Good Samaritan Hospital
Good Samaritan Hospital in Suffern, NY publishes cash prices for 310 common procedures listed here, from its own machine-readable price file updated Jun 29, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the New York median for 307 of 307 procedures. By typical cash price it ranks #114 of 115 New York hospitals and #71 of 75 hospitals in the New York, NY area, cheapest first. Select a procedure to compare it with other hospitals nearby.
255 Lafayette Ave., Suffern, NY 10901 Collected Sep 27, 2026 Source price file Check a bill from this hospital (914) 368-5000
Acute care hospital Nonprofit hospital Emergency department CMS star rating 3 of 5 CCN 330158 · CMS hospital register NPI 1346213469
The price file shows no self-pay discount
For 898 of the 898 prices listed here, the cash price in Good Samaritan Hospital's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
Good Samaritan Hospital is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.
You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.
Source: IRS, section 501(r) requirements for nonprofit hospitals.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 74170 CT ABDOMEN C+/C- | $3,457.00 | $3,457.00 | $218.95–$14,324.52 | 171% above | — |
| Abdominal CT scan without and with contrast CPT 74170 CT Abdomen w/ + w/o Contrast | $3,457.00 | $3,457.00 | $218.95–$14,324.52 | 171% above | — |
| Abdominal CT scan without and with contrast inpatient CPT 74170 74170 CT ABDOMEN C+/C- | $3,457.00 | $3,457.00 | $1,037.10–$2,419.90 | — | — |
| Abdominal CT scan without and with contrast inpatient CPT 74170 CT Abdomen w/ + w/o Contrast | $3,457.00 | $3,457.00 | $1,037.10–$2,419.90 | — | — |
| Abdominal X-ray, 2 views CPT 74019 74019 ABDOMEN FLAT AND DECUB | $2,089.00 | $2,089.00 | $20.47–$1,880.10 | 753% above | — |
| Abdominal X-ray, 2 views CPT 74019 XR Abdomen Flat and Decubitus | $2,089.00 | $2,089.00 | $20.47–$1,880.10 | 753% above | — |
| Abdominal X-ray, 2 views inpatient CPT 74019 XR Abdomen Flat and Decubitus | $2,089.00 | $2,089.00 | $626.70–$1,462.30 | — | — |
| Abdominal X-ray, 2 views inpatient CPT 74019 74019 ABDOMEN FLAT AND DECUB | $2,089.00 | $2,089.00 | $626.70–$1,462.30 | — | — |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete 3+ Views Right | $1,488.00 | $1,488.00 | $108.63–$1,589.00 | 648% above | — |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete 3+ Views Left | $1,488.00 | $1,488.00 | $108.63–$1,589.00 | 648% above | — |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Complete 3+ Views Right | $1,488.00 | $1,488.00 | $744.00–$1,041.60 | — | — |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Complete 3+ Views Left | $1,488.00 | $1,488.00 | $744.00–$1,041.60 | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 CV ABI PVR Upper Ext Single (Heart and Vascular Imaging) | $2,546.00 | $2,546.00 | $166.08–$2,879.00 | 756% above | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 CV PVR Upper and Lower Single | $2,546.00 | $2,546.00 | $166.08–$2,879.00 | 756% above | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 CV ABI PVR Upper Ext Single (Heart and Vascular Imaging) | $2,546.00 | $2,546.00 | $1,273.00–$1,782.20 | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 CV PVR Upper and Lower Single | $2,546.00 | $2,546.00 | $1,273.00–$1,782.20 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Forearm w/o Contrast Left | $2,089.00 | $2,089.00 | $130.50–$8,312.65 | 184% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Forearm w/o Contrast Right | $2,089.00 | $2,089.00 | $130.50–$8,312.65 | 184% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Forearm w/o Contrast Right | $2,089.00 | $2,089.00 | $626.70–$1,462.30 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Forearm w/o Contrast Left | $2,089.00 | $2,089.00 | $626.70–$1,462.30 | — | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 XR Esophagus Barium Swallow | $3,396.00 | $3,396.00 | $218.95–$3,056.40 | 906% above | — |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR Esophagus Barium Swallow | $3,396.00 | $3,396.00 | $1,698.00–$2,377.20 | — | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM Bone Imaging Whole Body Scan | $6,860.00 | $6,860.00 | $499.03–$9,041.78 | 619% above | — |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM Bone Imaging Whole Body Scan | $6,860.00 | $6,860.00 | $2,058.00–$4,802.00 | — | — |
| Breast ultrasound, complete, one breast one side CPT 76641 US Breast Complete Left | $2,089.00 | $2,089.00 | $74.78–$1,985.00 | 584% above | — |
| Breast ultrasound, complete, one breast one side CPT 76641 US Breast Complete Right | $2,089.00 | $2,089.00 | $74.78–$1,985.00 | 584% above | — |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Breast Complete Left | $2,089.00 | $2,089.00 | $626.70–$1,462.30 | — | — |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Breast Complete Right | $2,089.00 | $2,089.00 | $626.70–$1,462.30 | — | — |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Limited Left | $1,488.00 | $1,488.00 | $57.01–$1,985.00 | 513% above | — |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Limited Right | $1,488.00 | $1,488.00 | $57.01–$1,985.00 | 513% above | — |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Limited Right | $1,488.00 | $1,488.00 | $446.40–$1,041.60 | — | — |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Limited Left | $1,488.00 | $1,488.00 | $446.40–$1,041.60 | — | — |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT Angio Abd and Pel w/ + w/o Contrast | $7,115.00 | $7,115.00 | $246.54–$6,403.50 | 357% above | — |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 74174 CT ANGIO ABDOMEN/PELVIS | $7,115.00 | $7,115.00 | $246.54–$6,403.50 | 357% above | — |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CT Angio Abd and Pel w/ + w/o Contrast | $7,115.00 | $7,115.00 | $2,134.50–$4,980.50 | — | — |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 74174 CT ANGIO ABDOMEN/PELVIS | $7,115.00 | $7,115.00 | $2,134.50–$4,980.50 | — | — |
| CT angiography (CTA) of the head CPT 70496 CT Angio Head | $3,503.00 | $3,503.00 | $218.95–$14,513.91 | 251% above | — |
| CT angiography (CTA) of the head inpatient CPT 70496 CT Angio Head | $3,503.00 | $3,503.00 | $1,050.90–$2,452.10 | — | — |
| CT angiography (CTA) of the neck CPT 70498 CT Angio Neck Chest Abd Pelv w/+w/o Cont | $3,503.00 | $3,503.00 | $218.95–$14,513.91 | 215% above | — |
| CT angiography (CTA) of the neck inpatient CPT 70498 CT Angio Neck Chest Abd Pelv w/+w/o Cont | $3,503.00 | $3,503.00 | $1,050.90–$2,452.10 | — | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Angio Chest Abd Pel w/ + w/o Contrast | $3,500.00 | $3,500.00 | $218.95–$14,499.20 | 176% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT Angio Chest Abd Pel w/ + w/o Contrast | $3,500.00 | $3,500.00 | $1,050.00–$2,450.00 | — | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CARD CT Angio Heart | $3,396.00 | $3,396.00 | $435.49–$11,005.63 | 225% above | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CARD CT Angio Heart | $3,396.00 | $3,396.00 | $1,018.80–$2,377.20 | — | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CTA Cardiac Struct w/ Calcium Scoring | $1,488.00 | $1,488.00 | $108.63–$2,979.00 | 775% above | — |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CTA Cardiac Struct w/ Calcium Scoring | $1,488.00 | $1,488.00 | $446.40–$1,041.60 | — | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abdomen and Pelvis w/o Con w/ Oral | $4,342.00 | $4,342.00 | $297.84–$5,648.84 | 322% above | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN/PELVIS C- | $4,342.00 | $4,342.00 | $297.84–$5,648.84 | 322% above | — |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Abdomen and Pelvis w/o Con w/ Oral | $4,342.00 | $4,342.00 | $1,302.60–$3,039.40 | — | — |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABDOMEN/PELVIS C- | $4,342.00 | $4,342.00 | $1,302.60–$3,039.40 | — | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abdomen and Pelvis w/ Con w/ Oral | $7,115.00 | $7,115.00 | $435.49–$10,772.64 | 357% above | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abdomen and Pelvis w/ Con w/ Oral | $7,115.00 | $7,115.00 | $2,134.50–$4,980.50 | — | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 74178 CT ABDOMEN/PELVIS C+/C- | $7,115.00 | $7,115.00 | $435.49–$14,237.03 | 302% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Urogram w/ + w/o Contrast | $7,115.00 | $7,115.00 | $435.49–$14,237.03 | 302% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 74178 CT ABDOMEN/PELVIS C+/C- | $7,115.00 | $7,115.00 | $2,134.50–$4,980.50 | — | — |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Urogram w/ + w/o Contrast | $7,115.00 | $7,115.00 | $2,134.50–$4,980.50 | — | — |
| CT scan of the abdomen with contrast CPT 74160 CT Abdomen w/ Contrast | $3,396.00 | $3,396.00 | $218.95–$11,645.95 | 209% above | — |
| CT scan of the abdomen with contrast CPT 74160 74160 CT ABDOMEN C+ | $3,396.00 | $3,396.00 | $218.95–$11,645.95 | 209% above | — |
| CT scan of the abdomen with contrast inpatient CPT 74160 74160 CT ABDOMEN C+ | $3,396.00 | $3,396.00 | $1,018.80–$2,377.20 | — | — |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT Abdomen w/ Contrast | $3,396.00 | $3,396.00 | $1,018.80–$2,377.20 | — | — |
| CT scan of the abdomen without contrast CPT 74150 CT Abdomen w/o Contrast w/ Oral | $2,089.00 | $2,089.00 | $130.50–$8,079.66 | 152% above | — |
| CT scan of the abdomen without contrast CPT 74150 74150 CT ABDOMEN C- | $2,089.00 | $2,089.00 | $130.50–$8,079.66 | 152% above | — |
| CT scan of the abdomen without contrast inpatient CPT 74150 74150 CT ABDOMEN C- | $2,089.00 | $2,089.00 | $626.70–$1,462.30 | — | — |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT Abdomen w/o Contrast w/ Oral | $2,089.00 | $2,089.00 | $626.70–$1,462.30 | — | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT Sinus Stereotactic | $2,089.00 | $2,089.00 | $130.50–$8,312.65 | 178% above | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Sinus Stereotactic | $2,089.00 | $2,089.00 | $626.70–$1,462.30 | — | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Brain Stroke/TPA Protocol | $2,089.00 | $2,089.00 | $130.50–$6,653.17 | 163% above | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Brain Stroke/TPA Protocol | $2,089.00 | $2,089.00 | $626.70–$1,462.30 | — | — |
| CT scan of the head with contrast CPT 70460 CT Head and Maxillofacial w/ Contrast | $3,396.00 | $3,396.00 | $218.95–$8,618.36 | 287% above | — |
| CT scan of the head with contrast inpatient CPT 70460 CT Head and Maxillofacial w/ Contrast | $3,396.00 | $3,396.00 | $1,018.80–$2,377.20 | — | — |
| CT scan of the head without and with contrast CPT 70470 CT Brain/Head w/ + w/o Contrast | $3,396.00 | $3,396.00 | $218.95–$10,612.38 | 227% above | — |
| CT scan of the head without and with contrast inpatient CPT 70470 CT Brain/Head w/ + w/o Contrast | $3,396.00 | $3,396.00 | $1,018.80–$2,377.20 | — | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT Spine Stereotactic | $2,089.00 | $2,089.00 | $130.50–$8,312.65 | 150% above | — |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT Spine Stereotactic | $2,089.00 | $2,089.00 | $626.70–$1,462.30 | — | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT Spine Cervical w/o Contrast | $2,089.00 | $2,089.00 | $130.50–$8,312.65 | 140% above | — |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT Spine Cervical w/o Contrast | $2,089.00 | $2,089.00 | $626.70–$1,462.30 | — | — |
| CT scan of the pelvis, with contrast dye CPT 72193 72193 CT PELVIS C+ | $3,396.00 | $3,396.00 | $218.95–$10,175.92 | 261% above | — |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis w/ Contrast | $3,396.00 | $3,396.00 | $218.95–$10,175.92 | 261% above | — |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis w/ Contrast | $3,396.00 | $3,396.00 | $1,018.80–$2,377.20 | — | — |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 72193 CT PELVIS C+ | $3,396.00 | $3,396.00 | $1,018.80–$2,377.20 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US Carotid Duplex Bilateral | $5,303.00 | $5,303.00 | $297.84–$4,772.70 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 CV Carotid Duplex Scan - Bilateral (Heart and Vascular Imaging) | $5,303.00 | $5,303.00 | $297.84–$4,772.70 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US Carotid Duplex Bilateral | $5,303.00 | $5,303.00 | $2,651.50–$3,712.10 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 CV Carotid Duplex Scan - Bilateral (Heart and Vascular Imaging) | $5,303.00 | $5,303.00 | $2,651.50–$3,712.10 | — | — |
| Chest CT scan without and with contrast CPT 71270 CT Thorax w + w/o Pelvis w/ Contrast | $3,396.00 | $3,396.00 | $218.95–$13,480.39 | 183% above | — |
| Chest CT scan without and with contrast inpatient CPT 71270 CT Thorax w + w/o Pelvis w/ Contrast | $3,396.00 | $3,396.00 | $1,018.80–$2,377.20 | — | — |
| Chest X-ray, 2 views CPT 71046 71046 CHEST PA AND LATERAL | $1,488.00 | $1,488.00 | $18.62–$1,589.00 | 638% above | — |
| Chest X-ray, 2 views CPT 71046 XR Chest 2 Views w/ Fluoroscopy | $1,488.00 | $1,488.00 | $18.62–$1,589.00 | 638% above | — |
| Chest X-ray, 2 views inpatient CPT 71046 71046 CHEST PA AND LATERAL | $1,488.00 | $1,488.00 | $744.00–$1,041.60 | — | — |
| Chest X-ray, 2 views inpatient CPT 71046 XR Chest 2 Views w/ Fluoroscopy | $1,488.00 | $1,488.00 | $744.00–$1,041.60 | — | — |
| Chest X-ray, single view CPT 71045 XR Surg Foreign Body Chest 1 View | $1,488.00 | $1,488.00 | $10.16–$1,589.00 | 700% above | — |
| Chest X-ray, single view inpatient CPT 71045 XR Surg Foreign Body Chest 1 View | $1,488.00 | $1,488.00 | $744.00–$1,041.60 | — | — |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XR Clavicle Right | $1,488.00 | $1,488.00 | $103.60–$1,589.00 | 638% above | — |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR Clavicle Right | $1,488.00 | $1,488.00 | $744.00–$1,041.60 | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Retroperitoneal Complete | $2,089.00 | $2,089.00 | $130.50–$4,120.11 | 421% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US Retroperitoneal Complete | $2,089.00 | $2,089.00 | $626.70–$1,462.30 | — | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 BD Bone Density (DXA) | $2,089.00 | $2,089.00 | $99.85–$3,720.48 | 704% above | — |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 BD Bone Density (DXA) | $2,089.00 | $2,089.00 | $1,044.50–$1,462.30 | — | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US OB Level II Additional | $4,342.00 | $4,342.00 | $297.84–$4,294.79 | 666% above | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US OB Level II Additional | $4,342.00 | $4,342.00 | $1,302.60–$3,039.40 | — | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Thorax w/o Abdomen w + w/o Contrast | $2,089.00 | $2,089.00 | $130.50–$8,312.65 | 153% above | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Thorax w/o Abdomen w + w/o Contrast | $2,089.00 | $2,089.00 | $626.70–$1,462.30 | — | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Thorax w/Abd/Pelvis w + w/o Contrast | $3,396.00 | $3,396.00 | $218.95–$10,714.28 | 224% above | — |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Thorax w/Abd/Pelvis w + w/o Contrast | $3,396.00 | $3,396.00 | $1,018.80–$2,377.20 | — | — |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammogram Diagnostic w/ CAD/3D Left | $727.00 | $727.00 | $72.65–$951.00 | 168% above | — |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammogram Diagnostic w/ CAD/3D Right | $727.00 | $727.00 | $72.65–$951.00 | 168% above | — |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammogram Diagnostic w/ CAD/3D Right | $727.00 | $727.00 | $363.50–$508.90 | — | — |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammogram Diagnostic w/ CAD/3D Left | $727.00 | $727.00 | $363.50–$508.90 | — | — |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 CV Lower Ext Arterial Duplex Bilateral (Heart and Vascular Imaging) | $4,110.00 | $4,110.00 | $297.84–$3,699.00 | — | — |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 US Duplex Low Ext Arteries w/ ABI | $4,110.00 | $4,110.00 | $297.84–$3,699.00 | 752% above | — |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 CV Lower Ext Arterial Duplex Bilateral (Heart and Vascular Imaging) | $4,110.00 | $4,110.00 | $2,055.00–$2,877.00 | — | — |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 US Duplex Low Ext Arteries w/ ABI | $4,110.00 | $4,110.00 | $2,055.00–$2,877.00 | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 CARD VL UE Venous Duplex Bilateral | $4,416.00 | $4,416.00 | $297.84–$3,974.40 | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 CARD VL UE Venous Duplex Bilateral | $4,416.00 | $4,416.00 | $2,208.00–$3,091.20 | — | — |
| Elbow X-ray, 2 views one side CPT 73070 XR Elbow 2 Views Left | $1,488.00 | $1,488.00 | $89.60–$1,589.00 | 646% above | — |
| Elbow X-ray, 2 views one side CPT 73070 XR Elbow 2 Views Right | $1,488.00 | $1,488.00 | $89.60–$1,589.00 | 646% above | — |
| Elbow X-ray, 2 views inpatient one side CPT 73070 XR Elbow 2 Views Right | $1,488.00 | $1,488.00 | $744.00–$1,041.60 | — | — |
| Elbow X-ray, 2 views inpatient one side CPT 73070 XR Elbow 2 Views Left | $1,488.00 | $1,488.00 | $744.00–$1,041.60 | — | — |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XR Elbow Complete 3+ Views Left | $1,488.00 | $1,488.00 | $102.20–$1,589.00 | 638% above | — |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR Elbow Complete 3+ Views Left | $1,488.00 | $1,488.00 | $744.00–$1,041.60 | — | — |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT Temporal Bone w/o Contrast | $2,076.00 | $2,076.00 | $130.50–$8,312.65 | 181% above | — |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT Temporal Bone w/o Contrast | $2,076.00 | $2,076.00 | $622.80–$1,453.20 | — | — |
| Facial bones X-ray, complete, 3 or more views CPT 70150 XR Facial Bones 3+ Views | $2,089.00 | $2,089.00 | $114.20–$1,880.10 | 707% above | — |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 XR Facial Bones 3+ Views | $2,089.00 | $2,089.00 | $1,044.50–$1,462.30 | — | — |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR Forearm 2 Views Left | $1,488.00 | $1,488.00 | $91.00–$1,589.00 | 643% above | — |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR Forearm 2 Views Right | $1,488.00 | $1,488.00 | $91.00–$1,589.00 | 643% above | — |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR Forearm 2 Views Left | $1,488.00 | $1,488.00 | $744.00–$1,041.60 | — | — |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR Forearm 2 Views Right | $1,488.00 | $1,488.00 | $744.00–$1,041.60 | — | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM Hepatobiliary Duct Scan Inj & Scan | $6,860.00 | $6,860.00 | $282.47–$6,174.00 | 573% above | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM Hepatobiliary Duct Scan Inj & Scan | $6,860.00 | $6,860.00 | $2,058.00–$4,802.00 | — | — |
| Hand X-ray, 2 views one side CPT 73120 XR Hand 2 Views Left | $2,089.00 | $2,089.00 | $98.00–$1,880.10 | 1016% above | — |
| Hand X-ray, 2 views one side CPT 73120 XR Hand 2 Views Right | $2,089.00 | $2,089.00 | $98.00–$1,880.10 | 1016% above | — |
| Hand X-ray, 2 views one side CPT 73120 XR Hand 1 View Left | $2,089.00 | $2,089.00 | $98.00–$1,880.10 | 1016% above | — |
| Hand X-ray, 2 views one side CPT 73120 XR Hand 1 View Right | $2,089.00 | $2,089.00 | $98.00–$1,880.10 | 1016% above | — |
| Hand X-ray, 2 views inpatient one side CPT 73120 XR Hand 2 Views Right | $2,089.00 | $2,089.00 | $1,044.50–$1,462.30 | — | — |
| Hand X-ray, 2 views inpatient one side CPT 73120 XR Hand 1 View Left | $2,089.00 | $2,089.00 | $1,044.50–$1,462.30 | — | — |
| Hand X-ray, 2 views inpatient one side CPT 73120 XR Hand 2 Views Left | $2,089.00 | $2,089.00 | $1,044.50–$1,462.30 | — | — |
| Hand X-ray, 2 views inpatient one side CPT 73120 XR Hand 1 View Right | $2,089.00 | $2,089.00 | $1,044.50–$1,462.30 | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR Calcaneus Left | $1,488.00 | $1,488.00 | $86.80–$1,589.00 | 716% above | — |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR Calcaneus Right | $1,488.00 | $1,488.00 | $86.80–$1,589.00 | 716% above | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR Calcaneus Right | $1,488.00 | $1,488.00 | $744.00–$1,041.60 | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR Calcaneus Left | $1,488.00 | $1,488.00 | $744.00–$1,041.60 | — | — |
| Knee X-ray, 3 views one side CPT 73562 XR Knee 3 Views Left | $1,488.00 | $1,488.00 | $108.63–$1,589.00 | 672% above | — |
| Knee X-ray, 3 views one side CPT 73562 XR Knee 3 Views Right | $1,488.00 | $1,488.00 | $108.63–$1,589.00 | 672% above | — |
| Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 Views Left | $1,488.00 | $1,488.00 | $744.00–$1,041.60 | — | — |
| Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 Views Right | $1,488.00 | $1,488.00 | $744.00–$1,041.60 | — | — |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee Complete 4+ Views Right | $2,089.00 | $2,089.00 | $130.50–$1,880.10 | 659% above | — |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee Complete 4+ Views Left | $2,089.00 | $2,089.00 | $130.50–$1,880.10 | 659% above | — |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR Knee Complete 4+ Views Left | $2,089.00 | $2,089.00 | $1,044.50–$1,462.30 | — | — |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR Knee Complete 4+ Views Right | $2,089.00 | $2,089.00 | $1,044.50–$1,462.30 | — | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Tib/Fib w/o Contrast Right | $2,089.00 | $2,089.00 | $130.50–$8,312.65 | 207% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Tib/Fib w/o Contrast Left | $2,089.00 | $2,089.00 | $130.50–$8,312.65 | 207% above | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Tib/Fib w/o Contrast Left | $2,089.00 | $2,089.00 | $626.70–$1,462.30 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Tib/Fib w/o Contrast Right | $2,089.00 | $2,089.00 | $626.70–$1,462.30 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Pancreas | $2,089.00 | $2,089.00 | $130.50–$3,348.70 | 537% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Pancreas | $2,089.00 | $2,089.00 | $626.70–$1,462.30 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Upper Ext Nonvascular Right | $2,089.00 | $2,089.00 | $70.86–$1,985.00 | 722% above | — |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Upper Ext Nonvascular Left | $2,089.00 | $2,089.00 | $70.86–$1,985.00 | 722% above | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Upper Ext Nonvascular Left | $2,089.00 | $2,089.00 | $626.70–$1,462.30 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Upper Ext Nonvascular Right | $2,089.00 | $2,089.00 | $626.70–$1,462.30 | — | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT Lung Cancer Screening | $1,488.00 | $1,488.00 | $96.00–$2,979.00 | 255% above | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT Lung Cancer Screening | $1,488.00 | $1,488.00 | $446.40–$1,041.60 | — | — |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tibia/Fibula Infant 2 View Right | $1,488.00 | $1,488.00 | $100.80–$1,589.00 | 638% above | — |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tibia/Fibula Infant 2 View Left | $1,488.00 | $1,488.00 | $100.80–$1,589.00 | 638% above | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR Tibia/Fibula Infant 2 View Left | $1,488.00 | $1,488.00 | $744.00–$1,041.60 | — | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR Tibia/Fibula Infant 2 View Right | $1,488.00 | $1,488.00 | $744.00–$1,041.60 | — | — |
| MR angiography (MRA) of the head without contrast CPT 70544 MRI Head MRV w/o Contrast | $4,342.00 | $4,342.00 | $297.84–$14,703.01 | 256% above | — |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRI Head MRV w/o Contrast | $4,342.00 | $4,342.00 | $1,302.60–$3,039.40 | — | — |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI Breast w/ Contrast Bilateral | $7,306.00 | $7,306.00 | $353.74–$7,442.00 | — | — |
| MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 MRI Breast w/ Contrast Bilateral | $7,306.00 | $7,306.00 | $2,191.80–$5,114.20 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Toe Joint w/o Contrast Right | $4,342.00 | $4,342.00 | $297.84–$14,703.01 | 331% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Toe Joint w/o Contrast Left | $4,342.00 | $4,342.00 | $297.84–$14,703.01 | 331% above | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Toe Joint w/o Contrast Left | $4,342.00 | $4,342.00 | $1,302.60–$3,039.40 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Toe Joint w/o Contrast Right | $4,342.00 | $4,342.00 | $1,302.60–$3,039.40 | — | — |
| MRI of the abdomen without contrast CPT 74181 MRI Abdomen w/ MRCP w/o Contrast | $4,342.00 | $4,342.00 | $297.84–$14,688.59 | 320% above | — |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI Abdomen w/ MRCP w/o Contrast | $4,342.00 | $4,342.00 | $1,302.60–$3,039.40 | — | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Abdomen w/ MRCP w/ + w/o Contrast | $7,115.00 | $7,115.00 | $435.49–$22,869.46 | 331% above | — |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI Abdomen w/ MRCP w/ + w/o Contrast | $7,115.00 | $7,115.00 | $2,134.50–$4,980.50 | — | — |
| MRI of the brain, no contrast dye CPT 70551 MRI IAC w/o Contrast | $4,342.00 | $4,342.00 | $297.84–$14,703.01 | 316% above | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI IAC w/o Contrast | $4,342.00 | $4,342.00 | $1,302.60–$3,039.40 | — | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI IAC w/ & w/o Contrast | $7,115.00 | $7,115.00 | $435.49–$22,869.46 | 331% above | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI IAC w/ & w/o Contrast | $7,115.00 | $7,115.00 | $2,134.50–$4,980.50 | — | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI Spine Lumbar w/o Contrast | $4,342.00 | $4,342.00 | $297.84–$14,688.59 | 285% above | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Spine Lumbar w/o Contrast | $4,342.00 | $4,342.00 | $1,302.60–$3,039.40 | — | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI Spine Lumbar w/ + w/o Contrast | $7,115.00 | $7,115.00 | $435.49–$22,869.46 | 331% above | — |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI Spine Lumbar w/ + w/o Contrast | $7,115.00 | $7,115.00 | $2,134.50–$4,980.50 | — | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI Spine Thoracic w/o Contrast | $4,342.00 | $4,342.00 | $297.84–$14,688.59 | 331% above | — |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI Spine Thoracic w/o Contrast | $4,342.00 | $4,342.00 | $1,302.60–$3,039.40 | — | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI Spine Cervical w/ + w/o Contrast | $7,115.00 | $7,115.00 | $435.49–$22,869.46 | 339% above | — |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI Spine Cervical w/ + w/o Contrast | $7,115.00 | $7,115.00 | $2,134.50–$4,980.50 | — | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Spine Cervical w/o Contrast | $4,342.00 | $4,342.00 | $297.84–$14,688.59 | 331% above | — |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI Spine Cervical w/o Contrast | $4,342.00 | $4,342.00 | $1,302.60–$3,039.40 | — | — |
| MRI of the pelvis without and with contrast CPT 72197 72197 MRI PELVIS C+/C- | $7,115.00 | $7,115.00 | $435.49–$22,869.46 | 362% above | — |
| MRI of the pelvis without and with contrast CPT 72197 MRI Prostate w/ + w/o Contrast | $7,115.00 | $7,115.00 | $435.49–$22,869.46 | 362% above | — |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI Prostate w/ + w/o Contrast | $7,115.00 | $7,115.00 | $2,134.50–$4,980.50 | — | — |
| MRI of the pelvis without and with contrast inpatient CPT 72197 72197 MRI PELVIS C+/C- | $7,115.00 | $7,115.00 | $2,134.50–$4,980.50 | — | — |
| MRI of the pelvis, no contrast dye CPT 72195 MRI Prostate w/o Contrast | $4,342.00 | $4,342.00 | $297.84–$14,703.01 | 331% above | — |
| MRI of the pelvis, no contrast dye CPT 72195 72195 MRI Pelvis C- | $4,342.00 | $4,342.00 | $297.84–$14,703.01 | 331% above | — |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI Prostate w/o Contrast | $4,342.00 | $4,342.00 | $1,302.60–$3,039.40 | — | — |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 72195 MRI Pelvis C- | $4,342.00 | $4,342.00 | $1,302.60–$3,039.40 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Brachial Plexus w/o Contrast Right | $4,342.00 | $4,342.00 | $297.84–$14,703.01 | 261% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Brachial Plexus w/o Contrast Left | $4,342.00 | $4,342.00 | $297.84–$14,703.01 | 261% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Brachial Plexus w/o Contrast Left | $4,342.00 | $4,342.00 | $1,302.60–$3,039.40 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Brachial Plexus w/o Contrast Right | $4,342.00 | $4,342.00 | $1,302.60–$3,039.40 | — | — |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR Spine Cervical 4 or 5 Views | $2,089.00 | $2,089.00 | $130.50–$1,880.10 | 659% above | — |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 XR Spine Cervical 4 or 5 Views | $2,089.00 | $2,089.00 | $1,044.50–$1,462.30 | — | — |
| Neck soft tissue CT scan with contrast CPT 70491 CT Neck Chest Abd Pelv w/ Contrast | $3,396.00 | $3,396.00 | $218.95–$10,379.73 | 244% above | — |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 CT Neck Chest Abd Pelv w/ Contrast | $3,396.00 | $3,396.00 | $1,018.80–$2,377.20 | — | — |
| Neck soft tissue CT scan without contrast CPT 70490 CT Neck Chest Abd Pelv w/o Contrast | $2,089.00 | $2,089.00 | $130.50–$8,312.65 | 166% above | — |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 CT Neck Chest Abd Pelv w/o Contrast | $2,089.00 | $2,089.00 | $626.70–$1,462.30 | — | — |
| Neck soft tissue X-ray CPT 70360 XR Neck Soft Tissue | $1,488.00 | $1,488.00 | $75.60–$1,589.00 | 678% above | — |
| Neck soft tissue X-ray CPT 70360 70360 XR Neck Soft Tissue | $1,488.00 | $1,488.00 | $75.60–$1,589.00 | 678% above | — |
| Neck soft tissue X-ray inpatient CPT 70360 XR Neck Soft Tissue | $1,488.00 | $1,488.00 | $744.00–$1,041.60 | — | — |
| Neck soft tissue X-ray inpatient CPT 70360 70360 XR Neck Soft Tissue | $1,488.00 | $1,488.00 | $744.00–$1,041.60 | — | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Thallium Viablilty Study | $24,380.00 | $24,380.00 | $1,403.03–$21,942.00 | 932% above | — |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Thallium Viablilty Study | $24,380.00 | $24,380.00 | $12,190.00–$17,066.00 | — | — |
| Pelvic CT scan without contrast CPT 72192 CT Cystogram | $2,089.00 | $2,089.00 | $130.50–$8,137.96 | 155% above | — |
| Pelvic CT scan without contrast inpatient CPT 72192 CT Cystogram | $2,089.00 | $2,089.00 | $626.70–$1,462.30 | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 76857 US BLADDER | $2,089.00 | $2,089.00 | $92.47–$2,664.50 | 645% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Pelvis Limited (Non OB) | $2,089.00 | $2,089.00 | $92.47–$2,664.50 | 645% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 76857 US BLADDER | $2,089.00 | $2,089.00 | $626.70–$1,462.30 | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Pelvis Limited (Non OB) | $2,089.00 | $2,089.00 | $626.70–$1,462.30 | — | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvis Complete | $2,089.00 | $2,089.00 | $130.50–$3,901.88 | 423% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 76856 US PELVIS NON OBSTETRIC | $2,089.00 | $2,089.00 | $130.50–$3,901.88 | 423% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 76856 US PELVIS NON OBSTETRIC | $2,089.00 | $2,089.00 | $626.70–$1,462.30 | — | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US Pelvis Complete | $2,089.00 | $2,089.00 | $626.70–$1,462.30 | — | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB Greater Than 14 Weeks | $2,089.00 | $2,089.00 | $130.50–$4,120.11 | 513% above | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB Greater Than 14 Weeks | $2,089.00 | $2,089.00 | $626.70–$1,462.30 | — | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB Less Thn 14 wks w/TVS if indicated | $2,089.00 | $2,089.00 | $130.50–$3,508.97 | 570% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB Less Thn 14 wks w/TVS if indicated | $2,089.00 | $2,089.00 | $626.70–$1,462.30 | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB Limited | $2,089.00 | $2,089.00 | $130.50–$2,577.36 | 631% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB Limited | $2,089.00 | $2,089.00 | $626.70–$1,462.30 | — | — |
| Rib X-ray, one side, 2 views one side CPT 71100 XR Ribs 2 Views Left | $1,488.00 | $1,488.00 | $108.63–$1,589.00 | 638% above | — |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR Ribs 2 Views Left | $1,488.00 | $1,488.00 | $744.00–$1,041.60 | — | — |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR Ribs w/ PA Chest Left | $2,089.00 | $2,089.00 | $123.20–$1,880.10 | 868% above | — |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR Ribs w/ PA Chest Left | $2,089.00 | $2,089.00 | $1,044.50–$1,462.30 | — | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete 2+ Views Left | $1,488.00 | $1,488.00 | $107.80–$1,589.00 | 629% above | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete 2+ Views Right | $1,488.00 | $1,488.00 | $107.80–$1,589.00 | 629% above | — |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Complete 2+ Views Right | $1,488.00 | $1,488.00 | $744.00–$1,041.60 | — | — |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Complete 2+ Views Left | $1,488.00 | $1,488.00 | $744.00–$1,041.60 | — | — |
| Sinus X-ray, complete, 3 or more views CPT 70220 XR Sinuses Paranasal Complete | $1,488.00 | $1,488.00 | $91.05–$1,589.00 | 638% above | — |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 XR Sinuses Paranasal Complete | $1,488.00 | $1,488.00 | $744.00–$1,041.60 | — | — |
| Skull X-ray, fewer than 4 views CPT 70250 XR Shuntogram | $2,089.00 | $2,089.00 | $91.05–$2,979.00 | 934% above | — |
| Skull X-ray, fewer than 4 views CPT 70250 XR Skull < 4 Views | $2,089.00 | $2,089.00 | $91.05–$1,880.10 | 934% above | — |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 XR Shuntogram | $2,089.00 | $2,089.00 | $1,044.50–$1,462.30 | — | — |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 XR Skull < 4 Views | $2,089.00 | $2,089.00 | $1,044.50–$1,462.30 | — | — |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Echocardiogram Stress | $7,553.00 | $7,553.00 | $624.40–$6,797.70 | 578% above | — |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Echocardiogram Dobutamine Stress | $7,553.00 | $7,553.00 | $624.40–$6,797.70 | 578% above | — |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 Echocardiogram Stress | $7,553.00 | $7,553.00 | $3,776.50–$5,287.10 | — | — |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 Echocardiogram Dobutamine Stress | $7,553.00 | $7,553.00 | $3,776.50–$5,287.10 | — | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 XR Swallowing Function w/ Speech | $3,203.00 | $3,203.00 | $218.95–$2,882.70 | 810% above | — |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 XR Swallowing Function w/ Speech | $3,203.00 | $3,203.00 | $960.90–$2,242.10 | — | — |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR Femur 2 Views Left | $1,488.00 | $1,488.00 | $22.84–$1,589.00 | 711% above | — |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR Femur 2 Views Right | $1,488.00 | $1,488.00 | $22.84–$1,589.00 | 711% above | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR Femur 2 Views Right | $1,488.00 | $1,488.00 | $744.00–$1,041.60 | — | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR Femur 2 Views Left | $1,488.00 | $1,488.00 | $744.00–$1,041.60 | — | — |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT Spine Thorac Lumb w/o Contrast | $2,089.00 | $2,089.00 | $130.50–$8,312.65 | 142% above | — |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT Spine Thorac Lumb w/o Contrast | $2,089.00 | $2,089.00 | $626.70–$1,462.30 | — | — |
| Transvaginal pelvic ultrasound CPT 76830 US Transvaginal w/ Duplex | $2,089.00 | $2,089.00 | $130.50–$3,916.30 | 474% above | — |
| Transvaginal pelvic ultrasound CPT 76830 76830 US INTRALUMINAL-TRANSVAG | $2,089.00 | $2,089.00 | $130.50–$3,916.30 | 474% above | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 76830 US INTRALUMINAL-TRANSVAG | $2,089.00 | $2,089.00 | $626.70–$1,462.30 | — | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US Transvaginal w/ Duplex | $2,089.00 | $2,089.00 | $626.70–$1,462.30 | — | — |
| Transvaginal ultrasound during pregnancy CPT 76817 US OB Transvaginal | $2,089.00 | $2,089.00 | $130.50–$2,664.50 | 631% above | — |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB Transvaginal | $2,089.00 | $2,089.00 | $626.70–$1,462.30 | — | — |
| Ultrasound of the abdomen, complete CPT 76700 US Abdomen Doppler Complete | $2,089.00 | $2,089.00 | $130.50–$4,120.11 | 375% above | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdomen Doppler Complete | $2,089.00 | $2,089.00 | $626.70–$1,462.30 | — | — |
| Ultrasound of the scrotum and testicles CPT 76870 US Scrotum (Contents) w/ Doppler | $2,089.00 | $2,089.00 | $130.50–$3,960.19 | 493% above | — |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US Scrotum (Contents) w/ Doppler | $2,089.00 | $2,089.00 | $626.70–$1,462.30 | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Soft Tissue | $2,089.00 | $2,089.00 | $130.50–$3,901.88 | 537% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Soft Tissue | $2,089.00 | $2,089.00 | $626.70–$1,462.30 | — | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR Upper GI + KUB | $3,396.00 | $3,396.00 | $218.95–$3,334.29 | 709% above | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR Upper GI + KUB | $3,396.00 | $3,396.00 | $1,698.00–$2,377.20 | — | — |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XR Humerus Right | $1,488.00 | $1,488.00 | $102.20–$1,589.00 | 711% above | — |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XR Humerus Left | $1,488.00 | $1,488.00 | $102.20–$1,589.00 | 711% above | — |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR Humerus Right | $1,488.00 | $1,488.00 | $744.00–$1,041.60 | — | — |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR Humerus Left | $1,488.00 | $1,488.00 | $744.00–$1,041.60 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study both sides CPT 93971 CV Upper Ext Venous Duplex Bilateral (Heart and Vascular Imaging) | $3,856.00 | $3,856.00 | $130.50–$3,470.40 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Duplex Lower Ext Vein Left | $3,856.00 | $3,856.00 | $130.50–$3,470.40 | 959% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient both sides CPT 93971 CV Upper Ext Venous Duplex Bilateral (Heart and Vascular Imaging) | $3,856.00 | $3,856.00 | $1,928.00–$2,699.20 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Duplex Lower Ext Vein Left | $3,856.00 | $3,856.00 | $1,156.80–$2,699.20 | — | — |
| Wrist X-ray, 2 views one side CPT 73100 XR Wrist 2 Views Right | $1,488.00 | $1,488.00 | $107.80–$1,589.00 | 728% above | — |
| Wrist X-ray, 2 views inpatient one side CPT 73100 XR Wrist 2 Views Right | $1,488.00 | $1,488.00 | $744.00–$1,041.60 | — | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete 3+ Views Left | $1,488.00 | $1,488.00 | $108.63–$1,589.00 | 638% above | — |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete 3+ Views Left | $1,488.00 | $1,488.00 | $744.00–$1,041.60 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip and Pelvis 2-3 Views Child Right | $1,488.00 | $1,488.00 | $29.42–$1,589.00 | 638% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip and Pelvis 2-3 Views Child Left | $1,488.00 | $1,488.00 | $29.42–$1,589.00 | 638% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip and Pelvis 2-3 Views Child Right | $1,488.00 | $1,488.00 | $744.00–$1,041.60 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip and Pelvis 2-3 Views Child Left | $1,488.00 | $1,488.00 | $744.00–$1,041.60 | — | — |
| X-ray of the abdomen, 1 view CPT 74018 XR Surg Foreign Body Abdomen 1View | $1,488.00 | $1,488.00 | $17.12–$1,589.00 | 638% above | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR Surg Foreign Body Abdomen 1View | $1,488.00 | $1,488.00 | $744.00–$1,041.60 | — | — |
| X-ray of the ankle, 2 views one side CPT 73600 XR Ankle Weight Bearing 2 Views Left | $1,488.00 | $1,488.00 | $102.20–$1,589.00 | 673% above | — |
| X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 1 View Right | $1,488.00 | $1,488.00 | $102.20–$1,589.00 | 673% above | — |
| X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 1 View Left | $1,488.00 | $1,488.00 | $102.20–$1,589.00 | 673% above | — |
| X-ray of the ankle, 2 views one side CPT 73600 XR Ankle Weight Bearing 2 Views Right | $1,488.00 | $1,488.00 | $102.20–$1,589.00 | 673% above | — |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle Weight Bearing 2 Views Right | $1,488.00 | $1,488.00 | $744.00–$1,041.60 | — | — |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle Weight Bearing 2 Views Left | $1,488.00 | $1,488.00 | $744.00–$1,041.60 | — | — |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 1 View Right | $1,488.00 | $1,488.00 | $744.00–$1,041.60 | — | — |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 1 View Left | $1,488.00 | $1,488.00 | $744.00–$1,041.60 | — | — |
| X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 Views Left | $1,488.00 | $1,488.00 | $88.20–$1,589.00 | 711% above | — |
| X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 Views Right | $1,488.00 | $1,488.00 | $88.20–$1,589.00 | 711% above | — |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 Views Right | $1,488.00 | $1,488.00 | $744.00–$1,041.60 | — | — |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 Views Left | $1,488.00 | $1,488.00 | $744.00–$1,041.60 | — | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete 3+ Views Left | $1,488.00 | $1,488.00 | $108.63–$1,589.00 | 706% above | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete 3+ Views Right | $1,488.00 | $1,488.00 | $108.63–$1,589.00 | 706% above | — |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Complete 3+ Views Right | $1,488.00 | $1,488.00 | $744.00–$1,041.60 | — | — |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Complete 3+ Views Left | $1,488.00 | $1,488.00 | $744.00–$1,041.60 | — | — |
| X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete 3+ Views Left | $1,488.00 | $1,488.00 | $108.63–$1,589.00 | 638% above | — |
| X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete 3+ Views Right | $1,488.00 | $1,488.00 | $108.63–$1,589.00 | 638% above | — |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Complete 3+ Views Right | $1,488.00 | $1,488.00 | $744.00–$1,041.60 | — | — |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Complete 3+ Views Left | $1,488.00 | $1,488.00 | $744.00–$1,041.60 | — | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 Views Right | $1,488.00 | $1,488.00 | $86.65–$1,589.00 | 638% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 Views Left | $1,488.00 | $1,488.00 | $86.65–$1,589.00 | 638% above | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 Views Right | $1,488.00 | $1,488.00 | $744.00–$1,041.60 | — | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 Views Left | $1,488.00 | $1,488.00 | $744.00–$1,041.60 | — | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 72100 LS SPINE 2 OR 3 VIEWS | $2,089.00 | $2,089.00 | $96.56–$1,880.10 | 659% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR Spine Lumbosacral 2 or 3 Views | $2,089.00 | $2,089.00 | $96.56–$1,880.10 | 659% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 72100 LS SPINE 2 OR 3 VIEWS | $2,089.00 | $2,089.00 | $1,044.50–$1,462.30 | — | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR Spine Lumbosacral 2 or 3 Views | $2,089.00 | $2,089.00 | $1,044.50–$1,462.30 | — | — |
| X-ray of the lower back, 4 or more views CPT 72110 XR Spine Lumbosacral 4+ Views | $2,089.00 | $2,089.00 | $130.50–$1,880.10 | 607% above | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR Spine Lumbosacral 4+ Views | $2,089.00 | $2,089.00 | $1,044.50–$1,462.30 | — | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR Spine Thoracic 2 Views | $2,089.00 | $2,089.00 | $77.82–$1,880.10 | 841% above | — |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR Spine Thoracic 2 Views | $2,089.00 | $2,089.00 | $1,044.50–$1,462.30 | — | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR Nasal Bones 3+ Views | $1,488.00 | $1,488.00 | $108.63–$1,589.00 | 733% above | — |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR Nasal Bones 3+ Views | $1,488.00 | $1,488.00 | $744.00–$1,041.60 | — | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR Spine Cervical 2 or 3 Views | $1,488.00 | $1,488.00 | $96.56–$1,589.00 | 638% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR Spine Cervical 2 or 3 Views | $1,488.00 | $1,488.00 | $744.00–$1,041.60 | — | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 72170 Pelvis AP | $2,089.00 | $2,089.00 | $65.69–$1,880.10 | 841% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR Pelvis 1 or 2 Views | $2,089.00 | $2,089.00 | $65.69–$1,880.10 | 841% above | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR Pelvis 1 or 2 Views | $2,089.00 | $2,089.00 | $1,044.50–$1,462.30 | — | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 72170 Pelvis AP | $2,089.00 | $2,089.00 | $1,044.50–$1,462.30 | — | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR Sacrum/Coccyx 2+ Views | $1,488.00 | $1,488.00 | $80.14–$1,589.00 | 719% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR Sacrum/Coccyx 2+ Views | $1,488.00 | $1,488.00 | $744.00–$1,041.60 | — | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 ACTH, Plasma LC | $614.00 | $614.00 | $38.62–$1,822.06 | 336% above | — |
| ACTH blood test inpatient CPT 82024 ACTH, Plasma LC | $614.00 | $614.00 | $184.20–$429.80 | — | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 84460 - Alanine amino (alt) (SGPT) LC | $85.00 | $85.00 | $5.30–$249.43 | 278% above | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alanine aminotransferase | $85.00 | $85.00 | $5.30–$249.43 | 278% above | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 84460 - Alanine amino (alt) (SGPT) LC | $85.00 | $85.00 | $25.50–$59.50 | — | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alanine aminotransferase | $85.00 | $85.00 | $25.50–$59.50 | — | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 FIB-4 w/Reflex to ELF LC | $83.00 | $83.00 | $5.18–$244.05 | 280% above | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 84450 - Transferase (ast) (SGOT) LC | $83.00 | $83.00 | $5.18–$244.05 | 280% above | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 FIB-4 w/Reflex to ELF LC | $83.00 | $83.00 | $24.90–$58.10 | — | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 84450 - Transferase (ast) (SGOT) LC | $83.00 | $83.00 | $24.90–$58.10 | — | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute Hepatitis Panel | $757.00 | $757.00 | $47.63–$2,246.46 | 339% above | — |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Acute Hepatitis Panel | $757.00 | $757.00 | $227.10–$529.90 | — | — |
| Albumin blood test CPT 82040 Albumin Level | $79.00 | $79.00 | $4.95–$233.34 | 332% above | — |
| Albumin blood test CPT 82040 82040- Alb Lvl | $79.00 | $79.00 | $4.95–$233.34 | 332% above | — |
| Albumin blood test inpatient CPT 82040 Albumin Level | $79.00 | $79.00 | $23.70–$55.30 | — | — |
| Albumin blood test inpatient CPT 82040 82040- Alb Lvl | $79.00 | $79.00 | $23.70–$55.30 | — | — |
| Aldosterone blood test CPT 82088 Aldosterone/Renin Ratio LC | $648.00 | $648.00 | $40.75–$1,922.63 | 362% above | — |
| Aldosterone blood test inpatient CPT 82088 Aldosterone/Renin Ratio LC | $648.00 | $648.00 | $194.40–$453.60 | — | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 Alkaline Phosphatase | $83.00 | $83.00 | $5.18–$244.05 | 330% above | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 84075 - Phosphate, Alkaline | $83.00 | $83.00 | $5.18–$244.05 | 330% above | — |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 84075 - Phosphate, Alkaline | $83.00 | $83.00 | $24.90–$58.10 | — | — |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Alkaline Phosphatase | $83.00 | $83.00 | $24.90–$58.10 | — | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Tea IgE LC | $83.00 | $83.00 | $5.22–$235.36 | 474% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 86003 -Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each | $83.00 | $83.00 | $5.22–$235.36 | 474% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Profile Nut, IgE wRflx LC | $83.00 | $83.00 | $5.22–$235.36 | 474% above | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Tea IgE LC | $83.00 | $83.00 | $24.90–$58.10 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Profile Nut, IgE wRflx LC | $83.00 | $83.00 | $24.90–$58.10 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 -Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each | $83.00 | $83.00 | $24.90–$58.10 | — | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Testicular Cancer Monitor Prof LC | $268.00 | $268.00 | $16.77–$791.49 | 333% above | — |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Testicular Cancer Monitor Prof LC | $268.00 | $268.00 | $80.40–$187.60 | — | — |
| Ammonia blood test CPT 82140 Ammonia Level | $233.00 | $233.00 | $14.57–$687.56 | 342% above | — |
| Ammonia blood test inpatient CPT 82140 Ammonia Level | $233.00 | $233.00 | $69.90–$163.10 | — | — |
| Amylase blood test CPT 82150 Amylase, Body Fluid LC | $103.00 | $103.00 | $6.48–$305.71 | 241% above | — |
| Amylase blood test inpatient CPT 82150 Amylase, Body Fluid LC | $103.00 | $103.00 | $30.90–$72.10 | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 86200 -Cyclic citrullinated peptide (CCP), antibody | $206.00 | $206.00 | $12.95–$610.79 | 340% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic Citrullinated Peptide, IgG/IgA (Ref Lab Only) | $206.00 | $206.00 | $12.95–$610.79 | 340% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Cyclic Citrullinated Peptide, IgG/IgA (Ref Lab Only) | $206.00 | $206.00 | $61.80–$144.20 | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 86200 -Cyclic citrullinated peptide (CCP), antibody | $206.00 | $206.00 | $61.80–$144.20 | — | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA (Ref Lab Only) | $192.00 | $192.00 | $12.09–$570.26 | 330% above | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA (Ref Lab Only) | $192.00 | $192.00 | $57.60–$134.40 | — | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NT-proBNP LC | $625.00 | $625.00 | $39.26–$1,601.46 | 409% above | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NT-proBNP LC | $625.00 | $625.00 | $187.50–$437.50 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 87070 -Culture, bacterial; any other source except urine, blood or | $137.00 | $137.00 | $8.62–$406.28 | 257% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Total Joint Culture w/Ana 14 Day Hold | $137.00 | $137.00 | $8.62–$406.28 | 257% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 87070 -Culture, bacterial; any other source except urine, blood or | $137.00 | $137.00 | $41.10–$95.90 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Total Joint Culture w/Ana 14 Day Hold | $137.00 | $137.00 | $41.10–$95.90 | — | — |
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel | $135.00 | $135.00 | $8.46–$301.37 | 128% above | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel | $135.00 | $135.00 | $40.50–$94.50 | — | — |
| Bilirubin blood test, total CPT 82247 Bilirubin Body Fluid | $80.00 | $80.00 | $5.02–$236.70 | 301% above | — |
| Bilirubin blood test, total CPT 82247 82247- Bilirubin total | $80.00 | $80.00 | $5.02–$236.70 | 301% above | — |
| Bilirubin blood test, total inpatient CPT 82247 82247- Bilirubin total | $80.00 | $80.00 | $24.00–$56.00 | — | — |
| Bilirubin blood test, total inpatient CPT 82247 Bilirubin Body Fluid | $80.00 | $80.00 | $24.00–$56.00 | — | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 88305 -Level IV - Surgical pathology, gross and microscopic exam | $923.00 | $923.00 | $65.05–$784.55 | 541% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 88305 AP Bill Level IV Complexity SOFT | $923.00 | $923.00 | $65.05–$784.55 | 541% above | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 88305 AP Bill Level IV Complexity SOFT | $923.00 | $923.00 | $276.90–$646.10 | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 88305 -Level IV - Surgical pathology, gross and microscopic exam | $923.00 | $923.00 | $276.90–$646.10 | — | — |
| Blood culture for bacteria CPT 87040 Blood Culture | $165.00 | $165.00 | $10.32–$412.65 | 202% above | — |
| Blood culture for bacteria CPT 87040 Blood culture, LC | $165.00 | $165.00 | $10.32–$412.65 | 202% above | — |
| Blood culture for bacteria inpatient CPT 87040 Blood culture, LC | $165.00 | $165.00 | $49.50–$115.50 | — | — |
| Blood culture for bacteria inpatient CPT 87040 Blood Culture | $165.00 | $165.00 | $49.50–$115.50 | — | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 RI INF Bld Coll Only, Line Draw | $45.00 | $45.00 | $9.34–$76.51 | 231% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 RI HEMA Venipuncture | $45.00 | $45.00 | $9.34–$76.51 | 231% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Hidden Order - Venous Draw | $45.00 | $45.00 | $9.34–$76.51 | 231% above | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Hidden Order - Venous Draw | $45.00 | $45.00 | $13.50–$31.50 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 RI HEMA Venipuncture | $45.00 | $45.00 | $13.50–$31.50 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 RI INF Bld Coll Only, Line Draw | $45.00 | $45.00 | $13.50–$31.50 | — | — |
| Blood glucose (sugar) test CPT 82947 Glucose Tolerance Fasting | $63.00 | $63.00 | $3.93–$185.05 | 250% above | — |
| Blood glucose (sugar) test CPT 82947 82947 - Assay glucose blood quant LC | $63.00 | $63.00 | $3.93–$185.05 | 250% above | — |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose Tolerance Fasting | $63.00 | $63.00 | $18.90–$44.10 | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 82947 - Assay glucose blood quant LC | $63.00 | $63.00 | $18.90–$44.10 | — | — |
| Blood lead test CPT 83655 83655 -Lead Blood, Pediatric | $193.00 | $193.00 | $12.11–$570.89 | 341% above | — |
| Blood lead test CPT 83655 Lead Blood, Pediatric (Ref Lab Only) | $193.00 | $193.00 | $12.11–$570.89 | 341% above | — |
| Blood lead test inpatient CPT 83655 83655 -Lead Blood, Pediatric | $193.00 | $193.00 | $57.90–$135.10 | — | — |
| Blood lead test inpatient CPT 83655 Lead Blood, Pediatric (Ref Lab Only) | $193.00 | $193.00 | $57.90–$135.10 | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG, Serum Qualitative | $120.00 | $120.00 | $7.52–$354.35 | 275% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG, Serum Qualitative | $120.00 | $120.00 | $36.00–$84.00 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Ref Lab ABO/RH | $2,033.00 | $2,033.00 | $5.20–$1,728.05 | 1233% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Ref Lab ABO/RH | $2,033.00 | $2,033.00 | $609.90–$1,423.10 | — | — |
| Blood urea nitrogen (BUN) test CPT 84520 BUNCRCON | $63.00 | $63.00 | $3.95–$186.38 | 195% above | — |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 BUNCRCON | $63.00 | $63.00 | $18.90–$44.10 | — | — |
| C-peptide blood test CPT 84681 C-Peptide, Serum LC | $331.00 | $331.00 | $20.81–$981.58 | 331% above | — |
| C-peptide blood test inpatient CPT 84681 C-Peptide, Serum LC | $331.00 | $331.00 | $99.30–$231.70 | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-Reactive Protein | $83.00 | $83.00 | $5.18–$244.05 | 214% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-Reactive Protein | $83.00 | $83.00 | $24.90–$58.10 | — | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 C. Difficile DNA PCR w/ reflex to Toxin Panel | $593.00 | $593.00 | $37.27–$1,655.77 | 380% above | — |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C. Difficile DNA PCR w/ reflex to Toxin Panel | $593.00 | $593.00 | $177.90–$415.10 | — | — |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 | $331.00 | $331.00 | $20.81–$981.93 | 339% above | — |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 | $331.00 | $331.00 | $99.30–$231.70 | — | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Ovarian Cancer Monitor LC | $331.00 | $331.00 | $20.81–$981.93 | 331% above | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Cancer Antigen 125 | $331.00 | $331.00 | $20.81–$981.93 | 331% above | — |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Cancer Antigen 125 | $331.00 | $331.00 | $99.30–$231.70 | — | — |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Ovarian Cancer Monitor LC | $331.00 | $331.00 | $99.30–$231.70 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Sars Novel Coronavirus NAA LC | $159.00 | $159.00 | $47.70–$431.85 | 77% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Cov2 NP | $159.00 | $159.00 | $47.70–$431.85 | 77% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Sars Novel Coronavirus NAA LC | $159.00 | $159.00 | $47.70–$111.30 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Cov2 NP | $159.00 | $159.00 | $47.70–$111.30 | — | — |
| Calcium blood test, total CPT 82310 Calcium Level Total | $82.00 | $82.00 | $5.16–$243.41 | 330% above | — |
| Calcium blood test, total CPT 82310 82310 -Ca | $82.00 | $82.00 | $5.16–$243.41 | 330% above | — |
| Calcium blood test, total inpatient CPT 82310 82310 -Ca | $82.00 | $82.00 | $24.60–$57.40 | — | — |
| Calcium blood test, total inpatient CPT 82310 Calcium Level Total | $82.00 | $82.00 | $24.60–$57.40 | — | — |
| Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic Antigen (CEA) | $302.00 | $302.00 | $18.96–$895.08 | 331% above | — |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Carcinoembryonic Antigen (CEA) | $302.00 | $302.00 | $90.60–$211.40 | — | — |
| Chickenpox (varicella) immunity blood test CPT 86787 Varicella-Zoster V Ab, IgG (Ref Lab Only) | $205.00 | $205.00 | $12.88–$274.21 | 390% above | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella-Zoster V Ab, IgG (Ref Lab Only) | $205.00 | $205.00 | $61.50–$143.50 | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 87491 -Chlamydia Trachomatis RNA, TMA, Urogenit | $558.00 | $558.00 | $35.09–$1,655.77 | 550% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Ct, Ng, Trich vag by NAA LC | $558.00 | $558.00 | $35.09–$1,655.77 | 550% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 87491 -Chlamydia Trachomatis RNA, TMA, Urogenit | $558.00 | $558.00 | $167.40–$390.60 | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Ct, Ng, Trich vag by NAA LC | $558.00 | $558.00 | $167.40–$390.60 | — | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 80061 - Lipid panel, Cholesterol serum total, Lipoprotein direct measurement | $214.00 | $214.00 | $13.39–$631.92 | 229% above | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel SACH/BSCH | $214.00 | $214.00 | $13.39–$631.92 | 229% above | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel SACH/BSCH | $214.00 | $214.00 | $64.20–$149.80 | — | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 80061 - Lipid panel, Cholesterol serum total, Lipoprotein direct measurement | $214.00 | $214.00 | $64.20–$149.80 | — | — |
| Complete blood count (CBC) with differential CPT 85025 Complete Blood Count w/ Automated Differential | $125.00 | $125.00 | $7.77–$366.74 | 228% above | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 Complete Blood Count w/ Automated Differential | $125.00 | $125.00 | $37.50–$87.50 | — | — |
| Complete blood count (CBC), no differential CPT 85027 CBCMD | $103.00 | $103.00 | $6.47–$274.21 | 263% above | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBCMD | $103.00 | $103.00 | $30.90–$72.10 | — | — |
| Comprehensive metabolic panel (blood test) CPT 80053 DIALP | $168.00 | $168.00 | $10.56–$450.93 | 114% above | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 DIALP | $168.00 | $168.00 | $50.40–$117.60 | — | — |
| Cortisol blood test, total CPT 82533 Cortisol, BASELINE | $260.00 | $260.00 | $16.30–$769.38 | 412% above | — |
| Cortisol blood test, total inpatient CPT 82533 Cortisol, BASELINE | $260.00 | $260.00 | $78.00–$182.00 | — | — |
| Creatine kinase (CK) blood test, total CPT 82550 82550 | $104.00 | $104.00 | $6.51–$307.39 | 317% above | — |
| Creatine kinase (CK) blood test, total CPT 82550 Cardiac Profile | $104.00 | $104.00 | $6.51–$307.39 | 317% above | — |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 Cardiac Profile | $104.00 | $104.00 | $31.20–$72.80 | — | — |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 82550 | $104.00 | $104.00 | $31.20–$72.80 | — | — |
| Creatinine blood test CPT 82565 82565 -Creat | $82.00 | $82.00 | $5.12–$242.02 | 251% above | — |
| Creatinine blood test CPT 82565 Creatinine | $82.00 | $82.00 | $5.12–$242.02 | 251% above | — |
| Creatinine blood test inpatient CPT 82565 Creatinine | $82.00 | $82.00 | $24.60–$57.40 | — | — |
| Creatinine blood test inpatient CPT 82565 82565 -Creat | $82.00 | $82.00 | $24.60–$57.40 | — | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 Cytomegalovirus (CMV) Ab, IgG LC | $229.00 | $229.00 | $14.39–$678.88 | 349% above | — |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Cytomegalovirus (CMV) Ab, IgG LC | $229.00 | $229.00 | $68.70–$160.30 | — | — |
| D-dimer blood test (blood clot marker) CPT 85379 D-Dimer | $163.00 | $163.00 | $10.18–$382.49 | 334% above | — |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D-Dimer | $163.00 | $163.00 | $48.90–$114.10 | — | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dhea Sulfate | $353.00 | $353.00 | $22.23–$1,048.97 | 330% above | — |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dhea Sulfate | $353.00 | $353.00 | $105.90–$247.10 | — | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Fentanyl, Urine LC | $988.00 | $988.00 | $31.92–$839.80 | 710% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen 10 Class profile w Oxycodone LC | $988.00 | $988.00 | $31.92–$839.80 | 710% above | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Fentanyl, Urine LC | $988.00 | $988.00 | $296.40–$691.60 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Screen 10 Class profile w Oxycodone LC | $988.00 | $988.00 | $296.40–$691.60 | — | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolyte Panel | $112.00 | $112.00 | $7.01–$251.75 | 222% above | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 80051- Electrolyte panel | $112.00 | $112.00 | $7.01–$251.75 | 222% above | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Electrolyte Panel | $112.00 | $112.00 | $33.60–$78.40 | — | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 80051- Electrolyte panel | $112.00 | $112.00 | $33.60–$78.40 | — | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 86665 | $289.00 | $289.00 | $18.14–$855.88 | 554% above | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EBV Ab VCA, IgG LC | $289.00 | $289.00 | $18.14–$855.88 | 554% above | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 86665 | $289.00 | $289.00 | $86.70–$202.30 | — | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV Ab VCA, IgG LC | $289.00 | $289.00 | $86.70–$202.30 | — | — |
| Estradiol blood test CPT 82670 Estradiol, Free Serum LC | $445.00 | $445.00 | $27.94–$1,318.15 | 349% above | — |
| Estradiol blood test inpatient CPT 82670 Estradiol, Free Serum LC | $445.00 | $445.00 | $133.50–$311.50 | — | — |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH and LH (Ref Lab Only) | $296.00 | $296.00 | $18.58–$876.66 | 332% above | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH and LH (Ref Lab Only) | $296.00 | $296.00 | $88.80–$207.20 | — | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, Stool | $312.00 | $312.00 | $19.63–$925.94 | 244% above | — |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Calprotectin, Stool | $312.00 | $312.00 | $93.60–$218.40 | — | — |
| Ferritin blood test (iron stores) CPT 82728 Ferritin | $217.00 | $217.00 | $13.63–$642.63 | 290% above | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin | $217.00 | $217.00 | $65.10–$151.90 | — | — |
| Fibrinogen blood test CPT 85384 Fibrinogen Level | $155.00 | $155.00 | $9.72–$400.61 | 310% above | — |
| Fibrinogen blood test inpatient CPT 85384 Fibrinogen Level | $155.00 | $155.00 | $46.50–$108.50 | — | — |
| Folate (folic acid) blood test CPT 82746 82746 -Folate | $235.00 | $235.00 | $14.70–$693.64 | 333% above | — |
| Folate (folic acid) blood test CPT 82746 Folate Level | $235.00 | $235.00 | $14.70–$693.64 | 333% above | — |
| Folate (folic acid) blood test inpatient CPT 82746 Folate Level | $235.00 | $235.00 | $70.50–$164.50 | — | — |
| Folate (folic acid) blood test inpatient CPT 82746 82746 -Folate | $235.00 | $235.00 | $70.50–$164.50 | — | — |
| Free T3 thyroid hormone test CPT 84481 T3, Free | $226.00 | $226.00 | $16.94–$799.19 | 200% above | — |
| Free T3 thyroid hormone test inpatient CPT 84481 T3, Free | $226.00 | $226.00 | $67.80–$158.20 | — | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine (T4) Free Direct LC | $144.00 | $144.00 | $9.02–$425.45 | 200% above | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Thyroxine (T4) Free Direct LC | $144.00 | $144.00 | $43.20–$100.80 | — | — |
| Free testosterone test CPT 84402 84402 -Testosterone; free | $405.00 | $405.00 | $25.47–$1,201.48 | 339% above | — |
| Free testosterone test CPT 84402 Testosterone, Free, Direct LC | $405.00 | $405.00 | $25.47–$1,201.48 | 339% above | — |
| Free testosterone test inpatient CPT 84402 Testosterone, Free, Direct LC | $405.00 | $405.00 | $121.50–$283.50 | — | — |
| Free testosterone test inpatient CPT 84402 84402 -Testosterone; free | $405.00 | $405.00 | $121.50–$283.50 | — | — |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 Gamma Glutamyl Transferase | $115.00 | $115.00 | $7.20–$339.58 | 333% above | — |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 82977 - Assay of GGT LC | $115.00 | $115.00 | $7.20–$339.58 | 333% above | — |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 82977 - Assay of GGT LC | $115.00 | $115.00 | $34.50–$80.50 | — | — |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Gamma Glutamyl Transferase | $115.00 | $115.00 | $34.50–$80.50 | — | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose Challenge | $76.00 | $76.00 | $4.75–$223.96 | 334% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose Challenge | $76.00 | $76.00 | $22.80–$53.20 | — | — |
| Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance, 4Hr | $205.00 | $205.00 | $12.87–$607.43 | 317% above | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose Tolerance, 4Hr | $205.00 | $205.00 | $61.50–$143.50 | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 -GC by Multiplex PCR | $558.00 | $558.00 | $35.09–$1,655.77 | 481% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 87591 -GC by Multiplex PCR | $558.00 | $558.00 | $167.40–$390.60 | — | — |
| H. pylori antibody blood test CPT 86677 86677 | $269.00 | $269.00 | $16.85–$274.21 | 412% above | — |
| H. pylori antibody blood test inpatient CPT 86677 86677 | $269.00 | $269.00 | $80.70–$188.30 | — | — |
| H. pylori stool antigen test CPT 87338 Helicobacter Pylori Stool Ag | $229.00 | $229.00 | $14.38–$678.53 | 323% above | — |
| H. pylori stool antigen test inpatient CPT 87338 Helicobacter Pylori Stool Ag | $229.00 | $229.00 | $68.70–$160.30 | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV RNA, Real Time PCR (Graph) LC | $1,354.00 | $1,354.00 | $85.10–$4,014.50 | 487% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV RNA, Real Time PCR (Graph) LC | $1,354.00 | $1,354.00 | $406.20–$947.80 | — | — |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV 1/2 Rapid Screen | $219.00 | $219.00 | $13.71–$647.03 | 337% above | — |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV 1/2 Rapid Screen | $219.00 | $219.00 | $65.70–$153.30 | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV Ab/p24 Ag with Reflex | $383.00 | $383.00 | $13.65–$325.55 | 361% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV Ab/p24 Ag with Reflex | $383.00 | $383.00 | $114.90–$268.10 | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c LC | $155.00 | $155.00 | $9.71–$457.93 | 332% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1c LC | $155.00 | $155.00 | $46.50–$108.50 | — | — |
| Hemoglobin blood test CPT 85018 85018 -Blood count; hemoglobin (Hgb) | $39.00 | $39.00 | $2.37–$111.63 | 170% above | — |
| Hemoglobin blood test inpatient CPT 85018 85018 -Blood count; hemoglobin (Hgb) | $39.00 | $39.00 | $11.70–$27.30 | — | — |
| Hepatitis B core antibody test (total) CPT 86704 Hepatitis B Core Ab | $192.00 | $192.00 | $12.05–$568.58 | 340% above | — |
| Hepatitis B core antibody test (total) inpatient CPT 86704 Hepatitis B Core Ab | $192.00 | $192.00 | $57.60–$134.40 | — | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Antibody | $171.00 | $171.00 | $10.74–$506.86 | 331% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis B Surface Antibody | $171.00 | $171.00 | $51.30–$119.70 | — | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surf Ag Screen LC | $165.00 | $165.00 | $10.33–$487.11 | 341% above | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surf Ag Screen LC | $165.00 | $165.00 | $49.50–$115.50 | — | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HCV Antibody LC | $227.00 | $227.00 | $14.27–$673.15 | 327% above | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCV Antibody LC | $227.00 | $227.00 | $68.10–$158.90 | — | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 .HCV Real-Time PCR Qn 550312 LC | $682.00 | $682.00 | $42.84–$2,020.83 | 421% above | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 .HCV Real-Time PCR Qn 550312 LC | $682.00 | $682.00 | $204.60–$477.40 | — | — |
| Herpes blood test, HSV-1 antibody CPT 86695 86695 -HSV 1 IGG, Type Specific AB | $210.00 | $210.00 | $13.19–$622.19 | 475% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 and 2-Spec Ab, IgG w/Rfx LC | $210.00 | $210.00 | $13.19–$622.19 | 475% above | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 86695 -HSV 1 IGG, Type Specific AB | $210.00 | $210.00 | $63.00–$147.00 | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 and 2-Spec Ab, IgG w/Rfx LC | $210.00 | $210.00 | $63.00–$147.00 | — | — |
| Herpes blood test, HSV-2 antibody CPT 86696 Herpes Simplex Virus 1 and 2 IgG LC | $308.00 | $308.00 | $19.35–$912.85 | 451% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 86696 -HSV 2 IgG, Type Specific AB | $308.00 | $308.00 | $19.35–$912.85 | 451% above | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 86696 -HSV 2 IgG, Type Specific AB | $308.00 | $308.00 | $92.40–$215.60 | — | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 Herpes Simplex Virus 1 and 2 IgG LC | $308.00 | $308.00 | $92.40–$215.60 | — | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 High Sensitivity CRP | $206.00 | $206.00 | $12.95–$610.79 | 340% above | — |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 High Sensitivity CRP | $206.00 | $206.00 | $61.80–$144.20 | — | — |
| Homocysteine blood test CPT 83090 Homocysteine Total | $286.00 | $286.00 | $17.92–$795.84 | 348% above | — |
| Homocysteine blood test inpatient CPT 83090 Homocysteine Total | $286.00 | $286.00 | $85.80–$200.20 | — | — |
| Insulin blood test CPT 83525 Insulin Level Total | $182.00 | $182.00 | $11.43–$539.40 | 331% above | — |
| Insulin blood test inpatient CPT 83525 Insulin Level Total | $182.00 | $182.00 | $54.60–$127.40 | — | — |
| Iron blood test (serum iron) CPT 83540 83540 -Iron | $103.00 | $103.00 | $6.47–$305.71 | 296% above | — |
| Iron blood test (serum iron) CPT 83540 Iron Testing | $103.00 | $103.00 | $6.47–$305.71 | 296% above | — |
| Iron blood test (serum iron) inpatient CPT 83540 Iron Testing | $103.00 | $103.00 | $30.90–$72.10 | — | — |
| Iron blood test (serum iron) inpatient CPT 83540 83540 -Iron | $103.00 | $103.00 | $30.90–$72.10 | — | — |
| Iron-binding capacity (TIBC) test CPT 83550 83550 -Iron binding capacity | $139.00 | $139.00 | $8.74–$412.36 | 266% above | — |
| Iron-binding capacity (TIBC) test CPT 83550 Iron and TIBC LC | $139.00 | $139.00 | $8.74–$412.36 | 266% above | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 Iron and TIBC LC | $139.00 | $139.00 | $41.70–$97.30 | — | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 83550 -Iron binding capacity | $139.00 | $139.00 | $41.70–$97.30 | — | — |
| Kidney function blood test panel CPT 80069 Renal Function Panel | $138.00 | $138.00 | $8.68–$378.14 | 104% above | — |
| Kidney function blood test panel inpatient CPT 80069 Renal Function Panel | $138.00 | $138.00 | $41.40–$96.60 | — | — |
| LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone | $295.00 | $295.00 | $18.52–$873.65 | 332% above | — |
| LH (luteinizing hormone) test CPT 83002 83002 -LH | $295.00 | $295.00 | $18.52–$873.65 | 332% above | — |
| LH (luteinizing hormone) test inpatient CPT 83002 Luteinizing Hormone | $295.00 | $295.00 | $88.50–$206.50 | — | — |
| LH (luteinizing hormone) test inpatient CPT 83002 83002 -LH | $295.00 | $295.00 | $88.50–$206.50 | — | — |
| Lactate (lactic acid) blood test CPT 83605 Lactic Acid | $185.00 | $185.00 | $11.57–$407.67 | 362% above | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 Lactic Acid | $185.00 | $185.00 | $55.50–$129.50 | — | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 83615 -LDH | $97.00 | $97.00 | $6.04–$284.98 | 335% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LD, Body Fluid LC | $97.00 | $97.00 | $6.04–$284.98 | 335% above | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LD, Body Fluid LC | $97.00 | $97.00 | $29.10–$67.90 | — | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 83615 -LDH | $97.00 | $97.00 | $29.10–$67.90 | — | — |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase Level Body Fluid | $110.00 | $110.00 | $6.89–$274.21 | 291% above | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase Level Body Fluid | $110.00 | $110.00 | $33.00–$77.00 | — | — |
| Liver function blood test panel CPT 80076 Hepatic Function Panel | $131.00 | $131.00 | $8.17–$301.37 | 119% above | — |
| Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel | $131.00 | $131.00 | $39.30–$91.70 | — | — |
| Lyme disease antibody test CPT 86618 Lyme Disease Serology w/Reflex LC | $271.00 | $271.00 | $17.03–$803.59 | 490% above | — |
| Lyme disease antibody test CPT 86618 86618 - Lyme IgG II | $271.00 | $271.00 | $17.03–$803.59 | 490% above | — |
| Lyme disease antibody test CPT 86618 Tick-borne Disease Ab Profile LC | $271.00 | $271.00 | $17.03–$803.59 | 490% above | — |
| Lyme disease antibody test CPT 86618 LYMIGM | $271.00 | $271.00 | $17.03–$803.59 | 490% above | — |
| Lyme disease antibody test CPT 86618 86618 - Lyme IgM II | $271.00 | $271.00 | $17.03–$803.59 | 490% above | — |
| Lyme disease antibody test inpatient CPT 86618 LYMIGM | $271.00 | $271.00 | $81.30–$189.70 | — | — |
| Lyme disease antibody test inpatient CPT 86618 Tick-borne Disease Ab Profile LC | $271.00 | $271.00 | $81.30–$189.70 | — | — |
| Lyme disease antibody test inpatient CPT 86618 86618 - Lyme IgG II | $271.00 | $271.00 | $81.30–$189.70 | — | — |
| Lyme disease antibody test inpatient CPT 86618 86618 - Lyme IgM II | $271.00 | $271.00 | $81.30–$189.70 | — | — |
| Lyme disease antibody test inpatient CPT 86618 Lyme Disease Serology w/Reflex LC | $271.00 | $271.00 | $81.30–$189.70 | — | — |
| Magnesium blood test CPT 83735 Magnesium, RBC (Ref Lab Only) | $108.00 | $108.00 | $6.70–$316.13 | 337% above | — |
| Magnesium blood test inpatient CPT 83735 Magnesium, RBC (Ref Lab Only) | $108.00 | $108.00 | $32.40–$75.60 | — | — |
| Measles (rubeola) antibody test CPT 86765 86765 -MSLSM | $205.00 | $205.00 | $12.88–$607.78 | 352% above | — |
| Measles (rubeola) antibody test CPT 86765 Measles IgM, LC | $205.00 | $205.00 | $12.88–$607.78 | 352% above | — |
| Measles (rubeola) antibody test inpatient CPT 86765 86765 -MSLSM | $205.00 | $205.00 | $61.50–$143.50 | — | — |
| Measles (rubeola) antibody test inpatient CPT 86765 Measles IgM, LC | $205.00 | $205.00 | $61.50–$143.50 | — | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 Mononucleosis Test, Qual LC | $83.00 | $83.00 | $5.18–$244.05 | 161% above | — |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Mononucleosis Test, Qual LC | $83.00 | $83.00 | $24.90–$58.10 | — | — |
| Mumps immunity blood test CPT 86735 Mumps Antibody (IgG) (Ref Lab Only) | $208.00 | $208.00 | $13.05–$274.21 | 390% above | — |
| Mumps immunity blood test inpatient CPT 86735 Mumps Antibody (IgG) (Ref Lab Only) | $208.00 | $208.00 | $62.40–$145.60 | — | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 84154 -Prostate specific antigen (PSA); free | $293.00 | $293.00 | $18.39–$867.92 | 395% above | — |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 84154 -Prostate specific antigen (PSA); free | $293.00 | $293.00 | $87.90–$205.10 | — | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA, Ultrasensitive W/O Serial LC | $293.00 | $293.00 | $18.39–$867.92 | 347% above | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA, Ultrasensitive W/O Serial LC | $293.00 | $293.00 | $87.90–$205.10 | — | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 88142 Bill CytoPath C/V Thin Layer SOFTT | $222.00 | $222.00 | $20.26–$191.02 | 216% above | — |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 88142 Bill CytoPath C/V Thin Layer SOFTT | $222.00 | $222.00 | $66.60–$155.40 | — | — |
| Parathyroid hormone (PTH) blood test CPT 83970 IO-PTH Baseline | $657.00 | $657.00 | $41.28–$1,947.06 | 383% above | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 IO-PTH Baseline | $657.00 | $657.00 | $197.10–$459.90 | — | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 aPTT Mixing Studies LC | $96.00 | $96.00 | $6.01–$283.30 | 327% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 85730 -PTT | $96.00 | $96.00 | $6.01–$283.30 | 327% above | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 aPTT Mixing Studies LC | $96.00 | $96.00 | $28.80–$67.20 | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 85730 -PTT | $96.00 | $96.00 | $28.80–$67.20 | — | — |
| Phosphorus (phosphate) blood test CPT 84100 Phosphorus Level | $76.00 | $76.00 | $4.74–$223.61 | 274% above | — |
| Phosphorus (phosphate) blood test CPT 84100 84100 -Phos Lvl | $76.00 | $76.00 | $4.74–$223.61 | 274% above | — |
| Phosphorus (phosphate) blood test inpatient CPT 84100 84100 -Phos Lvl | $76.00 | $76.00 | $22.80–$53.20 | — | — |
| Phosphorus (phosphate) blood test inpatient CPT 84100 Phosphorus Level | $76.00 | $76.00 | $22.80–$53.20 | — | — |
| Potassium blood test CPT 84132 84132 -Potassium; serum, plasma or whole blood | $76.00 | $76.00 | $4.76–$216.89 | 252% above | — |
| Potassium blood test CPT 84132 Potassium Level | $76.00 | $76.00 | $4.76–$216.89 | 252% above | — |
| Potassium blood test inpatient CPT 84132 84132 -Potassium; serum, plasma or whole blood | $76.00 | $76.00 | $22.80–$53.20 | — | — |
| Potassium blood test inpatient CPT 84132 Potassium Level | $76.00 | $76.00 | $22.80–$53.20 | — | — |
| Progesterone blood test CPT 84144 Progesterone Level | $332.00 | $332.00 | $20.86–$984.24 | 287% above | — |
| Progesterone blood test inpatient CPT 84144 Progesterone Level | $332.00 | $332.00 | $99.60–$232.40 | — | — |
| Prolactin blood test CPT 84146 Prolactin Level | $309.00 | $309.00 | $19.38–$914.18 | 332% above | — |
| Prolactin blood test inpatient CPT 84146 Prolactin Level | $309.00 | $309.00 | $92.70–$216.30 | — | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT Mixing Study LC | $68.00 | $68.00 | $4.29–$185.40 | 339% above | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT Mixing Study LC | $68.00 | $68.00 | $20.40–$47.60 | — | — |
| Rapid flu test (influenza antigen) CPT 87804 Influenza A&B Antigen | $263.00 | $263.00 | $16.55–$412.65 | 539% above | — |
| Rapid flu test (influenza antigen) CPT 87804 87804- Influenza B w/Optic | $263.00 | $263.00 | $16.55–$412.65 | 539% above | — |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza A&B Antigen | $263.00 | $263.00 | $78.90–$184.10 | — | — |
| Rapid flu test (influenza antigen) inpatient CPT 87804 87804- Influenza B w/Optic | $263.00 | $263.00 | $78.90–$184.10 | — | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Streptococcus Pneumoniae Antigen | $263.00 | $263.00 | $16.53–$412.65 | 558% above | — |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Streptococcus Pneumoniae Antigen | $263.00 | $263.00 | $78.90–$184.10 | — | — |
| Renin blood test CPT 84244 Renin Activity | $350.00 | $350.00 | $21.99–$1,037.57 | 340% above | — |
| Renin blood test CPT 84244 84244 -Renin | $350.00 | $350.00 | $21.99–$1,037.57 | 340% above | — |
| Renin blood test inpatient CPT 84244 84244 -Renin | $350.00 | $350.00 | $105.00–$245.00 | — | — |
| Renin blood test inpatient CPT 84244 Renin Activity | $350.00 | $350.00 | $105.00–$245.00 | — | — |
| Rh blood typing CPT 86901 86901- RH Blood Type | $624.00 | $624.00 | $5.20–$530.40 | 1243% above | — |
| Rh blood typing inpatient CPT 86901 86901- RH Blood Type | $624.00 | $624.00 | $187.20–$436.80 | — | — |
| Rheumatoid factor (RF) test CPT 86431 86431 | $91.00 | $91.00 | $5.67–$267.50 | 335% above | — |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Arthritis Profile LC | $91.00 | $91.00 | $5.67–$267.50 | 335% above | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Arthritis Profile LC | $91.00 | $91.00 | $27.30–$63.70 | — | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 86431 | $91.00 | $91.00 | $27.30–$63.70 | — | — |
| Rubella antibody test (immunity check) CPT 86762 86762 -RUBLM | $229.00 | $229.00 | $14.39–$678.88 | 433% above | — |
| Rubella antibody test (immunity check) CPT 86762 Rubella IgM Antibody LC | $229.00 | $229.00 | $14.39–$678.88 | 433% above | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 Rubella IgM Antibody LC | $229.00 | $229.00 | $68.70–$160.30 | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 86762 -RUBLM | $229.00 | $229.00 | $68.70–$160.30 | — | — |
| Sodium blood test CPT 84295 Sodium Level | $77.00 | $77.00 | $4.81–$226.97 | 317% above | — |
| Sodium blood test CPT 84295 84295 -Sodium; serum, plasma or whole blood | $77.00 | $77.00 | $4.81–$226.97 | 317% above | — |
| Sodium blood test inpatient CPT 84295 84295 -Sodium; serum, plasma or whole blood | $77.00 | $77.00 | $23.10–$53.90 | — | — |
| Sodium blood test inpatient CPT 84295 Sodium Level | $77.00 | $77.00 | $23.10–$53.90 | — | — |
| Stool ova and parasites exam CPT 87177 Ova and Parasites, Conc and Perm Smear (Ref Lab Only) | $143.00 | $143.00 | $8.90–$419.72 | 335% above | — |
| Stool ova and parasites exam inpatient CPT 87177 Ova and Parasites, Conc and Perm Smear (Ref Lab Only) | $143.00 | $143.00 | $42.90–$100.10 | — | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 .Treponemal Antibodies, TPPA | $211.00 | $211.00 | $13.24–$624.57 | 401% above | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 .Treponemal Antibodies, TPPA | $211.00 | $211.00 | $63.30–$147.70 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL, Syphilis CSF LC | $68.00 | $68.00 | $4.27–$201.49 | 331% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL, Syphilis CSF LC | $68.00 | $68.00 | $20.40–$47.60 | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QFT-TB Plus (Client Incubated) LC | $986.00 | $986.00 | $61.98–$2,923.95 | 557% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QFT-TB Plus (Client Incubated) LC | $986.00 | $986.00 | $295.80–$690.20 | — | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 84403 -Testosterone, Total, LC/MS | $411.00 | $411.00 | $25.81–$1,217.93 | 373% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone, Total, LC/MS (Ref Lab Only) | $411.00 | $411.00 | $25.81–$1,217.93 | 373% above | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 84403 -Testosterone, Total, LC/MS | $411.00 | $411.00 | $123.30–$287.70 | — | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone, Total, LC/MS (Ref Lab Only) | $411.00 | $411.00 | $123.30–$287.70 | — | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Liver-Kidney Microsomal Ab LC | $232.00 | $232.00 | $14.55–$686.58 | 341% above | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Liver-Kidney Microsomal Ab LC | $232.00 | $232.00 | $69.60–$162.40 | — | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH w Free Thyroid if Abnormal | $268.00 | $268.00 | $16.80–$792.54 | 270% above | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH w Free Thyroid if Abnormal | $268.00 | $268.00 | $80.40–$187.60 | — | — |
| Total IgE blood test CPT 82785 Allergens w/Reflex, Zone 1 LC | $262.00 | $262.00 | $16.46–$777.08 | 340% above | — |
| Total IgE blood test inpatient CPT 82785 Allergens w/Reflex, Zone 1 LC | $262.00 | $262.00 | $78.60–$183.40 | — | — |
| Total cholesterol blood test CPT 82465 Cholesterol Total | $69.00 | $69.00 | $4.35–$205.49 | 241% above | — |
| Total cholesterol blood test CPT 82465 82247 - Bilirubin total LC | $69.00 | $69.00 | $4.35–$205.49 | 241% above | — |
| Total cholesterol blood test inpatient CPT 82465 Cholesterol Total | $69.00 | $69.00 | $20.70–$48.30 | — | — |
| Total cholesterol blood test inpatient CPT 82465 82247 - Bilirubin total LC | $69.00 | $69.00 | $20.70–$48.30 | — | — |
| Total thyroxine (T4) blood test CPT 84436 Total T4 Level | $110.00 | $110.00 | $6.87–$324.18 | 293% above | — |
| Total thyroxine (T4) blood test inpatient CPT 84436 Total T4 Level | $110.00 | $110.00 | $33.00–$77.00 | — | — |
| Total triiodothyronine (T3) blood test CPT 84480 T3 Total | $226.00 | $226.00 | $14.18–$668.80 | 309% above | — |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 Total | $226.00 | $226.00 | $67.80–$158.20 | — | — |
| Transferrin blood test CPT 84466 Transferrin LC | $203.00 | $203.00 | $12.76–$602.45 | 331% above | — |
| Transferrin blood test inpatient CPT 84466 Transferrin LC | $203.00 | $203.00 | $60.90–$142.10 | — | — |
| Trichomonas test (NAAT) CPT 87661 87661 -Infectious agent detection by nucleic acid; Trichomonas vaginalis | $558.00 | $558.00 | $19.15–$474.30 | 669% above | — |
| Trichomonas test (NAAT) inpatient CPT 87661 87661 -Infectious agent detection by nucleic acid; Trichomonas vaginalis | $558.00 | $558.00 | $167.40–$390.60 | — | — |
| Triglycerides blood test CPT 84478 84478 - Assay of triglycerides LC | $92.00 | $92.00 | $5.74–$271.55 | 260% above | — |
| Triglycerides blood test CPT 84478 Triglycerides, Fl LC | $92.00 | $92.00 | $5.74–$271.55 | 260% above | — |
| Triglycerides blood test inpatient CPT 84478 Triglycerides, Fl LC | $92.00 | $92.00 | $27.60–$64.40 | — | — |
| Triglycerides blood test inpatient CPT 84478 84478 - Assay of triglycerides LC | $92.00 | $92.00 | $27.60–$64.40 | — | — |
| Troponin test, quantitative CPT 84484 Troponin, High Sensitivity | $199.00 | $199.00 | $12.47–$290.31 | 386% above | — |
| Troponin test, quantitative inpatient CPT 84484 Troponin, High Sensitivity | $199.00 | $199.00 | $59.70–$139.30 | — | — |
| Uric acid blood test CPT 84550 Uric Acid | $73.00 | $73.00 | $4.52–$213.19 | 209% above | — |
| Uric acid blood test CPT 84550 84550 -Uric Acid | $73.00 | $73.00 | $4.52–$213.19 | 209% above | — |
| Uric acid blood test inpatient CPT 84550 84550 -Uric Acid | $73.00 | $73.00 | $21.90–$51.10 | — | — |
| Uric acid blood test inpatient CPT 84550 Uric Acid | $73.00 | $73.00 | $21.90–$51.10 | — | — |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis with Microscopic | $51.00 | $51.00 | $3.17–$149.21 | 89% above | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis with Microscopic | $51.00 | $51.00 | $15.30–$35.70 | — | — |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis | $37.00 | $37.00 | $2.25–$105.96 | 194% above | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis | $37.00 | $37.00 | $11.10–$25.90 | — | — |
| Urine culture for bacteria, with colony count CPT 87086 Urine Culture | $129.00 | $129.00 | $8.07–$380.81 | 238% above | — |
| Urine culture for bacteria, with colony count CPT 87086 Urine Culture LC | $129.00 | $129.00 | $8.07–$380.81 | 238% above | — |
| Urine culture for bacteria, with colony count inpatient CPT 87086 Urine Culture LC | $129.00 | $129.00 | $38.70–$90.30 | — | — |
| Urine culture for bacteria, with colony count inpatient CPT 87086 Urine Culture | $129.00 | $129.00 | $38.70–$90.30 | — | — |
| Urine microalbumin (albumin) test CPT 82043 Albumin, 24 Hour Urine w/Creatinine (Ref Lab Only) | $93.00 | $93.00 | $5.78–$272.88 | 244% above | — |
| Urine microalbumin (albumin) test inpatient CPT 82043 Albumin, 24 Hour Urine w/Creatinine (Ref Lab Only) | $93.00 | $93.00 | $27.90–$65.10 | — | — |
| Urine pregnancy test, read by color change CPT 81025 Beta hCG Urine (POCT) | $137.00 | $137.00 | $8.61–$298.36 | 378% above | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 Beta hCG Urine (POCT) | $137.00 | $137.00 | $41.10–$95.90 | — | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 + Folate | $240.00 | $240.00 | $15.08–$711.07 | 331% above | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B12 + Folate | $240.00 | $240.00 | $72.00–$168.00 | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25-Hydroxyvitamin D LCMS D2+D3 | $471.00 | $471.00 | $29.60–$1,396.61 | 429% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 25-Hydroxyvitamin D LCMS D2+D3 | $471.00 | $471.00 | $141.30–$329.70 | — | — |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 1,25-Dihydroxyvitamin D, S | $613.00 | $613.00 | $38.50–$1,816.32 | 472% above | — |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 1,25-Dihydroxyvitamin D, S | $613.00 | $613.00 | $183.90–$429.10 | — | — |
| Zinc blood test CPT 84630 Zinc, Whole Blood LC | $182.00 | $182.00 | $11.39–$347.28 | 426% above | — |
| Zinc blood test inpatient CPT 84630 Zinc, Whole Blood LC | $182.00 | $182.00 | $54.60–$127.40 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 84702 -B-hCG Qnt | $240.00 | $240.00 | $15.05–$710.38 | 332% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Beta-hCG Quantitative | $240.00 | $240.00 | $15.05–$710.38 | 332% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Beta-hCG Quantitative | $240.00 | $240.00 | $72.00–$168.00 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 84702 -B-hCG Qnt | $240.00 | $240.00 | $72.00–$168.00 | — | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 27786 - CL TX DISTAL FIB FX WO MANIP | $1,019.00 | $1,019.00 | $193.00–$2,973.00 | 90% above | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 27786 - CL TX DISTAL FIB FX WO MANIP | $1,019.00 | $1,019.00 | $305.70–$713.30 | — | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 92960 - CARDIOVERSION ELECTRIC EXT | $6,489.00 | $6,489.00 | $193.00–$5,515.65 | 564% above | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 92960 - CARDIOVERSION ELECTRIC EXT | $6,489.00 | $6,489.00 | $1,946.70–$4,542.30 | — | — |
| Cervical biopsy CPT 57500 57500 - BIOPSY OF CERVIX | $2,654.00 | $2,654.00 | $193.00–$2,973.00 | 74% above | — |
| Cervical biopsy inpatient CPT 57500 57500 - BIOPSY OF CERVIX | $2,654.00 | $2,654.00 | $796.20–$1,857.80 | — | — |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 52000 - CYSTOURETHROSCOPY | $2,388.00 | $2,388.00 | $193.00–$7,657.00 | 62% above | — |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 52000 - CYSTOURETHROSCOPY | $2,388.00 | $2,388.00 | $716.40–$1,671.60 | — | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 69209 - REMOVE IMPACTED EAR WAX UNI | $251.00 | $251.00 | $73.64–$2,973.00 | 107% above | — |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 69209 - REMOVE IMPACTED EAR WAX UNI | $251.00 | $251.00 | $75.30–$175.70 | — | — |
| Earwax removal with instruments, one ear CPT 69210 69210 - REMOVE IMPACTED EAR WAX UNI | $719.00 | $719.00 | $73.64–$2,973.00 | 449% above | — |
| Earwax removal with instruments, one ear inpatient CPT 69210 69210 - REMOVE IMPACTED EAR WAX UNI | $719.00 | $719.00 | $215.70–$503.30 | — | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 58100 - ENDOMETRIAL BX WO CERVICAL DIL | $768.00 | $768.00 | $193.00–$2,973.00 | 66% above | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 58100 - ENDOMETRIAL BX WO CERVICAL DIL | $768.00 | $768.00 | $230.40–$537.60 | — | — |
| Eye injection into the vitreous (intravitreal injection) CPT 67028 67028 - INTRAVITREAL INJECTION OF DRUG | $1,505.00 | $1,505.00 | $193.00–$2,973.00 | 109% above | — |
| Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 67028 - INTRAVITREAL INJECTION OF DRUG | $1,505.00 | $1,505.00 | $451.50–$1,053.50 | — | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 XR Inj Lumb/Sacr Anesthetic | $6,460.00 | $6,460.00 | $382.20–$5,814.00 | 220% above | — |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 XR Inj Lumb/Sacr Anesthetic | $6,460.00 | $6,460.00 | $3,230.00–$4,522.00 | — | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 10060 - I&D ABSCESS SIMPLE/SINGLE | $2,253.00 | $2,253.00 | $193.00–$2,973.00 | 453% above | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 10060 - I&D ABSCESS SIMPLE/SINGLE | $2,253.00 | $2,253.00 | $675.90–$1,577.10 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610 - ARTHROCENT/ASPIR/INJ MAJOR JT | $1,713.00 | $1,713.00 | $193.00–$2,973.00 | 257% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 20610 - ARTHROCENT/ASPIR/INJ MAJOR JT | $1,713.00 | $1,713.00 | $513.90–$1,199.10 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605 - ARTHROCENTS ASPIR/INJ INTRM JT | $1,425.00 | $1,425.00 | $193.00–$2,973.00 | 232% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 20605 - ARTHROCENTS ASPIR/INJ INTRM JT | $1,425.00 | $1,425.00 | $427.50–$997.50 | — | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 20600 - ASPIRATE/INJECT SMALL JOINT | $1,425.00 | $1,425.00 | $193.00–$2,973.00 | 222% above | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 20600 - ASPIRATE/INJECT SMALL JOINT | $1,425.00 | $1,425.00 | $427.50–$997.50 | — | — |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 44970 - LAPAROSCOPY; APPENDECTOMY | $19,657.00 | $19,657.00 | $193.00–$16,708.45 | 185% above | — |
| Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 44970 - LAPAROSCOPY; APPENDECTOMY | $19,657.00 | $19,657.00 | $5,897.10–$13,759.90 | — | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 12031 - LAYER CLO SCLP/TRNK 2.5CM/LESS | $3,305.00 | $3,305.00 | $193.00–$2,973.00 | 411% above | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 12031 - LAYER CLO SCLP/TRNK 2.5CM/LESS | $3,305.00 | $3,305.00 | $991.50–$2,313.50 | — | — |
| Miscarriage treatment with D&C, first trimester CPT 59820 59820 - SURG TX MISSED ABORT; 1ST TRIM | $11,730.00 | $11,730.00 | $193.00–$9,970.50 | 185% above | — |
| Miscarriage treatment with D&C, first trimester inpatient CPT 59820 59820 - SURG TX MISSED ABORT; 1ST TRIM | $11,730.00 | $11,730.00 | $3,519.00–$8,211.00 | — | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 11440 - Exc b9 Lesion mrgn xcp sk tg f/e/e/n/l/m 0.5cm/< | $2,476.00 | $2,476.00 | $193.00–$2,973.00 | 116% above | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 11440 - Exc b9 Lesion mrgn xcp sk tg f/e/e/n/l/m 0.5cm/< | $2,476.00 | $2,476.00 | $742.80–$1,733.20 | — | — |
| Nail removal (partial or complete), one nail CPT 11730 11730 - REMOVAL NAIL PLATE | $1,665.00 | $1,665.00 | $193.00–$2,973.00 | 353% above | — |
| Nail removal (partial or complete), one nail inpatient CPT 11730 11730 - REMOVAL NAIL PLATE | $1,665.00 | $1,665.00 | $499.50–$1,165.50 | — | — |
| Occipital nerve block (injection for headaches) CPT 64405 64405 - INJECTION FOR NERVE BLOC | $3,647.00 | $3,647.00 | $193.00–$3,099.95 | 662% above | — |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 64405 - INJECTION FOR NERVE BLOC | $3,647.00 | $3,647.00 | $1,094.10–$2,552.90 | — | — |
| Paracentesis with imaging guidance CPT 49083 49083 - ABD PARACENTESIS W/IMAGING | $3,309.00 | $3,309.00 | $193.00–$2,973.00 | 113% above | — |
| Paracentesis with imaging guidance inpatient CPT 49083 49083 - ABD PARACENTESIS W/IMAGING | $3,309.00 | $3,309.00 | $992.70–$2,316.30 | — | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED 11750 | $1,424.00 | $1,424.00 | $427.20–$14,367.00 | 93% above | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 11750 - REMOVAL OF NAIL BED | $1,424.00 | $1,424.00 | $193.00–$2,973.00 | 93% above | — |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 REMOVAL OF NAIL BED 11750 | $1,424.00 | $1,424.00 | $427.20–$996.80 | — | — |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 11750 - REMOVAL OF NAIL BED | $1,424.00 | $1,424.00 | $427.20–$996.80 | — | — |
| Removal of a foreign object under the skin, simple CPT 10120 10120 - INCS & REMOV FB SUBQ TISS SIMP | $2,260.00 | $2,260.00 | $193.00–$2,973.00 | 248% above | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 10120 - INCS & REMOV FB SUBQ TISS SIMP | $2,260.00 | $2,260.00 | $678.00–$1,582.00 | — | — |
| Short arm cast (elbow to hand) CPT 29075 29075 - ER APPLICATION FOREARM CAST | $1,192.00 | $1,192.00 | $193.00–$2,973.00 | 178% above | — |
| Short arm cast (elbow to hand) inpatient CPT 29075 29075 - ER APPLICATION FOREARM CAST | $1,192.00 | $1,192.00 | $357.60–$834.40 | — | — |
| Short arm splint (forearm and hand) CPT 29125 29125 - APPLY SHORT ARM SPLINT; STATIC | $1,311.00 | $1,311.00 | $166.08–$2,973.00 | 521% above | — |
| Short arm splint (forearm and hand) inpatient CPT 29125 29125 - APPLY SHORT ARM SPLINT; STATIC | $1,311.00 | $1,311.00 | $393.30–$917.70 | — | — |
| Short leg cast (below the knee) CPT 29405 29405 - APPLY SH LEG CAST | $1,192.00 | $1,192.00 | $193.00–$2,973.00 | 136% above | — |
| Short leg cast (below the knee) inpatient CPT 29405 29405 - APPLY SH LEG CAST | $1,192.00 | $1,192.00 | $357.60–$834.40 | — | — |
| Short leg splint (calf to foot) CPT 29515 29515 - APPLY SHORT LEG SPLINT | $807.00 | $807.00 | $193.00–$2,973.00 | 215% above | — |
| Short leg splint (calf to foot) inpatient CPT 29515 29515 - APPLY SHORT LEG SPLINT | $807.00 | $807.00 | $242.10–$564.90 | — | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001 - SREP S/N/A/G/TR/E; 2.5CM/< | $1,197.00 | $1,197.00 | $193.00–$2,973.00 | 198% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 12001 - SREP S/N/A/G/TR/E; 2.5CM/< | $1,197.00 | $1,197.00 | $359.10–$837.90 | — | — |
| Skin tag removal, up to 15 tags CPT 11200 11200 - REMOV SKIN TAGS TO/INCL 15 LES | $691.00 | $691.00 | $193.00–$2,973.00 | 90% above | — |
| Skin tag removal, up to 15 tags inpatient CPT 11200 11200 - REMOV SKIN TAGS TO/INCL 15 LES | $691.00 | $691.00 | $207.30–$483.70 | — | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 62270 - SPINAL PUNCTURE LUMBAR DIAGNOS | $4,462.00 | $4,462.00 | $193.00–$3,792.70 | 275% above | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 62270 - SPINAL PUNCTURE LUMBAR DIAGNOS | $4,462.00 | $4,462.00 | $1,338.60–$3,123.40 | — | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 12002 - SIMP REP SCLP/TRNK 2.5CM-7.5CM | $1,227.00 | $1,227.00 | $193.00–$2,973.00 | 209% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 12002 - SIMP REP SCLP/TRNK 2.5CM-7.5CM | $1,227.00 | $1,227.00 | $368.10–$858.90 | — | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 12011 - SIMP REP FACE/MUCOUS 2.5/LESS | $1,304.00 | $1,304.00 | $193.00–$2,973.00 | 245% above | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 12011 - SIMP REP FACE/MUCOUS 2.5/LESS | $1,304.00 | $1,304.00 | $391.20–$912.80 | — | — |
| Thoracentesis with imaging guidance CPT 32555 32555 - ASPIRATE PLEURA W/ IMAGING | $10,651.00 | $10,651.00 | $193.00–$9,053.35 | 735% above | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 32555 - ASPIRATE PLEURA W/ IMAGING | $10,651.00 | $10,651.00 | $3,195.30–$7,455.70 | — | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 20552 - INJ SINGLE/MULT TRIGGER PTS | $5,656.00 | $5,656.00 | $193.00–$4,807.60 | 1249% above | — |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 20552 - INJ SINGLE/MULT TRIGGER PTS | $5,656.00 | $5,656.00 | $1,696.80–$3,959.20 | — | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 43235 - EGD DIAGNOSTIC BRUSH WASH | $3,827.00 | $3,827.00 | $193.00–$7,657.00 | 153% above | — |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 43235 - EGD DIAGNOSTIC BRUSH WASH | $3,827.00 | $3,827.00 | $1,148.10–$2,678.90 | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042 - DEBRIDE SKIN/TISSUE | $2,260.00 | $2,260.00 | $193.00–$2,973.00 | 149% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 11042 - DEBRIDE SKIN/TISSUE | $2,260.00 | $2,260.00 | $678.00–$1,582.00 | — | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 36430 - Blood Transfusion | $3,312.00 | $3,312.00 | $550.71–$2,815.20 | 330% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 RI HEMA Blood Transfusion | $3,312.00 | $3,312.00 | $180.60–$4,230.00 | 330% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 RI INF Blood Transfusion | $3,312.00 | $3,312.00 | $180.60–$4,230.00 | 330% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 36430 - TRANSFUSION BLOOD OR BLOOD COM | $3,312.00 | $3,312.00 | $193.00–$2,973.00 | 330% above | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 36430 - Blood Transfusion | $3,312.00 | $3,312.00 | $993.60–$2,318.40 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 RI INF Blood Transfusion | $3,312.00 | $3,312.00 | $993.60–$2,318.40 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 36430 - TRANSFUSION BLOOD OR BLOOD COM | $3,312.00 | $3,312.00 | $993.60–$2,318.40 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 RI HEMA Blood Transfusion | $3,312.00 | $3,312.00 | $993.60–$2,318.40 | — | — |
| Chemotherapy IV infusion, first hour CPT 96413 96413 - CHEMOTX ADMN IV NFS TQ UP 1 HR 1/1ST SBST/DRUG | $1,718.00 | $1,718.00 | $412.32–$7,498.69 | 181% above | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 96413 - CHEMOTX ADMN IV NFS TQ UP 1 HR 1/1ST SBST/DRUG | $1,718.00 | $1,718.00 | $515.40–$1,202.60 | — | — |
| Critical care, first 30 to 74 minutes CPT 99291 Critical Care Ill/Injured Patient Init 30-74 Min 99291 FCT | $12,375.00 | $12,375.00 | $193.00–$10,518.75 | 609% above | — |
| Critical care, first 30 to 74 minutes CPT 99291 99291-CRIT CARE ILL/INJURED PATIENT INIT 30-74MIN | $12,375.00 | $12,375.00 | $193.00–$10,518.75 | 609% above | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 Critical Care Ill/Injured Patient Init 30-74 Min 99291 FCT | $12,375.00 | $12,375.00 | $3,712.50–$8,662.50 | — | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 99291-CRIT CARE ILL/INJURED PATIENT INIT 30-74MIN | $12,375.00 | $12,375.00 | $3,712.50–$8,662.50 | — | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 95816-ELECTROENCEPHALOGRAM W/REC AWAKE&DROWSY | $5,046.00 | $5,046.00 | $193.00–$4,289.10 | 633% above | — |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 95816-ELECTROENCEPHALOGRAM W/REC AWAKE&DROWSY | $5,046.00 | $5,046.00 | $1,513.80–$3,532.20 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ED Electrocardiogram | $774.00 | $774.00 | $21.49–$943.00 | 456% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ED Electrocardiogram | $774.00 | $774.00 | $387.00–$541.80 | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 99281 - Level 1 FCT | $3,338.00 | $3,338.00 | $105.26–$2,973.00 | 1239% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 99281 - Level 1 FCT | $3,338.00 | $3,338.00 | $1,001.40–$2,336.60 | — | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 99282 - Level 2 FCT | $4,173.00 | $4,173.00 | $191.67–$3,547.05 | 970% above | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 99282 - Level 2 FCT | $4,173.00 | $4,173.00 | $1,251.90–$2,921.10 | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 99283 - Level 3 FCT | $5,842.00 | $5,842.00 | $193.00–$4,965.70 | 846% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 99283 - Level 3 FCT | $5,842.00 | $5,842.00 | $1,752.60–$4,089.40 | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284 - Level 4 FCT | $7,011.00 | $7,011.00 | $193.00–$7,158.84 | 685% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 99284 - Level 4 FCT | $7,011.00 | $7,011.00 | $2,103.30–$4,907.70 | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 99285 - Level 5 FCT | $10,709.00 | $10,709.00 | $193.00–$9,102.65 | 800% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 99285 - Level 5 FCT | $10,709.00 | $10,709.00 | $3,212.70–$7,496.30 | — | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Nuclear Rest Only | $3,950.00 | $3,950.00 | $117.74–$3,555.00 | 625% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Nuclear Stress Test Exercise | $3,950.00 | $3,950.00 | $117.74–$3,555.00 | 625% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 ECG Treadmill Stress Test Charity | $3,950.00 | $3,950.00 | $117.74–$3,555.00 | 625% above | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Nuclear Stress Test Exercise | $3,950.00 | $3,950.00 | $1,975.00–$2,765.00 | — | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 ECG Treadmill Stress Test Charity | $3,950.00 | $3,950.00 | $1,975.00–$2,765.00 | — | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Nuclear Rest Only | $3,950.00 | $3,950.00 | $1,975.00–$2,765.00 | — | — |
| Family therapy with the patient, 50 minutes CPT 90847 Family, Couples Psychotherapy 60 minutes With Patient 90847 CHILD | $682.00 | $682.00 | $91.85–$863.03 | 143% above | — |
| Family therapy with the patient, 50 minutes CPT 90847 Family, Couples Psychotherapy 60 minutes With Patient 90847 ADULT | $682.00 | $682.00 | $91.85–$863.03 | 143% above | — |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 Family, Couples Psychotherapy 60 minutes With Patient 90847 CHILD | $682.00 | $682.00 | $204.60–$477.40 | — | — |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 Family, Couples Psychotherapy 60 minutes With Patient 90847 ADULT | $682.00 | $682.00 | $204.60–$477.40 | — | — |
| Family therapy without the patient, 50 minutes CPT 90846 Family Therapy 30 minutes W/O Patient 90846 ADULT | $682.00 | $682.00 | $91.85–$827.64 | 158% above | — |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 Family Therapy 30 minutes W/O Patient 90846 ADULT | $682.00 | $682.00 | $204.60–$477.40 | — | — |
| Group psychotherapy session CPT 90853 Group Therapy 90853 ADULT | $1,120.00 | $1,120.00 | $55.97–$1,008.00 | 656% above | — |
| Group psychotherapy session inpatient CPT 90853 Group Therapy 90853 ADULT | $1,120.00 | $1,120.00 | $336.00–$784.00 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 - Hydration, first hour FCT | $2,063.00 | $2,063.00 | $193.00–$2,973.00 | 472% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360- Hydration, first hour ED | $2,063.00 | $2,063.00 | $193.00–$2,973.00 | 472% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 - IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR | $2,063.00 | $2,063.00 | $130.20–$1,856.70 | 472% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360- Hydration, first hour OBED | $2,063.00 | $2,063.00 | $193.00–$2,973.00 | 472% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360 - Hydration, first hour FCT | $2,063.00 | $2,063.00 | $618.90–$1,444.10 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360 - IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR | $2,063.00 | $2,063.00 | $618.90–$1,444.10 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360- Hydration, first hour OBED | $2,063.00 | $2,063.00 | $618.90–$1,444.10 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360- Hydration, first hour ED | $2,063.00 | $2,063.00 | $618.90–$1,444.10 | — | — |
| IV infusion of a medicine, first hour CPT 96365 96365 - IV INFUSION INITIAL UP TO 1 HOUR | $2,044.00 | $2,044.00 | $250.60–$1,839.60 | 378% above | — |
| IV infusion of a medicine, first hour CPT 96365 96365- IV tx, first hour FCT | $2,044.00 | $2,044.00 | $193.00–$2,973.00 | 378% above | — |
| IV infusion of a medicine, first hour CPT 96365 96365- IV tx, first hour OBED | $2,044.00 | $2,044.00 | $193.00–$2,973.00 | 378% above | — |
| IV infusion of a medicine, first hour CPT 96365 96365- IV tx, first hour ED | $2,044.00 | $2,044.00 | $193.00–$2,973.00 | 378% above | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 96365- IV tx, first hour FCT | $2,044.00 | $2,044.00 | $613.20–$1,430.80 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 96365- IV tx, first hour OBED | $2,044.00 | $2,044.00 | $613.20–$1,430.80 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 96365 - IV INFUSION INITIAL UP TO 1 HOUR | $2,044.00 | $2,044.00 | $613.20–$1,430.80 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 96365- IV tx, first hour ED | $2,044.00 | $2,044.00 | $613.20–$1,430.80 | — | — |
| IV push of a medicine, first drug CPT 96374 96374- IV Injection, single/initial FCT | $1,173.00 | $1,173.00 | $193.00–$2,973.00 | 360% above | — |
| IV push of a medicine, first drug CPT 96374 96374 - INJ IV PUSH INITIAL | $1,173.00 | $1,173.00 | $147.00–$1,556.00 | 360% above | — |
| IV push of a medicine, first drug CPT 96374 96374- IV Injection, single/initial OBED | $1,173.00 | $1,173.00 | $193.00–$2,973.00 | 360% above | — |
| IV push of a medicine, first drug CPT 96374 96374- IV Injection, single/initial ED | $1,173.00 | $1,173.00 | $193.00–$2,973.00 | 360% above | — |
| IV push of a medicine, first drug inpatient CPT 96374 96374- IV Injection, single/initial ED | $1,173.00 | $1,173.00 | $351.90–$821.10 | — | — |
| IV push of a medicine, first drug inpatient CPT 96374 96374 - INJ IV PUSH INITIAL | $1,173.00 | $1,173.00 | $351.90–$821.10 | — | — |
| IV push of a medicine, first drug inpatient CPT 96374 96374- IV Injection, single/initial OBED | $1,173.00 | $1,173.00 | $351.90–$821.10 | — | — |
| IV push of a medicine, first drug inpatient CPT 96374 96374- IV Injection, single/initial FCT | $1,173.00 | $1,173.00 | $351.90–$821.10 | — | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 add on for RHIG | $769.00 | $769.00 | $60.20–$1,556.00 | 646% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372- Subq/IM Injection OBED | $769.00 | $769.00 | $89.88–$2,973.00 | 646% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372- Subq/IM Injection FCT | $769.00 | $769.00 | $89.88–$2,973.00 | 646% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 - Therapeutic, prophylactic, or diagnostic inj (specify substance or drug); Sub-Q or IM | $769.00 | $769.00 | $60.20–$692.10 | 646% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372- Subq/IM Injection ED | $769.00 | $769.00 | $89.88–$2,973.00 | 646% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 - INJECTION THERAPEUTIC SQ/IM | $769.00 | $769.00 | $60.20–$1,556.00 | 646% above | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372- Subq/IM Injection ED | $769.00 | $769.00 | $230.70–$538.30 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 add on for RHIG | $769.00 | $769.00 | $230.70–$538.30 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372- Subq/IM Injection FCT | $769.00 | $769.00 | $230.70–$538.30 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 - INJECTION THERAPEUTIC SQ/IM | $769.00 | $769.00 | $230.70–$538.30 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372- Subq/IM Injection OBED | $769.00 | $769.00 | $230.70–$538.30 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 - Therapeutic, prophylactic, or diagnostic inj (specify substance or drug); Sub-Q or IM | $769.00 | $769.00 | $230.70–$538.30 | — | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psych Diagnostic Eval W/O Med Mgmt 90791 CHILD | $952.00 | $952.00 | $132.04–$1,203.34 | 278% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psych Diagnostic Eval W/O Med Mgmt 90791 ADULT | $952.00 | $952.00 | $132.04–$1,203.34 | 278% above | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Psych Diagnostic Eval W/O Med Mgmt 90791 ADULT | $952.00 | $952.00 | $285.60–$666.40 | — | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Psych Diagnostic Eval W/O Med Mgmt 90791 CHILD | $952.00 | $952.00 | $285.60–$666.40 | — | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 TH-NUTR THRPY INIT 15MN 97802 | $178.00 | $178.00 | $29.39–$273.00 | 236% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Medical nutrition therapy, initial assessment and intervention, individual, face-to-face with the pa | $178.00 | $178.00 | $29.39–$273.00 | 236% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Medical nutrition therapy, initial assessment and intervention, individual, face-to-face with the pa | $178.00 | $178.00 | $53.40–$124.60 | — | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 TH-NUTR THRPY INIT 15MN 97802 | $178.00 | $178.00 | $53.40–$124.60 | — | — |
| Psychiatric evaluation with medical services CPT 90792 Psych Diagnostic Eval With Med Mgmt 90792 CHILD | $741.00 | $741.00 | $132.04–$1,377.58 | 149% above | — |
| Psychiatric evaluation with medical services CPT 90792 Psych Diagnostic Eval With Med Mgmt 90792 ADULT | $741.00 | $741.00 | $132.04–$1,377.58 | 149% above | — |
| Psychiatric evaluation with medical services inpatient CPT 90792 Psych Diagnostic Eval With Med Mgmt 90792 CHILD | $741.00 | $741.00 | $222.30–$518.70 | — | — |
| Psychiatric evaluation with medical services inpatient CPT 90792 Psych Diagnostic Eval With Med Mgmt 90792 ADULT | $741.00 | $741.00 | $222.30–$518.70 | — | — |
| Psychotherapy session, 30 minutes CPT 90832 Psychotherapy, 30 Mins 90832 CHILD | $571.00 | $571.00 | $45.92–$579.89 | 188% above | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Psychotherapy, 30 Mins 90832 CHILD | $571.00 | $571.00 | $171.30–$399.70 | — | — |
| Psychotherapy session, 45 minutes CPT 90834 Psychotherapy, 45 Mins 90834 ADULT | $682.00 | $682.00 | $91.85–$765.02 | 159% above | — |
| Psychotherapy session, 45 minutes CPT 90834 Psychotherapy, 45 Mins 90834 CHILD | $682.00 | $682.00 | $91.85–$765.02 | 159% above | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Psychotherapy, 45 Mins 90834 CHILD | $682.00 | $682.00 | $204.60–$477.40 | — | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Psychotherapy, 45 Mins 90834 ADULT | $682.00 | $682.00 | $204.60–$477.40 | — | — |
| Psychotherapy session, 60 minutes CPT 90837 Psychotherapy 60 Minutes 90837 | $579.00 | $579.00 | $91.85–$1,132.56 | 94% above | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Psychotherapy 60 Minutes 90837 | $579.00 | $579.00 | $173.70–$405.30 | — | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 RI INF Ther Phlebotomy | $930.00 | $930.00 | $166.08–$837.00 | 319% above | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 RI HEMA Ther Phlebotomy | $930.00 | $930.00 | $166.08–$837.00 | 319% above | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Therapeutic Phlebotomy | $930.00 | $930.00 | $166.08–$837.00 | 319% above | — |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 RI INF Ther Phlebotomy | $930.00 | $930.00 | $279.00–$651.00 | — | — |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Therapeutic Phlebotomy | $930.00 | $930.00 | $279.00–$651.00 | — | — |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 RI HEMA Ther Phlebotomy | $930.00 | $930.00 | $279.00–$651.00 | — | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 RI INF Rabies Vaccine | $175.00 | $175.00 | $52.50–$343.00 | 108% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471-Vaccine Administration | $175.00 | $175.00 | $52.50–$343.00 | 108% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Flu Vaccine Admin Non Medicare 90471 | $175.00 | $175.00 | $52.50–$343.00 | 108% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471- Vaccine Administration OBED | $175.00 | $175.00 | $52.50–$343.00 | 108% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 RI HEMA Flu Vaccine Administration | $175.00 | $175.00 | $52.50–$343.00 | 108% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471- Vaccine Administration OBED | $175.00 | $175.00 | $52.50–$122.50 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Flu Vaccine Admin Non Medicare 90471 | $175.00 | $175.00 | $52.50–$122.50 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471-Vaccine Administration | $175.00 | $175.00 | $52.50–$122.50 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 RI INF Rabies Vaccine | $175.00 | $175.00 | $52.50–$122.50 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 RI HEMA Flu Vaccine Administration | $175.00 | $175.00 | $52.50–$122.50 | — | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472- Vaccine Admin Each Addl OBED | $149.00 | $149.00 | $44.70–$343.00 | 231% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Vaccine Admin Addl Non Medicare 90472 | $149.00 | $149.00 | $44.70–$343.00 | 231% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472-Vaccine Administration Each Addl | $149.00 | $149.00 | $44.70–$343.00 | 231% above | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Vaccine Admin Addl Non Medicare 90472 | $149.00 | $149.00 | $44.70–$104.30 | — | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472- Vaccine Admin Each Addl OBED | $149.00 | $149.00 | $44.70–$104.30 | — | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472-Vaccine Administration Each Addl | $149.00 | $149.00 | $44.70–$104.30 | — | — |
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.
Source file: https://www.wmchealth.org/wp-content/uploads/standard-charges/131740104_GoodSamaritanHospital_standardcharges.csv