. pylori stool antigen test inpatient CPT 87338 Heliobacter pylori Ag EIA Stool (CQ)	$46.80	$130.00	$31.20–$109.20	—	64%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV1 RNA Quantitative Reflex HIV1 Genotype - Send	$269.73	$999.00	$32.00–$839.16	28% below	73%
HIV viral load test (HIV-1 RNA, quantitative) one side CPT 87536 HIV 1 RNA Quantitative RT PCR - Send Out CQ	$269.73	$999.00	$32.00–$839.16	28% below	73%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV1 RNA Quantitative Reflex HIV1 Genotype - Send	$359.64	$999.00	$239.76–$839.16	—	64%
HIV viral load test (HIV-1 RNA, quantitative) inpatient one side CPT 87536 HIV 1 RNA Quantitative RT PCR - Send Out CQ	$359.64	$999.00	$239.76–$839.16	—	64%
HPV test for high-risk types, one combined (pooled) result CPT 87624 87624 Q90933 HPV HR	$13.50	$50.00	$12.00–$84.22	87% below	73%
HPV test for high-risk types, one combined (pooled) result CPT 87624 Human Papilloma Virus RNA High Risk E6/E7 (CQ)	$13.50	$50.00	$12.00–$84.22	87% below	73%
HPV test for high-risk types, one combined (pooled) result CPT 87624 87624 Q91414 HPV HR	$13.50	$50.00	$12.00–$84.22	87% below	73%
HPV test for high-risk types, one combined (pooled) result CPT 87624 SO 87624 AP Bill HPV High Risk Types	$13.50	$50.00	$12.00–$84.22	87% below	73%
HPV test for high-risk types, one combined (pooled) result CPT 87624 87624 Q90931 HPV HR	$205.20	$760.00	$30.95–$638.40	98% above	73%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Human Papilloma Virus RNA High Risk E6/E7 (CQ)	$18.00	$50.00	$12.00–$42.00	—	64%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 SO 87624 AP Bill HPV High Risk Types	$18.00	$50.00	$12.00–$42.00	—	64%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 87624 Q91414 HPV HR	$18.00	$50.00	$12.00–$42.00	—	64%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 87624 Q90933 HPV HR	$18.00	$50.00	$12.00–$42.00	—	64%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 87624 Q90931 HPV HR	$273.60	$760.00	$182.40–$638.40	—	64%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c	$83.97	$311.00	$8.57–$261.24	25% above	73%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HgbA1c w/Est Avg Gluc	$83.97	$311.00	$8.57–$261.24	25% above	73%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c (CQ)	$93.69	$347.00	$8.57–$291.48	39% above	73%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1c	$111.96	$311.00	$74.64–$261.24	—	64%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HgbA1c w/Est Avg Gluc	$111.96	$311.00	$74.64–$261.24	—	64%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1c (CQ)	$124.92	$347.00	$83.28–$291.48	—	64%
Hemoglobin blood test CPT 85018 85018 HEMOGLOBIN 131	$31.05	$115.00	$2.09–$96.60	66% above	73%
Hemoglobin blood test CPT 85018 Hemoglobin	$31.05	$115.00	$2.09–$96.60	66% above	73%
Hemoglobin blood test inpatient CPT 85018 85018 HEMOGLOBIN 131	$41.40	$115.00	$27.60–$96.60	—	64%
Hemoglobin blood test inpatient CPT 85018 Hemoglobin	$41.40	$115.00	$27.60–$96.60	—	64%
Hepatitis B core antibody test (total) CPT 86704 Hepatitis B Core Ab Total	$97.47	$361.00	$10.63–$303.24	44% above	73%
Hepatitis B core antibody test (total) CPT 86704 HBCABT	$97.47	$361.00	$10.63–$303.24	44% above	73%
Hepatitis B core antibody test (total) CPT 86704 Hepatitis B Core Ab Total (CQ)	$97.47	$361.00	$10.63–$303.24	44% above	73%
Hepatitis B core antibody test (total) inpatient CPT 86704 Hepatitis B Core Ab Total	$129.96	$361.00	$86.64–$303.24	—	64%
Hepatitis B core antibody test (total) inpatient CPT 86704 HBCABT	$129.96	$361.00	$86.64–$303.24	—	64%
Hepatitis B core antibody test (total) inpatient CPT 86704 Hepatitis B Core Ab Total (CQ)	$129.96	$361.00	$86.64–$303.24	—	64%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Antibody w/Interp	$166.59	$617.00	$9.48–$518.28	155% above	73%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Ab w/Interp	$166.59	$617.00	$9.48–$518.28	155% above	73%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURF AB - BCE	$166.59	$617.00	$9.48–$518.28	155% above	73%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Ab Qual (CQ)	$166.59	$617.00	$9.48–$518.28	155% above	73%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis B Surface Ab Qual (CQ)	$222.12	$617.00	$148.08–$518.28	—	64%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis B Surface Antibody w/Interp	$222.12	$617.00	$148.08–$518.28	—	64%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis B Surface Ab w/Interp	$222.12	$617.00	$148.08–$518.28	—	64%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURF AB - BCE	$222.12	$617.00	$148.08–$518.28	—	64%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Ag w/Reflex Confirm (CQ)	$140.13	$519.00	$9.11–$435.96	130% above	73%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HBSAG- BCE	$140.13	$519.00	$9.11–$435.96	130% above	73%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Ag Confirmation (CQ)	$140.13	$519.00	$9.11–$435.96	130% above	73%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Ag w/Interp	$140.13	$519.00	$9.11–$435.96	130% above	73%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Antigen	$140.13	$519.00	$9.11–$435.96	130% above	73%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface Ag w/Reflex Confirm (CQ)	$186.84	$519.00	$124.56–$435.96	—	64%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface Ag Confirmation (CQ)	$186.84	$519.00	$124.56–$435.96	—	64%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface Ag w/Interp	$186.84	$519.00	$124.56–$435.96	—	64%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HBSAG- BCE	$186.84	$519.00	$124.56–$435.96	—	64%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface Antigen	$186.84	$519.00	$124.56–$435.96	—	64%
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C IgG Antibody	$166.59	$617.00	$12.58–$518.28	64% above	73%
Hepatitis C antibody blood test (screening) CPT 86803 HCAB2	$166.59	$617.00	$12.58–$518.28	64% above	73%
Hepatitis C antibody blood test (screening) one side CPT 86803 Hepatitis C Antibody w/Reflex HCV RNA Quan RT PCR	$166.59	$617.00	$12.58–$518.28	64% above	73%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCAB2	$222.12	$617.00	$148.08–$518.28	—	64%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C IgG Antibody	$222.12	$617.00	$148.08–$518.28	—	64%
Hepatitis C antibody blood test (screening) inpatient one side CPT 86803 Hepatitis C Antibody w/Reflex HCV RNA Quan RT PCR	$222.12	$617.00	$148.08–$518.28	—	64%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hepatitis C Virus RNA Quant PCR (CQ)	$377.73	$1,399.00	$32.00–$1,175.16	71% above	73%
Hepatitis C viral load (HCV RNA) test CPT 87522 .HCV RNA, Quantitative Real Time PCR (CQ)	$377.73	$1,399.00	$32.00–$1,175.16	71% above	73%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hepatitis C Virus RNA Quant PCR (CQ)	$503.64	$1,399.00	$335.76–$1,175.16	—	64%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 .HCV RNA, Quantitative Real Time PCR (CQ)	$503.64	$1,399.00	$335.76–$1,175.16	—	64%
Herpes blood test, HSV-1 antibody CPT 86695 86695 Q17169 HSV1	$47.25	$175.00	$11.64–$147.00	8% below	73%
Herpes blood test, HSV-1 antibody CPT 86695 .HSV 1 IgM Titer (CQ)	$47.25	$175.00	$11.64–$147.00	8% below	73%
Herpes blood test, HSV-1 antibody CPT 86695 86695 Q90849HERPES SMP TP1	$47.25	$175.00	$11.64–$147.00	8% below	73%
Herpes blood test, HSV-1 antibody CPT 86695 86695 HERPES SIMP TYPE 1	$47.25	$175.00	$11.64–$147.00	8% below	73%
Herpes blood test, HSV-1 antibody CPT 86695 86695 Q6447 HERPES SMP TP1	$47.25	$175.00	$11.64–$147.00	8% below	73%
Herpes blood test, HSV-1 antibody CPT 86695 .Herpes Simplex Virus 1 IgM Titer - Send Out CQ	$47.25	$175.00	$11.64–$147.00	8% below	73%
Herpes blood test, HSV-1 antibody CPT 86695 Herpes Simplex Virus 1 Ab IgG	$47.25	$175.00	$11.64–$147.00	8% below	73%
Herpes blood test, HSV-1 antibody CPT 86695 86695 Q90851HERPES SMP TP1	$47.25	$175.00	$11.64–$147.00	8% below	73%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 .HSV 1 IgM Titer (CQ)	$63.00	$175.00	$42.00–$147.00	—	64%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 86695 Q17169 HSV1	$63.00	$175.00	$42.00–$147.00	—	64%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 86695 HERPES SIMP TYPE 1	$63.00	$175.00	$42.00–$147.00	—	64%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 .Herpes Simplex Virus 1 IgM Titer - Send Out CQ	$63.00	$175.00	$42.00–$147.00	—	64%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Herpes Simplex Virus 1 Ab IgG	$63.00	$175.00	$42.00–$147.00	—	64%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 86695 Q6447 HERPES SMP TP1	$63.00	$175.00	$42.00–$147.00	—	64%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 86695 Q90851HERPES SMP TP1	$63.00	$175.00	$42.00–$147.00	—	64%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 86695 Q90849HERPES SMP TP1	$63.00	$175.00	$42.00–$147.00	—	64%
Herpes blood test, HSV-2 antibody CPT 86696 86696 HERPES SIMP TYPE 2	$58.59	$217.00	$17.06–$182.28	19% below	73%
Herpes blood test, HSV-2 antibody CPT 86696 86696 Q90849HERPES SMP TP2	$58.59	$217.00	$17.06–$182.28	19% below	73%
Herpes blood test, HSV-2 antibody CPT 86696 86696 Q17169 HSV2	$58.59	$217.00	$17.06–$182.28	19% below	73%
Herpes blood test, HSV-2 antibody CPT 86696 86696 Q6447 HERPES SMP TP2	$58.59	$217.00	$17.06–$182.28	19% below	73%
Herpes blood test, HSV-2 antibody CPT 86696 .HSV2InhibitonCQ	$58.59	$217.00	$17.06–$182.28	19% below	73%
Herpes blood test, HSV-2 antibody CPT 86696 .Herpes Simplex Virus 2 IgM Titer - Send Out CQ	$58.59	$217.00	$17.06–$182.28	19% below	73%
Herpes blood test, HSV-2 antibody CPT 86696 .HSV 2 IgM Titer (CQ)	$58.59	$217.00	$17.06–$182.28	19% below	73%
Herpes blood test, HSV-2 antibody CPT 86696 Herpes Simplex Virus 2 Ab IgG	$58.59	$217.00	$17.06–$182.28	19% below	73%
Herpes blood test, HSV-2 antibody CPT 86696 86696 Q90851HERPES SMP TP2	$58.59	$217.00	$17.06–$182.28	19% below	73%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 .Herpes Simplex Virus 2 IgM Titer - Send Out CQ	$78.12	$217.00	$52.08–$182.28	—	64%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 86696 Q17169 HSV2	$78.12	$217.00	$52.08–$182.28	—	64%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 86696 Q6447 HERPES SMP TP2	$78.12	$217.00	$52.08–$182.28	—	64%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 .HSV2InhibitonCQ	$78.12	$217.00	$52.08–$182.28	—	64%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 .HSV 2 IgM Titer (CQ)	$78.12	$217.00	$52.08–$182.28	—	64%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 86696 HERPES SIMP TYPE 2	$78.12	$217.00	$52.08–$182.28	—	64%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Herpes Simplex Virus 2 Ab IgG	$78.12	$217.00	$52.08–$182.28	—	64%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 86696 Q90849HERPES SMP TP2	$78.12	$217.00	$52.08–$182.28	—	64%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 86696 Q90851HERPES SMP TP2	$78.12	$217.00	$52.08–$182.28	—	64%
High-sensitivity CRP (hs-CRP) test CPT 86141 C Reactive Protein High Sensitivity	$146.88	$544.00	$11.42–$456.96	99% above	73%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C Reactive Protein High Sensitivity	$195.84	$544.00	$130.56–$456.96	—	64%
Homocysteine blood test CPT 83090 Homocysteine Level	$145.26	$538.00	$15.80–$451.92	13% above	73%
Homocysteine blood test inpatient CPT 83090 Homocysteine Level	$193.68	$538.00	$129.12–$451.92	—	64%
Insulin blood test CPT 83525 Insulin - Send Out to CQ	$137.97	$511.00	$10.08–$429.24	81% above	73%
Insulin blood test CPT 83525 83525 INSULIN, TOTAL	$137.97	$511.00	$10.08–$429.24	81% above	73%
Insulin blood test inpatient CPT 83525 Insulin - Send Out to CQ	$183.96	$511.00	$122.64–$429.24	—	64%
Insulin blood test inpatient CPT 83525 83525 INSULIN, TOTAL	$183.96	$511.00	$122.64–$429.24	—	64%
Iron blood test (serum iron) CPT 83540 83540 IRON	$35.64	$132.00	$5.71–$110.88	26% below	73%
Iron blood test (serum iron) CPT 83540 IRON	$35.64	$132.00	$5.71–$110.88	26% below	73%
Iron blood test (serum iron) CPT 83540 SO CC 83540 N30100560-SQLIVIRO	$35.64	$132.00	$5.71–$110.88	26% below	73%
Iron blood test (serum iron) inpatient CPT 83540 83540 IRON	$47.52	$132.00	$31.68–$110.88	—	64%
Iron blood test (serum iron) inpatient CPT 83540 IRON	$47.52	$132.00	$31.68–$110.88	—	64%
Iron blood test (serum iron) inpatient CPT 83540 SO CC 83540 N30100560-SQLIVIRO	$47.52	$132.00	$31.68–$110.88	—	64%
Iron-binding capacity (TIBC) test CPT 83550 Total Iron Binding Capacity DM	$84.78	$314.00	$7.71–$263.76	89% above	73%
Iron-binding capacity (TIBC) test CPT 83550 83550 IRON BINDING CAPACIT	$84.78	$314.00	$7.71–$263.76	89% above	73%
Iron-binding capacity (TIBC) test inpatient CPT 83550 Total Iron Binding Capacity DM	$113.04	$314.00	$75.36–$263.76	—	64%
Iron-binding capacity (TIBC) test inpatient CPT 83550 83550 IRON BINDING CAPACIT	$113.04	$314.00	$75.36–$263.76	—	64%
Kidney function blood test panel CPT 80069 RFP	$156.06	$578.00	$7.66–$485.52	48% above	73%
Kidney function blood test panel CPT 80069 Renal Function Panel	$156.06	$578.00	$7.66–$485.52	48% above	73%
Kidney function blood test panel inpatient CPT 80069 RFP	$208.08	$578.00	$138.72–$485.52	—	64%
Kidney function blood test panel inpatient CPT 80069 Renal Function Panel	$208.08	$578.00	$138.72–$485.52	—	64%
LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone	$151.47	$561.00	$16.34–$471.24	7% above	73%
LH (luteinizing hormone) test inpatient CPT 83002 Luteinizing Hormone	$201.96	$561.00	$134.64–$471.24	—	64%
Lactate (lactic acid) blood test CPT 83605 .ISTAT Creatinine POC	$25.11	$93.00	$10.21–$78.12	72% below	73%
Lactate (lactic acid) blood test CPT 83605 Lactic Acid	$25.11	$93.00	$10.21–$78.12	72% below	73%
Lactate (lactic acid) blood test CPT 83605 Lactic Acid w/ Reflex LA	$25.11	$93.00	$10.21–$78.12	72% below	73%
Lactate (lactic acid) blood test CPT 83605 .ISTAT Lactate POC	$25.11	$93.00	$10.21–$78.12	72% below	73%
Lactate (lactic acid) blood test CPT 83605 Lactic Acid CSF	$25.11	$93.00	$10.21–$78.12	72% below	73%
Lactate (lactic acid) blood test CPT 83605 Lactic Acid Cerebrospinal Fluid - Send Out CQ	$25.11	$93.00	$10.21–$78.12	72% below	73%
Lactate (lactic acid) blood test CPT 83605 .Lactic Acid Reflex 2	$25.11	$93.00	$10.21–$78.12	72% below	73%
Lactate (lactic acid) blood test CPT 83605 .Lactate POC	$25.11	$93.00	$10.21–$78.12	72% below	73%
Lactate (lactic acid) blood test CPT 83605 .Lactic Acid Reflex	$25.11	$93.00	$10.21–$78.12	72% below	73%
Lactate (lactic acid) blood test inpatient CPT 83605 .Lactate POC	$33.48	$93.00	$22.32–$78.12	—	64%
Lactate (lactic acid) blood test inpatient CPT 83605 .Lactic Acid Reflex 2	$33.48	$93.00	$22.32–$78.12	—	64%
Lactate (lactic acid) blood test inpatient CPT 83605 .Lactic Acid Reflex	$33.48	$93.00	$22.32–$78.12	—	64%
Lactate (lactic acid) blood test inpatient CPT 83605 Lactic Acid w/ Reflex LA	$33.48	$93.00	$22.32–$78.12	—	64%
Lactate (lactic acid) blood test inpatient CPT 83605 .ISTAT Creatinine POC	$33.48	$93.00	$22.32–$78.12	—	64%
Lactate (lactic acid) blood test inpatient CPT 83605 Lactic Acid CSF	$33.48	$93.00	$22.32–$78.12	—	64%
Lactate (lactic acid) blood test inpatient CPT 83605 Lactic Acid	$33.48	$93.00	$22.32–$78.12	—	64%
Lactate (lactic acid) blood test inpatient CPT 83605 .ISTAT Lactate POC	$33.48	$93.00	$22.32–$78.12	—	64%
Lactate (lactic acid) blood test inpatient CPT 83605 Lactic Acid Cerebrospinal Fluid - Send Out CQ	$33.48	$93.00	$22.32–$78.12	—	64%
Lactate dehydrogenase (LDH) blood test CPT 83615 83615 LACTATE DEHYDROLDH	$43.47	$161.00	$5.33–$135.24	2% above	73%
Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate Dehydrogenase Body Fluid	$43.47	$161.00	$5.33–$135.24	2% above	73%
Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate Dehydrogenase	$43.47	$161.00	$5.33–$135.24	2% above	73%
Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate Dehydrogenase CSF (CQ)	$43.47	$161.00	$5.33–$135.24	2% above	73%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Lactate Dehydrogenase Body Fluid	$57.96	$161.00	$38.64–$135.24	—	64%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Lactate Dehydrogenase	$57.96	$161.00	$38.64–$135.24	—	64%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 83615 LACTATE DEHYDROLDH	$57.96	$161.00	$38.64–$135.24	—	64%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Lactate Dehydrogenase CSF (CQ)	$57.96	$161.00	$38.64–$135.24	—	64%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase Level	$68.04	$252.00	$6.08–$211.68	24% below	73%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase Pleural Fluid (CQ)	$68.04	$252.00	$6.08–$211.68	24% below	73%
Lipase blood test (pancreas enzyme) CPT 83690 Immunoglobulin M Urine (CQ)	$68.04	$252.00	$6.08–$211.68	24% below	73%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase Body Fluid	$68.04	$252.00	$6.08–$211.68	24% below	73%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase Peritoneal Fluid Sendout to CQ	$68.04	$252.00	$6.08–$211.68	24% below	73%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Immunoglobulin M Urine (CQ)	$90.72	$252.00	$60.48–$211.68	—	64%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase Peritoneal Fluid Sendout to CQ	$90.72	$252.00	$60.48–$211.68	—	64%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase Pleural Fluid (CQ)	$90.72	$252.00	$60.48–$211.68	—	64%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase Level	$90.72	$252.00	$60.48–$211.68	—	64%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase Body Fluid	$90.72	$252.00	$60.48–$211.68	—	64%
Liver function blood test panel CPT 80076 HFP	$140.94	$522.00	$7.21–$438.48	33% above	73%
Liver function blood test panel inpatient CPT 80076 HFP	$187.92	$522.00	$125.28–$438.48	—	64%
Lyme disease antibody test CPT 86618 Lyme IgG w/Reflex Confirmation	$86.40	$320.00	$15.02–$268.80	32% below	73%
Lyme disease antibody test CPT 86618 Lyme IgM w/Reflex Confirmation	$86.40	$320.00	$15.02–$268.80	32% below	73%
Lyme disease antibody test CPT 86618 86618 LYME DISEASE AB	$86.40	$320.00	$15.02–$268.80	32% below	73%
Lyme disease antibody test inpatient CPT 86618 86618 LYME DISEASE AB	$115.20	$320.00	$76.80–$268.80	—	64%
Lyme disease antibody test inpatient CPT 86618 Lyme IgG w/Reflex Confirmation	$115.20	$320.00	$76.80–$268.80	—	64%
Lyme disease antibody test inpatient CPT 86618 Lyme IgM w/Reflex Confirmation	$115.20	$320.00	$76.80–$268.80	—	64%
Magnesium blood test CPT 83735 Magnesium Urine 24 Hour	$40.23	$149.00	$5.91–$125.16	13% below	73%
Magnesium blood test CPT 83735 Magnesium Urine	$40.23	$149.00	$5.91–$125.16	13% below	73%
Magnesium blood test CPT 83735 Magnesium Serum Obstetric	$40.23	$149.00	$5.91–$125.16	13% below	73%
Magnesium blood test CPT 83735 Magnesium Serum	$40.23	$149.00	$5.91–$125.16	13% below	73%
Magnesium blood test CPT 83735 Magnesium Red Blood Cell - Send Out to NQ CQ	$43.47	$161.00	$5.91–$135.24	6% below	73%
Magnesium blood test inpatient CPT 83735 Magnesium Urine 24 Hour	$53.64	$149.00	$35.76–$125.16	—	64%
Magnesium blood test inpatient CPT 83735 Magnesium Serum	$53.64	$149.00	$35.76–$125.16	—	64%
Magnesium blood test inpatient CPT 83735 Magnesium Serum Obstetric	$53.64	$149.00	$35.76–$125.16	—	64%
Magnesium blood test inpatient CPT 83735 Magnesium Urine	$53.64	$149.00	$35.76–$125.16	—	64%
Magnesium blood test inpatient CPT 83735 Magnesium Red Blood Cell - Send Out to NQ CQ	$57.96	$161.00	$38.64–$135.24	—	64%
Measles (rubeola) antibody test CPT 86765 Measles IgG (Rubeola) - Send Out CQ	$34.02	$126.00	$11.36–$105.84	58% below	73%
Measles (rubeola) antibody test CPT 86765 86765 Q34166 RUBEOLA AB	$34.02	$126.00	$11.36–$105.84	58% below	73%
Measles (rubeola) antibody test CPT 86765 Rubeola Antibody IgG Screen	$34.02	$126.00	$11.36–$105.84	58% below	73%
Measles (rubeola) antibody test CPT 86765 86765 Q5259 RUBEOLA AB	$34.02	$126.00	$11.36–$105.84	58% below	73%
Measles (rubeola) antibody test inpatient CPT 86765 86765 Q34166 RUBEOLA AB	$45.36	$126.00	$30.24–$105.84	—	64%
Measles (rubeola) antibody test inpatient CPT 86765 86765 Q5259 RUBEOLA AB	$45.36	$126.00	$30.24–$105.84	—	64%
Measles (rubeola) antibody test inpatient CPT 86765 Measles IgG (Rubeola) - Send Out CQ	$45.36	$126.00	$30.24–$105.84	—	64%
Measles (rubeola) antibody test inpatient CPT 86765 Rubeola Antibody IgG Screen	$45.36	$126.00	$30.24–$105.84	—	64%
Mono test (heterophile antibody, Monospot) CPT 86308 Mononucleosis Screen	$55.62	$206.00	$4.57–$173.04	33% below	73%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Mononucleosis Screen	$74.16	$206.00	$49.44–$173.04	—	64%
Mumps immunity blood test CPT 86735 86735 Q5259 MUMPS AB	$58.86	$218.00	$11.51–$183.12	23% below	73%
Mumps immunity blood test CPT 86735 86735 Q36564 MUMPS AB	$58.86	$218.00	$11.51–$183.12	23% below	73%
Mumps immunity blood test CPT 86735 Mumps Antibody IgG Scr	$58.86	$218.00	$11.51–$183.12	23% below	73%
Mumps immunity blood test CPT 86735 Mumps Virus IgG - Send Out CQ	$58.86	$218.00	$11.51–$183.12	23% below	73%
Mumps immunity blood test inpatient CPT 86735 Mumps Antibody IgG Scr	$78.48	$218.00	$52.32–$183.12	—	64%
Mumps immunity blood test inpatient CPT 86735 86735 Q36564 MUMPS AB	$78.48	$218.00	$52.32–$183.12	—	64%
Mumps immunity blood test inpatient CPT 86735 86735 Q5259 MUMPS AB	$78.48	$218.00	$52.32–$183.12	—	64%
Mumps immunity blood test inpatient CPT 86735 Mumps Virus IgG - Send Out CQ	$78.48	$218.00	$52.32–$183.12	—	64%
Obstetric blood test panel CPT 80055 Obstetric Panel CS	$527.58	$1,954.00	$32.00–$1,641.36	59% above	73%
Obstetric blood test panel inpatient CPT 80055 Obstetric Panel CS	$703.44	$1,954.00	$468.96–$1,641.36	—	64%
PSA (prostate-specific antigen) blood test, free CPT 84154 84154 Q31348 PSA FREE	$97.47	$361.00	$16.22–$303.24	40% above	73%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 84154 Q31348 PSA FREE	$129.96	$361.00	$86.64–$303.24	—	64%
PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate Specific Ag Post-Prostatectomy (CQ)	$97.47	$361.00	$16.22–$303.24	21% above	73%
PSA (prostate-specific antigen) blood test, total CPT 84153 84153 Q31348 PSA TOTAL	$97.47	$361.00	$16.22–$303.24	21% above	73%
PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate Specific Ag Total	$97.47	$361.00	$16.22–$303.24	21% above	73%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 84153 Q31348 PSA TOTAL	$129.96	$361.00	$86.64–$303.24	—	64%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostate Specific Ag Total	$129.96	$361.00	$86.64–$303.24	—	64%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostate Specific Ag Post-Prostatectomy (CQ)	$129.96	$361.00	$86.64–$303.24	—	64%
Pap test (liquid-based, automated screening with review) CPT 88175 ThinPrep TIS Pap (CQ)	$13.50	$50.00	$12.00–$87.00	83% below	73%
Pap test (liquid-based, automated screening with review) CPT 88175 88175 AP Bill Cytopath C-V Autoprep Rescr u MD	$13.50	$50.00	$12.00–$87.00	83% below	73%
Pap test (liquid-based, automated screening with review) CPT 88175 88175 Q91414 PAPSCAU MANRS	$13.50	$50.00	$12.00–$87.00	83% below	73%
Pap test (liquid-based, automated screening with review) CPT 88175 88175 Q90933 PAP AU MN RS	$13.50	$50.00	$12.00–$87.00	83% below	73%
Pap test (liquid-based, automated screening with review) CPT 88175 ThinPrep TIS Pap Rfx HPV mRNA E6/E7 (CQ)	$13.50	$50.00	$12.00–$87.00	83% below	73%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 88175 Q91414 PAPSCAU MANRS	$18.00	$50.00	$12.00–$42.00	—	64%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 88175 Q90933 PAP AU MN RS	$18.00	$50.00	$12.00–$42.00	—	64%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 88175 AP Bill Cytopath C-V Autoprep Rescr u MD	$18.00	$50.00	$12.00–$42.00	—	64%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 ThinPrep TIS Pap (CQ)	$18.00	$50.00	$12.00–$42.00	—	64%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 ThinPrep TIS Pap Rfx HPV mRNA E6/E7 (CQ)	$18.00	$50.00	$12.00–$42.00	—	64%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 88142 AP Bill Gyn Cytology Liquid Prep	$109.62	$406.00	$17.87–$341.04	57% above	73%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 ThinPrep Pap wRfx HPV mRNA E6/E7 CQ	$109.62	$406.00	$17.87–$341.04	57% above	73%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 ThinPrep Pap CQ	$109.62	$406.00	$17.87–$341.04	57% above	73%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 88142 Q91913 PAP TL LQ DG	$109.62	$406.00	$17.87–$341.04	57% above	73%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 88142 Q90931 PAP TL LQ DG	$109.62	$406.00	$17.87–$341.04	57% above	73%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 ThinPrep Pap (CQ)	$109.62	$406.00	$17.87–$341.04	57% above	73%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 ThinPrep Pap wRfx HPV mRNA E6/E7 CQ	$146.16	$406.00	$97.44–$341.04	—	64%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 ThinPrep Pap (CQ)	$146.16	$406.00	$97.44–$341.04	—	64%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 88142 Q91913 PAP TL LQ DG	$146.16	$406.00	$97.44–$341.04	—	64%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 88142 AP Bill Gyn Cytology Liquid Prep	$146.16	$406.00	$97.44–$341.04	—	64%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 ThinPrep Pap CQ	$146.16	$406.00	$97.44–$341.04	—	64%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 88142 Q90931 PAP TL LQ DG	$146.16	$406.00	$97.44–$341.04	—	64%
Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hormone Intact	$118.80	$440.00	$32.00–$369.60	39% below	73%
Parathyroid hormone (PTH) blood test CPT 83970 PTH, Intact w/o Calcium CQ	$118.80	$440.00	$32.00–$369.60	39% below	73%
Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hormone Intact Surgical	$118.80	$440.00	$32.00–$369.60	39% below	73%
Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hormone Intact Intraop	$118.80	$440.00	$32.00–$369.60	39% below	73%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathyroid Hormone Intact	$158.40	$440.00	$105.60–$369.60	—	64%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH, Intact w/o Calcium CQ	$158.40	$440.00	$105.60–$369.60	—	64%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathyroid Hormone Intact Surgical	$158.40	$440.00	$105.60–$369.60	—	64%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathyroid Hormone Intact Intraop	$158.40	$440.00	$105.60–$369.60	—	64%
Partial thromboplastin time (PTT) clotting test CPT 85730 Activated Partial Thromboplastin Time (CQ)	$42.23	$156.39	$5.30–$131.37	16% below	73%
Partial thromboplastin time (PTT) clotting test CPT 85730 Partial Thromboplastin Time Lupus Anticoag w/Refle	$44.28	$164.00	$5.30–$137.76	12% below	73%
Partial thromboplastin time (PTT) clotting test CPT 85730 .PTT LA Mixing Studies Sendout to CQ	$44.28	$164.00	$5.30–$137.76	12% below	73%
Partial thromboplastin time (PTT) clotting test CPT 85730 Partial Thromboplastin Time	$44.28	$164.00	$5.30–$137.76	12% below	73%
Partial thromboplastin time (PTT) clotting test CPT 85730 85730 Q8922 THROMBOPLAST T	$44.28	$164.00	$5.30–$137.76	12% below	73%
Partial thromboplastin time (PTT) clotting test CPT 85730 85730 Q7079 THROMBOPLAST T	$44.28	$164.00	$5.30–$137.76	12% below	73%
Partial thromboplastin time (PTT) clotting test CPT 85730 85730 THROMBOPLAST TIMEPTT	$44.28	$164.00	$5.30–$137.76	12% below	73%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Activated Partial Thromboplastin Time (CQ)	$56.30	$156.39	$37.53–$131.37	—	64%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 85730 Q7079 THROMBOPLAST T	$59.04	$164.00	$39.36–$137.76	—	64%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Partial Thromboplastin Time	$59.04	$164.00	$39.36–$137.76	—	64%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 .PTT LA Mixing Studies Sendout to CQ	$59.04	$164.00	$39.36–$137.76	—	64%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 85730 Q8922 THROMBOPLAST T	$59.04	$164.00	$39.36–$137.76	—	64%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 85730 THROMBOPLAST TIMEPTT	$59.04	$164.00	$39.36–$137.76	—	64%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Partial Thromboplastin Time Lupus Anticoag w/Refle	$59.04	$164.00	$39.36–$137.76	—	64%
Phosphorus (phosphate) blood test CPT 84100 Phosphorus Serum	$32.40	$120.00	$4.19–$100.80	9% above	73%
Phosphorus (phosphate) blood test inpatient CPT 84100 Phosphorus Serum	$43.20	$120.00	$28.80–$100.80	—	64%
Potassium blood test CPT 84132 Blood Gas Sodium DM Arterial	$39.69	$147.00	$4.19–$123.48	39% above	73%
Potassium blood test CPT 84132 84132 POTASSIUM SER PL WB	$39.69	$147.00	$4.19–$123.48	39% above	73%
Potassium blood test CPT 84132 Potassium Serum	$39.69	$147.00	$4.19–$123.48	39% above	73%
Potassium blood test CPT 84132 .BG Potassium DM Art POC	$39.69	$147.00	$4.19–$123.48	39% above	73%
Potassium blood test CPT 84132 Blood Gas Potassium DM Arterial	$39.69	$147.00	$4.19–$123.48	39% above	73%
Potassium blood test inpatient CPT 84132 Blood Gas Potassium DM Arterial	$52.92	$147.00	$35.28–$123.48	—	64%
Potassium blood test inpatient CPT 84132 .BG Potassium DM Art POC	$52.92	$147.00	$35.28–$123.48	—	64%
Potassium blood test inpatient CPT 84132 84132 POTASSIUM SER PL WB	$52.92	$147.00	$35.28–$123.48	—	64%
Potassium blood test inpatient CPT 84132 Blood Gas Sodium DM Arterial	$52.92	$147.00	$35.28–$123.48	—	64%
Potassium blood test inpatient CPT 84132 Potassium Serum	$52.92	$147.00	$35.28–$123.48	—	64%
Progesterone blood test CPT 84144 Progesterone Level	$68.04	$252.00	$18.40–$211.68	51% below	73%
Progesterone blood test inpatient CPT 84144 Progesterone Level	$90.72	$252.00	$60.48–$211.68	—	64%
Prolactin blood test CPT 84146 Prolactin Level	$146.88	$544.00	$17.09–$456.96	46% above	73%
Prolactin blood test inpatient CPT 84146 Prolactin Level	$195.84	$544.00	$130.56–$456.96	—	64%
Prothrombin time (PT/INR) clotting test CPT 85610 .Protime INR POC	$31.05	$115.00	$3.78–$96.60	17% above	73%
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time w/INR	$31.05	$115.00	$3.78–$96.60	17% above	73%
Prothrombin time (PT/INR) clotting test CPT 85610 .Protime w/INR POC	$31.05	$115.00	$3.78–$96.60	17% above	73%
Prothrombin time (PT/INR) clotting test CPT 85610 85610 PROTHROMBIN TIME	$31.05	$115.00	$3.78–$96.60	17% above	73%
Prothrombin time (PT/INR) clotting test CPT 85610 85610 Q8922 PROTHROMBIN TI	$31.05	$115.00	$3.78–$96.60	17% above	73%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 85610 PROTHROMBIN TIME	$41.40	$115.00	$27.60–$96.60	—	64%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 .Protime INR POC	$41.40	$115.00	$27.60–$96.60	—	64%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 85610 Q8922 PROTHROMBIN TI	$41.40	$115.00	$27.60–$96.60	—	64%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 .Protime w/INR POC	$41.40	$115.00	$27.60–$96.60	—	64%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time w/INR	$41.40	$115.00	$27.60–$96.60	—	64%
Rapid flu test (influenza antigen) CPT 87804 Influenza A Antigen Result	$25.65	$95.00	$14.60–$79.80	53% below	73%
Rapid flu test (influenza antigen) CPT 87804 87804 INFLUENZA ASSAY W-OP	$25.65	$95.00	$14.60–$79.80	53% below	73%
Rapid flu test (influenza antigen) CPT 87804 Influenza B Antigen Result	$25.65	$95.00	$14.60–$79.80	53% below	73%
Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza A Antigen Result	$34.20	$95.00	$22.80–$79.80	—	64%
Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza B Antigen Result	$34.20	$95.00	$22.80–$79.80	—	64%
Rapid flu test (influenza antigen) inpatient CPT 87804 87804 INFLUENZA ASSAY W-OP	$34.20	$95.00	$22.80–$79.80	—	64%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 .Rapid Strep A POC	$25.65	$95.00	$14.58–$79.80	66% below	73%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Rapid Strep A FIA	$25.65	$95.00	$14.58–$79.80	66% below	73%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Streptococcus A Antigen IA1	$25.65	$95.00	$14.58–$79.80	66% below	73%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 .Rapid Strep A POC	$34.20	$95.00	$22.80–$79.80	—	64%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Rapid Strep A FIA	$34.20	$95.00	$22.80–$79.80	—	64%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Streptococcus A Antigen IA1	$34.20	$95.00	$22.80–$79.80	—	64%
Renin blood test CPT 84244 84244 Q16845 RENIN	$136.35	$505.00	$19.39–$424.20	23% above	73%
Renin blood test CPT 84244 Plasma Renin Activity LC/MS/MS CQ	$136.35	$505.00	$19.39–$424.20	23% above	73%
Renin blood test inpatient CPT 84244 84244 Q16845 RENIN	$181.80	$505.00	$121.20–$424.20	—	64%
Renin blood test inpatient CPT 84244 Plasma Renin Activity LC/MS/MS CQ	$181.80	$505.00	$121.20–$424.20	—	64%
Rh blood typing CPT 86901 BB Bill Rh Test	$108.54	$402.00	$2.99–$337.68	178% above	73%
Rh blood typing CPT 86901 86901 BLOOD TYPING RH D	$108.54	$402.00	$2.99–$337.68	178% above	73%
Rh blood typing inpatient CPT 86901 86901 BLOOD TYPING RH D	$144.72	$402.00	$96.48–$337.68	—	64%
Rh blood typing inpatient CPT 86901 BB Bill Rh Test	$144.72	$402.00	$96.48–$337.68	—	64%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Titer	$118.53	$439.00	$5.00–$368.76	131% above	73%
Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor Titer	$158.04	$439.00	$105.36–$368.76	—	64%
Rubella antibody test (immunity check) CPT 86762 Rubella Total Antibody Ql Manual	$44.28	$164.00	$12.69–$137.76	35% below	73%
Rubella antibody test (immunity check) CPT 86762 Rubella IgG Antibody	$44.28	$164.00	$12.69–$137.76	35% below	73%
Rubella antibody test (immunity check) CPT 86762 Rubella Ab IgG Auto w/Interp	$44.28	$164.00	$12.69–$137.76	35% below	73%
Rubella antibody test (immunity check) CPT 86762 86762 Q5259 RUBELLA AB	$44.28	$164.00	$12.69–$137.76	35% below	73%
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella IgG Antibody	$59.04	$164.00	$39.36–$137.76	—	64%
Rubella antibody test (immunity check) inpatient CPT 86762 86762 Q5259 RUBELLA AB	$59.04	$164.00	$39.36–$137.76	—	64%
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Ab IgG Auto w/Interp	$59.04	$164.00	$39.36–$137.76	—	64%
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Total Antibody Ql Manual	$59.04	$164.00	$39.36–$137.76	—	64%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 ESRA	$51.84	$192.00	$2.39–$161.28	34% above	73%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 ESRA	$69.12	$192.00	$46.08–$161.28	—	64%
Sodium blood test CPT 84295 .BG Sodium DM Art POC	$39.69	$147.00	$4.24–$123.48	8% above	73%
Sodium blood test CPT 84295 Sodium Serum	$39.69	$147.00	$4.24–$123.48	8% above	73%
Sodium blood test CPT 84295 84295 SODIUM,SER PL OR WB	$39.69	$147.00	$4.24–$123.48	8% above	73%
Sodium blood test inpatient CPT 84295 Sodium Serum	$52.92	$147.00	$35.28–$123.48	—	64%
Sodium blood test inpatient CPT 84295 .BG Sodium DM Art POC	$52.92	$147.00	$35.28–$123.48	—	64%
Sodium blood test inpatient CPT 84295 84295 SODIUM,SER PL OR WB	$52.92	$147.00	$35.28–$123.48	—	64%
Stool ova and parasites exam CPT 87177 87177 Q681 OVA-PARASITES S	$85.59	$317.00	$7.85–$266.28	74% above	73%
Stool ova and parasites exam inpatient CPT 87177 87177 Q681 OVA-PARASITES S	$114.12	$317.00	$76.08–$266.28	—	64%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Immunochemical Fecal Occult Blood Diagnostic	$53.73	$199.00	$14.04–$167.16	at median	73%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Occult Blood Feces Diagnostic 1-3 D	$53.73	$199.00	$14.04–$167.16	at median	73%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Occult Blood Feces Diagnostic 1-3 D	$71.64	$199.00	$47.76–$167.16	—	64%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Immunochemical Fecal Occult Blood Diagnostic	$71.64	$199.00	$47.76–$167.16	—	64%
Syphilis antibody test (Treponema pallidum) CPT 86780 Fluorescent Treponema Ab Absorption (CQ)	$53.46	$198.00	$11.68–$166.32	27% below	73%
Syphilis antibody test (Treponema pallidum) CPT 86780 Syphilis Antibody Cascading Reflex Sendout to CQ	$53.46	$198.00	$11.68–$166.32	27% below	73%
Syphilis antibody test (Treponema pallidum) CPT 86780 Treponema pallidum Ab PA (CQ)	$53.46	$198.00	$11.68–$166.32	27% below	73%
Syphilis antibody test (Treponema pallidum) CPT 86780 Syphilis Antibody w Rfx to RPR	$53.46	$198.00	$11.68–$166.32	27% below	73%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Syphilis Antibody w Rfx to RPR	$71.28	$198.00	$47.52–$166.32	—	64%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Syphilis Antibody Cascading Reflex Sendout to CQ	$71.28	$198.00	$47.52–$166.32	—	64%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Fluorescent Treponema Ab Absorption (CQ)	$71.28	$198.00	$47.52–$166.32	—	64%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Treponema pallidum Ab PA (CQ)	$71.28	$198.00	$47.52–$166.32	—	64%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPRRfxTA	$40.50	$150.00	$3.76–$126.00	1% below	73%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rapid Plasma Reagin Qual w/Reflex Quant	$40.50	$150.00	$3.76–$126.00	1% below	73%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 .Rapid Plasma Reagin Qual w/Reflex Quant	$40.50	$150.00	$3.76–$126.00	1% below	73%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rapid Plasma Reagin Titer w/Reflex Titer	$40.50	$150.00	$3.76–$126.00	1% below	73%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL, CSF CQ	$40.50	$150.00	$3.76–$126.00	1% below	73%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rapid Plasma Reagin Monitor w/Reflex Titer (CQ)	$40.50	$150.00	$3.76–$126.00	1% below	73%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rapid Plasma Reagin Qual	$40.50	$150.00	$3.76–$126.00	1% below	73%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Rapid Plasma Reagin Qual	$54.00	$150.00	$36.00–$126.00	—	64%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Rapid Plasma Reagin Qual w/Reflex Quant	$54.00	$150.00	$36.00–$126.00	—	64%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPRRfxTA	$54.00	$150.00	$36.00–$126.00	—	64%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL, CSF CQ	$54.00	$150.00	$36.00–$126.00	—	64%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Rapid Plasma Reagin Titer w/Reflex Titer	$54.00	$150.00	$36.00–$126.00	—	64%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Rapid Plasma Reagin Monitor w/Reflex Titer (CQ)	$54.00	$150.00	$36.00–$126.00	—	64%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 .Rapid Plasma Reagin Qual w/Reflex Quant	$54.00	$150.00	$36.00–$126.00	—	64%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QuantiFERON-TB Gold Plus, 1 Tube CQ	$131.49	$487.00	$32.00–$409.08	21% below	73%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QuantiFERON(R)-TB Gold Plus, 1 Tube (RLNI)	$131.49	$487.00	$32.00–$409.08	21% below	73%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QuantiFERON(R)-TB Gold Plus, 1 Tube (RLNI)	$175.32	$487.00	$116.88–$409.08	—	64%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QuantiFERON-TB Gold Plus, 1 Tube CQ	$175.32	$487.00	$116.88–$409.08	—	64%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Total	$118.80	$440.00	$22.76–$369.60	3% above	73%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Total LC-MS/MS - Send Out to CQ	$118.80	$440.00	$22.76–$369.60	3% above	73%
Testosterone blood test, total (not free testosterone) CPT 84403 84403 Q36170 TESTOST TOTAL	$118.80	$440.00	$22.76–$369.60	3% above	73%
Testosterone blood test, total (not free testosterone) CPT 84403 84403 TESTOSTERONE, TOTAL	$118.80	$440.00	$22.76–$369.60	3% above	73%
Testosterone blood test, total (not free testosterone) CPT 84403 84403 Q14966 TESTOST TOTAL	$118.80	$440.00	$22.76–$369.60	3% above	73%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 84403 TESTOSTERONE, TOTAL	$158.40	$440.00	$105.60–$369.60	—	64%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone Total LC-MS/MS - Send Out to CQ	$158.40	$440.00	$105.60–$369.60	—	64%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 84403 Q14966 TESTOST TOTAL	$158.40	$440.00	$105.60–$369.60	—	64%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone Total	$158.40	$440.00	$105.60–$369.60	—	64%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 84403 Q36170 TESTOST TOTAL	$158.40	$440.00	$105.60–$369.60	—	64%
Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase Antibody (CQ)	$173.07	$641.00	$12.83–$538.44	87% above	73%
Thyroid peroxidase (TPO) antibody test CPT 86376 86376 Q7260 MICROSOMAL AB	$173.07	$641.00	$12.83–$538.44	87% above	73%
Thyroid peroxidase (TPO) antibody test CPT 86376 86376 Q16440 MICROSOMAL AB	$173.07	$641.00	$12.83–$538.44	87% above	73%
Thyroid peroxidase (TPO) antibody test CPT 86376 Liver Kidney Microsome IgG - Send Out to CQ	$173.07	$641.00	$12.83–$538.44	87% above	73%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroid Peroxidase Antibody (CQ)	$230.76	$641.00	$153.84–$538.44	—	64%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Liver Kidney Microsome IgG - Send Out to CQ	$230.76	$641.00	$153.84–$538.44	—	64%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 86376 Q16440 MICROSOMAL AB	$230.76	$641.00	$153.84–$538.44	—	64%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 86376 Q7260 MICROSOMAL AB	$230.76	$641.00	$153.84–$538.44	—	64%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone w/Reflex to Free T4	$100.71	$373.00	$14.81–$313.32	23% above	73%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH	$100.71	$373.00	$14.81–$313.32	23% above	73%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone	$100.71	$373.00	$14.81–$313.32	23% above	73%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH w/Reflex to T4 Total	$100.71	$373.00	$14.81–$313.32	23% above	73%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 84443 Q19537 TSH	$111.24	$412.00	$14.81–$346.08	36% above	73%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 84443 NBS THYROID STIM TSH	$111.24	$412.00	$14.81–$346.08	36% above	73%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone (CQ)	$111.24	$412.00	$14.81–$346.08	36% above	73%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 84443 Q16440 TSH	$111.24	$412.00	$14.81–$346.08	36% above	73%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stimulating Hormone w/Reflex to Free T4	$134.28	$373.00	$89.52–$313.32	—	64%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stimulating Hormone	$134.28	$373.00	$89.52–$313.32	—	64%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH w/Reflex to T4 Total	$134.28	$373.00	$89.52–$313.32	—	64%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH	$134.28	$373.00	$89.52–$313.32	—	64%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 84443 NBS THYROID STIM TSH	$148.32	$412.00	$98.88–$346.08	—	64%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 84443 Q16440 TSH	$148.32	$412.00	$98.88–$346.08	—	64%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 84443 Q19537 TSH	$148.32	$412.00	$98.88–$346.08	—	64%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stimulating Hormone (CQ)	$148.32	$412.00	$98.88–$346.08	—	64%
Total IgE blood test CPT 82785 Immunoglobulin E (CQ)	$178.47	$661.00	$14.52–$555.24	138% above	73%
Total IgE blood test CPT 82785 82785 Q10646 GAMMAGLB IGE	$178.47	$661.00	$14.52–$555.24	138% above	73%
Total IgE blood test inpatient CPT 82785 Immunoglobulin E (CQ)	$237.96	$661.00	$158.64–$555.24	—	64%
Total IgE blood test inpatient CPT 82785 82785 Q10646 GAMMAGLB IGE	$237.96	$661.00	$158.64–$555.24	—	64%
Total cholesterol blood test CPT 82465 Cholesterol	$58.59	$217.00	$3.83–$182.28	86% above	73%
Total cholesterol blood test CPT 82465 Cholesterol Body Fluid	$58.59	$217.00	$3.83–$182.28	86% above	73%
Total cholesterol blood test inpatient CPT 82465 Cholesterol	$78.12	$217.00	$52.08–$182.28	—	64%
Total cholesterol blood test inpatient CPT 82465 Cholesterol Body Fluid	$78.12	$217.00	$52.08–$182.28	—	64%
Total thyroxine (T4) blood test CPT 84436 Q7020 T4 THYRO TOT	$99.90	$370.00	$6.06–$310.80	110% above	73%
Total thyroxine (T4) blood test CPT 84436 Thyroxine 4 Total	$99.90	$370.00	$6.06–$310.80	110% above	73%
Total thyroxine (T4) blood test CPT 84436 Thyroxine 4 Total (CQ)	$99.90	$370.00	$6.06–$310.80	110% above	73%
Total thyroxine (T4) blood test inpatient CPT 84436 Thyroxine 4 Total	$133.20	$370.00	$88.80–$310.80	—	64%
Total thyroxine (T4) blood test inpatient CPT 84436 Thyroxine 4 Total (CQ)	$133.20	$370.00	$88.80–$310.80	—	64%
Total thyroxine (T4) blood test inpatient CPT 84436 Q7020 T4 THYRO TOT	$133.20	$370.00	$88.80–$310.80	—	64%
Total triiodothyronine (T3) blood test CPT 84480 Triiodothyronine 3 Total (CQ)	$160.11	$593.00	$12.51–$498.12	32% above	73%
Total triiodothyronine (T3) blood test inpatient CPT 84480 Triiodothyronine 3 Total (CQ)	$213.48	$593.00	$142.32–$498.12	—	64%
Transferrin blood test CPT 84466 TRANSF	$152.55	$565.00	$11.25–$474.60	83% above	73%
Transferrin blood test CPT 84466 Transferrin - Send Out to CQ	$152.55	$565.00	$11.25–$474.60	83% above	73%
Transferrin blood test CPT 84466 84466 TRANSFERRIN	$152.55	$565.00	$11.25–$474.60	83% above	73%
Transferrin blood test inpatient CPT 84466 Transferrin - Send Out to CQ	$203.40	$565.00	$135.60–$474.60	—	64%
Transferrin blood test inpatient CPT 84466 84466 TRANSFERRIN	$203.40	$565.00	$135.60–$474.60	—	64%
Transferrin blood test inpatient CPT 84466 TRANSF	$203.40	$565.00	$135.60–$474.60	—	64%
Trichomonas test (NAAT) CPT 87661 87661 Q10119 TVAG AMP PRB	$75.06	$278.00	$30.95–$233.52	21% below	73%
Trichomonas test (NAAT) CPT 87661 Trichomonasvaginalis RNA,Qual TMA CQ	$75.06	$278.00	$30.95–$233.52	21% below	73%
Trichomonas test (NAAT) CPT 87661 Trichomonas vaginalis RNA Ql TMA Males (CQ)	$75.06	$278.00	$30.95–$233.52	21% below	73%
Trichomonas test (NAAT) CPT 87661 87661 Q10120 TVAG AMP PRB	$75.06	$278.00	$30.95–$233.52	21% below	73%
Trichomonas test (NAAT) inpatient CPT 87661 Trichomonas vaginalis RNA Ql TMA Males (CQ)	$100.08	$278.00	$66.72–$233.52	—	64%
Trichomonas test (NAAT) inpatient CPT 87661 87661 Q10119 TVAG AMP PRB	$100.08	$278.00	$66.72–$233.52	—	64%
Trichomonas test (NAAT) inpatient CPT 87661 Trichomonasvaginalis RNA,Qual TMA CQ	$100.08	$278.00	$66.72–$233.52	—	64%
Trichomonas test (NAAT) inpatient CPT 87661 87661 Q10120 TVAG AMP PRB	$100.08	$278.00	$66.72–$233.52	—	64%
Triglycerides blood test CPT 84478 Triglycerides Body Fluid	$71.28	$264.00	$5.07–$221.76	98% above	73%
Triglycerides blood test CPT 84478 Triglycerides	$71.28	$264.00	$5.07–$221.76	98% above	73%
Triglycerides blood test inpatient CPT 84478 Triglycerides Body Fluid	$95.04	$264.00	$63.36–$221.76	—	64%
Triglycerides blood test inpatient CPT 84478 Triglycerides	$95.04	$264.00	$63.36–$221.76	—	64%
Troponin test, quantitative CPT 84484 .Troponin T Quant 3 Hour	$88.29	$327.00	$11.00–$274.68	29% below	73%
Troponin test, quantitative CPT 84484 Troponin I HS x 3 Series	$88.29	$327.00	$11.00–$274.68	29% below	73%
Troponin test, quantitative CPT 84484 .Troponin I HS 4 Hour	$88.29	$327.00	$11.00–$274.68	29% below	73%
Troponin test, quantitative CPT 84484 .Troponin T Quant 4 Hour	$88.29	$327.00	$11.00–$274.68	29% below	73%
Troponin test, quantitative CPT 84484 .Troponin I Quant 2 Hour	$88.29	$327.00	$11.00–$274.68	29% below	73%
Troponin test, quantitative CPT 84484 Troponin T Quant x 3 Series	$88.29	$327.00	$11.00–$274.68	29% below	73%
Troponin test, quantitative CPT 84484 .Troponin I HS 2 Hour	$88.29	$327.00	$11.00–$274.68	29% below	73%
Troponin test, quantitative CPT 84484 Troponin I Quant x 3 Series	$88.29	$327.00	$11.00–$274.68	29% below	73%
Troponin test, quantitative CPT 84484 .Troponin I Quant 4 Hour	$88.29	$327.00	$11.00–$274.68	29% below	73%
Troponin test, quantitative CPT 84484 Troponin T HS	$88.29	$327.00	$11.00–$274.68	29% below	73%
Troponin test, quantitative CPT 84484 .Troponin I HS 3 Hour	$88.29	$327.00	$11.00–$274.68	29% below	73%
Troponin test, quantitative CPT 84484 .Troponin I Quant 3 Hour	$88.29	$327.00	$11.00–$274.68	29% below	73%
Troponin test, quantitative CPT 84484 .Troponin I HS 1 Hour	$88.29	$327.00	$11.00–$274.68	29% below	73%
Troponin test, quantitative CPT 84484 .Troponin T Quant 1 Hour	$88.29	$327.00	$11.00–$274.68	29% below	73%
Troponin test, quantitative CPT 84484 .Troponin I Quant 1 Hour	$88.29	$327.00	$11.00–$274.68	29% below	73%
Troponin test, quantitative CPT 84484 .Troponin T HS 3 Hour	$88.29	$327.00	$11.00–$274.68	29% below	73%
Troponin test, quantitative CPT 84484 Troponin T HS x 3 Series	$88.29	$327.00	$11.00–$274.68	29% below	73%
Troponin test, quantitative CPT 84484 .Troponin T HS 1 Hour	$88.29	$327.00	$11.00–$274.68	29% below	73%
Troponin test, quantitative CPT 84484 .ISTAT cTroponin I POC	$88.29	$327.00	$11.00–$274.68	29% below	73%
Troponin test, quantitative CPT 84484 .Troponin I Quant POC	$88.29	$327.00	$11.00–$274.68	29% below	73%
Troponin test, quantitative CPT 84484 Troponin I Quant	$88.29	$327.00	$11.00–$274.68	29% below	73%
Troponin test, quantitative CPT 84484 Troponin T Quant	$88.29	$327.00	$11.00–$274.68	29% below	73%
Troponin test, quantitative CPT 84484 Troponin I HS	$88.29	$327.00	$11.00–$274.68	29% below	73%
Troponin test, quantitative inpatient CPT 84484 .Troponin T HS 1 Hour	$117.72	$327.00	$78.48–$274.68	—	64%
Troponin test, quantitative inpatient CPT 84484 Troponin I HS	$117.72	$327.00	$78.48–$274.68	—	64%
Troponin test, quantitative inpatient CPT 84484 Troponin T Quant	$117.72	$327.00	$78.48–$274.68	—	64%
Troponin test, quantitative inpatient CPT 84484 Troponin I HS x 3 Series	$117.72	$327.00	$78.48–$274.68	—	64%
Troponin test, quantitative inpatient CPT 84484 .Troponin I HS 4 Hour	$117.72	$327.00	$78.48–$274.68	—	64%
Troponin test, quantitative inpatient CPT 84484 .Troponin T Quant 4 Hour	$117.72	$327.00	$78.48–$274.68	—	64%
Troponin test, quantitative inpatient CPT 84484 .Troponin I Quant 2 Hour	$117.72	$327.00	$78.48–$274.68	—	64%
Troponin test, quantitative inpatient CPT 84484 Troponin T Quant x 3 Series	$117.72	$327.00	$78.48–$274.68	—	64%
Troponin test, quantitative inpatient CPT 84484 .Troponin I HS 2 Hour	$117.72	$327.00	$78.48–$274.68	—	64%
Troponin test, quantitative inpatient CPT 84484 Troponin I Quant x 3 Series	$117.72	$327.00	$78.48–$274.68	—	64%
Troponin test, quantitative inpatient CPT 84484 .Troponin I Quant 4 Hour	$117.72	$327.00	$78.48–$274.68	—	64%
Troponin test, quantitative inpatient CPT 84484 Troponin T HS	$117.72	$327.00	$78.48–$274.68	—	64%
Troponin test, quantitative inpatient CPT 84484 .Troponin I HS 3 Hour	$117.72	$327.00	$78.48–$274.68	—	64%
Troponin test, quantitative inpatient CPT 84484 .Troponin I Quant 3 Hour	$117.72	$327.00	$78.48–$274.68	—	64%
Troponin test, quantitative inpatient CPT 84484 Troponin I Quant	$117.72	$327.00	$78.48–$274.68	—	64%
Troponin test, quantitative inpatient CPT 84484 .Troponin I Quant POC	$117.72	$327.00	$78.48–$274.68	—	64%
Troponin test, quantitative inpatient CPT 84484 .Troponin I HS 1 Hour	$117.72	$327.00	$78.48–$274.68	—	64%
Troponin test, quantitative inpatient CPT 84484 .Troponin T Quant 1 Hour	$117.72	$327.00	$78.48–$274.68	—	64%
Troponin test, quantitative inpatient CPT 84484 .Troponin T Quant 3 Hour	$117.72	$327.00	$78.48–$274.68	—	64%
Troponin test, quantitative inpatient CPT 84484 .Troponin I Quant 1 Hour	$117.72	$327.00	$78.48–$274.68	—	64%
Troponin test, quantitative inpatient CPT 84484 .Troponin T HS 3 Hour	$117.72	$327.00	$78.48–$274.68	—	64%
Troponin test, quantitative inpatient CPT 84484 Troponin T HS x 3 Series	$117.72	$327.00	$78.48–$274.68	—	64%
Troponin test, quantitative inpatient CPT 84484 .ISTAT cTroponin I POC	$117.72	$327.00	$78.48–$274.68	—	64%
Uric acid blood test CPT 84550 Uric Acid Level	$45.63	$169.00	$3.99–$141.96	5% below	73%
Uric acid blood test inpatient CPT 84550 Uric Acid Level	$60.84	$169.00	$40.56–$141.96	—	64%
Urinalysis with microscope exam, automated CPT 81001 Urinalysis Auto w/MicroScreen Auto	$40.77	$151.00	$2.80–$126.84	5% below	73%
Urinalysis with microscope exam, automated CPT 81001 .Bill Only DS Auto/MSc Reqd	$40.77	$151.00	$2.80–$126.84	5% below	73%
Urinalysis with microscope exam, automated CPT 81001 Urinalysis w/Microscopic Automated	$40.77	$151.00	$2.80–$126.84	5% below	73%
Urinalysis with microscope exam, automated CPT 81001 Perform Microscopic - Yes	$40.77	$151.00	$2.80–$126.84	5% below	73%
Urinalysis with microscope exam, automated CPT 81001 Urinalysis w/Micro Auto Rfx Culture	$40.77	$151.00	$2.80–$126.84	5% below	73%
Urinalysis with microscope exam, automated inpatient CPT 81001 Perform Microscopic - Yes	$54.36	$151.00	$36.24–$126.84	—	64%
Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis Auto w/MicroScreen Auto	$54.36	$151.00	$36.24–$126.84	—	64%
Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis w/Microscopic Automated	$54.36	$151.00	$36.24–$126.84	—	64%
Urinalysis with microscope exam, automated inpatient CPT 81001 .Bill Only DS Auto/MSc Reqd	$54.36	$151.00	$36.24–$126.84	—	64%
Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis w/Micro Auto Rfx Culture	$54.36	$151.00	$36.24–$126.84	—	64%
Urinalysis with microscope exam, manual CPT 81000 .Bill Only DS Man/MSc Reqd	$7.02	$26.00	$3.55–$39.00	74% below	73%
Urinalysis with microscope exam, manual CPT 81000 Urinalysis w/Microscopic Manual	$7.02	$26.00	$3.55–$39.00	74% below	73%
Urinalysis with microscope exam, manual inpatient CPT 81000 .Bill Only DS Man/MSc Reqd	$9.36	$26.00	$6.24–$21.84	—	64%
Urinalysis with microscope exam, manual inpatient CPT 81000 Urinalysis w/Microscopic Manual	$9.36	$26.00	$6.24–$21.84	—	64%
Urinalysis without microscope exam, automated CPT 81003 Dipstick Type? - Auto	$19.44	$72.00	$1.98–$60.48	21% below	73%
Urinalysis without microscope exam, automated CPT 81003 Specific Gravity Urine Auto	$19.44	$72.00	$1.98–$60.48	21% below	73%
Urinalysis without microscope exam, automated CPT 81003 Urinalysis w/o Microscopic Automated	$19.44	$72.00	$1.98–$60.48	21% below	73%
Urinalysis without microscope exam, automated CPT 81003 Perform Microscopic - No	$19.44	$72.00	$1.98–$60.48	21% below	73%
Urinalysis without microscope exam, automated CPT 81003 Ketones Urine Dipstk Qual Automated	$19.44	$72.00	$1.98–$60.48	21% below	73%
Urinalysis without microscope exam, automated CPT 81003 Reflex Microscopic Type? - Not Required	$19.44	$72.00	$1.98–$60.48	21% below	73%
Urinalysis without microscope exam, automated CPT 81003 .Bill Only DS Auto/No MSc	$19.44	$72.00	$1.98–$60.48	21% below	73%
Urinalysis without microscope exam, automated CPT 81003 Urine Color Urine Dipstick	$19.44	$72.00	$1.98–$60.48	21% below	73%
Urinalysis without microscope exam, automated inpatient CPT 81003 Specific Gravity Urine Auto	$25.92	$72.00	$17.28–$60.48	—	64%
Urinalysis without microscope exam, automated inpatient CPT 81003 Urine Color Urine Dipstick	$25.92	$72.00	$17.28–$60.48	—	64%
Urinalysis without microscope exam, automated inpatient CPT 81003 .Bill Only DS Auto/No MSc	$25.92	$72.00	$17.28–$60.48	—	64%
Urinalysis without microscope exam, automated inpatient CPT 81003 Reflex Microscopic Type? - Not Required	$25.92	$72.00	$17.28–$60.48	—	64%
Urinalysis without microscope exam, automated inpatient CPT 81003 Dipstick Type? - Auto	$25.92	$72.00	$17.28–$60.48	—	64%
Urinalysis without microscope exam, automated inpatient CPT 81003 Ketones Urine Dipstk Qual Automated	$25.92	$72.00	$17.28–$60.48	—	64%
Urinalysis without microscope exam, automated inpatient CPT 81003 Perform Microscopic - No	$25.92	$72.00	$17.28–$60.48	—	64%
Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis w/o Microscopic Automated	$25.92	$72.00	$17.28–$60.48	—	64%
Urinalysis without microscope exam, manual CPT 81002 Urinalysis w/o Microscopic Manual	$15.66	$58.00	$3.07–$48.72	7% below	73%
Urinalysis without microscope exam, manual CPT 81002 .Urinalysis Manual w/o MicroSc POC	$15.66	$58.00	$3.07–$48.72	7% below	73%
Urinalysis without microscope exam, manual CPT 81002 Ketones Ur Ql	$15.66	$58.00	$3.07–$48.72	7% below	73%
Urinalysis without microscope exam, manual CPT 81002 Dipstick Type? - Manual	$15.66	$58.00	$3.07–$48.72	7% below	73%
Urinalysis without microscope exam, manual CPT 81002 .Bill Only DS Man/No MSc	$15.66	$58.00	$3.07–$48.72	7% below	73%
Urinalysis without microscope exam, manual CPT 81002 Specific Gravity Urine Manual	$15.66	$58.00	$3.07–$48.72	7% below	73%
Urinalysis without microscope exam, manual inpatient CPT 81002 .Urinalysis Manual w/o MicroSc POC	$20.88	$58.00	$13.92–$48.72	—	64%
Urinalysis without microscope exam, manual inpatient CPT 81002 .Bill Only DS Man/No MSc	$20.88	$58.00	$13.92–$48.72	—	64%
Urinalysis without microscope exam, manual inpatient CPT 81002 Ketones Ur Ql	$20.88	$58.00	$13.92–$48.72	—	64%
Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis w/o Microscopic Manual	$20.88	$58.00	$13.92–$48.72	—	64%
Urinalysis without microscope exam, manual inpatient CPT 81002 Dipstick Type? - Manual	$20.88	$58.00	$13.92–$48.72	—	64%
Urinalysis without microscope exam, manual inpatient CPT 81002 Specific Gravity Urine Manual	$20.88	$58.00	$13.92–$48.72	—	64%
Urine culture for bacteria, with colony count CPT 87086 Urine Culture Qn	$21.06	$78.00	$7.12–$65.52	52% below	73%
Urine culture for bacteria, with colony count inpatient CPT 87086 Urine Culture Qn	$28.08	$78.00	$18.72–$65.52	—	64%
Urine microalbumin (albumin) test CPT 82043 MicroAlb QNT Random	$40.50	$150.00	$5.09–$126.00	17% above	73%
Urine microalbumin (albumin) test CPT 82043 82043 MICROALB QNT	$40.50	$150.00	$5.09–$126.00	17% above	73%
Urine microalbumin (albumin) test CPT 82043 Microalbumin 24 Hour Urine (w/out Creatinine) Send	$40.50	$150.00	$5.09–$126.00	17% above	73%
Urine microalbumin (albumin) test CPT 82043 Microalbumin Urine Quant	$40.50	$150.00	$5.09–$126.00	17% above	73%
Urine microalbumin (albumin) test CPT 82043 Microalbumin Urine 24 Hour	$40.50	$150.00	$5.09–$126.00	17% above	73%
Urine microalbumin (albumin) test inpatient CPT 82043 Microalbumin Urine 24 Hour	$54.00	$150.00	$36.00–$126.00	—	64%
Urine microalbumin (albumin) test inpatient CPT 82043 Microalbumin Urine Quant	$54.00	$150.00	$36.00–$126.00	—	64%
Urine microalbumin (albumin) test inpatient CPT 82043 MicroAlb QNT Random	$54.00	$150.00	$36.00–$126.00	—	64%
Urine microalbumin (albumin) test inpatient CPT 82043 82043 MICROALB QNT	$54.00	$150.00	$36.00–$126.00	—	64%
Urine microalbumin (albumin) test inpatient CPT 82043 Microalbumin 24 Hour Urine (w/out Creatinine) Send	$54.00	$150.00	$36.00–$126.00	—	64%
Urine pregnancy test, read by color change CPT 81025 POC HCG Patient Test Result - Positive	$34.29	$127.00	$7.60–$106.68	37% below	73%
Urine pregnancy test, read by color change CPT 81025 .HCG Urine Ql POC	$34.29	$127.00	$7.60–$106.68	37% below	73%
Urine pregnancy test, read by color change CPT 81025 Human Chorionic Gonadotropin Urine Qual Manual	$34.29	$127.00	$7.60–$106.68	37% below	73%
Urine pregnancy test, read by color change CPT 81025 POC HCG Patient Test Result - Negative	$34.29	$127.00	$7.60–$106.68	37% below	73%
Urine pregnancy test, read by color change CPT 81025 POC HCG Patient Test Result	$34.29	$127.00	$7.60–$106.68	37% below	73%
Urine pregnancy test, read by color change inpatient CPT 81025 POC HCG Patient Test Result - Negative	$45.72	$127.00	$30.48–$106.68	—	64%
Urine pregnancy test, read by color change inpatient CPT 81025 Human Chorionic Gonadotropin Urine Qual Manual	$45.72	$127.00	$30.48–$106.68	—	64%
Urine pregnancy test, read by color change inpatient CPT 81025 POC HCG Patient Test Result - Positive	$45.72	$127.00	$30.48–$106.68	—	64%
Urine pregnancy test, read by color change inpatient CPT 81025 POC HCG Patient Test Result	$45.72	$127.00	$30.48–$106.68	—	64%
Urine pregnancy test, read by color change inpatient CPT 81025 .HCG Urine Ql POC	$45.72	$127.00	$30.48–$106.68	—	64%
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12	$129.33	$479.00	$13.30–$402.36	71% above	73%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B12	$172.44	$479.00	$114.96–$402.36	—	64%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25 hydroxy	$77.76	$288.00	$26.11–$241.92	38% below	73%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25 hydroxy	$103.68	$288.00	$69.12–$241.92	—	64%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 Vitamin D1 25 OH LC-MS/MS - Send Out to CQ	$185.22	$686.00	$32.00–$576.24	5% above	73%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 Vitamin D1 25 OH LC-MS/MS - Send Out to CQ	$246.96	$686.00	$164.64–$576.24	—	64%
Zinc blood test CPT 84630 Zinc, RBC (CQ)	$150.12	$556.00	$10.04–$467.04	101% above	73%
Zinc blood test CPT 84630 Zinc (CQ)	$150.12	$556.00	$10.04–$467.04	101% above	73%
Zinc blood test inpatient CPT 84630 Zinc (CQ)	$200.16	$556.00	$133.44–$467.04	—	64%
Zinc blood test inpatient CPT 84630 Zinc, RBC (CQ)	$200.16	$556.00	$133.44–$467.04	—	64%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Human Chorionic Gonadotropin Quant	$223.02	$826.00	$13.28–$693.84	182% above	73%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Human Chorionic Gonadotropin Quant	$297.36	$826.00	$198.24–$693.84	—	64%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Indiana	Off list
Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 ARTHRD ANT NTRBDY CERVICAL	$56,004.42	$207,423.78	$1,358.00–$174,235.98	105% above	73%
Appendectomy, open surgery CPT 44950 APPENDECTOMY	$12,200.22	$45,186.00	$548.12–$37,956.24	523% above	73%
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 KNEE ARTHROSCOPY/SURGERY	$46,835.03	$173,463.07	$818.16–$145,708.98	194% above	73%
Arthroscopic rotator cuff repair of the shoulder CPT 29827 SHO ARTHRS SRG RT8TR CUF RPR	$36,827.42	$136,397.86	$897.17–$114,574.20	117% above	73%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BREAST 1ST LESION STRTCTC	$4,238.87	$15,699.52	$130.86–$13,187.60	77% above	73%
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	$3,095.01	$11,463.00	$130.86–$9,628.92	29% above	73%
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	$3,095.01	$11,463.00	$130.86–$9,628.92	29% above	73%
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	$4,126.68	$11,463.00	$2,751.12–$9,628.92	—	64%
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	$4,126.68	$11,463.00	$2,751.12–$9,628.92	—	64%
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 CORRECTION OF BUNION	$21,709.20	$80,404.43	$456.48–$67,539.72	134% above	73%
Bunion correction with removal of part of the big toe joint CPT 28292 CORRECTION OF BUNION	$14,380.31	$53,260.42	$432.54–$44,738.75	318% above	73%
Cardiac catheterization with coronary angiogram CPT 93458 CC-L HRT ARTERY-VENT - GL 106	$9,837.99	$36,437.00	$631.25–$30,607.08	at median	73%
Cardiac catheterization with coronary angiogram inpatient CPT 93458 CC-L HRT ARTERY-VENT - GL 106	$13,117.32	$36,437.00	$8,744.88–$30,607.08	—	64%
Cardioversion, elective (restoring heart rhythm) CPT 92960 ED Cardioversion Set up for procedure - Cardiovers	$1,488.24	$5,512.00	$90.48–$4,630.08	4% above	73%
Cardioversion, elective (restoring heart rhythm) CPT 92960 $ED Cardioversion/Defibrillation	$1,488.24	$5,512.00	$90.48–$4,630.08	4% above	73%
Cardioversion, elective (restoring heart rhythm) CPT 92960 $ED Cardioversion	$1,488.24	$5,512.00	$90.48–$4,630.08	4% above	73%
Cardioversion, elective (restoring heart rhythm) CPT 92960 NI-CARDIOVERSION - GL 106	$1,488.24	$5,512.00	$90.48–$4,630.08	4% above	73%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 NI-CARDIOVERSION - GL 106	$1,984.32	$5,512.00	$1,322.88–$4,630.08	—	64%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 ED Cardioversion Set up for procedure - Cardiovers	$1,984.32	$5,512.00	$1,322.88–$4,630.08	—	64%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 $ED Cardioversion/Defibrillation	$1,984.32	$5,512.00	$1,322.88–$4,630.08	—	64%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 $ED Cardioversion	$1,984.32	$5,512.00	$1,322.88–$4,630.08	—	64%
Carpal tunnel release, open surgery CPT 64721 CARPAL TUNNEL SURGERY	$10,594.98	$39,240.65	$389.54–$32,962.15	130% above	73%
Cataract surgery with lens implant CPT 66984 REMOVE CATARACT/INSERT LENS	$4,829.88	$17,888.43	$438.36–$15,026.28	8% below	73%
Catheter ablation for atrial fibrillation CPT 93656 EP-ATR FIB PULM VN I - GL 106	$28,350.00	$105,000.00	$730.58–$88,200.00	2% above	73%
Catheter ablation for atrial fibrillation inpatient CPT 93656 EP-ATR FIB PULM VN I - GL 106	$37,800.00	$105,000.00	$25,200.00–$88,200.00	—	64%
Cervical biopsy CPT 57500 BIOPSY OF CERVIX	$10,140.52	$37,557.49	$63.23–$31,548.29	679% above	73%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUMCISION	$8,154.96	$30,203.56	$169.53–$25,370.99	82% above	73%
Colonoscopy with polyp removal CPT 45385 LESION REMOVAL COLONOSCOPY	$4,118.60	$15,254.08	$210.50–$12,813.43	35% above	73%
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY AND BIOPSY	$3,887.50	$14,398.14	$167.00–$12,094.44	32% above	73%
Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC COLONOSCOPY	$3,153.15	$11,678.35	$154.36–$9,809.81	58% above	73%
Complex cataract surgery with lens implant CPT 66982 XCAPSL CTRC RMVL CPLX WO ECP	$7,059.03	$26,144.57	$597.30–$21,961.44	19% above	73%
Coronary stent placement, one artery CPT 92928 IC-PRQ CRD STN W-ANG - GL 106	$14,616.72	$54,136.00	$419.97–$45,474.24	7% below	73%
Coronary stent placement, one artery inpatient CPT 92928 IC-PRQ CRD STN W-ANG - GL 106	$19,488.96	$54,136.00	$12,992.64–$45,474.24	—	64%
Cystoscopy with ureteral stent placement CPT 52332 CYSTOSCOPY AND TREATMENT	$7,957.82	$29,473.39	$130.83–$24,757.65	17% above	73%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOSCOPY	$2,838.00	$10,511.11	$66.64–$8,829.33	5% above	73%
D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION AND CURETTAGE	$7,124.10	$26,385.57	$193.40–$22,163.88	11% below	73%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTROY BENIGN/PREMAL LESION	$3,231.29	$11,967.74	$44.83–$10,052.90	1632% above	73%
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 CREATE EARDRUM OPENING	$3,530.69	$13,076.63	$134.72–$10,984.37	38% below	73%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI	$717.83	$2,658.64	$13.88–$2,233.26	308% above	73%
Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX	$1,150.51	$4,261.14	$25.49–$3,579.36	670% above	73%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 S-DI C-T INJ W IM - GL 106	$1,445.85	$5,355.00	$90.53–$4,498.20	36% above	73%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 IR Inj Catheter Placement C-T w Imaging	$1,445.85	$5,355.00	$90.53–$4,498.20	36% above	73%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 S-DI C-T INJ W IM - GL 106	$1,927.80	$5,355.00	$1,285.20–$4,498.20	—	64%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 IR Inj Catheter Placement C-T w Imaging	$1,927.80	$5,355.00	$1,285.20–$4,498.20	—	64%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 IR Inj Paravert Facet Joint L S 1 Lvl	$1,082.70	$4,010.00	$77.10–$3,368.40	7% below	73%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 IR Inj Paravert Facet Joint L S 1 Lvl	$1,443.60	$4,010.00	$962.40–$3,368.40	—	64%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 RPR AA HRN 1ST 3-10 RDC	$23,018.90	$85,255.19	$472.67–$71,614.36	70% above	73%
First repair of a front abdominal hernia larger than 10 cm CPT 49595 RPR AA HRN 1ST > 10 RDC	$47,282.41	$175,120.04	$635.03–$147,100.83	75% above	73%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 RPR AA HRN 1ST < 3 CM RDC	$18,362.01	$68,007.43	$284.82–$57,126.24	143% above	73%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DIAGNOSTIC SIGMOIDOSCOPY	$3,034.32	$11,238.22	$50.08–$9,440.10	50% above	73%
Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY	$27,451.18	$101,671.03	$571.38–$85,403.67	72% above	73%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAPARO CHOLECYSTECTOMY/GRAPH	$22,368.92	$82,847.87	$618.38–$69,592.21	34% above	73%
Hammertoe correction surgery CPT 28285 REPAIR OF HAMMERTOE	$25,290.31	$93,667.83	$347.91–$78,680.98	175% above	73%
Hemorrhoid banding (rubber band ligation) CPT 46221 LIGATION OF HEMORRHOID(S)	$3,921.47	$14,523.98	$182.98–$12,200.14	78% above	73%
Hemorrhoidectomy (internal and external), one area CPT 46255 HEMORRHOIDECTOMY	$7,904.97	$29,277.65	$323.50–$24,593.23	62% above	73%
Hysterectomy through an abdominal incision (total) CPT 58150 TOTAL HYSTERECTOMY	$26,462.39	$98,008.87	$856.03–$82,327.45	at median	73%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 S-INJ-CATH HYSTERSO	$227.88	$844.00	$48.34–$708.96	21% below	73%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 58340 DR S-INJ CATH HYSTERSO	$227.88	$844.00	$48.34–$708.96	21% below	73%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 58340 S-INJ CATH HYSTERSO	$227.88	$844.00	$48.34–$708.96	21% below	73%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 S-INJ CATH HYSTERSO	$227.88	$844.00	$48.34–$708.96	21% below	73%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 CATHETER FOR HYSTEROGRAPHY	$888.08	$3,289.19	$48.34–$2,762.92	208% above	73%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 S-INJ-CATH HYSTERSO	$303.84	$844.00	$202.56–$708.96	—	64%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 58340 S-INJ CATH HYSTERSO	$303.84	$844.00	$202.56–$708.96	—	64%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 S-INJ CATH HYSTERSO	$303.84	$844.00	$202.56–$708.96	—	64%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 58340 DR S-INJ CATH HYSTERSO	$303.84	$844.00	$202.56–$708.96	—	64%
Hysteroscopy with endometrial ablation CPT 58563 HYSTEROSCOPY, ABLATION	$17,896.93	$66,284.92	$200.40–$55,679.33	128% above	73%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTEROSCOPY, BIOPSY	$11,080.11	$41,037.45	$188.81–$34,471.46	77% above	73%
IUD insertion (the device itself billed separately) CPT 58300 INSERT INTRAUTERINE DEVICE	$13,176.24	$48,800.88	$41.33–$40,992.74	284% above	73%
Incision and drainage of a simple or single skin abscess CPT 10060 DRAINAGE OF SKIN ABSCESS	$1,483.53	$5,494.56	$94.18–$4,615.43	203% above	73%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 REPAIR INGUINAL HERNIA	$11,905.49	$44,094.41	$459.67–$37,039.30	37% above	73%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECT TENDON/LIGAMENT/CYST	$9,097.67	$33,695.07	$31.42–$28,303.86	1550% above	73%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound both sides CPT 20610 S-JNT ASP INJ MAJ BI	$1,364.58	$5,054.00	$36.81–$4,245.36	—	73%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 S-JNT ASP INJ MAJ UN	$682.02	$2,526.00	$36.81–$2,121.84	60% above	73%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJECT, JOINT/BURSA	$2,163.14	$8,011.63	$36.81–$6,729.77	406% above	73%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient both sides CPT 20610 S-JNT ASP INJ MAJ BI	$1,819.44	$5,054.00	$1,212.96–$4,245.36	—	64%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 S-JNT ASP INJ MAJ UN	$909.36	$2,526.00	$606.24–$2,121.84	—	64%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 S-JOINT ASP-INJ IM	$664.20	$2,460.00	$30.16–$2,066.40	50% above	73%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJECT, JOINT/BURSA	$6,163.78	$22,828.82	$30.16–$19,176.21	1290% above	73%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 S-JOINT ASP-INJ IM	$885.60	$2,460.00	$590.40–$2,066.40	—	64%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 S-JOINT ASP-INJ SM	$634.50	$2,350.00	$29.49–$1,974.00	116% above	73%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJECT, JOINT/BURSA	$17,146.36	$63,505.03	$29.49–$53,344.23	5737% above	73%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 S-JOINT ASP-INJ SM	$846.00	$2,350.00	$564.00–$1,974.00	—	64%
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 KNEE ARTHROSCOPY/SURGERY	$60,564.91	$224,314.47	$590.53–$188,424.15	430% above	73%
Knee arthroscopy with meniscus trim CPT 29881 KNEE ARTHROSCOPY/SURGERY	$19,687.85	$72,917.96	$474.14–$61,251.09	148% above	73%
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 KNEE ARTHROSCOPY/SURGERY	$11,831.16	$43,819.10	$490.09–$36,808.04	68% above	73%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 KNEE ARTHROSCOPY/SURGERY	$31,463.48	$116,531.39	$539.29–$97,886.37	385% above	73%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPAROSCOPY, APPENDECTOMY	$25,751.98	$95,377.72	$523.36–$80,117.28	81% above	73%
Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 LAPAROSCOPY, FUNDOPLASTY	$48,233.40	$178,642.23	$913.45–$150,059.47	117% above	73%
Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 TLH UTERUS 250 G OR LESS	$41,376.88	$153,247.69	$669.30–$128,728.06	93% above	73%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 TLH W/T/O 250 G OR LESS	$37,764.05	$139,866.84	$760.11–$117,488.15	70% above	73%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 LAPARO HERNIA REPAIR INITIAL	$24,781.56	$91,783.57	$384.33–$77,098.20	57% above	73%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 LAPARO HERNIA REPAIR RECUR	$28,864.27	$106,904.72	$498.21–$89,799.96	88% above	73%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAPAROSCOPY, REMOVE ADNEXA	$15,279.13	$56,589.36	$539.01–$47,535.06	2% below	73%
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 AFTER CATARACT LASER SURGERY	$2,082.87	$7,714.33	$259.57–$6,480.04	at median	73%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAYER CLOSURE OF WOUND(S)	$1,592.93	$5,899.73	$124.91–$4,955.77	143% above	73%
Left heart catheterization, diagnostic CPT 93452 LHC Only - 93452[INP]	$8,597.34	$31,842.00	$559.22–$26,747.28	11% above	73%
Left heart catheterization, diagnostic CPT 93452 CC-LHC VENT PUNC - GL 106	$8,597.34	$31,842.00	$559.22–$26,747.28	11% above	73%
Left heart catheterization, diagnostic CPT 93452 93452 - LHC Only	$8,597.34	$31,842.00	$559.22–$26,747.28	11% above	73%
Left heart catheterization, diagnostic inpatient CPT 93452 CC-LHC VENT PUNC - GL 106	$11,463.12	$31,842.00	$7,642.08–$26,747.28	—	64%
Left heart catheterization, diagnostic inpatient CPT 93452 LHC Only - 93452[INP]	$11,463.12	$31,842.00	$7,642.08–$26,747.28	—	64%
Left heart catheterization, diagnostic inpatient CPT 93452 93452 - LHC Only	$11,463.12	$31,842.00	$7,642.08–$26,747.28	—	64%
Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC	$1,041.44	$3,857.18	$84.46–$3,240.03	19% below	73%
Lower-back epidural injection, with imaging guidance CPT 62323 IR Inj Catheter Placement L-S w Imaging	$1,553.04	$5,752.00	$84.46–$4,831.68	21% above	73%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 IR Inj Catheter Placement L-S w Imaging	$2,070.72	$5,752.00	$1,380.48–$4,831.68	—	64%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 IR-TRANSEPI INJ L S - GL 106	$757.08	$2,804.00	$94.28–$2,355.36	55% below	73%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ FORAMEN EPIDURAL L/S	$1,598.61	$5,920.79	$94.28–$4,973.46	4% below	73%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 IR-TRANSEPI INJ L S - GL 106	$1,009.44	$2,804.00	$672.96–$2,355.36	—	64%
Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 LOW BACK DISK SURGERY	$30,626.13	$113,430.10	$804.55–$95,281.28	121% above	73%
Lumbar fusion with interbody cage and posterolateral graft (TLIF), one level CPT 22633 ARTHRD CMBN 1NTRSPC LUMBAR	$94,974.27	$351,756.57	$1,358.00–$295,475.52	36% above	73%
Lumbar laminectomy (spinal decompression), one level CPT 63047 REMOVAL OF SPINAL LAMINA	$36,684.25	$135,867.61	$952.38–$114,128.79	152% above	73%
Lumbar spinal fusion (posterior), one level CPT 22612 LUMBAR SPINE FUSION	$76,562.80	$283,565.93	$1,318.92–$238,195.38	2% above	73%
Lumpectomy (partial mastectomy) CPT 19301 PARTIAL MASTECTOMY	$13,872.16	$51,378.38	$573.11–$43,157.84	82% above	73%
Mastectomy (total removal of the breast) CPT 19303 MAST SIMPLE COMPLETE	$20,255.38	$75,019.93	$829.43–$63,016.74	16% above	73%
Miscarriage treatment with D&C, first trimester CPT 59820 CARE OF MISCARRIAGE	$6,222.97	$23,048.04	$315.14–$19,360.35	53% above	73%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 REMOVAL OF SKIN LESION	$27,092.78	$100,343.62	$71.43–$84,288.64	1375% above	73%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 REMOVAL OF SKIN LESION	$4,376.86	$16,210.58	$91.59–$13,616.89	817% above	73%
Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE	$5,129.38	$18,997.71	$46.51–$15,958.08	1195% above	73%
Pacemaker implant (dual chamber) CPT 33208 INSERTION OF HEART PACEMAKER	$55,302.80	$204,825.20	$414.18–$172,053.17	356% above	73%
Paracentesis with imaging guidance CPT 49083 IR Abdominal Paracentesis w Imaging	$1,568.70	$5,810.00	$87.74–$4,880.40	13% above	73%
Paracentesis with imaging guidance CPT 49083 US Paracentesis Abd w Image	$1,568.70	$5,810.00	$87.74–$4,880.40	13% above	73%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING	$5,074.34	$18,793.86	$87.74–$15,786.84	266% above	73%
Paracentesis with imaging guidance inpatient CPT 49083 IR Abdominal Paracentesis w Imaging	$2,091.60	$5,810.00	$1,394.40–$4,880.40	—	64%
Paracentesis with imaging guidance inpatient CPT 49083 US Paracentesis Abd w Image	$2,091.60	$5,810.00	$1,394.40–$4,880.40	—	64%
Partial knee replacement (one compartment) CPT 27446 REVISION OF KNEE JOINT	$38,367.45	$142,101.66	$959.71–$119,365.39	95% above	73%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED	$5,749.70	$21,295.19	$89.01–$17,887.96	731% above	73%
Prostate biopsy CPT 55700 BIOPSY OF PROSTATE	$6,334.67	$23,461.74	$217.24–$19,707.86	87% above	73%
Prostate removal (prostatectomy), laparoscopic CPT 55866 LAPS SURG PRST8ECT RPBIC RAD	$52,096.07	$192,948.42	$1,014.59–$162,076.67	84% above	73%
Removal of a breast lump, open surgery CPT 19120 REMOVAL OF BREAST LESION	$6,804.29	$25,201.08	$370.76–$21,168.91	49% above	73%
Removal of a foreign object under the skin, simple CPT 10120 REMOVE FOREIGN BODY	$1,197.12	$4,433.79	$95.59–$3,724.38	136% above	73%
Removal of one lobe of the thyroid (lobectomy) CPT 60220 PARTIAL REMOVAL OF THYROID	$14,701.14	$54,448.66	$588.78–$45,736.87	60% above	73%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLON CA SCRN NOT HI RSK IND	$3,200.55	$11,853.90	$154.52–$9,957.28	71% above	73%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL SCRN; HI RISK IND	$2,940.00	$10,888.90	$154.36–$9,146.68	71% above	73%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 Extracorporeal Shockwave Lithotripsy	$19,140.84	$70,892.00	$488.14–$59,549.28	53% above	73%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 Lithotripsy ESWL	$19,140.84	$70,892.00	$488.14–$59,549.28	53% above	73%
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 Lithotripsy ESWL	$25,521.12	$70,892.00	$17,014.08–$59,549.28	—	64%
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 Extracorporeal Shockwave Lithotripsy	$25,521.12	$70,892.00	$17,014.08–$59,549.28	—	64%
Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT	$1,725.11	$6,389.30	$37.95–$5,367.01	779% above	73%
Short leg splint (calf to foot) CPT 29515 APPLICATION LOWER LEG SPLINT	$1,720.65	$6,372.78	$46.10–$5,353.14	593% above	73%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 SHO ARTHRS SRG DSTL CLAVICLC	$19,669.63	$72,850.48	$587.75–$61,194.40	59% above	73%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 SHOULDER ARTHROSCOPY/SURGERY	$26,746.99	$99,062.92	$135.46–$83,212.85	106% above	73%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REPAIR SUPERFICIAL WOUND(S)	$1,217.15	$4,507.97	$40.22–$3,786.69	172% above	73%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION	$3,243.23	$12,011.97	$35.95–$10,090.05	610% above	73%
Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAGS	$17,316.96	$64,136.89	$64.86–$53,874.99	6043% above	73%
Spinal tap (lumbar puncture), diagnostic CPT 62270 S-SPINAL TAP DIAGNST - 62270[INP]	$1,229.31	$4,553.00	$53.12–$3,824.52	20% above	73%
Spinal tap (lumbar puncture), diagnostic CPT 62270 S-Spinal Tab Diagnostic - GL 106	$1,229.31	$4,553.00	$53.12–$3,824.52	20% above	73%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL FLUID TAP, DIAGNOSTIC	$4,754.08	$17,607.69	$53.12–$14,790.46	364% above	73%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 S-Spinal Tab Diagnostic - GL 106	$1,639.08	$4,553.00	$1,092.72–$3,824.52	—	64%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 S-SPINAL TAP DIAGNST - 62270[INP]	$1,639.08	$4,553.00	$1,092.72–$3,824.52	—	64%
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)	$1,712.55	$6,342.77	$52.43–$5,327.93	324% above	73%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REPAIR SUPERFICIAL WOUND(S)	$1,734.06	$6,422.43	$49.62–$5,394.84	302% above	73%
TURP (transurethral resection of the prostate) CPT 52601 PROSTATECTOMY (TURP)	$21,311.81	$78,932.63	$492.88–$66,303.41	40% above	73%
Thoracentesis with imaging guidance CPT 32555 US Thoracentesis w Imaging Guidance	$957.69	$3,547.00	$89.15–$2,979.48	13% below	73%
Thoracentesis with imaging guidance CPT 32555 IR Thoracentesis w Imging Guidance	$957.69	$3,547.00	$89.15–$2,979.48	13% below	73%
Thoracentesis with imaging guidance CPT 32555 S-THORACNTSIS W IMG - GL106	$957.69	$3,547.00	$89.15–$2,979.48	13% below	73%
Thoracentesis with imaging guidance CPT 32555 IR Thoracentesis w Imging Guidance - Lab 106	$957.69	$3,547.00	$89.15–$2,979.48	13% below	73%
Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING	$2,586.88	$9,581.05	$89.15–$8,048.08	134% above	73%
Thoracentesis with imaging guidance inpatient CPT 32555 US Thoracentesis w Imaging Guidance	$1,276.92	$3,547.00	$851.28–$2,979.48	—	64%
Thoracentesis with imaging guidance inpatient CPT 32555 IR Thoracentesis w Imging Guidance - Lab 106	$1,276.92	$3,547.00	$851.28–$2,979.48	—	64%
Thoracentesis with imaging guidance inpatient CPT 32555 S-THORACNTSIS W IMG - GL106	$1,276.92	$3,547.00	$851.28–$2,979.48	—	64%
Thoracentesis with imaging guidance inpatient CPT 32555 IR Thoracentesis w Imging Guidance	$1,276.92	$3,547.00	$851.28–$2,979.48	—	64%
Total hip replacement CPT 27130 TOTAL HIP REPLACEMENT	$37,012.61	$137,083.75	$1,064.13–$115,150.35	37% above	73%
Total knee replacement CPT 27447 TOTAL KNEE REPLACEMENT	$42,436.03	$157,170.48	$1,062.09–$132,023.20	96% above	73%
Total shoulder replacement CPT 23472 RECONSTRUCT SHOULDER JOINT	$60,181.49	$222,894.41	$1,173.00–$187,231.30	73% above	73%
Trigger finger release surgery CPT 26055 INCISE FINGER TENDON SHEATH	$3,149.97	$11,666.56	$265.43–$9,799.91	16% below	73%
Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 LAPAROSCOPY, TUBAL CAUTERY	$14,262.04	$52,822.38	$307.72–$44,370.80	20% above	73%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST 1ST LESION US IMAG	$715.31	$2,649.28	$123.42–$3,591.00	69% below	73%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 IR US Breast Biopsy w Loc 1 Lesion Right	$1,936.71	$7,173.00	$123.42–$6,025.32	15% below	73%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US Breast Biopsy w Loc 1 Lesion Left	$1,936.71	$7,173.00	$123.42–$6,025.32	15% below	73%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 IR US Breast Biopsy w Loc 1 Lesion Left	$1,936.71	$7,173.00	$123.42–$6,025.32	15% below	73%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US Breast Biopsy w Loc 1 Lesion Right	$1,936.71	$7,173.00	$123.42–$6,025.32	15% below	73%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 IR US Breast Biopsy w Loc 1 Lesion Left	$2,582.28	$7,173.00	$1,721.52–$6,025.32	—	64%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 US Breast Biopsy w Loc 1 Lesion Right	$2,582.28	$7,173.00	$1,721.52–$6,025.32	—	64%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 IR US Breast Biopsy w Loc 1 Lesion Right	$2,582.28	$7,173.00	$1,721.52–$6,025.32	—	64%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 US Breast Biopsy w Loc 1 Lesion Left	$2,582.28	$7,173.00	$1,721.52–$6,025.32	—	64%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 ESOPH ENDOSCOPY, DILATION	$4,166.14	$15,430.14	$128.25–$12,961.32	35% above	73%
Upper endoscopy (EGD) with biopsy CPT 43239 UPPER GI ENDOSCOPY, BIOPSY	$4,104.96	$15,203.55	$116.27–$12,770.98	36% above	73%
Upper endoscopy (EGD) with injection into the lining CPT 43236 UPPR GI SCOPE W/SUBMUC INJ	$9,204.50	$34,090.75	$116.27–$28,636.23	144% above	73%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 OPERATIVE UPPER GI ENDOSCOPY	$4,202.34	$15,564.24	$162.88–$13,073.96	9% above	73%
Upper endoscopy (EGD), diagnostic CPT 43235 UPPR GI ENDOSCOPY, DIAGNOSIS	$3,588.27	$13,289.90	$103.93–$11,163.52	64% above	73%
Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 EGD W/TRANSMURAL DRAIN CYST	$16,997.29	$62,952.92	$322.42–$52,880.45	45% above	73%
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 CYSTOURETERO W/LITHOTRIPSY	$13,032.88	$48,269.92	$322.73–$40,546.73	31% above	73%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 CYSTO/URETERO W/LITHOTRIPSY	$15,967.86	$59,140.24	$342.42–$49,677.80	at median	73%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 REMOVAL OF SPERM DUCT(S)	$4,901.20	$18,152.60	$204.02–$15,248.18	193% above	73%
Wart removal, up to 14 warts CPT 17110 DESTRUCT LESION, 1-14	$4,000.13	$14,815.31	$58.53–$12,444.86	1250% above	73%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SKIN/TISSUE	$3,285.41	$12,168.18	$52.18–$10,221.27	322% above	73%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Indiana	Off list
Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Red blood cells (postoperati	$787.86	$2,918.00	$38.05–$2,451.12	12% below	73%
Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Cryoprecipitate	$787.86	$2,918.00	$38.05–$2,451.12	12% below	73%
Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Red blood cells (preoperativ	$787.86	$2,918.00	$38.05–$2,451.12	12% below	73%
Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Platelets (random donor)	$787.86	$2,918.00	$38.05–$2,451.12	12% below	73%
Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Whole blood	$787.86	$2,918.00	$38.05–$2,451.12	12% below	73%
Blood transfusion (giving blood or blood components) CPT 36430 Blood Administration Fee	$787.86	$2,918.00	$38.05–$2,451.12	12% below	73%
Blood transfusion (giving blood or blood components) CPT 36430 CHRG - BLOOD TRANSFUSION - Blood Transfusion Perfo	$787.86	$2,918.00	$38.05–$2,451.12	12% below	73%
Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Fresh frozen plasma	$787.86	$2,918.00	$38.05–$2,451.12	12% below	73%
Blood transfusion (giving blood or blood components) CPT 36430 Blood transfusions	$787.86	$2,918.00	$38.05–$2,451.12	12% below	73%
Blood transfusion (giving blood or blood components) CPT 36430 $ED Transfusion >2 yrs	$787.86	$2,918.00	$38.05–$2,451.12	12% below	73%
Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Platelets (single donor)	$787.86	$2,918.00	$38.05–$2,451.12	12% below	73%
Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Verified with Pt Information: - Transfu	$787.86	$2,918.00	$38.05–$2,451.12	12% below	73%
Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Product: - Packed red blood cells	$787.86	$2,918.00	$38.05–$2,451.12	12% below	73%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Platelets (random donor)	$1,050.48	$2,918.00	$700.32–$2,451.12	—	64%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Packed red blood cells	$1,050.48	$2,918.00	$700.32–$2,451.12	—	64%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Fresh frozen plasma	$1,050.48	$2,918.00	$700.32–$2,451.12	—	64%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Cryoprecipitate	$1,050.48	$2,918.00	$700.32–$2,451.12	—	64%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Administration Fee	$1,050.48	$2,918.00	$700.32–$2,451.12	—	64%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood transfusions	$1,050.48	$2,918.00	$700.32–$2,451.12	—	64%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Platelets (single donor)	$1,050.48	$2,918.00	$700.32–$2,451.12	—	64%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Red blood cells (postoperati	$1,050.48	$2,918.00	$700.32–$2,451.12	—	64%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Red blood cells (preoperativ	$1,050.48	$2,918.00	$700.32–$2,451.12	—	64%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Product: - Whole blood	$1,050.48	$2,918.00	$700.32–$2,451.12	—	64%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 CHRG - BLOOD TRANSFUSION - Blood Transfusion Perfo	$1,050.48	$2,918.00	$700.32–$2,451.12	—	64%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 $ED Transfusion >2 yrs	$1,050.48	$2,918.00	$700.32–$2,451.12	—	64%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Verified with Pt Information: - Transfu	$1,050.48	$2,918.00	$700.32–$2,451.12	—	64%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Meter Dose Inhaler Charge - Subsequent	$178.47	$661.00	$7.02–$555.24	58% above	73%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment Charge - Subsequent	$178.47	$661.00	$7.02–$555.24	58% above	73%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment Charge - IPPB Subsequent	$178.47	$661.00	$7.02–$555.24	58% above	73%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment Charge - IPV Subsequent	$178.47	$661.00	$7.02–$555.24	58% above	73%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment Charge - Initial	$193.05	$715.00	$7.02–$600.60	71% above	73%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment Charge - IPPB Initial	$193.05	$715.00	$7.02–$600.60	71% above	73%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment Charge - IPV Initial	$193.05	$715.00	$7.02–$600.60	71% above	73%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Meter Dose Inhaler Charge - Initial	$193.05	$715.00	$7.02–$600.60	71% above	73%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREATMENT	$882.06	$3,266.90	$7.02–$2,744.20	682% above	73%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Treatment Charge - IPPB Subsequent	$237.96	$661.00	$158.64–$555.24	—	64%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Treatment Charge - IPV Subsequent	$237.96	$661.00	$158.64–$555.24	—	64%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Meter Dose Inhaler Charge - Subsequent	$237.96	$661.00	$158.64–$555.24	—	64%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Treatment Charge - Subsequent	$237.96	$661.00	$158.64–$555.24	—	64%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Treatment Charge - IPV Initial	$257.40	$715.00	$171.60–$600.60	—	64%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Meter Dose Inhaler Charge - Initial	$257.40	$715.00	$171.60–$600.60	—	64%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Treatment Charge - Initial	$257.40	$715.00	$171.60–$600.60	—	64%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Treatment Charge - IPPB Initial	$257.40	$715.00	$171.60–$600.60	—	64%
Chemotherapy IV infusion, first hour CPT 96413 CHRG - CHEMO IV INFU 1ST HR	$456.84	$1,692.00	$109.91–$1,421.28	32% below	73%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHRG - CHEMO IV INFU 1ST HR	$609.12	$1,692.00	$406.08–$1,421.28	—	64%
Critical care, first 30 to 74 minutes CPT 99291 99291 - Critical Care	$1,982.88	$7,344.00	$188.73–$7,690.00	at median	73%
Critical care, first 30 to 74 minutes inpatient CPT 99291 99291 - Critical Care	$2,643.84	$7,344.00	$1,762.56–$6,168.96	—	64%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG Including Recording Awake and Drowsy	$764.91	$2,833.00	$217.03–$2,915.00	11% above	73%
EEG (brain wave test), awake and drowsy, routine CPT 95816 CHRG - EEG AWAKE DROWSY	$764.91	$2,833.00	$217.03–$2,915.00	11% above	73%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG Including Recording Awake and Drowsy	$1,019.88	$2,833.00	$679.92–$2,379.72	—	64%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 CHRG - EEG AWAKE DROWSY	$1,019.88	$2,833.00	$679.92–$2,379.72	—	64%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG Series 6 Hours	$92.34	$342.00	$6.35–$287.28	54% below	73%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ED EKG 12 Lead Series Now	$92.34	$342.00	$6.35–$287.28	54% below	73%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ED EKG Series 1 Hour	$92.34	$342.00	$6.35–$287.28	54% below	73%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG Series 1 Hour	$92.34	$342.00	$6.35–$287.28	54% below	73%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Is the patient scheduled for a Cath Lab procedure	$92.34	$342.00	$6.35–$287.28	54% below	73%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ED EKG Start Time	$92.34	$342.00	$6.35–$287.28	54% below	73%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG BCE	$92.34	$342.00	$6.35–$287.28	54% below	73%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG 12 Lead Series Now	$92.34	$342.00	$6.35–$287.28	54% below	73%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ED EKG Series 3 Hours	$92.34	$342.00	$6.35–$287.28	54% below	73%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG Series 3 Hours	$92.34	$342.00	$6.35–$287.28	54% below	73%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG BCE	$123.12	$342.00	$82.08–$287.28	—	64%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ED EKG Start Time	$123.12	$342.00	$82.08–$287.28	—	64%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Is the patient scheduled for a Cath Lab procedure	$123.12	$342.00	$82.08–$287.28	—	64%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG Series 1 Hour	$123.12	$342.00	$82.08–$287.28	—	64%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ED EKG Series 1 Hour	$123.12	$342.00	$82.08–$287.28	—	64%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ED EKG 12 Lead Series Now	$123.12	$342.00	$82.08–$287.28	—	64%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG 12 Lead Series Now	$123.12	$342.00	$82.08–$287.28	—	64%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ED EKG Series 3 Hours	$123.12	$342.00	$82.08–$287.28	—	64%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG Series 6 Hours	$123.12	$342.00	$82.08–$287.28	—	64%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG Series 3 Hours	$123.12	$342.00	$82.08–$287.28	—	64%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 OB ED Evaluation - Level 1 - Lowest Level Visit	$222.21	$823.00	$10.35–$691.32	13% above	73%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 99281 - Level 1	$222.21	$823.00	$10.35–$691.32	13% above	73%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 99281 - Level 1	$296.28	$823.00	$197.52–$691.32	—	64%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 OB ED Evaluation - Level 1 - Lowest Level Visit	$296.28	$823.00	$197.52–$691.32	—	64%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 OB ED Evaluation - Level 2 - Low Level Visit	$332.37	$1,231.00	$38.11–$1,034.04	18% below	73%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 99282 - Level 2	$332.37	$1,231.00	$38.11–$1,034.04	18% below	73%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 99282 - Level 2	$443.16	$1,231.00	$295.44–$1,034.04	—	64%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 OB ED Evaluation - Level 2 - Low Level Visit	$443.16	$1,231.00	$295.44–$1,034.04	—	64%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 99283 - Level 3	$633.15	$2,345.00	$64.70–$1,969.80	8% below	73%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 OB ED Evaluation - Level 3 - Mid Level Visit	$633.15	$2,345.00	$64.70–$1,969.80	8% below	73%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 OB ED Evaluation - Level 3 - Mid Level Visit	$844.20	$2,345.00	$562.80–$1,969.80	—	64%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 99283 - Level 3	$844.20	$2,345.00	$562.80–$1,969.80	—	64%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 OB ED Evaluation - Level 4 - High Level Visit	$997.38	$3,694.00	$110.18–$3,102.96	15% below	73%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284 - Level 4	$997.38	$3,694.00	$110.18–$3,102.96	15% below	73%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 99284 - Level 4	$1,329.84	$3,694.00	$886.56–$3,102.96	—	64%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 OB ED Evaluation - Level 4 - High Level Visit	$1,329.84	$3,694.00	$886.56–$3,102.96	—	64%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 OB ED Evaluation - Level 5 - Higher Level Visit	$1,521.45	$5,635.00	$159.69–$4,746.00	13% below	73%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 99285 - Level 5	$1,521.45	$5,635.00	$159.69–$4,746.00	13% below	73%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 OB ED Evaluation - Level 5 - Higher Level Visit	$2,028.60	$5,635.00	$1,352.40–$4,733.40	—	64%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 99285 - Level 5	$2,028.60	$5,635.00	$1,352.40–$4,733.40	—	64%
Exercise stress test, tracing only, the hospital charge CPT 93017 NI Stress Test	$417.69	$1,547.00	$34.01–$1,299.48	47% below	73%
Exercise stress test, tracing only, the hospital charge CPT 93017 Cardiac Stress Test	$417.69	$1,547.00	$34.01–$1,299.48	47% below	73%
Exercise stress test, tracing only, the hospital charge CPT 93017 NM Cardiovascular Stress Test Trace Only	$417.69	$1,547.00	$34.01–$1,299.48	47% below	73%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Cardiac Stress Test	$556.92	$1,547.00	$371.28–$1,299.48	—	64%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 NI Stress Test	$556.92	$1,547.00	$371.28–$1,299.48	—	64%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 NM Cardiovascular Stress Test Trace Only	$556.92	$1,547.00	$371.28–$1,299.48	—	64%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 OB CHRG - Inf/Inj/Hydration Once - IV HYDRATION 1	$353.97	$1,311.00	$28.02–$1,101.24	10% below	73%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 - Hydration, first hour	$353.97	$1,311.00	$28.02–$1,101.24	10% below	73%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 CHRG - Inf/Inj/Hydration - IV HYDRATION 1 HR	$353.97	$1,311.00	$28.02–$1,101.24	10% below	73%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 OB ED CHRG - Inf/Inj/Hydration Once - IV HYDRATION	$353.97	$1,311.00	$28.02–$1,101.24	10% below	73%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hydration therapy 1st hour	$353.97	$1,311.00	$28.02–$1,101.24	10% below	73%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 CHRG - Inf/Inj/Hydration - IV HYDRATION 1 HR	$471.96	$1,311.00	$314.64–$1,101.24	—	64%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360 - Hydration, first hour	$471.96	$1,311.00	$314.64–$1,101.24	—	64%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 OB CHRG - Inf/Inj/Hydration Once - IV HYDRATION 1	$471.96	$1,311.00	$314.64–$1,101.24	—	64%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 OB ED CHRG - Inf/Inj/Hydration Once - IV HYDRATION	$471.96	$1,311.00	$314.64–$1,101.24	—	64%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Hydration therapy 1st hour	$471.96	$1,311.00	$314.64–$1,101.24	—	64%
IV infusion of a medicine, first hour CPT 96365 Infusion 1st hour	$372.33	$1,379.00	$53.35–$1,158.36	7% below	73%
IV infusion of a medicine, first hour CPT 96365 96365 - IV tx, first hour	$372.33	$1,379.00	$53.35–$1,158.36	7% below	73%
IV infusion of a medicine, first hour CPT 96365 OB CHRG - Inf/Inj/Hydration Once - IV THERAPY DX 1	$372.33	$1,379.00	$53.35–$1,158.36	7% below	73%
IV infusion of a medicine, first hour CPT 96365 OB ED CHRG - Inf/Inj/Hydration Once - IV THERAPY D	$372.33	$1,379.00	$53.35–$1,158.36	7% below	73%
IV infusion of a medicine, first hour CPT 96365 CHRG - Inf/Inj/Hydration - IV THERAPY DX 1 HR	$372.33	$1,379.00	$53.35–$1,158.36	7% below	73%
IV infusion of a medicine, first hour inpatient CPT 96365 OB ED CHRG - Inf/Inj/Hydration Once - IV THERAPY D	$496.44	$1,379.00	$330.96–$1,158.36	—	64%
IV infusion of a medicine, first hour inpatient CPT 96365 OB CHRG - Inf/Inj/Hydration Once - IV THERAPY DX 1	$496.44	$1,379.00	$330.96–$1,158.36	—	64%
IV infusion of a medicine, first hour inpatient CPT 96365 Infusion 1st hour	$496.44	$1,379.00	$330.96–$1,158.36	—	64%
IV infusion of a medicine, first hour inpatient CPT 96365 96365 - IV tx, first hour	$496.44	$1,379.00	$330.96–$1,158.36	—	64%
IV infusion of a medicine, first hour inpatient CPT 96365 CHRG - Inf/Inj/Hydration - IV THERAPY DX 1 HR	$496.44	$1,379.00	$330.96–$1,158.36	—	64%
IV push of a medicine, first drug CPT 96374 96374 - IV Injection, single/initial	$184.14	$682.00	$31.49–$630.00	7% below	73%
IV push of a medicine, first drug CPT 96374 OB ED CHRG - Inf/Inj/Hydration Once - THERAPEUTIC	$184.14	$682.00	$31.49–$630.00	7% below	73%
IV push of a medicine, first drug CPT 96374 OB CHRG - Inf/Inj/Hydration Once - THERAPEUTIC IV	$184.14	$682.00	$31.49–$653.00	7% below	73%
IV push of a medicine, first drug CPT 96374 CHRG - THER/PROPH/DIAG INJ, IVPUSH	$184.14	$682.00	$31.49–$653.00	7% below	73%
IV push of a medicine, first drug CPT 96374 IV push initial	$184.14	$682.00	$31.49–$653.00	7% below	73%
IV push of a medicine, first drug CPT 96374 CHRG - Inf/Inj/Hydration - THERAPEUTIC IV PUSH	$184.14	$682.00	$31.49–$653.00	7% below	73%
IV push of a medicine, first drug inpatient CPT 96374 CHRG - THER/PROPH/DIAG INJ, IVPUSH	$245.52	$682.00	$163.68–$572.88	—	64%
IV push of a medicine, first drug inpatient CPT 96374 OB ED CHRG - Inf/Inj/Hydration Once - THERAPEUTIC	$245.52	$682.00	$163.68–$572.88	—	64%
IV push of a medicine, first drug inpatient CPT 96374 IV push initial	$245.52	$682.00	$163.68–$572.88	—	64%
IV push of a medicine, first drug inpatient CPT 96374 96374 - IV Injection, single/initial	$245.52	$682.00	$163.68–$572.88	—	64%
IV push of a medicine, first drug inpatient CPT 96374 CHRG - Inf/Inj/Hydration - THERAPEUTIC IV PUSH	$245.52	$682.00	$163.68–$572.88	—	64%
IV push of a medicine, first drug inpatient CPT 96374 OB CHRG - Inf/Inj/Hydration Once - THERAPEUTIC IV	$245.52	$682.00	$163.68–$572.88	—	64%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM Injection	$60.48	$224.00	$13.11–$653.00	43% below	73%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 CHRG - THERAPEUTIC DX SQ IM	$60.48	$224.00	$13.11–$653.00	43% below	73%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 OB ED CHRG - THERAPEUTIC DX SQ IM	$60.48	$224.00	$13.11–$630.00	43% below	73%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 - Subq/IM Injection	$60.48	$224.00	$13.11–$630.00	43% below	73%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 OB CHRG - THERAPEUTIC DX SQ IM	$60.48	$224.00	$13.11–$653.00	43% below	73%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 OB CHRG - THERAPEUTIC DX SQ IM	$80.64	$224.00	$53.76–$188.16	—	64%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM Injection	$80.64	$224.00	$53.76–$188.16	—	64%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 OB ED CHRG - THERAPEUTIC DX SQ IM	$80.64	$224.00	$53.76–$188.16	—	64%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 - Subq/IM Injection	$80.64	$224.00	$53.76–$188.16	—	64%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 CHRG - THERAPEUTIC DX SQ IM	$80.64	$224.00	$53.76–$188.16	—	64%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 CHRG - MTR-SENS 7-8 NRV TST	$2,268.54	$8,402.00	$62.49–$7,057.68	173% above	73%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 CHRG - MTR-SENS 7-8 NRV TST	$3,024.72	$8,402.00	$2,016.48–$7,057.68	—	64%
Neuromuscular re-education, 15 minutes CPT 97112 NEURO RE-ED-15 MIN PT - REDOC 182	$63.72	$236.00	$27.83–$198.24	14% below	73%
Neuromuscular re-education, 15 minutes CPT 97112 OT Neuromuscular Reeducation Charges	$63.72	$236.00	$27.83–$198.24	14% below	73%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULR RE-EDUCATION EA 15 MIN COTA - Redoc 1	$63.72	$236.00	$27.83–$198.24	14% below	73%
Neuromuscular re-education, 15 minutes CPT 97112 OT Neuromuscular Reeducation Units	$63.72	$236.00	$27.83–$198.24	14% below	73%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR RE-EDUCATION EA 15 MIN PTA - Redoc 1	$63.72	$236.00	$27.83–$198.24	14% below	73%
Neuromuscular re-education, 15 minutes CPT 97112 OT Neuromusclr Reeducation Assist Charge	$63.72	$236.00	$27.83–$198.24	14% below	73%
Neuromuscular re-education, 15 minutes CPT 97112 PT Neuromuscular Reeducatn Assist Charge	$63.72	$236.00	$27.83–$198.24	14% below	73%
Neuromuscular re-education, 15 minutes CPT 97112 NEURO RE-ED-15 MIN - REDOC 185	$63.72	$236.00	$27.83–$198.24	14% below	73%
Neuromuscular re-education, 15 minutes CPT 97112 NEURO RE-ED-15 MIN - REDOC 181	$63.72	$236.00	$27.83–$198.24	14% below	73%
Neuromuscular re-education, 15 minutes CPT 97112 NEURO RE-ED-15 MIN - REDOC 186	$63.72	$236.00	$27.83–$198.24	14% below	73%
Neuromuscular re-education, 15 minutes CPT 97112 NEURO RE-ED-15 MIN - REDOC 182	$63.72	$236.00	$27.83–$198.24	14% below	73%
Neuromuscular re-education, 15 minutes CPT 97112 PT Neuromuscular Reeducation Charges	$63.72	$236.00	$27.83–$198.24	14% below	73%
Neuromuscular re-education, 15 minutes CPT 97112 PT Neuromuscular Reeducation Units	$63.72	$236.00	$27.83–$198.24	14% below	73%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT Neuromuscular Reeducation Charges	$84.96	$236.00	$56.64–$198.24	—	64%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULR RE-EDUCATION EA 15 MIN COTA - Redoc 1	$84.96	$236.00	$56.64–$198.24	—	64%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR RE-EDUCATION EA 15 MIN PTA - Redoc 1	$84.96	$236.00	$56.64–$198.24	—	64%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT Neuromusclr Reeducation Assist Charge	$84.96	$236.00	$56.64–$198.24	—	64%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT Neuromuscular Reeducatn Assist Charge	$84.96	$236.00	$56.64–$198.24	—	64%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEURO RE-ED-15 MIN - REDOC 186	$84.96	$236.00	$56.64–$198.24	—	64%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEURO RE-ED-15 MIN PT - REDOC 182	$84.96	$236.00	$56.64–$198.24	—	64%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEURO RE-ED-15 MIN - REDOC 185	$84.96	$236.00	$56.64–$198.24	—	64%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT Neuromuscular Reeducation Units	$84.96	$236.00	$56.64–$198.24	—	64%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEURO RE-ED-15 MIN - REDOC 181	$84.96	$236.00	$56.64–$198.24	—	64%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEURO RE-ED-15 MIN - REDOC 182	$84.96	$236.00	$56.64–$198.24	—	64%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT Neuromuscular Reeducation Units	$84.96	$236.00	$56.64–$198.24	—	64%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT Neuromuscular Reeducation Charges	$84.96	$236.00	$56.64–$198.24	—	64%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 CHRG - MNT INITIAL EA 15 MIN	$25.11	$93.00	$22.32–$206.00	27% below	73%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 CHRG - MNT INITIAL EA 15 MIN	$33.48	$93.00	$22.32–$78.12	—	64%
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL- LOW COMP - REDOC 185	$238.14	$882.00	$85.73–$740.88	50% above	73%
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL- LOW COMP - REDOC 186	$238.14	$882.00	$85.73–$740.88	50% above	73%
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW Unit - Yes	$238.14	$882.00	$85.73–$740.88	50% above	73%
Occupational therapy evaluation, low complexity CPT 97165 IRF OT EVAL LOW	$238.14	$882.00	$85.73–$740.88	50% above	73%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW Unit - Yes	$317.52	$882.00	$211.68–$740.88	—	64%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL- LOW COMP - REDOC 185	$317.52	$882.00	$211.68–$740.88	—	64%
Occupational therapy evaluation, low complexity inpatient CPT 97165 IRF OT EVAL LOW	$317.52	$882.00	$211.68–$740.88	—	64%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL- LOW COMP - REDOC 186	$317.52	$882.00	$211.68–$740.88	—	64%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH Unit - Yes	$238.14	$882.00	$83.82–$740.88	2% above	73%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 IRF PT EVAL HIGH	$238.14	$882.00	$83.82–$740.88	2% above	73%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL- HGH COMP - REDOC 182	$238.14	$882.00	$83.82–$740.88	2% above	73%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL- HGH COMP - REDOC 181	$238.14	$882.00	$83.82–$740.88	2% above	73%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 IRF PT EVAL HIGH	$317.52	$882.00	$211.68–$740.88	—	64%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH Unit - Yes	$317.52	$882.00	$211.68–$740.88	—	64%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL- HGH COMP - REDOC 182	$317.52	$882.00	$211.68–$740.88	—	64%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL- HGH COMP - REDOC 181	$317.52	$882.00	$211.68–$740.88	—	64%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW Unit - Yes	$238.14	$882.00	$83.82–$740.88	70% above	73%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL- LOW COMP - REDOC 182	$238.14	$882.00	$83.82–$740.88	70% above	73%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL- LOW COMP - REDOC 181	$238.14	$882.00	$83.82–$740.88	70% above	73%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 IRF PT EVAL LOW	$238.14	$882.00	$83.82–$740.88	70% above	73%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 IRF PT EVAL LOW	$317.52	$882.00	$211.68–$740.88	—	64%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW Unit - Yes	$317.52	$882.00	$211.68–$740.88	—	64%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL- LOW COMP - REDOC 182	$317.52	$882.00	$211.68–$740.88	—	64%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL- LOW COMP - REDOC 181	$317.52	$882.00	$211.68–$740.88	—	64%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD Unit - Yes	$238.14	$882.00	$83.82–$740.88	30% above	73%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL- MOD COMP - REDOC 182	$238.14	$882.00	$83.82–$740.88	30% above	73%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 IRF PT EVAL MOD	$238.14	$882.00	$83.82–$740.88	30% above	73%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL- MOD COMP - REDOC 181	$238.14	$882.00	$83.82–$740.88	30% above	73%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MOD Unit - Yes	$317.52	$882.00	$211.68–$740.88	—	64%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL- MOD COMP - REDOC 181	$317.52	$882.00	$211.68–$740.88	—	64%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL- MOD COMP - REDOC 182	$317.52	$882.00	$211.68–$740.88	—	64%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 IRF PT EVAL MOD	$317.52	$882.00	$211.68–$740.88	—	64%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT Manual Therapy Assistant Charges	$94.23	$349.00	$23.55–$293.16	14% above	73%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THRPY-15 MIN - REDOC 186	$94.23	$349.00	$23.55–$293.16	14% above	73%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THRPY-15 MIN - REDOC 182	$94.23	$349.00	$23.55–$293.16	14% above	73%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY EA 15 MINUTES PTA - Redoc 182	$94.23	$349.00	$23.55–$293.16	14% above	73%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT Manual Therapy Charges	$94.23	$349.00	$23.55–$293.16	14% above	73%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY EA 15 MINUTES COTA - Redoc 185	$94.23	$349.00	$23.55–$293.16	14% above	73%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THRPY-15 MIN - REDOC 185	$94.23	$349.00	$23.55–$293.16	14% above	73%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT Manual Therapy Charges	$94.23	$349.00	$23.55–$293.16	14% above	73%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY EA 15 MINUTES PTA - Redoc 181	$94.23	$349.00	$23.55–$293.16	14% above	73%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT Manual Therapy Assistant Charges	$94.23	$349.00	$23.55–$293.16	14% above	73%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT Manual Therapy Units	$94.23	$349.00	$23.55–$293.16	14% above	73%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THRPY-15 MIN - REDOC 181	$94.23	$349.00	$23.55–$293.16	14% above	73%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT Manual Therapy Units	$94.23	$349.00	$23.55–$293.16	14% above	73%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT Manual Therapy Units	$125.64	$349.00	$83.76–$293.16	—	64%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THRPY-15 MIN - REDOC 181	$125.64	$349.00	$83.76–$293.16	—	64%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT Manual Therapy Assistant Charges	$125.64	$349.00	$83.76–$293.16	—	64%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT Manual Therapy Assistant Charges	$125.64	$349.00	$83.76–$293.16	—	64%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY EA 15 MINUTES PTA - Redoc 181	$125.64	$349.00	$83.76–$293.16	—	64%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT Manual Therapy Charges	$125.64	$349.00	$83.76–$293.16	—	64%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT Manual Therapy Charges	$125.64	$349.00	$83.76–$293.16	—	64%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY EA 15 MINUTES PTA - Redoc 182	$125.64	$349.00	$83.76–$293.16	—	64%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY EA 15 MINUTES COTA - Redoc 185	$125.64	$349.00	$83.76–$293.16	—	64%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THRPY-15 MIN - REDOC 185	$125.64	$349.00	$83.76–$293.16	—	64%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THRPY-15 MIN - REDOC 182	$125.64	$349.00	$83.76–$293.16	—	64%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THRPY-15 MIN - REDOC 186	$125.64	$349.00	$83.76–$293.16	—	64%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT Manual Therapy Units	$125.64	$349.00	$83.76–$293.16	—	64%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCS-15 MIN PT - REDOC 182	$73.71	$273.00	$24.70–$229.32	2% above	73%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN COTA - Redoc 186	$73.71	$273.00	$24.70–$229.32	2% above	73%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN COTA - Redoc 185	$73.71	$273.00	$24.70–$229.32	2% above	73%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN PTA - Redoc 182	$73.71	$273.00	$24.70–$229.32	2% above	73%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN PTA - Redoc 181	$73.71	$273.00	$24.70–$229.32	2% above	73%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Assistant Charge	$73.71	$273.00	$24.70–$229.32	2% above	73%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Therapeutic Exercise Assistant Charge	$73.71	$273.00	$24.70–$229.32	2% above	73%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCS-15 MIN - REDOC 185	$73.71	$273.00	$24.70–$229.32	2% above	73%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCS-15 MIN - REDOC 181	$73.71	$273.00	$24.70–$229.32	2% above	73%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCS-15 MIN - REDOC 186	$73.71	$273.00	$24.70–$229.32	2% above	73%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCS-15 MIN - REDOC 182	$73.71	$273.00	$24.70–$229.32	2% above	73%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Charges	$73.71	$273.00	$24.70–$229.32	2% above	73%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Therapeutic Exercise Charges	$73.71	$273.00	$24.70–$229.32	2% above	73%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Units	$73.71	$273.00	$24.70–$229.32	2% above	73%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Therapeutic Exercise Units	$73.71	$273.00	$24.70–$229.32	2% above	73%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCS-15 MIN - REDOC 186	$98.28	$273.00	$65.52–$229.32	—	64%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN COTA - Redoc 186	$98.28	$273.00	$65.52–$229.32	—	64%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN COTA - Redoc 185	$98.28	$273.00	$65.52–$229.32	—	64%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN PTA - Redoc 182	$98.28	$273.00	$65.52–$229.32	—	64%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN PTA - Redoc 181	$98.28	$273.00	$65.52–$229.32	—	64%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCS-15 MIN PT - REDOC 182	$98.28	$273.00	$65.52–$229.32	—	64%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Assistant Charge	$98.28	$273.00	$65.52–$229.32	—	64%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT Therapeutic Exercise Assistant Charge	$98.28	$273.00	$65.52–$229.32	—	64%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT Therapeutic Exercise Units	$98.28	$273.00	$65.52–$229.32	—	64%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCS-15 MIN - REDOC 185	$98.28	$273.00	$65.52–$229.32	—	64%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Units	$98.28	$273.00	$65.52–$229.32	—	64%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT Therapeutic Exercise Charges	$98.28	$273.00	$65.52–$229.32	—	64%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Charges	$98.28	$273.00	$65.52–$229.32	—	64%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCS-15 MIN - REDOC 182	$98.28	$273.00	$65.52–$229.32	—	64%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCS-15 MIN - REDOC 181	$98.28	$273.00	$65.52–$229.32	—	64%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Behavior change Smoke Charge - 1-10 minutes	$34.02	$126.00	$10.20–$206.00	13% above	73%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Tobacco counseling Charge - 3-10 minutes	$34.02	$126.00	$10.20–$206.00	13% above	73%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Tobacco counseling Charge - 3-10 minutes	$45.36	$126.00	$30.24–$105.84	—	64%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Behavior change Smoke Charge - 1-10 minutes	$45.36	$126.00	$30.24–$105.84	—	64%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Outpatient EM Charges - Level 2 EP	$257.84	$954.95	$29.62–$802.16	393% above	73%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Outpatient EM Charges - Level 2 EP	$343.78	$954.95	$229.19–$802.16	—	64%
Speech and language evaluation CPT 92523 SLP Eval Lang Comprehension,Express Unit	$209.79	$777.00	$119.00–$652.68	3% above	73%
Speech and language evaluation CPT 92523 Speech Evaluation with Language Units	$209.79	$777.00	$119.00–$652.68	3% above	73%
Speech and language evaluation CPT 92523 Speech Evaluation with Language Charge	$209.79	$777.00	$119.00–$652.68	3% above	73%
Speech and language evaluation CPT 92523 SP SOUND LANG COMP - REDOC 187	$209.79	$777.00	$119.00–$652.68	3% above	73%
Speech and language evaluation CPT 92523 SP SOUND LANG COMP - REDOC 188	$209.79	$777.00	$119.00–$652.68	3% above	73%
Speech and language evaluation inpatient CPT 92523 Speech Evaluation with Language Charge	$279.72	$777.00	$186.48–$652.68	—	64%
Speech and language evaluation inpatient CPT 92523 SP SOUND LANG COMP - REDOC 188	$279.72	$777.00	$186.48–$652.68	—	64%
Speech and language evaluation inpatient CPT 92523 Speech Evaluation with Language Units	$279.72	$777.00	$186.48–$652.68	—	64%
Speech and language evaluation inpatient CPT 92523 SP SOUND LANG COMP - REDOC 187	$279.72	$777.00	$186.48–$652.68	—	64%
Speech and language evaluation inpatient CPT 92523 SLP Eval Lang Comprehension,Express Unit	$279.72	$777.00	$186.48–$652.68	—	64%
Speech therapy session, individual CPT 92507 Speech Treatment Charge	$250.29	$927.00	$65.20–$778.68	78% above	73%
Speech therapy session, individual CPT 92507 Speech Treatment Charge - Yes	$250.29	$927.00	$65.20–$778.68	78% above	73%
Speech therapy session, individual CPT 92507 SLP Auditory Processing Tx Units	$250.29	$927.00	$65.20–$778.68	78% above	73%
Speech therapy session, individual CPT 92507 SP-HEAR-TX-INDI VIST - REDOC 188	$250.29	$927.00	$65.20–$778.68	78% above	73%
Speech therapy session, individual CPT 92507 SP-HEAR-TX-INDI VIST - REDOC 187	$250.29	$927.00	$65.20–$778.68	78% above	73%
Speech therapy session, individual inpatient CPT 92507 Speech Treatment Charge - Yes	$333.72	$927.00	$222.48–$778.68	—	64%
Speech therapy session, individual inpatient CPT 92507 SLP Auditory Processing Tx Units	$333.72	$927.00	$222.48–$778.68	—	64%
Speech therapy session, individual inpatient CPT 92507 SP-HEAR-TX-INDI VIST - REDOC 187	$333.72	$927.00	$222.48–$778.68	—	64%
Speech therapy session, individual inpatient CPT 92507 SP-HEAR-TX-INDI VIST - REDOC 188	$333.72	$927.00	$222.48–$778.68	—	64%
Speech therapy session, individual inpatient CPT 92507 Speech Treatment Charge	$333.72	$927.00	$222.48–$778.68	—	64%
Spirometry (breathing test) CPT 94010 Pulmonary Function Test Charge - spirometry	$126.63	$469.00	$27.68–$748.00	52% below	73%
Spirometry (breathing test) inpatient CPT 94010 Pulmonary Function Test Charge - spirometry	$168.84	$469.00	$112.56–$393.96	—	64%
Spirometry before and after a bronchodilator CPT 94060 Pulmonary Function Test Charge - Pre and post bron	$211.68	$784.00	$40.47–$748.00	63% below	73%
Spirometry before and after a bronchodilator inpatient CPT 94060 Pulmonary Function Test Charge - Pre and post bron	$282.24	$784.00	$188.16–$658.56	—	64%
Therapeutic activities (functional training), 15 minutes CPT 97530 OT Therapeutic Activities Charges	$81.81	$303.00	$29.62–$254.52	24% above	73%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES DIR EA 15MIN COTA - Redoc 1	$81.81	$303.00	$29.62–$254.52	24% above	73%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES DIR EA 15 MIN PTA - Redoc 1	$81.81	$303.00	$29.62–$254.52	24% above	73%
Therapeutic activities (functional training), 15 minutes CPT 97530 OT Therapeutic Activities Assist Charges	$81.81	$303.00	$29.62–$254.52	24% above	73%
Therapeutic activities (functional training), 15 minutes CPT 97530 PT Therapeutic Activities Assist Charge	$81.81	$303.00	$29.62–$254.52	24% above	73%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAP ACTVTS-15 MIN - REDOC 185	$81.81	$303.00	$29.62–$254.52	24% above	73%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAP ACTVTS-15 MIN - REDOC 181	$81.81	$303.00	$29.62–$254.52	24% above	73%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAP ACTVTS-15 MIN - REDOC 186	$81.81	$303.00	$29.62–$254.52	24% above	73%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAP ACTVTS-15 MIN - REDOC 182	$81.81	$303.00	$29.62–$254.52	24% above	73%
Therapeutic activities (functional training), 15 minutes CPT 97530 PT Therapeutic Activities Charge	$81.81	$303.00	$29.62–$254.52	24% above	73%
Therapeutic activities (functional training), 15 minutes CPT 97530 PT Therapeutic Activity Units	$81.81	$303.00	$29.62–$254.52	24% above	73%
Therapeutic activities (functional training), 15 minutes CPT 97530 OT Therapeutic Activities Units	$81.81	$303.00	$29.62–$254.52	24% above	73%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAP ACTVTS-15 MIN PT - REDOC 182	$81.81	$303.00	$29.62–$254.52	24% above	73%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT Therapeutic Activities Assist Charges	$109.08	$303.00	$72.72–$254.52	—	64%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAP ACTVTS-15 MIN - REDOC 185	$109.08	$303.00	$72.72–$254.52	—	64%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAP ACTVTS-15 MIN - REDOC 181	$109.08	$303.00	$72.72–$254.52	—	64%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAP ACTVTS-15 MIN - REDOC 186	$109.08	$303.00	$72.72–$254.52	—	64%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAP ACTVTS-15 MIN PT - REDOC 182	$109.08	$303.00	$72.72–$254.52	—	64%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAP ACTVTS-15 MIN - REDOC 182	$109.08	$303.00	$72.72–$254.52	—	64%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT Therapeutic Activity Units	$109.08	$303.00	$72.72–$254.52	—	64%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT Therapeutic Activities Assist Charge	$109.08	$303.00	$72.72–$254.52	—	64%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT Therapeutic Activities Charges	$109.08	$303.00	$72.72–$254.52	—	64%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITIES DIR EA 15MIN COTA - Redoc 1	$109.08	$303.00	$72.72–$254.52	—	64%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITIES DIR EA 15 MIN PTA - Redoc 1	$109.08	$303.00	$72.72–$254.52	—	64%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT Therapeutic Activities Charge	$109.08	$303.00	$72.72–$254.52	—	64%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT Therapeutic Activities Units	$109.08	$303.00	$72.72–$254.52	—	64%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 CHRG- PHLEBOTOMY THERAPEUT	$82.62	$306.00	$73.44–$409.66	61% below	73%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 CHRG- PHLEBOTOMY THERAPEUT	$110.16	$306.00	$73.44–$257.04	—	64%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Indiana	Off list
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 $ED Admin Vaccine	$34.29	$127.00	$18.78–$106.68	47% below	73%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Pt. Location - Vaccine Charge - Offsite ER	$34.29	$127.00	$18.78–$106.68	47% below	73%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMM ADM 1ST VACCINE - BCE 191	$34.29	$127.00	$18.78–$106.68	47% below	73%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Pt. Location - Vaccine Charge - Infusion Center	$34.29	$127.00	$18.78–$106.68	47% below	73%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMM ADM 1ST VACCINE - BCE	$34.29	$127.00	$18.78–$106.68	47% below	73%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Pt. Location - Vaccine Charge - In House/Observati	$34.29	$127.00	$18.78–$106.68	47% below	73%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Pt. Location - Vaccine Charge - Emergency Departme	$34.29	$127.00	$18.78–$106.68	47% below	73%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Pt. Location - Vaccine Charge - OB/Nursery	$34.29	$127.00	$18.78–$106.68	47% below	73%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Pt. Location - Vaccine Charge - Infusion Center	$45.72	$127.00	$30.48–$106.68	—	64%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Pt. Location - Vaccine Charge - OB/Nursery	$45.72	$127.00	$30.48–$106.68	—	64%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Pt. Location - Vaccine Charge - Offsite ER	$45.72	$127.00	$30.48–$106.68	—	64%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 $ED Admin Vaccine	$45.72	$127.00	$30.48–$106.68	—	64%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMM ADM 1ST VACCINE - BCE	$45.72	$127.00	$30.48–$106.68	—	64%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMM ADM 1ST VACCINE - BCE 191	$45.72	$127.00	$30.48–$106.68	—	64%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Pt. Location - Vaccine Charge - Emergency Departme	$45.72	$127.00	$30.48–$106.68	—	64%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Pt. Location - Vaccine Charge - In House/Observati	$45.72	$127.00	$30.48–$106.68	—	64%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Pt. Location - Vaccine Charge - OB Obs/OP Addition	$34.29	$127.00	$13.36–$106.68	14% below	73%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 $ED Admin Vaccine Ea Add'l	$34.29	$127.00	$13.36–$106.68	14% below	73%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 CHRG - VACCINE ADM EA AD	$34.29	$127.00	$13.36–$106.68	14% below	73%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 OB CHRG - VACCINE ADM EA AD	$34.29	$127.00	$13.36–$106.68	14% below	73%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Pt. Location - Vaccine Charge - ED Additional	$34.29	$127.00	$13.36–$106.68	14% below	73%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Pt. Location - Vaccine Charge - OB Obs/OP Addition	$45.72	$127.00	$30.48–$106.68	—	64%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 CHRG - VACCINE ADM EA AD	$45.72	$127.00	$30.48–$106.68	—	64%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 OB CHRG - VACCINE ADM EA AD	$45.72	$127.00	$30.48–$106.68	—	64%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Pt. Location - Vaccine Charge - ED Additional	$45.72	$127.00	$30.48–$106.68	—	64%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 $ED Admin Vaccine Ea Add'l	$45.72	$127.00	$30.48–$106.68	—	64%

Source file: https://www.nwhealthporter.com/Uploads/Public/Documents/charge-masters/charge-masters-2024/208473972_northwest-health-porter_standardcharges.csv